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HomeMy WebLinkAbout19-21355 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21355 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION G` Permit Number: 21355 Address: 38750 HENRY DR 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: PARK HILL Est. Value: Parcel Number: 02-26-21-0180-00000-0150 Improv. Cost: 6,000.00 OWNER INFORMATION Date Issued: 6/10/2019 Name: HODGES PERRY& NICKENS INA I Total Fees: 70.00 Address: 38750 HENRY DR Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-2681 Date Paid: 6/10/2019 Phone: (813)363-2891 Work Desc: A/C CHANGE OUT 2.5 TON HEAT PUMP CONTRACTORS APPLICATION FEES WIDEMAN AIR SERVICES HEATING& CO A/C CHANGEOUT 70.00 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 City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER e I 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: Permit#: Site Address: ,.3�7�(� IA 6" i Contractor:_(A 9 L2 CL:s License#: CA c✓A Final Inspection Date: I 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 403.11.1.All new duct work is to comply with FBC Energy 403.2 and FBC Mechanical chapter 6. Name of License Holder(print or type) Signature of License Holder ; �Z �t � �2� 5 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received (/I h� (' Z©I Phone Contact for PermittingrrT-rrrrrrrrrrrrrrr 1 3III, 310 Owner's Name p� -�, oL-A Owner Phone Number Owner's Address Fs 1 S_0 H 6Y) Z Owner Phone Number L 3 3S- Z Owner Phone Number G I JOB ADDRESS 3 —I SCE to r LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTR R ADD/ALT = SIGN = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL 0 t1 DESCRIPTION OF WORK nSA-&,l L1A TH uh u't" Z- U h kuxi Jin,PLA 1 See r BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. =PLUMBING $ i r7lI MECHANICAL $ UU VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY W B -Z 1 f1� J"� V�v but SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICALV1 COMPANY Sirylceg SIGNATURE REGISTERED / N FEE CURREN Y/N Address License# OTHER COMPANY ii SIGNATURE REGISTERED Y/ N FEE CURREN Y/N a r 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 constriction.- 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 Attorriey:(for`the"owner):would.be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copyof;contract.required).-':;: Reroofs if shingles Sewers „ Service lJpgrades.'A/C: FenGes.'(Plot/Survey/Footage) Driveways-Not over Counter if'drf pubi icl roadways..neeiis',ROW NOTICE OF DEED : The undersigned understands that this permit may be subject to"deed restrictions", which xvh�hmay ba more reethot�mthan (�ounhyragu|oUmne. The undersigned.assumes namponoibi|�vfor�omp|ianmexv�hany applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESP014SUBILUTAES: If the owner has hired o contractor or contractors to undertake work, they may be required tobe licensed in accord anomv�th state and local regulations. If the contractor is not |ioanoad as required by /oxv both the owner and contractor may be odaU for 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 '��iviaion--Limena|nQ ��mobmned727-847- 8009. Furthermore, if �tha'o�ner has hired o contractor or he 'is advised to have the contractor(s) sign portions of the "contractor Block" of this application forwhich they will be responsible. If you, as the owner sign as the oontnantor, that may be on indication that he is not propedylicensed and in 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, on may be due' will be identified at the time of permitting. |tis further understood that Transportation Impact Fees and Rmonurma Recovery Fees must bepaid prior to receiving o ^nertifioobmof occupancy" or final power release. If the project doennotinvo|mmooertifinetemfmcoupancymr final power na|eaoe, the fees must be paid prior to permit issuance. Furthermore, J Pasco CountyVVohor/Smvm»r Impact fees are due,they must be paid prior topermit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, asemmended): |f valuation of work im | certify that L the app|ioant, have been provided with m copy ofthe "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"ovvner", | certify that | have obtained a copy mf the above described document and promise |ngood faith to deliver itto the^omnmr" prior tocommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is auounsba 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. | certify that no xvodx or installation has commenced prior to issuance of permit and that all work will be performed to meet standards of all |avvo regulating construction, County and Cbvcodem. zoning regulations, and land development raQu|aUono in the jurisdiction. | 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 mfEnvironmental Protection-Cypress Bayhmoda, Wetland Areas and Environmentally Sensitive Lands,VVeterMoohawxatorTreatment. ' ' - Southwest Florida Water NYona0ammni District-Wells, Cypress Bayhmadm, VVmt{ond Areas, Altering watercourses. - Army Corps ofEngineeno-SsavvoUa. Docks, Navigable VVotemxaya. ' - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment. Septic Tanks. - US Environmental Protection Agency-Asbestos abatement, - Federal Aviation Authority-Runxvmys. | understand that the fnUowiing restrictions apply to the use of fill: ` ' ' Use of fill im not allowed in Flood Zone^V"unless expressly permitted. - If the fill material is to be used /n Flood Zone ^A", it is understood that o drainage plan addressing o "compensating volume" will be oubmitted at time of permitting xvNoh is prepared by a professional enginmer licensed by the State ofFlorida. - If the fill material is to be used in Flood Zone 'A" in connection with a permitted building using nbam vmaU construction, |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 offill is found to adverbe|y affect adjacent pnmpertims, the owner may be cited for violating the conditions of the bui/d|' permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, on engineered drainage plan ierequired. If| amnthe 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 oepmnahy permit may be required for electrical vvork, p|umbing, oi0ns, xveUs, poo|a, air oondiUoninQ, gas, or other installations not oponUDcaUy included in the application. A parmit (asuedshaUbecpnstnuadtobea |imonsetmpnooaadm/iththovvorkendnmdamauthoritvhmvicdmte. cancel. a|tar 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 mh« 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 noqueoted, in writing, from the Building Official for a period not toexceed ninety (9O) 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ~~~~~^~' ~~'~''^~~^~' bJWho islare personally known to me or has/have produced who is/areRersonal y,known to me or has/haAe produced as identification. as identification. 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