HomeMy WebLinkAbout16-16884 CITY OF ZEPHYRHILLS % ,
. ' 5335-8TH STREET
- (8�3)780-oozo 16884
� BUILDING PERMIT
- PERMIT INFORMATION = - LOCATION INFORMATION - �
Permit Number: 16884 Address: 38435 CR 54 ,
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: 02-26-21-0010-06000-0020
Improv. Cost: 3,000.00 � � " OWNER INFORMATION. ` � -
Date Issued: 1/07/2016 Name: PLAZA 54 LLC
Total Fees: 90.00 Address: PO BOX 89395
Amount Paid: 90.00 TAMPA FL 33689-0406
Date Paid: 1/08/2016 Phone: 813-244-1177
Work Desc: A/C CHANGE OUT 3 TON /W ADDED ELECTRIC
CONTRACTOR S . � �� ' .APPLICATION FEES - '
STRATEGIC AIR CONDITIONING A/C CHANGEOUT 50.00
JUST ELECTRIC LLC ELECTRICAL FEE 40.00
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1 - 2t - 1 �
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� � � " � Ins ections Re uired - - - - � -
D TS INSTAL ED
DUCTSINSULATED
FINAL I - 2� -��
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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
see��-��e�fi l�p �I-��8��.,,_
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER ,
.�
CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(813)780-0020 16884
BUILDING PERMIT
PERMIT INFORMATION .- � � ' ,.LOCATION INFORMATION
Permit Number: 16884 Address: 38435 CR 54
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: 02-26-21-0010-06000-0020
Improv. Cost: 3,000.00 OWNER INFORMATION
Date Issued: 1/07/2016 Name: PLAZA 54 LLC
Total Fees: 50.00 Address: PO BOX 89395
Amount Paid: 50.00 TAMPA FL 33689-0406
Date Paid: 1/07/2016 Phone: 813-244-1177
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S . - APPLICATION FEES
' STRATEGIC AIR CONDITIONING A/C CHANGEOUT 50.00
i
�
�
� � Ins ections Re uired - � � �
D T INSTALLED
DUCTSINSULATED
FINAL
�
REINSPECTION FEES: c With res ect to Reins ection fees will com 1 with Florida Statute 553.80 2 c the
� ) P P PY _ � )� )
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 properly. 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.
TRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
_ _ �
� STRATEG/C 3726 Abraham Acres Lane HVAC Proposal
AIR CONDITIONING Plant City, FL 33565
(813) 477-0214 Lic.#CAC9817324 Phone Date
12/30l2015
ob Name/Location
38435 Coun Road 54
Customer Name Ze h rhills, FI
Plaza 54 LtC, ob Phone: T
Address
P.O. Box 89395
City State Zip
Tampa FL 33689
e hereb Submit s ecifications and estimates for fhe foliowin :
Provide and install 1-3ton American Standard Strai ht cool lit s stem to existin duct.
Warran : 5 ear Com ressor, 1 ear arts and 1 ear Labor.
Total Price includes all Materials, Labor, Insurance and Permit.
e he�eb ro se to furni h material nd I r-
s s a abo com lete in accordance with above s ificabons,
or the sum of: Total Price: $3,000.00
Pa ent to be made as follows:
�___ Authorized Signature:
Note:this proposal may be withdrawn if not accepted within
days.
cceptance of Proposal
Date: Sigrratt�re:
813-780-0020 City af Zephyrhilis Permit Application Fax-813-780-p021 ,
„ Building Depatfiment
Date Recetved phane�CantacEforPermtttln ��..7 � ' —��
j [[ / /�
Owner's Name 1 "Z—Gl. �'T G.—�l� Ow»er Phane Number � � � —1� 7�
` � � I
Owner's Address V �C`y�{, ��_-` ` Owner Phone Number
Fee Simple Tltleholder.Name Owner Phane Number � �
Fee Simple Titleholder Address
J08 ADDRESS �� � �,D `9 LOT# C�
SUBDIVISIOPI � � ' PARCEi,ID# � —�,� �cX I^�C�`~���d� "��c�d
- , (OBTAIHED FRpM.PROPERTYTAX NOTICE)
W8R1C PROFt3SED • NEW CONSTR ADDIAI.T �'�� S1GN Q Q DEMOLt3H
INSTALL 8 REPAIR ��
PROPQSEDf.USE � Q SFR Q COMM Q OTHEi2
TYPE OF CONSTRUCTION � Q ` BLOCK �' ,[]' FRAME [,,,�]_ STEEL' C]
DESGt21PTION OF WORK � 1..��il.aM- � (��,1,.�^ 0. � cS S ,�
Btl1LDlNG SIZE � ' � 3Q�FOOTAGE � HEIGHT��C�^�
�BUlI.DING � � , �• . �;_ .-- -
� VALUATION.`O�"TO'fAL CONS'i'RUCTION � I
QElECi'RICAl. r r$ ' � AMP SERViCE Q PRC}GRE3S EI�{ERGY [� W.R.E.G.
�__._._.�
OPLUMBtNG � � '
�]MECHANICAL $ �r,,(� �' YALOATlON OF MECHIWICAI iNSTALLATli�iV ����
, �.�V ' � �
QGAS Q E200Fi(+{G ,Q SPECIA�'TY �-] OTHER
FINISHED FLOOR ELEVATIQNS r�� FLOOD ZQNE AREA QYE$. NO
L
BUIl.DER COMPANY�
SIGNATURE REGI87ERED Y/ N FEE CURREA Y/N
Address ' Ltcense# � �
E�ECi'RICIAN= „ � ` ,=COMPAMt t�-- I� j C..
SIGNATURE "� � '�'� REGIS7ERED Y/ N FEE CURRE� ' 'Y/N
�: _ . � ,�-.. � - - - . '
Atfdr8s8 ,. LECBnSE# "�"�,�:7-�� /��� � �
PIUMBER , -.COMFANY _ �
SIGNATURE' , _Re��3.'I�REo Y:/,.N, FEECURRE�_ " Y�/N�
Address ' LEcRnse..# � � ��
MECHANICAi: . �OMPILNY,, �.�Y�� 1 C._;�� � t��fY.kt�}Cs�}1 J:?
SIGNATtJRE• ' �' ' ' �` ` r�cis7EREo , - , .Y./ N . _: ..' FEEcu�tEn_. Y-/�N = , ,
. . ., � -
'� �4- , , . , �. ''"'�
Address`'' -� `` ' = ' . ,- ` � _ ^ License# ����:�o�� I
.
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OTHER � ' - � � ",'.CONIFANY
SIGNATURE - {��- � � � � ' � REGISTERED Y/ N . �E cu�n Y 7 N
Address ., ` , �R . � � , . ' '. Cicense#��'� � -
RESlDENTlAI;; :Attach'2µPfot=.Rlaris;_2 sets;of;Bia1lilln`�Pla'r�"s;1)'setof.Ene = ' . .... , .
{ } '{ ? -.�, g { rgy>Farms;'R-Q-W'Penciit for'new consWction, � .
r. ,,.;>;;,Minimumyteny(4,0)�woricing;days;after„submiCtal'date.F�:Required onsife,:Cafnstiu'c8on'Rians;Stormwater`Pians w/Siit Fence installed,
' "�� Sanitary FaGlttles:&z;l;dumpster�Site WorFc Permit-for_su6d(visionsAarge,proJects, �_�.;, :` '
GQMM�RCIIA►R. Attach{S}�rgmptete sets"of B'ultdiiig Pians plus a E.[fe Safety Page;{1}set of Energy Forms.R-0 W Petrnit for new constructton.
Minimum ten(10)woricing days after submittal date. Requlred onsite,Canstruction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FeciliHes&1 dumpster.Slte Work Permlt for all new,�proJacts:All commercial requirements.must meet compllance
. _
SIGN PERMIT Attach"{2j"sets of Eiigtijeer,ed:Plans:, � :.�-ti� • - `
••"PROPERTY SURVEY raquired for aI1,NEW.canstrucUon. __ �
Dirac#Eons: � . . .
Ffll out appiicaUon completely.
Owner&Contractor sign back of applicattoa,notarized
If cver�!500,a iVotice af Commencement i�required. {A/C upgrades ovar 5t500)
, .,,-^� �
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" Agent(for the ccntracto�)or'Power of Attomey'(far the'ownerj would be someone with notarized letter from owner authorizing same
d1tER THE COUNTER PERM#?'ilNG --- •(Frant af-AppltcaBbn�OriiY}.:- ; _` `.+=- ' : =
Reroafs If shingles Sewers Service Upgrades NC�` Fences(Plot/Survey/Footage)
Driveways-Nat aver Counter if on pubtic inadways..neet!"s"RO{IV�
NOTiCE,OF DEED.RESTRIGTIONS: The undecsigned,understands-�,th�t,this,�.p�r•.mif;.may,y_be;subJect.to"deed",restrlctions"; ; , ,q '
� which may.tie�more=r.e'stkictive.tha��CounEy�aregulatfons:•�l?ie underslgned�`as'sumea'r'�sponsiblltty'fo�"'compliance Vti►ith any ',
applicable deed re�@�ictlons. . • _ _ , _, „ . � • - - - -
UNLICENSED�CONTRACTORS :AND CONTRACTOR RESPONSIBILITIES: -�If the�owner�has�hired��a .contractor or
contractors to undertake work, they.may_be;req�;ired,_to.;be,ltcensed:ln accordance.with.state.and�local:;regulatlons:�jif�the- � � -
contractor fs not�Iicensed�as�requlred;tiy law, both the oHrner and`-conUacto���may�be�clted`,for��a'�misdemeanor violadon
�I under state law. If the owner or Intended�,contractor;are;�uncertaln as to what Iicensin,g.,_requirements;may.:appty.�for:tFie � �� ��
intended work, they are ad6lsed to�coritact the Pasco�County Bullding'InspectionrDlvislon_=-Llcensing Section at 727-847-
8009. Furthermore, if the ovimer Fias`�hired�a conUactor-o� contractors, he ts advised to have�the contractor(s),_sign_, . ,
portions of the_"contractor Block" of this�appilcation_for..whlch.they..will be.r.e�ponslble. If::you, as�:the ovmer"sign'�as'the `�
..,-. �< -_..�.
cont�actor, that inay'�be an indicatlon that'he'is'"not:properly licen"s"'ed and�'is�not`entitled to perrriitti'ng privileges In Pasco _
County. ' . . , �;. � � �•
TRANSPORTATION;IMPACTIUTILITIES�tMPAC'�ANb�RE$OUttCE RECOVERY�FEES:��The understgned�unde�stands
that Transportation Impact Fees.and.Reco.urse Recove.ry.Fees mey>:apply:�to tf�e�construct(on,of new bulldings,�change=of�''�= ��=` '�'
use In existing buiidings;�or,;expansi�nrof�ezisti�i,g'=buildings, as specifled.in Pasco County Ordtnance number 89-07 and •
90-07, as amended,�.�Th� undersigned also,understands; thalt:�such fees;,.as��may:,be.due;;rwill:�be identi�ed at the�time•of`�� � � '
permitting. It is furtlier understood that Transportatlon Impact`Fees and��Resource.:Recovery`Fees..must be pald prlor to
receEving a 'certi�cate.of�occupancy" or flnal��power;.celease:��:1�-the proJ�ck.does.no��Involve;a:�.certiflcate of occupancy,o�='���-�"�= '
ftnal power-release; the..fees mu�t be paid;prlor to.permit Issuance. Ft��thermore;�if:Pasco.Couniy�Vliater/Sewet=lmpact � ,, .
fees are due,.they_must be-pald:pnior to permit-l§suance�:in_accordance wltFt.appllcable..Pascv�County ordinances. •
CONSTRUCTION�LIEN'L.AYV�(Cliapte�713� Florlda Statutes�as amended): ifivaluatlon of work is$2,500.00�or more,-Ir �: -�.., r
certify that I� the. applicant,: have-been provided with�a=copy of:the 'Flo�ida� Constructton� Llen.:Lav�—Homeowner's
Protectlon Guide" prepared by tFie Flo"rida Depertment�of Agrlc.ulture and Consum�r;Atfairs. If the applicant is so'meone• , � . ,
.:.
.:.. . ... - -
other than the"ov�mer", I certifjc.that,I�have.ob.talned�a�'copy;of.the,abova-.rfes.critiedtfocument:and.promise�'in;good".faith-.to .
� deliver it to;the`ownec":.pi�or�to�commencemenE:' - ' . " , ' � � �
CONTRACTOR'S/OWNER'8 AFFIDAVIT: I.cecfify.:tliat�ail,th�;informatidn:.in thl�applicatlon is accurate.and that all work
will'be done in complience with all applicabie''laws regulating construc8on, zontng and;land�deyelopment. Application, is
hereby made to obtain .a.permit�,Co,:dv.-work;;,and tnstallatlon as indl�afed:- :I ceritfyr that no work°or Installatton has'
commenced p�lo� to Issuance of`a permit�"and that�.all work will be pertormed to meet_standards-of all laws �egulating-
constructlon, County and City codes� zoning regulatiQns� and land development tegulattons=tn the .jurisdtction:- �1 al'so
certify that I understand that the regulations of othe��gov�rnment agencles may�apply�to the intended work, and that it is
my responsibility to identlfy�what.actions I must•take:to berin�compiiar�cs;..S.uch.agencies Include but�are.not iimfted to:
- Depactment of Envlronmental.�Protection=Cyp�ess.`Bayhead�; Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
���Y
- Southwest Florlda Water Management:I�istrict-Wells, Cypress. Bayheads; 'Wetland Areas� Alte�ing
Watercourses. - -
� - Army Corps of Engtneers-Seawalls,"Docks,Navigatile Waterways.
- Department of Health:;&,ReY�abllltative .ServiceslEnvironmental Health Untt Well.s; Wastewater��Treatment, � -
Septic Tanks. .� � � . - -
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatton:Authori,ty,-.Runweys,: �
I understand that the�follow�ng;�esuictlons apply to the use of flIL••
- Use of flll is not allowed in�Flood:Zone"V"unless expressly permitted. _.
- If the :fill mateMal�"is �to'-b.e-used:'�in��Flood Zone. "A", It is understood that a drainage �lan addressing a
"compensating volume"will be submitted at#ime of•permittJng wfilch is prepared by a professional engineer
Ilcensed by the�tate�of:Flortda:�� �� � - - ,
- If th� fill material�is to;be:used in Flood �one 'A" in�connec�lon�wlth�a permitted bufiding using stem wall
construct(on, I cert(fy.that flll�:�rall:be�used only.to fill the area wtthin the�stem�wall.
- If ffll material is to be used in any area;-1'�certify tfiat .use. of such flll will not adversely affect adJacent
propertles. If use:of flll Is found�to.adversely.,�ffect adJaEent��pca�perties,.the owner may be'cited for vlol"ating �`
the condfllons of the b�ildirig;permit Issued=�under the�at�acfied permit appllcatlon, for:;lots.less than.one (1)
acre wfiicFi are elevated��tiy;flll; a�r engineered dralnage plan is required.
If I am the AGENT FOR TH��OYYNER;_I;.promiae.In good fatth to inform the�ow�er of-the permitttng condftlons set forth in
thts affidavit`prior-to commencing constructlon. I'understand that a�aeparate�permit may be required for electMcal'work,
plumbing, signs, wells,,.pools;. air condlttoning,...g$s, ;or°othe� Instali�tlon� not,spec(flcaily Included�in.the application. .A .
permit Issued shall be conshued to`be=�a�Ilcense'�to'proceed with tFie work and�not-as:authoNty to:_viola�e;`cancel� alter, or
, set aside any provistons of the teclinical codes;�nor shall Issuance�of a.permit.pcevent the Bulldtrig Offlclal from thereafter �
requlrin.g a correctlon a�f errors in��plans; coristruction or vlolations of=any codes. Every permit-(ssued sfiall�become invalid
unless the work authortzed.by such permlt:is-commenced•withtn.sfx:.months of�permlt Issua�ce, or If wrork authorized by
�.-
the permit ts suspended�or.abandoned�for:a:period`of�six•��)monfFis sfter the tirne the�work��s commenced, .An extension
may be requested, In wrtting�_from tFie Building,Official for a period.not to�exceed ninety�(90) days and�wlll demonstrate _ _�
-r�u�tlf��ble-csces�-for.the exEension.Bf-wopk-c�a���.f�fninety-(90)co�s:ecutive:d�y.s;..tfie)ob-is considered aba�doned:
WARNIfVG TO OWNER: YOUR;FAILIJRE,.Tt3,R�EC.ORD,A:.;NOT�ICE�:O�;�COMMEMCEMEMT.MAY=RESULT IN YOUR
PAYING TWICE;FOR;IMPROVEINEN�S�TO YOU�::PR�PERTY:•,IF�YO.U:r1IV�'�END�'TO�OBTAIN�FINANEING;'CONSULT
WIT O AN� TTO NEI� OR��. ECOR�d F�t OU : ;C "O '` E �
FLORIDAJURA��(F.S:1.17.03} , - • ., • , . _ -- . .
OWNER OR AOENT = COPITRAGTO �'�i L�� '
Subsarlbed and ewom M(or aHirtned)betore me thls Subscribed'and' =to( ed)�b" m �tht�
bY /-�I-%�i ;.by• ci �� PiT
, Who Is/are personelly knovm to.me or has/have produced Who.ls/are,p.e��s o�r(al kpoum•to me. c heslhave:produced • -
as Identlflcatl4n. � �f_: �c�I�CY[.t'c1,�S'.2 as tdenBflcaflon.
Notery Public ��'� NOtary Publlc
''�••���:: ACQUELINE BOGES
Commisslon No:`- Comml ' � • .
;�.o,��',,.pP; Expires Decetnber 12,2p1g
Name ot Notary typed,printed or stamped Name �' t�lfi9p��sao�9