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Home My WebLink About15-16613 _- CITY OF ZEPHYRHILLS � � 5335-8�H STREET , - (813)7 0-0020 13 BUILDIN PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16613 Address: 37620 DALIHA TERR#22 LOT 220 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: TOWNHOMES Lot(s): Block: Section: ' Square Feet: Subdivision: EILAND PARK TOWNHOMES Est. Value: Parcel Number: 03-26-21-0230-00000-2200 Improv. Cost: 5,800.00 OWNER INFORMATION Date Issued: 9/22/2015 Name: PUGH CHARLES L JR & ROSALYN R Total Fees: 65.00 Address: 37620 DALIHA TER Amount Paid: 65.00 ZEPHYRHILLS FL 33542-3250 Date Paid: 9/22/2015 Phone: (813)541-8653 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTOR S APPLICATION FEES ALL FLORIDA APPLI NCE 8�A IN A/C CHANGEO T 65.00 � i � - �z � -� S ��=� � Ins ections Re uired DUCTS INSTALLED DUCTS I SULA ED �- FINAL Q °��-( �) 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, ther maybe 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 managemen , state agencies or federal agencies. "Warning to owner: Your failure to record a notice o commencement may result in your paying twice for improvements to your property. If you intend to ob in financing,consult with your lender or an attorney before recording your n tice of commencement." Complete Plans,Specifications Must Accompany Appli tion.All work shall be pertormed in accordance with City Codes and Ordinances. O OCCUPANCY BEFORE C.O. NO OCCUPAN �Y BEFORE C.O. ,��. - CONTRACTOR 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 813-780-0021 : •�'�. 8uilding Dep��tment Date'�ec�ived -�.2,--�S Phane�Cantact for�Pe �ttU - Owner's Name T e � � Owner Phocte Number Owner'�Address p L� `�G(�(�� Owner Phona Number �— � Fee Simple Titleholder Name �� Owner Phone Number ��3 �� l '� �� i � Fee Simple Titleholder Address ) � JOBADDRESS �� h/IG� eC�L LOT# �� SUBDIV�SION � � PAFtCEL ID# (OBTAINED FROM PROPERTI'TAX NOTICE) WBRK PROFO$ED NEW tONSTR ADDIALT I SIGN Q Q DEMOLtSH e INSTALL 8 REPAIR �� PROPC}SED U8E Q SFE2 Q COMN1 � OTHER TYPE OF CONSTRUC7`ION Q BI.00K ° Q FRAME [�] STEEL Q � DESCRIPTION OF WQRK G.-� l�tc'✓1 �� 2.,`��I � BUiLD1NiG StZE �� SQ FOOTAGE[_�� HEIGHT [�� QBUtI.DiNG �i � VALUATION OF T TAL.CONBTRUCTION QE�ECTRICA� r6 AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. L QPLUMBING � � [�MECHANiCA� �� . $ �2 � �� VAIUATIQN 4F M�CHANIGAS.IF+ISTAt.IATICIN �� QGAS Q R{7QFING Q SPECIAI.TY �� t7THEi2 FINISHED FLOOR ELEVATIONS r�� FLOOD ZON �AREA QYES NO L BUILDER COMP 51GNATURE REGISTER D Y/ N FEE CURREA Y/N Address License# � � EIECTRICIAN COMP� SIGNATURE �' REGISTER D Y/ N FEE CURREA Y/N Address License# P�UNfBER COMFAt+�Y SIGNATURE � REGISTER D Y/ N FEE CURRE� Y/N Address Licanse# � —1 „ . - — MECFtRNIGAL �„��'� COMP �1- j�pr� �' )L}��L'i � SIGNATURE ' ReG�S7Ett�o Y/ N FEE C RRE� Y/N .- J Address �� j� �hr�l,j �j,3,S License# � OTHEl2 COMP Y SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Licanse# r� � RESIDENTlAL• Attach(2)Plot Rlans;{2}sets of Buililing'F'1ans;{1}set of En�rgy��orms;R-O-W Perinit for new cans#ruction, Minimum ten(10)working days after.submittal date. Requiretl onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facil(Ues&1 dumpster Site Work�Pertnit for subdivisionsflarge projects C4MMERGIAI.. Attach{3}corimplete sets of Suilditig Plans ptus a�ife Safe#y Page;{1)set of Energy Famis.i�fl-W Pemtit for new canshuction. - - - Minimum ten(10)working days'after submittal dake. Requiretl onsite,CanstrucUan Plans,Stormwater Plans w/Sflt Fence installed, Santtary Facilides&1 dumpster.S(te Work Parmit far al!new proJeots.All commercial requlrements must meet campllance StGN P�RMIT Attaoh{2)sets af Engineered=Plans..� "`"PROPERTY SURVEY required for all NEW construction. Dlrectlons: Fill out applicadon completely. Owner&Contractor sfgn back of appifcation,notadzed tf over S250d,a Notice of Commencement i�required. (NC upgracies Qvar�7500j '" Agent(for the contractor)or Power of Attamey,(for the owner)wauld,be so�eane with notarized letter from owner authorizing same DVERTHE CC3UNTER PERMITIING �,(Frontof,Rpplicatiori Onty}�"`�"; ? Reroofs if shingles Sewera, ;; Service lJpgrades.A/C .Fences:.(Piat/ urvey/Footage) . „ , Driveways-Not over Counter if�an public•roadways.:needs.ROW.::,',.r.,..��• � � y .w. _y NO't'i�E OF DEED RESTRICTION�: The underslg�ed u�de��t�nds�that#hl�.p$rmit.may b��subject to�de�d°rest�ic�ians" which may be;more rest�ictive-than Caunty regulatlons:�The undersigned assumes responsiblllry for c�mpliance with any �RP9lcable deed resteictions. UN�ICENSED CONTRACTORS AND -CQNTRACTOR RESP"�NSt�tLITi�S: tf the owner has hire�d a c:on#ractor or contractors to under4ake work, #hey may be requlred..to be�Ilcensed In accardance.with state.and•local regulations. !f the contractor (s not ttcensed as requl�ed by law� both the owner and contcac#or�irm�y be-aited for-a misdemeanor viotation under state lawr. If the owner ar tntended contractor are uncertatn es to what Ilcensing.requlremer�ts may apply•for the iniended work, they are advlsed to contact the Pasco County BwHiifng inspectton Dlvlslon—Ltcensing S�ctlon at 727-847- 8009. Furthermore, if the owner has hired a cantractor or�contractors, he is advised to have the contractor(s} slgn portions of the "contractar Btock" of this appilcatlan for which they wlll be responsible. If you� as.#he uwn�er sign as the co�tractor, #hat�ay be an indicatio� that�he is no#.properly 3lcensed and Is nat entltleci #o parmitting pr�vileges in Pasc� �County. TF�►NSPORTATlAN IMPAGTtU1'ILiTlES lMPACT�ND-RESt?UR�E RECt?Y@RY-�FEES: The undersi«�ned understar�ds that Transportation Impact Fees and.Recourse Recove.ry.Fees may�apply ta the canstruation of new bul{dings, change of use in existing buildings, or,expansion�.of�existing`�6ulldfngs, as specffied.!n Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also und�rstands, that such fees,=as�may�tie�due; will 6e identii�ied at the time o# permitting. It is further understaod that Transportatlon Impact Fees and Resource Re�o�ery'Fees mu:�t be paid prior to receivEng a "cerEi#icat�of occupancy" or flnal power. release. -4f'the pr+��ect does rtot irntolve a certi�cate o#oacupancy or final pawer release, the fees must be pald prior ta permit issuaa�ce. Ft�tthermore; if Pasco County Wa�ter/Sewer impact fees are due, they.must be�paid privr to permit-Issuance�in accordance wlth appNcable Pasco County o�@Inances. CON�TRUCTt�N �.IEPI l.aW(Ch�pter 713� Ftorlda Statut�s�as amended): if v�luatlon of work ls$2,500.00.ar more, i certify that I, the applicant, have been provided wtth a copy of the °Florida Constructlon Lien Law—Homeowner's Protectton Gufde" pr�pared by the Flor�da Ctepa�tmenf af Agrlc.ulture and Consurr�erAffatrs. If the appllc�n# �s someone other than the"owner", I certify that I have.obtained a copy;of the above..des.cribed doc�ament and.prar�l;�e in,good faith to deliver It to the°owner"prior to�commencement, CONTi�tACTOR'S/ClWNER'�A�'�iDAV{T: ! certify that all the ir�formation in thi5 applicatlon is accurate and that all work will�be done in compliance with all appl(cable laws regulating canstruction� zoning and land developrner�t. Applicatton ts hereby made #a obtaln .a permit to do work and Instatlation as indE�afe+3. '1 ce�#ify tha# no uratk ou� installatian has cammenced prior to Issuance of a-permit and th�t.all work wi01 be pertormed to meet standards of alll laws �egulating� construction, County and Gity codes, zoning regulatEons, and land devetopment cegutatlons-In #he JuclsdEcflon. 1 also certify that I u�dersfand #hat the regulations of other government agencies may apply�#o the intended w�ork, and that it is my responsibility to identiiy what.actions I must take to bedn-corrlp!lance. S.uch agencles Include but are�nat limited ta: - Departm�nt of Er�vironmental Protection-Cypress.8ayheads, Wetland Areas and Environm�entatly Sensitive l,ands,WatedWastewater Treatment. - Sauthwest Flor�da Water Nlanagem�+nt .�istrict V�ells} Cypress. Bayheads; W�#land Areas, A1te�ing Vl/atercaurses. - Army Corps of Englneers�Seawalls} Docks, Navigabie Waterways. - Department of Heaith � Reliabititative Servicesl�nvironmental Fteal#h Urtit Weils� Wastearater Treatment, 5eptic Tanks. � , - US Envi�onrrqental Protection Agency-Asbestos abatement. - Federal Avlatian_Authority-Runvuays. , !understa�d that the€e�ilvwing res#r#ctlans apply to the use of flll: - Use of fi11 is�rot ailowed in F1ood Zone"V"unless expressly permltted. - If the �II material is to be used in Flood �one "A°, it. fs understood th�t a drainage pl�in addressing a °campensating volume°wiiE be submlt#ed at time of permitting enrhich is p�epared by a profe:ssionat engineer Iicensed by the State of Flor(da. - tF the fill matertal is to be used fn F}oad �one °A° in connectfon �nrith.a�-perm�tted bu�iding using stem w�iE � canstruation, I certify that fill:wlll-b.e used only.to.fill the area wlthin the�stem•wail. - If fill materla! is to be used In any area, I certity that .use- af s�ch flll wltl not adversefy affect adjac�nt i proper#ies. I�'use o�fiH is Oound to adversety.affect adjacen#�pmperties,.the owner may be clted for�ioiating ', the conditions of the buiiding-.permit issued under the attached permit application, fo� lats i�ss than one (1) acre w�Ich are elevated by�ill,an engine�red dralnage plan is reqtalred. . If I am the AC;ENT FOR THE 011VNER, I,:{�romise In good faith#o Inform the owner of the permi#t(ng condi�d{ans set forth fn � this affidavit prlor to coenmencing construction. i untlerstand that a separate permit �►ay be required for etectricsi wark, � plumbing, signs, weils, poots, air candifioning, .gas, ar other instaiiatians nat,spec�ically included�in the application. A I permit issued shall be construed to be�a Itcense to proceed with the work and not as.authority to,vialate,cancel, alter, a� set aslde any provisions af the technfcal.codes; nar shall issuance�of a.permtt.prevent the Bulldlrig O#fici�l f�om thereaft�r i requiring�correctian.of errors in.plans, cons#ructlan or violations of any codes. Every parmit issued shall�become invalid unless the work authorized by such permit.�is.commenced within si�c mor�ths o#permlt lssuance, or �f wark au#horized by the permit is suspended ar abandoned for a period of�slx{8)monti�s:after the time the�work t� commencecl. An extensian may be requested, in writing� ftom the Building.Officfal far a period nat to exceed nlnetyr�(90) days and v�rill demonstrate ius#Ifiabie�ause for.the extension: If work ceases foc ninety{90}c�ns.ecutive days,-fh��ob�s.considered alyandaned.�= WARNtNG TO �WNfR; YARIR.F�ILURE�TO.RECQRD A NOTIGE.�F CCFMMENCEMEI�T iVtAY R�S�UE:T IN Y�UR P"AYiNG TWMCE FOR iINpROVEMENTS TA YOUR;PROI?ERTY. IF°YO.U�IN"FEND�`'TO OBT14,IN•FIN�ANCGNG;�CG1NSUl.T IfY'I7H,YOUR L,END�R:OF�AN ATTORNEY BEFORF�RECOR�I�lCs�YOUR:�NQTICE`OF'COMMEN�EIVlEN7: FI.ORIDA,lURALtE.S.117.03I - - _--.- _ . ---- — —--- -- OWI�ER QR�1CiENT CONTRACTd� —.�--"'"" _—..___._,�_- .. 5ubsc�bed and swom to{ar�fffrmed)beiore me th3s Subscribed and swom to ar af�ctned)•befare me'fhifi by � .�r, - J�ho is/are personally known to.me or haslhave prvduced Who Is/ e personaU`y awn to me or has/have produced as tden�BcaBon, as ldenti8cation. Notary Public Notary Public �ommisslon No. Gom i an. ,=:�:et�''r•,, JACQUELI OGES �: ;o; Expires Deoember 12,2018 Vame ef Notary typed,printed ar stampad Name of Notary e . d .r....,....�.a.:,,.....<.. � � j� � Tr 9 r �-s �. � � � ;., .:. { , �-�ull ti� ( ( CHECK LIST LL FLORIDA r � \��'`� ~ Carroliwoo2l�� 'Bra`ndo�i/�,I o in le U -' ' pCOMPRESSOR ; ,��, : � .� North/South Tampa Valrico/A o�Bea�h �- � oLOW�—TS,� PPLIANCE 8� � \ ��3-s32�-1�s� $�� 8�3-s��-9so2 � �� ow�—ai'' PSIG � ' 0 � U 1Fax:-89 406�9�� 3- 50 °��s" ' IR CONDITIONING � � ��` � �� `� �� o��DAMPS—a--PULLING CAC 1816765 �-��' " ' ❑CONDENSER COIL � �� _ 262 1 1 C hianina Dr�1(,Yes ley C hape l, FL 33544 , o CLEAN COIL 3 CHECK FlNS COND. NAME � .. � ' ` ��'�-,,. DATE � MAKE � I�� , ❑REFRIGERANT ,_ r �� •r-� -! �• ., � s� ; �, ��' �►�� ►��i ADDRE88 � '� �� MODEL# SERIALtF •oLEAK o CHARGE �'� � �� ;,� ,, pFAN AND MOTOR , cmr -- '�.,�P "„°�-"�'�^^ �`•. ,� ' ownRw►Nrr o�TEDAMPS--/—P.ULLING � �' t �~" � oCONTRACT oELECTRICALCONNECTION$ ' PHONE HOME: WORK . _ :_f �,c��. �#, � aSERVICE CONTRACT , �` oNORMAL e pCONTACTS TIGHT i CLEAN ti �'�� ' ;�'� �I o RES. o COMM: oFAN PULLEYS(ADJUST BELn INSPECTION: _ }' Make All Chec�CS Payable to:ALL FLORIDA LIANCE�A/C,INC. ,. 0 oCHECK,LUBE BEARINGS 3 MOTOR C� y v " �� . .._..QUAN�°''r DESCRIPTION OF WORK � '� p EVAPORATOR COIL " ` ' �' � � s o CHECK � � �I ' %.� ,� a� oAIRIN F �-) � � � •. � �t .�. �1 �� f� 4 � � r� � � I, o AIR OUT F , - . � • • • • . � � pCONDENSATE AREAS y 3� � � • ` y� � � ; .�� ; f o1�jSPECT 3 CLEAN DRAIN PAN' -�� , � - �r h{ t �I /7 ,i!r . ' �1` ,i�\ 6 iDl'� :i ,8 o�NSqECT 3 CLEAN DRAIN '� �' _ __ •,� �/�lR FILTERS � e � � g• , :�,c_ '� a ��. '� �o� 1. ,( t '`� � �oCtEANED-nREPtACED � � J _ �?I iY. , ,rC'� . FILTER 317E i . c�Z 1 r'v Cl ' �pHEATING ASSY t' ° ' _ „ ' � � r $o BURNER 3 HEAT EXCHANGER "' ( �� x V`��'? '�. I '� -., i � �� _ � �\G� � � oPILOTASSEMBLY n,✓li• 4..� � +.�' / % _-, � �' o PRIMARY RELAY 3 FUEL ,� .� � : �� ,' � �' � ��, . >,I i o FAN 6 LIMIT SWITCH OPER. • - �i ' oBLOWERASSEMBLY „ �� ,oRVVAWE ^��1 J2�Z�Y.�,� �r '�„H �� o HEAT STRIP - � oRATEDAMPS--I—PULLING Q�IOteS� , , o DEFROST CYCLE . . ■ � pELECTRICAL COMP'TS. Recommendations: Accept/Denied � • ' DISCOUNT � o qGLAYS n CONTACTORS ' I CI Iti�IS �HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO,ORDER AS OUTLINED ABOVE IT IS AGREED THATSTHE SELLER WILL RETAIN TITLE SUB - o OVERLOAD o pRESB SWITCH "'"" TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL FINAL 3 COMPLETE TOTAL oTHERMOSTAT PAYMENT IS MADE,AND IF SETTLEMENT IS NOT MAbE AS AGREED,THE • � SELLER SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL DIA6N05TIC oOK. o REPLACE - BE HELD HARAIILESS FOR ANY DAMAGE5 RESULTING FROM THE REMOVAL , � " � THEREOF. - _.,, � o--; CHARGE � dO.D.T — F � WE RECOMMEND REPLACING ALL DUCT WORK WITHNEW SYSTEM INSTALL9:a� ' A.FA.WILL NOT 8E LIABLE FOR ANY MALFUNCTION WITH THE NEW SYSTEM DEDUCTIBLE � : PARTS'WARRANTY • '► '• DUE TO THE USAGE OF OLD DUCT WORK. ° � � ;411�parts aa reeorded are warranted aa per •� 1 �� y ��'� There will be a$35.00 eharge Tor all retumed checks. ,:' manufecturer apeeffleaUona. There wfll e 18%inteies�.on�all late e at 30 days. � � We do not,oi courae,guarantee other ' � � . paiia than thoae we Inetell.if repalra later •X CUSTbMER A YHO ZED ST T PAID BY become neeeeeary due to other defective . � � - � o C parte,they wlll be charged aeparately. 1 eertify that.l ave performed services Indicated. NO WARRANTY x � �, ON DRAIN LINES •