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Home My WebLink About17-18474 ; , CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 18474 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18474 Address: 5341 TANGERINE 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: ZEPHYR HEIGHTS Est. Value: Parcel Number: 12-26-21-0040-00300-0060 Improv. Cost: 7,898.00 OWNER INFORMATION Date Issued: 5/11/2017 Name: UNDERWOOD MARY Total Fees: 75.00 Address: 5341 TANGERINE DR Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542-4698 Date Paid: 5/11/2017 Phone: (813)788-7809 Work Desc: A/C CHANGE OUT 2 TON 14 SEER HP ---STOP WORK CONTRACTOR S APPLICATION FEES ' SUPER HEAT AND AIR LLC A/C CHANGEOUT 75.00 � �� ,� �`" C _; ,� �,7 �P z- � I 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 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. CONTRACTOR SIGNATURE PERI1lIIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a . s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-78D-0021 Building Department Date Received phon Contact for Permittin � 1� _ Owner's Name Owner Phone Number �� (. � Owner's Address �( Q � V�-- Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS l/C.� LOT# � SUBDIVISION PARCEL ID# �' ' �W C� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPO5ED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK (, i�Cti. � � BUILDING SIZE Sp FOOTAGE HEIGHT � �BUILDING $ VALUATION OF TOTAL CONSTRUCTION Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ �MECHANICAL $ c-� � VALUATION OF MECHANICAL INSTALLATION ` �� ,, v QGAS Q ROOFING Q SPECIALTY 0 OTHER ,�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N F�cuw�n Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY l SIGNATURE — Re�lsrea�o Y N FEE CURRE� Y/N RE Address / License# — OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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, Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consWcUon. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Sil[Fence installed, Sanitary Facllities&1 dumpster,Site Work Pertnit for all new projects.All commercial requirements must meet wmpliance SIGN PERMIT Attach(2)sets of Engineered Plans. "•'PROPERTY SURVEY required for all NEW consWctfon. Directlons: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is requlred. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMI771NG (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may'be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entifled to permitting privileges in Pasco County TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupanc�'or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating construction, Counry and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso certify that I understand that the regulations of other govemment agencies may apply to 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 Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. , - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall consVuction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, i certify that use of such fill will not adversely affect adjacent properties. If use of fill 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 I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations 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 to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced 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 time the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 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 R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.0 ) OWNER OR AGENT CONTRACTOR Subscribed and swom to or affirmed)before me this Subscribed and swom to(or affirmed)before me this by by Who islare personally known lo me or haslhave produced Who islare personatly knovm to me or has/have produced as identlfication. as identifica6on. Notary Public Notary Public Commission No. Commission No. Name of Notary ryped,printed or stamped Name of Notary typed,printed or stamped , ��.�,,�- . � . I • � DATE: �/�/� INVOICE#: 6872 SUPER CWB MEMBERSHIP :y_,•: _ Tech Name "'� W,O�#: Super Heat and Air Club Memberships have been � _ .� �� j�j explained: ��L'��-5�15 � /" �, � ' ' ` ' ' • �urrent Member �R www.superheatandair.com Make Model Serial A e. Cond � ,� � �' , info@superheatandair.com g ❑Agree to purchase NE�' CAC1818204 AH� ❑Decline participation Name: ��✓� l V,� ��'��p� Customer's Initials Cu Street Address: I � -Q e I have discussed Super Heat and Air Club City � "� �� i ��S tate:FL Zip: P?J�� PCK Membership Saving programs with the customer.I 60. have given a copy of the contract to the customer.All Home,Tel:��"��Cell/Fax: . .- '-.• � • '••• � work is complete and is in compliance with Super �� . High Low Actual INax. Heat and Air standards of excellence in worlcmanship ,n� a�d in compliance with building codes. .Reason For CaIL• U" `S(tf`l� �'"�,. �� ❑Work Complete Before � After Technician's ❑Attn.Supervisor ❑Follow Up ❑Work Incomplete Signature BRAND ❑S/C ❑HP ❑VERT ❑HORIZ TONS � . � � � . � �. � , � . � , . �_ , INDOOR AIR�UALITY �, Air Handler ❑Ok ❑Dust ❑Growth ❑Dirt � � � �, � Blower Wheel �Ok ODust �Growth ❑Dirt � Evaporator Coil ❑Ok ❑Dust OGrowth ❑Dirt 5 o • � �;� Ducts and Vents ❑Ok ❑Dust ❑Growth ❑Dirt ,e� �� ' PAYMENT OPTIONS � Z l�+d` �9t� «s1 b 0' �� f�'��SEDis' .:�" ' � s� Q ' 94�n E ❑Cash ❑C k# ` � �`�I�C�edit Card �=,; � �. ` y �" � � '� � �� ` � /� � `��y' � ❑VISA ❑MC AmEx ❑ isc ver � I'� Y7 �2!/' � ��•�"3��j� Name on Card: A�� /��1i� �� U `af� � 1I`i�'�� c ��' CardNo. ��119 7dV ��V`9 ' � r � �� ,��y,�. � �, �, D CV2 Code: Expiration / ¢ �� r�e`- �, ,, i�� o �� Signature ° w a • � I hereby acknowledge the safisiactory completion of ihe work as noted on � this inwfce.It Is agreed that the seller will retain tiUe to any equipment or � material untii final and complete payment is made.It the seritement is not made as agreed, the seller has the right to remove equipment and - material and the seller will be held hartnless for any damages resuldng Ag�eement tor Service:I,the undersigned,am an autho�ized representa6ve of the ' � "- � � � " ' ' ' " ' - � d► � trom the removal of equipmenL Terms include 1.5% mon[hly service premises at which the wodc above is 6eing done.I authodze the pedortnance ot ' � -ST�INDAF�D VS ME�IIBEf1 TOTAL$;�,;� ' a charge if not paid in 30 days.In the event of non-payment of the speci(led the nrork as no[ed on this inwice.I acknowledge that the,eslimated price does not " - -- - , - ' � �'�. , `�`T '' `''. ± °total",a lien against my property may be pursued and I will be responsible Include untoreseen parts or labor which may be needed after the work begins.My ` - � `R € l ` tor practfcal attomey fees,collection costs,and fnterests. writlen authorization will be obtained be(ore beginnfng any addiUonal work.I have : ��SUp21'H2at'BIICI Alf SaVlfl`C]5, „ � '� , , ;'�' . read this contract,and agree to be bound by all tertns contained herein. - _ ' Parts and Lebor Warranty: .. � ) All parts as recorded are wartanted as per manutacturer specificatfons. � �� ' �O,,{j' , We do not guarantee other parts than those we supply. fl repalrs IateF � � � � � •'. become necessa,ry due to other detective,parts, they.will be charged Signature' � � . •' /'� _�f,�,.,'_ '� '�separately.We guarantee�tfiat all repairs are done'righG If a repair tails i hereby eclmowi e saus�a �en o�e a xrork „ duri�g the season,we will repair it again absolutely tree. a r.Fcocnrvc_2Frt,'�x ' .,` � . • s � I IIIlI!NIII Illll lilll NIII IIIII IIIII IIIlI IIIlI illll IIII Illi 2017070542 er:s,�ur�uasot:tt --,::' �0'i'ICE 4F COi��4TE:\CL!l3E��3' l�A N O �••�. 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' � /f� f,PQKI� ,ia�� re of n�ncr ar Lrssee.or O�svcr s or e's " � tPriat l�a e and �rovide Si�tan's Titie/O�cc) (5 r � _ _ �ut6orized O cerlDirccinrlPhrtncr/slianager) $tIII2 U( COUiltl'OY ' ',^n.:t:u��uin�insirwscai�+.is ar.3;��o.��te�cd heliue mc tlis ��/ �n�of _�D 1� � ` (JI�J�/ – -�. o�' _��1�� 1��:� �s �� (p�me uf p3�pL. (r,�c ofnutharit.;.__c.a o�c�r_yu��,atfomcy�n incti ��, t� //h �/ � (nameoC(nrtymtllelta Ofit�itomin9rllmenl�l:Ls2.�'GlI2d) ?��sunatl_r Iu�arn nr Predueed Iden[ificatiae�'�ofId�fi � Produced �,, �.,, :�'•7y�;, AIEXANORAMICHEIIEWILSON i =•� � ;�': M�COMMIS5IQN N FF98U448 1 w1t .7 nbr, � '�;%�`��`� EXPIRES Jenuary 13.2020 f P�inL Tj�pc,m-5iamp Cu issian l�a _ u ,•ic��a9s o•s3 F�wd•aWaa'rewvM:o com 3tr.19-7_-!'_ �, � I � • . , � �`9'Q�9��` ��6 � � ��' STATE QF FLORIDA,COUNTY al�F��C� � � e ' � THIS IS TO CERTIFY THA'T TWE�C?R��QIN�I�A 1.� : TRUE AND CC�RRECT COPY OF TME DOCUMENT � . ' . �i�-�5`.. � ON FILE OR OF PUBUC RECORD fN THIS OFFICE l�c,��"e = ''I h ' .� WITN�SS MY HAND AND OFFICIAL SEAL THIS o `'. � -' � DAY OF 2 Q��" � �'.;'��1 � �� PAULA 'NEIL, CLERK COMPTROLLER � ,� , '' ' � �b�� gy � , DEPUTY CLERK �Tl�'�AF