HomeMy WebLinkAbout19-20757 s
;- CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20757
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20757 Address: 5942 17TH 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: 11-26-21-0010-04300-0160
Improv. Cost: 6,500.00 OWNER INFORMATION
Date Issued: 1/31/2019 Name: VANSELOW ERNA
Total Fees: 75.00 Address: 5942 17TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/31/2019 Phone: (813)783-8389
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
FLORIDA A/C SOLUTION LLC A/C CHANGEOUT 75.00
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Ins ections Required
DUCTS INSTALLED
DUCTSINSULATED
FINAL
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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.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
-313-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
.. ..........................
Owner's Name Elf'V\C1, Ck 1A 5 e (-'J Owner Phone:Number
ownees Address s F 41
g q�L 1-7 Owner Phone Number
C6' 33'5q;�] Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL 10# no o o- 01 (" G
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK-PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPEIPF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL
K Ila ]Qy\ �10(j W( '50114 SCA91fl/vl 'C'qLAJ3 d)k�� 1
DESCRIPTION.OF WORK
V
BUILDING SIZE SQ FOOTAGE[__ HEIGHT.
=BUILDING VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE Q DUKE ENERGY 0 W.R.E.C.
=PLUMBING 1$
ZIMECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
ill-1111 1IIHNNIffil Nil,14111
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_yl N
Address License# F_
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/.N FEE CURREN LXLN J
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F
r 7
MECHANICAL COMPANY Flo
SIGNATURE REGISTERED Y/ N- FEE CURREN L_YLN J
Address I A)0rH"ACdP
License# FcAmmv
OTHER COMPANY
SIGNATURE REGISTERED Y 1 N, FEE CURREN
Address License#
RESIDENTIAL Attich'(2),Plot.Plans;(2)sets of 861100'9;Plansf,(I)set 6f.Energy.Formsi:R-O-W-Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, 1
Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of,Building Plans-plus,a_Life,Safety Pbge;(1)set of Energy' .Forms.R-O-W Permit for new construction..
Minimum ten(10)working da"ys"siftersubmittat'd6te. Required`onsite,Construction Plans,Stormwater Plans*w/Silt Fence installed,
Sanitary Facilities&*1-dumpster.Site Work Permit forall new projects.All commercial.requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans:
****PROPERTY SURVEY required for all-NEW construction.
444 44�111'Ill NNEE11.3111 III PAII51
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Directions.
Fill ouf application completely.
Owner&Contractor sign-back of application,notarized
If over$2500,a Notice'of Cbffimenc6iijeAf ii'i44tiii dup"grades over$7500)
Agent(for the contractor)or Powenof, qy;,#qr)Pq,owhqe)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING"A'l,'-,; Copy 6 cop"-pfrequ!�reg
ervice p.grades'AIC {Plot(Survey/Fo6tage)
Reroofs if shingles Sewers 'S -U
Driveways-Not over Counter If on public roadways..needs ROW
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. I
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE& 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 co'nffikf6r--ma'y be cited for a misdemeanor violation
understate 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 Divisidn—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 lwhich'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 per-miffing 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 unde'rstodd'that Transportation impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power rele ase. If the-project does not involve a certificate of occupancy.or
final,power release,the fees must be paid prior to perr lit issuance.--Further�nore, if Pasco County Water/Sewer Impact
fees-are due,theymust.be.paid prior to permit issuance an accordance with applicable Pasco County ordinances.
CONSTRUCTION:LIEN LAW(Chapter 713, Florida Stitutes,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—Hom' eowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other tharithe`6wribi", I certify that.1 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/QWNER1S AFFIDAVIT: I certify thatiall the information in this`application is accurate and that all work
will be-done in compliance with.-ai'l"a-p"'p"lic'a"ble'16'ws regulating constructl6n,'zonidg andlarid 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 o6dbs7-,inning regulation,s,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 b6 in compliance. Such agencies include but-are not limited to:.
Department of Environmental Protection-Cypress Bayh6ads, Weiland Areas and Environmentally SensitiveA
Lands,Water/Wastewater Treatment. i
Southwest Florida Water Management 'District-Wells, Cypress Bayheads, Welland 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
1,understand that the following..rqstrictions,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 I Zone -"A", it ls7 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
construttioni I cert!fy.theif fill will be Used o4 to fill the*area. within the stem wall.
- If fill material is to be used in any area, 11 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 buildifig 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 maybe'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
I 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 OP:COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR— k S V1 2 �(A
Subscribed and sworn to(or affirmed)before me this I S bscribecLand swoin-to rVed)before me this
by by N 1134
Who is/are personally known to me or has/have produced Who produced
g?re Krsonally'kn i tb(me or liesthave
as identification. A-->4V N gl-r 9"CIV50— as identification.
Notary Public
I A.� b g�= Notary Public
Y
Commission No. Commi I
JACQUE E EIM
Name of Notary typed,printed or stamped i Name of No
ISS December 12,2022
rm Tmy Un Ifi"aW==Ma sms,,.7012
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ZEPHYRHILLS BUILDING DEPARTMENT
5335 8TH STREET
ZEPHYRHILLS, FL 33542
THE REAL PROS
S
Date:JANUARY 31, 2019
TO WHOM IT MAY CONCERN,
1,Arnold Delgado,am giving authorization to Christina Sauceda to apply for and pay for permits in the
City of Zephyrhills on behalf of myself for Florida's AC Solution license number CAC1819388.
CHRISTINA SAUCEDA- DRIVERS LICENSE NUMBER S230-113-92-950-0
STATE OF: Flo rid C
COUNTY OF: I-�r`11S��,Q�C CIA
BEFORE ME, PERSONALLY APPEARED, Arnoi d. WHO PRODUCED D
AS IDENTIFICATION OR IS PERSONALL NOWN TO ME,AND WHO DID AFFIRM
AND SUBSCRIBE BEFORE ME ON THIS,DAY OF -jG vim . 20
SIGNATURE OF NOT04 PUBLIC
(� ►^ -S cif 1 P Lt k1 P SS( *" Expires
CHRISTtNA HENNESSY
NOTARYPUBUC
NAME OF NOTARY TYPED, PRI )•ED OR STAMPED STATE OF FLORIDA I
Cartm#;FF2018M
MY COMMISSION ENDS
2/19/2019 �
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OFFICE
1634 African Mcdet Craw rt•Trinity,FL MSS
p 727A22.923+6 1261
Cox Bmldlng SwWce% Inc CACI S19388
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NAlW OF W0RKT0 BE DONE Z 4/"1 JOB ICOMPLmy YFSii'•
OW SOURCE QUANT.- DESCINPT1ON PRICE ff0A COST HOURS CHARGE!
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_ We{/alueTW5�o rtl ty t�o Serve Youl i8�l�RSA11iMaS
SEE BACKOFTIISTKKkT FOR SPECIAL 1�1FOII�ATION,AND PROBLEM SOLVIMCL � asaov�rt
AileledricalFartsareoon4efmdable. SUBTOTAL
u r;ey�ae.stra� rah �t r i 'fcriiop� lmollYlyaeid/orQiTrcwrecy.
Customer AMQiIMt1 ECTB7 '! ��'
MYMM TOCOK,Et►WNGS ANCO,WIC. BALANCE DUE
C MEit SUi .-� °� ;,,� c.y.`l f L,��u P1.E�1SE Illl l PRMWAWNTY
1.��repm er�ve dmae ins appearamd Al- *-PT`� 4 '{ Ws �Nt3 FM Paris as recorded are wQananted as p
w ur wry un ( tt47fftlfdttllltpr ('a�f[If{L
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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: n.z,. \)bn5�1 OUD
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Permit#:
Site Address:
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Contractor: _orAda tC X77 tJ,{-tOn i
License#: Lq Q, 4 Cd 19 lig f5
Final Inspection Date:
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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.
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Name of License Holder(print or type) Signature of License Holder
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