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Home My WebLink About19-20837 T CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20 7 BUILDING PERMIT PERMIT INFORMATION. LOCATION,INFORMATION Permit Number: 20837 Address: 5043 5TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-18700-0090 Improv. Cost: 4,800.00 OWNER INFORMATION - Date Issued: 2/20/2019 Name: NASH, RACHEL Total Fees: 65.00 Address: 36911 CONLEY ST Amount Paid: 65.00 ZEPHYRHILLS, FL 33541-1133 Date Paid: 2/20/2019 Phone: 813-966-389 Work Desc: A/C CHANGE OUT 3.5 TON -CONTRACTORS APPLICATION FEES A-1 B COOL HEAT &AIR LLC A/C CHANGEOUT 65.00 3 Ins ections.Re uired DUCTS INSTALLED 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,S cifications 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 T TOR IGNATURE PERMIT OFFICZR PERMI. 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 — Owner's Name 4 c Owner Phone Number �f m l,, � Owner's Address _:5� Owner Phone Number Owner Phone Number JOB ADDRESS -5 O 57�LQQ 2 r �(S LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR� ADD/ALT = SIGN = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = _ r DESCRIPTION OF WORK .5 2 BUILDING SIZE SQ FOOTAGE '175a HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ SO r- VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 1 License#/ MECHANICAL COMPANY SIGNATURE j G 2 REGISTERED I / N FEE CURREN JN Address l �D�J ��( d License# l �� OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N 7 r L Address License# `4C— 3 /3 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 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,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: 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 . " NOTICE OF DEEDRESTRICTIONS: 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: |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 law, both the owner and contractor may be cited for 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. Furthermone, if the owner has hired a contractor or oontnoutmro, he is advised to have the contractor(s) sign portions of the "contractor Bionk" of this application for which they will be responsible. If you, as the owner sign as the oontnaotmr, that may bo on indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION VMPACTIUTULyT;ESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply ho the construction of new buildings, change of use in existing bui|din0o, or expansion of existing bui|dings, as specified in Pasco County Ordinance numnber8Q-O7 and 90-07. as amended. The undersigned also underotandm, that such fees, as may bmdue, will be identified at the time of permitting. |tis further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power na(mano. If the project does not involve o oedd5oahe of occupancy or final power re|eeoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counh/VVeter/Savvor Impact fees are due, they must ba paid prior bn permit issuance|n accordance with applicable PascoCounb/omdinonnen. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, asammendmd): |f valuation of work io$2.GOO.00or more, | certify that i, the epp/icant, have been provided with a copy ofthe "Florida Construction Lien Law—'Hommowner'm Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", | certify that | have obtained a copy of the above described document and promise in good faith to deliver itbV the^owner' prior bncommencement. 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 made to obtain a permit to do work and installation as indicated. | 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 |avvo 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 to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection-Cypress Bayhmoda. Wetland Areas and Environmentally Sensitive Lands,VVatenMaab*xaabnrTreatment. - Southwest Florida VVobor Management Oistriot-VVaUe, Cypress Beyhaado, VVe{(ond Areaa, Altering Watercourses. - Army Corps ofEng|nmero-SeowaUe. Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-VVmUs, VVaa1ovvater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authohb+Runvwayo. 1understand that the following restrictions apply to the use offill: - Use of fill io not allowed in Flood Zone^V^unless expressly permitted. - If the 0| material is to be used in Flood Zone ^A". it is understood that a drainage plan addressing o "compensating volume" will be submitted at time of permitting which is prepared by professional engineer licensed by the State ofFlorida. - If the fill material is to be used in Flood Zone ^A" in connection with a permitted building using stem vva|| construction, | 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 |mae than one U> acre which are elevated by fill, an engineered drainage plan is required. |f| gmnthe 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 separate permit may be required for electrical xvorh, plumbing, signs, weUs, pon|n, air oond|tioning, gao, or other installations not specifically included in the application. A permit issued ohmU be oonebnmd to be s license to proceed with the work and not as authority toviolate, oonoe[ a|bor, 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 naqumated, in wr0ng, from the Building [)Mioia| for a period not to exceed ninety (80) 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 OFK��h8 YOUR PAYU�WK�T�0K�E FKD��0��PR0VEKNE��TS T0YO��U��mR0PERTY IF YO0 VN� K�� -WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N NCEMENT. FLORIDA JURAT(F.S.117.03) ii ��Id OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(oglifirmed)b ore me this Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary pvNm Commission No. Commission No. s 13ade City (352) 588-9210 A,.1 �� 15873 Lake Iola Rd. Tampa (813) 221-5850 Dade City, FL 33523 Heat & Air, LLC Pasco (727) 844-9906 11631 Lic.#CAC1814313 NAME 1 CODE DATE TIME IN TIME OUT ❑RESIDENTIAL AGE OF EQUIPMENT ADD SS APT.NO. ❑COMMERCIAL CITY ZIP 'Ile OE O.D.MAKE MODEL SERIAL 3-3 W1 CUSTOMER I.D.MAKE MODEL SERIAL REQUEST WORK PERFORMED 1 '!v /r`1J D�A �✓ r \ Make all Checks Payable to A-1 B Cool Heat&Air,LLC " • ' '' ` • • PRICE CHECKLIST • • • • ❑ R22 ❑ R410A COMPRESSOR I acknowledge that repairs have been performed in ❑sucT. t PSIG a manner satisfactory to me.In the event payment ❑DISC._/_PSIG Is not made as agreed,purchaser agree to pay all o AMPss_/ RATED cost of collection including a reasonable amount as ❑10 030 attorneys fees. Interest at the rate of 18% per ❑ELECTRICAL CONNECTIONS annum will be added to all delinquent balances. 0 CONTRACTOR POINTS There will be a $20.00 charge for all returned ❑FAN A. ! RATED checks. ❑SUPERHEAT O SUB'COOLING X CONDENSER COIL AUTHORIZE RE O CLEAN I certify that I haveylaorme ervices indicate and O FIN CONDITION installed parts li t /� ❑AMBIENT 'F # � REFRIGERANT TECHNICIAN SIGNATURE ❑LEAK • • • ❑O.K. PRICE FAN AND MOTOR PARTS WARRANTY ❑AMPS!RATED All parts as recorded are warranted as per ❑CONTRACTOR POINTS manufacturer specifications. PARTS ❑BLOWER ASSM.CLEAN ❑❑LUBRICATION LABOR GUARANTY SERVICE O TOTAL S.P. The labor charge as recorded here relative ❑ to the equipment period as noted, is TECHNICAL ELECTRICAL HEAT STRIPS guaranteed fora of 30 days.'No VICE charge'warranty work will be provided only SHOP 0 INSPECT CONNECTIONS ❑ during normal working hours. LABOR Q AMPS_!RATED EVAPORATOR COIL NO WARRANTY• ❑AIR IN •F ° ON DRAIN LINES. •AIR OUT -F ❑ A-1 B COOL CONDENSATE AREA ❑ HEAT&AIR, LLC .� LJW6 O INSPECTED PAN IS NOT ❑INSPECTED DRAIN 0 FLOAT SWITCH ❑ LIABLE PAID BY- AIR OWNER'S INITIALS AIR FILTERFOR DAMAGES ❑CHECK# Q CLEANED RECOMMENDED ACCEPTED I DECLINED CAUSED BY ❑VISA MiC ❑AMEX ❑DISCV OTYPPE GED SERVICE WATER LEAKS. ❑FINANCE ❑CASH 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 ON-SITE AND PICKED UP BY INSPECTOR Owner: . Permit#:. 4� M—A 7. " Site Address_ : Contractor: 6.�� 7 License#:. 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