HomeMy WebLinkAbout18-19944 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 199,44
BUILDING PERMIT ,1
PERMIT INFORMATION = T LOCATION-INFORMATION
Permit Number: 19944 Address: 5207 16TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-19500-02A4
Improv. Cost: 6,400.00 OWNER INFORMATION
Date Issued: 7/11/2018 Name: DANIEL, KATHLEEN
Total Fees: 75.00 Address: 5207 16TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542-5033
Date Paid: 7/11/2018 Phone:
Work Desc: A/C CHANGE OUT 2TON
CONTRACTORS APPLICATION FEES
ENVIROMENTAL CONT. A/C CHANGEOUT 75.00
ev' ' �c
1
DUCTS INSTALLED Ins ections Required
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.
O OCCUPANCY BEFORE C.O.
/I/ &--� k,14�e
CON�T CTO SIGNATURE PERMIT OFFICOR
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 Ow
Date Received / Phone Contact for Permitting
Owner's Name —go /fiilu�Z_ Owner Phone Number
Owner's Address /, �ga Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESSF��x;7 & J/ LOT#
,
SUBDIVISION F PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR e ADD/ALT SIGN = = DEMOLISH
INSTALL REPAIR
P�
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION - =t BLOCK Q FRAME / = STEEL Q r
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ q
MECHANICAL $ - VALUATION OF MECHANICAL INSTALLATION [
� OD
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
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BUILDER 1 COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
i
Address License#
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ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address F License#
PLUMBER: COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address D2L License#
OTHER COMPANY
SIGNATURE 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-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
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 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 $2,600.00 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 jwork,
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!.
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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_YOU ICE OF COMME M
FLORIDA JURAT_(F.S.117:03) -
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or a d)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped -
: Work Or,--er
Environmental Contractors 7/12/2018
10221 Hwy 301 Summary: SYSTEM C/O
Dade City FI 33525 Reference#: 1159-1026
(352)567-5515 Tech: MIKE S
Bill To: IJ Job Name:
Century 21 1 5207 16th St.
Nye Realty TEN: Lawrence
34619 SR 54 �� 5207 16th St.+11-26-21
Zephyrhills, FL 33541 Zephyrhills, FL 33542
(813)782-5506 NYE (813)715-6805 JW (813)326-1928
Description of Work
INSTALL 2 Ton Straight Cool, 14 SEER, R-410, BRYANT/CARRIER V/S AHU Split System, with 5 KW heat
strips, new digital thermostat, metal drain pan, pad, hanging kit, cut in new access$6400.00 add 4%if uses credit
card
115225A BRYANT 2 Ton Str. Cool-13 SEER-Attic-S/S-AHU
Model# 114CNA024000 Serial#2418E04984
CARRIER Air Handler
Model# FB4CNF024L00 . Serial#2318F25710
* FILTER: 20X20+
* BY SOUTH AVE+
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any 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 delays beyond our control. Purchaser agrees to pay all costs of collection, including attorney's fees.