HomeMy WebLinkAbout16-17109 : , CITY OF ZEPHYRHILLS
5335-8TH STREET .
(813)780-o0zo 171,09�
BUILDING PERMIT �
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17109 Address: 5541 24TH 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: HAZEL HEIG TS
Est. Value: Parcel Number: 12-26-21-0070-00000-0060
, Improv. Cost: 6,450.00 OWNER INFORMATION
Date Issued: 2/29/2016 Name: MNSF II ACQUISITIONS LLC
� Total Fees: 70.00 Address: 6836 MORRISION BLVD #320
Amount Paid: 70.00 CHARLOTTE NC 28211-1824
Date Paid: 2/29/2016 Phone: 407-266-5464
Work Desc: A/C CHANGE OUT 3.5 TON 14 SEER
CONT.RACTOR S APPLICATION FEES
AIR CONDITIONING EXPERTS INC A/C CHANGEOUT 70.00
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� Ins ections Re uired -
DU TS INSTALLED
DUCTS INS TE
FINAL
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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 �I
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 i
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.
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CONTRA�` R SI TURE PERMIT OFFI R
P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
�y order of the �uilding Of�icial: �NiCC'zamA. �urgess
' ' i I rical and mechanical w�rk
All �uild��g, plumb ng, e ec�
shall cease at the beloanr mentioned propert�/.,
Address: S 5 `� I c�� �� � 1 ����
Date: � � oZ� �' � �
C�ode Enforcement OfFcer: � 3 A Ca�
Cont�ct the
Zephyrhills �uilding Departrr�ent
5335 - 8th Street -
�13-7�0�0020
, , 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
8uilding Department
Date Received phone Contact for Permitting —
� � t 1 1 1 � � j � � � � � '��` ��'7�/'/
Owner's Name � ( I ( ' �.�� � �'! Owner Phone Number �l��to�J"Gi0`f'
Owner's Address �/� � n 1' �� ��wner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Tltleholder Address
JOB ADDRESS ZS+�� r �S LOT# �
SUBDIVISION PARCEL ID# � - {�'~ V�
��/ (OBTAINED FROM PROPERN TAX NOTICE
WORK PROPOSED e NEW CONSTR IaCI ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL LJ REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK v� J lO �.G� �
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ � � [ O �
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I t
� .� n,��
QGAS Q ROOFING Q SPECIALTY � OTHER � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y!N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEECURRE� Y/N
Address License#
MECHANICAL COMPANY (1 (,(JI� l�{!D'`/ C.� lf�t
SIGNATURE REGISTERED Y/ N FEE CURRE� /N
Address 3 l �;J..J��� License# �'S ���
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEECURREA Y/N
Address License#
IIIIIIIIIIIIIIItltlllllllllllllllllllllllllllllllllllllllllllllllll
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)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 Permit for new construction.
Minimum ten(10)working days afler submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Pertnil 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 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgredes over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counter if 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 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,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—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'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that ail 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-Seawalls,Docks,Navigable Watervvays.
- Department of Health & 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 OWNER,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 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 Official 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 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 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.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO �
Subscribed and sworn to(or affirmed)before me this S bscri ed and sworn to(or f ined efore me this
by 2 2 i by rl
Who is/are personally known to me or has/have produced o is/ e person Ily known to me or has/have produced
as identification. 1��/►V2Y5 ��(f1�_ as idenGfication.
Notary Public • � Notary Public
Commission No. mission No. �����uD�
Name of Notary typed,printed or stamped Name of Nolar t ped, rinted o t
��:+�y��,, JENNIFER CLUITER
_�� '*? A4Y COMMISSION#FF 100263
\ �'�;;-��' Bo ded Thru Notary PubGc Unde�iwriters
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HEATING&AIR CONDITIONING
4335 Ho[.DEN RD
� LAKELAND FL 3381 1 �
ORI.ANDO 407-COOLING-TAMPA/LaKE�.ND 863-940-9800
1/20/16
GBC Residential Services
5541 24th Street HVAC
Zenhvrhills,Florida 33542
• This residence has never had central HVAC
• Air handler dimensions are 51(H)x 24(V�x 21(D)for minimum closet build specifications
• NOTE: Some sheetrock may be opened to install the indoor unit.All repairs of sheetrock to be completed
by GC
• An electrician will need to run high voltage circuit for indoor and outdoor units; an electrical permit will
� be required to pull the mechanical permit
• Energy audit will be required to ensure the mechanical permit for this residence is closed.All repairs
required by the audit and the audit itself are responsibilities of the GC
• Refrigerant lines will need to be added to properly condition the residence
• All new ductwork will need to be added to properly condition the residence
3.5 ton HVAC svstem includes the following: Trane AHRI#:7419812
3.5 ton outdoor unit 14 SEER with R-410A refrigerant Model#:4TWR4042D1
, 3.5 ton air haridler with l OKW heat strips Model#:TEM4AOC42S41
Digital Thermostat
Ductwork(Replace existing&install all new supply and returns)
Refrigerant lines
Low&high voltage(tie into existing)
Float switch installation �
, Mastic seal joints at system
'I Remove existing&discard
Hurricane pad for outdoor unit
Hurricane tie downs
Includes all labor&material to complete job
Mechanical permit
Costs•
' Above system cost$6,450.00
Lewis Gentr
Y
Air Conditioning Experts
OFFICE: (407)COOLING
, FAX:(836)606-5972
CELL: (407)920-3402
• � � 813-780-0020 City of Zephyrhills Permit Application Fax�13-780-0021
Building Department
Date Received phone ContactforPermitting
-i-I-i-I"TI T-r - 1
Owner's Name J V : `Q S 4� Owner Phone Number �J�' ��-• ��
Owner's Address t� W "� �`� � Owner Phone Number
e\w'o���. d�� 1�Lk��
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS ��-\� ���' �� � ����. �'1... � a LOTit �
SUBDIVISION �►��@l\y,`O \ PARCEL ID#� � �'"� `'9�� " �'��OJ
(OBTAINED FROM PROPERN TAX NOTICE)
WORK PROPOSED e NEW cON57R e ADD/ALT � SIGN 0 Q DEMOLISH
INSTALL � REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
IYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK GN� �L i5 O A '�.��A ii'� r' �CA�� R�,i�+'V�
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ � �iy� AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C.
—.—�
QPLUMBING $
� l �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ✓ i `� � /�]
�� �� � -�- z.� �
QGAS Q ROOFING Q SPECIALTY 0 OTHER _ �g
ii .w
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO V
BUILDER COM PANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN 1`\ c COMPANY '����`.��A MA11� �L�,S
SIGNATURE �� V,G�C �yL REGISTERED Y/ N FEE CURREN Y/N
Address W� h. V \�n License# �C.�3OO�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA' Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE GURREN Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
RESIDENTIAL Altach(2)Plol Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Slormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Sile 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 Permit for new construction.
Minimum len('10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&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&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
'• Agent(for the contractor)or Power of Attorney(for the owner)would be someone wilh notarized letter from owner aulhorizing same
OVER THE COUNTER PERMIT'fING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
, • - e s • _
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Authorized Representative Form
�
I, of Air Conditioning Experts, hereby authorize ���'!'�r'�'i ��✓�t�
obtain a permit in my behalf under my Florida Contractor License Number CAC1817578.
� I
� . C�� � �-� ` ��
Keely Richardson �,
Air conditioning Experts
FL State Lic#CAC1817578
��1�A,Y,pL���i JENNIFER CLUTTER
��R� �'� MY COMMISSION#FF 100263
OCIdIlCIO: �407�COOLIIVG -'��,'o; EXPIRES:March 10,2018
f %',�• �o;:•• Bonded Thru Notary Fu6fic Undenvrite�s
°f�5.�
Tampa/Lakeland: (863) 940-9800
FAX: (863)606-5972
ELECTRICAL MANDYMAN SERVICES, INC.
.115310 BELMACK BLVD S.
C?DESSA, FL 33fi34-4948
LIC#: EC13004502
OFFICE: 813.901-8185 FAX: 813.884-5U60
ehs�91,5�ao�.�t�r�
March 4, 2C116
City af Zephyrhilis / Permit Dept.
To whom it may concern; .
This is to authorize that Victoria Reese, Administrative Assistant, is allowed to pull and make
changes for Eiectrical Handyman Services.
Please do not hesitate to cali me if there are any questions.
Sincerely,
aoe Cruz jPresident
State of F4orida J County ofi Hillsborough �
�
The a foregoing instrument was acknowledged before me this�day of �i�� 2016.
•�.
Natary Signature � �
� !
;o,�Pa'r'�n";e���� NIELVIN J BELL'
;a. .o: Notary Pubnc Sta���t FIOrlda`
;•: :•_Mv Gomm.Exp�res Sep 20,2017
'%;+f �.o;` .. mmission#FF 048779
�'��°n+�"�� Bonded Thraugh(tl3tiplal Notary R�t. .
� ,