HomeMy WebLinkAbout17-18478 CITY OF ZEPHYRHILLS
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(813)780-0020 1$ '�Q
BUILDINfs PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18478 Address: 382�5 12TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass of Work. A/C CHANGEOUT Tawnship; Range: Book:
Proposed Use: SINGLE FAM(LY RESIDENTIAL Lot(s): Btock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Va1ue: Parcel Number: 11-26-21-0010-03300-0090
Improv. Cost: 4,2Q0.00 OWIdER INFORMATIQN
Date Issued: 5112/20'17 Name: BARTORI JOSHUA
Total Fees: 60.00 Address: 38245 12TH AVE
Amount Paid: 6Q.00 ZEPHYRNILLS FL 33542-3739
Date Paid: 5/12/2017 Phone: 813-670-2075
Work Desc: A!C CHRNGE OUT 3 TC3N
CONTRA.CTOR S APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 60.00
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Ins ections � uired
D TS I TALL
DUCTSiNSULATED
FINAL
REINSPECTION FEES: (c)Wifih respect ta Reinspection fees will comply with Florida Statute 553.80(2)(c)the
locai government shaii impase a fee of four times the amount of the fee imposed for the initiai inspectian or
first reinspection,whichever is greater,far each such subsequent reinspection,
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this propert}r that
may be found in the public records of this caunty, and there may 6e additianai permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning fio owner: Your fai[ure to record a natice af commencement may result in your paying iwice for
impravements ta your property. If you intend to obtain financing,consult with yaur lender or an attorney
before recording your notice af commencement."
Complete Plans, Sp ' tians Must Accompany Application. All wark shall be pertarmed in accordance with
Codes and Ordinances. NO OCCUPANCY BEFQRE C.O.
NCI OCCUPANCY BEFtJRE C.O.
CONTRA R �IGNATURE PERMIT OFFI R
PER T EXPIRES IN 6 M{.�NTHS INITHOUT APPRt�VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
, PRCITECT CARD FROM WEATHER
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813-780-0020 City of Zephy�hills Fermit Application Fax-813-780-0021
�— 8uilding Qepertment �
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Date Recelved phone Contact tor Peimiltln - ���
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Owner'sName OvunerPhoneNum6er ��J C4a��',7cv�
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Owner's Addcess _� � �.��� Owner Phaae Hnmber �..-� �
a�s 1a,�. }...
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Fee Simple Tlpeholder Name Owner Pfione Numb2r � _ ..��
Fee Slmple Tllleholder Addresa . _ .,,„_ ,
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d08 AbORESS �` 1' i 5. . . i � �OT# ��
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� . SUBpIVlSION �� . . � PARCEi.lD1! . :ev( � ' — .,' " -""f�
' {08TAIttED FRQAt PftOPERTY SAX NOTICE)
WORK PROPOSED e NEW coN5TR Q ADD/AL.T � SIGN C] Q DEMOLISH
INSTALL U REPAIR
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FROPOSED U$E Q SFR Q COMM �� OTNER "
TYPE OF CONSTRUCTION Q BLOCK Q � STEEL Q
FRAME ".
DESCRtPRON OF WQRK . ,;,�}.
SUlLOfNG S12E �� S4 F047Af+E�� tiEiGtiT ��
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QBUILDING �� VAL.UATION OF TOTA4 CONSTRUGTION �
QELEC7RICAL �� AMP SERVICE Q pROGRESS ENERGY Q W.R.E,C.
QPEi1MBIN6 �� I
�MECNANICAI $� �y (�� VAlUAT10N OF MECHANIGAL 1NSSAlLATiON _�� �� � �
���r �� ( �
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISNED FIOOR EI�VAiIQNS �� FIOOD ZONE AF2EA QYES NO
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BUILUER COMPANY "
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, SIQiNATURE .,. ._ . ... . .. . . . REOISTERECI Y/ N . FEE CURRE� Y/N .r
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. Address Ucense# �
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ELECTRICIAN � � �COMPANY �
SIGNATi1RE R£GISTERED Y J N FEE tzURftE3. Y J N.
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Address License# �'� u�
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PI.UMBER � � COMPANY
SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N. '
Address � .� �icense# � . � �
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MBGHANIGAL COMP.ANY /T'j�'"'��Lri .S�}`�!'J�C�S C��- Pr�SLO �
SIGNATURE iiEGISTEREO �Y.I'N fEE CURREA Y I N
Address � � � �� t�i���l�.S � � l.icense# !i/T(���Ish'7b . �
QTHER COMFANY �— _. �
SIGNATURE FtEGISTEREII _Y I N FEE QIIRRE� Y/N
Address License#�
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RESidENTlAL Altach{2)Piot Plans;(2)sets of Buitding Pians;(t}sei of Energy Forms;f2-O-W Permit for new construcflon,
Minimom ten(14}warking days afler'sabmittal date. Requtred onsite,Canstructlon Ptans,'Siorrnwater Plans w/Sfit Fence instalted;
Sanitary FaclUUes 8 1 dumpster,Site Work Permil tor subdlvislonsliarge prajecls
COMMERCIAL A(tach(2)complete sets of Building Plans plus.a Life Safely Page;{7)se(oF Energy Forms.R-O-W Pemtit tor new construcUon.
Mlntmum ten{1a}working daps after submittal dafe. Requtred pnstfe,Construc!lari Ptans,StoRnwater Plans w!Silt Fence Enstaiied,
Sanilary Faol�ille§d 7 dumpster.Site Woric Permit for ail new proJecis.All commerc(ai requiremenis musl meel compliance
SIGN PERMIT All'ech(2)sets oF Engineered Plans:
""�"PROPERTY SURVEY requlred for alt NEW constructlon.
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�i..'.�:•F.:=•.�:::r,..r.�:..i�-'.�;-'e:'.: 3'�' C .-:��=i�/-•.=�=i%i�'�'-'rC�-i=l�i�t-i-i-i-�-S�i=rA`-'��:�:�i�'�i�'�'-''-'+�'.-}+�+-
Dlreclions:
', F01 but appllcation complelely.
I Owner&ConRraclar'sign back of appiicalfo�,notarized _
it over b2304.a NnHca at.Commencement is required. (AlC upgrades ovar$7500}
�I "" Agenl(tor the cqnlraclor)or Power of Atlomey(tor the owner)would be someone with noterized letter from owner euthorizing saine
OYER TNE GOUNTER PERMITTiNG {copy of contrect requtred)
' Reroois if shtngtas Sewers Service Upgrades R1C Fences(PIoUSurvaytFaatage) -
�� Drlveways-Nol over Counler If oo pulalic roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit rnay bs subject ko"deed"restrlctians"
which may be more reskrictive than County regulations. The undersigned assumes respon'sibility for compliance with any
applicabie deed restrictioris.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBlLITIES: lf the owner has hired a cantractor or
contractors to undertake wark,they may be required 10 be licensed in accordance with state and local regulations. If the
cant�actor ia not licensed as requiEed tiy Iaw, both the aWner and contractor may be cjted for a misdemeanar vio4aHan
under state law. If the owner ar inkendad contractor are uncertain as to what licensing requirements may apply for the
intended wark,tfiey are advised fo contact the Pasco CounFy Buiiding Inspection Division—Licensing Section at 727-847- �,
80Q9. Furthermore, if Ehe awner has hired a contractor or contractors, he is advised ta have tlte conEractor(s} sign , I,
portions of the"contractor Block"of this application for which they will be responsible. lf you,as khe owner sign as the 'i
contractor,that may be an indication that he is not properiy ticensed and is noi eniitled to permitting priviieges in Pasco
County.
TRANSPORTATION IMPACTIUTILtTIES IMPACT AND RESOURCE RECQVERY FEES: The undersigned understands ;
that Transportation tmpact Fees and Recourse Racavery Fees may apply fo Ehe construction of new buiidings,change of
use in existlng buildings,or expanslon of e�cisting build(ngs,as specified in Pasca County Ordinance number 89-Q7 and ,
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be idenUfied at the time of
permftting. tt is further understoad that Transportatton Impact Feas and Rasource Recovery Fees tnust be paid prior to ',
receiving a"ce�ificate of occupancy"or final pawer release. !f the project does not(nvolva a certificate of occupancy ar
finai power release,ihe fees must be paid prior to permit lssuance. Furthermore, If Pasco County WatedSewer Impact
fees are due,ihey must ba pafd prlor to permit�ssuance in aocqrdance with applicabie Pasco CaunEy ordlnances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuatian of work is$2,500.Q0 or more,!
cettify that 1, the applicant, have been provided with a copy of fhe "Flarida Construc6an Lien Law—Horrmeowner's
ProtecUon Guide"prepared by the Florida Department of Agricutture and Gansumer Affafrs. if ihe appltcant Is sameone
othe�than khe"owner',t certify that I have obtained a copjr of the above described document and promise in good faith to
deliver it fa the'`awner'prior ta commencement. ,
CONTRACTOR'SIOWNER'S AFFIDAVIT: I cerkiiy that ali the information in this appllcatian is accurate and thaE aA work
will be done in complianca with all applicable laws regulating co�struction,zoning and land development. Applicatlon is
hereby made to abtain a permit to do worlc and installatian as indicated. I cer6fy that no work ar ins#aliatian has
carnmenced prior to issuance of a permit and that all work wil!be perfarmed to meet standards qf a!! laws regulating
canstrucfian, County and City codes, zoning regulations, and land deyelopment regulaGons in the jurisdi�tion. ,I alsa
certi(y that!unde�siand ihai the reguEa#lans of other govemment agenctes may appl}r to the infended work,and Ehaf it is
my responsibility to identify what actions 1 must take to he in compliance. Such agencies include hut are not limited to:
I - Department of Environmental Protection-Cypress Bayheads,Wetiend Areas an� Enyironmentaiiy Sensitive
Lands,�NaterNVastewater TreatmenE.
�, - Sauthwest Florida INater Management District-Wells, Cypress Bayheads, Wetland Areas; Altering
Watercaurses.
- Army Garps of Engineers-8eawa!!s,Dacks,Navigable Wate�+,vays.
. Department of Health. $ Rehabilitative ServiceslEnyironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. �
- US Environmental Rrotection Agency Askasstos abaiement.
- Federal Avlation Authori.ty-Runways. -
1 understand that tha#allowing restrictions apply ta the use of fill:
- Use of 61l is nat allpwed in Flood Zone°V"unkess expressly permitled.
- if the fill materlal is to be used in Flood zone "A", it is understood that a drainage plan addressing a
"compensattng vaiume"wi11 be s�bmitted at time of parmitting whioh is prepared by a professional engineer
licensed by the Stata af Flodda.
- if ihe flii maferiai is to be used In Flood Zone "A"in connecUon with a permitted building using stem wall
consUuctian,1 cerkl€y that flii wilt be�sad an{y to B!1 tha�rea.within the stem wall.
- If fill material is to be used in any area, l cediCy that use of such fill wiU nok adversely affect adjacant
I properties. if use of fili is found to adverseiy effect adjacent properties,the owner may ba ciied for viotating
� the condlkians of the bultding permit issued under the attached permit applicatian,for lots iess ihan one(1}
�I acre which are elevated by fill,an engineered drainage plan is required.
tf t am the AGENT FOR THE OV{tNER,t promise in goad faith to inform tfie owner of the perm{tting conditions set forth in
this afftdavit prior to commencing construclion. I understand khat a separate permlt may be required for elect�ica!work,
� plumbing, signs, wells, paois, air conditioning, gas, ar other installatlons nof sp�cifically included in the applicatian. A
' permit issued shali be cons#rued#o be a license to proceed with the work and not as eutharity�to viaiate,cancei,al#er,or
set aside any provisians af the technical codes,nar shall issuance of a permit prevent the Building Official from thereafter
requiring e carrection of errors in ptans;eonstruction or violations of any codes. Every permit issued sheil become invalid
' uniess the work authorized hy such permit is cammenced wjthin six montFis a€permit issuance,ar if work authflrizad by
the permit is suspended ar abandoned for a period of six(6}rponths after khe titne(he work is commenced. An extension
may be requested,in writing,from the Buiiding Official for a period not to exceed ninety(90}days and wiil demonstrate
� justifiatale cause for the extei►sign. tf wark csases fur ninety{90}consecutive days th�j ' ansid'ered abandoned.
WARNI�G Tp OW :El� YOUR�FAii;URE TO REGORD A NOTi��OF�OMM, CEME MAY RESULT IN YOUR
PRYING'i1lUlC�R kM Cl � N7'S TO YOUR PRQPERI"1(. fE Yt3UgI.NTEN.�.TO O , AIN FlNANC{�5�,GONStiI.T
OU L DE O O NEY BEF4 E ECOR ING YOUR NQT G OF GQ E CE E .
FLORtDAJUiiAT :S:'i�17:03). _,� --_._....._.,._.. . . ....,.. _................_., ...._., .._.__,._. .--.. __..__ .�_-. __,.
OWN�R 6R AGEN � G4NTRAGTOR �
Subscribed and swom affitmed)before ine lhis ' Subscribad and sWom r affirr�led)before me lhis
� �Y �Y
Who Is/are personally know �o m r has/haVe produced Who Islare pePsonally know of haslhave produced �
as idenlification. as identification.
Notary Pu6IEc Noiary Pubtic
Commission No. Commission No.
Name of Nolery lyped,prinled or stamped Name of Nolery lyped,printed br slamped
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Office: $13-779-750$ • Fax: 813-779-75Q4 • l.ic#CAC1815498 Date: �� ��
Customer Name _�C,�'Sv 1 LI.G.- �11„�0�
� Address 3`��tf� ��-��. Y4-v�:.- � Zip Cade
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1ob Locatian�T�vT�,��a, �� ��� Subdiv:
Phane# ���a- �.o��} ' o�C�`�� Alternate#
Existing Equip.
Mod.# SER.#
Mod.# SER.#
Permit # ��
Type of Unit: MJS C NjP SJS • PAC Ton: � Seer�_
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❑ v�Duct Wark Type of Duct Work: Metal Flex MH flex Duct Baard R-
'� ❑ F� t S :�
� ❑ Heat Sh�eld: �Z} Heater KW: r� Wire Size 8reaker Type
v Elec. Panel Brand: AH Cand. PAC
� ❑ Fad:
❑ NJ Line Se : T stat; �Prog. Non-prog
�❑ Mastic Seal: Airhandler Lacatian: AHU L,_" H�"W_,"
� � Light 8�Rec�: Return Air " puct Size "
� � Se�vice Platform: Access/Closet Door: Attic Height/Closet Size:
Atfic Insutation Depth =R Value
Special Nates:
G�
Bryant$ �Z-�� -� , Rheem$ , Camfortmaker$ .$
Factory Rebates:
Warranty: 10 year Compressor and Parts&1 year on labor __�
10 year Compre� Parts year an labor
Air Tech Services Apprava � da�te
Cusfomers Appraval r�-" date