HomeMy WebLinkAbout18-20343 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20343
BUILDING PERMIT
PERMIT:INFORMATION ,LOCATION.INFORMATION
Permit Number: 20343 Address: 37519 COREY LEWIS AVE LOT 335
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0180-00000-3350
Improv. Cost: 6,000.00 , OWNER INFORMATION
Date Issued: 10/17/2018 Name: WILLIAMS, WILLIAM
Total Fees: 70.00 Address: 5160 E. MONARCH CIRCLE
Amount Paid: 70.00 BELOIT, WI. 53511
Date Paid: 10/17/2018 Phone: (608)751-6695
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTORS APPLICATION FEES
HEAVENS BREEZE A/C AND HEATING A/C CHANGEOUT 70.00
DUCTS INSTALLED Ins ections Required
DUCTSINSULA ED
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.
r.�
CO R RACTO 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 Zephyrhilis Permit Application Fax 813-780-0021
Building Department
Date Receiv6d 1 r> Phone Contact for Permitting —
Owner's Name 611116h; d��/Ff1 � Owner Phone Number �j � Ia
Owner's Address 7X ! 4�?O'e I-ef-Wld Ae— Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number.
Fee Simple Titleholder Address
JOB ADDRESS LOT#-
SUBDIVISION PARCEL ID#
(OBTAINED,FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTIt ADD/ALT SIGN �:_. 0 DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE Q SFR Q comm . �_ I OTHER 11
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL 0
DESCRIPTION OF WORK 14
!%fZd
BUILDiNGISIZE SO FOOTAGE HEIGHT
OBUILDING $ �.. VALUATION OF TOTAL CONSTRUCTION
[ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING
ElkMECHANICAL $ pht? av VALUATION OF MECHANICAL INSTALLATION I!-OS
=GAS Q ROOFING SPECIALTY OTHER '
FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES- NO � l j b"
BUILDER; COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTEREDI Y/ N.41 . FEE CURREN
Address License#
-PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N. FEE CURREN
Address . License#
E
MECHANICAL . COMPANY R;. y../N
SIGNATURE, REGISTERED Y/ N FE
G
-Address, Lion'
OTHER,". :, COMPANY'
SIGNATURE REGISTERED / FEECURREA Y"/,N
Address. license#
-RESIDENT .IAL Attach:2 Plot Plans; 2`sets of-Buildin Plans;(1'').-set of EneryyForms;R-O-W Permit for new construction,
Minimum ten:(10};working days after submittal date.'Reeiired onsite;Construction Plans,Stormwatgr Plans.w/Slit Fence installed,.
Sanitary Facilities&1 dumpster;Site Work Permit for,4bdivisions/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 91 dumpster:Site Work Permit forall`now projects.All commercial requirements must meet compliance
SIGN PERMIT Attach-(2)sets of Engineered plans.
y ««««PROPERTY SURVEY required for'aII NEW construction.
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+Directions;
Fill out application completely.
Owner,&.Contractor, sign back of application,notarized
if over$2500,a Notice of Corrirrmencement 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-Upbrades A/C Fences(Plot(Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS:,-The undersigned understands that this permit may be..subject-to."deed"restrictions"
which maybe more.:restrictive than.Count' re assumes responsibility for compliance with.any
applicable deed•restrlctions:.
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'accordance with-state and local,regulations: If the
contractor is not licensed as required..by-Iawj,,b6th-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 16r'tf e '
intended work, they are advised to contact.-thePasco.County Building Inspection Division--Licensing Section at 727-847-
8009. Furthermore,.if:the owner. has hired a contractor &'Contractors, he�is advised~to-have the `contractor(s):slgh,
portions of the "contractor Block" of this application for which they will be responsible: If you,.as the owner sigmas the
contractor, that may be an indication that-he:is not properly.licensed and is not entitled to permitting privileges:in Pasco•.,
County. f
TRANSPORTATIONIMPACT/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, chang '-iii
use in existing buildings, or expansion of.existin' .buildings, as specified in Pasco County Ordinance number 89-07.and
90-07, as amended. The undersigned also understands, that such fees, as.. aybe due, will'be identified at the time of
permitting. It:is further understood that Transportation;impact Fees.and Resource Recovery Fees must be paid pri6r;to
receiving,a "certificate of occupancy" or final power release, If the project does not:lnvolve a Certificate of occupancyor
final power release" the fees must be paid priori to permit issuance. Furthermore, if Pasco County Water/Sewer lm°pact
fees are due,they must be paid prior to permit issuance-!n accordance,with applicable Pasco County.ordinances.
CONSTRUCT 6 L1EN LAW(Chapter'713, Florida..Statutes,as amended):-If valuation'of work is$2,'600 006r'more, I'' s
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Llen Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer-Affairs. .If the applicant-is�sorneone
other than the"owner", I 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:
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this applicatiowis accurate and that4l 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 16 meet standards of all laws regulating
construction,-County and City codes, zoning regulations, and land development regulations in the jurisdiction. 11also
certify that 1 understand that the regulations of other government agencies may apply to the-intended work,,and that it is
my responsibility to identify what actions 1 must take,to be in compliance. Such agencies include but are not limited'to:
Department of Environmental ,Protectioh-Cypress Bayheads, Wetlarid 'Areas and Environmentally Sensitive
Lands,WaterMastewaterTrea#men t.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alt�ring
Watercourses. '
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.: }
US Environmental Protection Agency-Asbestos abatement.
Federal,AVation_Authority-Runways.
understand that_the following''restr'istions apply'to the use of fill:
- Use of fill"is not'allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be`•,used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will"be submitted at time of permitting which is prepared by a professional engineer
licensed-by the State of Florida. > .
If the frll material '!s to be used''in Flood Zone "A" in connection with a permitted building using stem'`wall
nonstruction, I certify that fil Will be used only to fill the area within the'stem wall.
'III materiaLIs to be."used in any area, i certify that use of such fill will not adversely affect adjacent
thertles.. If use of fil! is found to'adversely affect adjacent properties; the owner may be cited for violating
-acre unions of the;building permit;issued under the attached permit application, for lots less than one (1)
If I am the AGENT F'kare elevated by fill, an engineered drainage plan is required.
this affidavit prior to canHE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in
Plumbing, signs, wells, ppaping,construction. I understand that a separate permit may be required for electrical work, r
permit issued shall be construe;sir conditioning, gas, or other installations not specifically included in the application. A Ji
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to be a license to proceed with the work and not as authority to violate, cancel, alter, or -
set aside any provisions of the tee .
meal codes, nor shall issuance of a permit prevent the Building Official from thereafter F
requiringa correction of errors in plaE::.,construction or violations of an codes.-Eve
unless'the work authorized b such e; y Every Permit issued shall become invalid
y p 'n is commenced within six months of permit issuance,or if work authorized by 5!
the permit is suspended or abandoned for „ i
nod of six(6)months after the time the work is_commenced. An extension J
may be requested,,ln writing;from the Buildin .Official for a period not to exceed ninety (90i days and will demon§fate
Justifiable cause for the extension. If work cease's%r ninety(90)consecutive days,the job is considered abandoned r
WARNING TO OWNER: YOUW FAILURE TO,REC
_RD A.NOTICE_OF COMMENCEMENT MAY.RESULT IN YOUR :?
PAYING TWICE FOR IMPROVEMENTS TO YOUR PRr1PERTY. IF YOU INTEND TO.OBTAIN FINANCING,CONSULT
WITH YOUR GENDER OR AN ATTORNEY BEFORE REGARD NG YOUR . .
FLORIDA.J NOTICE OFCOMMENCEMENT
URAT(F.S.117.0
OWNER OR AGENTf l `I
_ - - ----- � .CONTRACTOR
Subscribed and sworn to(or affirmed),before me this Subscribed and
by sworn to,(or.affirmed)before me this
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Who Is/are personalty known tome or has/have produced i Who Ware personalty known to me or hasihave produced
as idenfification. as Identification..
Notary Public - Notary Public
Commission No. i
Commission No.
i
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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Y ,
"~ r A/C AND ❑PROPOSAL ❑INVOICE
H EAT i N G PHONE DATE
LIC#CAC1816891 P.O.Box 272442 FAX&ACL PHONE !� --
a _ Tatnpa,FL33688
' (813)965-7284 JOB NAME �� � IN
SUBMITTED TO
JOB LOCATION
OUT
STREET 7 FJ
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CR1f�STATE and ZIP CODE E.'��-�Z � � CONTACT •
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QUANTITY DESCRIPTION
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Payment to be made as follows: SUB-TOTAL
SALES TAX
All materials guaranteed to be as specified.All work to be completed in aworkmanlike manner according to standard practices.Any FREIGHT
alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra
charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to;carry fire, JOB TOTAL
tomado and other necessary,insurance.No return on special order items.Any cancellations or deviation from proposal subjectao a 25%
restocking fee,handling and freight charges.HEAVENS BREEZE reserves the right,to enter the premises to alter or adjust any discrepancies
of the work performed. DEPOSIT
Acceptance of Proposal-The above prices,specifications and'conditions are satisfactory and are herebyaccepted.You are BALANCE I
authorized to do the work as specified.Payment will be made as outlined above.This estimate is valid for 30 Days. �O II
Signature of Acceptance: Date:
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DUCT CERTIFICATION.FOR INSTALLATION OF NEW DUCT WORK OR.MODIFICATION OFTHE_EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE.'(FBC ENERGY;SECTION 403)TO BE LEFT ONSITE AND PICKED
U P_BY INSPECTOR
Owner: '
Permjt.#:
Site Address:
f �l
Contractor:
License#:
Final,lnspection Date:
certify that'l have installed.new or modified the,existing ductwork associated'with the HVACsystem
referencedb' the permit listed above and,found it complies with the-roquireme,nts."FBC Energy Code,
Section:403:2.Where modified,the existing,ducts have:been sealed using reinforced mastic:or-code'
approved equivalent. Ducts.are located within conditioned space(S.ection'403:2.1).System_was tested-
- as per FBC Energy code,section 403.2.2.1.All,neini duct work is to comply.with FBC Energy.A03.2 and;
FBC-Mechanical chapter 6.
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Name of License.Holder(print or type) Signatuee.of License'Holder '--
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