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HomeMy WebLinkAbout19-21771 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21771 BUILDING PERMIT 'PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21771 Address: 5337 19TH 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: CITY OF ZEPHYRHILLS Est.Value: Parcel Number: 11-26-21-0010-17400-0110 Improv. Cost: 4,500.00 OWNER INFORMATION Date Issued: 9/17/2019 Name: GROSS, SUZANNE &JAMES Total Fees: 65.00 Address: 5337 19TH ST Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/17/2019 Phone: (813)997-0381 Work Desc: A/C CHANGE OUT 2.5 TON HP CONTRACTOR(S) APPLICATION FEES COOL BIZ AIR CONDITIONING AND HE A/C CHANGEOUT 65.00 Ins pectio s I%Wuired 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. RA TOR SlGWKU:zE- -- PERMIT OFFICZR 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 r, 1 Phone Contact for Permitting Owner's Name �uZq�1� �— 'Cq �9�`�1�-� Owner Phone Number w" Owner's,Address l o Owner Phone Number Owner Phone Number JOB ADDRESS \ 0\ S � � � � LOT# SUBDIVISION Olx 1t\ PARCEL ID# A Qk Z ^ WNQ� R�— UM (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE DUKE ENERGY = W.R.E:C. =PLUMBING $ ©MECHANICAL $ t` VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO LL-7BUILDER COMPANY SIGNATURE REGISTERED Y/ N' FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE S REGISTERED Y/ !N FEE CURREN Address License# t OTHER COMPANY,_ R 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$7500) Agent(for the contractor)-or Power.of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING.=' -"(copyof,contraaf required) Reroofs if shingles Sewers "';•$ervice•Upgrades-A/C : Fences(PlottSurvey/Footage) Driveways-Not over.Counter,if on%publib 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 conj,.actor 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 Divisioin---Licenslng 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 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 8"7 and 90--07, as amended. The iiniiersigned.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.'Pr6fect does"not'invdlve 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. IEN LAW(Chapter 713, Florida Statutes,-as amended): If valuation of work is$2500.00 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. CONTRACTORIS/OWNERIS:-AFFIDAVIT: I certify that all the information n in this application Js 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, 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 S'e'r'*v"ic6s'/Env"i'r''o'n'mentoiI Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental-Protection Agendy-mAspestos 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 express'ly 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 drainagp,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 f6rth'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 includ6d 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 provis'ions,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 permitis 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 IWYOUR 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-GOMMENeEMENT. FLORIDA JURAT(F.S.117.03) f :=11 OWNER-0R­AGENT---- CONT TOR-- Subscribed and sworn to(or affirmed)before me this S scrib a ds (o r awlirp ore rn t by - - by N�r&,Tll 01M;� Who Is/ai7e-p—ersonally known-tQTe or has/have produced Who isp/ !e pe oneklly knoANo me or has/have produced as identification. identification. &$L_ Notary Public Notary Public QCA�� Commission No. Commito -I. YN Name of Notary typed,printed or stamped Name of Notary ty c6 #Go 276457 Expes December 1?-20 V BWOTWTnri y rJA Hff: I / I�1/ 7"Y INVOICE CLUB MEMBERSHIP ---%.%.0%.J L. Ga I Air. *a_n`d...Operated ea Cool Biz Club Memberships have been explained: I-Ic- Air Conditioning and ating Tech Nam 3SP-S18-5273 EQUIPMENT DATA CONDITION 1-5 (5=Best) OCurrent Member CAC1819P-14 Make Model Serial Age Cond OAgree to purchase 14407 8th Street - Dade City, FL 33523 o coolbizac20l7@gmail.com AHILI n Decline participation rt Name: SU.ZA 4we Cu Customer's Initials Street Address: 3.37 1 have discussed Cool Biz Club Membership City:_ -Z W-4 Yi-A State: FL Zip: PCK Saving programs with the customer.I have given a copy of the contract to the customer.All work is Home Tel: Cell/Fax: Gauge Read. Amp. Rea complete and is in compliance with Cool Biz Email: High Low Actual Max. standards of excellence in workmanship and in ,Jer leenp� I., Before compliance with building codes.% Reason For Call: Pi ElWork Complete After Technician's nAttn.Supervisor 0 Follow Up ElWork Incomplete I Signature BRAN _ ;HP 0 VERT eHORI BRAND -OS/C INDOOR AIR QUALITY TECHNICIAN DIAGNOSIS RECOMMENDATIONS-WORK DESCRIPTION Standard$ Member$ Air Handler 00k ODust OGrowth 0DIrt _0 Blower Wheel 00k ODust ElGrowth OD!rt Z Evaporator Coil 00k 0 Dust OGrowth ODirt o Ducts and Vents 00k El Dust ElGrowth ODirt PAYMENT OPTIONS Z 0 A16W &2 !L CAW Ox 0 Cash 0 Check# 0 Credit Card Z -e- gjeM At I'A Aleja Ab W 0 VISA 0 MC 0 AmEx 0 Disc6ver b'e ovegj_ 0 *i- I-VAI J10 AIllfc-e 0 "Al'-wCVvy, 0 - Name on Card: W 9 cc AAJ W _0 J`411 4 14 1 A 14o NeW 00 Card No. 22-C4 CV2 Code: Expiration Lu 0 LL cc Signature W a: I hereby acknowledg the satisfactory completion of the work as noted on 0 this invoice.it is agrZ'ed that the seller will retain title to any equipment or material until final and complete payment is made.If the settlement is.not made as agreed, the seller has the right to remove equipment and material and the seller will be held harmless for any damages resulting Agreement for Service:1,the undersigned,am an authorized representative ofthe from the removal of equipment. Terms include 1.5% monthly service premises at which the work above is being done.I authorize the performance Of STANDARD VMS MEMBER LIS charge if not paid in 30 days.In the event of non-payment of the specified the work as noted on this invoice.I acknowledge that the estimated price does no, "total",a lien against my property may be pursued and t will be resp6nisible include unforeseen parts or labor which may be needed after the work begins.my for practical attorney fees,collection costs,and interests. written authorization will be obtained before beginning any additional work.Vha�.,,. Parts and Labor Warranty: read this contract,and agree to be bound by all terms contained herein. All parts as recorded are warranted as per manufacturer specifications. We cc not guarantee other parts than those we supply.If repairs later so. become necessary due 10 other defective parts, they will be charged Si TOTAL Amount Due separately.We guarantee that ail repairs are done right,if a repair fails season,we will repair it again absolutely free, per". t L� «Y� II 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 oNsm AND.PICKED. UP BY INSPECTOR owner: 0. e apc Permit#: Site Address: �� Contractor:. QjcoOx �.Z_ \'C License#: - = Final lnspection:Date:. 1 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.F.BC 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 tyy�u ignature o ice er