HomeMy WebLinkAbout16-17402 CITY OF ZEPHYRHILLS
. f 5335 -8TH STREET f���
' (813)78o-oozo 17402°'�
BUILDING PERMIT �''
� PERMIT INFORMATION - LOCATION INFORMATION
� Permit Number: 17402 Address: 38946 3RD AVE �
' Permit Type: MECHANICAL ZEPHYRHILLS, FL. �
' Class of Work: A/C CHANGEOUT Township: Range: Book: I
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: '
, Square Feet: Subdivision: CITY OF ZEPHYRHILLS '
Est. Value: Parcel Number: 11-26-21-0010-19900-0011
Improv. Cost: 4,413.00 OWNER INFORMATION
Date Issued: 6/01/2016 Name: HENDRICK DWAYNE A& BRENDA
� Total Fees: 60.00 Address: 38946 3RD AVE
� Amount Paid: 60.00 ZEPHYRHILLS FL 33542-2108 '
Date Paid: 6/01/2016 Phone: 813-355-4255
' Work Desc: A/C CHANGE OUT 5 TON HP
CONTRACTOR S APPLICATION.FEES
� CHRIS'A/C CO. A/C CHANGEOUT 60.00
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� Ins ections Re uired
DUCTS IN TALLED
DUCTS INS LAT D
FINAL � �
! 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 I
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 properly that
I 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 properly. 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.
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� C I� CTOR SIGNATURE PERMIT OFFI R
; PERMIT EXPIRES IN 6 MONTHS WITHOl1T APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
; PROTECT CARD FROM VIiE�►THER
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�' I 813-�eo-ooza City af Zephyrhills Permit Application Fax 813-780-0021
j � . 8uliding Qepattment
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� Date Recelved Phone Co»tact for Permlttin �`
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� Cawner's Name /�Q���G� Owner Phane Number ` %� ��
' � Owner's Address � Owner Phone Number �— �
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, Fee Slmple Titleholder Name � � Owner Phone Number � �
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� Fee Simple Titleholder Address
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I JOB AbDRESS , � !' b'•f'_ ,� ' � LOT# �
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; suea�visiaH � � � Pa�cE�r� 'ot� � • � l • 9 0 C3 �'C�
i (OBTAINED FROM PROPERTY TAX NOTICE)
� WORK PROPOSED NEW CON5TR ApQtA�T � SIGN Q Q pEMO1.tSH
e INSTALL 8 REPAIR
± PROPQSED-USE Q SFR Q CON1M � OTHER '
� TYPE OF CONSTRUCTION Q BLOCK 4 Q FRAME C� STEEL Q
, pE3CRIPTION OF WORK � � 6�+F.�-� U �S / �� l
i BUII.DING StZE � � SQ FOOTAGE[� HEIGti7'
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�����'����' �� VALt3ATION OF TOTA�CONSTRUGfiION
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, QE�ECTl�IGA�. � � AMP SERVICE Q PROGRESS ENEFtGY Q W.R.E.C.
; QPLUMBlNC# � • ��
�ECHANtCAL $ /�'''J�� VAIUAT[ON OF MEGHANtCAI.INSTAi_LATlOIV � ���� ""'"
�y .71 �
QGAS Q ROOFlNG Q SREGIALTY �� OTtiER � � �L
FINISHED FLQOR ELEVATI4NS �� FLOOD ZONE AREA QYES NO
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� BUFCDER - C�Ii�PAIYY_ __ _ ��_.�— -- - _ _—_ - ___ -- �-- -
; SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Addres$ ' License# � —�
� ELECTRICIAid CON9PANY
! SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
I Address � License# �� �
� PLtlMBER COMPANY
i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
�� Address License# � ��
I, MECHRNlCAL `f� C� COMPANY �I� ,� t„�,- ���
` SIGNATURE — '� REGIS7ERED Y/ N FEE CURRE� Y' N �
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� Address t��c� �� �f _ License# ��( QS'� j �,-� 3
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' OTHER COMPAi�Y
iSIGNATURE REGISTERED Y/ N . �=EE cua�n Y/N
� Ad¢ress ° license# �__ ��
� RESfDSNTlAl: Attach(2j Ftot Pla�s;(2}sets of�Butlding Plans;{1)set af Energy Porms;F2-fl-W Permlt for new cor�stntation, I
; Minimum ten(.10)working`days aftecsubmltta�date. Requlred onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, _ �
� Sanitary,Facili8es&1 du,mpster 5(te Wark•Permit for subdivisionsAarge projects
COMMERCtAL Attach{S}complete sets of Bu3ldirig Plans plus a l.Ife 8afiety Page;(1)set af Energy Farms.R t�-W Permit far new cansfisctlon.
Minimum ten(10)working days after submittai date. Required onsite,Constructlon Plans,Stormwater Plans w/.Sift Fence installed,
� Sanitary Faoilities&1 dumpster.Site Work Permlt for ail new prajeots.All commercial requirements must meet eompliance
SIGN PERMIT At#acti{2}sets af Engineered�Plans..,
i •'"`PROPERTY SURVEY required for all NEW constructlan.
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� Dlreetlons: -
Ffll out application completely.
� 4wner&Contrackor sign back af applicatton,notarized
� if over�2540,a Notl�of Cammencement�s reqaired. {A/G upgrar�es oxer�T50Q)
I " Agent(for the contractor)ar Power of Attamey,(for the owner)would be someone with notarized letter from owner autho�zing same
j OVER THE CQUNTER PERMlTiiFlG {Front of Appllca#an,Oniy}"°""'` -°°��.=---_•�- .:
i Reroofs if shingles Sewers Service Upgrades+/VC�,.;,., Pences(PIo�Suivey/Foatage)
: '= '. . -•-:t�: >:,- ;�,-, ;,� '
t Drivewaya-Not aver Counker if on public.roadways::neads ROW,,, ";,;�r j
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N�T�CE OF DEED RESi'RICTIt��S: The under�igned under�tands°�tl�t thi�.pprmi#.may be,sub�ect to"deed"restrictions°
which may be�more�rest�ictive th�n Gounty�regulatians. �The undersigned�"assumes responsibillty ior campli�nce with any
, appiicable deed restricttons. , . .
i UNLICENSED CONTRACTOItS AND'.CONTRACTOR RESPCyNSIBILITIE$: -If the awner has hired��� contractar ar
contractors ta undertake work, they may be;reguired:.to.;be:llcensed In accordance.with state.and•Iocal regulations. If the
�� contractor is not licensed��as requlred'6y law, bottr the owner an�=cont`sactor:.msy be clted-foc �-misdemeanor vio#afian
' under skate law. If the owner or Intended contractar<ere.wncert�iln as to what Iicensing.require�nents may,apply��for the �
�' intended work,they are advised#o coritact the Pasco County 8uliding(nspectlon Cltvislon—Ltcensfng Section at 727-847-
� 8009. Furthermore, if the ovrmer�has'hlred a con#racto� or cantractors, he is advised to have the contractor(s}. sign .
� portfona of'the "conkractor Block° of thls application for which they,will be tesponslble. . If you�-as..ihe ovvner�stgn�as the
co�tractor, tfiat�rtay be an indication that�he�is�not.properly Ilcensed and Is not entttled to pertnit�ing prhrlle�es En Pasco
County, `
, TRANSPORTATtON iMPACTNTILiTlES�lMPAGT AND RES�tJRGE RECOYERY�FEE3: The undersigned unders#ands
that Transportation Impact Fees and.Recours�e Recove.ry.Fees may:appiy�•ta°the canstruc#ion of new bufildin�s,°change of -
, use in existing buildfngs,-or,expansion>of�exi"stin,g,'�buildings� as specified.in Pasco County Ordinance numb�er 89-07 and �
80-07, as amended..'�he undecsigned also.understands, that.such fees,.as;may:�e�.due;�w111:.6e ideritified �t the�tiirie of
permitting. I# is fu�thier understaod that T�ansportatbn lmpacf Fees and Resource Reco�ery�'Fees must be paid prior,to
rece6ving a°certi�cate-af acsupancy°ar flnat�pawer-.release: _I��the pro�ecE does not involve�a:certificate af+�ccupancy ci�
', final power release;�the�fees mu�t be paid pcior to'permit Issuan`ce. F��thermore�if Pasco Caunty'1Nater/Sewer impact
' fees are due,they�musk be-pald prior to permit�lssuance=ln accordance with appltcable Pasco County`o�dinan�es.
� CUN�TiZUCT10N LIEN�LAVN(Cha�ater T13, Flartda Statutes,as amendedj: if vatuafion of wark is$2,500.00 or more� 1
�, certify that I, the applicant,_ have been provided wtth. a copy� of the°"Florida Construction� Lien:.L;av�Fiomeowner's
' Protectton Guide" prepa�ed by the Florlda Departmenf of Agrtculture and Consumer-Affaics. If the appltcant Is someone.
other#han the°owner", I certify that,l_have,obtainetlRa copy;of the above..desarlbed tlocurr�ent°and.p.r.nmise�ln,good faith to
deliver it to the"owner"prior to�commencemen#:` �
� CONTRACTAR'S/OWNER'S AFF1DAViT: i aecfity�.th�t aii th�.lroformation in this appticatlon is accurate and that ail wark
' will be done in compliance with all applicable�laws regulating construadon. zoning and land development. �4ppiication (s
hereby rnade to ob#aln .a permit to do,wot'Ic�and installatian as Indtcefed� °1 certlfy that no work or in�tallatian has
camm�nced pr(or ta fssuance of�a�permit and that:all work wlll be perFormed to meet standards of all law►s regulating�
constructian, Caunty and City codes, zontng regulations, and land development r.egutattons-In the Jurlsdt�tEon. ! ai'so
certify that I uaderstand that the regulations of other government agencies may apply�to the intended work, and that it is
my respansibility to identify what.�cttons I must take:to be�in<.coitlpNance. Such agenctes include but are.nak Ilmited to:
- Department at E�viranmenta{�Protectian-Cypress.'Bayheacfs� WeNand Areas ar�d Ernrironment�ity Sensitive
Lands, WatedVVastewater Treatment.
- South�rest Fior�da Water Managemen#� :l��strtct-Wells, Cypr�ss. 8ayheads; Wetland Ateas, Atfering
Watercourses.
- Army Corps of Englneers�Seawalls,Doaks� Navigable Waterways.
- Department af Heaith 8 Ret�abllitative Services/Environment�l He�t#h Uitit V11ell.s, Wastewater�Treatment, `
Septtc Tanks: � � � _ '
- �DS fnvironmenE�l Protec#iat�Agency Asb�s#a�aba#�an�c�t.
Federal Avlation Authority-Runways.
1 understand that the follow#ng:restrictlons apply to#he use of flll:• '
- Use af fiti is no#aliowed in Flood Zone"V"unless expressty permitted.
- If the flll makerial Is to be used.,in:Flood Zone "A", (t Is understoad that a drainage plan a�dd�essing a
"compe�sating volumeA wilt be submltted at#ime of perm[tting wl�lch ts prepared by a professlonal englneer
licensed by the State of Florida.
- !f the fili materiai is:ta ba used in Ftaad �one �A" In�connec�ion=uviEh.a`�ermitted bufiding using stem wali
� canstruc#ion, 1 aertify that fiil�wlll:b.e used only.to fill the area withtn the s#em M►all.
- If fill materlal ls to be used in any area� I �certify that .use. of such ftll wAI not adversely aff�ect adJacent
propertles. #f use af fitl is found #o advetsely,�ffect ad�a�ent�properties,.the owner may be cited far vtolating
the condilions of the building:permit issued•under the�attaohed permik appiication, for�lats less than.one (1�
acr$whlch are elevated by�I1tt a�t engEneered dralnage plan fs tequlred. � I
If i am the AGENT�OR THE 01f1�NER, I,�promise in good faith#a inform the�awner af-the permit#ing canditlans set.forth in
this a�davit'prior to commencing constructiort: "! undersfani! that a-separate permlt may be requtred#or el�cMca# work,
plumbing, signs� wells, poats; air condlt€�Nng,.gas, or other installattons not�spac�icaliy included in.the application. .A
permit issued shall be constcued to be a Iicense to proceed with the�work and not as.-authortty to.vialate,carucel, alte�, ar
set aslde any provisions of ttte#echnl�al c�des; nor shall issuance�af a.permit.prevent th�Bulldlrig Q#flciel from thereaf#er
requiring a correction.nf errnrs In.plans, cons#ruction or vialatlons of any codes. Every permit Issued shall�be�ome invalid
unless the work authorized.by such permit�is.commenced•wtthtn sIX months of permit tssuance, or if work avthorized by �
the permit is suspended ar.abandoned for a period af six f 8)mont�s.after the time the�watk is cammen�ed. An extensian
may be requested� in writing, fram the Building.Offlcial for a period.not to exceed nfnety�(90) days and�will d'emonstrate
�usti�able cause for�the extension. 6f work ceases for nlnety{90}cons.ecutive:day.-s,#he�ob�s considered aba�daned.
WARNlNG TO OWNf R: YOUR.FAlLURE-7Q..RECQRD A-MQTIGE.OF CQMMENGEMENT MAY RESUl�T IN Y011R
PAYtNG TWIGE.FOR iMPROVEMEN.TS TO YOUit•PROPERTY.��IF�YO.U�iNTE�D`TO'OBTAIN�FIPF�`►I�C1NG,'CONSUi.T___ _ _
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4EVI7 Y� �UR�i!iD�O AN _ O_ �1(8 FOti�< .-E�CO1t�D G��C1U ���� �`O ' - E CE
FLd3R10A JURA'�{f:S.1.1 T.03 -
DWNER OR AOENT �- � � .. �:?� COWTRACTO c�� I
5ubsc�ibed and swam (or affirmed)beiore m fs Subsc�bed and'swam ta{or afllrme before ma'tti1�
by I
JVlio Is/are personally knowm to.me or hasfhave produced , Who Is/are onallyam Vm to me or has/have�produced
as Iden�Bc�tlon, es iden�ficatlon. �
Notery Pubitc . +G'�X-t Natary Public
�ammisslan No. Comm n N
:��°�'�"p�°'•- J ommission#FF�150A22
Uame ot Notary typed,Rdnted or stamped Name of of� �
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�:�.•.. o:� BondedThHTsa1��'^
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CAC058575 P RO POSAL
� 12232 HWY 301 DADE CITY (352)521-4977
DADE CITY, FL 33525 ZEPHYRHILLS(813)779-9515
; NAME: Brenda Hendrick Date: 05/31/16 SPLIT M PKG UNIT
i SUBDIVISION: H UMP X STR.COOL
� ADDRESS: 38946 3rd st
' cir�r: Zeph rhills ziP cooE: 33542 coNoeNSER: IM4PH4060A1000A
, PHONE: WORK: IR HANDLER:
� cE��: 813-355-4255 REN-rER: H�,a-reR: IMAYHTR1 P08BKRB
i ESTIMATOR: COdy Bw�,N�: AMERISTAR
i _ SEER RATING �4 5,513.68
i PRO 3000 THERMOSTAT/GOOD INSTANT REBATE: 900.00 ��/l� I
� P� T TAL : 4,613.s y'
� CONNECTED TO DCISTING DUCTS AND ELECTRIC ONNAGE: rj PARTS: 1 O YR
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ANCHOR CONDENSER CO essoR: . . R u�BOR 1 Y _
', TAX,LABOR AND PERMIT
CONDENSER: PHJ46OOOOKTPOA r
� '—� . IR HANDLER: O
' H�,arER: CPHEATER128A00
, , st�N�: COMFORTMAKER
i SEER RATING: �4� 5,513.68
i INSTANT REBATE : 900.00.; _
�
! - � T -� TA.L- : , _ 4,613:s$._. � .
i ONNAGE: 'rj PARTS: 10 YR
COMPRESSOR: 10 YR wsoR: 1 YR
' - CONDENSER: �:
I IR HANDLER: � #N�/�1
� HEATER:. #N/A
� sr�N�: #N/A
SEER RATING: � #N/A
INSTANT REBATE : #N/A-
I HAVE THE AUTHORfTY TO ORDER THE WORK OUTLIpED�OVE. I AGREE THAT SELLER T. .. T � #N!A
I RETAINS TITLETO EQUIPMENTAND MATERIALS"UNTIL FINAL PAYMENT IS MADE.IF PAYMENT ONNAGE: • #N/A PARTS: #N/A
i IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQU�PMENT AND MATERIALS AT coMPt�ssoR; .�.#N7A. tABOR: :1=YR� _
� -
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
E RESPONSIBILITY OF SELLER. LIMITED WARRANTY:EQUIPMENT,PARTS AND
MATERIAL HAS WRITTEN MANUFACTURER'S WARRANTY ONLY
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� CUSTOMER SIGNATURE DATE: �����.������
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