HomeMy WebLinkAbout17-18454 CITY OF ZEPHYRHILLS
, �' - -- . 5335-8TH STREET
(813)780-0020 1845��-�"
BUILDING PERMIT /
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18454 Address: 39040 SOUTH AVE
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: EASY ACRES
Est. Value: Parcel Number: 13-26-21-0100-00000-0050
9mprov. Cost: 10,504.00 OWNER INFORMATION
Date Issued: 5/05/2017 Name: LAURIE TAMMY& LINDER STANLEY
Total Fees: 90.00 Address: 39040 SOUTH AVE
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/05/2017 Phone: (813)395-8197
Work Desc: A/C CHANGE OUT 2.5 TON W/8.1 DUCT
CONTRACTOR S APPLICATION FEES
US AIR CONDITIONING & HEATING A/C CHANGEOUT 90.00
, � .
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U �
Ins ections Re uired
DUCTS INSTALLED
DUCTSINSU ED
FINAL �� �
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 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.
"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
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Cndes_and_Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCC PANCY BEFORE C.O.
%
. - �
' CON OR SI RE PERMIT OFFI R I
ERMIT E PIRES 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
�, ' Bi;!I�gIIe�a�ment
Date Recelved Phone Contact for Permitting 7 aZl - O O � el��• d�
�.�„�_�,�.�.�_.�.. - - -r-r r r r
Owner's Name Owner Phone Number � � ' � 1
Owners Address Owner Phone Number � I�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � LOT# �
SUBDIVISION e PARCEL IDlf � �^ —a
(OBTAINED FROM PROPERTY TA7(NOTICE)
WORK PROPOSED NEW CONS7R �ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK E D .S. ��-�.�\C,`O ^
BUILDING SIZE 50 FOOTAGE� HEIGHT �
TTT!'TTTTlT'R�RT�TTTTrr!"fT'TTTTrrrITTTTP"r'�rTTTTl�
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � SoI��
� `/ (� �.��
. U�" - (y�j
�MECHANICAL $1� �'Op VALUATION OF MECHANICAL INSTALLATION �
�GAS Q ROOFING Q SPECIALTY � OTHER �1 �//�/'�
_ (, V
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO l.�
BUILDER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addrass license#
MECHANICAL COMPANY U�S �1/
SIGNATURE REGISTERED N FEECURRE� Y/
Address � � License# l., ��
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Pians;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Conslructio�Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsile,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meel compliance
' SIGN PERMIT Attach(2)sets of Engineered Plans.
••••PROPERTY SURVEY required for all NEW construction.
�i-f-1-i-1-i-i-f-►-i-{-i-L-1-6�FL-L�L-i-1-�4-1-L-F-I+i-�Fi-f-t-i-4+-F-1-H-L�F�.FL-i-t-f-4�f-F-1-f-FL-HFK-f-i-1-i-I.�F
Dlrectlons:
Fill out application completely
Owner&CoNractor sign back of application,notarized
If over 5z500,a Notice of Commencement Is required. (A/C upgrades over$7500)
'• Agent(for the contractor)or Power of Atlorney(for the owner)wouid be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
� Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
� � NOTICE OF DEED RESTRICTIONS: The undersigned u dersta ds 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 licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may appiy for the I
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
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 properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES 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 occupancy"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.
I� CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,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 "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Fiorida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"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 performed 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 government agencies may apply to 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,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
, - US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. �
I 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 addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,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, 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 conditions of the building permit 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 permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, 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 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 work 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 work 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 OBTAIN FINANCING,CONSULT
WITH YOUR ENDER OR AN ATTORNEY BEFORE RECORDI YOUR NOTICE OF MMENCEMENT.
FLORIDA JURAT 1 7. 3) �
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��� OWNER OR AGENT CONTRACTOR �o: %_
^o � Sabscrjpe a sw o ed efor e this S scri ed a d s efore 's ;�;: ;�-
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Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped �w T 0
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Pertnit No. Parcel ID No �3`O��O'�''��W������ w�7�
NOTICE OF COMMENCEMENT
State of 4���(' i[�,�_ County of��
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statules,
lhe toliowing infortnation is provided in this Notice of Commencement: O�
1 Description of Property: Parcel Identfficatlon No.��-�[v•�� '��d�~I1�DD� '���CJ
SlreetAddress: �� "[b�C� �]$s� _� �
2. General Descdption of Improvement C�C�� �•�sf s/� s s � � ��. 1/ �
,�Rcpt:1860942 Rec: 10.00
3. Owner Infortnation or Lessee information ff the Lessee contracted for the improvement: _ DS. 0.00 I T: 0.00
05/05/2017 K. M. , Dpty Clerk
1C.rnrvtV L�,-,C���( _
.3904 n �"a�..� ..�1 V�• ��� UY � �Is _ F1.�
Address f CitJ�y � � � • State
Interest in Property: ���Q d 3354 a
Name of Fee Simple Titleholder: _
(If different from Owner listed above)
Address u c. n, City State
4. Contractor• �J fl,`� C,Q'�'7d� �i on i�n4
�)$r�i�Nam�7J� A 1��. N� �er� �G��— .LV
Address r` p �j City ��i r_^fState
Contractors Telephone No. �a�'�`f��0��0 P_.SC�•��5 ��S
5. Surely: PRULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEi
Name 05/05/2017 12:11 m 1 of 1
Address City OR BK ��3� PG 23��
Amount af Bond: $ Telephone No.� _
6. Lender•
Name
Address City State
Lenders Telephone No.
7 Persons within the State of Florida designated by the owner upon whom notfces or other documents may o3 served as provided by
Section 713.13(1)(a)(7,Florida,Statutes:
�� 'rJ• �j! � ,�,c�►�on�/1G _
Name
5sa`� �3�-►� A,�e_ DUcc�1 P���i ck��_ Fl.
Address ,a� . _._�'����Cit�x t '��_ State
Telephone Number of Designated Person: ��� T� _
8. In addition to himself,the owner designates of_
to receive a copy of the Lienors Notice as provided in Section 71"s.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner• _
9. Expiralion date of Notice of Commencement(lhe expiration dale may nol be before the completion of constructior.and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTA;N FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that th ts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA �� / �
COUNTY OF PASCO G
ure o Owner or ssee,or Owner's or Lessee'�,uthorized
OfficedDirectodPartne/Manager
Sfgnatory's TRIelOffice
�f
The foregoing instrument was acknowledged before me lhis,�day of,�(�,20�.�by���'1�� 1 ,�l n ��
es n�i type of authority .g.,o �cer,truste ,a omey in factj for
ame f party on beh inst:i�m t w executed)
Personally Known�OR Produced Identification� Notary Signatur r'
Type o(Identificatfon Produced 1 L � Name(Print)
C�S3�-g��,- �� -5�g-a
�
•�t�Y Pf�P�� CRISTINATURCOiTE
::R ",= MY COMMISSION�FF 027671
;:,�"�,�a' EXPIRES:August 3,2017
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State License# ��}�'� ��' � `��-td'/��t' �C--�°�'�'�-- J�U � �'— °1 ,� %�'�
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�ompressor Amps� pDDRESS � �i �f 3 ��� ��� TONNAGE_" ^ ❑H/P �S/C ❑PACKAGE ❑GAS ❑R-22 ��410-A
Heat Recovery �+� � �" '
Contactors L . CITY� � �'� STATE�� ZIP ����� COND.MAKE �� ��v� YR. � AIH MAKE � �— YR.�
C8p8Cl$OPS �� PHONE � „ � ` ���� CELL � _��l..�� ��� � MODEL# � �`.�v�^," '���- MODELN� �-� R16 �t1�y
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Safety Kifi �� EMAIL ' � �j�(�¢ �%�c��;� � � � SERIAL# � ��/�� �� =Z SERIALIII,� ( - �j�'' '
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Cond.Breaker# ��> i � '`�� : ^ ��'°`rir a� � �
*Cond.Coil ��a`�+:'�.� �' `�Lt '�, ;� ���u�. �<� i P ,�,� � `� ��L.
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Drain Tabs� '� � . � ��
K.�lf Size �b' �
Relays �;� �
�� � c t��' � �' E�,� . � � ��S j �
Duct 5ystem C '�� � �� t � `
Tigh4en Electricall�� �g���p��}� �@���P�y PLEASE INITIAL �`''''"�i� J 1 C' � `.�°v�C,�`�'�('� �
1
Unit Rusiing � ` � �` � �.� ���a 3 C,�J 'L'L'L
1. Was the representative helpful in answering all your questions. �Yes — No -
,4ttic Insulatio � � - •, '�,���w''�� ��� ���
. Was the service performed in a professional manner? .��'es _ No
*Evaporator Coil �- �� -� `�" �
3. Did the representative fully explain the services o
Temp.Drop�!� performed or any additional services to be performed � o� � � TOTAL I
,41H Breaker# `�' in a professional and non-pressuring manner? L�s — No I HAVE THE AUfHORITY TO ORDER THE ABOVE WORK AND DO SO
ORDERASOUTLINEDABOVE.ITISAGREEDTHATTHESELLERWILL TRIP
T-S��� '�pig O Merc�Zone 4. Was the work area left neat and clean? �LYes ._ No RETAINTITLETOANYEQUIPMENTOR MATERIALFURIVISHED UMIL CHARGE I
� FIPJAL&COMPLETE PAYMENT IS MADE,AND IF BALANCE IS NOT
. ������cy�,�B�� 5. Would you recommend U.S.AIC&Heating �,.�es — No ��DEASAGREED,THESELLERSHALLHAVETHERIGHTTOREMOVE
, . ,. SAME AND THE SELLER WILL BE HELD HARMLESS POR ANY DAM- ����� j� ��
�Q@�0����`�' 6. Overall,how would you rate the value you receivetl from U.S.Air CondiGoning and Heating? AGES RESULTING FROM THE REMOVAL THEREOF. �V�� �
ALL SALES ARE FINAL.NO EXCHANGE/REFUPfD EfC. �,,�
Excellent J�Good Fair Poor �AGREE TO PAYALL COST OF COLLECTION,IfdCLUDING DOWN PAYMEPdT ���l i
Ultraviolet System `� ATTORMEY FEES.STATUTORY RETURN CHECK CHARGES APPLY.
Air Cleaning System � PARTS WARRANTY:AII parts as recorded are warranted as per manufacturer specifications.We do not guar- MAKE CHECKS PAYABLE:U.S:A/C 8�HEATING CORP. ❑CASH OCK.#
� anlee other parts than lhose we install.If repairs later become necessary due to olher defective paAs they will .
Whole House HEPA � be charged separately,othenvise 30 day warranty on all paRs and labor. � ❑C.C.
NEW EQUIPMEM:Federel Tax Credit will not be acknowledged unless staled on the invoice.Must meet Federal � TECHMICIAM IGNATURE �IMANCE , �
Dehumidifier System guidefinestoqualify.Oneyearlaborfromdateofinslall.CuslomerisresponsibletoregisterequipmenlforHarranty. �,
� •PLEASE NOTE:There will be an additional char e for chemicall trealed cleanin. �
9 Y 9 ./ � BALANCE DUE
��������'� EMERGENCYSERVICE:AIIPMAandwarrantyserviceisbetween8:00am-S:OOpm,Monday-Fridayexdud�ng X��,i�/Jit .0 /_ '� UpOn Completion
legal holidays.All other work subject to additional charges. CUST MER AUTHORIZED SIG RE � �
Q� ���Q�, �Q��� 12112-INV TECH# � � TM#--��� �