HomeMy WebLinkAbout16-17687 ` /.
CITY OF ZEPHYRHILLS
� - " 5335-8TH STREET
(813)780-002o y 687
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit �lumber: 17687 Address: 38422 NORTH AVE
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: 11-26-21-0010-01700-0010
Improv. Cost: 4,396.00 OWNER INFORMATION
' Date Issued: 8/24/2016 Name: RICE JAMES & CHERYL
Total Fees: 60.00 Address: 38422 NORTH AVE �
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-3550
Date Paid: 8/24/2016 Phone: 813-703-0650
Wo,rk Desc: A/C CHANGE OUT 2 TON 14 SEER
i CONTRACTOR S APPLICATION FEES �
� ALL TECH AIR & FILTRATION LLC A/C CHANGEOUT 60.00
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' Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL ;��—
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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.
fVOTlCE: 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.
"Wa�ning 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 pertormed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
�� NO OCCUPANCY BEFORE C.O.
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CONTRA T R IGNATURE , PERMIT OFFI R '
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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s�s-�saoozo City of Zephyrhills Permit Application Fax-813-78Q0021
, ' Building Department
Data Received phone Contact for Pertnitting —
Owners Name + Owner Phone Number J��v�—`-'"'�`-'
Owners Address� C� "'�C? �""° '' " V� Owner Phone Number
Fee Simpie Titleholder Name Owner Phone Number
� Fee Simple TiUeholder Address
JOB ADDRESS � ` �� LOT# �
SUBDIVISION PARCEL ID# Il-a�- a� O� ���w—�� v
, (OBTAINED FROM PROPERTY TAX NOTICE)
' WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
� TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
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DESCRIP110NOFWORK �C C�prN� C��-T C�dmo� '� ��r �� �ea� r t���� `SUST�' '
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BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
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I QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
I QPLUMBING $ //J 8 ?
, �� ���
� �MECHANICAL $ 1\�� O VALUATION OF MECHANICAL INSTALLATION �
��� �I QGAS Q ROOFING Q SPECIALTY 0 OTHER
� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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� Address License#
IELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
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' Address Licenseii
I �PLUMBER COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I
; Address License# I
MECHANICAL COMPANY =T�C� '�r � �\\�Q"����`' I
SIGIdATURE REGISTERED N FEE CURRE� Y/N
Address "� C��� License# C 1 1�
i OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
� � � � � � � eoi � � t � i � � � � s � � � si � � � � e � � � � o � � � ii � � � � i � s � � � s � te � � � � � � s � � � � � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construc[ion Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projec[s
� COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Fortns.R-O-W Permit for new wnstruction.
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed,
Saniiary Facilities 8 1 dumpster.Site Work Permit for alt new projects.Ail commerdal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
i ""PROPERTY SURVEY required for all NEW construction.
Directions:
i Fill out application completely
� Owner&ConVactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over E7500)
" Agent(for the conVactor)or Power of Ariomey(for the owner)woutd be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conUact required)
Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIOFtS: The undersigned understznds that this p�m�it may be sub}ed to"deed"restridiarts"
which may be more restrictive than County regulations. The u�dersigried assumas responsibiliiy�for compiiance wifh any
applicable deed restricdorts.
UP1LlCEPJSED COPJ7RACTORS AWD CONTRACTOR Fi�5PO�7SB�l�6i1�5: If the owmer has hirsd a contractor w
contractors to undertake work,they may be requued to be lic¢nsed in accorclance vuith s4ate and local regulatior�s. tf the
contractor is not licensed as requlred by law, both the owner and coritractor may be ated for a misdemsar�r violation
' under state law. If the owner or iniended contractor ar�e unoertain as to wlnat li�nsing requiremems'may appty ior the
� intended work,they are advised to corrtact the Pasco Couniy Buildireg trespectian Division--Licensing Seciian at 727-847-
8009. Furthermore, if the owner has hired a contractor or carttractors, he is advised to have the cor�6'ador(s) sign
portions of the"contractor BIoc4�'of this application for which they evifl be responsibte. if you, as the owmer sign as the
contractor,that may be an indication that he is not properiy licensed and is not entitled to permitting pfirileges in Pasco �
County.
TRANSPORTATION 1�!lPI�CTNTILITIES INlPACI'ARfD RE�OURCE S2�COVEI2V FEES: The urut�rsigr�ed tgtderstas�s
� that Transportation Impact Fees and Recourse Recovery Fe�..s may apply to the constntddan of r�w buildirtgs,char�ge of
use in existing buildings,or e�ansion of existing buildings,as speafied in Pasco Cowiy Orddnance nurr�er 8�07 artt9
i 90-07, as amended. The undersigned afso understands,thaf such fees,as may be due,wiN b2 identified at th�t'tme of
' pertnit�ng. it is further understood that Transportatlon Impact Fees and Resource Recovery F�s�bs p2id pr�or to
� receiving a"certiflcate of occupency"or final pow2r release. if the pro}ect does not invohr2 a certificate of occuQancy or
� final power release,the fees must be paid prior to permii�ssuance. Furthermore, if Pasco Courtty Water/Sewer Impact
� fees are due,they must be paid prior to pertnit issuance in acxordan�writh applicabte Pasco County ordinances.
� COPl5TRUC110N LIEN t.AW(Chapter 793,FIoN�a Sta4tt�s,ara arr�rtde�: If�raluatlon of work is�2,500.00 or mofe,1
� certify that I, dle applicarR, have been provided with a copy af the "Florid� ConsWctior� Llen l�n►—�tiomeawrr�r's
� Protection Guide°prepared by the Florida Department of Agricutture and ConsutnEr Aifiairs. If the agptirant is sorr�one
other than the"owme�',I certify that I have oGtained a copy of the abov�des�ibed dax�merrt and promise in goor3 fa�h to
delider it to the"owne�'prior to commencemerrt.
COIdTi2ACTOR'S/OTfllNER'S AFFIDAVIT• I certif�+that all the information in this appllr.�tion fs accurate and that ail wro�ic
I will be done in compiiance udth aii applicable Iaws regulating canstrudion,zoning and tand developmertt. AppNcatian is
hereby made to obtain a permit to do work and installation as indit�ted. I certi4y that no woric ar installatian has
� commenced prior to issuance of a permit znd that all work mri11 be perfortned to rt�e2 standar�s of a!1 12+nts reg�n�
� consVuction, Courriy and City c�des, zoning reguiations, and lan� dev2topment regutations in tt�jurisdicdon. f also
i certify that I understand that the regulations o#otner govemm2nt agencies may appiy to the irrteended work,and tnat it�
my responsibility to identify what actions I must take to be in compliance. Such agenaes irsdude but are not 19mited to:
- Department of Environmental Protection-Cypress Bayheads,UVetiartd Areas 2rtd Environreterttally SerssiUve
Lands,WatedWastewater Treatment.
- Southwest Fiorida Water Management District-Wells, Cy+press Bayhesds, Wetland Areas, Attering
Watercourses.
Army Corps of Engirt2ers-Seawralis,Docks,Navigab�'2 Wa4enNays.
i - Departrnent of Health 8� Rehabilitative ServiceslEnvironr�ntal Heatth UN2-Weifs, Wastewatar Treatrn2nf,
Septic Tanks.
- US Environmerrtal Protec�iori�qertcy-r�sbestos abaterr�nt
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- Federal Ahatlon Authority-Runways.
I understand that the following restrictions apply to the use of flti:
- Use of fili is not aliow�in Flood Zone"V"unless expressiy perrnitfed.
- If the fill material is to be used in Fiood Zone 'A", it is understood that a drainage �tan aa�rtr�s'srs� a
"compensating volume"will be submitted at time of peRnitYing wnich is prepared by a progessi�+al er►girs�r
licensed by the State of Florida.
- ff the fill material is to be used in Flood �one "A'in connection with a pennitted buffdin� using s4em wafi
construction,I certity that fill will be used onty to fiil the area writttin the stem waA.
- If fill material is to be used in any area, I certify that use of such ftll wrill not adversely �ffeet atfjacxard
properties. If use of fiil is iound to adversely aftec�adjaoeni properties,the ov�r may be atr�for violating
the condftions of the building pe�mit issued under the attached pem�it applicatlon,for Iots less than one(9)
� acre which are elevated by flll,an enginsered drainage plan is requ'ved.
' ' If I am the RGENT FOR THE O�IdER,1 promise in good faith to irtform thQ.ovmer of the�rmitting conditio+�s sst forth in
this affidavit prior to commer�ng co�struction. i understand that a separate pemilt may be r�eqtured fiw'el�ttical watk,
plumbing, signs, wefls, pools, air conditioning, gas, or other instailations not specificalfy induded in tha appGcaflon. A ',
pertnit issued shall be construed to be a license to proceed with tF�e wrork ar.d not as sufhoriiy to vialate,cartcel,atter,or ,
set aside arty provisions of the technical codes,nor shafl issuance of a p�rmit preve►�t the Bull�+irtt�Offiaal from t#►ereaft�r
requiring a correcGon of errors in plans,construction or violatlons of any cod,es. Every perrrit tssued shall bc-�rns tnval:d
unless the work authorized by such permit is commenced wfthin six months of pertnft iss�nce,or if work au;�rized by 'i
the permit is suspended or abandoned for a period of sa(6)manths a�r the tlrc�the wortc is commenad- F,n exfiension
� may be requested, in writing,from the Building Official for a perind rrof to exceed ninety(90)days 2nd ev(EI demorss�ate
justifiable quse for the extensian. If work ceases for ninety(90)consecutive days,the job is consid2red abandoned.
W,ARPIIPIG TO OdNIdER: YdUR F,a1LURE TA RECORD A A�O'ilC�OP COtUl�J�AiCEl4��l-dT E,�AY RESIJLT 14i!lfOa,lG:
PB�YIBdG'tYN9CE FOR 1lJPROdE�9E0dTS TO YOtDFt P6t0�'E4t'p'Y. IF YOU Bt�TE9�e'9 TO O�l'R,IA1 FiR�A6VCIRIG,CC3�f5EJL'P
WiTH YOUR LEIdDER OR AA1 ATTQRPIEY BEFOFdE FZECOR�9WG 1fQADR i'idOY1�E QF C0145d�3E�iC �fd3.
FLORIDA JURAT(F.S.117.03)
jOWiVERORAGENT CD�T�+� -� i
� Subsaibed and swom to(or af6mied)bafore me this � t� Fizd end svmm to( . me o � „ � ,� �„
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Who isJaro personalry known to me or hasTh�va vroduced o 1�Ily knoun to rte�hasit�eve prod
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as idenflflcaGor. ���b��O�•
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,�?04'�� 84�., JAC�UELINE HORRUITINER
NemeofNotstytyped,prinledorstert�od hameothlot� �ed, tcj��r��MMISSION#FF144817
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; •••'„'i"o,,�,ci�;,' EXPIRES July 24, 2018
, (ao��:lJC-0f53 FloridallotaryService,com
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359�b State Road 54,Zephyrbills,�'133541 I'h $13-870-6934 Fax 813-783-2336�CAC1814196 I
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/�r i onditioning&Heating ����� �� � ���t���� Q$.�.7�
PROPOSAL SUBNIITTED�'O: W�RK TO�E PE�tFORMED ATa
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38422 North Ave �
Zephyrhills,Fl 33542 813-703-0650 jimandcherylrice_,msn.com �G�f
I WE HEREBY PROP03E TO FUltNIBA'�'HE MA'i'�RIAIS AND PER�ORrif 7'HE I.ABOR NF.CE.S3ARY�Q� g��r�/
1. 1 —Goodman 14 SEE➢t �Puron 410A(2 Ton Heat Pump)Split System with Skw back up heat
� CONDENSER:GSZ140241 /AIR HANDLER:ARUF25B1� ARd 7995055 �
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'2. This Also Includes:Digital Thermostat,Flush Drain,Re-buidd I�ang Kit for Air Handler with.Flo� �
Switches,Huaricane Slab&Straps for Condenser,and Perffiit. '
3. Change Flex oniy on 3 supply drops.3—8"Drops and 1—5"Drop,Re-rubber tex drain line,bring 14"
Flex and 16"for return,use 16"if it will fit if not use 14"but blower an medit�m and chazge sysKem
accordingly.Hard horizontat all day job.
*,�Goodman RTarranty: (10 Years Parts and 1 �'ear Labor)**I�cinsled ,
�`*Not Including: (Any Pre-existing Conditions, 4riginal Electric,Flex, Drain and Extended Warranty)
; ALL MATERIALS A RE C�UARANTEED TO BE AS SPECIFIED ALL WORK TO BE
COMI'LETED IN WORI�.MANLIKE MANNER FOR THE SZJM OF: �4,39b.00
� FOU�t TH�US�ND 7CH[�E �I€Tl�tDl�l�l�tI10TTY SIX DOLI,A�tS ANI)00/100
ANY ALTERATIONS OR DEVIATIONS FROM 1�BOVE WORK IlWOLVING EXTRA COSTS WILL
, BE EXECUTED ONLY UPON WRITTEN ORI9ER AND WILL BECOME AN EXTRA CHARGE
' OVER AND ABOVE THE PRO�OSAL ANdOUNT.ALIr AGR��MENTS CON'i'fNGEIJT Uf'ON �
STRIKES ACCll�ENTS DELAYS BEYOND O ANI3 '
' Respectfully submitted,PatricP�Kilgann n E ' 30 Days
' Manager,All-Tech Air&FiltNation, LL .__ '
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' ACCEPTANCE OI+'PltOi'�SAL �
, You must provide all conditional approved Permit Docnmen#s and provide one business day of your choice to stay home,within
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10 days of completing work at your house for City or County Inspection. e above prices,specificatians,and conditions are ,
satisfactory and are hereby accepted.You aze authorized to do the r as s ' ed. ,
Payments as follows:54.550.00 lDe�e on Comnletnon(Oit$4,3 .00 ChecWC sh) ;
' Intials i Acce t Exte�eded iWarrant Q41 Inti I Decline Extended Warran ,
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