HomeMy WebLinkAbout16-17027 CITY OF ZEPHYRHILLS
5335-8TH STREET
� 4 (813)780-0020 170
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17027 Address: 38343 EUCALYPTUS DR
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: DRIFTVI/OOD
Est. Value: Parcel Number: 02-26-21-0240-00000-0090
Improv. Cost: 6,000.00 - OWNER INFORMATION
Date Issued: 2/09/2016 Name: CAMACHO DANIEL & CAMACHO HECTO
Total Fees: 65.00 Address: 205 JONES ST
Amount Paid: 65.00 CHESAPEAKE VA 23320-6321
Date Paid: 2/09/2016 Phone: 813-782-8246
Work Desc: A/C CHANGE OUT 2.5
CONTRACTOR S - APPLICATION FEES
COOLQUEST INC A/C CHANGEOUT 65.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATE
FINAL �i��
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.
�'r---
NO OCCUPANCY BEFORE C.O.
�_
CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
sis-7aaoozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
' ` Date Received � a' phone Contact for Permitting ( � ✓ C -O O v
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Ownor's Name �Q� � �`1"r Owner Phone Numher ���7���
Owners Address �V3�� l.i"'� Owne�Phone Number
Fee Simple Titleholder Name Owner Phone Number •
Fee Simple Titleholder Address
JOB ADDRESS J� � ��9L �1`� ��� LOT# �
SUB�IVISION �r/WO� ��S PARCELID# � � � ��� ���0���`""
�.,// (OBTAINED FROtd PROPERTY TAX NOTICE)
WORK PROPOSED B NEW coNsrR� ADDlALT � SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE �� SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION �' BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK /I I � � �W ��I ? G O
BUILDING SIZE SQ FOOTAGE� HEIGHT p
rrr-e-r-r'rr'e�e-me�i�t- r'rr'rrrT1"e�e�
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
, QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
�ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I � O�
\
� .
�� �
QGAS Q ROOFING Q SPECInLTY 0 OTHER A
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �
-.-.�-.-..-. �:..r....-�-o-.-, .-.-.-.-.-a-,�-.-.-.-6-:-.-.-.-.-.-.-.-.-.-.-r..-r�--�.�-r.-.-.-��
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# I
ELECTRiCIAN COMPANY
� SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTEREG Y! N FEE CURRE� Y/N
, Address License#
MECHANICAL _ 1 Ip� COMPANY � �vS� y �
SIGNATURE v�.. —r 2 REG�STERED Y N FEECURRE� N
�� Address / �� I � License# G � �
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRER Y I N
Address License#
1lIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111
RESIDENTIAL Altach(2)Plot Plans;(2)sels of Building Plans;(1)set of Energy Forms;R-p-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed.
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions�large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fom�s.R-O-4V Pennit for new construction.
Minimum ten(t0)worki�g days after submittai date. Required onsite,Construction Plans,Stortnwater Pfans w1 Si€t Fence installed,
Sanitary Facilities&t dumpsier.Site Work Pennit for all new projects.All commercial requirements musf ineet compliance
SIGN PERMIT Altach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for ai!NEW constniction.
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Directions: �
Fiil out appiication completely
Owner&Contrador sign back of application,notarized
If over$2500,a Notice of Commencement is required. (CJC up9rades over 57500)
" Agent(for the contractor)or Power of Attorney(for the owner)wouid be someone with nofarized Ietter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingies Sewers Service Upgrades A/C Fences{PIoUSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
EdOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
L- �hich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabie deed restrictions.
UNLICENSED COPlTRACTORS AidD CONTRAGTOR RESPONSIBILITIES: if the owner has hired a coniractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor 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 intendsd contractor are uncertain as to what licensing requiremenfs 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 o�vner 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 specifisd 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,Flor�da 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 appficant 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.
COidTRACTOR'SlOWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with ail applicable laws regulating construction,zoning and land deuelopment. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or instaliation has
commenced prior to issuance of a permit and that all work will be pertormed 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 Environmentaliy Sensitive
Lands,WaterNVastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
, Watercaurses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Ftunways.
I understand that the following restrictions apply to the use of fill:
' - Use of fiil is not ailowed in Fiood 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 fiil material is to be used in Fiood Zone "A" in connection with a permitted building using stem wali
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 AGEfdT FOR THE OWNER, 1 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, welis, poois, 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 O�cial from thereafter �
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shali 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��cial for a period not to exceed ninety(90)days and will demonstrate i
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNIfdG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEfVCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEPlD TO OBTAIN�FINAPICING,CONSULT
4nlITH YQUR LEMDER OR AN ATTORNEY BEFORE RECORDING YOUR OTICE OF COMMENCEiNENT.
FLORIDA JURAT(F.S.11 . -
OWNER OR AGENT CONTRACTOR w �� --
ub, ib and sworn Qr affirmed) efoj_me this 8►ibs ibe nd sworn�t (oQ r�a�firm�bef rq e me this C
by Ir r o� by. 'r�1/�
Who islare personallv known to me or haslhave produced Who is/are personaliv kncswn to_me or hasltiave p duced
� as idenGficadon. �� as identification.
�
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_ Public �c`�- .!- � � --...--- ry Public
Commission No. Commission No.
Name of N���utyped,printed or stamped Name of Notary typed,printed or stamped Y P
�o�;•••.B�% KIMBERLY M.RI1lER �0�'3:..�B�i� KIMBERLY M.RITTER
* * MV COMMISSION U fF 042434 ` MY COMMISSION�Ff 042434
EXPIRES:August 4,2017 � * EXP�RES:August 4,2017
Nl�TFOFFIA�\OP BondedThruBudgetNotaryServices Nf4�OFF���`o' BondedThruBudgelNotaryServiCes
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CONDENSER • ••= � � • ��� A(R CONDITIQNING - HEAT
vo�'rs 7817 Rutilio Ct. •New Port Richey, Florida 34653 �' ��'I � '� — I
COMPRESSOR NPA�RLA_.. CAC1813939 ��.��f�A�[p� a lf j' WO#__,��._,o���
STR COQL�NEAT PLiMp_ P8SC0:(727�859-0500 APPLIANCE REPAIR Hemando:(352)683'2977
cor���nr�NpA_�tt�� ' S.Pinellas:t727}b85-4348 wwa✓.cootquest.cam Hiilsbarough(813}962-2649
HEAD PRESSURE_ NAME ���� DATE
SUCTlON PRESSURE_ ADDRESS uC. ��O �
ELEGTRIGAL GONNEGTlON_
DATE SCHEDULED
CONTACTOR_ CITY�e STATE 21P''�'��1,� � / �! � I
CAPACITORS FAN_COMP_ MAKE MQDEL SERIA!NUMBER i
COND'COIL C]WARHANTY �
CONDITION� ❑SERVICE I
AGREEMENT �
S.E.E.R_ j ❑NQRMAL
AIR HANDLER Phone �� �� "'�p�l,p� Cell� ❑RES. ❑COMM. I
VOLTS � • • � • • •' •
BLOWER NPA_.RLA,_ FLAT � ,
WHEEL CONDITICSN� RATE .�,� ''' p
HEAT STRIPS KW_AMPS_ ` " I
CO(I�GONDtTiON^ ' � � � � //'YYO GT O
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fviQi�If3SPECTION� 1f� �
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FLQAT SWITCH_ �y„_ �fl � I
DUGTS� �('o � Q --'
THERMQSTA7_ j
DRAIN LINE&PAN_ '
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HANG KIT
HEA7 SHIELDS_ �
RELAYS
CONDITIQN_ � I
CERT.# TOFAt
SIZE W�RE TECFiNICI OTHER
PANEL MAKE
S1�NATUR CNAR�ES
BREAKER SIZE AH_COND_ MAME CK# �j�� � •� � - � SUB TOTAL
ENTER TEMP ` t HAVE AUTHORiTY TO ORDER 7HE ABOVE WORK AND DO SO SEA DISC �
CREDIT GARD# pL# QRDER AS OU7LtNED ABOVE.!T!S SIGNED THAT THE SELLER �
�FAVtN�TEMP � WILL RETAIN TI7LE TO ANY EQUIPMENT OR MATERIAL FUR-
dT— EXP. CV17: pEPOS(T NFSHEd UNTII FINAI&COMPLETE PAYfl�fENT i5 MADE.QHD 1F ..� ��
SE1'TLEMENT IS NOT MADE AS AGREED,THE BELL.ER SHALL Tp�p I
SUPER HEAT� � HAVE THf RtGHT TQ REMOVE SAME AND THE SELLER WILL 8E FEE
BlLLING HELD HAAMLESS FOR ANY DAMAGES RESULTING FROM THE �
REMOVALTHEREOF. T!ll(
I QK WORKTQ BE PERFORMEO AT PHtCE QUQ7ED.
PARTS WARRANTY: All parts are warran#ed per manufacturers specifications.No warranty an Freon or parts with X� ` ��;�,.�r� � � /� r��� �''�
glass,rubber,plastic or printed circuit boards.We are not responsiLile for any damages or inconveniences caused by �`'�-�� ' • r,, �[
clogged drain line problems or.inadequate duct sizes unless otherwise stated on this invoice.Goolquest is not liable for UTHORIZED SIGNA7URE ' V v� I
damages caused by water Ieaks,uNess otherwise stated above. ABQVE ORQERED WQRK FfAS BESN C4MP�ETED SATtSFAGTORY AND!ACKNOWIEDGE RECElP7
LA84R WARRAMTY: Any labor charges refative to equipment service r�ated is guatanteed for a period of 30 days. pF MY COPY
No charge warranty work will be provided only during normal workirig hours.
i'ERMS: Gash,Gheck,Money Order or Gredit Card.In the event payment isn't received as agreed,purchaser agrees to t
pay all cost of collection including reasanable attomey's fees.There.will be a charge of$3Q.00 for all returned checks. X ���+�(n�� � DATE �
i
�_ _
AIR CONDITIONING, HEATING & APPLIANCES
„ LICEI�SED&INSURED CAC1813939 ,
�
2/8/2016
TO WHOM IT MAY CO�JCEFtN:
I,JANE M. HARPER,AIJl'HOFtIZE TFiESE INDIVlDUALS TO BE AUTHORIZED REPRESENTATfVES
TO PERFORM AIVY NECESSARY ACTIONS FOR THE ABOVE LICEtVSE INCLUDfNG
REINSTA7EN1ENT5:
ROBERT CAPAZ FL. D/L C120-773-67-330-0 �
NICHOLAS OCASIO FL. D/L 0220-633-79-066-0
KIMBERLY RITTER FL. D/L R360-513-74-631-0
PFlILLIP OC�►SIO FL. D/L 0220-673-77-266-0
TFOOMAS RAPONE FL. D/L R150-820-88-426-0
MARK GOODELL FL. D/L G340-541-72-399.-0 �
KAZIMIERZ GORCZYRISKI FL. D/L G625-510-85-025-0
MARSHALL COLLEY FL. D/9.C400-541-83-014-0
' RICHARD FURtt FL. D/L F600-751-82-390-0�
state or��r,dc._.
THANK YOU, Countyof c�p
The tore dng instrumeni w ledged before me
this��day of�Fib .
By
�� Person ly knovm,GOR produced I enEiftcation
TypeidenUftcaUon oduced
� JANE . iiARPER
LICEIVSE HOLDER ��ry��k
PRESIDENT/OWNER
7817 RUTILLIO COURT
fVEW PORT RICHEY, FL 34653
otr�'Y P�e�,� {(IMBERLY M,RITTER
2 '����" * MY COMMISSION#FF 042434
* EXPIRES;August4,2017
, �'�,�pR�`�.�°e BondedThroBudgetNoteryServicea
7817 Rutilio Ct. • IVew Port Richey, Florida 34653
www.coolquest.com • 727.859.0500 • Fax 727.869.6477