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HomeMy WebLinkAbout16-17413 ,�_` CITY OF ZEPHYRHILLS _ • 5335-8TH STREET (813)780-0020 413 BUILDING PERMIT PERMIT INFORMATION L-OCATION INFORMATION Permit Number: 17413 Address: 5722 12TH 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: 11-26-21-0010-07100-0130 Improv. Cost: 2,500.00 OWNER INFORMATION � Date Issued: 6/07/2016 Name: WILLIAMS REALTY& INVESTMENT Total Fees: 50.00 Address: 17728 US HIGHWAY 41 Amount Paid: 50.00 SPRING HILL FL 34610-7437 Date Paid: 6/06/2016 Phone: Work Desc: A/C CHANGE OUT 2 TON CONTRACTOR S APPLICATION FEES BARNETT HEATING & COOLING LLC A/C CHANGEOUT 50.00 . 1 ` Ins ections Re uired D CTS INSTALLED - DUCTSINSULATED FINAL �-22-�- REINSPECTlON 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 properly 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. CONTRAC SI TURE PERMIT OFFI R ° PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � a�s-780-0020 City of Zephyrhills Permit Application Fax$13-780-0021 c . , • Building DepaRment Da4e�taceived. . _ � . � .,<.. � .. . � . � _ ' Fhort��C6ritact'�for`FermittFn"r`.',: - Oysrner'$Name � , .+!GL ..��+ . Clwoer.Phone�tumber ., , ., . � . �. , Owne,r's Address G� ��J !l�� pwner=Phone Ntimber 1 Fee Slmple 7itleholder Name'� � - ' ' Owner Phone-N�umbe� �� � � � � .. . �qrr". . .- �� l'{r. _ - _ i ... . . . . � .�; - nr ' • ' ' Fs.s��pi.riti.noia.r.-a�iare� ,. . ,. : , J09 ADDRESS cr� � � 3,j LOT# �� � _ .� SUB�IVISION � , � ,PARCEL ID# ' - ` - � " � - ,. ' - •. , - (OBTAINED FRON`PROAERTY TAX NOTICE)' ,.. . WORK PROPOS6D 4 NEW CONSTR �'� '" ADD/ALT Q S1GN �['�� Q`;y. DEMOLISN - _ � 'e�e . INST'ALL :8 °r� ;RERAIR' � . . PEtClPOSEQ>USE, , �,� '� SFR � CONIM s ,� QT#iEi2, '. �� . � . . . . . ... . TYPE OF CONSTRUCTION���..��]�' �BLOCK�'`,,Q:- .,FRAMEf . '� ;STEEL Q. :�. DESCRIPTION�OF WORK �', �� 6 C_. - � BUI�.DING 51ZE"r� ��$Q;FOOTAGE� , HEIGiH�;, ; � . � . � �: _ � QBUILDING $ -Yr,�='M=,�r- _....>;,aM,: ... , � .. „ -` �� ,. , VACUATI'OW�F"fCiTAL"GONSTRCJCTION �Y ' . ' '" :t ; � , QELECTRICAL ��i 'AiNP"SERVICE Q PRO�FtES$ENERGY [�,, � W.R.E.G. QPi:UMBING .:$ �.. '�..,�` � ' � �MECHA1�ItCAL . $ . r �VAI:UATIOhI,C3F,MEC�'fANICAL ll�lS'Tl4LlA7'lOE1 ' `��t,,,� � _ . . ��a , .. - � l , . QGAS �Q - RQOFING.,;;::� ,: SPECIA�TY=��"-• 07HER'. .` , - j��,3 ; FINISHED FLOOR ELEVATIONS FLOOp ZONE ARE�► �YES. NO _ - .. , . BUI4DER GOMPANY " � =� . . . - .. ' � � _. . SIQ�N�►TUF�� RECiISTERED Y/ N. "FEE CURRE�°'_, Y/.N.,.-, . Addre�s , . , License'# I " , � � � , ,. , . , ,� ,. . : ELEGTRICIAN._, -; , ,. • ' GOiVlPi4Nlf �'' .°,� , , ,i` - � . , �� SI�NFITURE � REGISTERED Y/ N FEE GURREK Y,/N�' , ; - -. .. • ;, ::(�' �,ddres�- � •- . . , .. _ . . ' � _ -.License;#::1.:",�`' , - � - �� PLUMBER ; ` , , COAifP.ANY* .� _ . ' SIGNATURE�.- � „ . „ ' ,: �a�c�is�R�o .. .. �aY/s;NY , FEe.cuwzEn��'„ 'Y/'N:�� - Address , - . j� , - , � ,_.Ucense#��,I:,._ .�° � �� �-�- �-� 1 lMECHANICAL'L _ � . :�QNtPMiY, . ,:{.�.Q ����.' _� ��,�,�. . � � SIQNATURE ` ii��isTErt�o: Y.J~N� , _ � - ,-. . .�_ __ , =:.�e�Cu Y:/-N��, �: �° ' - . . . .. . _ _, , , � . - -� :. . . .. . _ .. � � t - 1 Addrass� ,. . .�.. ,:�:.. . I:Icense.# . , .��' ��l�����'l , �," _,. �',� , . _ _ - r.t..:. . ' . � ; � .; ,�.; . ... .. ,... _ � � . O'iHER � ;. .., =:x , .. . ,-', :�GOMPANX, =f, - ��;.:..,;,� - - - . SI�3PJATURE. - , `'°. � ` . , �,- _ � ,�REGISTERED , YI .N-� -FEE�URRE�' -tY.,/,N��s , Addres� s.K ':�' �.;r. „:;L.�;�S;:� - .. :f..,,;c<<:,. . - , ..� _ ' . : •_`Lic�nse#.,_. �- � 1 � ,.,,, _ �. � ,,, ,� ., , - - _ ,�,.. u :_ _ , , .._. _ , � _ ... .: . _� - . . -, . �. ,,.. :.._.,.;.. ..Y s�:. - -�;;-.�:s�a:_,_: ,.�..�_' �-X-� a';�' �.-::; - RESitiENTi�lL.4�,.`,Attach�2,P.:lot�Pians��2 ;set's'�of>8nitdln"�.'Plans;:�1�'set`'of Ene �Fortirs::R=O?tN�XRe tfoi��n�w„cons�ic�on,. , _. � ... ,_-t,} . ,; ... .,...�.ir). ... ...........�:.:;��. t _).;,; �-,;.� - !�9Y.<- ,.,�:-,;. .,s.�ri»i,�:,..,, ,::,,��...,,.� � r�`�Mlnimum ten�(+1q)�wprkln9=;da,y�xa�ter,submittal�d"afe:Y'Requirerl ons(Ce;�Construcdon Plans.Stiormweteir Plans:w/=Silt Fence,insfalled, y Sarittacy Fac�li�,�ss&�1��ur��tst�r�Sl�4W��o'ik�P..,erin�t.(or;$u6d�srlstgris/la�e.projeLts>=�.,�����:-;'_.�-�--�:.= . . . '� � . . CQMfltiERC1At Attach(3)'compiete'sets'of Building Ptans pius a Life Sefety Rage;(1)set of Energy Forms.Ft-O W Permit far new constni4tton: Minimum te�(10).working days.after submNtal date. Required onsite,,.ConsGvcUon Plens,Stormwater Plans wl Sllt Fence installed,,, -_ , Sartitary,Fac�tities&,1„dumpster..:Site Worlr-Petmi#,fo�,aii new'pirajects':A4t'.commerclai:reqult'ements�must meeYcompllance � ,. - SIGN PEItMtT Attactt(2�'§efs ofi`Eng1i��ered;P�l.a"[is; -����:`�'�... ... .., . � - -�, . .. _ - _ - :i:4: :..,,":;;:;.;.,, .-- ••••PROP_.ERTY SURVEY regulredr.for;a�I�NEW�.consGucUon., - , " ' - : ` _ ., - . . Dlrecttons: .,�::�:.��_=•:�; . - __._. ._ .r. ._ _.. .v �_ _ � � "Ffll ouk applicaUon oompletely. Owner&Contractar slgn.bac�c of appltcatEon.notacized - � If over$2500�ta�Notic�a of,Cammencement Is requleed. (A!C up�rades_over�7500)_ ,_ �,r _ > � ._ -- � .. ..,� .. _.. , . . Rs�ent(for�►e'ccntractor)�or Power of Attoiney{for tfie.owrter)wouRd be someane with nota�ized letter fram owner authodzing same � -_., ..._. ..�, � .,,.,�.._ ,, � _ � _ __. . _.. .. ._ .._. _... � 'DVERTHE'COUNT�RtP�RMITTINi's�-`-r-•-.(Franfr'of�APRltcahon�Only)``." -�.:.�J . .. ,.. � Reroofs If shingles Sewers Senrlce Upgredes A!C � Fencesc(Plot/$urvey/Faotage) . __ . ..__ _ _. . - ..,_.. �, _.._...._._...._ .. ,._.. , --;; =�.., :;'��.__��_.,,',.::�w:. . .� �`�';. .. �. .. ..,_: ,. , ��,. �. .. , , . ;::��,�tt�:�. -i..�= , Drlaeways-Not over Caunter lf ompubllc roadweys,:needs ROW / � , . � . � � - � � 4 � .. ._ - ' .. n . �l. ' '(''fn":{��- 'OT10E OF DEED,.RE�TRICTION$: The-undersigned.;wndergtan,ds�4#h�t:thls�p�,:�i�imay,be„subJect-.to:"deed":;cest�ictions":..:.,.'"" ' "' h y..,, i ' �� � ,�, .Z " ' `�..h'it�: i L al' m e a...,.:" T' ` x`�. ' �hlch may:;tie more�rest�lctive-�t�i'e�C�unEjrirep�ilatforig:��TNe�ilnde'slgried!'a��umes�responstblllt�f=for°cor'fipllance wlt�i�any� ' � ' PPHcable'�deed�res�cttons. � - -:-�;:_:,°�;;.�;:;.;��.,_.�;r�.. - ;' . . �.,�..}�;;.:,,-:: ; ..;,�,;�r.: -�.� , . �. , _.... .._ _.. .,. . ....�...�...,,._... ; - . (VLICENSED�:f.CONTRAC7:O:R$��.AND��CONTRAGTOR��RESPONSi�IL:It1�S'.:=��I�=the-�ovi►ner=tias'�hl�ed'��►``c�i�Mactor or , �ntcactors°to undertake work, the :mey;;be;�r..e�qu'Ired�to��e>�Ilc�nsed�'In�accocd�nce_with�state�:and,local�re�ulations:��'If:�tiia:�=��� �'- - .r,. y-,,d: �:�:...>r���,_��.«-- �-.::..,.._,..:.�..,:�...,.:.�, , ,9. �ntracto��';Is�not::llcensed,�as�:cegulced;by-law;:tiott'i�:�the�owner and`�'confraator�may b��ctt�d''foc�g�xrrilsd:elneanor-vlolatlon � nder state taw. If the ownec or Intended;contr,actor,�:er,e.uncertaln':es.4o wF�at�Ilcenstng�requlce�nents;�may�;eppljr:;�r�tlie-=����1�--�=-���:�'�� r �:�. .,�t�:f., k 4 .._, . ar.,_..._ o..•...,_ ..,c ' tended'work;-they�are�ativlsed'to:contact�the�:Pasco.�.County::Bullding:Inspectlon'Dfiilslon�Llcenstng Sectlon:at 727�847 )09. Fu�therriio�e;..if�`the=.aiitime��has"tilred''a�coritracto�-'or�-contFaotors, he��l's��advlsed jto�have��tfie contracto s);;sfgn,,_, ;, �rtlons of'the'contractor Block°�oflthle a Ilcation:foc�whlch.the. wlll.;be_re$ o�slble..-;lf�. ou<�as`-fhe`o`�wne'r etg��as�'the��'° �="��' , ,PR. . .. . Y _ , . . P, Y �� � _. ._.. . - -..-�:... _,. , _.. . : �_ , �. . . .,,�---. ,,. ___._.<.__,��r:.. mtracto�,..tliat��inay=be•an Intltcatlon.��tNet:he�•Is-not"'properlyr�Ncensed"�and�ls�''n'ot"entltled`�to`perinttfCng prtvlleges In Pas,co., _ ._ ; � ounty. ,. ' . _ , , . .0 ,; �:._�;��.;,.�s:;._;.,�:�,t ., , , , . . RANSPORTATION�IMPACTIUTIL�*I�S�f�IAPlkC'�ANb�{�ESOUaCE`RECOVERY�FEE$:�Th��underst�ned��understands n i�; ,. � at Tran§portatlon Impact�Fees�and.Reco.urse Recove.ry.Fees,may}epply�#a.tf�e;construction„of_new�.b.ulldtngs;;±changerof���°�'��:���':�� , -�-� ��_�_.,, . .. . � �; . . g �g ��'. � ;'sN�i;g;�b�illtlings;�as�specffled:ln Pasea County Ordlnance-number 89-07 and ;; , :e in exisHn �tiulldln`s;<.c�r.�eicpa�is��rt�:of��xl �� )-07, as amended.�_.:,.Th� undetslgned also;:understands, thgt°suoh fees;�a8;�:may�'�ie:rdue„.wIIF.�be iden�Ified at the=ti�ne�of'�"• �����' '',�� � ' I �rmltting. It Is fiirtlier understood that Tra�isportatlon.ImpacE�Fees and�R�sou�`Reco�sry��Fees..mu�ti be pald prlor to i ce4vtng.a.:'cerElflcate��ofrtoccupancy"-�or flnal�4powerrelease.,�:�'the.proj��f;;does:no��'Involve.a�,.certiflcaCe of occupancy-o��-.s�"�;�,�" '�i ial powerµcelease4�the�:f,ees�:mu�t�_be�pald�.pr.lorto:permR ts��ance. :F��thermore;��ff:Pascmr•Caunty�Water/Sewer�lmpact�}�-� ;�--•: � es are d'ue�:ttieyw.must be,pald pNor to,:permlt�ls'syanae:�n,accoril'ance„wit�;appllcatite.Pasco':County�ordinances. � ONSTRUCTION`LIEN'LAVII"(Clfiapter 713,FloHda'SEatutes�a�amended): �f valuatton:of_work Is$2,b00:00aoc:more;I� : �.�= : �rtify that_I,.:the,:appllcant,_:have�been.;provlded:wlth;•a-copy..of:-•the�"Florlda��-Cons�cNon`:Lten`:Law—Homeowner's �otectlon Gulde" prepared by'tFie"FIo�Ida�Departin��t'of Agric.ulture and Consum�er�4ifalrs. If the appllcant Is sotneone�,;_„ ;.:.•z.. her than thQ bwner"� I certiFy;.�th�t;l;hav.e:.obf�)ne�-�`�copy:of.the,abave:.desc'1petl�xlbcu�ent;and�proml,sed"n;gQgd�falth�to �, , aliver It to�.the'owne�:prior�'to�commencemeiit:r�� . ..,," , -. '- -.._ -� ... � ...` . .� w. _. . . 1 , O�FTRACTOR'S/OWNER'8'AFFIDAVIT: 1.ce�tfEyv�tk��t:all�the��I�f�rmatiorr�J��thl�:applicatlon ls accurat�:and that all work ill'be done in compllance�with.all.appllcable Iaws��regulaHng aonstructlon� zontng and�_land:_deyelopment. Appllcatlon Is . :reby made to,,obtatn��a•.pecmit:=to,.,do�Nwoi�1�;�;and;?Ih�tallatlon as Indlceted:•,:: :I:,certify�fFiat na iiuork`=:or Installatton�fias ' �mmenced'prlor"to`Issuance of a ;pemjlf and'that`all�work wlll be pertormed�to meet�stand�rds.of_all laws regulating- mstrucqan, County and City codes� zoning regulatians� and land development regulatlons`'In�the,;Ju�lsdtctlon:��.�l��al'so'� 'I ,rtlfy that I u�derstand that tHe regulattons of other�government agencles may�apply;to.the..lntended.work, and that it is � � � y responslbllity to fdentify.what.actlons l..must�take;to bedn:.conlpllance�.Such:-agencles�lncl�de-but-ace:not Ilmlted:•to,:, �� ; � - Departmeht of Er�vlronmental��P�+ote°ctiTin�ypress:Beyfi�s�ad�;`Vk/e�l`and iA�eas and Erntronmentally Sensttive ; " Lands,WateNVtlastewater�Treatinent. - � � x - Southwest Florida Water Manager�en���:.:I�Istrlct-Wells; �Cypress.��:Beyfi�ads�;� Wetland Areas, Altering ' •=h . Watercourses. � . - - Army Corps of Engtneet�s`-3eawalls;�Docks, Mavlgatile Waterways. . ' - Depanment, of Health;_B.,ReFaabilltative;ServtceslEnvironmental:=Nealth,Unit=Wells;::Waste.water�TreatnienC, � ' 'Septic Tanks:``�'- � . , ., . . ' ' . . _ - US Envlronmentel Protectlon Agency-Asbestos abatemenE. . - ,_Federal Avlatt+�n:Autho�ity=f�umnrays: - � - - ` � - � nderstand that.the.:_follow�ng;>restrlcttons=apply:to�the�use of flIL•• - - U'se of fill Is not allowed lii'Flood:;Zone"V"unless expressly,permltted. ' - � If the.flll,mate�lal;`.Is=:fo':be;,+used:�fn:�flood.Zone. °A"�`(E`ls underetcod-that-a dralnage�-plan address(ng a M 11 compensating volume. will.be submlited at ttme'of�permltttng whlch Is prepared by a professfonal englneer Ilcensed by�#IieaState�o.f-,�Flotlda; - : ,�...: . � - If tfi�.flll;mate�lal�:ls,_to:-be used (n �lood Zone 'A° In�'connectton�wlth:a���`erm(tted bullding usin� stem wall ,.. .__�. „ ...�h!.. .. ,. . - _ �. y _, � _e:atemwall. ., . . constructton I,ce thatflll��ll°t�et�sedonl .to.f111the��rea.wlthln�th - If�.flll"mate�lal��Cs��to�tie��used�=ln�any area;1`�certlfyr t#�at .use. of such �flll w111 not��adversely aftect ad)acent ' propertles. If use:of flll.is found�to ad..v,e[sely,�ffecf1ad)aeerit�.propertfes,.the owner may be'clted for vloCating• -. :, �.... . _ the condWons`��of`.the:�b�llal'ng��p�rmlt Issued:;under ths���t�ached.,permlt.-�ppltc;atlon; for�:lots.less�than.�one (1) ; acre whlch ere:elevafed�tiy�flll;:�r:reng(neered dralnage plan`ls�requlred. , � �i am the AGENT.,F..OR..THE�OIMNER;?I,lproml'se�In.good,falth to�lnfocm-the��owner.,of�the;germltting.condftlons set forth fn � � s affldavlt`p�tor�to��com`merScing constr`uctl�n:�"I`understand:thet a�eeparate perm(t mey be requlred for elecMcal work,, ;'�; , �. �r ,���- �->�; imbing, slgns, wells,�pools,,alr__condltloning,:gas.-or;,otMer_.Ins#al���ons"nok specJflcally Included-In.the�appllcatlon. .A . ���: _. . : ,,,.,,�,�.....,.., . �,.i rmlt Issued""shalf be�:aonghued�to-be�a''llcense�to��.pcoceed wltb�ttie'%viio�tc and not;as;autho�tty.:to.:vlolate;�cancel�alte�, or �astde any provlstons�ofi�tlie:teofinlcal:cod�s;�nor shall Issuance�of�a:permlf.prevent the Bulldlrig Offlclal from thereafter � . :; �ulring a coRectlon^af errors irn.,plans,;;coiistiiictlon,orvlolatlons�ofiany•codes:���_ve,ry..p'ermlt•Issued�shalFbecome Invalid ��. ' less the work authortzed:by sucFi permlt:��l"s.commenced�wlffitn sbc�months�ofd.permlt Issuance� or If work authorized by ,;. ' �.n��.�� �permlt is,suspended_or;abar�doned:fo�.a:perlodzof;slx,(6)�montiis;.aftertlie time�the�work��s commenced, An extenston ��� � �y be requested, In wiitli�g;�ftom'tlie`B�Ilding;OfflElal:'for'a perlod::not:�to.�exceed=nlnety{90):�ays�a�d=wllf demonstrate °� ' tlfiable cause for.�the extension,-If work ceas.eS.for nlnety(90)cons.ecutiv�:days...the Job�ls�consldered aba�doned. �' � - _ __ .� . _ �:. - .ti:;� � ` �:: � ,. ,.,>,. . IRNING TO'OWNEI�: YOUR'FAILWRE 1`ta;R,EC`�RQ;:;A.;I�OTIGE�.OFc.CbMMEMCEMEt�'T�MAYtREStJLT�IN=YOUR - �"� i YING TWICE:FOR�IMPROVEMEN���Tfl Y-OUR�PR'OPEI�T�1f:�•I��.YO.U�1�"FEI�I��TQ=�B�'�AIN•�FIN��EING;�,CON9ULT �•; '�, � AU �� `D� �O� A TTO N F R :s. >p � �:; ;p� ;C - NT'_ - _ -- - �PtIDA-•i!!lQA��(FaS:9.9T:03j- . . � , - - - -- - - NER OR AOENT , : CbNTRkGTO' . � . sarlbed and swom to(or aiflrtned)b'eiore�me thls' ' ' ' Subealbed''a ' to(o 'afflrm �b re;me� � bY b-S-/-�i .<b.:. cz�t,-�. ' ', i Islare pe�sonally known to.me or•has/have prvduced Who:lglare_p�rsonalylcnown•to me-or.:Fiaslhave•ptodiiced • , � � ae'IdenBfli�fCqn:•• • _ '��[��VfL���Lr�e:.S.c .` .' as'IdentlBcaUon. — .. 1 t L r Not�a Publtc . f- i1� �:N .. , - �Y Nofary Publlc imisslon No: �y � s��. , � ��`�4,�SY.Pf�B�q JACQUELINE BOGES te of Notery typed,printed or atamped Neme oi Notary 'AH, nl4sf :�;r. P; xpires ecember 12,2018 . ' ''��OF��°.• Bonded Thru Troy Pan Insurence Q00•385•7019 � _ -1 � • Barnett Heating & Cooling, LLC Certified HVAC Contractors �I 1130 Calypso St ', Zephyrhills, FL 33540 ' June 1, 2016 Williams Realty& Investment, inc. ` 17728 US HWY 41 ' Spring Hill, FL 34610 RE: 572212th Street,Zephyrhills, FL 33542 , This HVAC contract for 572212T"Street, Zephyrhills, FL 33542. ' Barnett Heating&Cooling,LLC agrees to perform the HVAC work described as follows: � • System Changed out,2 ton Package unit. Williams Realty& Investment,lnc.agrees to pay Barnett Heating&Cooling, LLC the sum of$ 2.500.00 for completing work described in this contract. � , � - ���� 2��� Williams Realty& Investment, Inc. Signature of Acceptance Date � VAC Contractor Signature of Acceptance Date