HomeMy WebLinkAbout15-16147 •� CITY OF ZEPHYRHILLS
; 5335-8TH STREET
, ' �� (sis)�so-oozo 1614
��. BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Nurx�ber: 16147 Address: 39516 9TH 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: SUNSET ESTATES
Est. Value: Parcel Number:
Improv. Cost: 3,800.00 OWNER INFORMATION
Date Issued: 4/07/2015 Name: WINDSOR MORTGAGE HOLDINGS LI LL
Total Fees: 55.00 Address: 4235 MARY ELLEN AVE UNIT 301
Amount Paid: 55.00 STUDIO CITY, CA 91604-1859
Date Paid: 4/07/2015 Phone: (813)239-4685
Work Desc: A/C CHANGE OUT 3.5 TON
CONTRACTOR S APPLICATION FEES
CARROLLWOOD AIR,LLC C CHANGEOUT 55.00
r �,
-�
Ins ections Re uired
DUCTSINSTAL ED
DUCTS INS�T�D�
FINAL ��r
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 fhis 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.
CONTRACTO SI ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�aaoaao City of Zephyrhilis Permit Appiication Fax-s��-�saaa2�
. - BuHding Deparlment
Date Recelved Pfione Contact for Parmittin —
Owner's Name �� � j Owner Phone Number � "���49�J
Owner's Address 7i"' ! Owner Phone Number ��`
Fee Simple 71tlgholder Name Qwne�Phone Numher � �
Fee Stmple Titlehoider Address
JOB ADDRESS �pT# �
SUBDIVISION � � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK RRdPOSED , e NEW CONSTR 8 ADD/ALT �� SIGN Q C] DEMOLISH
tNSTALl. REPAIR
PROPQSEQ USE [� SFR Q COMM [,� OTHEF2
TYPE OF CONSTRUCTtON Q BLQCK � FRAME � STEEL Q
DESCRIPTION OF WORK "1 ` 6G � � �. Qtk l 3%. �1J
BUILDING SIZE r� � SQ FQOTAGE[�� HEIGHT C��
�$u����N� $ VALUATION QF TOTAL CONSTRUGTION
��__�
QElECTRICA� ($ � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C.
�
[�PLUMBIt�G �;� �
MECHANlCAL $ VA�UATlON OF MECHANICAI IIVSTAtLATIt}N
• Q cJ
QGAS [� RQOFING Q SPECIAI.TY [� OTHEi2
FINISHED FLQOR ELEVATIONS �� F�OOD ZONE AREA QYES NO
BUILQER CBMPANY
SIGNATURe REGiSTERED Y I N FEE GURREt� Y/N
Address License# �� �
EI.ECTRICtAN COMPANY
SIGNATURE REGfS7ERED Y t N FEE CURREF Y/N
Address License# �� �i�
Pi.UMBER � COMPANY
SIGNATURE REGI3SERED Y� N FEE GURRfR Y l N
Address Ircense# � �
SIG AT�URE r�� r " \�' �
` cot��at+nr �r'�e.tz o�.t� a i�. �C
� REGISTERED Y/ N FEE GURREf� Y/IV
Address License# ��'.i�C 1 $\"�$,(p(d �
OTHER � CpNJp1WY
SIGNATURE REGISTERED Y/ N FEE CURREA Y t N
' Address Llcense# �� �
RESIdENTIAL Attach{2)Plot Plans;(2)sets of Build3ng Plans;(1)set of Energy Forms;R t7-W Permit for new canstrucUon,
Minimum ten(10)working days after submittal date. Required onsite,ConstrucBon Pians,Stormwater Plans w/Slit Fence tnstalled,
Sa�itary Facilities&1 dumpster,Site,Work Permit for subdivisionsilarge projects "
COMfHERCIAL A4tach(3)complete sets of Buildfng Plans plas a Life Safety Page;(1}set of Energy Farms.R-O W PeRnit for new canstruction.
Minimum ten(10)worlcing days a1'ter submittal date. Required onstte,Construction Plans,Stormwater Plans w!Silt Fence InstaAed,
Sanifary Facfli#ies 81 dumpster.Site Work Permit for atl new projects.All commercial requirements must meet compliance
SlGM PERMIT Attach(2)sets of Englneered Plans,
••""PROPERTY SURVEY required for all NEW consUucdon.
Directlon�:
Fill out applicaUon campletely.
Qwner&Contractor sign back of appl(caHon,notarized
if over 52500,a Nottce af Cammencement is.reguired,_;(AlC upgrades ovar b754d)
" Agen#{for#he contractot)or Power of Attomey(tor the awnar)would be someone with no#arized letker fram owner authorizing same
DVER TNE COUNTER PERM1T11NG� {Front of;Application 4nly);
Reroofs if shingles Sewers ServPce Upgrades A!C Fences(PlotlSurvey/Foatage)
Driveways-Not over Gounter 1f an public roadways..�eeds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned under.gtands°that this.��rmit.may be.subJect to"deed" restrictions"
which may be�more�testNctive than County regulatlons. �The undersigned assumes responsibflity for compliance with any
appflcabfe deed restricttons.
UNLICENSED CONTRACTORS AR1D CONTR�►CTOR ItESPONSIBILITIES: If the owrner has hired a contractor or
contractors to undertake work, they may be:requfred-to be;licensed In accordance with state.and•local regulations. If the
contractor is not Iicensed as requlred by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intendedreontractor are uncertaln as to wh�t Ilcensing.requirements may apply�•for the
intended work, they are advised to contact the Pasco County Bullding Inspection Divislon—Licenstng Section at 727-847-
8009. Furthermore, if the owner has hlred a contractor or contractors, he (s advised to have the contractor(s) sign
portfons of the "contractor Btock" of thls appllcation for which they wlll be responsible. If you� as.the owner sign as the -
contractor, that tnay be an indication that he is not.properly flcensed and is not entitled to permitting privileges in Pasco
County.
TRAPISPORTATION IMPACTIUTILITIES IMPAC'�ANb RESOUitCE RECOVERY--FEES: The underslgned 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 exi"stiri,g'buildings, as specifled.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 °certi�cate of occupancy" or flnal powec release. :If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permf4 Issuance. Furthermo�e, if Pasco County Water/Sewer Impact
fees are due, they�must be�pald prior to permiE Issuance�in accordance with applicable Pasco�County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� FlorJda Statutes�as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provlded with a copy of the "Florida Constructlon Llen Law—Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and ConsumerAffairs. If the applicant fs 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'SIOWNER'�AFFIDAVIT: I ceitify that all the Inf.ormation In this applicatlon is accurate and that all wrork
will'be done in compliance with all applicable laws regulating construction, zoning and land�development. Application is
hereby made to obtatn .a permit to do work..and installatlon as indtcafed.. I certify that no work or installatton has
commenced prior to Issuance of a permlt and that all work will be perFormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulatio.ns, and land development regulations-in the jurisdiction. i al'so
certify that I unde�stand 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. S.uch agencles include but are.not Ilmlted to:
- Department of Etivironmental Protection-Cypress Bayheads, Wetland Areas and Envlronmentally Sensitive
Lands, lNaterMlastewater Treatment.
- Southwest Florida Water Management .District-Welis, Cypress. Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Idavigable Waterways.
- Department of Health & Rehab(Ntative Services/Environmenfal Nealth Unit-Well.s, 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 allowed in Flood Zone°V"unless expressly permttted.
- If the flll material is to be used In �Flood Zone "A", tt is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permifting whtch Is prepared by a professional engineer
Iicensed by the State of Florida:
- If the fill material is to be used in Flood Zone °A" in>connec�fon�wlth.� permitted building using stem wail
construction, I certify that flll:wlll:b.e used only.to.fili the area within the stem�wall.
- If flll matertal is to be used in any area, I certify that .use. of such flll wil) not adversely affect adjacent
properties. If use of flll Is found to adversely.affect adJacent�properties,.the owner may be cited for viofating
the conditions of the building:permit Issued under the attached permit appi(cation, for:lots less than one (1)
acre vuhich are elevated�by flll, an engineered draBnage plan is required.
If I am the AGENT FOR THE�OWNER, I,:promise In good faith to inform the owner of the permitting conditlons set forth in
this affidavit prlor to commencing construction. I understand that a:separate permtt may be requtred for electrical work,
plumbing, signs, wells, pools; alr conditioning, .gas, or other install�ttons not,speciflcally included in.the application. .A
permit Issued shall be conshued to be a Iicense to p�oceed vuith tNe work and not as.authority to.vlolate. cancel, alter, or
set aside any provisfons of the technical codes; nor shall Issuance�of a permlt.pcevent the Bulldirig Offictal from thereafter
requiring a correction af errors In plans; construction or vlolations of any codes. Every permit Issued shall become invalid
unless the work authorized.by such permit.�ls.commenced•withtn si�c months of permit lssuance, or if work authorized by
the permtt is suspended or.abandoned for a:period of six(�B)montF�s.after the time the�work�fs commenced. An extension
may be requested, in writing, from the Buflding,Offlcial for a period�not to exceed ninet�+(90) days and will demonstrate
justifiable cause fotthe extension. If work ceases.for ninety(90)consecutive:days�..the job�is considered aba�doned.
lNARNING TO OWNER: YOUR FAILURE�TO.,RECORD A:NOTIGE OF�COMMENCEMEMT NFAY RESULT IN YOUR
PAYING TWICE FOR�IMPROVEMERITS T0 YOUR:PROPER-TY. IF°YO.U�INTEND�T�OBTAIRI•FIPtANCING��CONSULT
WI�H YOUR LE(��ER�OIt�1N ATT_��tN�1f BfFOR�•RE�ORDING YOIJR'�NOTICE'OF COMAIIENCEMENT� '
FLORIDA JURAT(F.S.117.03) � �
OWNER OR AOENT CONTRACTO
Subsaibed and swom to(or afflrmed)before me thl� S scrib d and'swoi or afltrmedpb 'fi re tF is
by - �by
Who islare personally known to.me or has/have produced W are ersonal y kno •to me or has/hav produced •
s
as Identlflcatlon. c S �ttnS� as Idendflcadon.
Notery Public _ � Notary Publlc
_;��:"'°v6;• JACQUELINE BO
Commisslon No. Commis lo .No. :°:
�a: Expires December 12,2018�
�2"qa`'� e �e
Name of Notary typed,printed or stamped Name oi Notary , . .
LOCATION OF WORK Carrollwood Air LLC. �
NAME Your Heating & Cooling s��vic� oR�r�
CIpT�YRZIPS Specialist Mon-Fri �:30-12:00&'I:00-5:00 �
WORf<TO BE DONE " Saturday a:30-12:00 DATE��� �7
(813) 239-4685 Sunday Clased
c a o
N,�ME JNSPEC]'ION GUIQE
� O' � ����� � � ��� ❑ COMPRESSOR
'°'` pH � ❑ SUCTION f�RESSURE_
��. '� �� ,L�I��, � („t�(V,i ��J PN [� HEAD PI2ESSURF
� ,/ �� ❑ VOLTS AMPS
c5 T �! �i�' /7� G� �d7' � 1 .^ ❑ REFRIGERAN'f
�} ❑ CONDENSER COIL
� A,� � UU� ❑ ENTEHING AIR TEMP._
� C/�SH ❑ CL[AIN[D I�T[MP
❑ CHECI< ❑ CONDiI'ION
� �� � � CHARGC ❑ pOEUENSER^MPSR
— p E o �° ° o' D ❑ THERMOSTAT
❑
' ❑ EVAPORATOR COIL
� C' Q_ � � ��j j�(. � ��,�I� ' � ❑ ENTERING AIR TEMP____
❑ LE/1VING/�IR T[MP
`� '�Y� 1 `C 't""C O � `' � CLEANED
❑ EVAPORATOR SECTION
❑ VOLTS AMPS
❑ PULLEYS (ADJUST D[L'I')
USTOMERADVlSED WGAREN07RESPONSlBLE ` � �) � ❑ LUBi�ICnT[
FOR DAMAGE DUE TO CLOGGED DR/IINS,QVER- 1 O l. '-' �A I�l, ' �4L�w2 l�� 2�H N� ❑ CoNDENSED AREA
FILL AANS,r_rr,.wE Do rvor cur w000,C/IUL!<. � � ❑ CL[AN[D DRAIN PANS
OR PA1N7.CUSTOMER!S RESPONSI9LE FOF?ALL ��-��, ❑ CLEANED DRAIN
MAfNTENANCE fSSU[S.CUSTOMEI2ADVISED NO , CI AfR FILTERS
GUARANTEE ON FREON WITNOUT LEA(C REPAIR! � . � �Z��� l � � � � �r, ❑ CLEANED RCPLACED
- ANYThfING OVER$500.00 PAID BY CREDIT CARD ❑ HEATING
SUBJECT TO 3%CNARGF ❑ s7RI�HenT PUrn�s
, ❑ HEAT PUMPS
i HAVE AUTHORITY TO ORDER TFIE WORi(AS ❑ OTtIER
OUTLINED ABOVE. THIS INVOICE IS SUBJECT
TO A FINANCE CNARGE OF 9 1I2% PER MONTFI, UPON wSPECTION,OUR'fRAINED pa�s Warranlv � � MA7ERIAL
ANNUAL. PERCEFITAGE RATE OF 18% WHICH SERVICE PERSONNEt RECOM- All arts as rocorded havc 1 yoar
I IS ALLOWED BY LAW. I AGREE TO PAY ALL MENDS THE FoLLOWING: P T1rno SALES T/�X
� COS7S AND REA30NA13�E ATTORNEY'S FEES IF � warranly qrdved
THIS fNVO10E IS PLACED IN THE WANDS OF AN 4abor Guaranlv
ATTORNEY FOR GOLLECTION The labor charge as recordod here Tmo
Doparlod
rolative to oqufpment serviced Is Travei SERVICE CHARGE
CUSTO�dERAPPROVALFORADDITIONALWORKNEEDL•D.YESU NO❑ fluarantoecl for 30 days. 'nme
Wo do noi guaranly any other part TOTAL y
� Please pay Sorvico Technictan a4 time of sonrice. lhan lhose we install. Ii repairs later '�� �
� / ! ReGalmod
1 becomo necessary duo to other YES NO
',i�1 f� S��U C t�d/v�N G defoclive parts,lhey will be charged ��elumod lo �
� se aratel I s syslem 0 No �
• C U T O M E R 5 S I G N A T U R[ P Y• ° � �j'G?� G f� �
TERMS:NET DATE OF IIUVOICE