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Home My WebLink About18-20385 CITY OF ZEPHYRHILLS '- 5335-8TH STREET (813)780-0020 20385 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20385 Address: 6839 ORLO 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: VALLEYDALE RO ASSOCIATION Est. Value: Parcel Number: 03-26-21-0170-00000-0610 Improv. Cost: 4,391.44 OWNER INFORMATION Date Issued: 10/24/2018 Name: CHAPMAN PAUL & SUSAN Total Fees: 65.00 Address: PO BOX 664 Amount Paid: 65.00 MONTOUR FALLS NY 14865-0664 Date Paid: 10/24/2018 Phone: 607-594-2174 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTORS APPLICATION FEES CHRIS' A/C COMPANY A/C CHANGEOUT 65.00 Ins ections Required DUCTS INSTALLED DUCTS INSULA I 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. ONTRAC O G ATURE PERMIT OFFI R PERMIT E PIRES 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 Date Received D -�� ] Phone Contact for Permitting Owner's Name Owner Phone Number Q nY .7 Owner's Address /t.c/u-e. Owner Phone Number Fee Simple•Titleholder Name o Owner Phone Number Fee SimpleiTitleholder Address G� JOB ADDRESS (J / O"" rl,vt LOT# SUBDIVISION PARCEL ID# Q (p Q f� 1Q (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH E� INSTALL REPAIR PROPOSED USE = SFR Q COMM OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL El F DESCRIPTION OF WORK '`1 BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ MECHANICAL $ Z&A VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER _ --- - - COMPANY — - SIGNATURE REGISTERED Y/ N FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N Address License# PLUMBER! COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN N Address License# zk(—, OTHER COMPANY SIGNATURE F 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-0-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 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"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 maybe 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 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 to 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 contractor(s) sign 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 IMPACT/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, change of 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 permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to 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 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$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture.and.Consumer Affairs. If the applicant is 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 it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all 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 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 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. Ii - Southwest Florida Water Management District-Wells, Cypress Bayheads, 'Wetland Areas, Altering 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 Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone W" 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 fill 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 material is to be used in any area, I 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 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. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical;work, 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 become 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 may be requested, in writing, from the BuildingOfficial for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. 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 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. FLORIDA JURAT(F.S.117.0 ) OWNER OR AGEN CONTRACTOR Subscribed and swo to or affirmed)before m16 this Subscribed anAmupin to(or affirmed)before me t by y Who is/are personally known to me or has/have produced Who is/ar personally kn wn to me or has/have produced as identification. as identification. c Notary Public Notary Public Commission No. Com Uissi No. u u Name of Notary typed,printed or stamped Name of Nota t Comm es o F 160422 Expires December 12,2018. ''1�R�rgt 0andad7hrUTMyFaIndheUWC9800o-086.7010 Rr ja v CHRI:S A/C •• HV � C 0 M P A N Y CAC058575 I EC13007703 PR.OP-QSAL 12232 HVVY 301 UAUt CITY (362)621-4977 "NOW PROVIDING" DADE CITY, FL 33525 ZEPHYRHILLS(813)779-9.515 "ELECTRICAL SERVICES" NAME: Paul&Susan Chapman Date. E27/27/1 8 SKIT SYSTEM # PKG UNIT xx I SUBDIVISION: Valley Dale fiEATPUMP x sTR.c.bOL ADDRESS: 6839 Orlo Dr CITY: Zephyrhills ZIP CODE: 33523! CON DENSER: 4WCC4030A1 PHONEV�`607-594-2174 WORK IR HANDLER: 0 v; RENTER: 1U - oLe� EER RATING: 14 ESTIMATOR. Scott 0 M/ BRAND: AMERICAN STANDARD TOTAL : 5,341." WhWERN His, BASIC THERMOSTAT INSTANT REBATE: $ 950.00 PAD OTAL LESS REBATE $ 4,391." SEAL DUCTWORK TO CODE NAGE: 2.5 PARTS: 10YR REMOVElEXISTING EQUIPMENT 'NESSOR: 10 YR LABOR:OR: 1 YR SUB-PANEL $200 SENIOR DISCOUNT CO'NDENN R: * Y5A30M CONNECTED TO EXISTING DUCTS AND ELECTRIC IR HANDLE ANCHORICONDENSER Ff=R RATING: 15 TAX,LABOR AND PERMIT BRAND: A CAN,!j!jDARD TOTAL 67125.63 INSTANT REBATE- 1,000.00 OTAL LESS RATE- 125.63 6NNAGE;/" 2.5 PARTS: 1 COMP SOR: 10 YR LABOR: 1 YR 0 04 MN 0 N CONDENSER: ##1 IR HANDLER: #N/A FIRST MAINTENANCE;CHECK FREE SEER RATING: BRAND: #N1A TOTAL : $ #N/A R ...... . ... .. ',,-VNSTANT REBATE: $ #N/A I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER TOTAL LESS REBATE $ #NIA RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE IF PAYMENT TONNAGE: '#N/A. PARTS #N/A IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT COMPRESSOR- #NIA ILABOR: 1 YR SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILITY OF SELLER LIMITED WARRANTY-EQUIPMENT,PARTS AND MATERIAL HAS WRITTEN MANUFACTURERS WARRANTY ONLY (WAC) U TOMER SIGNATURE DATE:-;o- ,;;