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HomeMy WebLinkAbout15-16081 CITY OF ZEPHYRHILLS . - 5335-8TH STREET (si3)�so-oo20 16081 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16081 Address: 40343 AIR TIME 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 18-26-22-0010-04400-0000 Improv. Cost: 4,695.00 OWNER INFORMATION Date Issued: 3/12/2015 Name: URAGALLO, TONY Total Fees: 60.00 Address: 5334 FRONTIER DR Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/12/2015 Phone: (813)788-4753 Work Desc: A/C CHANGE OUT 5 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS ,INC. C CHANGEOUT 60.00 (� d _. Ins ections Re uired DUCTS INSTALLED DUCTS I�ULQT D FINAL G — 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 properly 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 Ordinances. NO OCCUPANCY BEFO C.O. � � CONTRAC R IGNATURE 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 Zephyrhills Permit Application� Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting ��� �O�- —oi v�� Owner's Name � �a ���� Owner Phone Number Owner's Address S�� /—�D/lJ�/C°y` .�j� 3�� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS D�Z� //'" ��'e /'TV�- � � � lG,�,S <`� LOT# � SUBDIVISION PARCEL ID# `� ��@ �� (/�i�D 1����D D� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q �, DESCRIPTION OF WORK �L/r7�l�L° � leQ �Q�G�� 5 TD/V S ��� ��[�, Z G' d�o I BUILDING SIZE SQ FOOTAGE� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ 1 +�. 1 ��� QMECHANICAL $ ������ VALUATION OF MECHANICAL INSTALLATION '�C` �GAS 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 COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL �/aM' A ` COMPANY H'�/2�S� fJ-/►�2�3 �-R�.=/��°/ SIGNATURE v"" "`'� REGISTERED Y/ N FEE CURRE� Y/N , Address �/��/ /je � ��Z/���' License# ���� L� ��<'T� 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 Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisions/large 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 wl 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 all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application;notarized•-= • - _ , If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) . _ � _ + ', " Agent(for the contractor).or.Power of Attomey(for tlie owner)would be so�neone with notarized letter from owner authorizing`same"• - _, OVER THE COUNTER PERMITTING, , (F�ont of Application Only).. �, • � - � '�� � Reroofs if shingles Sewers Service Upgrades i4%C""' Fences'(Plot/Survey/Footage) ' , , ' �'' , �. � �_ti Driveways-Not over Counter if on public roadways..needs ROW � ` � - , , � � NOTICE OF DEED RESTRIC7'IONS: 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 �►ND CONTRI�C'fOR RESPONSI�ILITIES: 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 i 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 wilt 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. 'fftANSPORTATION IMPAC'T/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, 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 "ce�tificate 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.�YV(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�►FFIDAVIY: 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 pertormed 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, Water/Wastewater 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 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 application, for lots less than one (1) acre which are elevated by�II, an engineered drainage plan is required. If I am the�►GENT 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, w�ells, 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 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 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 virork ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR F�1ILURE TO RECORD A NOTICE OF COMMENCEMENT Mi�iY RESULT IN YOUF2 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINp►NCING, CONSULT � _10ViTQ-i-Y�l7f�L�(�iD 002�N�A�'7'ORnI Y BEFOLQ'E �3�CORDE�'�-Y-�lJ!31dOTlGE-�?F CG�!!!I!+!lEtd��'EI�lE[dT.--- - - FLORIDA JURAT(F.S. �17. � _ '` ' - 'r OWNER OR AGENi' ��� ��ti�CONTRACTOf2 1 5ubscrlbed and swom to(o a irmed)before me ih(s Subscribed and s n to(or affirmed) efo e me this by Who is/are personally kno o me or has/have praduced Who Is/are personally known to me or has/have produced as IdendficaUon. as ide 'fication. .^i ," JOEL E B N :;`a��iR:PYa'G'�. �7O °'�""' otary Public =.• �`=. � Notary Public ���,,, JOEL ,�� .�- � Commis 1r•r`��'P��' Commission#26�3 073 c� Commissi fll�i��p, Bon dThmTroyFein�nsure�ce�B' ' � ° EXpires ,� �'+� e'..�+�'{A^'�ioY'Fe�"In Name of , n e or stamped Name of Notary typed,printed or stamped ��� �J � � PROPAN� GAS Service Order/Pro osal � � � � � AND AIC ttvc. - � Air Conditioning 8�Heating s����988 s�3�7s2�50 i 3 � Sales, Service & Installations WORN. ORDER#�SERVTGEMAhI JF���J CMA 4441 Allen Rd. • Zephyrhills, FL33541 ��ATE/TIME TAKEN ¢��f��fi� 1�:�� ��-��� ./ TAKEM1I aY KIM �►� •NOTES: DATEITIIYIE I�RQMI5ED ��/�5l1� i�:�t� �� ��� ,�}��-�_ �Q�- , GUSTOMER#/LOGAT I ON 22�133 /4 tl� 1.� �=1.L PHOhIE# 81.�-788-47�� �,N� ���°� ���j�"� COIVTAGT PATTY �I��i � 9�1`�•��1� �rS`G•`6 � ROUTE/SE�,! CMA.` , TOhIY SU I TS T N� TOhIY SU I TS I I�C � 4�343 AIR TII�E AVE 4t�343 AIR TIME AVE ' ��UNIT #4## . 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FILTERS x x Changed Monthly � � , - �rxs.�- � - -- ❑ REGULAR ❑WARRANTY - ';:;�s�> ��'TOTALYSUMMARY�_- _-_ -= - = ___„'��:,�> :;t� - _ ��;=` - =�s - - :s: - - - - - - - - - �;ft�;>:�''`=::`.'_:`�.,.<«<;»,: - -- ;>;Deliuiriiili§fat_Sefting�:r;:When here"ON'-;1�When Away 60°a;T-Stat 80°`; ❑ MAINTENANC CT � -- --- -- -- — SERVICE i LIMITEDWARRANTY: All - - _ -�-` - - _ _ --_ _ _.=f.yr: CALL i , ...,..�..>., � ,�,_..� materiais,parts and equipment are warranted by the manufacturers' `�;:r:_<:z-y;;"z,_�ETHO�zQF�" �AYM NT:'""=�-,";<y;�=. or suppliers'written warranty oniy.All labor performed by the above named company is warranted for '`°'� "�'° �'�'_'�°` � _ -" ' TOTAL i 30 days or as othenvise indicated in writing.The above named company makes no other wartanGes, ❑CASH ❑CK MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warran6es on behalf of above named company. ❑DEBIT ❑CREDIT ❑O R MAINTENANCE � I have authority to orderfhe.work auLined above which has been satisfactorily completed.I agree Ihat Seller . PROG. W ! C � retains titla to equipmenUmaterials fumished until final payment is made.If payment is not made as agreed, CLAIM# � seller can remove said equipmenUmaterials at Seller's ezpense.My damage resulting from said removal shafl �� nALL UNPAID BALAN ES OVER 30 DAYS.NOYREFUNDS/SERVICE CHARGE WILL 8E ADDED MONTHLY TO DATE COMPLETED �./ I , TECH: � T� i 1 c� I. .��� � � CUSTOMER SIGNATURE E ou TOTAL 6c�-a� . _ . !i_�.. � .. � _