HomeMy WebLinkAbout15-16098 CITY OF ZEPHYRHILLS
5335-8TH STREET
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16098 Address: 39048 HERITAGE CIR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 01-26-21-0010-12000-0010
Improv. Cost: 2,950.00 OWNER INFORMATION
Date Issued: 3/18/2015 Name: HERITAGE VILLAS OF ZEPHYRHILLS
Total Fees: 50.00 Address: 7865 SOUTHSIDE BLVD �
Amount Paid: 50.00 JACKSONVILLE FL 32256
Date Paid: 3/18/2015 Phone: 352-999-1992
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
A-1 B COOL EAT&AIR L C CHAN EOUT 50.00
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Ins tions Re uired
D TS INSTAL ED
DUCTSINSULATED
FINAL ���yS ���
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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 fi) 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 yo perty. If you intend to obtain�inancing,consult with your lender or an attorney
before recording your notice of commencement."
Complete P s ecifi i ns Must Accompany Application.All work shall be pertormed in accordance with
ity Codes and Ordinances. NO OCCUPANCY BEFO C.O.
��
ON RAC R SI NATURE PERMIT OFFI R
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Dade City (352} 588-9210 15873 Lake lola Rd.
'A'� B ���� Dade Ci#y, FL 33523
Tampa, `(813) 221-5850 Neat & Air, LLC
PdSCO �727) $44-998fi Lic.#CAC1814313 � g Q �
NAME � ��, �� C4DE_„�� dAT� �� TtME IN TtME OUT EQUIPMENT
��� j O RESIDENTIAL
ADD ES� � � � AP7.NO.
fl COMMERCIAt
CITY IP HONE O.D.MAKE MODEL SERlAL
CUSTOMER I.D.MAKE M4DEL SERIAL
REQUE$T �
WORK PEI2FORMEO � ��
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G�` � � 'r' �'"--t.�J , �-
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N9ake all Checks Payable ta A-1 B Cool Heat&Air,LLC " •` "' ' � ' • PRICE
CHECKLIST � •• • � • ❑ R22 ❑ R410A
COMPRESSOR I acknowledge that repairs have been perFotmed tn � �� �
o sucr r Ps�� a manner satisfactory to me.En the event payment
a orsc.��PSIG is nat made as agreed,purchaser agree to pay all
❑vo�rs costof colleckfon includin a reasonable amauntas
DAMPS / RATED 9
❑'!0 �� 034 attomey's fees. tnterest at the rate of 18°lo per
OELECTRICAI.CONNECTIONS annum will be added to all dellnquent balances.
❑CONTRACTOR POINTS There will be $2Q.00 charge for all retumed `�
OFANA. ! RATED GhBCElS. � `�
Q SUPEl2NEAT
❑SUB CpOLING r„ ��.��""
CONDENSER COI� AtJj}IQRlZED SiGNATURE
❑c�enrt I certifythat t have ed services indicate and
❑FIN CONDITION Installed parts li �„��
❑AMBIENT 'F �
REFRIGERANT 7ECHNICIAN SIGNA7URE
O LEAK � . . � , , �
o a.K. PRiCE
. . -.
FAN AND MOTOR pnrrrs waRr�nrrrr
p AMPS�/ RA7E4 0 All parts es recorded are warrented as per
0 CON7RACTOR POINTS menutaciurer specificatiaras, PARTS
❑9LOWERASSM.CLEAN � LA80R GUARANTY SERVICE
C1 LUBRICATION
q TOTAL S.P. 'The labor charge as recorded hece relaHve
� W the equipment service as noted, is 7�CHNICAI.
ELECTRICAL HEAT STRIPS' guarantew! for e period oi 30 days.'No SERVICE
t]INSPECT CONNECTIONS ❑ � d�arge'wercantywork wiil be provided onry SHOP
dudngnortnalwoikinghours. ��R
t'�AMPS 1 RA7ED
❑
� EVAPORATOR COII NtJ WARRANTY �—�—� ���_ �� ��
' qAMREIN •F ° ON DRAEN L1NES.
� nniROVr •F � A-1 B COOL ' '
CONDENSATEARER o HEAT 8c AIRi E�LC � � t'���
; Q INSPECTED PAN IS NOT �
Cl INSPECTED DRAIN � �
qFLOATSWITCH � LIQBLE ��pBY-
, mR F,�T�� awr�Ett'S INITIALS FOR DAMAGES O CHECK#
oc��r+N�o REGOMMENDED ACCEPTEp DECLINED CAUSED BY ❑V�sa M!c oAn�►Ex a��scv
����+��a SERVICE WATER l.EAKS. ❑��r�wc� O CASH
613�/8U-UULV City of Zephyrh�!!s Permit Application Fax-813-780-0021
Building Department
Date Receivad ` � Phone Contact for Permitting —
.
Owner's Name I � V// �S � U /� //S Owner Phone Number �Z ��� ���
Owner's Address �'�d `� � �'�� �%C'``.c� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��� 7� C't'�u( ���c.�.� LOT# �
SUBDIVISION PARCEL ID#
(OBTAIMED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN' Q Q DEMOLISH
B INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��� °� � �-
BUiLDING SIZE SQ FOOTAGE /�� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
�M CHANICAL $ � �S U VALUATION OF MECHANICAL INSTALLATION /�('��
6
QGAS Q ROOFING Q SPECIALTY Q OTHER � ���
=1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
3UILDER COAAPAWY '
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N I
Address License#
ELECTRICIAN COMPANY
>IGNATURE REGISTERED Y J N FEE CURRE� Y/N
Address License#
�LUMBER COMPANY
iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address L e#
�ECHANICAL �— j� /�_�` COMPANY �
iIGNATURE � ��f� REGISTERED / , E CURRE� /N
Addrass ���7.3 ��C ��ifz �� License# � f�j y�l3
ITHER COA!lPANY
NGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
;ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conshucUon,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Slit Fence installed,
Sanftary Facilitles&1 dumpster,Slte Wark Permit for subdlvisionsAarge projects
OMMERCIAL Attach(3)complete sets of Buflding Pians 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. Requfred 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 compBance
IGN PERMIT Attach(2)sets of Engineered Plans. � -� - - -
""'PROPERTY SURVEY required for all NEW construction.
irecttons:
Fill out application completely.
Owner&Contractor sign back of appi(cation,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades ovar�7500)
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same
VER THE COUNTER PERMITTING (Front of Application Only) _
eroofs 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 under.stands°that this,petmit.may be:subJect to"deed"restrictions"
which may be:more restcictive.than County regulatlons. The undersigned assumes responsiblltty for compl(ance with any
applicable deed restrictions.
UNLICENSED 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.wlth 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 violatfon
under state law. If the owner or intended contraetor are unce�taln as to what Iicensing requirements may apply�for the �
intended work, they are advised to contact the.Pasco County Building Inspectton Divts(on—Licensing Sectfon at 727-847-
8009. Furthermore, if the owner has hlred a contractor or cQntractors, 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.fhe owner slgn as the
contractor, that may be an indication that he is not.properly licensed and is not entitlsd to permitting privileges in Pasco
County.
TRANSPORTATION EIVIPACTIUTILITIES IMPACT AND RESOURCE RECOVERY��FEES: The undersigned understands
that Transportation l�npact Fees and.Recourse Recove.ry Fees may�apply to.the construction of new buildings, change of
use in existing buildings, or.expansion,of existin�g`�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 tdentlfied 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 flnal power.release. :If the,project does not involve a certificate of occupancy or
final power release, the fees must be patd prior to permit issuance. Ft�rthermore, 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� Flor�da Statutea, 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 Departmenf of Agricuiture and Consumer Affairs. If the appllcant is someone
other than the"owner", I certify that I have.obtained a copy of the above descrlbed document and prom,ise in,good faith to
,deliver it to the"owner"prior to�commencement. ,
CONTRACTOR'SIOWNER'3 AFFIDAVIT: I certify that all the information in thi.s application is accurate and that all work
will be done in compliance with all appltcabte lawrs regulati�g construction, zoning and land development. Applicatlon is
hereby made to obtain .a permit.to do work and installatfon as indicated. I certify that no work or installation has
� commenced prior to issuance of a permtt and that.ali work will be pertormed to meet standards of all laws regulaking
�� construction, Caunty and City codes, zoning regulations, and land development regulations�in the jurisdictlon. I al'so
certify that I ur�derstand 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..corr�pliance. Such agencies include but are.not Iimited to:
- Department of Env(ronmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WatedWastewater Treatment. ,
- Southwest Florida Water Management District-Wells, Cypress. Bayheads, Wetland Areas, Altering
Watercourses. '
- Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways. �
- Department of Health� & Rehabilitative Services/Environmenfal Health Unit-Wells, Wastewater Treatment,
Septic Tanks. � _
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of flll:� �
- Use of fill is not aliowed in Flood Zone°V"unless expressly permitted. �
- If the fill material. is to be used in Flood Zone "A", it (s understood that a drainage plan addressing a
"compensating volume" will be submitted at�ime of permitting which is prepared by a,professional engineer
Ilcensed by the State�of Florida. � -
- If the fill material is to be used in Flood Zone °A" in�connectlon 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 materlal 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 violating
the conditions of the buiiding.permit Issued under the attached permit application, for lots less than one (1)
acre which are elevated by flil, an englneered 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 elecMcal work,
plumbing, signs, wells, pools, afr condttioning, gas, or other installatfons not specifically included'in the application. .A
permit issued shall be construed to be a Ncense to proceed with the work and not as authortty to.violate,cancel, alter, or
� set aside any provisions of the techn(cal codes; nor shall issuance of a permit prevent the Buiiding 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 permlt:is.commenced�with(n six months of permit issuance, or if work authorized by .
the pe�mit is suspended or abandoned for a period of six(6)months after the 4ime the work is commenced. An extens6on
may be �equested, in writing, from the Building,Officfal 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 aba�doned.
WARNING TO OWNER: YOUR.FAILURE.TO.REC.ORD A NOTIGE OF COMM C E T AY RESULT IN YOUR
PAYING TWICE,FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT OBT �FINANCING; CONSULT
WITH Y UR L NDE O AN A'TTORPIEY�B FORE=RECO DI G YOU O C : O E EMENT
FLORIDA JURAT(F.S.117.03)
OtH�aER��-AGER��--- - ---=----— - - — —COPiYR�l�T��t - - —
Subscrlbad and swom to(or affirmed)before me this Subscritied and swom t (or Nirm d)�before me tht
by ,b
Who Islare personally known to.me or haslhave prqduced Who erson !y to-me or has/have duced
• as Identlflcatlqn. as ide tlflcaUon.
Notary PubUc � Notary Public
Commisslon No. Co on_No.
.•''ti�"�°i%�;•., JACQUELINE B
Name of Nolary typed,printed or stamped Name of No ,, d:�pri �Car#�d150422
;;� •o: Expires December 12,2p1g
P;F;°?�` Bonded Thru Trcy Fain Insurance 000385-7019
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