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Home My WebLink About15-16703 CITY OF ZEPHYRHILLS 5335-8TH STREEf , , (813)780-0020 03 BUILDING PERMIT PERMIT INFORMATION � � � LOCATION INFORMATION , - Permit Number: 16703 Address: 39020 6TH AVE � Permit Type: MECHANICAL ZEPHYRHILLS, FL. I 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: 12-26-21-0030-00100-0340 Improv. Cost: 9,007.00 - OWNER INFORMATION � � Date Issued: 10/29/2015 Name: KISER KRISTINA Total Fees: 85.00 Address: 39020 6TH AVE Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/29/2015 Phone: 813-486-2961 Work Desc: A/C CHANGE OUT 2 TON 14 SEER � CONTR�ACTOR S . .- APPLICATION FEES � � � - AMERICAN RE IDENTIAL S ICE F C AN E T 85.00 ��,�'1�� C..J'� " � ►J�� b � � � � ' �� - � ° - - ' ' Ins ections,Re uired � � -� DUCTS INSTAL ED ' 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 � City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER e��-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 a Buiiding Department ' � Date Received Phone Contac!tar Pertnitting � 1�p (� Ownel's Name �1 J�1��1 � �G 12— Owner phone Number D 13�`�O lf/�'� 1�41 Owner's Address � �� fl�'� l�YV G Owner Phone Number � � Fee Slmple TlUeholdQr Name �� Owner Phone Number �i� I Fee Slmple TfGeholder Address JOB ADDRESS �}C)Z� X}�h �'~ LOT# �� sua�msiata ��tQ41U� l�F1�� PARCffi.lD# I 2-Z.c�, =2i-c�o;a-Do t aa-�3k� (087AlNED FROM PROPERTY TAX HOTtCEy WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMQLISH I INSTAL� REPAIR PROPO5ED USE Q SFR Q COMM �� OTHER TYPE OF CONSTRUC710N Q BLOCK Q FRAME � STEEL Q DESCRtP7tON OF WORK �U��-'" �'i� kJ�-ft� G.� ``�t�("� �j IC�i(.� 'T" BUIt.DlNG StZE � �� SQ FQQ7AGE� t{6�GHT �� QBUIL.DING � VALUATION OF TOTAL CONS7RUCTlON QELECTRICAL �$ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � QPLUMBIN� �$ -� �� QMECHANlCAI. I$ VALUATION OF MECHANtCALlNSTALLATtON �g0"7 OGAS Q ROOFING Q SPECIHI.TY � OTHER /l� D� FIN{SHEd FI.00R ELEVATIONS FLQOD ZdNE AF2EA QYES NO ! . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . IBUII,pER COMPANY � SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N , Address License# � � ' ELEG7RIClAN � � COMPANY � i SIGNATURE REGISTErrFo Y J N FEE CURRER Y I N Address License# �i � PLUMBER COMPANY � SIGNATURE � REGISTERED Y/N �CURREn Y/N Address License t! �— � �/�-^� COMPANY � �' � �� S(GNATURE � ` t �~�" REGiSTERED �N FEE cuFutEn Y t N Address License# _V'W,� �2.�'t�1�� OTHER � � COMPANY II SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � Address License# �—�� Illllllllllllllllllllllllllllllllllllllltllllllllllllllllllltllllll RESIdENT1AL Attach(2}Ptot Plans;{2)sets of Building Plans;('1}set of Energy Forms;R-4-W Permit ior new consWction, Minimum ten{10}working days after submittal date. Required onsite,Canstruction Plans,Starmwatar Ptans wl Slt Fence instalted, Sanitary Facilities d 1 dumpster,Site Work Permit for subdivisians/large projects COMMERCIAI. Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new wnstruction. Minimum ten(10)working days after su�mittai date. Required onsite,Gonstructian Pians.Stormwater Plans wt Silt Fence instalied, Sanitary FaciliGes&�dumpster.Site Work Permit for all new projects.A(I commercial reguirements must meet compliance SIC,N PERMIT Attach(2)sets of Engineered Plans. ' ""PROPERTY SURVEY required for all NEW conslruction. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6irections: Fill out application completely. Owner&ConVactar sign back ot applicaUon,notarized If over;2500,a Noflce of Commencement is requlrsd. {A!C opgrades over;7506} " Agent(far the contractor)or Pawer of Aflomey(for khe owner)would be someone with notarized letter from owner authorizing same OVER THE COUDlFER PERMIT7ING (Frflnt of ApplicaUan Qnly} Reroots if shingtes Sewers Service llpgradss NC Fences(PIoUSurvay/Footage) prlveways•Not over Counter H on public roadways..needs ROW ti ' 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 I 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 wiil 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 entiUed to permitting privileges in Pasco County. TRANSPORTATION IMPACTNTILITIES 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`owne�'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 worlc,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 Protec6on-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management Oistrict-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. i - 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 ex ressl ermitted. P YP - 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 romise in o0 , p g d 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 conditionin as or other installations o I , , 9� 9 , n t specifically included in the a lication. A PP 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 ORAGENT CONTRACTOR� Subscribed a�b�wom to(or affirtned)before me this fsktps ' d and bwom jo(oy affirmedlbefor e thi� [.{I y /y /c�iYtf�1'� r2nd c'� Who is/are personally known to me or has/have produced Who is/ e pe�s on�knowq(�me or has/have produced as iden6ficaGon. �•4J�I�6�✓��-as identification. Notary Public Notary Public Commission No. Com ission No. ,.;';::y��.,, JACQUELINE GES Name of Notary typed,printed or stamped Name of 1� d,' t ;� � Expires December 12,2018 �'�%� :t;�°''�; • ��p Bonded ThN Troy Fen losurane9 800-38�-7U19 I IIIII�lllfl illil Iilll lilll Iill�iilil IIIII lil�i IIIII 1111 IIII 2015174980 � � , Ftcpt:1723953 Rec: 10.00 , Permit Number " � DS: 0.00 IT: 0.00 ; � ! 1P�/29/2015 L. S. S. , Dp�.y Clerk � Parcel ID Number 2-Zfo- 2�-hp3t�-�01 pp-�3�.�,t� ' _ _ . . _ __ N O T 1 C E O F C O M M E N C E M E N T � 10/2g/2015 11 32amo C1ERKo f Ci�1PTROLLEI: State of Florida TH,; Oft �K ��"�'� P� �� T,o�, County of Pinellas THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal description): �ey�1.�.�r �,�,�,�,}S '�3 S -��,5�(�-r 3c� �(ie, � � �'ZS� (!23 a)Street(job)Address: �p7� �-��E 2�,�yu,,,,,-�,,�`�1S' t�t 3354 Z 2.General description of improvements: AG� C.(nav.. �v.�-- - �r�' '2� ��t�e-e.� SK.�,J t,�� u^^1,P 3.Owner Information or Lessee information if the Lessee contracted for the improvement: a)Name and address: '�i�tiS�l t.k� IZLS�2 '�toZ� C�-t�� , ?�,,PI��,r'h��1 � �t 3}S�(2 , b)Name and address of fee simple titleholder(if different than Owner listed above) c)Interest in property: ��r 4.Contractor Information a)Name and address: �}�g 3 3� 6v. ScA„�,� '�-� �,,,�k� �='f�� 1-. P.e(�,rs h�-�-� � �3�! 10 b)Telephone No.: �-72�-�t°i�- U�'13 Fax No.: (optional) S.Surety(if applicable,a copy of the payment bond is attached) a)Name and address: ' b)Telephone No.: c)Amount of Bond: $ 6.Lender � a)Name and address: b)Telephone No.: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: a)Name and address: b)Telephone No.: Fax No.:(optional) 8.a.ln addition to himself or herself,Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. � b)Phone Number of Person or entity designated by Owner: 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the ' contractor,but will be 1 ear from the date of recording unless a different date is specified : ,20 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowl dge nd b lief. �� l(�- kni s� N-� ��s�r- (Signature of Owner or Lessee,or Owner's or Lessee's(Authorized OfficedDirector/ParfiedManager) (Print Name and Provide Signatory's Title/Office) The foregoing instrument was acknowledged before me this '2,(o day of �-p�r ,20 1 S by as (type of authority,e.g.officer,trustee,attomey in fact) for 1�1�,�S�l�J t� �2.1�-�t� ,as (Name of Person) (type of authority,. e.g.officer,trustee,attomey in fact) for �SQi�- ��sc2 (name of party on behalf of whom instrument was executed). -ersonall Known Produced ID Type of ID Q�ls��. Notary Signature /-�-� �� o��a�P�Bli� DENNIWIJICEK Printname �tti�/1 �ncol� * � * MY COMMISSIO`N k EE 216489 EXPIRES:Novemher 15,2016 �r"rFOF F��'�O! Bonded Thru Budget Notary Servita -�"*`�� ^ � ARS/Rescue Rooter � o a ' ' ' �� Phone:(727) 588-4200 " --'��J Fax: (727) 581-3058 ,,_-- American Residential Services of Florida,Inc. American Residential Services of Florida,Inc. 3340 N Scherer Drive Suite A Lic#CMC1249406 &CFC1427670 St. Petersburg, FL 33716 To City of Zephyrhills: Re: Letter of Authorization This is to certify that the person(s)whose signature(s)appear below is/are my employee(s) partner(s) and/or officers are authorized to purchase permits and/or call for inspections. Authorized Person(s) Signatures of Authorized Person(s) Ismar Becirovic �� B261-400-83-445-0 �N�;IS ZA�C�1� �� `� 1 - Dennis J.Zacek Contractors Signature Date State License#CFC1428283 State of Florida �6r.liJcr �/L.i �� V�-v�-�'� y�rc''µ'�—. Dennis Brown; Contractor Contractors Signature Date State License#CMC1249406 , State of Florida Subscribed and sworn to(or affirmed) fore e this 2 da b�-, 15 r , � ota blic Personally Known ;�•t}"�^•�; RENEE M WILLIAMS-COX ='; •`c MY COMMISSION#EE220568 '•',�„ .' EXPIRE3 July 34.2016 10 �98-0753 Fbridallo�eryS�Mr.e.ccm CMG 1249406.�F�,4z�s�o . �p� a� � al � ��d0 � � ' � IIdSTALLATION WORK ORDER (727) 58$-4200 . . , • ' '�'�i S 'rf� (� I S � � `� l.� ��z 22(/%7 Customer Name Date Call Slip q ' �3 �o a� � � �h/E Z PP�' yU�� (s �� 33 s� • Ad ess City Shdte Zip Code ( �� ) �f�— dL�l6 � ( ) / . l Phone Phone Scheduled Installatibn Date We hereby agree to furnish and you agree to pay for all necessary equipment,materials and labor to install the following items listed in accordance with the conditions and.specifications set forth on the reverse side. 1� ' pption#1 ,C� � Option#2 C�ption #3 " 1�rt4-L L +'��l u M�' � 0 cu .n A-�I�as-� ��- W/ KW W/ KW KW b le��- (�� PRICE � ✓�s�9 � � $ OPTIONS�2�,�� •(.tnl ►/'�LIl�✓e�+ - • + - � � - 7�Q A�hc �su I + - + - �_I a�� Na7 �!Nr��ffialy+ - + - � TOTAL $ �SO' �� do=�OD�$ � � Warranty: Comp.�.Parts Labor ' Warranty: Comp Parts Labor Warranty: Comp Parts Labor Refri�er nt recovered and disposed of as required by law. Complete clean up including use of floor savers to protect your home and removal of existing equipment. All work completed is done in accordance with existing codes and permits, as required. ■ � � - . . � ❑ Hurricane Tie Downs � ❑ Refrig. pipe( ) ❑ Drain Line_Reconnecc_New � Supply plenum a�,� Na,,,, Feconnect New ❑ L'rfetime equipment slab ❑ Refrig.pipe cover ❑ New Plywood Deck � Return plenu R�«,�� ❑ Sound isolation pads `� Expansion valve ' ❑ Ceiling saver kit(pan&float) �Remove existing equipment ❑ A/H Whi /Disconnect ❑ Tape/Seal.Duc,is( � ) ❑ Main drain safety switch ❑ A/H Stand ❑ Coffin Box � C/U hip/ isconnect � T-stat Wire�Reconnec�New ❑ Attic Light ❑New Outlet ❑ Insulate Return Box �Digital T-stat� /'�• � �a � Conn.to exist.elect. ❑• Support attic equipment ❑ Vertical ❑ Horizontal � Flood Zone 7 ( ❑ IAQ{ ) ❑ Crane/Stories Reach j�GL�Qj`� , Y�q � . � ❑ Access ( ` ) � Breaker Brand Size A/H Size C/U Wire Size A/H Size C/U " - - =�• _��3fE}�f��fD�eL�E0�1:- f � ' - - - " - '- - ' - ' � - -"- -- - - - = - - :•••::::::::::::::::::.:::::: _ _ _ _ -•-_• • .•- _:-:---:--_ :_.:._-:--=---..:-:.-:::=-====-•::-=-=�- =.-:- •. -=-- : - .,•_--- - �::::::::::::::::::. :-:-:-:_:-:_:-:-:-:-:-:_:_��a.a��ea:'::: _ = - - _ __ : _.�€t9%:�J�c�r�i�mna]E�iie�i�a�€�::`c��ge:=== .-�- - - - - - = - - - = - = - - - -�: - - - _ :=: -�--:=: - - _- _ : _=_ - - =_ ' - _-_ _-_ - _ =�rt�o_ .�ua��e�==:=:=:=:===`�=- - ==- _- _ - :��ei��e=Giia��e':::=:::::� :::::::::::::::.:::::.:::: - - - - - -� - - --� _ - - • � ----- - �� - . -=- . ,- __ . - -�.- - - . -. -- - - - - --- - - ----- ADDIT O AL: � � �C1�V+�1� INSTALLED Q b � AMOUNT: ��7 �D7. � � Ir' .t IJ S�� O REBATES � $ Initials ARS is not responsible for any existing ductwork. (mailed to home own � $ OTAL ��7 By: Date: � � By:. Date: � � �� G�s7aner O� CanpenyRepresenlsGie � . Terms: ❑ Cash Chec�#15 Iy�.�1.a#• Exp. Fnanced through:• �� Note:Beginning 2010,R-22 equi ent wlll �g�be�ddt�ed. Replacement parts end refrigerant will be available,however,equ�i�it cannot be mixed. 414A(s•the new refrigerant. BUYER'S RIGHT TO CANCEL.This is a ho�sollcilation sale,and it you do not want the goods or services,you may cancel th(s agreement by providing written noGce to the seller in person,by telegram,or by mail.This notice m t indcate that you do not want the goods or services and must be delivered or pastmarked before midnight of the third business day after you sign this agreement.If you cancel this agreement,the seller may not keep all or part of any cash down payment.