HomeMy WebLinkAbout17-18631r
CITY OF ZEPHYRHILLS
� 5335-8TH STREET
� ` (813)780-0020 18631
BUILDING PERMIT
-PERMIT INFORMATION � LOCATION 1NFORMATION
Permit Number: 18631 Address: 6764 ERIN CIRCLE
' 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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-1360
Improv. Cost: 3,666.72 OWNER INFORMATION
Date Issued: 7/05/2017 Name: KLEA LINDA MARIE
Total Fees: 55.00 Address: 6764 ERIN CIR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-1851
Date Paid: 7/05/2017 Phone: 813-859-4697
Work Desc: A/C CHANGE OUT PKG UNIT 3 TON
CONTRACTOR S � APPLICATION FEES
CHRIS'A/C COMPANY A/C CHANGEOUT 55.00
� Ins ections Re uired
DU TS INSTALLED
DUCTS INS TE _
FINAL .- -'
REINSPECTlON 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.
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CONTRAC�TO�SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�,s-.�u-u�-zo � Gity of Zep�tyrhills Permit Application �aX 8�a-�saaa2� :
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Building Department . ;
Date Regelved , �- . � . phone>Contact forP�armittln $–c� Z` � � �"
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Owaer'a Name { 7�. �Gf,_�+ Owner Phone Number ,�`� ,�a % `
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Owne�s Address G s �/ � Qwner Phone Number �� � �
Fee Simpte Titleholder Name � � •i�wner.Phone IVumber �� �
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Fee Slmpte Titteholder Add�s
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J08 ADDRESS � '�,0 + Lt}T# C____��� �
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SUBDIVISION �:.Li.�,�_��' PAltCEL,Id# �- - �� � -Z—��-----t;, �C:�Qe� f,� ;
� (OBTAINED EROM PROPERTY TAX NOTICE)
WORK PROPOSELI �NEW-COtdnR ADD/ALT [� SIC3N Q• [� DEMOLtSN j
-�. INSTALL 8 � � REPi0.1R
PROPOSED:USE Q SFR� Q COMM• OTMER � 1f',� G- � �
TYPE OF C�N8TRUCTtOW Q� � BIOCK " Q FRAME � S'C�EL Q �
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DESCRIP110N OP WORK � /�l l � I` �i`L-r f--
BUILDING'SlZE � � SQFOOTAGEC�; , .N GHT�:� � !
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QBUILDING �� VAl.tlATION�F TOTAl."COiVSTRUCTiON' � {
C]ELECTRICAL �� AMP SERVICE � PROGRESS ENERGY CJ W.R.E.C.
QPLUMBING $ ' ' i
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MECHANICAL $ / /' VALOATION OF MECHANICAL INSTALLATION f
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QGAS Q ROOFING .Q SPECIALTY � OTHER•
FINtSHED FIOOR ELEVATIONS ��� � F�OC}D zONE AREA QYES. f�t0
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9UILDER COMPAMY` .
SiGNATtIRE t���§t�o- Y i �1 . �E ct���n Y 1 N i
Address ' � ' Ltcense#'� � ;
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ELECTRICIAN. `�GOMPANY � � �
St�NATtlRE � �tE�EST�a�o Y I N ��cuR�ER�' ' '-Y 1 N i
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Address - , , Llcease# r � �
PLUMBER ' COMP:,A[!IY . ,
StGt+tATiiRE' ` _ _rt���ii�o,. Yl>N.. , F�E cu�E�+ Y l N �
Addrass L[cense.# I�. • � ,�
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MECHANICAI: ' .� COMPANY, �. •,
SlGNATURE '` 1'tE�f,15TEE2ED N FEE CC1RREtz. Y-/ �
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Address' '�OZ�,.7 ' v.' �-�f � , Ucsns.e# ,, _ (
dTHER - ' : . ;COMPANY , II
SK3NA'EURE '3,: `� � `-'`: :: ` ` ' ' ' FtEGlSTERED Y/ N,_; _FEE GURREt� Y I N 1
Addres� . . ~ _ ' . ' �, - � - License# � � � �� `
RESIDENTIAI;;;�' Attachi"'(�)„PIot�Plans,.:(2•)"sek"s":ofiBuilding?Pla"ns;;:(1)setof�Ene`rgY�;Farinsz�R=Q=1NYPefinitf6�newaonshucUon, "
;_�,�:Mlofmum�ten��{�1A)wworiting,day,s;after";`>'subfilEkal'date:;�:ReRutreid onsite;sCo`n�trucflon�.Plans;=�3tormwater Plaris�w!Slik'Fence instafled,
� Sanitary FadIS#ies.&s�ly,dumpster,_..Site�Work�Perrnitfinr�sutidivisiongilaige�pro)ects;.4-,,",':; • � ` ��
CQMMERCIAI. Attach(3j`ccm�pl`efe'sefs�'of'9uililfng'Plans�plus a CIfe�Safety Page;�(1)set of Energy Forms.R-O-W Pennit for nev�canstruction.
Ml�imum ten(10�warfcing dayr�after submlttai dafe. Reqaired ons3#e,Canstructian Ptans,8tarmwa#er PEans wl Sitt Fence instalied, ,
Sanitary Fadiities&1 dumpster.Sitsr Work PertniF fiar al�new:prcjeats.Ali commerr.#ai[equlr�menis;must meat compilance �
SIGN PERMIT Attach'(2)"'sets ofE�g�nee.r:ed�Plans:�,.._• .-- , , •'. , , ,
,•*,PROFERI7 SURVEY requlred ior a111UEW construc�on..
Directlons: •- � � ,
FtN out appitcaticn comptetely.
Ownar 8 Contractor slgn back of appl(catlon,notadzed �
If over�2500�a Notice.of Commencement i�requlred. (AIC upgrade�over 57500)
�`�°�';�=-r•c,�i�;_.,�
"' A�qent(far the contsaCtar)Gt"Powe"r:of�Attotney(for the owner}would be someane wlth natarized le#ter ftam awner authodzing same
OVER THE COUN7ER:PERMITTING– -- •(Front of•Applicatlan•Only)-- �
Reroafs t#shingtes Sawers Servtce Upgrades NC Fences(PtaUSurveylFootage}
Drivewaya-Not over Counter if on public roadwrays:.needs ROW
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NO'TiCE-OF DEED RES'�RICTIONS: The unde�rslgned undet�#ar�ds��th;�t�t�is�l�nn�ti:mey.be�subject ta"deed"restr•ic�oiis", ,� �, . �
whicfi mayrvtie�moreyr�s�#�a�tive=t#ia��County�feguiafion`s,�=Ttie"und`ei�signe�`sssumes�'reeptinai6iiliy'for conip{Tance�rivltti`"ariy""..`"�'��
appNcable.deed�resMctlans. • .:' .:� - ..•-
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UNI.tCENSED�Ct}HT1tACTt�RS��A1�D GOAI�RACT�R�RESPONSI�D�;ITI�S: :ff}tbe��au�mer�has��Fil��d•�a"cont�atc#or or
contractors to undertake work,.they may�b,e:�r�quir�d.sta�be,llcensed In.aacordance:wlth,sta#e�.and;local;r�gulatlons:.wlfjthe�e ��� � ���
contractor�ls-not dlcettseii�<as�re�ul�et�;tiy faw,�bath-the owner a�d�'co�t�a�tor-�mey�.#+a��ctied`for�a�iritsitemesnor utala�an
under state iaw. if the owner or interided;yco,ntra�tor;�aee;,uncertain as M what Ilcenslrig:requlremeMs;may�appty�:for��the+r�_�•-=��°�
intended wcrk�they are advised to coritact tfie:Pasco-County,Buliding`inepecfCon DCvislon--t:lcensing Section et 727-847-
8009. Furthemtore, If the ovmer 1ias�`fitFiad�a confri�cCor or coritrac#ors. Fie is acivised ta have�the cantrac#or(s}t..sfgn.: ,.
tl s .. ..b.",.W:�r',:x':.,�..cn'-h.;��. -- , •
portlo�s af the� contractor Block of this,�applicetion.:fo.r.:whlch.they,vitill..be,.r.esp.ansible.•.,-.If�yau;rasr,#k�e avurier�ign a� the'� �
contraator, lhat�m�y°be an indication that'F�e�-1s nct�:properiy lii:e�i�'+���ai�if'Is`riait'e�itlti�d to pemil�ing�pr�ulleges In Pasco
County. � .- .,��.;��:� ,. -,.
TRA,NSPCIRTAYlON-1MPACTNTILITIES�I�APA��'1'�AN�!-RE50�DRCE RECOYERY�FEES; '�he undersigned uriders#ands
that T�nsporta�ot�Itnpact Fees�and.Reco.urse.Rec�vi�ry.Fees rriey,apply;�t��t�e<consttvc�on:af new..bulfdinga,�change�{ofp��`��'.-.` �.�
use in existing buildings, or�eutparislorrrof�.�iiis#f�%g°�b�iiltHngs, as speclfied.(n Pasco County Ordinance number 89-07 and.
So-07, as amended.,;'x'h�und,et°slgned also�understa�ds; tlta��such fees;:�as;�mayr be•:dt�e;,rwill;be Identifleif a##hentime�of:`� �. : '
permitting. It is tur`tfi�r understood that Tra�sp'ortation impacf Fees and���Resource:;Reco�eiyvFees�.:must'be paid priar to
recelving.a.'certificatesot�occupancy"=orflnal�pcwer.Gelease:. :I��the.pcoject.doesA:rtot ir�volve�a;cert�tcate of occupancy�ot:�:,:�-_..,.,.
flr�al pawer rele�se;;the;fees mu�t�be�paitl;pr�or to_permit isst�ance. F��#�iermoce,-ff:Pascr�;�County:Vi/aterlS�wer,.�,lmpact - , , •
fees are due�,they�must.be.peld.p�lorto..permit;ls�.��n�a;�n.ac.�ordance�rltl�.�applloable�.Pasca��,County�ordlnances. •
CONSTRUCTION-C�E�!„l.A1N(C6iepter 713� FloriB�State�t+�s.a�amencEed): tf valua�on of work Is$2�500.00;or more�.:l: ,
certify that I, the: appiicant,��ha�e.been�:provided:�with a-copy�of��the��"Flortda-��an�tructtan� LI�n.:L'avw—Hameowne�'s
Protectton Gutde"prepared by ttie Fioi�da De�art�ent'of Agrtcultnre and Gansum�r,,�affairs. If the applEcant Gs someone , ._
other than#he"owner"� i cert�j►:that,l.h�ve,o.p,ta,inad�a'copy.otthe:abQvadescr��ed`dai�iti�ent�and:pro�t�o-�ln,gaod:�fa�h.to
deliver It to.the.'ownec"p�or'to�comme�icement:' � ' � ' ' � ._
CONTRACTOR"SIOWNER'S AFPIDAVft': 1.ceh;i�y�:tti�at-all..the;lnf.orrnal�an::i�t•thta appllcatton is accurate,and that SN work
will'be done in comptience with all.appilcable laws reguladng constructlan� zontng and�•land�develapment. Appltcatlan is
hereby made to obtain .a perm�t,.to do.�uuor'.k�,�nd :Ihstailatton as indf�atedv-..:1 ce�l;ify tf�at no work�or tnstait�tton has
commenced p�iar to tssuanae of�a permit��and #hat�.all work wlll be perFormed�to meet.standaTds-of all laws regula�fng-
construction, County and City codes, zaNng regulatiQns� and land development r.egulattons`in the jurtsdlcNon: ! afso
certify tha# 1 unde�stand#hat the regulattans of oti�ter�government agencles may�apply�to the intended wotk, and that it is
my responslbiltty to Identif3r•what.act(ans I muet•take:to be�in�compllar�ce, S.uch,.egencles_include�but��are.not Ilmited to: �
- Depattmen! af Et�vlronmental�Protecfion=�Gyprees.�Bajrliead�, Vfle�and E#reas �nd ErnrEronmentally Sensttive
Lands�WatedWastewaker Treatment. �
- Southwesk Florlda VUater Management: :=1�isUlct INe!!s; Cypress.'�Bay�teads,� Wetland Areas. Alterfng
tNat�rcourses. . .
- Army Corps of Englneers�Seawalls� Docks��lavigatile Waterways.
- DepaMment af.Hea1t�;',& Re�aabllita�ive:SerulceslEnv�tonmental�Nea�th U�it Well.si°1tlF�stewa#er��Trea#ment,
Septic`Tanks:. � ,
�• US Env(ronmental Protection Agenc�t-Asbestos abaieme.n�.
�ederat Av.iatton:Authori#y-fiunweys.� -
I understand that the.follow�ng.restclritlons apply�to the use of flIL••
- Use of fltE 1s no#atlowei#in:Flood,�Zone'V"untess expressly permitted.
- If the flll material��is to-b.e uaetl:,`In.�Flood Zone. "A", It. Is understood that a drainage pl�n addresstng a
"compensaHng valume"wift be submitted at�ima+�f�permiftlttg which is prepared by a prof�ssiona! englneer
ilcensed by#he�tate:of'�fiorida: � � ,
- If th� flll material•.t's to be used tn Flood �one "A" In�cvnneatton�wlth:a permttked buflding using stem wa!!
consUuotion, t cettit'y.the#f�ll:u+all:be�sed oniy�fa..fitl the area wlthin�tha�s#ern waN.
- if fill material Is tb be used �ln any area� I �cettifjr that .usa of<such flll will not adversely affect adJacent
propertles. If use of_flA fe faund to adversely-,�ffect adJa�r�t'�prctpertles,.#h�owner may be ctfed for.viara#Ing.
the cond�tons:.of the bWllding;permit Is'sued�under tha aktached.�ermit appUcatlon, for:lots less;than.one (1)
acre which are elevated�6y All;��t englneersd dralnage plan!s requlred. .
tf 1 am the I�IGENT.FOR.THE��NER; !,>�iromi�e tn good€at#it to Eniorrr�the�owrter of the pecmitting c:anditions�set forth In
this aNidavtt�prlor to cammencing construcNon. 'I underatand lhet a ysepar+ate permlt may.be required far electrical�work�
plumbing,_stgns� welfs, pools,,a!r conditlonlcn�..gsts,..or.ot�e'r: fnstall�ttons not,spec�tcally Included-1n.#h��appltcatian. .A
permit tssued shall be canshued to b�e�a�Ilcense�to=proceed with ttie work end nat�as.euthority:to.��rrlate��canceal� alter, or
set aslde ar��provis�ons of tfie.technlc�l.;codes;�nar shall issuance�af a.p�rmlt.p�event th�8ulldlrig t�l�la!from thereafter �
requlr€ng�cocrecttan af errors fn�:plans;-canstFu�tbn.or vlolatlons of-any cades.� Every•permit--issued sfiatl-become invaild
unlesa the work authorized.by such permlt:�{s.cotrtmenced•wlthfn sf�c,m�nths of�permlt Issuance, or if wca�k authorized by
the permit-ts suspended-or.sbac�doned-#oc$:perlad;of=s�t�#�8}�irnonttis..afterthe:tlrrie�the�wor�tc�is cammenced. An e�ttenslon
may be requested� in writing;:from tNe:Building,i3�icial for a pertod.not�.to exceed�ninety'(90)�days and-will dernonstrate
justifiable cause for.•the extension: If wor�t ceas�ea.for nine�r.(9tf}cons.ecutive�days...the��ob�is.consldered abandoned.
WARNING TO OYVNER. YOUR.:�AIWRE-,Tta,:R�EC:OttQ:A;,I#I4TIGE�:OFr�COMMEMCEMEI�lT��MNY-RESWL7�IN°YOUR
P�1YtNG TWtCE,,�'OR�IMPRO�'EMENTS.�"�?-�X.�}t�It�P�PER'3Y:=�1��YAU;f��`E�lD��TQ���t3B�A1N�PIN�l���NG;'Gt3�SUl.T
IT A Q � -O Gs, , V a � . �..° . -
FLORIDA JUFlA�:(F+S:117.09 " � .� . ;:: , .,�. , • • ..,
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OYVNEIt OR AOENT . � " CON'PItAGTO
8ubscrlbed and svwm (or efflrmed)before m th Subscrlbed'and'svwm�b ot'a�Irmed)�befot+e nte't!i!�
by .by... � �
Who isiare persanaliy knawn.M.m�or�hesthaye,producad Who,ls/are p.ersqna.11yknovm;td:,me.or#taelhave-produced
ae IdenUfloedpn. as IdentlBcaQon.
Not�ty Pubtic _ �otary Pub11c
Commisslon No: Comml�slon.No.
Mame of Notary typed,p�lnted ar stamped Name ot Notery typed,printed or stamped
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CAC058575
�2232 Hl�lY 3tD'E �}AL1E CiTY {352}521-4977 � �—�
DADE CITY, FL 33525 ZEPHY62FlILLS(8'!3)779-9515
NAME: Linda Klea D�te: 06/30/17 SPI.I YSTEM � PKG UNIT )Q(
SUBDaViS1oN: Valleydale H TPUMP X , STR.C40L -
ADDRESS: 6764 Erin Cir ; - �
c � c�n: ze nyrn��zs �� z�P c���: 3��a2 coHaE�as�R: PHJ436000KTPOA
��-� PHONE: 81$-$59-4697 WORK: IFtHANDLER: � Q
cEtiz: ��n�-r�R: H�-rER: CPHEATER125A00
s
�STinn,4TOR: JEFF et�N�: COMFORTMAKER
INCLUDED IN PROPtJSAI. - s��ac�+T�rs�: 1� 7 4,5�6.7,2 �
O 3000 THERMOSTAT/GOpD INSTANT REBATE :� ��Q;Qp � '
PAa TC3TAL :� i � .3,�ss.�z �
SEAL DUCTWORK TO CODE TONNAGE:= ',- 3� PARTS: 1 O YR • '
DtSCONNECT MPRESSOR:. 1 O YR iABOR:�1�YR '� �
CQNNECTED TO EXIS7lNG DUCTS AND ELECI`R1C ;
ANCHOR CONDENSER � CONDENSE :'- 3�A�
TAX,LABQR AND PERMlT ` !R H LER: � O .
$200 DISCOUNT /SENIOR , HEA;CER: YHTRV'�OrJ
, � ,:, awat�o= AME AN STAND D
t
' SEEF2 RATING: �4 i 5,'@ 04.36
� � INSTANT'REBAT .� g�p.QQ
T't�►TAL : ! 4, �.3�
Oi�NAGE: 3 j PARTS: 1Q R
COMPR soR: 10 YR �,4aoR: 1 YR
coNOENs�R: I M4PH4036A1000A
1R HAiUt}�ER: � �
HEATER: IMA TR1 P056 B
a�t�a: AIVIERIS �R
SEER RATING: �4 j Q,�,��i'�6.'r,�,'
� - INSTANT RE E :� S�O.00!
I HAVE THE AUTHORfTY TO ORDER THE WORK OUTLINED ABOVE I AGREE TWA7 SELLER T T � 3,666.!�
RE3'AINS'itTLE T4 EQUtPMENT AND MATERtALS t1NTll FtNAt PAYMfNT iS MAC�E.IF PAYMENT AGE: � i PaRrs: �0 YR
dS NOT MADE AS AGREED,SELI�ER CAN REMOVE SAID EQUIPMENT AND MATERIALS A7 COMPRESSOR: 1 O YRj u�BOR: 1 YR
� SEtlERS EXPEHSE.AhIY DAMAGE RESU4TING FROM SAID REMOVAt.SNALL NOT BE �
�� THE RESPONSIBILITY OF SELI.ER. LIMI7ED WARRANTY EQUIPMENT,PARTS AND �_`�� ! �rn
MA't'ERtAIHASWRli'1EHMANUFACT{7RER'SWARE2ANTYONI.Y � `--- ��"�PROMt�TION*���WY_�»
� 4°to FC7R 6E0 M�NTHS ! {WAC}
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CUSTOMER SIGNATURE DATE: I lNST'ANl; REBATE ;
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