HomeMy WebLinkAbout19-21362 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21362
BUILDING PERMIT
PERMIT INFORMATION LOCATION,INFORMATION
Permit Number: -21362 Address: 4737 PLUM 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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-03600-0060
Improv. Cost: 3,500.00 OWNER INFORMATION
Date Issued: 6/11/2019 Name: LITTLE, ARNOLD JR
Total Fees: 60.00 Address: 4737 PLUM ST
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-5726
Date Paid: 6/11/2019 Phone: 813-713-4977
Work Desc: A/C CHANGE OUT 3 TON SPLIT SYSTEM
CONTRACTORS APPLICATION FEES
EXPRESS HEATING AND COOLING INC A/C CHANGEOUT 60.00
r
Ins ections Required
DUCTS INSTALLED
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT 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 j Phone Contact for Permitting - /`�
Owner's Namer r�n018, 1�-}-F�� Owner Phone Number a/J 7/3—Y-7-7
Owner's Address 3-7 uv, 15-1- Owner Phone Number
Owner Phone Number
JOB ADDRESS �-1 137 J VVI LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT III SIGN Q Q DEMOLISH
INSTALL REPAIR o�
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 CSTEELLn
Q
DESCRIPTION OF WORK n(.l_ '�.� 3`r0 i -1 & -�rlrjC^I-le
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C.
=PLUMBING $
MECHANICAL s+� VALUATION OF MECHANICAL INSTALLATION
$`�
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY lelwesr
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
6.
s; OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
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 w/Silt Fence installed,
Sanitary Facilities&,1 dumpsterp 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,
San itary�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 thl,Woer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of cor?"ct 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 DEED : 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 m' ror
contoaohonotoundartahmxvnrk` thmymaybmrequinodtobmUomnnedinaocordmncawithmbab* ond |boo|roQu|aUonn. if the
contractor in not licensed as required by law, both the owner and contractor may be cited for misdemeanor violation
under state |ovv. If the owner or intended contractor are uncertain on to vvhsd 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. Furthannmna, if the owner has hired a contractor or contronhons, 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, an 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 undmnaiQnedunderstands
that Transportation Impact Fees and Recourse Recovery Fees may apply tm the construction of new buildings, change of
use in existing bui|dingm, or expansion of existing bui|dinQs, as specified in Pasco County Ordinance numbe, 89-O7 and
90-O7. aeamended. 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 no|eomo If the project dmoo not involve a certificate of occupancy or
final power na|eaoa, the fees must be paid prior to pannd issuance. Furthermore, if Pasco Counb/VVeber/Sevver Impact
fees are due, they must be paid prior bm permit issuance in accordance with applicablePasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, FUorida Statutes,assmended): If valuation mf work ia$2.6OD.DGor more, I
certify that |, the� applicant, have been provided with m copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared bv the Florida Department of Agriculture and Consumer Affairs. |f the applicant iosomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itto the"mwner" prior bmcommencement. '
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the in7bnnmUon in this application is uocunaba and that all work
will be done in compliance with all applicable |ovve regulating nonstrucbon, zoning and land development. Application is
hmnmbv made to obtain a permit to do xvmrh and installation as indicated. | certify that no vvmrh or- installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
oonobumtion. 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 Bavhemdo. Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment. ,
- Southwest Florida VVabyr Management Disthot-VVa||o. Cypress Bevhecida, Wetland Areas, /Uhohng
Watercourses. '
- Army Corps ofEngineerm-SeavmxUs. 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'Runmmya.
| understand that the following restrictions apply tm the use offill:
- Use of fill im 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 professional engineer
licensed by the State VfFlorida. —
- If the fill mnabaha| is to be used in Flood Zone ^A^ in connection with a permitted building using obamn xwa|
construction, |certify that fill will be used only bo fill the area within the stem wall.
- If fill material is to be used in any area, | certify that use of such MU 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 |o$a |mao than one (1)
acre which-are elevated by fill, an engineered drainage plan iorequired.
|f| omthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior hocommencing construction. | understand that separate permit may be required for electrical work,
plumbing, signs, vvoUe' poo|e, air conditioning, gas, or other installations not ooaoifiomUy included in the application. A
permit issued mhoU be`oonatrumd tobma license to broomedvvith the work and not as authority bzviolate, canca|, a|ber, 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 perm/it in commenced within ah« months of permit iosuanoa, or if work authorized by
the permit issuspended or abandoned for a period of six(6) months after the time the work iocommenced. An extension
mayba,requamted. in wn|Ung, from the Building Official for o period not to exceed ninmty (9D) days and will demonstrate
'uatifiob/wcause 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.
OWNER OR AGENT -CONTRACTOR
Subscribed and sworn to(°a"""=/before".ethis S Notary
Who iiia—re Tpersonally known to me or has/have produced Who is/are personally known to me or has/have produced
Public Notary Public
Commission
C17 Vp P ErFE-7
RICH McCRIMMON *SALES-SERVICE-INSTALLATION*
863-585-7330 EMERGENCY SERVICEAVAILABLE
LIC#CAC1819238 SERVING ALL OFPOLKCOUNTY
HEATING AND COOLING
Date / f / Technicians Name C.� Customer Name v C4-f I Bill To
Arrival Time Time Complete Address q7:37Pvt.., 5--. Address
SYSTEM DESCRIPTION City/State/Zip-7,AAyAA 154 33Y'12 City/State/Zip
CONDENSER/PACKAGE UNIT AIR HANDLER Phone# Hei°?`? Phone#
HEATING PUMP O STRAIGHTCOOL O VERTICAL O HORIZONTAL O QTY. DESCRIPTION OF CHARGE PRICE
BRAND AGE BRAND AGE
MODEL# MODEL#
SERIAL# SERIAL#
r r�L yl r c,-, �'frc�: �,-I 1
CUSTOMER ISSUE WITH SYSTEM IILJ�flli-( 5VS&6ri-,, Vjz+1-1 jgr\
SYSTEM NOT COOLING O SYSTEM NOT HEATING O MAINTENANCE O
EXISTING CUSTOMER O NEW CUSTOMER O WARRANTY O
SYSTEM VITALS ON ARRIVAL f%A - Do,\ Ai I A 2
SUCTION PSI LIQUID PSI SUBCOOL SUPERHEAT Q
RETURN AIRTEMP SUPPLY AIRTEMP
SUCTION PSI LIQUID PSI SUBCOOL SUPERHEAT
RETURN AIRTEMP SUPPLYAIRTEMP
DESCRIPTION OF WORK PERFORMED ALLWORKISC.O.D. PLEASE PAY TECHNICIAN
PAID BY: O CASH O CHECK# O CREDIT CARD
CC# EXP CID#
TOTAL AMOUNT DUE
TECHNICIANS RECOMMENDATIONS
EXPRESS HEATING AND COOLING INC.HAS THEAUTHORITYTO ORDER THEABOVE WORK
AND DO'SO AS OUTLINED ABOVE IT 1S AGREED THAT THE SELLER WILL RETAIN TITLE TO ANY
EQUIPMkWT OR MATERIAL FURNISHED UNTIL FINAL AND COMPLETE PAYMENT IS MADE AND IF
ACCEPTED DECLINED STILL DECIDING
SETTLEMENT IS NOT MADE AS AGREED THE SELLER SHALL HAVE THE RIGHT TO REMOVE SAME
AND THESELLER WILL BE HELD HARMLESS FORANYDAMAGES RESULTING FROM REMOVAL CUSTOMER SIGN TECH.SIG