HomeMy WebLinkAbout16-17350 CITY OF ZEPHYRHILLS
5335-8TH STREET �-'
(813)780-0020 /�0
' � BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 17350 Address: 5150 8TH ST HISTORIC
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: 11-26-21-0010-18300-0160
Improv. Cost: 5,000.00 � OWNER INFORMATION -
Date Issued: 5/13/2016 Name: HARRIS ROBERT MARDON
Total Fees: 60.00 Address: 5150 8TH ST -HISTORIC
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/13/2016 Phone: (813)310-3923
Work Desc: A/C CHANGE OUT 5 TON PKG UNIT
CONTRACTOR S APPLICATION FEES
THAT SERVICE COMPANY A/C CHANGEOUT 60.00
: �
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Ins ections Re uired
DUCTS 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
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 properly 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. � '
� ONTRACT SIGNATURE PERMIT OFFI R
PE IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
. PROTECT CARD FROM WEATHER
�
THAT� �ERVICE Invoice
�n�oice#
; ' ' C O M P A N Y
i23 W. Bloomingdale Avenue, Suite 22� � �6sa
Brandon,FL 33511-7400
813-662-9066 CAC1816548 Due Date
Bill To 5/13/2016
Rob Harris Project
5150 8T'H St.
Zephyrhills,FL.32165
Description Rate Quantity Amount
Installation of a 14 S.E.E.R Trane 5 ton heat pump package system. 5,187.00 5,187.00
This will include installation of the following:
*New Heat Pump Package Unit with l OKW backup heat �
*New thermostat
*New cladlite unit pad
*All Applicable accessories to meet municipal building codes.
i
Discount -187.00 -187.00
Sales Tax 0.00 ,
NOTICE:
Due to high humidity,mold and algae can form rapidly to clog drains.That Service Company limits its guarantee Tota I $5,000.00
to 15 days on all wndensate/drain lines repausJreplacements.Lines should be cleaned a minimum of two times
per year to avoid damage due to water leakage. INT � ��`�`"��W`_
r�Ts wnxx�rrTY: ? Payments/Credits � $o.00 i
}.__.�._---_._._____.�___�..._�---------____.____j
All parts as recorded are warranted as per manufacturer's specificadons. ,
LABOR GUARANTEE: f Balance Due � $5,000.00 ;
The labor charges as recorded here relative to the equipment serviced as noted,is guazanteed for a period of 30 days. --•-_.____�._.__.f.r__._. .__.w�_..__,.__..�_.......�
We do not,of coutse,guarantee other parts than those we install. If repairs later become necessary due to other
defective parts,they will be chazged seperately.Drain line excluded.
Tech Signature: Je�'rey Estevez
I HAVE AUTHORTTY TO ORDER Tf�ABOVE WORK AND DO SO ORDER AS OUTLINED ABOVE.TT LS AGREED THAT THE SELLER WII.L RETAIN
TTTLE OF ANY EQIJIPMEN'T OR MATERIAL FURIVISHED UNTIL FINAL AND COMPLETE PAYMENT IS MADE,AND IF SETTLEMENT IS NOT MADE AS
AGREED,Tf�SELLER SHALL HAVE Tf-�RIGHT TO REMOVE SAME AND Tf�SELLER WII.L BE HELD HARMLESS FOR ANY DAMAGES RESULTING
FROM THE REMOVAL THEREOF.NORMAL 30 DAY BILLING CYCLE.LATE FEES OF 1.5%PER MONTH WILL BE ASSESSED BEGINNING ON THE 31ST
DAY UN'i�.ACCOUNT IS PAID IN FULL. IF SELLER NEEDS TO PERSUE LEGAL ACTIONS TO COLLECT MOIVIES OWED UNDER THIS CONTRACT,
BUYER IS RESPONSIBLE FOR COURT COSTS AND REASONABLE ATTORNEY'S FEES THRU ALL APPEALS.
Signature Date: 5/13/2016
Sign/Print
813-780-0020 City�of.�Zephyrhilis Permit Application FeX g�3a8aao2�
� Bu#tding Depar#ment
Date Received �=Phone-.Gontaot`for;Pernti#tin � ,-... _. - -. ._ -• ._.
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Owner's Name _ �{<l; ' r� . . �-_�.: ;_..:.. . Owner P6one Number X� b�� '�3 1� ` � lr,,�� '
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Owne�'s Address , gG� l� ���n� Cp- :� l tr a1f i t _�-Owner-Phone Number MV , -
Fee Slmple Yltleholder Name � �3� � Owner Phone Number � �
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Fee"$imple-Tltlehold�rAddresa � '* `
JOB ADDRESS � � CJ '� ��. �- :` J c� l 4��, ^ " - LOT#��_.._,.�1
�SUBpIVISION , , �� ", �� �RARCEL•ID# ' !^o�(o-,-- ,I '-~ O C�I d`�=:-�'L;;d;.�+,"'„�` �j.--d j�o 0
- . . _ (QBTAINED FRCN!PROPERTX TAX NOTICE)., : .�
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WORK PROP,OSED �� NEW CONSTR ADDlALT� ``�-' ' 'SiGN� ''CJ`` �` .�' �`Q�����j 'DEMOLISH ,f ��
� , INSTAI:L �. 8,„ :,' `-REPAIR _
PROPOSED-USE; � °�: '��SPR' � ;CONtM � OTHEF2 . ..� - ,,.. `\ ` . :: �:.5�,: ,.,
•, . .- . ... .�. .. ,:.. ...
TYPEOF CONSTRUC710N'., '':` . `� �BI:OCK �• . � - ._- ,. � ,. �� ,;. .-, ,�
Q .Q' - .FRAME ;�,. STEEI._ - . , , >
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DE3CRIP710N OF WORK F '�� � I C3 �1 .. r,�.C I'l a �, :'� .,�G ,., ',GJ�" t
BUILDING�SIZE�- � ' � � ,� SQ.FOOTAGE �Q^!� � .. .- ::HEIGHT �� ' Sttl r � � r e
QBUIL`DiNG , $ �VALUATION`��1F TOl'AL CONS'1'f2l7CTION.? -
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QEI.ECTRIGAL : `$ AtrlfP SERViCE � ,Q PRpGRESS E(VERGY Q W.R:E:C.
L�� ' ' �
QPLUMBiNt3 � � � � � , . _ ,
MECHANI+CA!' $ "c3 D VALUATION 13F MECNANIGAL tNSTALIATiON ` r����
� ��C��' -� l
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QGAS , �Q ROOFENG-::�Q SPECIAI.TY �.� OTFiER
FINISHED FI.00R EI:6VATIONS ���� FLOOD ZONE AFtEA �YES NO
BUILDEit ' COM�ANIY -
SIGNA7URE REGISTERECf Y/ (V . ; FEE CU[2RED' :,Y./N;:.: . .
Addreas � , ' LlCerise# � �
ELEGTWCIAt�1 t COMpANY" , . ,
SIGNATURE ' '" REGISTERED Y/ N FEE CURiiE� Y./N ..-� .
Address � � , Y `L•icen'se#.,:�� �.�'�
PLUMBER � COMPANY� ., ,. � ' '
SIGNATURE ,, ,REGIBTERED - � - «.:Y f N '� � ��e curt��. Y/N: '
� Address . , ., ,License#-� � �
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MECHAI+ltCAi: '.:COMpANIt� ✓! q'f" �e,rt�i�� ��tii �n.
SIGNATURE - .:-ReGISTEri�D. �.�X.;/'.N: . : .F�CURREn ��Y/id' �� • -
• Address ' 3` . /a ci�`'r.� � e r/ Cj. , s ' ,L'fc�rise.#.C/7��� fl� �i `7 � I
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o. _ -S�`_�e �� coMaaNir. - . ._ _: .. :� :r.. _.
�,SI� A E ����'1 G�C"�"') '� 3"�� .REGIS'TEREO Y/�N:. . -,FEE,CURRE�' Y.-�/.N::�:: w
Addresa . . . -0�N{f!'<,-^ , . -- , = . , ' �Lice"nse'#�� ��
- :���.� - - ^.t.,�r��;�,;�» � - ` _ ,.a:ir.,�;:>j.;*;;.�., � :- .: .:a;-;•-,.�_ . , , - ,
��;-,. : :. ,..._; ... ���' ''-�._�--. "ii?truct(on�-
RESIbENTtAL�:�.=:�Atta�fi,;{2)':PIct�Pian§;:(1)`sets:of`Buitdi`ng'Pians;`•(1)set`of�Energy'Eorms:R-0-.W.°Perm�t.for':``new,�cd s
•a;,. r ,r..
- r.Minlmum�ten;,(1a)rworiting�d�ysta[ter.,�s eq -�..�` '�� �:- ' ' te a" wL SIIt:F'snce Installed.
utirultte"I:dat"e':y R ulred orisite;Co''nstnicBori�Plans;-Stormwa rPt ns
. '�<Sanftaiy_Facftttl,es;&:1�;�dur�pster�Slte;�W�ri�caPei�ciiE`for=sia6iitvisloii�liacge::pinject`s;``•.�;;;s:'4,'.,,,-.:.,._ _ _ . .
COMMERCiAL Attach(3)imm'ptiete`'�efis�of Buiiding'Plans;ptu`s�a L`ife Safeiy Page;`•(1}se#.of;Energy,Forms:'R-O-W Permlt+fo�neinj�constnicdon:
Minfmum ten(10f working dajrs'af#er submittaF date. Requlred on&fte,Construcdan Plans,Stortnwater Plans w/Sitt Fence installed,
Sanftary Fadlitiss&1.dumpster..SiteRWarlc Permtt fqr alf`new�projecfs:=Ai1 wmmerdal:regulrements:must.meet campilance ' .
SiGFI PERMIT Ai#ach(2)"s,"ets of'Englneered:P(ansh�:=h-:;u�" ._ __ .. ,
"'"PROPERTY SIJRILEY regutred fQr@II�NEW_construcG&n.;, �
Directians: _ , ;t„c:,a,, e' � -- - � - :i , . . __ .r
F(11 out appUcatlan completely.
Oin+rter.,&Conirac�or s�gn back-of.appltcatlon.notar3zed
If aver'y2500,a-Notice.af.,Commencem�nt la re,qulred: .(AIC:upgrades ovAr.ST500) , ,
`-- -�:t�?,;.'z�Y�,cr;;;*tt-tc.
"• Agent{far.Nie contractor�or:-Power'of;Attortiey(fii�tfie�owner}woulif 6e someone'with notarized fetter#rorrt awner suthoi}ztng same
DVER THE`COUNTER�PERMITTING�-� (Front-of Applica8 n Only)
Reroafs;if shingles Sewers Service Upgrades A7C� Fences(PlodSurvey/Foatage�
Drlveways-Plot over Counter if ompublic roadways..n eds ROW l
NOTICE OF D�E�RE�TRICTCONS: The undecsigned.under.�tands�;.th��t:this;;��rmit;may,be.subJect,to"deed"restrtct,lons°�
which may�b�.�more�>rest�tcthre.�thsl�t•Gounty���eg�latfons."�The•underslgned''assuines°r'esponslbility`for�coiiFipitance with any
applicable deed.restrictlons. .
UNLICEN�ED�:CO@1T�ACTORS �AND -CONTF�AC`TOIt �RESPONSIBIL171E5: �If�tiie •owner�has��hlr�d� a contractor or
contractors 4o undertake wrork, th�y m�y,;be.required��to��be;llcensed�ln..accordance.wlth�state.and�lacal.r�gulatlons. If-the
contractor Is,not::licens�d as required`6y law; tioth�the owne� and.�conUacto�-en�y�be�cited�f�r a�misdemeanor vtolatlon
under st�te law. If.the..owner or inter�ded�contrsictor�ere.uncertaln as to what Iicensing.require�nentg may,.apply.:�for'the
intended work, they are advised to con4act'th'e';�asco.County�ulldtng."Inspectlon Divlsion—Llcensing Section,at 727-847-
8009. Furthermore, (f`the`"ov+iner has fil�ed'� confr�cto�'o�"c�ntractors, he is advised to heve the contractor�s). sign
portions of the "contr�ctor �lock° of this appllcatlon for.wrhigh they wrlil°.be.r.esponslbl�. If.you; as...the oiivner stgn as the
contractor, that�rnay be-an intlication=fhat�h��ls;not�.properly Hc�nsed �nd�is not'entltled�fo permifting prtvileges fn Pasco
County. '
� YRANSPORTA710N IMPACTIUTILI'FIES<IMRAC7ANb•RESOURCE RECOVERY:�FEES:�'fh�under�igned'�understands
that T�ansportation Impact Fee�:�nd.Reco.uree Recovery:Fees mey.�apply,;.#o:tt�e constructlon of new buildings,;chan�e•of
� use in exisNng�buildings;-�or:�.expansi�n�r:of.-�ei�i�ti�;g>,bi�ildfngs;�a�`sp�clfled.in.P�sco Co�nty Ordinanc� number 89-07 and
� 90-07, as am�nde,d:r:Tt�e undersigned also.�understsnds, that�suoh fe�s;�,�sttnay����::.due;Jwill.,be (denllfl�d at the=Qime�of�
permitting. It Is furtfier=undeesfood thaf Trac�`sporfatlon:Impact Fe�s �nd°�F��sourc� Recovsry��F��s._must be pald prior to
receiving a "cee�i�icate.�of-occupancy" or flnat>.powerrel�aso. :I��the project,.does:not involve:acertiflcafe of occupancy or
' final power release;,the:.fees-:mu�t be_p�id pcior to perrtsit is�uance. .Ft��th.ermore;;if:�.Pascv;;County�{Nater/Sewec:lrropact
� f�es are:du�,tFiey..must;be-.paid;�pMor to permit•las4ance-�n.accordance wltFi_appllcabfe Pasco'County ordinances.
'. COPISTRUCTION`LlEN`LA1fV'(Chapt�r 713� FlorJda St�tute�,�amended); If valuation of work.is$2,500.00.,or more, I
, certi�y that I, th�. .applicant,�-have�-ti.eer9�,:provid�d-with a�copy�,of Qhe �"Fiorida•�Construction-Ll�n. Lavu�—hlomeowner's
Protectfon Guide" prepared by the Florida Department�of Agric.ulture and Consum�rAffairs. If the applicant is someone
other 9han the�'owner",-I certifji that•I�have.obtained>a�copy;of.the above.�9e�,cribetl��ocu'r`i�ent�and,:promis�'in,good�faith to
� deliver it to�the,'owne�.prior.to�cornmencement� " � .
� CONTRACTOR'S/OW�IER'�AFFIDAVIT: I.certify;#k�at alt',the_Informatlon�i�i=thl� application is accurate and that all work
will'be done in compliance vuitFi all.appllcabl�'laws reguls�ting eonstruction, zoning�and��land developrrient. Appllcation is
hereby made to, obtatn .a permit.to..d�:,woi`I��,and Installation as indiceted:��. I certify�that no work:or Installatton has
commenced p�lor:to Issuance of a permit'and`th�t:all work will be perFormed�to meet standards of-�II laws regulaking�
corosteuction, Countgr �nd City codes, zoning regulatiQn�, and tand development tegulatlons-in th��jurisdlction. I .also
certify lh�t I u�derstand tha�the regulations;of other gov�rnmen4 agencies may�apply�to the.intended-work, and 4hat it Is
my responslbility.to identNy�w►hat.actions I inust•take:�o bedn:.compllaroce,.Such ager�cies include but-are.not Ilmited to:
- D�pa�tment of Eo�vironment�l�°Piotection=Cyp'r�ss`9ayfiead�;'Wetl�nd_Areas and Envlronmentally �ensttive�
Land�,Water/Wastewater Yreatment.
- Southwest Florida Water Man�gem�nt :.I�tstrict-Wells, °Cypress.`��ayheads� Wetland Areas, Altering
Wat�rcourses. -
- Army Corps of Engineers-Seawalls, Docks� tV�vigabl�Wat�nivays.
- Depa�trrrent o� lieal�h� �. Reh�bllitafiv.euServlcesLEnvironmenfal::Flealth Unit-Wells� Wastewater,�Treatment,
Septic Tanks. - � .
- US Environmental Protection Agency-Asbestos abatement�.
- Federal Aviation Authorlty-Runways. - .
I unders4and�that.the.following.�cestricflons�apply to the t�se of flll:•
- Use of flll is not�Ilmwred�in Flood Zone"V"unless expeessly.perrri.itted.
- If the:-flll':materl�l.ls to.be us�d::in-�Flood'Zone. "A', It'is understood that a�drainag� plan addressing a
"compen�ating volume" will be submitted at tim� of p�rm6fting�ihich Is prepared by a profess6onal engineer
Iicensed by��the�State-of�Florida: ` ' � � _ ..
- If th� flll rn�t�riai�i� to be used In Flood �one °A" (n�connec�lon�with:a��permitted building using stem wall
� conatructlo�, I c�rt(fy.•th�!#Ill:wlll�b.�used only.Qo:fill the acea.wtthln�the-stem•�wail:
- If flll materlai is to�be used-in any area,'E �certffy t#�at .use. of such'flll will.r�ot adversely affect adJacent
properlles. If use of fill is found to adver�ely..�ff�cfi�adJacent��propertles,.the owner may be cited for viofa4ing
th� corrdl�ions`of fhe�buiid(ng�;permit Issu�d�under the atf�cfied-permit�:appUcation, for:lots less than.one (1)
�cre.which aPe�elevaCeii�tiy�flll,�rt.engineered dralnage pla�ls required. .
If I am the:AGEN7°.FOR YHE-OYilNER;I�roiiri'se In good faith to-Inform 4he ownerof>_the<per.mitting_conditlons set forth In
this effidavit`prtor to commer.acing constrt�ctlon. '1"understand th�t �;separate permff may be requtred for electrical work,
plumbing,�signs, wells,.._pool�;._�ir condl8oning,':gas;-.orother„Installallons not�spec�fically included-dn.the�application. .A
permit Issued shalf be__consteued to be a'llcense,to�pcoceed wltfi tFie wo�k an`d not�•as�authority.to.:vtolate,�cancei, alter, or
set aside any�-provisions of tfie tecfin(cal codes;�nor shall issuance•of a:permlt.prevent.the��ulldirig.Of�icial from th�reafter
requlrin.g;a�ccection..nf._ecrot��,in;plans;�.con�fruction orviolatlons�of��ny�codes..�Ev�.ry.=permlt�issued�'shall become invalid
unless the�io�k autho�tzed�by siach permit:��.co�nmenced�within sGc m.onths;of_permlt la�uance, or.lf work authoriz�d by
the pe�mft.(s suspQnd�d:,or.abandoned for.�:a�:per�od of-si�c:�f�e)montFis,::aft�r the.time the�wotk�i� commen,cesi. An ext�nston.
may be requested, In:writing;�from`the�Building,Officlal°for a pe�lod::not�.to.�xc��d�rir�ty�"(90)'�days�and�-wlll`demonstrate
Justifiable_cause for�the exten�ion�. If work ceas�s:for nlneqi'�(90)cons.ecutive:day.�,..the job�Ps consldered a4andoned.
,-. . .�;.,,. .�. ..,.,.�.��� �.:
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WARPIING'TA�OWNER:'�`�1COUR;:FApLtJRE;Ttl.;;R�CORQ.A:,�N.OTIGE:,OF:COMMEMEEIIAENT:I�fAY<RESULT IN 1fOlIR
PAYIPIG TWICE:FOR:IIIAPROVEIWEN�3;?CO;-YOIJR:;P�ORE�t'tY.�-1��.YQ.U�I���ID"T��.��fiAIN=FINf�Afi1E1PIG;..C.ONSULY
9iilf�o �i : �'� �,L. " � .� OR �. �A D G::a � ' ;C .,E -
FLORiDA JURA��(F:$:t1.1:7c03)- . . -. • .. • • ' - � -- -- � . ... - -
. OWWER.OR A(�ENT.,_,. ; . � .� .� ,> , CON7`R�iCTO : .
Subscrlbed and awom to•(or afNrmed).betare m�ihis � Sub�crlbed'and's (ot. rmed)`b' �e�-tHlg ,
by - - — - - ,:by; _ .
IMio Islare personelly knrnm to.me,orha�aye.produced Who�.is/are Rersonellyknown:to:me orhae_ ave-produced.
= - � as`�Identlfli�tlpn: � � � � as Identlflcatlon.
i
' - Notery Publtc . - Notary Public
Commisslon No: - � Ccmr�Isslon.No.
Name oF Notery typed,.printed ar stampod � N�m�ot Plolery Yyped,printed or atamped
�