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Home My WebLink About18-20324 • CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 203 BUILDING PERMIT PERMIT INFORMATION LOCATION-,INFORMATION Permit Number: 20324 Address: 5243 GALL BLVD STE 7-8 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: 11-26-21-0010-15400-0050 Improv. Cost: 3,000.00 OWNER INFORMATION Date Issued: 10/09/2018 Name: TANNER WAYNE TRUSTEE Total Fees: 55.00 Address: 5243 GALL BLVD STE 7-8 Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/09/2018 Phone: (813)782-6333 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTORS APPLICATION FEES AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 55.00 1 Ins ections 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. CONT CT R SIGNATURE PERMIT OFFIgOR PtMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER • , 013-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Data Received Phone Contact for Permittin 'r-rr-r'rr p Owner's Name _ riG',� Owner Phone Number ¢ Zl5333 1Ltr+rlQf` WC+., Owner's Address v4 3 STEY i11 fr, aOwnerPhoneNumber �� Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address �1 V� �SL� t JOB ADDRESS l3Ck 1 ^DI r h dIlls J�_ , I_33 LOT# SUBDIVISION PARCEL ID# l r tP-cr�t'.DQ O" 60 -006-0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDIALT = SIGN DEMOLISH - e INSTALL 8 REPAIR PROPOSED USE Q SFR 0 COMM = OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME t—.J STEEL 0 DESCRIPTION OF WORK BUILDING SIZE �� SQ FOOTAGE HEIGHT Tr'r't�i�-1"r'ti=rr°t'e''r'''r'r'I�t*'rre"•r-r�Y�r'r"•tom-r'T'e�r'e-t-e'rt'ir-r'r'r .. 1-,r^rr�-nrr.'rr' =BUILDING i$ -� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ MECHANICAL $ (9 VALUATION OF MECHANICAL INSTALLATION G" � =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA =YES NO '►3-i�i�i�l�i�i�L�i�F.4.i-Fi�S�e�i�+�F.a-1..1-4�4-L�{..t�►' 6•��F�1�4.i'r�'-:�i-+•5-�0.-0�'.i-'sit-1+1-L�i.�4.i.✓�L.i-•4.1�1r1�4.i�i.. BUILDER COMPANY SIGNATURE �u- REGISTERED I Y/ N FEE CURREt, I Y I N Address License# ELECTRICIAN. I COMPANY SIGNATURE REGISTERED I Y/N FEE CURREK Y I N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CU(RREfI'Y/N Address License# MECHANICAL COMPANY �t t" 5f-" C0_5 Qbzco SIGNATURE ii REGISTERED Y/ N FEE CURREI, Y/N Address �r�. 0 Ito t, f" i 1 Is :'{• License# OTHERF COMPANY �— SiGNATURE REGISTERED Y/ N FEE CURREN' I Y/N '. Address License#[ ttIIIll / t1111IIIIIIIIttt11tIIItIIIilttltiiliilIIIIIIIII /'lIIIIIIIii I 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 Pians,'Slormwater Plans w/Sill Fence Installed, Sanitary Facilities&1 dumpsler;Site Work Permit for subdivislonsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely 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 wl Sill Fence Installed, Sanitary Facilities&1 dumpsler.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)said of Engineered Plans; "'PROPERTY SURVEY required for all NEW construction. ,. . . F.Lr'r8.-'rapt'... . . �. ... . . y-. ..�+. r.;r.+�t�i-F . . . . ...�. . . . .�.-.�. :.p-7 Dlreciions: Fill out application completely. Owner&Contractor sign back of application,Dolarized If over$2500,a Notice of Commencement is required. (AtC 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(Ploi/Survey/Footage) Driveways-Not over Counter if on public roodways..needs ROW ~~ ` " NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions!' which may applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or work be required to 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 uncertain m what n | ""=="_" ,they are advised=contact the Pasco """=. Furthermore, if the owner has hired� " contractoror contractors," he is advised o have the ~~~ ` portions of the"contractor Block"of this application for which they will be responsible. If you, as 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 County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that apply to the construction of new buildings,change of use i n��a u�Wi ' expansion of existing uuUmd Recourse ' specified In Pasco County Ordinance uumber0V-07 and permitting.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 r'---g-"certificate_ occupancy" final release,the fees must be paid fees 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 certify Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairk. If the applicant Is someone other than the"ownor", deliver nm the ownor 'prior to commencement. C"".=`^."°S",,""~S"".D""" certify that all the information In this application Is accurate and that 611 work 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 Installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws negufailng Construction, County and City codes, zoning regulafions, 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 Departmentmy responsibility to identify what actions I must take.to be In compliance. Such agencies include but are not limited to: 'prass Bayheads,Welland Areas and Environmentally Sensitive Lands, Treatment. - Southwest Florida VVumr Management DistrioAmolls, Cypress Boyheadn, Welland Areas. Altehng Watercourses. Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. Department of Health & kehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septle Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. 'understand that the following Use m fill mnot allowed In Flood Zone"V"unless expressly permitted. - If' `— materialfill— "compensating vo lume" m � uewmmm m��m ou permitting which is prepared:yo professional engineer licensed hy the State vfFlorida. n the fill material is to be used m Flood Zone "A" in connection with a permitted buxdinouninQ wall construction,.certify—that fill will only_fill the area within the-stem wall. ' If fill material is to be used in any area, | oertify that use of such fill will not adversely affect properties. affect �e oond m[ b�Ni pmmKissued'�d �e'uVaoh�d application,hr lots less than one(1) ' - acre which are elevated by fill,an engineered drainage plan Is required. o/wm the AGENT FOR THE OWNER,'promise m good faithm Inform the owner mthe permitting conditions set forth In this affidavit prior to commencing construction. plumbipermitng, —signs, . . ,hall be Construed to be 6 license to\ specifically gas,or other Installations not ot as authority to violate,cancel,alter,or set aside any provisions m the technical codes,nor" shall issuance"."permit prevent the Building Official from thereafter requiring a correction of errors In plans,construction or violations of any codes.. Every permit issued shall becomis 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 n) may "`writing, .the Building Official for a period not oexceed ninety ' justifiable cause~ ^~`~~~-^ If^work'ceases for ninety r` consecutive . �RE TO RECORD A NOTICE C M CEM T MAY RESULT IN YOUR EOM . QWNERORAGENT Z. CONTRACTOR Subscribedand.~~ ~, Subscribed and sworn~ mad)before me this by -----_personally known- produced— Who—_—personally known_--_—' produced 'as identification, as Identification. Notary Public Notary public Commission No. Commission ' Name~Notary typed,printed~stamped Name~Notary typed,printed~stamped SERVICE INVOICE LOCATIONOFWORK YSCA Yes I No h -4 NAME CHECK LIST 19941 0 COMPRESSOR WT,eme(z ADDRESS 0 SUCTION— PSI A- Z)o , 4 J[ 61uh, -1*0 Z-XI is E]HEAD PSI 644A & PI e4'— WORK TO BE DONE-CODE OVOLTS -— 813-779-7508 171 ELECTRICAL CONNECTIONS C0jMjnZtCjd RO. BOX 1120-ZIEPHYRI-11 1-S,1FL,33539 Lb7s4AJ I El CONTACTS TIGHT&CLEAN 11 OIL LEVEL&CONDITION BILLM 'saeFL State Lic.#CAC 1815498 Date El CONDENSER COIL 0 CLEAN COIL&CHECK FIN COND. NAME SERVICE COST ENVIRONMENTAL CHECK LIST ❑ *F TECHNICIAN LEAK 0 CHARGE REFRIGERANT STREET WORK PERFORMED QTY. UNIT PRICE , FAN AND MOTOR 13 -333 TDRCH USAGE M VOLTS— AMPS CITY STATE ZIP RECLAIMED El ELECTRICAL CONNECTIONS 7-10 a �� -,::Hl VACUUM PUMP USAGE E)CONTACTS TIGHT&CLEAN - V /MAKE MODEL SERIAL NUMBER El FAN PULLEYS(ADJUST BELT). CITY MATERIALS E)CHECK LUB BEARINGS&MOTOR EJ Gay MAKE MODEL SERIAL NUMBER 0 EVAPORATOR COIL REFRIGERANT R. F1 CLEAN COIL&CHECK FIN MAKE MODEL SERIAL NUMBER [:I ENT DB—'F LVr.DB—'F FI ENTWB—. I LVGWS—*F 0 CONDENSATE AREAS MAKE MODEL SERIAL NUMBER 1-1 INSPECT&CLEAN DRAIN PAN 1-1 INSPECT&CLEAN DRAIN DESCRIPTION OF WORK PERFORMED 0 AIR FILTERS OCLEANED 1:1 REPLACED FILTER SIZE C) HEATING APSY. 11 BURNER&HEAT EXCHANGER El FUEL SUPPLY A PRESSURE 0 PILOT ASSEMBLY 'Aj ❑"ME ADJUSTMENT ❑PRIMARY RELAY&FLUE El FAN&LIMIT SWITCH OPER. 11 SLOWER ASSEMBLY El RV VALVE 1:1 STRIP HEAT ❑DEFROST CYCLE ❑ ELECTRICAL COMPTS 13 OVERLOAD E]PRESS.SMTCH 0 RELAYS 1:1 CONTACTORS E3 THERMOSTAT Time of Arrival: 0 O.K. El REPLACE El RELOCATE Time of Departure: RECOMMENDATIONS I HAVE AUTHORITY TO ORDER WORK AS OUTLINED ABOVE.THIS INVOICE IS SUBJECT TO A FINANCE CHARGE OF 1 1/2%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. MATERIALS TOTAL LABOR SERVICE CUSTOMER'S SIGNATURE CALL CHG. y TAX LIMITED WARRANTY:All materials,parts and equipment are warranted by the manufacturers'or suppliars'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 'r • . ' t7iiic�+�t�=1'�9=75C3f�i'�x��1�-17q=�50� - L p CACIt31549i} Company.Alf Tech.SeNIOs of.P_asco_... Liceii5e tt CAC1815d98 t- Perr►iit . Ccirnji.•,4cldress p:C1.,i3tiX�,1Z0 , Zep{iVr{itli5,:1~t.33539 Job Addre.S t :.. tea 1 tV�.#. . .Clt}+. � ... . :.• State�"-,--Zip € t I,Air tech 5 rylces:o.f..S?asto,.afflaiit,hefeby atfiriii that i W the:duly{ScetiSed coritrastvr cif retard for the•atiove reCereticed �ierrr►It,that aSlcif the_torgoing Itifoil"Woti 15 true AN'acturate.The duct setillog at the above retereticecl address lia5 beeii coilipltW In accoi=dance with All codes and standards: (ii,cSuding NiiiS.County Ode:CCC101.4 .1d) '. . , Contractors Mat jirint • ` ... �(� .D�to._��.. 9._ Signature_:. _ . :.• �...... ....... .. .. �. ,: . . . . .. . .. � .