HomeMy WebLinkAbout15-16075 I
CITY OF ZEPHYRHILLS �
,;e ' ~ 53(813}7 0-020� 16 � f
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION '�
Permit Number: 16075 Address: 493�€TIMBERUtIAY
Permit Type: MECHANICAL ZEPHYRHIL.LS, FL.
Giass of V1(ark: R1G CHANGEOUT Township: Range: Book:
Proposed Use: 51NGLE FAMILY RESIDENTiAL Lot(s):2 Block: Section:.
Square Feet: Subdiuision: COURT SQUARE
Est. Vaiue: Parcei Number: 15-26-21-0240-00000-0020
Improv. Cost: 5,857.00 OWNER INFORMATION
Date Issued: 3/10I2015 Name: N1AN�EY, SCOTT& El1tiN1A
Total Fees: 65.00 Address: 4934 TIMBERWAY I
Amount Paid: � 65.00 ZEPHYRNiLLS, FL. 33542 i
Date Paid: 3/10/2015 Phone: 813)780-6505
Work Desc: A/G CHANGE OUT 3 TC?N
CONTRACTOR S APPLICATtON FEES
CO LQU T IN CHA EOU 65.00
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Ins ections Re uired
D S IN ALLED
DUCTSINSULATED�
FINAL °'"{ — <�
REINSPECTION FEES: Reinspection fees will camply with Florida Statute 553.80 (2)(c)when eactra inspection
trips are necessary due to any ane of the following reasans: a)wrong address b}condemned wark resulting
from faulty constructian c) repairs or corrections not made when inspections called d) work not ready far
inspectian when called e) permit not posfied 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 restrictians applicable to this properly that
may be found in the public recards af this caunty, and there may be additional permits required from other gavernmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your faiture ta record a notice of comrr�encement may resalt in your paying twice for
impravements to your property. If you intend to obtain financing, consult with your lender or an atkorney
before recordi»g your notice of comnnencement."
Camptete Plans,Specifications Must Accompany Application.Atl work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CO RAC SIGNATURE PERMIT OFFI R
PE MiT EXPIRES IN 6 MONTHS INITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRC>TECT CARD FROM WEATHER
a�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
„ Building Department
Date Received ap� �,("� Q'J'��
� IV� PhoneConWCtforPertnitting ��� UJ — �
TI-1—ITr
Owners Name � Owner Phone Number
Owners Address �� Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Tideholder Address
JOBADDRESS �` LOT# �
SUBDIVISION 1��� ♦ PARCEL ID# �� � Q� ��
(OBTAINED FROM PROPERNTAX NOTICE)
WORK PROPOSED e NEW CoNSiR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR �OMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q
DESCRIP710N OF WORK � � 1, � C� f� � � C�V
BUILDING SIZE SQ FOOTAGE � HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. �
OPLUMBING $ �4�
j� N
MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION ���
�GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address " � License#
MECHANIC L COMPANY � � 1 LIV�
SIGNATUR REGISTERED Y/ N FEE CURRE� Y/N
Address � License# � '�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111
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,ConsWction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsAarge 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)worfcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for ail NEW construction.
+'
Directions:•
Fill out application completely
Ovmer&ConVactor sign back of applicaGon,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized 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 over 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.
UIdLICENSED CONTRACTORS AND CONTRACTOR 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 I
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
TRANSPORTATION IMPACT/UTILITIES IMPACT 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 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 "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.
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 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 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 other government agencies may apply to the intended work,and that it is
my responsibility to identify 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,WateNWastewater 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-Welis, 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 fill is not allowed in Fiood 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 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 OWNER, 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 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)months 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 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 TICE� F COMMENCEMENT.
FLORIDA JUR,4T(F.S.11 0 ) :
OWNERORAGENT e 1! '� CONTRACTOR
S scribe d sw o or affj ed) or t i S bscri esd�and swo r affirmed)befor m s '
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o is/are personally known me or has/ha produced o i e persona nown to me or has/have produced
' as identifi tion. as identification.
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� March 8, 2015
COOLQUEST INC
7817 RUTILIO COURT �Summary: �� ISPC FIN
NEW PORT RICHEY, FL 34653 invoice#:� �� 12070-33578
727-859-0500 TOLL FREE 877-826-2665 chT________� DARIN
Due Date: S 3/9/2015
VWVW.COOLQUEST.COM LIC#CAC1813939 �__VY_. �_._.__�
�Job Date:� f 3/8/2015
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SCOTT MANLEY SCOTT MANLEY
4934 TIMBER WAY 4934 TIMBER WAY
ZEPHYRHILLS, FL 33542 ZEPHYRHILLS, FL 33542
813-780-6505 813-766-9121 813-780-6505 813-766-9121
.. - � - . . e � .
TEMPSTAR 3 TON 13 SEER HP SPLIT - 5857.00
. . .
5857.00 5857 00 $5,857.00
PARTS WARRANTY.AII parts are warranted per manufactures specifications. NO WARRANTY ON
REFRIGERANT OR PARTS with glass,rubber,plastic,or printed circuit boards.We are not responsible
for any damages or inconveniences caused by clogged drain line problems or inadequate duct sizes
unless othervuise stated on this invoice.Coolquest is not liable for damages caused by water leaks,
unless othennrise stated above.LABOR WARRANTY.Any labor charges relative to equipment service
noted is guaranteed for a period of 30 days. N/C for warranty work will be provided only during normal
Terms: UPON COMPLETION Signature Date