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Home My WebLink About18-19773 CITY OF ZEPHYRHILLS ° 5335-8TH STREET (813)780-0020 19 73 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19773 Address: 5328 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: 11-26-21-0010-09600-0150 Improv. Cost: 4,900.00 OWNER INFORMATION Date Issued: 6/07/2018 Name: STEPHENSON JON F Total Fees: 65.00 Address: 5328 3RD ST Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542-3934 Date Paid: 6/07/2018 Phone: (813)997-2219 Work Desc: A/C CHANGE OUT 2 TON CONTRACTORS APPLICATION FEES AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 65.00 �---C�-7 /� Ins ection Required DUCTS 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 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. CONTRACI OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR'1NOTICE REQUIRED PROTECT CARD FROM WEATHER Fy.s 513a50-0020 City of Zephyrhills Permit Application Fax-013-750-0021 Building Department Date Received Phone Contact for Parmittin TI'TT"tT Owners Name _ wlit- 4 Owner Phone Number 2S 1 9 2-�� , p Owner's Address S p Owner Phone Number Fee Simple Titleholder Name Owner Phone Number. Fee Simple Titleholder Address �"T JOB ADDRESS �J — �I 5 . 33S21Q LOT SUBDIVISION PARCEL (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDIALT SIGN [� Q DEMOLISH e INSTALL 8 REPAIR PROPOSED USE = SFR = COMM IFJ- OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME 1 J STEEL = DESCRIPTION OF WORK r\ Z BUILDING SIZE SQ FOOTAGE HEIGHT t-t-tr-rre-rrtrr-r�-nTnrrr^rr-r-m�rrrri�"rrr�-rrr�-rrr�t-n-rn-r.f=r- =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. =PLUMBING MECHANICAL g00 VALUATION OF MECHANICAL INSTALLATION V r =GAS = ROOFING Q SPECIALTY i._J OTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO .i-.U-i-i-i-i-4-i-i-i-`-6-�-:-I-i-i-i-i-S.i-i.i-i•b-i-t-i-i�4-M.i=t..1-1-:t-F-i-i-i..i--4.f.+-f-�i.-:�-�-'-1-i-1-i..r�i-1-i..{-6-d-I�H�i,. BUILDER COMPANY - SIGNATURE ( REGISTERED I Y J N FEE CURREh 1.Y 1 N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y 1 N FEE CURREK LYLN Address F License# PLUMBER COMPANY SIGNATURE REGISTERED Y 1 N FEE CURREt, Y/N Address /J•License# � MECHANICAL COMPANY �/�eC'2S�J"t�eS ®7` Pc4sco SIGNATURE j� / y REGISTERED Y/ N FEE CURREA Y/N �! Address 7 .( "Tw I r1lS 77.335 License# -/R� � OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N Address F77 License#F_ iti / iititiiitliiittitltitt,[ tiittititllittlttiitiitlitiilttti / tiiiti RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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/Sill Fence Installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete 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 onsits,Construction Plans,Stormwater Plans w/Sill Fence Installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans; `—PROPERTY SURVEY required for all NEW construction. F-., I . .... Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required, (AIC upgradess over$7500) Agent(far the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some OVER THE COUNTER 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..neads ROW ° UNLICENSEDNOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be hiore restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. contractors. contractor s not�licensed as required by law, both the"wne and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for 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 porfinnen'the"contractor Block"n[this application for which they will he responsible, |f you, ao the owner Sign as the ' contractor, that may be an indication that he Is not properly licensed and Is not entitled to permitting privileges In Pasco TRANSPORTATION IMPACT]UTILITIES 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, m of existing buildings,os specified in Pasco County Ordinance number 89-07 and 90-07,as amended.. The undersigned also understands,that such fees,as may be due,Will be identified at the time of permitting. x|s further understood thatT�nsponuoon |mpom Fees and Resource Racwm�Fees must bo paid pnvrm mm,|vmuo^oomfivomnfoonupon ^or final power release. If the project does not Involve 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-__accordance with applicable CONSTRUCTION LIEN LAW(Chapteir 713,Florida Statutes,as . of work is'__-_ - more,I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" other" than the "w= certify that I have obtained a copy of the above described document and promise in good faith to deliver It to the"owner"prior to commencement. Cwm,n*o/vmuoOWmER!S*FFxxAmT /certify that all the information in this application is accurate and that all work will be done In compliance with all applicable laws regulating construction,zoning and land development. Applicallibn is hereby made to obtain a permit to do work and Installation as indicated. I that no work or Installation has' commenced certify construction, County and City codes, zoning regulations, and land development regulations In the jurisdiction. I also certify that/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_ Protect!6n-Cypress~_ -`.--_. Welland Areas- and Environmentally_ . . ~ Sensitive~ Lands, Watercourses.- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areasi Altering Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. Department Tanks. -------- Health— -- ' Was tewater----- Treatment,— Peptic US Environmental Protection Agency-Asbestos abatement. Federal Aviation"""= � |und�omnV�uthe Navuse oN|: , uo vffi��muo�v�d�Rood Zone"�uoleo If the fill material is to be used in Flood Zo'Re "A", it is understood that a drainage plan addressing a "compensating licensed oy the State«rFlorida. If the f0 material Is to be usedin Flood Zone "K in connection With a permitted building using-stem wall construction,~ certify - If fill material is to be used in any area, | certify that use of such 0| will not affect adjacent properties. If use of oob�unom adversely �mnond��noof8m ' ' properties,' - owner may violating- ` acre which are elevated under the attached permit by fill,an engineered drainage plan Is required. p� one `` '._.the AGENT FOR THE OWNER,' 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 maybe required for electrical work, plumbing, signs,wells, issued �shall be construed to be a U"°� , - - installations 'specifically permit set aside any provisions of the technical codes,nor shall issuance of a�h, - - - - - -eed with the work.and not as authority to violate,cancel,alter,or 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 suspendedm abandoned for a period of six(6)months after the time the work is commenced. An extension may - --ng,from the Building Official ~ .period not to exceed ninety(90)days and will demonstrate ' justifiable cause for the="ms!m. If work ceases for ninety(90)consecutive days,the job is c s dered abandoned.'OD is WARNING TO OWNER: UR F URE TO RECORD A NOTICE OFCO . N E MAY RESULT IN YOUR PAYING TWICE FOR I ROVE 8 TO YOUR PROPERTY. IF YOU IN ND OB FINANCING,CONSULT WITH-YOUR LEND OR AN T RINEY BEFORE RECORDING YOUR fid 04FMME1'NCEMENT. 9WNER OR AGENT CONTRACTOR-V�1_ Subscribed and swom t ad)before me this Subscribed and swam to((,affirmed)before me this Who mwm personally known mmon ^asmmveproduced Who Ism~ x�w**mm .mmommo produced m ' Notary publicNotary Public Commissionn"mmmm= ' Notary'Name of - 'printed or stampedName--_Notary typed,printed~stamped ' !� SERVICE INVOICE LOCATION.DF WORK ___... :-_ YSCA Yes_t_, No _ CHECK LIST 19-2 31 NAME ❑ COMPRESSOR IrTe ch ADDRESS ❑SUCTION PSI ❑HEAD PSI �� • ! DvOLrs AMPS 5- v A.1 ,,,� vA /0 81.3-779-7.508 WORKTO BE DONE-CODE ❑ELECTRICAL CONNECTIONS �p P.O. BOX 1120•ZEPHYRH)LLS FL 33539 ❑CONTACTS TIGHT d CLEAN ❑OIL LEVEL dCONDITION gILLTO FL State Lic. #CAC1815�498 � Date 7 ❑ CONDENSER COIL ❑CLEAN colt d CHECK PIN COND. NAME �... SERVICE COST ENVIRONMENTAL CHECK UST ❑TNT 'F WO •F v. (CAI 53, L. TECHNICIAN ❑ REFRIGERANT STREET PHONE WORK PERFORMED OTY. UNIT PRICE ❑LEAK 0 CHARGE ❑ FAN AND MOTOR �Sj� ❑VOLTS AMPS CITY , STATE . - ZIP RECLAIMED ❑ELECTRICAL CONNECTIONS VACUUM PUMP USAGE 0 coNmcrs TIGHT&CLEAN MAKE _ MODEL SERIAL NUMBER ❑FAN PULLEYS(AwusT BELT) rl ,I .� OTY. MATERIALS ❑CHECK LUS BEARINGS d MOTOR os /V 0 Orm MAKE MODEL SERIAL NUMBER ❑ EVAPORATOR COIL9.4jr,;zq/,7.327&dA ,5 REFWSEPANT It ❑CLEAN COIL d CHECK PIN MAKE M DEL SERIAL NUMBER ❑ENT OB,, -F I LVG DB_'F 0-/241# t- +�^ n� 49 ❑ENTWB_�•F LVGwB_°F [� [! --zl fJ7! ❑ CONDENSATE AREAS MAKE MODEL SERIAL NUMBER ❑INSPECT d CLEAN DRAIN PAN r ❑INSPECT CLEAN DRAIN DESCRIPTION OFWORK PERFORMED ❑ AIR FILTERS hwg- C W ❑CLEANED ❑REPLACED atluFILTER SIZE ❑ HEATING ASSY. J ❑BURNER d HEAT ExCHANGER ❑FUEL SUPPLY d PRESSURE ❑PILOT ASSE]ABLY y l�A.yC2I ❑FLAW AWUSTMENT❑ h 1..(} PRIMARY R ti RELAY d FLUE V e / �A+ Q0 i nl , ❑FAN a LIMrr SwfTCH OPER. //ry��,,, ❑BLOWER ASSENIBLY S / ❑RV VALYE I z ❑STRIP HEAT ❑DEFROST CYCLE ❑ ELECTRICAL COMP'TS ❑RELAYS 13 CONTACTORS ❑OVERLOAD ❑PRESS SWITCH m ❑ THERMOSTAT ❑O.K ❑REPLACE Time of Arrival: ❑RELOCATE Time of Departure: RECOMMENDATIONS I HAVE AUTHORITY TO ORDER WORK AS OUTLINED ABOVE,THIS INVOICE IS SUBJECT TO A FINANCE CHARGE OF 1 125A PER MONTH, TOTAL SUMMARY ANNUAL PERCENTAGE RATE OF 18%WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEYS FEES IF THIS INVOICE IS PLACED IN THE HANDS OF AN ATTORNEY FOR COLLECTION,CUSTOMER RECEIVED NOTICE OF CONSUMER TOTAL RIGHTS UNDER CONSTRUCTION INDUSTRIES RECOVERY FUND. MATERIALSTOTAL LABOR SERVICE CUSTOMER'S SIGNATURE CALL CHG. TAX • LIMITED WARRANTY:All materials,parts and equipment are warranted by the manufacturers'or suppliers'written warranty only.All labor performed by the above named company is warranted for 30 days or as otherwise indicated In writing.The above named company makes no other warranties,express or Implied,and its agents or technicians are not authorised to make any such warranties on behalf of above f1 named company. TOTAL Q(/ t°0 t