HomeMy WebLinkAbout19-22036 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22036
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22036 Address: 5500 6TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-09000-0180
Improv. Cost: 6,900.00 OWNER INFORMATION'
Date Issued: Name: MESIEMORE, JOHN A JR &TAMMY C
Total Fees: 75.00 Address: 5500 6TH ST
Amount Paid: ZEPHYRHILLS, FL 33542-3999
Date Paid: Phone: (813)782-4370
Work Desc: A/C CHANGE OUT 6 TON , PACK UNIT ON ROOF
CONTRACTORS APPLICATION FEES.
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 75.00
J/
DUCT S INSTALLED 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 OCC6PANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ONT CTOR SIGNATURE PERMIT OFFI R
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOU NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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i Fax-a13-78"021
= al3aeo-bozo Gitjr of Zeptlyrh111s Kermit Appilca I on -
Building Department '
Date Received Phone Contact for Penniltin
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Owneea Name Owner Pho a Number O
Owner's Address �. 18 go
Owner Ph e Number
. ..
Fee Stmpia TltiaholdoT Name Owrier Phone Number
Fee Simple Titleholder Address j
JOB ADDRESSS r I LOT#
SUBDIVISION: PARCEL ID#,
(OBTAINED FROM PROPERTY TA9 NOTICE)
WORK PROPOSED e NEW MNSTR 8 ADDJALT [ SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE . Q SFR Q COMM [� OTHER
TYPE OF.CONSTRUCTION = BLOCK Q FRAME
DESCRIPTION OF WORK rA r
BUILDING SIZE SQFOOTAGE NEiGIiT ( U♦V c7�{e'
=BUILDING. VALUATION OF TOTAL CONSTRUCTION
]ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING.
MECHANICAL $ "' (➢ VALUATION OF MECHANICAL INSTALLATION
=GAS' = ROOFING 0: SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS. FLOOD ZONE AREA =YES NO
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BUILDER COMPANY I
SIGNATURE (( REGISTERED I Y"!IN I 'FEECURREA Y!N•
Address License#
ELECTRICIAN. �' COMPANY
SIGNATURE REGISTERED Y! N I FEE cURREn' F Y I N
Address" - � Ucanse#
PLUMBER COMPANY
I ..SIGNATURE REGISTERED Y!IN FEE CURREA' -YIN. I.
Address I License#
;
MECHANICAL COMPANY I rf Sei•
SIGNATURE
< REGISTERED Y/I N ' FEE CURREA YIN, '
,•_,,,,_,
Address S . License#
OTHER, COMPANY
SIGNATURE I Y'J N' FEE CURREA" Y J N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Pullding Plans;(1)set of Energy Forms.;R-O'rrW Permit for new construction,
Minimum fan(10}working days attar submittal date. Required onsite, onstnYction Plans,'Stormwater Pians wJ Silt Fence installed,
Sanitary Facilities&1 dumpsler;Site Work.Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus.a Ufa.Safety Page;(1)set of Energy Forms.R•O•W Permit for now construction.
Minimum ton(10)working days after submittal date. Required onsite,Construction Plans,Slonnwater Plans w!Sill Fence Installed,
Sanitary Facilities&.1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans:
""PROPERTY SURVEY required for all NEW construction.
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directions;,
FlII out eppticatlon completely.. i
Owner&Contractor sign back of application,notarized.
If over$2500,a Notice of.Commencement Is required: (A/C upgradd's'over$7500)
Agent(for the contractor)or.Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some
OVER THE COUNTER PERMITTING (copy of conliact required)
Reroofs If shingles Sewers Service Upgrades:A/C. Fences(PlpUSurveyJFootage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to"deed"restrictions"*
which may be more restrictive than County regulations; The undersigned assumes responsibility for compliance with any.
applicable deed.restrictions. '1
UNLICENSED CONTRACTORS AND-CONTRACTOR RESPONSIBILITIES: If the owner has.hired"a contractor or
contractors to*undertake work,they may be required to be licensed.In accordance with*state and local regulations.. It the
both the owner and contractor may be-cited for a misdemeanor violation
contractor Is not licensed as required by law,
under state taw: If the owner or intended contractor are uncertain as to what licensing requirements may apply for the-
Intendedwork,they are advised to contact the Pasco Bounty.Building Inspection Division—LicensIng Section at 727-847=
.8009. Furthermore, If the owner has hired a contractor or:coniractors,16e, is a*dvised'to have the contractors) sign
portions 9f the"contractor Block"of thls'Aoplicatlon for which they Will bei responsible. If you, as the owner sign as the
contractor,that may be an Indication that he ls'66t.propefly licensed and lis,not entitled to permitting privileges In Pasco
County.'
TRANSPORTATION iMPACTILITILITIES IMPACT'AND-RESOURCE,RECOVERY FEES: The undersignedlinderstailds
that Tr.ansportation impact Fees and Recourse Recovery-Fees may apply1to the construction of now buildings,change of
use In existing buildings,or expansion of existing buildings,as specified In Pasco County Ordinance number 99-0 and
60-07,as amended. The undersigned also understands,that such fee's,!as may be due,will be Identified at thd time of
permitting; It Is,further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of,oddupancy"or final power release., If the proje&dbes not Involve a certificate of occupancy or
final power release,66 idea must be paid prior to permit iftiaricei . Furthermore,If Pasco County Water/Sewet Impact
fees are due,they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances;
CONSTRUCTION LIEN LAW(Chapter 713,.horlda Stidutes,as amended): If valuation of work Is$2,500.00 or more,I
certify that 1, the applicant, have been provided With'a copy of the "Florida Construction Llen.Law=Homeownees
Protection Guide"prepared by the Florida Department of Agriculture an&Consumer Affairs, If the applicant Is someone
other than the"owner",I Certify that I have.obtalned a copy of the above described document and promise In good faith to
deliver It to the"owner"prior to commencement.
CONTRACTOWSIOWNEITS AFFIDAVIT: I certify that all the Information In this application Is accurate and that all Work
will be done In com pflance with*all applicable laws regulating construction,zoning and land day opment' Application is,
hereby made to obtain a permit.to do work 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 perf6n-ned to meet standards,of all.laws regulating
construction, County and City codes,zoning regulations, and Ian'd development regulations in the jurisdictioni I also-
agencie's may,ep'apply to the Intended work,and that it Is
certify that I understand,that regulations of other government p
my responsibility to Identify what actions I must take.to be 19 compliance. Such agencies Include but are not limited to:
Department of.Environmental Protectiontypri Bss Bayheads�Welland Areas and Environmentally Sensitive
Lands,Water/Wastewaterfreatment.
Southwest .Florida Water- Management District-Wells, Cypress Bayheads, Weiland- Areas., Altering
'Wate rcourses.
Army Corps of E(lglneers7Seawalls,Docks,Navigable Waterways;
Department of Health & RehabliltAtive ServIces/Onvironmektal Health Unit-Wells, Wastewater Treatment;
Septic Tanks.
US Environmental Protection Adency=Asbsstog abatement
-Federal Aviation Authority-Runways...
I understand that the following restrictions apply to the Use of fill:-
Use of fill is.not.allowed in Flood Zone V unless 0XI:Ire6tly permitted.
If the fill material Is to be used In Flood Zone "A", it Is understood that a ftinage.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.,
Ifthe fill material Is"to be used In Flood Zone"K In cot ermIttqd building corn with a p uslng-stem,wall
construction,I-certify that fill Will be used only to fill the area Within the stem wall.
If material Is to be used In any area, I certify thaC use,of such fill will not adversely affect adjacent
properties. If use of fill.10ound to adversely affect adjacent properties,the owner may be cited for violating
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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 It required.
If I am the AGENT.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. 1--understand that a separate permit may be.required for electrical work,
plumbing, signs,wells, pools, air conditioning,gas,or other Installation's not specifically Included In the application. A
permit 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 peovislorts of the technical codes;nor shall Issuance of a permit prevent the Building'Officlal,from thereafter:
requiring a correcqqn of errors in,.plans,,constructlori 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-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
may be requested,In writing,from the-Building Official for a period not,to exceed ninety(90)days and will de mionsirate'
Justifiable qaus0or.the extefisl6n. If work'ce6s'es for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A.NOTICE OF,C ENCEMENT MAY RESULT IN.YOUR
PAYING TWICE FOR.IMPROVEMENTS.TO YOUR PROPERTY. IF YQUIRT ,To OBTAIN- FINANCING;I . CONSULT.
UR'X I
WITH YOUR UNbEkOR AN ATTORNEY BEFORE kEc69d1NG.YA1UR N I OFtbMMENCEMJ214f.
F.LO.RIDAJURAT(F.S:'i'f7:03)*—..—.....--..-..
OWNER OR AGENT, CON RAC OR
gubSchbbdishd sworn to(or affirmed)before me this S s I d nd sworn(Wr affirmed)before me this
by Fy
p WEo Islare personally known to me or has/haVe produced vu personally toine or hasihave produced
as Identification. It/C ivesidentificallon.
-�, Notary Public Notary Public
A
Commission No. Commission No.
VX-- P
Nime R Notary ryped,printed or stamped MARIO of
ICARLOS MALDONADO
Commission#GO 346275
019
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'IrTech
Office: 813-779-7508 Fax: 813-779-7504 Lic'#CAC1815498 Date:
Customer Namek�-
Address .EGG 1114 G,,- < .' Zip Code
Job . Location 4 Subdiv:
Phone# Alternate#-
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Existing Equip.
Mod.# SER.#
Mod.# SER.#
Permit #
jype of Unit: M/S S/C H/P . . S/S PAC Ton: Seer Jf 'CV:
Y N
❑ Duct Work Type of Duct Work: Metal Flex MH flex Duct Board R-
❑ ❑ Float S W:
❑ ❑ Heat Shield: Heater KW: � Wire Size Breaker Type =
❑ ❑ Pad Elec. Panel Brand: AH I Cond. PAC'
0 ' ❑ Line Set: T stat: Prog. Non-prog
❑ El Mastic Seal:
Airhandler Location: .For,
1�� AHU L—" H—" W "
— .
❑ ❑ 'Light& Recn: Return Air " Duct Size "
❑ ❑ Service Platform:, Access/Closet Door: Attic Height/Closet Size:
- I
Attic Insulation Depth = R Value
Special Notes: � ,J/, Ar X
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Bryant$ . Rheem $ , Comf 1rtmaker$
Factory. Rebates:,
Warranty: 10 year Compressor and Parts& 1 year on labor
10 year Compressorr and Parts& 2 year on labor
Air Tech Services Approval — date
Customers Approval date
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Florid-
d0pr
STATE OF FLORIDA
DEPARTMENT OF BUSINESS--AND=RROFESSIONAL�REGULATION
64
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