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Home My WebLink About17-18638 CITY OF ZEPHYRHILLS , , . 5335-8TH STREET (813)780-0020 18638 BUILDING PERMIT PERMIT INFORMATION - � LOCATION INFORMATION.= Permit Number: 18638 Address: 37414 PICKETTS MILL AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHAIVGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS VILLAGE Est. Value: Parcel Number: 03-26-21-0200-00000-0570 Improv. Cost: 5,018.00 OWNER INFORMATION Date Issued: 7/06/2017 Name: MASSEY SHEILA Total Fees: 65.00 Address: 37414 PICKETTS MILL AVE Amount Paid: 65.00 ZEPHYRHILLS, FL 33542-1877 Date Paid: 7/06/2017 Phone: 813-695-2063 Work Desc: A/C CHANGE OUT 3TON CONTRACTOR S APPLICATION FEES BALANCED AIR INC A/C CHANGEOUT 65.00 � Ins ections Re uired DUCTS INSTALLED DUCTSINSULA D 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. NOTlCE: 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 1 �'.� � 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 � s�saso-oozo City of Zephyrhills Permit Application F�-ai�-�so-ooz� , : . Building Department Date Reeeived Phone Contact for Permittin Owner's Name .2� �Q 1 �' `0.sJ� Owner Phone Number O�J � �J ��3 Ownels Address J�� 1'� r < < �-("r$ l�� `1 f�V Owner Phone Number Fee Simple Tltleholder Name Owner Phone Number Fee Slmple Tltleholder Address JOB ADDRESS � ! � �C.(G Q. S ' '`� `� ��'L LOT# � SUBDNISION �i vt,��Q,�$ V�4` PARCEL ID# D 3 r �lO r �� r �� —d oQ Q�—�s7� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADDIALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR' Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK � l► Q- U� C�A OIJ�. \ 4 1 � J� ��I C�f �E� C�V` �� BUILDING SIZE SQ FOOTAGE HEIGHT � �{�-(Z.Z'- l�OC'7 S S�0 QBUILDING $ VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ J ��j j„ � v �][JMECHANICAL $ ��+c� 0� VALUATION OF MECHANICAL INSTALLATION �� , /J O'` ✓� � ��" � QGAS Q ROOFING Q SPECIALTY 0 OTHER / FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# COMPANY tiJ�l A,f'LC� (� /�'L r ��C SIGNATURE '� 0�� REGISTERED Y/ N FEE CURREA Y/N address �� r� �or _ �-3�(vb`J �icense# � L� 3��O� OTHER C MPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# Illlllltlllllllllllllllltllllllllllllllllllllllllllllllllllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facllities 81 dumpster,Site Work Permi[for subdivisions/large proJects COMMERCIAL Attach(2)complete sels of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: FlII out applicalion completely. Ovmer 8 Contractor sign back of application,notarized If over 52500,a Notice of Commancement Is required. (A/C upgrades over E7500) •• Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � J NOTICE 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 assumes responsibility for compliance with any applicable deed restrictions. - UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. if the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy'or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner s Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to ' deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is , hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WateNWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. ;� - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to 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 is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall , construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested,in writing, from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 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. FLORIDA JURAT(F.S.117.03) � OWNER OR AGENT CONTRACTOR f_/�"'�/ � Subscribed and swom to(or aKrmed)before me this Subscribed and swom tR(or a'ffirmed)befor�me this �� by `7—1—�7 by ISC�Jt J nA/'� Who is/are personally known to me or haslhave produced Who is/are pg sonally knoy'n to me or has/have produced as identificadon. i"� � . CP Ze t as identification. � Notary Public � '�� ,LA./ Notary Public Commission No. Co mission o. � :�"�:•°�'B�k•: FF 150422 ISSI011# Name of Notary typed,printed or stamped Name of Notary ��p d qF"sl��pgC@f11 B� , '.;�QF��oQ.� gonded Thru Troy Fain Insurence BDO�BSd019 � t 4 w * * � » Proposal w rU► A► ♦r1P !� }� !'1 1 M i+1 A �. � � A A . . . Date Proposal# Office (727) 842-2247 Fax (727) 842-2245 6/30/2017 2119 This proposal may be withdrawn by us Prapasal Submitted To if not accepted within 30 days. Sheila Massey 37414 Picketts Mill Ave Job Location Zephyrhills,FL 33542 Sheila Massey 3"7414 Pioketts Mill Ave Zephyrhills,FL 33542 Qty Description Removed existing equipment and replaced with new hame camfort system.{��HRI Ref#: 910QS88} 1 3.00-tan, 15.25-seer Yark�LX Series�Ieat Pump R-414A Candenser(Y�HE36B21H} 1 York�.A ir Handler(AE42CBF2l) . 1 SkW I'ork Electric Heater with Breaker(Sl-6HK16500506C) 1 Ultravation Ultraviolet Air Purifier(UMX2412EZ) 1 Aprilaire 1000 Series Media Air Filtration System(1310} 1 Honeywell Wi-Fi VisionPro 8000 Touchscreen Therrnostat with Humidity Control(TH8321WF1001) --Adjustments/Origanal Proposal$5,318.00 -- -$100A0 Trade-In Credit -$200.00 York Manufacturer Rebate-Instant Discount(Sheila Massey) +$ 0.00 Media Air Filter Promotian +$ 0.00 Ultraviolet Air Purifier Promotion +$ 0.00 10 Year YorkCare Home Comfort Plan-Labor Warranty We propose hereby to furnish material and labor-complete in accordance with above specificarions,for the surn of: ��j�018.Q0 Acceptance of Proposal The above prioes,specifications and conditians are AUTHORtZED SIGNATURE DATE satisfactory and are hereby accepted.You are authorized to do the wark as specified. SIGNATURE DATE Ptease cat�our office at {72T} 842-2247 with any questions. � 1 w �^ �► � �► ! �! I� f�► ^ � 1� � � w � w � 'w� w ♦ � . A • � � • . ' . • (727) 842-2247 (727) 842-2245 Fax 8009 Applesix Drive, Port Richey, FL 34668 July 3, 2017 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 To Whom It May Concern: This letter is to serve as an authorization letter to act on behalf of Gary Shari and Balanced Air, Inc. I, Gary Shari, hereby grant authorization to the following individuals to act on my behalf with the City of Zephyrhills and to conduct activities related to building permits. This includes applying for and obtaining new building permits. • Benjamin Shari • Naomi Shari • Susan Shari • Danae Snitko • Alexis Boyer • Anita Cresoe-Sanford Please contact me if you have any questions by calling 727-842-2247. Thank you. Since ly, , � � G 3hari I President , State of Florida County of flI�_IS C(J � The foregoing was acknowledged before me this �� day of (�V ,20�by � I- -��who is personally known to me, or who produced L entification. ' Notary Public Signa e L Print,Type, or St p Name of Notary ., ,,G BRITTANY B.BURBACH =��n Notary Public,State of Florida � Commission�FF 140712 , My comm.expires July 10, 2018 I I