HomeMy WebLinkAbout16-17202 CITY OF ZEPHYRHILLS
5335-8TH STREET
, � . (813)780-0020 17202
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BUILDING PERMIT
� PERMIT INFORMATION LQCATION INFORMATION
Permit Number: 17202 Address: 7914 KAY MAR1E AVE �OT 307
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass of Work: A!C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLiCABLE L.ot(s): Block: Section:
Square Feet: 5ubdivision: GRAND HORlZONS
Est. Value: Parc�l Nurnber: 34-25-21-0'{80-00000-307p
Improv. Cost: 4,010.00 OWNER INFORMATION
Date Issued: 312512016 Name: WAGNER RICHARD &ADRIENNE
Total Fees: 60.00 Address: 7914 KAY MARIE AVE
Amount Paid: 60.40 ZEPHYRHI�LS, FL 33�41-7707
Date Paid: 3/25/2016 Phone:
Work Desc: A/C CHANGE OUT 4TON PKG UNIT
CONTRACTOR S APPLICATION FEES
ABSOLUTE A!R SYSTEMS INC A/C CHANGEOUT 60.00
.
4
f
Ins ections Re uired
D S 1 TAL ED
F�NALS INSULFy.jED��
j
REINSPECTION FEES: (c)With respect to Reinspection fees will comply wi#h Flarida Statufie 553.80 (2)(c)the
tocal governmenfi shali impase a fee of four times the amount of the fee impased far the initial inspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In additian to the requirements af this permit, there maybe additianal restrictions applicable to this property that
may be found in the public records of this county, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to recard a natice of cammencement may resuit in your paying twice far
impravements to your property. If you intend to abtain financing,consult with your lender or an attorney
before recording your notice af cammencement."
Complete Plans,Specifcations Must Accompany Application. All wark shall be performed in accordance with
City Codes and Ordinances, N4 OCCUPANCY BEPORE C.O.
NQ OCCUPANCY BEFORE C.O.
. �
CONTRACTOR SI RE PERMIT OFFI R I
PERMIT EXPIRES IN 5 MCINTHS{NITHQUT APPRt3VED INSPECTION �
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRCITECT CARD FROM WEATHER
� � � Sheet1
��-•�-'���:-.,; Absolarte Air Systems, Inc.
�<''�T �`��� 37325 Kossik Road BREAlC DOWN FORM
;� �1 Zephyrhills, FL 33541
, ;:� Lic.#CAC 1813789 Fax:813 788 9189
- -- 813 779 U101 Email:steve@getcoldair.com ,
Quote To: Richard Wagner
7914 Kay Marie Ave
Zephyrhills,FL.33541
Pr000sal 3i24r2016
General Proposa!Breakdown p��
Comfortrnaker Heat Pump 14 SEER package unif
1 Package Un�ton H/p,vuith 2nd%Kw heater 8�stat $3900.00
2 Permit&insp cted per your availability $110.00
3 Total $4010.00
'"' Using current electrical,ducts,cover
*i` No engineering or Designing is included
*" '*'*"credit cards have a 3%surcharge*'""*'' �
�
Signature of Proposal
By:(Person Authorized to Sign Proposal)
Name: Signature:�s�� i,P�j!
Tdle: ��,,��l cY Date:3/��(�
Please sign and email back to:steve@getcoldair.com
or sign and fax to:813-788-9189 •
note: Installation of equipment is reconnected to existing duct,electica{, low voltage,and drain
Page 1
813-780-0020 City of Zephyrhifls Permlt App#ication Fax 813-78Q-OQ21
Buiiding Departrnent
_ ,
Date RecF;lved Fhone Contaat far Parmlitln
Owner's Name �-e'.�.�-s.� � Owner Rhane Mumber
Owner's Addreas � �� t � f���'�` !��'�'`�'- tlwner•Phane Number �� �
Fea Simpla Titleholder Name �- � � Qwner Phane Number � �
�
Fse Simple Titleholder Addre�s '
JOB ApDRESS <�–e LUT# �__�_��
SUBDiViStOPt �'�"� y� PARCEL.ID# -
(OBTAiNED FROM PROPERTY tAX NOTICE)
WORK PROPt}SED • NEW CONSTR ADDIA�T � S1GN Q Q DEMOLISH -
INSTALL 8, REPAtR
PROPOSED-USE [� SFR [� COiVIM [,� OThiER
TYPE OF COPISTRUCTION Q BLOCK ' Q FRAME [� STEEt. [�
DE3CRIP'T10N OF WORK ���
BUtLdtNG S12E �� �� SQ FQOTAGE�� HEIGHT �,�,�
� �
QBUILQtNG � VAlUAT101V`i7F 1'fJl'AL CONSTRUCTION
QELEGTRICAL �S� AMP SERVICE Q PRqGF2ESS ENERGY Q W.R.E.C.
QPLUMBING ($��� ,ti j
�.� � /% " !/'
[�IVIECHANICAL $ !rp`�� VAWATION OF MECNANICAL INSTALLATION ���
.'
QGAB Q ROOFING Q SPECIALTY Q OTHER � '�
FINISHED FLOOR ELEVATIONS FLOOQ ZONE AREA [�YES NO t/! !/
{
�
BUlLDER COMPANY
SIGNATURE RE6ISTERED Y t N FEE GURREt� Y i N
Address Llcense# �—^�—��
ELECTRIClAN COMPANY
SIGNATURE �' REG157ERED Y/ N FEE CURREi� Y/N
! Address �Ltcense# [ �
� PLUMBER � COMPANY
SIGNAYURE REGl57ERED Y/ N ��cuttt�� Y!N
Address License# � ���
MECHANICAL � � COMPANY � ��
S1t3NATURE ��' `�J REGISTERED Y,/ N FEE CUltRE� N
Address ���2-� fL.�'��'� License# .G�'� lg� '�J���
07HER COMPANY
SIGNATURE REGISTERED Y/ N F.EE CURRE� Y:/N
I Address �icense#�� �
� ;, .. �
RESIDENI'IAt Attach(2):.P.lot`Plans;(2)sets.of�BWlding Plans;{1)set of Energy°Fotms;,R 0=W Perriilt for r�sw,construa4ion,
Minimum:#en.(10);working•;days:after,submlttal date.�Requlred onsite,Constivcdon plans;Stormwater'pians w/Silt F.ence installed,
Sanitary Factitt3es�8�-1,dumpste,r,:S{te.Work:=.Perrnit for sutidivislonsflarge projects� '
- CCiMMER'�IAi. Aitach(3)complete sets of Bullding Plans plus a Ufe Safety Page;(1}se!of Energy Fotms.i�-O W Pemtft far new canstructfan.
Minimum ten(10)working days'after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Fac�titi�s&1 dumpster.Site Wark Permit for al{new.project3s.Ail cammercial requirements must meet compllance
SIGNPERMIT Attach`{2)"'setsot�ngineered:Plans._..;� ~�
"""PROPERTY SURVEY reyuired furall NEW canstrucUan.
Directlons:
Fill out appiicaUon completely,
Owner 8 Conhactor sign back of applicatlon,notarized
If over�2540,a Notlas of Cammencement ts requfrad. {AtC apgrades over�750d}
" Agent{for the contractor)or"Pouirer of Attosney{for the owner)wauid be someone with nofar�zed letter iram oumer authorizing same
� DVER THE GOUNTER PERMfT71NG . {Pront af Appilcation Only)
Reroofs if shtngles Sewers Service Upgrades A/C Fences{PIoUSurvey/Footage�
Drfveways-Not aver Counter if on pubitc roadways..needs Rt}W
NOT'10E OF DEED RESTRICYIA�S: The unde�igned undergtands�.that#hls;p�rmit may,be;subJect to."deed"restricttons°'
which may be.<more_test�ictive:�th�n Gounry��regulatlons. �The�.u'n'dersigned'assumes-responsibiiity for compllance w+ith any
applicable deed restrictions. •
UWLICENSED CONTRACTORS:AND CONTRI�CTOR RESPONSIBILITaES: °If the ow►ner has -hired a contract�r or
con4ractors to undertake work, they maybe,r.e.q,.u.'ir�d.�to::be;llcensed In accordance.with state.and�local regulations. If the
contractor is not.itcensed as requlred°by law, both the owner and�conVacto�-•rriey be-cited�for a misd'emeanor violatlon
und�r state law. If the owner or Intended>:contra�tor are uncertaln as to what Iicensing.requirements_.rriay>apply�for the ,
intended work, they are advised to contact the_Pasco County Building�Inspectlon Division—Llcensfng�Section at 727-847-
8009. Furthermore, If the owrner has hi�ed a conhactor or contractors, he ts advised to have the contractor(sj, sign
portio�s of the "contractor Block" of thls application for which they wlll be.responslble. If.you,.as..the owner stgn�as the
contractor, that may be�an indication that he�is not�.properly licensed and is noYentitled to permi�ting prlvileges in Pasco
County.
TRAfVSPORTAI°ION IMPACT/UTIUTiES�IAARAC�'-ANb�RESOURCE ltECOVERY�FEES: �The undersigned�understands
that Transportatfon Impact Fees �nd.Reco.urse Recove.ry.Fees m�y�•apply�.to the consGvction of_new_buildings, change of
use in existing bulldings,-o�:expansion:-of�existfn�g�buildings, as speclfled.fn Pasco Coun4y Ordinance number 89-07 and
90-07, as amended. The undersigned also•,understands, tha�t.such fees�:as,may�be�.du�;;,wfll.be identified at the�-time�of
pe�mitting. It is furtfier understaod th�t Transportatfon Impact Fees and�Resource Recov.ery��Fees must be paid prior to
rec�iving a "certiflcate.of occupancy" or flnal powrer:release. :I�the project does.not fnvolve a certf�cate of occupancy o�
final power release;the fees:mu�t be paid prior to permR Issuance. Fu�thermore;�if Pasco County 1Nater/Sewer�Impact
fees are due, they,.must be-pald prior to permit•Issuance=in accordance writh applicable Pasco�County ordinances.
CONSTRUCTION LIERI L�►W(Chapter 713, Flor�da Statut�ss�a� am�nded): �f valuation of work is$2,500.00.or more, I
certify that I, the applicant, have been provlded with a copy of the "Flor6da�-Construction� Lten Law—Homeowner's
Protection Guide� prepared by the Florida Department�of Agriculture and ConsumerAffa(rs. If the applicant Is someone
other than the"owner", I certify that l have.obtained�a copy,of the above.�iescribed docuii�ent°and pr.or�tse�in,good faith to
deliver it to the"owner"�prior�torcornmencement. � ,
COPITRACTOR'SIOWiV@R'S AF�IDAVIT: I certity,.that.all the_Information in�this application is accurate�nd that all work
will'be done in compliance with all applicable laws regulating constructlon, zoning and:land�development. Application is
hereby made to obtain .a permit.Co .do. work.and Installation as Indlceted:�• I certffy that no woek or Installatton has
commenced prior to issuance of a permlt and that.all work will be pertorreied to meet standards of all laws regulating-
construction, County and City codes, zoning regulatians, and land deveiopment cegulatlons-in tha jurisdlction. i also
certify that I ue�derstand that the regulations of othe�governmerot agencies m�y�apply�to the intended work, and that it is
my responsibility to Id�ntiPy.whaE.a�tions i must take to be,in.corrlpllanca. S.uch agencles Include but-are not Iimited 40:
- Departonent o9 Environmental Protection=Cypress. Bayhead�, Wetland Areas-and Envlronmentally Sensitiv�
Lands,VNaterMlastewater Treatment.
- Southwest Florida Water Managernent: .I�istrict-Wells, Cypress.��Bay.heads; Wefland Areas, Aotering
Watercourses.
- Army Corps of Engtneers-Seawails, Docks, Navig�tile Waterw�ays.
- Department of Health� & Rehabl8tative Serv(ces/Environmenta,0 Health Unit-Wells� Wastewater�Treatment,
Septic Tantcs. � ,
- US Environmental Prot�ction Agency-Asbestos abatement.
- Federal Avlatlon.Authorlty-Runways.
I understand that the following;restrictions apply to the use of flll:�
- Use of flll is not allowed in Flood Zone"V"uniess expressly permitted.
- If the fEll materlal fs to be used in �Flood Zone. "A�, It. Os understood that a drainage pian addr�ssing a
°compensating volume" will be subr�(tted at#ime of permitting which (s prepared by a professional engineer
Ilcensed by the State-of Florida: ,
- If ihe flll material i§�to be used In Flood Zone "A" in�conn�ctlon�wlth:a�permitted building using s4em wall
construction, I ce�tify that flll•wlll;be used only.to.fill the area withln the�stem•wall.
- If ffll material is to be�used in any area, I certify that .use. of such flll wlll not adversely affect adJacent
properties. If use of flll is found to adversely_.�ffect adJacent�prop�rties,.the ow►ner may be clted for viofating
the condi#ions of the"bu(Iding;permit issued under tha attached permit application, for lots less than one (1)
acre wrhich ar�elevateii�by�flll;�n engineered dralreage plan is required. ,
Of I am the AGENY FOR TIi�OV11RlER, I;�promi�e in good faith to fnform the owner of�the permltting condftlons set forth in
this affidavit'prior to commencing construction. I understand that ayseparate permit may be requtred for elect�ical work,
plumbing, signs, wrells, pools, alr conditioning,.gas, or othee loistallations not�spec�fically-included�in.the application. A
permit Issued shall be construed to be a Hcense to proceed wOth the work and not as.authority to.vioiate,cancel, alter, or
set aside any provislons of the technical cod�s;�nor shall issuance�of a p�rmlt.prevent th�Bulidirig Officlal from th�reafter
requiring a correctton af errars in.plans, construction or vlolat(ons.of any codes. Every permit Issu�d sh�ll become invalid
unless the vvork authorized by such permit is commenced�v+rithln s�ic m.onth� of permlt is�uance, or if avork authorized by
the pe�mit is suspended�or.�bar�doned for a:pertod of six(8)montF�s.after the time the�work�ts co►nmenced. An extension
may be requested, in writing,.from the Building;Official�for a perfod.�not to.�xceed ninety(90) days and wfll demonstrate
justl�iable cause for.the extension�. If work ceases:for nine�r(90)cons.ecutive:day.s�..th�job�is.conside�ed aba�doned.
WARNING TO OWNER: YOUR.FAILURE Tt�..R�.C.ORD.A MOTIGE OF•COMMENCEAAEMT:M�IY�RESULT IN�YOt1R
PAYING TWICE.FOR�IMPROVEIN7EN.T3=TO:YOUR��:PROP�Pt-lY. tF°YO.U;IN�'�EKID"T��O�TAIN��FINAI�EING;�CONSULT
a111T OIJR D �O. AN ATTO N -.�B FORES ECO �� G�•1rOU �� �C 'O .� O � CJE � EIdT: -
— F�o�c�m;,lui�„i(F.�.-�.�a.�s; - �-2�
OWPIER OR A(iENT CONTRACTOR
Subscribed and swom to(or aHirmed)before me this Subsaibed and'swam to(or af�rtned)�before me ttil
by •by
Who Is/are personally known to.me or ha�lhave produced llNho Is/are p.ersonally knowm to me or hasihave produced •
as IdentlBcatlon. � as IdendficaUon.
Notary Public Notary Publlc
Commisslon No. Commisslon.No.
Name of Notary typed,printed or stamped Name oi Nolary lyped,pdnted or stamped