HomeMy WebLinkAbout16-17732 CITY OF ZEPHYRHILLS
' 5335-8TH STREET
(813)780-0020 177
, BUILDING PERMIT
i PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17732 Address: 38227 IRONWOOD PL
, Perrr�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
, Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squ�re Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-021A-OOD00-0020
Improv. Cost: 3,600.00 OWNER INFORMATION
Date Issued: 9/13/2016 Name: FRIER MARY ANN & CHARLES
Total Fees: 55.00 Address: 38227 IRONWOOD PL
Amo��nt Paid: 55.00 ZEPHYRHILLS FL 33542-6621
D�te Paid: 9/13/2016 Phone: 813-404-6738
Wo,Fk Desc: A/C CHANGE OUT 2 TON
� CONTRACTOR S APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 55.00
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I Ins ections Re uire
D TSIN�STALLED I
DUCTSINSULATED
FINAL II
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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
II 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 b�e 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 i�ning 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
',I 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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iCONT OR SIGNATURE PERMIT OFFI R
PE IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 Ciky of Zephyrhilks Permit Application Fax-813-78Q-0�21 '
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� Buifdtng Deparlme�t
, Data Recelved 'y t phone Contact for Permiltin�Yi' 1
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I Ownar's Name N\ ��h�l' a,C�(� �('I t�� � Owner Phone Numher �Q
Owner's Address Q /` �� S Owner Phone Number `�
` Fee S}mpie Tltiehotder Nama Owner Phone Number � i� �
Fee Simple Tltleholder Addresa
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� - JOB ADpR�SS �J�OS /.1-�dY1�. X �!� � . IT: !4T� L�
SU6DIV SION PARCELlQt��d�� ^ C�"' d�
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�(4BTAINEO FROM PROPBRN FAl(NOSICE)
WORK PROPOSED e NEW GON5TR 8 AD�IALT � SIGN Q 0 DEMOIISN
INSTAL� REPAIR
PROpOSED USE Q SFR Q COMM � OFHER
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TYPE OF GQMSTRUGTION Q 8lQCK Q FFtAME' � BTEEI Q � _
DESCRIPTIQN OF WOftK � � /t l /j S
, BUILDINCa SIZE � � SQ F.00iAGE L� NEIGNT ��
1Ts-c�r'e'ses-rrrrs-rnr�rTi'�'rr'r'i'r'[^mt'mrr
�BUI1.RlNG � VAI.UATION OF TOTAL CONSTRUCTtON �
QELECiRtCAI �� AMp SERVICE Q PROGRE55 ENERGY Q W.R.E.C.
QPLUMBING �� �� �2"'/ ' I
�ECHAIJICAI: $ - pZJ VALUA710N OF MECHAAlICAI kNSTAL�ATiON � � ,/
t � �� �,
QGAS Q ROOFIN6 [� SPECiAtTY Q OTHEft
FINiSHED FLOOF2 EtEVATIONS �� FI.OpD ZONE AREA QYES NO
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BUfLDER � �� CdMPANIf �
SlGNA7URE { REGISTERED Y I N FEE CURRER Y/{d
Address Llcense# �-�
ELEC7RlC1AN � � COMPANY
� SIGN.ATURE KEGISTERED � FEE CURRE� Y/N_ �
License# � �
Address
IPIUMBER � � COMPANY �. �
� S4GNA'(UAE REoisiEREO Y I N FEE CURRE� Y!N
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Address Lfcense# f �
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I` SIGN TURE� � � ROMPE E4 r y�� ���!`iJRL�.GS ����-�✓ 1
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Address � 2. + License# 1� �6 ^
OTHER ` � � COMPANY �
SIGNAiURE RE6�5T£RED Y I N FEE CURRE� Y I N
Address Cicense#��
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RESlDENTlAI Al4ach(2}Plot Plans;(2)sets of 6uitding Plans;{t)set of Energy Fonns;R-Q-W Permtt for new construcflon,
Minimum lan(10)working days efler submitla!dala. Reqoired onsHa,Constructlon Plans,Stormwater Plans wt Silt Fencs Instailed,
Sanllary Facllilies&1 dumpsler;Site Work Permit tor subdivisions/large proJects
I COMMERCiAL Attach(2}compiete sets oF Buiiding Plans plus a Life 8efely Page;(1)set ot energy Forms.R-O-W Permil for new conslrualfon.
� Min(mom ten(i0)working days after submittal daie. ftequired onsite,ConsWction Pians,Stormwaier Pians w1 Siit Fence instailed,
' Sanitary Facl4ities 8 1 dumpster.Site Woric Permit for ai!new proJects.AII commerclal requirements must meet comptlanca
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I � SIGN pERMlT Attach(2)sels ot Engineered Plans.
i """PROPERTY SURVEY required for all NEW constructlon.
V i -►-1-{-1-H-{�:1�-1.=H=1-1-/-1=�..1-1.�1=H-L.1-A-FhF:l-f-{-i-F-I:i•1-i�f-1-4.1--1-i-f-.4-4-1--1-4:{-4-4.i-H-F-H-.'r:-r..-:-M1-f.�.1-
E Directtons:
` IFIII aut appifcallon compfetefy
� Qwner&Conlractor slgn back ot appficaqon,notarized
If over,52500,a Notica af Commancamont Is requlred. (AIC upgrades over E7500)
" Age�t(for lhe conlraclor)or Power of Allorney(ior lhe owner)would ba someone with noterized lelter trom owner authorizfng same
� OVER TNE GOUNTER PERMITTINC3 {copy ot contrect r8qufred)
! Reroofs if shingles Sewers Servica Upgredes A/C Fencas(PIoUSurvaylFootaga}
� Driveways-Not over Counier ii on pubtic roedways..needs ROW
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NOTICE OF.�E�D RESTRICTIONS: The undersigned understands that Ehis permit may be subject to"deed'restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibflity for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If fhe owner has hired a contractor or
contractors to',lundertake work,they may be required to be Ilcensed in accordance with state and local regulatfons. ff the
contractor is not Ilcensed as required by law, both the owner and contractor may be cited for a misdemeanor violatlon
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 contact the Pasco County Building Inspection Division—Licensing Sectlon at 727-847-
8009. Furthermore, ff the owner has hired a contractor or contractors; he is advlsed to have the contractor(s) sign
portions of the"contractor Blocl�'of this application fo�whlch they will be responsible. If you, as ihe owner sign as the
contractor,th�t may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. I
TRANSPORTq►TION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the canstruction of new buNdings,change of
use in existin' buildings,or expans(on of existing buildings,as spec�ed in Pasco County Ordinance number 89-07 and
90-07, as am'nded. The undersfgned also understands,that such fees,as may be due,will be ident�ed at the time of
permitting. It s further understood that Transportadon Impact Fees and Resource Recovery Fees must be paid prior to
receiving a°c�rtificate of occupancy"or flnal power release. If the project does not involve a certificate of occupancy or
final power rel ase,the fees must be pafd prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,t,�ey must be paid prior to permit issuance fn aocordance with applicable Pasco County ordinances.
CONSTRUCTrON LIEN LAW(Chapter 713,Florida Statutes.as amended): If valuation of work is$2,500.00 or more,I
certify that 1, I he applicant, have been provided with a copy of the 'Florida Canstruction Lien Law—Homeowner's
Protectlon Gui e"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the�I owner',I certtfy that I have obfained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTO� 'S10WNER'S AFFIDAVIT: I certify that all the Information fn thls application is accurate and that all work
will be done in compliance with all applicable laws regulating constructlon,zon(ng and land development. Application is
hereby made�o obtafn a permit to do work and InstallaUon as indicated. I certify that no work or installation has
commenced p ior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, �ounty and City codes, zontng regulations, and land development regulations in the jurisdiction. I also
certify that I U derstand that the regulations of otfier govemment agencies may apply to the intended work,and that it is
my responsibili to identify what actions I must iake to be in compliance. Such agencies tnclude but are not Iimited to:
- De artment of Environmental Protecfion-Cypress Bayheads, VIIeUand Areas and Environmentally Sensitive
La� ds,Water/Wastewater Treatmenk
- So thwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
W�tercourses.
- � y Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- De artment of Health & Rehabilftetive Servlces/Environmental Health Unit-Welis, Wastewater Treatment,
Se tic Tanks. �
- US Environmental Protection Agency-Asbestos abatement.
Fei�eral Aviation Authoriry-Runways.
I understand that the following restrictfons apply to the use of flll:�
- Us of fill Is not atlowed(n Flood Zone'V°unless expressly permitted.
- If t e flll materlal is to be used ln Flood Zone "A", It is understood that a drainage pian addressing a
'co� pensating volume"will be submilted at tlme of permitting which is prepared by a professional engineer
lice sed by the State of Florida. �
- If t e fill material is to be used in Flood Zone'A° in connection with a permitted building using stem wall
co�struction,I certify that fill will be used only to fill the area within the stem walL �
- If �II material is to be used in any area, I certffy that use of such flll will not adversely affect adjacent
pro erties. If use of fill is found to adversely affect adJacent properties,the owner may be cited for violating
� the�conditions of the building pertnit issued under the attached permft appilcation,for lots less than one(1}
a whtch 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 permitting conditions set forth in
this affldavk prf� r to commencing construcUon. I understand that a separete permit may be required for electrical work,
plumbing, sign ,wells, pools, air conditioning, gas, or other installations not specffically inciuded in the application. A
permit issued s all be construed to be a Itcense to proceed with the wark and not as authority to,violate,cancel,alter,or
set aside any p visions of the technical codes,nor shall issuance of a permit prevent the 8utldirig Official from thereafter �
requiring a corr�ction of errors in plans,construction or violaUons of any codes. Every permit Issued shail become invalid
unless the wo�authorized by such permit is commenced within six months of permit Issuance,or'rf work authorized by �
the permit ts su�pended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be reques d, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
jusiifiable caus�for the extensfon. if work ceases for ninety(80)consecutive days,th�job Is considered abandoned.
WARNING TO OWNER: UR F LURE TO RECORD A NOTICE OF C01�6ME NT MAY RESULT IN YOUR
PAYING TWIC FOR PROV E S TO YOUR PROPERTY. IF YOU Pf'tEN O BTAIN FINANCING,CONSULT
WITH YOUR L ND OR-A RN BEFORE RECORDING YO R C F COMMENCEMENT
FLORIDA JURAT(I:S. 17.03) �
OWNER OR AGEN�' �' CONTRACTO
Subsatbed an�swgm to(or efli ed)before me this s b e or atflrtned)before me fhfs
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Who is/are personai►y known to me or haslhave praduced o I are onally Im to me or hasfiave produced
I es Idendflcadon. s IdentlficaBon.
�I Notary Public Notary PubUc
Commission No. II Comm s n No.
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Name of Nolary typ pdnted or stamped �Name of Notary �: � ��. Commission#FF G 0422
� ���,,. �a' Expires December 12,2018
J��k�`��, Bondod Thm Tro fein Ineurance
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Office: 813-779`7508 • Fax: 813-779-7504 • Lic#CAC1815498 Date: 7 d
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Custom r Name (1\
Addres s��-�'� Lrr�t�,ocQ ��QI�Q ZipCode
Job Lo afion��`� �1�-�,r�t�� �. 7��)15 Subdiv:
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Phone �� �J' 7� � Alternate#
Existing�Equip.
Mod.# �
� C� � SER.# G�%��1J�7����z-"l
Mod.# I � � SER.# � l � ����J
- - Permit #
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T e of�Unit• M/S S/C � /S PAC Ton: � Seer
Y N
❑ Duct Work Type of Duct Work: Metal Flex MH flex Du oard R-
� ❑ Float S W: o�Z
� • Heater KW: Wire Size Breaker Type
I eat Shield:
, � d. Elec. Panel Brand: AH Cond. PAC
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❑ j Line Set: T stat: Prog. on-prog � r j �
� � �l� �/a `�
❑ Mastic Seal: Airhandler Location: AHU �" H 'W I�"
� �' t& Rec • Return Air "Duct Size "
� Service Platform: Access/Closet Door: Attic Height/Closet Size: -
Attic Insulation Depth = R Value
Special Notes: '��Jl, y� I . ��
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Bryant$� . Rheem $ J � Comfortmaker$ . $
Factory Rebates:
Warrant : 10 year Compressor and Parts& 1 year on labor ,
10 year Compressor and Parts&2 year on labor
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Air Tech Services Approval '� date
Custome s Approval ' date
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