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Home My WebLink About17-18873 CITY OF ZEPHYRHILLS '� ' S335-8TH STREET (813)780-0020 �88 BUILDING PERMIT '� ; - PERMITINFORMATION LOCATION INFORMATION I Permit Number: 18873 Address: 5654 6TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-03200-0200 � Improv. Cost: 3,200.00 OWNER�INFORMATION , Date Issued: 9/28/2017 Name: LAND TRUST 130608112621 JACKMAN Total Fees: 55.00 Address: PO BOX 669 � Amount Paid: 55.00 ZEPHYRHILLS FL 33539-0669 ' Date Paid: 9/28/2017 Phone: Work Desc: A/C CHANGE OUT 2 TON CONTRACTOR S APPLICATION FEES AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 55.00' � � Ins ections Re uired DUCTS INSTALLED DUCTSINSULATED 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 o'r 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. � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER `+S � � 813-7H0-0020 City of Zephyrhills Permit Application Fax-873-78D-0021 t � Buiiding Department Date Recelved Phona Cantact tor Permtriln -- -�- -nr-rr-r--rrrrrr Owner's Name J� 'Tr _.�- Owttsr phone Number � t Owner•s Address�p� ��p�`.�r�- ��i L��}�. 3�� Owner Phone Number �� Fee Simple Tllleholder Naine � � Owner Phone Number , ' . I Fee SEmpia Tltleholder Address J48 ADDRESS �`S'�'�k.'-'�' Z. � ( 3 LOT# �� SIlBDlYtSIQN � � PARCEt ip# [�- tY`" j" 1 - (OBTAINED FROM PROPERTY TAX NOTICE) I WORK PROPOSED e NEW caro57R 8 AdDlALT [� SiGN [� C] DEMOLISH � IN9TALL F7EPAIR PROPQSEp USE Q SFR Q COMM Q OTHER ' ' iYPE OP CONSTRUCTtOH Q BLOCK �J FRAME � STEEL Q � DESGRIPTION OF WORK �TU I�C. � I �� .��- � i ' BUILDING SIZE SQ F00'i'AGE HEICitiT � , .. _ -r-rTTIT�-tT"1�-'frr'i+'r't`� � - -. " . ": M"r'r`i-i"'It�'t- . . , e'Tr`rrI"*'r^rT�-r"Irr'r'rT!r- QBUILDING �_� VALUATIQN QF TOTAL CONSTRUCTION I QELECTRICAI �� AMP SERVtCE Q PRQGftESS ENERGY Q W.R.E.C. QPLUMBING �� ''�} i ` �+ �� 1� i '� �MECHANIGAL $� ��`jy� ' VALUATION OF MEG}{ANICAL INSTAL,kATlON �' QGAS Q ROOFING Q SPECIALTY � OTHER FIPIiSNED FIOOR EIEVATIQNS �� FLOOD ZONE AREA QYES NO .-�'.-:-�F-I-1-i.i.L-4•{-1-�1-a-.S�-0-O-�-L-1-i-C-i-F-:-'.f-�-i:bi..f-L-1-{-�4-f.-4*�5.�'-'.,�-4-�.�-1-E-1-1-�-{-1.-{�.I.i..1..4-6-'r.C-�;- I BUILDER � � COMPANY � StGNATURE REOISTERED Y I N FEE CURRE� Y/N Address License# ELECTRICIAN �! � �COMPANY �] SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N I � Addrass Lice�se# � �� PLUMBER COMPANY i � SiGNATURE REG(6TERED Y/N Fee cuaaen Y i N j Address .Licenselt � _ � i � MECHANIGAL , COMPANY �T /�G'•�t ��'!" 1Ci'_S. GrT �r�I.SLCJ � SiGNATURE AEG{STERED Y/N FE6 CURRE� � Y I N � I �'f�C:��'/.S�/�i�� i Address r� �'. C License# I OTHER COMPANY � � � SIGNATURE REGISTERED Y J N FEE CURftE� Y/N i Address License# � � � I11lIIIiIIIIltlliit [ IIIiiIIIiIIIit1IItIItltllillitlt { IitIltlltitlli RESIDEN7IAL Altach{2)PIo4 Plans;(2)sets of Building Plansi(1)saS ot Energy Fortns;R-O•W Permit tor new constructian, � Minimum ten(10}working days after submiiiai date. Required onsile,Construction Plans,'Stormwater Plans w/Sill Fence installed, � 5eNtery FacUitles 81 dumpsler;Site Work Petmft for su4divislflnsflarge praJects � _ COMMERCIAI. AUach(2}complete sets oi Building Plans plus a Llfe Safety Page;(1)se�of Energy Forms.R-O-W Permfl tor new construcUon. M(nlmum ten(14)working daya after submittef dale. Requ4red onsite,Canstrucllon Plans,Storcnwater Plans wt Sitt Fence Instaited, � SaNtary Facilitles&1 dumpsler.Site Work Permit for all new projecls.All commercial raqulrements musl meet compllanca j StGN PERMtt Attech(2)sets of Engineeted Pians: i """pROPERTY SURVEY requlred for all NEW conSlrucUon. +�-�1.�-�F.F-{.��-a-i- ..+-�..-�4.,4-i-F�i�.i-i-�i.•i�d.i-i.i-F.�.i�i.�i-{-i-.i-5-r.i-�-t-i-.i-I-.i-L-i-I-d.�-C.T.-:-.7:. � pirectlons: Fitl out appticatian compietely � Owner 8 Conlractor sign back ot appllcation,notarized if over 82584,a Natise of Gammencement Is requtrsd. (AtC upgcades ovar 57500} " Agenl((ar lhe coNractor)or Power ot Atlomey(tor tha pwner)would be someons wlth noter4zed letter from owner authorizing same OVER THE COUNTER PERMITrING (copy of conlrecl required) Reroats!i shingies Sewers Service Upgrades AtC fences(PIoUSurveplFoatagej - Qriveways-Not over Counter tt on pubtic roadways..needs ROW � i .• ' � ' •r i 7 * NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrickions" ; which may be more restricUve than County reguiations. The undersigned assumes responsibitity for compliance with eny � appllcable daed restrictions. ' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE5: If the owner has hired a contractor or � I contractors to undertake wark,they may be required to be Eicensed in accordance with state and local reguiations. If the I contrackor is not licensed as required 6y law, both the owner and contrac#or may be cited for a misdemeanor vialation under state law. If the owner or in#ended contractor are uncertain as ta what licensing requirements may apply for the i , intendsd work,they ara advised to contact the Pasco Caunty Building Inspection Division—Licensing Sec#ion at 727-847- 8009. Furihermore, if lhe owner has hired a contractor or conkractors, 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 i�dication thaE he Es not properEy iicensed and is nat entitEed to permifting privileges in Pasco County TRAFISPORTATION iMPACT1UTiLiTIES iMPACT AND RESOURCE RECOVERY FEES: The undersigned understands ; that Transportation lmpact Fees and Recourse F2ecovery Fees may apply to ths conskructio�of new buildings,change of � use in existing buildings,or expansian of existing buildings,as specified in Pasco Caunty Ordinance number 89-07 and ; 90-07,as amended. The undersigned also understands,thaf such fees,as may be due,will be identified at the time of , perrn(tting. It is turther understood that Transpb�tation Impact Fees and Resource Recovery Fess must be paid prior to i receiving a"certificate of occupancy"or final power release.. If the project does not Involve a certificate of occupancy or i finai power release,the fees must be paid prio�to permit issuance. Furthermore, if Pasco County WaterlSewer Impac# ifees are due,they must be paid prior to permik issuance in accordance with applioable Pasco Gounty ordinances. � COt3STRUCTiOFt LIEN LAW(Chapte"r 713,.Flarida Statutes,as amended): If valuatfon of work is$2,500.00 or more,I � certify that 1, the appitcant, have been provided with a copy of the "Flor3da Canstruc8on �fien Lsw—t-lorrieawner's � Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affafrs� If tha appficant is someone , other than the"owner",1 certify that 1 have abtained a capy of the above described dacumenk and promise iri good failh to I deliver it to 1he"owner'prior to commencement. ; � CONTRACTOR'SIQWNER'S AFFIDAVIT: I certify that all the inFormation in this application is accurate and that all work ' � will be done En compiiance w(th all applicabie iaws regulating canstruc#{an,zoning and tand development. Application is � hereby made to oi�tain a permik ko do work and lnstaUatian as indicaked. I cerli(y that no work or fnstailation has ; ` commenced prior ta issuance of a permit and that aIl work will be performed to meet standards of all laws regulating ` construckion, County and Gity codes, zoning regulations, and land dev�lopmen# regutations in the jurisdiction. 1 also certify that I undersland that the regulations of other govemment agencies may aQply ko the intended work,and that it is - i i my responsibiiity to idenfify what acfions i must fake.#o be in compiiance. Such agencies inciude but are not limited to: ' - Qepartment of Environmental Protectian-Cypress 8ayheads,Ntetlend Rreas and Environmentally Sensitive ; Lands,WatedWastewater Treatment. � ' - Soufhwest Fiarida Water iNanagement District-Weiis, Cypress Bayheads, Wetland Areas; Altering i Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Hes(th & Rehabilitative ServiceslEnviranmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. � - US Environmental ProtecUon Agency-Asbestos abatement. � � Federa!Aviatian Au#hority-Runways. i i � 1 understand that khe faClowing restrickions apply ko the use af fill: . � - Use of fili is not a�lawed ln Flood Zone"V"unless expressly permilted. - if the fili materlai is to be used in Ffo6d Zone "A", i# Is understaod that a drainage p(an addressing a "compensating volume"will be submitted ak time of permitting which is prepared by a professional engineer iicensed by the State of Florida. , - If the fill materia! ts to be used in Fiaad Zone"A°in connec8on with a permitted building using-stem walt construction,I certify that fill wili be used only to fill the area within the stem wall. i - if fi!! material is to be used in any area, I certify that use af such fiii will not adversely affect adjacent � propa�iies. If use of fill is found to adversely affect adjacent properties,the owner may be c3ted for vibiating ' the conditions of the building permit issued under lhe attached permit application,for lots less than one(1) � acre which are elevated by fiEl,an engineered drainage plan is required. � If I am the AGENT FOR TNE QWNER,(promise in good faith ko inform the owner of the per�nitting condltions set farth in � this affidavit prior fo commencing consiruction. I understand that a separate pennit may be required for electrical work, j plumbing, signs,we!!s, paols,air conditioning, gas,ar ather instatlaffons nat specificaliy inefuded in the apptication. A , � permit issued shall be consVued to be a license to proceed with the work and not as authority to violate,cancel,alter,ar set aside any provisions af the technical codes,nor shalt issuance af a permit prevent the Building Official from thereafter � i requiring a correction of errors in plan's,constnaction or violations of any codes. Every permit issued shall becatne invatid ' unless the work authorized by such permit is commenced within six mariths of permit issuance,or if wbrk authorized by I � tha permit is suspended or abandoned for a period of six(6}manths after fhe time the work Is cbtnmenced. An exfension � � may be requested,in writing,from the Building Official for a period not to excesd ninety(90)days and wiil dernonstrate � �, - justifiable cause for ihe extension. If wark ceases far ninety(90)consecutive days,the job is considered abandoned. � WARNING Tp OWNER: YOUR FAILURE TO RECORD A NOTlCE OF COMMENCEMENT MAY RESULT IN YOUR I'AY1NG 1`WiCE Ff3R iMPROVENfENTS Td YC1Uf2 Fit4PER7'Y. Ifi YOU INTEND TO QBTAIN FINANCING,CONSUL.T WITH YOUR LENDER QR AN ATTQRNEY BEFOt2E REGORDINCa YOt1R NO`i'IEE OF COMMENCEMENi' F.LORIDA JURAT(F.S:117.03J �` . ` , . ' . _' . � OWNER OR AGENT CONTRACTOR Subscdbed aad swom to{or a�rmed)before me this Subscribed and swom to(or affirmedj laetore me this by by ' Who istere perso�alfy known Efl me or haslf�ave produced Who islare pe'rsonally known to me or hasliiave produced � as idenlificalion, as idenUflcatio�. . Notary Pu611c Nolary publfc , Commission No. Commisslon No. i � Name of Notary typed,pdnted or skamped Name of Notary Iyped,prinied or stemped � I 1 • ° 6 � ' �� irT :� c1-� A�� Major Brands � � .� . �/�/�'� f�/�/f�� -Sales��ervice � . • •K._ ' ` • \�/;AiLiKfff{�� ' • � • , � � I grad McLemore Prestderit,ZepHyrhills,FL Office:813-779-7508 Fax:.813-779-7504 ' ' , , Lic�CAC1815498 ' � City of Zephyrhills Building Department � , 09/27/2017 i 5335 8`h Street � _ , . , � Zephyrhills, Ftorida 33542 (813)780-0020. � � - i � � � To: City of Zephyrhills Building Department , - Charles B. McLemore. licer�se holder.for Air Tech Services of Pasco. authorizes William McGinlev to ' apply for,sign for and pick up permits under my license number CAC1815498 , Respectfully, � � Charles B. L or . , The foregoing in �ment was acknowledged befor�me this�day of , e,� 2017 � L.�7 � ��'/GLP � BY r f ��•�-�' who is personallv known to me or has produced as identification and who did or did not take ' an oath. I � I NOTARY SIGNATURE �Printed name�Q ,r,� �-y,-( h � ,,,"��,� State of FLORIDA I County of PASCO ; � ` ;'��: DEBRA ARLENE FIENDLEY My Commission Expires: %/ � o'�C�L-�4 • SEAL: :.: .•; MY COMMISSION#GG045715 �.,,�� .' EXPIRES November 08,2020 � SERVICE INVOICE -,. � , LOCATION OF WORK A Yes / No — — —-- --_—_ -------- — --- - - -- -- CHECK LIST • _ - -- - 1 H-2 9 H- NnME -- -- - . p COMPRESSOR � '�'rT�C� ADDRESS j 1 ❑SUCTION PSI � � 7y` .�`1 � ❑HEAD �� w, ` �� 813-779�750� � WORKTOBEDONE-CODE ❑VOLTS AMPS ' n I ❑ELECTFiICALCONNECTIONS " � L,p P.O. BOX 1120 •ZEPHYR LLS,-FL 33539 �'�S1'o�.�� .O CONTACTS TIGHT 8 CLEAN ' �oa�vFtacoNomoN ei��To FL State Lic. #CAC1815498 Date � � � ❑ CONDENSER COIL NAME ❑CLEAN COIL 8 CHECK FlN COND. SERVICE COST ENVIRONMENTAL CHEEK LIST ❑�,,,,. oF�,� .F yt , ` � �cHruiciaN � REFRIGERANT S"�E� /�PHONE // WORKPERFOiiMED QTV. UNRPRICE ❑LEAK ❑CHARGE /� X I�,��i'�,� /O 70RCHUSAOE ❑ FAN AND MOTOR ' ' "` °' � RECUIM� ❑�� Ps ��y STAT ZIP j�C1 I '• � VACUUMPUMPUSAOE ❑ELE'CTHICAL CONNECTIONS h o ❑CANTACTS TIGHT 8 CIEAN MAKE �� MODEL S IA NUMBER ❑FAN PULLEYS(ADJUST BELn ' �J/ �� OTY. MATERIALS ❑CHECK,LUB BEARINGS 8 MOTOR ,_r, � ' �a� ` MAKE MODEL SERIAL NUMBER ❑ EVAPORATOR COIL �I REFHIGERANT0. ❑CLEAN COIL 8 CHECK FlN MAKE MODEL �l� SERIAL NUMB�R � ❑ENTOB_°FI LVGDB_°F G'� � G/� � . ❑entrwe_°F LVG WB_'F �KE MODEL SERIAL NUMBER ❑ CONDENSATE AREAS ❑INSPECT&CLEAN DRAIN PAN ❑INSPECT 8 CLEAN DRAIN DESCRIPTION OF WORK PERFORMED ❑ AIR FILTERS ❑CLEANED ❑REPLACED FILTER SIZE t � � ❑ HEI�TING ASSY. � � ❑BURNER 8 HEAT D(CHANGER / � ( //J'' + .❑FUELSUPPLVBPRESSURE � . / �� S(Y p� �/�C �f E./•f �l'/��,f./�" I YY1�LI�C1 ❑PILOTASSEMBLY , ❑FLAME ADJUS7MENT A� �J/' , ❑PHIMARY RELAY 8 FLUE �o � C - J�t�/Y 1 .f '�� IQGL�� ,�f ❑FAN&UMIT SWITCM OPER. �,� • f ❑e�owEaassenna�v " ��i�/� �� `-�'/•L fl� (�i C�..�, _ ❑Rvvnwe ❑STRIP NEAT � ❑DEFROST CVCLE i ❑ ELECTRIC/4L COMP?S ❑RELAYS ❑CONTACTORS � �M -..�' ,� ❑OVERLOAD ❑PRESS.SWITCH �'�� ❑ THERMOSTAT Time ot Arrival: ❑O.K ❑REPIACE �� v ;�-'r ❑RELOCATE Time of Departure: RECOMMENDATIONS I HAVE AUTHORITY TO ORDER.WORK AS OUTLINED ABOVE.THIS INVOICE IS SUBJECT TO A FINANCE CHARGE OF 1 12%PER MONTH. TOTAL SUMMARY ANNUAL PERCENTAGE RATE OF 18%WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEI"S FEES IF THIS INVOICE IS PLACED IN THE HANDS OF AN ATTORNEY FOR COLLECTION.CUSTOMER RECEIVED NOTICE OF CONSUMER TOTAL - RIGHTS UNDER CONSTRUCTION INDUSTRIES RECOVERY FUND. MATERIALS TOTAL LABOR SERVICE • CUSTOMER'S SIGNATURE CALL CHG. TAX LIMITED WARRAN7Y:All materials,paris and equipment are warranted by the manufacturers'or suppliers'written warranty only.All • labor performed by the above named company is warcanted for 30 days or as otherwise indicated in writing.The above named company mekes no other warranties,express ar implied,and its agenis or technicians are not authorized to make any such warranties on behalf of above TOTAL � a �) named company. �