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Home My WebLink About15-16547 CITY OF ZEPHYRHILLS ~ 5335-8TH STREET (813)780-0020 165 i BUILDING PERMIT � � . PERMIT INFORMATION LOCATION IfdFORMATION ` Permit Number: 16547 I Address: 5234 MASSACHUSSETTS 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: 10-26-21-0010-09300-0000 Improv. Cost: 1,995.00 � OWNER INFORMATION Date Issued: 8/26/2015 Name: GROH MARIA GABRIELA-5234 MASS Total Fees: 45.00 Address: PO BOX 1931 Amount Paid: 45.00 , ZEPHYRHILLS, FL. 33539 Date Paid: 8/26/2015 � Phone: (813)782-0688 Work Desc: DUCT WORK ONLY i CONTRACTOR S APPLICATION FEES EA EE C AND HEAT IN C CHAN E UT 45.00 i 1 v � � I 6 �- � r �� ^ �, � �J j'_ 1'J � � Ins ections Re uired DUCTS INSTALLED DUCTSINSULATED FINAL �" Z�-L�� REINSPECTION FEES: (c)With respect to Reinspection fees 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 Appli'cation.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � I � � � JG,_ CONTRACTOR SIGNATURE PERMIT OFFI R � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARDj FROM WEATHER . i � - � i ��'�'� Seabee AC & Heat Inc. 23991 �IC� �, � � �e Neat.u'ecoo� TOLL FREE:855-833-2b65 [coo�y ;�/- MAIN�FFICE ' NORTH OFFICE 7924 Rutillio Ct. 6896 W.Grover Cleveland Blvd. � �°'' New Port Richey,FL 34653 Homosassa,FL 34446 .. J,. CQ11 DO. NAME �� `��a��' '� I PHONE 8 7 ��P�DATE �� ADDRE55 Z� � MECHANiC � CITY ��yT`?/�(l COUNTY �b ZIp �3�2 CUSTOMERNO._ i� G� JOB LOCATION��'t/P c') � KP �� I PHON�D�3� ��Z�O��.Pi SERVICETYPE P�(�' �� I � EQUIPMENTMFG. STYLE�ODELNO. C�� UN(TS/N� COMPS/N NA7UREOF WORKTO BE DONE � 108 CaMPLETE? YES NO COST SOURCE QUAN. DESCRIPTION I PRICE ITEM COST HOURS CHARGE I � /.i" r U�9- I L � , I � S�s J�. �-! /� ca° ` I �s i � G,� � I S �S / �Cow.c�' C�� C"�� ' I � r l� c�� ° ��.� .G�rx�. � � 1 � !� � We Value This Opportunity to Serve You! � EXE[UTIVE SAVINGS 5EE SACK OF TNI571CKET FOR SPECIAL INFORMATI�N,AND i ROBLEM SOLVING. bGREEMENTDISCOUNT � � All electrical parts are non-refundable. SuBroTAL Customer request replacement rather than repairs for dependability andlor efficfe�cy. TOTAL BILLING Customer Si nature I AMOUN7 WLLECTED � MAKE CHECKS PAYABLE TO SEABEE i BALANCE DUE CUSTOMER SURVEY PLEASE INITIAL PARTS WARRANTY 1. Was the representative clean in appearance? �Yes _No All parts as recorded are warranted as per 2.Was the representative helpful in answering all your questlons? �Yes _No manufaaurer spedficadons. 3.Was the service performed in a professianal manner? /�Yes _No 4. Did the representative fully explain the services performed or any addftional LABOR GUARANTEE services to be performed in a professional and non-pressuring manner? ' �Yes _No me labor charge as recorded here relative 5. Was the wo�k area left neat and clean? Yes _No � to the equipment serviced as noted, ts 6. Would you recommend to your friends,relatives and neighbors? Yes �No � guaranteed for a period of 3o days. 7. Overall,how would you rate the value you received from Seabee AC&Heat,Inc.? ` Customer agrees by signing that SeabQa AC Excellent� Good Fai� Poor INT'S /�� &Heat,lnc.wlll not be held responsi6le for , a�y mold or mildew damage. 530 CHARGE FOR RETURNED CHECK � � Customer also agrees that it is their Warranty on chermos[ats is an!yone year.Wanenry as outlfned Is factory warranty In additlon ta warranry o(firsc�ac Normal aervice hours Mon.ihru Fri. �e5pO�5ibility to Check and mai�taln their 8:00 am lo Sfl0 pm Warranry service at othatimes will incur additional mst Th�s can not be modified unless signed by corpamte ofGce.All accouMS due drain Iines o�a regular basis.Seabee AC& uponreCefpt.AfinancechargeoN'J+6permOnthwillbechargedonallbalanceswer30days,plusanyattomeyfiesiand/ormurctostslncurted.TOtalllabll- }�CBL,IIiGwIIIflOtbfhe�dfES{�Of15ibIBfO�any ity of this agreement fs face value wilh attorney fees not to exceed 10'�'u.All paymerm must be made to Seabee AC&Heat Inc.Nowarnnty en drain Ifres. ' I damage resulting from a water Ieak. i have authorRy to ordcr the wak which has Deen sat�sfactodly perfamed,as outllned above.It is agreed that tfie eeller wfll rctaln Ude to arry equipment o� ma[er.al chat may be furnished unGl final payment is rrv�de,and ifsettlement is not made as agreed,the se(kr shall havethe right to remove same and the �UStOfilEf ttnderstands tflat aker lanuary sellerwillbeheldhamJess(aar.ydamagesresulUng(ramtheremova�tbe�eof. I 1, 201D, manufacturers C3I1 tl0 longer use ' Yau ere naobtlqmd so p�y�ny mon�y unk�syou�fgn thb ca�ttact md retum h to the seilec � refrigerant R-22. BUYERS RIGHTTO CANCEL Customer agrees that they are responsible for i This is a hame solldtation sate,and if you do not want tlie goods or services,you may cancel this agreement by providing written notke to the upgrading existing electrical to code. Seller in person,by telegram or by mail.This notice must indicate that you do not want the goods and services,and must be delivered or post- marked before midnlght of the third business day aker you slgn thls agre�e,m,f�ent Hyou cancel thls agreemenL�e seller may not keep all or part of anycashdownpayment.ReceiptoFtheforegoing8uyersRl hcm�r rebyack Iedgedonthedaltelistedatthetapofthlsagreemerrc. Customer's Sign t �� Date /�ly'�l� „�� u° � d�� u�' CAC1815493 �-__ � s�saeo-oozo City of Zephyrhills Permit Application Fax-81&780-0021 , . Building Depirtment Date Received phone Contact for Pertnlitting Owners Name �' Owner Phone Number � Ownet's Address ` Owner Phone Number i Fee Simple TiUeholder Name , Owner Phone Number ' i Fee Simple Titleholder Address I i �JOB ADDRESS � LOT# SUBDIVISION D 1 ' 1�� PARCEL ID� I � I (OBTAINED FROM PROPERTY TA7(NOTICE) WORK PROPOSED B nIEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH INSTA�L REPAI I PROPOSED USE Q SFR Q COMM ID OTHER NPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK {I l LC P � tC C � BUILDING SIZE S�FOOTAGE I HEIGHT QBUILDING $ VALUATION OF TOi AL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �j�S`�� QPLUMBING $ � `V �CHANICAL $ /� VALUATION OF M ICHANICAL INSTALLATION r„� �� QGAS Q ROOFING Q SPECIALTY ID OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE iAREA DYES NO � I BUILDER COMPANY SIGNATURE REGISTEREi Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERFD Y/ N FEE CURRE� Y/N Address License# PLUMBER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I Address License# MECHANICAL i COMPANY � �Q1 SIGNATURE / � REGISTERED Y�V N w FEE CURRE� Y/N � J f /�j 1 q �,[ Address �'G'L License# CJ c J � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpsler;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 Permit for new construction. Minimum ten(10)working days after submiltal date. Required onsite,Construclion Plans,Stortnwa[er Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster Site Work Pertnit for all new�projects.All commerciai requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. � ""PROPERTY SURVEY required for all NEW construction. � Directions: Fill out applicalion completely. Owner&ConVactor sign back of application,notarized � If over$250D,a Notice of Commencement is required. (A/C upgredes over$7500) •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Appliration Onty) I Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � I �- . ' 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 u i dersigned assumes responsibility for compliance with any applicable deed restrictions. I 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 regulations. If the contractor is not licensed as required by law, both the owner�and contractor 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 owner 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 indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County � TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Feesi may apply to the construction 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 permitting. 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 StatutesJ 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 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. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. ' i , - Army Corps of Engineers-Seawalls,Docks,Navigable Watennrays. - Department of Health & 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 Zonei"A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time'of permitting which is prepared by a professional engineer licensed by the State of Florida. I - If the fill material is to be used in Flood 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 certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit 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 faitFi to inform the owner of the permitting conditions set forth in I this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically 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 permit 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 be 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 work ceases for ninety(i0)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A��lOTICE 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 YOL11�NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) � i OWNER OR AGENT CONTRACTOR , Subscribed and swom to(or affirtned)before me this Sub crib d and svd �'o or af fne efote e is by by �. ' Who is/are personally known to me or hasR�ave produced is/ re slhave p oduced as idenlification. i as identification. I I Notary Public / Notary Public Commission No. Commission No. �1- Name of Notary typed,printed or stamped Nam I of Notary typed,printed or stamped o� ,,,��, SEY BASSETT I, � ' MY COMMISSION#FF 063303 i * * EXPIRES:October 15,2017 NlATfOFF��`oe BondedThruBudgetNotaryServices