HomeMy WebLinkAbout16-17218 CITY OF ZEPHYRHILLS
� , �, 5335-8TH STREET
(813)780-0020 17218
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17218 Address: 6143 18TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0180-00000-0350
Improv. Cost: 5,300.00 OWNER INFORMATION
Date Issued: 4/06/2016 Name: BEACH KRISTEN
Total Fees: 65.00 Address: 6143 18TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/06/2016 Phone: 727-409-3290
Work Desc: A/C CHANGE OUT 3 TON HP
CONTRACTOR S APPLICATION FEES
ALL TECH AIR & FILTRATION LLC A/C CHANGEOUT 65.00
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Ins ections Re uired �
DUCTS INSTAL ED
DUCTS INS�E-�
FINAL � L( 1. ,�J
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONT CT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�a-�aaoozo City of Zephyrhills Per�nit�pplication Fax-813780-0021
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INSTALL REPAIR
PROP0.SED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTiOPf Q BLOCK Q FRAME Q STEEL Q
DESCRIP'f10N OF WORK � C � 1 � ��-` � -J��� r ��+ �"�rn �"1�` }
BUILDIWG SlZE SQ FOOTAGE HEIGHT �
QBUILDING 5 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL S AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
I QPLUMBING $
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4MECHANfCAL a cJ3� VALUATIOhI OF MECHANICAL INSTAlLATION �/ ' �
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FIMSHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO !�
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B1tILDER COib9PANY
SIGNATURE rz�is�xm Y/Id r�ctut�n Y/N
Addrass Llcense S �
ELECTRICIAN C0�7PRNY
SIGNATURE �wsra�m Y/N �cutuen Y!N
Addroas Li�nse i� I�
PLUARBER COA7PAPIY
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RESIDEPITIAL Attach(2)Plot Plans;(2)sets of Bulding Plans;(1)set of Energy Fomis;R-O-W Pertnit for new�udaw+.
Rflitl(rt1Urt1 te�(10)wott�ng deys atter submiUe!date. Requited onsite,Construction Fl�ns�SfortnuEter Ptans ud S�t F�frs in�6�ed.
SanNary FadfRies&1 dumpste�Ske Work Pertnit for subdivistonsllarge pmjeds
COEAMERqAL Attach(2)complete sets of Bui{ding Pfans plus a Life Safety Page;(1)set of Energ7l Fwms.R-O-W Perma far new�eSon.
Mfinimum ten(10)�ng days after subrt�dttal date. Reqiered onsite,Cotsstrudion Plans,Startnwater Pl�s w/Sdt Fence Ins�tSed,
San'itary FadGUes&1 dumpster.Site Wah Pertnit for ell rrew pra;eds.Alt commerdal iequlremeMs must rrraet cwnpli�ce
SIGN PERIHIT Attach(2)sets of Enefneer�d Plans.
, ""PROPERTY SURVEY required for all NEW conshudion.
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Directlons:
FiB out appGcatiun completefy
Owmer 8 Contrador slgn badc of appliptian,nMarized
If ovor 525a0,a Nodco of Commoneement is roquired. (A(C upgradea oaer S7&aU)
" /�errt(for the contractor)or Power of Atiomey(for the awne�would be somoane wfth notarized le[tur fmm owner euftwt�rtg ssms
OVER THE COUNTER PERMITTiNG (copy of contract required)
' RerooFs ff shingles Sevrers Service Upgrades A!C Fences(PIoVSur�eyiFoatag�)
Dtfveways-Not over Counter if on public ro�clways..needs ROW
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NOTiCE OF DEED RESTRICTIONS: The undersigrted understands that this permit may ba subjed to'de�"r'eslridiotts'
which may be more restridive than County regulations. The undersignEd assumas responsibifi9y for c�mpiiance with a�I
applicable dced restrictions.
UPdLiCEWSED COIdTRACTORS AR�D COEdTii�9CTOR RES�OR4S&�3L911E�: tf the ow�s has hired a contr2ctw or
contractors to undertake work,they may be requi�d to be licensed in accordance vv�th state and i�cal regulations. If th2
contractor is not licensed as required by law, bofh the owrter and cor�tractor may b2 qted for a misdem2ar�r violafion
under state law. If the owner or intended contractor are uncertain as Co v�at licensing requiremer►ts'may apply far the
intended work,they are advised to contact the Pasco Cour�ty Building lnsp2ction Division—Licensing S�ion at 727-847-
8009. Furthermore, if the owner has hired a contrador or contractors, he is adv'tsed to have the cantraciar(s) sign
portions of the"corrtractor Bloc�'of this appiication for which they will be responsible. ff you,as fhe owner sign as tt�
conVador,that may be an indication that he is not properiy licensed and is not entitled to pemtittirtg privileges in Pasco
County.
Tt3r�PISPORTAT10P9 fllf�PACTNTILITI�S iPdPACY APdD RESOiJRCE�ECO�iERY FEE�: The undersigned tu�derstartds
that TransportaGon impact Fees and Recourse Recovery Fees may appiy to the construcHan of ne�w buildings,chartge of
use in existing buildings, or e�ansion of existing buildings,as specified in Pas�County Ordinance cwmber 89-07 and
90-07, as amended. The undersigned also undarstands,that such fees,as may be due,wifl be identified at the time of
' pertnitUng. It is further understood that Transportation Impact Fees and Resource R�overy Fces must be pa�i priar to
receiving a"certificate of occupanc�'or final power release. If the pro}ect does not irnolve a ceriificale of aeasgancy a
final power release,the fees must be paid prior to permR issuance. Furthemiore,ii P�co Caurrty WatedSewer Im�sact
fees are due,they must be paid prior to pertnit issuance in acrArdance with applicabte Pa�co Cotu�ty�nances.
COWSTRUCTIOtd LIEN LAlN(Chaptee 713,FPori�a S4aYutes,as arr�eaa�sa,: If valuation of work is$2,500.00 or rr�r�,I
certify that I, the appiicarrt, have been.provided vvith a copy of the "Flarid� Construc�ion Lten Law—Flom�awrtEr's
Protection Guide"prepared by the Florida Departrnent of qqriaitture arzd Consumer Affairs. if the app8cant(s someone
other than the"owne�',I certify that I have obtained a copy of the above desai�d documerrt and promise in good faith to
detiver it to the"owner"prior to comrt►encement.
COIdTRACTOR'S/OYHPfEPt'S AFFIDANI7: I certify that all the ir�ormation in this application ts accurate and that ati wark
wiii be done in compliance with all appiicable la�vs regulating construc�ion,zoning and lar�developrt�rtt. Apptica�ott is
hereby made to obtain a permit to do work and instalfation as indis,�ated. I cerbty that no work ar irtstatlaUan has
commenced prior to issuance of a permit artd that all vdork witl be perfomied to rn�t s#andarc)s of all laws�gulaf�g
oonsVuction, County and City codes, zoning regulatlons, and land develogment reg�lations in ttze jurisdictlon. I aRso
certify that I understand that the regulations of other govemmerit agencies may appty to the inter�ded watk,and that it fs
my resparisibility to identify vvhat actions I must take to be in compliance. Sudi agensyes irtdude but are not l'fmited to:
- Department of Emrironmental Protection-Cypress Bayhea�is� Wetland Ateas and Emrironmarttady Sensitit�
Lands,WateNVMastewater Treatment.
- Southwest Florida Water AAanagement Distrid-Wells, Cyptess Bayheads, lhhtlartd Areas, Aft�ring
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watennrys.
- Departnent of Heatth 8� Rehabilftative Services/Environmerrta! Heatth Unif-Weits, Wast�water Treativ�nt,
Septic Tanks.
- US Environmental Protaction Agenc.}+-Asbestos abatement
- Federal Aviation Authority-Runways.
I uriderstartd that the foffowing restrictions appty to the use of fill:
- Use of flll is rtot allow�in Flood Zone"V'unless expressly pertnitted.
- If thz fill material is to be used in Flood Zone "A", it is understood that a drair�age �tan addressing a
"compensating volume°will be submitted at time of pertnitting whlch is prepered by a pro#essiw►a►engir�er
licensed by the State of Florida.
- tf the fill material is to be used in Ffood Zon� "A in conn2ction with a permitted builclitsg us'sng stem v�3f�
canstniction,I certity that fill wili be used onty to 511 the area wittiin the stem vdaA.
- If fil! material is to be used in any area, I certify 4ha4 use ofi suc� frt! will not adversely ofifect ad"�acertt
properties. if use of fill is found to adversety affect adjacent propertie�,the owner may�cited f�,c dsotatir4g
the conditions of the building permit issued under the attactied permit applicaBon,for lots tess Ynan ona(1}
acre which are elevated by fill,an engineered drainage pian is requfred.
' If I am the AGEWT FOR THE OWPIER,1 prom'�se irt good faith fo irrFartn tt�owmer of the permitring condfUos�s set iorFh ifl
this affidavit prior to commencing construction. I understand that a separate permit may tre r�guired fiar electrical work,
plumbing, signs,wells, poals, air conditioning, gas, or other instalfations not spe '�fical{y induded in tha appiicatlan. A
permr issued shall be construed to be a licertse to proceed with the work and not as authortty to violate,car�ceJ,alter,or
se4 aside arry provisions of the tech�ical cades,nor shail issuance of a permit prevent the Buildir�Offida1 from th2reaft2r
requiring a correction of errors:n plans,construction or violatlons of any codes. Every permit Issued sh�l l�ecom�lnvaiid
unless ths work autharized by such permit is commenced within six montt►s af permii issuance,or ifi wrorfc au4horized by
the pertnit is suspended or abandoned for a period of six(6)months after the time the wlork is comm�ccecad. An extenslon
may be requested, in writing,from the Building Offiaai for a period not to exc�ed nirt2iy(90)days arrol wifl demonsba4e
justiflable cause for the extension. If work ceases for ninely(90)consecutive days,the job is ca�idered abandoned.
1flfAR9dIWG TO O!nl6VEQ2: YOdJR FAILU6�TO RECORD�4 RSOT{CE�F C��l�gt'+CEH�iV'P E'-.�.Y Re.S.°l9LT 8tc�Sf�L4ia
PAYING TVVICE FOit fiVlPR041EMEPITS TO Y048R PROPER'rY. 1�Y�lJ iP38�43D TO OB'TAIRd�P��t�ft°x,�d�S�F1LY
IMITH YOUR LEtdDER OR AN ATTQRPdEY BEFORE REC�6aD9ttfC YOLlR�10Y1C�fDF C�l�!!l�tER1G�ER9T.
FLORIDA JURAT(F.S.117.03) i/,
OWNER OR AGENT CON�p� �{�C'\L Y'��I C�(�n�S�,/�
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Subsaibed and swom to(or aftirtned)before me this Sub�tatbed �m tA(o�t a,�r��or�j l�
by �5��� �l•J '{1�
Who Isfare personally Imown lo me or tu3sfiave produced ` . Is/ere persona!!y�o�t n to me ar ha�Jhave produced
as identification. j as ldentfiradon.
Nofary Public � 1\ ����_r Rot2ry Puh:.�
comnriasionNo. No. ;••..�`'°... ER
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Name of Notary typed,priMed or stsrt�ped Name oP Id�t�y {Uc�, �
`••.,',�oP�d*..•� EXPIRES July 24, 2018
(4071398-o�F3 FloridalloteryServlce.comw
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PROPQSAL SUBA�iITTEI�TO: WORI�TO�E PEISFORII�D A �: �
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6143 18`�St ��� � ���
Zephyrhills,F133542 727-409-3294 frisl0b�,aol.com �� :
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1, l—Co�nan (�6 S�ER)Puraa�410A(3 T�He,at Pu��)Split System wiYh 3lcw l�c e�p l� � �
CONDENSER:GS�Z1�51 /HIGH EFFICIENCYAIR HANDLER�l''i'3'1C11� ARI 8331282
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2. 'f6is aasc�Inc�udes:nig�l'I9�e,rmostat,F7ush copg�l..aa�,Ft�sh�in,�S-�t�1d H�xi�f�air I i
H�dler widi Flas�Switches,Hurr6can�Slab�Straps f�Condeaser,sad.Permit. � ,
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3. Chenge Fkx on 11 d�s aad incr�ase retarn chict � '
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��`�O€�d.man Waarant�,: (10 Years Parts and 1 �'ear Lab�r)�*IasDHded � 1 ` .
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'�#Not Including: (Any Pre-exiseing Conditions, Original Electric, and Extended Warranty) ; ; �
GU ED TO B A� SP�C L W(3 E � ;
COMPLETED IN VVORI�MANLIKE I�L�NNER FOR THE SUM OF: �5,380.O f!-$13 S Tecai ;.
FIVE THOUSAI�ID ONE �IUNDREID SIXTY FIVE DOLb.Al2S AND 60J1�I I ;
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ANY O S OR MS FRO O '
' ��F,7C�i.TT�T��QIdI.X UPUN��IRITI'�N ORIDER AND 6VILL�F.�Qh�A��,� !
t�V�R AAId�ABOVE'�HE PROPOSAL AMOUNT AA.I..I.AGJREEI�ENTS[X3���'UR�I� ' � .
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S A D Y B Y� �iJFt CON'IR �? { � '
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Respectfiilly submitxed,Pattick Kil n Exg�ares 30 I7ay�s i j -
Rla�cger,All-Tech Air�c Filtrcrtion, j ;
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��CEPT�ICE O�P,�,O�A.L � '
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You must g�nvide s�1i conditioaa!ag,proved Permit Doc�uaetats and�rw+id�o�ae bu�day o�y�wr�to:staY �
10 days of co�tpletuag wa�k set your house fo�City or County�on.The a�ova pr�,�o�,aed � �o
satis�actory ammd sre he�eby ar.caaepted.You eae aartharized to do tbe�wwosk as�pecified. ;
Paymen��as follaws:�5.330.00 Dae on Comodetion(OR�5,1b5.00 Check ar C�st�) fl0%I3bwffi ; �
Intia{s �Acc t Eatended Warran +$850.00 lotials 1 Deciine Esten Warrag � j
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