HomeMy WebLinkAbout15-16189 CITY OF ZEPHYRHILLS
' S335-8TH STREET
• (sis)�so-oozo 161�8
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16189 Address: 5642 16TH 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: 11-26-21-0010-10700-0160
Improv. Cost: 6,595.00 OWNER INFORMATION
Date Issued: 4/22/2015 Name: REEDY, ELI
Total Fees: 70.00 Address: 5642 16TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/22/2015 Phone: (813)267-0220
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
AND SERVICES C CHANGEOUT 70.00
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Ins ections Re uired
DUCTSI STALLED
DUCTSIN T D
FINAL � '
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.
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CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� ► � - � l�v - 0021
ea�-�eo-oozo City of Zephyrhills Permit Application Faz-813780-0021
� Bullding Depar4nent
. Dato Rxelved � Phone CoMee!for P�nnittln ��3 ��0� _ 7 � S Z
Ownd�Name ^ `.� ,`��D Owner Phono NumWr a�–.7 �������
Owners Addnu ��2 i��� �� Owner Phone Numb�r
FN Simple Titleholde Nune N � '� Owner Phone Number
F��Slmpb Titlehold� Address
JOBADDRE33 S�(!y Z I�O S�T12E'e % LOT� /����'
susnnnsioN PARCELIDS �,- 2(c�-Z�-O�/D-�/b�do -�l(Q D
�oer�uum r�o�areov�Exn T�x rwnc�
WORK PROPOSED B NEW coNSilt B ADD/ALT �] SIGN Q Q DEMOUSH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OPCONSTRU ON Q BLOCK � FRAME Q STEEL Q
DESCRIPTION OF W RK � I C �� Q,�B l.t� TDl� �3�[P L N�
BUILDINO SIZE SQ FOOTAOE� HEIOHT �
QBUILDING 5 VALUATION OF TOTAL CONSTRUCTION
QELECTRIC S AMP SERVICE Q PROGRESS ENEROY Q W.RE.C.
OPLUMBING S
� �MECHANIC S j„�!1 C VALUATION OF MECHANICAL INSTALLATION
w —1 J
�� Q ROOFING ❑ SPECIALTY Q OTHER
FINISHED FLOOR E AT10NS FLOOD 20NE AREA QYES NO
BUILDER COMPAN1f
g���n� aecisr�n Y/ N �cur�n Y/N
Addnss License#
��� COMPAN1f
g�p�7U� REGIS7ERED Y/N �cuwtB� Y/N
�da�o.. u�er�sa#
PLUMBER ��P�
g�p��� REGISTERED Y/N F�CUw�T Y/N
�ear.,: u��
MECNANICAL COMPMIY L�C.S
516��� REGISTERED Y/ N FEE cuw� Y/N
Addroes � l7'�.-- � ��� ucense# ��/0� O I �
OTHER. COMPANY
SIGNA7URE r�cisT�n Y!N �curu�n Y/N
pdd� License#
rt 1 I l f 7 f f' 7-7-1 f T(1.1-f l�l..l-f T 7"l'f TT i'1 1'I-7 1 7 7 1 17 1-1 I f 1'7 7 i 1 Tl I T 1 1-7 7 i 7-T T7 1 7'1"1'i
RESIDENTIAL ch(2)Plot Plans;(2)sets of Bultding Plans;(1)set of Energy Fortns;R-O-W PertnK Tor new eonstructlon,
Inimum ten(10)worfdng deys efter submittal date. Requlrod arette,Constructlon Plans,6tormwater Plans w/SIR Fenee Inatelled,
itpry FecUitles 61 dumpater,Sfte Work Permk for subdNialonsllarge proJecb
COMMERCUL eh(3)complete sets of Bulldi�g Plane plus e Lite Safely Page;(1)aet of Energy Forms.R-O-W Permft for new eoriatructlon.
inimum ten(10)uwrking days after submlttel dete. Required arisfte,Conatructlon Plans,Stortnvvater Pians w/Sitt Fence instatled,
Itary Faellitles 81 dumpater.Ske Wak Pertnk for all new proJecls.All cammerdal rsquiremerds muat meet compliance
SIGN PERNIT eh(2j sets of Englneered Plans.
PROPERTY SURVEY required tor all NEW coneWdion.
Dinetlons:
FlI)out epplieatl completety.
Owner 8 Con dw sign�dc of applintlon,notarized
ff owr iZSOD, Notlee oi CommeneemeM Ia requirod. (AIC upgrades over i750D)
" Agent(for ffie tractw)or Power of Attomey(tor the owner)xrould be someone with notarized letter fran owner authmt�Ing same
OVER iHE COU R PERMITTING (Front ot Appllcetlon Onty)
Reroofs K shingles Sewers Serviee Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-No over Counter If on publle roadways..needs ROW
' NOTICE OF DEED RESTRICTIONS: 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 campliance 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 with state and local regufations. If the
contractar is not licensed as required by law, both the owner and contractar 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. Furthermore, if the awner 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 will be responsible. If you,as the owner sign as the
contractor,that may be an indicaUon that he is not properly licensed and is not entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the consVucGon of new buildings,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
pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate 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 LAW(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"owne�prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: 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 performed 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 govemment 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-Welis, Cypress Bayheads, WeUand Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Health 8� 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
"campensating volume"wlll be submitted at time of pertnitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Fiood 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 certiry that use of such fill wlll not adversely affect adjacent
properties. If use of fill is faund to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building pertnit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered 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 electrical work,
plumbing, signs, wells, pools, air canditioning, gas, or other installations not specfically 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 Building 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 pertnit 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 6e 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 worlc ceases for ninety(90)consecutive days,the job is considered abandoned. o �
� LL �
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR `o N
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT�N FINANCING,CONSULT m W m
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y UR NOTI OF CO ENCEMENT. u>� N�
FLORIDA JURAT(F.S.117.03) �
a�
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OWNER OR AGENT CONTRACTOR a
Subscribed end swam to(or affirtned)be(are me this S�u,�s�crl�ed��end m to(or affirtngd)be me is �� o �
, by yl:!,L(_/__�by V1'�f1(te-It C�YI?�.� o cp�'X
, Who fs/are personally known to me or has/have produced Whb is/bre persanally known to me or haslhave produced Z��W
as identification. as IdenUfication.
ev���Qy
I � 6�o�
Notary Publfc Notary Public ��• �
i. S�''
Commiss(on No. Cammission No. — �
'1''dl�n...� 1l• S 1�+.� �2�T
Name of Notary typed,printed or stemped f�ame of Note typed,printed or stamped
Tel: 813-445-4818
5 3�7 Tel: 727-495-74T4
.. PR�P�S�►L Tel: 352-458-4181
.
Tel:863-226-5588
S �; �" � � C � � amw.andservices.com
Alr Condltloning • Plumbiny • Ebctrkat CORfH�B�dSBN[C,jRS.�OIIi
. CAC•18�6@iB,CfG1/28695.EC�iJ00QS44
Customer name: �/ � �� � /r
! @� Date:
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Street address of job bcation: �y� � � c�cy: �� �� � zip: ���y
Primary phone: �3 � ,z �, —0�,0�h�phone: Email:
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❑ ❑ Reiocate from to
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O New wire from breaker panel to aquipment �ew water tight electrical w ip
❑ VenUFlue: ❑ Compiete new �Use existing �'�u�' r '��-� f�lYt�,�
i f � ' . , �
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� Rooms requiring additional airtlow: � Heating and Cooling routine maintenance for 1 years
>
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� New retum vent to: `� Shoe covers,mats and drop ctoihs to be used as necessary
❑ f Remo�e existing equipment from premises
� aclir anrl caal afl faa{rinn inin4c �� ��!/�(�Y��1 � Ciean up
i ❑
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❑ New wire from breaker panel to equipmenE �ew water tight electrical w ip
❑ Vent/Flue: � Compfete new ❑Use existing ��UT r '��r� f�!/�A�
0 ■ � � , . � i
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� NOiJ-FIBERGLASS-100%Rust Resistant Galvanized Sheet `� New A/C circuit�rotection Brand=
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❑ Rooms requiring additional airflow: '� Heating and Cooling routine maintenance for � years
� New supply vent to: `� Check entire system for safety and e�ciency
, ❑ New retum vent to: _ '� Shoe covers,mats and drop cloths to be used as necessary
❑ '� Remove existing equipment ftom premises
astic and seai all leaking joints � plaNC.c n� `� Clean up
� Duct Sanitizing
� • � i � . . +
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• ' • �
ITota{Investment $�_� {-) Rebates$ (-} Ser�ice Repair efund$
Net Total Investment After AA Discounts including Power Company&Manufacturer rebates$ �E��! �
This liigh Efficiency Mome Comf System is with 100% bank financing with no money down fw$ per month
(with aPProved aedit?.
I . AS Representative Date of proposal T�J_ /G I ��
Customer agrees to provide 6ee access ta the work area artd a sate wulang ernironment.The abova prioes,spedflca6ons,terms,and eondtions are satlefaclory ard hereby egreed to in fufl.
, I grve authwization to order afarementioned wotk.Ycu are authori2ed(o do lhe work as SpeqRed.Payment will be made as outlined.1 irwlersferd thet you ere nal re5ponslble for eveMS ar delays
6eyond you control.O�vner agrees to cany adequata fire,stomt,and ether nerassary insurance.All nf ur workers/wak is coverod by Worlanan's Campensatian and a Txro Mftlion General Liabilily
�Insurance.It cdlectlan is necessary,buyer agreas to pay all cnllecAon ca91s and loteresl. a•
Customer Approva! !�, Date: / /
�1995 And Service9TM