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HomeMy WebLinkAbout19-21517 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21517 BUILDING PERMIT "PERMIT*INFORMATION LOCATION.INFORMATION Permit Number: 21517 Address: 6815 DAIRY RD 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: 02-26-21-0280-00000-0010 Improv. Cost: 5,495.00 OWNER INFORMATION Date Issued: 7/16/2019 Name: ZLD INC Total Fees: 70.00 Address: 38148 KELLY LYNN CT Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-6647 Date Paid: 7/16/2019 Phone: 8139973381 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR(S) APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00 Ins pecitions Required' D TS IN TA 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. CONTRACT SIGNATURE PERMIT OFFICZR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 8".3-780-0020 City of Zephyrhills Permit Application Fax-sly-78MO21 Building Department Date Received Phone contact for Permittin fMt�2 orita t --2 ✓ Owner Phone Number gl_q� Owner's Naine Z i-J) -1wel Owner Phone Number Owner Address r'U owner Phone Number Fee Simple Titleholder Name Name Fee Simple Titleholder Address JOB ADDRESS 1110-916- Zw;ry LOT# 0 240 SUBDIVISION PARCELID#1 0��A 0?/ OL (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ffo*%DDIALT SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM OTHER TYPE OF CONSTRUCTION BLOCK L,Q FRAME Q STEEL DESCRIPT,ONI OF WORK I0 BUILDING SIZE FOOTAGE HEIGHT . . . . . . . . . . . . . . . . . . . . . . . UILDING 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL Is AMP SERVICE Q PROGRESS E NERGY Q W.R.E.C. =F'LUMBING is '2/1�( [Ker.ECHANICAL IS.6-1-1 a6—✓ VALUATION OF MECHANICAL INSTALLATION JID =C',A'S Q ROOFING Q SPECIALTY = OTHER FINISHED�-LOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . . . . . . . . . BUILDER I COMPANY I SIGNATURI- REGISTERED I YIN FEE CURREh Address I License ELECTRICi ON COMPANY = SIGNATURE REGISTERED I YIN I FEE CURREI, YIN Address License# PLUMBER COMPANY = SIGNATURE REGISTERED I YIN FEE CURREN Addre,.is License# MECHANICAL COMPANY z _12e SIGNATUP REGISTERED I Y/ N FEE CURREN I Y/N Address ;Zz� License# OTHER COMPANY = SIGNATURE REGISTERED I Y/ N FEE CURREN L_KLN_j Addre3s I License# III I 1 11111 11 111 11 111 If 111 11111 111111 1 111 if III III III If If 111111 If 111 11111 RESIDENTAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Forms;RA-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&I dumpster,Site Work Permit for subdivisionsilarge 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 ensue,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. .&Dir:gits 6:igan — vu — sou . . . . . . . . . softeavaigailiffasawas . . . . . . . . . . . . . . . . . . . . Fill ou.application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) Agent,{for t'he.contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMi4flNG­_- -(copy of contract required) Reroofs if s-ingles Sewers Se rvI 'ce Upgrades A/C,, Fences(Plot(survey/Footage) Orlvm-,ays-No't'av6r-Counter if•-on public roadwaYs.-n6eds 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. 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners 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 Sayheads, 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,after,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 unles,3 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 ATTOR Y BEFORE RECORDINCeMR NOTICE OF COMLOENCEMENT. FLORIDA JURAr-(F.S. OWNER ORXG—EN TRACT ,94scy2ed d rn (a rmed be e s bscribed A1�5t, r tom to(or affirmeid)b fore me this *bvp7dY�Affili ;� V V_qi4q, 1/�7 Is DA 0,- - I Who is,"are pKonal WW to me or has/have produced Whols/z�r na(Iy kn n to me or has/hava produced --_--As Identification. as identification. Notary Public +C. mission No.L Co gission No. Naht Name of Notary P`!SYLVIA A.CAMPBELL 4Ir Notary Public-State of Florida ida is r I'#' 112939 I lot GG 2939 mm 10 a,Jul 19,2021 93 Comm.Expires 2021 b Notary pu lic-State of Flod C)mmission 0 GG 112939 I Commission#GG 112939 My Comm.May., my omm.Expires Jul 19,2021 Expires Jul 19, ,�q �",;.1 N.ury M �y "n, Bonded thtcush Nati'In3l Notary Assn' 0. Bonded thfough NatiOnal Notaty Assn, low W )f!if'N I"T cr1 is i ii s PROPANE GAS' Service order/Proposal AND A/C INC. c&rx 1988 813.782-5013 Invoice Sales, Service & Installations. WORK- ORDER#/SERVICEMAN 98972 EJ'L 4441 Allen Ltd. • Zephyrhills, FL 33541 DATE/TIME TAKEN 06/2'6/1.9 1 6 o 2A. TAKEN BY K r.M 03 NOTES-- D>=ATE/TIME PROMISED 06/2 7/19 08.00 CUSTOMER.#/LOCATION AC141 /02 3fid^ HQ PHONE# 813-788-2 1.C.5 FIHONE2# 813--713--0208 C ROUTE/SEQ EJ'L BAGGETT, J'UDD BAGGETT, J'UDD 581.5 DAIRY RD 6815 DAIRY RD **NORTH UNIT** ZEPHYRHILLS FL.. 33542 ZE}=HYRHILLS FL_3354;'... OFFICE RHEEM RPIAK-035,JA Z/65 10M 13OE 13GE7 AHII RBHCI7J'06NFD/TMO90E00977 UPF BO3E.JAS, 4390M 10915506 qOT COOLING SC.I-T :O �..x• �.�Y ��� :E N •O-K� :=;x• A I_"L �R •S:'.' �IJN R 1C r.V.a,> �..�,,..,,,,h•;.a':,sue..,.., .:,..,, ....�...;.,.. "•.y''s. ,r. - __ __ .•,_�> ..as t•:�-:.,,_ ov:+ < e `t'P((��/ I I I 1 N ,_j k I I :`Y j:�_` �•4:4�.`�.:: _,•;1- `oy�.�.>:;e;:k;ti;' ___ .e ti."=l':_ �';4'.:'" L./ 3si r�; -- __��;=f.,.�:�;�>r�er ,;zRE�.O' E" �zl,�"->•'S;��.::R_:;:=•r=�,°`�=f������;'r� I I ��.�i-:" '••`, e:{r.. ,.•I:S."f:.t.�...: 'w i'� .,iif:..:�„'�aJ .x✓.,.:. _ t:.1���, v`yv'•�. - r;31:;}Y_ _ r5'+�7 An uzs �'='.� `.� ..:.`L,,..,.'�,::1.,..aT• I 1 uatMairiEe, Bnce.RotriiTmeridedb`AIIEgulpm9nf.Manufactrers;a°, ra, :r,, :• Y' $ , < -> Pressures Lo HI T•Stat I I - ��G T a+s FILTERS x x Changed Monthly I I FILTERS x x Changed Monthly I I H k.h b$xC— ❑ REGULAR ❑WARRANTY %'.+-, hT;n OTAL Deh.�rrt dLsta Set ings;'UVhen here ,." When Away t•��'��7T-Stat 1N MAINTENANCE CONTRACT M.<�>:� ,::,,.; ❑ NT SERVICE I LIMITED WARRANTY: All materials arts and equipment are warranted ;r� p a eq pm t eby the manufacturers' M1_��t METHQDSOFPY,'ENc'sxaFc>= CALL or suppliers'written warranty only.All labor performed by the above named company is warranted for 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL I express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS I behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE I have authority to order the work outlined above which has been satisfactorilycompleted.I agree that Seller PROG. W I C retains tithe to equlpmentimaterials fumished until final payment is made.If payment is not made as agreed, CLAIM# _ seller can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall �� not be the responsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED I ` TECH; T' I CUSTOMER SIGNATURE DATE 9XL! 1, ✓au I TOTAL 1 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:_ Z L �C Permit#: o�16-// Site Address: l / Contractor: ��/fr'� / /I/�L'7 �C 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