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HomeMy WebLinkAbout17-18582 CITY OF ZEPHYRHILLS �'� 5335-8TH STREET . � � ' (813)780-0020 �1'8582 BUILDING PERMIT r PERMIT INFORM,4TION LOCATION INFORMATION I Permit Number: 18582 Address: 39519 9TH 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: SUNSET ESTATES Est. Value: Parcel Number: 12-26-21-0300-0000-0220 Improv. Cost: 4,200.00 OWNER INFORMATION Date Issued: 6/19/2017 Name: CARLSON WILLIAM Total Fees: 60.00 Address: 39519 9TH AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/19/2017 Phone: 713-320-7976 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 60.00 Ins ections Re uired D CTS INSTALLED DUCTS INSU D FINAL r 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 Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CON CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �� - � A AirTecl-� �� i `� _ Fr CDiYU�'Z+QIt�CIIX.� � .: _ d .. 9 � � � Office• 813-779-7508 Fax: 813-779-7504 Lic#CAC1815498 Date: /� � Customer Name ��I 1� �r ��� �t"Z I 5� '" Address J��I 7 �i 1 �'1 ��� V � Zip Code 3� S��Z 1ob Location Subdiv: � Phone# /� �� � � G " �7 `jl �� � Alternate# � Existing Equip. Mod.# SER.# Mod.# � SER.# � Permit # ,�_ _ Type of Unit: M/S S/C H/P S/S PAC Ton: � Seer I ���t=��t � Y N 4 ❑ []'" Duct Work Type of Duct Work: Metal Flex MH flex Duct Board R- , ,, p ❑ Float S W: �� r �^� Heater KW: � Wire Size Breaker Type C'�7 ❑ Heat Shield:�l ,� �'" Elec. Panel Brand: AH Cond. PAC 0 ❑ Pad: � T stat: Prog. Non-prog,� ❑ � Line Set• �� Airhandler Location:��'��',c��,�� AHU L " H " W " ❑ ❑ Mastic Seal• �, �, — — — i ❑ �p Return Air " Duct Size " Light& Rec� � � Service PlatForm: Access/Closet Door: Attic Height/Closet Size: Attic Insulation Depth = R Value Special Notes: Bryant$ . Rheem $ °�� �G� ' . Comfortmaker$ , $ , Factory Rebates: Warranty: 10 year Compressor and Parts & 1 year on labor � 10 year Compressor and Par-ts;&.2 year ,n labor , �r-'� _--- � 1 Air Tech Services Approval �–��' ✓ ' date w�. � ' 7 ,--�--�� '� p Customers Approval ����,/ 7��/i G�"� date '(i.�c. �S�� , / e�s-�8o-002o City of Zephyrhills Permit Application Fax-873-780-0021 Building Departmenl � bate Recelved • - -rr-�-�-�T� Phone Gonlact tor Permhtlo _ Owner's Name � � _ �s� Owner Phone Number 7� ^� ^'7 �f�p Owner's Address ���-( � `��S Owner Phone Number Fee Slmple Titleholder Name Owner Phone Number Fee Simple Tltleholder Addresa . .____ _ . - JOB ADDRESS 3(J( Q'N`. _ �`��,$ `-�L� ,� LOT q � SUBDIVISION PARCEL IDI{ .Io�"o�p'" — (� ,- —()` (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW coN57R 8 ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PFtOPOSED USE Q� SFR Q COMM �� OTHER " TYPE OF.CONSTRUCTION Q BLOCK Q FRAME � STEEL Q ' - DESCRIPTION OF WORK � � � . I , _ . . _ . � � BUILDING SIZE SQ FOOTAGE HEIGHT � r � .. , .. : . �. .'.IRV'f�IRTIT7�IT• . ... .. .ITr7TPr•rl••rrt� , 1"1"r.' QBUILDING $ VALUATION OF TOTAL CONSTRUGTION i QELECTRICAL $ '"" ' ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ' QPLUMBING' $' ' �i- �Q� p' >� �� U � �MECHANICAL $ j (�D'p� ' VALUATION OF MECHANICAL INSTALLATION �/ .T � QGAS Q ROOFING Q SPECIALTY Q OTHER r Dl rn �y� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO 1� -�-1�-�-1�-1-F-d-�1-4�4-4.��{�p�-r�4-4-i=��f-d��.-�:�••:'•4-1-{-4-1-1-a-�1-:-T'.�.�{�-{-1--1--L-I�I:a--1�4-�4-{-i-1�''.�.� 6UILDEFi COMPANY SIGNATURE . . . . . REGISTERED .Y I N FEE CURR�� ..Y I N I . .. ' .. . . .-. .�._.. .. . Address _ License# ELECTRICIAN �COMPANY � SIGNATURE ftEGISTERED � Y I N FEE CURREA� Y/N ' Address �Icense# - . . .... ":. . . ' _ ' . PLUMBER COMPANY SIGNA'fURE REGISTERED Y/ N � FEE CURREA Y I N. Address License# �--� MECHANICAL COMP.ANY /n� I cLn J�P�✓��(„1 gS Q�-' � SIGNATURE � REGIS7ERED � .Y J N FEE CURRE� Y/N Address .0 �jp' �.Q � 5 / �j . License# � �/ OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Atlach(2)Plol Plans;(2)sets of Bullding Plans;(1)sel of Energy Forms;R-O-W Permll for new construction, Minlmum len(10)working days afler submlllal data. Requlred onsite,Construclfon Plans,'Slormwater Plens w/Silt Fence installed, Sanitary Fecllllles 8 1 duinpsler•,Site Work Permit(or subdfvislonsllarge proJecls COMMERCIAL Allach(2)complete sels of Bullding'Plens plus a Lifa Sefety Page;(1)se�of Energy Forms.R-0-W Permit tor new conslruction. Minimum len(10)working days afle�submHlal dale. Required onsile,Construclion Plaris,Slormwaler Pleris w/Sill Fence fnslalled, Sanilery Fecllilles 8 1 dumpsler Sile Work P,ermil for all new proJecls.Ail commercial requirements musl meet complfance , SIGN PERMIT Allach(2)sels of Engineered Plans. ` ""PROPERiY SURVEY required(or all NEW construcllon. -�H-d-'.�...-�{:.4-1-1�-4-4:'.-.�.�-.-.+�.-.-'".-��'.-6�4:F-'".-.�'��I-d-{=7-'�.-.F+�'.'-rC�•' �..�:.�� � Directlons:• Fill oul applicallon campletely ' Owner 8 Conlraclor sign beck of application,nolerized I(over$2500,a NoUce of Commencement Is requlred: (AIC upgredes over$7500) " Agent(for lhe conlraclor)or Power of Attorney(for the oviner)would be someone with nolarized lelter from owner euthorizing seme OVEFt THE COUNTER PERMITTING (copy ot conl�act required) Reroots If shfngles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) _ Driveways-Nol over Counler If on public roadways..needs ROW _ � NO710E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" �'" ` ` _ which may be more restrictive than County regulations. The undersigned assu'mes responsibility for compliance with any applica6le deed res#riotior�s. UNL.iCENSED CONTRACTORS AND CONTRACTQR RESpONSiBILITIE$: if the owner has hired a cantractor ar contractors to underkake work,they may be required to 6e licensed iri accordance with state and local regutatians. If the contrantor is not licensed as required 6y law, bath the oWner and contractor may be cited€or a m�sdemeanor vialatlon under state taw if the owner or intended cantractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Fasco County Building Inspectian Division—Licensing Section al 727-847- 8009. Furthermflre, if khe awner has hired a contracfar ar cantractors, he Is advised to have the conEractor(s} sign portions of the"contractor Btock"of this application far which they will be responsible. if you,as the awner sign as the contractor, that may be an indication that he is not properly Iiqensed and is not entitled to permitting privileges in Pasco County. TRANSPOR7ATiON iMPACT/UTiLtTIES IMPACT ANQ RESdURCE RECOVERY FEES. The undersigned understands that Transportation Impact Fees and Recourse Recavery Fees may apply to the construction af new buildings,change of use In existlng 6uildings,or expansion of existing buildings,as specified in Pasca County Ordinance number 89-�7 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be iden#ified at ihe time of perm(tting. It is further understood/hat Transportatian Impact Fees and Resource Recovery Fees must be paid prior to receEving a"cerUficate of occupancy°ar final power refease. if the praject does not invalve a certificate of occ�rpancy or final power release,the fees tnusE!�e paid priar fa permit issuance. Furthermore,if Pasco Caunty Water/Sewer tmpact , fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco County ordlnances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended}: lf valuation of work is$2,50Q.OQ or more,f certify tbaf I, lhe applicant, have been providad with a copy of the "Flarida Construc6an lien �aw-l-lorneowner's Prokection Guide"prepared by the Flarida Department of Agriculture and Consumer Affairs. If(he applicant is someone other than the"owner",I certify that I have obtained a copy of khe above descxibed document and promise in gaod faith ko � deliver iE fo the"owner"prior Eo commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I cerlify that all the information in this application is accurate and that all wark will be done in compliance with all applicabie laws regulating cAnstruction,zoning and land development. Application is heraby m�de ta abtain a peRnit ko da work and Instailation as indicatad. 1 cectify that no wark or Installation has commenced prior ta issuance of a permit and thet afl work will be performed to meet standards oP all laws regulating construction, County and City codes,, zoning regulations, and land development regulations in the jurisdict(on. ! also ce�{ify that 1 unde�stand that the regulaEians of�ti�er gouernment agencies may apply to the intended work,and that it is my responsibiiity to itlentify What actians i rpust take ta be in campliance. Such agencies include but are not limited to: - Department of Environmental Pratection-Cypress Bayheads,Wetlend Areas and Environmentally Sensitive �ands,iNaterJWastewatee Treatment. j � - Southwest Fiodda INater Man�gement District-Wel(s, Cypress Bayheads, Wetland Areas, Altering Watercaurses. - Artny Corps of Engineers-Seawalls,Docks,Navigabie Waterways. Deparfment of Healfh & Rehabilitative ServiceslEnyiranmental Health Unit-Wells, Wastewater 7reatment, Septic Tanks. • - t!S Enviranmentai ProtecUan Agency-Asbestos abatement. Federal Avlation Authoriry-Runways.. I understand that the following restrictions apply to the use of flll: - Use of fll!is not a!lowed in Fiood Zone"V"uniess expressfy permikted. i - If fhe flll material is ta 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 fs prepared by a professional engineer licensed by the State of Flonda. - Ef fhe flR materiat is to ba used in Flood Zone"A"in connectian with a permitted building using stem wall construction,I certify that fill will be used only to 811 the area.within the stem wall. - lf fill material Is to be used in any area, I cerkify that use of such fil4 will not adversely affect adjacent li praperties. If use o€611 is faund ta adversely affact adjacent propertias,the awner may be cited for violating the conditions of the building permit issued under the atfached permit applicatian,for lots less than one(1) II - acre which are elevaked by fill,an engineered drainage plan is required. tf 1 am the AGENT FOR THE OWtdER,!promise in good faith ta inform#he owner of the permifting candi#Ions set forth in ' this affldavit prior to commencing consUuctian. I understand that a separate permit may be required for etectrical work, ptumbing, signs,wells, pools, air conditioning, gas,or other installations not specifically included in the applicatEon. A permlt issued shal!be cons#rued to be a license fo proceed with the work and not as authority to violate,caiicel,alter,or set aside any provisions of khe technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correctlon of errors in plans,construction or violations of any codes. Every permit issued shall become invalid uniess the wark authorized by such permlt is commenced wifhin six mon#hs of permit issuance,ar if work autharized by the permit is suspended or abandoned for a period of six(6)months after the fime the work is commenced. An extension. may be requested, in Writing,from the Building Official for a period not to exceed ninety(9Q)days and will damonstrate ' � justifiat�le cause far the extension. (f work ceases for ninety(90}consecu#ive days,the job is cons'sdered abandoned. WARNIN�TU OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR , PAYtNG TWlGE FQR{MPRQVFM�NTS TO YOUR f'ROF?ER'FY. 16 YOU!N'fE D O O�'CAlN FlNANGI�G,GONSt#LT � YOU LENDER O TTORNEY BEFORE RECfJ D{NG YOtiR OF CO MENGEME T � FLORIDA'JURAT'(F:S;`11 3j. _.. ___..........._ .. . . . .._, � OWNEEt 6R AGEHT GONiRACTQR �i Subscribed and swom to or Hirmed}before me ihis Subscribed and swom (or affirmed)before me lhis i �Y by Who Islare personally known to me oi has/haVa produced Who islare personally hnown to me or haslhave producad � as Iden6ficatian. as identification. Nafary Public �G�CF�' afary Pubiic Cammisslon No. Com issi i�� ry Name of Noiary typed,pdnied or stamped Narrme of No r� p p d����� n��F 150422 �.� •,'d; �k�IP��L��B9Rtb�r12,2Q1$ , � ,�w ` ��i�itiftt�thy#qltilnaur2nqa$pC•988.7Ai4