HomeMy WebLinkAbout17-18709 CITY OF ZEPHYRHILLS '-''
5335-8TH STREET
• � (si3)78o-0020 �09
BUILDING PERMIT
' PERMIT INFORMATION � -' LOCATION INFORMATION �' I �
Permit Number: 18709 Address: 6135 10TH ST
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: TYSON
Est. Value: - Parcel Number: 02-26-21-0080-00200-0330
Improv. Cost: 9,565.00 OWNER INFORMATION
Date Issued: 7/28/2017 Name: VILLANUEVA, ROSA
Total Fees: 85.00 Address: 6135 10TH ST
Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/28/2017 Phone: (813)500-2421
Work Desc: A/C CHANGE OUT 3 TON W/ DUCT SYSTEM
CONTRACTOR S APPLICATION FEES
ONE HOUR AIR CONDITIONING & HEAT A/C CHANGEOUT 85.00
N� ��2,.�/ �
� Ins ections Re uired
DUCTS INSTALLED
F�NALS INSU�T��
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 properly. 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� ONTRACTOR SIGNATURE PERMIT OFFI R
, PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Departrnent -
Date Recelved, ,
9 ;- Phone�Contact for Permit�in
` � � `��-�I�t3�v
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number 3 �'� � {
Fee Simple Tltleholder.Name � � Owner Phone Namber '�-
Fee Simple Titieholde[Address �� � �
1-h �
JOB ADDRESS LOT#
SUBDIVISION � PARCEL ID# O ;� " _ �r �
, (OBTAINED FROM PROPERTY.TAX.NOTICE)
WORK PROPOSED NEw CONSTR ADD/ALT Q SIGN` Q Q ' DEMOLISH
�B. INSTALL � REPAIR � �
PROPOSED.USE • Q SFR Q COMM Q •OTHER " '
TYPE OF CONSTRUCTION Q BLOCK ' 'Q FRAME � STEEL Q _
. . .
DESCRIPTION OF WORK `� �c.'�C S
BUILDING SIZE ' -SQ�FOOTAGE� , HEI,GHT .�
QBUILDING , $ VALUATION�OF`TOTAC'CONSTRUCTION a
QELECTRIGAL $ - AMP SERVICE Q PROGRESS ENERGY Q W:R.E.C.
; PLUMBING� ;$ '
MECHANICAL $ VALOATION OF;MECHANICAL INSTALLATION ����f
QGAS Q ROOFING Q . SPECIALTY ' OTHER �, � 1
: 0
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO
BUILDER COMPANY' - � -
SIGNATURE REGISTERED Y/ N FEE CURRE� Y'/N'
Addre�� , Ctcense�# �
ELECTRICIAN _ COMPANY • -
SIGNATURE w' REGISTERED Y/ N FEE'curtREn�'� "�Y/N
, . = .
Address ' � , ; License# - �
PLUMBER " COMP.APIY ^ �
SIGNATURE` , _.REGIS.TERED- Y/;.N; : ,�!-_FEE CURREN ' Y-/N. •"
Address _License.# � . � -:
MECHANICAL' �, . , COMPANY, . , ; .. �, ' . .
SIGNATURE " � REGISTERED � �/ FEE CURREA�. Y/�N , „ � •
Address' �r ' �L 3 ��� �� License# � � . `
OTHER " - - - - . `;COMPANY,`
� _ �� .
SIGNATURE `•� •- - ' � � � ' ' ' �' REGISTERED ' / N:;..' � �`FEE CURRE� Y/N
,. . � . . . _
. ,. , . . . .. . .
Address � .. f _ ;, .:.;:• .. . ` License# , . ,�
� �c��. :• �. .:.. ... .. . :.:._ ..,. ,. �,.•,.;�,
RESIDENTIAL': : �AttacFi'(2).,P1ot�.P.,lans;:(2)§ets=of�Buililtng�Plan's;(1)%set of Energy�Fortns;:�R=O=W;Perinit for new constructlon, - ' � �
�- ��Minimum:ten°(=�1,0)tivuq,rkingFdays;after:submittal`date.:�:R'equired onsite;;Constiucdon:Flans;Stormwater Plans w/SIIt Fence installed,
'� �Sanitary Facil(Ues;&�;I,,,dumpster_S(te Work;:Permitforsubdtvislo,ns/large-projecfs�,:. �..;ry _ ` ' �`
- COMh1ERC1AL Attach(3)�complete sets cf Build(ng Plens plus'a�Ufe'Safefy Page;(1)set of Energy Fortns.R-O-W Permit for new construction." -" - �
Minimum ten(10)worktng days'after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Permit Tor all new.proJects:_All commerclal requlrements.must meet compllance °
SIGN PERMIT AttacFi"(2)'sets of Eng,i'nee_r.ed;Plans., ; :'�- �� -. �. �
""PROPERTY SURVEY required_for all_NE4'_V_construcdon.,
Directions: - . � . . ' .
Ffll out applicaUon completely.
Owner 8 Contractor sign back of applfcaUon,notarized
If over;2500,a Notice of Commencement is requlred. (AIC upgrades over 57500)
.;��r.;��.
'" �qent(for the cantractor)or Power of Attomey�(for tFie owner)'would be someone with�notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING - �(Front of-Application Only) -
Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
Drivewaya-Not over Counter if on public roadways..�eeds ROW �
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. , � ,
NO'f�CE�F DE�t�62ES"PRI��'�A�9�: Th�uo�de�slgn�t�ttndec�ta�ds�=�h�t.#hi�;pet;mit.�nay.b�,sub)e+ct:tca"deed"r�str#cQisin�° ._ '_ i
.,..
which majr-be:more.rest�ictive=t0�afn County'regul�tCons: '7he°:u�decsigned��as'sumes°�esponsibiltty'for`cc�rriiplian�e witli any'
: ;�.
appllcable deed-teshlct�ons. � _ . -
UiVL1GEIVS�D GUNTRACTOR� .AN� Ct�►NTRACTOR RESPONSIBI[�iTtES: -If the owner`has°�hlr�d �a -conhactor or
contrac4ors to undertake v�ork� they may b.e�.r,�qu;tred.;to.be,licensed In accardance.with�#ate.and•la�cal_regulatians. :If the � �
contractor is not�ll�en�ed as requlcetlAtiy law, tiatt� tt,e owi,eP ana-.co�s�actor�m�y be°�ctted foa��a�misdenneanor violation
under state law, if the aawner or Interoded;rcontra�tor,are,:unc��taln as to e+�hat Ilcenstng.requirements.�may���apply`:�foc.the
intended v+io�ic,they afe advised 4o co�tact the�Pasco�out�#�y���lilfng'.lrtspection�Ivislon--�icensfrig�Se�##on at 72�-847-
800�. Furthermare, (f the owner has hired a cont�actor or conQracto'rs, �he is advl�e�d to have the contractar(s)„slgn
portians of the "contractor Block" of thts_applica#ion_for,whlch.they will be xes�onslble.• t�you�-as;fhe owner�s(gnLLas ttie �
contractor, that rnay�6e an Indlcation that°lie°is nat':praperly licerised an��is not entit�ed ta permitting priiiiteges in Pasca
Coumty. ' . � ' ' �
TR�NS�QRTATtK}N-�MP�CTtl1TILITIES�IMIRI�G'T AN�t�E�l�U�t�l�RE�sVERY FEES: T�te unde�siga�ed-understand�
that Transpartation impact fees and.Ftecaurse Recov�cy,Fees m`ay,��apply•4o�the;constructlon,of new buildtngs,�ahange�of"�� �� -
use In existing bulidings, or�expar�slcin�f of��existi�g.�bullditigs, �s specffted.in P,�sco County �rdlnanc� numbee 89-07 and
90-07, as �mended...,�he undecsigned aiso:wnderstand�; ttiat�suc�fees,;as��nay:be:due;�will�:6e.iden#ified at fhe�time�af= .
permitting. It Is fu'rtFier understood that Tra�nsporQation Impaot Fees and Resource Reco�e'jr�Fees.mus# be paid prbr to
recelving a°ce�#�icate.of occupancy"ar flnaF pawer;�etease: :1�'�the.pro]�ct�.d�es.not involve>a��ert�i��e of occupancy ot'-��-
final power release; the�#ees mu�t be pattl;p�lor to,perrre�# Issu�nce. Fu�thermore;�if:Pasco�.C.ounty 11Vater/Sewer�lmpact �
�ees are due,.they t�ust.be=Paid:prlor t�a perrnit_;issuana�=ln_accordance rn�itli apP!#cable:Pasc��.County�ortlinances. - ,
CON�TRt1CTi�N"LI@N't.A�(Cti�pter 7�3� �ior��la����u����as aer�enc��d}; If valuation of'dvork is$2,5Q0.00 ar more,.1- �
certify that I, the._applic�nt;. have-been provided �with-�a copy- of the• "FMoeida� Constsuctton Uen :Lav�—Horneowner's
Protectian Gu#de" prepared by�the F�n�ida Depa�ment of Agrtc�lture and Cansam�r�AfFairs. If the applicant is somemne �,,
other than th�"owr�er", I certify�.that(.have,ob.t�ined�a�ci,ipy.of..the:above.:�fe�s.cribed docui�i�ent;and.p.ro.mise.in;good'�fai#h to �
1�@I�Y@f IS t0 tI1@:�OW118["p'.�}�OF`��cor��nenceiri�nt:'� � , �
C�NTRAG'POR'�lOVVNER'S AF�IDAViT: i.cert,Ity:�:that,ail�the�Inf.ormation�Mn�thi.� appll��tion is accurate and that all�uork
will'be done in camplianc� with al! applicable�laws regt�lating construction. zoning and•land�devetopment. Appllcat#an is
�ereby made ta obfaln .a.permit.,to .do. _work�;,and ins#atl�tioro as indi�aied:...•�t certi�,i that no work=°or instaliation has
commenced prior to issuance of a perm(k"and that.all avork will be pertorm�d to meet standards of aU laws regulating-
constrvction, Gounty and CI#y codes, zonir�g regula#ia�ns, and land devaiopment r.egulatlons�in the �urlsdtctlon. I:al'so
certify that I understand that the regulations of other gavernm�rot agencies m�y apply ta the.Ontended �rark, and that I# is
my responslb311ty#o ldentify�what.actions 1 must take:ta be<fn,.com#Ilance:_ S.uch:.agencie��lr��lude buf��re.�tot limited t�:
- Depa"rtment of E�lviranment�t>�Profecfion=Cypress.`8ayh�ads, 1Netland Areas and Environmentally Sensitive
Lands,lNatedWas#ewater Treatment.
- Southwest Ftorlda Water Mar�agement' C?istrict Wells, Cypress.'�Bayheads; Wetland' Areas, Attering
Watercaurses. � , �
- Army Cc�rps a#Enginee�s�Seawaifsw D�cks, NavlgaRile Wate�atrays.
- Deparkment of Heaith;:,&,Ret�abllitatid.e,Services/Er�vironrrqental- Mealth Uhit Well.s, Wastewtater Treatm�nt,
Septic Tanks.�` ._ � :
- US Environmentai Protec#ian AgencyAsbestos abatement.
- Federal Avlatton:Authority-Runw�ys.
i ur�derstand#ha�the.follziwtng::res#r#cti�ons appiy t�the use of flll:�
- Use of fill Is not allowed in iFlood;Zone"Vp unless expressly perrr�itted.
- If the .flll in�te�lal-Is t� b,e used.'!n :Flood �on�. �A", It. is understood that � drainage plan addressing a
"compensating vaiume"wiit be �ubmitt�d �t time af�permittfig which is prep�red by a pr�f�ssionai engineer
Iicensed by#he�tate of�Mo�ida: -
- 1f the filll ma#erial is to-be�used 1n Fl��d ��ne °A° in�conn�c�ion�wl#h����ermltted buildi�g using stem wail
' construction, !certify tha�fili�:v��ll.b.e used only�to.fili the area uvithin the�stem�wali:
- If fi}I �aterla! ts�to be used in any are�, ( certl�t �hat .use af'such�fftl wiii nat ad�ersety af�ect adjacent
properties. tf use af fili is fo�nd to adversety:�ffect adjacent�pmperties,.the� owoter noay be ci#ed for viola4ing
ti
the condltions of the buil�ing.permit I�sued under the �t�ached�ermlt app!(catlon, for:lots�.less than.one (1)
acr$whlch are elevated�by fllE;aR englnesrsd dralnag�plan Is required. •
If I am the AGENT FOR"PFIE�IAIiVER, I�{�romi�e In good falth to fnform the owner of the perm(tting cond�#ions set forth In
this atfidavit`prior ta comm�ncfng conatructian. �1 understand that a<separate pet►nEt may be r�qulred for e1e:�tricat work,
�.....�-.
plumbing,_signs, wells,„pools;, air conditioning,.g�,s, or athec instali�tlons not�speciflcatly inciuded-ln tMe apptication. �A
perm0t issued shail be construed to be�a�Itcense�to�proceed with the work enil not-as:authoHty to..vlolate,�cancel� �Iter, ar
se#aside sny provisfahs of t1i�techcilca#.codes;�nor shall ls�uance}�f a.p�rmCt.peevent fh�e Bulidirig C1#iici�l frorr�th�re�fter
requirtng a carrection af eRors.:in~plans; constructian or violations of-any codes. Every p'erm(t Issued'sliail�6ecome invalid
unless the �rortc authorized_by such permit:�is-commenced�wtfhin sf� months af permit I�suance3 or If vrr�tk authorfzed by
4he permlt is suspended�.or.abandoned�for a;period;of:�sbc(8)�mnntti�.efter the time the work�is commenced. An extenslon
may ba requested, !n writing, firam the'Bulldtng,Official for� pertod-n�t to exc�ed�nin�ty�(90) days a�d�wlll demonstrake
��asti##�ble c�use for:the extensiot�. if work c�aseS.fmr ninety.{90)cons.ecutive day�,..the)ob�is.considered ab�ndoned.
iMARNtN� Tt} �WPI�R; YOUI�..�AIUIRE T{l.,R�GO�D. .A.�NOTIG� OF�CAMME�tCEMENT-MAY �ESt��T IN Y4UR
P'AYIMG TINICE:FOR=1MPitOV�MENTS�T�..YOUR:PRCIPERTY.•��IF°YA.EI�IN�END'T���S�T�IIN��FIIV�wE1NG;�CC#NSU�.T
WITN�fOUF�L6ND�RRi„4R AN��►TFORNEY$fFA..�tE�R�OR�ING�YQUF�'Rfi9Ti��'O�`�[�M11�d��iC��d�T' __ _ _ _._
F�.t�Ri�A JtlFili'i'-{F.S:1.17.03} � . ... . . _
OWNER+�R AOEN� CQNTl�ACTCIR .
Subscribed and swom M(ar aflirmed}betore rne 9his Subscr3bed and'swom to{at aflfrmedpbefdrs'me ttii�
by - �by -
'�Itio Is/are personally knavm to.me or ha�/have praduced Who.is/are p.etsonatty knav+m tcr me or he�thave�produced •
as Iden�flc�8cin. as identlfication.
Notery Public . Notary Publlc
Cammiss4on�Uo: Comnnisslon.No,
Name of Notary typed,Pttnted or starr�ped Name of Notary typed,p�tnted or stemped
Work Order �I�II�I(���I�I�I�I�
� � PRINCEC(J 1NC dba 4NE H4UR.AIR � �� � � �� 1
S80$N 56TH ST SUITE A Job No: 499415
�� _ TAMPA FL 33610
813 664-4I62 FAX: 813 980-3636
Zo-aai�s�o
Service At: Customer# 9Q840698 Bil!To: Customer# 9Q840698 Rating:
Del Valle,Rosa&Pedra 813-370-9936 Pedro Del Valle,Rosa&Pedro 813-3'70-9936 Pedro
613� lOTH ST 813-SQ4-1649 Rosa 6135 1QTH 5T 8i3-500-I649 Rosa
ZEPHYRHILLS FL 33542 ZEPIIYRlE3ILLS PL 33542
Email: rav$2568@msn.com Email: rav82568(c�msn.com
Type: RES Src Type:Othar Open Balance: ($69.00)
Zone: WES Saurce: INT Payznent Method:
Map: Credit Lirnit: ,
Subdivision: Installation Customer `
Skill: Taac:
Directians
Instructions NEED DRYWALL FQR A QUARTER SIZE CEiT�ING HOLE.SAS 7114J2?5:46 PM
MATERIAL IS HERE � '
` r�CHRIS SOLD `
SOLD 3 TON GREEN DUCT SYSTEM R8 VALVE �.,J�1 .
ALL NEW REDESIGN&MASTIC SEAL �
ALL NEW SUP�LY AND RETURN
ALL NEW BOt�TS AND VENTS � �
ALL PROPERLY SIZED AND H[JNG TCJ CODE ��
DUAL UV{LIFETII��IE WARRANTY}
MPG FILTER ���� �
HONEYWELL 8000 WIFI'I'STAT ��� ���'%e.� �
RELINE OF AIRHANDLER C�
SURGE PROTECTOR FOR A/H �{`�1 '"
�
3 TON START ASSIST
COUNTY INSPECTION 8-3-17
INSTALL TO BEGIN 7/1
TOTAL PRICE OF J B 9,565
Work Sugg
Wark Done
Caii Info Jab Info
Call Na.: 499415 Booked by: IVETT Job No.:499415 Taken: 7/18/17 9:12 AM
Type: DUCT Booked Date:'7/19/1'7 Class: IAQ Taken by: IVETT
Scheduled: 7/19/17 6:OOAM Sched by: SCOT'TW Type: DUCT Cust PO:
Pri Level: 5 Src Typ Uther SalesPerson: CHRISF
Eq Age: Source NONE
Src Ref
Contact:
Cantract#: Claim#:
Equipment:
i
Assignments �
Employee TaskCade Scheduled Time ��� �} A�� }� `�p� `��,
LASCOT 8:45:00 AM �'i�XiV�'� 4' 1i��"`���G.�' �i� �
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11TQT�r'E OF CflMMENCEMEP�IT
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IUe qpde�n+ed her�G7�iv�noM�e�t impe��e�s aQ16e maQe ta ccrtelu real PnnPertyp aod la accorQanee with 6eetlon 7t3.13 of thc , "�*��i�t��
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4. Contractar Nama:�'+��e Hour Ait Conddton)ryq and Heatina ��
p,ad�ess; 5808 A!56th SL Scstte A+8 Tar►tpa FL.33&1D' I ?l�onc 813-884-33.'*`� ,
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To Whom It May Concern:
Please be advised that I,James Dunbar, do authorize the following persons to register the license#EC00000146
EC00000146 and to purchase/pick up permits on my behalf. Please update your records with the names provided
below:
Kenny Newman
Mario Martinez "
Scott Wood
James Mullis
Kelly Hyde
Matt Wynn
Marlly Sanchez
Alyssa Preis
Therese Sheehan
I swear that the above statement is true and correct to the best of my knowledge.
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A ant Signature Date
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Affiant Name
Sworn to�d subscribed before me this�day of�J��'`�2017.
Nota Public
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ID Taken N07)398-0�53 Ex �019
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''' '= A� �F920� " MY COM�IISSION N FF82086g
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N07 398-0�S3 F�w�a...�. ,,�, NC7�398-0t 53 Fbrttlafva�y g�,��,
813-651-3485
5808 N 56th Street,Tampa, FI 33610 EC00000146