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Home My WebLink About16-17731 CITY OF ZEPHYRHILLS - �� 5335-8TH STREET �� J (813)780-0020 31 BUILDING PERMIT , PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17731 Address: 37348 DERBYSHIRE DR � Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class cif Work: A/C CHANGEOUT Township: Range: Book: Propos�d Use: NOT APPLICABLE Lot(s): Block: Section: Squa�e Feet: Subdivision: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-0990 Impro�. Cost: 3,500.00 OWNER INFORMATION Date �ssued: 9/13/2016 Name: NEISWENDER RANDALL J & CARLOYN J Total Fees: 55.00 Address: 37348 DERBYSHIRE DR Amou�nt Paid: 55.00 ZEPHYRHILLS FL 33542-7961 Date Paid: 9/13/2016 Phone: 813-431-7075 ' Wo'ik Desc: A/C CHANGE OUT 3 TON i CONTRACTOR S APPLICATION FEES AIR TEOH SERVICES OF PASCO INC A/C CHANGEOUT 55.00 � , /� � 1�� V I Ins ections Re uired DUCTS IN TALLED DUCTS W� ULATED FINAL I REINS�ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the � local �overnment 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. I NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that ' may b�found in the public records of this county, and there may be additional permits required from other governmental I � entities such as water management, state agencies or federal agencies. , "Wa��ing to owner: Your failure to record a notice of commencement may result in your paying twice for I improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recordin our notice f c mm n ,� j g y o o e cement. � Compl'ete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with � City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. li � NO OCCUPANCY BEFORE C.O. i ,- ' �� C CT� R SIGNATURE PERMIT OFFI R j P MIT 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 Perrnit Application �ax-813-780-0021 � Building Department , � Da4_Raceived Phone Contact for Permitting � TI� (T rt —L�Z� ! Qwner'a Name _;"'� ♦ ►�_��'�� Owner Phone Number -�£�' + -- � � � Owner's Address � � �, i � Owner Phane Number Eee Simple Titlehoider Name Ownar Phone Number �----�i� � I Fee Simpie Titiehoider Address I � I � J06 AOpRESS j � Z LOT# � �� ; ,r+� Sl1BpIVISION PARCELlQt1 � ^(� t,J (qBTAINEDFftOMPROPERNTAI(llpTICEJ , ' WORK PROPOSED n NEW CONSTN 8 ADDIAL7 C� SIGN Q Q pEMOUSN Q INSTALL REPAIR PROpOSED USE Q SFR Q COtv1M C� OTNER 7YPE OF.CQNSTRUCTfON ' Q BlQCK Q FftAME � S'FEE! Q DESCRIPTfON QF WORK +�� lUG��/ � /rC/l� . �U°- �! � BUILpING SIZE �� SQ F.00liAGE C� iiE1GNT �!__�__� T��e"r-m�e�'tF-rTr�-e-rr-rrezr-it-rr.rr��r'F�r1�r"�7'r'mnme�s'-rT'rrr'ti�-. 1"r.r �BUILDWG G$ � VALUATION OF TOTAL CONSTRUC710N • �_ QELEGTRtCAI �6 � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING �� rj�2 r .� J � �MECHANICAL $ ��"'jrjy q VALUATIQN qF MECHANICAL�NSTALGATION � �r �va✓ . QGAS Q ROOFING Q SpEC1ALTY � QTHER �/�� ' FINlSHEO FIOOR ELEVATiONS �� FLOOD ZONE AREA QYES NO -.1-1-i-i-{-�L-i�.�-L-1-{-.{..{-�..{-�..{.-{-�,-i=1-i-1-f-��1-1-t-1-4.i-S-i-1=i�-trL-i=4.l-t-I�i-R-i=i-�.�-{-F-i-i-i-l=i-i-i:i-l-i-i-{-I-i-'.-:- BUlIDER C4h'IPANY � u � ISIGNATURE � � ftECa1STERED Y� N � fEECURREh ' Y I SS. � Aildress Llcense# 4. 1 ELECTRICIAN � � COMPANY � StGNATURE � RECaISTERED Y/ N FEE CURRE� Y/N Address License# � � PlUNiBER COMEANY � � S(GNATURE � � ftEGISTERED Y J N FEE CURRE� Y/N � Address � LScense#� . I . .._.._ �.�.._ MECHANICA� COMPANY r[��r �� I1 1'S C1-Y- !�H`.SCLJ� SIGNATURE REGISTERED Y! N FEEQURREA Y(N Address �„_,�.�1.�X.n-�� L �� License# �JA �,J �� .�._, OTNER COMPANY SIGNASURE REGISTERED Y/ N FEE CURftE� �„Y I�— Addross Ucense#�� 111'lllllll111111l1111111lif111l11 { lIIIt111tflilti ! [ iii-iliilillillli RESIDENTIAL `Allach(2)Plol Plans;(2)sets ot BuOding Plens;{7)sat ot Energy Forms;R-O-W Permf4 tar nsw construction, ' Minlmum len(10)working days afler submitlal dale. Required onaite,ConstrucUon Plans,Stormwater plans w!Silt Fence 4nstalled, Senitary Facliilles 8 1 dumpster;Sile Work Permil For subdlVislona4arge projecls C6MMERCRAI Aitach(2}complete sets of BuitdEng Plans plus a tife Safety Page;(1)set oi Energy Forms.R-O-W Permfi(or new construclion. Minimum ien(10)workfng days atker submlttai date. Required qnsite,Coostruciion Plans,Stormwater Plans w/Silt Fence insiatled, $anilary Fac111Rles&1 dumpster Slte Work Permit for atl new projeds.Ait commercial requirements must meet compiiance SIGN FERMIT Atlach(2)seta of Engineered Plans. ""'PROPERTY SURVEY requlred(or all NEW conslruclfon. -i-i-�-i�C�.%ri-:�1.I�{'•i-M{•�-/-i-i-N=I-i-1-{-4-i-i=d-{-1-1�{«�{-�4-{�1.d-�.i.�-N-4.4{..1-i-•1-d�i-1�4-F=4-�-{-4•F�hl��-1�LF4- Dlrectlons: FIII out applicalion aomplately. Owner&Conlrector sign baok bf applicaUan,notarized It over 52540,a Notloe o(Commancement ls required. (AIC upgrad'es over$7500) •' Agent(For the conlractor)or Power of Attorney(for lhe owner)would be someone wflh noterizad leller(rom owner suthorizing same � OVER THE COUNTER PERMITTlNG {copy ot conirac!cequired) Reroofs li shingles Sewers Service Upgredes A!C Fences(PIoUSurvey/Footage) Driveways-Not over Counie'r if on public roadways..needs ROW i I NOTICE OF_D�� D h'kSTRICTIONS: The undersigned understands that this permit may be subject to"deed'restrictions" which may`ae rr�ore restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicabie deed restria�lons. UNLICENSED �ONT�tACTORS 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 no licensed as required by law, both the owner and conVactor 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,l ey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furtherr�ore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign � portions of the contractor 81ock"of this applicatlon for which they wfll be responsible. If you, as the owner sign as the I contractor,that��nay be an indication that he is not properly licensed and is not entiHed to permitting privileges in Pasco � County. � � TRANSPORTA710N IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportat�1on Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansfon of existing buildings,as spec�ied-in Pasco County Ordinance number 89-07 and 90-07,as amen ed. The undersigned also understands,that such fees,as may be due,wiil be Ident�ed at the time of permitting. It isl�further understaod thai Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a'ce �icate of occupancy"or final power release. If the project does not mvolve a cert�cate of occupancy or final power rele�se,the fees must be paid prfor to permit issuance. Furthermore, ff Pasco County Vllater/Sewer Impact fees are due,th y must be paid prior to permit issuance in a�cordance with applicable Pasco County ordinances. CONSTRUCTI�N LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work Is$2,500.00 or more,I certify that I, t e applicant, have been provided wRh a copy of the 'Florlda Construction Lien Law—Homeowner's Protection Guid� °prepared by the Florida Department of Agriculture and Consumer Affairs. if the applicant is someone other than the'i�wner�,I certify that I have abtained a copy of the above described dacument and promise in good faith to deliver it to the j wner"prior to cammencement. CONTRACTOR�SIOWNER'S AFFIDAVIT: I certify that all the InfortnaQon tn this application is accurate and that all work will'be done tn�ampliance with all applicable laws regulating consUucUon,zoning and land development. Application is hereby made t� obta(n a permit to do work and installation as indicated. I certify that no work or installation has commenced pri r to issuance of a permlt and that all work wlll be performed to meet standards of all laws regulating construction, C unty and City cades, zoning regulafions, and land development regulations in the jurisdiction. I al"so certify that,I un�erstand that the regulations of ottier govemment agencies may apply to the intended work,and that it is my responsibili to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - De'artment of Environmental Protection-Cypress Bayheads, VIIeUand Areas and Environmentally Sensitive La'ds,Water/Wastewater Treatment ' - So�thwest Fiorida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering Wa ercourses. - A �y Carps of Engineers-Seawalls,Docks,Navigable Waterways. - De�artment of Health 8� Rehabil(taUve Services/Environmental Health Unit Wells, Wastewater Treatment, Se'tic Tanks. - USI Environmental Protection Agency-Asbestos abatement. Fe eral Avlation Authority-Runways. I understand fh�t the following restrictions apply to the use of flll:� - Us� of fill is not allowed in Flood Zone'V"unless expressly permitted. - If t e flll material is to be used in Flood Zone 'A", it fs understood that a drainage plan addressing a 'co pensating volume"will be submitted at time of permitting which is prepared by a professional engineer lice�sed by the State of Florida. - If the fill material is to be used fn Flood Zone'A° in connection with a permitted building using stem wall co i struction,I certify tfiat flll wlll be used only to fill the area wfthin the stem wail. - If II material Is to be used in any area, I certify that use of such flll will not adversely affect adJacent pro eriies. If use of fill is found to adversely affect adjacent properties,the owner may be cfted for violating the conditions of the building pertnit Issued under the attached permft application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AG NT FOR THE OWNER,I promise in good faith to inform the owner of the pertnitting conditions set forth in this affidavft p or to commencing construction. I understand that a separete permit may be required for electrical work, plumbing, sign�,wells, pools, air conditioning, gas, or other Installations not specffically included in the application. A permit issued s all be construed to be a Itcense to proceed with the work and not as authority to,violate,cancel,alter,or set aside any provisions of the technical cades,nor shall issuance of a pertnit prevent the Butldirig Official from thereafter requiring a cor�ection of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the wor�c author¢ed by such permlt is commenced wilhin six months of permit issuance,or ff work authorized by the permit ts si�spended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be reques�ted, in writing,from the Building Official for a period not to exceed ninety(90)days and wili demonstrate justifiable causl for the extension. If work ceases for ninety(90)consecutive days,the job fs considered abandoned. WARNING TO OWNER: AILURE TO RECORD A NOTI OF COM N ENT MAY RESULT IN YOUR PAYING TWIC FOR ROV TS TO YOUR PROPERTY F YOU INT�D TO BTAIN FINANCING,CONSULT WITH YOUR L ND A RN BEFORE RECOR NG Y UR N TIC F COMMENCEMENT FLORIDAJURAT F:5 117.03) OWNER Ok AGEI CO TO Subsalbed and ' m ed)before me this ubsaibe��d n sva to(or atflrtned before me thls i bY� � Who islare person Ity known to e or iasJhave produced Who is/a onally to me or ha$/have produced I a dentlficatlon. asidentlflcatlon. I ' I Notary Publlc Nohary PuhAc Commisslon No. II Com ss o. Neme of Notary II ed,pdnted or stamped �Name of Notary typed.pdnted or sfam ed � I """• JACQUELINE BOGES •1i+�''.:Ye�: ;*q' :M: Commission#FF 150422 I �:,<; Expires December 12,�7019 � ��' �`� BondedThNTroYFainlns�vano �'�oF�. � � i ,� , SERVICE INVOICE LOCATIONOFWORK YSCA Yes / No CHECK LIST - 16473 """'E ❑ COMPRESSOR "//�� ADDRESS ❑sucnoN PS� � AirTec I� ❑HEAD PS� �� . � "� 813-779-7508 �� j� ❑VOLTS a�nPs � �� • WORK TO BE DONE-COD ❑ELECTRICALCONNECTIONS • `a� � CD P.O. BOX 1120•ZEPHY IL S� FL 33539 G'�t'/�� i i'�'/Q.,.-�� ❑CONTACTS TI�HT 6 CLEAN � /, ❑OILLEVELBCONDRION BILLTO FL State Li�.#CAC1815498 Date � • /��/7'i"l �`LQ, u�U ❑ CONDENSER COIL (/" �' ❑CLEAN COIL d CHECK FIN COND. NAME I SERVICE ❑errt 'F LVO °F �/Z d l p�.l�I s �/lj(��IL ' � �-� �. TECHNICIAN COST ENVIRONMENTAL CHECK UST ❑ REFRIGERANT STREET �j [� PHONE / Q, p N'ORKPERFORYED on UWTPRICE ❑ FAN A DcMOTOR ��3�{o �e� �' l�R� �/�i C�I��ySv/ 9'�� l � roRCH us�cae ❑VOLTS AMPS 7 /� C 1 CITY STATE ZIP ` , REqJUMED ❑ELECTRICALCONNECTIONS I G�� ///��j � � , ` VACUUMPUNPUSAQE ❑corirncrs ncHr a c�rw MAKE MODEL SERIAL NUMBER ❑FAN PULLEYS(A0.JUST BELn • OTY. MATERIALS ❑CNECK,LUB BEARINGS 8 MOTOR � " ❑�� r/ MAKE MODEL � RJ�1L NUMBER I ❑ EVAPORATOR COIL � `� 9 � Z. ' � ��J� � REFRIGERAHTR ❑CLEAN COIL 6 CHECK FlN MAKE MODEL SERIAL NUMBER ❑ENT DB_°F LVG DB_'F ❑ENT WB_°F I LVG WB_°F ❑ CONDENSATE AREAS �E MODEL SERIAL NUMBER ❑INSPECT 8 CLEAN DRAIN P/W ❑INSPECT 8 CLEAN DRAIN DESCRIPTION OF WORK PERFORMED ❑ AIR FILTERS ❑CLEANED ❑REPLACED FILTER SIZE ❑ HEATING ASSY. (��,�, � � ` �� S ' ❑BURNER 8 HEAT D(CNANOER r � �" -�� 1�'.� S� �w. ❑FUEL SUPPLY 8 PRESSURE �. ❑PILOT ASSEMBLY ❑FLAME A0.IUSTMENT - ❑PRIMARYRFIAYBFLUE k � �/ �f1./�L ��ab�� ❑FAN 8 LIMIT SWRCH OPER. � ❑BLOWER ASSEMBLY ❑RV VALVE ❑STRIP HEAT ❑DEFROSTCYCLE ❑ ELECTRICAL COMP'TS ` ^ ❑RELAYS ❑CONTACTORS 3� ja ( / . �� '/ 1 � _1 � J� �n,C ❑OVEHLOAD ❑PRESS.SWITCH L•✓ G" �/ '�1G ❑ THERMOSTAT y ` � �� ❑o.k ❑REPLACE -�- �yh�dM�; � L' S— (�J� l` fTA'v^- Time ot Armial: ❑RELOCATE . �_ � �7 (� Time of Departure: �° ��'�-a��` �SGc%�e,..� � � , r;�i " -��. /�/1 Pr �� /' l� T ��Y� RECOMMENDATIONS I HAVE AUTHORIN TO ORDER WORK AS OUTLINED ABOVE.THIS INVOICE IS SUB,IECT TO A FINANCE CHARGE OF 1 1/2�PER MONTH. TpTAL SUMMARY ANNUAL PERCENTAGE RATE OF 18%WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND HEASONABLE ATTORNEI"S FEES IF THIS INVOICE IS PLACED IN THE HANDS OF AN ATTORNEY FOR COLLECTION.CUSTOMER RECEIVED NOTICE OF CONSUMER TOTAL m�� RIGHTS UNDER STRUCTION INDUSTRI RECOVERY FUND. MAT T�I AS � LABOR !� SERVICE — _CUSiOMEH'S _ TUB� CALL CHG. ..� 7AX — --- — i LIAIRED WARRANTY:Ail materials,parts end equipment are warranted by the manufacturers'or suppilers'written warranty anly.All lebor peAormed by the above nemed company is warranted for 30 days or as otherwise indicated in writing.The above named company mekes no other werrentles,ezpress or implled,and its agents or techniciens are not authorized to make any such warranties on behaH of above named company. TOTAL