HomeMy WebLinkAbout15-16007 CITY OF�E�HYRHILLS ��`
�335-8TH STREET !
�sis��so-oozo 16007
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16007 Address: 6777 ERIN CIRCLE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-1170
Improv. Cost: 2,800.00 OWNER INFORMATION
Date Issued: 2/12/2015 Name: YORK RONALD B & JOYCE R TRUST YO
Total Fees: 50.00 Address: 250 THOMPSON ST
Amount Paid: 50.00 SHELTON CT 06484-5140
Date Paid: 2/12/2015 Phone: 203-650-7604
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATION FEES
CHRIS' C CO. C CHANGEOUT 50.00 -
, .�+
� � � r � S�
���
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULATED
" FINAL � -3 ° �.5
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fi) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and dinances. NO OCCUPANCY BEFO C.O.
�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received a • �� • �� Phone Gontact for Permittin '�oZ� -- �s��
Ouvner's Mame O s?�J( �/"� Ovuner Phone fNumber o��� •�� ' �- �j
�nrner's Address Owmer Phane Rlumber
Fee Simple Titleholder IVame Ovrmer Phone fdumber
Fee Simple Titleholder Address /,�.�� (�C{' ,
h �JOB 61DDRE5S (p � � � ^ � LOT�
SUBDI!/ISIOId � �� _ �ARCEL ID# (/J� ��� '�7C � �-��(�(�(��_/�{j�O-,-
� (OBTAINEb FROM PROPERTY TAX NOTICE)
lMORK PROPOSED � NEW CONS7R B ADDlALT 0 SIGfV Q 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTIOtd Q BLOCK Q FRAME � STEEL Q
DESCRIPTIOM OF WORK v t7 � , ��� � j � /i-f r �dL �pG
BUILDIMG 51ZE �fd FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
dMECHAfVICAL $ VALUATION OF MECHANICAL INSTALLATION
�D� . a?�
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUIl.D�R COMPARlY
SIGtdATURE REGiSTERED Y/ N FEE CURRE� Y/M
Q►ddress License#
ELECYRICIAN COMPAIdY
SIGfd/►,�URE REGISTERED Y/ N FEE CURRE� Y/M
Address License#
P�URflBER COMIPAtdY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
4lddress License#
/�
MECHANICAL " - COAAPARIY C���iS ��� �rl�
SIGFdATURE REGISTERED Y N FEE CURRE� M '
Address o�02 �i..� 6 �J � � -�� 3���� License# �� ��5�
OTHER COMPAMY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
�lddress License#
RESIDEtdT1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)woticing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllit(es&1 dumpster;Site Work Permit for subdivisions/large projects
COMMIERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facititfes 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGtd PERf�IIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Motice of Commencement,(s.requi�ed._,,.(6JC upgrades over�7500)
•• Agent(for the conVactor)o�Power of Attomey(for the owner)�wbulii be someone with notarized lette�from ov+rner'authorizing•same�.,,.,.�-..
, •,
ONER THE COUNTER PERMIIT:TIIdG (Front.of Application:Only),, � .., � . � � '"' -`
Reroofs if shingles Sewers� ` Service Upgrades_A/C � :Fences(PIoUSurvey/Footage) � �
Drivernrays-Not over Counter if on public roadways..needs ROW � " � �' ' '`"' " `�`"` ` •
NOTICE OF DE�D RE�TRICTIOPIS: The undersigned understands that this permit may be subject to"deed"restrickions"
which may be mare restrictive than County regulafions. The u�dersignec! assurnes responsibili#y for compliance with any
applicable deed restrictions. '
Utdl,ICENSED CONTRACTCtlt� 1�N� C1JNT'#��TC?�t ��:5P01VS1�1�!'�tE�: tf the owner has hired a contcactar or
contractors to undertake work, they may be required to be (icensed in accordance with state and locai regulations, if fhe,
contractor is not licensed as requlred by law, boih the owner and contractor may be cited for a misdemeanor vialation
under state law. if fhe awner ar in#ended contractor are uncertain as to what iicensing requirements may appiy far the
intended wark, they are advised to contack the Pasco County Building Inspection Division—Licensing Section at 72?-847-
8009. Fur#hermore, if the awner has hired a contractar or contractors, he is advised to have the cantractor(s) sign
portions of#he "contractor Block" of this applica#ion far which they will be responsible. If you, as the awner sign as the
cantractor, that may be an indication that he is not properly licer�sed�nd is not entltled to permitting privlleges in Pasco
Coun#y. '
TRA,NSPOFtTATION IiVIP�►Cl'll1TILIYIES IIIAPaCY AND R�SOIJRCE R�COV�RY fFEfES: The undersigned underskands
that Transpartation Impact F�es and Ftecourse,Recoverlr F�es may apply to the construction af new builclings, change of
use in exisking buildings, or expansion of existing buildings, as specified in-Pasco County O�dinance number 89-U7 and
90-07, as amended. The undersigned aiso understands, that such fees, as may be due, wilt be identified at the time of
permitting. It is further understood thaf Transportafion Impact Fees and R�source Recovery Fees must be paid prior ta
receiving a "certificate of occupancy" or final power release. 1`f tt5e pr�ject does not involve a certificate �f occupancy o�
frnal power reiease, the fees must be paid prior to permit issuance. Fur#hermare, if Pasco County WaterlSewer (mpact
fees are due, they musk be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CQhtSTRUCTIGIN LIEN l.�lV{i(Chapt�P 713, iFl�rida�tatut��, as �rriencl��): !f valuation of work is$2,50Q.00 or more, t
certify that I, the applicant, have been provided wikh a copy of the "Florida Canstruction Lien Law—Homeawrner's
Protection Guide" prepared by the Fforida Department of Agricultut-e and Gonsumer Affairs. !f the applicant is sameone
othe�than #he"owner", I certify#haf I have obtained a copy af the above described document and promise in good faith ta
deliver it to the"ow�er"prior to commencement.
COIVTRAC'TO�'SJ0I�INER'S��FID�V4T: 1 certify that all the informatfon in this applicatiort is accurate and that a14 work
will be done in comptiance with all applicable laws regulating construction, zoning and land development. Application is
hereby made ta obtain a permit ta do work and installation as indicated. t cer�ify that no work or instaltation has
commenced priar to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construckian, County and City cades, zoning regula#ions, and land development regulakions in the jurisdiction. I also
certify that I understand that #he regulations af other governrnent agencies may apply ta the intended work, and that it is
my responsibility to iden#ify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Depa�tmenf af Enviranmental Pratecfio�-Cypress Bayheads, �letland Areas and Environmentally Sensifive
Lands, V1laker/Wastewater Treatment.
- Southuvest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, A3tering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department af Health & Rehabi]itative Services/Ernironmental Health Unit-Welis, Was#ewater Treatment,
Septic Tanks.
- US Envicanmental Protectian Agency-AsbesEas abatement,
- Federal Aviation Authority-Runways.
1 understand that the fo0owing restrictions appty to the use of fill:�
- Use of fill is not allowed in Fload Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating uaiume" rrvill be submitted at fime of permitting uvhich is prepared by a professiona! engineer
licensed by the Sfate of Florida.
- If the fill material is to be used in Flood 2one NA" in connectlon with a permitted building using steeri wali
construction, I certify that fill will be used only to fill the area wi#hin the stem wall.
- !f fill materia! is #o be used in any area, ! certify that use of such fil! will not adversely affect adjacenk
properties. If use of fill is found to adverseiy affect adjacent prope�ties, the owner may be cited for vialating
the conditions of the building permit issued under the attached permit application, for lots less than ane (1)
acre which are elevatec# by fill, an engineered drainage plan is requlred.
If I am the,A,G�IVT FOR YFiE OIIVINEIR, I promise in good faith to inform #he owner of#he permitting conditions set forth in
this a�davit prior to cammencing construction. 1 understand that a separa#e permi# may be required for etsctrical wrork,
plumbing, signs, wells, poots, air conditioning, gas, ar other installations not specifically included in the application. A
permit issued shall be canstrued to be a license to proceed wikh the work and not as authority to.violate, cancel, altec, or
set aside any provisions of the technical cades, nar shall issuance of a permit prevent the Building Officia!from fhereaffer
requiring a correckion of errors in plans, canstruction ar violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of perml# issuance, ar if worlt authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, f�om the Building Ctfficiai far a period not to exceed ninety (9Q) days and wi!! demanstrate
justifiabte cause far the extension. If work ceases for ninety(90}consecu�ive days, the job is considered abandoned.
WAi2�IlNG TO OW1V�l�. Y0t1F� ��lLt1F2� TGl FtECt)�� 1� NQ7'1C� C31� CC?IMMENCE{Vl�i+lT MAY E2ESllLT tN Y�tlFt _ _
�'AYING TYVICE FOR IIVIPROVEII�ENTS'TO YOUR�ftOP�Ft'rY.- IF YOU INT"END 1'O OBTAIiV F1111id1fNCING, CO�I�ULT�
��TEi Y�4lR-�ENCiEiZ-�iFt�1[Y i�►Tl'C?Rf�lfEY�E�t��E f2IECt?(l2�INC YQtlR i1101"IGE C��CO��El110E�f1 T.
FLORIDA JURAT{F.S. 117.Q3)
�
QWNER OR AtaENT / �- C�PITRAC7t}Ft��1� �w` „�' �
Subscrlbed and swom to(or affirmed)before m his Subscribed and sworn to(or a�rmed)before me thi
by by
Who islare persanalfy knawn to me or haslhave produced Who Islare persanal knawn to me or haslhave produced
as Idendfication. as i nGficaGon.
',•�',.. Camm 1�'"' OEL .BACON
BAC(��_�,,,,,,,_No ry Public . Notary Public
�'`= ission#FF 137073 ' '"=
Co Issio �<= 18 Commissi �� Expires June 29,2018
•,,,,
"�/�,Rik�a` BondedTiwTra/Fdnlna�aance80d38S7019 •��`
u.i
Name of Notary typed,printed or stamped Name f Notary typed,printed or stamped
-�- ------ v+ay u�c.aprrymuis rerm��App��caAOn Fax-873-7Bd-0A21 �
Buil�ng DBpazttnCnt .
. y �
oats Racetved ' f a ' �t� ' Pt�en�Contaet ror Permntl 02/ -- �J�� . .
Ow�te�'sP{ama di'2 /' O►merPholteNumber �
, . �� '��' ,
� Ownera�earess oNmerFhot�Number , .
Fee Simple Tkiaholdu Hetne I ' � I ' 'owner Phone Nunear
Fee Sfmpfe'I'itIM4lder Addrea6 �
dOeADDRESS 72 � � �p �_�
SU8D111LRION • • G�tiC.. . PARCEL IbJ� ���Ip ` � •117�
' ' • (08TAINED F7e0M pRp��pTy tAX NpTtCL�
WORit PROPOSEO NetN CONSTA' ADOlAI.7 '� 31t3N �] � OEMOIJSH
�� INSTALI � NEPAIR • .
PItoROSED USE � SFR [� COA7M 0 cSTMER •
TYPE OF CpNSTRUCI`ION �] BLOCK Q FRAM6 � STE�L, Q �
�F-�CCafNT10N OF 1NORK lr/'¢ ' � � TO A
/ Ii� Ox � �•
6UILDiNO s¢E SQ FOOTAG�� '. HEit�lHT ' ' .
OBUILDlNG S VAf.UATIQN Of 7C1TAL CANS'iRUCTWN�•
QELEC7RICAL E " AMR SERVICE Q PROCsRES3 ENERGY [� W.R,E.C.
p�W���� � a � .. . � bo41 .
I ��,��C
[�(d�CHAF1tCAt . S ��' � VALUA'tION OF MECMANICAL INSTACiA7lON ' ' � ��/�, �
QGAS ., Q ROdf1NG Q SPECIAL7Y Q 07HEFt • , O C „G��✓ ��
FIMISHEp FLOOtt�LEVATiONS Ft00D Z�1�AREA QYES NO ' ' �S� �J
BUII.OEtt � � CONfPANY ��
srctt�luq� • r�o�+m Y!'fY fEE•WRRET>•• '�Y,{,�'-
Ilddreae � License,t� ' .
ELECTRIdAN � ' CONPANY ' . '
SI(iNATURE i�G157EREsD Y/N �•cura�en Y!N
Add1'259 � � UGet18eN� I
RI.UlY7BER ' �OlNPANY ' '
SIONJIT1IR� � FtsGaSi� Y/N F�auw�n Y/N
Add�ess • ' Ucanse#
MECw1N�cAL " � COIMPMIY a��.� /°�/�� �e�u A��
$�(sllAj(1(� t2E016'rFJiEp Y N • FEECSlRREp N
Addresg• . •�+.J ��'cS.S���� Lioenaett ,�
OTNet , . ' • • COMPANY
SIGMATURE •REOISreKeD . • Y1 iV r'�CURhEn Y!
Addnsa ' � UcertBe# ��
RESfDENiW. Atlach(2}Pfot i�1s:(2)sela ot Build��►g Ptans;(1)aet of Enetgy Fotms;R-0-W Pe�k{a new wrfstruetlon.
Mh�m►mi ten(10)vwtk2Rg deyS aNer 6ubmlNal data. Reqiired m�slte,Co�strudion Plm�s.5lormwAter PIBRS w/Sd!Fm�Irsfallad,
San1!�rY FadtflSes 31 dumpster,Si6e Wak Petmk(or subdWtalor�Jla�9e proJeas •
CONIINERGiA� Attach(�'comP�sets Qf 6u9dG+g Pbuts plua a ufe Sstety Page;(1}68t o!Ehergy Fom�.R-U-W Pemk tor new,construcUon.
Mlnimian�n(10)worki'ng days after et�mlltai date. Required er�ite.Coflsttuction Plans,Stamwatsr Plans w!Sffi Fetwe iristafled..
SenNary��Ues 31 dumpsta.�fte Wmk P�mit!or au new proJects.AI(aommertlel requlrements rtwst meat eomptlance
SIGN PERM�f Attedt(x)sate of�Engfneered P�ans. _ ' -
`"""PROPERTY SURVEY required fot aN NEW construcdon �
DlreCtlnfl9: ' � ' •
FII oul2ppflCeHbtl0mnP18tey .
Owner b Con�ac�r sign bads of appFcadon,notarized
H ovet 525�,a�1ee e1 Commence+�enE Ia nqutr�. (A!G upgradea ovor s7b00)
" Agent(ttl1 th0 mMractor)or Pawar of AttomeY(for the owner�would 6e sameorte with noW�ed letter Trom owner auUtorbin8 same '
ov��cw�fr���rnnx�• �, iFront anaw+�n o,ayy '
�or�n snirere� 5eW8f5 Setvtee Upgrede5•NC F�es�rovsurvevr�ats�)
prlroways-Not over Counler if on publlc roadways..needb ROW
�
PROPOSAL ' 3.448 �`
_ ,
� , = CHRIS' A/C
� , �, �.�.
� ����� '� � C O M P A � I�f Y
CAC058575
DATE: '� l .%f l �;�'r
TO: - � �if �`;�= ;��, � r ,--�� - "�� ;r�
NAME: 1`;c� n �. �;I ,_ ` PHONE#: =- '�-- � �� �.�- � �r c.
ADDRESS: �'-"- � �' � ���r�''�/L� %f i rC.f"' /��A�/��,G�
crrY: �-� ��l� ,;r �: �! s ���� �'i w �� �`-� l� ;� ':�
� ' / STATE/ZIP: �'"-�
�� ' �
FURNISH AND INSTALL THE FOLLOWING EQUIPMENT AND MATERIAL. f �
� .._.�. r,� _ / , % )/ � �`' /
�-.`__' / �!�7 " F' J� " r/; �' �:� �� / �9 /,.7 ' .
_�---�i i:�i�i--,��"d � i r.•n �- /-� �7. � ,;�� , i iJ 7 r'�G'-� "�`6,i,'J r-s l t��;7�.'. �,"�-�s
"-`-+ , '-� � "� ' i �. - / � . � � , � ' �� � �
)t1 (� P i�� ��'��P%�,�1 l�i i�(��" � �� � _i��l"t; �'L.i/�� -�i Yj�����%�� ��� '��'�/�� /�J�a
^ "• ._ ' � � , ;' i �y ' " _-
��r�,o.,�s�:�,�.:�; -�� � �nl��:.< -�� f�r-'i��,-�. :� ,,,� /��rf'���
�, � - _�___--- -- --- � - --_.,
% � ----
- � �
1 � - P / 7 G :i J j`/
, lLi�;C; !�'�rF: t` � �� � (// J � ��/ 1i r� ��/ '¢� � �// �.nf/it]!'� _
0 ' _ � _ / •
f � !
lt r ��l� �'l ��- � / f � .
�'; ';� ;f�G� � ). r'�G'� /,�,� � l�r{�` f� f�',� �'.<�.�c�,�
, ; V� � /
STYLE AND SIZE AHU BREAKER STYLE AND SIZE COND.BREAKER
�-` YEAR COMPRESSOR PART WARRANTY �`-YEAR LABOR WARRANTY ON EQUIPMENT ONLY
� YEAR EQUIPMENT ONLY PARTS WARRANTY
1
. PRICE: � �EL ��?�j� `' `� Price good for 30 days
PAYMENT: `� UPON COMPLETION 50% ROUGH IN 50%UPON FINAL DRAWS
� SELLER RETAINS TITLE TO EQUIPMENT/MATERIALS UNTIL PAYMENT IS MADE.IF A PAYMENT IS NOT MADE AS AGREED,SELLER CAN
REMOVE SAID EQUIPMENT/MATERIAL AT SELLER'S EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE
RESPONSIBILITY OF SELLER.BUYER WII.,L BE SUBJECT TO RESTOCKING CHARGE IF JOB IS CANCELED
AGI�EED � �' . �
/''� !� 'f�'`� ` �
CHRIS' 1` ��'f���-��l'���;� -- - DATE �'''��'�`� I
t � � ,>" i
BUYER ✓ ' DATE �
EAX: 352-521-3393
12232 US HWY 301 DADE CITY, FL. 33525 LAKE C.OUNTY 352-508-5614
' EMAIL: CHRISACCOMPANYC AOL.COM DADE CITY 352-521-4977
ZEPHYRHILLS 813-779-9515