HomeMy WebLinkAbout19-21796 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21796
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21796 Address: 37543 DALIHA TERR LT188 BLD 19
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: TOWNHOMES Lot(s): Block: Section:
Square Feet: Subdivision: EILAND PARK TOWNHOMES
Est. Value: Parcel Number: 03-26-21-0230-00000-1880
Improv. Cost: 4,695.00 OWNER INFORMATION
Date Issued: 9/24/2019 Name: CADET, CARMELITE
Total Fees: 65.00 Address: 37543 DALIHA TER
Amount Paid: 65.00 ZEPHYRHILLS FL 33542
Date Paid: 9/24/2019 Phone: 813-468-9989
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
k/A
w_
DUCTS INSTALLED Ins ections Re uired
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.
Q�r�zv-
- &-, ?�
�/
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Fax.813-7W-0021
8l3ae0-0020. City of Zephyrhills Permit Application
Building Department
Date Received phone contact for Per ltg t � ) 72?
OwiterPhoneNumber
owners Name 7�e e —
y��t f/ - .. ..ten - yr------
owner's Address
3�..J"9� eS ,jI t> l�, OvmerPhoneNumber t
Fee Simple Tilieho►der Name Owner Phone Number'
Fee Simple Titleholder Address
JOB ADDRESS 7 / V� Il LOT# .
SUBDIVISION PARCEL eZ 'IDS o"/ S,0 f""�
(0 TrAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED e NtWCDNSTR� ADDIALT [_�- . SIGN ❑' [❑ DEMOLISH
INSTALL REPAIR ,
PROPOSED USE Q. SFR M 'COMM OTHER r
TYPE OF CONSTRUCTION _ ❑ BLOCK ❑ FRAME STEEL�.{Q
DESCRIPTION OF WORK ` ✓
BUILDING SIZE ( SQ FOOTAGE HEIGHT
QBUfLDiNG VALUATIONOFTOTAt.CONSTRUCTION
(ELECTRICAL S AMP SERVICE ❑ PROGRESS ENERGY Q W.R.E.C,
OF'LUMBING ., S �
GZIVECHANICAL 5 VALUATION OF MECHANICAL INSTAL CATION
OC'•AS Q ROOFING ❑ SPECIALTY OTHER
FINISHED LOOK ELEVATIONS �� ' "FLOOD ZONE AREA =YES NO
_6441411". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER �r COMPANY
SIGNATURE REGISTERED I Y 1 N FEE CURREN
Address License# I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y!N I FEE cuRREn' Y I N
Address License#
PLUMBER COMPANY
SIGNATURE I t REGISTERED YIN FEE cE1RREn Y/N
Address License#- —_�
MECHANIC AL r COMPANY wile
SIGNATUF REGISTERED I Y! N FEE CURREA I Y/N
Address Ucense# , p 3
OTHER COMPANY
SIGNATURE REGISTERED I YIN FEE CURREn LXLN
Address License#
III 1 1 1 1 1 1 [ 1 14 1 fi l l t vi 1'Cd i 1.1 1 l i f i 1 1 1 1 1-I f 1 1 l l t.l ! ( l 1 1 I1 1 if III III 11 1,1 1 1 1
RESIDENT-AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;RA-W Permit for new constivction.
Minimum ten(10)working days alter r siibllitffal date.-Required onsite,Construction Plans,Stormwater.Plans w/Sift Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)Comptate sets of lauildinsr Plans plus a Litt Saraty Page;(1)set or Energy Forms.R-O-W Permit for now Construction.
Minimum ten(10)working days after submfttat dete. Required onsita.Construction Plans,9t*rmwatQr Plans w/Silt Fence installed,
Sanitary Facilities:&t dumpster..SRO Work Permit for all now projects.Ail commercial requirements must meet compliance
SIGN PEwirr Attach(2)Sets of Engineered Plans;-
PROPERTY SURVEY required for all NEW construction.
d.i.a.ia.
Directions;
Fill ou application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a,Notica of Commencement is required. (AIC.upgmdes over S7500)
" Agent(for the wntractoi)arPower'taf Attorney{for Ilia owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER.PERMrMMG ct(copy of cm*a required)
Reroofs,if s;,ingles Sellers' Sarvtoe Upgrades A/C Fences(PIoUSUrvey/Footage)
Driveways-Not over Counter if on public rcadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this,permit may be subject to"deed"restrictions" 's
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 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 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, Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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 it 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,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 YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YGUR NOTICE OF=M-M-NCEMENT.
FLORIDA JURAT(F.S.117.03) Q_ " -
OWNER OR AGENT CONTRACTOR CdZ?aA_.-11
Subscribed and sworn to(or affirmed)before me this Spb9,q)ed d affirm
by ed b fore me this
Who iw3re personally known to me or has/have produ&ed Who islard 4eig'oinally known me or has/have produced
as identification. ..............- as identification.
-Notary Public Notary Public
Commission No. Comission No U
Name of Notary typed,printed or stamped Name of Notary typed,p 51t*IA A.EAMPBER
r.%,.%. Notary Public-State of Florida
a 129:3
9
Commission GG 112939 19,2021
aFOFFtdfi Bonded through Niflonal Notety Assn.
My Comm Expires Jul 19,2021
PROPANE GAS Service Order/Proposal
-' AND A/C INC. -
cflKele 7988 : 813-782-50 i 3 Invoke
Sales, Service & fnstallations
E .
4441 Allen Rd.:- Zephyrhills, FL 33541
NOTES: "
L
e`'t1l
kt& A/ 3 3 J
:�z..' ':DESCRIPT}ON''QFINORK'.- -r`"` Q�'Y_ -'.1Utf1' R1ALS 8�`SERV}CES ., r lJ 1 -P1. !�&if YZ& 4 r10 j Z; Z 7g.,
T�
I i
/ I I
' I
I I
I
,_) ►
I '• I
1 I
I �I
. I I
e I 7
RECOMMENDAT#(JNS 44 I I
c�'.4,.� .r.0: ,� 't r 3, ..p't..r'_ -t•. .%`--:`~Nt, <.i;,c,L 'g k z
U'Y'+'� - rf':- - °:,w"':" :ier' 3:' -''f�sYA s,"='�t',a'-. �'^sr°xi=k:vt."• - I I
�. anc ;Recomme decT> AEguipment> iu
- - =: Pressures Lo HI T--Slat I I
-ttEF t y:a--sG�-FILTERS x x Changed Monthly I I
s FILTERS x x Changed Monthly
REGULAR ❑WARRANTY "'f°
• ❑ R ..-_ ;'tC►TAL;.S,U.MNIARY-_�':'�:
e(au(n>d stat?Settigs.,When here°ON:,:When Away 6 �:;T-Stat 8t),-; ❑ MAINTENANCE
::,, ,; CONTRACT E
- .`S RVICE I
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' _'":::= ` '"' '' `y"'""' " CALL I
-„METH,,AptF RAYII�IENF:r ; y-hs;
or suppliers'writteri warranty only.All labor Performed by the above named company is warranted for ''"`' •`-'�''�'F'--`^=-�-'�^^="��"�-•";•n<—"��_- r<=='=' � - w'
3D days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS I -
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work outlined above which has been satisfactorily completed.1 agree that Seller PROG. W! C
retains title to equipmentfmaterials furnished unfit final payment Is made.If payment Is not made Ias agreed, CLAIM#,-
selnotler can remove said equipmentfmalerials at Sellers expensd.Any damage resulting from said removal shall _ � J j'
ALL U PAbe the ID BALLANCES OVER 30 DAYS.NOsibIlity of Seller.NET 30 YREFUNDS/SERVICE CHARGE WILL BE/ADDED MONTHLY TO DATE COMPLETED �- -
�p
ECH: I.
T 06
-
CUSTOMER IG ATU E DATE �/'G�W/GhL �dtG TOTAL.
'
L
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:
Permit#:
Site Address:
Contractor: ��7 /
License#: �0 'V3_! ��
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.
eon
Name of License Holder(print or type) Signature of License Holder