HomeMy WebLinkAbout19-21911 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21911
BUILDING PERMIT
PERMIT INFORMATION LOCATIONINFORMATION
Permit Number: 21911 Address: 4952 TIMBERWAY
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: COURT SQUARE
Est. Value: Parcel Number: 15-26-21-0200-00000-0350
Improv. Cost: 5,400.00 OWNER INFORMATION
Date Issued: 10/15/2019 Name: THOMAS, TOMMY& SERENA
Total Fees: 70.00 Address: 13337 KENT BRADLEY ST
Amount Paid: 70.00 DADE CITY, FL 33525-5239
Date Paid: 10/15/2019 Phone: 352-424-2287
Work Desc: A/C CHANGE OUT 3.5 TON SPLIT
CONTRACTORS APPLICATION FEES
ALL FLORIDA APPLIANCE &AC INC A/C CHANGEOUT 70.00
C:p
DUCTS INSTALLED ins ectio 01equired
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.
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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 ^^�� c�-p-
Date Received to (Z; l Phone Contact for Permitting ( J (03Z
Owner's Name _J-G Owner Phone Number
Owner's Address LA O�S 2 Tt IMb�e V I t. , Owner Phone Number
✓�``� Owner Phone Number
JOB ADDRESS Z T,✓ �G`- LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK C�,AAII)/_-
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING $
®MECHANICAL $ 5, C4QO VALUATION OF MECHANICAL INSTALLATION t I
=GAS = ROOFING Q SPECIALTY = OTHER v
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Ly
/N
Address License#
MECHANICAL COMPANY =(( ( A ��� ✓ lL
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address �(D vwY 3 License# LAIL I VCQ CDC
OTHER COMPANY
SIGNATURE F 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 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-submittaldate.-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.
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(Plot/Survey/Footage)
Driveways-Not over Counter if on public'roadway".:needs ROW::_
NOTICE OF DEED : The undersigned undorotondmthotthispernnitnnoybe - ho^doad"restrictions"
which may bo more restrictive than County na`u|otiuno. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f the owner has hired*s�oontmctoror
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 o 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. Fudharmona, if the owner has hired a contractor or omntnaotorm, he is advised to have the contractor(s) sign
"contractor of the ^oontna� B/ooh^ of this application for which they will be responsible. If you, as the owner sign' �o the
uontnactor, that may be on indication that he in not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION UMPAClIUTILUTUESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change nf
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
Q0-07. oaamended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. |tiw further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior hu
receiving o "certificate of occupancy" or final power release. If the project does not involve e certificate of occupancy or
final power re|eame, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVotar/Sevm»r /mpmoi
fees are due, they must ba paid prior bo permit issuance|n accordance with applicable Paaoo County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, FUorida Statutes, as amended): |f valuation of work ia$2.5OO.00or more, |
certify that L the appUoant. have been provided with m copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant imsomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith bz
deliver it to-the^pvvner^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 |avvo regulating oonmtnuction, zoning and land development. Application is
hereby made 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 |«wvm 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 to the intended vvork, and that it is
my responsibility to identify what actions I.must take to be in compliance. Such agencies include butame not limited to:
- Department ofEnvironmental Protection-Cypress Bayheode, Wetland Anaom and Environmentally Sensitive
Lands,VVaterMaotexvabarTreatment.
- Southwest Florida Water Management D|sthct-VVaUo, Cypress Buyhmadm, Wetland Anaee. /l|harinO
Watercourses.
- Army Corps of Engineers-Seawalls, [Jochs. Navigable Waterways.
- Department of Health fL Rehabilitative Services/Environmental Health Unit-WeUe, Wastewater Treatment,
Septic Tanks.
- UQ Environmental Protection Agency-Asbestos abatement.
- Federal Aviation AuthohbpRunvmys. '
| understand.that the following restrictions apply to the use mffill: '
- Use,of fill io not allowed in Flood Zone Wp unless expressly permitted.
- |fthm:fiU mobaha| is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing a
,.compensating volume" will be submitted at time mf permitting which is prepared by professional engineer
licensed bv the State mfFlorida.
- |f the fill material is to be used in Flood Zone ^A" in connection with a permitted building using stem vvaU
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill maWaho| is to be used in any area, | certify that use of such fill will not adversely affect ocUanmnt
properties. If use of fill is found to adversely affect acUaoaVt pnopertime, 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, on engineered drainage plan |nrequired.
If| annthe AGENT FOR THE OWNER, | promise in good faith bo inform the owner ofthe permitting conditionsset forth |n
this affidavit prior to commencing construction. | understand that o separate permit may be required for electrical xvorh'
p|umnbing, miQoa, wells, poo|m, air conditioning, gaa, or other installations not specifically included in the application. A
permit issued shall be construed tobao license bo proceed with the work and not ae authority tm violate, cancel, alter, or
set aside any provisions of the-technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiringacormactinnofernonsinp|ans. 00notructionor,vim|oUonaofanycddeo. Every permit issued shall become invalid
unless the work authorized by such permit in commenced within six months of permit issuance, or if work authorized by
the permit|a suspended or abandoned for s period of six(6)months after the time the work imcommenced. An extension
may be requested, in whUng, from the Building Official for a period not to axnmmd ninety (8O) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARN 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.
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Subscribed and sworn to(or affirrned)before me this Suh-cri4ed and sworn to(or affirrnt,before me this
Who is/are personally known-to me or hasthave produced Who I r pers nown to,me or hasMave produced
asidentification. as identification.
Notary
Public
_�Notary Public
Commission No. Commission No
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hcense holder for '_
-_:— authorize the following people to.apply/sign fot.permits
under pay license# 04 f� 16 7 J`
Please altow Olali.Y the:pep n(s),listed below toaign. This letter supersedes all others and is `
valtd,for One.(I°):.year from date,of:this authorization.
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Contractor's.Sign�tiite btactoame;nnd Date
STATE OF:FI:ORID'A' '
CQUIVTY116 PINELLAS
The foregoing instrument was.acknowledged before me this /.3 day of _ t�+v9 - ,2p.m
by QX "l�rra.i��, as �__who is on persall . own<io me or has provided
_.. i entir ation.
Notary Public
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DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION ..ODE (FBC FNEivGY; SECTION 403)TO BE LEFT ONSITE AND PICKED
l UP BY!NSPECTOR
Owner: rv1 �10n1�s
Permit#: ZL CL 1
Site Address: 2- I rVL�e r w 01.k-
Contractor: 'fit m -k�I,Or i Ac,_ X9 l d n:.c e a— C
License#: C kC— 1 t 1 (o fv
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 '103.3 2.1.All new duct work is to comply%,it-h FBC Energy 403.2 and FBC
Mechanical chapter 6.
Name of License Holder(print or type) Signature of License Holder