HomeMy WebLinkAbout19-21199 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21199
BUILDING PERMIT
PERMIT INFORMATION = LOCATION-INFORMATION
Permit Number: 21199 Address: 38800 7TH AVE
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: 11-26-21-0010-14000-0010
Improv. Cost: 5,524.00 OWNER INFORMATION.
Date Issued: 5/08/2019 Name: MEYERS, JOANN
Total Fees: 70.00 Address: 12086 SCOTT RD
Amount Paid: 70.00 FREELAND MI 48623-9509
Date Paid: 5/08/2019 Phone: 810-404-0241
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
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DUCTS INSTALLED Ins ection Re uired ..
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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
r�rulnd
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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NOTICE:OF.DEED;RESTRICTIONS:Jhpr undersigned understands that this permit may be subject to"deed"restrictions
which may be more restrictive than Countyregulatlons..The undersigned assumes responsibility for comph-ante.with,any ;
apRlloable.deedrestriditans. :. '_:'.':..
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If.the.owner hai hired6 contractor or
contra�rs-to,undertake_,wollthey may be requ reed to ba licensed-in ac ordanoe--with state and local.regulationa:;if
contractor is not licensed as required.by.faw,.both the owner.and contractor may be.cited fora misdemeanor violation
under statel1aillil thwowner_.or!ntendeti 6&htrsctor'are u'ncertaiq @s to what licensing-requirements:may-ai fior the--
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intended-work,they are advised to contact the Pasco County Building Inspection Division-Licensing section at 727-847-
8069. Furthermore; if the owner has hirad`a contractor or contractors, he-is advised.to-have the contractar(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 maybe an indication that he Is not properly licensed and is not entitled to Permitting prnrileges.!n Pasrb,_.,
County.,
TRANSPORTATiON,IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands._..,
that-Transportation, Fees•amd.Recoume;Recovery Fees may apply-`to-the construction'of new buildings,ohange'of use in existing buildings,or expansion of existing buildings,.as specified in Pasco County Ordinance number 89-07._and.
90-07,as arrieridell The`undersigned:aiso understands;that sticfi'fees,as:may'be'due;.will be identified at the'time of
permitting,:dt 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. Ifttie"projecfdoes riot;irivolve a certificate of occupancyor "
final power release,the,fees must-be paid pripr.to permit•issuance.-_.Furthermore,if Pasco County Waterisewer Impact
fees are due;.theymust be paid prior to_permit issuance,in atxordance with applicable Pasco County ordinances:`•'-`'''
CONSTRUCTION.LiEN,LAW(Chapter 7i8,Florida Statutes,as arnendedi:s!f valuation of work is$2,600.00r:or•more,I
certify that'1, the"a'pplidiK have been provlded'with"a"copy of the "Florida Construction Lien Law-Homeowner's Protection Guide"prepared by.the.Florida Rspsrtmeri#_ofAgricuiture and Consumer Affairs.If tte,applioant,is.someone,
other than the"Owner".l,'certify that have obtained a copy of the above described document and=promise in good faith to
deliver it to the"owner"prior 10 comrrrencei lent
CONTRACTOR'S!OWNER'S AFFIDAVIT::-!oertlfyr•thatAli-the infor a—bon-in.this application Is aaxirate arid.that.all work= ._
will be.done in compllanc:e`with all applicable laws regula#ng.canstnrction,zeiiing and land development Appilcation is
hereby made to obtain a permit to do wow,and instillation as Indicated. f mortify 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, anii'land'davelopment regulations In 4he juri idiom: -t aiso
certify that I understand that the regulations of other government agencies may:apply to fhe:intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies lnciuds tiut are notlimitedito:..
Department of Environmental Protection-Cypress Bayheads,Welland Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment -. _
Southwest Florida Water Management District-Wells, Cypress-,:Bayheads,. Wetland Areas, Altering
Watercourses. -
- Army Corps of Engineers-Seawalls,Dodos,Navigable Waterways,, _
Department of Health 8c Rehabilitative ServioWEnvironmental.Heath Unit-Wells, Wastewater_Treatment,:..
,Septic Tanks.
U timroni-i'll 4al:Protection AgenojhAsbastos'abatement
.Federal Aviation Authority-Runways.
l understand that the foilowingxestrictions:apply_to:themse'of fill:
Use of fill is:not ailiiwid in Flood Zone'"V unless expi
essiy permitted,
if the fill material is to.-be,used In Flood Zone "A", it is understood that.a drainage plan addressing a
"comperis ittig'voluirli will.be,submltted.at tirfie�of-perm!tting;whlit-is prepared.bY a,profaSslonai engineer
licensed by the State of Florida. _
""if`the fill material:is to;be used;im Flood Zone.'A":In.connect]
with a permitted building using stem wait
conitr ibtitm;I-certify that fill will be'used only to f ll.the:area-within the stem wait..... ;
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!s found to adversely affect"adjaoerrt prop�rties;'tht3 owner.:may be:cited for violating
the conditions of the building-permit issued under the attached permit application,for lots less:tham one_{1)
acn;.wiiico ar`eelevatei by fill;an'engineered drainage plan is required.
if f am the AGENT FOR THE-OWNER,I premise in.good faith:6-Irrfortir-the ou(rner of the peiriittirig conditions sef forth in
this affidavit prior to.cammencing`consttic6lon. t understand_that a separate permit may be required foretectricat work,
plumbing,signs,wells;pools,"air conditioning;gas,'or other installations-not specifically indude'd in the application. A
permit issued shall be.construed to be,a.license to pmceedswi#h 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'rssuedshall become invalid
uniess_the•work authorized by such Permit is commenced'withill:months of.pemlit,issuance,or if Work,authorized.by
the permit is suspended or abandoned fora period&1(6)months after the time the work is commenced.-'An extension
maybe requested,in,writing,,from•the.Building-Official for`laperiod not to exceed ninety(90)days and wil(demonstrate''_
ustifiable cause.for the.axteitsion. if work-ceases far nine
j
ty{9_).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'IMPROVEMEN fS TCl,YOUR PROPERTY...th'YOU'.IN LEND;!O OBTAIN t=1NAt+tCING,CONSULT
WITH•Y UR:LENDER it AN ATTORNEY BEFORE RECORDING'YOU OTICE OF'C4 ENCE ENT.
FLORIDA JURAT(F.S. ..
OWNERORAG,ENT
Subscri ai, rcried before aIs "_ S aril fo teffurn }p�{o �p �ht�
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Who i are anal kn to me or hasftwe produced Who israre perso y, ow o ma'or hasltrave produced
as idenftrication. as ida»8fication:
RrasyFunttc ' 4 c Pull.:
4.misston No. _ lesion No. .
H iA+LA�4L
Nam fit ' �ieijd printed— �tate of Flor a Name of tar�r• pedblJcted or
;. No ally �fl+ *r:. Notary u ic=5tateof Fitrtida
Commission#GG 112939 .; +, Commission#GG 112439 ..
v r Comm.Expires Jul 19,2021 :a: MY
Comm.Expires Jul 19,2021
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PROF ..N CFAs l
AND : : " INC. Service Order Proposal
} Invoice
Sales, Service & I:nstallati6hs.
'WORK ORDER#/SERV ICEPXAN 9E,7c9 APR
DATE/T I IYiE..,TAF'.EN +7+4!i
4441 Allen Rd. • Ze 9/I9 09 a 22
h rhills;'FL'33541 ''
P, Y TAKEN RY; - . - K I M O3
�. BATE/'TIME PIROMISEO
NOTES: .��� 1 �� � Idti, `b;,�`:'`
GIJSTOMER# !L LIGATION 5 14.,7
PHONE
ROUTE/S .Q APR,!";
At
KALSOp KEITH - KALSOg KEITH
36800 7TH AVE 38800 7TH AVE
ZEPHYRHIr L.S FL 33542: ZEP'HYRHILLS FL33542.'
NEW CUSTOMER
r:. . STIMATEo" LEt�VIi`JO hiC1N}3AY I
DESCRIPTION,PF,,WO K,'' . QTY , MATERtA�s&`SERVICES.';; ' UNIT PRICE , AMOUNT
04
Pr l
Cry - SCN (
S'T l4
�'$( I1Mouh+
COMMENDATIONS
•'f � /z-�// T' I d Oo
AnnuaI�htenance'Recorr Ii 6_,ded,tiy All'Equipment Manufacturers,`
Pressures Lo HI T Stat I
LBS.,.,:��Er: .,• `$Pefdbs
FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthty I l
❑ REGULAR ❑WARRANTY 'Y` TOTAL`$UMMARY °r£;
.- - r .... p. - :".:.�`s!.�. .:w�:':•,-_.,.='.t':'.:._�4,+.;".'fib ,'y
^.;Detiu idi§fat Settings:';When here ON"" §When Away 60°Io; T Stat 80 ❑. MAINTENANCE CONTRACT
:.. ' c...,: ..t SERVICE i._...-
LIMITED WARRANTY: All materials,pads and equipment are warranted by the manufacturers' -CALL t
METHOD
or suppliers'written warranty only.All labor performed by the above named company is warranted fof" .'`
30 days or as.otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL ` I
express.Ior implied;and its agents or technicians are not authorized to make any such warranties on MATERIALS I
behalf of above named company. ❑DEBIT ❑CREDIT 0 OTHER MAINTENANCE
1 have authority to order the work outlined above-which has been satisfactorily-completed.I agree that Seller '
PROG. W/ C
retains title to'equlpmentfmaterials fu`mished until final payment is made:If payment is not made as agreed, CLAIM# _
seller can remove said equipmenUmetedafs at Seller's expense.Any damage resulting from said removal shall
not be the iesponsibility of Seller.NET 30'DAYS.A 1 V2%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID BALANCES OVER 30 AYS.NO REFUNDS DATE CO TED _
t TECH: TAX "5 I
CUSTOMER SIGNATURE 'DATE ✓1W41 C 6a, TOTA I'
_ z _
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
i
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE (FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner: �� S �/-9A�D
Permit#: ��`��
Site Address: B��D
Contractor: 7f2
License t.
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.
ev &6h
Name of license Holder(print or type) Signature of License Holder