HomeMy WebLinkAbout17-18104 CITY OF ZEPHYRHILLS
5335-8TH STREET
� � (813)780-0020 18 4
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18104 Address: 38530 5TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16800-0010
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 1/26/2017 Name: HELP PROPERTIES LLC
Total Fees: 60.00 Address: 38530 5TH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/26/2017 Phone: (813)788-7026
Work Desc: A/C CHANGE OUT 3 TON SPLIT UNIT W/ ELECTRIC
CONTRACTOR S APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 60.00
FIRST CLASS ELECTRIC INC
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Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULATED
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 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
Iimprovements 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ONTRA OR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
: s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 �
' • Building Department
Date Rec,�i•rad
Phone Conta'ct for Permitting` —
H Owner's Name � � S -f `�w!�' � Owner Phone Number , �
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I Owner's Address �O � S �/.Q Owner Phone Number
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Fee Simple Titleholder Name Owner Phone Number
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� Fee Simple Titleholder Address
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S JOB ADDRESS LOT# �
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SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED , NEW CONSTR ADD/ALT 0 SIGN Q � Q DEMOLISH
B INSTALL e REPAIR
PROP,OSED USE. Q SFR Q COMM � OTHER :
TYPE'.OF CONS7RUCTION Q BLOCK • Q FRAME 0 STEEL Q
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DESCRIPTION OF WORK � l �
BUIL"DING SIZE SQ FOOTAGE� HEIGHT :
QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
; QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QPLUMBING $ ����
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, QMECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION _ �
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,I i QGAS Q ROOFING Q SPECIALTY � OTHER
� f FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
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I i BUILDER COMPANY
F SIGNATURE REGISTERED Y�/ N FEE CURRE� Y 1 N
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� Address �License#
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'ELECTRICI. - COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# , 9
� P.LUMBER.,,,, . COMPANY,
I SIGNATURE REGISTERED Y./ N FEE CURRE� Y/N
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iAddress . License#'
( MECHANICAL' COM.P.ANY _ /�' Q ��Q
I SIGNATURE� � REGISTERED , Y/ FEE CURFtE� , Y/N
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� Add"r`ess�• - � � " License.#
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� , OTHER=� `� �� � ' COMPANY
I �`'SIGNATCIRE;�:;.-:_ �_ - - REGISTERED :Y/.N . FEE CURREK Y/N
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, Address�. .:t � ���F;. ' � � �� - ' Lioense#
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�"RESIDENTIAL��;: `;Attach,:(2):Plot"P.lans;!�2):sefs�of;Buildin,g�Plans;(1°)�setof�Ene�gy.Foriris;�R=A-W,Pe..rmit,fornew.construction,.
;� �.;'X�s__���:_,�=�..,Minimum+,ten!(;10)wo�king;iiays':aftersutimittal�date:'Required'ansite;�Constniction Plans,Stormwater Pians w/Silt Fence installed, �
- - � 3anitary°,Faciflties;&��,1�:dumpster;.Sife;Wor,k F.emiitfor..subdivisions/large'proJects'_ " I
_ �"�;COMMERCIAL AttacH°(2pcomplete�sefs'of'Builtling Plans plus a`Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. I
' Mlnimum ten(10)wo�king days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt F.ence installed, �
r;,``�• Sanitary Facil(tles&1 dumpster..Site Work.Permit foF all-new p�ojects.All commercial requirements must meet compliance
�,;SIGN PERMIT "Attach`(2)setsvof;Engineered�Flans.��� �< ` =..
' �' - "'*PROPERTI'SURVEY requlred fot.all,NEW..construcUon.-
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j `��r�Directioris: ._--�:�....� , •« � _ ,
� � '",� F(IU:out appiication completely.
� ` �O,wner`&ConVaotor sign.6ack of application,notarized
�If,over$2500;a Notice�of�Commencement is requlred. (AIC upgrades over$7500) ,
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� ,�:'"' .i4gent�(for tfi'e'contFaotor)�or'Power of Attomey(for'tFi'e oinrne�)would tie someone with notarized letter from owner authorizing same
' �;:OVER�.THE COUNTER'PERMIT�TING,.. ,. .(copy_of•contract-required)��' " ' � `�
� :s;Be�oofs�if sFiingles Sewers Serv(ce Upgrades A/C Fences(PIoUSurvey/Footage)
� _ Driveways-Not over Counter If orr publio ioadways.:needs ROW
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NOTICE OFDEEDRESTRtCTiOP1S: The undersigned unde,rstands_that:this,p,emnit maybe.;subject�,to,"dee,d�restnctions-.,��,}
�! which;.may;be�more-restrictive.rthan:County regulations�:.°The�und+��signed'assumes'respo�i'sibilify for�compli`ance'wlth;any ��
apptica6le deed restrictions. � x�'..." ;` "`
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` UNL�CENSED C�NTRACTORS ANI� GK?NTRACT.OR RESP...CINSIBiLITiES:�� �ff'-the=butirner�has;-tiired�°"a�i-contractpr:or"_ _;
contractars ta undertake work, they,may;:be,required ta be'iicense.d�in accordanc�.with state.�and Iocal.r,egutations.��lf�.ttie==�,��
contractar is not licensed�as�required tiy".law, 6oth��the awner::anci.eontractor may=be��c'ited forx a mistlemeanar uiolation � �
under state-law.� If the owner or intendetl.,contractor are�uncertain as to what.licensing:r.equir.ementsF�may+::apply�fi�r�stheM;f��;
intended workT.they_are-advised to contact�ttie'Pasca Cotinty"Buifding.irispection�D'ivisioi�t.icensing.Sect�on at 72Z-84:'T--`=�'':
$009. Furthermore, if the owner hias'°hirecl�'a�contractor or conf�acto�s; he��is'aiivised� to''`:have #he contractor(s.)o;s,ign;,iR;`;
_�,� ,:..;��.,r.,.�,.�=�,�„�s,.;.,..;...� •,.
portions of the °contractor Btock» of this application,for which-they:wiQ beF r.esponsible.•.<If iyou,,:as„ttieY;owner"'sign'as,:tti'e,"=`.';
confractar, tfiat may tie an indicatiorr that he�is°not praperly�licensed�and is�not'entifled to permitting privileges �n Pasco r � �
Gaunty. -- -� . , -, . . ,.. �
TRANSPORTATlON,IMPACTNTiL-ITIES�MMPACT AND RESOURCE RECQVERY FEES:�The undersigned undecstands<,�;�j
that Transportation Impact Fees and Recourse Recovery Fees;may.�apply to the construction.af newwbuilrlings,.�ctiange�`of�,:`���;
use in �existing builriings,=:or•expapsion:o�:existing build'ings, as specified in Pasco Courtty Clydinance nuit�ber 89�17�:and:",:;
k�.r.
90•07, as amended. Thex undersigned also,understands, that such.:fees,Kas�`may;�,be:due, wiN tie=.identified`at�tlie>time��af�}=�;��;
permitting. �It is further understood that-Transportation impact Fees-and Resource;Recovery.Fees must be.paid,priac to� „ay,;
receiving a "certificate af•accupancy." or�final;,power release. If the project does not�involve a=ce�tificate of oecupa"r,rc`y'.,fcii�,1;;.=��i
finai power release, the.fees�must be.paid prior #o permit issuance,n,.Furtt►e�mare, if Rasco;County Watec/Sewer;�ifi�pact�;,;�;,,
fees are due,.ttiey musf be paid prio��to-permit issuance in accordance with�applicatile_Pasca.County ardinances. ��.,
CONSTRUCTl4N�LlEN�G�iitV(Chapter 793,�Flarida Statu#es,as amended}: if valuation of work is$2,5,O,Q:OO..or:more;�.l�_�,=4;
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certify that (, the applicant, have been pravided with a copy.:-of_„the '"Flarida• Construetion.'Lien .Law.=:Horneowner's' .;
Protection Guiden prepared by tfie Florida Department o#Agriculttire and Consumer Affairs. !f Ehe appi�cant=is�sameon�e�,,p:.;
other than the°owner", t.certify that iwhave obtained a copy af the above tlescri6ed document and:promise-in goo,d`:fai#h°to�;�;„:;�
deliver.it:to�tbe:"owne�;"�prior.;fo�cammen'eement:� ' ' . = f Y _
GONTR�►CTOR'S10WNER'S AFFIDAYII':_-.I:certify that all the information in this application !s accurate and"that al!"�ror�C '
will be done in compliance with all applicable'laws regulat9ng construction, zaning and +and development. Appfication:.is
hereby made to obtain a .permit.to .do:�work�and instailation-:as��indicated.._ I�certify that na wark or.insfailat'ion�°has
comrrtenceci prior to issuance of a p.ermit and that all work will be performed to meet�standacds of all laws regulating
construction, County and City codes, zaning regulations, and land development�regulations"in,,the jurisdictiar�:. •=1:°alsa �'�
certify that I understand that the regulatians af ather governmertt agencies may apply ta the intended work, and that it is
my responsbifity to identify what aatians i must take ta be in campiiance. Such.agencies.include but are not.(imited:ta: "
- a,Department of EnviranmentaF-Protection-Cypress Bayheads, Wetland Areas and Environment�lly Sensitive
Lands,WaterNltastewater Treatment. ;
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Attering ;?
Watercourses. �=3
- � Army Corps af Engineers-Seawalls, D`ocks, Navigabie Waterways. �;
" - Department of Heal#h & Rehabilitative. ServiceslEnvironmenta! Health .Unit-Wells, Wastewater.Treatment, �- -�
Sep#ic�Tanks. . � ;
- US Environmen#al Protection Agency-Asbestos abatement. ,°.� ^
- Federat Aviation Authority-Runways. , � �
1 understand fhat=fhe following restrictions apply to the use of filk
- Use af fill is not allowed in Flopd Zone"V'unless expressly permitted. �
- If the fitf ma#eria! is #o be used in Ftaod Zone "A", it is understood #hat a drainage plan addressing a
"campensating vofume"will be submitted at time af permitting which is prepared by a professional eng�neer �'�
licensed by the State of Florida. A " � � ' :
- If the fill materia! is to be used in Fload Zane °A° in connection with a permitted Duilding using stem wail
construction, I certify that fiti wil! be used only to fiil the area wifhin the stem wa1(.
- tf fiiF inateriai is to be used in any area, 1 certify that use af such��fil! will not adversely a�fect adjacent ;
proper#ies. If use of fiU is found to adversely affect�adjacent properties, the awner may be cited far viatating � �
the canditions of:tbe building permit issued under the attached-permit appfication, for lats�iess than one (1_) � °
acre which,are elevated by frll, an engineered drainage plan is requited.
tf I am the AGENT F4R THE OWNER,-I promise in good fai#h to inform the-owner of-the permitting conditions set farth in i,
this affida�it prior to commencing canstruction. I understand that a separate permit may be requlred for etectrical work,. `�
plumbing, signs, we!!s, poals, air conditioning, gas, or�other installations nat specificafly inciuded in the application. A. •,�,
permit issued shalt°be construed#o'be a ticense.to_procee�wi#h the wark and not as aathority to:vio(ate, cancel, alter, or .
set aside any provisians af the�fechnicai codes, nor shatl issuance of a permit prevent the Building Officia!from thereafter
requiring a correctian of errors in ptans, canstruction or violations of any codes. Every pecmit issued shalf become invaiid ,
unless the work authorized by such permit 9s cammenced 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 fime the work is commenced, An extension,
may be requested, in`writing, from #he Building t3ificial for a period.not to�exceed ninety(90) days and�wil! demonstrate
justifiabie cause for the exfension. If.work ceases for ninety(90}consecutive days,the job Es considered abandaned.
WARNING TO'QWNER: YOUR FAILURE__T..O RECORD,A NOTICE t)F_C.CINEMENCEMENT MAY�RESULT IN YC1UR �
PAYtNG TWlCE EQR'tMPROV�MENTS.TO YOUR':PROPERTY.,.IF YOU:iN'I'ENDrTO.OBTAIN�FINANCING,CONSU�T �
WiTN Yt�iUR tENDER t�R AN AT'T'ORNEY BEfORE RECORDING,YOUR NOTlCE OF� � MMEN�CEMENT. - _
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- -- Ftt3RiDA JUf2AT_(F__.__S.117A -- - _.. __ _ --�- - - -- __._. _ _-—-f---
OWNER OR AGENT f � CONTRACTOR �� "—""��.
` Subscribed an b�wom� or iflrmed} re me thts Subscribed and s�om"'tq(or affi ed)before�me this �
Who is/are personatty k own to me or has/have produced ` Who islare perso known to me oc haslhave produced
as identiflcation. ' ��.• as IdentificaUon.
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�` Notary Public Notary Pnbltc
Cornmission No. Commission No.
Name af No#ary typed,prinfed or stamped Name of Notary typed,printed or stamped
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� Heat&Air-Conditioning, Inc.
� P:O. Box 2209
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� Zephyrfiilis, Florida 33539-2209 °
: , a (813) 782-2300 CA-cosss2s ,
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❑ ESTIMATE
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of 1874�piisd W P��e 6da�es Gtintamc is 1i�61a fac my chu�s inau�edln oo0epioy ihie 6i1L
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' TEC!lidICUW CUSTOMER'S SIGNATURE
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