HomeMy WebLinkAbout19-20654 CITY OF ZEPHYRHILLS
4 5335-8TH STREET
(813)780-0020 20654
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20654 Address: 4748 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: 14-26-21-0010-02600-0120
Improv. Cost: 4,800.00 OWNER INFORMATION
Date Issued: 1/08/2019 Name: WORNER MICHAEL & LEE
Total Fees: 65.00 Address: 4748 18TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542-6032
Date Paid: 1/08/2019 Phone: (813)898-9890
Work Desc: A/C CHANGE OUT 3.5 TON
CONTRACTORS APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 65.00
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(I
DUCTS INSTALLED n Ins ectios 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 rinspection,whichever is greater,for each such subsequent renspection.
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
G�
CO CTOR SIGNATURE PERMIT OFFI R
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
513a50-0020 City of Zephyrhiils Permit Application Fax-013-750-0021
Building Department
Date Received Ad Phone Contact for Permittin
-i'T iTf'T --
Owner's Name r, t� p go
wner Phone Number ^3
Owner's Address�� i 1s k Sk uA' (, WJ 1S,—37,t` Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
(()� )j tt
JOB ADDRESS rJk P h I1S LOT#
SUBDIVISION PARCEL IDU
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT SIGN 0 Q DEMOLISH
e INSTALL REPAIR
PROPOSED USE = SFR = COMM It� OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL =
DESCRIPTION OF WORK T -r
BUILDING SIZE SQ FOOTAGE HEIGHT
^r't�'rr-r'r"f�rr-rt-rr'i-tr��'i'rr�-e-rr-1'rrt�rr'7'1"mr�-e- .. .. rr-i�rr`r�T"rr'I�n-re-re-lr
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL ``$ AMP SERVICE Q PROGRESS ENERGY = W.R.E,C.
,QPLUMBtNG
t �(iMECHANICAL $ ()o VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY L_.J OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO
BUILDER COMPANY
S[GNATURE ( REGISTERED I YIN FEE CURREt. I Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE t REGISTERED YIN FEE CU(RREt�Y I N
Address License# I
PLUMBER COMPANY
SIGNATURE REGISTERED I Y I N FEE CU(R'REN LY I N
Address i,"^ License#
j_^ /
MECHANICAL COMPANY J1/r F$ of
J1
>>" /C�i� Q
SIGNATURE ' REGISTERED I Y I N FEE CURREN i Y I N
Address License#
OTHER COMPANY —�
SIGNATURE REGISTERED Y I N FEE CURREt. - Y I N
Address License#
1f111111Iflllli111i1iiitlll111111111Iillllii / 1t11 [ / lllill / llllil / it
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 wI Silt Fence Installed,
Sanitary Facilities&1 dumpsier;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,Stonnwater Plans wf 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.
.. . . 1-1-E1-1.�'-. . 5-:'-R.i-l-�i-1-N-'+-S-^C-rF e-�•i-i-1.�.�.L.i-I -i-t-i-t-i.i-S-'s-6-e-rl-i-'.�...�.• 1-�•
Directions:
Flit out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Retools If shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage)
Driveways-Not over Counter If on public roadways..needs ROW
~
' .
NOTICE OF DEED "deed"restrictions"
which may be more restrictive than County regulations The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
� ^ UNLICENSEDr ------'- A-- CONTRACTORcontractors 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
Intend
re advised to contact the Pasco County
uilding Inspection Division—Licensing Section at 727-847-
��n�'�"����~�'n�m ^wnm has hired o cunhoomr ,��contractors, he is advised to have the `
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
County.contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
TRANSPORTATION IMPACTIUTILITIES 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
_'—_—_~ -uildings,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
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 ordlnances�
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,
Protection Guide"
other than the zwnorI certify that I have obtained a copy of the above described document.and promise In good faith to
deliver x~the ~°= 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 adobtain i do work and Installation as i di omo | 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' understand that the' other
my responsibility to identify what actions I must take-to be in compliance. Such agencies include but are not limited to:
' Environmentally Sensitive
' ^~'^~ Water/Wastewater Treatment.
Southwest Florida Water Management DioWoAxe||o. Cypress 8uyhe.adv. Wetland Areas; Altedng
Waxanmumpa.
US Environmental Protection Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
Agency-Asbestos abte
Federal Aviation^~~~
'~~~~~~that the following Usti o/fill mnot allowed in Flood'Zone"V'unless expressly permitted.
' the fill— material is to be used in Flood_ _-- A. it is understood that - drainage plan addressing _
"compensating volume"will hosubmitted at time of permitting which is prepared bya professional engineer
licensed hy the State nfFlorida.
- If the 8U material Is to be used In Flood Zone"K.in connection with a permitted building uoingotemvmU
consnnxt�°�n�certify a �i
ll� �~ ".=d �� to l�� m�the ��within stem wall.
to any area, "r such fill will
not adversely affect adjacent '
properties. If use of fill m found m adversely affect adjacent properties,the owner may be cited for violating
the oonumuno of the building permit Issued under the attached permit application,for lots less than-one(1)
acr6 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~—~—__ing 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
_`_'=_—_.
ection 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~ from the Building Official for a period not to exceed ninety~ will demonstrate
justifiable cause for the extension. ''work ceases for"ninety(9" consecutive days,the job=considered abandoned.
WARNING .00WNER:
,", CONSULT
WITH YOUR LtNDER'ORA"TTORNEY BEFORE RECORDING Y N IC OF COMMENCEMENT.
OWNER OR AGENT CON A R
r CT. sworn
om ,(or affifirmad)before me this
Subscribed and swo ore me this ""b."�n
by
Who'Is/are_personally known--'-_—has/have produced_— Who--'personally known_'--_—'
produced
as mommcm°v Identification.
Notary
Public Notary public
Commission Commission
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
'
M.
JrT Ch
Office: 813-779-7508 Fax: 813-779-7504 Lic#CAC1815498- Date:
Customer Name -N i UjCl a ��
Address �� T�i S-F Zip Code
Job Location — �� Subdiv:
p
Phone# {�_ r Alternate#
Existing Equip.
Mod.# -SERX
Mod.# SERX
Permit #
Type of Unit: M/S S/C �1. !> S/S PAC Ton: 3 •S Seer.-1 L
Y N
(� ❑ Duct Work Jype of Duct Work: Metal Flek MH flex Duct Board R-
❑ Rf Float ./Ate/:
❑ Heat Shield: ter , Wire Size Breaker Type
Id ' ❑ Pad. Elec. Panel Brand: AH Cond. PAC
❑ [� i neSe : �� Prog.
. ❑ Mastic Seal: Airhandler Location: AHU L " H"W
❑ Light& Recp Return Air " Duct Size "
❑ Service Platform: Access/Closet Door: Attic Height/Closet Size:
Attic insulation Depth = R Value
Special Notes: e teMbu — 1 x-X .5 1IV C W
kAJ
fA
Bryant$ , Rheem $ .Comfortmaker$
Factory Rebates:
Warranty: 10 year Compressor and Parts & 1 year on labor N
10 year Compressor its&2 ye on r
c q
Air Tech Services Approval J date
Customers Approval date j-V- .l_
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. :�. Comli.�Adclra.ss i?:t5.,�tix i1z0.
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Job Addf tt qg.
1,Alt loath Sony
a�..peSCg�.affila�it;'1� stby wifIii tho' 1-hm tlit.:duly llcemtd coal favor of fttoM f(If
tlie.a t�dve teF.er�Iic'td otfmit;that All
ottlia.�atgoiri irit r n tltiri is trua Atid"gc tirato.fih�duct tealiti
ti the with All code's qnd W116 Pds,.
: " .Cir+cf.uding Hfll�.county�ode:f=Ctw�tii.4.7.i;�� .