HomeMy WebLinkAbout17-18228 CITY OF ZEPHYRHILLS
,_ . 5335-8TH STREET
(813)780-0020 18 8
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18228 Address: 7230 ASHLAND DR
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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0330
Improv. Cost: 5,080.00 OWNER INFORMATION
Date Issued: 3/03/2017 Name: NICHOLS MEGGAN & PAUL E
Total Fees: 65.00 Address: 7230 ASHLAND DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33540-1414
Date Paid: 3/03/2017 Phone: 813-403-0700
Work Desc: A/C CHANGE OUT SPLIT SYSTEM 2.5 TON
CONTRACTOR S APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 65.00
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Ins ections Re red
DUCTSI STALLED
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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� '�
COf�V �RACTOR SIGNATURE PERMIT OFFI R
�� PERMIT EXPIRES 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
•• Building Department
+-., ,
Date Received ' /� phone Contact for Permitting � �J So2 S� — �%��
Owner's idame e� ��. �iG,.� Owner Phone Number ��� • 7 ��
Owrner's Address � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
� Q
JOB�4DDRESS �� 7 / (' c- LOT#
SUBDIVISIOPI � �,��.G�� PARCEL ID# c]���� / ) 06(� � �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B ,. NEw CONSTR e ADD/ALT 0 SIGN Q Q DEAAOLISH �
INSTALL REPAIR
PROP.,OSED USE Q SFR Q COMM � OTHER � .a
TYPE'OF CONSTRUCTION Q BLOCK •- Q FRAME 0 STEEL Q
DESCRIPTION OF WORK gL/��G � � /%�� �.����� -��—
BUILDING SIZE SQ FOOTAGE�' HEIGHT � a o ����� � �.
QBUILDING $ VALUATION'OF TOTAL CONSTRf1CTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ � ,c�,�A.
I /�- vi% `�
MECHANICAL $� VALUATION OF MECHANICAL INSTALLATION .�!T 1 �
O �• l I
�GAS Q ROOFING Q SPECIALTY � OTHER J(n�� �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO + ,�/
B!!lLDER COnAPANY
SIGiVATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COAA PANY
SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N.
Addr�ss License# 3
, ..�
PLUMBER.,. COMPANY
'SIGNAT.URE REGISTERED Y/ N� FEE CURRE� Y/N
Address � License#
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_ .MECHAMICAL �� �� COMPANY (� 1iS �7" . C� C
SIGNA'PURE' � �LI�Ki(/t� REGISTERED Y N FEE CURRE� Y
�aa�ess- / =� " � ) � L-icense.# (, �
,��4� , . ._.. . , - . . .
: OTHER:�,';:;, � COM,P..AIdY
�'�SIGNATURE-'r• .� - • - REGISTERED Y/ N. FEE CURREK Y./N ,
- Address�.,.` - ' � ' ' License#
f-`RESIDENTIAL:;:.: Attach`(2)`Plof'P.lans;'(2):sefsof�Building,�Plans;(1•)'set of`Energy'Forms;R;O-VV Permit,for new.construction,...,
_ _;;;r:,� :-:--:Minimum:ten.(;10)�wo,rking;days'.aftei�subinittal�iiate."Required�onsite;Construction Plans,Stormwater Plans,w/Silt Pence.installeii,
� '"""� �i� Sanitary.Facillties.&;1�du'mpster;Sife:Wo[k Permit for.subdivlsions/large'.p�ojeets`.. ' �'
��_COMMERCIAL Attach'(2).complete"seYs of:Building.Plans plusa L'ife Safery.Page;(1)_set of.Energy Forms:R-O-W Permit for.new construction.
� • Minimum ten.(10)'working days after.submittal date. Required onsite,Construction.Plans,.Stormwater Plans wl Silt Fence installed, , _
� Sanitary Facilities 8�1 dumpster.,Site Work Permit fo�-all-new;projects.All.commercial requirements.must meet compliance ,
`SIGN PERfNIT Atfach(2)sets of_Epgineered Plans.�� ' , - , ��
, � ' '"""PROPERTY SURyEY;requi.red for.alf.NEW..construction:• _
�,•Directlons:.,, . .,. � , � , ,
- FilP:out application completely., _
.'_ . Owner 8•Contractor sign.back of application,_notarized ,
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent(forthe contractor)'orPower of Attomey(fo�"the owner)would tie someone with notarized letter from:owner authorizing same
� .OVER.THE.COUNTER PERMITTING.� �(copy of contract-required) � ` ""
Reroofs if shingles Sewers Service,Upgrades A/C' Fe,nces(PIoUSurvey/Footage)
. .,- . •-� --. - � � " ,
,:Driveways-Not over Counter if:on public roaiiways.:needs'ROW
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NOTICE OF DEED RESTRIGTtONS: The undersigned understands,that this-pe�mit may be subject to��.aeea" cestri;ctions";y�':;r
' �ww��.:.,::r ..:..:,r ,� ; . ...�:.:�., .:�,�::.,
which;may:,be�more<restrictive:,than Co�nty regulations:'Tlie�unde�signed assurries responsibdityfor�cbmpliance uvith any ;a,
applicatile deed restrictions. ' � � _ . 4 --. :.: _ . . .;•.;.-, .,��,:, .,
_:�rv-.:�...; :,..�.�.:. ,:
UIVLIGENSED: CaNTRACTORS AND CONTRACTt3R RESPOMSIBiLITtES: �If-•fhe=orivner�•:has:�`tiiTed�a�;;eo�trac#or or ,.��
cantractors�to undertake work,�fhey may,be,r.equlred to be;ilcensed�in accordance with.state:and;:local:reguiatians::�?if:�tlae�.-,�"�-=:;t
� :�.�..�.�..:.u.�;3.
contractor is.nat licenssd�as._required {iy�lavir, botki.the ovitr:ter�and'�cont�actor:iia'ay�be�cifed=for-a'inisd`errieanor violatfon��,,:.`;�
under state law. !f the owner or intended,cont[actor are uncertain as to what-ficensing�requir:e�riaents:�rnay�apply°fo�>:tt`ie::��:il=°;,t,
� F..q. ;C...,•.
intended work,.they=are:advised ta coritact the'Pasco County Builtling Inspection"Division�Licensing Section.at 727-.847- :�;,.
8009. Fwrthermore, if the owner�has` liired�`a cont"rac#or or cont�actors, he�is advised to��have tfie; contractor(s):,:sign::.;,,��;ti;
u � .. �. ,. __..t,,.�..� a,. .,: i, ,x.;�
portions of the contractar Block of this aqplicatian far which.they.will be�resp.onsible:;,if,you,._as�tiie�owner'��sign;as�'tlie. ��'�;,
contractor, that may be an iridication that-he is nat prope�ly tic+ensed�and-is not erititted to�pecmitting priviieges,^ini Fasco;y,,;,,r�;�
���:-::_,:��..:_.Ur.,.
County. � _ .,. ,_. -: .. _' _. �Y.
7RANSPORTATION IMPAC7LUTILITIES IMPACT AND RESOURGE RECQVERY FEES:"��The und'ers'sgned understands�....���'
that Transportation Impact Fees and Recourse Recovery Fees may�apply ta_the construction,of new:buildings;.�:change�of:'���;���;
use in existing buildings,:or�.expansion of:existing buildings, as specified in Pasca County Ordinance number 89=0.7�and:, ,}3,
90-07, as amended. The understgned also undersfands, that such,fees, asLLmay:.:b.e.due, will.�be;identified afi'atiie�timehof�-;:o;;";�,
permittirtg. !t �s furtherunderstood that Transportatian lrnpact Fees�and Rescrurce:�Recavery'. Fees must be paid prior to ':�:
receiving.a "certiFcate.of occupancy" or final.pawer release. !f the.project does nat invotve;a ce�tificate o€occuparicj+t,o�.�:��_:=�
final power release, the fees=must be-.paid prior to permit issuance. :Furtfiermore, if Pasco�Cour►ty Watec/Sewer�lmpaet�.r-- ;,�
fees are due,tfiey,must be paid prior to permit issuance in accordance with'applicable.Pasco�County o�dinances. µ � ""
CONSTRUCTI4N�LIEN�LAW(Chapter 713� F1orlda Statutes, as amended): If vaivation of work is$2,50.O.OQ.or.mor.e,xl�.�:� '
certify that't, the applicant, have been provided with a copy�.af the °Florida Construe#ion Lien Law=-'Homeowne�'s ,
Prdtec#ion Guide° prepa�ed by the Florida Departrnent of Agriculture and Cansumer.Affairs. If the applicant�is,someone,:>�,�
,:...�:
other than the"owne�', I-certify that I:ha�e obtained a copy af the.above�descri6etl'document and promise�in gaa,d:_faith`..tq ,,,..,,
deliver,it.to=#he';owner".:prior:to-commencement: � -� �
CONTRACTOR'S%OWIVER'S AFFIDAVIT; I.certify-that all the infaemation in this application is accurate and`tha#all wark
wiil be done in cornpliance with all applicable'laws regulating constructian, zoning and land�development. Application.�is ,
hereby made ta obtain .a .permit;ta :do;uwork :and installation as �indicated. l�certify that no�work or.installation--has
commenced prior to isse�ance cif a p�rmit and�tfiat ait work wiil be perfarmed ta .meet standards af a11 laws regulating
canstructian, County and G9ty codes, zaning regulations, and tand developmen# regeilatians`iri'.�the jurisdiction. �I: also
certify tha# l understand that the regulations of other gavernment agencies may apply to the intended work, and that it is
my responsibility to identify what actions f must take ta be in compliance. Such agencles include,but are not limited to: '
- ,Department of Environmental:'Protection-Cypress Baytieads, Wetland Areas and Enuironmentally Sensitive '
Lands,VUateNWastewater Treatment. a
- Southwest Flarida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. �
- Army Corps of Engineers=Seawalls, Docks, Navigable UVatervuays.
- Department of Health & .Rehabilitative Services/EnvironmenEal Nealth Unit We!!s, Vltastewater Treatment, � �
Septic�Tanks. � ' � �
- US Environmenta)Protectian Agency-Asbestos abatement. , .
- Federal Aviation-Autharity-Runways. '
t understand that�the fallawing.restrictions apply ta�the use of,fill:
- Use of flll is nat aAowed in.Flood Zone"V" uNess expressly permit�ed:
- If the fill matecial:-is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating valume° will be submitted at time of permitting which is prepared by a prafessional engineer -
licensed by the Sta#e of Fiorida.
- If the flf materiat is to be used in Fiood Zone "A� in connection with a permitted buitding using stem wall
construction, I certify that ftll will be used onfy ta fifl the area wifhin the.s#em wal(.
- !f fill material is to be used in any area, ! certify that use of such�fii! will not adversely a�fect adjacent
properties. If use of fill is found to adversely affect adjacent propsrties, the owner may be cited for violat�rig
#he conditions of.the building.permif issued under the attached permit application, for lots less than one (1.j '
acre which are elevated by fil(, an engineered drainage plan is required.
If}am the AGENT FOR THE OWNER, i pramise in good fai#h to inform the owner of_the permitting canditions set forth in '
#his a�dauit priar to corrimencirtg construction. I understand that a separate permit may be required for electrical work,. ;
plumbing, signs, wells, pools, air conditioning, gas, or other �installatians not specifically included in the application. A. = a
permit issued shall'be construed to�'be a license to proceed with the work and not as authority to violate, cancef, alter, or �
set aside any provisions of tFie technical cades, nor shall issuance af a permit prevent the Building Officia!from theceafter
requiring a carrectian of errors in plans, construction or vioiations.of any codes. Every permit issued shall became invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work au#horized by �
the permit is suspended.or abandoned-for a periad..o€six(6)manths after fhe time the work i�'commenced. An e�c#ension -
may be requested, in`writing, from the Building C?ffJcia! for a period.not to exceed tiinety(90) days and witl demonsfrate �
justifiable cause for the extension. If work oeases for ninety(90)consecutive days,the Job is considered abandoned.
WARNING TC} CIWNER: YOUR.FAILURE TO RECB�tD A.NCJTtCE.OF Cf3MMENGEMENT�MAY RESULT IN YOUR
PAYfNG TWICE'EOR IMPROVEMENT$TO YOUR:PROPERTY.. IF�YOU;iNTEND=T0�8BTA1N�FINANCtidG, CONSULT
-►J4lITH YCIURLENDER OR AN ATTORNEY BEFORE RECORDlNG YQUR Nt?TICE`C1F�COMMENCE ENT. �
,___FLORIDA JURAT(F.S.117.03);J�_�._.�_=--T---_- _�_ . �— ._.___ _..__ -- — --'--- --
c', �-- -
y OWNER OR AGENT C�'`�sa'-���'���/ . CQNTftACT4R ` - � —.
Subscribed and swom to(or affirmed)befare m thls Subscribed and swom to(or affirmed)befare m is - �
�y ey .
Who islare persona!!y known!o me or haslhave produced ` UYho Islare persanatly known to me or has/have produced �
as IdenBftcaUon. as tderttificat�on. _
Notary' Pubtia ' Notary Publ(c
Commisslpn No. Commission No. �
Name of Notary typed,printed or skamped Name of Notary typed,printed or stamped
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PRCJPQSAL
12232 HWY 301 DADE CiTY {352)521-4977
DADE CITY, FL 33525 ZEPHYRHILLS (813)779-9515
NAME: Meggan Nichols Date: p2/13/17 SPLIT SYSTEM XX PKG UNIT -
SUBDIVlSION: HEATPU(UIP X STR.COo! -
ADpRESS: 7230 Ashland Dr �,�ar� - � ��,_��`�� �' ��-
�;n�.��.��_
� c��r, Zeph rhills F1 ztp Coa�: 33540 car� R: M4HP4030A1
PHONE. WORK: ; iR HArvo � M4AH4032A1 �
cE�.�: 813-403-0700 RENTER: � HEATER: � �rJ�2X
ESTin�aTOR: Kameran I B�rv�• AMER R �
-�m INCLUDED�IN-PR '� POSAL�'���=''�y�k�` seER���rv�: 14 4,9�5.68
, HORIZOtvTAL� i ~ INSTANT REB . 850.00
PRO 3dda TNERMOSTAT 1 GOOD Tt�TA �,'��5.6�r
PAD TONN 2,rj PARTS:�.. YR �
W-LINE FLOAT C �RESSOR: 1 O YR LABQR: 1 �`
, LtNE COVER 8' "°�s��''�:;�;�:y`��`;�` a' � ���-:���;,,�,
�iNE sET corvoErvsER: 4A6H4030D100QA
SEA�DUGTViIORK T4 GC1DE IR NA{UDLER: TEM4AQB�O
, FILTER RACK HEa,-r�R: BAYHTR1505PDCA
CONNECTED T{}EXISTING DUGTS AND ELECTREG g�tvo• AMERICAN STANDARD
ANCHOR CONDENSER SEER RATING: �I4 rj,L��0.60
T�c,[ABORAND PERMlT INSTANT REBATE - g�(},QQ
REMOVE EXISTING EQUIPMENT TOTAL : 4,480.BO
, Relocate From Horizontal To Vertical Add$600 ONNAGE: �, 'rj PARTS: 14 YR -
, COMPRESSOR: 1 Q YR �4soR: 1 YR
� �':�= `k.=,;_�:==�:;;. �,�..��, _
corva 4A6H5030C1
i AlR HANDL �+�TEM�AOB�{}
�, NEATER: BA , �_ ��JO�J
et�Na: AMERIC T� � DARD
' SEER RATlNG: '�.�_ �,443.77
, t., �:<..r���,-.�Y:.:�,4�;•�•�b-s,t��,::.�>��`:�:�,�`;' :� �.. �>� �;: -:•, INSTANT TE � � '`��-.. 100.00
i ���.7 � . . : ��s��5,���:�;�._;��:�a�. 4 �'i:.,, .
1 HAVE TIiE AUTHdRiTY T4 ORDER THE WORK OUTl.INED ABQVE. i AGREE THAT SELLER TO � . 7�
RETRINS TITLE 70 EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT TO �E. 2.5 PARTS: 1 O Y '�,,„�,
!S NOT MAD�AS AGREEd,SE�CER CAN REMOVE SAID EQU(PMENT AND MATERIAt_S AT PREssoR: 14 YR tABOR: 1 YR
I
� SELLERS EXpENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SMALL NpT BE
i
E T}iE RESPQNSISILITY OF SEI�ER. 11MITED WARRANTY-EQUIPMENT,PARTS AND
� MATERIAL HA3 WRITTEN MANUFACTURER'S WARR,4NTY ONLY ''��' �"ir��'"'�'��'�`��''�°S4�t �'�"� -�.�
� .��ePROaM�,OT'I�,O� N ���
. �:.C}°la FOR 6Q MONTHS.:.�•-._� (WAC}
_� . �pR - _ , . 1
CUSTOMER SIGNATURE DaTE: � �INSTANT REBATE �� , �
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