HomeMy WebLinkAbout17-18607 CITY OF ZEPHYRHILLS
� �; 5335-8TH STREET
(si3)78o-oozo 18607
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18607 Address: 5548 23RD ST i
Permit Type: MECHANICAL ZEPHYRHILLS, FL. ;
Class of Work: A/C CHANGEOUT Township: Range: Book: i
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: i
Square Feet: Subdivision: HAZEL HEIGHTS �
Est. Value: Parcel Number: 12-26-21-0070-00000-0040 �
Improv. Cost: 7,450.00 OWNER INFORMATION
Date Issued: 6/26/2017 Name: LUCE, BARBARA '
Total Fees: 75.00 Address: 5548 23RD ST I
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 �
Date Paid: 6/26/2017 Phone: (813)782-5032 j
Work Desc: A/C CHANGEOUT 2TON � �,�,��� �
CONTRACTOR S APPLICATION FEES
PATTIE ELEC. & REFRIGERATION A/C CHANGEOUT 75.00
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Ins ections Re uired � '
DUCTS.I STALLED
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DUCTSINSULATED
FINAL ;
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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 governmentall
entities such as water management, state agencies or federal agencies. i
"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 I
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. �
IVO OCCUPANCY BEFORE C.O. �
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O TRACTOR SIGNATURE PERMIT OFFI R �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION �
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED �
PROTECT CARD FROM WEATHER
�,:�-��u-uuzo City of Zephyrhills Permit Application Fax 813-780-0021 �;
Building Department . � i
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Date Racelved . Phone�Contact for Permittln t
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Owner'a Name � � r �- Owner Phone Number r,
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Owner's Address Owner Phone Number '`
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Fee Slmple Titleholder Name ' Owner Phone Number r
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Fee Simple Titlaholder Address ��
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JOB ADDRE33 � � LOT# � E,
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SUBDIVISION - PARCEL.ID# � o�-�� �a ���� ��d�O �O� � ;,
(OBTAINED F.ROM PROPERTYTAX NOTICE) ' '
WORK PROPOSED � NEW CON57R' ADD/AtT � Q` SIGN' `Q ` Q DEMOLISH � �
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INSTALL. REPAIR ,
PROPOSED�USE Q SFR• Q GOMM • Q OTHER � f
TYPE OF CONSTRUCTION Q� ' BLOCK " Q FRAME Q STEEL Q ��
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DESCRIPTION OF WORK' � Q !�l GL/l�l.c�� �
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BUILDING SIZE ` "SG FOOTAGE ' : ;HEIGHT�, ;
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QBUILDING $ ' � • i
, VALUATION.`OF TOl'AL CONSTRUCTION - • ,
QELECTRICAL _ $ " AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I �
QPLOMBING $ '- ! j
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA7'ION I i
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D�S Q ROOFING . I +
Q SPECIALTY � OTHER ' i
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO i
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, BUILDER COMPi4NY� � �
', SIGNATURE REGISTERED Y/ N . ' -FEE CURRE� Y/N , j
' Address ' � License#' �
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� ELECTRICIAN-- : �-COMPANY � ,
SIGNATURE � REGISTERED Y/ N FEE GURRE��' ' ''Y/N
Addreas � , License:# � ' ;
PLUMBER ` ', .COMPANY „ , �
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SIGNATURE' ` � ,. REGISTERED� - Y./x.N-r ; � FEE CURRE� = Y/N;
Address ' ' ��.License,#� : •
MECHANICAL' : COMPANY, Cv�i �
31(iNATURE - � � REGISTERED Y,/ N FEECURRE� _ - Y,I�N �
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Add�ess � ` ' �
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OTHER ' - ` � ' ' � , ' ' ;COIQIPANY,,� � . .
SIGNATURE •`}�' : ;: °'�,''. ', - • � �" � ' ` REGISTERED Y/'N,:_:, FEE CURRE� . Y 7 N
Address 1 .�. ' � . � " Clcense `
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RESIDENTIAL,=- rA ''cti"'2 ;Plot;Plan`s'�'2 "s`ets;of�Bufldin"iPl'''�`� "`:�,' -? �•F` ± _ '�:� `i �`, .-e �
. �! , ans�:1
( � s
) etof Ene Fo'rtn'
� � 9 ,'( ) s;�R=0=11V Perrnitifcr'new con
. . .� nJY• . , struoUon,, _
- •Minimum�tep��1,0;workin �d_ ', ''� ` " �'"` �
� _:;s:.•:,.:..�,�, ., . (v_),,,. ,9,_ays`"aftef�submittel'date.:�:Requlredonsite;::Con"strucHon�Riansr$tormwaterPlans�w/SilYFenceinstalled,
� SaNtary FaclljUes;&s.1:dwmpster,�S(te-Wortc;;.P.ermitfor sutitlivisionsAaige=proJeqts;y;,:;=°:�:� � " �
iL ,'�sr�:t�r.�t':i 1.:..r�..n V.:�^?�'A'..>�1:..;,.,,n...a...: . �.
COMMERCIAL Attach(3)'complete setis'of'Bullding'Plans plus a Gfe Safety�Page;�(1j set of Energy Forms.R-O-W Permft for new canstrucUon. �
Minimum ten(10)working days after submittal da4e. Requfred onsite,Construction Plans,Stormwater Plans w/Sflt Fenc;e installed,
Sanitary Facilitles&1 dumpster.Site Work Permit tor all new:proJects..All commercial requirements,must meet compllance -
SIGN PERMIT Attach"(2)'sets ofEnginieered;Plans:.. .-:� - �.,� - • -
•"'PROPERTY SURVEY reguired for all,NEW_construcUon.. , i
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Di�ectlona: ..,.. _ �
FIII out eppllcadon completely.
Owner 8 Contrector slgn back of appifcadon,noharized �
If over 52500,a Notice.of.Commencement Is required. (AIC upgrades over 57500) i
,:,s;�;,a��r•�;-r;;�,�, i
'" qgent(for ttie contracMr)'or'Poviiei of'Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same ;
DVER THE COUNTER:PERMITTING --- •(Front of•ApplicaBon-Only)-- -- � ,
Reroofs If shingles Sewers Servlce Upgrades A/C Fences(PlodSurvey/Footage) !
Drlvewaya-Not over Counter if on public roadways:.needs ROW j
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NO'�OC@�E DEER RE�T.I3�CT90NS: The.ue�d,�cslgned�nd�r�atandss,tlt�t��ls,��tmlt.may,_be,subjec�.to"deed",rest�lctloi�s".. -_-, .
whi�fi may~be,more.r+�sti;ict�ie�th��tCountjj•���egu9afions:'�Fie�unde'r�igned°`assumes'�espores�Ikii9ltj%'for�compllance�uvitFi any��`' "
applicable deed�restrictlons. � , �
�JN�.d�ENSED=CONTRAGTt�RS =ANQ CQM�I�AC'�CfR RESPONSIBtC�I'�ES.� {f:�the awner has�=hired�-a�'�ctintr�tcf�r or
contractors to undertake work� they may,b..�:,req�rired.3to:be.�licenaed In:acr,�rdance.wlth state.and,loc�I:r�gulatW..ons:��Ifrthe�• � �
c�nt�actor fs not�ilc�nsed==��y required`tiy eaw� batn�the awr�er�nil�+c�ettce�ctor=�inay�be��clted'foc°a;>rr���demeanor ulolation
under state iaw, if the own�r or Intended:;;con�ractor,�;er..e,;wa�certatn �� ta�nvfiat`Il�enaln,g.requireKv►ents;may.��ipply�>.�far'.the� -�°
intended work. they are advl�ed to contact the_P�sco County Bu1lding,Yi�spectton_DCvislon--l:tcensing Sectlon et 727-847-
8�08. Furthermo�e, if the owner lias'htFed�a c�nt�acfor a� coni�act�rs� he is advJsec! #o h�ve �#he contrac�a�{sy,si�n,
porklcans of the "contr€�ctor �lock" c�f thls.,applic�tlon.:for.:whioh.they vVil!b�..r.esp.onslble.-.. If:.yau; as�:#he ssiamer"sign�'a's'fhe`� '
c�ntractor� that�may b�an indic�tlon that'!ie~is not:property Ilcensed antl`-i� not entf�ed to per�tf�ing pr�ulleges tn l�asco
County. • . , `-. . .
1'�ANSPCIRTATION-IMPACTIU�I4�ITIES<IMPA�G�ANLI�RES�OURCE RECOV��Y•FEE�: The under�igned uriders�ands
�hat Transpa�tatla� Impact Fees�and.Reco.ut�e.Recovery.Fe�es maY'_aPptyctc�t�e�can�tructtan;af new.buildtngs,-change�fof��"�` "
use In exisfing buildings, or-,expar�'si�nrof--s�xieki�i�gybuil�tngs, as spectfled.in Rascv Cauntyr O�dinance number�9-07 and.
90-07. as amend�d.,w.The underslgned a�sa:und�rstands� Q��t:�s�ch fees,�as��nay�be�pdue;:wlll,�be Ideetlfied at the���tima�-iif�' , .
permitting. Ot is furttier unde�stood that Tra�sp'artatl�ro imp�cf'Fees an.d�a�tesoucce_:l�ecovery�F�es,.anu'st be pald pr.iar to
eeceiving�a-'ce�iflcate of occupa�cy" or�flna!power=relea�e: :I�Ehe.projecE:.daes��.not Involve<aucert�lcafe af occupatt�y�°orx"�'���-
final power�Tetea��; the°:fees ma�#tie paid;:pr�or to,`permi# i�suanc�, F�l�herm�re;•�if i�ascv;�Coun#.yr�aterlSewec�;impact � �
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fees aPe due�.th�y�..must-be:p�id;priorto.p.err�it��issu�a��e-ln.�ccordance wltN-�applfcable.Pasca'��County�ortltnanc�s. •
��N�1'RUG'TION�ZI�N„tA���Cliept�r 713.�loe��d��#atut�s�a�att��aacE�d): If valu����of w�rk Is�2�SOO.00aor more,.l� .,
certify tha� I, �he applicent,-h�ve;been�.provl.ded:wtth a-copy of the "Florida-�Construction� Lien.;Law—Homeowne�'s
Proteation Gulde" prgpared by tne Floi�da� Dep��tment of Agric.e�lture and �G�nsum�er..Aff�trs. 1f the �pplicant is �otnean� � .
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�ther than the"awne�', i certifiy..that I�t��ve,abtained`a°"c:'opy;of..the:above.�t�s.erik�e:d"dc�cutnent°and,promise;,in,gaod;;,faith.to
deliver it to,the"owner"�:piior•�to�comrnencements" � � ,
��NTF�►CTOFt'�d�W�+IER•S AF�=1�AY4T: i.ccs��:tti�t•all.the,inf.arrn�ttttt,t:�n�tht�applicatton 6s accur�te,�nti that�1!w�rk
will'be done in campliance with �II.applicabl� laws regulating constructl�n, zonl�g ared�•land develapre�er�t. Appltcation is
hereby mad� ta obtalrt .�.pecm�t,�#a�do�workp,�nd :Inst�li�tlon as ind[t.�f�d;�-°! certify that no work.ar tr�staltatton lias
commenced prior to Issuan�� oi� p�rmit"and that:ail work w111 be per#armed�to me�t s�andards-of all laws regulating�
const�uctlon, Caunky and City codes, zoNng regulatla�sT and land devetopm�nt regulatlans in the�jurlsdlotlan: !�also
cer�ify ttr�t 1 u�ders#�nd that the�gul�tians of other goverr►m�nt a��ncles m�y�appfy�#a the intended work, �r�d th�t 3t is
rny responsibility to identi6y•wh�t.a�t(ons I mu�t•t�ke:ta bettn:.aompll�nce,.,S.uch:agenci��include bwt•�are.not Ilrnited ta:
- Departmen# of E�tvlr�nmentalr°Protecflon=C:YPress.`Bayh�e�d�,�V4�e�a�d Ar�as and Er�vlronmentally �ensitive
Lands,WatedWastevvr�#er Treatment.
- Sauthwest F{orlda Water N}anagemen� .Distrlat Well�, Cypress.��Bay#��ads; Wetlar�ai� Areas, Altering
t�/atercourses. .
- Army Corps of Englneers�Seaw�lls, (�ocks, Navigatile Wateruvays.
- �epa�tm�nt of.H+�alth.:.� Rel�a61t14aflv�:S�nticeslE�vironmen�l Health Unit We11.s,��ita��ea�ter�i'reatment�
Septic Tanks:. ,
- l�S Envfronmen�a�l ProteaB�n l0.gency-Asbestos�bateme.nt.
Federel Aviation:Authorit�►.-f�unwsys.
I understand 4hat�he,followang::restei�tlons apply`to the use of flll:•
- Use of�Il ls not�l�awed in�Fiood,Zone"V"unless expcessl�permlt#ed.
- If the flll nnaterl�l Is ta b.e uaed' li�.�Flood Zon� "A", tk Is understbod that � dralnage plao� addressOr�g a
"campens�ting volume" wif{ be subr�iEted at tfine o€�perr�itting which is prepared by � prafessionat �ngineer
ticec�sed by.#he�S#ate�of�Fiottda: ' � .
- (f th� flA materlal°.ts`to .be used tn Flood �one "A" In4 connea�ion wlth:a�perre�itted bullding using stem wall
� c�nstruc��a�, l cerEify t��t f�(.wll#:b�tas�d onty.to fl#1 tt9e�rea wlthln�the-�tenn�nra11. _
- If flll materlal Is tsr be used In .any are�, F�c��tlry that .use of�such flll wlll not adversely affect adjacen4
proper�tles. 1#uss of fill l.s fount�ta �dvers��y:,aff��t adjac�r�t�pc�pe�Eies,.tt�e awner may be cfted fo�vloCating.
the condlll�ns..of the b�ltding:perml# Is"sued und�ar 4h�at�ached.�ermlt epplicatlan, for:lots�less than on� (1)
acre wh8ch ere elevated�6y f111���t englneered dralnage plan As requlr�d. .
�f i am the 1��ENT�OR.THE-OVitf��R; l;promtse in,good#al#h ta tnform the awner af�the parmitttng condftEons set farth In
this aNidavlk�p�tor to cc�mmencing constructlon. "I untlerr�t�o�d that �rcaeparaQe permlt may be requlred for elect�fcel wark,
���7���
plum6ing, signs, welts,.poals;.alr c�nditlaning,-.9�s,-or �ther instatl�i�(ons n�1.spec�ft�alty Included�In th� �ppticatlon. .A
permlt Issued shr�ll be cvnsteu�d to b'e�'llc�nse`�to=proceed wlth the�niork end not�as:aulhoNty:to..vlolate,•�cancel� alt�r, or
set aslde.any pmvlsions of the.technlc�!-.ca�des; nor shall lssu�nc�•of a.permlt.pcevent the Bulldlrig�I�la!from tl�ere�fter �
�equiring a carreatian n#�errors ie���p�ans;-constcucti�n.ar vlaiattons of-any codes. Ev�ry-p�amtit�iss��d sh�ti�become invaiid
unless the work authorized�by such permR>•Is-commen�ed•w+lthtn sGc m.oroths of p�rmlt fssuance, or If work authorized by
the permtt Is suspended�oc:a#ar�doned-for.a�:pertod�of:�sGc:(�}montlis.�tter th�;#im�the�wark�t�co�imen�ed. ,4�+�xterasl�n
may be requested, In writing,�tifrom #he:�ullding,C3fficlal for a perlod.�not�-to exceiad°Pnlnely(90)"days and w11F demonstrate
just{�able cause fbt.�th�extenslon: if work ce�ses:for nlne�y.(9Q1 cor�s.ecaative:day.s:�-the jab�is con�fdered z�ba�doned.
WARNIN� TO OMINE�t: YO►UR.;:FAILUI��.,TO:,.R�C:�lttQ;�4;,�fOTIG@�:OFf�COMIII�ENCEMEP�T�M'AY=R2ESUlT�ON�YCIUR
PAYING TWI�E,;�QR�IMRRti'VEMEN�'S�.T13 rat�}UR:Pttff3RERT1f:=;1�°YOU;l�44�E.Y+1�=T�C1"�QB�d�►1N�Fi�#At�f:1NG;�t)NSUlT
UVIT A A �+ O � G�a OlD '� r ' �
F�ORIDAJlJRAF�{F.�:1.17.03)- ,., .;; ... _.. ..` . _:., _... ....
OW(dER AR AOEN7 CON'T�CTO • '
Subsarlbed and awom ta(or afflrtned)6efore me thls Subscrlbed and'�wom�bo ot Hirmed'befo ►ne'ttit�'
by by.- `
Who Is/are personally known.to.me or hasA�ave produc�d Who.l�/are p.ersana.11y um•ta.nte:or ha�lh�v�•produced �
ea Identlflcatlpn, as IdentlRcaBen.
ldotary Pubttc . Notacy F'ubtic
Commisslon Na:z Commiselon.Mo.
Name ot Notary typed,ptlnted or st�mped Name o0 Not�ry typ�d,printed or stamped
Pattie Electric & Air Conditioning
'� r 39171 Pattie Road �
Zephyrhills, FL 33540 '
� 813-782-3319
sales@pattieelectric.com
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V._. _�._. �.
�Work Order Date _Summary: � � Tech�, � � �
�_�� ._.� ..�._. ._...� __..__._. ._.. _ .. ..._�__�.__,...�.__._.�.__._.�..._. .__., ..._._...,��,.�. ,.�., .___.�__
1945-102 6/28/2017 INSTALLATION DAVID N
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'Bil!To: . ` ' , ;Job�Name: �
_. ._.__�..�.___�._�._ __._..�..__.__.__�.._� _ _ _a ��:.__.��___._M_a._._._.__a.._.._.�..__.�_._.._.____
FBarbra Luce Barbra Luce
5548 23rd St. 5548 23rd St.
Zephyrhills, FL 33542 Zephyrhills, FL 33542 I
813-782-5032(H) 813-928-1957(C) 813-782-5032 (H) 813-928-1957(C)
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> 6/26/2017 MON 12:47 PM>
Install 2 ton packaqe unit per quote $4,450.00
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All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above �
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection,including attorney's fees.
Signature Date
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