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Home My WebLink About15-16016 CITY OF ZEPHYRHILLS � _ � 5335-8TH STREEf (sis)�so-oo20 16 6 BUILDING PERMIT � PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16016 Address: 5547 12TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-11700-0015 Improv. Cost: 3,825.00 OWNER INFORMATION Date Issued: 2/13/2015 Name: PARKER JEROME & LAI CHING Total Fees: 55.00 Address: 5334 17TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 � Date Paid: 2/13/2015 Phone: 352-567-7992 � Work Desc: A/C CHANGE OUT 3 TON - CONTRACTOR S APPLICATION FEES SOUTHERN COMFORT EN I C C CHAN EOUT 55.00 �� . ^ �(� � ✓ Z °- 2 c� —( S �, , ��-v� r � � �� Ins ections Re uired � ` DUCTS INSTAL ED DUCTSINSULATED � ' FINAL 'L - `LO-- LJ 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� 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 perFormed in accordance with City Codes and Ordinances. 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 � � � �"ROFOSAL i SOUTHERN CORBFORT ENTERPRiSES,INC. 4109 CC1iJNTY RD.b56 WEBSTER,FLA.33597 352-567-6111 352-'793-5501 CAC1813579 NAME DATE SANDY DEV INC. FEI3ARUARY 9,2015 --------------------------------------------------------. STREET JOB NAIvTE 472 SQ FT 12303 HWY 301 RENTAL 12TH ST Z'HII.LS CITY,STATE � � JOB LOCATION�� D.ADE CITY,FL.33525 554'7 12Tx ST,PASCO CO. ------------------------------•-------------------------• FAX: 56�-5688 EMAII.:sand devco(a�,hotmail.com OF�'ICE: 56'7-7992 We hereby submiE specifications and estimates for t� REPLACE A/j,'�&HEAT SYSTEM �Ct3 TEMP'3T4N WITH 5-IO KW I3.0 SFER(R-rtiOA} C)PTION#2:AIC WITH ELEC.HEAT.------------------°------°-----------C$351r,4.00 CIPTION#3•HfiAT PUMP--------------------------------------------------r�f'$'3r$25.00) �R THERMOSTAT� HEAT&COOL Ct?MBINATIQN,RIANtJAL SfiT. DUCT W(3RK. FIBERGLASS AN:D/OR FI,EX,R-6.0 T(7 EXISTING. RETURN AIR THRU EXCSTING FII..TER BACK GRIL,L. WARRANTY- LIMITED ONE X�,AR WORI�Iti±IANSHIP AND MATER:�AT S BY DEALER.TEN YEAR.S ALL PARTS BY MFG. INCLUDES REPLACE DUCT(7NDER HOUSE,A/C PAD,LQW VOLT VI�iIZING,TO EXISTING EI.EC.TAX&LABCIR. NOT INCLUDED: FRAMII�IG,PAINTING,COST OF CITY OR CO.PERM[T. WE PROP(3SB hereby to furnish rnaterial and labor-complete in accordance with above specifications,for the sum of: SEB BODY OF PROPOSAL. Payment to be made as follows: 60%DOWN,BALANCE ON TRIM-OLTT. All materials aze guaranteed to be as specified.All work to be completed in workrnanlike manner aceording to standard praetices.Any alteration or deviatian from above specificatians involving extra costs will be executed only upon written orders,and will beoome an extra charge over and above the estimate.AI3 agreements eontingent ugon strikes,aecidents ar delays beyond oar controt.Ch�mer to carry fire,tornado and other necessary insurance.Our workers are fu oveted by wor n's ompensation insurance. .AUTHORTZED SIGNATURE Note this proposal rnay be withdrawn by us if not accepted witYun 30 days. AGCEPTANCE OF THIS PR�POSAI,- The above priees,specifications and eondit;ons are sat�sfactory and are hereby accepted.You are authorized to do the work as specified. Payment will be ade as outlined a ve. / STGNATURE Z��^�----- DATE ACCEPTED �_1�!� -------- ------------ --__ 8��-�8a�� City of Zephyrhills Permit Application F�-��-�� Building Department Date Received // , . r PhoneContactforPermittinq V `Jc � � - � � � 1 t 1 1 1 1 1 1 1 1 i 1 /�� Owners Name v��t��l'1�. �Q�� Owner Phane Number •J�,-;1 -�a(:!��'/%7!� Owners Address JJ-'7 /�� ' ��l I . Owner Phone Number Fee Slmple TiUeholtler Name Owner Phone Number Eee Simple TiUeholder Addr�s J.�.,- .�. 1 `nr 7 I JOB ADDRESS J �J �� S� L 7 � �S LOT# SUBDIVISION PARCEL ID# ��i''v�,'vvl D' � -G��j `J ,,----��rr (OBTAINED FROM PROPERN 7AX NOTtCE) ' WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR , PROPOSED USE Q SFR Q COMM Q OTHER TYPEOFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK R �� 'C� /'l I � 5 "Z Tc!7� lJ ' / ^ C C- P Ga�cQ� � l� BUILDING SIZE SQ FOOTAGE� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL y AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ /_� ^�`C �MECHANICAL $.g��y�� p;,� VALUATION OF MECHANICAL INSTALLATION 2� �' � � a f � QGAS Q ROOFING Q SPECIALTY Q OTHER � � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO , BUILDER n f � iL COMPANY SIGNATURE �� r� REGISTERED Y J N FEE CURREN Y/PJ Address License# . ` ELECTRICIAN � COMPANY � �l� w �� SIGNATURE REGI5TERED Y/ N FEE CURREN Y/N Address License# PLUMBER � � �' COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N AddresS License# MECHANICAL COMPANY �L�i,l`t � 1 � •1 '� �� '� S-� (� SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address �� lS� �i'J�:7 �.�..V�� .�G� f'� License# ' � � I � ,r ��C OTHER ��v � �( � COMPANY SIGNATURE { REGI5TERED Y/ N FEE CURREN Y/N Address License# IllllllllllllllllllllllllllllllllllllllllllllllllllllGilllllllllltl RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permd for newconstrudion, Minimum ten(10)working days after subm'Rtal date. Required onsite,ConsWdion Plans,Stormwater Plans w/Sitt Fence installed, Sanitary Facilities 8�dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for neweonstruction. Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Sitt Fence instalied, Sanitary Facilities 8'I dumpster.Site Work Permit for all new projeds.All commercial requiremenLs must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. •"'PROPERTY SURVEY required fa ail NEW construdion. Directlons:• Fill ou[application completely. O�mer&ConVactor sign back of application,notarized If over 52500,a Notice of Com mencement is required. (A/C upgrades over 57500) •• Agent(for the contractor)or Power of Attorney(for the owner)wnuld be someone with notar¢ed letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not wer Counter if on public roadways..needs ROW � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" ' ' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UPILICENSED CONTRACTORS AND COPITRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,ihey may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what Iicensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRAMSPORY,4TION IMPACT/UTILITIES IMPACT AfdD RESOURCE PtECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as spec�ed in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a°certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. , CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Fiorida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone i other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work will be done in compliance with all applicabie laws regulating construction,zoning and.land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that ali work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of otfier government agencies may apply to the intended work, and that it is my responsibility to idenfify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterNVastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill:� - Use of�II is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material fs to be used in Flood Zone �A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone °A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWIdER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�cally included in the application. A permit issued shall be construed to be a Ifcense to proceed with the work and not as authority to violate, cancel,alter,or set aside any provisions of the technical codes, nor shail issuance of a permit prevent the Buildirig Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is comme�ced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the lime the work is commenced. M extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,th�job is considered abandoned. WARNIIdG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEFIT MAY RESUL7 IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIiVG,CONSULT Yl►ITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.D3) OWNER OR AGEPdT CONTRACTOR �' Subscrlbed and swom to(or affirmed)before me thfs Subscribed and om to(or affirmed efore me is by bY Who Is/are personally knovm to me or has/have produced Who Is/are personally knovm to me or hasfiave produced as Identlflcadon. as identification. Notary Publlc � �� Notary Public Commission No. C mf •:::^'�-. JACQUELIN BOGES ,�. ..:�: Name of Notary typed,printed or stamped Name ta ��, e r :�a: •,:°�xpi e$ ��i�er 12,2018 ��%�pF��°:`� BaridedThtuTroyFalnlnsurenceCW�3&5-7019