HomeMy WebLinkAbout16-17088 CITY OF ZEPHYRHILLS
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5335-8TH STREET 170 t3
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BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION .
Permit Number: 17088 Address: 5233 11TH 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: 11-26-21-0010-18100-0090
Improv. Cost: 4,100.00 O,WNER.INFORMATION
Date Issued: 2/25/2016 Name: DINEEN JOHN J & KAREN
Total Fees: 60.00 Address: 5233 11 TH ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-5029
� Date Paid: 2/25/2016 Phone: 813-783-8124
Work Desc: A/C CHANGE OUT 2.5 TON HP
CONTRACTOR S � APPLICATION FEES -
ALL TECH AIR & FILTRATION LLC A/C CHANGEOUT 60.00
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� - Ins ections Re uired
DUCTS NSTALLED
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
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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
;� �L C' � ' % �C��
� CON RA� TOR SIGNATURE PERMIT OFFI R
I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' _ _,`_,
813-78a0020 City of Zephyrhills Permit Application Fax-813780-0021
Building Department
, f Date Received Phone ConWct for Pertnitting —
OwnersName Y �� l� OwnerPhoneNumber g�3-�g3-��a
Owners Address ��� I 1� J� Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple TiUeholder Address
JOB ADDRESS ��� S� LOT# C�
SUBDIVISION PARCEL IQtF
(OBTAINED FROM PROPERTYTAX NOTICEj
WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK l� — �'� '`-'� ��a"� ' `^" "
BUILDING SIZE SQ FOOTAGE HEIGHT �
I QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �,1��
�MECHANICAL $, 1 1 O VALUATION OF MECHANICAL INSTALLATION �, U
` C -� �� �
QGAS Q ROOFING Q SPECIALTY 0 OTHER � In
I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ,S/
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEECURRE� Y!N
Address License#
MECHANIC OMP Y �1 1—� �1 r � �I�Q'j'l 15�1
SIGNATUR - eeisTertEo Y/ N FEE CURRE� Y/N
Address �� �- s�a+e Ro 5 License#
� OTHER COMPANY
SIGNATURE REGISTERFD N FEE CURRE� Y/N
Address License# � 1 ' O�
s � e � � � � � � � � e � � � � � � � � ii � � � � � � � � � � � i � � � � i � � � � i � � � � � � � � � � � � � � � ii � � � � � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&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 Forms.R-O-W Pertnit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciiities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely
Owner&Contrac[or sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) �
" Agent(for the contractor)or Power of Attomey(far the owner)would be someone with notarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter'rf on public roadways..needs ROW
• ° 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 responsibility 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 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—Licensing 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"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 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 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 WateNSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTIOM LIEN LAW(Chapter 713,Florida 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—Homeowners
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'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 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 Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-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 of 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 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 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 AGENT FOR THE OWPVER,I 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, wells, pools, air conditioning, gas, or other installations not specifically inGuded 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 Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invaiid
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 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 OWPdER: 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 COMMENCEAAENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR��1 � K Ki l a non
Subscribed and swom to(or aifirtned)before me this SubscRbed and swom to(or affirtned)befo e this
by i'� bY
Who is/are personally known to me or hasRiave produced o is/are personally own to me or ha ave produce
as ident'fiication. as identifip5on.
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Notary Public Notary Public
Commission No. missio No.
,;...'pYP�-•.,,, TINER
Name of Notary ryped,printed or stamped Name of Notary typed,prin �dr•st ec9�":
'•` '= MYCOMMISSION#FF14A817
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; 35446 State Itoad 54,Zephychills;FI 3354� �h 813-874-6934 F:�x 813-'T�3-2 3ti �CAC 8� �196
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I PROPO�AI, SUBNIITTED TOo WORK TO SE PE � �ID A �:
� Karen Dineen (Same) ' ., •� a✓� �
; 5233 11'�St �
� Zephyrhills,Fi 33542 813-783-8124 ksdineen ,g�mail.com ! � {� �
� HE B T THE 'd'E IAi.S ANID PERF� THE Y F�B�Y: � A��
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; 1. 1—Goodman 1�4 SEER Puron 410A(2'/Z Ton Heat Pump)Split System with Skw bac t�heat �
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� CONDENSER:GSZ140301 /AIR HANDLER:.�RUF31�14 ARI 7995113 i �
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{ 2. This Also Includes:Digital Thermostat,Flush Dra.in,Re-build Stand for Air Handler with Floa#Swttch,
Hutricane Slab 8c Straps for Condenser,and Permit. I
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� **Goodma�n Wairanty: (10 Years Parts and 1 Yeaz Labor)�`*�cl�aded �
; �*Not Including: (Any Pre-existing Conditions, Original Electric, Flex and Exte ded Warrant�}
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; ALL MATERIALS ARE G�JARANTEED TO BE AS SPECYFIED t�LL�T RI�TO.�E
COMPLETED IN WORKMANLI�E 1��,�.NNER FOR THE SUM OF: � .i00.00
]F()IJR T�-I�IJSAI�ID OI�1E HjJ1�1�R�1?DOLL��AND 00/�00 �
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ANY T ON O DEV IO S Fit ABOVE W RK INV LVIIdG � ��ST�WILIL
E EXECUTED NL UPON WRITTEN RDE LL BECOME AAI E CI-�A� E �
� O E AND VE THE PROPO AL AMOUNT.ALL AGREEMENTS CONTING LIPON �
S S CCIDENT DELAYS BEY AID O R CO TRO AND ACTS F�"iOD.
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' Respectfully submitted,Patrick Kilgann Ex�p.r�s 30�ays �
; llianager, All-Tech.�ir&Faltration, LLC I I
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ACCEPTANCE OF PR���S�L �
iYou must provide all conditional approved Permit Documents and grovic�e one busi�ess tiay of yaur�boice xo stay ,witi�
10 days of completing work at your house for City or County Inspection.The above prices,specifi 'ons,and con ' 'oa�s are
satisfactory and are hereby accepted.You are authorized to do the work as specified.
Payments are as follows:�4 240.00 YDue o�Com�letiom(09S�,100.00 C'�eck or Cast�) d0% Dow
` lntials l Acce t Extended�Varrari + 0.00 It�tiais I l3ecline�xterided Ware�an
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35946 5tate Road 54, Zephyrhills, FL 33541 w�vw.alltechair.com
Office 813-�70-6934 Fax �13-783-233f CAC1814196
February 25, 2016
City of Zephyrhills
Building Department
To Whom It May Concern:
I, Patrick J. Kilgannon, Jr. hereby authorize & appoint Kasi McClellan,
Thomas Yoakum, and Aaron Branham as my representatives for the purpose
of pulling Mechanical Permits on behalf of myself and All-Tech Aur &
Filtration, LLC, through the City of Zephyrhills Building Department.
Sincerely,
Patrick J. Kilgannon, Jr.
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We appreciate you� busines�!
All-'Pech E1ir&Filtration,LLC