HomeMy WebLinkAbout16-17989 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
,s _ (813)780-0020 17989
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit I�lumber: 17989 Address: 5140 10TH ST
Perrr�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class �f Work: A/C CHANGEOUT Township: Range: Book:
Propos�ed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Squa�re Feet: Subdivision: CITY OF ZEPHYRHILLS
Es#. Value: Parcel Number: 11-26-21-0010-19500-0030
Impr v. Cost: 4,600.00 OWNER INFORMATION
Date Issued: 12/08/2016 Name: MCGUIRE FAMILY TRUST & JOSEPHINE
Total Fees: 60.00 Address: 3355 E RIVER RD
Amo�nt Paid: 60.00 TRUXTON NY 13158-4130
Date Paid: 12/08/2016 Phone: (813)395-8998
Wo k Desc: A/C CHANGEOUT 3.5 TON
CONTRACTOR S APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 60.00
3 �
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Ins ections uired
DUCTSI STAL ED
DUCTSI SULATED
FINAL ,
REIN PECTION 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.
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 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
before recording your notice of commencement."
Comp ete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� °
CO T TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
8uilding Deparlment
'� ' Date Recelved '
Tr�Trr Phone Canlact tor Permfltfn _
OwnaY's Name `� Owner Phone Number 8(3- rS-54�3.
Owner's Address Owner Phone Number
Fee Slmple Tltleholder Name Owner Phone Number
Fee Slmple Titleholder Addreae
JOB ADDRESS J — ('�j I,S �"'I., �' LOT q �
SUBDIVISION PARCELIDq �I- ' ��DDID:-/9 o4-OD O.. _
(OBTAINEO FROM PROPERTY TAl(HOTICE)
WORK PROPOSED NEW CONSTR ADDIALT � SIGN Q Q DEMOLISH
e INSTALL e REPAIR
"
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONS'fRUCTION Q BLOCK Q FRAME � STEEL Q
_ DESCRIPTION OF WORK /� �(��
.. _... -
BUILOING SIZE SQ FOOTAGE� HEIGHT . - . .
'TfRTY'TI"t��IT1Tf1"P.. .'. . .. . . .. . ..�... . � .
T�"r1"I"f"1'�TI�Trt�..._ . ....._... ................�...�. ..
' "�rr�� TrT1T.TP7�T'P'1"'I'7TT1'RTrrT�
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ ' ' AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $'
_ ���
�MECHANICAL $ ' / VALUATION OF MECHANICAL INSTALLATION
�0 i
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address
- License#
ELECTRICIAN �COMPANY
SIGNATURE REGISTERED �.Y/ N. FEE dUFiRE� �Y/N '
Address License#
PLUMBER COMPANY
SIGNA'fURE REGISTERED Y/ N FEE CURRE� Y/N.
' Address License# .
. , . ..
MECHANICAL COMP.ANY /h TCGGt s� �(,� O'�1�S� �j'�,L
SIGNATURE � REGISTERED Y./ N FEE CURRE� Y!N
Address G - G.. • �• � S� 1 Licensel� (%�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N� FEE CURRE� � Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111
' RESIDENl7AL Allech(2)Plol Plans;(2)sets of Building Plans;(1)sel ot Energy Fortns;R-O-W Permll tor new conslruction,
Minimum len(10)working days after submlllal dale. Requlred onsite,Conslrucllon Plans,'Slormwaler Plans w!Slll Fence inslallad,
Senilery Fecililles 8 1 dumpsler;Sile Work Permil for subdivisionsAarge profects
COMMERCIAL Allech(2)comPlele sets of Buildl�g Plans plus a Life Safely Page;(1)set ot Energy Forms.R-O-W Permil for new conslruction.
' Minimum ten(10)working days efler submlllal dale. Requlred onsite,ConslrucUon Plens,Stortnwater Plans w/Silt Fence inslalled,
Sanilary Facililies 8 1 dumpsler.Sile Work Permil for all new proJects.All commerclal requirements must meel compllance
, SIGN PERMIT Allach(2)sels of Engineered Plans.
� ""PROPERTY SURVEY requlred for all NEW construcllon.
,,,�.��. . ��S-:�=�.'.-..r�� 1-{-1-1-1-�-�y ' ��'.
Directfona: �"""'^��^�""'�^^�
FIII oul epplicatlon completely.
Owner 8 Contraclar sign back of applicalion,nolarized
It over E2500,a Notice of Cnmmencement ia requfred. (AIC upgrades over$7500)
"' Agenl(tor Ihe conlractor)or Power o(Allorney(►or lhe owner)would be someane wilh nolarized lelter from owner eulhorizing same
OVER THE COUNTER PERMI7TING (copy of confract required)
Reroofs If shingles Sewers Service Upgrades A/C Fences(ploUSurvey/Foolege) _
Driveweys-Nol over Counler iF on publ(c roadweys..needs ROW •
�
NOTICE dF DEED RESTRICTiONS: i'he underslgned understands thet this permit may be subject to"deed"restrictions" '� "`
which may be more restrictive lhan County regulations, The undersigned assumes responsibility for compliance with any
applicabie deed restrictiorts.
UNLICETdSED CONTRACTORS AND CONTRACTOR RESPOhiSIBiUTiES: if the owner has hired a contracior or
contractors ko undertake work,they may be required to be licensed in accordance with state and local regulations. If the
cantractor is not licensed as required by law, bath the owner and cantrac#or may be cited far a misdemeanor violation
under staEe iaw. Vf ihe owner or intended contractor are unFertain as to what iicensing requiremenfs may apply for the
intended work,they are advised to contact tha Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furlhermore, if the owner has hired a contractor or contractors, he !s advlsed to have fhe contracfor{s} sign
portions of the°contractor Black"af khis spplica#ion for which they wilt be responsible. If you,as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasqo
' County.
TRANSPORTATiON 11�iPACTtUTiLi1'IES tMRAGT AND RESOURCE l2EGOVERY FEES. The undersigned undersfands
that Transportation Impact Fees and Recourse Recoyery Fees may apply to the construction of new buildings,change of
use in exisdng buildings,or expansion of existing buildings,as specified in Pasca County Ordinance number 89-47 and
80-07,as amended. The undersigned aiso understands,that such fees,as may be due,witl be identified at the time of
permitting. It is further understood ihat Transportation Impact Fees and Resource f2ecovery Fees must be paid prior to
receiving a"ce�ificate of occupancy"or final power release. ff the prajeck cloes not involve a certificate of occupancy or
ftnal pawer release,the fees must be p�id prior fo permlt iss�ance. Furthermore, if Pasco Counfy WaterlSewer Impact
fees are due,they must be pafd prior to permit issuance in acctardanr,e with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,1
certify that !, the applicanf, have been provided with a cqpy of the "Florida Construc6on Lien �aw-Flomeowner's
Protection Guide"prepared by the Flarida Department of Agriculture and Consumer Affairs. If the applicant is someone
othe�than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prlor ta commencement.
' CONTRAGT4R'SIOWNER'8 AFFIDAVIT: I certify that all ths information in lhis application is accurata and ihat all work
will be done in comp►lance with all applicable laws regulating construction,zaning and land development. Applicatlon is
hereby made to obtain a permit to do wark and lnstailation as indicsted. 1 c�rtify that no work or installation has
commenced prior to issuanoe of a permit and that ali work wili be performed to meet standa�ds of ail laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdictlon. I also
certify thaf t unde�stand ihat the regu3ations of other government agencies may apply#o the Intended work,and that it is
my responsibiiity to Identify what actians 1 musk take ta be in compiiance. Such agencies inciude but are not lim�ted to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Enyironmentally Sensitive
Lands,WaterlWastewater T�eatment.
- Sout�west �iorida Wa#er Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering
Watercc�urses.
- Army Gorps af Engineers-Seawalfs,Docks,tJavigable Waterways.
. Department af Nea(th & Rehabilitative ServicesJEnyironmen#al Nea{th iJnit-Wells, Wastewafer Treatment,
Septic Tanks.
- US Environmenka!P,rotection Agency-Asbestas abatement.
- Federal Aviatlan Au#hority-Runways.
I understand that the following reslrictions applY ko ihe use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressky permitted.
- If the fi11 ma#erial is ta be usad in Fload Zane "A", it is understood that a drainage plan addrassing a
"compensating valume"will be submitted at time of permitting which is prepared by a�professional engineer
licens@d by the State of Flodda.
- !f the fill material is fa be used ln Ffood Zone "A"in connec6on wifh a permitted building using Stem wat!
construotion,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, ! cedify khat use of such fill wi!! nok adversely affeot adjacent
propertles. !f use of fill ls found to adversely affect adjacent properties,#he owner may be cited far viotating
the conditions af ihe building permit issued under the attached permit applicatian,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
tf!am the AGEHT FOR THE OWNER,1 pramise in gaod faith to inform the awner of ihe permitting condittons set forth in
� this aifidavit prior to commencing Ganstruction. I understand that a separate permik may be required for electrical wark,
plumbing, signs,wells; po01Sr air conditioning,.,gas,or other installatlons not specifically included in the application. A
permlf issued shall'be conslrued to be a license Eb proceed with the work and not as autharity tq vialate,cancet,alter,ar
set aside any provisians of the technical cades,nor shall issuance of a permit prevent the Buitding Official from thereafter
requiring a correcUon of errors in plans,construction or violations of any codes. Every permit issued shall b�come invalid
unless the work authorfzed by such permit is commenced within six months of permit issuance,or If wark aufhodzed by
the permit is suspended or abandoned for a period of six(6)months after the time ihe work is commenced. An exiension
may be requested,in writirig,from the Building Official for a period not to exceed ninery(90)days and will demonstrate
, justi8able cause for the extension. if wark ceases for ninety(90}consecutive days,the job is considered abandoned.
r '
WARNING Tp OV�INER: YO AILURE TO RECORD A NOTICE OF COM NC NT MAY RESULI`IN YQUR
PAYlNG 1'WlGE POR tMR V TS TO YOUf2 PROPERTY. iF YQU iNT, D T Q� iN FlNANGt�lC.a,CONSULT
NI TH Y{3U IENClER O�iFIE BEFO RECC1E2DiNG YOt1R iJ tG OF MMENCEMENT.
FLORIDA'JURAT(F.S:1�77. '�����` "
, _ .. ._.... ... . ...... _.,... .... . __..._ �_ _..
OWNEit OR A�ENT CONTitAGTOR `�
Subscribed end swom to(o d}before me this Subscribed and swom to(or firmed}before me this'
by hy
Who Is/are personally known lo me or hasltiave prod'uced Who Islare peisonally known or has/have prod'uced �
as idanfificafion. as identification.
.
Notary Pu6lic NQtary Puhftc ,
Commission No. Commission No.
Name of Noiary lyped,printed or stamped Nama of Notery iyped,prinied or stamped
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� ��'.amEnu�t.cirzl
ffice: $13-779-7508 • Fax: 813-779-75Q4 • Lic#CAC1815498 Date: /� f ���i�
��ustomer Name � l�'c�..4
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ddress ,�f3�` 5--��0�- __�.�_ ��S '��, Zip Code ���_ .'f�-�'
.
J b Location���� �0 ��' �4-nop� „ � _ Subdiv:
hone# $�3''.3�tS� $`t�3 Alternate#
xisting Equip,
�lod.# SER.#
� oa.# SER.#
� Permit# -
e af U i : MJS S�C HjP � S PAC Ton: �� � Seec
Y �! -
(�j �Duct Wark Tvne of Duct Work: Metat Flex MH flex Duct Board R-
� p Flo t S W: �
� Neater KW: ___� Wire Size Breaker Type
�❑ Heat Shieid: '�.
..; Eiec. Pane! Brand: AH . Cond. . RAC
Ci Pa :
�Line Set: T_Stat: Prog. on-prog - ��� �.,� �
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❑ Mastic Seai: ��rhandler Location: ��7'���-�'AHU C_" H r,W »
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� Light&Recn: ��turn Air " Duct Size "
� Service Pla�Form: Accessf Uoset Doar: Attic HeightjClose#Size:
Atfic insuiation Depth =R Value
S ecial Notes: 0�� � ��
e
...5` Q � � �� p7 .
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Br�Iant$__�„���___, Rheem $�(��_,Comfortmaker$ . ` ~ $_��� ,
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Fa tory Rebates: ���e'�. `��'���'' �
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W� rranty: 10 year Compressar and Parts &1 year on labor ��}�
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1Q year Compressor and Z ar on labor � ��
Ai Tech Services Approvai date
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� Customers Approvat� � ���� , �a}� _
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