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Home My WebLink About15-16826 ; CITY OF ZEPHYRHILLS . ' S335-8TH STREET (813)780-0020 168 6 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION - Permit Number: 16826 Address: 6055 10TH 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: TYSON Est.Value: Parcel Number: 02-26-21-0080-00100-0300 Improv. Cost: 4,700.00 OWNER INFORMATION Date Issued: 12/11/2015 Name: RANK, DAVID &SHIRLEY Total Fees: 60.00 Address: 12311 OSCEOLA RD Amount Paid: 60.00 CAMDEN NY 13316 Date Paid: 12/11/2015 Phone: (813)395-6307 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTOR S APPLICATION FEES ALL TECH A R &FILTRATI N LC HANGE UT 60.00 � � * � � � I v� � ' �' 2� - f � - fS �� Ins ections Re uired DU TS INSTALLED DUCTS INSULATED FINAL�Z�'�G �-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 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 � a�aaaaoozo• City of Zephyrhills PermitApplication Fax813-78U-0021 , � Building DepaRment Date Received Phone Contact for Pertnitting — Owners Name ��lt � `�--- Owner Phone Number � Owners Address � J V�' Owner Phone Number Fee Simple TiUeholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS IJJ� S ^ LOT# C] SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR 8 ADDIALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE ��' SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q /' l DESCRIPTION OF WORK l.� O� '"" �� a �� —'� '�Y1 BUILDING SIZE SQ FOOTAGE� HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ (�-_ � r �?,� �••(� l7 �MECHANICAL $ t-� _ VALUATION OF MECHANICAL INSTALLATION l QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MEC ICAL COMPANY I�IJ 1 �1 � d ,�� SIGNA R REGISTERED Y/ N FEE CURRE� Y/N Address �� 131 r � License# T l OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' Address License# � 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, ', Minimum ten(10)worlung days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence instalted, Sanitary Faalities&1 dumpster,Site Work Permit for subdivisionsAarge projeas 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 after submittal date. Required onsite,ConsVuction Plans,Stortm,vater 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: Fiil out application completely Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (AIC upgrades 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 PERMITfING (copy of conVact required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW I L _ __ I 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 WatedSewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEPd 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—HomeownePs , Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the appiicant 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 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 performed to meet standards of all laws regulating construction, County and City codes, zoning reguiations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is my responsibility to identity 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 Waterways. - Department of Health & Rehabilitative Seroices/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 affdavit 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 specificaily 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 worlc 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 OlIUidER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIIdG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAI(d FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) ,� � ' OWNER OR AGENT CONTRACTOR �v �i I �n n�m Y� Subscribed and swom to(or affirtned)before me this �uI_bs�ed and swom to(or affirmed)before m, is by L1�bY Who is/are personally known to me or hasJhave produced VJfio is/are personally known to me or as/have produce as identification. as identificaGon. (�� v � Notary Public W�' Notary Public Commission No. mmissi n No. Name of Notary typed,printed or stamped Name af Notary d;� nt"d �$ta ' `€ MY COMMISSION#FF444817 ��.c'�,o�: '•.',!e'oFf�o?;'� EXPIRES July 24, 2018 ' (ao7)3se-o153 FloridallotaryService.com , l • 1 ' � , 1 35946 State Road 54,Zephyrhills,F133541 Ph 813-570-6934 Fax 813-783-2336 CAC18 41�96 • • • •D� � Air Conditioning&Heating ��,�� / �j��C� �2-�Q-� PROPOSAL SIT�MI�'TED TO: WORK TO BE PERFORMED A : David Rank (Same) ��. �'J�o' 6055 10`�St � t.� Zephyrhills,F133542 813-395-6307 315-447-0966 bulldozer1947@yahoo.com � WE HEREBY PROPOSE TO FURNISH TAE MATERIALS AND PERFORM TE�LABOR NECES.SARY FOR: � I l _ 1� � 1 1 1. 1-Goodman 14 SEER Puron 410A(2 '/Z Ton Heat Pump)Split System with Skw back up heat , CONDENSER:GSZ14030fl /AIR HANDLER ARUF31B14 ARI 7995113 ' 2. This Also Includes:Digital Thermostat,Flush Drain,Re-build Hang Kit for Air Handler with Float Switc , Hurricane Slab&Straps for Condenser. 3. Change Copper Lines 3/4"and 3/8",Make a bigger return to 24x18 and install a new return grill **Goodman Warranty: (10 Years Parts and 1 Yeaz Labor)**Inclnded **Not Including: {Any Pre-existing Conditions, Original Electric, Flex and Extended Warran ) ALL MATERIALS ARE GUARANTEED TO BE AS SPECIFIED,ALL WORK TO BE COMPLETED IN WORI�MANLIKE I��IANNER FOR'1'HE SUM OF: $4.700.00 �OIJR THO�TSANI) SE'6�EN HUNDRED DOLLARS ANl) 00/104 ANY ALTERATIONS OR DEVIATIONS FROM ABOVE WORK INVOLVING EXTRA COSTS BE EXECUTED ONLY UPON WRITTEN ORDER AND WII,L BECOME AN EXTRA CHARGE OVER AND ABOVE TI�PROPOSAL AMOUNT.ALL AGREEMENTS CONTiNGENT UPON STRIKES ACCIDENTS.DELAYS BEYOND OUR CONTROL AND ACTS OF GOD. Respectfully submitted, Patrick ' annon E ires 3Q Days Manager,All-7'ech Air&Filtration, . • ACCEPTANCE OF PROPOSAL You must provide all conditional approved Permit Documents and provide one business day of your choice to stay h ma,within 10 days of completing work at your house for City or County Insgection.The above prices,specifications,and ' 'ons aze satisfactory and are hereby accepted.You are authorized to do the work as specified. Payments are as follows:�4.870.00 Due on Comaletion{OR$4,700.00 Check or Cash) Intials I Acce t Extended lWarrant +$820.00 [ntisis I Decline Extended Warrant print �0 C�l Sign \ Date ?�le app�yraux�iauseae!?.�Je ee�.�r�e� �0/techai�,com �