HomeMy WebLinkAbout16-17184 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 17184
- ` BUILDING PERMIT
� . PERMIT INFORMATION ' � - LOCATION INFORMATION �
Permit Number: 17184 Address: 39153 3RD AVE
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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00500-0120
Improv. Cost: 4,400.00 - , OWNER INFORMATION
Date Issued: 3/21/2016 Name: LARRETT RUTH
Total Fees: 60.00 Address: 39153 3RD AVE
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-5268
Date Paid: 3/21/2016 Phone: 813-469-4308
Work Desc: A/C CHANGE OUT 2 TON
� � CO.NTRACTOR S - ` APPLICATION FEES
O'DONOVAN'S A/C & HEATING A/C CHANGEOUT 60.00
�
� - - . Ins ections Re uired . - � . �
DU TS�NSTALLED
DUCTS INSU�TED�
FINAL
REINSPECTlON 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
;
O RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City af Zephyrhills Permit Applica#ion Fax 813-780-0021
Buiiding Depattment
Date Recefved : Phone Cantaet far Permittin
Owner's Name U� �^ �. t" � Owner Phone Namber U ( � "( {� - t � '"
Owner's Address � / � � / U 'e Owner Phone Number � �
Fee Simple Tltleholdar.N�me � � Owner Phane Number � �
:,
Fee Simple Titleholder Address `
JOB ADDRES3 � ( /� U�- LOT# �'�
�
sueoivisio� Z r �C'�7�� PARCEL iQ# � � - l-�t�3t'-�p.S�l�- l.� 1�,.�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK pROROSED •NEw tONSTR ADD/ALT [w� StGN Q Q DEMOl,ISH
INSTALL 8 REPAIR
PROPOSEDrUSE Q SFR Q COMM C� QTHEi2
TYPE OF CONSTRUG'f10N Q BI.00K ' �] FRAME [_] STEEI. �]
DESGItIPTION OF WORK �
BUILDING SIZE SQ FOOTAGf[_� HEIGHT ���
QBUiLDING � � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL � r�� AMP SEFtVICE Q PROGRESS EtVEF2GY [� W.R,E.C.
QPlU BING � � j p,�C�
,_.._..,, ,,,_ � � ���
ECFtANICA� $ f}, VALUAT{ON OF MECHAHlICAI INSTALLATION � t���/
�/ ' �f r
QGAS � ROOFING. Q SPECIALTY � t�THER ��
FINISHED FLOOR ELEVATIQNS � FLOOD ZONE AFiEA QYES NO
BUILDER �BMpp�(
SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N
Addreas License# �� �
ELECTRtC1AN COMPANY
SIGNATURE � REGISTERED Y/ N FEE CUFtRE� Y/N
Addre�s � License# �� �
PLUMBER � COMFANY
SIGPIATURE REGISTERED Y/. N FEE CUFtRE� Y/N
Address License# �— �1
MECNANIGA[. �� CQNIPANY 1J /�lt��Gtt� itft�n 1�t��jz ��! QM rr
SIGNATURE REGISTERED Y�./ N FEE CURRE� Y/IV �
Address License# t�j� ��Cj � � � �
O'fHEit CQM.PAHY
SIGNIoO,TURE REGISTERED Y/ N . FEE CURRE� Y•/�N. .
Address license# �� �
RES1DENi'IA1s Attach(2},Ptot Plans;{2}sets_of:Btiililing'Plans;(1}set af�Energy Faim§;`R-Q-W Permit fo;new constnscUon, .
Minimum.ten_(1.0).working;days after:submittal date.�Requfred�ansite,.ConstrucUon�Plans;�Stormwater Plans w/Silt Fence installed,
Santtary Facilities�&t,dumpste,r,Site��Work=Pertnit for subdiVislpns/large projects �� . _---- -
COMMERClAI. Attach(3}campiete sefs of Btiiidlrig Pla�s ptus a Life Safety Page;{1}set of Energy Forms.R-O-W Pecmit for new canstruotion.
Minimum ten{10)working days�after submittal date. Required onsite,Canstructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Factlides&1 dumpster.Site Work Permit for all neuv projects.AI!commercial requtrements must meet compAance
SIGN PERMIT Attach'{2}.se#s af Engineered=P(ans.._ �, - ,
"'•PROPERTY SURyEY required for all NEW conshuctian.
Directions: `
Fill out applicatlon completely. _
Ow�er&Contractor sign back a#appticadon,notarized
If ovar$2500,a Notice of Commencement is required. (A!C upgrades over 57500)
'" Agent(far the ccynVactor)or Power of Attomey(fo�the awner)would be someane with notarized letter ftom owner authorizing same
DVER'THE GOUNTER PERMITiiNG (Front of Apptication Only)
Reroafs if shingles Sewers Servlce Upgrades AIC �Fences(PIoUSurvey/Footage)
Driveways-Not aver Caunter if on pubiic roadways..needs ROW
NOTiCE OF DEED RESTRICTION5: The undersigned under.stands°:that this.p�rmlt.may.be,subJect to"deed"restrictions"
which may be�more rest�ictive,than County regulatlons. �The undersigned assumes responsibility for compllance with any
applicable deed restrictions. �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractar or
contractors to undertake work, they may be required:to be licensed In accordance.with state.and•local regulatlons. If the
contractor (s not Ilcensed as required�by law, both the owner and contractor-may be cited for a misdemeanor violatlon
under state law. If the owner or intended°contractor are-uncertaln as to what Iicensing.requirements may�apply for the
intended work, they are advised to contact the Pasco County Bullding Inspection Diviston—Licensing Section at?27-847-
8009. Furthermore,-if the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign
� portions of the "contracto� Block° of this application for which they will�tie responsible. If you, as.the owner slgn as the
contractor, that�may be an indication that he is not.properly flcensed and is not entitled to permitting privileges in Pasco
, County.
TRANSPORTATION IMPACTIUTILITIES IMPAC7'ANb RE30URCE RECOVERY FEES: The underslgned understands
_ that Transportation Impact_Fees and Recourse RecoVety.Fees_msy apply�to the c�nstru�tion_Qf ne�_b�+ll�E�ts�,�h�+��4-�f-_
use in existing buildings, o��expansion:of��ezi'stirig��buildings, as speclfied 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 time of
permitting. It is further understood that Transportation Impact Fees and Resource Reco�ery'Fees must be paid prior to
receFving a "ceKificate of occupancy" or flnal powec-release. :If�the,project does not invotve a certificate of occupancy. or
final power release,_the-.fees must be paid�prior to permit issuance. Ft�r.thermore;�ff Pasco_County Water/Sewer:Impact
fees are due, they must be-paid;prior to permit-Issuance�ln accordance wlth applicable Pasco�County ordinances.
CONSTRUCTION LIEN`LAW(Chapte�713� Florlda Statutes,aa amended): if valuation of work Is$2,500.00 or more, i
certify that I, the applicant, have been provided wtth a copy of the �"Florida Construction Llen Law—Homeowner's
Protection Guide° prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the applicant is someone
other than the"owner", I certffy that I have�.obtained a copy;of the above.described docurrjent°and promise in.good faith.to
deliver it to the°owne�'prior•:to>commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all tFie'Information ln thls appllcatlon is accurate and that all work
will'be done in compliance with all applicable laws regulating construction, zoning and�land development. Appltcation is
hereby made to obtain .a permit to do work and instailatlon as indicafed. I certify that no wark-or Installation has
cammenced prior to issuance of a permft and that.all work will be pertormed to meet standards of all laws regulaxing
construction, County and City codes, zoning regulations, and land development cegulations�in the jurisd(ction. 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:.corrlpliance. Such agencies include but are.not Iimited to:
- Department of Environmental�Protection-Cypress.Bayhead�; Wetland Areas and Envlronmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management ...District Wells, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Englneers-Seawails,Docks, Navigable Waterways.
- Department of Health� 8 Rehabilitative Servlces/Environmental Health Unit Wells� Wastewater Treatment,
Septic Tanlis. � . I
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviat(on Aulhority-Runways.
I understand that the following.restricttons apply to the use of flll:�
- Use of flll is not allowed in Flood Zone°V"unless expressly perm(tted.
- If the fill material is to be used in �Flood Zone "A", ft. Is understood that a drainage plan addresstng a
°compensating volume" will`be submitted at time of permltting which is prepared by a professional engineer
Iicensed by the State of Flor(da. ' � �
- If ihe fill material 1s_to be used in Flood Zone °A" ih�connec�(on with.a��ermitted building using stem wall
� constructfon, I certify that fill�:wlll.-b.e used only.to.fill the area wlthln the�stem�wall.
- If fill materlal Is to"be used in any area, I certlfy that use. of such'flll will not adversely affect adjacent
properties. If use of flll is found to adversely:affect adJacent�properties,.the owner may be cfted for violating
the-condi#ions�of the buiiding.permit Issued under the.attached permit.application, for.lots less than.one (1)
acre which ere elevated by flil,a�engtneer•ed drainage plan Is required. •
If I am the AGENT FOR THE OWNER, I;�promise In good faith to inform the owner of the permitting condittons set forth in
this a�davlt-'�prior to commer�cing�construction. I understand that a:separate permft may be requtred for electrical work,
plumbing, signs, wells, pools; afr conditioning,.gas, or other installations not�spec�ically included�in.the application. �A
permit issued'�shall be construed to-be��a'license to proceed with tFie'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 Bulldirig Offic(al from thereafter
requiring a correction af errors in.plans, construction or violatlons of any codes. Every permit Issued-shall become invalid
unless the work authorized.by such permit�s.commence�•wi@hIn �ix,months of permit issuance. or if work authorized by
the pe�mtf is.suspended or.abandoned�for a:period of six(8)montfis:after the time the�work Is commenced. An extension
- may be requested, in writing;.ftom the'Building,Official for a perlod.;not:to.exceed ninety(90) days a�d will demonstrate
- justifiable cause for_tiie extension. If work ceases:for ninety(90)cons.ecutive daysF..the job�is considered aba�doned.
WARNING TO.OWNER: YOUR.FAIL'URE:TO.:REC�ORD;A.NOTIGE OF=COMMENCEMEMT;MtAY-RESULT IN YOUR
PAYING TWICE FOR;IMPROVEMENTS=TO..YOUR<PROPERTY:�;;I��.YOU�iN'�END:,T��OBTAIN��FIPFAI�CING;�C.ONSULT
WIT Y UR `E. D �:O Ah4 ATTORNEY�� POR�� � ECOR� G_�� OUR`� �� :O '� �' CE �N �
FLORIDA JURAT(F.S.1.17.03) _ "
OWNER OR A(iENT CONTRACTO % � :� �� / I
Subscrlbed and swom to(or aflirmed)before me this Subscribed an ' to afli e�ti' re me'tFii�
by �by
Who Is/are personally known to me.or haslFiaye produced Who Is/are personally known�to me�or hasfiave produced
as Identlflcatlon, as tdentlflcaUon.
Notery Public Notary Public
Commisslon No. Commission No.
Name oE Notary typed,printed or stamped Name of Notary typed,printed or stamped
- � �°:;;E -- �
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O'Do.nova.n's Air Conditionirig 8c-Heating Comp.arty
F��
� 4839 Al;len Road
Zephyrhills Florida 33541
Pn. �ss�� �s� - �.a��
, Lic#CAC054731 E Mail Timod36309@aol.com
ti
March 9,2016
� �
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To: Rufh Larrett �
39253 3rd Ave .
Zep.hyrhills F) 33542 � PH# 83.3 - 46�' -4308 .
Praposa)to repiace 2 T,an Heat pump system. irtcludes air handler in existing position, supply
andreturn plenum. R410 Refr'rgerant, condenser, thermostat,.and perrnit, , ,
� 14 SEER Rheem or .Comfortmaker $4,400.
•>.
Does not include�.replacing ductwork,gri}1s,carpentry(truss}ar electrical in main panel.
Payment: .$1,000 In full upan completion by check.
Warranty: 10 year warranty when registered an parts. One year labor.
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