HomeMy WebLinkAbout18-19893 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (813)780-0020 19893
BUILDING PERMIT
PERM IT-=INFORMATION -LOCATION INFORMATION
Permit Number: 19893 Address: 6336 SILVER OAKS 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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0180
Improv. Cost: 4,750.00 OWNER INFORMATION
Date Issued: 6/29/2018 Name: BAINTER ELIZABETH
Total Fees: 65.00 Address: 6336 SILVER OAKS DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-4812
Date Paid: 6/29/2018 Phone: 309-338-0232
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
TANK AIR CONDITIONING LLC A/C CHANGEOUT 65.00
V
-j
Ins ection a uired
DUCTS INSTALLED
DUCTS INSULATED
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.
AT PERMIT OFFI R
THS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7.80-0020 City of Zephyrhills Permit Application Fax-813-780-0021 4
Building Department
Date Received Phone Contact for Permitting —
Owner's Name ' Owner Phone Number
Owner's Address (�3 ✓ b Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple?itleholder �I�Address Z
JOB ADDRESS ✓ C�r 1(V C v A�S 1� — Z !1 yr
1 f 1 S C—L .0 OT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH
I INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION Q� BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK
frl.
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
1
=PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��V
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
1
i
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
PLUMBER' COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# (( ff�
MECHANICAL �� ;, COMPANY aii k CONdtT/OHtv1 U-C
SIGNATURE [1 �'�l� // TISTERED F� Y/ N FEE CURREN /� Y/
Address S !7 W'I ltr4ms Set/ L [C40" Al rL336�V License# Cr1 cI it 3
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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/Silt 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 onsite,Construction Plans,Stormwater Plans w/Silt 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.
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 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
^ `4
NOTICE OF DEED The undersignedunderstand that this permit may be subject to^daed" restrictions"
mhichmaybo more restrictive than County regulations. The undersigned-assumes responsibility for compliance with any
applicable deed restrictions.
UD0LIC 0JSE0 CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a omnb��m or
contractors to undertake vvo. , theymnmybemequirmdbobe |icanoedinooconda xv�hstate and local
.regulations. If the
contractor is not licensed as required by |avv both the owner and contractor may bm cited for 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 bn 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 contractoKm)xdgn
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
omntroc1or, that may be an indication that he is not properly ||oenomd and is not entitled to permitting privileges in Pasco
County. .
TRANSPORTATION IMPACT/UTILITIES U8V RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recounae Reomwe' "Feea may | to the construction of new buildings, change of
use in existing bui|dingm, or expansion of existing buildings,.as specified in Pasco County Ordinance nunnbar8B-O7 and
90-07' as amended. The undersigned also undanabanda, that such fees, as may be due, will be identified at the time of
permitting. |tisfurther understood that Transportation Impact Fees and Resource Recovery Fees must be paid priorto
receiving o "certificate of occupancy" or final power release. If the project does not involve a certificate ofocoupa
final power na|eoae, the fees must be paid prior bopermit issuance. Furthermore, if Pasco CountvVVotanSavxer {nipact
fees are due they must bepaid prior ho permit issuance in accordance with applicable PasooCounh/omdinancem.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, aseroeuded): |f valuation of work is$2.50O.0Oor more, |
oadMy that 1, the applicant, have been provided with a copy, of the "Florida Construction.Limn Law—Hommow)e�a
Protection Guide" prepared by the Florida Department ofAohoU|tuna"and Consumer Affairs. |f"thm applicant | someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver|tto the"mwner"prior tocommencement. '
COhUTRACTOR"S/OWNER"SAFFIDAVIT | certifythat all the information in this application is accurate and that oU k
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installationi 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. F 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, Alte' ring
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater I reatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement. �
- Federal Aviation Amthmhb+Runvvays'
| understand that the following restrictions apply hz the use of fill: �
- Use offill is not allowed in Flood Zona"V" unless expressly permitted. '
- If the fill rnobshg| is to be used in Flood Zone "A". it is understood that a drainage | addressing a
"compensating volume" will be submitted at time of permitting.which is prepared by professional engineer
licensed bv the State ofFlorida. '
- If the fi|| 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 mabmho| in to be used in any area, | 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 violliating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated.bv fill, on engineered drainage plan imrequired. �
If| anmthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditionsforth in
this affidavit prior to commencing construction. | understand that separate permit may be required for electrical wmrh'
plumbing, signs, wells, pmm|s, air conditioning, gam, or other installations not specifically included in the opp|icoU /\
permit issued shall be construed to be e Ucanae,to proceed with the wmdx and not as authority bmviolate, canom|, a|ter, or
Buildingset aside any provisions of the technical codes, nor shall issuance of a permit prevent the Official from thereafter
requiring a correction.of errors in plans, construction or violations,bf any,codes. Every permit issued shall become invalid
unless the work, authorized by such permit is comi-rionici6d.within six-m.oriths,of permif issuance, lor if work authoriz4d by
the permit is suspended or abandoned for a period of six(6)months 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)bays and will demonstrate
]umuouo/e cause for the extension. u work ceases for ninety\wo/consecutive days,the job =considered abandoned.
`
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCE ENT
MAY RESULT IN YOUR
PAYING TWICE FOR _ _ ___ PROPERTY. I� INTEND
WITHY-OUR LENDER-OR-AN XITORNEY BEFORE,RECORDING YOUR-NOTICE
WEN
OWNER OR AGENT CONTRACTOR'��
Subscribed and swom to(or affirmed)before me this Subscribed and swo t (ora"q)Oefore q1qJthis
Who is/are personally known to me or has/have produced Who 1. rep, rsoqally nown to me or has/have produced
w
DATE: INVOICE#: SUPER CLUB MEMBERSHIP_72W77-1 ra3157-- tank Air Conditioning&Heating Club Membershil
5474 Williams Rd.,STE I C _T6C_h_!Vii�_e_ wo #: have been explained:
Tampa,FL 33610 EQUIPMENT DATA CON61TION 1-5 (5=Best)
Tankair7@gmall.com 0 Current Member
Make �oclel' Serial Age Cond 11 Agree to purchase t
AHU 6a-9 0 Decline participation ,- A d&
I la
DC
Cu Aq ItP 834— Customer's Initials
I have discussed Tank Air Conditioning&Heating
Club Membership Saving programs with the custome
State:FL Zip: 335 q PCK I have given a copy of the contract'to the customer.A
Gauge Read Amp.Read. work is complete and is in compliance with TANK Air
High Low Actual Max. Conditioning&Heating standards of excellence in-
workmanship and in with building codes.
NO., ❑Work Complete Before
After Technician's
VUP ❑Work Incomplete
BRAND ❑S/C 80 Signature
r_1 OKERT 11HORlz3 TONS
,S RECOMMENDATIONS-WORK DESCRIPTION---- Standard$ Member S INDOOR AIR QUALITY
Air Handler 130k []Dust OGrowth 0Dirt
Blower Wheel CIOk
Evaporator Coil 00k []Dust []Growth DDirt
Ducts and Vents 00k DDust 0Growth 13Dlrt
zit �V -C- PAYMENT OPTIONS
I(M 40 heck#— 0 Credit Card
FWA� swf*kh J%vw: 0-AmEx 11 Discover
Name on Card:
Re x W1w Pev,,, -evA-xv.51
7,_.- Card No.
5. -Ae ZAlewl VeAl
CV2 Code- Expiration
; _
A P
CA'"'p Signature
I hereby acknowledge the satisfactory completion Of the Work as noted on
this Invoice,It Is agreed that the seller will retain title to any equipment or
material until final and complete payment is made.It the settlement Is not
made 3 as agreed,the seller has the right to remove equipment and material
and the seller will be held harmless for any damages resulting from the
LIA f b A#4 e removal of equipment Terms Include 1.5%monthly service charge if not
paid In 30 days.In the event of non-payment of the specified'total*,a lien
d repro.jntafivs of the STANDARD vs':'M'El"BERT6TA against my property may be pursued and I will be responsible for practical
n
the pertmanceof
stimated price does not ftomey fees,collection costs,and Interests.
fter the work begins.My
,f-,pondftloning,'&HeafjrIg
Parts and Labor Warranty:
I additional work.I have All parts as recorded are warranted as per manufacturer specifications.We
wined herein.
do not guarantee other parts than those we supply.If repairs later become
lz�_ necessary due to other defective parts,they will be charged separately.We
guarantee that all repairs are done right.It a repair fails during the season,
ion of the above—work ' we will repair it again absolutely free,