HomeMy WebLinkAbout19-21073 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21073
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21073 Address: 5443 11TH 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: 11-26-21-0010-13700-0030
Improv. Cost: 6,930.00 OWNER INFORMATION
Date Issued: 4/05/2019 Name: JORDAN TYLER MICHAEL & GENELL
Total Fees: 75.00 Address: 5443 11 TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/05/2019 Phone: 813-312-9590
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00
F1 Afi\ )
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.
NO OCCUPANCY BEFORE C.O.
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CONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pernilt 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.-It 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 Seccdon.at 727-847
8009. Further lore, if the owner has hired a contractor or contractors, he is,advised to have the contractors) sign
portions of the"contractor BioW 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 p!Mleg"in Pasco
County.
TRANSPORTATION iMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply t0 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.UEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,l
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's.
Protection Guido"prepared by the Florida Department of Agriculture and Consumer Affairs. if the applicant is someone
other than the"owner",t 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 i
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 ail 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 off-a permit and that ail 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. 1 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/WastewaterTreatment
- Southwest Florida Water Management .District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServIoWEnvironrmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks..
- US Environmental Protection Agency Asbestos abatement. '
- Federal Aviation Authority-Runways.
I understand that the fallowing restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone Ir 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"Witt 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 wail
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 as 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,1 promise in good faith to inform the owner of the permitting conditions set forth in
this affktavtt 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 prooeed,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�cafraction 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 TTORN BEFORE RECORDING NOTICE OF COMMENCEMENT:
Fl ORIDA JURAT(F.S.117.03)
OWNER OR AGENT -CONTRAeCTTrtO
Subscribed and mom to{oa affirmed)before me this v14b [A"-�' m ar eifirmedj re na
Who islare personalty known to me or has/have produced race ally k to me or hasfhsve produced
as identification. as identification.
Notary Public ��" Y !` � N ry Public
Commission No. ! -
ublic-5tateof fiorida
Name of Notary typed,printed or stamped Name of N tg or ssion#
` i�yCamm.Expires)u119,2021
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PROPANnEGAS
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C j C. service rder/Proposal
AND A/C 14C.
cfl '813-782-5013 Invoice
�ce 1988
WbRK ORDtR#/SERVICEMAN 96032 APR
Sales, Service & Installations DATE/TIME TAKEN 04/,01/19 12:49
4441 Allen Rd.-. t Ze.phyrhills, FL 33541 TAKEN BY SC 04
10TES: G5, % (a)A DATE/TIME PROMISED 04/01/19 16:30
CUSTOMER#/LOCATION 10320.
AV* ql y PH 312-9590 C
�ON # I -ROUT 813'
SED ' APR
MAP AH CLOSET
JORDAN, TYLER ' JORDAN, TYLER
5448 11TH STREET 5443 11TH STREET
ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL33542-
WEW ACCT** ..30 YR OLD UNIT DIED. AVAILABLE BY 4:30. CALL AHEAD, IF NOT TODAY
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P—MVIN NEW r 0-- Pressures Lo HI T-Stat
FILTERS x x Changed Monthly I
FILTERS x x Chang'ed Monthly
Q 'REGULAR LIWARRANTY
en here When Away T-Stat A—Tr El MAINTENANCE-CONTRACT
SERVICE
TED WARRANTY. All materials,pans and equipment are warranted by the manufacturers' CALL
priers'written warranty only.All labor performed by the above named company is warranted for
s or as otherwise indicated in writing.The above named company makes no other warranties, CICASH LJ CK# TOTAL
;or implied,and its-agents or technicians are not authorized to make any such warranties on MATERIALS
f above named company. Q DEBIT Q CREDIT L3 OTHER MAINTENAN
thority to order the work outlined above which has been satisfactorily completed.I agree that Salter FROG. W/ C,to equipmentimaterials fumlshed unfil final payment is made.If payment is not made as agreed, C M#
remove so - LAI
'materials at Seller's expense.Any damage resulting from said removal shall
T
vspdasiblilty 1='.E 30 DAYS.A 1 11/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO
BALANCES OVER 30 DAYS,NO REFsUNDS DATE COMPLETED
TECH: TAX
I
its
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: I J o rd a.
Permit#: 101
Site Address:
Contractor: JQ-1'1�'�5 U"LIff—� OCLS
License#:
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 FBC
Mechanical chapter 6.
l
Name of License Holder(print or type) Signature of License Holder