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Home My WebLink About16-17124 % - CITY OF ZEPHYRHILLS � 5335-8TH STREET � (813)780-0020 17124 BUILDING PERMIT PERMIT INFORMATION : LOCATION INFORMATION . ° Permit Number: 17124 Address: 4509 BLOSSOM BLVD 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: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-0170-01000-OOBO Improv. Cost: 3,265.00 OWNER INFORMATION Date Issued: 3/03/2016 Name: CHAPMAN LYNNE Total Fees: 55.00 Address: 4509 BLOSSOM BLVD Amount Paid: 55.00 ZEPHYRHILLS, FL 33542 Date Paid: 3/03/2016 Phone: (813)778-2117 Work Desc: A/C CHANGE OUT 2 TON � CONTRACTOR S ' APPLICATION FEES CRADDOCK AIR CONDITIONING &AIR A/C CHANGEOUT 55.00 �. � �� 1, � _ � ' � - � Ins ections Re uired DUCTSINSTALLED DUCTSINSU TE �� FINAL �'-9 t�"/� 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. NO OCCUPANCY BEFORE C.O. TRAC IGNATURE PERIVIIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � . . e�3-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Buflding Department Date Recefved Phone Contacl tor Permittin Owner's Name owner Phone wumber 813-778-2117 Owner'sAddress 4509 BIOSSOfII BIVd OwnerPhoneNum6er Fee Slmple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS 4509 Blossom Blvd Ze h rhills FL 33542 LOT►t � sueoiwsioN m Ranch PARCEL ID# 15-26-21-0170-01000-0060 (OBTAINED FROM PROPERTY TAX NOTICE) INORK PROPOSED NEW CON57R ADD/ALT Q SIGN Q Q DEMOLISH INSTA�L B REPAIR PROPOSED USE Q SFR Q COMM � OTHER ' TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK AC Change out Z BUILDING SIZE SQ FOOTAGE� HEIGHT �� QBUILDING S VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R�E.C. �PLUMBING $ A '��Z� �MECHANICAL a 3265 00 VALUATION OF MECHANICAL INSTALLATION ' I � OGAS Q ROOFING Q SPECIALTY � OTHER ��J�,,- �� v FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO '� eUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY � SIGMATURE REGISiEREO Y/ N FEE CURREh Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# i MECHANICAL COMPANY li SIGNATURE REGISTERED Y! N FEE CURRE� Y/N ! Address License# CAC1816730 OTHER COMPANY SIGNATURE REGISTEREO Y/ N FEE CURRED Y/N Address License# RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanflary Facllitfes 8 1 dumpster,Site Work Pertnit for subdivisionsAarge projects COMMERCIAL Altach(3)complete sets ot Building Plans plus a LiFe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. Minimum ten(10)working days after submilfal date. Requlred onsite,Construction Plans,Sto�mwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster Site Work Permlt for all new projects.All commercial requirements must meet compliance SIGN PERMIT Atlach(2)sets of Engineered Plans. ••'•PROPERTY SURVEY required for all NEW construction. Directlons: Fill out applfcaUon completely. Owner 8 Contractar sign back of application,notarized If over 52500,a Notice o(Commencement Is required. (A!C upgrades over 57500) " Agent((or ihe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Applicallon Only) Reroofs(f shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Foolage) - Drlveways-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 responsibilily 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 fs advised to have the contractor(s) sign portlons of the"contractor Block"of this application for which they will be responsible. If you, as the owner s(gn as the contraclor, 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 lo 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 ihat 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 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 or more,I ' certify that I, the applicant, have been provided wilh 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 lo the"owner"prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and lhat all work will be done in compliance wilh 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 certi(y that no work or installation has commenced prior to issuance ot a permit and thal all work wili be performed to meet standards of all laws regulating consiruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify lhat I understand that the regulations of olher 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 Distrfct-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays. - Department of Health 8 Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, Seplic 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 o(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 I construction,I certify that fill wflt be used only to fill the area within the slem wall. I - If fill material is to be used in any area, I certify that use of such fill will not adversely afiect 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 engfneered 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 lice�se to proceed with lhe work and not as aulhority 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 pians,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permil 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 requesled, 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 REC A NOTICE OF CO CEMENT MAY RESUL YOUR PAYING 7WICE FOR I EMENTS TO YOU RO ERTY. IF YOU INT ND O OBTAIN FIN CIN , SULT WI7H YOUR LENDE OR AN TTORNEY E R ORbING YOUR NO ICE F COM E � FLORIDA JURAT(F.S.177. 3) i OWNER OR AGENT CONTRACTOR Subscrlbed and swom lo( Nfr d) fore Sub l6ed and s rn to(or irtne )befoy rre th by by V' Who is/are personally known to me or has/ha pro ced Who Is/are personally known to me or has/have produced asidentl�c on. asiden6flca6on. Nolary Public �� olary Public Commission No. Commis ' ,.•'��+�f'4,, JACQUELINE BOG Name of Nolary typed,printed or stamped Name ot Pdry , i �A#FF 150422 :`��. o; Expires Deoember 12,2018 .+' �`•i„?��;°�' Banded Thru Troy Fein Inaurenca 800.385-7019 ! 1 / � ( S ~,' PREVIOUSWORKPERFOFIv1ED`''''�-;i�"�'��4�� CRADDOCK'S AIR CONDITIONING . � • - \� �r��,��-y� , 10736 US Highway 301 f �� a I , CHECK LIST � � . DADE CITY, FL 33525 Phone(813)782-9426 p CONDENSATE I)RAINS CONDENSING UNIT IN OUT l�/ / l NAM j DATE PROMISED ` Cleaned Replaced [^ Main Drain Contactor , , � � �� j�r � 1/ � !� � �� f Repafred Repl.Start ,�� . =� ^ - , . � �'>� � ' ' "x-= � - ;"�,'.:'=' ST� ET INSTALLATION DATE Mafn Drafn Relay , ��,',:�'�'DESCRIPT.ION:,OF+NQRK'PERFOFMED`�'"'�s+�,- ' ,r-'; Cleaned Repl.Start �#' �FREON � �� / '/ Pan Dra1n Capacitori � ,� � . -3 ---------------------------------------'---------------_._.-------------------------- CITY , FURNACE OR FAN Repl.Run � �l v�� =` {;� CotL Capacuor ��!------�S�'�(i�'_��-----�---��'�----------------- --------- ------------------ ❑ NSTA LL TM - :. ---- -- ' � , c ,> - ---- � ] ' ;. • Cleaned or ------ ------------ BILLTO------------------------------------------------------------- --- ❑ '-x'; kdJusted Belt --_ -e_- ---- - - ,� +-- � �` '�( y ❑DUCTWORK=, ¢��' Adju.Contactor - ---- ---- - ----------- -----•-------------5a9 ..?u�'�"t; --------`- � --- �� a� !d ') { ' ' . . ��! ,1� �r� , J /''' ._.$,�1��. Replaced Pulley Repafred W7ring --�� " �� 6�� "'°F!'� ��6r'� 1�--------�-�- --~--------+--`--�--�-------------------- •,, --�-------�----------------------;--------- - -- ---- ------------------ - ❑SEASONAL CK.,:':.; . . - � ��, ' � ' - Ad'usted Pulle Re laced Flise ��"� _ L�' �� .`��r,,: � J Y' P � ,` -------------------- --------------------------==-------------------------- Cleaned Blower EVAPORATOR COIL l�i�� Y� � a ��----- ---:------------------------------------------------------------:--------------------- � ' �� ( C THIS WORK IS TO BE , """ "'_""""""""" "' "'"""w"""""""""""""""' . Replaced Headngs Leveled Co11 p g jy� A�' A, ' �L � ' ❑C,O.D. ❑CHARGE ❑CREDIT GARD ❑NO'CHARGE AGE� ,�c a"�*!•��,`�r"'•i�(�� ' d.;� �j�`�'"""' , Cleaned Heat Ent DB-F LBF-F """----- '-----------�"".p",�^ - ( " " " ' ---- MAKE MAKE � � MAKE ________________________ Exchanger Ent WB_F LHF_F �^�pC�� Tr � �♦� �e �d,�� • Y �' ""'_'4""��"""'""""�'c MODEL MODEL � MODEL CONDENSING UNIT : Cleaned Coll � " �� ' � ' -�� } ----- ---, ��_'� '�:� . . . ""'�' "?�'Y`r �C �"R '"'�"""_"�.1j"""_"" SER p SER# SER# EN1'_F LVG_F ; Repl Exp Valve , �.' ; . �' �`�`�" �?'t`�s' CheckedCharge AdJUst¢d _._ __ _ ,k_________________________________________ . MFGN ' MFGH MFGk """"""""""'"'""''i'• # Freon Exp Valve� e /t g � �' � '0� �' �� `� ------�-�� 011 Level& Repl ------,-�y----t-E¢---------��- e-------------'- �-�-y-`---------� ' , ,. Condttlon', Cap.Tube y, } � �l� �, �j'� w `��,,�i;�� b G' c� �� COMPRESSOR ClearedCapluhe � ' •• `- ' �;RECOMMENDATIONS' � � � , �e': . �,.>' - Suction PSI Repr Coil Leak , , „;, , Head PSI Repr Copp Conn ---------------------=--------------=-=-=-------------------------------------------- � Volts AMP � ��_ ,- ' j.. Electrical Conn � ELECT'ftlC HEAT ----------------------------------=---�--------------�------------------------------- ContactsTlght Replaced I91xon ------------------------------------------------------------------------------------- � . &Clean Re laced Link ------------------------------------------------------------------------------------- � ' � Checked Motor. P � ' � Changed Motor Replaced Wire . _ ,� y� 'f � �� TECHNICIAN DATE voits AMPS Repatred Cont 5 _ _,�, „ 'TOT14LrtSUMMARY 5 ;..�t-:�..,.; 5 5 FORTHISOPPORTUNITYTOSERVEYOU. '��CHARGEIC Replaced Belt DUC'I'WORK 5 5 �a�� PLEASE KNOW THAT WE'LL BE READY FLAT Adjusted Belt Replaced .CJ�, � ■ 5 �Ll. FOR YOUR NEXT SERVICE NEEDED. FEE THERMOSTAT Repafred 5 � oo /� Satisfacti�n 5 �V� EWQRK IS C.O.D.-PLEASE PAYTECHNICIAN Replaced Adjusted 5 .� 5 � 5 Guaranteed 5 . �i . . Callbrate DECALS 5 � � 5 ` FllterReplaced Outside Unit 5 ��5 � ., �: - • TAX INCLUDED Stze x x Instde Un�t ��p , AUTHORIZED SIGNAT e TOTAL �`'�