HomeMy WebLinkAbout19-21896 CITY OF ZEPHYRHILLS
f 5335-8TH STREET
(813)780-0020 21896
BUILDING PERMIT
<ePERMIT INFORMATION LOCATION INFORMATION - `- `
Permit Number: 21896 Address: 38334 COTTONWOOD PL
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-021 B-OOH00-0030
Improv. Cost: 4,950.00 O.WNER.INFORMATION
Date Issued: 10/14/2019 Name: DEBOE, SHIRLEY
Total Fees: 65.00 Address: 38334 COTTONWOOD PL
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542-6600
Date Paid: 10/14/2019 Phone: 813-782-0222
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTORS APPLICATION FEES
O'DONOVAN'S A/C & HEATING A/C CHANGEOUT 65.00
I
Inspections Required
DUCTS INSTALLED
DUCTS INSULATED
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.
CO RAC° IGNATURE 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 Recp.,;vod Phone Contact for Permitting
rT=............ ...............171771�, ..... ....)
Owner's Name 1 "Le PQ e Owner Phone Number
Owner's Address 0 In wl/IA Owner Phone Number
Owner Phone Number
JOB ADDRESS E36 66 0 LOT#
SUBDIVISION .4 PARCEL IDAI
1 (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE = SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK 4 _P A (/t 'At roll ej 4 a -P/ Z2_eA
BUILDING SIZE SQ FOOTAGE HEIGHT
Nil
"BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING L.
�HANICAL 1$ VALUATION OF ME.CHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i i i i i m i i 1 2 11 N I i i i i i i 1 111 i i i 1 1 1 1 1 i i 1 1 l!v a 11 1 1 l i i N 1 1 1 1 1 1 i 11 1 11111 1 1 1 l N i i 6 1 1 1 i i N 1 1 1 N i 1 2 1 1 i 1 1 1 i
BUILDER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_J
Address —1 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL CCOMPANY VC//1
SIGNATURE REGISTERED ( Y) N J FEE CURREN 'J LIYLN J
0 12( -7
Address -M A License# EA 60 5
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
Hr HHHHHHH!1 HHHHHHHHfHHHH
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.
HiWH114H I I I i I I I i I I I I I I I I I i I i I I i I i I I I I I I i I I I i i i i I I I I i 9 i i 1 i 1 i 1 i N 111 K
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,PpWpr of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERM !-;!,!-,(copy of�contracf required)
Reroofs if shing(41s Sewe"lis-',", "iSer.vIce,,Vp6486�:.-A/C Fences(PlottSurvey/Footage)
wa -No over'C onTipu o.r- d ROW
Drive ys�' _,qTttr,if bili' 4`oadw y�.,,..nee s
�
NOTICE OF DEED 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 uomp|i6 any
applicable deed restrictions. '~.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o 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 (k:enaod as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state |ovx. If the owner or intended contractor are uncertain an to what licensing requirements may apply for the
intended work, they are advised hn contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthmrmopa, if the owner has hired a contractor or contractors,-.he is advised to have the contractor(s) sign
portions of the "contractor B|ooh^ of this application for which they will be responsible. If you, as the owner sign as the
ooninantor, that may be on indication that he is not properly licensed and is not entitled hz permitting phvUe8ae in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES 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 bui|dingo, or expansion of existing bui|dinga, as specified in Pasco County C}rdinonme numnber89-07 and
90-07. as amended. The undersigned also undmntando, that such fees, as may be due, will be identified ot the time of
permitting. |tka further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving o "certificate of occupancy' or final power release. If the project does not involve o certificate of occupancy or
final power na|eaoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counh/VVoter/Smwer Impact
fees due,they must ba paid prior ho permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): |f valuation of work ie$2.5O0.00ormore, |
certify that |, the app1icant, have been provided with e copy of the "Florida Construction Lien Law—Homeowner's
Protection Gu|dm^ 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 itbx the^mwner"prior bocommencement.
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 made to obtain o 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 |avvo regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply bmthe intended work, and that it is
my responsibility bz identify what actions | must take bobaincompliance. Such agencies include but-are not limited to:
' Department ofEnvironmental Protection-Cypress Boyhmadm, VVmUond Areas and Environmentally Sensitive
Londo.VVmbsnMaobaxeder-[reotnlenL
- Southwest Florida VVotmr Management [Jiatriot4WmUo. Cvonemm Bovheodo, VVm8ond Aremo, Altering
Watercourses.
- Army Corps ofEnQ|neare-SeoxvaUm. Docks, Navigable VV nxmyo.
' Deportment of Health & Rehabilitative Services/Environmental Health Unit-WeUs, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohb+Runvxoya.
[understand that the following restrictions apply ho the use offill:
- Use of fill im not allowed in Flood Zone"V' unless expressly permitted.
- If the fill material is to be used in Flood Zone "A^, it in understood that o drainage plan addressing m'
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed by the State ofFlorida.
- |f the fill material is to be used in Flood Zone ^&^ in connection with a permitted building using stem wall
construction, |" d
� if Uv�U
ythot� bo used only tmfill wit
hin
- If fill� material is to be used in any area, l certify that use of such fill will not adversely affect adjacent
properties. If use of fill,is found to adversely affect adjacent pmmpedias, 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 fiU, an engineered drainage plan is required,
If/ mmm the AGENT FOR THE OW0WER. | pnomimeinQmodfaithbminfommthecnxnerofthepennittingoondiUonoamtforthin
this affidavit prior to commencing construction. | understand that o separate permit may be required for electrical work'
o|umbinB, oiQna, vvmUm, pmo|a, air monditioning, gam, or other installations not npmcdDoa||y included in the application. A
permit issued shall be construed tobma license tm proceed with the work and not ao 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 issuonoe, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work iacommenced. An extension
may barequested, in writing, from the Building Official for a period not hzexceed ninety (98) 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 RECORDA NOTICE OF COMMENCEMENT MAY-RESULT UN YOUR--
PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. YOU NT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFICOMMEN6EMENT.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and i4wqWo(or;greo before me this
Who istare personally known to me or has/have produced Who is/are pep�,Ially kOWto me or has/ roduced'
Notary Public Notary Public
Commission No. commm��mo
Name_Notary yped,printed or stamped_ _ Name--Notary typed,_
D
3
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 ON SITE AND PICKED
UP BY INSPECTO
Owner:
Permit#: . Jq
Site Address: . /
P r,
Contractor:_ 00 nlI V a. 5 r-
.License M .
Final Inspection Date:
I certify that.l 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.
Name of License Holder(print or type) Signature of License Holder