HomeMy WebLinkAbout18-19852 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19852
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19852 Address: 5546 18TH 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: 11-26-21-0010-11200-0140
Improv. Cost: 3,400.00 OWNER INFORMATION
Date Issued: 6/25/2018 Name: FRENCH SANDRA
Total Fees: 60.00 Address: PO BOX 811
Amount Paid: 60.00 ZEPHYRHILLS FL 33539-0811
Date Paid: 6/25/2018 Phone: (813)966-5292
Work Desc: A/C CHANGE OUT 1.5 TON
CONTRACTORS APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 60.00
J
DUCTS INSTALLED Ins ections Re uired
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.
CONTRAC OR 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
Data Received Phone Contact for Psrmtttil (;
Owner's Name n Owner Phone Number --1i
Owner's Address t7 7�tCfJ 'O ��73 . 33AZ Owner Phone Number F I
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
4
JOB ADDRESS i h 1 5 LOT N
SUBDIVISION PARCEL ID#
-' (OBTAINEb FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN = Q DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM lJ OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
TIC'T'PT'IT'�rR'f'7"rrl'�r'T"Tf rTTr'P7�tT1'1T
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
C.
=PLUMBING $
MECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION �y
TTjj !/
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO
-i•.i.i-i+.t-iF..i-i.i-i�i-bi..i-{..�'�:•�1-�t•.t-d.L-i�t-4i+F-i-B-L-i-F-1-F-t-d-I-i-t•-1-F-to-�1-'.�.t�.t-Fi-4�1.1-4.1-4�F�S�i-t..�'-3..
BUILDER COMPANY
SIGNATURE REGISTERED YIN FEE CUflREf,
Address License# ^�
ELECTRICIAN. COMPANY
SIGNATURE AEaisrEAED I Y i N FEE CURREr. Y/N
Address License#
PLUMBER COMPANY.
SIGNATURE REGISTERED YIN FEE CURREt Y/N.
Address •License# F— -�
MECHANICAL COMPANY !Tj t!�`r�L''°� �.a`t//LAS C)T' RX5co ,
SIGNATURE PEGISTERED YIN FEE CURREE+An,', i YG/N �/G p
Address , f7 S W. 3 License# NIL I&IS 4[6
OTHER FCOMPANY
SIGNATURE REGISTERED Y I N FEE CURREn"" ` Y/N
Address License#
tlilitiltitttttttI Ill t111t Ill Ill 11111it Ill
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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,'Slormwater Plans wl Sill Fence Installed,
Sanitary Facilities B 1 dumpster,Site Work Permit for subdlvislonsAarge 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 onsite,Construction Plans,Stormwater Plans w/Slit 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.
�M1-i.i-F�i�t�.S.t�t�t-3�t.i�i.i.isa.•6.t-i�i.I�t-i.FSw�:�t�C�t�i�.i+i�I�t�wS.r.t-O.�l.i.�i-i.i-.• t,d�
Directions:
Fill out application completely.
Owner S Contractor sign back of application,Doladzed
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7600)
Agent(tor the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
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..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this perm "deed".restrictions"
' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance With any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in
nce With state and local regulations. If the
c*nhamurisnot �� bu�the owner and non�smmr�may ba�nited for u misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing ly for
intended work,they are advised to Contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009.
hermore, If the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
xm"noo[�the"contractor for which they wWhe responsible. If you, as the owner sign,as the .
that be an indication that hais not properly licensed and Is not entitled m permitting privileges mPasco
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that
permitting.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 may be due,will be Identified at the time of
~—" .~further understood that Transportation
receiving
y"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, must be paid prior to permit issuance In accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Copmn,3,Florida utamtes,as amended): If valuation of work is$2,500.00 or more,I '
certify that 1, the applicant, have been provided with a copy of the "Florida Construc6h Lien Law—Horneowner's
Protection Guide"prepared b
other than the"owner /certify that I have obtained a copy of the above described document'and promise In good faith to
deliver nm the nwnnr
"prior to commencement.
CONTRACTOWSIOWNER'S .certify that all.the information..this
application is accurate and that all work
will be don-- in compliance --all ' ��� regulating� ��� � ~
hereby made to obtain a permit to doinstallation as indicated. I certify that no work or installartion has'
commenced
Construction,—__ County
certify that.understand that the'
encies include but are not limited to:
' responsibility to identify
of Environmental Protectidn-Cyprass Bayheads,Wi3fland Areas and Environmentally Sensitive
- Department
Lands, Treatment.
- Southwest Florida Water Management DistricAWells, Cypress 8eyhoadv VVmUund Areas; mtehng
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & RahqW0aUvo Health Unit-Wells, Wastewater treatment,
Septic Tanks.
US Federal Aviation Authority-kunways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"Wunless expressly permitted.
If the "" "'aterial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be at time of permitting which Is prepared uyepmfeusionalengineer
licensed uy the State vfFlorida.
If the fill material be used in Flood Zone"rin connection with a permitted building using-stem wall
construction,I_—certify'that fill will_used only—fill the area within the,stem wall.
If 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 |
acre wmo»are mevmou by fill,an engineered drainage plan Is required. . . I
u/ao the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth In
this affidavit prior m commencing construction. I understand that a separate permit may be required for i electrical work,
' plumbing,permit issued shall be construed to be a license to proceed with the work.and not as authority to violate,cancel,altar,or
set aside ' provisions of the technical codes,nor shall
violations of
any codes.. Every permit issued shall becornia-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)months after the time the work is commenced. An extension
!nay be requested,in writing,from the Building Official for a period not to exceed.i will demonstrate
justifiable cause for the oxtenol6n. |f work ceases for ninety(nw)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO I'EN E MAY RESULT IN YOUR
PAYING TWICE FOR IMf=P /
TT IC MMI
AT,T NEYBEFOR RECORDINGYOURF
OWNER OR AGENT
CONTRACTOR
Subscribed and m«x Subscribed and /
Who Is/are_—personally---'~.--has/have produced—_— Who—is/are_personally known----r has/have produced
as Identification. as identification.
Notary Public Notary Public
Commission No. u"m=wm"
Name—Notary typed,printed—stamped— Name__Notary typed,printed,—stamped—
`
Air T. c h
Office: 813-779-7508 Fax: 813-779-7504 • Lic#CAC1815498 Date: �5' CP T d
Customer Name �9�44_a 'fA_Pwk 1�
9 (� /n
Address �--5 �-(�i l b � �\ �pp� Zip Code�..����o�
Job Location"'Fa'j -k i 1 15. " &-, dAa Subdiv:
Phone# 91 J-�n I',,10- 5 ZLIa Alternate#
Existing Equip.
Mod.# SER.#
Mod.# SER.#
Permit #
Type of Unit: M/S S/C H/P S/S PAC Ton: �o Seer rK
Y N
❑ `�j Duct Work Tvae of Duct Work: Metal Flex MH flex Duct Board R-
❑ U/" Eloat S W:
El Heat Shield: Heater KW: Wire Size Breaker Type
Pad:
Elec. Panel Brand: AH Cond. PAC
f
❑ Line Set: T stat: Prog. Non-prog `' earj-f g
❑ ,-,Mastic Seal: Airhandler Location: AHU L_" H_" W_"
El "" Li ht& Rec : Return Air " Duct Size "
❑ Service Platform: Access/Closet Door: Attic Height/Closet Size:
Attic Insulation Depth = R Value
Special NotesTO \;�
Uep-mr)ue up r, OQ I 111c W'
kv� I'LL 1 IU b c
1
Bryant$ . Rheem $ . Comfortmaker$ . $
Factory Rebates:
l�
Warranty-,04Ve—ar Compressor and Parts & 1 year on labor
10 year Compresso ts- on labor
Air Tech Services Approval I date
Customers Approval date