HomeMy WebLinkAbout19-22056 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22056
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22056 Address: 3446 MALACHITE DR LT 137
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: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0040-00000-1370
Improv. Cost: 5,715.00 OWNER INFORMATION
Date Issued: 11/19/2019 Name: BUYS, JUDITH
Total Fees: 50.00 Address: 3446 MALACHITE DR LT# 137
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33540
Date Paid: 11/19/2019 Phone: 724-954-4621
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 50.00
r
DUCTS INSTALLED Ins ections Required
DUCTSINSULATEp
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 - 8
v/
CONTRACTOR SIGNATURE PERMIT OFF16VR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1 813780.00P0 City of Zophythtlls.Permit Application Feot-813780-0021
8u1dm8� -
ownefto
a 11r J'L Piz, . o.nrr Pnon.iimow
Fees
JOSADORESS ...
SUSDNISION �riaer Pmu=
NEYVC016TR A00lALT StC I DE[IJS
WO :. Cl. "
aT
PROPOSED USE 0; •-� . : '.0'
TYPE OF_CQNS'ZRUCTIQN " .-BLOCK [�.. ::FRIIME _ STEEL':0._
DESCRIIVMN of WORK . '. GS:0/6 6: " -, ._ �. ON / 66 �l
13 u a n SIZE � Sa i Oa1Ait HEIGHi
QBUILa1NCa VAl UATM OF TOTAL CONSTRUCTION'' ..._.. ,
(ELECTRICAL $ A1W SBMCIE PROGRES:f ENERGY -[�.:;_MR.E.C. .
pPLOWING s
�aIECItaNicAt 7
16J. flb. VALIlATIONOFMECHANIC&IwrAUATION -
pcAs p ROOFING p SPECIALTY p OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYFS - idff
BUMMER cow,
SOMME REt31570ZED, YIN I FEF CtrRRM'. • Y� N.
Address - - #
ELSCTRICIAN CCi1PMTY
SItiNAiURE REG v I YIN. scat+ YIN
Address , utensG4]
PLUMBER _ � COT/P'ANY � � .
S13NATURE aEGlSrERID' 1 N .--F-M CWWUM_
Address License it:
M>~atAKcat " ¢ y �h COWAin �'1fRS f� Hn/ ��5 `LR�d+dz?. .
498M'TURI YIN,, �Ct�`.._. YIN
Addrass /AJ f-Jj �: I IMM-e :
- -----
comw
slim. e I Y/N:- FEECUiOW -'I-YM -+
Address. License#�— 1
irrer.rrr.r:rr;II all.r;:r..rr.r.r.II �: :ii;r_art.rr.:rrr.i-r.. ,rt.r1.1r.1Vul!:1 !.rrrr.rrr.r,rrrrrrrr
RESIDENTIAL. Attadt'¢)PWFPl�es l2)sets a(SuBcgrg P)mts:(f)'set tdfne�gY Foims R 0 w Permit 5or'rea corm::
Tdatirmurij'teei tlt)}y+nrlai+ardaysartersubtr,irmi asie::i2�ieaCt ::�P�uis;-sEama�a�t?tansvrr,S;ltFe instetied.._-.
&anllmy FaaTdies a 1 d iqx tar,Site work PMn*far cu6dv m,0nsltarpa piojacts
CCALUM OtA1. _ ACaclt(�aorrrpr�s.<s ar Pt�pkes o r tor.suaMr Pam(1)sit of E.eoy Forrna 12-0 W P.nntt far noW aartsaucdorf_
Mrrirriirir tm•C1 ! !O i 7?a{Mtr;v rtrlaU dre:iirgirt�d and ca,sh,ieua�;Ftr+s,stortnwamr t?tans Nu sOt F.rca tns�uad. ..
Sar�etyFaa"rWs�ldislipslarSIL3MFakP�eenf`taeD.na�rprojecGs.ABCairrienYaitiftrst :. ' '
SMMPERMfi Atuch�IseesviE6!OSI�t�dPYrrq::_ _
"'"PROPERiYSURVE1f•�i�gtirsdforaisNEWWrdnao>mn
Okectlores:
FM out uppticadon mnpia*.
Owner&.CorrtrecicrsWbadc.aTq*kxg ,natpriaed
H over S2b00,a Hofka d Coataroaeirarti Ic rsgriYad (AdC upgrades orer i750oj .
" +Agent(forft _a Pow cfAtto-W(faUtesaner)aneidbemnecrtavAMrtcielitedlefterfivatwriteraudt rift same
OMERTHE COMM PERN[I77DiG (cWdgq*gdrei*ikW):
RemcfsifsWngI s Sowers ServiogaJpgradas,A/C.,,-Fences(PbVSWVQY1Footege)
Dtly wwt Not am Coutrtw If an public rvadways:.needs RM
NOTICE OF DEED•RESTRICTIONS. The undersigned understands that this permit maybe subject to"deed"restrictions"
which may be more restrictive than County regulations: Themridersigned assumes responsibility for compliance with env
appucabie`deed restnctioris..
UNLICENSED,CONTRACTORS AND.FONTRACTOR RESPONSIBILITIES:, if the owner his hired a contractor or
contractors to tinderfake work,they maybe required to be licensed°in ddowdence with•state.and local regulations.-If the
contractor is not licensed as required by..t_aw,:both:the owner and co or may be cited far a misdemeanor violation
under state law. If the owner or Intended txintractor are uncertain as:to-what licensing requirements may apply for the;.
intended.work,they are advised to contact the,Pasco County.Building inspection'Divistotr—Lie6hsing Section-at 727-847-
8009. Furthermore, If the owner has:hired a contractor or eontractor* he is'advised to have_the contracxor(s)=sign -=
portions of the'contractor Block*of this application for which-ftiey will be responsible. if-you,,as the owner sign as the
contractor,that may.be an Indication tha rivil
t he is not properly licensed and is not entitled to peges In Pasco
County.
TRANSPORTATION!MPACTAMLITiES-IMPACTAND-RESOURCE RECOVERY FEES: The undersigned understands ,
that Transportation Impact Fees and R'"urse Recovery`Fees may apply to,the'oonstruclion of new buildings,change of.
use in existing.buildimgs;or expansion ctat existing buildings,as.specified in Pasco County Ordinance number 89-07.and
90-07,as amended. Tate undersigned,aids understands,.that such fees,as may be due,will be identified at the time of
permitting. It further understood that Transportation.impact Fees.and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final paver release. If the_project does'notlnVolve a certificate of osatparcy or
final=power release,the'fees-must be.peld.prior to permit Issuance. Furthermore,i€Pasco County WateNSewer Impact,
fees;are due,;they must be paid prior to permit issuance:in.accordance with appttcable.Pasco County ordinances:
CONSTRUCTION-LIEN°LAW(Chapter 71.3,Flodda Statutes,as ainended): If valuation of work is$2,500.00 or more,I
certify that 1,the applicant, have been provlded wittt a c opy'of the'"Fkxida Construction Lien Law—Homeowner's
Protection Guide'prepared bythe.Flodda•Department of Agricuiture.and Consumer Affairs. If the applicant,is someone,
other then the"owner",t certify that 1 have obtained a copy of the above described document and promise in good faith to
deliver o to f ee"owner"ptios-to commence rrt,
CONTRACTOws/OWNER`S'AFFIDAVirn t ceitiffy'that's1l t 44informiation in this appticstion'is ai curate and that all-work '
will be done in compliance with all applica�e laws regulating construction,zoning and land development Application Is.
hereby made to obtain a permit to do vfork 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 ail laws regulating
oonstnrction. County and City odes,zoning regulations, and land development regulations In'the jurisdiction. 1 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 r(ttrst take to be In compliance. Such agencies Include but are not Itrrirted to.
Department of Environmental Protection-Cypress Bayheads,.Wetland Areas and.:Environmentally Sensitive
Lands,WaterMastewater Tre lit
- Southwest Florida Water abagement•Ofstrict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engine Is,Dodos,Navigable.Waterways.
- Department of Health & R fl tative ServlcestEriviri mmentai Health Unit Wells, Wastewater Treatment,
Septic.Tanks.:-
US Environmermtal Protection' cy Asbestos abatement
Federal Aviation Authortt 4;4jn ajrs
I understand that the-foliowing'resbtctions apply to the use of fill:
Use,
se of fill is`not allowed in Flood Zone'W uniess.expressly'pennitted. _
- if the.fdt_rmateriat is to be.,used In Flood Zone A", it is understood.A iaf a drainage plan addressing A
"compensating volume'wiII be' ubmitted at time of permitting which is prepared by'a professional engineer
licensed by the State of Florida.
-. If tlie.fi114naterfal,is fo be Eln Flood Zone K In connectlon with a permitted building using stem.walli ,__
construction,i certify that tilt willlbe used only to.fill the area within the stem watt
r If till material.is-to.be used id 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 maybe cited for violating .
the conditions of the btriiding."ark.Issued under, fte:attached permit application,for lots less than one(1).
acrs whidi-ere el&Med-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 permiting conditions set forth in
this affidavit prior to commendrig`consbuctipn. I understand-that a separate permit may be required for.electrical work,
plumbing,signs,wells, pools,air conditioning,gas, or other installations not specfically Included in the application. A
permit issued shall be construed'to be a Illonse to,proceed with the work and not as authority to violate,cancel„alter,or
set_awde any provisions'of the fechnicat codas;nor shall issuance of a.petmtt prevent the Building.Official from thereafter
requiring a correction of errors in plans,,corrctruction or violations of any codes:. Every permit issued'shali become invalid
unless the w6rk4uthorfzed-by such permit la commenced'within six months of lain it'issuaridd or if work authorized by
the permit is suspended or abandoned far a�ericd 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 workceases 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 BNPROVEMENTS.TOjYOUR PROPERTY.,IF YOU.INrEND TO 013TAIN FINANCING;CONSULT
WITH-X UR D OR AN TTO EY BEF RERECO G YOU NOTICE OFCOMMENCEPAIENM
FLomtoA JURAT(F.s.„7.c3): ,
OWNER`CIRAGENT 001MACTOt „,
Subsaibed and.avrom to(br eftirned)befae,me the ( --t end {or!fl Ted)b', e thIs
ay i c _ 52�LAY
who isiare personalty known to me or hasiftwe produced who i8! to rho or has/have'produced: ..
as idsntitIcation_' as identification..
Notary rl)�uWlo Notary Public
Commission No. ats@ion Now
SYLVIA A.CA�� MPBELL
Name of Notary typed,printed or stamped :Name of Notary.typed, Notary rublit-
* • • Cornmission @ GG 112939
My Comm.Expires Jut 19,2021 -
•a;�orF��``' OondedthroughNalianalNolaryAssn.
® AN®A/ GAS) Service Order/Proposal
cfl6e 1988 81�5-782.5®'I 3 Invoice
Sales, Service & Installations WORK ORDER#/SERV ICEMAN 1-02901 EFE
DATE/TIME TAKEN 11/12/19 08 :03
4441.Allen)Rd. • Zephyr/hiills, FL 33541 TAF;EN BY K I M 03
NOTES:��S�'d 11 - J- / "1 DATE/TIME PROMISED
CUS f ONE R*/1-OCAT I ON 03404
PHONE* 724-54-4£2 1 C
ROUTE/SE0 EFEFL.TRw 14x2O
R.U. S9 JUDY BUYS, TUDY
3446 MALACHITE DR 344E MALACHITE DR
EMERALD POINTE
ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL33542
3T AMANA 15SR HIP W/5KW HT
APH 1536M4"1/0710013238
F 1KR--10AI070380E,214
I D-. 2/05/08 ** 410 -A**
ESTIMATE
DESCRIPTION OFW.ORK. .-'.• C!TY . MATERIALS&SERVIGESs.-:- UNIT PRICE ;AMOUNT
W- 4'ol
AS
l Y2.,j W07
I I
I
A01A Cj3�v 'oD
RECOMMEN,DATIONS:::.;... ,. ;-. ! � i eO 140
,Annual-Maintenance'Recommended-by-AII'Equipment.Man7u:6 turets:
Pressures Lo HI T-Stat I I
I�I� .. .>•. . . .. - _
REFRIGERANT R ` CBS.:"..-..
` 2
FILTERS x x Changed Monthly I I
7� / � FILTERS x x Changed Monthly
-U^ 7qn 1����4C11CC�� ❑ REGULAR ❑WARRANTY TOTAL SUMMARY
Dehumidistat Settings: When here"ON';-:When Away 6 T-Stat 806, ❑ MAINTENANCE CONTRACT
s SERVICE
LIMITED WARRANTY: NI materials,parts and equipment are warranted by the manufacturers' CALL.` I
or suppliers'written warranty only.All laborrperformed by the above named company is warranted for ` TOTAL I 30 days or as otherwise indicated in writing.The above named company makes no other warranties, El CASH ❑CK# MATERIALS I express or implied,and its agents or technicians are not authorized to make any such warranties on
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work outlined shove which has been satisfactorily completed.I agree that Seller - PROG. IN/ C
retains title to equipment/materials furnished until final payment is made.If payment Is not made as agreed, CLAIM# 4.
seller can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall yv�
ALL UNPAID BALANCES OVER 3e DAYS.NObe the responsibility of Seller.NET 30YS.REFUNDS/SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED �'—/! ( ! '✓ 't L" —1 D onot I �
�
TECH: TAX�AU1� I
r
/ (mot /�
C RSIGNATURE DATE ✓,L�U//GJL ✓tau TOTAL ) / J I o o
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:
s Permit#:
Site Address:
Contractor: !� !'u'J'/'tT�la/�J� C,-7/45 '%G' Ny
License#:
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
kFMechanical chapter 6.
At
r. Name of UcenseHolder(print:or type) Signature of License Holder S ,^