HomeMy WebLinkAbout19-21435 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21435
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21435 Address: 5806 18TH 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: 11-26-21-0010-07600-0150
Improv. Cost: 5,695.00 OWNER INFORMATION
Date Issued: 6/25/2019 Name: WILLIAMS FAMILY LIVING TRUST WIL
Total Fees: 70.00 Address: 5806 18TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/25/2019 Phone: (813)748-2353
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
n
DUCTS INSTALLED Ins ections Required
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.
&I 9�
�,/tONTRACTOK SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78G- o2o City of Zephoilis Permit Application Fau-e13aea O21
Building Department
Date Received E_ i.I. ,&11/ Phone contact for Permitting t�R /O — Q
O.W.Name. G /' (rqJ �r/ dU ��xmer Phone
OwnefsAddress�T Ci lm 61 oluner Phone W.I.
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple nileholder Address ,�
JOBADDRESS t7 & Z ® A� / /��ry /� LOT#/,�,q
SUBDIVISION �- PARCEL(DA i o4! U�✓/0 2W !/
—// (DIMMED FROM PROPERfYTAX NOTICE)
WORK PROPOSED e NEW CDNSTR ADDlALT SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION . ' Q BLOCK Q FRAME STEEL = I
DESCRIPTION OF WORK Wes, ?%66hfivE !.G o2 L+"
BUILDING SIZE Sal FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING (5
1ECHANICAL Is 5Is VALUATION OF MECHANICAL INSTALLATION
ROOFING SPECIALTY OTHER
=C,4S Q ❑ Q
FINISHED FLOOR ELEVATIONS 7 FLOOD ZONE AREA =YES NO
BUILDER I COMPANY
REGISTERED
SIGNATURE I REGi5Tt]tED Y/ N I PEE CURREP Y/N
Address Licensed
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I YIN I FEE cuRREr Y!N
Address I License#I I
PLUMBER COMPANY
SIGNATURE REGISTERED I YIN FEECURREA Y!N
Address C— License#
MECHANICAL ` � COMPANY %S/RO C 1W_w
SIGNATURE ,rtL REGISTERED I YIN I FEE CURREr Y!N I
Address `T F � L /� IL License# ) I
OTHER COMPANY
SIGNATURE REGSTERED I Y/ N FEE CURREI,
Address License#I
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plat Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new constriction,
Minimum ten(10)rwrldng days after submittal date. Required onsite,Construction Plans,Stomtwater Plans w/Slit Fence installed,
Sanitary Facilities&1 dumpstar,Site Work Permit for subdivisions/larga Projects
COMMERCIAL Attach(2)canplete sets Of Building Plans plus jr Life Safety Page;(1)set of Energy Farms.R-CYW Permit for new construction.
NBnimlun ten(70)woridng days after sutxrlsttal date. Required onsite,Construction Plans,Stonmwater Plans w/3itk 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:
. . . . . . . - - - - - - - - - --
. . . . . . . . . II . . . . . . , . .
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarzed
.lf over$2500,a Notice of Commiumement Is required. (A/C upgrades over$7500)
Agent((or the ca tnlct_)or Power of Attiimey*the owner)wand be someone with notarized fetter from owner authorizing same
,OVER THE COUNTER PERMITTING (copy of contract required)
Remofs if shingles Sewers Zervice.Upgrades A!C Fences(PlotlSravey/Footage)
Drtvewa"ot over Cotmter if on public roadways-needs ROW
a
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 BloX 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$2,500.00 or more,I
certify that 1, the applicant, have been provided With a copy of the "Florida Construction Lien Law—Homeowners
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 Zensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand 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"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan ad&essing 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 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 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 far 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. U INTEND TO OBTAIN FINANCING,CONSULT
WITH YOURLENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE K COMMENCEMENT.
FLORIDA JURAT(F. 03_,o s
OWNER OR AGENT CONTRACTO
S}i bed n bs t or affirmed) a this su rjpsef worn (or affirmed)before m this
Who Ware penally kn to me or asihave produced W istare nal y own to me or h have produced
` as identification. as identification.
f � '
Notary Public Notary Public
Co issron No. Co ssron No.
islim—
SYLVIA A.CAMPBELL
Name Note' j print Notary Pu ICtl State Of Florida Name of Notary typed,printed •o• o ary u lic-State of Florida
€': • Commission t GG 112939
.•�' • Commission R GG 112939 N• �jrr
u• 0 5 My Comm.Expires Jul 19,2021 C�;.� My Comm.Expires Jul 19,2021
° Onu4" BondedthrnughNatonalNotaryAssn.
of;,.•' Bonded through National Notary Assn,
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� Yrder/PronosaR
/ el M5 Invoice
.#/SERV%CEMAN 98257 JUN
~ - TAKEN 06/04/19 15: 12
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� ~~ � � r -'� ' PROMISED 06/04/19 00:00 `
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' ' �� LOCATION 23600
813-748-2353 C
813-748-2350 C
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- -- _------ --__--`__-- - ^ '
JILLIAMS, REBA ' WILLIAMS, REBA
5806 18TH ST ' 5806 18TH ST
.EPHYRHILLS FL 33542 ZEPHYRHILLS FL33542
NEW CUSTOMER/ NEED UNIT INFO
'
7EDS EST FOR NEW UNIT. HERv S NOT WORKING AT ALIL. PUT BANDAID ON TWICE.
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Pressures L
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FILTERS x X Changed Monthly
17
FILTERS X x Changed Monthly
090
0 MAINTENANCE CONTRACT
When here When Away-WT-Stat --
SERVICE
CALL
MITEDWARRANTY. Ail materials,parts and equipment are warranted by the manufacturers'
suppliers'written warranty only.All labor performed by the above named company is warranted for U TOTAL
days or as otherwise indicated in writing.The above named company makes no other warranties, 0 CASH CK# MATERIALS
press or implied,and its agents or technicians are not authorized to make any such warranties on
-half of above named company. C3 DEBIT C)CREDIT Q OTHER,_ MAINTENANCE
iave authority to order the work outlined above which has been satisfactorily completed.I agree,that Sailer PROG. I
lains title to equipmenUmaterials furnished until final payment Is made.If payment is not made as agreed. CLAIM#
lie I can remove sold equipmenUmaterials at SFelldr's expense.Any."damage resulting from said removal shall
t be the responsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO
.L UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TAX
JSTOMER SIGNATURE DATE F TOTAL
'
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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: o ' /0
Contractor:
License#: �d �
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.
Name of License Holder(print or type) Signature of License Holder