HomeMy WebLinkAbout17-18216 � 1
CITY OF ZEPHYRHILLS
�,-:_- �� 5335-8TH STREET
(813)780-0020 18216'!
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 18216 Address: 6003 VILLAGE WALK -
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 01-26-21-0010-12200-0000
Improv. Cost: 2,820.00 ' OWNER INFORMATION
Date Issued: 3/03/2017 Name: HALLMARK VILLAGE WALK LLC
Total Fees: 50.00 Address: 3111 PACES MILL RD SE STE A250
Amount Paid: 50.00 ATLANTA GA 30339-5704
Date Paid: 3/03/2017 Phone:
Work Desc: A/C CHANGE OUT 1.5 TON
CONTRACTOR S APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 50.00
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� �� Ins ections Re tri ed
DU TS INSTALLED
DUCTSINSULATED
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
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CO RA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�3=iso-oozo� City of Zephy�hfll5 Perinit Appiication Fax-813-780-0021
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Bullding Deperimenl �
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Oal`a pecelJed _.„ _; phorie Corilact tdr PermiHln'
Ownar's Name. . ,... • ...: . _. .._..• Oivrier Phbue Ndmd'er .. .
OWn�i'9 Ad'dra'sa'!..._. ._. . ..._.. .'--•-.... .... ......... ._ _. . ... O�tinei Phohe Nurri6er _. . . ._..�,.... ._
Fae 9lmple'fitleholtler Name .'..........: . ......_ .__,........ ., .. . ... 6wnNr hliohe Numlfmr ._.. . .__.._.._..._.... -
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Fea9lmpleTllleholderAddrese . .... .. ......... . .... .........._.. ... .........__.. _..__........ _.---..._--.-.
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.SUBUIVISION . . . ... . ,. . .... . . . . PARCEL IDp . .. .... .... ........_..<_ ... .. . , ... ..._... .. _ .
� (OBTAINED FROM PROdERTY TAII NOTICE)
WORK PROPOSED e NEW CONSTR B ADDIALT .�.�', SIGN Q Q DEMOLISN
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INBTALL REF�AIR
PROPOSED U6E Q SFR. Q • COMM Q OTHER " '
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'fYPE OF.CONBTRUCTION' Q BLOCK Q FRAM� ' •
CJ STEEL Q _
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: DESCRIPTION OF WORK YlIL. . . ��._.... . .. c.. . ... . .... . __ .... . .. .... .....- :--.... .
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QBUILDINa $ � VALUATION OF TOTAL CONSTRUGTION
QELECTRICAL $ ' ' ' AMP SERVICE � PROGRE§S ENERGY r�. W.ii.E.C.
QPLUMBING. $"' :''' �'' r_
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�MECHANICAL $,' - V '" VALUATION OF MEbHANICAL INSTALLATION c /� �
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QOA3 Q RbOFIN� Q SPECIALTI'.� OTHER
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FINISHED FLOORELEVATIONS FLOOD ZO,NE AFtEA �1'ES NO
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BUILDER COMPANY .. . . . ... ..:_.__.._._.._... _. . .... . ... ....._,.. .
SI�NATURE ... . „_ , „ ,. ,.,, ,'.... ....... . ... REGIBTEREO _Y.I.N.- �FEE CIIRRE� � �_Y.L N_.
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EIECTRICIAN • �COMPANV _-. . ..._. . . . . �
916NATUHE RE(31STER�D Y/ N � FEE CUiiREA' Y I N -
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pLUMBER � COMPANY .. .. . - ---...... ._ ....
SIONATURE .RE618TERED .Y I N..� ` FEE CURREA ��Y I N_. � '
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Address - . .... .. ... .. .. . .. ........ .... Lice�se# ,..._...... .. . ...,.
MEGHANIGAL GUMP.ANY � ' p�__ H�S�D��.
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SIONATURE _.. ....' ... ,. ... ..�.,. .. . . . .,,.. REGISTERED � .Y.LN,_ � FE�CURRE� � _Y./N.. � �
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OTHER, COMPANY ..... ...... .._... ..__. .,_ . __ .._. ._ _. . ,
SIGNATUR� REOISTERED Y/ N'.- kEE bUahen ' Y/N
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Addieas .. .. . . License# .. .. _ ... . . .
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RESIDENTIAL Allech(2)Plol Plana;(2)sels bt Buildirig Pleh§t(1)9et of Energy Forms;R•b=W Permlllar neW conslrucllon,
Minlinum len(10)workiny deys eTler'su6millal iiele. Recjul�ed onsile,Conslruclibn Plans;'Stormwaler Plans�.v/.Slll Fence installed,
Senite'ry Facilllles&1 durrijister;Slle.Woili F'eririll for subdlvl'slonsllerge PioJedis -
COMMERCIAL Allech(2}coriiPlele sels o(Bullding Plans plus a Life Safely Page;(1)se�of Eneigy Forrtis.R-O-W Permlt(o�new cohstrucllon.
Mfnimum len(70)workin'g days efler submltt9l dale. Requlred on"slt0,Conslrucllon Flaris,StortilWeler Plens w/SII(Fence In'slelled,
Sen�lary.Facilill.es 8 1 d'umps(er.Sil'e Wtirk Permll forell nevi proJecls.All Comrrlerclel requlreinenls rtiu'sl rimeel eomplience
91GN PERMIT Altech(2)aels o(Enylneered PIAns: _
""F'ROPERTY 3UftVEY requlred for ell NEW dansliuctlon: -
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-'r.:�=i-"�'-H-1�.+i�'. '�' :�3�.-r:-':�y'-.-�:+:::-1.:I.:i-I�i�i� {=4c.F-1:.1- .
• Dlrectlone:
FIII oul eppllcalion completely
Owner 8 Conlreclor slgn tieck d1 eppllcelton,nolarlied
II over;2BOD;e Nolloa o/.Commencement le raqulred: (AIO upgradas over 57600)
" Agenl(lar Ihe conlreclor)ot Power ol Atlorney(for lhe owner)wouid be someone wflh noledied leller Irom owner eulhodzing seme �
OVER THE COUNTER P�RMITfIN6 ,(copy ot Conl�acl required)
Reraofa If shingies Sewers Service Upgredes AIC Fences(PIoVSwvey/Foolege) • I
, Driveways-Nol over'Counler if on public roadweys..needs ROW '
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NOTtCE OF DEED RESTR(GT{ONS: The undersigned understands thaf this permit may be supject to"deed"restr(ctlons"
which may bg more resirictiv�t#��n Gaunty regulatia�s. The undersf�ned assumes responsibility for oornpliance wlth�ny
appiicahle deed restr'ictions.
t1MUGENSED GON1'RAC7'ORS A1�D CqNTE2A�TOR RE5PONSIBILii'IES; 1�fhe Ov�ine� has hired a contractor or .
contractors to underiake work,they�iay be required ta be iice�sed iti acco�dance y�ith state and iQca1 regutatiQ�s, 1€the
contrac�or�ls noi licensed as raquired 1?y�aW,both ihe oWne�.and contractor may be cited for a miademeanor vio4atlon
under sta�a iaw. {f�the owner oe intended conkractor are unce�#ain as ta what licensing reguireme�ts may apply fqr Ehe
intended work,they are�dvised to contapt Ihe Pasca County Building inspection piuision—i�iceslsing S�ctian at 727-84�<
8009, Furthermora, if ihe nwner has hirsd a eont�actor.dr eontractors, he is advised to have the contragtor(s) sign
portions of the"contractor Block"of ihls appiication igr wh{ch they wiii be responsible. lf you,as the owner sign as the
cantiactor,thal may 6e an�ndication that he ls not properlu Iicens�d and is not aniitied tq permltting privileges{n Pasco
County.
TRANSPORTATfON IMPACTiUTtLiTiES tt�RA�T AND RESQURCE R�C4VERY FE�.S: The undarslgned understapds
that Transportation Impact Fees and Ftecourse Recovery Fees may�ppiy ta the construction of naw buitdings,changs af
use 1n exisling bu(ldings,or expansian of existing butldings,as specified(n Pasco County Ordinanca number 89-07 and ,
90-07,as amanded. The undersfgned aiso understands,that such fees,as may be dua,wtti bs Identi6ed at the E{ma of
permltting. !t Is further understood that Transportatlon lmpact Fees and Rasource Recovery Fees must be pald prlor to
receiving a"certlflcate of occupancy"gr finai power release, If the pro}eck does nat invoive a certtflcate of ocGupancy or
final power release,the fees must be paid prior to permit iss.uance. 6utthermora,{f Pasco County WaterlSewer impact
feas are dua,ihey must ba palc!prlor to permft issuance in acairdance wtkh applicable Pasco C4unty ordinances:
C4NSTf2UCTiON U�N I.AW{Chapter 713,Florida Statutes;as amQnded): t�valuailon of work(s$2,aQQ.DO or more,i
ce�tify itiat t, the appitcan#, have be�n provlded with a copy of the "Fiortda.Canstruciior► Llen Law—Homeowner"s
Pratagtlon.GUfde"prepared by the Florida Dep�rtment of Agrlcufture and Consumer Atfairs. !f the appltcant Is sqmeone
other than the"awner',i certify ihat i have oqkalned a c,opy of 1he above deseribed document and promlSe in good falth to
d�llver It to tha"ownQ�'prior to corrimencement,
' CONTF2A�TOR'$10WNER'S AFFIDAVIT; i cQrEify th�t a!!!he lnformallon{n thfs appflcatiott is accurate and ihat ali work
wlt!be dona ln compllanca with ail appiicabia laws regulating consiructlon,zorting and I�nd devefopment. Appticallon Is
heraby made to obtaln a permft to do work and instaiiaiion as lndicated, ! c�rtify ttiak no work or instaf{�tion has ,
commenced prior to issuance of� parin�t a�d that aft.work Wiii Ue performed to meet standards pf afl laws rec�ui�ting
canstruction, County and City cades, zoning regulaqons, and iand deyelopmant reguiaGons in !hs Jurisdi�tfph. I alsa.
cer#ify tha�i understand that the regu�akians of olher govern,ment a.genqies qt�y apply to ths Interidad work,and that it{s
my rasponsibili,ry to idaniify What actian�I rr�usk take to ba�n comptiance. Such'agencies includa but�re not Ilmit�d to:
- Department of Enyironmental Prqtec�lari-Gypress Beyh�ads,Nleiland Areas and EnyIro�mentally Sensill�e
Lands,Wate�tWastewater TreatmenE.
- Soutt�yve§t FlQrida lhlater tulan�gement Dlstrict-Weiis, GypTes� Bayheads, Weiland Areas, A�te�ing
Watercourses.
- Army Corps of Engineers-Sea4valls,Dacks,Navigabie Waterways.
: Qepartment of �iealth & Fiehabilitative Senr'iceslEnvironmentai Heaith Upik-Wetls, V+/astewate� Treatment,
SepfiG Tanks,
- US Envirn.nmentai RratecUon�gency-Asbestas abatement.
- Federai Aviation Au[hod�y-Run+tiays.
I understend that the.fo{lowing rastrictions apply ko the use af flli�
- Usa of fiii Is'not ailowed In Fiood Zone"V"unles�expr�ssfy permitted;
- 1f khe fill materiai is to_ba used in Flooc! Zane "A", it is understopd that a dratnage plan addressing a
"compensaffnc�vofuine"wtli ba submitted at tlme of permitting whtch ts prepared by a profssslonaf ang{near
lkcensed by the Stake af Fforida.
- If the fi!f materfai is ta be used in Ftood Zone"A" In connaction with a permitiad buildtnc� using Stem wall
constructlon,I certlfy ihat�iil w{ii he used oniy io ftA the area.wifhin the sterri wali.
- if fill mater{al Is ta be used in any area, I caritty lhat use of such fiH wlif not adversety affect adjacent
prnpertles. If use of fill Is fnund to adversefy affeCt adjacenk propertles,the ownar may be cited for vioiattng
the condt8ons of the bu{!d}ng petmft issued under ihe atiached permit appUcakion,for lots fess than one{1}
�;cra whlch are etevated by flll,an englneered drainage pian Is requlred.
If i am the AGENT FdR THE OWNER,t prgmise in good faith ta inform the owner of the permltting cond{tians set forih in
lhls af�davft prior 10 cammencing canstrucUon. 1 underst�nd that a sep�r�te permii may ba requtred for elec�rlcal work, ;
ptumbl.ilg, signs,weiis; pools,atr condItioning,gas,or ather{nslalia#fons not specificaGy Ineiydad tn the anplicatlon. A
permlk tss�ed shali i�a construed to ha a iicense to proceed wiEh 1he work and not as authoriiy to vtolata,cancel,slter,or '
� set asida any proviskons of the.techniqai codes,nt�r shaA issuanca o(a pQtm(t prevent ths Suiidfng0fficial from thereaitar
requlrtng a correctlon of ecrors in pians',con5truction or Yloiatlons of any codes, Every permit Issued shaii bacome invatid
untess�iha work authodzec�6y sucli permit is commenced w�thin six�onths of perrplt issuanqe,o�`if work authp�iz�d by
ihe perm'it is suspsnded ar atiartdo�ad for a period of six.(6)months�fter the i►me�hs work is commenced..An extension
may bs reguested,in��ltirig,from the Bupding Offic{ai fo,r a pariod�not to excead ninaty(90)days and wiU demonstrate
- jUstifla�le c�use for fhe exienslon. if Wark c�ase�for ninety(90}eansecutlye d1ys,the job is consldered aba�idaned.
VtlA�t�IiNG�'¢O�/h1�R: Y01�R�A1�UF�E TO RE�,OgD A NOi'ICE OF�Ot�tiMENCEM�NT MAY RESUL'F►N YOUR
RqYIt�G TViWIG��OR iNi��'ROV�M�NTS Tq YOL��PROPERTY, i�YtIU itdT��ti]1';,� ,IN FUVANCI►�C,GONSU.L.i'
OU L O E BE�.O E40 G OU O � O E C E
Ff.ORlDA',]URIKT�(F:S�fi� 3'j'., __�...,.__._�._..._._......_,...._.-.._..„._..�_._.,-....._,.._. ...__ ._�_ ..W_....r..........__.... ..
ONlNER oR A�f�ENl' - GONTftAC7qR '
Subsciihed�nd sworn t ,t-�ffirfiedy 6eFore me tfii� bs ibed a d�worn[o ffrmed)tieEora me thts '�' "
bY �__����b -.� � �
WhA islare p�rsonaAy known to me qi heaihaVe prad'uced Wtio SIarQ pe'"_onalty knati+n, or hasfiave.p'tod'uced �
as ideNiticalign. as idantt[icalf4n. .
Notary putiiic �` ��— Notary Pu61ic
Cammission No. C
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Name oF Nota'ry typeil,prini�d or siamped =,�:a' 'o,pk�t' , s
'a: Expires ecem e��N;�b18
� _�'F P;�.o;:`�, Bondad Thm Troy Fain insurence 8003&5-7019
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Office: $13-779-750$ • ax: 13-779-7504 • Lic#CAC1815498 Date: .(J` t��
Customer Name �
Address � � U�... ' � ZipCode �����---
Jmb Locatian � '1 Subdiv:
F�hane# ��`- �" �{�� Aiternate#
Existing Equip.
lVlod.# SER.#
Mod.# SER,#
S+r-�a:� � �� "
�c,U �,��' Permit #
Ty�e of Unit;, MJS S/C H/P SJ • PAC Ton: ,}� Seer–,�'� -
Y 1�,
p �Duct Wark Tvpe of Duct Work: Metal Flex MH flex Duct Board R;
"�j ❑ Float S W: ``"jSa�- � , _ � ..
�C] Heat Shield: � Heatec KW: . �... . V11ire Size . _ Breaker Type
G7 �Fad Etec. Pane{ Brand: AH Cond, . PAG `
❑ �line Set ���.�� 7 stat: og.. Non-prog
� ❑ Mastic Seal: �!.l.0 andler Locafion:���,—AHU L�•• FI_ „W „
� � L'�ht&Recp;, Return Air " Duct Size "
. ❑ � Access/Closet Doar: Attic Height/Closet Size:
Service Pla orm•
Attic Insulation Depth =R Value
� Special Nates: � � ' 4_.G 1 �
��j�c�.� 1�-�G1��sv �c. ,� - �.`� �C � l� r�i� �
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Bryant$ , _. Rheem $ ,Camfortmaker$ ._ . '"f
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Factory Rebates: �' 12, L..C1 L.t � - p�� .�".
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Warranty: 10 year Compressor and Parts&1 year on labor �7�,�� �� �
10 year Compre s &2 year an labor _
Air Tech Services Approval � date
Customers Appraval V� 'Y��_ date .