HomeMy WebLinkAbout16-17364 CITY OF ZEPHYRHILLS
5335-8TH STREET
_:
(813)780-0020 1 64
' � BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 17364 Address: 5935 13TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-02100-0030
Improv. Cost: 3,000.00 OWNER INFORMATION
Date Issued: 5/19/2016 Name: JONES KENNETH
Total Fees: 50.00 Address: PO BOX 1013
Amount Paid: 50.00 ZEPHYRHILLS FL 33539-1013
Date Paid: 5/19/2016 Phone: 813-788-7155
Work Desc: A/C CHANGE OUT 1.5 TON
CONTRACTOR S APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 50.00
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Ins ections Re uired
DUCTSINSTALLED
DUCTSINSULATE
FINAL � r
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.
C C N RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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OHice: 813-779-7508 • Fax: 813-779-7504 • Lic#CAC1815498 Date: ��O�o��Q
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Customer Name �e�1 ���.5
Address�� ",� � � ��5 �� • Zip Code J�3 S�
Job Location 5��� ��1�1 `�� Subdiv: Z
Phone# ��'S$ � �s� . Alternate# �7�7" �� o�
' Existing Equip.
Mod.# SER.#
Mod.# SER.#
Permit #
Tvne of Unit: M/S S H/P 5 S PAC Ton: �S Seer
� � �
�L�—
Y N
❑ �Duct Work Type of Duct Work: Metal Flex MH flex Duct Board R-
� ❑ Float S W:
� ❑ Heat Shield: Heater KW: Wire Size Breaker Type
—/� Pad. Elec. Panel Brand: AH Cond. PAC
p4
❑ Line Set•
T s a : Prog. No - ro '
. Airhandler Location: ? AHU L_" H "W "
�❑ Mastic Seal• — —
� '=' Lipht& Rec� Return Air " Duct Size "
� �Service PlatForm: Access/Closet Door: Attic Height/Closet Size:
Attic Insulation Depth = R Value
Special Notes:
e�
Bryant$ , Rheem $ . Comfortmak $ � ' $
Factory Rebates:
Warranty: 10 year Compressor and Parts& 1 year on labor �
10 year Compr d Pa &2 year on labor
Air Tech Services Approval date � �a�� -
Customers Approval �� date �����
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Data Rece4"�ed �— C�—�� :Phone Contact for Permittin —
Owner's Name 1'l� �I��s Owner Phone Number � ��' ��
Owner's Address � � v�3 Owner Phone Number �
�
Fee Simple Titleholder Name J 3 � Owner Phone Number
Fee Simple Titleholder Address `
JOB ADDRESS � !�� � ��' LOT# �
SUBDIVISION � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN� Q Q DEMOLISH
.� INSTALL B REPAIR -
PROPOSED:USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK * Q FRAME Q STEEL Q
�, � ^.
DESCRIPTION OF WORK �l �— C�� / �`� �
BUILDIPIG SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION _
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
,�ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�C�o ���7�� .
QGAS Q ROOFING Q SPECIALTY Q OTHER � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � / Q �
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N '
Address Llcense# I
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N -FEE CURRE� Y/N
Address � License#
PLUMBER COMPANY
SIGNATURE Re�is�RED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL - COMPANY TCC� �,�U(C� 6T� P�C�
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
Address License# ����S _!O
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addre$s � - • License#
RESiDENTIAL, .Attach(2)Plot�Plans;.(2)sets�of:Building'Plans;(1)set of-Energy�Form's;R-O-W Pemiit for new constructi,on,
Minimum:ten(1,0)•working:days.after,submittal date: Required onstte,Construction Plans;Stortnwater Plans w/Silt Fence installed,
� SanitaryFaciltUes;&,1,dumpster3ite'Work•Pertnitforsub'div,islonspargepro)ects �
COMMERCIAL Attach(3)complete`sefs�of Building Plan's plus a Life$afety Page;(1)set of Energy Forms.R-O-W Pertnit for new construcUon. `
Minimum ten(10)working days aRer§ubmittal date. Required onsite,ConsUucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for ail new projects:All commercial requirements must meet compliance
SIGN PERMIT Attach"(2)sets of'Englneered Planss�. ��^
•'••PROPERTY SURVEY reguired_for all NEW consttuction. -
Directions: '
FIII out applicaUon completely.
Owner&Contractor stgn back of-applfcaUon,•notarized_ ._ _ .
ff over 52500,a Notice of Commencement,is.requlred.,, (AlC�upgrades over 57500)
t�„
" Agent(for the contractor)or Power of`Attomey(fo��the'owner)would be someone with notarized letter from owner authorizing same
- i� � i.; ,. �: ,
DVER THE COUNTER PERMITTING� ,: <(Front of Application Orily) <` '
Reroofsifshingles Sewers � �'Service�Upgredes�A/G<<----,•Fe�ces{PIoUSurvey/Footage)
Driveways-Not over Caunter if on publfc roadways..needs ROW
NOTiCE OF DEED RESTRICTiONS: The undersigned under�tand���#tt�t:this:.p�mtit�.may:be,subject to;°�aed"restricttans"'
whlch m�y-be�more>restF�ctive�than Gor�ntjt-reg�lations:=`T#ie.und`e€slgiied assumes'tesporisl6flity:ftir°ci�inptiance�witfi�aiiy
appl#cable.deed�estrlctions, ,. �_ , , � • . . . _ � �
UNLfCENSED .CClNTRACTORS .AND CONTRACTOR RESpONSiBILITIES:��-If;ttie�ouvnerrhas�hir.ed :a contractor or
contractars to undertake work, #hay rnay.be:requlred;�to,be,llcensed ln accordance.with st�te.and�local.;regulations: �If��the� = , -
contractor is`nat licensed as required'6y law; both�-the ovmer and�contiactor�may�°be�ctti�d�for�a�misdemeanor vioiation
under state law, If the awner or!n#ended;contracivr�ere��ncertafn as ta what ticensing:requtreRrtenfs:;may�appty.�f6r<ttie `
tntended work, they are advlser!to caritact'the Pasco County=Bul{dfng Inspectlon;Dlvlslon-Llcensfng Sec#lon at 72T-847-
8009. Furthermore, �If the owner fias�hireii�a confr'acto�'o�`contractors, he is advlsed� ta have the contractor(s),,slgn
portions of the "contracb� Bloakm of thls appllcation for whlch they will be.cesponsible, .If'.you�-as-.the owne� s(gn as the'
contractor, that may be an iniiication that�Fie�is e�ot�.properiy=licensed and is riat en#itted tar parritifttiiig p�ivileges in Pasco
CounEy.
TRANSPORTATlC?N=IMPACTlUTICI'�IES CMPdCT AND�RESOURCE RECQVERY�FEES.��The�undersfgned understands
that TranspaKation tmpact Fees and.Recourse Recove.ry.Fees may4�apply•to�the'constructCon of new_bulldings,.:change�of�- �
use in existing buildings, or�:expansio,�=_of iexisting�bufldings; as specifled.in Pasco County Ordinance number 89-07 and
90-07, as amended. .,The undersigned also.understands, fhait�such fees..;as�may_�tie�.due;=will��tie identlfied attheitime�of �
permi#ting. It is further undars#oad tttat Transportation Impect Fees and"Resource Recoitery°Fees;.mu�t be paid pNo� to
rece�ving a°cerfificate ot-occupancy"ar tinaF pawer:release. :1�-the.project,.daes not invaive.�a-cartiffca#e af accupancy,.or
final power tefease;the fees mu�t be�patd pcior-to permlt Issuance. F��ther�more;�i�Pasc� CouniylNatertSewec�:impaat
fees are due,�they must.be-pald prior to permit-lssyance�in aacordance w{tti appHaable:Pas�o Cou�iyi=ordlnances,
CONSTRUCTION LIEN'I.AW�Cliapter 713, Flo�lda Statutes,a�amended); !f valuatlon of.work Is$2,50Q.00•or more�!• .
certify that I, #he appiican#,�,have�been provideii-with. a copy� of the "Florida� Construction� Lien�..L`aw�-Horneowner's
Protectbn Guide" prepared by the Fiorida Departmenf of Agricuiture and ConsumerAffairs. if the appltcant is someone �
other than the"owne�', 1 certify that 1 kt�ve.dbtaiRed a�copy.of.#he:above..des.cribed iipcument-and:p.r.omise in,goad�fa�h to
deliver It ta,.lhe"owne�',prior::to=commenaament:�-�• � . , ` ` .
CC�NTRACTOR'S/OWIdER'S AF�IDAYIT: 1 cerfKy-that<all:,khe,i�formatlon.ln-thl�appltcaticsn is accurate�and that a!1 work
wiil`be done in compllance with all appticable lainrws regulating aonstructlon� zqntn� and��land develapment. Application is
hereby�made ta abtain .a .permit.to do,wortc,,and instaliatlon as indt�efed:�:, i cectify tfi�t no work�,or installattan has
commenced prior to lssuance of�a`perniilt"and that�att°woric wiil be perFormed�to meet s#andards of all laws reguta�ing�
aonstructlan, Coun#y �nd Clty codes, zonfng regulatians, and lancf devetopment regulations-in the jurisdiction. I al'so
certify that ! understand that the regulatlons of other government agencles may-apply�ta the in#ended wark, and that it is
my responsibility ta identify�what.actions I must•take to be�tnrcotr�pllance; S.uch agenctes�(nclude but are:not Ilmfted.to:
- Department of Erlvironmental-�Protec#ion=Cypress.'Bayh�eads, Wetland Areas and Envlronmentally Sensitive ,
L,Srtds�WaterNVastewater Tres#ment.
- Southwest 'Ftorida Water Management: ,t�istric#-Wetts, Cypress. t8ayheads; Wetiand Areas� Aitering
Watercoutses.
- Army Corps nf Engineers»Seawalls, Docksi�favigatile Waterways.
- Department af Health�'& Rehabil(tative ServiceslErnironmen#al Nealth Ur►it Well.s, Wasteuuater Trea#ment,
Septtc Tanks. - .
- US Environmentai Protection Agency-Asbestos ebatement.
- Federa!Av�at�on Authortty-Remways.
I understand that the following:reskrictions apply to the use of flll:
- Use of'fill is not allowed in Flood Zane"V"unless expressly permitted.
- if the fitt materia( Is to be- used in Flood Zona "A"� it. Is understbod that a drainage plen addressing a
°campensating votume"wiil be submitted at time af permitt(ng which is prepared by a professional engineer
licensed by#he-State of Flarida.
- !f the fil! materiai.is to be used in Ftood Zone �A" in�connec�ion wi#h.a permitted buitding using sfem watl
� construation, !certlfy that ti!l:wllf.b.e used only.to f111 the a�ea wlthin-the stem.�rafi.
- If flll materlal Is #o be used in any area, 1 �certt#y that use. of such fil! wil! not adve�sely affect adjacent
properties. if use af flll is fonnd to adversely:�ffect adJa�ent propertles�.the owner may be clted for vlolating
the condi#ions of the�buiiding-permit tssued under the.atfached�permlt application, far lots less than.one (1)
acr�which are etevated by fl!!, a�r engineered drainage plan Is requlred. .
tf 1 am the AGENT FQR THE OWNER, I;:pra�nlss in good faiEh ta inform the•owner af-the pe�mftting canditions set forth in
this a�davtt�prior to commencing aonat►t�ction. 7 understand.that a-s+�parate permit may be tequfred for elect�tcai wark,
plumbing, signs, wells, pools,_ aU conditioning,.gas� ar"other install�ttons not�;spec�ically included-in.the applicatian, _A
permit issued'shall be consttued ta be a iicense to p�oceed wtth the wrork and not as:authoNty to,vialate,��canael; alter, or
set aside any provisions of the technical cnd�s;�nor shail issuance�of a.permit pceven#the Bulldirig O#ficial froM thereafter
requlring a�correatian af e�ro�s in.pia�s; construction or viofations of any codes. Every�ermit issued shall become invalid
'unless the wark authorizer!.by such permit�ls-commenced�withln sGc months of permit Issuanae, or if wark autharized by
the perm(t is suspended or.abar�doned for.a:pertod of slx{8)mnntFis after the tlme the�work[s commenced: An extensian
may be �equested, in writing, from the�Building.Official for a period:not to exceed nin�ty(90) days and wll! demonstrate
justifiable cause for.#he e�c#ensior�. If work ceases:for ninety�90)consscutive days,..the Job�is considered aba�donec�.
WARNING TO QWNfR: YOUR.�AIl.URE•TC►.,RECQRD A NOTd'GE GiF�COMMENC�NOERfT�MAY°RESULT iN YOUR
PAYING 7WlCE FC?R lMPROYElVAEN'fi$-TO YQUR�_PROPEi�TY.�-1�°Y4.tl=1NfE�0'�TQ��B'�AIN��FINANC#NG;�CQNSUI.T
WfT UR D O AM TTORN ..� Ol3��..•ECO �� ��� O ` O �� E`C1 " � ' E CE N .
_ _ . _ _ .. ,.
_ _FLQRIDA.dUfiAi'.(F.3.._11Z.03)_ _____-__-- , ,—: __ ^�_�--- --- --
4WNER OR AOENI" GOWTRACTO
3ubscribed and swom to(or afflrtned)bafore me ihls Sabscribed a ' ed� efore me'fFits
�y .
Who Is/are pe►sonaliy knawn to.me or has/h�ve produced Who ls/a rsona �cnown to me or hasthavs•produced •
as tdenUflcatlon. as ldendRptlon.
. �
Notary Publlc , Notary Pubiia
,,w;:::.'�.,,
CommissRon tdo:�. Com ion.N *� :*_ �ommissio FF 154422
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'%r�'�• e�� sininsumnce840385•7019
:���P���0. 6o�ed Th+u Tra}
Name of Notary typed,ptlnted ar stamped �,Name of Notery iyped,p r�ted or stamped