HomeMy WebLinkAbout19-21881 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21881
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21881 Address: 39050 7TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0020-01100-0450
Improv. Cost: 4,800.00 OWNER INFORMATION
Date Issued: 10/11/2019 Name: NIXON RAYMOND JOSEPH JR
Total Fees: 65.00 Address: 39050 7TH AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/11/2019 Phone:
Work Desc: A/C CHANGEOUT 3 TON
CONTRACTORS APPLICATION FEES
COOL DOGS MECHANICAL SERVICES IN A/C CHANGEOUT 65.00
elk
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Ins ectiontRequired
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
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
& I -Phone Contact for Permitting
r=rM.1-1111,-K W.............. ...... rr 7 7
Owner's Name 01 Owner Phone Number
Owner's Address Z 7 Owner Phone Number
Owner Phone Number F_
r
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTRR ADD/ALT SIGN DEMOLISH
PROPOSED USE INSTALL REPAIR
= SFR 0 COMM OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK I AbL /gcj+,
BUILDING SIZE SO FOOTAGEF—= HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING 1$
�AN�ICAL 1$ VALUATION OF MECHANICAL INSTALLATION
F7GAS 0 ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO
i i 1 1 N 1 J m 2 2 i 1 J ff i i v I i
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11 N_J
Address License# F
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L�_N
Address License#
MECHANICAL COMPANY 670
SIGNATURE REGISTERED L9 N FEE CURREN
Address 11 AZ, License#
�J
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
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 subdivisioni/farge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit fornew construction.
Minimum ten(16)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&.T 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. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage)
Driveways-Not over Counter 4'Dn'- 6151ic ibadways.:6`666 ROW
NOTICE OF DEED The undersigned understands that this permit may be subject bm"deedrestrictions"
which mayberebulations. the undersigned assumes responsibility for compliance with any
applicable deed nsotrox/mns. ~~
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |fthe owner has hired a contractor or
contractors to Undertake work, they may be required to be licensed in accordance with state and locafregulations. If the
contractor is not licensed as required by law, both the owner and nontnoohzr nloybe nited�-foro misdemeanor violation
under mbaba law. If the owner or intended contractor are.uncertain as to,0xhad licensing na `uinemnenba may apply for the
intendedvvmrh. theyanoodviaadhocontactthePoocoCo 'ntyBui|dinQlnmpootionDiv|aimn-�Liomnaing Section st727-847-
8009. Furthermore, ifthe owner has hired a contractor orcontr � �oohm� advised 'to have the contractor(s) sign
portions mf0he "contractor Block" of this application for which they will �be responsible.. you, as the owner sign as the
contractor, that may beon indication that he is not properly licensed and.io not6nUUwdto permitting privileges in Pasco
County. '
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The,undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply tm the construction of.new buildings, change of
use in existing buUdinQn, or expansion of existing buildings, as specified in P$mom County Ordinance numnbev89-O7 and
9O-O7. asamended. The undersigned also understands,,that such fees, as may be due, will be identified at the time of
permitting. |t |s further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving o "certificate of occupancy" or final power ny|maaa. If the project does not involve o certificate of occupancy or
final power na|eomc\ the fees must be paid prior to permit issuance. Furthermore, if P000n Counh/VVmtor/Sewor Impact
fees are due,they must ba paid prior bopermit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, assmmended): |f valuation of work io $2.5O0.ODormore, |
certify that i the applicant, have been provided with n copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" oned by the Florida Department of inu|tuns and Qnnsumer AMairs. 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"ownmr"prior tocommencement. �
CONTRACTOR'S/OWN ER°S AFFIDAVIT: | 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 mode to obtain a permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |ovms regulating
construction, County and City codes, zoning regulations- and land development regulations in the jurisdiction. | also
certify that I understand that the regulations of other goZrnment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to bei in compliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayhomda. Wetland Areas and Environmentally Sensitive
Lands,VVohs�VVootmxvaharTreatment.
- Southwest Southvvost Florida Water Management District-Wells, Cypress Bovhsyado. VVeUomd Areom, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, C>mcke' Navigable Waterways.- Department of Health �� Rehabilitative Gmrvimao/Ehvinonnnenba| Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohty-�Runmauym'
| understand that the.following restrictions apply tm the use offill: '
- Use of fill ia not allowed in Flood Zone^V~unless expressly permitted.
- Ifthe :fiU material is to be used in Flood Zone ^A7' it is understood that a drainage plan oddmseein0 m
"compensating volume" will be submitted at time ofporm|ttinQ which is prepared by professional engineer
licensed bv the State wfFlorida.
- If thea-fiU material is to be used in Flood Zone ^A^ in connection with a permitted building using ohmm vmsU
construction, I certify that fill will bo used on|yto fill the area within the stem wall. �
- If fill material is to be used in any area, | certify that use of such � will not adversely affect �_
properties. If use of fill is found to adversely' affect adjacent properties, the owner may be cited for violating-
the conditions of the buildin permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan ierequired.
If N8l[| �mth���� 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. | understand that o separate permit maybe required for electrical wmd«,
o|umbing, migns, vymUs, poo|m, air uondiUmninQ. Qoe, or other installations not specifically included in the application. A
perm K issued shall-be construed"hoboa license,bm proceed with the work and not ao authority bm violate, cancel, after, or
set aside any provisions of the technical codes, nor shallissuance of a permit prevent the Building Official from thereafter
requiring correctionin plans, umnmtnuoUonorNoJoUons o. Every Rern��issued shaUbecome invmUd
un|meo the work outh6rizad by such permit is commenced within''oio months otpermit issuance, or ifvvorh 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 maquaehyd, in mriting, from the Building Official for m period not to exceed ninmty(8O) days and will demonstrate
'justifiable cause for the extension. |f work ceases for ninety(QD)consecutive days, the job ie considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYUNWG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY K�� V��0� U���� TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDEWOR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
-
. ........~r. ' .. ...~.OWNER OR AGENT CONTRACT(
Subscribed and sworn to(or affirmed)before me this Subscribed_and sworg,,tj(or affirmed)bef rr jua
by by_
Who li/aie—personally kn6wn4o me or has/have produced Whoj4are Vs ally known t6,me or has/have produced
as identification. as identification.'
Public 0 �7 Notary PublicCommission No. Commission No.
Name of Notary typed,printed or stamped of Notary Voed, Le�d or stamped - -
Expires June 18,2023
NAME �/QQ
Vl e, TImLimars- : l a� ernari 21 Q h oo • G Vl� DATE g7,TT
r ,
ADDRESS DATE ORDERED
J
' m 39,d 4� Cool Dogs Mechanical Services Inc. . DATE SCHEDULED r/
STAIE ZIP P.O. Box 8305 MAKE
cos Loc ION cl 1 f S L 5 Tampa, FI.33674
MODEL "
a Tel: 813-442-7854/ 1-833-520-8575 -
W ✓S!' MCA
cdmshvac.com SERIAL NUMBER
V NATURE OF THE PROBLEM TEL./SERVICE LOCATION
PHONE
LU `
WORKPHONE
QTY. ITEM OR PART DESCRIPTION PRICE AMOUNT DESCRIPTION OF SERVICE WORK AMOUNT
11-7
.i
t � �
[ LABOR
! CHARGES HRS. MR.= j
TECHNICIAN ��l CERTIFICATE NO. TOTAL JJ
SIGNATURE, 1�s v V PARTS i
1 HEREBY AUTHORIZE THE ABOVE WORK TO BE DONE AS SO ORDERED AND LABOR
ss !
OUTLINED ABOVE.IT IS AGREED THAT THE SELLER WILL RETAIN TITLE TO ANY . I
E EQUIPMENT.OR MATERIAL FURNISHED UNTIL COMPLETE PAYMENT HAS BEEN SERVICE -
p [ MADE.IF SETTLEMENT IS NOT MADE AS AGREED,THE SELLER HAS THE RIGHT CALL
f TO REMOVE EQUIPMENT AND MATERIAL WITHOUT BEING HELD RESPONSIBLE
I FOR ANY DAMAGES RESULTING FROM THE REMOVAL OF EQUIPMENT.
h [ a
O WARRANTY LABOR WARRANTY t
The labor charge as recorded here relative to the TAX
_ O CONTRACT equipment serviced as noted,is guaranteed for a
period of 90 days.
0 SERVICE CONTRACT AUTHORIZED SIGNATURE
PARTS WARRANTY • Aw
+
�.g O NORMAL All parts as recorded are warranted as per -
manufacturer specifications. P TOTAL ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY.
ORES. O COMM. We do not,of course,guaranty other arts than those
O we install.If repairs later become necessary due to PARTS $ y
p other defective parts,they will be charged separately. A DATE
—.-.
n
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#: .o`er.
Site Address: [/1. �. .. /�G`�i . li !� �cll d"t-- 3 3 ,7-
Contractor: (f'062 � [ J �� c.r
License
Final Inspection Date:
I certify that I have in 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 FBCEnergy Code;
Section 463.3.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