HomeMy WebLinkAbout17-19057 CITY OF ZEPHYRHILLS
,- _ -;� 5335-8TH STREET •
� (813)780-0020 19057
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19057 Address: 4645 AIRPORT RD
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: 13-26-21-0080-00000-0020
Improv. Cost: 5,350.00 OWNER INFORMATION
Date Issued: 11/15/2017 Name: AMVETS POST 550 OF FLORIDA INC
Total Fees: 65.00 Address: 4645 AIRPORT RD
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/15/2017 Phone: (813)780-8180
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 65.00
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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 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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NTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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; ��.� Ka��sey �'ent�al
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Heat�& Air-Conditeoning, Inc.
I � P.O. Box 2209
� ` i Zephyrhills, Florida 33539-2209
� � (813) 782-2300
, CA-0058626
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� ,. P �N�E��0 D TE OF ORDER
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NAME • / DATE PROMISED
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� AODRESS i'/'�_ �I^ APARTMENT
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, I MAKE MODEL SERIAL NO.
� ❑ ESTIMATE
• NATURE OF ❑ CASH
SERVICE
� REQUEST ❑ CHARGE
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
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' SERVICE PERFORMED TD�A� �
MATERIAL
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TECHNIfAL
SERVICETIME I
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� � A charge of 1.5%will be made on all unpaid balances after 30 days,which is an annuat percentage rate
- j ot 18%applied to past due balar�ces.Customer is liable tor any charges incurred in cdlecting this bill. T� �
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n DATE COMPLETED ON COMPLETION TOTAL
I (��.0�(nI CASH pF WORK � I
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i TECHNICIAN CUSTOMER'S SIGNATURE
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813-780-0020 City af Zephyrhills Permit Application Fax-813-780-0021
Buitding Qepartmen# . '' `
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Date Recelvad - Phone�Contact for�Pernttttin
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Owner s Name �l �1 � Owner Phone Number „_�
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Owner's Addrass � � �'' d� Owrner Phone Number
Fee Simple iTltleholder Name � ' Owner Phone Numbe� '�-r ���
Fee Simpte Tltleholder Address
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j JOB ADDRESS LOT# �"�
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� SUBDIVISI�N � � RARCEL ID#
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. (OBTAINED F.ROM PROPERTY_TAX NOTICE)
WQRKPRO,ROSED NEwCONSTft ADD/AlT � S1GN� Q [� DEMO�ISH
e INSTALL 8', - REPAIR •.
'i PROPf}SEE?=.USE - 0 SFR. � �COMM [� -OTHEE2 � '
TYPE OF CONSTRUCTION' Q�' � BI,OCK ' Q FRAME �[�_ STEEC 'C]
' DE3GRIPTIt1N OF WORK y r /�" � � � � `` ��''
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BUILD1i�IG$!ZE''�� �'$Q FOOTAGE��. ,. _ . HEIGHi'��_� :,
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��U���»�' L , � VALUATtO1V:�:1F'TO'I'AL'CONSI`Rl'lCTION � �
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QEL.ECTRICA� $ ' , AMP SERVICE Q �PE2{1GRESS ENERGY Q W:R.E:C.
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[�]PLUMSIf+fG ;� � "
[�MECNANtCAL ' $�� ��_ i VACUATION OF;MECHANIGAt INSTALLRTIt?N ��pJ r
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QC,AS Q ROOFING .Q . SP,ECIALTY �� OTHEFt�. '
FINISHED FLOOR ELEVATIQNS ��� FLOOD ZONE AREA QYES. �NO
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�ui�o�� caM�at�ir-' � . ., . -
SIGNATURE REGISTERED Y/ N �EE cuartEn � � Y/N
Acldrass - Llcense'#L'� f ` ' `�
ElEC'tRtClAi�t; ., - . CBMPANY ' �
SIGNATURE � REGISTERED Y/ N FEE CURREK^ ��Y 6 N
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Addre�s y . . �. License# �.
PLUNISER 'F : �COMP.,ANY �-.,,,�, s
SIGNATURE' ' " � � � ,_REGISTERED Y,G.N„ .,,FEE CURREK 1Cl N,
Ac�dress � . - �� . � � - �
Licerise# _ •�_�
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MECHRNIGAi: � <. . .. - COMP1,ltiY L!ti!S _ _.�.ch-..
SIGNATURE� - " " REGIS7ERED,, Y./ N y . -,FEECURRED.. Y•%N. = -
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Addre�s'�� , . , . T . . - License# ��� � .
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OTHER � � � � �� t - � ':COMPANII. . , ' � ,
StGNATURE -,:•• , �;... '�: .. _ ....: .�-. ., ; . . �E
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•- � � ' REGIS7ERED� Y/ N...., CURRE� Y/N ,
Addce�s. .,- ,`.5,F j`. . -... /' :.- . }; . . .. - ' Licen'se#�) ` ' . - ' . '' '_, �
�...� � .. .,. ..SC�., . ,
RESIDENTlAl;.1 _�;Attactii(2},.Rliit%Plaris;::(2}sets=of:Balldingft?lans;(1)seEaf-'Energy"=Fartn's'•;�F2=0-1N�Perimiltfornew.canstruction,,, > _
�_.:Minimum;tem(-1.0),working;days�after,','submlttal�date�-Required onsite;:ConsUiicBon-Rlans;'Stonnwater Pla'ns�w%Sflf Fence installed,
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��Sanitary Fa,cilftles-&14,dumpster;Slte,Work;Permit#orsutidtvisions/large=projecfs;Y..-- �� - � �� " � � • � _
� _COMMERClAl. Attach{3)�aomptete sets of 8iilt�liig Plaris plus a'Ltfe S�afe�tyi Page;{9}set of Energy�Fatms.R-0 W Permtt for naw construction.
Minimum ten(10)working days after submittal dake. Required onsite,Canstruc8on Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FadllUes&1 dumpster.Sfte Work PeRnit tor all new�proJects:All commercial requlrements.must meet compllance � �
SIGN PERMFT Attac�i{2)sets of�riglneer.ed;Plansa:��.-=t��.�� - . .. . . x - " '
'•""PROPERTY SURVEY required for all IVEW_construcdon. �
Dtrectbns: , ... ... . .. _� . ,.
Ffll out applicatlon complekely.
Owner 8�Conhactor slgn bacic of appl[caUon,notatlzed
if over�2500,a NoNce of Commencement Is required. (AtC upgrades ovar�75d4)
M -i., `w{Z.v��;..,.hy � :
Agent(for the`confraotor)'or"Powe�of Atkomey(fo�tFie ownerj would be someone wiith notarized letter from owner autharizing same
OVER THE CQ!lFiTER,PERMITT'tNG_._..�_..(�ront af�APplicatton Only}_,.�- ., " " `
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIof/Survey/Footage)
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Drlvewaya-Not aver Counter if on public roadwayes:.r�ead"s ROW�
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MOTiCE�E DEED t�E�TReCTION�: The u7�dersigned,unders�tac�ds;Qh�#�4hi�,.p�cmit.maytibe.subject to"deed"r�stelctlons":
which r�ay b�,r�or�.rest�(ctive.�th�n CounQy��egial�tCo�g: �7h�undersigned�-���ui�e�'respDn�ibiiity for corr�pliaric��vv�th"�ny ` ' "
applic�ble deed_r�s�ictions. .. :� .,�, : . .- � ' • , , . _ � � �� '
IARILICENSED�GONTF�IC1'ARS -�6ND CONTI��TOE3 ItE�PONS1�StSTIIE�:�=-If='#he �owner�has�'hir�tl"a =contracto� or
con4ractors to und�rtake w►ork, they m�y�be:r.e�quire,.d:.to-be,licensed ln�accordanc�.with state.and�local:regulations:�,If�the � �
contractor ts not Itcensed as'reqtalred'tay I�iiv, both�the o�ner and�oonQracto�f may��be��cited for a�mig��meanor viola�lon
under state law. Bf the owner or int�nd�d;;contractor,�r,e�unc�rt�ln a� to wh�t Itc�nsing.requlrement�.;rr�ay�-apply�`foc.the .� -� . -� -
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Utend�d in►ork, tHey aee advised to coril�ct:tFia;Pasco County,Building�ln�pection.Dtvislor�..-l:icen�ing Sectton at 727-847-
80�9. Fu�th�rrraore, tf the ovener�has�hl�ed�� cocitracfor oP'contracQors, h� ts advesed to h�ve the �nt�actor(s) .sBgn .
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portions of the "�ntractor Block�.of,thia_application..for.vbhich_they.will be�,cesponslble., If.:you,_�s..the oiivri�r stgn�as the'`
contractor, Qhat-tnay be an indicatfon thaf'Fae 1s not:propePly licens�d"and-�is not�entitl�d`to permitting privNeges In Pasco _.,
County. . ' .._ .. , .. >:...; , � � .
T�1N�POItT�TiON�IAAPAGTIIlTILITIES`IMPA�7 AM�f�E�OURCE tiECOVEEtY�FEE�:� The undersigned uriderstands
4toat Tr�nspo�t�tion Impact Fe�s:and.Recourse.Recovery,Fees m�y..�<apply:to�t�e constndction_:of new_bulldings�rychange�'of' � =- °' �
use in ezisting bulOd9�gs, or��expartsi�n�-of.:�xi�tin,gLb"uildie�gs, �s speclfied.Sn Pasco County Ordinance nurnber �9-07 and
90-07, as amended. ,7�'he. undersigraed also:und�rstands, ttiat`�such f�es,-�s��rnay_=tie�=d��;.°:wlll:=b� (deriti�ed at the time�of -L'�� "`
permitting. !t Is fi�rther iand�cstood th�t Tra�spo�t�tfon Imp�cC Fe�s and�Resotarce'Recovery'+=Fees.must be pald pr6or 40
recetving-� °certifisate�of�occupancy" oe�flnal�power:rel�a�e.�:If�Qhe,proJ�ct.:do�s;not fnvolve�:a�.certfffcate of occupancy o�"'��"� "'
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fin�l povver releas�;;the��,fees rriu�t tie"patd p�1or to;permft Issuance. F��tk��rrnore;�if:Pasco Couniy�Vl�ater/Sewer��lmpact� � � � .
fe�s are due,,they_must.be=pald..pNor to,permit�•Issuaince°in accor�ance-wltFi applic�bfe_P�sco'�Countji ortlinances. �
�ONSl'i3lDCTION'LIEN°I.AW"(Ch�pter 713, Elor�da St����ea,��m�nde�9y: If v�luatlon of work is$2,500.00:;or more,:l� --._�
certify 4�iat I, the �ppiicant� have<been .provided �wi�h-a-copgr- of°dhe��"FEorida��Constructton� Ll�n °L'�uv=Homeowner's
Protection Guide" prepared by the Flotida Deperfinent mf Agrlc.�alture and Consumer�.Affairs. If the appllc�nt is someone-
oth�r than th�`owner", I cer��y-that,:l h�ve::obtaine��a�copy.qf the:above>.r���crlbed�docum�nt;and,p.r.omise��.in,good faith.to .
d�lover 9t to:the"ownec"�.p%9on:to�cornmencement:'•'� ' ' � � � ' ' - , , ��
CONYId�1CT�R'Sd019VNER'�A��IDmVIT: I.certify;:th�t-ail:,the�xlnf.ormation.:ira�this application is accur�4�.and that all work
will�b� done in core�pii�nce wriQh alE applicabl��I�virs regulating con�tructlon, �pnirog and�l�nd`development. ApplQcatton i�
hereby made to obtain_.a permit;Co do�work;::and lnstallation �s Indl�efed:=.�°I: c�nffy that no work-°or Instaliatton ha�
commenced prior to Issuanc� of�� permlt and that all �rork w911 be p�rtormed to meet.standards-of �II laws regulaking-
construction, County and City codes� zoning �egulations, and Eac�d d�velopment regtalatio�s�dn the jurisd(ctton: I aEso . _
certify that 0 under�tand that the r�gulations of oth�r gov��nmer�t ageneles m�y��pply�to the.intended work, and that it Is
my responsibility.to Identffy��rhat.�ct3ons I must t�ke:to bedn:.corrlplla�cs: S.u�h agencles include but�are.not Iimited to: ;
- DeparQment of E�vlronm�ntal Protection=Cypre��:°Bayli�e�d�, VUeN�nd Areas arad Erntronr;raentally �ensitive
Landsp W�terMlast�water Treatm�nt. -
- Southw�sQ Florida iMater IlAanageQnent. .DistrBct-�Veiis, Cypress.'+Bay,heads;� lMetland" Areas, Alteeing
Watercour§es.
- Army Corps of Engineers-S��walls,�ocks, Navigab0e Waterbrays.
- Department of Health�;8, �Ftehabilitative Servic�s/Environment�I..Health Untt 1Nells,:Wast�vdater�Tre�tment; �
Septla Tanks:. . � � - - � _
- US Environmental ProQectlon Agency-Asbestos�batement.:. �
- Federal AvlaQvn_AuQhorfty=Runways5'� - _ �
I unders4and thaQ the folloaiing:.restrictions appiy to tiie use of fillE:
- Use of ffU is not allowed in�Flood;Zone"V"unless�ttpr�ssly perna3dted.
- If the.--flll materi�l is to 'b.e-usetl.'In���Flood-Zone. �A", IQ is under�tood that a drainage plan addressing a
�comp�ns�@Ing volume"will be subr�itted at time of�p�rmlttir�g which (s prepar�d by a pr�fessfonal engQneer
Iicens�d by'the State qf;Fio�ida: � � � � . •
- If ihe 8ill materia! es to-:be used in Ftood �on� "A" in�connaction�vui4h�a perrnitted building using �tem wall
� construction, I ce�ti�j+.th.at fill.w�ll-b.e-used only.to.fill the ar�a withlra th�s4em•waEl: -
- � if flll rtnater0al is 4o b� used In any area� 1 �certify that .u�� of such flll will not adversely affect adJacent
p�op�rtle�. If us� of fi91 is f�und.to addersely.�ff�c4 adJa�nt properties,,the owc�er may be clted for vtofaiing
the�condl�ions.:of the bu6lding,pecmlt Is"sued und�r the�attached,permit applicatlon;�for:lots�.l�ss than.one (1)
acPe whfc6i aPe elevafed'by flil; a�engtne�red dealnagc�plan is requtred. , �
If I �m the AG@NT EOR TM�OWt��R, I;promise in good faith to inform the odvn�r of�th�permitting condftlons set fmrth In
thi� aifidavtt�prior to commeracing constructlor�. I under�ta�nd that a separate perrnft m�y b� requtred for elect�ical work,
plumbing,_signs, �noells, pools; air conditioning,-.gas, or otFaee install�tlons nol.spec�ic�lly included�in.the applic�ition. .A
permit i�§ued shall be constnded to b���license'to-praceed vv6th tFi�viwork and not-as:authoHty_to..violate;�cancel, alter, or
set aside eny�prodisions of ih�t�ch�lca9 codes; nor shall Issu�nc��of�.p�rrroit.pcevent th��ulldi►ig O�icE�l from 4herea�ter
requlr6n.g a cocrection af errors in_.plans; const�ctlon or vlolations of-any codes. Eveoy�p�armit-lssued sfi�l9 becotne 6ndalid
unles� the work authorized by such permit:is-co�rtoenced•t�rttht�.s_fjc.month� of permlt lasuanc�, or if uvmrk authorized by
the permit(s suspended.or:abandoned�for a:period;of�six�.(�)rr�ontt�s,:after'the�time the�wopk��s corr�menced. An extension
may b� ��quested, in writing, from�tNe.�uilding.Official for � period.not to.exceed��ninety(90)�days a�d�vorilf�demonste�te
justi�i�ble cause for.the extension, If work ceas��:for ninety.(90)cons.ecutive day.s...the)ob�is considered aba�adoned. ��
VV�RMSNG 7'O O�!lNER; Y�UP�.�AIL.URE.TO.,I�ECO.�t�.A:.�OTI��:O�:,.COMNIENC�EVIENT�.1�FAlf°RESULT IRl Y�UR
�AVING 11NICE;FO�:IRAPi80VEIIPIEN.�S-TO,;YO.t���:P���PER�7;V:��lF°YO.U=INT�0.D�TA���TAIN�FIPFi�1t��1NC;'CONSlULT
!!�€a3 lJ D O: AId� '1"r06tNEY� FORE�,- -O�� G�� OU °� , ���C 'OF`. �. E E . " T• �
FLORIDA JURA�(FcS:9.17. . - . — - -- - — �;— _: . . -
Oifl1lBVEtt O!�AOENY ` CONTIB�CTOR �
Subscribed and swom �Pflrtned ore me thls Subscribed aexi' m� (ot aflirmedpbefore me'tlit��
bY .b ..
WOio isfare personally known lo.me.or:hasR�ave.produc�d INho.lsl�re personally kt�own•to me.or h�s/have�produced •
�a Idbntlflc�tlon. es IdentlflcaUon. _
Notery PubEic . Plolary Public
Commission No: Comrnlsslon.No.
Name of tdotary typed,p�inted or stamped Id�me oi Motary typed,printed or st�mped
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