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Home My WebLink About19-21779 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21779 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21779 Address: 5826 17TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):20,21 & 22 Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-07500-0200 Improv. Cost: 5,749.00 OWNER INFORMATION Date Issued: 9/19/2019 Name: BOYETTE, ASHLEY Total Fees: 70.00 Address: 5826 17TH ST Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/19/2019 Phone: (813)778-3738 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00 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. CONTRA6TdR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ' Ilcatl0n Fax-e13-780.0021 81348�02o City of Zephyrhills Permit App Building Departrnent 0 l Date Received Phone Contact for Permitting � f( Q & e Owner Phone Number l J" �✓ _ Owner's Name J '] Ownef s Address ` • Owner Phone Number - Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS !7 ,' / LOT# SUBOMSION PARCEL.IDJ// • A6 A b (OBTAINED FROM FROFERTYTAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT _ SIGN Q DEMOLISH. e INSTALL REPAIR PROPOSED USE 0 SFR [] COMM C1 OTHER TYPE OF CONSTRUCTION Q,r� BLOCK- C] FRAME /• - STEEL Q• �Ip�-- �j r� DESCRIPT,ON OF WORK. t:S♦ /T l.GIJ�t `dL� p `GiD YYI . �C,�7%t? BUILDING SIZE —� SO FOOTAGE o HEIGHT =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL S AMP SERVICE = PROGRESSENERGY = W.R.E.C. =PLUMBING (S M'.ECHANICAL (S,5i-y7111,, VALUATION OF MECHANICAL INSTALLATION =CAS = ROOFING SPECIALTY i� OTHER FINISHED r LOOR ELEVATIONS ( FLOOD ZONE AREA =YES NO a a • • • a • • . • + • + • • • • e • • e • • • • • • • •.• + • • • • . • • • • BUILDER i COMPANY SIGNATURd REGISTERED I YIN I FEE CtIRREN Y J N Address License#F— ELECTRICIAN COMPANY SIGNATURE ` REGISTERED I Y/N I FEE CURREt, Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRM Y!N Address License, III MECHANICAL COMPANY SIGNATUR REGISTERED Y/ N FEE CURREA YIN I .Address I A [ f v 71w,F License# OTHER COMPANY SIGNATURE y� REGISTERED I Yl / N FEE CURREN LILN Addre:s License# I ! l ! ! tIl1111I'i11111'IIt / i"! II [ i'1 [ i1 / 1lt11 ! lllltttllllitll111111111,1 ! ! 1 RESIDENTIAL Attach(2)Plat 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 wl Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge projects COMMERCIAL Attach(2)Complete sets of Building Plans PWso Life,Safety Page;(1)set or Energy Forms.R-O-W Perm@ for new construction. Minimum ten(10)wotking days after subm=date,.Required onsite,Construction Plans,Ster nwater Plans w/Sift Fence installed, Sanitary Facilities&-1 dumpster._Sne WOrk.Permit for all new projects.All,commercial requirements must meet compliance SIGN PEF*lrr Attach(2)sets of Engindered Plans. —PROPERTY SURVEY required for all NEW constriction. p[redions: d..i.i.t++t Fill ou application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C,upgrades over$7500) •" Agent(for the Contractor)or PaAvi of Attorney(for the(Aner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERM3Ti1NG (copy of ooritract required)' Reroofs if shingles Sewgrs Service Upgrades A/C Fences(P16USurvey/Footage) 'Driveways-Nat over counter if on public r>adways..nesds 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 A� 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 contra'ct6rs, 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 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 t'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'SIOWNER'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, 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 III[ 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. 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 COMMENCENENT. FLORIDA JURAT(F.S.117,03) OWNER OR AGENT CONTRACT Subscribed and sworn to(or affirmed)before me this tbjhb. and (or affirmed) th e: by (I W—hois'3re personally known to me or has/have produced who islare rsonally kno ' me or has/have produced as identification. as identification. Notary PublicNotary Public Commission Na. SYLVIA A.CAMPBELL M Name of Notary typed,printed or stamped Name of Notary type '.?ed Notary P0bliC a e GG 2939 Expires Jul 19,2021 hn Commission It GG 112939 My Comm.Expires Jul 19;202 A Ilonded through Ngonal Notary Assn -PROPANE GAS Izvice O�rderroposal AND A/C INC. Q 3 Invoice Sales, Service & Installations WORK ORDER# SERVICEMAN 101354 SEP DATE/TIME TAKEN 09/i6/19 09.49 44/4�1'AIIen R1d.` Z�ep�h+�yrhills, FL 33541 TAKEN BY TAMMIE 07 NOTES: `',1 ► Yr'`(�L '`' `_ .' -4 DATE/TIME PROMISED CUSTOMER# /1-6CAT ION 2 9847. PHONE# 813-778 3095 C:. ROUTE/SEQ SEP BOYETTE, ASHLEY BOYETTE, ASHLEY 5826 17TH ';AVE 5829 171-H AVE ZEPHYRHILLS FL 83542 ZEPIYRHILLS FL33542 NEW COST- NEED UNIT INFO i OLDER UNIT- MAK I NO ALOT OF NOISE-- NOT COOLING AS T SHOULD x ; DES tIF'TION?OF WO®. r, GtTY M/kl Ef21AS= SERVICES UN1T,P..RIG P.MO[JNT a_�_ _ (�*' / fiq ! ^�{,•p(�"t.V�/ ��_.._.. _... ��._.._,.'`� — � � `ar'�< t-S PL� fo Al I�S� F bI GN /CI t r\ i L I V0%, Pep I I - EGt9MMENAATIO�S��""''�. - V 'gilTa` iiNaintenance:Rect3rtimended`b `AIG'E`iii`itieritManufacEurErs: 2 Pressures Lo HI T-Stat 'REFRIGERf+tJl'R`=- r'LB `''�S� s-4 a� " �L�6aa 0 �1 vD6 FILTERS x x Changed Monthly I I d FILTERS x x Changed Monthly I I ❑ REGULAR ❑WARRANTY Tt% TTPiLSU[VIIVIARY^ ,' .'Dehuri►idisfatSe rjgs,;When here"ON" When Away 60° ;T--Stat 80?; ❑ MAINTENANCE CONTRACT SERVICE I Cr.=: ..:,:.:;=,.; :,=';:.,. CALL LIMITEDWARRANI : All materials,parts and equipment are warranted by the manufacturers' - �� :ME`f.HODryO..,PAYMENT<+:r��'��''�� ='�'. or suppliers'written we�my only.All labor performed by the above named company is warranted for 30 days or as otherwiselindicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS TOTAL I express or implii:d,andfits agents or technicians are not authorized to make any such warranties on I behalf of above namer company. ❑DEBIT ElCREDIT OTHER MAINTENANCE I have authority to on the work outlined above which has bean satisfactorily completed.1 agree that Seller _ I PROG. W!C natal s title to equipfhenVma'adals furnished until final payment is made.If payment is not made as agreed, CLAIM# seller can remove id aquipment/matarials at Ss.eller' expense.Any damage resulting from said removal shall ALLU PAInot a the r BpojA IbIESOVER3DDAYS.NOYR DS/SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED TECH: TAX I TOTAL CUSTOMER SIGNATURE DATE 4 � r "• b 0 '4 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 JBY INSPECTOR Owner: �� shle. Permit#: '7 7 9 Site Address: �o 7 c/4 Contractor: 16*7WS2220,9AAe License#: d�C�a C 'qq zl Final Inspection Date: Lo 1 3— q 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. z evw Name of License Holder(print or type) Signature of License Holder