HomeMy WebLinkAbout19-21577 CITY OF ZEPHYRHILLS
5335-8TH STREET
y (813)780-0020 21577
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21577 Address: 5741 GALL BLVD
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: 11-26-21-0010-02700-0010
Improv. Cost: 3,595.00 OWNER INFORMATION
Date Issued: 7/29/2019 Name: ACC INVESTMENT GROUP LLC
Total Fees: 60.00 Address: 13010 US HWY 301
Amount Paid: 60.00 DADE CITY, FL 33525-5419
Date Paid: 7/29/2019 Phone: 813-997-0472
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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DUCTS INSTALLED Ins ections 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.
NTRACTO SIGNATURE PERMIT OFFICkR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
81 3-780-002D city of Zephyrhills Permit Application Fa*8`13-78G-0021
Building Department
Date Received Phone Contact for Permitting
I Owner Phone
Owner Name Number
Owner's Address owner Phone Number
Fee Simple Tirdeh Owner Phone Number
Fee Simple redeholder Address
JOB ADDRESS A4 LOT# E:=
I
SUBDIVISION PARCEL IDJ 016 Q,?742,Q-
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONISTR ADD/ALT SIGN O O DEMOLISH
INSTALL E!r REPAIR
PROPOSED USE O SFR 0 COMM OTHER
TYPE OF CONSTRUCTION O BLOCK FRAME STEEL
DESCRIPT.ON OF WORK G4 e,
BUILDING SIZE SQ FOOTAGE HEIGf----� HT F
. .EB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UILDING 1$ VALUATION OF TOTAL CONSTRUCTION
F LECTRICAL Is AMP SERVICE O PROGRESSENERGY O W.R.E.C.
=FLUMBING is
O�JV<EC-1ANICAL IS VALUATION OF MECHANICAL INSTALLATION
=oAs O ROOFING SPECIALTY = OTHER
FINISHED�-LOOR ELEVATIONS FLOOD ZONE AREA OYES NO
. . . . . . . . . .
BUILDER COMPANY I
SIGNATUR,- REGISTERED YIN FEE CURREN I YIN
Address I License#
ELECTRICOLN COMPANY
SIGNATURE
REGISTERED Y/ N I FEE CURREN
Address I License#
PLUMBER COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURREN LZ
L N
Address License# F_
MECHANICAL(� COMPANY �5M?40WAI�'
SIGNATUP 1— 146
REGISTERED Y/ N FEE CURREN I YIN
AddressAIAW AU, Ucense#Muo
OTHER COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURREN L_YLN J
Addre-.s Licensett
RESIDENT:AL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Farms;R-O-W Permit for new Construction.
Minimum ton(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 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-0-W Permit for now construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERIMT Attach(2)sets of Engineered Plans,
*—PROPERTY SURVEY required for all NEW construction.
ottit&s:
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 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 sAnglGs I Sewers : Service Upgrades pgrades AtC Fences(Plot]Survey/Footage)
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.
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 property 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—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, Welland 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
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.
WAR114ING 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.
T.17
FLORIDA JURAT(F.S.dl,.,w
OWNER OR AGENT_ CONTRACTOR
nbed an
Subscrib d d I ffi d befor6me this
fore Sub, e (or affirmed)b me this
P010S. f r, '2 -m IP 4— M r
Who is,3re I n to me or has/have produced Zo is are , rsonally krtpwn to me or hasthave produced
as identification. as identification.
Notary Public Notary Public
Commi,ssion No. Comission No.
Name of Na 'Id or sta .Name of Notary type p ad 5YLVIA A.LAMPbELL
Notary Public-State of Florida Notary Public-State Public Florida
Commission 10 GG 112939 is G 9
Commission#GG 112939
m Expires
5 Jul 1 9
My Comm.Expires Jul 19,2021 TZ
My Comm,Expires Jul 19,2G21
'ough Nathu,I Nt
liondedthrcugh National NotaryAssn. 11 ..
opp,,W fronded through National NotaryA5sn.
4 W- -,;- Franklin
.,r PROPANE Service-Qrder/Pronosal
AND AIG rNC.
`r iaee 19M 813=782«5.0'i Invoice:
Sales, Service.& Installations_ . WORK ORDER#/SERVICEMAN 99006
4441 Allen Rd. Zephyrhills,FG3354 CMA
° ' -'DATE/TIME TAKEN 06/E7/19 11 :28
• 1��°�:,
:TAKEN_ BY. TAMM I E 07
DATE/TIME PROMISED
CUSTOMER#/LOCATION 12007
PHONE# 813-997-0472 C
CONTACT TIM LINVILLE
ROUTE/SEI} CMAE0x20x 1 .
ACC INVESTMENT GROUP TENANT: SELECT HEARING/AUDIBEL
13010 US HWY 301 5741 GALL BLVD
(UNIT #E)
DADE CITY FL 33525 ' ZEPHYRHILLS FL33542
ET RHEEM SPLIT SYSTEM
A 8,,14J07NFDAI/M18010188
COND RAKA�2"z► `ti 401 E6937
ID: 06/05/01 SUE@788-7833
BLOWING BUT NOT COOLING-- TURNED UNIT 'OFF. ' ALSO WANTS TSTAT. REPLACED W/DIGITAL.
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FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly
0 REGULAR 0 WARRANTY T
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s.. hen here When.Away. T=Scat Q.MAINTENANCE CONTRACT
; ,. SERVICE
LIMITED WARRANTY-All materials,parts and equipment are warranted by the manufacturers' CALL t
or suppliers'wfitten wartanty cnly All labor performed by the above named company is warranted for TOTAL I
30 days or as otherwise indicated in writing.The above named company makes no other warranter, ❑OASH ❑CK# MATERIALS t
express or implied,and its agents.or technicians are not authorized to make any such warranties on
bethatfof above named company. U DEBIT 0 CREDIT 0 OTHER MAINTENANCE`' I
1 have authodty,lo order the work oW PROG. IN! C
ined above which has been satisfactorily completed.I agree that Boller t
retains.tille to equipmentrmatedals furnished until final payment is made:if payment is not made as agreed, CLAIM# ,
sailor can remove said KwpmenVmaterials'st Beliefs expenss.-Any.dam m aga resulting fro said ramcval shall
ALLU PAI BAUWCE$OVER30DAYS.NOREFUNDS SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED !
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tt TECH: TAX
CUSTOMER SIGNATURE DATE TOTAL I
0 4 ra +fi '
- e
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!>a,SimG✓NZ— 6r,01-c-0
Permit#: c
Site Address:
Contractor: 13/j;& S ��I°�nl� 19475 4—�C- —r- Nd
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.
evIn
Name of License Holder(print or type) Signature of License Holder