HomeMy WebLinkAbout17-19155 CITY OF ZEPHYRHILLS
5335-8TH STREET
_ (813)780-0020 19155
BUILDING PERMIT
;� PERMIT INFORMATION -� - LOCATION INFORMATION �
Permit Number: 19155 Address: 5219 3RD 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:
Improv. Cost: 3,500.00 , � OWNER INFORMATION
Date Issued: 12/29/2017 Name: HENSLEY, TERRI
Total Fees: 65.00 Address: 5219 3RD ST
Amount Paid: 65.00 , ZEPHYRHILLS, FL. 33542
Date Paid: 12/29/2017 Phone:
Work Desc: A/C CHANGEOUT 2.5 TON
CONTRACTOR S APPLICATION FEES ;�,;;
LAKELAND AIR CONDITIONING COMPAN A/C CHANGEOUT 65.00
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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 properly 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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONT TOR S ATU PERMIT OFFI R
IRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-002Q City af Zephyrhills Permit Applica#ion Fax 813-780-q021
' Buitding Depattment ''^�
Date Re�sived _ . PhoaeFContactfar�Perniittin � ��1 y G� -
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Owner'�Na�,�e �'r
1� Owner Phone Num6er
Owner's Address � � fT�► �� OwnerPhone Number
Fee Slmpie 71tte6older Name ` �� • � Ownar Phone Number `� �
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Fee Sinnple 7'Itleholder.Address •
, J08 ADDRESS �i I ! Y� �T �1 l�l � LOT# C��
SUBtlIVlSEt)N � � " PARCEL t13# /!���� � "` C�U � '" � `
a � , , (OBTAINED F.ROM.PROPERTYTAX NOTICE)
WORK PROPOSED M NEW CONSTR ADDIAE.T C�` S1GN` �Q � - Q DEMOt;ISH -
z e. INSTAI.L � ±._ REPAIR �
PRQP05ED:USE Q SFR Q COMM �,] �OTHER ' '
TYPE OF CONSTRUC7'ION = Q ' BLOCK ' [;� FRAME � STEEL Q
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DfSCRiPT{ON OF WORK y �- L_- j'l1 �,� �`�' �'7"
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Bt1t�DlidG 517.� � � �`SCt FOOTAGE"I��V .H�tGiiT
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QBUII.DiNG � � VA�CIATION':'OF`Tt71'Ak."CONS'fRt1Ci'iON ` � -
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, QE�ECTRIGAL '-� � � AMP SERVICE Q PRt?GRESS ENEi2GY Q , W:R.E:C. ^
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QPLUMBINCi $ �� ,
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I [�tECHAIU{CAL $ �� VALUATION QF MECHANICHI INSTALLATlOi�t , �
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QGAS CJ FtOOFIl+�G ,CJ SPECfA�.7Y-� OTHER� . . , - �
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FINISHED FLOOR ELEVATIQNS FI.00D ZONE AREA [�Y�5 ,NO ,
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BUILDER ; CONlRANY" "' � , ' . � - > -
I SIGNATURE REGISTERED Y/ N . FEE CURRE�` ' Y/'N' �
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�, �ddres� . � � - � ttcense#�� �
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ElEC7RiC1AN:. . C`OMPANY � _
SIGNATURE � REGISTEREO Y/ N FEEbORRE��` '�Y/N
i Atldr��s �- ' ` .. . �ICSnSB# � . ��
PL{1MBER ` , C�MPANI( � �
SIGNATURE' ' 6_,REGIST,ERED Y�/:.N�: ;FEE CURRE�. Y�/iV: - _ •
Addre�'s � ' � . - � �.- License;# �� '� . . _�:
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MECHANlGAl: ' �/r � GONtPAN_Y, �Vy� ��, �J�'t._C.:',t__�-p��°� . '
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�i1GNATURE; ' , � REGISTERED .� ,N, =- ',FEECUFtREA�._ /�N'.--
Address t� �(,�cr �� �t ll r (� s , license# � t,l�L.- 1 B�.� � I I .
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QTFiEFt � ` �GQNIPA�IY - � � , -
SiGNATi7RE' -� � ' ' ' " ' REGISTERED�' , Y/ N�.: FEE CURRE� � Y/N, ,
AddreBS� , . �� -. .. . . � tTceFlSe# � . ' t ' �_
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RESIDENTlAL;,rr;; .Attacf►"{2):Rtof.P.lans;,{2}sets;of<Butiding�Pian"`s;(1}set af�EnergylForins;,.R=O=W'Peiiriit for new c4nstnictton,.., � ' �
�Minimum.ten(;10};worliing,days�a�ter,;subm�ftai"date:���Required onsite;:GonstnicBon=Pians;'Stormwafer'Plans-w1=Siit'Ferica insfalled,-�"""
_—-----� � 4' `'�'V Sanitery�Facilttles&1,dumpster,Site Work PenmdfartisulidiVisionsAarge•qroJects,� �- ;-.�: _ '�� ` .�:- �� � '' ', ,
CQtVlMERCIAI. Attach(3}compiete setis'of Buitdlrig Plaifs'pius a[.ife Safety}Rage;{1}set of Energy Forms.R-Ct-W Permit tor new cons#ru�Eion. '
Minimum ten(10)woridng days aHer submittal da#e. Required onsite,ConstrucUon Plans,Stormwater Plans wl Sjlt Fence installed,
Sanitary FadliUes&1 dumpster.Site Work Pertnit for all new projects..All commercial requitements.must meet aompliance ` �
s�6N PERM�r Attac�{z�set�o#Eng�ne��ed�Pl�ns:. = >�:w , .�_ f� � - - - - � � ,
•`•"PROPERTY SURVEY reguired,for all,_IVEW,aanstructian.. -
Dlrestions: , t : . �
Ffll out applicaBan completely.
Uwner&Contractor sign back of appltcatian,notarized
If aver 52500,a Notice of Commencemen#i�requ�red. {A!C apgrad�s avee$7500)
ent far the""� '":r',;f,, ; .
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Ag ( cantractor)or Powe�ofAttomey'(fo��Uie owner)would beµsomeone with�notarized letter from owner authorizing same
dyEEt THE CttUNTER PERMI'f'i1H{�- .-(Front-of-Appllca�on flnly)� �
Reroofs If shingles ;�Sewers�- �--. Service,Upgradas_A/C Fences(Plof/Survey/Footage) _
Drivawaya-f�iio#over Counter.iffln,public,madyi+ays.:neetls FtOVit � � ' � .. R�5
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NOTICE dF DEED REBTRiGT10NS; The undecsigned;under�tands�;tha.<th1s���cmlfLLmay;be,subject,ta,°deed"�restr�ctEons"�� -
wh(ch may�:tie=more:�restHcttve th��'Gountj,i.��g�ilsit�ons:�°THe�underslgnedkassumes;resp�nsibiltty�'far'com�lianae"with`�ny"``��"`""'`""y
appllc€�bledeed:restrictlons. �- � �: �..,� _:,� :..>: - �: - -. .. .. ..... �: '. , ...
UNLICENSED=".CON�ACTORS AND CC�NTRACTOR�RES�PtiNSIBIC�rTiES:= -•ff�the°�oiw+ner-has��hirei#��a c�ntractor or
, . ,, . , .- . _ .
contractors to undertake work, they ma •:be�r�qulre.d:�to,be;ltcens"ed'In-.a . ' rdance:with,state.and`local regulatl.ons.:���if the��-�'' � �:'y°
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contractor.ls not 1lcenseif�=��-�requlroi�,"�lavir, tiath�the o�nmer�nd:'coai= . ctor;may�bsaclted�for�a�mistf�rineanor violatton
under state law. If the awner ar Intended:,,r.Rntra�tor,are�uncertaln as t what Ilcenatng.requirements Rmay=�apply�v�for:�ttie�� � '�-�=r�
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intended woi�k,tliey are advlged'rto=coritact`tt'ie'�Pasco�Cnunty�Building;'ln.�pect#on;Dlvislon�-l.tcensing Sectfon at 727-847-
_. ,.}_.,�.,
8009. Furttiennore, �If the ouvner`fias'Fiiroil a con�acfo��o� con�actors, he is advi�ed to have �the�c�ntractor(s},,.sign= „ r.� ,k
portians of the.°c.ontractor.,8lack°.of.thiswapplic�tionrf.or:whlchnthey._will, eN,r,.esp.onslble., If..you,:as�#he ovimer sign�was'`tFie" �� '
contractor, that�rnagr�be an Indlcation that`iie Is'iiot grope��y-lica�sei��an�'�I's'�not.erifl#led.fo permiftirig pr6itlleges In Pasca
County. ' _z �, ! • , �•„�,-;rk : .
TRAN�PORTATlON-1MPACT1Ui'ILITIES>CNlPAC'�f�A�tC!ItESt�U�tC�R�C01tEltY fEES:��T�he�nders(gried�undetstands
that Transportation impact Feas and.Reca.urse Recovery,Fees,may:�app7 .�to�tfie;consbvction:of new_bulldings,�change of`�=��=� '�,.
use In existing buiidings� or:expar�si�'n^of�ezisti�ig:�buildings, as specffie�.tn P�sca�County Ot'�inanoe number 89-07 �nd
9o-�T, as amended,;�,Th� underslgned also;_utiiletstands, tliait=such fees,;;as,�nay:'b�:.due;rwllt��� �a��t��a at tn��t�m�;�a����: {5i:-�,
permitting. It Is furtlier understood that Tra�sp'ortation Impaat Fees an.`��4Resour,ce'Rec`overysFees..mus� be paid priar fo
rece�vfng-a"cerftflcate of-�occupa�cy":ar°#inaiypower�elease.��..1€�the.proj,..:�:.does;no�tnvoive<a::certlficafe af occupancy-oi�=�- ;���:;�.�°
flnai powerwreteas�;�-,the�;fees;mu�t':tie"paitl':pclor#o.�per�mft iss4�ance. F� k�erma�e;�°if Pasco;County`Water/Sewer�;lmpact ��=-�.°���
fees are due,rthey.must.be:palid;prior to:.permit:fs.s,uance;:in_.accordance w th�appllcatite:!?asco'County=ordl�ances. �
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CONSTRUCTION ClEN�t:AVil{Cti�pter 713��lor#tla St�tutes�a�amen ed): tf valuaHon of work is 52,500.00;or mpre;t� �;z;�
certify tfiat -I, -the applicant,�have been provided��with-a��copy�of;.the�".Florida-Construction�:L-ten :Law—Homeowne�'s
Protectton Gulde° prepared by�tKe Fioi�tla Dep�ttmenf of Ag�lcultu�e an Consttm�c,,Attair"s. 1##he appttcant is someone��.,.. _,
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other than the°owner", I certifji4that.,l;�h�ve,,optained�a�aipy:of.thetaba�ve:. es.critieid:�docui�ent;;and;promise��in,gaad,:faith.to ,
.. . .
deliver It to::ihe�•.,.owner:*�piior._=to>comrrieticemerit:"r� �"`. .� ' .` , ' . .� " � _ .
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CONT�tACTOR S/OWNER S AfFIDAVIT: I.cei�kiiy:�that;ati.,the�,lraformati_ ��,in�thi�appltcation is accurate and that atl work
will'be done in cam liance with all.a Iicable'laws re ulatin constructi n, zonin and:�land°'devela,me�t. A llcatlon is
P pP 9 9 9 . . �.. � P _� Pp
( hereby made_ta ob#ain.,.a permita;to:,do_w�ilc;�.and,�ins#�Ilatlon as Ind�. ted���,.�1� c�it�y'r that no work�.or tnstaHatlan fi�s
commenced�prior to Issuance ot'a permit""and that=:all��vork will be pe�rmed to meet.-standards-of all laws regulating�
construetton, County and G�ty codes� zoning reguia#tans, and land dedebpme�t# r.egt�latlon"s�in the ju�isdtctian,= 1��ai's.o�
certiiy that I understand #hat the regulatlons of other government ager�cl s may•apply�to the.intended w�rk, and that it is
my responsibility to(denttfjr�what.aottons 1 must take:to be,fn:.corrRpllance,5uch:agencles lnalude but�are.not ilmlted to: : # •
- Departmen# of E�vironmental�tPratection=Cypiess.Bayhead� �Ni/ettand Areas and Environm�ntatty Sensitive
l.ands,Water/Wastewater Treatment. ,� : .
- SouthwesE Ftarlde W�ter Management .D�s�1c#-V1lells; � pres�. 8ay.heads�� Wettar3d Areas, AAtter3ng
Watercourses. � � � ��
- Army Gocps o#Englne�rs-�eawalls�Docks�Nav(gatile WateruVays. '
- Department of Heafth:;.8,Ret�abltitafive.Servicea/Ernitanme �al=FleaRth-Unit W�at{s; 1Nastewater Trestmerrt,
Sepflc Tanks:. ` " :� � '.. " . ; i
- US Envlronmental Protectian Agency-Asbestos ebatem.e,nt.:_ � =
_ Federal:Avlativn:Authority.yRunways��.:;;.. `, � �
f understand,Ehat the..foftowing;�r�strJctions aiRPty to ttie�use of fll{: ;
- Use of fiti is nat allawed in;Ftood.�Zone"V"unless expcessty_p rmltted,_ �
� - If the�:flll"mateHal�:ls`to��`b:e�=usetl��ln-�Flood-Zone. "A", It. (s understood that a drainage plan addressf�g a
! "compensating voium�°rnrlll be submlt#ed at#ime of 7perm3ttlt��wiilch is prepared by a professionat engineer-
� Ifcensed by�#he:State of:�lorida:. ;s' '' �� - .� � . ;
- !f th��f3A mabarfal�.ts-to�-.be�used In Fiood �one "A" in=conn ion�vi►lth�a�ermEtted buildl�ag using stem wa11
� constructton,, 1 ce�tify;.that,fill:wall:b.e�used only.to.fill the_area w thln�the stem�wall: '
- if flll material�is=to'be used�°!n anjr a�ea; 1 �cet#Ify that .us of such�flfl wlll not adversely affect adaaceni
properties. If use;of fil) is#o�nd�to adversety:�ffe�t ad)a�cent��pcoperties,.the owner may be cited for vto�ating `
the�condi#Pons:of_the biilldtng'.-:perniit Issued-under the:�al�ach�d_permitappUcatbn;-foc~lots-:less�than°one (1�)
acre wtilcii ar"e ele"v'ateci�tiy fllt�a�t engineer�ed dralnage plan�reguired: � , ' - ..
If I am the AGENT�FOR THE OWNEit,.l�promise In good falth#o infarrn tfie ovvner of�the.permitting condi��ons set forth In
this a�dadtt`prior to�cominer�ctng constructlain. f ynderstand that a�.s+�pa�rate�permlt may be requtred for.,elect�tca#workr _
.n.. ..�..,-.,r^� .
ptumbing,_.sigos�._welfs�.:p.pois;,air,t�nditioning,-.ga.s, ar..ather instaii�ftionsi no��spec�taally {nciuded�in.the application. .A
permR Issued 5hall be`snnshued.to�liesa�license`to�proceed with tFie work,and:notnas:,author,ity.:to:vioMate�pcancely alter� or
set aslde any�provisf�ns of-tF�e tecli'iilcal.cad��;�nor shall tssuance�of a.pe i#.pc�evet�#the�ulldtrig C?€�dal�fram thereafte� '
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requiring a conectlan a�f eRors In;:plans; con�fruction.or violations ofany c des: .�very•�piermtk�issued sliall become inv�lid
unless the work aufhorized.by such permit:�4s-co�nmenced�withtn st�c,mon hs of petmlt tssuanae, or if work autharized by
the pernni#is suspendsd or�:abaradoned�.foe:a;period�af siae;�)�inorifiis,after, he tlrne the�work�s commenced. An extension
may be requested, In writing;��:f"rom.the�Building Offlcial f6r a period=not-t �-excee�'=ninefy(90)`�days and�-will`demonstrate
�ustl�abie�ca�ase for:the extensfon� If wor.k.ceas�es.for ninefy.{90)cons.ecut ne�day.s,..the�ab�is consideted aba�tdaned. ;
a�- - .�,�' - - � -- ��� � � , � " _ i
WNRNING TQ OWNfRt YOU#��EAlLlJRE:Tt1.,,RE.CQ�tD,A:�M:OTICE O,.-GQMMENG�ME�T�;I�AY-RE�'tl�:T IN-�YOUR
P1�YING TWI.CE::I�OR-iMl?RQVEMEN�`S;T;O;YOUR4:::��lPEEi�'Q'Y:=-�1�°.Y�J��dTFND�>TO'�OBTAIN�FINaAP1E�fNG;�C.ONStJLT
WIT U �� D AN° � O N � FO. E�,. O �:� OU ' ° �C�`a �. :� . ;E .
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OWNER OR AOENT �, � . l;OP1TRAC70 �� �� ` �
Su�sc►ibed aad swom M{or siflrmed}before me this Su 'sw� �{at ftf�t8fo s=lM�
bv p : v� � ! e��el�.
Wlio Is/are persanally known to.me or:has/have p►oduced Who.ls/a .personalty o.wn•tcr me=o a�produced •
� as td'entlfli�8on: ' as de»t�3ca#tort. _ ,
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Notery Publtc _ ���. Notary Publlc
Commissbn-Na:` Co t��slon.Na, �.
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Name ot Notary typed,printed ar stamped Name of Ftotary iyped,prin .� _
=z� -Cammtssion#GG�45343
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, :��;, :Q<��cpires November 7 �7019
�''�.°f.;°;:c' gandadTtfnstropFainineutance80D-3
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.� The Lakeland Air Conditianing Campany .
5050 Oakwood Trail
Mulberry FL, 33860
To Whom it may concern: ,
Anthany Agnello has rr�y permission to puH permits and handle business matters assaciated
with my mechanica! license CAC1815219 in the city of Zephyrhills Florida.
James Agneiia (Owner
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'�s'�rx.'.ci t�Cfcyt+c the��nticrsi�ncxt,_�,_t�/,�„�
�. ;�k�:"•'�%�;� KYLE FRY
1'1'tiK!'{ICCd L- ��..�.. e�5 3t�i�itlflt.`€ititltl. �`• *" MY CQMMISSION#FF984726
'� •r EXPIFtES May 13,2020
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�!(}1't1RYP1JLiL.IC': teazt�se�tisa FbrWallotarYSErvice.com
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alir C:onditioidn�;(;om��a�t}'
D RA FT QU QTE Date CiovAir inc.
Dec 28,2017 5000�akwood Trail
Quote Number MtIIBERRY F!33860;, •
Terri liensley QU-0123
Reference
5219 3rd st Zephyrhftls � '
8138435432 ' _
Description Quan#ity Unit Price Amoant USD
install 2.5 ton straight coal Grand Aire AC with 7.5 kw electric heat 1.Q0 r 3,500.00 3,SOQ.00
new concrete pad
new t stat
new 2ndary pan
new float switches
reuse ductwork
reuse efectrical
redo whips on etectrical discannects
10 year parts warranty
i year labor warranty
5ubtotal 3,500,00
TOTAL USD 3,500.00
Terms
Please sign if you agree to the terms above.
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Registered Office:5054 Oakwood 7rail,Mulb�rry,FL,33860.