HomeMy WebLinkAbout18-19192 CITY OF ZEPHYRHILLS
` ' S335-8TH STREET
(813)780-0020 19192
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19192 Address: 6535 NORTHLAKE DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0800
Improv. Cost: 6,728.77 OWNER INFORMATION
Date Issued: 1/11/2018 Name: MAIDEN DAVID
Total Fees: 75.00 Address: 7410 BEARFOOT CIR APT 3
Amount Paid: 75.00 ANCHORAGE, AK. 99502-7116
Date Paid: 1/11/2018 Phone: (907)317-9514
Work Desc: A/C CHANGE OUT 3.5 SPLIT SYSTEM
CONTRACTOR S APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 75.00
. ,
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSUL T
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.
�
CONT TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-Ob20 City of Zephyrhills Permit Application Fax 813-780-Q021
. � Buiiding Qepa�trnent `�
Date Recgived �' f/•f� , -= phone=ConCact for�Percntttin S�oZ �
Owner's Name Owner Phone Number 7Q �"�i/ ��/�`
Owner's Addrass ,� //D/" Owner Phone Number � �
Fee Simple�Tltleholder Name `�- � Owner Phone Number �- �
Fee 3lmple,Tltleholder Address �
JOBAdDRESS ,� �� �U�"T"� LOT# C__�
su�o�v�sEors �,f 2� �a�✓�t� - p,a�c��.ia� .�} � � 1� a (� 6 C�
, - (OBTAINED F.ROM.PROPERTYTAX NOTICE) `
WOEtK PROPOSED ,NEw COt35TR ADDIA�T �] StGN Q .Q DEMO�ISH
f e. INSTAI.L � REPAIR .
Pi20POSEDtUSE Q SFR. Q CQMM � OTHER
TYPE OF CONSTRUCTION Q � BLOCK ' [� FRAME ` [� STEEL C]
DESCRIPTIt3N OF WORK' �' Lr` � r �v w �' C/ ,�i'
�
BUI�DING S1ZE �� �1 SQ�FOOTAGE��: , ,HEf,GHT' � ��� �
QBUtl.DlNG � VALUATION�tOF�TOTAL CONSTRUCTION ' �
QELECTRIGAL $ ' AMP SERVtCE [� PRt)GRESS ENERGY Q W.R.E:C.
r
QPLUMBtNG3- $ � - .
� '�,„ �
MECHANIGAL ��U ' J�,� VA�UATiON OF.MECHANlCAL INSTALIATICIN, �G7�'
' , �� ,
QGAS Q ROOFING Q SFECIALTY � OTHER
FINISHED FLOOR EI.EVATIONS (��� F1.00D ZONE AREA QYE$ „NO
L
F
su�«��-� -- , _ - �����r� - -_ - . - _. _ �
SIGNATURE REGISTERED Y/ N 'FEE CURRE� Y/N
Addreas • ' L"Icense# �� �
� , .. .
EtECSRtC1AN: � . COMPANY .
SIGNATURE � REGISTERED Y/ N FEE CURRE��• "-Y/N
; .
�, , .
Address -' Licanse#. �
PLUMBER � :, COMPANY , � � '
S(GNAYilRE � , ,REGIS7ERED., Y./'N� ; .,I.,;FEE CURRE� ' Y/N - :;�
Addre�s .. . , .license.#, �- _ -�
,, r.. . . .. .
MECMANIGAl:` COM,P..ANY, . ;1' . ;/jl�.. p rvt ,d�u'
.�'°q`
SiGNATURE " '�ylP=' � • REGIS7ERED r � N, . :_..:FEE CURRE� -. �N
Acldre�s` ' �.�f �C� ��` ��5� � License# l `/.��OS�i ����
� .4�'..:". . a " _ . � ,
QTNER ` � � ,.COMPANY,� :' , . �
SIGPtATURE . � 'i � `° � � ' ' " `REGISTERED"'' '�'Y/ N' FEE CURRE� Y/�V
Address ' _ _ . , , . , ' License# � � �
y,,.-, :. .
EtE31QENT1Atr.�� :Att�tch(2},PlofsP;lans;:,{2}seis�of,'Baliiling�t'ian"s;°{1}.set''af-Eriergy�Fo'r4r�s;�AF2=0=V1t'Pemiitfor new consWctE,on,:_ '
, .. , - . . . � . ,. ... :.. , , . . .,
�.:.�;�Minimum;tenr(:1Q)�woricingydays.'�after_subini[tal�date��;R'equired onsite;CanstrucNon-Plans;Stoimwater-Plans w/3ilt�Fence tnstalled,
`"�� Senitery Facilftles-&;1z,dumpster�Site Work,:Permit torfsutidtVislonsAarge�projects,� .,=.:�;� � " � � � � � ' '
GOMMERGiAL Attach{S)completa sefs of�8ultilingPlaiis'Pius a'�Ufe Safety Page,�(1}set af Energy Farms.R O-W Permittor�ew constnsc�tion..
Minimum ten(10)working days after submittal date. Requl�ed onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaoiliUes&1 dumpster.$ite Work Permit for all new�projects.All commercial requlrements must meet campfiance �
SlGh PERM17 Attact�(2}'se#s of'Eiig,l`�ieetod=Pians:, = � � � -
'•""PROPERTY SURVEY reGuired for all NEW construcdon.
Directions: � ,_ ,
FIII out applicatlon completely. ,
Owner&Contractar sign back of appltcatlo�,notar�zad
If aver�2500.a Notice af Commencem�nt[s required. (AtG apgrades over 57500)
�r.�<.,;;,_.
'* Agent(for the cantrabtor)o�'Power of Attomey(far tFie owner)would beysomeone with notarized letter fram owner autha�izing same
OVER THE CqUNTER PERMITitNti : {�rant of-APPIlcaBoa Only}_-.� ,
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plat/Survey/Fookage)
! Drlvaways-hEat aver Counter tf on public roadways:.neads ROW
NOi7GE Q�DEED RESTRICTIONS: The unde�c�lgned.undet�tands°.th�t<#hls;p�rmitmay.;be:subject ta"deed":ees#rtcttons"._-- ��,._.
. �_,.,
which may�tie<rtiore'�restFictive>th�n�Gaunty�riegr�latrons. �'TFie undersigned�essumea='r"esponsitiiltty�for"compllance�witH�any `' �� �
appNaable.deed-reshicttons. • _ . .. , _.
UNlICENSE�1�CCtNTRACTORS AND CCtNTRA�TOR�RESPONStBICITt�S: =tf=the��owner has��hiced��a�contractor or
aontractors #o undertake work, they,mey.bsrrequir�.ed.to.:be;_Itcensed In acco�tlance.with state�.and;lacal_regulatlons:��If�khe��=� _
con#ractor ►s nat lti:ensed�as=requlred'�6y tavit, bai#h�the owner and�coritfactorjmap be�c'tted=foc�-aimisdemeanar vlolatian
under state law. If the awner or Intended;c�n,ntractor;are,,;uncertaln as to what Itcensing.requtremen#s,tmayt:apply>�for:the'�� � , 4• �
lntended wbrk.�they are advisec!to coritact the.Pasco County Bullding'Inspection,Dtvisiori-l=lcensing Sectfon at 727-847-
8009. Furttiermore, if the auvne��'fias`'Fiinaid�a cvnfiracfo� ar contractors, tie is advtsed to have the con#ractar(s),;slgn ^ , _
portio�s of the"c.ontrackar,.Block" of.thls_application_.foc.which.#hey,will...b.e r.esponsible.� If=you,.as-#he owrier�'sign'a�"tlie' ' '
contraator, #het�may,be an lndication thet=1ie`is�riot.proper€y�Ilcerise� arid'Is riat enti�e� fo�periml�tl'ng priii3leges in Pasco
Counky. � :,:�. �.. .. ,
TRANSPORTATl�N-1MPAGTlUTlLITlES<IMPAC't�=AN�1 ItE$OURCE RECClVER1l:-�EEES:�T�he undersigned understands
that Transpartation Impac#Fees and.Reco.ucse Recovery�Fees„m'.sy�:apply.ta�ti�e�construction af new..buildings,�change��of='=-" � `v
use in existing buildings;�ar.�expansi�nrof��existi�iy:•�uildings, as specffied.in Pasco County Ordlnance number 89-07 and
9�-07, as amended.,.f:The undersigned also�understa�ds; tiiaf:such fees;�;�s,�may:tie�:dt�e�ww.iEl,;be identtfled a#the�time��of � : . �
permitting. It is fur'tiier understood that Traiisport�tlon Impact'Fees an.d{R'esource Reco�ery�Fees.mus# be pald prio�to
recewing-a"cerf�icate of occupancy"or-8naf,.paw�,r.;release: :f#`the.proJect:does;tiot Irntotve:a:ce�t�ic:�fe of occupancy'4T�=���,._,_
flnal powec:re(ease;�,the�;fees�mu�t.be�paid";p"r.�or to.,permit issuan`ce. Ft��thermor:e;�lf Pasco�C.aunty`INater/Sewerrslmpact = .�.
fees are due,_they inustbe:pald,:,prior�o permit:lssyiance�:in.accord"ance with:app!loatife Pasco'�Countjr,ordlnances. •
CONSTRUCTION`l:1EN'L.A11V(Chapter 7i3,Flor�da Statutes,�s amended): ifi vatua�on of work is$2,500.00<or more, I � --._:
certify that I, the-applicant,.-hav,e�been ,prav[ded with �a-copy�of�•the�"Florida�=Consti�uctton��Llen :Law—Homeowner's
Protectlon Gu1de".prepared by�tlie'Flottda Deparfinent�of AgrEcult�re and ConsumerAffair's. if#he appllcant is someone : , �:;
ather than th�°owne�", I certify;.th�t.l,;h�ve.o�ka.ined%a=copy,of.the:above.-.des.eribed��docuiir�ent-and;pra�ilse�In,goad'faith.to ,
deliver!t to-.the.�'owaer"�pHor�:to�coirtmericemerit:,,.��. , . � ° . .. - , " �
CONTRACTC�R'�/CiWNER'�AFFiDAViT: t.ce�tify���:ttiat�alt.�tha�lnf.ormatlon.in-this applicatton is accurate.and that all wark
,,,,.
wili'be done in compliance with all appitcable laws reguladng constructlon� xoning and�land developme�t. Appltcation is
hereby made to obtain .a perm�#�tto,,dor�ro7k�..and.Installatic�n as i�dE�afed:.�...:1� ce�tity #hat ria work xor trrstallaNan t�as
commenced p�lor to Issuance of'a permif"and'that`:all�work wlll be pertormed�#a meet standards of all laws �egulaking�
conslntctlon, County and City codes, zoning regula#iQns, and tand development cegulations=in the jurlsdlctEor�.. I��a1'so
certify#hat I unders#and that the regulatlons of other govemment agencies may�apply�#o the intended work, and that It is
my responsibiHty ta Identify.what,actiona I must•take:to,be5ln:.corrlpllance:_S.uch:agencles-Uclude-but-are.not Ilmfted to: t
- Departmen# ai E�vlronmental-�Protection=Cypress.'Bayhead�; Vi�e�and Areas and Environmentalty 5ensitive
l.ands,Water/Wastewater Treatment. `
- Southwest Ftortda 1Nater Ntanagement- .��sU1ct Wel1s; Cypress.'��Bay�eads; Wetland' Areas, A1#ering'
Watercaurses. - ' '
- Army Carps of Engineers-Seaw&IIs� Dacks, Nevlgable Waterways.
- Department.of.,Heatth:�.8. Re�iab�litaHve..Services/Environmen#aI..N�aith Unit:Weli.s� Wastewater-Treatment;
Septtc Tanks.... _ ' " _ . . ..
- US Env3ronmental Pro#ectlon Age�cy-AsbesQc�s abatement,. .
- � Federa)Avlattvn.Authortty-Runways:�,� -
!understand that the.foltowing.cest�lctbns appiy'to tfie use af flA:•
- Use offitl is nat atiowed�in;Flood,;2one"V"unless expcess#y permttted. _ {
- if the fiq mateHal is'to�"be used.�in:;Flood Zone. °A", (f. is understood that a dratnage plan addressing a;
°compe�sating vaEume"vulll be submitted at�ime of�permitttng which is prepared by a professional engineer;
Ilcensed by�the State of:flo�ida. � � � ;
- If th� fiU�matertal=is'to�ba-used tn Ftood �one 'A" in�connectlon�wlth�a��ermltted bulldlttg using sfem waNi
' construction, I certify;that fill.w111=b.e�used only.to fill the are.a within�the�stem�rali:
- !f fll! material�is to be used in any area, ( certify that use. af,such flll will not adversely affect ad�acent;
properties. 1#use oi�fill is fountF,to adverseEy��ffect adja�ent�pr+�perties�.the awner may be cited for vio�ating;
the conditlons:of.the b�ildtng�permlt.-issued�under the=attached..permit appl(cation;:for.:lots.less�than.one (1)(
, ar,�e wtitefi are etevateil�by'r fltl;ar�englneered draln�ge pla�t 1�requlred. . . ;
� If I am the.Af3ENT�OR THE�O'IMNER, I;promise In good f.aith#a Inform the�owner nf�the permilttng candftlans set forth Ini
this affida6lt'p�tor ta commer�aing consttuctlan. 1 uciders#and the#a-sgparate pertnit may 6e requ3�ed for efectrtca#work,j_
' ptumbing,_signs,weNs,,poals;,alr.conditianing,.ga�s� or athe� instali�ttons not�spea�ically included�in.the appEication. •A�
� permi!Issued shall be conshued to be�e'1(cense'to`proceed with'the work and not�as:authoNty_to:vialate,��ca�cel� alter, ar'
� sef aslde aiiy provls#ons ofi tlie techn#c�l codes; nor shall lssuance�of a.permtf.prevent fhe Bultdlrig C}#�'tc�al from thereafter;
'� requlring a coRection af,errors in.plans,constructian.orviolatlons of-any codes. .Every p�ermlt�i.ssued sfiall-become invalid!
�� unless the wark au#hortzed.by such permit.°I�.commencaduvlthln sfx,martths of�permt!Isstaanae. or tf work authorized 6y;
the permi#Is suspended ar:abandoned:�for a-period;.nf�six f�)�mnntF�s�..-after the tirne.the�woNk�s commenced.. An e�ctension i
may be requested,_In w�lting;:fram�tFie��Building.Offlolal for a perlod.�nnt to.exceed'-ntnetyr�(90)'days a�+d-wiU demonstrat�I
�ustiti�ble cause for��he extenslot� If avor.kceas�s:for nlnety.��0}cbns.ecutive:dayst..th\�ob�is considered aba�doned. ,
WARNtNG TC� QWNER; YOUl�_EAIl.URE�TO,R�GQttD A�,MQTIGE:OF•COMM�MCEME�T.MAY°RESUlT IN YQUR; �
PAYINC TIIVICE;FqR IMPROVEMENTS�Tfl YOUi'�,�PR4PER�TY:��I��.Y�3U�INTE�ID�?T�'�'lBTAIN�=FIPFAI�EtN,Cy;'C.ONSUL.T` �
WIT U ` �O: AN f►TTORNEI� FO.��� OR�1 f�.�; OUf�' ° ��C 'O �,; °°• � � 1
� Fi:Oft#DA�Jtlf�A!-{F:Si 9.1Y.03}" -- ---- -- - - -- -.:�—__.__� _._._;._ . ; - - -_ _ � __.. . - - --<— --
_ ._ . _.__.� ... :_ ---_�__ ,� _ ._____ ._ ,
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OWNER OR AOENT • ¢�^''"�.� ... CONTRAGTO �`� �w
Subscribed and swom (or�Nlrmed)before ma tMts Subscxl6ed and`swam=to(at aflinned}-betot+e me'ttii� •
by ..by - � ;
Who Islare personally known to.me or:has/have produced Who.ls/are p.ersonally known:to nte�or hae/have�produced � �. �
' as tdentlflcs8on. � as[dentiflcaUon. --
Notery Public � Notary Publlc £
Comm(ss4on Na: Comm4sslon No,
,
N�me o/tVotary lyped,Prfnted ar stamped Neme of Notary#yped,p�tnted ar s#emped
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CAC058575 /EC13007703 ��������
12232 FIVVIf 301 DADE CI'("Y (352)521-4�977 "Id01N PFZOVIDI{VG"
DADE CITY, FL 33525 ZEk�HYRHILLS (813) 779-9515 °'�LECTRICAL SERVICES"
NAME: Dave Maiden Date: 01/05/18 SPLITSYSTEM XX PKG UNIT -
SUBDIVISION. SIIV@f 08kS HEATPUMP X STR.COOL -
ADDRESS: 6535 Northlake Dr ���- `k�:��y��'�;;��� '�; :,�.. , ,� � ��z;x. �`;y
:��:�.0�.� <' "���,s:. ��,�,».�,��"<�����<�',r��!
crnr: Zeph fhIIIS ziP co�E. 33542 coNOErvsER: 4A6H40.42G1
' PHONE. 907-317-9514 WORK: f• //-/� �an�',�� IR HANDLER: TEM�AOC�2
CELL. RENTER: G.� �C�( . �) - SEER RATING: �4
ESTIMATOR: RObeft aRP.ND: AMERICAN ST.4WDARD
.��, �. . ,,,��y (/'�.'�{�}ji�, VT; w, ' ,. 6 ,�y�,l/w��`�<b�i„yy�. V VVo.�`$�
iN�{j��'w''�''i � .r''..3��iiN.iiw,.� +�il .,i�%:�i s? y '� � '� ����N ks�,.` �
'X. �4M'bero O ✓�� �v%: �w 3.��.i,.����%u,F:��� �
HORIZONTALATTIC (NSTANT REBATE : $ 950oi�0
BASIC THERMOSTAT l"OTAL LESS REBATE � J,9�O.A�rJ
PAD TOfVNAGE: 3, 'rj PARTS: 1 O YR
AUXILARY DRAIN COMPRESSOR: 1 O YR �BOR: 1 YR
HANGING KIT ��; ,�? ° �y;' ���; ,. „ .� �,Y,y ,��e, ,��ty���'���
;y,:�i%r"i �r�:,�.%,f£�,:5,',:ua�E�''��� F`!'; '„�i` �, ,,:.°,y�,2+�'�'
u.�:',�z,;;?,:
IN-LINE FLOAT CONDENSER: �
DRAIN PAN FLOAT IR HANDLER: #I�I/A
SEAL DUCTWORK TO CODE SEER RATING: �
REMOVE EXISTING EQUIPMENT B�AND: #N/l4
ANCHOR CONDENSER � " � ��I/A
TAX,LABOR AND PERMIT IfVSTANT REBATE � $ �BVIA
� $200 SENIOR DISCOUNT TOTAL LESS REBATE � �¢�/¢�
TOfVNAGE: . # /A
-•�s'�-•_��;-;=�,-:-..-�. COMPR oR: #N/A t.ABOR: #N/A
_ _ .,; ���s�` ���x'�.���, .,.�. ,.�. �a"�"°�
�"r�" - e„�.3.r ,.e..�frie>i .Y/� -.f� �k��*y,.itt{..�,�`:
oN�ErvsER: 4A6H5042G 1
IR HANDLER: TEM6AOC42
FIRST MAINTENAfVCE CHECK FREE SEER RATING� �FJ
B�N�� AnIfERICAId STANDARD !
T�A� : $ 7,�2�.77
�,. ��; �,���' ��' 4 � -� � �� < �,. ��' � �' ��� INSTANT REBATE .
y�E � � �,: ����,'��
,�/, v� "'"Y , .fi���.,��'r�i�.���li.%2,.�1h.. � �,.r..,,F�, a�l�n'�.�,� ,�i, C!�zz'��/
I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER TOTAL LESS REBATE � 6�72p.�r-
RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT TONNAGE: 3,rj PARTS: "I O YR
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT COMPRESSOR: 1 O YR i.,aeoR: 1 YR
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
THE RESPONSIBILITY OF SELLER. LIMITED WARRANTY�E UIPMENT,PARTS AND
MAT HAS WRI N MANUFACTURER'S WAR ONLY °' `T"''`m"�"'"`."�;w • �'�• ,���'�� °'
� � �, ��°, ,..,%z <...,._�y" p���� � ., ,, a��'"�`� .
� �— r��i^�� y^ s"��i�c� �iZ^:[�t� � /,n A
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- ' <'::�'s`"�s' 1"�- '•�"1-s•t'�:>€;.� ._ .;',
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CUSTOMER �iGNAT --UATE: j'�%`��1STANT,��EBA���� .��
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G.3 � � �� 0� ao o � c� oo � � oc