HomeMy WebLinkAbout15-16136 < CITY OF ZEPHYRHILLS
. 5335-8TH STREET
(813)780-0020 1 •'136
BUILDIWG PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16136 Address: 5746 CYPRESS ST
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: 12-26-21-0260-01400-0810
Improv. Cost: 4,250.00 OWNER INFORMATION
Date Issued: 4/02/2015 Name: TOWNSEND, ALLEN & NICOLE
Total Fees: 60.00 Address: 5746 CYPRESS ST
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-4472
Date Paid: 4/02/2015 Phone:
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
ABSOLUTE AIR SYSTEMS IN C CHANGEOUT 60.00
� ' � � ��, J
���
Ins ections Re uired
DUCTS I STALLED
DUCTSINSULATED
FINAL 7- � 3 "'I�
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
1
CONTRAC OR SI NAT RE PERMIT OFFI R
PERMIT EXPIRES IW 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Sheetl
-�����=� Absolute Air Systems, Inc.
'}� I�t�`���; 37925 Kosstk Road BREAK DOWN FORM I
}�' ';� Zephyrhills, FL33541
�`'�-- ;�� Lic.#CAC 1813789 Fax;813 788 9189
::;,__
"w'�-"===��°�� 813 779 0101 Emall:steve@getcoldair.com
Quote To: �elpy�os, FI..813 377 5325 ���� G'��p�Ss �
townsend420�msn.com ����� �3���
Job Descrip4lon:Job breakdown �
Pr000sal 3/25/2015
General Pronosal areakdown Price
Comfortmaker Systems 14 SEER
1 Package Unit 3.5 ton Straight Cool $4,250.00
2 10 kw heater included
3 New main trunk lines to new unit inciuded
� 4 Permit&inspected per your availability , included
5 Large slab for package unit included
8 Add 12/12 retum air to back room(f possible included
Total $4,250.00
�` No engineering or Designing Is fncluded
"` """'credft cards have a 3%surcharge"""`
Slgnature of Proposal
By:(Person Authorized to Sign Proposal)
Nam�: �1�t���t)UY1�2Ji1G� �I( S(gnatur •
Tltle• Date• ��.��,���
Please sign and emait back to:steve�getcoldair.com
or sign and fax to:813-768-9189
note; Installatfon of equfpment is reconnected to existing duct,electical,low voltage,and draln line.Anyothe
" Page 1
���-������ Gity ofi Zephyrhiils Permit Applicatian �aX-813-780-0021
� Building Department
bate Recelved � 2 �M� phone Contact for Permittin
Owner's Name l�"7 ��� � �� �'` � Owner Phone Number G%' � � �?� .�-�Z
Owner's Address �� � �'�� bwner Phone Number �- �
Fea Simpie Titteho(dar Name qwner Phone Number �` �
Pee Simpie Titlehplder Address
JOB ADDRESS ������ ��
LOT#
SUBDIVISION � � PARCEL ID#
(OBTAINED FROM PRdPERTY TAX NOTICE)
WORK PttOPOSED e NEW CONSTR 8 ADOIALT � S1GN Q Q DEMQLISH
INSTALL REPAIR
PROPOSED USE Q SPR Q CQMM �� OTHER
TYPE OF CONSTRUCTICIN Q BLOCK Q FRAME � STEEL Q
DESCRIPTIBN QF WORK Q�.�t,.c� �l t "
BUtLDINfis SIZE SQ FOOTAGE�� HEIGNT �
08UILDlNG �� VAI.UATION OF TOTAI CONSTF2UCTION
QELECTRICAL $ � AMP SERlt10E Q PROGRESS ENEl�GY Q 1N.F2.E.C.
QPLUMSlNG �6�
�MECHANICAL $f����, � V{1�UATlON OF MECHANfCAL INSTAt,LAT10N
7
OGAS C] ROOFING Q SPECIALTY Q QTHER
'INISHED FLOOFt ELEVATIONS � � FL04D ZONE AREA QYES NO
3UlLDfR COMPANY
itGNATURE REGISTERE� Y/ N FEE CURRE� Y/N
Address License# �� �
:l.ECTRICIAt+t COMPAi�tY
itGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �icense# �� �
'LUMBER COMPANY
iI�NATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� .... ��
4ECHANlCAL �.�Jc„ CONlPANY �
�IGHATURE REGISTERED , Y N FEE CURRE� Y/N
Address � �-�2� �'Cd v S!)c �r� Lieense# �1��1 �1 �'3 7��
ITHER �QMp�
�1GA�AT{1RE REGISTEF2ED Y/ N FEE CURRE� Y/N
Address I.icense# �� �
;ESIDEMTIAL Attach(2)Plot Plans;(2�sets of Building Plans;{1}set of Energy Fotms;R-O•W Permlt far new conshvcfion,
Minlmum ten(10}working days after submittal date. i2equired onsite,Construction Pians,SMrtnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Woric Permit far subdivis(ons/larye projects
QMMERCIAL Attach{3)complete sets of Building Plans plus a Life Safety Page;(1}set of Energy Forms.R-O-W Perm�t far new constrvctton.
Ntinimum ten{10}wotking days after submittal date. Required onsite,Consttuction Plans,Storrnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
IGN PERMIT Attach(2}sets of Engineered Plans.
'**'PROPERiY SURitEY required for ait NEW construction.
Ireations:
F[!1 out application completeiy.
Owner 8 Contractor slgn back of application,notarized
i if over�2500,a Notica of Commencement is requirgd. (AtC apgrades av8r�7508}
�
Agent(for the contractor)or Pawer of Attomey(for the owner)would be someane with notarized letter from owner authorizing same
YER THE COUNTER PERMITTIAlG {Front of Apptication Only)
eroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage)
Qriveways-Not over Counter if on pubtic roadways..»eeds R£3W
i
NOTMCE O�DEED RESTRICTIONS: The undersigned unde�r�tands that this.p�rmit.may.be subject to"deed"resVicttons"
which may be�more-�estr.ic#ive than County regulations. �The�nders3gned assumes responsibiiity far camp{iance with any
applicable deed restrictions. �
UNkICENSEQ CC1N7'RACTqltS AND. CONTRACTOR RESPONSEBII.ITlES: -If the owner has hlred a can#ractor or
contractors to undertake work, they may be required�to be:l(aensed in accordance.with state.and�local regulattons. If the
contractor is not (icensed as required�by law, both the owner and conuactor may be cited for a mtsdemeanor violatton
under s#ate law. if the awner or intended�contractor are uncertain as ta what licensing.requirements may appiy•#or the
intended work, they are advised to contack the Pasco County �uilding Inspecttan DivPs(on—Licensing Section at 727-847-
8009. Fu�#hermore, f# the owner has h{red a cont�ac#or or confractors, he �s advlsed to have fhe contractor{s} s�gn
portions of the °contrackor Black" of this application for which they will be responsible. If you, as.the owner sign as the
cont�actor, that may be an indicatian that he is not properly licensed and is not entitied to permikting privileges in Pasco
County. �
TRANSPORTATION IMPACTIUTILITIES-IMPAGT AND RE50URCE RECOV�RY FEES: The undersigned unde�stands
that Transporfatior� impac#Fees and Recaurs�Recove-ry-Fees may apply to the construction of new buildings� change of
use in existing buildings, or expansion>of existing buildings, as specifled in Pasco Caunty Ordinance number 89-07 and
90-07t as amended. The undersigned alsa understands, thalt such fees�.as.may�be.due�twll! be identified at fhe time of
permitting. it is further understood that Transportation Impaat Fees and Resource RecoVery Fees must.be paid prfor to
receiving a "certificate of occupancy" or flnal power..release. :If the.projec�does not involve a certificate of occupanoy or
final pawer retease, the fe�s must be pald prlor ta permit Issuance. Furthermore, if Pasco County lNaterlSewer impact
fees are due, they must be paid pMor to permit�lssuance�in aacordance with applicable Pasco County ordinances.
CONSTRUCTIUN LIEN LAW�Ghapter 713, Elor�da Statutes,as amended�: If valuation of wc�rlt is$2�500.00 or more, 1
certify that i, #he appiicant, have been provlded with a copy af the "Florida Constructlon Lien Law—Hameowner's
Protection Guide" prepared by the Florida Department o#Agriculture and Consumer Affairs. tf the appticant is someane
other than the°awner", 1 certify that I have.dbtained a copy,of the above descrlbed dacument and promise in good faith to
deliver it tc�the°owner"prior ta commencement.
CQNTRACT4R'SIOWNER'S AFFtDAY1T: 1 certify that a1l-the infarmatlon In this appllcatlan�s accurate and that all work
will�be done in compliance w(th a0 applicable iaws regulating construction, zoning and land development. Applicatian is
hereby made ta obtain .a permit to do work.and Installation as IndEeafed. ! certify that no wortt or Instai[ation has
commenced prior to issuance vf a permit and that.ail work will be performed to meet standards of all iaws regulating
const�uction, County and City codes, zoning regulatians, and land development regulations�tn the jurtsdictlon. ! afso
certify that t understand that the regulatlans of other gavernment agencies may�apply�to fhe intended work, and that it is
my responsibility to identify what.actions I must take to be,in.campllance. Such agencles inalude but are not limited ta:
- Qepa�tmen# of Environmentai Protec�ion-Cypress.Bayheads, Wefland Areas and Envlronmentally Sensitive
Lands,WatedWastewa#er Treatment.
- Southwest FloNda Water Management District-Wells, Cypress Bay.heads� Wetland Areas, Aitering
Vtlatercaurses.
- Army Corps of Enginee�s-Seawails, Docks, Navigable Waterways.
- [�epartment of Health & Rehabili#ative Serv3aeslEnvironmental Neat#h U�it-Vitells, Wastewater Treatment,
Septic Tanks.
- US EnvironnnentaM�rotection Agency Asbestos abatement.
- Federal Aviat[on Au#hority-Runways.
I understand that the fallowing restrictions apply to the use of flll:
- Use of fill is nof 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
°compensaEing valume" witl be submltted at time of permftting which Is prepared by a professionat engineer
licensed by#he S#ate�of Ftorida.
- If the fill material is to be used in Flood Zone °A" in�connection�with.a permitted building using stem wa8
consfructio�, l certi#�t fha#fill:wi!l:be used only.to fill the area within#he s#em wali.
- If fill materlal is #a be used In any area, I cerfify that .use. of such fill will r�at adversely affect adjacent
properties, if use of fllt is found #o adversely:affect adJasent propert4es�.the owner may be c�ted for violat�ng
the conditions of the building,permit issued under the attached permit applicatian, far lots less than one (1)
acre which are elevated by fJ!!,an engtneered dralnage plan is required. ,
(f 1 am the AGENT�OR THE OWNER, l,:promise in goad faith to iniorm the-owner of the permitting condifions set forth in
this affidavik�prio� to commecnctng construction. I unde�stand that a separate permtt may be requlred for electrical work,
pEumbing, signs, welts, poofs, alr condltioning,.gas,_or:other Installat[ons nat speciftcally included-�n.#he applica#'son. .A
permit issued shall be constnued to be a�license to praceed with the work and not as authority to.violate,.cancel, al#er, or
set aside any provisions of ths teahntca!codes; nor shal! issuance of a psrmit,preven##he Buftding i�clai from thereafter
requiring a correation af errors in plans, construction or violations of any codes. Every permi#issued shati become invalid
unless the work authorized.by such permi#�is-commenced�within six mon#hs of permit issuance. or if work authorized by
the permit is suspqndecf ar.abandoned for a perlod of s�C{6}montF�s.after the tlme the wartc 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
�usfii�i��il�-caase ftse:Qheryext��sior�.--ti�r��k-c+�ases f�r-ninety{90�eor�s�c�tiv�-days,:.�h��ob-�s-c�nsfd��ed�a�a�don�d: �� -- - ' - -
WARNING TO OWNER; YOUR FAILl1RE-TO�RECORD A NOTIGE OF=COMMENCEMENT MAY RESULT IPI YC1UR
PAYtNG TWiCE.�'OR IMPROVEMENTS TO Yt}UR PRt3PERTY. IF YOU�IN'�END`TQ OBTAIN-FINANCING�'CONSUtT
WIT YOUR LE. DE � �ATTORN B ORE.. EC� �D NG�YOU - O �C ° F CO ` E CE NT
FLORlDA JURRT{F,S.117.03}
OWNER OR ACiENT 'CONTRACTOR �'�'�'�'"� �""—���
S e nd swo to or afl}cmed before me this Substxlbed and'swom to or a�irmed�be�ore m`e U���
ubscria d a m t � � }
bY •bY
Who is/are personally known to.me or has/have produced Who Is/are personally knowrrM me or has/have produced
as ldentlflcadon. as IdenBficaUon.
Natary PubSlc . Notary Publia
Commisslon No. Commisston.No.
IVame o#IVotary lyped,pdnted or stamped Name of Notaty typed,printed or stamped
(