HomeMy WebLinkAbout15-16536 „
CITY OF ZEPHYRHILLS
5335-8TH�STREET
. ” (si3)�soioozo ' 165 6
`� BUILDING PERMIT
PERMIT INFORMATION 4 LOCATION INFORMATION
Permit Number: 16536 I Address: 4944 4948 20TH ST
Permit Type: MECHANICAL i ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT ! Township: Range: Book:
Proposed Use: NOT APPLICABLE ; Lot(s):1 Block: Section:
Square Feet: ' Subdivision: EASY ACRES
Est. Value: ; Parcel Number: 13-26-21-0100-00000-0010
Improv. Cost: 5,000.00- . I OWNER INFORMATION
Date Issued: 8/24/2015 ' Name: REALTY ACQUISITION GROUP LLC
Total Fees: 120.00 ' Address: 14822 SWIFTWATER WAY
Amount Paid: 120.00 TAMPA FL 33625-1421
Date Paid: 8/24/2015 � Phone: (813)546-4587
Work Desc: PERMIT A/C AFTER THE FACT 2.5 TON
CONTRACTOR S • � APPLICATION FEES
WEST HEATING AND OOL N LLC C CHANGEOUT i 60.00 C C ANGEOUT 60.00
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� Ins ections Re uired '
DU TS INSTALLED �
DUCTSINSULATED �
FINAL � �'Z1 � [ � �
REINSPECTION FEES: (c)With respect to Reinspection Ifees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,�for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CO RACTOR SIGNATURE i PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD; FROM WEATHER
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� 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department _. , ,...,<__.. .,., ..., . ,._�.�_..... :
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Date Recelved '>' •�:.. . �- .. �,:i ,'�. :. .,���J. :� O. �; - �"t s�
�Phone-Contact for Permitting�'
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Owner's Name -�' � �� `L�1 S� 0� � �'�' Ownee Phone Number� v
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Owner's Address `•. •- `d_�-�`�. . W�.'tT- � � A ��•Owner Phone Number-----...
. ',�,�:..a -t� �, ;1 ' . �'<i,t� ^' t`-., �\•`,: ''y -
Fee Simple Tltleholde�yName,. � `� ' ��Own�er Phone Numlier
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Fee Slmple Tltleholder Address � '
JOBI4DDRESS "i'� {' I I� �� � I !►��1�15 ��— ��� , :—L07'#__ �
, _ .
SUBDIVISION PARCEL ID# I; � 3 'Z6 ' Z�'"O` OO 'O - Q f�
I (OBTAINED FROM PROPERTYTAX N TICE)
WORK PROPOSED NEW CONSTR ADD/ALT IQ SIGN Q Q DEMOLISH
� e INSTALL B REPAIR 1
PROPOSED USE Q SFR �]] COMM IQ OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q �
DESCRIPTION OF WORK 0.G1� � � � � Il S ` ' � ��
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING � $ `6�3�0
51�0�V�� VA A I OF MECHANICAL INSTALLATION �
QMECHANICAL $ �v��fV
1
QGAS Q ROOFING SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS , FLOOD ZONE AREA QYES NO
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BUILDER COMPANY
SIGtdATURE REGISTERED Y/ N FEE CURRE� ,Y/N
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Address Lfcense#
ELECTRICIAPI COMPANY '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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PLUMBER CONEPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
i
Address I - License# � '
MECHANICAL t,( � ( G� COMP� �£S t ��;,�)'yl � /yj �L
SIGNATURE L "r� � ` REGISTERED Y/ N FEE CURRE� Y/N
I
� IAddress License#
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OTHER ' COMPANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N.
Address ( License#
RESIDENTIAL Attach(2)Plot Plans;,(2)sets of Building`Plans;(1.)set of Energy�Forms;R-O-W Permit far new construction,
. Minimum ten(10)working days after subrriittal date. Required onsite,ConsWction Plans,�Stormwater Plans w/Silt Fence installed,
SaNtary Facilities&1 dumpster,;Site•Work Permtt for subdivisions/Iarge�proJects '
COMMERCIAL Attach(3)complete sets of Builtling Plans plus a L(fe Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuction.
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Siit Fence installed,
� Sanitary FaciliHes&1 dumpster,Site Work Pertnit for all new projects.All commercial requlrements must meet compliance
SIGN PEI�MIT Attach(2)sets of Engineered Plans.., � • •
""PROPERTY SURVEY required for all`NEW construction.
Directlons: .
Ffll out applicadon completely.
Owner&Contractor sign back of appl(caUon,Kotarized °
If over 52500,a Notice of Commencement is required. (AIC upgrades over E7500) ,
'" Agent(for the contractor)or Power of Attomey(for tFie owner)would be so�eone with notarized letter from owner authorizing same '
DVER THE COUNTER PERMITTING -,--f�ren!-o tion Only) �
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) �
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE QF DEED RESTRlCTIONS. The und�rsigned under�tands th2�t this..p�r:miE.maybe.subJeat to°deed"restrictbns"
whfch may be:moce-rest"r.ictive•than County.regulatlon�. �The undersigned assurries responsltilltty for comp!lance with any
appilcable dee�restrlatians. ' .
UNLIGENSED�CQNTRACTORS AND CC►NTRACTOR RESPONSIBIM:iTiES: if the owner has fiired a contractor or
conttactors to nde�take wark, fhey may be required�ta be:licensed fn accordance.with state.and•locai regulatlons. If#he
contracto� is nq�t Itcertsed as requlred by law� both the owner arad contractor-may be ctted for a misiiemeanar violatlon
under state Iav�. If the awner ar intended +contractor are•uncertarin as to what Itcenstng requlrements may apply for the�
intended work, �hey are advised to cantact the Pasca County Buildin�g Inspectlon Divlsian---Licensing Section at 72T-847-
8009. Further ore, if the owner has hired a contractor or contractors, he is advised to have the corrtractoKs) sign
portions of the contracto� 81ock° of thls appficstion for which they wiE( be responslbie. if you, as.#he awner sign as the
contractor, that may be an lndicatlon that he is not.�roperly llcensed and is not entltted to permftting-priufleges in Pascc�
County.'
TRANSPORTAI ION,INIPACTIUTIUTIES rMP�1C7 ANb RESOURCE RECOVERY�EE3: The undersign�d understands
that Transportation impaat Fees and.Reoourse Recove.ry.Fees may appty�to the constructlon of new butldings� change of
use �n euisting �uildings, ar expansiotr.of-�exis#iri�g":buildings, as specified in Pasco County Ordinance number 89-07 and
90-07. as ame ded. The undecslgned aisa understands, thaE suah fees,:as<may�be�due„wfll:,be tdentlfted ai the time of
permitting. It is further unde�skaod that Transportatton lmpact Fees and Resoutce Recouery Fees must be paid prlor to
receiving a �ce iflcate of occupancy� or flnal p�wer. release. :If the project.does not Involve a certificate af accupancy or
--finai-power.-reie s�,.the,fses must�tie�`patd prlo�#o permtt�issuance.- Fu�tliermore;if Pascd County�Water/Sewe�Impact"� —
fees are due,th y�must be-paid prioc to permit�lssuance�in accordanae with appiicabie Pasco�Couniy ordinances,
CGINSTRUCTl�N 1.lEN�I.AW�Chapter 713� Elor#da Statutes�a�amended): If valuatian af work is$2,50d.00 or more, i
certify that !, e appllcant, have-besn provlded writh a copy of the "Fiorida Constructlon l.fen Law—Homeowner's
Protection Guid�" prepared by the Flarida Department af Agrtaulkure and ConsumerAffairs. 1€the appllcant Is someone
ather than the"c�wne�', i certify that i have�.obtained a copy,of the abQVe..des.cribed dacument°and.pmmise�in:goad faith to
deliver it#+a the"owner"�rior to�commencement: '� �
CQNTRACT+DR��tOWNElt'�AP�IDAV4T: ,�I'Ceitify that aii.fhe Information in this apptication is accurate and that all work
w1l'be done in �.ompliance with a!!-appticable lavfrs regulating construction, zoning and lanci Bevelvpmen#. AppiEeatian is
hereby made t abtain .a permit to do work.and (nstallation as tnd[cafed;• 1 certtfy that no work ar lnstaNation has '
commenced pr( r to issuance of a permit and that all wvrk will be pertormed to meet skandards of atl laws �egulating
constructian, C unty and City codes, zoning regulatiQns, and iar�d development cegulat(ons�in the jurisdtction. I also
certlfy that 1 un ersfand that the regulations of other government agencies may�apply��#o the intended work, and that it is .
my�espons#bili #o identtfy�what.aotions i must take.ta be�ln..campiiance: Such agenctes include bu#are..not limited to: '
- Qep�a rkmet�t of Environmental Protecttan•Cypress.Bayh�ad�, Wetland Areas and Ernlronmentaliy Sens�tive �
L.an�1s,WatedWastewater Treatment.
- Sou�hwest Florida Water� Mianagement District Wells� Cypress. Bayheads; ' Wetland Areas, AIEsr�ng
Wa# rcourses. �'�` �
- F�rm�r Corps of Engfneers•Seawalls, Docks, Navigatite iNaterways.
- Department of Health 8 Rel�ab!litative ServtcestErnirornrientat Neafth llnit Vitei[s, Wastewater�Treatment,
Septic Tartks: � _ �
- US �nvironmental�Protection Agency-Asbes#os abatement. . '
Fed�rat Aviation Authority-Runways. '
!understand tha�the following restrictlons apply to the use af filt:
- Use of fif!!s not allawed In F#opd Zone"'V"unless expressly permitted. �
- IF the fi!! rna#eria! is to be .used in �Flood Zone. �A", it. Is unclenstoad that a drairtage pla� addressfng a
"corrjpensattng volume° will be submitted at time af permltting which is prepared by a professfonal engfneee
I(cen�ed by#he State of Fiorida.
- tf th� fitl material is to be used in'.Fiood-Zone "A" in�canneclion�wlth.a permitted buiiding using stem wall
canstrvction, i cert�ty that fill�wiii::b.e used only,�to.filt the area wifhin the stem�watt. �
- � !f filt rnaterlal Is to be usec! in any area, 1 aertify #hat .use. af such fili wili not�`adverseiy affect adjacenf ,
prop�rkles. !f use of ffll Is found to adversely a#fect ad'aaent��prope�ties�.the owner may b�'.cfted far vioEat{ng
the qondttions of the building,permit lssued under the attached�permlt appllcakton, for lots less than arte (1}
acre inrhich are elevated by f111, an englneer•ed dralnage plan Is�equired.
tf I am the AGENT�OR TH�OWNER, I,�promtse In good faith to lnform#he owner of the permttting conditfans set-forth in
this a#fidavit prfor�to commencing canstrucfian. i�understand that a:separate permit may be required for etecMcal work,
-plumbing, signs, �wetls, pools; a!r condit4oning�.gas, or othec insti�EEatlons not.spec�fcafiy inciuded-i�.#he application. .A
permit Issued sfiall"be constcued to�be a llcense to proceed wJth tHe virork and not as:suthorliy to violate,aancet, ai#e�, or ,
set aside any pro�isions ofthe technical codes; nor shall Issuance�of a.permit.prevent the 8ullding Offtclal from thereaf�er
requiring a corre ian qf errors in-pla�s,.canstructlan or vloiations of-any aodes. Every piermit.issued'shall become invalid
un(ess the work athorized.by such perre�it 3s-commenced�wrifhin sGc months of permtt issuance, o�if work.�uthorized by
Ehe perrrtlt 1s sets ended or.abandoned foc�:period of slx{8}morrtiis`:after the,time the�work�s cominenceci. An extension
may be reques#ed, in writing; f�om the Bulfding.Offlalal for a perlod not#a exceed nlnety(90) days a�d writ! demonstrate
justifiable cause tl r.the extension. (f work ceases.for ninety(90)cons+�cutive:daysl..the Jo��is considered abandoned.
Wi4RNING TO"CIWNER: YC1UR.FAIL'URE�.TCI..REC.t3RD A.,�OTiGE OF�COMMEAICEMENT.IVIAY=RESULT IN YOUR
PAYING TWiCE FOR,fMPRt�VEMENTS TO.YOUR<:PROPERTY.;:IF�.YB.U�iN'iEKID�'�7'a.UBTAIN�FIFI•A�1C1NG;�ONSULT
W!T UR . D O � - iTOR �y FO.�� . C- � _ �O a ,;C �: . � :,., ,.
Fl.ORIDA JURA�'>(F.S.177.03j_ ' '_ ` ., � �,` ;", •' :,.�� .
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OWAtER.t?R At3ENT ( COi�TRAG'�'l'D�t �.���s=�=✓'���
Subscdbed and swo to(o Hi�ried)�efore me lnts Subscribed a� ' m= �or aflirmedl�befora me ttiis
by ,by , ..
W#io istare peisonaity�known me or hasthave produced. Wha tstare p.ersonaliyknown•ta me.or hasThave.praduced • _ ' . ,
as IdenU catlon. as IdentlficaUon.
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Publlc Notary Public -
Cammisslo I Commiss n.PJ .
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� �CONTACTS?IGHTB CLEAN '"= DATE ORDEREI
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' Q'CCEAN COILB CHECK FIN COND: � .�.* NA E � � � E�AIL J� DATE SCHEDU
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Z ❑ELECTRICALCONNECTIONB M KE MODEL SER�ALNUMBER O WARRANT
— 'Q CONTACTSTIGHTBCI.EAN � / O� O CONTRAC'
� ' ❑FAN PULLEYS(ADJUST�BEC1�' ' � • � , _ , , , .
� ❑CHECK,LUBE BEARINOS&MOTl7R � O SEflVICE C
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i �❑ENTDB_F- LVGDB _°F � ; , , � DESCRIPTION'OF WORK'
� �,' Q ENTWB�—°F ILVGWB_�F � ' - � �
� COiVDENSATE AREAS � ba� ,� �OMP�LA NT J�, fl '" � �'J
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� i ,�� ��INSPECT&CLEAN DRAIN PAN _, , . ,
p INSPECT&CLEANDRAIN ; �...Z. y� )
� 0'� AIR FILTERS � . , - ' ' _ , . �`��-�--����—r -��—����"--
Z> �Q.CLEANED ' �Q,REPLACED� Y y���-^naFlZ Ar�PL�ED v ���� /�_
� � F,��A S,� - _ I e�S° �'�_ .� ee�
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OOaQ�� ❑FUELSUPPLY&PRESSURE - /
_ _ _LLt��°' RE�f�IGERANT ADDED l7����' � l Q// �/
ypQ¢� ""O.PICOTASSEMBLY--- :.—Y--_<��---- -- - -- --- ----- ---— � � C�vv —/✓
NZ¢m c i FLAMEADJUSTMENT . ' , ., , , i � . ,. , , � . ---L�-�f+�'�—_......_.._��--- -/�—,__ �— _
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m Q¢N�� 0 e�owEa nsseMe�v TOTAL PARTS !��J/� ��Z
Q� OF-� -` �.RVVALVE.� ° '� .�__._...��% .. O .. ��5..__.__...__...__.._..."" _' ._""._..""' _._
�ZZ� . : � ' " � " ' c WRITE OR CODE AMOUNT
F N �I �STRIP HEAT " � ,PARTS WARRANTX � H
m�� ❑,DEFROSTCYCLE � '- � - � ` ' A $ ��
g= � ' AII parts as recorded are warranteil as per,a ------------------------------------�-------- -----_�—____.__
� �' ELECTRICAL COMP'TS menufacturer speclflcatlons._ � E
I ' Q�RELAYS- '�CONTAC7oRS : ;�pBOR GUARANTY -. ° .' , " 5� .._________�
�OVERLOAD ��pRESS.SWITCH ;�'�'he 18b0�chel e as recorded here relative to the ae�u�nR � � OVERTIME
� g F TECH � v HRS.
� TFiERMOSTd1T�� , equipment serviced a's noted,ts guaranteed for a R #1 HRS.Q /HR.= A @ MR._
� ❑O.K � REPLACE pedod of 30 days. - � ' T OVEqTIME
. �Q RELOCATE �- " We do not,of course,guaranty other parts ffian those �� REFER MACH.USAGE REGULAR
. • TECH � HRS.
we supply.if repa'Irs later become necessary due to B #2 HRS.@ MR.= E @ 1HR._
� ; � T.RAVELTIME otherdefectiveparts,iheywillbechargedseparately.,� TOTAL; ; TECHNICIAN CERTN TOTAL
� OTHERCHARGES 'SIGNATURE, ,•OTHER -
�� ' TIME ` ` �' � �v $ CHARGES r
�� ; ARRIVED ' ., �Fdi��IRi�t�M�6�{T`�:._�; GhFaECEo'• LtST . ' � •• • ° • SU& �
�N ;
M TIME �__ �ryp�,TYPE SYSTEM $ E CHANGED I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO !� 'TOYAI. �
c"� ; DEPARTED � q�OUT(OR
� �p Cp(�� U � ORDER AS OUTCIh1ED ABOVE.IT IS AGREED THATTHE SELLER WILL O�y �Di`7/
v W�., R, REFRIG. Q�'• ' REPLACED? C/
N p T R A V E L � Y E S N O R E T A I N T I T L E T O A N Y E Q U I P M E N T O R M A T E R I A L F U R N I S H E D U P I T I L l/ ��
� o TIME z � FINAL&COMPLETE PAYMENT IS MADE,AND IF SET7LEMENT IS NOT Tp�p
m =� � � O1 RECOVERED7 � qTY. w P DIS- ❑ ❑ MADE AS AGREED,THE SELLER SHALL HAVE THE RIGHT TO
= MILEAGE' p .4 YES NO s M;MANTLED? CHARGE
YES No REPAOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR
�W � ❑ ❑ �' E REFRIGERANTDISPOSAL ANY DAMAGES RESULTING FROM THE REMOVAL THEREOF. TAX
�� ENDING R OO RECYCLED? Y N �TY. LL:T
LLI LL i ..
0
� STARF— � � �OUR PERSONNEL
�� ; C, � RECLAIMED7 ��i u �TY. 9 RECOMMEND:
�O� ' T�TA MILES E RETURNED TO � � g � � t�
uj J�� � � THIS SYSTEM7 QT1'• • /�nD
�Q I� .p . YES NO B � /ox/V
�V !� X MR_ �A G DISPOSAL AUTHORIZED SIGNATURE
i 9 -s � ;4BOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY. DATE
� �� ❑ ❑ `OINMEFi'S'INITIALS, _
�$ X /MI.= N .` NONUSEABLE yES NO �TY. ,ACCEPTED DECLINED �
�;� TRIP T' X
e CHARGE $ � �5 DISPOSAL