HomeMy WebLinkAbout15-16177 \
�'• CITY OF ZEPHYRHILLS
+: � � 5335-8TH STREET
(813)780-0020 77
BUILDING PERMIT
' PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16177 Address: 6048 RIDGEWAY 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: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-0450
Improv. Cost: 6,903:00 OWNER INFORMATION
' Date Issued: 4/14/2015 Name: TEEPLE RONALD & GERALDINE
Total Fees: 70.00 Address: 6048 RIDGEWAY DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-7996
Date Paid: 4/14/2015 Phone: 813-469-8586
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES �
AIRTIME AIR CO D TIO IG A D HT C A EO 70.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL � - °Lfj - [ti�
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 t� 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 SIGNATURE 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-813780-0021
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^e- � Building Department
Date Received � `s Phone Contact for Permittin C> - � `
Owners Name �. e,C Owner Phone Numher ��
�
Owners Address O e �� Owner Phone Num6er
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
\ �JOB ADDRESS ! LOT#
SUBDIVISION � PARCEL ID# O3 26 a� a1 � dw"�� �+
(OBTAIN FROM PROPERTY TAX N0T10E)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE�-"� HEIGHT �
Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ `�/ j �
/ �
�(IECHANICAL $ /� VALUATION OF MECHANICAL INSTALLATION �
LJ �
OGAS Q ROOFING Q SPECIALTY 0 OTHER �� '3
I 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 COMPANY l r `�.7 f�i�`a i
SIGNATURE REGISTERED N FEE CURRE� Y/N
Address � ��u �e h � License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllll
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instalied,
Sanitary Facilities&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 Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submiKal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet comptiance
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 appiication,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized letter from owner authorizing same
OVER THE COUNTER PERMII"IING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NO`t'iCE OF DEED RESTRICTIONS: Tfie undersigned understands that thls.pArmlk may.be,subJect to"deed"restrlctfons°
which may be:more resUictfve�than County regulatlans."The undersigned sasumes responslblliry for compllance with any
appNcable deed resMctEons.
UNLICENSEO CONTRACTORS AND CONTRACTOR REBPONSIBiLiT1ES: if the owner has htred a contrac#or or
contractors to undertake work,they may be requlred.to be•Ilaensed In eccardance wlth state.and�local regulations. If the
contractor is not IEce»sed as required�by law, both the omter and contractar rnay be cfted for a misdemeanor vtolatfon
under state law. If the ownec ar t�tended�contractor are uncertain as to what Ilcenaing.requirements may epply�fipr the
fntended wark,they are advlsed to contact the Pasco County Bullding Inspection Divlslon—Llcensina Sectlon at 727-847-
8009. Furthermore, It!he awner has hlred a conuackor or contraotors, he !s advised to heve the contracior�sj sign
portions af the"contractor 81ook'of thls appticatlon for which they w311 be responslbte. If you,ae.the owner sign as the
contractor,that may be an IndicaUon that he Is not properiy licensed and is not entlded to permitting privlleges In Pasco
County.
TRANSPOFtTA3{ON IMPACTIIITILI'TIES IMPACT AND RE$OURCE RECOVERY�fES: 'fhe underslgned undarstands
that Transportation Impact Fees and Recourr,e RecoVery_Fees may apply ta the constructlan of new buildings,change of
use in existing buildings,or expansian of existing�.6uildings,as specifled in Pasco County Ord(nance number 89-07 and
90-0�,as amended. The underslgned also unders#ands,that such fees,as may:be due„wilt be iden#i�ed at the time of
permiNing. It is furlher understood that Transportallon Impact Fees and Resource Recovsry Fees must be paid prlor to
receWing a"cerlificate of occupancy"or flnal power release. lf the project does not lnvolve a certiticate af occupancy or
finai power release,the fees inust be pald prlor to permlt Issuance. Fuitt�ermore,i[Pasco Coanty V1lafert3ewet Impact
fees are due,lhey.must be pald prior to permit Issyance-In accordance with applicable Pasca County ordinances.
CONSTRUCTION LIEN LAW(Chepter 713,Florlda Statutea,as amended): If valuatlon of work Is�2,500.00 or more,I
cedify that 1, #he apptic�nt, hsve been pravided with a copy of the-'Flpdda ConstrucUan�LEen Law—S�lomeawner's
Proteotton Guide'prepared by the Fiortda DepartmeM of Agr�culture and ConsumerAffafr�. If the applicant Is someone
other than the'owner",I certify that I have.obtalned a copy;af,the abave described dacument and p,romise in.good faith to
� deliver It to the"owner`priar fio�.commencement.
� CONTRACTOR'S►OWNER'S AFfIDAVbT: I certiry ttist all.the Infarmatton In thls appiicatlan is accurate.and ihat all work
will'be done in compllance with all applicable laws regulating constructlon,zoninp and land davelopment. AppUcation Is
li hereby made to obtaln.a.parmit ta do wotk..and {nstailatfan as indieated: 'i eertlfy that no work or Enstalla#ion has
commenced prlor to issuance of a permit and fhat.ail wark will be performed to meet standards of eli iaws regulating�
construcGon, County and City codes, zoning regulations, and land development regulatlons in the jurtsdlcilon. I al'so
' cerGfjr thet i understand that the regulatEons of ott►er gavernment agencles may-apply to the intended work,and that It is
, my responslbliity to Identify.what actions i must tske ta bedn cortlpllance: Such agencies include but are na#Ilmited to:
- pepartment of Etivironmental Protection-Cypress.Beyheads, WeUand Areas and Envlronmentally Sensitive
' Lands,WalerMfastewater Treatment.
, - Sauthwest Florida Water Management Dlstrict Wetis, Cypress. Bayheads, Wet�and Areas, AlteNng
Watercaurses.
- Army Corps of EngfnaersSeawetls,Dacks,Navigable Waiernays.
- Department of Nealth & Rehabilitative ServiaeslEnvironmentat Ffeatth Untt WeNs, Wastewater Treatment,
Septic Tanks. _
- US Environmenkal Protectlon Agency-Asbestos abatement.
- FederaE Av�at(on Au#horlty-Runways.
I understand that the following reatrictions apply to the use af flll:•
- Usa ot ffll is not allowed in Flood Zone"V"unless expressly permltked.
- If the flll matetlat Es fa be used In F1aod Zone "A, tt Is unders#oad that a dralnage plan addressing a
"compensaling volume"will be submitted at Ume of permitttng which Is prepared by a professional engineer
Iicensed by the State of Florida.
- If the f�lE.materlal is to be ttsed i� Flood Zone°A'tn°conneclton�wlth a permlfted build3ng using stem wail
construction,I certify that flll.wllbhe used only to.flll the area withln the skem wall.
- If flA materlal Is to be used�in.any area, ! certify that.usa af such flll will not adversely affeck adJacent
prapertles. 1f use of flll is faunci to advetse{y-alfiect adjacent properNes,,the awt�er may be cited for vlotsBng
lhe conditions of the bullding,permit 1§sued under the aftacfied permit application,far lots less than ane(1) �
acre which are elevated�by All,�q engtneered dralnaga plan Is requlred.
1f i am the AGENT FOR Tf�IE OWNER,1,promtse In good faEtFi to 1Marm the owner af the permlttEng condlt{ons sst forth In
this a(tidavit prlor to commencing construcUon. i understand thet a�aeparate permit may be requlred for electrical work,
plumbing, signs,wells, pools, air candidoning, g�s, or other installatlons not.spec�fically included in.the appiicallon. .A
pem�lt Issued shali be construed to be a ficense to proceed w3th the work and not as authortty to vlolste,caneel,atter,ar
set aside any provtstons ot the techntcal codes,nor shatl Issuance of a permit prevent the Buiidlrig Otficiai from thereafter
requiring a correction nf errars In plans,conetructlan or vlolaUons of any cades. Every permit Issued shall become invalid
uniess the work au#harized by such permlt fs commenced within sGc months of permtt Issqance,or If wark authorizad by
ihe permlt is suspended or.abandoned for e period of six(8)months BRer the time ths work ts commenced. An extension
may be requested, in writing,fram ihe Building.Offlclal for a perJod not to exceed nfnety(9Q)days and wlll demonstrate
just�iable cause for:the extenstor�. If work ceases.for nlnety(90}consecuttve days,..tks��bb�ts consfdered abandoned.
WARNING TO OWNER: YOUR.FAILURE TO.RECORp A NOTIGE_OF COMMENCEMEN7�MAY RESULT IN YOUR
PAYING TWICE-FOR IMPi20VEMENTS'Ct?1(OUR PROPERTY, IF YQU�INTENIYTO 4B7AIN FlNANGlHC'a.CONSULT
WI L R O . f3 , OU ` '.O � E
FLORIpA JURAT�(F.S.117.03)
QWNER OR AtiENT COAIiRACTOR�L�.
' Subscrtbed and swom to(or aflirmed)befora me ihis 5 bs ed endswo to a ed)' e thi6 .`G
, dy V�h�C�by
�� Who islare personally Icnawa to me or haslhave produced a ere ne! own to me or ve'produced
� as tdanHBcaUOn. CE wSsL Bs Iden�ifcaUon.
Notary Pubiic " f�^' ��./t/ Notary Publlc
comm IonN .••'�Yeye••. JAC
I commission No. :,,: •,.: Commission#FF 150422
, _
�I Name of Notary typed,pdnted or stamped Name of Nole o �
�p,���„a` 9onded m Troy Fe1n Insuranca 800-385•7p18
94/14/2815 04:25 8134385996 AIR TIME AIR A/C PAGE 91/01
110 t�.Muirennan Rd. ��nsed•Bbnded•Insure�
.� www.airtimeaitconditiooing.net v�ir;co,FL 33594
�' ' ' Hiltsborough:813.438.5999 �
�1��—"!�■ t�Il�� Polk:863.Manate813.438.5 969�2�.7�� � ' 0
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SA4E$ �SERV/CE•lNSTi4LLAT10AI �'Ce�YI� ec{��1ot2S'!� p��pOSAL
EXPECT EXCELLE Ca»�inuacss�9m rorri�
NCE ,� f 9
No, i1436
instatiation Date��/ ��
Cuetomername: a� Dflte: (� ��
Street address of job bcatlon: � ' . �.. Cdy: �h FL 7Jp: .SL.f
Prlma hons; �� - $ ther phon : Ema;l:
• -• �• • D Whole House Air KnigM StedAration Systom
C7 Who1a HpUSe UV Sterllization system ❑Whole Mouse M.E.R.V.Filt(8tions System�
� • • • � • • .
❑ Replacament ❑Add-0n Air Condklan'u�gMeat/Bpth
�. peplacement ❑Add�on Alr Condkioning/HeatBoth
❑ Air HandleqFUmace � ❑Vartical ❑Horizontal � N�t Pump �4ir Condftioner �PBCkege Unit
�New Digital tnermosiat Nan-Program � Program � tons�SEER ,�CQ,�.eTUrt
❑ New Dlgitel Programmabte Theml.wlth Humidity Control `� Modet (SSj,+nT
� Relocate from ta �Hurcicane Pad�
� � Relocate irom to
p New AHU Stand: p Metal p Cuscom �
❑ FlNraUOn: p Permenent Washable Filter. p Gdlle �� New 100%copper, dehydrated refrigeram plping
❑ New safety cGSCOnnect swftch ❑ Surge Protection ""�ully Insulate suction line piping.
❑ New Wire from breaker panel to equipment �. NBw wAtgr tlght eleCtriCel arhip
❑ �
p VenUFlue: p Complete new p use epsting �
� . . � •
❑ Englneered duct system for tons vents � All labor
❑ EwnOmy ❑Anti-Micrabtal$ �
❑ NON-F16ERGLASS-100°�Rust Resistant GalvaNzed Sheet f Obtaining permits(whaYB�BpU11�d)
❑ Nt6tal DuCt System,Energy Saving Insul&Non Included New A/C eircuic prosectton Brand- E. �
Existing size Is:��/ • Change :�
❑ Rooms requiring addltlorldl airNow: ✓ Heating and C:ooling rouUne mflintenance tor�ysats ,
❑ New Supply Ve11t t6: ✓ Cheek•eIri11'e 6yetem for safety and efficienc.y
❑ Ngw RBtutri Vent to: ✓ Shoe covers,mats and drop cloths to be used as necassary
�� ✓ qemove extaUng equlpment from premises
fVle3lic and seal all lealting Jofitts��If�_� ✓ Clean up .
Duct Sanitizing.wh'"�^�.. �t,e�,�-
• • � . -- .
24Hovr F/x It or Hoiel Guaraniee: Unlike most companies,wa�re a se�vice company.We have a staii of quelified senrice
technlclans that ere there to serve you in the unlikely evsnt yaar system has a problem.So our guarantee to you is that when we
arrlve,we guarantee fhat we will itave your system up and Tunning wlthln 24 Nours of our aRival or we wlll put yau up In a 1oca1 lfotel
for the night.
LcXClUSIV@"NO LBmons"Guar��; Ii the Compressor(th�heart of your system)in your Alr Cond'�tioner fails twioe during
the first five years of awnership,we will remove the unit,rather tha#the componer�t,and shall inslali a complete�y new one.If you've
ever bought a"lpmor�'before,you truly appreGate our commitment to your long�tertn sa5staction.This guerentee applles to our
Premium paCk3ge&only.
No Mold Guarantee: We ere so confident in our edvanaed I.A.Q.UV Stetllizatlon&M.E.R.V,fittrations systems ebilkyto keep
youP system clean that we guarar�tee with ptope�annual malntenance your system vn'II he mold free for life or we will perfwm•any
ner,essary deanins,to t�e air handler to remedy the prnblem at our axpanse.Ask about our�membershfp packages.
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Tata1 Investmen� $�(-)Power Compnny Rebate S(-)Servl�R�p$ir Rafund$
AIr T1me Alr Contllttoning Representative: �- �..�,-� Date of ProposaL• I� 3
Atr Time AC w�71 be installing CAEDiT CersEied pomfort System In your home.We racommend that you consuls wich your CPA to�sura
�hat vou wiq qua�ty tor thls tax creatt.ar rme�C accepts no responsl�il'ity tf you do not qualify far thle cax credit
Customer In;tiafs pate / /
Payment to be made as follows:�alance on compleHon
Air Time lieating&Air Conditioning proposes hereby to fumish end install the equlpmeni and matefials as describea on ihe
back on the terrns dnd wnditlons provitled herein.T'his proposal ia good for thirty(30)days iram the date hereof,but may
be accepted at any I�te d te at the sole dlscrpticr� Ai Time Heating&Alr Conditioning.
Ctlstomer Approva , � pB��j�L/ ��✓