HomeMy WebLinkAbout18-19611 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 190
1
BUILDING PERMIT r`
-PERMIT INFORMATION - LOCATION-INFORMATION
Permit Number: 19611 Address: 38643 WARMINSTER LN LT 155
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: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-00000-1550
Improv. Cost: 4,476.00 OWNER INFORMATION
Date Issued: 4/24/2018 Name: DAVIS GLENDEL CLARE & RUTH ANNE
Total Fees: 65.00 Address: 38643 WARMINSTER LN
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-6360
Date Paid: 4/24/2018 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON PK UNIT
CONTRACTORS APPLICATION FEES
RON IERNA'S HTG & COOLING INC A/C CHANGEOUT 65.00
C ( o
DUCTS INSTALLED Ins ections Re uired
DUCTS INSULA E
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.
��4 �,2- �
&-, a 4��
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received L('Z 0,j$ Phone Contact for Permitting
Owner's Name 1. r V i I Owner Phone Number
Owner's Address �O (D�3C��,; LPG Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS c��j L`�G /vim r S LOT#
SUBDIVISION S�� OLLo�J PARCEL ID# d Z Zla- Z4 —OZ 0-00 - j V
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR e ADD/ALT = SIGN 0 = DEMOLISH
INSTALL REPAIR
PROPOSED.USE = SFR Q Comm = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK e e ) A R, A4 e- U, Z•�
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBINGqq
$
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N _j FEE CURREN LYLLN .
Address License#
'ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N 'FEE CURREN
Address License#
PLUMBER. . COMPANY-
SIGNATURE REGISTERED LILN FEE CURREN LY/N
Address License#
MECHANICAL / COMPANY fi v.4 ��r J CJp�11
SIGNATURE'' / `' REGISTERED Y/:N FEE CURB Y/N '
Addres License# rG}t-19j 3V7 io
11 OTHER COMPANY.
-SIGNATURE;, REGISTERED . Y/ N FEE CURREN LY,/N
-Address, License#
RESIDENTIAL Attach•(2).Pl6of Plans;(2)setsof Building=Plans;,(1-)'set of'Energy,F,omis;R,O-W'Perr6it.for ngw.construction,
Minimumaen.(•10)working'.days after subrriittal:date. Required onsite;ConStniction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&-1.,dumpster;Site Work Permit for subdivisionsAarge projects.
>,COMMERCIAL Attach"(4,domplete sets 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 fog all new projects.All commercial requirements must meet compliance
, ,SIGN PERMIT Attach(2)sets of Engineered Plans:"
""PROPERTY SURVEY,required for.all NEW construction.
'.".`Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500;a Notice of Commencement Is required. (A(C upgrades over$7500)
" Agent(for the-contiactor)orPower'of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNT_ER'PERMITTING (copy of contract required)
:Reroofs if shingles Sewers Service Upgrades.-A/C •- Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways,,1needs,ROW
I
I
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°i restrictions"'
which maybe more restrictive.than.County.regulations. The undersigned assumes'responsltiitity far:compliance with any
applicable deed restrictions.
UNLICENSED*CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the 'owner-has hire-d-a--,6ontractor or
contractors to undertake work, they may,be required to be,licensed in accordance with state and local reguiatlon& .lf:the.,,-`
contractor-is not licensed as required bylaw, bath the owner and contractor-may"be cited fog a misdemeanor violation
under state law. if the owner or intended contractor are uncertain as to what licensing require ments_:_may apply 4or-the..--.---,,
intended work, they are advised to contact the Pasco County Building inspection-Division=Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he'is advised to'have the contractor(s) sign_
portions of the "contractor Block" of this application for which they will be responsible. .If you, as the ownersign as�tlie
contractor, that may be an indication that he is not properly licensed and is not entitled 16'permitting privileges in Pasco
County.
TRANSPORTATION iMPACTLUTiLITiES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation impact Fees and Recourse Recovery Fees may-apply to the construction of new,buildings�, change`of-'
use in existing buildings, or expansion of.existing-buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such.fees, as maybe-due, will be,identified atithe time of-.
permitting. 1t 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 occupancy.or..
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer•Impact:
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN 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 Law-=Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone..
other than the"owner", 1 certify that 1 have obtained a copy of the above described'document and promise in,good:faith to .
deliver it to the uOwner'°prior to commencement. j
CONTRACTOR'S/OWNER'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 andland-development. Appllcation 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 permit 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 in:the jurisdiction. I 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 limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally,Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas Altering
Watercourses. I
Army Corps of Engineers-Seawaiis, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health .Unit-Wells, Wastewater.Treatment,
Septic 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"V"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 engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem 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 of the building permit 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. i understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, 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 in 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 a period-of six(6)rhonths after the time the work is commenced. 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-abandoned..- -
i
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._- _
FLORIDA JURAT(F.S.117.03) ,
OWNER OR AGENT CONTRACTOR ____
Subscribed and sworn to(or affirmed)before me this p scri a and swo to r rmed befo me-this
by
Who is/are personally known to me or has/have produced Who is/ar personally,known me or has/have produced i
as identification. as identification.
Notary Public Notary Public
Commission'No. Commission No. 'ti' 1�
Name of Notary typed,printed or stamped me of Nc2NEf RF)*AfWtbd or st mped
O
= Notary Public-State of Florida
Commission#FF 970369
4 �;o My Comm.Expires Mar 16,2020.
^ ' »
'
���'s��� �pi &Plumbing,Inc. ��m�e4B63�O
18843WS Hwy 41N Jwb4235u0O
Lutz, Estimate Date 4/21/zo18
~'~-~-~'~~~~ Completed Date
#CAC1813676W*CFC1429475
Customer PO
Billing Address Job Address
Ruth Davis Ruth Davis
38b43 Warminster Lane#155 g864]Warminster Lane#155
ZephyrhU|s'FL33542USA ZephyrhU|s'FL3354ZUSA
Estimate Details
2 1/2ton Bryant: Scheduled for either Monday morning or Tuesday afternoon, please call customer to confirm date and
time.
Package unit
Taak# Description Quantity Ymo,PMce YourT*tal
1571 2.5TON SC SILVER 1.00 $4'02080 $4'020.00
PA4ZNA030000
AUXILIARY HEATER
HoNEYVVELLTHEKK4OSTAT
5017 M|5C 1.00 $35080 $35080
5033 PERMIT FEE 180 $25080 $250.00
[ASH Cash discount only available to customers paying full amount incash 1.00 $-144.00 $-14488
2YKFKEE PMA-2 Year'Free with install 1.00 $0.00 $0.00
Sub-Total $4,4768u
Tax $ouo
Total $4,47680
|EmmA Your Trust'/cnwA Your Business!
By signing this document you confirm that you have a full understanding of the information being presented to you with no warranties
n�guarameesofcondidn6s that are nmsee�nor identi�ed.Any onncemsof the home's or business's ex/stmBuu�sy�emhave been
ed with you andif the homeowner/business owner opt not to replace the existing duct system,|ERNA's nor it's representatives
shall be held liable inany way for any performance issues and/or premature breakdown of new equipment that may arise from the
home o,business's existing duct system,Customer's signature on this form signifies that you have read and understand the
information being provided tnyou.
4/21/ZO18