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Home My WebLink About16-18027 CITY OF ZEPHYRHILLS 5335-8TH STREET . (813)780-0020 18027 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Nlumber: 18027 Address: 5815 9TH ST Permiit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS Es�. Value: Parcel Number: 11-26-21-0010-02500-0100 Improv. Cost: 4,080.00 OWNER INFORMATION Date,llssued: 12/27/2016 Name: GUYSE THOMAS & CHARLENE Total Fees: 60.00 Address: 5815 9TH ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/27/2016 Phone: 574-930-6221 Wo�k Desc: REPLACE DUCT WORK CONTRACTOR S APPLICATION FEES AND SERVICES A/C CHANGEOUT 60.00 � I i Ins ections Re uired DUCTS INSTALLED � DUCTSINSULATE FINAL I � 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 I 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 i 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." 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. � � [ CON RACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , � ! � - " I�v - oo�l s��-�aaoozo I City of Zephyrhills Permit Application F�-��-�� +,� Y Buflding Dapartrnent ` . Date RaeeMd l '�—� �p Phone Co�Heet tor Permlftln [`l�J `'Cv � — / ` �Z ow�.r,�. - a f�'1 A S S� Owner Phone NumMr ��'�3 0��3�� Own�ta/lddrqs � � —1 �� Owner Phone N�onb�r FN Simple THleholde Name Owner Phone Numbar FN Simple Tifleholde Address JOB ADDRES3 �� + S /� ST�� LOT� � suenmsiow PARCEL IDi � '� �o�'�'��`" O�S �—D 1 coer�n rraor vRorernir�x�wnc� WORK'PFtOP08ED e NEwcANSfRB ADDIALT Q SION Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER 7YPE OF:CONSTRU ON Q BLOCK Q FRAME Q STEEL Q I DE8CItIPTION OF W RK f` t�'�p�� D�G�`LJ viZIC BUILDINO 81ZE SG FOOTAOE� HEIOFiT � iQBUILDING S VALUATION OF TOTAL CONSTRUCTION QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.RE.C. � QPLUMBING S �� QMECHANIC 5 VALUATYON OF MECHANICAL INSTALLATION �'x `�� O�c� � QGAS Q ROOFING Q SPECIALTY Q OTHER � � FINISHED FLOOR ATiONS FLOOD ZONE AREA QYES NO i BUILDER COMPMIY SIGNATURE rtEcisT�o Y/N �cuAae� Y/N �ddr... u�� ' �ctwcuw con�Pa�n SIGNA7URE REGISTERFD Y/N FEECURHB� Y/N Addross Llcense# PLUMBER COINPANY SIONATURE REGISTERED Y/N �Cuwt� Y/N I Addr�ss Lkense# IIAECNANICAL CWIIPANY � �+"��/ '�S' SIGNATURE REGISTERED Y/N �cuw� Y/N Addrosa J� �CQ� � License# �d � O7HER COMPANY SIGNE�TURE r�cisT�o Y 1 N �cuRrte, Y!N Address LJcense# 1 1'1 17 TiT I- 1-1'77"I-i i 11-1-I-1 fi'i-i(TTI �1'il 1'77 f 17 ff-I f'T7 TT 1"T7 fT 11-71'iTTTI'1 7 1_i i RESIDEN7fAL ch(2)Plot Pians;(2)sets of Building Plans;(1)set o1 Enengy Fortns;R-aW Permit for new eonstruetion, ; Inlminn ten(10)woddng deye�Rer submNfel date. RequNed ormlte,ConatrueUon Plans,Stormweter Plarre w/Slit Fenee Instelled, nitary FedlWes 81 dumpster,Site Work PermitforsubdivialonaAarge proJaeta � COMINERCIAL ch(3)complete seffi ot Buildinp Plens plua a LKe Safely Page:(1)set of Enerpy Fortns.R-aW Pertnk tor new eonstructlan. � inimum ten 10 after submittal date. uired a�site.Construetlon Plans,Stortnwater Plans w/SIft Fenee insfelled, i ( )xwrkin8 deYs Re4 i ifery FaeOkles 81 dumpater.Ske Work Permk for all new prajeds.All commerdal requfremeMs must meet compllance I $IGN PERMR eh(2)sete of Engineered Plans. PROPERTY SURVEY required for all NEW canstrudian. I Dl�etlorti: Flq out applica completety. Owner 8 eign beck oi epplieatlon,notadzed If Over�'L50D, NoHe�of CommerrcemeM ia roquirod. (AIC upgredes over i7500) " Agent(Tor the traGor)w Power ot Atcomey(iw the o�mer)would be someone with notadzed letter from owner authwizing same OYER THE COU R PERMIT�iNfi (Front otHppllcatlon Onty) Reroois If shinglea Sewers Servfce Upgrades A/C Fences(PlotlSurvey/Footege) � ' Driveways-No over CouMer If on publlc roedways..needs ROW � L . serv � ces Air Conditioning • Plumbing • Electrical ,._._._._._._._._._._._._ �._._.=._._.._._.._._._._._._._._._._._._._._._._._._.� ,.-•-•-•-•-•-.-.-•-•-•-•- 'FI�EE � ' � Service Call; . � : �3� � 1 With My Repair Only • � � � ' � . � i I ;FRE�'�nd Opinions � � On/ �4� ! � � , . y , . , ;FREEEstimates � � � ' � Stick It...Save It... Never Expires! 1 � ' � �' '� ! � � � 1,_,_,_,_,_,_,_,_._._._._ I._._._._._._._._._._._._._._._._._._._._._._._._._._ 1._.�._._._._._._.�._._._ ' X ' � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed°restrictions° . which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any ' applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not Itcensed as required by law, both the owner and contractar may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Divisior�Licensing Section at 727-847- 8009. Furthertnore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s).sign porttons of the"contractor Block°of this applica6on for which they will 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 Pasco County. TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupanc�'or 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 fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida SWtutes,as amended): If valuation of work is$2,500.00 or more,I � certify that I, the applicant, have been provided with a copy of the "Flarida ConsVuction Lien Law—Homeowners Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone '� other 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"owne�'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information 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. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govemment agencies may apply ta the intended work,and 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 Environmentally Sensitive Lands,WatedWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health 8� Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federel Aviation Authority-Runways. I understand that the follawing 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°, ft is understood that a drainage plan addressing a � °campensating volume"wili be submitted at time of pertnitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Fload Zone "A° in connection with a permitted building using stem wall construction,I cert'rfy that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditians of the building pertnit issued under the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the pertnitting conditions set forth in this affidavit prior to commencing construcUon. I understand that a separate permit may be required for electrical work, plumbing, signs,wells, pools, air condftioning, 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 to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the worlc authorized 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 will demonstrate justifiable cause for the extension. If worlc ceases for ninety(90)consecutive days,the job is considered abandoned. 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 OBT�N FINANCING,CONSULT �� WITH YOU LENDER OR AN ATTORNEY BEF RE REC RDING Y R NOTI OF COM ENCEMENT. $'�`jy�� FLORIDA JURAT(F.S.117.03) �� i OYYNERORAGENT CONTRACTOR Subsaibed and swam to(or affirtned)betore me this $uJ��_cn•bpd..end m to(q(e�rtned)be ma is ��Z � by J�11� by_m�1KQ '� sT�Lt"�� ' Who Islere personalty known to me ar hes/Fiave produced Wh6lsl�e personelly known to me or has/have produced C� ' as Identlflcatlon. as identHicaUon. $ g � � � � Notary Public Notary Public o�� Commisslon No. Commission Na. �� J g � -m�+z.-, r sr��r�r�- � � � Neme of Notary typed,printed ar stamped Name of Note typed,printed or stamped - serv � ce .s � Air Conditioning • Plumbing • Electrical� :. . � :• `M1 �.�.�.�.�.�.�._._._._.�.� '.�.�.�.�.�.�.�._.�.�.�.�.�.�.�.�.�.�.�.�.�.�._._.�.� 1.�.�.�.�.�.�.�.�.�.�.�._ 'F/tEE ; . � . �37 ' Service Call' ! � ! I With My Repair Only • � ' I • 'I�REE p ' ' � ' ' � 2nd O inions i � Only �4� ! i � � . ;FREEEstimates i � ! � i • Stick It...Save It... Never Expires! I • � • i �.—•—•—•—•—•—•—•—•—•—•—•— 1•—•—•�•—•—•—•—•—•�•—•�•�•—•�•�•�•—•—•—•—•—•—•—•—•—•— �•—•—•—•—•—•—•—•—•—•—•—•— e 813-445-4818 DATE:��_/�� INVOICE#: 2��6 o ACE CLUB MEMBERSHIP a 727-495-7474 Tech Name c --- WO#: And Services Saving programs have been 352-458-4181 C�i��s � ��O� I explained: 863-226-5588 " • _ • ° ° ' s e r v i c e s �Wandservices Make � Model � Serial � Age I Condl ❑Current Member AlrConditioning • Plumbing • Electrical contact@andservices.com i ❑Agree to purchase AHU � CAC1816819,CFG7428895,EG13002594 ' ___I ! ! Y ❑Decline artlCl atloll - - ' ----------� _-__�--- -- P P �� 1`-------------r------- , Name: %�i�v��i_s �u y�c? CU � � I Customer's Initials Street Address: S�'�S �� 5-�-- -- --- - ' � —�----- � i ' I have discussed And Services Saving programs City �;��,�,rG,�.�II.S State. FL Zip:�� PCK I � with the customer I have given a copy of the contract to the customer.All work is complete and is in compliance Home Tel: .�7+�/��.3�"'C,,�/5/ Cell/Fax: " ° ��' ' � ' � � with And Services standards of excellence in High I Low Actual Max. workmanshi and in com liance with buildin codes. Email: - —- --- ----—i— —— ----_! ; P P� 9 Before i ' Reason For Call: ❑Work Complete —� �, i Technician's After � L i � Signature ❑Attn.Supervisor ❑Follow Up ❑Work Incomplete gRqND ! ❑S/C ❑HP ❑VERT ❑HOR�z� Torvs INDOOR AIR QUALITY o a � � � o •- � o .. . .: ' � Air Handler ❑Ok ❑Dust ❑Growth ❑Dirt �, �k�,.K,.� s��,,,,f_p�.��5,�,!_,,, � _��_��Q�� , Blower Wheel ❑Ok ❑Dust ❑Growth ❑Dirt � � Evaporator Coil ❑Ok ❑Dust ❑Growth ❑Dirt Z � Ducts and Vents ❑Ok ❑Dust ❑Growth ❑Dirt c� , a -- -- -- --- — --I-- � - I--- � PAYMENT OPTIONS --�u�^_�:��.�o� �-----�-`=�v----�a-s�-u�-v�-�'j ----------------------------- - ----------�7-�i_o��. z ❑Cash ❑Check# ❑ Credit Card 0 Q ----- -- — -- --- -- . .----� — � —� ❑VISA ❑MC ❑ AmEx ❑ Discover � � -- � I � Name on Card: � -------- �W -------•-- I � --------_.__—_-- - --- -------- ------- —______ Card No. - — -- --� _I � —� � ' CV2 Code: Expiration / �� r�o`-�6��u�r��w ��ct s' �.r�.� ? � �---- o �� I � -r'ow�a r�,�1sy /Y.�..?� ;l.µ��-1l.��e�+^c��—fiLlo�+�_4—l-�—_. I -- �— � 9 I . w --�_---'-kc�T^R-��-----okiL:�_f.x::AW��L--: Si nature ----------... ------...-- ------- 9 a ---�------------- ------------._.._. __ o —�_ ___ __________ ___ _ _ ____ I __ I hereby acknowledge the satisfactory completion of the work as noted on � � � this invoica.It is agreed that the seller will retain title to any equipment or � material unGl final and complete payment is made.If the settlement is not t— made as agreed, the seller has the right to remove equipment and � ! material and the seller will be held harmless for any damages resulting -------- -----------�----- ---—- Agreement for Service:I,the undersigned,am an authorized representaGve of the � � ' � `— -T' 1' ---- m the removal of equipment. Tertns include 1.5% monthty service ro premises at which the work above is being done.I authorize the performanca o( STANDARD vs MEMBER TOTALS � � � charge if not paid in 30 days.In the event of non-payment of the spec�ed the work as noted on this invoice.I acknowledge thatthe_estimatedgrice does-no_ - _!__,�� "total�a.lien-againstmy_property-may-be pureued and-4-wiIl be responsiMe - include unforeseen parts or labor which may be needed after the work begins. ' � ' " - for practical attorney fees,collection costs,and interests. ACE�CIub Wlember Savin s �. � � My writtc�n authorizatlon will be obtained before beginning any additional work. g I have read this contract,and agree to be bound by all tertns contained herein. - — __..__ Parts and Labor Warranty: , All parts as recorded are warranted as per manufacturer spec�cations. � � � We do not guarantee other parts than those we supply.If repairs later � + . � � � - become necessary due to other defective parts, thay will be charged Signat,ure: . - i L�� separately.We guarantee lhat all repairs are done right.If a repair fails _� i erety ac o ge the satis on ve vrork during the season,we will repair it again absolutely free. /'. . ._ i% ....... i � . serv � ces � Air Conditioning • Plumbing • Electrical � � - -�-�-•-•-•-•-•-•-•-•- ,•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-�-�-•-•- �•-•-•-•-•-•-•-•-•-�- -•- '�REE ; ' � � �37 ; Service Call� � . 1 With Any Repair Only . � � I ;FREE2nd Opinions i i OII/ �� . , . r � . , ;FREEEstimates � � ! � i • Stick It. Save It... Never Expiresl I • � • I I,_,_._,_,_,_,_,_,_,_,_,_ I,_,_,_,_,_,_,_,_,_,_,_,_,_,_,_,_,_,_,_,_,_._ _._._._ I._._._._._._._._._._._,_ [� ,