HomeMy WebLinkAbout16-17730 i�
CITY OF ZEPHYRHILLS
r 5335-8TH STREET "
(813)780-0020 s.{'17730
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit �Jumber: 17730 Address: 38353 IRONWOOD PL.
� Perrruit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propos;ed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: DRIFTVI/OOD
Es�. Value: Parcel Number: 02-26-21-021A-OOM00-0020
Improv. Cost: 3,600.00 OWNER INFORMATION
Date Issued: 9/13/2016 Name: DELORIS KISH, THEODORE
Total Fees: 55.00 Address: 38353 IRONWOOD PL.
Amo�nt Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/13/2016 Phone:
Wo�k Desc: A/C CHANGE OUT 2 TON
I CONTRACTOR S APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 55.00
�
` ,/ �
�
�
/ �
!
I Ins ections Re ired
DUCTSINSTALLED
0
DUCTSINSULATED
FINAL II
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.
"Wa�ning to owner: Your failure to record a notice of commencement may result in your paying twice for
im r vements to our ro e . If ou intend to obtain financin consult with our lender or an attorne
P � Y P p �'tY Y 9, Y Y
�� 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.
iC0 CTOR SIGNATURE PERMIT OFFI R _
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
; CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
a�3-�ao-oozo City of Zephyrhills Permit Application FaX-e�a-�eo-ooz� li
Building Departmenl I
Date Recelved
7-��-�- Phone Contact(or Permitting __ � • �/�
+ c ��f
Owner's Name �I�h- rrOwner Phona Number o ^�� ^ 7(�S
Owner's Address S i, �
� S Owner Phone Number
Fee Simple Tltleholder Name Owner Phone Numher
Fee Simple Titleholder Address
JOB ADDRESS � � �( �I 5 2 �L � i
J3J� LOTH
i SU6DIVISION PARCEL IDq Q��'��"�,�-�(�' I1'� y'1� ��G�
� (09TAINED FROM PROPER7Y TAX NOTICE) '
WORK PROPOSED NEW CONSTR ADD/A�T �� SIGN Q Q DEMOLISH
e INSTALL B REPAIR
PROPOSED USE Q SFR Q C/O�p�M"""���-�--.OTNER -
TYPE OF CONSTRUCTION � BCOCK Q pRqME � STEEL �_�_ `!`�
DESCRIPTION OF WORK ,5/7�L� �j'���,c� �n/ /�-� s
BUILDING SIZE SQ FOOTAGE ��_ . HEIGHT �
TTrTt1TTr1'7�T�'7T'TI"��TITPTr�'fT1�TRTr1�1Tf TIZ'T1��TTrT�T'TTT'
QBUILDING $
VAIUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE
� PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�MECHANICAL $��'�Q VALUATION OF MECHANICAL INSTALLATION
��/ �7��
QGAS Q ROOFING Q SPECIALN OTHER �
�
FINISHED FLOOR ELEVATIONS F100D ZONE AREA QYES NO � 7 ��j
-i-L-i-i_I...{.-1�-1-i-f-�-{-�.-1-14=4-1-�l-L-1-L-1.i-1--F:.L-1-a-4-1-i-1--I�H--1=b-1-1-d�.4=f.:.1-4-�.-4-f--1-�L-i-L��{-1--1.-L-L-i-f-�i-�F-a-1-a--4=
BUILDER COMPANY
SIGNATURE REGISTERED Y I N ' FEE CURRE�, Y/N "
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED � Y/ N FEE CURRE� Y/N
Adt�f@SS
License q I
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N .
Address
License#
MECHANICAL � COMPANY r�" B I UT P�SCU
SIGNATURE ' REGISTERED Y I N FEE CURRE� Y/N
Address O� ZD � � License# j
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address
License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111
RESIDENTIAL Allach(2)Plot Plens;(2)sels of Building Plans;(1)set af Energy Forms;R-O-W Permit for new conslruclion,
Minimum len(10)working days after submitlal dale. Required onsile,Conslruclion Plans,Stormwater Plans w!Sill Fepce installed,
Sanflary Facililies 8 1 dumpsler;Site Work Perinil for subdiVisionsllarge proJecls
- COMMERCIAL Allach(2)complele sels of Building Plans ptus a Life Safely Page;(1)set of Energy Forms.R-O-W Permil for new conslruclion.
Minimum len(10)working days e(ler submittal date, Requlred onsite,ConslrucUon Pians,Stormwaler Plans w/Silt Fence insfalled,
Sanitary Facflities 8 1 dumpsler Sile Work Permil for ell new projecls.All commerclal requiremenis must meel compllence
SIGN PERMIT Fitlach(2)sels of Engineered Plans.
""PROPER7Y SURVEY required(or atl NEW construction.
-1-4-1-/-N-1-4-1-1--{-1�-1-4-4•L-i�-H-►-1-i-1-1�1-1-�1�1-i�1-f�1�1-�-1�1-L-4-1-1-��1--1-�4.1-�F-�--1-l--{-1--L-�' •' "F-�' • '-
DlrecHons:
Fill oul applicatlon complelely
Owner 8 Contraclor slgn back of appllcatlon,nolarized
i It over;25a0,a Notice of Commencement Is requlred. (A/C upgredes over 57500)
, " Agent((or lhe contraclor)or Power of Attorney(tor the owner)would be someone wilh notarized leller(rom owner aulhorizing same
� OVER THE COUNTER PERMITTING (copy of coniracl requfred)
Reroofs If shingles SeweFs Service Upgredes A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counler if on public roadways..needs ROW
I
1
� �.
� �
� , �
� NQTiCE OF DEED REST.I2ICTIONS: The undersigned under�tands=tt�t:ihls;p�qn�E�anay_.be�sub)ect to_'deed'resb�cNohs°
which mejrcbe<more'rest�ictive�than Countye�fegr�letConsS�The underslgned`a�sumear'respcneld111ty�to��compUarice wfUi any
� aPpllcable deed reaMctions. _ .. •
� UNLICENSED GONTRACTORS AND CONTRA+C'i'OR�RE8PONS181E-1TtES: ff#he ovmer has�hired e contractor ar
icantrectors to undertake work,they may,bexr,equlred:to:be;llcensed In sabrdance.wtth state.and:local ragulaUons.:If the
� CQt1U8CtW'IS ROt-IIC8A88LI 8.1'[BQUIf$d:�Sjt IBNf, both the ovm$r and canttacto�tmay be-clted f�r��misd�'meanar vtotaSon
under state law. it the owner ar tntended��a�trartor:;ere,;uncertatn se to what Itcenatng.requiremersts may�appiy.�:ibF�the
Intended work,they are adviaed to cnntacf.tFie+F�asco County Buliding'Inepection k�(vislon--l�.icensing SecUon e!72T-847-
8009. Fatthermore, 1t the owner tias hfred a contractor or contraciors, he is actvfse'd to have the contractor(s}.,s[gn
porUa�s ot tf�e'conttactor 8tock'of fhta appf[caUon for which they wElk_6e.rosponsible..-if you,.as.ths owiier"sign""as`ihe
contractor,that-may be an IndlcaUon that�he-is not properly Ilceneed and is not enHNed to permi�ing pdiiileges In Pasco
County.
7RANSPORTAttOtd.IMPACTNTI1.F�lES'CNlRAG'�AN€}RESOFlItCE RECOt+ER1F•�EES:The un@erslgnsd understands
thet Trenspartetlon Impact Feas:and.Recourse Recove.ry.Fees may��applywto�tfie conatruction of new buildings,chen��•of'
use In exisNng bulldings,or�eicpanaid�of�.eid"ad��iu!!ilings,as apeclfisd!n Pesco County Ordinance number 88-07 and
90-07,as amendecf.,,;,The undecsigned also:understac�ds,thaE such fees.;as:msjr be:due;;a�uiiFfDe tdentlfled at the�tim�`nf�
permitting. It is fui�Uier'understootl that Tra�sportaklon impact Fees and'Reaource Recovsry�Fees.must be pald prlor to
recelv(ng a"certHicate of occupancy"or flna!•powerrelease. :I�the project:dogs not Irnrolvera�certNtcake of occupancy.or'
flnal power release,:tfte#ees mrt�t be patif-pr�tcr to psrmlt Issua�. Fenthermcre;�E-Pasco,Caunty�tNaterlSewar lmpact �
fees are due,.they.must be=pald p�ior to permlt�.lasyancaln.aCcord"ance v+rilltr'appllcabte:Paeaa'.Countyr oidinances. •
CONSTRUCTION'LIEN"LAYY(Clieptor 713,Florida Stetutes�as amended): If veluatlon ot work is�2,500.OQ:or more,}
aer#tty fhet 1, !he.appticant, have.been pro�tdeit:wtth a cgpy�of the-'Ftar�da•CotrstrucUan��ten Lax+--Ffomeowner's
ProtecNon f3utde'prepared by the Floiida D"epert�nenC of Agrlculture and Consum�rAifairs. If the appllcant Is sameone -
other lhan the'owner',1 certlfy that I have.tlbtalned�a�capy:aLthe�abQve.described:tlocument�and.p,romise�in,good�atth.to
delivar it to'the rowner`prior�tss�commeric�me�if: �
COWTRACTOR'SIOYYNER'S AFFIDAVIT: i.ceitliy:,tFiat�sll�ttie.informetipn:lii�thls appllcallon la accurate.end that ell work
wtll'be done in compllence wMh all.apPitcable laws regulatlng constructlon,zoning and land development� AppltcaUon is
hereby made to obtaEn.a.permlt.to do woE't�c...and tnsfsliatlan ss indt�afed:: °I eet�tify that no work=or tnsffittatton has
commenced p�tor M Issuance of a perrtiit"and that.all wark wilt be pertormed�to meet standerds of all laws reguladng�
canstructlon, County and Cfty codes, zoning regulatiana, and land development regulatlona�in #he J[�risdictlon. ( al'so
cettity that t under�tand tha#the regutattons of other gavemr�ent agersdes mayapply ta#he lntended work,an�that It is
my responsibllity ta Identity.what.acUons I must•taka to bedr}_cortlpliance: S.uch agencles Irtclude bat are.not IlmRed to:
- Department oi E�vtronmental�Prctection-E:ypress.'Bsyhead�;V(letlend Areas.and Environmentally Sensttive
t.ands,WetariWastawater Traabnen#.
- Sauthwest Fiorids Weter Management btsfrict-Weils, Cypres.s.`8ayheads; WeUand Ateas, Alkering
Watercaurses.
- Army Corps of Engtneats-Seawrafis:Uocks,�lavtgatile Watesways.
- Depar#ment of�Heatth�& Rehabilttative SenitcesJEnvtronmentat Fteal#h Unit-Well.s,:Weatewater Treatrnent,
SepUa Tanks:
I, - l!S Environmenta!Protectlon Agency Asbestos abateme.nt �
i - Federal Avlatton:Autharity-Renvvrays. �
I understand that the fallowirig.reaUicd"ons apply to the use of flll:•
" - Use of ft!!Is not allowed!n Flood;Zone"V'unleas expre�s4y permftted.
- {f fhe 811 maferiaE is to be useil,'In•f.tood Zone."A', tt€s understood that a dratnage ptan addressing a
"compe�tsating volume"will be submitked at Ume of petx(�itting which Is prepared by a professlonal engineer
Ifcensed by.the State ot floHde: '
( - , if th�illl mater{a{'1s-to 6e used tn Fload 7one'A'tn��conneciton�wlth a permitted building using stem watl
, conatrucNon,I certify thet flll:radll:b.e vsed onty to,�ll the ar.ea withln�the•stem wall.
- If flll materla! is to be uaed In.any area, I certity thak.usa aE euch 1111 w0i ttot adversety aEtact adJacent
' properttes. If use qf fiCl!s fopncF ta adversely,atfecf adJacent�prcfpertles,.the awner may be cited for.via�TaUng
lhe condlUons of the buliding;pemdt Issued under th��atfacFiecl pertnit applk,aGon,for lats less than.one(1)
acre wlilah ere eleveted�6y fllt;a��ngineered dralnags plan!s requlred..
#i i art�Ehe A�ENT FOR TH�OWNER..I�prom[se tn good falE�t to lnfamt#he rnnmer at-the pemiitting cond�tons set fiarth in
thts afftdedit'�prtor to cammenctng amstriicUon. 1 undera[arid thet eraeparate permlt may be requlred for elecWcal work,
plumbing,,.slgns,wells, pools,.alr co�dlUaning,.gas,.or:ot�er:.Instal��Hons nat.specm�lly lnduded•in.the applica8on. .A
permf#(ssusd shali be cot�strued to be a°Itcenae ta pt�sed wlth'ttie work and r�at•as.ac�thoriiy.#o,vlolate,cancel,atter,or
sei aside ariy+provistons of Uie.tecfinlcal codes;nar ahaii issuance�of a.permit.pcevent the Bulldirig laffidal from thereafter
requlring a correction af.errore_In plana;eonsltFuctlan or vlolaUons af any codes: Every perrmft Isaued"shall become lnvalid
un(ess th�work au'thorized:t►y such permit:�is_commenceci wlfhfn si�c rrc�nths of petmlt tsseaance,or K�nrork autt�orEzed by
the permit.is.suspanded or,abandoned•for e;peNod,af�sUc(t�ll)�monffis�Rer the time the�work�s commenced. An entenslon
may be requeated,In wridng,,from.tlie.Buitding,Officlel for a period:not=to excseed;nlnety(90)�days and wlll demonstrate
Justitla6le'cause ior.•the eactensEon� {fi work ceasa�.for nlrtefy.(9Q}c�ns.ecuttve daysrthe iob�ts constdered abandoneil.
. . , ..
WARNING TO OWNfR: YOUR..FAILIJRE•TO RECOt2Q,A..N4'fiGE-OF�COMME � ENT.MAY•RESULT-IN YOUR
PAYtNG TWtGE;EQR:iMPRI?it Fi�'8»��"l�lffi}URPRt3�ER�T1F:•i�•XOU�I�!i� '�&�'A1N��fIbhRFi£lNt�;�0�3U�T
�y :�
FLORIUAJUWi'f�(F.S.117:03} - "�
OYYNER OR AGEt�ET_. . . - CONTRAGtO - -
Subaaibed and ewom to(or�irtmto j b fore me ihta Subaalbad'er�d'ewom to(ot Ilrtn befom'ma'fhlb �
� �---.W�, : �. .. ;
Nfio Islare pera�anally,known to mo.oe hasRieve prqd4cal. 1Nho leler�p�ly k�ryown to me:orhaelh8ve pmdiicsd
' , ' = aa(deatlitcsBoa: ' . � . aa tdenUfi�taon.
�-�~........--�.
.�_ t ` ,
Naffiry Puhftc � � ��6;/� �i?. /11� t � Notery PubUc
� Commisslon Wo:' � Co4�,b on No �
V �
Name of iVotery lyped,pHnled or�temped Nam of������ES
�....
=*' «: Commission#FF 150422
:�-,�t;�: Expires December S2,2018
��%t�„o���°P`�` BondedThruTroy,Feinlnswenta800385�7019
� � -
s�(t/Ut7 ' / ��
�� � �/� 7l� ������ a
� � 6 e �/}� .
� A►ir� c!� ��+y,
�,�_ �.
���
�' , � � ;11 d�,i�t,u7.tiat 1�/3�ll�
-�.. . � �'�a����
� �.� / r
Office: 813-774-7508 • Fax: 8i3-779-7504 • Lic#CAC1815498 D8t@: i � L
Cus#o ��er Name ���'0�� �• �(`s�� r'/�,,�(�11 PIQ� � „
Addre��s ��� � U✓v �'�� �� Zi Code� �� �`�'�
i( p
1ob La+catian � 0�• �-����S ubdiv: Y
!
Rhane � �d,�.- ��� �o���' Aiternate#
�"_
Existin Equip. �
�� � 121� �'��`-� t"� 5����k �-�-f-�-����f
Mod.#� �� I� [ �s 5ER.# �K•�
Nlod.#�I � '� �I 3' SER.#
� Permit#.
I�
�yae ofiUnit: MJS SjC � H/P JS� PAC Tan: _��_ Seer ; ��je{;�
Y �� ��d%i,� ��J� '�'��
❑ Duct VClor vpe of Duct Work: Metai Ftex MH flex Duct Board R-
�4
"� ❑ Flaa S W: �
Heater KW: _�, '� Wire Size Breaker Type
P� ❑ Heat Shield: � � _
' E(ec. Panel Brand: AH Cond. PAC
❑ Pad: -
❑ Line Set:��� �t� Frag. Nan-pro:
� ❑ Mastic Seat•��� Airhandler Lacatian: iG AHU !_" �"W_" `
�-Y ' ,���'�t�,r' -�-��.,,,�...5
� � Eight&Rec�p�� Return Air " Duct Size " `�'(�+�� �
� � Service Platfarm: Access/Closet Door: Attic Height/Closet 5ize:
�� �� ,� �N �,� Attic Insulafion Depth = R Value
1
Special Notes� � - -
� _-
�� `
��
� �
Bryant$Il,i��` , Rheem$ ��D�'7 d �%. Comfortrriaker_$ ,$
Factory Rebates:
Warrant : 10 year Compressor and Parts&1 year on tabor � -
10 year Campress Rarts&2 year on labor ,� _
Air Tech! Services Approval date
� �,,/• .. /
Custamers Approval G�+�� ' /��"�"' � date �'/�J��
�
�
I - -