HomeMy WebLinkAbout15-16685 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis)�so-oozo 166
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Perrrit Number: 16685 Address: 5903 17TH ST
P�rmit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Prc�posed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-04900-0040
Improv. Cost: 3,495.00 OWNER INFORMATION
Date Issued: 10/26/2015 Name: ISAACSON, SHARON LEE
Total Fees: 55.00 Address: 5903 17TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/26/2015 Phone: (813)389-7712
Work Desc: A/C CHANGE OUT 3 TON
CONTRAC.TOR S APPLICATION FEES
BAHR S PROPANE GAS& , I C. C CHAN EOUT 55.00
� � �
I�� _^ r--
� 2 - ( S � �
�� �--�.
J �-!�
Ins ections Re uired
DUCTS IN TALLED
DUCTSINSULATED
FINAL�2 - I � -/�
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 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
G��m� �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' 8?3-780-Od20 City of Zephyrhills Permit Appiication Fax-813-780-0421
Buiiding Department
Date Received � Phone Cantact for Permitting t5�� /r3� -- ��f�
OwmeP's i�ame �t7"tt'RL�t�! � - ��� � Ovuner Phone Number �1 � ���'" %��
Owner's Address �%�� l�� �� ��� Ovvner Phone Nurnber � � ��
Fee Simple Titleholder Name �� � � Owne�Phone Number � �
Fee Simple Titleholder Address
JQB�11D�RESS �!�,J �/~I � �j �� � ,��/1 L-L� ���e�- LOT# ���
SllBDi�dIStON ' �� �!!—� PAttCE�tD# f d�� �! Q7��G� L�� Qd t��` �
(OBTAINEp FROM PROPERTY TAX N4TICE)
WOftK PROPQSED ,e NEW CONSTR� ADD/ALT � SIGN [� Q DEMOLISH
INSTALL REPAtR
PROPOSED U�E Q SFR [� COMM C� OTHER -
TYPE OF COMSTRUCTIOId Q BLOCK Q FRAME [� STEEL Q -
DESCRtP710N OF IIVORK L'J � ,�i T �,i �31V I � d/U��
BUtL[IiNta 51ZE � �� Std FOOTAGE N�IGHT
[�BUILDING �—� VALUATIQN OF TOTAL CONSTRUCTi4N
QELECTRICAL � � AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C.
[�PLUMBING �� � -
�MECHANICAL $ � �j pj� � VALUATION OF MECHANICAI.INSTALLATIQN
f 1
�GAS Q ROOFING Q SPECtALTY � OTHER
FINlSHED FL.00R ELEVATION5 (�� FLOOD ZONE AREA �]YES NO
�.
Bll1l.DER � COMPANY
SIGMATURE REGISTERED Y I N FEE CURRE� Y/N
A►ddress �icense# �+ � ��
�LEG'TRICIAM � � COMPANY �
SIGI�ATURE I REGISTERED Y/ N FEE CURRE� Y I N
Address License# �— �
P�.k9MBER � � �OMPANY
SIGNATURE RHGISTERED Y/ N FEE CURRE� Y/N
A►ddress E.�cense# � �
fVIECHANiCAl. /�'��,. ` COMPANY �/� �5 �' „�����-�/U�., '
SIGIVATU6tE �"''��� ��� REGISTERED Y/ N FEE CURRE� Y!N .
Address `''���/ �1 ��' �'scense# ��'b�v�'�J�� ��
OTHER COMPAMY
SlGfda4TURE REGISTERED Y J N FEE CURRE� Y/M .
Address �icense# �— �
RESID�lVTIAL Attach.(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit fo�new construction,
Minimum ten(10)working days after submitfai date.`Required onsite,Constrvcfion Plans,Starmwater Plans w1 Silt Fence instailed,
Sanitary Faciilties&1 dumpster,Site Worlc Petmit for subd9visians/large projects
COMMERClAL Attach{3)corriplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.Ft-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Cansttuction Plans;Stormwater Pians w!Sitt Fence insta[1ed,
Sanifary Facilities&9 dumpster.Site Wark Permit for atl new prajects.Ali commerciai reguirements must meet campliance
SItaN PERMIT Attach(2}sets at Engineered Pfans.
«"""pROPERTY SURVEY required for all NEW construction. - .
Directlons:
Fill aut application completely.
Owner&Contractar sign back of applicatian,notarized
if aver a2544,a Notice of Commencement Is required. (A!C vpgrades over�7504j
°* Agent(for the contractor)or Powsr of'Attqmey{for the ovmer)�wbuld be someane with notarized letter from owner authorizing same
01l�R THE COUNTfR PERMlTfING...;:..,�,=_(Frorit.of,Appiicatian.Oniy)....>.-; , �
Reraofs ff shingles Sewers 4 Service.lJpgrades.AlC :Fences{ploUSurvey/Footage)
� `.;..,;, : ., ,� ; : ; :` :, ,
�riveways-Not over Counter.;if on pubiic roadways:.needs ROIN � .`
. . _. . ;
� �
NOTICE OF DEED RE�TRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be mare restricfive than County regulations. The undersigned assumes resportsibilify for compiiance with ar�y
' applicable deed restrictions. -
UNLlCENSED CONTRp►CT4RS AND CQI�T�CTCIR R�SPQN51�1�I'�lES: If�tlie owner has hired a contractar o�
contractors to undertake work, they may be required to be iicensed in accordance with state and Iocal reguiations. If fhe
cont�actor is not licensed as required by law, both the owner and con#ractor may be cited for a misdemeanor violation
under state law, if the owner or intended contractar are uncertain as ta what licensing requirements may apply for the �
intended work, they are advised to contact the Pasco County Building Inspectian Division--Licensing Section at 727-847- ��
8009. Furthermore, if the owner has hired a contractor ar contractars, he �s adv#sed to have the contractor{s) sign
portions of the "contrac#or Block" of this application for which they wiil be responsible. tf you, as the owner sign as the
contractor, that may be an indication tha# he is not praperly licensed and is nat entitled to permitting privileges in Pasco
County. .. � . • ,
7RA►N�PORTATMON IMPACI"IUTILITIES III�PAC'T AND RE�OURCE RECOVERY FEES: The undersigned unders#ands
that T�ansportation Impact Fees and Recourse Recovery�Fees may apply to the construc#ion af nevu buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, wilt be identified at the time of
permitting. It is further understood that Transpartation Impact Fees and Resource Recovery Fees musf be paid prior fo
receiving a "certificate af occupancy" or final power release.. !f the project does not involve a certificate of occupancy or
frnal power re4ease, the fees must be paicf prior to permit issuance. Furfhecmore, if Pasco Caunty WaterlSewer lmpact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances.
CONST`RUCTI�N i.IEN �AW(Ghapter�13, Florida�tatuke�, a� amendedj: lf valuatian of work is$2,500.00 or more, 1
certify that I, the applicant, have been provided with a copy af the uFlorida Canstruction L.ien Law—Hameowrner's �
Protectfan Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the appficant is someone
other than #he"owner", I cerfify fhaf t have obtained a copy of fhe above described document and promise in good faith ta
deliver it to the"owner"prior to commencement.
C0IVTRACTOR'S1Q�INER'S AF�I�AVIT': 1 cerfiiy fhat all the infarmation in this applicatian is accurate and fhat ali work
will'be done in campliance with all applicable laws regulating cons#ruction, zoning and land development. Application is
hereby made to abtain a permit to do wark and installa#ion as indicated. I certify that na wark or installation has
commenced prior to issuance of a permif and that all work will be performed to meet s#andards of all laws regulating
cons#ruction, Caunty and City codes, zoning regulations, and land development regulatians in the jurisdiction. ! alsa
certify that 1 understand thaf the regulatians of other governrnent ageneies may apply ta the intended warl�, and fhat it is
my responsibility ka identify what actians I must take to be in compliance. Such agencies include but are not limited ta:
- Department of Environmental Protection-Cypress Bayheads, Wet4and Areas and Enviranmen#ally Sensitive
Lands, Water/Wastewrater Treatmen#.
- Southwest Florida Vltater IVlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department af Nealth & Rehabilitative Services/Enviranmental Nealth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Pratection Agency-Asbestos abatement.
- Federal Aviation Authori#y-Runways.
1 understand that the#ollowing restrictions apply to the use af fill:�
- Use af fi(i is not at{owed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
"compensatit�g volume" will be submitted af time of permitting wh3ch is prepared by a professional engirteer
licensed by#he State of Florida.
- if the fill material is to be used in Elood Zane "f4" 9n connection tnrith a permifted building using stem wal!
construction, I certify tha#fill will be used only to fill the area within fhe stem wall.
- If fiN materia! is to be used in any area, I certify that use of such fiU will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner rnay be cited for violating
the canditions 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 requ�red.
If I am the AGENT FOR TH� OIAIFI�R, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit priar�to cammencing constructian. ! understand that a sepa�a#e permit may be required for electrical worlc,
plumbing, signs, we(Is, pools, air conditianing, gas, or ofher installations not specifically included in the applicatian. A
permit issued shall be construed to be a license to praceed with the work and not as authority to.viola#e, cancel, alter, or
set aside any pravisions of the technical codes, nor shalE issuance of a permit prevent the Buitding O�cial from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
un4ess the work authorized by such permi# is commenced within six manths of perm�t issuance, or if work aufhorized by
the permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. �ln extension
-rciay be-r�quested, in writing, from the Bu9lding Qifrcial_for a period not to exceed nine#y.{90} days and will demonstrate _
justifiabie cause for the extension. If work ceases for ninety(90}consecutive days, the job is considered abandoned.
WARNINC TO OWNER: YCtUR FAILURE TQ R�CC3RD 1�► NQTICE CtF CCfMMENCEIVIENT MAY R�SUE.T 1N YOU[2
PAYING TWICE F'OR IMPROVEM�NTS'TO YOUR PROPERTY. IF YOIJ INTEND TO OBTAIN FINAIVCING, CONSUI.Y
1NETN YOU��END�Ft OR�►N AT3'ORNEY�E�OR�RECOR�ING YQUR Nt?TIC�OF COM�t1ENCE�CIENT.
FLORIDA JURAT(F . 17.q3) � , �
OWt�lER OR AG��.L•" ONTRAC7Qtt
Subscribed and swom (or a rmed) fore e is S scribed and swam fo r affirme j befor e this
bY—.
Wha islare personalt nown to me or haslhave produced Wha Islare rso known fo rcTe or haslttave produced
as ldent(ficaGon. as identifica6on.
Notary Public �� Notary Public
Commission No. Comml io
;,��µ1•i;o�,n's
;,. ;,,_ Commiss�on#FF 150422
Name af Notary typed,printed or stamped Name of N ','F �p �
• PF���•' BondsdThruTroyFofnlnawanco800�385•1019
aa
� � � PROPANE GAS � � � �
� ANQ_AIC ,rvc. Service Order/Proposal AirConditioning 8 Heating
��rce 1988 813-782-5013 _ � -
. bi ' . i �-r� !i i�r: .i �.� -7-7 t:� _}��
�.;[f;��, ir+.f�C 4�.YF � '_,5.,(-i•,� i.. ..:.i�it•�ii:; _�,41� .��F
��f-� ' � � .l''f'- •�, i� ..� � r•� � c.� c°M ;�, .
Sales Service & Installations _ ' '`� � " ` -� - '�° ` � �:`'
' :'r.��-'r'.:.��! E��•, .1���, ;?i..�
� 4441 Allen Rd. •-Zephyrhills, FL 33541 ��,,.,�-;-;:: � , �;;;;;�- �.-,;:,;.,,.; , .:;r ,, ; ,;� ., ; �=, 1 .. ;;,�,;-,
NOTE�: r'.'�"'rj�i l_li�*li�,�:��� i...�_.!l. � � � _;i`ti� 7-� i�{r� : : � '
4•'I�j��hdc �f�k !�, � V/� r' . ::.� �`.''-�� . , �.�. C:
' r�t[li I i f.t:: ,'tE'��f Y ' t1 i�iF-i r �_.. _��'Fk7
q1 ('t. �P e iV ��
. . 1..�+ � � ��� �
. �
^�- i r•• ,C� � . -��,r-�'��.� r_...� i I;i ,
���'71-�i�{I.^`: i!4; �i'{I.'}:;c�i ��'�;�;:... ... , =�' � �'
�7. f'1�r.— . ��.
�_���[� � , r� �I �:5 � - J_ �. -. .. � 1 1'! .. .�
.:.1_:$.°1 I'"1,(r 1"��'{...�_.i._�,:� 1" � _'�"�,..�.���. �°t._1._t E i (I j!.,:i � �-.� �"I , . -r:.j.;�
� ,� i� _ }i f i j.': �- �"! "i 1.�i y F�f i �+� ��ll.L�,1 J i ��
, �;rl�l/�.� I;i �t - �� r,'{:'i i.�',���7f�%j.,.'i,�'�:�;;{
I:.'r' '�' � ����r � 'C' � 'r (`� >.��. 'r 1. � � ��' Y'}� < \ •
�. _.1� i.i'1(•�1 c. I (_ Ett::_ `� i��.. , 'I'i � �{{:. ..1 t._l� I , ;� . ,! 1{ :(:t. .
� ,� �::.._: = ' °:;.:<;-,:..-:-,<-._- ,..,:< �
_, . �... . : -�. ; .
-; : ,:,.:. ... -.
- -.. : _
- ,.;;D�SGRIfyTlON;{7FINORK � - - . , :":;QTY_':<� ..�,;1.NATEWaLS.8��SER�LICES. _- _ _ ._ - i fJNITFRtCE . AMOUNT
.• -
, � .- - -
-. ._.. ,..:,.> •-
G �'� �... .�-� �,.�. '�.. ' / . �.. .„..:.... .... . ... . . . . .
. .... _. ..... _. ,,y_. j � � ... ,t_, ,.,_,. _. ._ . � . .�� ..` t.�._ .. .. _. .. � _....._-+e �r�..
(..a�f (f ._ .� ,,f�
.� ��! 1 � �
u �Gt I' �r,
• i i
zG� i i
i i
�. �.1 , 5�-� � �
�
� ���� � ��c. s���� �., s�t� � �
- � �
' � � �
� � � �
� �
• _ � �
, � �
�
� �
� _ REEOMMENDATIONS �t� �� � � '(,f�
Annu�LMainteapance Recommended-.by All Equipment Manufactu�ers. pressures Lo HI T-Stat � 3��� �
� - i i
, REFRIGERANT R- LBS. $per Ibs. � I
FILTERS x x Changed Monthly t I
• � ' . FILTERS x x Changed Monthly � ' �
, .
O REGULAR ❑WARRANTY TOTAL SUNIMARY
� Dehumidistat Setting"s: When here"ON", When Away80°o T-Stat 80° ❑ MAINTENANCE CONTRACT p SERVICE . �
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL " i
or suppliers'written warranty only.All labor performed by the above named company is warranted for • TOTAL i
'30 days or as othenvise indicated in writing.The above named wmpany makes no other wartanties, ❑CAS H ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranlies on ' �
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
I have autharity to order the work outlined ahove which has 6een satisfactorily compleled.I agree lhat Seller PROG. W! C
retains title to eQuipmenVmaterials fumished until Gnal payment is maEe.If paymenl is not made as agreed, CLAIM# i
seller can remove said eQuipmenVmatenals al Seller's expense.Any tlamage resulting(rom said removal shall /�
ALl UNPAIO BNANCES OVERr30 DAYS.NO REFUNDS SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED C•a� h —�U V I �
TECH: TAX `)��
CUSTOMER SIGNATURE DATE ✓1 E�U//NL v✓iic TOTAL �y� � f�,,,i