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Home My WebLink About16-17808 CITY OF ZEPHYRHILLS 5335-8TH STREET - ► (813)780-0020 �7$ � � � � BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit 141umber: 17808 Address: 5820 CYPRESS ST Perrr�it Type: MECHANICAL ZEPHYRHILLS, FL. . � Class of Work: A/C CHANGEOUT Township: Range: Book: Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section: Squa�re Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0260-01400-0850 � Impr�v. Cost: 3,900.00 OWNER INFORMATION ' Date Issued: 10/04/2016 Name: CARTER JAMES D & MILDRED Total Fees: 55.00 Address: 5820 CYPRESS ST Amo� nt Paid: 55.00 ZEPHYRHILLS FL 33542-4461 D�te Paid: 10/04/2016 Phone: 813-780-1503 Wo k Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES HEAVENS BREEZE A/C AND HEATING A/C CHANGEOUT 55.00 I � �Jl �� Ins ections e uired DU T INSTALLED DUCTSIN ULATED FINAL REINSPECTION 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 first reinspection,whichever is greater,for each such subsequent reinspection. NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may b 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 impr vements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Compl te Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. - NO OCCUPANCY BEFORE C.O. � TRACT R IGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � � 813 so-oozo City of Zephyrhills Permit Application Fax 813-780-0021 I Building Deparfinent Dat�Receive � � - P.hone{ContacE,for:Perrrilttin � !3/3 - �6.5� _ �7 Z �5� Owner's Na e %/��!� ��l%� Owner Phone Number ��7�0— /'ro ✓� Owner's Add eas �a �� s-f f� Owner Phone"Number � Fee Simple T tleholder Name ��G�� °�� Owner Phone Number , �.,, , • - Fe�Simple T tleholder Address �'P�� /��7 2 �D�� - °/'� ¢ �G 33(Z� �� JOB ADDRE S J �� LOT# SUBDIVISIO � PARCEL ID# , , . (OBTAINED FROM PROPERTX TAX NOTICE) WORK PROP SED w NEW CONSTR ADD/ALT Q` SIGN Q Q DEMOLISH � B. INSTALL B > .REPAIR � ' PROPOSED. SE Q SFR [� �COMM Q �OTHER TYPE OF CO STRUCTION' - Qe` � BLOCK " `Q FRAME � STEEC Q DESCRIPTIO OF WORK � ��v,� �/�i��e p v� �UILDING'SI E ' � SQ FOOTAGE�, , :HEIGHT . _. , � OBU LDING $ VALUATION�`O��TOTAL CONSTRUCTION QEL CTRICAL „ $ " AMP SERVICE. Q PROGRESS ENERGY Q W.R.E.C. � - - . , , - � - QPL�MBING $ �ME HANICAL $ VACUATIqN OF;MECHANICAL INSTALLATION '� l�� - �3 9oa.� . . . , QGA Q ROOFING Q SPECIAL:TY Q OTHER � - FINISHED FL OR ELEVATIONS FLOOD ZONE AREA QY�S NO BUILDER COMPANY' � SIGNp►TURE REGISTERED Y/ fV 'PEE'CURRE� Y/N Addre�s L'icense# � ' w ,. �,. - " ELECTRICIANI.: � COMPANY� ' ` SIGNATURE ' REGISTERED Y/ N FEE'CURRE�� ' 1 Y/N Addre�s � � , ,� , Ucense#. � ' PLUMBER C,OMP.ANY � ; - � SIGNATURE` , ,REGISTERED Y./.N.: ., � =FEE CURREN Y/N ' Address � .License„# ' , MECHANIC' � ' `. ` � COMPANY. :!'1%'��/ �O?"�'� SIGNATURE• - � � � REGISTERED , Y,/ N � FEE CURRE�- Y/�N _ :" ' ef. . — � Addres's�. . , , ;. _ �. , , - . - ,. , .. , � License#� OTHER �'` , , � , ` ';COMPANY. , SIGNATURE-. T,- �i� - " -`�R � � • ' ` U `REGISTERED � Y/ fV.._, � FEE CURRE�• Y/N . Addr�ss _ ,t _� a;�k,: . � , " L'icense#� RESIDENTI, �� Attacti"(2)„PIo.FPIaFis;,(2)'seEsiof:Building`Plans;(1)set of�Eneigy Fortns;'R-O=W'Perir%lt for new oo,n§truction, .:, � �,.,;.)=....�4,.9:.. Y,g.. _ .. � . . , -. _,..-. ,=...:�- .. . ,. , � � :-:Minimumaten� 1,0 wo tn da aRer,;submiftal"date�•R"ulred onsite,:'Construcdon Plans;�StormwateYPlans wI Silt Fence installed, _ ,,..:,....� .. f��SanitaryFacfllUes;&Rtl;ydumpster;Sit@°Worlc�Permitforsubdiyislons/la�ge'pro)ects;;y^_�:;' ' -' ' � - ' COMMERCI AttecFi(3)complete sets'of Buitding'Pians plus a Life S'afety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.- Minimum ten(10)working days after submltNal date. R�qutrad onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilides 8 1 dumpster.Site Work Permit for all new;projects.All commercial requlrements,must meet compliance ' SIGN PERMI Attaoh'(2)'sets of"Englneeied;Plans.; ;�t:�.:��-• ... ;.. • .� . ` ' `` � ' - - ""PROPERTY SUR1/EY requirerJ for,all_NEW ponsWctlon.:. - _ i Dlrectlons: I ..- ._ . .. . Fill out ar�plicatlon completely. +� Owner&Contractar sign back of applfcaHon,notarized If over S 500,a Notice.of Commencement la requlred. (AIC upgrades over�,7500) . : .. � .�,,:•;;F�,. Agent(fo tFie�contractoc)"or Powe�:of;Attomey(for'tFie�owne�)'would`be someone with�notarized letter from owner authorizing same DV�R:THE C UNTER:P-,ERMITTING --,.(Front�of-AppllcatiomOnly)-�� Reroofs if shingles Sewers � Service;Upgradas A/C�, ^ Fences(Plot/Survey/Footage) _ Driv�wa I -Not over Counter if on public roadways needs ROW� = LJ•� �' , � ' � ..:,�. :.-'_�.��. NOTICE OF DEED RESTRICTION$:, The undersigned undergta,nds�-th�t;ihis<pflrmit,may be,subject to°deed"resUictions"_;�._. ;�_�_:, which may be,more��restFtctive>th��i-County reg�ilatfons:��The underslgned°assumes'��esponsitiiltty'.for�compllanae with"�any '�"'" -`.. applicable:deed_restrictions. . � � � _ _ � - -- - -� UNLICENSED�CONTRACTORS AND CONTRACTOR�RESPON3I�ILITIES: �°lf=tfie�owner-has=fiice�d��a"cbntractor or contractors to undertake work, they may�b.e�r�qulred_to.=be_:.Ilcensed In.accordance.w(th�state.and:local_regulation.s.:` >If the-��'- : =�� contractor i`s-not Itcensed�=as�requlred=;tiy laiiir, bott�°'the owner.and��contracfor�•may�be�cited��for-�a�misdemeanorviolatlon under state law. If the owner or Intended:,co,ntractor,;are,•uncertaln as to what Itcensing.requlreRnents;'�may:apply-�ior°=tfie�•�. _ �- �---'" intended woHc, they are advised to coritact_tfie�Pasco County;Bulldtng"inspectton;D(vislon_-l:icensing Sectton at 727-647- 8009. Furthermore, If the owrier�has�'htrecJ��a cont�acto��o�contractors, he ts advised to have�the contractor(s),sign_ , _ , ..,,. .., W .. portlons of the"contractor Block° of this:.application_fo_r._which,they wilt.be r.esp,onslble:_ If..you,=as_:fhe owner:'stgn`�as�'ttie�� ' '� � cont�actor, that�tnay°be an Indication�tHaf'he'is"not'�:properly licensed"and`Is�not entiNed to perniitting privlleges in Pasco County. ' ` , ::�.:,..�, ., _ .�. TIt�NSPORTATION.•IMPACTIUTILITIES-IMPAC"��ANb ItESOU�iCE RECOVERYfEfES:"7he�undersigned-understands thatTransportation Impact Fees�and.Reco.urse.Recove.ry_.Fees may�:apply.to�the,construction;of ne.w._buildings,,�change<`of`="'��=�'��'� use in existing bulidings,�or��.expansi�nrof=existin�g��buildings, as specified.in P�scv County Ordinance number 89-07 and 90-07, as amended.,,.;The undersigned also;understands, thait`�such fees,;as:may_be�due;;wlil;�be tdenfified at the'�-tiinei"�of`��° �Y�"-.�';'. permitting. It Is furtFier understcod that Tra�sportailon impact'�Fees and`;Resource:Reco�ery-Fees:.must be pald prlor to receiving a °certiflcate�of�occupancy"•or flnal�.power=release.�:If�the.proj�ct:does:not involveNa�certfficafe of occupancy�a��=i'•�� flnal powec release;=the:fees mu�t�tie paid;prior to;permit Issuance. Fu�thermore;�If:.Pasc�,County�llVater/Sewer�:lmpact � - .. . fees are due,.they_must_.be:pald�pNor to permit>Issuance�U_.accordance.witlY�appitcatile.Pasco�-County�ordinances. • CONSTRUCTION LIEN'LAW�(Cliapter 713� Florlda Statute��as amended): {f valuatlon of work is$2,500.00;or,more,,l� �:. ==..� certify that I, #he. applicant;-have-been provided with a=copy of.�the��`Florida ConsUuctton`Lien :Law—Homeowner's Protection Guide" prepared bythe Flo�ida Department�of Agric.ulture and Cons,umer.Affairs. If the applicant Is someone- ,, ,_;, other than the"owner", I certffyrth�t.l�have.obtained=a'copy;of.the:abave:.desc�ibed�locu�ent_and.pror�ise��in,good'faith to . deliver it to:the'ownec"�:p�ior�to�commencement:' ` �� `- � - � � CONTRACTOR'SlOWNER'�AFFIDAVIT: I.cectiiy;�:tti,at�all�.th��lnf.ormation:in�this appltcation is accurate�nd that all work will'be done in compi(ance with all.applicabte�I�ws regulating construction� zoning�nd;land:development. Apptication is hereby made to obtatn .a.pecmit:.to.do�work;.,and installatlon as indi�eted:-�-�'I. certffji that no work ryor Installatton fias commenced p�io� to Issuance of'a permlf"and that.all work will be pertormed to meet_standards-of all laws regulating- construction, County and City codes, zoning regulatiQns, and land development regulattons�tn the--jurisdiction:� �I?al'so certify that I understand that the regulations of other�government agencies may�apply to the..intended.work, and that it is my responsibility to identify.what.acttons I must•teke:to be�in:.corrlpllar�ce; .Such_agencles�include-but=are.not Ilmited to: ; . - Department of Environmentai>Protection=Cypress.�Bayheads, Wetland Areas and Envtronmentally Sensitive Lands,Water/Wastewater Treatment. " - Southwest Flortda Water Management� �.Dtstrict-Welis;' Cypress.~Beyheads,- Wetland` Areas, Altering Watercourses. . � - . - Army Corps of Engineers-Seawalls,`Docks, Navigatile Waterways. - Department vf Health;& ReMabllitative,ServtceslErn+ironmental..Health Untt-Wells, Wastewater=Treatment, � Se�tic Tanks.. - ' . . � - -� -- -- - US Environmental Protectfon Agency-Asbestos abatement..� � - Federal Avlatlon.Authority-Runways.- I understand.that the.following."restcl'ctions apply to the use of flll:• - Use of flll is not allowed in:Flood:Zone"V"unless expr.essly permitted. - If the.flll materlal 1s to be used�`�In.:Flood Zone. "A°, It. is understood that a drainage plan addresstng a °compensating volume" will be submitted at t(me of:permitttng wh(ch is prepared by a profess(onal engineer � Itcensed by��he�tate of Fiotida: - � - If ihe fill material�is to be used In Flood Zone 'A" in�connection�with:a��ermitted building using stem wall � , conatruction, I ce.rtify,;that flll�.�rall:be used_only.to.fill the area within the�stem wall: • - IF flll materlal Is to be used 'in any area, I �certify t#�at .use. of such flll will not adversely affect adjacent propertles. If use of flll Is found to adversely.�ffect adJacent��presperties�.the owner may be cited for violating the condi#ions�of the bi�ilding;perniit Issued�under the�attached_�ermtt applicatlon,:for_�lots.lessthan.one (1) acre wNich are elevated`tiy f111,an englneered dralnage plan is required. If I am the AGENT FOR THE OWfdER; I?.promise in go.o..d falth to inform the owner of�the permitttng condftlons set forth In this affidavit'prior to commenoing constructlon. I understand thet a-aeparate permlt may be requlred for elecMcal work, . . , 5.�.....: plumbing,_signs, welis;.pools;. alr conditioning,.gqs��or.oti�ec install�tlons not�spec�ically included�tn.the�application. .A permit issued shall be construed to be a`Itcense�-to proceed with'tNe work and not-as:authoNty_to:violate,:'cancel, alter, or set aside any provlsions of ihe.techntcal.codes; nor shall Issuance�of a.permit.prevent the�ulldirig Oificlal from thereafter requlring a conection af errors,in.ptans; construction or violatlons of-any codes. Every�permtt is�ued"sfialFbecome inval(d unless the work authorized.by such permlt:�s-commenced•within sUc_.months of�permit issuance� or if work authorized by the permit is suspended�or.aba�doned-for a:period;of�six E8)�montfis.after the time the�work�is commen�ed. An extenslon may be requested, In writirig, from the.Bullding,Offlcial for a pertod-�not.to exceed ninety=(90)�days a�d virill demonstrate justifiable cause for.�the extension: If work.ceases.for ninety.(90)cons.ecutive days...the job�is considered abandoned. " WARNING TO OWNER: YOUR-FAILURE•TO.R�EC.O�tQ,A.NOTIGE:OF�COMMENCEMEMT:MAY�RESULT IN YOUR PAYING TYYICE;FOR IMPRO�/EMEN.TS�TO:YOUFt:�:PROPERTY: �I��YO.t1a1N�'�E�ID`T�°��OBT/AIN�<FIM�APIEING;�CONSULT ifYI�FI�1P��riJ�t,E D 6�-09��rsi6�i°14TPOR�IE'f�FO��PID0�1�'YOOJR'�TI�;�'S�P-}�(��II�I�Nr�E11NENT" .'- ---- -- —, FLORIDAJURA�•(F.S:11T.03) , � " � � �� - OWNER OR AOENT CONTRAGTO � �� Subscrlbed and ewom to(or atflrmed)before me thls S�ibscrl e�and' �to(of a edpbefote � ftils bY /��/ b !��lo�'- 9�/J . Who Islare personally known to.me or has/have produced Who.le/are o a wn•��ne or heslhave-produced • . � ae Id'entlflcatlon. �S s IdenBflcaOon. . ' l Notery Public _ l7i"� ��- �l�G� Notary Public � JACQUELINE B ' Commisslon No� Co i� Ion. ��?•. - , - ':.= ommission FF 150422 _';� {a: Ex ires December 12 � Name o1 Notary lyped,printed or stamped Name of Nota ��3rint�f�i1stinfpet��e eooaas-ioss ._ • � 1 '""_ y HE aC PHONE }'/� - �v - U� DATE c _ � i , 7 >.. � /�' . �� v �c AND HEA�c FAX& ALT.PHONE Ema:heaventbreezeae�gmcil.com u�.cwc iaieasi JOB NAME �`,�,��.e 5��" (813)%5-7284 JOB LOCATION 0. PROPOS L CONTACT �% � �'�/ �' % -- �';:� _ ��;LG i � INVOICE f. , � .�/ � /�f tU� S ` � i � � i/ !� 1"� J i �= SUBMITT D TO c"�f STREET �5`�"��1 `}_� i�.�t.jJ .r� ---. ,�`�- --. � ��--�.�.-_ CITY,ST/� E and ZIP CODE "'�'e�=if Yf �' -"- � � r % ' 'f ` �/� �� • Unit Size =�.� [�H.P. 0 S.C. Brandname � � ' i;:,'�z'-' Condenser Mod�l# �•i":"!�/�c� �:i ��. Air Handler Mod I# �"�.�t ;>G° ;'�%'-�.. Heater Size • , " �n� Energy Rating(Seer S r� Drier Filter I � . . � � � • Electronic Themiostat �J.� /n��.f/G%1 .r `JOv Pro rammable Thermostat �' / Provide ew Electrical Whip .� , � � • Clean Effects 99.98%Filter S stem Perfect Fit Pleated Air Fiiter U.V.Li ht S steln � Sanitize Air Duct S stem . - � � � New R/Air Grill�s New S/Air Grill / New Air Duct S stem � Reconnect ExisUn Duct ! � Add Duct.Run / f � • I Refrigerant Line Set Float Switch �`�S Auxilia Drain an � !f'�•>� Condensate Pu p Volts ` / Drain Lines I � Locking Caps � �< Flush Drain Lin� U �. -�t Flush Coo er Li e / ..'�'-f I � � • New Pad •.,/�s Galvanized Lin Cover � Metai Air Handl r Stand Dis osal of Old� ui ment £'s� Condenser Tie Qown Kit f �'�' � � � Q One Year atisfaction Guarantee • � ,, `^'�"' � �v°!i�/ ,�!•,';�:G/ ,�� `�i f-' SUB-TOTAL :��,::��/�,;; c / . Payment to e made as follows: � /l� , ��,��;�5�� SALES TAX , FREIGHT All materials guaranteed to be as specified.All work to be completed in a workmanlike ' JOB TOTAL . - - - _ manner acc�rding to standard practices.Any alteration or deviation from above the estimate. DEP�SIT"° ��-� All agreeme ts contingent upon strikes,accidents or delays beyond our control.Owner to f BALANCE ` carry fire,to�ado and other necessary insurance.No retum on special order items.Any , ' cancellation�or deviation from proposal subject to a 25%restocking fee,handling and freight �� a ' charges.Ultra Custom,Inc.Reserves the right to enter the premises to alter or adjust any . - , ' discrepanci s of the work perFormed. e?,�J r-,t jt��r _,_,� 1 �,:.� �I �.- , �:,,� /.,✓ ti/ ,b � L- � � � � � Accept�nee of roposa � The above prices,specifications and conditions are , satisfactory a�d are hereby accepted.You are authorized to do the work as specified.Payment will be _ made as ouUi�ed above.This estimate is valid for 30 Days. ' -. _ _ _ __ _. .- Signatu e of Acceptance: Date: / � �� 7i�c��°�1 ,�/��u L ��''�.-.✓��f � � : ; ✓:.� ..�,�� /�f��fr, ;� ,;f"�' �L,G,� �,��; r.s ,,�r�,,�%( /�-1 - , ,