HomeMy WebLinkAbout18-19798 CITY OF ZEPHYRHILLS
a 5335-8TH STREET
(813)780-0020 19798 -
BUILDING PERMIT
PERMIT'INFORMATION - LOCATION INFORMATION-
Permit Number: 19798 Address: 6731 BASSWOOD CIR LOT 1
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0010-02800-0010
Improv. Cost: 4,200.00 OWNER.INFORMATION
Date Issued: 6/13/2018 Name: ZELLER BEULAH REVOC TRUST
Total Fees: 65.00 Address: 36731 BASSWOOD CIR
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/13/2018 Phone: 630-802-1930
Work Desc: A/C CHANGE OUT 2TON
CONTRACTORS APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 65.00
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1vft-&77
Ins ections Required
DUCTS INSTALLED
DUCTS INSULATED
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
odes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
s
CONTR4SOR SIGNATURE PERMIT OFFICOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-B13-780-002i
Building Department
Date Received Phone Contact for Permitting
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Owners Name ler� Owner Phone Number GQX —ly
Owner's Address i($j3/ 1 JLc$�W 7t 4/�.c E 13R,�,l/ � T/c Owner Phone Number F7 I
Fee.Simple Titleholder Name Owner Phono Number
Fee Simple Titleholder Address
JOB ADDRESS ilacoa . Z_ LOT# F____1
SUBDIVISION. F__ i^� PARCEL ID# fad
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM LJ OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL 0
DESCRIPTION OF WORK A 0
BUILDING SIZE SCI FOOTAGE HEIGHT
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=BUILDING I$— VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C.
=PLUM6{NG
MECHANICAL $ J VALUATION OF MECHANICAL INSTALLATION .
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=GAS = ROOFING Q SPECIALTY L�J OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO
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BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N PEE CURREN Y I N
Address License# 1�
ELECTRICIAN- -COMPANY
SIGNATURE ( i REGISTERED j. Y/ N PEE CURREN I Y I N
Address License lf I ^�
PLUMBER COMPANY /
SIGNATURE REGISTERED I Y I N FEE CURREN' "YIN.J
Address License#
MECHANICAL COMPANY �t li�1 a rceS - -
SIGNATURE" REGISTERED Y/ N FEE CURREp /
Address i o' v License# ewe- ���7Ff,,/
OTHER COMPANY
SIGNATURE I Y/ N I FEE CURREN Y/N
Address License# �.
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(16)working days after submittal date. Required onsite,Construction Plans,"Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpsler;Site Work Permit for subdlvisionsllarge 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.
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Directions:
FBI out application completely.
Owner&Contractor sign back of application,Oolarized
if over$2500,a Notice of Commencement Is required. (AIC 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)
Reroots If shingles Sewers Service Upgrades A/C Fences(PloUSurvep/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
71
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 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 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 feeis,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 1, 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 Ahe 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 Protectidn-Cypress Bayheads, Weiland 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"Wunless 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. 1-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 fore 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 OWNE !LURE TO RECORD A NOTICE OF. .MM MENT MAY RESULT IN YOUR
PAYING TWICE FC . YOU
M TST6 YOUR PR'OPERTY. IF YOU TE OBTAIN FINANCING,CONSULT
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WITH YOUR LEND)FRO N AT RN11Y BE06k RECORDING YO NOE ICEF COMMENCEMENT,
FLORIDA JURAT(F.S: 17.03
OWNER OR AGENT- CONTRACTOR
Subscribed.and sworn to(or !!ad)before me this Subscribed a (or affirmed)before me this
by y
Who Is/are personally known to me or hasthaVe produced Who is/ pe sonally own to me or has/have produced
as Identification. as identification,
Notary Public olary Public
Commission No. C missi n
-1 -1 i JACQU
'Name of Notary typed,printed or stamped Name of Not rII}ted ep
Ri"IftiOn#FF 150422
EXP1110S December 12,2018
11" 13ondod Ths!Troy Fai,,
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Office: 813-779-7508 Fax: 813-779-7504 • Lic#CAC1815498 Date:
Customer Name ly_1T P.111,0-
Address (U / I SS La M 0_�\PJA LS _ Zip Code 33)`�
Job Location z_f r k. -s - la Subdiv:
Phone# UJ -Ir��r ►I 9 Alternate#
Existing Equip.
Mod.# SER.#
Mod.# SER.#
Permit #
Tvpe of Unit: M/S S/C H/P S/S PAC Ton: Seer
Y_ N
❑ p Duct Work Type of Duct Work: Metal Flex MH flex Duct Board R-
p ❑ Float S W: I
Heater KW: Wire Size Breaker Type
® ❑ Heat Shield: D
Elec. Panel Brand: AH Cond. PAC
El ❑ Pad:
[I El Line Set: T stat: Prog. iVon-prog
Airhandler Location: AHU L " H "W
® ❑ Mastic Seal: — — —
❑ 0 Light& Rec. Return Air " Duct Size "
❑ ® 'Access/Closet Door: Attic Height/Closet Size:
Service Platform:,:' ;,,
-f
Attic Insulation Depth = R Value
Special Notes:
Bryant$ . Rheem $ �rr7t- -� . Comfortmaker
Factory Rebates:
Warranty: 10 year Compressor and Parts & 1 year on labor
10 year Compressor and-Parts &2 year on labor
1 _
Air Tech Services.Approval datet,
Customers Approval !-�� -T '�Cj I date 11,te