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HomeMy WebLinkAbout19-21687 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21687 BUILDING PERMIT "PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21687 Address: 38435 EVERGREEN VILLAGE DR UNIT 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: ZEPHYRHILLS COLONY Est.Value: Parcel Number: 02-26-21-0010-0530-0020 Improv. Cost: 3,395.00 OWNER INFORMATION Date Issued: 8/27/2019 Name: Z HILLS LTD C/O A&M PROPERTIES Total Fees: 60.00 Address: PO BOX 330 Amount Paid: 60.00 LAKELAND, FL 33802-0330 Date Paid: 8/27/2019 Phone: 813-782-2740 Work Desc: A/C CHANGE OUT 2 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00 DUCTS INSTALLED Ins ections Required DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Rennspection 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. NTRACTOR SIGNATURE PERMIT OFFI9VR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780A020 City of Zephyrhills Permit Application Fax-813-78D-Mi Building Department Date Recei,#Vd Phone Contact for POWITIMIng 1( 9'11) -'7t?2- . -I -n Owner's Namelf— Afs/1,5 Z_7-2) Owner Phone web." — "'7 Ownees Address 10-01 19M#4r�rke6 P10&A 5W Owner Phone Number Fee Simple rMeholder Name f Owner Phone Number F_ Fee Simple Titleholder Address I JOB ADDRESS ±r,qreeAJ V,,i&,v—De -* _�3 LOT# SUBDWION r:18riarp PARCELID#rtPA_ U zi� (OBTAINED FROM PROFERTYTAX NOTICE) WORK PROPOSED NEW C(INSTR�r=ALT SIGN DEMOLISH R INSTALL MR PROPOSED USE Q SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL DESCRIFGON OF WORK !9249d BUILDING SIZE SO FOOTAGE HEIGHT "BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL Is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =rWMBING Is M<CHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING Q SPECIALTY= OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . . . . . . . . . . . . . .. . . . . . . . . . . . . . BUILDER COMPANY SIGNATURE 1 REGISTERED I Y/N FEE CURREK LILN J Address F_ I license# CTRICIAN COMPANY = SIELEGNATURE REGISTERED I YIN FEE CURRM Address F license# PMBER COMPANY SIG LUNATURE REGISTERED I YfN FEE CURREN Ly t N Address UCA.#F— MECHANICAL COMPANY SIGNATURE REGISTERED I YIN FEE CURRM I YIN Address Z-HY License#10 6 1 OTHER COMPANY SIGNATURE REGISTERED I Y/N FEECURRa I Y/N I Address License RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, MinuTIUM ton(10)wwft days after Submittal date. Required onsite,Construction Mans,Stormwater Plans w/Sfft Fence Installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete soft of Building Plans plus a Life Safety Page,(1)am of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)wOrldnil days after WWMW data. Rewired onsite,Construction Plane,Sto=water Plane w/SRI:Fence Installed, Sandary Facilities&I dumpster.Site Work Parrind for all now 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 N over WM,a Nafice of Cornmencenumt is required. (A/C upgrades over$7500) Agent(for the contactor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING -.,­(copy.ofcontractrequired) Rercoft if shingles Se"TS.: .,Service Upgrades A/C Fences(Plot/Survey/Footsge) Driveway" .6' otwerCckint6f,if.'ciiOublib.6 ft adwa-ys.z'poe "-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 wilf 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 IMPACTIUTILITIES 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 permitissuance 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, Weiland 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 -A7, 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"A7 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,alter,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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF I,YXIV INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR ANATTORNEY BEFORE RECORDINg:)COUR NOTICE OF COMMENaMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Su V7 itrId and to(or affirmed)before me this by Who is/are personally known to me or hasthave produced wfrc wn to me or hasthave produced --_-�as identification. as identification. Notary Public hIM-, Public Commission No. Commis an N 1 Name of Notary typed,printed or stamped Name of mole] JACQUELINE BOGES '37 COMMISSWAIIIGG276457 Expires December 1 ber 12N2022 8011611d TrOY Fain Insurance 800,q6.1019 PRoPANE_GAS � Semce;,arder/Pra anal AN AIC trvc. p "Tw 1988 8 i3-78 -5a 13 Invoice WORK ORDER#/SERVICEMAN -t1O0595 AUG Sales, Service & lns#allations :' DATE/TIME TAKEN 08/21/19 11 : 11 TAKEN BY KIM 03 4441 Allen Rd. • Zephyrhills, FL 33541 DATE/TIME PROM z SEA NOTES: CUSTOMER#/LOCAT ION 01491 PHONE# 81.E 78E-2740 C CONTACT' SHARON L A.) rit2 U v i T ROUTE/SEO AUG ' A & M. PROPERTIES EVERGREEN VILLAGE APTS PO BOX 330 38435 EVERGREEN VILLAGE DR APT #3 LAKELAND- FL 33802 ZEPHYRHILLS FL33542 UNIT FROZE UP LAST_ -NIGHT. C ,44 D I y ! 1 + I I 1 I x, a I I WIN I I I Pressures. Lo HI- T-Stat... SEEMS r FILTERS ''•x x Changed Monthly I I FILTERS. x x Changed Monthly ❑ REGULAR ❑WARRANTY 4 . 'ONhe When Away T Stat ❑ MAINTENANCE CONTRACT SERVICE - - — a s� . _ UMrfED WARRANTY AD materials,parts and'equi."Mare warrarr led dy the manutachilBrs' CALL i orsi pplteW.written.warranty.only Altlaborperfotmed tiythe;a""Omed.companyiswarmnW-for TOTAL 30 days or as otherwise indicated in wrNng..The�atlove named'comgany makes no outer warranties;. Q•CASH ❑CK# MATERIALS t express or implied,and its agents or technicians are not-autho_riled to make any such warranties on .beha€fofabovenamedcompany. ❑DEBIT ❑CREDIT U OTHER MAINTENANCE '. I I have authority to order the work outlined above whkh has baeri sallsfacl,W:'iaitipt9tedt:l-egrea tltat Seller . PROG: W/ C retains We to equipment/materials furnished until final-payment le'rtwde;ll*ymeet'is:rmt:made astgreed, CLAIM# t seller can remove�sakt equtpmentrmatanats at Seller's expense.Any:.damsp.mrsrslttng fr6rn saw:removaiashae. not be the rasponsEbgity of Saber.NET 30 DAYS.A t IWA SERVICE CHARGE VWtl BE ADDED MONTHLY TO / I ALL UNPAID BALANCES OVER 30 DAYS:NO REFUNDS DATE COMPLETED, Z//—/ _. ...r .T TECH: 3aLk .� TAX ' I CUSTOMERSIGNATURE DATE �14�%/GJY� i�u TOTAL ,,, / too t� �ya 0 44........-.� 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 II�// UP BY INSPECTOR Owner: Z AI' l6//u L- %0 `e Permit#: ;?1&47 Site Address: Contractor: License#: Final Inspection Date:1 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