The URL can be used to link to this page

Home My WebLink About19-20698 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20698 BUILDING PERMIT PERMIT INFORMATION LOCATION'INFORMATION Permit Number:' 20698 Address: 7221 DAIRY RD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-10300-0010 Improv. Cost: 4,400.00 OWNER INFORMATION Date Issued: 1/22/2019 �CAt Name: CITY OF ZEPHYRHILLS Total Fees: 1 . Address: 5335 8TH ST Amount Paid: 1 0.00 ZEPHYRHILLS, FL. 33542-4312 Date Paid: 1/22/ 019 Phone: Work Desc: A/C CHANGE OUT 2- 2 TON W/ELECTRIC- NEED COPY OF PO# CONTRACTORS APPLICATION FEES KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 65.00 FIRST CLASS ELECTRIC INC ELECTRICAL FEE 45.00 , N/� 6 I q 3 � DUCTS INSTALLED Ins ecti o s 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 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. C NT-RACTQWSIGNATURE PERMIT OFFI R PERMIT EXPIRES IN,6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR-INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Purchase Order Fiscal Year 2019 Page: 1 of: 1 THIS NUMBER MUST APPEAR ON ALL INVOICES,PACKAGES.AND SHIPPING PAPERS. B City of Zephyrhills Water Department Purchase 20190163 � 39421 South Avenue Zephyrhills, FL 33542 Order# T Phone: 813-780-0022 O Fax: 813-780-0025 S City of Zephyrhills V Alonzo W. Kinsey H Water Department EN Kinsey Central Heat&A/C Inc I 39421 South Avenue D PO Box 2209 P Zephyrhills, FL 33542 O Zephyrhills, FL 33539 T Phone: 813-780-0022 R O Fax: 813-780-0025 Vendor Phone Number Vendor Fax Number Requisition Number Delivery Reference 19000271 Date Ordered Vendor Number Date Required Freight Methodrrerms Department/Location 10/24/2018 986 Utili -Water Div Item# Descri tion/PartNo QTY UOM Unit Price Extended Price Install AC Unit at Tank Site. The Above Purchase Order Number Must Appear On All Correspondence-Packing Sheets And Bills Of Lading 1 Installation of(2)AC Units located at Tank Site on Dairy Rd. 1.0 EACH $2,000.00 $2,000.00 These are previously purchased units. The cost only covers the install. Per Quote dated 10/10/18. GL Account: 41003300-563000 $2,000.00 Cross Reference: 041-3300-533-6300 041-3300-533-6302 041-3300-533-6304 041-3300-533-6308 041-3300-533-6310 041-3300-533-6311 041-3300-533-6313 041-3300-533-6314 041-3300-533-6317 041-3300-533-6319 041-3300-533-6322 041-3300-533-6323 041-3300-533-6351 041-3300-533-6502 041-3300-533-6503 By:�`' `S'n�`" Total Ext. Price $2,00 City Manager PO Total Purchase Order Fiscal Year 2019 Page: 1 of: 1 THIS NUMBER MUST APPEAR ON ALL B City of Zephyrhills INVOICES,PACKAGES AND SHIPPING PAPERS. Water Department � 39421 South Avenue Purchase 20190366 Zephyrhills, FL 33542 Order# T Phone: 813-780-0022 101 Fax: 813-780-0025 S City of Zephyrhills V Alonzo W. Kinsey H Water Department N Kinsey Central Heat&A/C Inc I 39421 South Avenue D PO Box 2209 P Zephyrhills, FL 33542 O Zephyrhills, FL 33539 T Phone: 813-780-0022 R O Fax: 813-780-0025 Vendor Phone Number Vendor Fax Number Requisition Number Delivery Reference 19000569 Date Ordered Vendor Number Date Required Freight Method/Terms Department/Location 12/26/2018 986 Utilit -Water Div Item# Descri tion/PartNo QTY UOM Unit Price Extended Price Install AC Unit in Electrical The Above Purchase Order-Number Must Appear On All Correspondence-Packing Sheets And Bills Of Lading 1 Installation of AC Unit in Electrical Room. Per Quote date 1.0 EACH $2,400.00 $2,400.00 12/15/2018. GL Account: 41003300-563000 $2,400.00 Cross Reference: 041-3300-533-6300 041-3300-533-6302 041-3300-533-6304 041-3300-533-6308 041-3300-533-6310 041-3300-533-6311 041-3300-533-6313 041-3300-533-6314 041-3300-533-6317 041-3300-533-6319 041-3300-533-6322 041-3300-533-6323 041-3300-533-6351 041-3300-533-6502 041-3300-533-6503 i By:S�j-fyt�, 5,12' y ` Total Ext. Price $2,4 City Manager PO Total I Kinsey Central 6213 HeFat & Air-Conditioning, Inc. 6 p y� P.O. Box 2209 ( ! Zephyrhills, Florida 33539-2209 (813) 782-2300 CA-0058626 PHONE DATE OFORDE �y NAME A775 DATE PROMISED ADDRESS /� APARTMENT CITY MAKE MODEL SERIAL NO. ❑ ESTIMATE NATURE OF ❑ CASH SERVICE REQUEST ❑ CHARGE QUAN. PART NO. DESCRIPTION PRICE AMOUNT I I SERVICE PERFORMED TOTAL MATERIAL TECHNICAL SERVICE TIME A charge of 1.5%will be made on all unpaid balances after 30 days,which is an annual percentage rate TAX of 18%applied to past due balances.Customer is liable for any charges incurred in collecting this bill. DATE COMPLETED ON COMPLETION TOTAL 'lkd�rk CASH OF WORK I TECHNICIAN CUSTOMER'S SIGNATURE -,81'W780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact fo Per fitting rrrTTrrr........... .......... ....In ......... Owner's Name Owner Phone Number Owner's Addres 71 Owner Phone Number Owner Phone Number JOB ADDRESS LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR . ADD/ALT SIGN DEMOLISH R INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME f0 STEEL DESCRIPTION OF WORK 7", �t-5,-04 Y,,� BUILDING SIZE I I SQ FOOTAGE= HEIGHT =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE DUKE ENERGY W.R.E.C. , PLUMBING 1$ =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION /D =GAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD-ZONE AREA _. [ YES NO l 2 N BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN 6`COMPANY �NAIL HPA rd Eledyil, d6 f1rk( Nis teed;tl SIGNATURE V REGISTERED Y/ N' I FEE CURREN I Y/N Address License# CC 196 0 12-7 0 PLUMBER COMPANY L— SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address I License# MECHANICAL COMPANY FW SIGNATURE REGISTERED Y/ N/ FEE CURREN Address 1 License# F--� OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LnN_j 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 wl Silt Fence installed, Sanitary Facilities&I 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,St'ormwater 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. gsl 1 .......... -------------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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C 'Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW ic ,, 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 com,.plianie4with 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 Block" 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 I, the applicant, have been provided with a copy of the "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"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 Sensitive Lands,Water/Wastewater Treatment. - 'Southwest ' Florida Water Management' District-Wells, Cypress Bayheads, Wetland 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 W" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing 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 for 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03 �&/ OWNER OR AGENT CONTRACTOR C Subscribed and sworn to ffirmed) r me this Subscribed and sworn i (q affirmp )before me this by by _, Who is/_are personally krtwJo me or has/have produced Who is/are personal nown to me or has/have produced as identification. - as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped