HomeMy WebLinkAbout18-19574 CITY OF ZEPHYRHILLS
5335-8TH STREET /
(813)780-0020 19574e
BUILDING PERMIT r,p�
PERMIT INFORMATION" LOCATION INFORMATION
Permit Number: 19574 Address: 5016 SUMMER HILL 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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0380
Improv. Cost: 5,550.00 OWNER INFORMATION
Date Issued: 4/17/2018 Name: GERTH OMER & MARY
Total Fees: 70.00 Address: 5016 SUMMER HILL DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-8202
Date Paid: 4/17/2018 Phone: 813-788-2049
Work Desc: A/C CHANGE OUT 3 TON SPLIT SYSTEM
CONTRACTORS APPLICATION FEES
ENVIROMENTAL CONT. A/C CHANGEOUT 70.00
�,In
DUCTS INSTALLED Ins ections Required
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NP OCCUPANCY BEFORE C.O.
l
CONT O GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
.CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
sl$aeo-wzo City of Lephyrhills Permit Application rax-esls-rau-uuri
1 Building Department
DateRecelyed. Phone•COntac 1or-Perrnitting �CD — ✓7 70a)
Owner's Name Owner Phone Number
Owner's Andress. Owner Phone Number
Fee Simpl®Titleholder Name^:. 7i � Owner°Phone Number-
Fee Simple Titleholder Address
JOB ADDRESS � co LOT#
SUBDIVISION PARCEL ID#
1 (OBTAINED FROM PROPERTYTAXNOTICE)
WORK°Pt,OPOSED NEW CONSTR' AD.D/ALT 0 SIGN' C] Q DEMOLISH
e INSTALL. 8.. -:REPAIR
PROPOSED;USE•• 0 SFR -COMM: = OTHER `
TYPE"OFCONSTRUCTION .Q 'BLOCK Q -FRAME Q. STEEL Q.
DESCRIPTION OF•WORK
-BUILDI SQ`FOOTAfaE • .•HEjGHT : � _ -
:;
=BUILDING $ VALUATION'OF TOTAL CONSTRUCTION",-
=ELECTRICAL $ AMP SERVICE _ -PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
i
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS Q. ROOFING Q SPECIALTY. = OTHER.
FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
17
.:BUILDER . COMPANY
SIGNATURE REGISTERED Y/ W,'•. FEE:CURREP
Addr®ss License,#'
ELECTttICIAPI_. :a : COMPANY
:'SIGNit►TURE REGISTERED Y/ N FEE CIiRREP:.-` Y/N.
Address :License#.
PLUMBER,.::. 'COW PANY:::
SIGNATURE" REGISTERED Y/'"N-:' FEE CURREh,r-
:n.
Address C Licen'se# ;z
AAECHAPII'CAL :.COMPANY :L 1�
` SIGNATURE'•`• ' °' REGISTERED Y/:N' FEE;CURREh .Y:/N .:
Addres;L'1:' License.# . 17
COMPANY'_.:
`REGISTERED' FEE CURREK Y/N
• Address�..,..;..r_.:.,=h,F.,;�,;-, ;f; r,..• `Lioerise
-
>,:_;� •z''" `�-RIa s .1 >seto,Ene Forrris��RO=ViF:Pe�rnitfornew;' n. tru ...`'_
;.1•..RE$IDENTIALS.. AtNac1�,(2)PlotPlans'j2)sets`ot<�Buil�inga, n ,O rgY, ,„ a cA_ tl„ _
M'.. .:•: : •:_ s' i n` 10.sins&"'n''"`.da F'':after;°�iiia ital a te Re'aired onsiteY Construction Plans,StoirtLwater`Plansw/°Silt'Fencef mWIled;
4 Min)nuI—t®. . q
Sanity F.aciliti®s2&Jum ste i`IQTWorlc:Perrrrlt for�subd v1siogs/iarg®'ProjQcts:.-. ;` `t:"r-
r.:.�Ut', ki3F.Y;4.i. _ t1 5.,...X_
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"F COMMERCIAL Atta M."cotTiplete's'®ts of B"i di ing"Pians pius'a Life'Safety Page;(i)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-FaGI(ties.&1 dumpster.Site Work:L?ermiYfo all-newprojects.All commercial requirements must meet compliance
`:SIGFI?PERf1AIT Atfa'chiOsetsQf#Ei�gin®erectPlans?i{:tG:'J'a`:;1''.A-:'i'•
a x
•. ^-'r ***!PROPERTY.SURVEY reguired.f4r„a II,NE.W;constructlon...._•
{ Diectio'ris: S,rs; c _ ;FI•,.-a
" Fill;out Ca co
"O,uvner.&,Contractor'sign°back&,application,notarised
`?If;over42500;a Notiti.,6cCommencement is required. (AIC upgrades over$7500)
0
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�.�•,•-<:_. gent'fortheconfn3ctoe?:rRower'of'Attome'`for.the owner.would'tie"someone with notarized.letter,ro y( )" m owner authorizing same
^'.COVER'i,THE�COUNYER;�PE,RAAITTING';:.,..:•:.;..(.copy�of contract�regWlred)- ""''�" ""
. 'r:Reroofsifafiingles S®avers. :Service Upgrades,A/C,: Fences(Plot/Survey/Footage)
=Drty®ways-Not over.Counter i,on�public'�roadways rieeds'ROVI/� • ' .
RICTIONS: The end rsi ned°:undecstan. sr#hat this' :ermit:.ma be subje r#o"deed ;restrict oit's-
NOTiCE.OF,DEEP.`REST e. ,g ,P y
.c"sx'^' :'k'f:: "i�'kt`t.$_?i;�:ti; ..;�.-.�,..{t;','w.p.4:;nia, x,�.,;�.:;�_:,�,YA'eyY-a•�CSt,r..':�:'t .
e=:t 'aril` c tilt."=1 Iatlons::T id ur ecs `i i tltisssu i s=i sponslb ty-for:,cortlpllaric�: rit <any;
whichimay�bemorearesfrtctsr. h C y 9u 9. ,..:
a !icatile deed.lestrictions.
UNLICENSED:vCONTRACTORS. AND- CONTRACTOR. RESPANSIBILITII^S If #I a=owner`Shan-tatted a:contractor or
cont rectors•ta undertake work the :ma.;.be;.re. uir; d-ao'be= icensed.in accordance.witty.state:anidloca( regulations:.lf5tle ;
contractor.is3 not:iicensedr as:rggp red•by.law, bath.the oiivrrer and'car�"t actor`msy be ci ed:for frrisdetneanor•v oiatian.
understate taw. if the owner..or lratended:,cot trac#or.are'uncertain as.:to what<Iicensing:raqultde e.i,,I to ,,.pplyxfot H`e
Intended .#hey are advised to contact the-•Pasco Couhtp Baitdlrig.Inspection..Dty€s€o€i I.€censing,Section et 727=847
8009."'•Furthermore,"if the diner has tilted a' contractor`or contractors, he is advised to-,have-they,coritrarotor;(s.)%\,,s@
portions of the-contractor Block",of this.application_for which..they•wlll.be.-responslble -If-you, _as the owrier sigrr as the
contractor; that.may be an indication4hat he is n"ot'properly'licensed and"is not eritified-to permitting privileges in Pasco
County.
TRANSPORTATION=-IMPACTI,UT.ILITiES;IMPACT AND RESOURCE RECOVERY FEES:-The urideMigned.understands
that Transportation Impact Fees and Recourse Recovery Fees-may'apply tomthe.cons#tuctian..of:n.Qw;.j)uil ii igs;.':ct ar
use In existinWbuildin�s;aarG.e�c'Ortg6n ofrei istiiig:buildings, as specified in Pasco County Ordinance number 89-07:and
90-07„as amended. The,undersigned'also,understands;that.suchi,fees,;a,i-`,r iy OWdue; wlti iie�•identified°"atppt
permitting. 'I# fis'furtherunderstood thaat Transportation-Impact Fees••and l esourci0Recover ',,I,s must be paid.pcior to
receiving a': certificate.of:aecupancy°ar finai;.;power release: if the;pr.,oject:does not°•involve:a;cartifica#e of.ocoupanc►or
final::power::-reteeser,the:#ees-.rriust be;paid prior to.perniit`issuance;.,.:FurtfiermoreF-if:.Paeco County aterJSeuyeir
fees ai,wdue;.theymti6t<be,,paid prior to permit issuance.in.accordarice with:appticable.,,asco'County ordinances
CONSTRUCTION•LIEN L&-(Chapt'®r7_1'3,'.Florida Statutes;as amended): If valuation of work is$2,500 QO or more,l , >
certify.ithat-1,--the,appllcant,:,.have ,been•-provided•with 'a.copy:;of,,,-the "Florida��-Construction':::Lien-,Law—,omeowner"s
Protection Guide" prepared`by the'i+'lorida,Department of Agriculture and Consumer-Affairs. If-the applicant is.:•someone_,
other than the uowner",;).cect'tfy that:Lhave-:obtained'a copy of the°above'.described;document"and;promise in goody#aiti°to
deliver it to`tile,`a rneTl p mmencernerit: '
CONTRACTOR'STOWNER'S AFFIDAVIT:;;h<certifythat'aii=ttie infor:.matian in this application is accurate and that ail work
_.
will be done In compliance with all applicable'laws regulating construction, zoning:and,land�development. Application.is
hereby made to.obtaln,,,a,:permao d,o=;work and,,Linstallation.4f indfcaiteo: I<eertify #hat" no work or'Ind liatiora��'has
commenced prior�to issuance of a permit and--that all work will be performed•to.,m.eet.-:standards of all laws regulating
construction, County and City codes, zoning regulations, and land development`regutafions'in•ills jurisdiction:.°1:°also
certify that I understand that the regulations of other government agencies may`.apply-to the-intended work, and_that ifit is.
my responsibility to identify what actions.I.must take Jo.be, n,compl ance;$Such-agen'Iles Include°but are not;llmitedtto:
Department of Environmental{Pr.`o#ecttora-Cypress Beyheads, Wetland Areas:and Environmentally Sertsitive
Lands,WaterMastewater Treatment. _ -
- Southwest Florida Water Management :District-Wells;` `Cypress.:.136y.heads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers=Seawalls, Docks;Navigable' 'Waterways.
- Department:.:of.Health,„&:Reha0iIita#y •ServlceslEnv.ir.o mental:MeaIW-Unit=Welis;hWasti*ater-Treatment,
Septfic'Tariks:, . .. .
• US Environmental Protection Agency-Asbestos.abatement.
Federal Aviation-Authority=Runways: .
I understand thatate follovuingcestrctions apply to-the use of.fill:
Use of fill,is„not'ai19 in-Flood Zone"V"unless expressly permitted.
If the fill:rrtateriai: fis-"ta°be-used in Flood Zone "A", 'it is understood teat'a-drainage plan addressing.a
°compensating volume" will be submitted at time of permitting which is prepared by a professional englh6er
licensed.byahe Sta#e`of-Florida.
If the,fill'inaterialAS-16 be used in Flood Zone "A" in connection with a permitted building using..stem wall;
construction, i..certify;that;fiiFvhilt"be used only to fill the-area within the:stem wall. ..:.
If'fiIV-mafe.rlai 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,:iAacent properties, the owner may be cited for violating,.:
the eon3ltions:of the`°=building perm t'.issued under�the'attached::perm_X;,application, for.Iots4es"s'_th9n one"p)
acre wtiicN:are,etevated by fill,en engineered drainage plan is required.
If I am,the:.AGENT.:FOR:THE OWNER 1;;pcomise in-good faith!to inform_the owner.ofahe per€riitting,conditions set forth in
this affidevot:prior-toUcommencing cdnst;'ruction.:;.understand that;a,separate permit may be_required for electrical.work,::'
plumbing,•si6ns,;:weils,..;pools,•,air,,conditioning;,,gas;:,,orF other,"16 li'ations,not specifically-included in.the applicatiori;
permit issued shail£tte construed to be'a license"tas.proceed.'with.tFie,.uvork::.and novas-authorlty:to viota#e;:cancel,-.alter,;or
set aside any piovisions`of'the teclinicai codes, nor shall issuance of a permit:,prevent the Building Officiai'from.tEier'eafter'
requiring.acorrection�,of:�errQrs iw0lan`s co�stru-ction,or:'violations-of,any=co'des. .Everyr 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:;a�periodaof:alx,(6)mcnths:after the time the work is commenced, .An extension ' '_.`
may be;requested, in,** n'g,froirt•tile`i3cifildiiig Official for a period nouto.,-6x6eed°iiriety(g0)days and`wili demonstrate
justifiable cause forthe extension.,:If wark;ceases for ninety(90)consecutive days,the job is.considered abandoned:
..A:L.1..:,,;:!•..'{.a..n,!,...,ny-•n. t......:K, - ,, YOUR- O :=A.;NOTIC .OFnAMARNINGW OwCRDC '
-
PAYING'TWICE'FOR<IMt?' OYEM>:NfiS iTtj°YOU., RO.PII 't1(: IF XO:U;iNTENDkTOOBTAIN.+FihIA Gl CONSULT `s
r
WITN'YOUR"L'ENDER'OR AN;A ' ORNEtf BEfOR .. -CO Di G YOU TICE{OF'C01UiM NT:
FLORIDA JURAT;(F Si j j1 7:03)
OWNER OR AGENT:.. .. :, CONTRACTO
Subscribed and--sw'o'n to(or dMrmed)before me th€s S bs Mbed an' m to{or a ad).before:me
Who is/are personally knovm,ta me.or..F�asihave,produced,. Who is re perso all nc,wn.,Wme•or has/have produced: '
es'(denfificatlon. as identiflcatton.
Notary Public Notary Public
,,- JA MINE$ACES
Commission No. Co scion �'v'�Y c .�.-
*; miss on 504 2
-�: Expires Dsc®mber 12 2018
rr., A.
Name of Notary typed,printed or stamped Name of Notary typed,. r r r FM lfttmn o yes mfs
Work Order
Environmental Contractors 4/17/2018
10221 Hwy 301 Summary: SYSTEM C/O
Dade City F133525 Reference#: 10142-112
(352)567-5515 Tech: JON
Bill To: Job Name:
Omer&Jeannine Gerth Omer&Jeannine Gerth
501.E Summer Hill Dr. 5016 Summer Hill Dr.
Zephyrhills, FL 33542-8202 Zephyrhills, FL 33542-8202
(813)788-2049 H (813)788-2049 H
Description of Work
INSTALL 3 Ton , Heat Pump 14 SEER, R-410, BRYANT/CARRIER Split System, with 5 KW heat strips, new
digital thermostat, VGF, AHU Stand, pad, PERMIT$5550 +$300.00
115271A BRYANT 3 Ton Ht. Pump-14 SEER-VGF-V/S-AHU
Model#214DNA036000 Serial# 1218E19866
CARRIER Air Handler
Model# FB4CNP036L00 Serial# 1218F45119
Installed Equip Install Date Model# Serial Equip.Warr Labor Warra Service Exp
CARRIER A/H-old --
3 Ton FRIGIDAIRE Heat Pump-10 6/29/2005 FT3BA-036KA FTA050303764
Seer(Stellar Series)
• FILTER: 18X24+PREF CHRIS B+MRS=EMPHYSEMA-NEEDS A/C+
* OFF SOUTH AVE BET 20TH & RR+12-26-21
All material is guaranteed to be as specified.. All work to be completed in 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.