HomeMy WebLinkAbout18-20311 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (813)780-0020 20311
BUILDING PERMIT
PERMIT INFORMATION .LOCATION INFORMATION
Permit Number: 20311 Address: 5018 5TH 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: 11-26-21-0010-19000-0200
Improv. Cost: 3,800.00 OWNER INFORMATION
Date Issued: 10/03/2018 Name: BALDREE, JAMES W & CAROL D.
Total Fees: 60.00 Address: 5018 5TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/03/2018 Phone: (813)780-8966
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 60.00
DUCTS INSTALLED Ins ections Required
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.
T , CTOR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
013-750-0020 City Of Zephyrhilis Permit Application Fax-013-760-0021
` Building Department
Date Received' phone Contact for Permitting
't-r'rrr rt r —�"' _
Owner's Name ,.!P W t Owner Phone Number
Owner's Address JR 5 =� 56-ee 7 1{fS) � 335� Owner phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS — r -�ff, LOT#
SUBDIVISION �i PARCEL to# ! a�lP o�1-00 q WO "0-19
(OBTAINED FROM PROPERTY MM NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDIALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM lJ OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL =
DESCRIPTION OF WORK rt V J 1
BUILDING SIZE 1 SO FOOTAGE HEIGHT
'T'C.T'f"ITR7"IT'tTT'►TPf'TI'T�"TfT'1�1"t�ITll�r'1"ITT1'I�PIT'1'TITT�TPTI"1"f"'ITT�Trf'TITR'T
=BUILDING ($ - VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL ��$i AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. .
=PLUMBiNG �� ,
MECHANICAL $ {{�� VALUATION OF MECHANICAL INSTALLATION
=GAS' = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO
3-S.�'-t-. .. Fri-i-i-6�i�i�a Fl.i-i.4i..M {•4-I-6-i-I-i�t-i-I�i-i-�.-r.-�• t-i-t-i-i-1-i-1-i-i-{+i-1-{-8-1-'r.0+y-S+
BUILDER COMPANY
SIGNATURE ! REGISTERED YIN FEE CURREh I Y f.N
Address License# 177
ELECTRICIAN COMPANY
SIGNATURE f REGISTERED I Y 1 N FEE CURRER Y)N
Address License# ��� .
PLUMBER COMPANY
SIGNATURE REGISTERED I YIN. FEE CURRER, -YIN.
Address -- r ^� License#
MECHANICAL COMPANY
SIGNATURE 7 REGISTERED Y/N FEE CURRRER Y/N L'
AddressFA-ok i po Z--egy..."•l.33 License#
OTHER COMPANY
SIGNATURE F REGISTERED I Y/ N FEE CURRENj—
Address License# l
Illtittliitiiitttttltttitiit !-Iliitliltt1i11t111t / Illttttltilit / i / tt
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requited onsite,Construction Plans,'Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpsler;Site Work Permit for subdivisionsilarge projects
COMMERCIAL Attach(2)complets 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 dale. Required onsile,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.
.I 1.#.I�l�i-N-ft4.1- t-.-. .-,`-'r.-t ..t-l.i-I.i-i�I.i�.�
Direction's:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC 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)
Rercofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Nat over Counter if on public roadways..needs ROW
v� ^
^ ,
' this permit mmhoUonn
wmnn may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED C014TRACTORS AND CONTRACTOR RESPONSIBILITIES:, If the owner has hired a contractor or
contractors to undertake work,they may be required t I o be licensed in accordance With state and local regulations. If the
contractor is not licensed as required by law,both the owner 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°contact the Pasco County
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor BlocW'of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may-. _ _--indication -that he is not properly ensed and Is not entitled to permitting p
County. es In Pasco
TRANSPORTATION IMPACTIUTIUTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
Transportationthat
.
act Fees and Recourse Recovery.Fees may apply to the construction of new buildings,change of'
uildings,or expansion of existing buildings, as specified In Pasco County Ordinance number 89-07 and
_' - ---~ -__
90-0' as amended.
permitting.~~" .`~further~ understood that Transportation 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
certifyfees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,600.00 or more,I
' --\ t, have been provided with a copy of the "Florida Construction Lien Law—Horneowner's
Protection ��d� _the --_
prepared by the Florida Department of Agriculture. and Consumer Affairs, If the applicant is someone
other than the"owner",|certify that I hav"obtained a copy of the above described document
deliver um the owner
"prior to commencement.
CONTRACTOFVSIOWNERIS AFFIDAVIT: I certify that all the information in this application is accurate and that all work
' will-_done-compliance --_ll_,,_---_-regulating construction,_zoning_and_land _development, Application
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 `
- Department of Environmental Protectkin-Cypress Bayheads,Wbfland Areas and Environmentally Sensitive
Lands,- Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland Areasi Altering
Vyomnmumeo.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US .
Federal Aviation
d that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone`V"unless '
- If the fill material is to be used in Flood Zone "N', it is understood that a
"compensating volume" N��mvum�admVmoo/ . which drainage -
w
licensed-^the State of Florida.
n the fill material ismbo used m Flood Zone )K 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 | certify that 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.
"'a"the AGENT FOR THE OWNER,'promise"'good faith to Inform the owner of the permitting conditions set forth In
this affidavit
prior to commencing
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 becoine,invalid
unless the work authorized by such permit Is commenced within om months of permit issuance,or If work authorized by
the
may in wri= the Building Official for a period not to exceed'i will demonstrate
. justifiable cause for the extelhs!6n. If work ceases for ninety(90)consecutive days,the job is considered abandoned. �
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
p/momo TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU Wft O__0 IN FINANCING,CONSULT
FLORIDAWITH YOUR LENDER 0R'kWA_ftORNEY BEFORE RECORDING YOUR=10E
_ .~~.,.^ .. .
OWNER OR AGENT CONTRACTOR
Subscribed and sworn*(or ammV2y before m"this Subscribed and sworn to ux afj��dbeforo me this
by
Who Islare personally known to me at hasihave produced Who islare personally known to me or hasthave produced t
as~~~c~~^ as id°=."°tio"
Notary Public Notary p.mw
Commission Commission
'
'Name�_--',-`--_--__- Name---Notary typed,printed~stamped
.
,
/Veld Li✓ -vr7iJJ�
_ SERVICE INVOICE LOCATION OF WORK YSCA Yes ! No
CHECK LIST - 19916 NAME
❑ COMPRESSOR f 1rTecI� _
❑SUCTION-
HEAD {r! J//`JJ r /� i ADDRESS
❑HEAD PSI F / r,/Y� 4 7 Lr �!�+ �-/ :�L-;1�/1 t Y O15
❑VOLTS AMPS idwtiLd 813-779-7508 ,, z WORK TOBE DONE-CODE
El ELECTRICAL CONNECTIONS - CD P.O. BOX 1120•ZEPHYRHILLS FL 33539
❑CONTACTS TIGHT&CLEAN
❑OIL LEVEL&CONDITION - ,
❑ CONDENSER COIL BILLTO p FL State Lic. #CAC1815498 Date X�
IDCLEAN COIL&CHECK FIN COND. NAME ;' SERVICE COST ENVIRONMENTAL CHECK LIST
❑ENT -F LVG °F i�(.l i�1 P ` -(. fA�L r0_ TECHNICIAN
❑ REFRIGERANT ! WORKPERFORMED CITY. UNIT PRICE
STREET: 1�1 � PHONE � � r`
❑LEAK ❑CHARGE I ��^ �. 0 1�- {;tJq f I l TORCH USAGE
❑ FAN AND MOTOR ` �rFI _.d o( � J�^i� ,��!A (� f
❑VOLTS AMPS CITY I STATE ZIP , !l0 RECLAIMED
J
_❑ELECTRICAL CONNECTIONS F/n �6'y-1 II 1 T �T/ 3 "'j r•, VACUUM PUMP USAGE
❑CONTACTS TIGHT&CLEAN / MAKE MODEL SERIAL NUMBER
❑FAN PULLEYS(ADJUST BELT) QTY MATERIALS
❑CHECK,LUB BEARINGS&MOTOR
❑GRIM MAKE MODEL SERIAL NUMBER
❑ EVAPORATOR COIL REFRIGERANTR.
❑CLEAN COIL&CHECK FIN MAKE MODEL SERIAL-NUMBER
❑ENTDB_°FI LVGDB_°F
❑ENT WEI_°F LVGWB_°F
El CONDENSATE AREAS MAKE ' MODEL SERIAL NUMBER
❑INSPECT&"CLEAN DRAIN PAN
❑INSPECT&CLEAN DRAIN DESCRIPTION OF WORK PERFORMED
❑ AIR FILTERS
❑CLEANED ❑REPLACED
FILTER SIZE ~1'
❑' HEATING ASSY. }J�j�t 1 1. ,^ ,a K� l l r� C`#_ 3 I o V\
❑BURNER&HEAT EXCHANGER
❑FUEL SUPPLY&PRESSURE
❑PILOT ASSEMBLY
❑FLAME ADJUSTMENT j /)
❑PRIMARY RELAY&FLUE f , v� '� fir. f�l e J u (1 �r� l/ r," �-"-•'�f/"7
❑FAN&LIMIT SWITCH OPER. "
❑BLOWER ASSEMBLY � ),p
❑RV VALVE
❑STRIP HEAT •�-_
❑DEFROST CYCLE
❑ ELECTRICAL COMP'TS /f
❑RELAYS ❑CONTACTORS i/",� �.'•`�� �
❑ ❑ 1 OVERLOAD PRESS.SWITCH -�`•�6 -�d }
❑ THERMOSTAT
❑O.K. ❑REPLACE - P r Time of Arrival:
I
❑RELOCATE Time of Departure:
RECOMMENDATIONS I HAVE AUTHORITY TO ORDER WORK AS OUTLINED ABOVE.THIS INVOICE IS SUBJECT TO A FINANCE CHARGE OF 1 1Y2%PER MONTH. TOTAL SUMMARY
ANNUAL PERCENTAGE RATE OF 18%WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEY'S 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, MATERIALS
TOTAL
/ \1� ✓�/.y"i/,l'� �(it:c/ , SERVICE
C,UST,OMER'S SIGNATURE CALL CHG.
V 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 authorized to make any such warranties on behalf of above
named company. TOTAL
P
A� le?CT). .
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Company:Alt 11 CAC1815A9.8
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1,Alt Tedi mi.w tlii3.:tiulj+licensed curitPa�C+or of recr�rd fog'
. ..: the.abaveti?Feceii.cpd pei'init,that ail��tl�a.�dtgoing in�dFt�natibri is ttue�r�d accurate.fine d>ait�eallrig .
at`.tiie ativve refere►ic�ti ac de ss lia 10 l it iti accei ilaf oe W.Ith 0 cvda5 and stgiiiia ft
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