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HomeMy WebLinkAbout18-20433 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20433� BUILDING PERMIT .� PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20433 Address: 5522 18TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-14200-0190 Improv. Cost: 10,783.00 OWNER INFORMATION Date Issued: 11/06/2018 Name: CONNELLY, BRIAN Total Fees: 95.00 Address: 5522 18TH ST Amount Paid: 95.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/06/2018 Phone: (813)454-4993 Work Desc: A/C CHANGE 3.5 TON CONTRACTORS APPLICATION FEES JOHN'S AIR CONDITIONING & HEAT S A/C CHANGEOUT 95.00 Ins ections Re uired 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. CONTRACTOR 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 Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting F. ........ T"rl= .... M77317rrn I rT= V%V-N L 7 // Owner's Name P3 f ps, Owner Phone Number Owner's Address Z Owner Phone Number Owner Phone Number JOB ADDRESS -F 5:5 2-2- JS LOT# SUBDIVISION PARCELID#1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT SIGN 0 Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL DESCRIPTION OF WORK L OA",z -, 7D/7 BUILDING SIZE F SQ FOOTAGE HEIGHT 30, =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY a W.R.E.C. =PLUMBING, 1$ 1 AV =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_j Address 7 License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j Address r License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Address License# "IP MECHANICAL COMPANY SIGNATURE REGISTERED l N FEE CURREN 10 Address License# r 70C /Cy/q.7 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN 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/Slit Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a..contractor or' contractor$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 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 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. - 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 Building Official 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 AGENT CONTRACTOR Subscribed and sworn (or ffirmed)before me this Subscribed and s or,to(or affirm 4-efo e e this by 1-4 46 by � / /[)/-1� E)/l- - r Who is/are personally known to me or has/have produced Wh 1s/are p ggrsonallyy mown to a or has/have produced as identification. d�C11�F r'.S LI' r's-9 as identification. Notary Public ApK2 Notary Public Commission No. Com oUis,, o. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped JACQUELINE 60GES Commission#FF 150422 Expires December 12,2018 Bonded Thru Troy Fain Insurance 800J85-7019 1 I John's Air Conditioning & Aeafng Service ^ � 12O9 Tech Blvd Sudo2V9 Tampa FL3V0 9 Phone:(813)689-2722 � Fox (866)324-2887 Service Information Invoice ce 10989110618 Billing Information Phone: (813)454-4993 Fax: Alt Contact: Alt Phone: Google lJob Name E] Call Ahead E] Confirmed Sales Rep Terms Type Class Job Type PO# Route Scheduled Start End Item —FQ—uantity I Rate Amount UNITS'ALL:Unit'Split'M/P ' Install A New Heat Pump Unit With Matching Air Handler and Heat 1 $10.703.0000 *10.783.00 Moha:Amuna Ton:3.b oeoc1W Heat.5kw INSTALL ADD ON'S:1029000 ' Line Set(Install New Copper) 1 *0.0000 *V.oV WARRANTY'CLA|M:J\C'1yr ' VVononty Claim'John's Air Conditioning Standard 1 Year Labor 1 *0.0000 $0.00 VVo,nunty.John's A/C warranties the Labor only for I year from date of install,no parts are covered under this warranty. Start Date: End Date: WARRANTY'PURCMASE:VVon'Purchase P/L 1 Warranty Purchase'1V Year Parts and 1 *OumJn $&VV Labor'Parts and Labor are warranted hy the manufacturer for the terms ao listed in the warranty agreement. INSTALL ADD ON'S:10230OO ' Install o Vertical Float switch 1 $0.0000 $0000 INSTALL ADD ON'S:1V%5o00 ' Vert:KxuchFootnam.Primary Float Switch,Secondary Float Switch, 1 *V.00OO $0.00 Heat Shield.((((((Resurface dod4))y0 INSTALL ADD ON'G1n3UOOO ' |nsta|i#8whip 0 $0.0000 *V.On INSTALL ADD Om'S:e4UV0V ' Install pad under unit 1 $0o000 $0.00 INSTALL ADD Om'S:1o330V0 ' Add o new Return Air Grill 2 *0.0000 *0000 INSTALL ADD ON'S:1026000 ' Install heat shield per county code 1 $0.0000 $0.00 Job Subtotal: $10.783.00 *0.V0 Total Due: $10�83.00 Instructions AKm\Nu*'Amanda Copd000'1185/2n1u9:55:57 AN' Payment io expected at the time uf service.Late payments are subject to1aY6o,$s.V0 All equipment remains the property nfJohn's Air late fee which ever is higher per month calculated from date of service.If not paid in full Conditioning&Heating Service LLo.Umi| within 45 days of service a lien will be placed on property serviced.Lien fees for non invoice io paid in full.Returned checks result in payment are$150.00 to be paid by the customer.Any and all fees incurred to collect this $3s returned check charge. debt including legal and attorney fees become the customers responsibility. DUCT CERTIFICATION.FOR INSTALLATION OF NEW DUCT WORK OR'MODIFICATION OF THE EXISTING. DUCT SYSTEM: - .. : FLORIDA ENERGEY CONSERVATION CODE.(FBC-ENERGY-,-SECTION-403)TO.BE LEFT ONSITE AND.PICKED :. UP.-BY INSPECTOR . . Owner: co Permit 4? Dcl : Site Address: . . ..5 2 Z. .Cd . .. `' SA . :.Contractor: • :License#: Final.lnspection Date:; . -•I:certify.that:l have'instaI led.new-or.rriodified the existing duct-work associated with..the HVAC.system_ "referenced by.the:permit listed above and.found it.complies with the requirements FBC Energy Code; Section 403'3:Where:niodifi6d,.the ekisting:ducts.have been sea led:using:reinforced mastic orcode== approved.equivalent...Ducts are located within conditioned space'(Section'403.3)-System was tested.as. per FBC Energy code,section 403.12.1.All.new duct-work:is to comply with FBC'Energy 403.2 and,FBC: :. Mechanical chapter 6. N ame,of License-Holder(p n ot or t Si nature of License Holder YP ) g.