HomeMy WebLinkAbout15-16080 CITY OF ZEPHYRHILLS
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16080 Address: 5136 SUMMERHILL DR
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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0260
Improv. Cost: 3,700.00 OWNER INFORMATION
Date Issued: 3/11/2015 Name: FURLONG PATRICK SR & LEE D
Total Fees: 55.00 Address: 23 FURLONG DR
Amount Paid: 55.00 FULTON NY 13069-5100
Date Paid: 3/11/2015 Phone: 315-436-7901
Work Desc: A/C CHANGEOUT 2.5 TON
CONTRACTOR S APPLICATION FEES
O'DONOVAN'S C&HEATI C CHANGEOUT 55.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTS I,�SULATED�_
FINAL �) – f�f—(�C
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.
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CONT TO S G RE PERMIT OFFI R ',
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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0'DONOVAN'S AIR CONDITIONING � HEATIIVC� C0. � ;�� N� O O O 7 7�
4839 ALLEN ROAD ` 9-���Z � /3 �pO����� �i
ZEPHYRHILLS, FL 33541 «
PH (813) 782-4075 FAX (813) 779-0100
STATE LIC. # CAC054731 E-mail timod36309�ayahoo.com
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WE RESPECTFULLY SUBMITTHE FOLCOWING SPEGIFICATIONS AND ESTIMATE FOR:
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WE O�FECi70 F�Fif�! F6 ML�.YERIAL ARID L�a�OR�,ND COi1�PLETETFiE�,BOV�I�ACCORD f�CE WITF9�,BOVE SPECIFICldTlO{�S FORTiiE
SU41�OF: "
DOLLARS($ ).
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PAYMEIVT TO BE MADE AS F LOWS: � l�� ��"C Q
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All materlal is guaranteed to be s specifled.All work to be completed In a
workmanlike manner according to standard practices.Any alteration or devlation
f�om above speclticatians involving eztra costs wlll be executed only upon AUTHORIZED SIGNATURE
written orders and will become an extra charge over and above the estimate.
All agreements conttngen4 upon strikes,acadents or delays beyond our FF R MAY E WITHDRAWN
control.owner to carry tire,tornado and other necessary Insurance.our IF NOT ACCEPTED WITHIN
workers are fully covered by Worker's Compensation Insurance. DAYS.
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C The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above.
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C AUTHOflIZED SIGNATURE DATEOFACCEPTAN AUTHORI2ED SIGNATURE
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PRO-2
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o��-�Q�-��� c;ity of Zephyrhilis Permit Application Fax-813-780-0021
Buitding Department
Date Recelved Phone Contact for PermitEing
Owner's Name �1 �. v {�I / �n Owner Pflone Number � 1� �(�,�1 J ��
Owner's Address � M � r J� Owner Phone Numb�r �— �
Fee Simpte Titlehotder Name �— � Owner Phone Number � ��
I Fee Simpie Titleholder Address
JOB ADDR�SS 1U tf M �I t i { ( `L�l� " LOT# ��
suBQtvis�o� �v��n� t��� p�cE���# !�,._ _ � ,0�Q�0 0� ��-�� _ - _ -
_ __ � __ - -- --- -:---- � _ - ` (QBTAINED FROM PROPERTY TAX NOTICE)
� WORK PRQPOSED NEW CONSTR ADDlALT � SIGN [� [� DEMQUSH
e INSTALL 8 REPAIR
PROPOSED U8E [� SFR Q COMNi � � OTHER � '`�
TYPE OF CONSTRUCTION Q BLOCK �] FRAME [� STEEL Q
DEBCRIPTION OF WORK � �� ������.. o u`� 2 � S� I o N F� •
BUILDlNG SlZE �—� SQ FOOTA�E�� HEtGHT ���
, OBUILDING �6 � VAIUATlON OF TOTAi.GONSTRUCTION
QELECTRICAI. �96 � AMP SERVICE [� PROGRESS ENERGY Q W.R.E.G.
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QPLUMBING �� �p�j� .
�/� , �'�
�ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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QGAS [� RQOFING [� SPECiALTY 0 OTHER
FIN�SHEd FLOOR ELEVATIONS ��� FLOOD ZONE AREA C]YES NO
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� BUILDER CpMPANY
$iGNA'11IRE �_� REGISTERED Y/ N FEE CURREA Y/N •
Address License# � �
ELECTRICIAN CQMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Lioense# �— �
PLUAABER � COMPANY
SIGNATl1RE REGISTERED Y/ N FEE CURRE� Y/N
Addre�s License# r� ��
' MECHANICAL � CQMPANY 0 f �l�r� t nSr C'ri'� �() ,
SIGNATURE REGiSTERED Y! N E CURRE� Y/N
Address License# ,,�
OTHER COMPANY
StGNATURE REGtSTERED Y 1 N FEE CURRE� Y/N
IIAddress Liaense# �— ��
RESIDENTfAL Attach(2}Plot Plans;(2}sets of Building Plans;(1)se#of Energy Forms;R-O-W Permit for new canstn,cBon,
Mir�tmum ten(10}warkfng days after submlttal date. Required onsite,Canstruotion Ptans,Stormwater Pians wJ Siit Fence insta��ed,
Sanitary Facilfdes&.1 dumpster,Site Woric Petmit for subdivistonsllarge pro�ects
CBMMERCIAL Attach(3}cdmptete sets of Butlding Pians plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minfmum ten{1 Q)working days after submtttal date. Required ansite,Construction Plans,Stormwater Ptans w!Silt Fence installed,
Sanitary FaciliUes&1 dumpster.Site Work Permit for a!I new proJecks.Ail cammercia!requfrements must meet complfance
StGN PERMiT Attach(2)sets af Engineered Plans.
""PROPERTY SURVEY required for ati NEW construc6on.
Directions:
, Fkit aat appiication completeiy. .
Owner 8 Contractor sign back of applfcatlon,notarizet!
� If over a2500,a Natice of Commencement is requlred. (A/C upgrad�s over 57500)
"* Agent(for the contractar)or Power of Attomey_(for,the owner)would,tie`someone wikh notarized letter from owner authorizing same
C1VER THE COUNTER PERMITTING (Front of Application Only) • •
Reroofs if shingles Sewers Service Upgrades`A/C- , Fences(P�ot/Suivey/Footage)
Drlveways-Not over Counter if on public roadways,.needs ROW� �" �"`"�"�"�"' ~,,a
�OTICE OF DEED RESTRICTIONS: The undersigned under�tands�that thls:p�rmit.may be subJect to"deed"resVicttons"
vhich may be�more restcictive than County regulatlons. �The undersigned assumes responsibility for compliance with any
ipplicable deed rest�ictions. �
JNLICENSED CONTRACTORS A(dD CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
:ontractors to undertake work, they may be required�to be;licensed in accordance with state.and•local regulations. If the
;ontractor is not Ilcensed as required by law, both the owner and contractor may be clted for a misdemeanor violatlon
inder state law. If the owner or intended�contractor are uncertaln as to what Iicensing.requirements may apply•for the
ntended work, they are advised to contact the.Pasco County Building Inspectton Division—Licensing Sectton at 727-847-
� t009. Furthermore, if the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign
'i �ortions of'the "contractor 81ock° of this application for which they wrlll be responsible. If you, as.the owner sign-as the
;ont�actor, that may be an indication that he is not properly licensed and[s-nofc entitled to permitting privileges in Pasco
�ounty. '
�RANSPORTATION IMPACTIUTILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The undersigned understands
hat Transportation Impact Fees and.Recourse Recove.ry Fees may appiy to_the construction of new buildings, change of
� �se in existing buildings, or.expansion�of ezisting`buildings, as spec(fled in Pascv �ounty�Ordinance number 89-07 and
a0-O7, as amended. The undersigned also understands, that such fees�.as�may�be�due;,will be identified at the time of
� �ermitting. It is further understood that Transportation Impact Fees and"Resou�ce Recovery Fees must be paid prior to
I �eceiving a "certificate of occupancy" or final power release. :If the proj�ct does not invoive a certfficate of occupancy or
�inal power release, the fees must be paid prior to permit issuance. Furtherm'ore, if Pasco County Water/Sewer Impact
`ees are due, they must be paid prior to permit fssuance-In accordance with appltcable Pasco County ordinances.
CONSTRUCTION LIEPI LAW(Chapter 713� Florlda Statutes, as amended): If valuation of work is$2,500.00 or more, 1
�ertify that I, the. applicant, have.been provided with a copy of the "Florida ConsUuction Lien Law—Homeowne�'s
Protection Guide° prepared by the Florida Department of Agric.uiture and ConsumerAffairs. If the applicant is someone
�ther than the"owner", I certify that I have obtained a copy;of the above described document and ptomise in,good faith to
deliver it to the"owner"prior to=commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will�be done in compliance with ali �pplicable laws �egulating construction, zonfng and land development. Appltcation is
hereby made to obtain .a permit to do work.and Installatlon as indlcated. t certify that no work or installation has
' �ommenced prior to fssuance of a permit and that.all work will be pertormed to meet standards of all laws regulating�
construction, County and City codes, zoning regulations, and land development tegulations�in the jurisd(ction. I al'so
certify that I u�derstand that the regulations of other government agencies may apply�to the intended work, and that it is
my responsibiliry to identify�what:actions I must take.to be,in.compliance. Such agencles include but are not limited to: ,
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Envlronmentally Sensitive
Lands, WatedWastewater Treatment.
- Southwest Florida Water Management .DisVict-Wells, Cypress. Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & ReMabilitative Senilces/Environmenfal Health Unit-Wells, Wastewater Treatment,
Septic Tanks. _
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Aviat(on Authority=Runways. -
i� I understand that the following,restrictions apply to the use of flll:
- 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 Florlda. �
- If the fill material is to be used in Flood Zone °A" in�connection with.a permitted building using stem wall
� construction, t certify tha4 fill�will:b.e used only.to fill the area within the stem wall.
- If flll material is to be used in any area, I certify that use. of such flll will not adversely affect adjacent
properties. If use of fill Is found to adversely:affect adJacent properties,.the owner may be cited for viofating
the conditions of the building.permit issued under the attached permlt application, for lots less than one (1)
acre which are elevated�by flil, an engtneered 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 (n
this affidavit prior to commencfng construction. I understand that a separate permft may be requtred for electrical work,
plumbing,,signs, wells, pools, air conditioning,.gas. or other installations not specifically included in the application. A
permit lssued shall be construed to be a Ilcense to proceed with the work and not as�authority to.violate, cancel, alte�, or
set aside any provisions of the techn(cal codes; nor shall issuance�of a permit.prevent the Bulldfrig Otficial from thereafter
requiring a correction af-errors In.plans, construction or iriolations of any codes. Every permit issued shall become invalid
unless the work authorized:by such permit.�ls�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, tn writing, f�om 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 aba�doned.
WARNING TO OWNER: YOUR.FAILURE.TO,RECORD A NOTICE OF-COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE,FOR IMPROVEMENTS�TO YOUR PROPERTY. IF YO.U�INTEN 'TO`OBTAIN•FIPtANCENG��CONSULT
� WIT UR LENDE AN ATTORNEY�B FORE-RECO DI G'YOUR� O O '- E ENT� ,
FLORIDA JURA�(F.S.117.03) �
OWNER OR AGENT . _ _ CONTRAGTO — - -- � � �
Subscribed and swom ta(o�aiflrmed)tiefore me this Subscribed and' to( e �b me fhls
by �by
Who Islare personally knovm to.me or has/haye produced Who Is/are personally knovm to me or has/have produced
as Identlflcatlan. as Idendfica0on.
Notary Public . Notary Public
� ���;�, JOEL E.BACON
Y�y�i�,.
Commisslon No. Comml . �'=
;;� �o,: Expires June 29,2018
r •�.q�',
�i Name of Nolary typed,p�inted or stamped Na e
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