HomeMy WebLinkAbout18-19441 CITY OF ZEPHYRHILLS
5335-8TH STREET
f (813)780-0020 19441
BUILDING PERMIT
PERMIT INFORMATION LOCATION'INFORMATION
Permit Number: 19441 Address: 6847 SUNNIDALE 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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-1050
Improv. Cost: 3,730.90 OWNER INFORMATION
Date Issued: 3/15/2018 Name:' FAULKINGHAM REGINALD & SONJA
Total Fees: 60.00 Address: 506 DOW RD
Amount Paid: 60.00 ORRINGTON ME 04474-3741
Date Paid: 3/15/2018 Phone: 207-256-2252
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 60.00
G�
DUCTS INSTALLED Ins ections Required
DUCTS INSULATE
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.
4O4NTRACTOR SIGNO URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting S� �o? — ���
Owner's Name i'l Owner Phone Number Ro
Owner's Address /7 Owner Phone Number
Fee SimplejTitleholder Name Owner Phone Number
Fee Simple;Titleholder Address
JOB ADDRESS O 7 �(//II�f/ LOT#
1
I
SUBDIVISION. PARCEL ID# 006n 40 0S0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR= ADD/ALT = SIGN = = DEMOLISH
d INSTALL REPAIR
PROPOSED USE = SFR = Comm E4 OTHER i77 i
TYPE°OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 0
DESCRIPTION'OF WORK
,
BUILDING'SIZE SO FOOTAGE HEIGHT.
a
=BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
.=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
f.
=PLUMBING $
M3ECHANICAL $ n VALUATION OF MECHANICAL INSTALLATION
=;GAS = ROOFING Q . SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
1
.BUILDER- ---- -- -- -- - -COMPANY-1--
SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N
Address license#
ELECTRICIAN .:: , COMPANY
SIGNATURE REGISTERED Y/ N LY/N.
Address' - License#
PLUM.BERc COMPANY
'SIGNATURE. REGISTERED Yr/'N'`` FEE CURREN Y/N
Address License#-
''.MECHANICAL' ' COMPANY
"SIGNATURE'• ��� REGISTERED Y N - FEE:CURREt. ICYYN
Addre§ss1'1' 1oC2136191 `US License#, .C CQS��
OTHER',-''';'•r COMPANY
SIGNATURE:'+ REGISTERED Y/.N J FEE CURREA'
Address:«;: :.:r^: License#
....:
RESWENT_I`AL=:; '-Attach"(2j':Plot P.lar s;;(2)sefs of Building Plans;(1)`sef of Energy Forms;R-0.=. new,construption,
a um._ten,(,10)workingdays after submittal:date:"Require8'bnsite;'Construction'Pians,'Stormvirater Plans w/Silt Fence installed,.
Sanitary.:Facifloge ,'8�:1',;dumpster;_Site:WorksPermitforsubdiyisions/large"projects::-
.`.00MMERCIAL Attach=(2)'camplete'sefs`of'Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
} = Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit fo ,ail-new,projects.All commercial requirements must meet compliance
SIGN'P.ERMIT Attach'(2)sets.of;Engneered Plans:
PROPERTY SURVEY
,required for all,NEW construction:..
Dire_ctions::
Fill out;application completely.
OwnerA Contractor sign.back of application,notarized
If.over$2500.a Notice.of Commencement is required. (A/C upgrades over$7500)
Ag*ent(for' ator),or'Power-ofAttomey(for'the owner)would be someone with notarized letter from owner authorizing same
ER.THE 00UNTER_P.,ERMITTING.. ..--. .(copy..of-contract required)
;Reroofs if shingles ~Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not ROW
over Counter if on public roadways.Aei eds
yj
NOTICE OF DEED RESTRICTIONS: The undersigned understands.that this permit may be:subject.to"dee& re' st ict'l6h, J
which,may.,be-more-restrictive;than County.regulations `The£uridersigned=assume's':responsibll ty:for°:compliance-rnnth ariy
applicable deed restrictions.
UNLICENSED GONTRACTOltS AN[? CONTRACTOR RESPONSIBILITIES: If-the owner=tias tilted°a`'contractor or
contractors to undertake work;they May,be required..to be licensed in accordance with state and: al;,fegulatlons -'lf.tt►e<<
_.._
contractor is not licensed:as requ{red'by law, both the owner=and contractor may be clfed=for-a misdemeanor vlolatiiin <a
under state law. If the owner or:intended,eoptractar are;uncertain as to what licensing requires'meats:may,:appiy,,,for,the-Xl':'
8009de work,they,
ea f the:advised to"has�ctftl ''Pasco County°Building liispectiorl Division=LicerisIng Section at 727 84:7-
, ' hired'a'contractor or contractors, he is advised to ihave�the contractor(s)^•,sign ;y,
portions of the contractor Block of this application for which they will.be responsible. If.you, as tle ou+rr':er sign'as=;the:
contractor, that may be an indication that he•is not�properly'licensedand*is nofe'ri itled:to permitting,privileges;iri
County.
TRANSPORTAT16N iMPACT(UTILITIES•IMPACT AND RESOURCE RECOVERY FEES:-The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees:ma a l to construction.of:new:•buildin s, chars
P P rY y� PPY_ 9 g
use in existing buildings,:or expansioh.of;existing buildings, as specified in Pasco County Ordinance number 89-07'an'd.
90-07, as amended. The undersigned also;understands, that such:fees, as`:may_-be,due, will-be ident�ed at4the.time=ofti=-
permitting. `It is"further understood that Transportation Impact Fees and Resource Recovery,Fees must be paid;prior to
receiving a .certificate.of-occupancy.,or.final,„power release. If the,project does not involve:a"certificate of occuptiriciporY
final,.power releasei.the,.fees,-musf be:;paid prior to permit issuance. ,;Furthermore, if,Pasco:County Water/Sewer.,;Irri
fees are due,they must be paid:prior-to permit-issuance in accordance with applicable rdi.Pasco County onances.
CONSTRUCTION-'LlEN-LAW(Chapter 713;Florlda Statutes,as amended): If valuation of work is$2,500.00.or more,,L-,,,
certify that I, ,the "applicant, have been":.provided with a copy: of-the "Florida Construction.:;Lien..Lav:Homeowner's +
Protection Guide prepare&by'the-Florida Department of Agriculture and Consumer.Affairs. if the applicant is.someone.,., .
other than the"owner",1.1 certify that L.have obtained a copy of the above described document and promise-in good''fait..t,;
deliver.it:to the:`,.owner.":;pdor:,ta�,coinmencement:
CONTRACTOR'SlOWNER'S AFFIDAVIT:,.:i".certify.that all the information in this application is accurate and'that ail work
will be done in compliance with all applicable`laws regulating construction, zoning and {and,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 pemilt 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'iri.:the jurisdiction. 2 .'also
certify that I understand that the regulations of other government 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 limitedlto:
Department of Environmental:Protection-Cypress Bayheads' Wetland Areas and Environmentally Sensitive
Lands,WaterMfastewater 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,
Sept{c�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 Wu 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 en'gineer
licensed by.the State of Florida. . i
If the,fill 'material is.to be used in Flood Zone "A" in connection with a permitted building using stern wall
construction, I certify'that-fill:will 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'af:::the.buildingpermf,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 OWNER;:I,promise in good faith to inform the owner of-the permitting:conditions set forth in
this affidavit prior to commencing construction: -:1.understand that a separate permit may be required for electrical;work,.
plumbing, signs,-Wells, pools,..air:conditioning, gas,.:or,other installations not,specifically included {n..the application: A
permit issued shai{'be canstrued`to"be a ticense•to_proceed with the work and not as authority.#o w'iolate; 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 46 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 o period.,of-six(6) months after the time the work iecommenced. 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 extension. if work ceases for ninety(90)consecutive days, the job is considered abandonedt
WARNING`TO OWNER: YOUR.FAILURE TO RECORD A NOTICE.OF, COMMENCEMENT MAY RESULT IN'YOUR
PAYING TWICE IFOR,IMPROVEMENT$:TO"Y—00R.PROPERTY...IF YOU�INTEND YTO 4OBTAIN:FINANCING,CONSULT
WiTH YOUR'LENDER OR AN ATTORNEY BEFORE'RECORDING YOUR NO CE"OF�COMMENCEMENT. ;
FLORIDA JURAT(F.S.11.7.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn (or affirmed)befo me this Subscribed and swo re to(or affirmed)befo is
by by
Who is/are personally known to me or has/have produced ' Who is/are personally known to me or has/he ve produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
CHRIS � ,
xhl� VAC
Tim
c o M N
CACO58575 1 EC13007703 PROPOSAL
12232'HWY 301 DADE CITY (352)521-4977 "NOW PROVIDING'
DADE CITY, FL 33626 ZEPHYRHILLS(813)779-9515 "ELECTRICAL SERVICES"
NAME: ' Sonja Faulkingham Date: 02/27/18 SPLIT SYSTEM ### JPKG UNIT #N/A
SUBDIVISION: Valleydale MHP HEATPUMP , ### JSTR.COOL ' #N/A-
ADDRESS: 6847 Sunnidale dr. EEzu
�f �
CITY: Zephyrhills ZIP CODE: 33542 CONDENSER: ##
PHONE: 207-256-2252 WORK: AIR HANDLER: #NIA
CELL: RENTER: SEER RATING: ##
ESTIMATOR: Robert BRAND: #NIA
T J � Zt �'. E i Tp,�rs„yi {t3tiya.-"
MENNEN-
zmm
PRO 6060 THERMOSTAT INSTANT REBATE $ #NIA
PAD TOTAL.LESS REBATE $ #NIA
SEAL DUCTWORK TO CODE TONNAG PARTS: /A
REMOVE EXISTING EQUIPMENT C RESSOR: #N/A LABOR: #NIA
DISCONNECT 'r�� all
'
$200 SENIOR DISCOUNT CONDENSER: PAJ436000UP0A
CONNECTED TO EXISTING DUCTS AND ELECTRIC IR.HANDLER: 0
ANCHOR CONDENSER ' SEER RATING: 14
TAX,LABOR AND PERMIT BRAND: COMFORTMAKER .
T TA $ 4;630:90
INSTANT REBATE.: $ 80 .
TOTAL LESS REBATE 3,730.9_.
TONNAGE: 3 P
COMPRESSOR: 10 YR LABOR: 1 YR
.,� � V
CbNp SER: 4TCC4036A1
1R HA L . 0
FIRST MAINTENANCE CHECK FREE SEER RATI 14
BRAND-
T07A 6,218.84
INSTANT REBAT
$ 900.00
1 HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER TOTAL LESS BATE $ 318.84,
RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT TONNA 3 PARTS: 10
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT. CO ESSOR: 10 YR LABOR: 1 YR
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
E RESPONSIBILITY OF SELLER. LIMITED WARRANTY:EQUIPMENT,PARTS AND
------------
MATERIAL HAS WRITTEN MANUFACTURER'S WARRANTY ONLY.
Q°l,?-4 Cf .O IV101<3T f °> (WAC)
CUSTOMER SIGNATUREalo2v,,. (NSTANT REB 4 -y: