HomeMy WebLinkAbout16-17298 ,, CITY OF ZEPHYRHILLS
i 5335-8TH STREEf
($13}780-0020 17/29$
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17298 Address: 37413 LAUREL NAI111Mt�GK DR
Permit Type: MECHAMCAL ZEPHYRHIL.LS, FL.
Class of Work: A/C CHANGEOUT Township: Range. Book:
Proposed Use: SINGLE FAMiLY RESIDENTIAL Lot(s}: Biock: Section:
Square Feet: Subdivision: OAK RUN
Est. Va1ue: Parcel Number: 34-25-23-0130-00000-0540
Improv. Cost: 6,400.00 OWNER INFORMATION
Date Issued: 4128I2Q16 Name: GRAVES T1NA
Total Fees: 70.00 Address: 37413 LAUREL HAMMOCK DR
Amount Paid: ?Q.QQ ZEPHYRHILLS, FL. 33542
Date Paid: 4/28/2016 Phane: 813-788-1599
Work Desc: A/C CHANGE OUT 3 TQN
� CONTRACTOR S APPLtCAT1UN FEES
MARIOS AIR CONDITIONINC AND HEAT A/C CHANGEOUT 70.00
�
�
(�1, G.v '- �'
Ins ectians Re uired
D TS I AL
DUCTSINS
FINAL ,.����
REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statufie 553.80 (2)(c)fihe
loca!government shal! impose a fee of four times the amounfi of the fee imposed for the initiai inspection ar
first reinspection,whichever is greafier,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permitl there maybe additional restrictions applicable to this property that
may be found in the public records of this county,and there may be additianal permits required from ather governmental
entities such as water management, state agencies or federal agencies.
"Warning fio owner: Your failure to recard a notice of commencement may result in your paying twice for
improvements ta your property. If you intend to abtain financing, consult with your lender or an attorney
befare recording your notice af commencement,"
Camplete Plans, Specifications Must Accompany Application.All wark shall be pertormed in accordance with
City Co and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFt3RE C.O.
OR� IGNATURE PERMIT OFFI R
PEl� EXPIRES IN 6 MC}NTH5 WITHC}UT APPRQVED INSPECTION
CALI. FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR{}TECT CARD FROM WEATHER
. e�saeo-oozo City of Zephyrhills Permit Application FaX-a��-�aaooz�
� Building Department
Date Received Phone Contact for Permittin �a•� 3 —��
Owner's Name � 1 Q C '(�Q�/ Owner Phone Number � � ' O ' S-1
Owner's Address � L.. re1 �• 4/ Owner Phone Number I
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS I.U�U.0 Y� O C Y LOT# �
SUBDIVISION PARCEL IDi�
(OBTAINED FROM PROPERTY TAX NOT1C�
WORK PROPOSED e NEW CONSTR e ADDfALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
� DESCRIPTION OF WORK A C C O L,l
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��j
4MECHANICAL $� �� VALUATION OF MECHANICAL INSTALLATION _� l ( � r/
QGAS Q ROOFING Q SPECIALTY 0 OTHER �I .,��
L(J
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
�
BUILDER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICA�( COMPANY \ � ti1�C\ 1 �•\r C,Q � , ��
SIGNATURL�.�' REGISTERED Y/ N FEE CURREA Y/N
Address � v /� License# C
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
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 t 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 I I 1 I 1 1 1 1 I 1 I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction,
Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large proJects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPER7Y SURVEY required for all NEW construction.
Directions:•
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over b2500,a Notice of Commencement is requlred. (A/C upgrades 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 (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
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 undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrector or I
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contrector 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 Fees 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 Statutes,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"owner'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 Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- 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 Zone "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.
- 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 faith to inform the owner of the permitting conditions set forth in
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 Officiai 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(90)consecutive days,the job is considered abandoned.
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 F CING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI O
FLORIDA JUR,4T(F.S.117.03) �
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed an r to( affirm d)befor e this�
by —Z —/ by • •G� !�
Who is/are personally known to me or has/have produced Who i are Re�rsonal r�jn-Qwn to me or has/have p duced
as iden[ifiration. J� N��P as identification.
Nolary Public / ��/ /W Notary Public
Commission No. Commissio� ,
'+' II e crx
Name of Notary typed,printed or stamped Name of Nota t 1g�o��ge�ecember 12,20'�$
,;�/P;;;qp,.
Bonded Thm Troy Fe;n Insuranc3 ppp•g65-7019
a
'�1���`' �Nvo�ce# 1 5271 1 5399
�+„��' � d D � COMPLETED ui:Apf 28, 201�'ri
f`�`' ` � oue Upon receipt
Niario's Air Conditioning and Heating INC
�n V��C�i AMOUNT DUE .���4OO.OQ
CUSTOMER MAKE PAYMENT TO
Tina Graves Mario's Air Conditioning and Heating IflC
37413 Laurel Hammock Drive 9213 Denton Ave
Zephyrhills, FL 33541 Hudson, FL 34667
(844) 843-9598
www.mariosac.com
info�a mariosac.com
� SERVICES �
. qty unit price subtotai
�. ......_..w._'___��......._..____.._.._•__ _....._�__. .,.... ._._�._.�_.....�____......___ .,.... __'__`_-___.., .......____.__�._._....... .v_._.....�.._.:.___....... ........�_...�__....«............ __...__...__.....,......,..........__.,......_.�... .t
! Air Conditioner-A/C tune up
; An A/C tune-up keeps your air conditioning system in good woricing order. It includes:
i
�
! • Inspect coolant levels & pressure
; • Check & adjust thermostat
� • Inspect wiring, contacts, capacitors & relays �
• Inspect e��aporator coil
i
• Inspect and clean condenser
� • Inspect condensate drain
;
! • Inspect outdoor disconnect
E
! • Inspect condenser fan motor& blades
� • Inspect compressor at startup
i
�
�
�
; When completed you wi!I receive a recommendation for any fiurther maintenance or repair needs of
�
� your system.
�
� .
I MATERIALS qty unit r ric� subtota) '
�
.� ..----_ .._.__.. .... ___________.._,.. ,.�_. ______�.__
i Purchase&Install -3.0 TON IENNOX HIG�: EFFICIENCY SPLIT �.o �saoo.00 $6,400.00 '
j SYSTEM �
�
f 3.0 TON LENNOX free 24 v uv system free Lennox color t stat upgrade Jeff her son will call Matt
# 813-695-2065 for a iune up on his ho►�e
� HEAT PUMP SPLIT SYSTEM WITH NEW DIGITAL THERMOSTAT,PAD,HEAT
; SHIELD,BUILDING PERMITS,HURRICANE PAD FOR CONDENSING UNIT, SAFETY WATER
� OVERFLOW SHUT OFF SWITCHES,LOCKINC �APS FOR CON�7ENSER.(IF UNIT IS ON STAND
� WE WILL REPLACE i�JP OF S i AND WITH 3/4 PLYWOOD IF NEEDEU)
1 of 2
J • •
j (IF HORIZONTAL) INCLUDED AT NO ADDITIONAL COST IS LITE KIT IN ATTIC, NEW HANGII�G
; KIT,AND EMERGENCY DRAIN PAN. ,
, ,
$ PLENUMS INCLUDED IF NEEDED.ALL EQUIPMENT IS CONNECTED TO EXITING COPPER '
E LINES(IF SIZE AND FREON IS COMPATIBLE)
� ALL PARTS GJARANTEED FOR 10 YEARS
�
; ALL LABOR GUARANTEED FOR 1 YEARS ;
' MAINTENANCE INCLUDED 5 YEARS (2
; FREE VISITS) UNLESS OTHERWISE SPECIFIED.
i
Y
TOTAL . $6�4��.00
TNANK YOU FOR PUTTING YOUR TRUST IN US. WE APPRECIATE YOUR BU�!NESS.
+/ Signed on 04/28/16 for$6400
2of2