HomeMy WebLinkAbout17-19033 CITY OF ZEPHYRHILLS �,'
„ 5335-8TH STREET
' - � (813)780-0020 19033
BUILDING PERMIT
�' PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19033 Address: 5943 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-00600-0020
Improv. Cost: 6,025.00 OWNER INFORMATION
Date Issued: 11/08/2017 - Name: LAWHORN LETA
Total Fees: 70.00 Address: 5943 10TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-3564
Date Paid: 11/08/2017 Phone: (813)335-5840
Work Desc: A/C CHANGE OUT 2 TON HP
CONTRACTOR S APPLICATION FEES _
PATTIE ELEC. & REFRIGERATION A/C CHANGEOUT 70.00
�� c� , �
, ;�
�
�
y
� �?�
� Ins ecfions Re uired - " -
DUCT 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 go,vernmental
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.
CO T CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
----- - - � ��
� 813aso-oozo City of Zephyrhills Permit Application Fax 813-780-0021
, ' Building Depactment `�
Date iteceiv.sd _ � Phone:Cantact�far Perm3ttte '
�:-
j . _ �
Owner's Name L..ci� �—a!�✓�a�(? Ownar Phone Number c/�� ���.� ��� .
Owner's Ad'dress .� �! 7 7 `� '�`��. v� Owner Phane.Number �� t� '
Fee 3lmple�TI#Ieholder.Name �� ' � Owner Phone Numbe� '� �
Fee S(mple 7ltleholder.Address �
JOB ADDRE$$ � 1 J� l� '7! �� LOT# C�
SUBDiVIS10N , � � PARCEI.ID# ` 1 l` �l� ^ �'I '!J O I�J ~— l�,d GDD �C,D�ot
j , , , (OBTdINED F.ROM PROPERTY7AX NOTICE)
WORK PROPpSED �NEW.CONSTR ADD/ALT Q` S1Gi3' �Q � [� DEMOLISH ,
-e. INSTAL:L � , -REPiAIR •. , •
� •
REtOPOSED.U$E .. . Q= SFR; � 'GOMM 'Q .OTNER , `
TYPE OF CONSTRUCi'ION Q✓ " BLO'CK " [;�] FRAME ' C] STEEC C]
DESCRIPTICIN OF WORK� f /G lj�q� U'2� U"(a(1 ��/'�` �{ ��� .
; �UtLDING SIZE� � �'SQ FOOTAGE*��: . ,,,HEIGHT YC�,____r��
.i
QBllII.DING $ VALUATiONaC1F�T01'AL'CONSl'RUC'i`ION t�� �� '
� -
i ELECTRICAL. $ AMP SERVICE
Q , Y-� � Q 'PROGRESS'ENERGY Q W:R.E:C.
i ,
QPLUMBlNG� $ `
i ��.� � �
�MECHANIGAL �j'� ,r��. YAIUATiOM OF;MECHANICAL INSTRLIATIQN ''��(�yr /���� , .
(/� y�L,r ri�
; _%� �
�c,As , 0 F2QOFiNG _Q s�Eciat.rt .� orNE�t<
FINISHED FLOOR ELEVATIONS ��� F1,00D ZQNE AREA QYES. yN0 . .
_ - ..7
, � , . .
BUIZt1Eit ; CONIPi4N1f� , . .�_ , ^ � .
SIGNATUFtE REGISTERED Y/ N `FEE CURREI: ' Y/N ,
, -,� .
ARIdr68S LIce11Se#w'� �
E�ECTRICIAN.; : _, .�GOMPANY .
SIGNATURE � REGISTEREO Y/ N FEE CURRE��' , '� ^Y/N" '
Address ` ., � _ . - � _ � � � � License# �.— ��
.. _ �, �ti _.r
, - � � � . � - , : .. _ '
PE.UiY1BER °, ,.CO.MP,AElY � � .
SIGNA'TURE' ,REGIS.T.ERED Y�/,-N,e �;FEE CURRE� Y./N. -
, .-,. . , . . • . . .
, ... .-
. . . . �.. ;-,
.. , , � -.. ,:•- - � •
/►+d�drass . � ' . _ .
,
. , Lii�n`se;# .�:
., _ �T,
MECHANICAE: I��/// ��,'.�/j�"_ ...._� ' C{1MPA1+tY, _.,t.tA�r� .���G1�i G ; . .
•!{t\w/ �-Y ti!• "'f'r:�ST:::� � �.
51GNATURE• ��.. ,� �REGISTERED.,� Y�/ N . � FEE�CURF3EP;� Y./••N •- - , -
Address�" °`' . �. :^' 1- . , , _ rv Licanse#�.� .,� . . � .
03HER - ' - � , , ., . .+. , �_ .. . - .,
` t GOM,P'ANY
SIGNATURE � "z�y � � �' � ; • ' � ' " � REGIS7ERED' � � " Y/ N.w, � FEE CURRE� � Y/N
Address ���.;s, . . _ .� q ' ..Cic�nse#-�� _...� �, ,
RESIDENTIAL: �.A ' . _
, ttacfi:(2)=PJot Pla'ris;;,(2}set's'�of3B�t11d1ng�Plan's;(.'t)'sef of:En=ergy:Fairns;R�1N='Peririlf hir r�ew�nstruc6an,, ,`
�; ;,���,,:.Minimum�ten°(1.0);�vvorlitng�days:afte�;subm�ttal-date u'Requlred onsife,:Cbnstiuctlon�Rlans;'Stormwate�'Plans w%311t-Fence installed,-_
W.._ r.w,;�,,,� . . -
`��SaniEary Facillyes;&;1�,du,mpster�Site•Work}Perr�it,for.subdiv,isions/iarge..projecYs�_v =_:�:�" . �'a.- :" ::=. '. �• � ,
C4IYIMERCFI4l. A##ach{3)`aoinptete"sets of Biiililliig Plaits�plu5 a.l:ife 9�afet}f Page;�{'I)set of Energy Famts.R-L?-W Petmli for nerii'canstructlon.-
Mintmum ten(10)v✓arktng days afker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all newsproJiacts.All commercial requlrements.must meat compliance
SI�N PERMIT AKacFi{2)sets of"Ei►g[nee�ed�Plans�;, �,.� -: °.�: ,- , . , -
•'*"PROPERIY SURVEY reguired for all,IVEW_construcNan.. �
0lrectlons: ... ..-., . �. _. . _ ; {
FIII out applicadon completely.
Owner 8 Contractor stgn back of applEcattan,notarized
if over�250d,a NoHcs of Commencement 1�cequired. {A/C upgrades aver�7500}
., „�:.�;,;..,,,
'" Agent(for the co�ntCacto"r)ar Powe'r of Attomey(fo`r the`owrier)wrould be�someone with notarized letter from owner authorizing same
DVERTHECOUNTER,PERMIT77NG-_. ...-:..tFront�afAPRilcation•On{y)-.��� :: :" .., ,
Reroafis if shingies Sewers Service Upgredes A/C Fences(Piot/Survey/Footage) I
Driveways-Nat aver Counter if on publEc roadways:.needs ROW
NOTICE OF DEED RESTRICTIONS: The.und.ersigne,d.;undergtands�;#h�t;thi��p,�rmif�,may.be,subJecfi:;to,,�deed"�estrictiohs"�:��:�_�� .
which may�tie=more�restfictive.�th�n'CounEy'�fegulatCons:�`�TFie��undersigned-assurr�es=tesp�n"sibil(tyfo�`compliance"'viiith�any
applicable.deed-re'shictions. � .. �.,..� �.,,,,;,,;�;-:�..�, ., '" . ,- . ` :: .��: . ,. -r.-.
. n.�F.. �c. ?..._... ...v.i
UNLICENSED��CONTRACTORS �AND CONTRAC,TOR RESPONSIBICITIES: ��If°fFie���owner has�hire�d�"a'contractor or
contractors to undertake work, they wmay_b.�..re�quired:to.:be.,licensed_In.accordance.wtth;state.and�localrregulatlons:<�if�the�=�` � �
contractor is-not licensed as�ce'quired,;tiy�law, b'oth�the'owner and-�conU�oto�=�inay�be�cited�•.for�•a°rnisiiemeano� violatlon
under state law. If the owner or Intended-scontractor;are,�uncertaln as•to vvhat Ilcensing;requirementsz;may_�apply��for=the:'�.-.--� a-�w
,. .�R.,�.�, � _._ .._._...,.. �_,_....r.. ._ . �_
intended work�tHey a�e'advised4to contact,tfie�.Pasco,County_8ullding Inspection__Divislon,--Licenstng Sectton at 727-847-
8009. FurtFiennore, tf the ov+rriec`fias'Fiiredy a~con�aator�o� contractors. he is advised to have :the contractor(s);.rsign.y _*
portions of the:,"contrector..Biock°..of.this�applicationvfor.whichvthey.will:be.r,esponslble:-.•,If:�you,�as:the oviine��sign�a's the" ` �
coM�actor;tliat�m�y be an indication�thaf"he is not'.properly Hcensed antl is'not_entiNed"to_perinitti'ng�pri�iileges In Pasco,_, ,
County. � � , �:,:.���� .;...� _ {..,
TRANSPORTATlON-1MPACTIUTILITIES�rMPAC`��ANO RESOURCE RECOVERY�FEES:��The undersigned"understands
that Transportation Impact Fees,and.Reco.urse Recove.ry_Fees mey>apply,�tc�the�constructlon�of.new�buildings��change'of`�i•"��=-'�'=
use In existing buildings;orF,expansi�n�:�of��eiiisti�i�:��b"ulldings; as specffied.in Pasco County Ordinance number 89-07 and
90-07, as amended.;�;zThe. und,ersigned aiso.understands, th�t:�such fees;>;as�may���e�..dne;<;will,�be tdentified at the�time�of'�� °�-��"�"
permitting. It Is ftirther understood that Tra�isp''ortation Impacf'Fees and°Resoucce�Recovery�Fees..must be paid prbr to
receivtng-a "cerfiflcate=of.occupancy"�or�flnal��.power.Gelease:.�:If�the,proJect,does;not fnvolve:a��.certfficafe of occupancy3o�4•M���-��'`'�
flnal power=release;�.�the;fees=mu�t�be pald"�p�lor to;permit Issuance. Ft��tkiermore;�ff Pasco•County�Water/Sewerf:lmpact •_-�ri:��-�.��
,.�.a...
fees are due,;they�;must.;be:paid;pria..r,rto,.permit'=lssuanae=ln.accordance.wlttt:arpplfcabte:Pasco�-County�o�dinances. •
CONSTRUCTION'LIEN``LA1N�(CFiapter 713� Florlda�$tatutes�as amended�: If valuadon of work is$2,500.00�or�more,�I �.�.. �:r�.s
certi tFiat-1,-the.:a., Ilcant;� ave;:been . royided��with a-co '
fy pp h , p py�_of:_the�°Florida�°'�on"structton��Llen:`.Law—Momeowner's
Protection Gutde" re ared b ,the'Florida De"�artment of riculture and Consumec�.Affair`"s. if the a Ilcant is someone�-� ��..��-.:�
� P P Y P, �;.�,., �►9 ., , .-.�.�..� , Pp
` - , , ._
other than tfie owne�", I certify}that�l,h�ve:oqt�Jned;a=copy.of..thetaboye.:described:document;and,_p.r:orxiise:.in,�ood�faith.to .LL.:�..:.=t
� delive�it to:the:"ownec";piior.�toycornmencement: '� - � � � ' - - -- - �� . . , �
GONTRACTOR'S/OWNER'�.AFFIDAVIT: I.ce�tl[y�;tliat>a11,-the�information:Jn this application is accurate�nd that all work
�tw�
will'be done in compliance with all applicable I�ws regulating constructlon, zoning and�land��development. Appitc�tion,is
, hereby made to obtalo:.:a.pecmit��Co�;dox:wock;and�installatlon as tndl�efed:::�.,:1� certffy that no work��'or Instaliatton�Fias �
commenced�p�lo� to Is`suance of'a�permiE`and that'.all°Work wlll be pertormed to meet standaTds-of all laws regulating- _
construction, County and City codes, zoning regulattans, and land development regulatlons�in the.jurisdiction:� i�•also.- .
certify that I ur�derstand that the regulations of other government agencies may�apply�to the.intended work� and that It Is
my responsibil(ty to identffy�what.actions I must�take:to be,in:.corrlpliance:;S,uch,agencles include but�ar�_.not Ilmited to:.. i ,-
- Depertment of E►lvironmental�P"rotection=Cypre�s.`Bayh�ad�, VUetland Areas and Envlronmentally Sensittve
Lands�WaterlWastewater Treatment. ' � �
._
- Southwest Florida Water Ntanagement :DisMct VUells, Cypress. Bay�eads;- Wetland� Areas� Alterin'g
Watercourses. , . " � � �
- Army Corps of Engineer"s-Seawalls;Docks�Navtgatile Waterways.
- Department of;Health;;8 :ReY�abilitative Services/Edxtronmental�:Health Unit:Well.s, �Wastewater=Treatment, �� �
Septic Tanks:�.�:..._.. � . � -- � - - .
- US Environmental Protection Agency-Asbestos abatement. ���•
Federal Avlatton.AulhoNty:Runways:�°,,.: �� � -�" � , � ' '°�
I understand that the,following:irestcictlons�apply to tlie"use of flIL••
- Use of fill is not allowed in;Flood:Zone"V"unless expressly permitted.
- If the:flil'mate�lal�is to="b:e used:`�In�:Flood-Zone. "A", It. is understood that a drainage plan addressing a
°compensating volume"will be submitted at#ime of�permittJng wbich is prepared by a profess(onal engineer�° ' ��-- �
Iicensed by'tl�e�tate of"Flo�ida:� �'J� �� " •° �=� � � . _ �'
� - If th��flll-material"is�to��be;used tn Flood �one "A" in�connection�with�a permitted building using stem wall
� , constcuction, I certi.fy...th.at fill:inralt-be�used only.to f111 the area within3he�stem�wali: - - - _ ` }
- If fili materlal`is�to�be used °in any erea, I �certify that .use. of`such flll will not adversely affect adjacent
propertles, If use;of fill is found.to adversely,�ffect adJacei�t��pra�perties,.the owner may be clted for violating, ' ',"
the�condi#lons_of..the building':permit Issued�under the�attached permit appllcatfon; for:_lotsV.less-.than.one (1)
acre wrHicfi"are"elevated�tiy flll;a�r engineered drainage plan Is required. '
If I�m the AGENT FOR THE:OWNER; I;promise In good faith to inform the°owner of the permitting condftlons set forth in
thts aifidavit�p�ior to cominei�cing cunshuctlon. 1"unilerstand that a�separate pertnit may be requtred for elect�ical work, _ ,
plumbing,signs�.welis,.:pools;. air condltioning,.gas,.-.or.other. Install�tlons not•spec�tcally included-tn.the application. .A -
permit Issued shall be construed to`be a'Itcense'��to�p�oceed witF�'tFie`awor'k_and-not�as.authoHty_to..violate;�'cancel, alter, or
set aside any provistons of the.technlaal c+ndes;;nor shall issuance�of a.permit.prevent tf�e Bulldirig Officlal from thereafter �
requiring a conection,af errors.in,�pfans'; constii�ctlon..or.vlolations of•any�codes. Every•permit�issued"shall-tiecome-invalid
unless the work authorized.by such permlt�is.commenced�wlthfn sfX months of�permit Issuance, or if work authorfzed by
the permlt is suspended�or.abandoned�for:a:;period;.of six;(8)montiis„eiter.the;tirne the�work�is commenced. An extension
�....
may be �equested, In wrlting;-:,from,.:ttie:Building,Officfal for� p�Nod.not.io�.exceed�ninety�(90)`days a�d-will''demonstr�te
justifiable cause for.the exfens(on�. (f work ceases-for ninety(90)cons.ec�ative.day.s...th�job,is�constdered aba�doned. ;-
., _ - , . �= �� -... __. ,
WARNING TO OWNER: YOUR;FAILURE;;TQ.RECORDnA��,MOTIGE�OF.•COMMEMCEME4�T;NFAY�RESULT�IN °YOUR� �
' PAYING TWICE:FOR=�IMPRO�/EMEN:T3_.Tfl:YO�UR::PR�RER�,TY:��IF°.YO.t1�liV'FEWD��T�-�BTAIN�FIN�A�IEING;'CONSULT
WtTH YOUR LEND@R�OR AN��1TTORNEIf�E�OR��It��If����tyU�'i�'F9�E'�-COIIA��RfC ��'�.- ;' _ �_.__.--- -
FLORIDA JURA�=(F:S:1.17.03} � . '' ~ • , . - - . , -
_ , .
OWtdER OR AGEN7 -, •.� CONTRACTOR �
Subscrlbed and swom to(or afflrtned)before me this Subscxibed'and'swom�to(ot afflrmed)�befote me'tFiik -
by ,.by...� .. ,
Who Islare personally knovm M.me.or:haslhave Produced Who.ls/are p.ersonally known•.to me or ha�lhav.e-produced •
' ' " ae Id`entlflcatlon. ' � as Identlflcadon. -
Notary Public , Notary Public
Commisslon No:` � Comrnlaslon No. ,
Name of Notary typed,printed or stamped Neme of Notary typed,pdnted or stamped
,.�. , I
Pattie Ele�tric & Air Conditioning
39119 Pattie Road
} � ^ Zephyrhills, FL 33540
i ' 813-782-3319
sales@pattieelectric.com
�Work r...,( ,. , � �.._ _ - ;_ • _ :_ _ .. ,..1,i� � „ ; � r�v�,'" -�� . . -
... .. O de.�__ ,. _ ,;Dafe ' . . � ...:Surr�ma,rY. ._ �Tech�`�� � , . � - -
, :, -
., . .. . .. .. . . ,
�. _.. .�:.. . .....�_-�... _ : . ._,..
2351-101 10/27/2017 INSTALLATION LELAND�A � �-w .- ._..._.. , ...
�BT�����:3.- .. "' '� .<7,. ....i . -.,. _ - --; _.. , �Job.:N.ame��� � a... �� : . .
, __. � ..�__ ._�_._.3.,�.... _�_�.. .._..__.-.._._ .�.... ._._ ..__ _i.s::x��.. ... . . __.._ ._.h._._._.._...._�,.�....__ _. _ :_,
Leta Lawhorn Leta'Lawhorn
5943 10th St. 5943 10th St.
Zephyrhills, FL 33542 Zephyrhills, FL 33542
I 813-235-5840 813-235-5840
.. - � • • . e � .
> 10/27/2017 FRI 12:21 PM>
' Install 2 ton 14 seer Rheem packaged unit
AC project total: $6,025.00
Quote accepted via phone conversation with LA on 10/26/17 at 4:00 pm
, Call to schedule for week of 11/6/17
��C�� r�; �� - 2,(.p- 2� - DO l O — oO�p.00 — 00 ZG�
All material is guaranteed to be as specified. All work to be completed iri a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra costs will be executed only upon written.orders and will become an extra charge over and above
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection,including attorney's fees.
Signature Date