HomeMy WebLinkAbout16-17832 r ;_ , CITY OF ZEPHYRHILLS
• 5335-8TH STREET
' (813)780-0020 ( 17832
� BUILDING PERMIT `,?�p I� � U`'' �
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PERMIT INFORMATION� L CATI N INFORMATION �
Permit N�umber: 17832 Address: 12TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL. '
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propos�ed Use: NOTAPPLICABLE Lot(s): Block: Section:
Squaee Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-06000-0180
Improv. Cost: , 4,700.00 OWNER INFORMATION
Date��Issued: 10/17/2016 Name: COOK, JACKIE JR & BESSIE
Total Fees: _ 60.00 Address: 38014 12TH AVE �
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/17/2016 Phone: (813)838-2888
� Wock Desc: A/C CHANGE OUT 2 TON �
CONTRACTOR S ` - APPLICATION FEES �-
EASY AC A/C CHANGEOUT 60.00
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� - Ins ections Re u' d
DUCTSINSTA LED
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DUCTSINSULATED
' FINAL � �
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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
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 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.
"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
f� 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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�,IC RA OR NATURE PERMIT OFFI R
�� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
�, CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
li PROTECT CARD FROM WEATHER
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{' CENTRAZ A/C&ll�Jil3' 9402 E US HWY 92,Ste 902
' Tampa,FL 3361Q
� Phone(813)635-0440
E A S Y A:�� � _ Fax 813 635-Q484
� �Comfort Made Eas " � �
Y WWW.@aSVaC.tl@t
�-�--� , - � Lic.#CAC058774
A Division of 3G Air Conditioning&Heating,lnc.
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Se�ptember 26'",241�i
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�To whom it may concern in the permits department: �{;�-� c7���� , Flarida �
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�This letter is to authorize the following Easp AC persannel to submit and pull permits:
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�ayle Briglin, Thomas Ware, David Charret, Casey Siler, Doyle Mishler, Casey Westbrook, ,
�ti f you have any questions please call me direct at 813-635-0440 ar fa� 813-635-0480. �
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Thank yau,
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{Keith Westbraak
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�President-Owner
asy AC
Contractar#CACQ58774
STATE OF FLQRIDA '
�COLINTY OF_Hilisbaraugh
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The fare oin instriunent was acknowledged befare me this�`�v�y of �,���� ,2016
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By �:LL�� C �31����
- _~''�"� :c�.� "�'"Y�"�%,t. SHARUN S YARBRt3UGH
otar SignatureZ���� " :_� .°: ,
Y =` �'e MYCOMNtI5S1QN#FF186514
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�,'�t a��;or`,.��' EXPIRES Uctober 7,20i 8
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Notary name printed
Persanally known_�or praduced identification �¢ �
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Keith A.Westbroak, ;
Contractor—CAC058774 �
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, ;,�-,..� �� • 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 !
Building Department �
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Date Received
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il Owner's Name .�0.Gv...�{� ^� L Owner Phone Number 3�
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� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw cONS7R ADD/ALT � SIGN Q 0 DEMOLISH
8 INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
I� TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL �
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�� DESCRIPTION OF WORK V 0.� � � n � '
�I BUILDING SIZE SQ FOOTAGE� HEIGHT �
'� QBUILDING $ '
i' VALUATION OF TOTAL CONSTRUCTION
OELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
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N QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License#
ELECTRICIAN COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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MECHANICA COMPANY �aSy ' �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y J N FEE CURRE� Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permil for new construction,
' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sil�Fence installed, �
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects '
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. i
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities 8 1 dumpstec Site Work Permit for all new projects.All commercial requirements must meet complianca '
, SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construclion.
Dvections:•
Fill oul applica[ion completely.
� Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
� �' " Agent((or lhe contraclor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
II OVER THE COUNTER PERMITfING (copy of contracl required)
li Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
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' Driveways-Not over Counter if on public roadways..needs ROW
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jNOTICE OF DEED RESTRiCTIONS� The undersigned understands that this permit may be subject to"deed"restrictions" �
' which may be mare restrictive than County reguletions. Tne undersigned assumes responsibility for compliance with any
�, applicabie deed restrictions.
UNLtCENSED GONTRAGTORS AND CONTRACTOR RESPQNSIBlLITfES: If the owner has hired a cantractor or
contractors to underteke work,they may be required to be licensed in accordance with state and local regulations. �f the
I� contractor is not licensed as required by Iaw, botfi the awner and cantractor may be cited for a misdemeanar violation
I� under state 1aw. !f the owner or intended contractor are uncertain as to what licensing requirsments may apply for the
�" intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
��; 8009 �urthermore, if the owner has hired a cantractor or contractors, he is advised to have tf�e contractor{s) sign
i� portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properiy licensed and is not entitled to permitting priviteges in Pasco
County.
� TRANSPORTA710N IMPACTlUTlLITIE3 IMPACT AND RESOURCE RECOVERY FEES� The undersigned understands '
� that Transportation Impact Fees and Recourse Recovery Fees may apply to the co�structio�of new buiidings,change of
use in existing buitdings,ar expansian of existing buildings,as specified in Pasco County Ordinance�umber 89-07 and
90-07,as amended. The undersigned also understands,that such Pees, as may be due,will be identified at the time of i
permitting. It is further understood that Transportatipn Impact Fees and Resource Recovery Fees must be paid prior to !
receiving a"certificate of occupancy"ar final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
(ees are due,they must be paid prior to permit issuance irt accordance with applicab(e Pasco Caunty ocdinances.
CONSTRUGTlON LlEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,5Q0.00 or more,I
� certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Gonsumer Affairs. If the applicant is sameone
other than the"owner",!certify that I have obtained a copy of the abave described document and promise in good faith ta �
deliver it to the"`owner"prior#o commencement.
CONTRACTOR'SlRWNER'S AFFfDAViT: !certify that a0 the inPormation in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is .
hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or instai4ation has
commenced prior to issuancs of a permit and that al! work will be performed ko meet standards of ail laws regulating
construction, County and City codes, zoning regulations, and Iand development regulations in the jueisdiction. 1 also
certify that 1 understand that the regulations of other government agencies may app(y to the intended work,end that it is �
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Envieanmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwesk Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Carps of Engineers-Seawaiis,docks,(Vavigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
1 understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addeessing a
"compensating volume"wiil be submitted at time of permitting which is prepared by a professional engineer ,
licensed by the State of Florida. �
- if the fill materiai is to be used in Flood Zone "A" in connection with a permitted bvitding using stem wa(!
construction,!certify that fiii wiii be used only to fill the area within the stem wa!!.
- If fill material is to be used in any area, I certify that use of such fifl will not adverse�y affect adjacent
properties. tf use of fill is found to adversefy affect adjacent properties,the owner may be cited far violating
the conditians af the building permit issued under the attached permit application, for lats less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR TNE OWNER,1 pramise in good faith ta infarm the owner of ihe germitting conditions set forth in
this a�davit prior to cammencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, weils, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority ta violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Qfficial from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shail become invalic3
unless the work autharized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90}days and wii4 demonstrate
justifiabie cause for tns extensian. if wark ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TC? RECQi2D A NOTiCE OF COMMENGEMENT MAY RESULT tN YOUR
PAY{NG'fWlCE FOR lMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CON3ULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU O71C OF COMMEN EMENT.
FLORIDA JURAT{F.S.117.43} ,�j
QWNER OR AGENT CONTRACTC7R'` !
Subscribed and sworn to(or affirmed)before me this Su scribed and sw„Qrn[�r affirme df)b r��q'��this ( � ,,/ �
by t�Ay 7�%(r by,1(' t��.t��{� V�/1.l S�,!Y/Y
Who islare personally known to me or has/have produced Who islare pe,[�sonalty knowf��Fo m�or has/have produced
as identification. FG+ 4.�P.4�2t SG�lC¢.e.���as identification.
Notary Pubiic l� Notaty Public
Commissioo Na. Co is i n No.
I `'ti�Y P���
I Name of Notary typed,printetl or stamped Name hi'. {S e*pr t QQG�S
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( ,�Q?� Expires Decembef p2 2Q�($
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