HomeMy WebLinkAbout16-17770 CITY OF ZEPHYRHILLS
5335-8TH STREET
`�' ' 177 0
(813)780-0020
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17770 Address: 5120 18TH ST
Per�rnit Type: MECHANICAL ZEPHYRHILLS, FL.
Clas� of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Squ��re Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-20100-0160
Impr��ov. Cost: 4,550.00 OWNER INFORMATION
Date Issued: 9/23/2016 Name: LEWIS KELLY M
Total Fees: 60.00 Address: 5120 18TH ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-2154
D�te Paid: 9/23/2016 Phone: 813-778-2097
W rk Desc: A/C CHANGE OUT 2.5 TON SPLIT SYSTEM
CONTRACTOR S APPLICATION FEES
J M HAYS INC A/C CHANGEOUT 60.00
Ins ections Re uired
DUCTSI STALLED
DUCTS IN ULATED
FINAL /'
REINS��ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local g �vernment 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.
NOTICE.�In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may be ound 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
/
C � NTRACTOR ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOU�t NOTICE REQUIRED
PROTECT CARD FROM WEATHER ,
� 813-7so-oo2o City of Zephyrhills Permit Application Fax 813-780-0021
� Building Department
iI'
Date Receive Q
� Z� I � � Phone Contact for Permitting � ��� �-� - � �� O
Owner's Nam e �� �.� w; Owrner Phone Number . /3 7�����1 �
Owner's.Addr ss ✓r•� 2 �/ p I� -�Tr�C�F Owrner Phone Number
Fee Simple Tit eholder Name Ow►ner Phone Idumb�r
Fee Simple Ti eholder Address
JOB ADDRES S- (�� �o �� S��r P�,� LOT# �
SUBDIVISION- PARCEL ID#
, - (OBTAINED FROM PROPERTY TAX NOTICE)
WORK;PROP SED . NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
B INSTALL e REPAIR
, . PROP.OSED U E _ Q SFR Q COAAM 0 OTFiER
' • TYPE:OF CON TRUCTION Q BLOCK - Q FBAME 0 S,TEEL Q ,.-
, � i � 1 .
DESCRIPTION OF WORK � V c I C�!�� �L�.l- �„+s�'1� �� h e v-' 2 rIi ,.�tn (IS-SrG'� ,(� � -l� S �-
@UILDING`SIZ SQ FOOTAGE ��,LI..� Sy�
=.HEIGHT
OBUIL ING $ VALUATION�OF"TOTAL CONSTRUCTION '
QELE TRICAL , $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C.
� OPLU BING $ � � ��
MEC ANICAL $ VALUATION OF fVIECHANICAL INSTALLATION � �
� �.SS—p o p
QGAS Q ROOFING Q SPEGIALTY 0 OTHER ? � �?�
FINISHED FLO R ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y 1`N FEE CURREn Y/N
', Address License#
: .
ELECTRICIAN CONIPANY �
SIGfdATURE �' REGISTERED Y/ N FEE CURRE� Y./N
Address ° Cicense.:#. . �
PLUMBER.:;. COMPI4NY
SIGNATURE � . �REGISTERED- Y/ N FEE CURRE�- Y/N
_ Address License•#` � '
=: AAECHi4WICAL `� r� / COMPAIdY `/ � w) � ���1 j -� C
'� .SIGNATURE' � �/. REGISTERED , Y/ N FEE CURRE� Y/N
Add�ess<< � - ' . License# C � ���Sf��
,�:iii�.'r�, . .. . � ,
OTHER�'� `'`�r � COnAPANY � �
'SIGNATUREr?.i •' -' " � ' ' REGISTERED Y I.N FEE.CURRE� Y.I N
;;�_y ... a . � _ ,_
Address;� _ �":� .:F.sa, .`;:° - � - - - ' ' L'icense#
�`.RESIDENT'114L!.:,; Atfacfi`.(2)iPlot=`Plans;(2):seCs-of�Buildirig�Plans;-(1�)set'of°Energy,Forms;�R,O-W P,errriit,for new.construction, .. -
�._ � , -~�. �Minimum�.tent_(,1 U)wo,rking;day,s afte�_sutiiriittal date. Required�on'site;'Con'struction Plans,Stormwater Plans w/'Silt Fence installed,
• �`�,��, � �Sanitary,,Facilities<&�,1:.dumpste,r•;Sife;W.ork�Permit for subdivision5/large`projecfs�` � � � � '
s..COMMERCIAL Attach�(2)�complete"se4s'ofBuilding�Plans'plus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,.
- Sanitary Facilities 8�1 dumpster,Site Work Permit fo�•all nevu projects.All commercial requirements must meet compliance
.. _.__.. ... . . .
;��$IGN PERRAIT AttacFi`(2)sets of�,Engineergd Rlansi!•� -•;
- - "*`•FROPERTY SURVEY required for_aII..NEW coristruction. �
, "�Direct"ions: , . . -,. � . . , _ ,_.
� FiIC'out app ication completely.�^.
i Ovuner& ntractor sign back of application,notarized
i _ If over$25 0;a Notice of Commenc�ment is required. (A/C upgrades over$7500)
"' Agent(fo�`��'e�cont�actor)�or-Power of Attomey(for tfie owner)would be someone with notarized letter from owner authorizing same
:�OVER:T'HE CO ,NTER:PERMI,T.•TING _ (copy..of-contraet-required) " ' -
`Reroofs if shingl s Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
_ ..�.,. �' , .
Drlveways Not over Counter if on public roadways..needs ROW
— -- - �i
-- - - - � �
. . � ����-w��c^���,����,.��s
, N
NOTICE OF�.�EED RESTRICTIONS: The undersign,,ed u,nderstands;that this;permit may.be,subj.ect ta"deed",restnctions'`,';�,�;
` Y ..:�; : .. 4 �3y...!._..{r .t,._
which:rnay.be.maresres#rlctive.tlian}�Gounty regulations. �Ttiea�iinde�s�gnetl�assuiiiesT:respon's`iti�l�ty=for°cornpNance=wi#h any�`''"
applicabie:deed restrictions. � y �� < - -„ -���-
. .. ...
UMLIC�NSED.,:GONTRAC.T.-ORS AND CONTRAGT�R RESPQIdSIBILITIES: if�the,ovirrier•��tias=hired la��con�actor or '
contractors #a undertake work,:they.may be.required to be licensed in accardance with state and:local,wregulations':���if�the:-:��
contractor-is not.licensedas:required by law, bofti`the awner,anii'�conf�actor-�may�6e�cited«forr:a�-misderneanorviolation ' "
under state law+. If the owner or intended�contractor are uncertain as#a what iicensing requirements:�may�:,apply<:for::the.=�:�'�Y :
intended�wor.k,�they are advised to con'tact'thie Pasco County Bullding ln`spection'Division.=Li'ceri'sing Sectibn at 727=84fi-
8009. Fu�thermore, if #he owner has liire�l a coritractot ar conf�actors, he is advised to,,have the cantractor{s;).,sign., ::w �
portions of the "cont�actor Block" of this applicatian.for which #hey.will.be:responsible. If,-you, as°,tfie-:oviiner'`sign�a's�=#hie "` ,
contractor, that may be an indication that he is not properiy iicensed and is naf entitle�i fo perm�itting pr'ivileges in Pasco.__ �
County. . , _ . . ._, .., ;x�__ _� _� ,;s�_ ���
TRANSPORTATION IMPACTNTILITI�S IIII�PACT AND-itESOIJRCE RECOVERY FEES:The`und��signed understands ;
that Transpor#atian Impact Fees and Recourse Recovery Fees.may:apply to the constntction of..new,:builcirngs, c'�ange�of'"'� i
, use in existing buildings, ar expansion of:existing"�uildings, as specified in.Pasco County Ordinanr,e number 89-07.and_
90-07, as amended. The undersigned alsv und�rstands,,ihaE such�fees, as`inay.<besdue, w�ll��e:iderat�ed at�#�ie-tiirter�of�µ`�=�. `�;
permifting. tt is further understaod that Transportation Impact Fees:and Resource•rRecovery.,,Fees must be paid�prior ta :
receiving a "certificate of occupancy°-or final-;power release. !f the-project�daes not involve a ceitificate of accupaney�.�r�:=��
final porrver-release, the fees-must be pa`rd priar to permif issuance. FurtHe�mare, if,.Pasca County Water/Sev►rer.�lmpact;�;�w ;
fees are due,.they must be paid prior ta permif issuance in accordance v+rith=applicable Pasco.County ordinances.
CQNSTRUCTION �tEN l.A1N{Cliapter 7�lS, FE�rida S�atute�,as amended}; If valuation of�nrork is$2,5flQ.0.0:.or�mate,;1�;;;}.�
certify that I, the applicant, have been. provided with a copy. of the "Flarida� Construction::Lien :L.aw.
,� � �O�/`i/,/U J r f e�� (�9 �l � '�I" � � b y 1 0 7 F.n r �n r�S `� � y�n_�r' �n b�r
v t r� �+ vV v'c
,.�'� -� .SeS t� e /tl�w �- `fl�� ��r�.^ � �a� (��rr�,.,,Ly
Jo� �RorosaL �,,o G ERq
J.Ntj HAYS, INC. � !,� �i�
Refngeration & ��� ,�V
AirGonditioning Services �FRlGIDAIRE � �
Stat Class "A" Lic. CAC 055504 �,„,,�„��...�,�„ "
i
P.O. Box 6889 (813)654-6918 ' S�I�v,v�
Seff er, FL 33583 Toll Free 1-888-884-HAYS (4297) Date:
- ��I 1� � i
Proposal Submitted To: Phone:
X e 1 ) L�w� ��.3� 7�8 — p�
Street: Job Name:
j � i �O 1 ���`' .��rpP , � �� }���.� � �c — /�6
� • City�State 8�Zip: Job Location: >-
Z e 1� G,� 1 I C 33-S`I 2 .�' - �p ��7r" S'�
Con�act Perso :
el/ Lc �,� s Z� /��. 1�, ll s �'"'� 33 � 2 '�
W I Hereby Submit Specifications and Estimates For:
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C%I l l d ✓l✓YI✓►v� l.� • Grwtos,7�1 ' e� fC� P ��'G� ^ �=w P CJ'��,!-
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fJt3w✓+ � C� .i r i' �✓A ! �(d s/1 �r e.0 / cJGY-!�1 r C' P .��cn /f f �n�Q-
...Sf�-�-� � �Cs . c.I( ��j'��rC c/ . ►�C C Gw►- @/G✓�� � �C�e �d �� J� .
We Propose Hereby to Furnish Material and Labor - Complete in Accordance With Above
Specifications, For the Sum Of: F�r �'�o����, c� �i ve �,��,���� .��,���, c�b ll.ti, �
��,� °;'�oo - Dollars ($ y, ��O, o� )
0
Pay entto Be Made as Follows: .SO l� �b�,,,�, � �q`,,Hc,� cc�u� Q� ,Tol�,
i
' C��/����,
NO ICE:Any changes requested by the customer are not covered by this agreement, and must
be added subsequently, at the cost agreed u�on by both parties. Quotes are good for 30 da s
from the proposal date. � �y�s��,.,, q�,1. F`�s �� ��� 3 75-O:J � u I�e 1Qe h���� -
� S�y S�I-Y%c,-� �e,� � � c�.c r 1-� , lf ,;O'>,rJ o ���eJ-c, � 'T � �''�:�.P� l�
AC � EPTANCE OF PROPOSAL: The above prices, specifications, and conditions are satisfactory
and are hereby accepted. You are authorized to do the work as specified. Payment to be made
as utlined�
�, ,�
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Dat : f - Signature: � l g ��S
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