HomeMy WebLinkAbout19-21404 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21404
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION ,
Permit Number: 21404 Address: 5134 19TH 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: 11-26-21-0010-20000-0015
Improv. Cost: 6,200.00 OWNER INFORMATION
Date Issued: 6/20/2019 Name: GUZMAN PATRICIA ANN
Total Fees: 75.00 Address: 5134 19TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542-2169
Date Paid: 6/20/2019 Phone: (813)469-5701
Work Desc: A/C CHANGE OUT 4TON
CONTRACTORS APPLICATION FEES
ONE HOUR AIR CONDITIONING & HEAT A/C CHANGEOUT 75.00
Ins ectio sllbquired
DUCTS INSTALLED
DUCTS INSULATED
FINAL
REINSPEC77ON 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 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
Date Received Phone Contact for Permitting
.............rf7,rrrf .................I.T."
Owner's Name G kffimk Vi eA 6 Q 7,Y11%" Owner Phone Number
Owner's Address s,34 t 9-r,S� Owner Phone Number
FL, 33SI Owner Phone Number
F
JOB ADDRESS Fi 3 Ito\S�. Nh ,VW , fl-3 3n 1 LOT#
SUBDIVISION PARCELID#1 I k-V�- ?/(- 1"0- )LIG\7'0 0 001:57
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF__1 ADD/ALT SIGN 0 0 DEMOLISH
INSTALL REPAIR
E�
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL
DESCRIPTION OF WORK l h wo-u
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
[ELECTRICAL AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING $
[2(MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LYIN J
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_y_LN_J
Address License# I
MECHANICAL /yam COMPANY 0 ht NAir
SIGNATURE REGISTERED FEE CURREN Y/N
Address 5-va8 N. SM" 9V#TUq(kj FL- 33ko License# 0 5 g a 0S
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_YLN J
Address License# I-
HHHHH !HHHHHHHH-
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 subdivisionsAarge 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 -------------- 411 1 11111111111 111111 i II H II i 1111
:
Fill out application completely..
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is require,owner)
d, (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attor�6yff,-or the ow n er)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copyof'contract required)
Reroofs if shingles Sewers,�,; _,Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over CoUnterif on;public roqdways..needs.RQW;'�'
NOTICE OFDEED : The undersigned undenabsndothotthis permit may bm subject&o'h ''r6otricUons^which m�� be more restrictive County regulations. The undersigned am�umaer�aponmibi|ityforoomp|iannavithony
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f 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 |avv both the owner and contractor may be cited for a misdemeanor violation
under state |oxv. If the owner or intended omntnaobxr are uncertain as to what licensing requirements nloy.app|y 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 e contractor or contnocbzro, he in advised to have the contractor(s) sign
portions of the "contractor Block" nfthis application for which they w� be responsible. If you, as the owner sign' as' the
contractor, that may be on 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
00-07' as amended. The undersigned also undarutando, that such feeo, on may be dua, 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 o "certificate of occupancy" or final power release. |f the project dneonoiinvo|vo . certificate of occupancy or
final power na|eane, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVober/Seme, Impact
fees are due,they must be paid prior bo permit issuance|n accordance with applicable poacoCounb/ordinancea.
CONS
TRUCTION LIEN LAW(Chapter713, Florida Statutes, asemmended): |f valuation of work io$2.GDO.00ormore, |
certify that /. the applicant, have been provided with a copy ofthe "Florida Construction Han Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant iosomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itho the"owner"priorto commencement.
CONTRACTOR'S/OWNER~S AFFIDAVIT: | 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 mode to obtain e permit to do work and installation'as indicated. | certify that no work or installation has
commenced prior to issuance of 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. | also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility hn identify what actions | must take b)ba|ncompliance. Such agencies include but are not limited to:
- Department mfEnvironmental Protection-Cypress Bayheadm. Wetland /\noos and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Oisthot-VVmUn' Cypress Boyhaadm, VVmUond Aneoa. Altering
Watercourses.'
- Army Corps of Engineers-Seawalls, Dooko. Navigable Waterways.
- Department of Health & Rehabi||baUva Services/Environmental Health Unit-WmUo, VVaniexvahar Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Auhohty+Runvwsys.
| understand that the following restrictions apply tm the use offill:
' Use of fill io not allowed in Flood Zone^V°unless expressly permitted.
- If the fill material is to be used in Flood Zone ^A~' it is understood that m drainage plan addressing o
.compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bv the State ofFlorida.
- If the fill material is to be used in Flood Zone ^A" in connection with a permitted building using oham vvaU
construction, |certify that fill will be used only to fill the area within the stem wall.
- If fill maNaho| is to be used in any area, | certify that use of such fill will not adversely effect adjacent
properties. If use of fill is found to adversely affect adjacent prmpertiae, the owner may be cited for violating
the conditions of the building permit issued under the attached permit apo||ooUmn. for lots lmoo than one /1\
acre which are elevated by fill, an engineered drainage plan iorequired.
If| amthe 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 o separate permit may be required for o|ectdno| xvork,
plumbing, oiQns, wells, poo|a, air oond|tioning, gaa, or other installations not opmoUDcoUy 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 iasuanoe, 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 naques#md, in writing, from the Building Official for o period not to exceed ninmty (QO) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
---WARNING T-----OWNER:
----YOUR
------ NOTFC"FrCOMMENC-E#8ENl�rViAY'RGSULT-IN-YOUR-----
PAYUNG 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.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Sul�scrjbecl and swom to(or afflrme� before m this
Who is/are personally known to me or has/have produced W10 is�/areffie—r—so-n—alryTn—o-w—n—to--m-0 or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission
1
I
DUCT CERTIFICATICIN FOR INSTALLATION OF NEW DUCT WORK OR.MOMFICATiON OF THE EXISTING
DUCT.SYSTEM
FLORIDA ENERGEY CONSERVATION CODE(FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner: %VYj ti u, G u L 6wy
Permit#:
Site Address: I
Contractor; L 6_4 V Nv-
License#:. (,y C. ej•S'9 1,0 5-
Final Inspection Date: �ne �
I certify that 1 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.
Name of License Holder(print or type) Signature of License Holder