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Home My WebLink About18-20567 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 7 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20567 Address: 5437 19TH 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: 11-26-21-0010-14500-0030 Improv. Cost: 6,868.00 OWNER INFORMATION Date Issued: 12/11/2018 Name: BETTIS, JEFFERY& KIMBERLY Total Fees: 75.00 Address: 5437 19TH ST Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/11/2018 Phone: 813-364-3408 Work Desc: A/C CHANGE OUT 2 TON W/ DUCT WORK CONTRACTORS APPLICATION FEES ALAN'S AIR CONDITIONING A/C CHANGEOUT 75.00 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. Z> CO OR SIGNATURE PERMIT OFFICZR 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 i f Phone Contact for Permitting ✓ d — Owner's Name G P / s Owner Phone Number 77 T Owner's Address J �) Owner Phone Number 33 02 Owner Phone Number JOB ADDRESS ✓ / f LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN Q = DEMOLISH REPAIR PROPOSED USE SFR Q COMM = OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK G c s-ci BUILDING SIZE SQ FOOTAGE �V HEIGHT / =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. =PLUMBING $ CRECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 21-4 =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N Address 1 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/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 E NOTICE OF DEED 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. UNLIC ENSED CONTRACTOR'S AND CONTRACTOR RESPONSIBILITIES: -if the owner has hired a contractor or contractors,to undertake worki they maybe required to be licensed in accordance with!state and local regulations. Ifthe contractor is not licensed as required by law, both the owner and contractor may.be cited for p-rnisderpeanor 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 TRANSPORTATION IMPACTIUTILITIES 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 maemma, the fees must be paid prior to pwnn¢ |aeummoa. Furthermore, K Pasco CouhtyVVoter/Savvar 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 1, the applicant, have been..provided-with a copy of the "Florida Construction Lien Law—Homeowner's ' Protection.Guidm^pneporad by-the Florida Department mf,Aor|`u|t`naandt onsumer'/�h6irm�. |t. m applicant imsomeone other than the "ovvner". | oe��/that| have obtained aCopy ddocunnentmndpronmima|ngmodfm�htn deli it to h "owner"prior to mmd. ��NTRA��T��N�,S/O�� |EU�`S AFFIDAVIT: | certify that all the |nfo' / d' n in this application in 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 inebo||edion as indicated. | certify that no work or installation has commenced prior to.issuance of m permit and that all work will be performed to nnmmt standards of all laws regulating construction, County and City codes, zoning regulations, and land development naQu!md|one in the jurisdiction., | also certify that | understand that the regulations of other government agencies may apply bnthe intended vvork, and that it is mny responsibility bo identify what actions | must take bobeincompliance. Such agencies include but are not limited to: ' Department ofEnvironmental Protection-Cypress Bayheadm, Wetland Areas and Environmentally Sensitive Lands,VVatenMomtevwabyrTreatment. - Southwest Florida VVotmr 'Management District-Wells, Cypress BmV 6. md ' ".,Wet|and /\remo. Altering ` Watercourses. - Army Corps of Eng|neers-SeawaUo' Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Hma|U\ Unit4We|s, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authohty-Runxmaym. | understand that the following ramtrioUona apply hm the use ofOU: - Use offiU all owed - If the fill material is to be used in Flood Zone "A", it is understood that m drainage plan addressing o ,.compensating volume" will be submitted at time of permitting which is prepared by professional engineer licensed bv the State ofFlorida. - |f the fill moborie| is to be used in Flood Zone ^A^ in connection with a permitted building using stem xvaU 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 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 (eeo than one (1) acre which are elevated by fill, an engineered drainage plan is required., Iffammthe 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. | understand.that o separate permit may be required for electrical work, p|umbing' o|gns, vvmUo, poo|m, air conditioning, . or other installations not specifically included in the application. A permit issued shall be construed tnbe a licenseto*proceed with the work and not as authority to violaW,-.-cancel, alter, or set aside,any provisions of the technical codes, nor shall issuance of a permit prevent.the,Buildingthereafter requihnQacornectonofennrm |np|anm, 00nmbubUonmrvio|oUonsmfanyomdes,.' Exen/pemmit|seued'sMeUbeoonnminxa|id unless the work authorized by such permit is commenced within six months of permit |nsuance, 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 xvht|ng, from the Building {]ffiuioi for o period not to exceed ninety (80) days and will demonstrate �justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the-job is considered abandon ed. ' 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. - - .--..-.~~~`., .........' OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribeo and sworn to(or 7'156- rr- Who is/are personally known to me or has/have produced Whodstare personally known to me or has/have produced as identification. identification. Public Notary Public Commission No. Oo Ul - P.O. Box 4356 Brian Lewis Cert. #tACII-811 536S A Plant Ciiy, Florida 33563-0023 813-752.0821 DATE—///?e//g 0 A-LIST INVOICE# 27186 INVOICE TO: WORK DONE AT:(If different from billing address) NAME- -Ie-,* ADDRESS ADDRESS Sal j 1?7" -7e,44p, r./ PHONE # PHONE # E-MAIL ALT PHONE# SERVICE(S) RENDERED: 2 Z'-'/ p�4Sly q 2,1 e- 'UNIT COS,t' AM01UNT 'MATIRIAL -0 c -14 6Sge� ot—e"- &,4L,4 IQ /1111, 10 TOTAL MATERIAL AGREEMENT TOTAL LABOR MNFR REBATE TECO REBATE VISITATION CH ARGE SALES TAX TOTAL CRIE01T CARD 11NIFORMATION INDOOR MODEL# TYPE NUMBER EXP. DATE INDOOR SERIAL#, I I I I I I I I I OUTDOOR MODEL# TERMS: DUE UPON COMPLETION I hove the authority to order the above work and do so OUTDOOR SERIAL# order as outlined above. It is agreed that the seller will retain title to any equipment or material furnished until final &complete payment is made, and if settlement is not made as agreed, the E) WARRANTY D ASI # seller shall have the right to remove some and the seller will be held horn-Jess for any damages resulting from the removal thereof.Payments mode after 30 days'will incur a 5%late fee per month. 0 EXTENDED PARTS ❑ TECO REBATE(S) go days labor Spdn—y-p3M replaced. anufacturer warranty on all parts Installed, EXTENDED LABOR ❑ OTHER REBATE(S) FAILED PART# CU - ER SI 1AVRE NEW PART# FAILED COMPRESSOR SERIAL# SR WEE MAN SIGNATURE NEW COMPRESSOR SERIAL# t� 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: Lew 1 Permit#: . Site Address: Zeehv k 1 Contractor: tat 1` m Con& license#: 1 C3, � llJ Final Inspection Date: I certify that I.have installed.new or modified 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 modified,the existing ducts have been sealed using reinforced mastic or code- approved equivalent. Ducts are located within conditioned space (Section 403.3)System was tested as per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403:2 and FB.0 Mechanical,chapter 6. a l Name of License Holder(print or type) Signature of License Holder