HomeMy WebLinkAbout17-18175 CITY OF ZEPHYRHILLS
, ; 5335-8TH STREET "
(813)780-0020 1817•
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18175 Address: 7712 KAY MARIE AVE LOT 235
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):235 Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2350
Improv. Cost: 4,747.00 OWNER INFORMATION
Date Issued: 2/21/2017 Name: JEFFERIS, CHARLES & JONES, CARLA
Total Fees: 60.00 Address: 7712 KAY MARIE AVE LOT 235
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33541
Date Paid: 2/21/2017 Phone: 813-715-7422
Work Desc: A/C CHANGE OUT 3 TON PACKAGE UNIT
CONTRACTOR S APPLICATION FEES
CHRIS'A/C COMPANY A/C CHANGEOUT 60.00
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Ins ections Re� uired
D CT INSTAL ED
DUCTS INSUTATED
FINAL 6 '
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 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 '
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRA TOR SIG TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
- s�3aao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
• � ` Building Department
Date Received �• a l' � Phone Contact for Permitting " ,� sp?� — T�'
Owner's Plame ,�c.Geq 9� _C�t,/��- Owner Phone Plumber , ���' ��1� T rZ ,
Owner's.Address Owrner Phone Mumber "
Fee Simpl�Titleholder Name . Owner Phone Iduenber
Fee Simple Titleholder Address
JOB ADDRESS ���a, • �C� LOT� �
SUBDISLISION- �r prr�• yJ P/4RCEL ID# 7 ° o�S• a/. (�� �• O Q O O •�?3S0
, (OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED . NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH �
, e INSTALL B REPi41R ' j
PROP,OSED USE Q SFR Q COMM � OTHER . ' j
' TYPE:OF CONSTRUCTION Q BLOCK - Q FRAME , 0 STEEL Q �
DESCRIPTION"OF WORFC 6* /� � ,i7 7�Qi'J i �/✓,� �
. �
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BUILDING'SIZE � SQ FOOTAGE� HEIGHT . I
,,�,
OBUILDING $ VALUATION�aOF'TOTAL CONSTaUCTION �
QELECI'RICAL $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ '
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QMECHANICAL $ `� �� � VALUATION OF MECHANICAL INSTALLATION `�
QGAS Q ROOFING Q SPEGIALTY 0 OTHER '�� � �
FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
- --- — ---- - — — - �--- --- — ,--�_ _ — — - — - -- - — -- —i— -
BUILDER COMPAPIY
SIGWATURE REGISTERED Y/'=N FEE CURRE� Y/N .
AddPess � License#
ELECTRICIAN COBA PANY
SIGNATUIdE ` REGISTERED Y/ N FEE CURREfi Y/N
Addr�ss � Cicense# � `
' I
PLUMBER.;;, COMPANY ,
SIGNATURE - -REGISTERED- �Y�/ N �FEE CURRE� Y/N
Addre•s. License# - ,
. �e . - ,
' MECHAIdICAL � - COhAPA(dY GO � l�
'± SIGPIATURE" t�I,GO REGIS7ERED Y N F.EE CURRE� Y/N
� �aaress � G� O/ �• • J 3�01,�License# �a, o S�� �
._�;};.; - .
. OTHER=� ��'° � . COINPAPlY �
SIGNATUFZE�i .% ' � REGISTERED Y/.N.' FEE CURRE� Y/N '
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Address:�.;;: -• � - - L'icense#
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;.'RESIDEiVTIAL.;:,, AttacF%(2)"PIoYP.lans;�(2):'sets�of'Building�Plans;(1)set of°Energy fomis;R-O-W.P.emiit for new..construction,
_ ;.��;.�:,;ys�-�;Minimum,;tenN(,1'Q)uvorking:days�afte�:sutimittal�date. Requireii`onsite;'Con`stniction Plans;Stormwater Plans w%Silt Fence installed,
_- - VSanitary�Facilities�&.1s_dumpster;Site,WorkPeiniitfor.subdivis'ions/large:projects: � ` - �
:,.,COMAAERCIAL. AttacFi`'(2)'co�mplete`'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 onsite,Construction Plans,Stormwater Plans w/Silt.Fence.installed,.
r- Sanitary Facilities&1 dumpster,Site Work.Permit fo�all new p�ojects.All commercial requirements must meet compliance
���SIGN PEl2WIIT AttacFi`(2)"sets�of�Engineer�d Plans:',: � �
- *""FROPERTY SURVEY required for_aII..NEW construction. , . '
"Directions: _- : � -.. . _
Fill'out application completely. ,
Ovimer 8 Gontractar sign,back of application,notarized
If o'ver$2500;a Notice of Commencepnent is required.,_(A/C upgrades over$7500)
� "' Agent(for:{h'e�cont�actor.)or�Power of:Attomey(for�tFie`owner)`would be someone with notarized letter from owrner authorizing same
��OVER`7H�COUNTER.PERAlIITTING.: � :.(copy-of-contract-requi�ed) ` ', -
"Reroofs if'shingles Sewers , Service Upgrades A/C �� Fences(Plot/SurveylFootage)
Drtveways-Not over Counter if on putilic ro�adways..needs R01N �
. . �.�---�c.,�^�-_:—=�:-. _ -�:,�
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�IOTICE OF QEED RESTRICTICINS: The undersigned understands:that.this;permit may be.subject,ta"deed° restrictions"'.'y'
, . •,
which;may,be�:rnore�r.estrictive�;than�County regutations:�sTtte,undersigneii{assurnes�'�esponsibilrty for:-corripiiance`iniith anyh,:,`
applicabie.deed restrictions. �.. ��<�- -�� � � '
� UNLICENSED:CONTRACT4RS ,4ND C4NTRACT�R RESPONSI�iLIT1ES: if #Eie�owrier Khas�fiired`a��contractor or
contractors to undertake work;;they.may be required to be licensed in accardance with state and:local.^regulations�:�,;If�the=�-
contractor�is not.licensed as_required tiy law, botti�the awner��and;cont�act6r;may;�tie•cited�`for`a�misdemeanor violation� �
under state law. If the owner or intended.contrac#or are uncertain as to what ticensing reqairemetnts;'=rnay��apply�for°<t1ie:F.�=' ,
intended�wor.k, they are.advised to�contact'tFie Pasco Caunty�uilding In'spection'Division�=Licensing Section at 727=847=
8009: Fu�thermore, if the owner has hired`a coritractor or cont�acta�s, he is advised to:have the con#ractoc(s}:sign, ,�
portions of the "contractor Block" of this applicatian.for which they.will..be responsible::If�you,,as�,the�owne�sign as::�the �� ,
contractor, Ehat may be an indicatian that he is not�properly licensed and`is no#entitlel� to permitting privileges.in Fasco. ,J ,
County. . . . , ��
TRANSPORTATION IMRACT/UTILIT'IES IMPACT AND�RESOURCE RECOVERY�FEES: -The'undersigned understands
#hat Transportation Impact Fees and Recaurse Recovery Fees may.;apply`#o the constructian,czf,,new builcltngs, change�bf��ry� ';
use in existing buildings, ar expansion,of�;eXisting buildings,.as specffied in Pasco County Ordinance number 89�07.and ��
9Q-07, as amended. The undersigned also understands, that sush.fees, as`ir�ay-be,due, wili Eae�identified at':'ttie�tiFrie�af-'-' �
permitting.� 1t is further understaod fhat Transportation Impact Fees�and Resource>'Recovery.,.Fees must be paid prior to
receiving a "certificate of occupancy" ar final„power release. If the project�does not invalve a;certificate of occupancy:oi_ ���� �
final pawer release, the fees must be paid prior to permit issuance. Furtliisrmore, if,Pasca County Water/S.ewer,-lmpact,� �
fees are due,.they must be paid prior to permit issuance in accardance witli°applicable P'asco.County ordinances.
CONSTRUCTION"E�t�N I.AVtiI"{G�iapter 71'3, florlda�tatutes,as amended): If valuation of work is$2,540.00.,or mare,41.�,;.
certify that I, the applicant,.have been. pravided:with a copy. of .the "Florida Construetion�_Lien..Law-�Homeawner's
protection Guide" prepared by the Florida D�partment of Agr'iculture and Consumer AfFairs. lf the appGcant�is someone:
ather than the"owne�', I,certify that.( have obtained a copy of the above descri6ed�document-and promise-in good-faitti,#o
deliver.it:to•the"owner" prior.to commencement. ' ' ' '
CONTRAGT4R'S/C}U11NER'�AFFIDAVIT:_�I.certify that�all the infarmation in#his appiication is accurate and that atf work
will be done in compliance with all applicable laws regulating canstruction, zoning and�land=development. Application,.is
hereby made to obtain a permit=to do work and insfallation as indicated. 1 certify that no work or.installatiori=-has
commenced prior ta issuance of a permit and tliat all work will be performed ta meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land devetopment regulaiions in,the jurisdicEion: 1 also
certify that 1 understand that the regu(ations of other government 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 Environnientai P'rotection=Cypress Bayheacis, Wetland Areas and Enviranmentally Sensitive
� Lands, WaterMlastewater Trea#ment.
- $outhwest Florida Water Management Dis#rict:Wells, Gypress Bayiieads, Wettand Areas, Aitering
Watercourses. -
- A�my Corps of Engineers-Seawralls, Docks, Navigable Waterways.
- , Department af Health 8� Rehabilita#iue SenriceslEnvironmental .Health Unit Weils,-t Wastewa#er Treatment;
5eptic.T�nks: ' -
- US Environmental Pratection Agency-Asbestas abatement. ,
- Federal.Aviatian Au#hority.-Runways.
I understand thaf•the following re"strictions apply ta the use of fill:
- Use of filt is not aliowed in Flood Zone"V"uniess expressty permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"cornpensating vaturrteR will be submitted at time of permitting which is prepared by a prafessional engirieer
licensed by the State of Florida.
- If the fiRl material is to be used in Flaod Zone "A° in connection with a permitted building using stem wall
canstruction, I certify#hat.fili wiii be used oniy to fili the area within the stem wall.
- If fill material is to be used in�any ar�ea, I certify that use of such fill will not adversely affect adjacent
prope�ties. If use of fiif 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 1 am the AGENT FOR THE OWNER;�I��promise in good faith ta-inform the awner af the permitting canditions-set forth in
this affidavit prior to commencing�construction. ! understand that a separate permit may be required for efectrical wark,.
., r..,..__
ptumbing, signs, wetls; paots, air canditianing, gas,, or�o#her`instaliatians not specificatly included in the application. A.
permit issued shall be construed to be a license to proceed'witfi the wo�k and not as authority ta"violate, cancel, alter, ar
set aside any pravisions of tlie technical codes, nar shatl issuance of a permi#prevent the Buitding Official from thereafter
requiring a co�rection of errors in,plans,�construction or vialations of any codes. Every-permit issued shall tiecome invalid
unless the work authorized by such permit is commenced uvi#hin six months af permit issuance, ar if wortc authorized by
the permit is suspended_or abandoned for a period:.qf siz(6)montfis af�er the time the wark is'cammenced. An ex#ensian
may be requested, in writing, from the Building Official for a,per.iod not to.exceed•ninety (90) days and wiA demanstrate �
justifiable cause far the extension: Ef work ceases fo�nineiy{90}consecutive days,the job is cansidered abandoned.
WARNiNG TQ OWNER: YOUR FAIL.URE.TQ_RECO,fZD A NOTICE OF COMMENCEMENT MAY RESU�:T IN YOUR
PAYtNG TWICE FOR iMPROVEMENT5.T0,YO,UR..PROPERT'�Y:-:IF YOU:INTEND�TO OBTAIN FINA.NCING;CONSULT
-- WITH-V�U6t-1LENDER-OR-e4N-A't'TORtd�eY-��FORE�RECC9RDIiNGY�UR NCiT1C ���G�MMENCElVlENT,�-- —� -
FLQR[DA JURAT{F.S.117�03�� + - �
OWNER OR AGENT � �/�l�- �rD/1 CONTRACTOR
_ Subscribeci and swam to{ar ai�rmed}before thls Subscribed and swam ta(or affirmed)before me
by
Who is/are persanally known to me or has/have pmduced " Who Islare rsonafly own to me or has/ha e produced
as tden�ficaSon. .� as identificatlon.
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Notary Public otary Public
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Commission No. Co iss a. #a ' � �t��t�l��l� ��4$b��� �
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Name of Rfotary typed,printed or stamped �Vame af Notary#yp , n o "--
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�A�a�$��5 PR{JPCJSAL
12232 HW1'301 DADE CITY {352)52'1-4977
DADE CITY, FL 33525 ZEPHYRHILLS (813)779-9515
NAME: Charles&Carla Jefferis Date: 02/13/17 SPLIT SYST�M PKG UNIT )oc
SCIBD�V3SION: Grand Horizons FiEATPUMP 0 s�rR.coo� -
ADDRESS: 7712 Kay Marie Avenue �
crrY� Zephyrhills ztP CooE: 33541 cont E�s�R: PFiJ436000KTP �
PHotvE: 813-715-7422 WORK; IR HA �
CELL: REN7ER: HEATER: CP TER AOO
, EST�tvwTaR: Robert a�NQ: COMFQRT ER
� �a';�" ,4>�?����'��..��a!LC���`_���' ,��_ ��'?�._ SEER RATING: "�O9.Q�'L ��
.r U�TRA MAX EZ 24 VOLT UV UGHT 1 BETTER �y�,.-� a�y--�-q INSTANT BATE: $� , {
i PRO 3000 THERMOSTAT/GOOD p{�Oa-�g j T L . 4,259.4�
PAD ONNAGE: . "
CONNECTED TO EXISTING DUCTS AND ELECTRIC COMPR SOR: 1 Q YR �neOR: 1 YR '
ANCH4R CONDENSER �
TAX,LABOR AND PERMIT NaENSER: 4WCC4036A1
� REMOVE EXlSTING EQIIIPMENT IF2 HANDLER: � �
$200 DISCOUNT /SENIOR H�TER: BAYHTRV105 �
s�ivo: AMERICAN STANDARD
SEER RATING: �4 rJ,697.��
� INSTANT REBATE : $5O.OQ
TOTAL : 4,'47,as
NNAGE: "` 3 PARTS: 1O YR
co essoR: 10 YR �Bo�t: 1 YR
, �
• CONDENBER:
IR HANDLER: #NIA �
��-rFR: #NIA
BRarvp: #N/A
BEER E2ATING: � #N1A
� INSTANT REBATE : #N/A �'
t NAVE THE AUTHOFtITY TO QRDEft THE WORK OUTt,tNED ABdVE. I AGREE TNA7 SEL�EI2 T TA� : #NIA �
I RETAINS TITLE TO EQUIPMENTAND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT TONNAGE: #N/A PARTS: #N/A
i
IS NOT MADE AS AGREED,SELl.ER GAN 32EMOVE SAID E4UIPMENT ANQ MATERIALS AT coMPt��ssoR: #N/A �eaR: 1 YR '
i
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID R�MOVAL SHALL NQT BE 'i
tSE RESPONSlBILITY OF SELLER. LtMlTED WARRANTY�EC2UtPMENT,PARTS AND
MATERIAL HA$WRfTTEN MANUFAGTURER'S WARRANTY ONI.Y I
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