HomeMy WebLinkAbout17-18161 CITY OF ZEPHYRHILLS
5335-8TH STREET
� (813)780-0020 18161
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18161 Address: 3749 COPELAND DR
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: 24-26-21-0010-03900-0000
Improv. Cost: 4,300.00 OWNER INFORMATION
Date Issued: 2/17/2017 Name: OLD CASTLE MATT STONE
Total Fees: 60.00 Address: 3749 COPELAND DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paicl: 2/17/2017 Phone: (813)367-9780 �
Work Desc: A/C CHANGE OUT 2 TON SPLIT UNIT LOCATED ON WEST SIDE
CONTRACTOR S APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 60.00
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Ins ections Re uired
DUCTS 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
� ,-; NO OCCUPANCY BEFORE C.O.
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�CONTRACTOR SIG v4'TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CHRIS' A/C �
,y AIR CONDITIONING ---
C O M PA N Y & ELECTRICAL
CAC058575 / EC13007703
Proposal Submitted To: Date: 2/6/2017 Phone: 863-227-1988
Paul Carpenter/Operations Manager
Job Name: Coastal an Old Castle Company
(,� � Address: 3749 Copeland Drive, Zephyrhills
American Standard 2 ton system, no heat, pad, thermostat, line set, line cover,
ductboard and grills, condensate line, start and test.
'�Air Handler is positive pressure to help prevent dust in unit
Price $ 4,300.00
Warranty:
Chris' one year limited warranty on materials and labor.
5 Yrs Limited manfacturers warranty on compressor
1 Yrs Limited warranty on equipment only parts.
1 Yrs Limited warranty on labor
� Payment to be made as follows: �x Due upon completion �Draws � �
CHRIS' Authorized Signature:
NOTE: This proposal may be withdrawn by if t accepted ' days.
I have authority to order the work,which shall be performed as outlined above. It is agreed the seller will retain title to any equipment or material that
may be furnished until final payment is made,and if settlement is not made as agreed,the seller shall have the right to remove same and the seller will
be held harmless for and damages resulting from the removal thereof.I agree to pay all cost and reasonable attomey's fee if this invoice is placed in
' the hands of an attomey for collection.Seller is subject to restocking charge if job canceled
FINANCE CHARGES:Balance due er 30 ays(1 112° N'GERES�PER MONTH(18% ANNUAL RATE)will be imposed(where applicable).
CustomerAcceptanc tu . -�
Si nature: Date: � �� 7� '
9
Signature: Date:
12232 US HIGHWAY 301 DADE CITY, FL. 33525 PHONE 352-521-4977 FX 352-521-3393
estimateform �
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s�3aao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received �S� ��/ � .(� -
• ' Phone Contact for Permitting " �
Owner's Name �� / JO/',��/ �OU j"J Owrner Phone Plumber . ��'oC�� � //�b
Owner's.Address , ' OwnerC�/Nu�ber /� /9�a
Fee Simple Titleholder Name . Owner Phone fdumber
Fee Simple Titleholder Address
JOB ADDRESS � / LOT# �
, SUBDIVISION PARCEL ID# � � � � � � � d d d
. - (OBTAINED FROM PROPERTY TAX NOTICE) � �
WORK PROPOSED _ NEW CONSTR ADD/ALT 0 SIGN Q Q � DEMOLISH �
INSTALL REPAIR " ' �
PROPOSED USE Q SFR Q COMM � OTHER' r/f�� "
TYPE OF CONSTRUC'TION Q BLOCK - Q FRAME 0 STEEL Q
� DESCRIPTION OF WORK • [��C � .1��S /� - �. � J / �
, �UILDING�SIZE SQ FOOTAGE HEIGHT �
� QBUILDING $ •VALUATION'0F'TOTAL CONSTRUCTION I
.. ' ����
QELEC7'RICAL , $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C.
' QPLUMBING $ ' - ,
MECHANICAL $ ' � VALUATION OF MECHANICAL INSTALLATION J -
�
3c� ��f ���� � �
QGAS Q ROOFIPVG Q SPEGIALTY � O7'HER
FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address - License#'
ECECTRICIAN COMPANY �
SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
Address Cicense:# �
'PLUNEBER;;, COMPANY� � �
SIGNATURE �REGISTERED- Y�/ N . FEE GURRE� = � " Y,/N
Address ' License#' - �
�, MECHANICAL � , � COMPANY ��'�S , �/C_7� -�� I
SIGNATURE• � REGISTERED N EEE CURRE� �' Y N
�iddress�� �� • �3S � . License,# �
w.;s�,: -• - ..
O'THER.'� ``� COMPAIdY
.SIGNAT'URE�. � � REGISTERED Y/.N FEE CURRE� Y/N
:k . ., . .
Address, , _ _ �� �� -� License#
.�.`RESIDENTIAL�:-:; Attacti;(2j"PIot+Plans;(2):sefs of�Bu�ilding'Plans;(1)set�of•Energy Forms;'�R,O-W P.ermitfor`new.construction, �.
.. ,� rMinimum.ten;,(;10)working;days after_"sutimittal:date. Required onsite;'Con§truction Plans,StoRnwater Plans w/Sflt Fence.installed,
... . �,'ik�- �: .«.� .. . _ . ,
� "� Y �Sanita..ry,;Facilities.&3,1�,dumpster Sife�Work Fermit'for;subdi'vlsions/large.,projects `' � '
�COMMERCIAL. Attach-(2)'complete"sefs of'Builiiing`Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new.construc8on.
_.� ---- Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles 8�1 dumpster,Site WorJc Permit fo�all new projects.All commercial requirements must meet compliance .
`� $IGN�PERMIT Attacfi(2)sets of,Engineergd Plans:`, i � ' � �
� ""'PROPERTY SURVEY required for_aIL.NEW construction. , ,
�`Directions:. -...���� ,., ,.
Fill>out application completely.
Owner&Contractor sign back of.application,notarized •
� If o"ver$2500,a Notice of Commencement is required. (AlC upgrad�s over$7500)
� " Agent(fo�'tlie�cont�actoc)-or Power�of Attomay(for�tfie oiivner)would be someone with notarized letter from owner authorizing same
�_,.OVER'THECOUNTER:PERMI'R'ING._. _(copy,of-contractrequlred) ' ' �
�Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drlveways-Not over Counter(f on public roadways..needs ROW
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RIOTICE OF�EED.RESTRICTIONS: 7he undersigned understands:�that.this;permit may be subject.ta"dee�",restn�tions°'' �,
vuhich,may.be�more�restr:ictive:than�Goianty regulations: =The undersighed�assumes'�tespons'i�iilrtjr�for�compliance"with any��'�`
applicable=deed restrictions. .x - - � �'"�
UNLIGEIdSED-GQNTRAGTORS AND GOIVTRACTQR RESP-tJNS1BILITIES: If-tFie�owrier=��hasM Eairec3r a�cont�actor or
contrac#ors�ta undertake work;.they,may,be r.equired to be�licensed in accordance with.state.and:local.regulations:;`�If=#fie::�:, �
ca�tractor-is not-licensed-.as,required by law, both"`the ov+rner�and-contrac#or-.tn'ay�Ybe�cited�for`.a✓misdemeanor violation �
under state law. If the awner ar intended>contractor are uncertain as to what iicensing requirements;�may�:appiy�for��tiie•:=�" ,
intended work;�they are-advised to cantact'tlie Pasco County Building`Insp�ction Division�=Cicensing Section at 727-847- ;
8009. Furthermore, if the owner has hired'a�cciritractor or cont�actars, he is ac{vised to,;ttave the contractar(s)_.,'s.ign.,,.,,
portions of the "con#ractar_Block" of this applicatian;for which they will.be responsible:--If.-you,,as�;the-'owne��'sigri'as�tFie ` ��;
contraator, that may be an indication that he�is nat properly licensed and is nof entitlet! to permitting priviteges in Pasco.. ,
��_=:_� ��.�
County. ' � . . -- .. .- -. - . . - <
TRANSPORTATION IMPACT/l1TILITIES IMPACT AND~RESOURCE RECClVERY FEES: The�undersigned under.stands ',
that�Transpar#ation Impact Fees.and Recaurse Recovery Fees rnay�:apply'to the construction,of.new.bu�l.dings, cFiarige�of��`� '�
use in existing buildings, ar expansion of::existing buildings, as specified in Pasco County Ordinance number 89-07'an'tl ''
90-07, as amended. The undersigned also understands, that such;fees, as may:�be:due, willybe identi#iec! at_flae�;time''of-=` " ''�
permitting. lt is further understaod that Transportation Impact Feesand Resource�Recovery,Fees must be paid prior to
receiving a "certificate of occupancy°-or final.p,ower relsase. !f the project does not irtvolve a certifcate of occupancy'or�'��' �
final power re4ease, the fees:must be paid prior to permit"issuance._ Furtfiermore, if,-Pasco Caunty WaterlSewer.-tmpact-,.�--.
fees are due,.they_must be paid prior to permit issuance in accordance with�applicable Pasco Caunty ardinances.�
Ct}NSTR!#GTtON i�tEN I.A1iV{Chapter 718;��I�rida Statu#es,as arr►ended): If valuation-of ruork is$2,500.0.0-�or more,.l-„.,�
certify that I, the applicant, have been. provided -with a copy. of the "Florida Constr,uction,:�Lien..,Law--Homeowner`s ���
Protection Guide° prepared by tfie Florida Department of Agriculture and Consumer Affairs. !f the applicant�is someone;.,
other than the"owner", 1 certify#hat(.have obtained a copy of the above descr`ibetl�`document and promise�:in good'sfaitli:to`,� .,
deliver.it.to the."owner"pnor to comrriencernent. � ' � �
CONTRACTOR'S/t�UdNER'S AFFIDAVIT:�!.cer#ify that alt the information in#his apptication is accurate and that all work
will be done in compliance with all applicable laws regulating canstruction, zoning and land development. Application.is
hereby made ta obtain a :permit.to do work and instatlation'as indicated. � 1 ce�tify that no�work ar.installa#iori �has
cammenced prior to issuance of a permit and tha# all work will be performed ta meet standacds of all laws regulating "
canstruction, County and City codes, zoning regulations, and land development�regu}atRons in the jurisdiction: 1 aisa
certify that I understand that the regu(afions 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 np#.limited to:
- Depa�#ment of Enviconme'rita[{Rratecfian=Cyp�ess Bayheads, Wetland Areas and Environmentatfy Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Fforida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses.
- Army Corps af Engineers-Seawalls, Dacks, Navigable Waterways.
- Department af Health 8� Rehabilitative Services/Environmental Health Unit;Wells,�Wastewater Treatment;
Septic 1'anks. � �
- US Environmental Pratectivn Agency-Asbestos aEiatement.
- Federal Aviatian Au#hority-Runways.
I understand that tlie following�restrictions apply to the use of fi!!:
� - Use of fil(is no#atlowed in Fload Zone"V"unless expressiy permitted.
- If the-fill .material is to be used in Flood Zane "A", it is understoad that a drainage plan addressing a
"compensating volume"will be subrnitted at time•of permitting vuhich is prepared by a professianal engineer �
licensed by the State of Florida.
- !f the fi!! material is to be used in Flood Zone "A" in connection with a permit�ed building using sfem vua11
construction, I certify#hat.fill witl be used only to fill the area within the stem wall.
- If fill material�is to be used in any area, I aertify that use of such fi!! wil! not adversely affect adjacent j
properties. If use af fiii is found ta adversely affect-adjacent properties, the awner may be cited for violating
the conditions of the:�building permit.,issued under the attached permit application, for lots less than one (1) I
acre whicfi are elevated by fill,an engineered drainage plan is required. �
If I am the AGEPIT FOR,THE OWNER; I�promise in good faith ta inform the owner af the permitting conditians.set forth in
this affidavit prior ta cammencing�constructitin. !,understand that a separate permit may be required for electrical wark,. �
plumbing, signs, we(Is, poots, air conditioning, gas, or:,other insfallations not specifically included in the application. A ,
permit issued shall_be construed to be a license to,proceed with the work-and not as authority ta violate,-cancel, alter, or �
� set aside ar►y provisions of'fhe technical codes, nar shail issuance af,a permit preven#the Building{)fficiai from #hereafter
' requiring a correction of errars in,plans; construction or violations of any codes. Every�permit issued shall become invalid
unless the work au#horized by such perrriit is cammenced within six months of permit issuance, ar if work autharized by
� the permit is suspended or abandoned far a period.of six(6)montFis after the time the work is�commenced. An extension �` '
i may be requested, in writing, fram the Building Official far a.period not to exceed-ninety (90) days and will d.emonstrate -
� justifia6le cause for the extension: Ef wark ceases for ninety{90)consecutive days,fhe job is considered abanctoned.
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WARNlNG TQ OWNER: YOUR FAt�.URE�TO RECQRCt:A fdOTICE OF C4MMENCEMENT MAY RESUCT IN YOUR i
PAYiNG TWtCE fOR IMPROVEMENTS.TA YQ.UR:PROPERTY..,1F YOU.�.INTEND��TO OBTAIN SFINANCING;�CONSULT
WITH YOUR C�NDER OR i4N ATTORNEY BEFORE��RECORDlNG YQUIt NOTlC�OF'Ct?MMENCEMENT:''
OWNER OR AGENT ��-- -- - � - t
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'� �.��--—--CONTRACTQR - d - - _�i.GY.�_w__ �N n�„�_ __ _ _
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Sutsscribed and swom to{or af�rmed)befare thts 8ubsari6ed and swom to(or affirtned}before me '
by by
Who is/are personally known to me or has/tiave produced �' Who is/are personally known to me or haslhave produced
as Iden�cation. ��}, as identificafian.
Notary Public Notary Public
' Commission No. Comm€ssion No. '
tYame of Notary fyped,printed ar stamped Name af Notary typed,pdnted or stamped
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