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HomeMy WebLinkAbout19-21849 jr CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21849 BUILDING PERMIT * P_,ERMIT INFORMATION LOCATION INFORMATION Permit Number: 21849 Address: 38635 5TH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15000-0090 Improv. Cost: 7,395.00 OWNER INFORMATION Date Issued: 10/08/2019 Name: UNITED METHODIST CHURCH Total Fees: 80.00 Address: 38635 5TH AVE Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/08/2019 Phone: (813)788-4405 Work Desc: A/C CHANGE OUT (1) 2 TON & (1) 3 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 80.00 ins r i ` DUCTSINSTALLED 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. CONTRACTOlk,SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 8'3-78MO20 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department ................................ Date Rece �Fhcno Contact for Pe-�rmlMffini,Ce Sr C Owner's owner Phone Number Owner's' dress Or Ph..Number Fee simp e Titleholder Name F owner Phone Number Fee Simp e Titleholder Address JOB AD LOT# SUBDIVI ION PARCEL 1D#1 11—c;26—;2/ 6*iL 6169 150400 4 40 (OBTAINED FROM PROPERTY TAX NOTICE) Is WORK OPOSED NEWCDNSTR ADD/ALT SIGN DEMOLISH P INSTALL Ell000, RE-PAIR PROP0 ED USE = SFR = COMM OTHER TYPE 01 CONSTRUCTION Q 13LOCK FRAME STEEL Qj r ;7 DESCRI YT.ON OF WORK Axe ,IV r"'004AI SUILDM G SIZE I sQ FOCTACEF_ HEIGHT BU ILDING is VALUATION OF TOTAL CONSTRUCTION ELECTRICAL Is AMP SERVICE = PROGRESS ENERGY = W.R.EZ. F'LUIMBING is I", MECHANICAL $pf"j5 VALUATION OF MECHANICAL INSTALLATION SPECIALTY = OTHER ("AS ROOFING = FINISH D FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILD R COMPANY SIGN Re`_ REGISTERED I YIN FEE CURREN LZ!N dress I License# ELE Cf� COMPANY = SIG RE M REGISTERED I Y/ N I FEE CURREK dress License# _771 PLUM ER COMPANY SIG TURE REGISTERED I YIN I FEE CURREN dress License#F_ MEC ANICAL COMPANY SIG TUR.= REGISTERED I Y/ N I FEE CURRFS, I Y/N dress I License# OTH R COMPANY F_ SIG TURF I REGISTERED I YIN I FEE CURREN L_Y!N dreis License# It REST ENT;AL 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 wl Sin Fence installed, Sanitary Facilities&I dumpster',Site Work Permit for subdivisionstlarge projects COM WEIRCIAL Attach(2)complete sew of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl silt Pence installed, Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PEPJv1IT Attach(2)sets of Engineered Plans. . -PROPERTY SURVEY required for all NEW construction, Dir lion III ou:application completely. at&Contractor sign back of application,notarized f over$2500,a Notice of Commencement is required. (AfC upgrades over$7500) gent(for thicontractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVE THE COUNTER PERMITTING '(copy of contract required) Re ro rfs if sningles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) 3rivewaYs-Not over Counter it on publid roadways..needs ROW NOTI E 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 appli able deed restrictions. UNLI ENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or L,contr clors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contr ctor is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor violation unde state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the inten ad 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 port! ns of the"contractor Block"of this application-for which they will be responsible. If you,as the owner sign as the cont ctor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco Cou ty. TRA SPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that ransportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use n existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-0 , as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of pe itting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to rece ving 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. CO!,ISTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I cerli that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Prot ction'Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone othc "owner",I certify that I have obtained a copy of the above described document and promise in good faith to a" wn ir than the dell, ,it to the"owner'prior to commencement. CO TRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will e done in compliance with all applicable laws regulating construction,zoning and land development Application is her by made to obtain a permit to do work and installation as indicated. I certify that,no, work or installation has co enced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating con truction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also cert that I understand that the regulations of other government agencies may apply to the intended work,and that it is my esponsibility 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/Wa6tewater 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 un erstand that the following restrictions apply to the use of fill; - Use of fill is not allowed in Flood Zone"V'unless expressly permitted. If the fill material is to be used in Flood Zone W, 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 4m the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in thi aff idavit �prior'r 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 per it 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 req jiting a correction of errors in plans,construction or violations of any codes. Every permit iss*ued.shall become invalid unles:5 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 ma I be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate jus,ifiable 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 PA ONG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN6-YQUR NOTICE OF CON ENCEMENT. FL C RIDA JURAT(F.S.117.03) OW 1JSR OR AGENT CONTRACTO Sub scribed and swom to(or affirmed)before me this bwlbayn orb d1befdre me this by by fX&i;n�_1qLos-ffkme 11 Wht i iware personally known to me or hasthave produced wWV 4islare per, ally has/have produced ----as identification. a identification. Notary Public Notary Public Co mission No. com So Com sion No. ' -- BELL Nar to of Notary typed,printed or stamped Name of Notary typed,p 1,1 I Notary Pt-state of Florida GG 1 12939 Commission lIGG112939 M Comm. Jul 19 C Expires Jul 19,2021 koFfL hnitig N.UcmlNo,�Y�'s, Banded through Natiorill 1401alY Assn- �l ' , Service Order/Propusal "n ��' ��� —~ —���'���.��K���� Invoice '�xyu*,^�° �� u�� . ~~°_ ~~.~ ~~~ _ Sales, Service & InSt8\lBfiOOS WORK ORDER#/SERVICEMAN 101917 COM 1.441 Allen Rd. ° Z8DhVrhillS' FL 33541 DATE/TIME TAKEN 10/07/19 13:29 TAKEN BY JAIME 03 =� � DATE/TINE PROMISED 10/16/19 00:00 CUSTOMER#/LOCATION 06475 PHONE# 813-782-5645 O CONTACT CHRISTY STAFFORD ROUTE/SEQ COM ' ;T UNITED METHODIST CHURCH FIRST UNITED METHODIST—OFFICE �5 5TH AVE 38635 5TH AVE |YRHILLS FL 33542 ZEPHYRHILLS FL33542 FILTERS x X Changed Monthly FILTERS X x Changed Monthly REGULAR El WARRANTY TOT,4,PU C1 MAINTENANCE CONTRACT SERVICE ^� � WARRANTY— . —ll-----_--- 'written warranty only.Ail labor performed by the above named company is warranted for is otherwise indicated in writing.The above named company Makes no other warranfies, LICASH Ll CK# TOTAL Vied,and its agents~technicians are not authorized to make any such warranties on MATERIALSTECH: TAX ove named company. L)DEBIT Z)CREDIT Ll OTHER-- MAINTENANCE rity to order the work outlined above which has been satisfactorily completed.I agree that seller PROG. W / C 0 equipmentimaterials furnished until final payment is made.if Payment is not made as agreed, CLAIM# move said equipment/materials at Seller's expense.Any damage resulting from said removal shall sponsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL 13E ADDED MONTHLY TO BALANCES OVER 30 DAYS,NO REFUNDS DATE COMPLETED ~` SIGNATURE DATE TOTAL '� PR®PVC CFAs Service order/Proposal ( AND INC. MWIInvoice Ke .,�, ;�82-5013 BORN. ORDER#ISERVIGEMAN 11918 COM Sales, Service & Installations DATE/TIME TAKEN 10/07/19 13%4.7 4441. Allen Rd. • Zephyrhills, FL 33541 TA EN L JM �i0 DATTE:T IM ME FROM I SED 10�' 18/1'3 t�0 0�1�+ NOTES: CUSTOMER#/LOCATION OF�572. PHONE# 813-7782-56 4 0 CONTACT CHRISTY STAFFORD ROUTE/SEt, COM FIRST UNITED_ METHODIST CHURCH FIRST UNITED METH- N. MTG ROOM 38635 5TH AVE' 38535 5TH AVE ZEPHYRHILLS FL 33542- ZEPHYRHILLS FL3354E INSTALL..-NEW. 3 TOiN} zl.F�RANVvLZN HEAT PUMP :. UNIT :WO RRICE' AMOUNT�'_�. = : QTY= i;MATERIALS:&,8E C --- --------------------------- -- ----------- ------------- ---�— — —�{.-- I I I I I I I I I I I I I I I I , I I ' I I I I I ` :�, OMMENDATIONS;.�•�'`s;{:-'`< a "+.< �Anv Mairi ten anc ecomr»ended ti.'-AII E ui merit aniifacturers:',.". tr + .3 ^:_; "t' ..rya y -r-q = rF Pressures Lo HI T Stet I I 'R(FRIGERANTR\ CBS:- = S ^"i I "perib , i, I FILTERS x x Changed Monthly I I FILTERS x x Changed Monthly I I ❑ REGULAR ❑WARRANTY iTOTAUSUMMARY*:', DehurriidisMt Settin s:jWhen here"ON";'When Awa �D° T--Stet��°- ❑ MAINTENANCE CONTRACT SERVICE LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' CALL or suppliers'wri6n warranty only.All labor performed by the above named company is warranted for `' - METHOD,OF:"PAYME NT`<=°: ;",<""'.r':: I 30 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 behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE I I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller � PROG. W I C retains title to equipmenUmaterials fumished until final payment is made.If payment is not made as agreed, CLAIM# seller can remove said equipmenitmaterials at Seller's expense.Any damage resulting from said removal shall I not be the responsibility of Sellers NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED TECH: TAX i CUSTOMER SIGNATURE DATE ✓9�:","G/fi ✓V'�c - J_TOTAL . I V P� 1f S 0 �e 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 y�. UP BY INSPECTOR f Owner: Y/V,'&O PermitM Site Address: j Contractor: 6/447wS f r��131va- 47 License#: rJU 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. z t Name of License Holder(print or type) Signature of License Holder