HomeMy WebLinkAbout19-21666 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21666
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21666 Address: 38446 COTTONWOOD PL
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: DRIFTWOOD
Est.Value: Parcel Number: 02-26-21-0210-00000-1090
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 8/19/2019 Name: PATRICK, GRACE
Total Fees: 65.00 Address: 38446 COTTONWOOD PL
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542
Date Paid: 8/19/2019 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTORS APPLICATION FEES
I CARE AIR CARE LLC A/C CHANGEOUT 65.00
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.
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
14-1
Date Received f- .Phone Contact for Permitting -/
Owner's Name 2ft C e f�J1'�h� iC c Owner Phone Number7=1=3
� - 7�- l
Owner's Address t(7 y G o .a W 0A Owner Phone Number
Owner Phone Number
JOB ADDRESS 3 -1 �"�L-+00 LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH
lid INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
SETA
DESCRIPTION OF WORK o?. nl Sal'S R Ze r - e JT
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY W.R.E.C.
=PLUMBING $
MECHANICAL $ Q D0 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 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Address License#
MECHANICAL - �/ �'� COMPANY 1 CAS LCC
SIGNATURE o� REGISTERED N FEE CURREN Y N
Address 7� l cry I rX W.C. �3 5'! License# CAC 016 .5-1
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 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 DEED The undersigned understands that this permit may be subject to"daed°nesthctio�'
which may be more restrictive than County rebu|adiono. The undersigned assumes responsibility for compliance with any
applicable
CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired m 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 |om\, 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 bocontact the Pasco County Building Inspection Division—Licensing Section o1727-847-
8008. Fudhmrmmna, if the owner has hired e 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 beon indication that he in not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION UN0PACTIUTULYTKESIMPACT AND RESOURCE RECOVERY FEES: The.undersigned understande
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction mf new buildings, change of
use /n existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numnberG9-O7 and
90-07. as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. |tha further understood that Transportation Impact Fees and Resource Recovery Fees must bepaid prior to
receiving a "certificate of occupancy" mr final power release. If the project doeonCdinvu|vmocertificatemf occupancy or
final power na|eaem, the fees must ba paid prior to permit issuance. Furthermore,*if Pasco Cmunh/VVob»r/Sevver Impact
fees are due,they must be paid prior h»permit issuance inaccordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,-as-amended): |f valuation mf work ia $2.5OO.00ormore, |
certify that L the opp|icont, 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. |f the applicant iasomeone
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"owner"prior hocommencement.
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 o permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |avvm regulating
construction, County and City codes, zoning regulations, and land development regulations in the 'uhedicUmn. | also
ce��vthatl understand that the naQu|mUonnof other government agencies may apply bo the intended
�work, and that itie
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 Bayhmada, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Oistr|ot-WaUa, Cypress Bayhmadm^ VVeUand Areas, Altering
Watercourses.
- Army Corps ofEn0ineers-0eoxwaUw' Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Mmo|th Un|t-WmUm, Wastewater Treatment
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohty-Runvveys'
| understand.that the following restrictions apply to the use of fill: '
- Use of fill im not allowed in Flood Zone Wp unless expressly permitted.
- If the fill material is. to be used in Flood Zone ^A", it is understood that o drainage plan addressing e
"compensating volume" will be submitted at time of permitting which is prepared by pnoh*soiVno| engineer
licensed bv the State ofFlorida.
- If the fill material is to be used in Flood Zone ^A^ in connection with o permitted building using ahem 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 pnopartiem, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for }mto |eoo than one M\
acre which are elevated by fill, dh engineered drainage plan iorequired.
If| emnthe 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 o separate permit may be required for electrical work,
plumbing, signs, xvmUs, poo|o, air conditioning, gam, or other installations not specifically included in the application. /\
permit issued shall be c6nstrue6 to be a license to proceed with the work and not ae authority ho violate, cancel, alter, or
set aside any provisions of the technical codms. horshaU issuance of permit prevent the Building Official from thereafter
requiring a correction Jn plans, construction or violations of any omde� Every permit issued shall become invalid
unless the xvod«outhorizmd by such permit is commenced within mix months of'petmit issuance, mr.ifmnod« authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension `
maybe requested, in writing, from the Building Official for o period not boexceed ninety (9O) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OW 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.
~--FCORnYX-JURA7-(F-.�llou)-----
OR AGENT CONTRACTOR T;_Z--ZWrrw&,
Subscribed and swom to(or affirmed)before me this Sub cribe5l and sworn to(or affirm�q)before me this
IS 4 Lei by
Who is/ar6 personally known to me or has/have produced W
��'sfare own
,,personally k to me or hasthave produced
as identification. 14,Oe
Notary
Public _-Notary Public
Commission No. -Commission
Y
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
c�
UP BY INSPECTOR
Owner:
Permit#:
Site Address: 3eVgZ -�-7 ?
Contractor: .L Cety2c-: 1�i a- CAV9-C_�__
License 4: A-C/4=14.7s_
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 4012 and FBC
Mechanical chapter 6.
�m
Name of License Holder(print or type) Signature of License Holder