HomeMy WebLinkAbout15-16051 CITY OF ZEPHYRHILLS I
5335-8TH STREET �
(sis)�so-oo2o r 1605
BUILDING PERMIT � "�
PERMIT INFORMATION LOCATION INFORMATION '
Permit Number: 16051 Address: 37650 LORENA AVE �
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-1240
Improv. Cost: 5,300.00 . OWNER INFORMATION
Date Issued: 3/02/2015 Name: ADAMS CAROLE J
Totai Fees: 65.00 Address: 37650 LORENA AVE
Amount Paid: 65.00 ZEPHYRHILLS FL 33541-9314
Date Paid: 3/02/2015 Phone: 813-469-4222
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
CHRIS' C CO. C A GEOUT 65.00
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Ins ections Re uired
D CT I STALLED
DUCTSINSULATED
FINAL_�{ - C� - ( S�
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 t� plans not at job site g) work not accessible. I
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 properly. If you intend to obtain fnancing,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 Cod s and Ordinances. NO OCCUPANCY BEFO C.O.
��
CONTRACTOR SIG ATURE PERMIT OFFI R
PERMIT E PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
\ i •
CITY OF / / / / BUILDINt1
tEPHYRHILLS DEP/�RTMENT
.
OF ADDITION OR CORRECTION ,
� • • - •
ADDRESS DATE PERMIT,�
6 ���� � �'�� � ���
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
�11�i� ����t� �fi�� D�'�� ���G� � f��-�. l�[����a���2� �
Co���� �°yl��t��
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It is unlawFul tor any Carpenter,Contractor,Builder,ar other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part af the worlc with flooring,lath,earth 780- 020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR , ���r
I
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, Bulidfng De�ilm�It
Data Recsived Ptwn�Contaet fOt i►ertnitti �
{..`ir�,r� owrs�rS�Name G�rnar Pdon�Number a"C '
Oxme�'s Ade�ss �"t�d� O7�a-- Chvn6r Phana Number � �
�.a 9lmptie Titi�fiotdor Mame ��_ I Own�r PhonetJumb.r ���
�..��M�e r�na,a�s arsa�a�
�os aooR�&s wr t� �—�
sue�v�sroN � ,��;� p,n�c�.io� -� -� - d D- �b
(OBTIUfED f(2S?N PRDDF.RiY7NFNQT1GEj
WORK PRQPGSE� � NEW COMSi'R� MOtALT �] S1Gt�S CI [� � DE1uI0CiSH I
in�rA�.�. R�PAIR ,
PROP{�SED USE � SFR � t�MM ' � O7MER
•�•�45•�•�C;w:^.+w:�'vi: �� oian,n u r►WMC �,,,J 5TEEL (� • � ��� ,�„h�
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DESCRlP'43CN 0�VIfOR+K t t 7'r f!4
9�
alAL01NG SIZE C � SQ FQGTAOE HEIOHT C�
08UILDING �� .. VAl..UATION OF TOTAI,COPlSTRUCTION
�EiECfRlCAl. ��� AMP SERVICE � t'RtS�R£55 EEtERtiY Q W.R,E.G. -
QPliJM81NG �C� ' ,� ��� ��
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�ECHANICAL $ �� � VAI..UATIOh!�F MEPWAhI1CAL IN$TALLATION i`j � `�� `
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�G�AS [� ROOFINp Q SPECIAL'fY � OTHHR �
FlNist��n�,.aaR E�va�noNS �� F�ooe zor,e a�a ��s �o
SUILb�R � • � GOMPAt�iY �
Siti!]A,TUF� ��s�o „�/N 't�auttR�"'—'{�—�'
Addtess Ctca�se#� �
EkECTRldAN � � COdAPANY T_�_ �r�_ �
81GNpTtlRE RPpiB'rEr�o �_Yt i£ECURtt� �_YtN
Addnas 4icer�se�I I
PLUMBER � � CQHIPANY
SIOMATUAE Rcc3lsTr�o � �CU�n Y!N �
Addrsss i,tp�e#( �
MERHAhIC1�L. ��• � � � CONPANY �'S� �l� �D MT �
81C,liA'NRE f �t! ��� �J�r�n N . F��. RI
n�dareas G� �1 �.� r/ "' � ucensa� L'G�S`�
4THER ' CCMPANY
SlC�NIATURE REdlsrES�o Y I N �cuR�t� Y/N �
Addseea ticense#� �
RESIIIEMIN. Attach(2)plot Ptens:(2)seW of 6uttding Plans;(1a set eF 6nergy Focros,R-4-W Pemtit fa new Co�t6truotlon,
Minanum ten(10)wasldng dsys sfter BUimmtitffi1 dat�.R�qt�ired acrsila�Goti&truction PLans,Sfotritvua�s Fia�w!5t1#Fence#�sts�Eed,
Serdlsry fiadiitles&i dufnl�:SitD WOtk PenmkforiUbBrvis�onsltarge prp,�ects
COMdq�RC1lU.. A�cfi(3)aompl!�te�at 8tdldi�g Plats Pltts a I,tiA Sef�ty Page;(1)9et at Ensrgy FOIri1s.a�W Pennit fcr new constn�etipn.
NAnlmum 1ef�(10)wwls&�E d�y8'alter submfttai daie.Requhed of#8ite.Constnte84A Pter�s.Stomnvat6r Piens wt 81it Ferice insta�sd.
vam'te�r'Y FaciCrties&!dump�er.Sfta Wosk Pertnft tor ai1 new projc#s.Atl a3mme►dat reQutremeMs m�at meet wmpiiartw
SiGN PEI�AIT llttaCh(2)sets of F�tyineeted Plans.
""PRL'�PERTY$U�2VEY fppqltlNBd 1qT elf tJEW cofiSVucNon.
OlroCtiOtiSt: '
F"dl oat appltCetion campletefy.
Oumer 4 Conttadm sigR bddk�applM,atlon,qOtstized
it Ov�r#l5�d.a Iiatico of Cosmm�nrsa�nn,.t t.,r+;.�e�, raM.�..�..+.�•�;r,��
" Rgant(fo�ihe oo�or)or Pr�v9�ofAttomey(for the owne�j woutd b6 someone wtth not�arirxd letter itom ownet auBwrizing tsme
OYEEt 7'HE CQUNTeR P�FtA4lTTlNq {Fron!ot Agpllcafbn ONyj
Remofs ff shSngies Sewers Servk9 t7P9cades WC F�es{Plott�tuv@yl�ootaQe)
Qttvawaya-Wat over Caaiter If an pubGo madways..needs ROW ' . '
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� Phvne: {352) 5�1-4977 � 122�2 Hwy�Q1
�'ax: ��5�} 5�3,-3�93 , I3ade City,F�. 33a�5
I�ate: 3121�5
�.�te��ta�.; ��cki�.�x J�e� ��3�7��-00��
k`xa�a: ���rist�na � � �
R�:p��nit
T�ta:t pag�s includar�� ���v��r: 2
�omn3e�.t�f .� .
I'11 see��ou�,uys th�s x�xoara�ing. Ha�� a g�reat da�I _
C�z�is�kina
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�" C O M P A N Y
CAC058575 P RO P O SAL
12232 HWY 301 DADE CITY (352)521�977
DADE CITY, FL 33525 ZEPHYRHILLS (813)779-9515
NAME: Carole 8�Tom Adams Date: 02/27/15 SPLIT SYSTEM PKG UNIT XX
SUBDIVISION_ Grand Horizons HEATPUMP X srn.coo�
ADDRESS: 37650 Lorena Ave . _ .
cmr: Zephyrhills z�P CooE: 33541 corv�ErvsER: PPH2RFX48KA
PHONE: 813-469-4222 WORK: AIR HANDLER:
CELL: RENTER: HEATER: K3HKOOHHO�B
ESTIMATOR: Chris BRaNO: MAYTAG
- - -- � INCLUDED� IN.PROPOSAL SEERRATING: ��J
PRO 5000 THERMOSTAT/ BETTER INSTANT REBATE :
PA� T TAL : s,3oo.00
CONNECTED TO EXISTING DUCTS AND ELECTRIC WARRANTY: PARTS: 12 YEARS
ANCHOR CONDENSER LABOR: 1 YEAR
TAX,LABOR AND PERMIT �
REMOVE IXISTING EQUIPMENT CONDENSER:
AIR HANDLER: �
HEATER: �
BRAND:
SEER RATING: � #N/A
INSTANT REBATE : #N/A
TOTAL : #N/A
WARRANTY: PARTS: �
LABOR: �
CONDENSER:
AIR HANDLER: �
HEATER: �
Bw�rvo: #N/A
SEER RATING: � #W/A
� , � • INSTANT REBATE: #N/A
�� TOTAL :
I HAVE THE AUTHORffYTO ORDER THE WORK OUTLINED A80VE I AGREE THAT SELLER �NIA
' RETAINS TfRE TO EQUIPMENTAND MATERIALS UNTIL FlNAL PAYMENT IS MADE IF PAYMENT WARRANTY: PARTS: �
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT LABOR: ��
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
'i' :ie�F it#. �:;1�1� "i�•:�.��`.;,�`'';�
THE RESPONSIBILfTY OF SELLER LIMffED WARRANTY:EQUIPMENT,PARTS AND MATERIAL � r PROMOTION .,��i'?�',t,t .
— � ._......�w�_ ..� ._�_.�.r...G'�.'� `,S't
HAS WRITTEN MANUFACTURER'S WARRANTY ONLY. O% FOR 60 MONTHS �WAC�
OR
INSTANT REBATE
CUSTOMER SIGNATURE DATE:
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting — � -�
Owner's Name L .���2.��'C..� 7 _✓���- �`"a���• Owner Phone Number �' �� • 1/ oZ
Owner's Address 3��O�� fl-t.2��G� Owner Phone Mumber
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS cciv�_ LOT# �
SUBDIVISION �-� p,���2 n PARCEL ID# 7 '�� � — �O�D- Qd O� � o�Y�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM � OTHER i/i¢
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK (�� K �''i �` E ��� �'fi�j
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
�MECHANICAL $���, `H� VALUATION OF MECHANICAL INSTALLATION
Uv
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COM PANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —�
MECHANICAL . ' � COMPANY t � � �i �y
SIGNATURE fIG�L/ REGISTERED -Y� N FEE CURRE� N
Address / (,�.� 3 C7/ �Q cez �� �l°j' ' License# C�(�,S � ,f�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plansw/Silt Fence installed,
- -- Sanitary Facilities F�1`dumpsfer;Site Work F�ermit for subdivisions/la�ge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance -
SIGN PERMIT Attach(2)sets of Engineered Plans. �
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely. , ' �
Owner 8 Contractor sign back of application,notarized , �` '
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
'* Agent(for the contractor)or Power of Attorney(for the-owner)would`b'e someone with notarized letter ftom owner authorizing same _ , �-
OVER THE COUNTER PERMITTING (Front of Application Only) - ' , �
Reroofs if shingles Sewers Service Upgrades �A%C Fences(Plat/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs R01N, � ,
� �
NOTIG.Y`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.
UNLICENSED CONTRACTORS AND CONTRAC'T01t RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they 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 licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Fu�thermore, 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.
YFt�►NSPOf2TATION IMPAC7/UTILITIES IAflPACT AND RESOURCE RECOVERY 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 specified 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 Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN L�►W(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or mor.e, I
certify that I, the applicant, have been provided with a copy of the `Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
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.
COPITRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable 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 all work will be performed to meet standards of all laws �egulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. f also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
' my responsibility to identify what actions 1 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, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Baytieads, 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-Runwrays.
I understand that the following restrictions apply to the use of fill:�
- Use of fill is not allowed in Flood 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 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'appl,ication, for lots less than one (1)
acre whicti are efevated by fill, an engineered drainage plan is required.
If I am the�►GENT FOR THE OYiINER, 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 electricat work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building 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 commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of-six_(6)mont_hs after the time the work is commenced. An 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, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COfNMENCEAAENT MAY RESULT IfV YOUR
- PAYE�lG'Fl�:lCE :��F-!!►�P!?�bEMlEbTG-T�-�19l�?� P9��PER'El(. E�_�rO��.�NT�R��'n �nE�T�I� FI[�ANCINGt--CONSIJL.T_—
- WITH YOUR LENDER OR N ORNEY EFOftE RECORDING YOUR NO CE OF OIVIMENCEiVIE T.
FLORIDA JURAT(F.S. 11 03) �
OWPIER OR AGENT � r�' CONTRACTOFt , �" �'�r
Subscribed and swo o(or affirmed)before e thls Subscribsd and sworn to(or affirmed)before me thi
by by
Who islare personally known to me or has/have produced Who Is/are personall known to me or has/have produced .
" as IdenGfication. as identification.
� � . , .. - , .. �
Notary Public Notary Rublic_
Com I lon o;��,��;•,,_ inGi G R Commi si N ��""'��•. , ON
:: :�-.�Comrmission#FF 137073 ;;`` '•::: Commission#FF 137073
_ :�; _ une 29 2018
Name of Not ��9rfn�p��tF��eo�aeoo-3asao�s Name of No '"' .�pruatedr�rr�4�phpet41Ce�0-3esams�
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