HomeMy WebLinkAbout17-19032 CITY OF ZEPHYRHILLS
� � 5335-8TH STREE7
(813)780-0020 19032
BUYLDING PERMIT
PERMIT INFORMATION - • LOCATION INFORMATION
Permit Number: 19032 Address: 38735 6TH AVE
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: 11-26-21-0010-14000-0120
Improv. Cost: 6,481.00 OWNER INFORMATION
Date Issued: 11/08/2017 Name: LASETER MATTHEW
Total Fees: 70.00 Address: 38735 6TH AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/08/2017 Phone: (423)596-3310
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
RED CAP PLUMBING &AIR INC A/C CHANGEOUT 70.00
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Ins ections Re uired
D CTS 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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
TRACTO IGN URE PERMIT OFFI R
PER XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhi!!s Permit Application Fax-$13-780-0021
Building Department
� � ..--
Date Received Phane Goatact far Permitting
�-i-f-OTITI �.... .. -1-t-1-i-I" � .
Owner's Name • Owner Phone Number '"< � .
Owner's Address ( Owner Phone Number � �
Fee Simpfe Titleha[der Name � � Owner Phone Number �— ��
Fee Simple Tftleholder Address
� � �J08 ADDRESS ` � �Ol'#
SUBDIVISIQN � � PARCEL ID#
{OSTAINED FR{iM RROPERTY TAX Ft4TtCf)
WORK PROPOSED NEW CONSTR ADDlAL7 � SIGN � 0 DEMOLlSH
e INSTALL � REPA(R
PROPO5ED USE � SFR Q COMM 0 OTHER
TYPE QF CCINS7RUG7lOIV � BLOCK Q FRAME 0 STEEL �
DESCRIPTIOP7 OF WORK � �
BUILDING SIZE �� SQ FOOTAGE HEIGHT ��
�BUILDING �_� VAIllATtON OF TOTAL CONSTRUCTION
�
QELECTRICAL �� AMP SERVICE O PROGRESS ENERGY � W.R.E.C.
�LUMBlNG $ �( �� �.�}i
� ��Q �,.
QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION �
- z t
OGAS � ROOFING Q SPECIALTY 0 OTNER
FINISHED FLOOR ELEVATIONS � � FROOR ZONE AREA DYES NQ
BUILDER � � COMPANY � �
SIGNATURE � ftEGISTERED Y/ N FEE CURREA Y 1 f*!
Address license# �_i �
ELECTRICIAN � � COMPANY � i� �
51GNATURE aEctsrFrx�o Y t N r�CuwzEn Y i N
Address License# � {
PLUMBER � � COMPANY
31GNATURE � REGISTERED Y N FEE URREt� /N
Address License# �
MECHANICAL.
Si�NATURH Rec�srF�o Y N F�e una�n Y t N
�
Address License#
O7HER � COMPANY �
SIGNATURE REc�StEtzEo Y t N �CURftEn Y t N
Address License# � �
11611t1f1ilil � il ! llilliillii / } / liltllllIlii / iilllt11 / I / I1I1i / I � iFI !
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum#en{10)warking days after submittal date. Required onsite.Construction Plans,Stormwater Ptans w!Sitt Fence instalted,
Sanitary Facilities&1 dumpster,$ite Work Permit for subdivisiansAarge projects
CdMMERC]RL Attach{2}comptete seis of Building Pians plus a�ife Safety Page;(1}set of Energy�orms.R-O W Permit far new construc#ion.
Minimum ten(10)working days after submittal date. Required onsite,Constnaction Plans,Stbcmwater Plans w/SiR Fence installed,
Sanitary Facilities 8 t dumpster.Site Work Permit for aII new projects.AII commerciai requirements must meet compliance
SIGN PERM17 Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for alI NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . ... . . .. . . . . . . ..s . , .,-
Directions:
Fill out applicaiion complefely.
Owner&Contractor sign back of application,notarized
if aver S25Q0,a Notice of Commencement is required. (AtC upgrades over 57500j
" Agent{for the contractor)or Power of Attomey{for the ownar�would be someone with notarized IeBer trom ovmer auihorizing same
OVER 7HE COUN7ER PERMITi7NG (copy of contract required)
f2aroofs if shingles Sewers Service Upgrades A/C Fences(PloflSurveytFootage}
6riveways-Not over Counter if on public roadways..needs ROW
� � 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 COidTRACTORS AMD COPITRACTOR 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 IMPACTIUTILITIES IMPACT AtdD 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 occupanc�'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,Fiorida 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 performed 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 govemment 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,WaterlWastewater 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 ce�tify that fill wili 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 OWfdER, 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 exte�sion. 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
PAYIMG TWICE FOR IMPROVEMEMTS TO YOUR PROPERTY. IF YOU IMTEND TO OBTAIN FIPIANCING,COPISULT
WITH YOUR LENDER OR APl ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03� �
OWNER OR AGENT CONTRACTOR
and swo t � e b e �ia� nd sworn o( i d) e or thi �
�L y
Wh is are p onall me or has/have produ d Wh i re rsonally kn o me or h ave produced
as identification. as identification.
�� � otary Public Notary Public
Co issio No. Co ission No.
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P'�f 41arytyp ed, d Name of Nota
i� r MY C MMISSION#F 949956 pf,C�Cp^JpAp
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;�f�,.a; EXPIRES:March 13,2020 ?� :�: MY COMMISSIO�Y A FF 949956
��*P���� Bonded Thru Notary Public Undenvriiers p:�;o�; EXpIRES:Mat�h 13,2020
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'�:I]'Acqtaracy ,Gl;Retum�Supply ❑Inspect Pan CqnditEon OUT�IpE FAIV Q Discharga 7emg QTHER E�tended 4Varren8es ae under.nitten by an 3nsurance
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•�+.'1�;plrsbientTecrip,�� . Q:Ctean ❑Pan'Guard ❑Voits AMP.S•' ELECTRICAL II Clean 8 Wax OD Unit 1lmttatlans apply.It your watranty clafm Is dented,or portlons
';`�O'f.ilN'`•� ;. O:Rosting 1.Corrosfon �O B1oSlde Spray ❑Capacifors /• Cl Relays ❑Clesn Cabinet Switch thereot,the owner(s responsible to pay for those repafrs.
.AIR FIL7�t25 � � p Rebommend Pul1&•Glean t1 Float Switch Q Fan . C!Cantacts Q Ftust&Conosion p��Vatued custamer,
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,.�•C9 CIeaT�ed/R2pleced •', O'Strtp HeatAMPS ❑E3ecMical Connections ❑Balsnce, ❑Sequencers ti R-22 ❑41p A w�rd party warranty cieim wlp te pracessed by Red Cap fpr
either I:A80R/PART(5)or both on your behalf.lNe w111 make
' :O'Size',� ❑�Iectrical Cannections C1 Volts AMPS ❑Ternp •� ' ❑Overlaad/Fuse links ❑Recover Ibs, every effartto coilectfarthe repafrfromyour warran4y.comparry.,
�:'.LSl:bcatibn CI Valb AMP3� R Gapacitars ! REFS2lGERANT t�Trsnsforntecs ❑S�ut Back lbs. In ifsa event�ey do c�ot Aay}rou wiH be responsx'bte to�,ay for
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:?'..'�.�BG;fAt}t �• q 6lawer Whee! CONDERIS4R COiL D Type• CI Disconnect O Back to Shop Ibs. 1he�eiaairs made titat may not 8e covered by your wsrraniy.
aHu�'��,. 'q.Blower Relay C]CI98tl Yes NO,_, ❑$UCtio� ❑DefroSt Gontrof By sfgning this toh11 you bcKnawledge FC ffie elaim is unpafd
'�.b Tetnperature'pffferendal � �:Capacitprs /' C1 Cortosion ProkeCtlan Q Suction Temp � G!Connections you will 6e•responsibfe for tcdays charges as quoted by yoar
Service Terhnidars.Paymentwti!be dus ugon[eceipi of(vvaEoe.
� + � � D ` t D + S � Wa velue you as a eustomer and would Gke to thank yoa far
choosing Red C2p tor your heating end xir conditionlrtg�eeds.
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'r�P,aulhonie the p�rfotmanca of thn work descrbed hereln.Thfs Invo3ca,Induding Isxes,Is due end payable upnn recelpt Slgnature X, APP ROVED BY
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PLUMBING & AIR
REDCAPPLUMBING.COM
P: (813) 963-3056 F: (813) 963-3016
PO BOX 9627 TAMPA, FL. 33674
NOVEMBER 7, 2017
I Linda Lee Wilson, license holder for CAC 1813344, allow the following employees to pull permits on my behalf.
ChristopherAllen King D/L K520-101-70-240-0
Ann Marie Ferrante Gennaro D/L F653-053-71-722-0
Esteban Rafael Rosario Sanchez D/L R262-216-71-165-0
Charlie Michael Henry D/L H560-153-78-325-0
John F Conway DIL C500-466-82-297-0
,����:y�;,, t�nc�coNaao
=�; :__ MY COMAMISSION�FF 9?9956
- y��,P; EXPIRES:Maroh 13,2020
.,R���;.••' Bonded 7hru Nota Publi
This list supersetles any other list that is on file ry cUndonvriiers
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Thank you -
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Linda Lee ilson
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