HomeMy WebLinkAbout17-18553 ' CITY OF ZEPHYRHILLS >
- 5335-8TH STREET � y"
' � (813)780-0020 1•8553
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BUILDING PERI�IIT ��'
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18553 Address: 39031 CANARY AVE
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: EASY ACRES
Est. Value: Parcel Number: 13-26-21-0120-00000-0360
Improv. Cost: 4,578.00 OWNER INFORMATION
Date Issued: 6/05/2017 Name: HARRISON, KENNETH & CARLA
Total Fees: 105.00 Address: 39031 CANARY AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/05/2017 Phone: 813-783-3130
Work Desc: A/C CHANGE OUT 2 TON W/ELECTRIC
CONTRACTOR S APPLICATION FEES
ACE HEATING & COOLING A/C CHANGEOUT 60.00
MORNINGSTAR ELECTRIC LLC ELECTRICAL FEE 45.00
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Ins ections Re uire �
DUCT N
SI 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 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 properly. 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.
i J
CONTRACTOR SIG ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saao-0o2o City of Zephyrhilis Permit Application Fax-813-780-0021
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Building Department
, v
Date Received phone Contact for Permitting
Owner's Name �T� Owner Phone Number
Owner's Address (/ �(�l ►'� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS -I D�/ C f l� LOT# �
SUBDIVISION Q � �f i�`> '�5t � pARCEL ID# 3 ��O� / �V � U o�b3 V
WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN NED FR�OM PROPERTV T�iice)DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK Q �WYf V'� (�� � S'�' /
BUILDING SIZE S�FOOTAGE � HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUM ING $ -�n���
]/` �/i�
/�j �lJ
MECHANICAL $ �JQ� VALUATION OF MECHANICAL INSTALLATION .�(
10. (1
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
—f-1—I�F7--•--•--•--•—•--•--.��.--•--•--•-�•--•--.��I-�1-a-�1�1-1-1-1-�F+�1-�1-a—•1•--r'�^ . . ..--•--•--.-.r'—'.--. '��
BUILDER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL �j COMPANY G 'e� `� D (
SIGNATURE REGISTERED / N FEE CURRE� Y/N
Address 'J � J.T(J� License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllllllllllllllllll
RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conslruction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit 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 Permit for new construclion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
! I 1 6�i.3.i • • y� • • 3..7 • ....�.�...� ' 6 I • • � • , L 6 f i��
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (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
PIOTICE OF DEED RESTRICTIQNS: The undersigned undecstandswthat.this;permit maybe subjectzto"deed",restricdoiis��„�
which�nay>.be inore.restrictive khen.Gounfy reguiations 'Fiie�undersigned�as�iiiir`���sponsib���foreompliatiee wntti a�yy
� ' appiicabte deed resttictions. ::__,:•a=...
UNCIGENSED CON.T;ltpCTORS ANC► GON'�!2/�CtOR RIESRfilNSIBtLITiES: if•tlie•ovrmer°has-h'irsd=a eon.tractar or -
contraotors ta uniJertake work,"they t�ay b�required�;to be ticensed in accordattce with state and:loeat:r.egulatio�s:��lf�the-�°�
,,..,.< ;
contractar is�not.licensed as._requiireil tiy.law, tiottf the ouvr�er:and,cont�a�Eot�i�iay�be eited��of-a�ri�isdetn"e'anor vroia4ion,
under state law. !f the ownec or int�nded�cotttractor.are uncertain as ta.what.licensing req�i�ei�ents;.,rriay��pply�for=:tiie°�'� `
intended wods,.they.are advised to canta�rthe'Pasco County B�itding:tnspecfion`D'Nisivn-�Licensing Sectior�aE 727=847-
8009: Furtherinore, 'rf the owner has hire8 a cori#raCtor or contrac#ors, he Is advised fo;haVe tkie,contracto,r(s�.sign e,.
p ` y1�....,♦ �.y�:i•F.;. � �
portions of fhe"contraetor Block of this applica�lon far which they.wil!be.resp.ansible, if you,a's�,ffie`oiwiie►�sign'as'the ° ,
, conkractor,fhat may 6e an indIeaSon that he-is not property licensed and is not enfi`Eled�to permitting pn',viteges in;Pasca,;
County. .. ;.. ._ .
TRANSPORTATtON iMPACTLUtILPfIES INtPACT AND RESOURCE RECQ1lERlf FEES: THe untl8rsigned understands. �
that l'ransportation Impac!Fees a�d Recourse Recovery Fees traay appty#o-the consfruction.of r�ew buitiiings,'c�iange�of��=+'=;
use in exlsting bui3iiings,..orexpapsion o#e�'st+ng buitdings,as specified in Pasco County Orcltnance nu�ber�89-07.asrd =
90-07,as emetrded. The�undersigned aiso understands,:that suc�i,fees,as r�ay;be.due,wiH tie;�identified af';the=time"of�'��� '
permitiing. It is ftirther understoad thak TransportaUon linpact Fees and Resaurce�ftecovery Eees r�ust be patd pir'ior to
�eceiving.a°cer�ficate of occupaacy"or fln�i.power retease. ff fhe.proJectdoes not.involve a aertiflcate cif aceupa�cy'�or==- ,
finat pawer release;the.fees.must be�.paid prior to permit Issuance. FurtFtermore.if P�sco County W�ter.iSawrerF=[mpa�t:••
fees are due,they must,be.paid prior to permi#issuance in accordance with�applicable,Pasao County ordirtances.
CONSTRU6TlON l:fEN L-i411V{Chapt�r713;Ftortda Sta#ute�,as amended): lf valuation of work is$2,50.O.OQ.ot.mar,e„1,;
certify that 1, the appticant, have been_provided with a copy,of..the "Florida-Gonstrwctlon �:ien Lai+v-Flomeawner's
Protection Guide"prepared by khe flo�da Department of Agricukture and Consumer Affairs. If the appiicant is.someone:
other than the°owner",!cettit�that I hava abtai►ied a copy af the above desc'n6ed=tlocamer�t and pro�r►ise:ir�good,faith to:
deliver.it,to tq'e°owne�°�priorto cornmenc�ment.
CONTRACfOR'�IOWNER'S AFFIdAVIT: 1.certify that al!the inf'ormation in this appiication is eccurate and#hat altwork
will be dane In compliance with ali applicable'laws regulating construction,zaning and tand�devetopment. Appllcation_,is
hereby made to obtain,a.,perr�i#:to da;�work-and instaltation.as-indicated. l ce�iFy fhat no work or:in�ti�tla#iori has ,
commenced prior to issuari�ce of a permlt aniY that a!I work w!I! be per�armed to meet staodards af aii iaws regulating ,
consfructton, County and Gity codes, zoning regulations, and iartd devefopmerrt regulations Irr.the jurisdlction. 'l:�alsa
ceRify thati understand that the regula#or�s of other govemment agencies may apply to the intended work,and khat it is
my responsibility#o identify what actions 1 must take to be in cumpliance. Such,agencies incfude but are not tirtlitad.ta:.
� - ,Depactment of Enviranine�►taG'.Rr'�fe�tiori=Cyp'ress Bayfieads,Wetland Areas and EnvironmentaDy 3ensJtive
� Lands,WaterNUastewater Trea#ment.
I - Southwest Florida Water Management District Wells; Gypress .Bayheads, Wetiand Areas, A(tering
' Watercourses. N
- Army Corps of Eng9riaers-Seawalls,Dacks;Nariigabie 1Naterways.
i - DeparEment.,of Hea(th 8 Rehaqilitative $erviceslEnvironmental Health Urtit Wells, Wast�v,rater Treatment,
Sepfic:Tai�k`s. "
' - US Envlronmental Protection 1�qency-Asbestos abatement.
- Federai Aviettdn:Avthari,ty-Rnnways.
t understand that�.#he foilowing:restric6ons apply fo the use oFftO:
'� - Use of fill is no#a!lowed in F�ood Zone`V°unless expressfy permitked.
i - if the fill.[natedal#s to be used in Ffood Zone "A, it is unders#oad that a drainage plan addressing a
, "compensating volume"wili be submifted at time of permitting which Es prepared by a professionat engineer
� ticensed by.the State�of Florlda. "
- If the fill material is ta be used in Flood Zone°A"in connection with a permitEed building using stem wall
� canstrvcttan,i certifiy that:fiil will be used only to fill the area within the Stem waU.
- ff fitF inaferial is to be used in any area, 1 cert�fy that use of such�fiH wit! not adversely a�ecf adjacenf
properties. !f use of fl(k Es found to adversefy affect adjacent properties,the ouvner may be cited far violating
the canditions of.:ttie b�iidirtg:permit.issue.d under the attached permit appRcatian,for.lots less than one(1)
acra whicfi are etevated by fiit,an engineered drainage plan is requiied. a
tf I am the AGENT FdR TH�OWNER;I�promtse in.good faith to inforrii the owner of the permitting conditions set forth in '
this a�ilavit prior to commencing consfrzicUi3n. i undersfand that a separate permit may be-required for eleetrical work,
piumbing, signs,wet(s,,pools, air.,conditioning, �a�, o�ott�e�'installations nok specificaliy inciudetf in the application: A.
- pertni#issued�shal(�be coristFueil to�ie a!(censs'to.proceed with ftie work and not as authority.to viotate,.ca�cel,alter,or �
set aside any provisions of thei'technical codes,nor shal)issuanae of a permit prevent the Bu�iding Offtc�al from thereafter :;
� requiring a correction of errors irn plans,�;construction or.violations af any.codes. Every permit issued shal!bac;ome inva(id :
, untess the work authorixed by such permit 1s commenced within six rs�onths of permit issuance�or if wortc authorized by
, the permit is suspended or�bandoned far a pedod.of s�x{6)months after the time the work is commenced. M eactension
may be requeste8,in.writing,from the 8uitding Officiai for a period.nof to exceed ni�►ety(9(})i]ays and wilk deri�anstrate `
Justifiabte cause for.tlie extension. if,work ceases for ninety(90}consecutive days,the Job is considered abandaned.
WARNIt�G Tb qWNER;_ YOUR.�AIl:,URE,TO.R�CQRD A NOTtCE OF G0�IRMENCEMEMI3°MJIX�tESULT!N YmUR ''
PAYIN�:TWlGE.',E..O,ft,l{ulp6iOVEMENTS;''C.A.YO't)tt:-PROPEI�TIR..IF�IOEl1iM�`END=TOCl�TAINFiNAi+IGIMG,CONSULT �
WITH 1COtlit'LEf3DE��t1R AFI=ATTdRNEY B�EO E��t�C.ORDlN YOtJR � 7'IGE7DFtGQM EPIGEARERIT. -
FLORIDA JURFIT(F.S.117.03} � . ,
BWNER OR AGENT CONTEtACTOR � � •�i��
�� Subsaibed and swam to{or aflirmed)6efore me thls Sups�xibed and swam (ar affirmed}6 re me ts -
bY (�5.��"'-!
Who fs/are personapy known to me or has/have produced Who is/are p onaliy kn to me or fiasJhave produced
as Identlflcaflbn. as tdentiflcallon.
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Noterjt Public �..
Comm�ss�on No. Com tssto O. o`ii}S:�°ys''�, JACC�UEtiNE BOGES
=,; ',.__ qmmission 422
- r12 201$
Name of Notary typed,printed or stamped Name o#Notary iyped,pdnted or ,�o?,� 3a5aots
Y1�11��
-'°:�"'4'�': 045343.,
^? Com ion#G
'•;�,r'�,:Exp'ss No er 7.2020
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'" " $ 1315 Hobbs St
� ��� Tampa, Fl 33619
[leatin�;8 t:npl�ng Ph: (813)657-8818
'�'���f�" Fax:(813)657-6378
�u�.ncnc�s�assa
5/1/2017
Permit Agent Authorization Form
I, Christopher Kent Myers , CAC1813893
Hereby authorize the foliowing to act as my Agent(s) in obtaining permifis in the
City of Zephyrhills.
Ruth Mason Myers DL# M620-773-55-526-0
This form Supersedes any previously submitted letter(s) of authorization.
This authorization will remain.in effect until cancelled in efFect by the
undersigned license holder. _-� ---
' �,,.�� _
<�-
ense Holder's Si re �
State of �1�,�, � �
" County of��,11 S 1-��Q, ; �,
Sworn to (or affirmed an� subscribed before me this
� n d , day of I`�1�; �/ , 2017
By Chris Myers
Nota, Public �.
�
Signature `
My Commission expries: ��� o � �L `�
Personally Known R Produced Identification
F���i c��'� Vr�v-Q-<S �i c.P..r���
Type of ID Produced. �
��1/r plp� �
�.?o�'" "�� SELENA JOMES
_ Natary Publtc-St�t�ot floMd�
�'o�a��n���, My ComiA.Expins Aup 20,�019
' ' � _ Invoice
.-_���A�CE Date Invoice#
" 'Heating�&'Cooling 5/12/2017 26219
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;,~� ,���� �.� ��''�
.__- , ; � .
jMaintenance__�,,j,Repair • Replatement �
1315 Hobbs St � �
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Tampa,FL 33619 ����
CAC1813893 Phone# Fax#
Bill To
BrandonAC.net 813-657-8818 813-657-6378
Carla Harrison
39031 Canary Avenue
Zephyrhills,FL 33542
Due Date Terms Project
5/12/2017 COD
Quantity Description Rate Amount
1 Remove old system and take away.Install new system.Install new digital T-Stat.Use 4,578.00 4,578.00T
existing ductwork,electrical wiring,&drain line.If needed provide new pad for
condenser to sit on.
1 1-Year Maintenance Agreement 160.00 160.00T
(2 Inspections/1'ear)
1 Installation of Ultra-Violet Light halo 1,495.00 1,495.00T
Jake,Ray,Germ-installed 2 ton SC system,in the attic with a new drip pan,hanging kit
condenser slab;Honeywell-5000.
system is properly running,cooling and draining.
Pressures 125/300
Left heat wire unhooked at thermostat to prevent over amp draw of wire turning heat.
Need to have a electrician brought up to code for both A/H and the condenser.
customer phone#813-783-3130
Sales T� 0.00% 0.00
T $6,233.00
Flat Rate ota�
Payments/Credits -$6,233.00
Balance Due $�.�o