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Home My WebLink About16-16872 CITY OF ZEPHYRHILLS 5335-8TH STREET ;-' � (813)780-0020 16872 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16872 Address: 4801 AIRPORT RD STE 109 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: 13-26-21-0130-00100-1090 Improv. Cost: 3,800.00 OWNER INFORMATION Date Issued: 1/05/2016 Name: KUTCHEY RITA CAROLYN Total Fees: 55.00 Address: 4801 AIRPORT RD STE#109 Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/05/2016 Phone: (586)855-8711 Work Desc: A/C CHANGE OUT 2 TON CONTRACTOR S � APPLICATION FEES CHRIS'A/C CO. A/C CHANGEOUT 55.00 , , , Ins ections Re uired � DUCTS IN TAL ED DUCTSINSULAT 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. .�� ONTRACTOR SIGN� RE PERMIT OFFI R PERM3"�E�'PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION �Q�LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax 813-78U-0021 Building Department .'" Date Racei�3d phane Contact for Permittfn - - - - . -•--- - -- - ,�1 -- - - --- -- - - -- ... �.._ Owner'�Name �L�-! _�� Gwner Phone Number ��i ._ �J.S'� �jz// _ � �— � Owner's Address ��'� ��r��f �� ` jp�_ ..� Owner Phone Number Fee Simple Titleholdsr Name Owner Phone Number �� Fes Simple Tttlehalder Address JOB 14DDRESS c''T_�'''� � LOT# � T.:�-- SUBDIVISION .t3 1C4t��iOaC �y�I4� PARCEL ID# / "` o� lo'� �l ~ � J� ` v �j�`-<(�� (dBtAENED FROM PROPERTY 7AX NOTICEj WORK FRQPOSED NEw CONStR ADDlAIi' � SIGN [� [� DEMOLISH e INSTALL 8 REPAIR PRQPOSED USE Q SFR Q COfUIM � OTHER * TYPE QF CONSTRUCTlON Q BLOCK Q FRAME � STEEI. [� ' DESCRIPTION OF WORK (/ � 1. f'7 BUlLDING SIZE �� SQ FOOTAGE HEIGHT ._ D�u��}�G � � VALUATION OF TOTAL CONSTRUCTION �! QELECTRIGAG �� AMP SERVIGE Q PROGFtESS ENEFZGY Q W.R.E.C. QPLUMBING $ �� C_,_,_„.� � ��x MECHANICAL $ • o � VALUATION QF MECHANICAL INSTRLLATlQh (� . [�GAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS r�.—� FLOOQ Zt?NE AREA QYE3 NO L �uie.a�� _ __ _ _ ._ _---- -- co�n�Aen - --- _ _ _ __ . � - -- - - - SIGNATURE REGISTERED Y! N FfE CURF2ER Y t N Address License# � ^� ELEG7RfC1AN COMPANY SI4NATURE REGISTERED Y/ (V FEE CURRER Y/(+I Address License# � � PLUMB�R CQNtPANY SIGNATURE � REGIS7ERED Y/ N F�Cut�R� Y/N Address License# � _� MECHANICA! - �9 ,` COMPAt+tY / (�,- SIGNATURE � REGlS7ERED Y/ N FeE CUt�REt+ Y N • ', .. � �'�� Address / lti.� �, � � License# >v� � � � OTHER COMPANY SI(3NA7URE REGISTERED Y/ N . FEE CURRE� Y!N. Address Cicense# � � 1 RE81DEN71AL Aktaoh(2)Plot Plans;(2�sets of.Building Plans.{1)set of EnergyFortns;R-O-W Permit far new construation, Minimum ten(10).worktng days.after submlttal date. Required onsite,Constnuc8on Plans,Starmwater Plans w/Silt Fence installed, Sanitary Factli�es&1 dumpster,Site Work�Fermit for subdivisionslfarge projects COMl1AERCIAL- Attach{3�domplete sets of Bulldlrig Plans pfus a l.ife Safety Page;(1}set of Energy Forms.Ft-O-W Permit Eor new construction. Minimum ten(10)wo�lcing days'after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/5ilt Fence installed, Sanitary Facii�tles 81 dumpster.Site Work Permit for atl neriv projects.All commercial requirements must meet compUance SlGM PERMIT Attach{2)sets of Engineered Plans. ""`PROPERTY SURVEY required for all NEW constructlon. Directtons: Fill out application completely. Owner 8 Contractar slgn back of applicaHon,notarized IE over 52500,a Nalice of Commencemerrt ls required. tAIC upgrades aver 57500) " Agent(for the contractar)or Powar of Attomsy(far the owner)woutd be someane with notarized tetfer from awner authorizing same � OVER THE CdUNTER P.ERMI'fTiNG (Front a#Apptica6on Only) � Reroofs if shingles Sewers 3ervice Upgrades A!C Fences(PloU3urveylFootage) driveways-Not over Counter if on public roadways..needs ROW i NOTICE OF DEED RESTRICTIONS: The undersigned under.�tands that this,permif.may.be.subJect to"deed" restrictions" which may be:more.[est�ictive:than County reguletfons. �7he undersigned assumes responsibillty 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 requfred�to�be:licensed In accordance.with state.and•local regulatlons. If the contractor is not Ilcensed as requlred-by law, both the owner and conUactor may be ctted for a miedemeanor violation under state Iaw. If the owner or intended contractor are uncertain as to what Ilcensing.requlrements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Divislon—Licensing Sectton at 727-847- 8009. Funhermore, 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 applicatfon for which they will be responsible. If you, as.the owner stgn as the contractor, that�may be an indication that he Is not.properly Ucensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPAC7 AND RESOURCE RECOVERY FEE3: The undersigned understands —Q�at Tr�r►s�o�fetio�-Impaci Fees�nd-Recourse-Recove.ry=�ees-m�y,��apply�to 4h�cor�struc�Ior-of-nevirtiulldtngs,:change of" - - - use in existing buildings, or.expansion-of��existin�g",buildings, as speclfled.in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees,.as,tnay�be�due,,wfll.be identified at the time of permitting. It is further unde�stood that Transportatlon Impact Fees an.d Resource Recovery Fees must be pald prior to receiving a "certi�cate of occupancy" or�inal.powec release. :1�the project.does not involve a certiflcate of occupancy or final power release, the,fees must be paid prior to permit issuance. Furthermore� if:Pasco County Water/Sewer Impact fees a�e due, they�must be�pald prfor to permit-Issuance-in accordance with�applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter T13� Florlda Statutes,a�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� Constructlon Lien_Law—Homeowner's Protection Gu(de" prepared by the Florida Department�of Agric.ulture and ConsumerAffairs. If the appl(cant is someone other than the"owner", I certify that I h�ve.obtained a copy;of:the abave..described document�and.promise ln,good faith to deliver it to the°owne�"prior to•commencement: ' CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify ttiat all the Information.in�this applicatlon 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 obta(n .a permit to do work.and Installatlon as indicated.- 'I certify that no work or installation has commenced prior to fssuance of a permit and that.all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulatlo.ns, and land development regulatlons�in the jurlsdtction. 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 besln:.corr�pliance: Such agencies include but are..not Ilmited to: - Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Envlronmentally Sensittve l.ands, WatedWastewater Treatment. - Southwest Flor�da Water Management .District Wells, Cypress. Bay.heads�, Wetland Areas, Aitering Watercourses. - Army Corps of Engineers-Seawalis, Docks, Navtgable Waterways. - Department of Health & Rehabifltative Serv(ces/Environmental Health Unit Weli.s, Wastewater Treatment, Septic Tanks. � . - US Environmental Protection Agency-Asbestos abatement. - - Federal Aviation Aulhority-Runways. I understand that the following,restrictions apply to the use of flll:� - Use of fill is not allowed in Flood Zone°V"unless expressly permitted. - If the fill materlal is to be used in Flood Zone. "A°, it. (s understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting whlch (s prepared by a professional engineer ilcensed by the State of Flor(da: - If the fill material is to be used in Flood Zone °A° in�connection�with.a permitted buflding using stem wall construction, I certify that fill:wlll::be used only.to.fill the area withtn the�stem�wall. - If flll material is�to be used in any area, I certify tfiat .use. of such flll will not adversely affect adjacent properties. If use of flll is found to adversely_:�ffect adJaeent�propertie5,.the owner may be clted for violating the conditions of the building,permit issued under the attached�ermit application, for lots less 1han.one (1) acre which are elevated�by flll, a�t engineered drainage plan Is required. • If I am the AGENT FOR TNE 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 elecMcal work, piumbing, signs, wells, pools, air conditioning,.gas, or other install�tions noE speclflcally included�in.the application. �A permit issued""shall be constcued to be a'�Ifcense to p�oceed with ttie work and not as�authority to,violate,�cancel, alter, or set aside any provisions of the techn(cal codes; nor shall issuance�of a.permit.prevent the Bulldirig Offic(al from thereafter requiring a correctton nf errors in.plans, con§truction or vlolatlons of any codes. Every permit issued shall become invalid unless the work authorized.by such permit.•is-commenced•wtthfn sfx months.of permit issuance, or if work authorized by the pe�mlt is suspended or.abandoned for a:perfod of�six-(8)months'.after the time the�work ts commenced. An extension may be requested, in writing; f�om the Building.Offlc(al for a per(od�not to.exceed nlnety�(90) days and will demonstrate justifiable cause for.the extension�. If work ceases for ninety(90)cons.�cutive:day.s,..th�job is considered aba�doned. WARNING-TO OWNER: YOUR.FAILURE_�TO.,REC:ORD A..NOTIGE OF•COMMEMCEMEMT.MAY RESULT IN YOUR PAYING TWICE.FOR IMPROVEMEPITS TO..XO.UR�_P..ROPERTY.�IF�YOU�IN�END�TO'OBTAIN��FINFANCING;'CONSULT WIT Y UR D O AN�A7TORNEY� ORE.R CQR� G:' �U ' E CE EN ' . FLORIDA JURA�(F.S.1.17 3) _ � . OWNER OR AOENT - � � CONTRACTOR dn'�-'� Subscribed and swom ta{or afHrmed)before me this Subscribed and's m=to(or afflrmedpbefore me ffiis by ,by ,. _ Who Islare personally known to.me or has�aye produced Who:ls/are personallyknoxm�to me.or has/have produced. • as Identlflcatlon. as IdendflpUon. Notery Public . Nofary Publlc Commisslon No. Commisslon�No. Name ot Notary typed,printed or stamped Name of Notery typed,printed or stamped . � . ,�` - -_ - � � � ; -, �;.� �1��' " ��'��.��`�c-�' �a.�1�� 3 ..�� CAC058575 PROPOSAL SHEET CUSTOMER DATE. 1/4/2016 NAME. Rita Kutchey PHONE. 586-855-8711 ADDRESS 4801 Airport Road, #109 CITY Zephyrhills STATE. FI ZIP � 33542 FURNISH AND INSTALL THE FOLLOWING EQUIPMENT AND MATERIALS, 2 ton 13 seer a/c First company split system, digital thermostat, float switch, removal of old equipment, connected to existing ducts and electric, permit, tax and labor included, also seal ducts per code EQUIPMENT WARRANTY. 1 YEAR LABOR 5 YEAR PARTS 5 YEAR COMPRESSOR TOTAL JOB WARRANTY 1 YEAR PARTS AND LABOR PRICE: $3,800.00 **PRICE GOOD FOR 30 DAYS** PAYMENT' X UPON COMPLETION DRAWS % % SELLER RETAINS TITLE TO EQUIPMENT/MATERIALS UNTIL FINAL PAYMENT IS MADE. IF ANY PAYMENT IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT/MATERIAL AT SELLER'S EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILTY OF SELLER. BUYER SHALL BE SUBJECT TO A RESTOCKING FEE OF$75 00 IF JOB NOT CANCELED WITHIN 3 DAYS OF ACCEPTANCE. AGREED: CHRIS' � - DATE: /� / � %� BUYER DATE: (352)521-4977 12232 HWY 301 (813)779-9515 DADE CITY,FL 33525 (352)521-3393 FAX �