HomeMy WebLinkAbout17-18551 CITY OF ZEPHYRHILLS �
'� y 5335-8TH STREEf '
(813)780-0020 185 1 �
BUILDING PERMIT ,
-'� PERMIT INFORMATION ��'' L`OCATION INFORMATION �
Permit Number: 18551 Address: 5344 9TH ST i
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: B,00k:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS '
Est. Value: Parcel Number: 11-26-21-0010-15100-0160 '
Improv. Cost: 4,520.82 OWNER INFORMATION
Date Issued: 6/05/2017 , Name: JORDAN, DANNIE & MARJORIE
Total Fees: 60.00 Address: 10326 NEWSOME RD
Amount Paid: 60.00 DADE CITY, FL. 33525
Date Paid: 6/05/2017 Phone: (813)783-9119
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
, CHRIS'A/C COMPANY A/C CHANGEOUT 60.00
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Ins e tio uired
DUCTS INSTALLED '
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local gove�nment shall impose a fee of four times the amount of the fee irnposed 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.
"Mlarning 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.
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ONT CTOR SIGNAT E PERMIT OFFI R
' PERMIT EXPI ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
, PROTECT CARD FROM WEATHER
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813•�ao-oo�o City af Zephyrhills Permit Application Fax 813-780-0021
_ " Building Depathneni ,
Date Recelved
. �j � .�' f � Phane�Contact for Permitftn ` � .�v2 �,� �`
4wner's Name � t3 /"'f.�t�T'F C�'t- Owner�hane Nnmber �fc�' ��� " ld�..�
Owner's Address �/`� �"s�-- , - Ownar Phone Number �— �
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Fee Simple Tltleliolder.Name ' , _,,,, ,, ,,,w Owner Phone Nuinber ' �
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Fee Simple Titleholder Address
JOB ADDRESS Lt�YLrC,r LOT# C�
SUBDtViSION • �� � PARCEL ID# /`°� � � �/ � CO 0✓O• S 00 • /6 c�
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, , (OBTAINED F.ROM PROPERTY,TA%NOTICE)
� WORKPRQPOSED. taEwcaasr� ADDlALT [�� SiGN� '0 Q DEMoi.iSH
�.e, , INSTALL 8 ; REPAIR
� PROFOSEQ�t1$E � Q SFR [� COMM [� 'OTFiER - -
TYPH OF CONSTRUC710N " C] BLOCK ' [� FRAME [[�� :STEEL Q
DESCRIPTION OF WORK - �,'9 � / I`�%1 ��'� � ��-�G- � ��� �
� �UtLDitdG'SIZE � � SQ FOOTAGE � ..HEtGH�T�
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� �����'d»�' � VALUATiO1V'.�JF`l`b'1'AL"CONST12l"1CTiON�� " '
QECECTRIGRI. � �'� AMP SERVICE Q 'PROGRESS EtVERGY Q W:R.E.C.
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QPLUMStNG� �$ �
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�VIECHANIGRL (�„�n����' VA�UATION OF MECNRNtCAI INSTALIATIt)N
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C]c�as o �oo��N� o : SPE�1��n o oT�sEe�
FINISHED FLCIOR ELEVATIONS ��� FI.00D ZONE AREA [�YES NO _
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---BEFECDER _ - _ --- - - - - COMPA4tY'� ,- __ __ _ _ _^___ , .
SIGNATURE REGISTERED Y/ N FEE CORREA Y/N'� .
Address - - _ � ,- :�>. �. � Gcense# � `. � �
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EIECi'RICIAN; ' .'COMPANY':` `� . � , , �
SIGNATURE � REGISTERED Y/ N �Ee cUrtaen=' ' ' �=•Y/N�. `
' Addre�s � . ,. A� .;��' ..-.YL'License.#,I"., �. � . �
; PLUMBEl� ° - . . COMt?ANY , ... v
SIGNATURE� ` REGISTERED Y./.,Nr wFEE CURRE� Y/N: - < �
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, Address � , , _License�# � • ��:
MECHANIGAt:` ` ' � COMPANY ��f � r .
SIGNATURE (iG� ��Zi '"' �'�. � REGIS7ERED , ..N . � PEECURRE�-: Y, N�
Address x':• � �; G� ,�C.)� . � �.. License# ��r d +'���� ,
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�5��� � - ,. � ". ` ' � 4.{�.,�M��Y , �
SIGNATURE^ •� � ' � � ' ' REGISTERED " Y/ N..,� 'FEE CURFtE� Y/N
Atldre�8 �� ,,':> _.. . _ . - - , ` CiCB`nse#`� � �
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RESt0EN11Al;,';:::A�eti:{2)„Plot�.Platis;�{2}sets:o�:Btaitiling`'Plaiis;('t)'sefof Energy�Fo'rins;F2=0=1N�Permit far`new ciii�struc�on, _
�. �LLY;�Minimumaten�_(�1,0);,,working;dajrs�:afte�_subriitftal'd'ate.::Required onsite;:Constnictlon Plans;Stortnwater'Plans-wI SilfFence installed,
Sanitary FaciliUes&7 dumpster,�Site•WorlciPermlt#pr.sutidiWsionsnarge:projects,,=�_,-���;�<<. ' ' � �
COMMERCiAL Attach(3)cbssiplete sefs of Buildiog�Plans'plas a�Ufe Safety Page;{1}sat of Energy Forms.R-Q W Permit far neW construc�o�.
- � Minimum ten(10)working days afker submittal date. Required onsite,ConstrucNon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilifles�8�i dumpster.Stte work Parmlt for al!ne+iv,projects..All c�mmercla4 requirements,must meet caampflance '
SlGN PERl�IT Attacii{2j'sets of Erigineer�drPlans::. --,� ': _. �_t _
'••"PROP�RTY SURVEY'reguired,for all NEW_constructlon.., _ -
Otrectlons: . , .- , i
Fill out applicatlon completely.
Owner&Confractor stgn bactc ot apptfcatlon,natarized
If over 52500,a Notice of Commenceme�tt ls requlred. (A/G upgradea over ST500) _ �
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" Agent(for the i:ontractor)'or Power of'Atfor�iiey(far ttie ownerj would be someone with notarized letter from owner authorizing same
DVER THE CUUNTER.PERM{TTiHt3 -��(Front of•Application�Oniy} ' - ',
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) .
Drivewaya-Not over Counter if on pubiic roadways..needs ROW
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NOTIC�AF DE��RE3TRBCV80N�: The undersign�d,understand��.th�t:thi�.•.p�mtit may.be;subject to°deed",resfrlctlons" . `.
which may be�mor�r�stcicttve=th�� Counfy:��gul��fons:'��'he uiad"ersign�tl ��sumes°responsitiillty'for`"com�plia�ce vvatfi aoiy
�ppAcable deed resQ�lc@9ons. ,- . ; _. .. • . .. �`
UR9LICENSED COPIYIZACT��S :AND CONT�C7'013 �BESPON�A�ILITIE�: -�If=the •owner h�s� hiPed �a'cov�tractor or
� coM�ac�ors to und�rtake work, th�y may:be;c�qulred�_to�b�,;lEcensed In�ccoedance.with s4at�.and_�.local.reguoations.: �=:if-the�
con4ractor ts not�ifcensed as� requlred:6y lavv, both the oWvner and�contr�ctor m�y be�cited for a��misdemeanor violatton
under state I�w. Ifi the owner or tntend�d>,contca�tot are,unceetain as to what ILcensing.require�nents,�may>_epply�.�or�tlae
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bntended work, they are advlsed to contact the�Pasco County.�ullding`Inspection Divlslon--Lic�nsing Sectiore at 727-847-
8009. Furthermore, �t� th� ouvnec has`hOt�d a contractor or contractors. he t� advised to have the contrac#or(s),;sign;
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portions of the "contractvr.Bloc�" qf thi��ppllc�tlon foc w+h9ch they.wBl9 b�:r.esponsibl�: If.you;-as #he owrie�"sign��a�°the ' `
contPactor, that�may be an indication that'he is not.properly`Iicensed'and�Os"not ent0tled to perinitting privileges in Pasco
County. : ; °�- .
T�P�SPORTATION:IfVIRACTHITILITI��`�IfNPACT ANb ItESO4lftCE 1tECOVERIP FEES: The und�rsigned"understands
that 1'ransport�tion Impact F�es�nd.Rec�.urse.Recovecy.Fe�s.m�y.��,apply_to�the,constnaction_of.new,buildtngs�±change�of ' - � -
use in existing bulldl�gs; or:expansi�n�of�exlst3n,g:buildi�gs, �s specifled.in Pasc��County Ordinance number 89-97 and
90-07, as �mended...The undeesigned �Iso.und�rs4ands, that'such fe�s;-f�s��nay��e•..due;:,will.�b� (dent�ied at the�Qi�ie�of`� �
pePrr�ih(ng. It is fu"rtF�er understood that Tr�nsportatlon Smpac@�Fees and��R��ource�Recovery''Fees mu�t be paid prior to
� rec�iving � �ce�ificat� of occup�ncy" or flnal power;cele�se: :If the,pPoject�.:does,�ot involve,a�:cert6ficafe of occupancy.o���' • �
fingl power release, the#ees mu�Q"�be paid,prior to,p�rmit I�suance. Fu�th�rmore;�if:Pasco;County�Vllater/Sewec�:IrrapacQ �
fees aPe due,.they,rr�ust be=paid,.prior#o permit�essuaqc��ln.accordance avlQh�ppllcabte:Pasca�•County mrdinance�. �
�OIN�`TR�UCTI�N LiEN�I.i4V9��Ch�pt�r 7�93� �I��ida St�t�a�es,�amended): If valuatEon of work is 52,500.00 oc rnore,.I - �r
cerlifi� 4hat I, �he applicant,, h�de:been pro�oEdei9 writh-a copy�of @he "Florida� Construction�_d:len :Law—Homeowner's
Protection Gutde" pr�pared by th� Flo�ida Deparfinent of Agrlc.ulture artd Consumer Affairs. If the applicant is so�neon� ,. ,
other than the"ow�e�", I certtf�r that 1 h�ve..obt�ined�a'ii�py.of:#h��above..r��s,crlbed_document�and,pr.or�ise:in<good',faith.to ..
deliver It to the:"owne�"��pdor to,commenc�ment:" � � � �� '
CON'B'Ftl4CT0�'�lAlNNER'3 A�FSDAlOIT: I certify;:that-ai!the:�inf.orenation in th(.s applicat(on is accurate�nd that all work
will�b� done in compliance with all applicable�I�ws r�gul�ting constructlon, zoning and��land development. Appifc�tEon is
her�by made to obtatn .a .pecmit:,to :do-work:;and in�t�llation �s indlCaQed: � 'I certify that no uvork�°or In�tallation has
comm�nced pr(or to I�suance of`a perm�t"and thaQ.all work wil) be pertorm�d to meet.stand�rds-of a10 laws regulaking�
construction, County and City codes, zonirog regulations, and land d�v�lopmer�Q t�gtasations•tn th� ,jurlsdicdton. I�.al'so
certl6y that I und�rstand that the regulations of other government agenci�s m�y apply�to the_intended�rork, and that it is
my responsibility to identify.what.�ct(ons I must t�ke#o be�in;conlpElance..Such agencles include but�are.not Iimited Qo:
- Depar�men# of E�vironmentaF�19ratection=Cypress.��yh�ad�, VVefland Areas and E�vlronenentaliy Sensitive
Land�, WaterlliVastewater Treatment.
- Southevest Florida 1Alater Management �I�istrtct-Welis; 'Cypress.��Bay.heads; Wetland Areas, Altering
Watercourses. _
- Army Corps of Engine��s-S�awalls, Docks, NavEgable W�terways.
- Department of. .Health: &. Ftehabllltative Servtces/Environmenfal Health lJnit-Weils, Wast�u�ater Treatrtient, �
Septic`Tanks... . � - .
- US Environmental ProtectEon Ag�ncy-Asbestos abatem�nt. . �
- Feder�I AvlataonAuthority-Runways. � _
�I understand..that th�.folloui+ing:restrlctlons apply to the use of flll:•
- Use of flil is not allowed in:Flood:Zone"V"unless expeessly p�rmitted.
- If the �fiil m�teri�l is to•'b.e used:.In.�Flood Zone °A", (t. is understaod that a dra9nage pian addressing a
acompen�aQing volum�" will be subr�itted at tirne of�.p�rmifting �rhich is pr�pared by a professfonal �c�gineer
Ncensed by`th�State qf F9orlda: �- � -
- If th� flll material:6s to be used In Flood �one "A" (n�connec�ion�v�iith�a p�rmftt�d building using st�m wall
construction, I certify th.�t fill�:wall=�be u�ed only.to.f111 the area wlthin the�stem wall:
- If flll material Is to be used In any area, i �certify that .uae. of such flll will not adversely affect ad)acent
prope�les. If use og�ili is found to advers�ly:�f�ecf adJ�e�nt=pr�perties,_th� owner may be clted for v0olating
th� conditions_of the bu6lding:permit is"sued.und�r the.at��ched.peranit=appBicaQlon, #oc logs iess than.one (1)
acr�which are elev�ted by f111, are engineer•ed drair��ge plan I�r�quired. .
If I�m the A�ENT�OR TH@=OV�NER, i;:promis�in good faith to inform the-ovvner of the permitting conditlons set forth tn
Qhls ��davtt�prior�o commerncing constrraaJctlon. I understand thet ���eparate permtt may be requtred for elect�ical work,
p0umbing, signs, w�lls,,pool�,. air conditioning, .gas, or other Irastall�tton� no!•speci�ically Included�in.the applicallon. .A
perna0t Issued shali be conshued to be� Ilc�nse�to proceed�rith the work�nd not�as:�uthoNty�to:viola4e;'cance0, alter, or
set aside�ny provisions of the t�chnical-codes;�nor�hall issuance of a.perrrsit.prevent th�e�ulldirig Ot�ctal from th�reafter
req�airing�corr�ction af ercors in;,pfans; consf�ct9on or vlolat�ons of any codes. Every�permlt-lssu�d'siiali becorne indalid
unless the work auQhorized by such permit:�s-commenced•wlthtn sfx.,month� of�p�rmlt i�suanc�, or if vvork authorized by
4he p�rmit is suspereded or:abandoned-for a:p�rfod,,of�six f�)rv9ontfis..after the tim�the�v�o�k�is corremenced. An�xtension
anay be requested, ic� writ(reg; frocn the��uilding.Offlci�) for a period.not to exc�ed'Anlnefy�(90)�days and vvilf demonstr�te
justifi�ble cause for.the�xt�nsion. Of work ceases:for nlne�►,(g0)cons.ecutive day.s,.th�Job�is consld�red aba�doned. ,
V4�e01RNIFVC T� OWN��t: vOU�.FAILURE..TCD.,REC.Ot��A:.�RIOTIG�:OF.�COMIIAEN6�ENENT:AOFAY�RE�CJL:'T IN YOUR
Pd�Y6M�TWIC:E FOR�IM�OVEMENT��TO:;YOIJE�:PIt����71(.��IF°Y�.E��O��EIND'T�'m�T�►1P1��FI1d�AF��1NG;'C.OE��ULT
9A�1T 4! � D O. NN 'TPA N � � ��RE�� EC0.13� G:�YOU � • � � 'O ;" '��' E �. .
- - FLORIDl4JURA�(Fcrs: 117 } ,,,,_. - . .. . _
OiNNER Olt AOENT GOPITRACTOR /I/fi .�`��/ -
Subscrlbed and�wom to or alflrtned)betore ihis Subscribed aru�'su�om @o(of atflrrned)�befo e thi�
by .by..
VNho Is/are personally knowm to.me or:hasih�ve Produced Who.ls/are p.ersonallyknovim to me.or hes/have produced •
ae IdenUflcatlon. �s IdenBflcaOon. �
Notery Publlc . Not�ry Public I
Commisslon No: Commlaslon Mo.
Mame oP Motary typed,printed or sFamped Name of IJotary typed,printed or stamped
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`°�' C' O M P A IVI Y �
CACC�58575 PR PQSAL
12232 HitilY 301 DAQ�CITY (�52�521-4977 ,
DR►C1E CITV, FL 33525 ZEPHYFt9iILL� (813)779-9515
NAME: RTD Canstruction Date: 06/02/17 SPLff�YSTEM XX t�►c�u�vrr .
SUBDNtS(()N: HEATPt)M�' 0 SIRCOOE. X
ADDRESS: 5344 9th St ;������`' �'"- �:� �. .�����'�����,���=`r''a�°�u�
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cmr: Zeph rhiiis zi�caaE: 33542 atva��sE�: 4A7A4C124L1
PHONE: 813-37?-1023 WORK Julie Jordan �R�vn�: TEM�A0B24
cEu: 352-4240313 �Er�: HEa��: BAYHTR'�505PDCA
�s�nMlaTo�t: Ch►is tr. AMERICA(+I�STANDARD
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:.. ,,.9r,s .r.rv:�.a .c..: $*a�.,xn�.:'�.,t..:�`.,;5�;..t'� �
H4RIZONTA�. INSTANT REBATE: ( 85U.00
PRO 3000 THERMOSTAT/GOOD T TAL : � '�,�2O.S�
�ao o�ttva�E: 2 Qat{�s: �YR /'
AUXILARY PAN MPRE YR I.t�oR 1 YR
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IN-LINE FLOAT ONDENSER � I
DRAIN PAN FLOAT IR tlANDLER #NIA
SEAL DUCTWORK TO CODE NEATER: I #N/A
CONNECTED TO EXtS'i'IElG t?UCTS AND E�ECTRtC RANt?: � #I�IIA
ANCHOR CQNDENSER EER RATING: � I �N/A
j,ax,LABOR AND PERMIT tNSTANT REBATE:� #NIA
AIR HANDLER IN A'iTIC T TA � #N/Q!
i REMOVE EXISTING EQUiPMENT Oi�ItVAGE: s ���� PA�s: #NIA
onnp�ssoR #N/ �aso�: #N/A
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oHOE�ts�: ## �
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HEATER � #I1I/A
8tu�tdD: #NIA
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;-����;.s:,�X ��-� -�<,�� ���.� .,�.,�`_,:�„,�x°�� �� h �`"� MSTANT REBATE
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i I HAYE'fFiE AUTNQRiTY TQ ORI}ER THE WOF2K OtTTt3NED ASOVE. 1 AGREE THAT SELEEEt T A� .. � ���Q
REfAlNSTITLETOEQUIF�MENTANDMATERWLSUNI'►LFINALPAYMENTISMADEIFPAYMENT ONNAGE: #NI� P�TS- �N�A
ES�sa�r�v►o�as Acs�a,Se�C�REaaove s�vD EQu�P�rErrra»g t�a��s Ar PF2ESSOR #N/1A LABOR #N!A
SELLERS D�ENSE ANY DAMAGE RESULTINC,FROM SAID REMOVAL SHAII NOT BE
E RESAONSlS1iSiY OF S�S�it. LTRAtTEfi7 WAR3iANTY EQt31PMENT.PAR'fS AND
TERIAL HAS WR!{'TEN MANUFAGTURER'S WARRANTY ONLY �, � �� ��e���«''�t�;"���
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