HomeMy WebLinkAbout16-17036 CITY OF ZEPHYRHILLS
• • 5335-8TH STREET
(813)780-0020 17036
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17036 Address: 5222 8TH ST HISTORIC
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: 11-26-21-0010-16800-0190
Improv. Cost: 4,240.00 OWNER INFORMATION
Date Issued: 2/11/2016 Name: LYNCH, RICHARD & GAYLE
Total Fees: 60.00 Address: 5222 8TH ST HISTORIC
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/11/2016 Phone: (239)560-4224
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
SOUTHERN COMFORT ENT INC A/C CHANGEOUT 60.00
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Ins ecti'ons Re uired -
DUCTS INSTALLED
DUCTSINSULATED
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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
,
CONTRACTOR SIG ATURE 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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s�3�saoo2o City of Zephyrhills Permit Application Fax-a��-�aaooz�
Building Departrnent
Date Received phone Contact for Pertnitlinq ��J F � �J _ 5�� j
1 1 1 1 1 1 1 � 1 1 1 i 1 'l \
Owne�sName � {\ OwnerPhoneNumber � -l���b' 9 a`f \
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Owners Address 0 J � L 1� W �.l.11� 1\TV% l) Owner Phone Numher \
iFee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS SO�a�d O� �� Z Il � S LOT# �
, SUBDIVISION PARCEL ID# � �- �-d� - ��+ (J��'���D
�osrwr�n�eorn aaoPearv rax Nonc�
WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
' PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOqt Q FRAME Q STEEL Q
DESCRIPTIONOFWORK R`E�. � L� � y TO�
BUILDING SI2E SQ FOOTAGE HEIGHT �
QBUILDING S VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
' QPLUMBING $ ���q
�MECHANICAL $�� " QD VALUATION OF MECHANICAL INSTALLATION ��
(/,
QGAS Q ROOFING Q SPECIALN Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
ELECTR�CIAN COMPANY
SIGNATURE REGISiERED Y/ N FEE CURREN Y/N
, Address License#
PLUMBER COMPANY
SIGNATURE REGI5TERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL �'+'���1 �o� � COMPANY
SIGNATURE � REc�s7eRE0 I N E W RR Y/N
Address "7I� l: �P G g � f L License# C.�� �4�� J / 7
OTHER COMPANY
SICNATURE ReasreRen Y/N FEE CURREN Y I N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wnrking days after submRtal date. Required onsite,ConsVudion Pians,Stormwater Plans wl SiR Fence installed,
Sanitary Facilities 81 dumpster,Site Work Permit fw subdivisionsflarge projects
COMMERCIAL Attach(2)complete sets of Buitding Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for newcoretruction.
Minimum ten(10)wnrking days after submittal date. Required onsite,Canstrudion Plans,Stormwater Plans w/Sitt Fence instaVed,
Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requiremenLs must meet compliance
SIGN PERMIT AVach(2)sets of Engineered Plans.
•"•PROPERTY SURVEY required for all NEVV construdion.
Directions:•
Fill out application completely.
Owner&Contrador sign back of application,notar¢ed
If over 52500,a Notice of Commencement is required. (AfC upgrades over 57500) I
•• Agent(for the wntractor)or Power of Attomey(for the owner)would be sameone with noTar¢ed lette�from owner authorizing same i
OVER THE COUNTER PERMITTING (copy of contrad require�
Reroofs if shingles Sevvers Service Upgrades A/C Fences(PIoUSurvey/Footage)
DrivewaysNot over Counter N on public roadways..needs ROW
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• `NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"reSVictions°
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance w�th any �
applicable deed restrictions. �'\
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contradors to undertake work,they rtray 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 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—Lice�sing 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"conVactor BIocK'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 Impad Fees and Resource Reoovery Fees must be paid prior to
receiving a"certficate 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 Counfy V1Fater/Sewer Impad
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,1
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'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applipble 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 shandards of all laws regulating
construction, County a�d City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certiFy that I understand that the regulations of other govemment agenaes may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agenaes include but are not limited to:
- Department of Environmental Protecdon-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,Watedl/Vastewater Treatment.
- Southwest Florida 1Nater Management Distrid-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of EngineersSeawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authorify-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"W 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 rrmterial 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 cond'Rions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated byfill,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 commenang construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning,gas, or other installations not specificalty 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,aker,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Offiaal 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 author¢ed by
the permit is suspended or abandoned for a period of sbc(6)months after the time the work is commenced. An extension
may be reyuested,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 IMPROVEiNENTS TO YOUR PROPERN. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTOR BEFORE RECORDING YOUR NO E OF COM N EMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR �
Su ribed and swor umed)before is scri a m To(or affir efore me th's
1/ by �1.e � E.��> >L ���,�by 7hi7/Y1Q� A�.e�a.n�
o islare personallv kn�n to me ortlaslhave produced o islare pev+��l�me or has/have produced
as identification. as identification.
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� �l Notary Pu61ic L Notary Public
mmission No. �'"�-����h� ommission No. f� ►- g�7�/Ja/
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Name of Notary typed,printed or stamped Name of Notary typed,printed or shamped
1�av PUB DARLENE FORD
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a�`;���°B�% DARLENE FORD * * MY COMMISSION€FF 014875
* * MY COMMtSSION 9 FF 014875 N � EXPIRES;August 7,2017
EXPIRES:AUgust7,2017 ��'FOFFtc�"`O @enAeAThruBuagetNotaryServices
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PROPOSAL
SOUTT-�RN COMFORT ENTERPRISES,INC. �
P.O.BOX 486 4109 COiJNTY RD. 656
DADE CITY FLA.33525 WEBSTER,FLA. 33597
352-567-6111 CAC1813579 352-793-5501
NAME DATE
RICH LYNCH FEBRUARY 8,2016
STREET ------------- ------------- JOBNAME --- --------- ---
, 5222 8�ST. SAME .
------------------------------------------------------ ---
CITY, STATE JOB LOCATION
Z'HILLS,FL. 33542 SAME,PASCO CO.
� CELL: 239-56.0-4224 OFFICE: FAX:
, We hereby submit specifications and estimates for:
' REPLACE A/C&ELEC.HEAT iJNIT
4 TON WITH 10 KW HEAT STRIP
NiJTONE: 14.0 SEER:---------------------------------------------------($4240.00)
WARRANTY:TEN YRS REPLACEMENT OF iJNIT IF COMP.FAILS,BY MFG.
THERMOSTAT: HEAT&COOL COMBINATION,MANUAL SET.
DUCT WORK: FLEX,R-4.2 TO EXISTING.
RETURN AIR THRU EXISTING FLOOR GRILLS WITH FILTER
WARRANTY: LIlVIITED ONE YEAR WORKMANSHIP AND MATERIALS
BY DEALER TEN YEARS ALL PARTS BY MFG.
INCLUDES: LOW VOLTA.WIRING,TO EXISTING ELEC.,
LJNIT PAD, STRAP DOWN COND.,TAX&LABOR.
NOT 1NCLUDED: FRAMING,PAINTING,COST OF CITY OR CO.PERMIT.
WE PROPOSE hereby to furnish material and labor-complete in accordance with above specifications,for
the sum of:SEE BODY OF PROPOSAL
Pa�ment to be made as follows: ON COMPLETION.
All materials is guaranteed to be as specified.All work to be completed in workmanlike manner according
to standard practices.Any alteration or deviation from above specifications involving extra costs will be
executed only upon written orders,and will become an extra chazge over and above the estimate.All
agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry
fire,tornado and other necessary insurance Our workers e fully covered y workmen's�
compensation insurance. _
.AUTHORIZED SIGNATURE
, Note this proposal may be withdrawn by us if not accepted within 30 days.
ACCEPTANCE OF THIS PROPOSAL- The above prices,specifications and conditio are satisfactory
and are hereby accepted.You are authorized to do the work as specified.
Payment will be ade as out' d abov .
� SIGNATURE DATE ACCEPTED. 2 I j, /�
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_ � � .
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SOUTHERN COMFOR.T ENT'. INC, �
4109 CR 6�6 ,
WEBSTER, FL. 33597
�352� 793-5501 (352) 567-6111
!, Thomas Lachance, license hotder of Sa�them Comfort Ent. Mc., do hereby authorize
_ ���'�-�� �� �t� �t�- to sign for the Mechanical Permit for
the
�s u n P_ job lo�ted p�}���� �'�' S� � ��v t�; 1� 5
� -� a �, J , �
omas Lachance--President Date
Sta#e o€Florida
County af ��.5 �O
Swom to and Subscribed before me this !!� day of ��b r �k
2016 by Thomas Lachance wha is personaily known to me.
� G�-�— SEAL:
otary Public
eas°�;puer% DAAL£NfFOAD
`5, �. * MY COMMISSIpN�FF 014875
EXPIRES:Augusi 7,2017
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