HomeMy WebLinkAbout17-18589 CITY OF ZEPHYRHILLS
5335-8TH STREET �1
� � (813)780-0020 18589 ' ',
BUILDING PERMIT
- - PERMIT IIdFORMATION LOCATION INFORMATION
Permit Number: 18589 Address: 4848 AIRPORT RD
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 13-26-21-0010-00000-0050
Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 6/20/2017 Name: GAUGER MILTON MELVIN & MARGARET
Total Fees: 60.00 Address: 4848 AIRPORT RD- MILTON PLASTIC
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-5259
Date Paid: 6/20/2017 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 60.00
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Ins ections Re uired
DUCTS INSTALL D
DUCTS IN TED
FINAL ',i J
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."
Cor�plete 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 SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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; Heat�Air-Conditioning,�Inc.
� � P.O. Box 2209 . '
Zephyfiills, Florida 33539-2209
'� ` , � (813) 782-2300- �cA cosgs2s
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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Departrnent
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Date Recelved . - ° Phone:ContacEforPerrtilttln -
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Owner's Name i d� Q �S < < S� Owner Phone Number
Owner's Address �" � t�r �}v� Owner Phone Number
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Fea Simple Tltleholder.Name � Omier Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION P..ARCEL,ID# �
• . (OBTAINED FROM PROPERTY,TAX NOTICE)
WORK PROPOSED :NEW CONSTR ADD/ALT Q SIGN' Q• � Q DEMOLISH
� INSTALL B y REPAIR � �
PROPOSED�USE � Q SFR. Q �COMM � ' Q -OTHER '
TYPE OF CONSTRUCTION Q� ' 'BLOCK " Q FRAAflE � Q ,STEEL p
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DESCRIPTION OF WORK o2 ( d�/ � �i S G C S
BUILDING SIZE' SQ`FOOTAGE� ,HEIGHT��. .
QBUILDING $ VALUATION OF TOTAL CONSl'RUCTION ''
QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ -- _^ ���
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QMECHANIGAL $ ���0 VALUATION OF MECHANICAL INSTALWTION �� �
QGAS Q ROOFING .Q SPECIALTY, Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
BUILDER COMPi4N1f�'
SIGNATURE REGISTERED Y/ N 'FEE CORREA Y/N' .
Addres� ' ' l:lcense#
ELECTRICIAN- . .'COMPANY " � • •
SIGNATURE � REGISTERED Y/ N FEE CURRE��� �Y/'N
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Addr�ss ' Ucense.#�� - `
PLUMBER ' . - � . COMP,ANY - .� '. . . -
SIGNATQIRE` � ' " ; _REGISTERED YI<N, . �, Fee Cuw�n_ ; ' Y/N. _
Address License,# : _ _ - ,
MECHANICAL` 1 � COMPANY. � �-'� �d^'
SIGNATURE � � � � ` REGISTERED,� Y./ N . FEE,CURRE�. . Y./rN �
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Addreas''; . , - • , • ' , -, License#� .
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OTHER .. , - ` . _ - � ' t'COMPAMY , . - �. , � , �
SIGNATURE =:. - _ '�''� "- '' �'' ' y ' 'REGI3TERED� ' Y/ N .. '�FEE CURRE� Y/N
Address �,� � � - Gcense#� . � ,
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RESIDENTIAL;;,.- �AttacFi'(2);PIot;Plans;,.(2)sets:of�Building�Plans;`(1)sef of=Energy>Forms;:R�O-VU Pertriit for new construcUon, '
�:r Mintmum;.ten;,(�1,0);worli(ngrd"ajis�after;submlftafdate.;:Requlreil onslte;Constnictlon'Rlans;=Stortnwater Plans w/SIIt Fence installed,
� �� "SanitaryJFaciliUes:&s1„dumpste_r,-;81te.Worlc�Permit forsutidivisionsllarge_projects,. -,.. �. ' ' ' �
COMMERCIAL Attach(3)`complete sefs of Buildfng`Plans plu§a'Ufe S'afety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. -
M(nimum ten(10)working days'after submittal date. Required onsite,Constructlon Pians,Stormwater Plans w/Silt Fence fnstalled, ,
Sanitary FaciltHes&1 dumpster.Site Work Permit for ali new�proJecfs..All commerGal requiremen�must meet compliance �
SIGN PERMIT Attacfi"(2)sets ofEngineer,edcFlans:: :. � - . v �;, � `
""PROPERTY SURVEY reguired for all,NEW,gonstructlon.. _.. � •
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Directlon�: �• r�.. . '
FIII out applicaUon completely. "
Owner 8 Contractor sign back of applicaUon,notarized �
If over a2500,a Notice of Commencement i�requlred. (AIC upgrades over 57500)
" Agent(for the contracfor)?or Power of Attomey(for tFie owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER:PERMITi1NG--- w-,-(Front of Application-Only)- � �
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivewaya-Not over Counter if on public roadways..needs ROW'
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NOTICE OF DEED RESTRICTIO�IS: The u�dersignedunderstands��;th�t.<ihls,;p�rmtt,may,be;subJecfi to;�deed.;restrictlons.,.,,.._ .v,..,...
which may-tie�more=restf.ictive-tha�'Countji,'�regrilatrons.�The�undeislgnedsassumes'-�esp�inslblllty<for'compllance"�wlth��any' ' " �
appllcable deed restrlctlons. . � � _ , _ .-, .- : -•. . �,
UMLICENSED-CONTRACTORS -AND CONTRACTOR RESPONSIBILITIES: =1f-the��owner��has'"hired��a-ycontractar or
contractors to undertake work, they may:be�r�qulr;ed•Sto:.be.�llcensed In:_accordance.with•�state�.and.ilocal:tegulatlonsc•°If�the� �=�' - �°14�
contractor ts-not l(censed-as�reyulred'tiy law,'bottY�the 'owner and:`cont�actor°may be�°clted for9a'°mistlemeanor vlolatlon
under state law. If the owner or Intended;°Lco,,n,tractor;are;uncertaln as to what'Ilcensing,requlreRneMs_�`may�apply�sfor�the'=_::'<���:��
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intended work, they are advlsed"to contact the_Pasco County_:Bulliling.'InspectlonzDlvlslon--Ltcensing Sectlon at 727-847-
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8009. Furthermore� �If the ovirrier`Fias�hlred�a contraator'o� contractors, he Ts advlsed to have �the contractor(s);.slgn , .., ,
portlons of the "contractor__Block" of thls_appllcation_fo,r..whlch.they,.wlll.,b.e-tesponslble.-���If=you,,as;#he,owner:sign'�as the'' ""` '
contractor, that�rnay�be an indicatlon that'he-1s�not:properly"'llcensed"and`'ls'not entltled'to pe�rnitting privlleges In Pasco
County. .. . . , : _.�., , , .
TRANSPORTATION�IMPACTNTILITIES�rMPAC'1��A�1b-RE�OURCE RECOVERX°�FEES:"The unde�slgned unde�stands
thatTransportatlon Impact Feas and.Reco.urse Recovery.Fees_mey�;apply�,to:the.construction;of new_bulldtngs,+change�of�°t��°������'��
use in exisNng bulldings; or;expansl�n�Fof��exlstin,g:,bWldings, as specifled.(n Pasco County Ordinance number 89-07 and_
90-07, as amended.,�.,The undetslgned also;'understands� ttiat:�such fees;�,as,may=,�e::.due;fwlll�tbe Identl�ed at the�`timesof•"� �t'��� `��
permitting. It Is fu'rthe�understood that Tra�sp�ortatlon lmpact`Fees and�Resource,<Recovery=Fees..mu'st be pald prlor to
rece(ving-a'cerfl�cate�of occupa�cy"or�flnal-�power;Gelease: :I�-the.proj�ct<:.does�.not Involve;a��certiflcate of occupanoy�or���'�=�•��' �
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final power release; tFie:fees-mu�t:fie"patd',p�tor to;,permit Issuance. F�r:tk�ermore;(f:.Pasco:County�Water/Sewer��lmpact T-� �,�--:��•�
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feesaredue,..they_�_must.be;pald:.prlor#o.permit��;lssuance�.in�accordancewlth�appltcable.Pasco'�County�o�tllnances. �
CONSTRUCTION GEN'U4W"(Cliapte�T13� Florlda Statutes�aa amend�d): tf valuadon of work Is$2,500.00:or=more,.-1- ; �
certify that I, the -appllcant, have•been .provlded��with-a copy-of�the ".Florida� �onstructton� Llen 'Lauv—Homeowner's
Protectlon Guide" prepared by-tfie Florlda Department�of Agrlculture and Consumer.Aifairs. If the appllcant Is someone•.:.. � ,
other than the`owner", I cert(fjr..that.l:h�ve.o.b,ta(ned�a-copy.of..the�abave�.rfescrlbed�locui�ent°and°.pro,mise�fn,good�:fatth to . -
delive�It to.tfie<�"ownec"=piior`to•cornmencement:�' ' ' � � ' �" ,: ' `� -- '
CONTRACTOR'SJOWNER'S AFFIDAdIT: I.certity::tt.i�t,all.theqlnformation::lrr thl.s appllcatlon ts accurate and that all work
will'be done in compliance wfth all.appllcable laws regulating constructlon, zoning and�land°development. Applicatlon Is
herebyr made to obtain .a permit�,to :do.:wock;.;..and�li�stallatlon as tndl�afed:-= .�I-certtfy that no work tlor tnstallation Fias
commenced p�lor to Issuance of�a permit�"and that:all work wlll be performed to meet-standards-�of all laws regulaking-
constructlon, County and City codes, zoning regulatians, and land development tegulatlons�tn the jurtsdlctton.• (�al'so
certlfy that I u�derstand that the regulatlons of othe�government agencles may apply�to the_.Intended work, and that it is
my responslbllity to Identify•what.actlons I must.take:to,be�ln:.corrlplla�ce,_S.uch.agencles Include-but�are.not Ilmited to: .
- Department of Et�vironmental��Protection=Cypress:`Bayh'ead�� Vl/edand Areas and Envfronmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florlda Water Management �.Dtstrlct-lNells; Cypress.' Bayheads; Wetland� Areas� Altering
Watercourses. . -
- Army Corps of Englneers-Seawalls, Docks, Navtgatile Waterways.
- Department of.Health::.&..ReY�abllltative�,Servlces/Envtronmental Heafth Unit-Wells, Wastewater=Treatment, �
Septic Tanks:. `, ' ` . ` � _ -
- US Envlronmental Protectlon Agency-Asbestos abatement. � .
- Federal.Avlatlon:Authorlty-Runways:�
0 understand.that the.follovv�ng::�estcictlons apply to the use of flll:•
- Use of flll Is not allowed In;Flood,rZone"V"unless expressly permitted,
- If the-fill�material=ls `to'�be used..`In.�Flood Zone. �A", It Is understood that a dralnage plan addressing a
°compensating volume"wlll be submitted at time of:permifting wFilch is prepared by a professfonal engineer
Ifcensed by,the State of-Flo�lda: -� - , .
- If th� flll materlal-Is to b� used In Flood Zone "A" In�conneciion�wlth�a �ermltted building using stem wall
construct(on, I certlfy th.at fill.wall=be•used only.to.flll the area wlthln the�stem�wall: `
- If flll materlal Is to be used In any a�ea, I certffy tfiat .use. of such flll wlll not adversely affect adJacent �
propertles. If use of flll ls found to adverseEy,:taffect adJacent��prcipertles,.the owner may be clted for vlorating
the condltions_of the bullding�;permlt Issued�under tlie°attached,�ermit �pplfcatlon,�for lots�.less�than.one (1) �
acre whtch are elevated�tijrfill,an englneersd dralnage plan Is requlred.
If I am the AGENT.FOR.THE OYYNER, Itpromise In good falth to Inform�the owner of•the permlt8ng condltlons-set forth tn
this affidavlt�pMor to commencing constructlon., "1 understand thefia:aeparate permlt may be requlred for elecMcal work, .
plumbing,_signs, wells,. pools; alr conditloning,..gas,-.or othe� Install�ttons nol�spec�laally Included-tn the application. .A -�
permlt lssued 5hall'be construed to be a`license�to'proceed wrlth'tFie work and not�as.authoHty_:to:vlolate;cancel. alter, or
set aslde any provlstons of the tecFinlcal.codes;�nor shall Issuance�of a.permit.pcevent the Bulldirig O#flctelfrom thereafter
requiring a correctlon af ercors in;plans; aonstructlon or vlolatlons of�any codes. Every,permlt-Issued shell become invalid
unless the work authortzed.by such permlt:�ls.co�menced•w(thln sfjc;months of�permlt Issuance, or If work authorized by
the permlt is susp�nded�or:abandoned-for=a:perlod:of�slx;(8)montfis.after the tlme the�work�ls corrimenced. An extenslon
may be requested,.,ln.writing,rhom�th'e.�Bullding,Offlclal for a per(od.�not:to exceed��nlnety�(90)=days and-virlll demonstrate
justlfiable cause for.�the extenslon�. If work ceases:for nine#y.(90)cons.ecutive:days...th�job�is.consldered abandoned.
WARNING TO OWNER: YOUR.:FAILIJRE.TtS.,R�EC.ORD,A.,NOTICE,OF:•COMM6MCEMEMT�'NFAY�RESULT IN�YOUR
PAYING TWICE;FOR:IMPROVEMENTS TO;.YO.UR:�:PROPERTY:�,IF:YO.U:=1�ITEND:T��i0BTA1N�FINApE1NG;'CONSULT
WIT • U D O. AN ORNEY� ORE�,�E�f� �-�!! ' . ,;:� ..� <- . .: E _, . '. �„`- -- -- --
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FLORIDAJURAfi(F:S.1.17.0 - � -• .
OWNER OR AOENT -- CONTRACTO • - � '
Subscrlbed and awom to nned me fhls Subscribed�and's •to w affl etl)�before me'tFil��
by ,. ,
Who Is/are personatly . oNfi to.me or,haslhave produced Who.ls/are p.era o e,oc haslhave�produced- •
�ae Id'entlficatlpn. as Identlficatlon.
Notery Publlc . - Notary Publlc
CommisslonNo:• Co . Iss n.No.
Name of Notary typed,printed or stamped Name of Notery BOGES
,,�i�ev,l�,,.
. :.,� '�: Commission#FF 150422
:;•,��o: Expires December 12,2018
'�p��,°:'�` Bonded Thru Troy Fain InsumrKo BC0385•7019 �I