HomeMy WebLinkAbout16-17840 I
, CITY OF ZEPHYRHILLS
�� - - 5335-8TH STREET _�'
(813)780-0020 �?�4�
BUILDING PERMIT . '
PERMIT INFORMATION LOCATION INFORMATION
Permit N'umber: 17840 Address: 5346 8TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
� Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est� Value: Parcel Number: 11-26-21-0010-13500-0170
Impro�v. Cost: 3,850.00 OWNER INFORMATION
Date �ssued: 10/19/2016 Name: MATTHEW W GODWIN DC PA
Total Fees: 55.00 Address: 4221 RIVER HILLS DR
Amouht Paid: 55.00 TAMPA FL 33617-7406
Da�e Paid: 10/19/2016 Phone: 813-810-2689
Wor,,k Desc: A/C CHANGE OUT 3TON
�I CONTRACTOR S APPLICATION FEES
' ABSOLUTE AIR SYSTEMS INC A/C CHANGEOUT 55.00
�
� I 1�
/ �
I I . J��
�
V �
I Ins ections Re uired
DUCTS INSTALLED
DUCTSIN ULATED
FINAL I
REINSPIIECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local glbvernment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
� f rst 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 be 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.
"Wari�ing 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.
I NO OCCUPANCY BEFORE C.O.
�
u
�� �
,�
�CONTRACTO NATURE PERMIT OFFI R '�
; PERMI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FROM WEATHER
�
i
i
��
813-�80-0020 T CI af Ze h rhills Permit A �IC�t1011 Fax 813-780-Oq21
, tY P Y pP
8uiiding Qepartment
Dats Recelved i �Phane,Contact for.Perniittio � -
Oxrner's Naml �OGv�� Ownar Phone Number � u�� '�'��
i . �
i �
Owner's Address �a �I�n J`�'" , •Owner Phone Number
Fee Slmple Tltleholder Name � � Owner Phone Number �— �
� , .
�
Fee Simple Tt�leholder Addre�s '
I ��J08 ADDRESS �J ! ��"� �f LOT#
SUBDIViSlO I �� � PARCEL ID#
I � (OBTAINED FROM PROPBRTY TAX N0710E)
WORlC PRQP�QSED - -.NEW C4N5TR . ADQ/A�.T �] SIGN� Q Q DEMOI.ISH
II ' e, INSTALL 8� -.� REPAIR �
FRQF05ED=�SE Q SFR � �CQMM � OTF{ER '
TYPE OF CONSTRUCTION Q� � BI.00K " `Q FRAME � .STEEG Q _
DESCRIPTIO OF WORK L�' � ��'� ''rr�G" L'n i �.-'`
BUFt,DlNG'S!il - � SQ FOOTAGE�� .HEIGHT����
�8�������'' � " . VAIUATiON�t}F�TO'fAL CONS'fRUCTIOiV' '
I • _
', QE� CTR1CAl $ ' AMP SERVICE. Q PROGF2ESS ENERGY Q W.F2.E.C.
' . QPL MBING ,f �� ^ � �8t�V
`� .`.�
�ME HANtCAL $ VALUATION OF'MECHANICAL INSTALLATIt3N '
��� rj - " �
QGA Q ROOFING Q SPECtAL.TY L,� OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
� . ..
i BUIF.DER GOMFi4�lY�
' 31GNATURE REGISTERED Y/ N . FEE CURRE� ` Y/N�
Address � - Ltcanse# { �
EIECTRtC _ : CdMPIWY = , -
SIGNATURE � REGISTERED Y/ N FEE'CURRE�" �Y/N
IAddress � � , . License.# �� 9 i
PIUMBER '_ , CO�IPANY ; � , ° . .
SIGNA7URE' , REGIBTERED. Y./ N. FEE CURRED ' Y./N. °�
Addres$ . ., ' L�cense.# � ��•: 1
_ � "l��'lvfr ,�('
MECHANICAf.' ,�� ��,� COMPAFlY �... /t 1 � � ���"'"z i�t��-_
3iGNATURE• - - • ��� REGISTERED , N . FEE CU �/rN .
Address��' :.- ',������'�, ji o,$ ;.� � � , • license# � � f� :7
i OTNElt ' _ ` ` ` ' ':COMPI4NY .� . _ .
SIGNATURE =- ~ '�' • 9 � ` � ' REGISTERE�' ' Y/ N_._ Fee CURRen• Y/N
r , < � ._ . � �
Addr68� "' � ' s ` ` = lice`ltSB#
� :.,. ,,�_., , ., , ` 3..; -
RESlDENTIA4:_.: �:A#ta'cti;(2}wR1ot�P,lans,:.(2}seis:of�Buliiling'Riens,'(1}'sef of�Energy�Foims;R-O�-iN'Peririlt fiar new�nstructian, �:, ,
� � Minimum.ten�(�1,0):vy,ortiing,,days:after"subrinlfEa�'date:;ftequired onsite;.Ganstruction'Rl�ans;wStormwate�'Pians wi Siit Fencerinstalled,
���'����Sanita��Facillties;i�e1=;dumpster:Site�,Work.,P.,ermit for subdivlsions/Iarge,proJecfs;._ - ;,�, t� � '��
COMMERCFAL Attach 3}�coinplete sets`�of Buililing Plans plus a�Ltfe Saft�ty Page;{1}set of Energy Forms.R-Q W Penni##ar nev+i construction.�
Minimum ten(10)working days'after submlttal date. Required onsite,Construckian Plans,Storn�water Plans w!Siit Fence instailed,
Sanitary FaciliUes&1 dumpster.Site Work Permit for all neVu,�projects.`All commerGal requlrements.must meet compllance� ' �
SIGN.PERMI li Attac:ii(2�se#s of'�nglneered:.Ptans;, r �_:��- �_��;._ , - , '
""PROPERTY SURVEY,reyufred for all NE_W.construction.
Qi�ct�ans• .,.;._,,:_ ... , ,
FIII out applicatlon completely.
Qwner&�Contractor stgn back of applicatlon,natadzed
If over�2500,a Notice of Commencement ts requlred. {AtC upgrades over�7500j ;
�� II '." k•=:ir�,`.'..; .
Agent(fc}r the contractor.)�or Powe�df Attbmey(fur tFie owner)would be&omeone withYnotarized letter from owner authorizing same
(i
DVER THE C�}�UN'iERfPERM17TING..., __{Front af APAlication t}n1y}_. .
Reroohs if shirigles Sewers Service Upgrades A/C Fences(F'lot/Survey/Foot�ge)
s.,
Drivew� Not over Counter tf an publia roaduvays..iieeds ROW
i
I
I
� _
:..;.:-�,�.'%-:.,.�-
NOTiCE OF DEED RESTRICTIONS:. The undersigned.undergtands�;th�t;ihis�p�rmlf..may;be,sub)ect.to."deed"restrictlons"_..�,y.�.:.r..
which may�tie=mor�e�r.est�ictive�t�i��-County+'�r+egrilatrons`=The°.underelgned-�asgumesrresponsibiltty=_fo�`compllance:with�any
applicable.deed-restrictions. -... ....;. ,. .,. . �. - �ti .. �•: - , . ,. ., _. . � ,_.::,- . -, ,._,
UNLICENSED•�.CONTI�ACTORS��AND GONTRACTOR RESPON81@II;ITIES: �--l���hQ�owner-has��hiced��a amtractar or
contractors to undertake woric,-they may:be..reiqulre.d�sto�:be.,ltcensediln_accordance��with state.and_local_regulations.:',�If�the•���=��� �'��''
contractor Is�not Itcensed>as�reyulred'tiy lew, botfi�the owner and�conUactor may be�ct'ted�for a�ml"sdemeanor violation
under state law. If the owner or intended=�contractorare_;;uncertaln as to what Iicensing.requlrements�,may�apply�-for=tlie��=�= °�°r'��`
,.;.:, ,�,:. ,. ., . .
intended�ivork, tNey are'advised fo coritact.the�_Pasco County;Bultdtng�lnspection DIvlslon--Licensing Section at 727-847-
8008. Furthermore, (f the owrier'tias�"hlred-�� conVacto�'or contractors, he is advise'd to have �the contracto s) sign.,` _,., , .
.,-. :.:. __ K.,.<<,. �
portions of the:r"contrector Block" of,this.applicatlon..foc,which.:they,. wlll;be,responsible.-�.Ifyouu,:as,fhe owrie�:si'gn�as"the ` �
-- � - _.._.__.._._u:.
cont�actor�lhat�may be an indlcation�that''Fie`is not.properi'y"Ilcensed"antl`is-not entitled to perrriitting privlleges In Pascq
County. � : .::; ., ._ .
TRAIVSPORTATION;tMPACTIUTILITIES•rMPAC7ANb�RESOURCE RECOVERY°FEES:� T�he�undersigned uriderstands
that Transportation Impact Fees and.Reco.urse.Recove.ry.Fees mey�:appiy��to�tf�e�construction_of new.buildings,:change;of`'`'����;:,:`;'
use in exisNng bulldings;�or:�.expansien���o�'existin�g`�buildings, as specifted.in P�scv County Ordlnance number 89-07 and
9o-O7, as amended.,.:The undersigned also.:understac�ds, tha�t°�such fe.es�:,as�rnajr�e�.due;,.wlll�be tdenlffied at the�tiriie`of=� �-��� �`- -
permitting. It Is furtFier understood that Transportation impact`-Fees and�,Resource,Reco�ery"Fees..mu�t be paid prior to
recetving a 'certificate..of occupancy" or flnai-�.power:�elease.-`:If�the.proj�ck;does;not Involve:a-;certfftcafe of occupancy=or�`��==�='`�' '
. _.
final power-release;:.the;fees mu�t`tie pald prior to,permft issuan'ce. F��tk�ermore;ff:Pascv.,.County"Water/Sewer-;lmpact -: ::"��s�
fees are due,,they��must.be.pald�pnior,to,permit<Issuance=ln.accordancewitli�appiicatile-Pasco�,County•ortlinances. •
GONSTRUCTION"GEN�LAIIV�(Cfiepter 713� Florlda Statutes�as amended): If valuation of work is$2,500.00::oc,more,.I . �. =-w�;
certify that I, #he applicant;: have.-.been provlded �with=-a�copy�of��the��"Florida�-Constructton°Llen.:Lavv—Homeowne�'s
Protection Guide" prepared by:�tfie"�Flo�ida D�partment of Agrlculture and Consumer A,ffairs. If the appltcant is someone� ,. >.; ._
other than the"owner", I certtfj►-that I�have.obtaineda'a copy,of:the,above..described�focument�and;:p.r.omige�in,good,'faith_to � .
deliver it to:the:'owner"�p�or=:to�cornMencement:�' � ' , = = � - ' - , . �
CONTRACTOR'SIOWNER'S AFFIDAVIT: I.ceitity;.tFi�at,,all:�th�ilnformati�n:,ln�this appllcation is accurat�.and that all work
will�be done in compliance with all.applicabie laws regulating constructlon� zoning and�;land��dev_elopment. Rppitcation,is
hereby made to obtain .a.permit�.�Co�do_:woi`i�,�and�installation as indl�efed:•� .�I certffy that no work�:ur Installation Fias'
commenced prior to i'ssuance of'a permi�t�"and that.all work wlll be pertormed to meet.standaTds-�of all laws regulating-
constructlon, County and City codes, zoning regulatians, and land development r.egdlatlons�tn the-jurisdtction.-• I•al'so _
certify that I u�derstand that the regulations of other government agencles may�apply;to the_intended.work, and that it is
my respons(bility to Identify�what.act(ons I must t�ke to besin:.corr�pllance,..S.uch agencles inciude�but=are..not Iimited.to: -_ �
- Department of Envlronmental�Protectibn=Cypress.�Bayhead�,�VileNand Areas and Envlronmentally Sensitive �
Lands,WeteNWastewater Treatment. � � � �
- Southwest Florida W�te� Management: �1�9strict-Wells;'`Cypress.� Bayheads, �Wetland' Areas, Altering
Watercourses. - �
- Army Corps of Engineers-Seawalls,�Docks, Navigable Waterways.
- Department_of Health�',8..ReY�abilitativ.e,,Ser,vlces/Environmental-.-Health Unit Well.s��Wastewater�Treatment,
Se�tic Tanks:_� '_ ` � ._, ' _ . . __ _ �;. _
- US Environmental Protection Agency-Asbestos abatement. ,
Federel Aviatlun�Aulhority-Runways.�� _
I understand that the.following::restcictions apply to the use of fllt:
- �Use of flll is not allowed in'Flood.�Zone"V"unless expressly permitted.
- If the•flll mate�lal fs �to-�be usetl:'In.�Flood Zone. "A°, It. is understood that a dratnage plan addresstng a
°compensating volume" will be submitted at#ime of�permitting which Is prepared by a profess(onal englneer -
Iicensed by'the�tate of Flortda: �
- If ihe flll materlal is'to:be used in Flood Zone 'A" In�connection�wlth-a�permitted buildir�g using stem wall
' construction, I certify that fUl:wall=be used only.to flll the area within the�stem�wall: �
- if flll material Is to be used In any area� I �certify that .use. of such flll wlll not adversely affect adjacent
' properties. If use of flll is found�to adversely..�ffect adJacent�pr�perties,.the owner may be cited for violating
the condillons_of the bWildtng,permit issued�under tlie`attached permtt �pplicatlon;:for_�lots�.less#han.one (1)
acre which are elevated�tiy flll, a�r englneered drainag�plan is required. •�
If I am the AGENT FOR-THE OWNER;.I;.promise In,good faith to inform the�owner of•the permitting conditlons set forth In
this aifidavit'prior to commenaing constructlon. �I understand that a-aeparate permit may be requlred for electrical work, , _
plumbtng,..signs, welis,,pools;, air conditioning,-.gas��or othe� install�tlons noE�spec�ically included-in.the�application. �A .
permtt Issued shall be constfue,d to be�a°Iicense'�to��proceed wlth tNe wor`k and not�as.authoHtyto.vlolate;'cancel; alter, or
set aside any provisions of the teohnlcal.codes;�nor shall Issuance�of a.permit.prevent ttre Bulidirig Offictal from thereafter �
�equirin.g a conection ai ercors in.plans; constivction or violations of any codes. Every permtt�Issued=stiall-becotne invalid
unless the work authorized.by such permlt:is.commenced•withln sf�c,months of permlt Issuance, or if work authorfzed by
the pe�mtt is suspended�or.abandoned�fora;period;of�six(8)�montiis.aRerthe#I�e the�work�is commenced. An extenslon
may be requested, in writing,.from tHe Building,Official for a period.not:to_exceed�ninety�(90)��days and-wtll demonstrate
justifiable cause for-�the extens(on�. If work ceas�s.tor nineXy{90)cons.ecutive day.s,..th�job�is considered aba�doned. � '
--Wc4RRlING�0=06�VVNER:�-YOUR.,FAILURE�Tt1.REC.ORD=A:_NOTIGE�:QE=��OIlAM��ICENIEl�fT.MAY�RESULT IN�-1(OU�3-------
PAYING TWICE;F.OR�IMPROVEMEN'�S�TO.YOlJF.�<PIt�PER7Y:���I�°YO.EI;INTEMD�TQ`�OBTAIN•�F1NApEtNG;�C.OIiISULT
WIT U D AN A O NEY FOR��,�ECOR�1 �.� OU � � ,;C �'O `. , , . E �E . ,
FLORIDAJURA��(F.S:1.17.Q3} . " . " ' � � `
OWNER OR AOENT CONTRAGTO `
Subscxlbed and awom to(or aflirmed)before me fhls Subecrlbed'end'swo t aflirm e' f .
by - �by � �
Who Islare personally knovm to•me.or has/have.produced . Who.is/are personatly known•.ta rtte,or hea/hav.e produced •
• ' as Identlflcatlon. � as IdentlflcaUon.
Notery Public . Notary Publlc
Commisslon No:` Comr�laslon�No. - ,
Name ot Notary typed,printed or stamped Name of Notery typed,pdnted or stamped
_. -- � - - - -
. i } Sheet1
�
�
F�
Absolute Air Systetns,lnc. BpD PRClPOSAL
• �`° 37325 Kossik Road BREAif Dt3WN FORM
i '� �� Zephyfiills,FL 33541
<.�.
; , _,$�' Lic.#CAC 1813789 �ax:813 788 9189
� r ' �' $13 779 0109 Email: steve@getcoldair com
�
Quote To: Matth�wv Godwin
5346 8th St C:84 3-81 Q 2689
i Zephyfiitis Ft 33542 F:
i
�
�
�' matthewaodwin70 c,�g.maif.cam
, Job Description:Change C}ut&#nstallaf�on of a 3 ton H/P 14 SEER 5kw
Job Si4e: 5346 Sth St Zeph ills F!
, Pronosai 10/19/2016
' � Total Proposed Price for all HVAC work,completed in accordance with the
� obsenra#ion of the jab site.
Three thousand eight hundred fifty dollars Total $3,850.00
General Proposai Breakdawn Price
' 4 3 ton N!P 14 SEER $3,850.00
' 2 5KW Heater tnctuded
� 3 HVAG Permit tnGuded
, 4 New Breaker if Applicabte inciuded
5 New Slab wMurrican Ciips foe Condenser Unik Included
, �
i
6 Std. 1 Yr. Parts&l.2tbar-5 Yr MFG Vltatrartty(Exdudes T-Stat� lnduded
� Total $3,$50.00
, y Signature of Proposal Proposaf good for 30 days
By:(Person Authori�ed to Sign Proposaq
. Nam�:���,�Gtsr V�i�✓vL� Signature:
i ,�cLG f
Trtle: Date: !�/ ���b
Ptease sign and emaif back to:steve(d��etcotdair.com
� � ar sign and fa�c to: 813-788-9189
'
Page 1
� --
� - -
' ;