The URL can be used to link to this page

Home My WebLink About16-17410 i , , CITY OF ZEPHYRHILLS 5335-8TH STREET ' (813)780-0020 17 10 BUILDING PERMIT ; � PERMIT-INFORMATION - LOCATION INFORMATION Permit Number: 17410 Address: 38415 12TH AVE ; Perrriit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Propos�ed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: � Squa�re Feet: Subdivision: CITY OF ZEPHYRHILLS ' Est. Value: Parcel Number: 11-26-21-0010-03600-0115 Improv. Cost: 5,975.00 OWNER INFORMATION Date Issued: 6/02/2016 Name: FLACK, CINDY Total Fees: 65.00 Address: 38415 12TH AVE Amo I nt Paid: 65.00 ZEPHYRHILLS, FL. 33542 , Date Paid: 6/02/2016 Phone: (813)469-0995 ' Wo�k Desc: A/C CHANGE OUT 2.5 TON 1 CONTRACTOR S APPLICATION FEES US AIR'CONDITIONING & HEATING A/C CHANGEOUT 65.00 � Ins ec i ns Re uired - DU T INSTALLED � DUCTSINSULATED FINAL I �� -( � i 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 I 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. . ��2�CC�c��1L e� �CONTRACTOR SIGNATURE PERMIT OFFI R ' I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ; PROTECT CARD FROM WEATHER � � ! I . I , 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 i Building Department IDate Received _ Q�' Phone Contact for Permitting � -rr� � • Owner's Name 7r1 � Owner Phone Num6er � ■ Q � , Owner's Address +h . Owner Phone Number Fee Simple Titleholder Name �— Owner Phone Number Fee Slmple Tltleholder Address JOB ADDRESS �h LOT# � SUBDIVISION pARCEL ID# I (OBTAMED FROM PROPERTY TAX NOTIC� WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH IINSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q i DESCRIPTION OF WORK �,�d + / x BUILDING SIZE SQ FOOTAGE� HEIGHT � �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ �//� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J�% � (/ � ��' ?� �(�I � l QGAS Q ROOFING Q SPECIALTY 0 OTHER ��(� Z�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ,�� BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I Address License tt �—� � � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I Address License# � MECHANICAL COMPANY U�+��i+r Cor��i��+i� � ISIGNATURE � REGISTERED Y/ N FEE CURRE� Y/= Address VC• ��License# � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# 1 1 1 1 1 1 I 1 1 1 1 I 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 I 1 I 1 1 1 1 1 1 I 1 1 I 1 1 ' RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum len(10)working days after submitlal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sels of Building Plans plus a Life Safety Page;(1)set o(Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster Site Work Permit tor all new projects.Ail commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions:• FIII out appiication completely. Owner 8 Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is requlred. (A/C upgredes over$7500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with nolarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) � Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) � Driveways-Not over Counter if on public roadways,.needs ROW � 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 con4act 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 I90-07, 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 I 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"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 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 work,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 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 Watervvays. - Department of Health & Rehabilitative Services/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 affidavit 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 specifically 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 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 OR AGENT' " '@"+��lXi �..�"��►'Z��CONTRACTOR ubsG(ibed nd sworn to(or ffirmed befor me 1this N 7ubsC�{be,d(n�d s o r f dj bef e m •d• ��bY 1�r�'�� L�l 1 Vi 'O_CY�1_L�bY �ho is/are personally known to me or has/have produced �]hoTs/are personal nown to me or riav pro ce �IS —�" ' —S/ - ' s identiflcation as identifica'on. Notary Public Notary Public Commission No.� Com i n No. o ary yped,pr r ped o ype , rinled or sta ' i i <�"i:�- CRISTINATURCOTTE ;�,... ,�•: ;.; .- MYCOMMISSIONNFF027671 ;�q��:'°v�= CRISTINATURCOTTE ' ' EXPIRES:August 3,2017 =,r +: MY COMMISSION#FF 027671 '�%�;y2��4�`�, Bonded Thru Notary PuWic Undenxriters �.•. ' �.,c�p; EXPIRES:Augusl3,2017 'o;oF��Q.•` Bonded Thru Notary Public Undenvrders l �1�� EI�A�CE CACO 6671 . •� -. . .. -:. �>-.' :• • . - �PC�RT° • • • • •- • �� r �rid��io�ni� �Ie�t�� 8� K�fr-� .- c� . -� r��I�F�{��N.,S�`.QR:��;;;;-- �tIR��QHDt'ItOt[IN[i � �' � � � ��— .- . _:�"_� ! � � Liquid,...,_ � ...�-'=Psfg • �� • � &I��'PIKG o suetion pstg SSZ713TH A��+1�LTE,NE'f7t�P(}R7'�ItI�I�Y,FIf 34652 • (�2'7`) 846-8818 � �SOQ) S�fl-58�8 � Fan Amps - �an�E � ' - DA * suaomscoN � ' _ w CampressorAm s c► HeatReoovery ' ��R��S �� AV 1'Ut�ilkGE=�� !P �S1C QPACKAGE �GAS �22 ❑410-A p' Cantactors • cmr�C � sr�� z� � � corro.►na� � �. n�nvucE ° �.G�" YR. �-�. Capacitors PHONE�+�• v �� c�,. �a � efloe��el�'� � � S3fE�f�{I� EMA1L � . SEnL�iO SEf8h1#� �, ;r."�--'r�r�!3'=1�: '�-M'�',�.:;t:r,.vx�-;� {�. .�:k� .. �..,:;�• ;xy,•:;��..�:..:.a� �•r�u ��v Me•s. t�-;.f,,,••y.�:. �r-" ;,� '3< 4i!Motor ':+, a',.;._t„..�r�a.;-ei �.r+-+ , -- �f ``-,_•y •� •-�`r� �:s�"7'�'`� •'�x,-N,�'�'r'c 4s:tS-� 'i_ ,.+4?, �k�i' ..�}F�-�i:',l,�r�yt , -s�:�- ��._. �' �IC�. �f:-_ � �� : .;�.<�,:A,� .="� �� l�� f�f'�U�l�C?. �.CS-�K. .'�-��-��y�.��,.�,. . A��:Refrtgerant �,r: i .:��:;�. �eSi��1E/ ��LJ��.. ��..;, '�i:o.� f.�j;''�,.u�.gtai° ti �.3: � �a".�i �-. ��.4".3fi. s7�:� "t'',-a-•> i� s.L.�,S�n�. _'s�1,t� d1.. i.� •7:•�.,� n � �' r i � � ��nd.�reaker O # �. s 'Cond.Coii • � f' �' '�� Accumulatar� " � 2K � "'� ''�� ' •� - r� �t�.. r" �i'J��C� � �, e,�; • I R �, +� ` T Fan Arn " _ - - � - P s ... �Y� 0.�►�: he''� Drain 6 Ta s K.W Size • � � Relay�s CUSTQM�R SURVEY P�as�iram�� Duct Sys�em 1• Was t�e represeniatiti�e heip�l fn ans�v�ng all�rourquestiohs? —Yes —No � Q,►�� Tighten Electricai 2.Was ti�e serli�e perfa�med 1n a prof�sfaral maqn� _Yes _P�a rr�: � �Y� ' 'I. Unit Rusting 3, Did th�representahxE tunyexpiain Ihe servi�es . � - , � Attic tnsulattnn Perfamed a arry additional seraices la 6e�ertormed �.�� _ � 1� 'Evaporator Coil _ in a professionaE a�i nun�pressur'mg maruiet? —Yes —No . � � � T�mp.Orop�! �•'�stheae�karealeflnealandclean? ._Yes _Nn . � .� � . � ��B_ � A11i-Breaker#,�� 5• '��d you reuxnmend U S.AfC�Healing .— Yes —Na �HAVE THE A1JfHORITY 7�D QFiDER'IHE ABOYE V18Ri(RND DO �fAL 1 7-Stat Di ❑Atlerc�Zone 6. O�erall,h�rrrrould you rale 1he+ral�e yau received from lf,S.�ir Candilloning and Heat� �so oROER as ourur�Eo ae�avE.IT IS AGFEEO TNAT 1H£SELLER �iP g 1VIIA.REfAIN T11'1E'I[)�d1fY EQU�'MEhfC OR MA7EAWLFUFiNfSHED CHARGE � �::,Pao:,,.x:.,�. ;,�.�-� 1JNiR FIAWL 8�001dP1�TE PAYMENT iS h1ADE,M1D IF BALANCE IS ' - � Excellent Gvad Fair Poor �''`'°� �. • • ' .NOT MADf fLS A�AEED,THE SEltEft SHAU.kAVE THE RFOHT TO , �.as F.'��+F�'��a�•�� - :,�';=e:i:3 a,.="��:�.�.'�$":;'�:�i:*! � :RElddVESAMEAWDj}IESELLEA'MLLBEHFIDHARMLESSFORANY � .�1 I ,:•,�� j�( ��,.;�. P�xtstVuutntm:n�tp�usscmrew�edarewwr�sarrermen�ac�ure�sFec�nns.v�eeo�mt9uar- T(�TAL � :,%`�,c�:".Y.,ti ��,�'f;;'• ;`, arY.eeolhar a,iamenn,os�4,em.v,i.ir� L�AMIIGESRES'IAlU�HaFROMTIiEAF1V18VAtTliEREO� , v:k+•5,,., a _....•w;;z•.�:,a P epalrelMerLeoumere�oiydrihatl�dafedh�sparts,theY+vi� . �A 1 5 4 1.E S A R E F I N A 1..N�F X C I i W J O E/F i E F U N p E l C. ' becUJged sep¢ielety,alherMse30deywertearyon aI1�aRsend�c 1AGREETQYAY AliODSTOF COitECRON,INCLUDING - 5 � •U�ffa111��8f�St8111 NEIYEQUmAdf]`l�Caiaixli�tReditYlilmlbaar.7�m+Ydrag�d/vnks»saiadonlhelmdoe�Mastm�fFcderal ANFYFE STkTifTOFKRETURNCFtECKCHARGESI+PPLY. DOWAIRAVMENT �1lde4evsloquaJiy[OnYyamlahaa1taadaie[IlnslaL /r/ �; .5�...�,�`.n•t��.'!�Yc.., ,�-.: 1�_'i� }-=�� ,�laflJFl �A4rCleaningSysbem 'PLEASENdf'E:Theret�ilhecnediliane�efigye3arch�r(Icaly7realadeler�i� �"r? �C�IEG�S-.YAfis�a.l�_ .Y�Sf�lE471 �C�RR.�f_.��c � ` EM[HGE�+CYSEH1flCE:MAAWacxf�artenrys¢nrcelsLeh�etnB:00asu�;COpe,6ianuay-�ddagexduding - " �. � �f;,� �� WholeHouseHEPA i�rooi��.A�oiesr,.uxs�ei�,nwaa�ro�i��. g X p•• + BUYERS R1GFfF 7b CANCEI,If yaa da no1 went Ihe goods�r.sr+Aees�cp tr�l ranoe]Nls{qeamsht b/ - � f�ehumidifierSystem p�midingrTiaonn�rtkeWlheoalorinyer�,an,Dpb:kgramormsl;`fhisnatfcomuati�Braietlia�Lvndonolwant • 7 N N E OFINANCE �,. ' Itsgooda a e9�vfceserrJ musl6edHtuxed u posUrerbed FhMle�pidrJghtollhe IY7ni hasne�dayam9ayou . slgnth�eyraem�ntHyweancelbisa3�5afisnl,lhesetermapnolte3palarpartaFerv/�sh�'ormpayment X �� BAL14IVCEOUE �� ' � NO°WARRANTY P,ouSptot��fua�ohgBupet¢Ri,r�AToCano�tlsherebyatY.noxladgdUyGLs'fomarbA�1}qated5�grrrv� upon�o ieiias� Oi�DRA1N LINES ---- ---- --- ��a�3n cusror�n Rnu OWZEDSiO ur�� `� _ - TECH T�1� `� —--- I� i � � � � U.S. � � AiR COND�TIONING � & H�ATING Authorization Letter I, �e�'/q(�OWcr� , contractor license number C/9Cds��71 , ; Herel�y authorize the following to act as my agents in obtaining permits in ►-}-v 6� Z.r;�l�vr 1�.1�5 �QY�Q.V12 �n�2_Y{�tQC1 �y�5 ��y 7 - y a -�o�^ � � � il 'I ' I il � gent's Name's Driver License Number's This authorization is to remain in effect indefinitely, unless canceled by me in writing o a tor's Sign re � ;� Sworn to and subsc bed to before me this day of$�,�ne, 20� � By � ho is personally known to me or has produced �L-� L r� ��5 - 5y'z -`-�a -_�,r�^l. -b as identifi 'on and who did (did -t) take an � oath. .— ota blic . � My commission egpires U.S. ir Conditioning 5827 13t"Avenue , Y�Py-., CRISTINATURCOTfE New Port Richey, FL, 34652 _'=4�' �"_ MYCOMMISSION#FF027671 ;��,'o, EXPIRES:August 3,2017 , •�pF��•' Bonded Thru Nolary Public Undeiwriters i I I i _ � ' 11 J23lx016 11:14 �A?p �.0021Qb2 ; c�-Jt '�' I �� r��%� � � � , a�-z3-2a�.6 ' Dear CiCy af Z�phyrhifls Building pept., � We would Hke to exter+d pertriit#174�0 for 3 months.The reason being is we have not been able to wntact the homer�wner.The homeowne�was out af town and just returrted.Sa now we are able tca have�ccess to#he home fpr the inspection. • � Thanks, (�� '�� `"l,d �� . ,..^''�� I r' � 7 � � IEr,a ed Cox !/�� 2..:a..�, I Swarn to me this ar� this c�.� day af C�� 2�16 B Z � � , � � wha is sonall kno ta me or � v � -(�s �� o�- � R ha� produced �$ iden�i�ication a.�d wha didJdid nat take the aath. � , � � .� ' .,� � i Notary•Cr'stina'lt�reotte m ' I � ��yl�,IN�I_ VlYui1,V5lYfIW11G I .r.� :A= MY COFJ�1lSS�QI�$FFQ27871 � �P{AE3:Auguat 8,2Pt� My Gommissian Expires _ � - �°`� � ��`• �°`'�"'"'`"°�"�'�""�'�'� � � � � i , � � �