HomeMy WebLinkAbout16-17087 CITY OF ZEPHYRHILLS . I'
� 5335-8TH STREET
(sis)�so-oozo 170 7�
BUILDING PERMIT
PERMIT INFORMATION ' LOCATION INFORMATION .
Permit Number: 17087 Address: 6142 18TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: �
Square Feet: Subdivision: ZEPHYR BREEZE �
Est. Value: Parcel Number: 02-26-21-0190-00000-0440
Improv. Cost: 5,300.00 � " OWNER INFORMATION
Date Issued: 2/25/2016 Name: VASQUEZ, ANDREA &WARNER, NANCY
Total Fees: 65.00 Address: 7281 FARM DALE WAY
Amount Paid: 65.00 SACRAMENTO, CA 95831
Date Paid: 2/25/2016 Phone: 916-719-0253
Work Desc: A/C CHANGE OUT 2 TON 14 SEER
CONTRACTOR S APPLICATION FEES
AND SERVICES A/C CHANGEOUT 65.00
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Ins ections Re uired �
DU TS INSTALLED
DUCTSINSULATED
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
frst 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.
NO OCCUPANCY BEFORE C.O.
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I CONTRACTOR SIGNATURE PERMIT OFFI R
I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
i CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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:.It z ��_ 81378Q0020 City of Zephyrhills Permit Application Fax-813780-0021
- ' ' Buflding Departrnent
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o,a R�.n�.a �� �,/ Phone CorHeet for Pmnittln �13 �6-� - 9 y� Z
p��ri�� �D Q.P� ��}S (.(e'� Owner Phone Numb�r / ' 7�7 ���3
Own�rs/Pddr�ss 7 d� �d� ST Owner Phorro Numbv
FN Simple Titleholde N�me Owner Phone Number
FN SImpN Tltlehold� Addreu
JOBADDRE33 4 a (I � v 1 �Pe-T LOTA �
SUBDM810N � � ��P�£ PARCEL IDN � ���/ � �QUO�'�Y��
(OBTAINm FROY PROPERIYTAX N0710E)
WORKPROPOSED B NEWCONSfRB ADD/ALT �] SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF'CONSTRU ON Q BLOCK Q FRAME Q STEEL Q
DESCRIPiION OF W RK A C�A-.J -O� o� TO� /i'( SC'N/�S L' �6�-J Z�v'I-/L�
BUILDINO 8¢E SG FOOTAOE� HEIOHT �
QBUILDING S VALUATION OF TOTAL CONSTRUCTION
QELECTRIC S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING S J � � 7J l
�MECHANIC E VALUATION OF MECHANICAL INSTALLATION
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S3�O �S.'
`� S'
QOAS Q ROOFlNG � SPECIALTY Q OTHER T
FINISHED FLOOR EL AT10NS FLOOD ZONE AREA QYES NO
BUILDER COAAP/WY
91GNATURE REGI9TERED Y/N �cu� Y/N
Addnu LJcense#
ELEC7RICIAN COMPANIf
$IGNAIIIRE REGI9TERED Y I N FEE CUt1RB� Y/N
/uldnss License#
PLUMBER COMPANY
81pNATURE REGISTERED Y! N FEECURRE� Y/N
Addras Lleettse#
MECFUWICAL CONpANY u� S-e(��ICe S
SIONATURE REGISTERED Y/N �cuart�n Y/N
Address 0 C �� �'-- License# ��Gf 1� �
OTHER. COMPANY
SIGNA7URE Recisr�o Y!N FEECURRB� Y/N
Addnss Llcenae#
n-�nrrr r n-�rrr� �_�_�._rrrrrrrr7� rrri r�T� n �_�_�.�.�..�.rrrr� rr� ���rrrn i r�-ri
RESIDENTIAL ch(2)Plot Plena;(2)sete of Bullfing Ptena;(1)aet of Energy Fortns;R-O-W PertnR for new eonsWetlon,
INmum cen(10)woddng days eRer submltfal dam. Requlied areRe,Conshvetlon Plens,Stortnwater Pla�w/SIR Fenee Inatailed,
Mery FeeOitlea R 1 dumpater,SHe Work Pertnit for eubdlvialonsAe►ge proJeete
COMMERCUL (3)complete seta af Buflding Plena plua a Life Setety Page;(1)set of Energy Fams.R-O-W Pertnft for ne1N canstructlon.
Inimum ten(10)worldng daya after aubmktal dete. Requlred a�ske,ConaWetlon Plans,Stortnwater Plans w/Slit Fence Installed,
kary Fae�itlea 81 dumpster.SRe Work Pertnkfor all new proJects.AII commetdal requirementa must meet eompllance
SI�N PERMR ch(2)sets af Engineaed Plans.
PROPERTY SURVEY requlred for all NEW consWdian.
Dlr�etlan:
I FlII out applieatl eompletaly.
Owner 3 etor sign badc ot apqleatlon,noterized
M over s2500, Netld of CommeneemaN b requirod. (AIC upgredes owr S7b00)
" Agent(for ihe Qor)or Power of Attomey(Tor the awnar)woutd be someone wRh notarized letter from owner authwizing same
OVER THE COU R PERMRTING (Fmnt of Appllcetlon Only)
Rerootb H ahingles Sewers SeMee Upgradea A/C Fencea(PIoUSurvey/Footage)
Drivew�ys-Na over Counter Hon publle►aadxays..needs ROW
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� ; � r NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions°
which may be more restrictive than County regulations. The undersigned assumes responsibflity for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor 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 cantractor may be cited for a misdemeanor violation
under state law. If the owner or fntended contractor are uncertain as to what licensing requirements may apply for the �
intended wark,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he fs 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 IMPACTNTILITIES 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,wlll be identified at the�me of
permftting. It is further understood that Transportation Impact Fees a�d 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 pertnit issuance. Furthertnore,if Pasco County WatedSewer Impact
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 ar more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
Protection Guide°prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is someone
other than the"owrier',I certify that I liave obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable 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 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 govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actians I must take to be in compliance. Such agencfes inciude but are not limited to:
, - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management Dfstrict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use af fill:
- Use of fill is not allowed in Flood 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 pertnitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flaod Zone "A" in connection with a permitted building using stem wall
construction,I certity that fiil 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 fiil 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 whtch are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to infortn the owner of the pertnitting conditians set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�cally included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority ta violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Oificial irom 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 pertnit issuance,ar'rf 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 wriUng,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 o'0''S°Ho�
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT .�
TH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING Y R NOTI OF CO ENCEMENT ao mc'
FLORIDA JURAT(F.S.117.03) 4�4.��
OWNER OR AGENT CONTRACTOR ���o
Subscribed and swom to(or eifirtned)before me this Su d ayd m to(or affirtned)be me th(s �n,2 fi'i
bY VM��bY �'�'1Ae�.� �T/G.o� N 3 <�
Who is/are personaity known to me or has/have produced o i re persanally known to me or haslFiave produced o �
asidentlflceUon. asldentiftcatlon. �y��Q
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Notary Public Notary Publlc �N o
Commissian No. Commfssion Na L �� I l0�O c3I� W o
m.���, u s���fl�-- � �
Name of Notary typed,printed or stemped Name of No lyped,prfnted or stamped
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' s'156 Te1:727�95-7474
�RO���'AL >� Te1:352�458-4181
�� , Tel:863+226-5588
� www.andservices.com
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� New safety disconnect switch ❑Surge Protection ❑ Fully,insulate suction line piping ."
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❑Duct Sanitizing
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Total Investment $ ._7� (-)Power Company Rebate$ (-)Service Repa' efund$
Net Tolal Investment After All Discounts Including Power Company&Man clure rebates$
This High Efficiency Hom omfort Sy tem' av 'able wilh 100%ba financing wilh no mo ey down for$ per month
��rtn a�o�a ueaa).
CN Representalive ate of proposal Z. / 2Z-/�
Customer aprees[a proNda Iree access to ihe woYa e aM a sale worki ivnant Tire aCwe pnres,spebfiee0ons,le,me,arM m�MNons ere aetisfaCory eiM Irereby agreetl ta In fNl,l lieve
a Waelmlion to order sai0 xroM.You ere eu onzed do IM woik epea tl�Payment wiil Ee maEe as oW inetl.I imtlerstantl t�el you are rot re¢ponside lor euerits or Calaye EeyoM yaur coritml.
OwMr egrees b n`ry adeQiute fire,sbnn nd re¢ssary i va I al aiu woMere ere mveratl by Woikman's Comperee4on aM Gereral Liab3ry Ircwe�m.II collection is recessary,
Euye�egrea5topayallctllacLonmsSentli teresl
CustomerApproval � Date: � /2� /�
07995 Cool Nmv^'