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20-22454
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22454 BUILDING PERMIT -PERMIT INFORMATION - LOCATION INFORMAY16N Permit Number: 22454 Address: 5554 17TH 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: 11-26-21-0010-11300-0150 Improv. Cost: 6,190.00 OWNER'INFORMATION Date Issued: 2/10/2020 Name: BOAN, LINDA D Total Fees: 75.00 Address: 5554 17TH ST Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542-4514 Date Paid: 2/10/2020 Phone: (813)788-6498 Work Desc: A/C CHANGE OUT 4 TON CONTRACTOR(S). . r APPLICATION FEES : KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 75.00 I Al I DUCTS INSTALLED Ins pectio s 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 OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CO l C T OF%TG—IN AT U R E PERMIT OFFIVR PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER - Kinsey Central Heat & Air-Conditioning, Inc. P.O. Box 2209 Zephyrhills, Florida 33539-2209 (813) 782-2300 CA-0058626 PH - DATE OF ORDER NAME DATE PROMISED J ADDRESS �• © APARTMENT CITY S. MAKE MODEL SERIAL NO. ❑ ESTIMATE NATURE OF ❑ CASH SERVICE ❑ CHARGE REQUEST QUAN. PART NO. DESCRIPTION PRICE AMOUNT I o�- I I iffy: SERVICE PERFORMED TOTAL MATERIAL TECHNICAL ' SERVICE TIME A charge of 1.5%will be made on all unpaid balances after 30 days,which is an annual percentage rate TAX of 18%applied to past due balances.Customer s liable for any charges incurred in collecting this till. DATE COMPLETED ON COMPLETION y TOTAL CASH OF WORK TECHNICIAN CUSTOMER'S SIGNATURE 813-780.0020 City of Zephyrhills'Permit Application _ Fax-813a80-0021 Building,Department f- rIV6dPhone,Contact for PerrhIttin . .. >Ai�. %Owner`'PlioneNumber''T a,,Owner'sAddress Oihiner'Pkon Number: . _ - OwHer:Phoilm�Niirribek' - ' r,.• •:LOT# ' SUBDIVISION' - (OBTAINEDAROIL}PROPERTJF TAX1[OTICIe)? i •,., - ^ (,-. -� L NEW CONS74t� SfGN'' 4 iFDE.MOLISH' ..B • INST. .r:...�" ,EpAIR ' PROPOSED'-USE Q; . .:$FR''" C.OMM='; ;OTHER TYPE'OF CONSTRUE N'c TIO 0 =BLOCK DESCRIPTION OI=INl�RK.' ;BUILDING•SIZE SQ-FOOTAGE- HE.IGHT., :.._ . . . •r- BUILDING $; i VACUAT,tON:;OF`TOTAL`rCONST.RUCTION EEGTRICAL.. $, AMP',SERVICE DUKE`ENERGY° W. EC.. R; [ PLUMBING . $.: QMECHANICAL $: C �, VALUATION'OF MECHANICAL INSTALtAT,ION" =GAS Q -ROOFING.: `[� , ,SPECIAUTI!..Q._• _OTHER:__ f.INISNED FLOOR'ELEVATIONS :: r YaFLOOD'-ZONE'AREA: [ YES: NO ..F. , BUILDER COMPANY: 'SIGNATURE �„ REfals. ''FEE;CURRE� YN;:; Add►ess License;#; ELECTRICIAN SIGNATURE REGISTE`RE6 - Y`/?N:•.' ,FEE CURRE�: " i;Y%''N -'Address ticmn'se#' = PLUMBER COMPANY _ SIGNATURE. ;RE'GISRIEti:` Y% N' E,CURREN`: ; " :'Y7N�'R :Address:' MECHANICAL. `COMPANY' T _Y ,,;W . SIGNATURE'': "REGIS ERED:' r . ,Address,:, _ ;•a;icenbe.-#,: ?✓L.- _ :;A.�=• . .OTHER:; 81GNAYURE:. RI: I$tERED =Yr7x:Ns",:. ,.FEE'CURREDa Cis ;;Address,: Ucense#, - G Y.-• :9 •1• i ~ Ye +cons`fie o orin§•.R=O VY e n cti `AttachIbC�Pfa''s 2. Sets`of= atfdin 'Pits ,1 , t. fsErie. for w.- tiu g _ RESIDENTIAL -�..) a. ,�°,(.;�>. ...? �t,,,, ,(,)._ ,..r•,K ,,:r9Y'�. .,�. ..;C:1���'•�,:. •-1.�.- ', ).'.,t' :�•' la i a: ,.i't i. Cq� W a. +�, c., •.., xMin'iffi m-ten(*,1bji Vorkiiig dais.afteFs:UWfhsl�Wate:VRi 'fired bnslfe'Otins icdott,P.l�ns;S�brmu'�efefP_fair iii�r;Stlt` �nc_e stallsdr- Sanitary:FBCilities:8�:dumpster,•-,�SICe:WotkPemiit�fbrsutidivi'sion3ne)�ge:projects` • COMMERCIAL Attach„(2),completesets;of;Bulldtng Planspfus:a�IfeSafetyhPage;(a:j'`se7`oEEriergy.•.Forms;•R-O-W Perdiltfor!newcco $tructlon- 'Minimum ten;(10);working rya 1aft�rsuS�q[ttai'dte RegJlredin'site;CoestnictforiPl�rtsi$tormwafb�iPlans w�Silt,Feni;e installed;•: Sanitary FaCliltfes&1:.tlurttlS: :SI�e JlloarfrPertnit for all new:projects:All commerdal:requireMenta must meetcomplfance'_. SIGN'PERMIT' AtNach(2)sets>af;Engneere ;Plans;r.c<: :,v:''::.:. ""PROP.,�F*t,T7YrS,1JR�/EY`reGul�ed -a lf'NW gbfiswction. .: „ . Dlrestions: :Fill out application completely. ownbr&Co'n-. _ctorstgn;back'.ofappliCatign,.notarized If over$25011;'a:Not(ee;oti t~orinrrsencemerit is ioqulred. (A/C.upgrades over.$7500) Du Agent:(for:the:contractor);oriPower:of;Attomey;(for the owner):would tie`someone<wtth notarized letter fcom:owaer-authoilnng same OVER:TIIE;000NTER?P.E,RMITTING:. (copyof contra t requ r>ed): -- Reroofs tf sfitngles Sewers ServicO Upgrades°AfC `` ,''Fenoev(Pl6tt urvey/Footage) - Driveways-Not over Counter if on.public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The un'detstgned;understands that-this permit-may be subject to"deed"restrictions" which-may_be,:m4re.:restrictive-than:.County-regulations. The undersignedpassumes-responsibility'for°,compliance with,,any applicable deed restrictions: - UNLiCEN:SED:NCO'NTRACTORS�AND:�CONTRAC70R�=iRESi�ONSiBILITIE& `lf'=#hex t`ractor or contractors to undertake v rark,atfi ey:tnay be,<required to be licensed in;accordartce will .:state a)t0..loeaE regalatibna l'-the -^c .or .� contractor ot1icensed',as required by law, both thwowner-and owner -may'�bt,eltetl,'for"a-,misdemeanor violation under state law. if the owner;or,i-intended,contractor-are uncertain,as,:to_what::�icensing.;reguiremertts:may appitytfor the infended-°work,a.they�are-advised to contact the Pasco--County Buildingzlnsisection'Divisid6 4Licensing Section at`727-847- 8009. Furthermore, if the owriet.�has: hiredF:�a contractor or contractors,:he_is ad�Clsed..to. have the contractor(s) sign portions':af"the"contractor.Block",of this.application for.which�theY_-. :be.,illresponsible...:If you, as the owner sign as the contractor, that may be an'indication that he is not properiy licensed-and Is not entitled.,-to-permitting privileges in Pasco County... : _.. TRANSPORTATION IMPA'CTIUTILiTIES I PACT. AND:RESOURide RECOVERY-FEES: The undersignedvundgF taPds that Tr ,psportatlon;Jmpact:.Fees�and--Recourse--Recove y F-ees m,aytapply-,to=the:-construction�•,of-'new buildings;-c4 ange of -use int,existing�buildirigs;..'or-exp`ansion"of`eiatsting:bUildings, as specified in Pasco County Ordinance-number.09-07 and 90-07,, as.amended...The..undersigned.also.,�understandi;,.ih6Vsuch fees,,as:maK,be:due;_will=be=:idbntified",'i e'fiii4 of permitting. It 193uithbl"1artderetati tMi epartation_Impact Fees-and Resource Recovery Fees must be-paId.prior to receiving:a�"certificate of.occuparicj'or fit`alpower.rslease.w;slf-tb project�do'es,rrlotinvovea certificateof o`ccilpa`Frcy'or final:power release, the fees-must be paid prior to permit isstialnce. 's urthermote`if Pa'soorCounty Water/Sewer Impact fees are:due;-they+must tie paidr'p�ior'toc 2r it:=issuance in accordance with apptiedbre:Pe sco County ordinances- CONSTRUCTION,LIEN'LAW{Chapter 7A3;Ftorrda Statutes;;a s(amofided)::,If,valuation'of'work4is,,$2;15�QO:OO.orrmore, I certify,#hate=l,>##ie-applicant;-:have:M eenii rovided' th a�.eopy of t4hem'nda�Construc#ion•Lien Law—Homeowner's Protection Guide" prepared by the Florldt,'D.epartment of Agriculture,and Consumer Affairs.;:If-the�ppplicant,,;is:someone otliernthan:the°owner";i.:.certify=that'F° taveolifaiiaed a-copyof#te��above desctileddo'cutiterit and-promise in good faith to deliver it to the"owner-:prior to%comm-once<ent. CONTRACTOR'SIQ1ilfN t' !e�F,.IO'``,.IT.;.l;icart,fjr:thats lift a for i�iatifo0{,jn:thisti ipupi�oatio .is;a.00##e..an, hat alLwoork r dp y. .� � will':!a one in compliance with all affiff ablelaws regulating construction;zoning'and-�°fartd�development.:a�Alrplication is hereby made to obtain a permit toP I certify'that no work or-installation has commenced prior to issuance of a-permit.,'-.and-that all work wi1C'be-.,performed to.meid't ihdards of all laws regulating construction;.County an&,0`ltJ---' ;`zoning regulations, :an`d"land'ktlbvelopment-regulations in the-'juhbdii tion,.. also certify that i understand-that the=regulations of other government agencies.,may apply4to-the.,intended work, and:that it is my responsibility.to identify what actiow-1 must take.fd:be fn compliance. Such agencies lntilude but aremot`Ilmlted_to: Department of Environmerital,.Protection-Cypress Bayheads, Wetland.Areas:.and�Environmentally Sensitive -Lands,WateNWastew,at%. reattrfent,; Southwest Florida Water Mahagement District-Wells, Cypress Bayheads, `Wetland Areas, ``Altering Watercourses. Army Corp&of Engineers»S:ea jai(s;:Docks,--.NavigabieWaterways. Department ofvHealtha� 4R, h°abilitytivek:Services/,Ehuironm'enfal Health ells; Wastewater,.Treatment, Septic Tanks. } :-'UStEnviisonmeritalPrt3,tectiortiiCgency-,Asbestos^abatement:' ; Pelletal Airiatli%i'Aittl erffyf-FU hiwayV:' I understand that::the.following:restr�cti,,ctis a ply to:the.use, fffill: Uspl dfsfiil:is.not a71`ovi�e"tl`in°i lo`i d oiae nV"uli(a's expfrossIy��permit#ed:_-t - If'the fill. material .is. to•be-used in Flood Zone A. it is understood that a drainage plan addressing a "compensating vofdrii n vVili;tim4stfbtti teed'airtime•�ofnpermittin.�,4uhlch isr pr..epared-by.:a;professionaf engineer Itcensed by tiie State of Florida. Jf-the•#iil>.materjal:is.;to.,:befi�tasec#iir�,Flood Zone°A"'In connection with a permitted building-using st�eln;wall; •. .construction,-i.,c�rt,ty"t fill wi�is..- used only to.011ttae aree�v ithfi :thekstexnKwall:. :... if fith material I.s to,..b.,e._used•in.any area, (.,certify-that use.of-such.fill-,will not adversely affect,,adjacent wprgperties :.If;wsetgf till s nd ta...adversely°affect�adigcc f>properties tF-'6VW.n0r.:may-".be::ccited for violating the conditions of the building permit issued..under,ther attached permit application, for lots'less than wgne;,(..I:). acre.-;Wvhich-are.elevatedEby,fill,sanienglneered dJ'airia'ge plan is required. If I am,the_AGENT`FOR:TMIER,1-prb is&.in good:faith<to:.inform-tlze�.owner,of-the:..permitting conditions set forth in this,afhdavit.prior.to commencingkconstruction. i understand.that a separate permit:maybe required for electrical•work, plumbing; igns;:wells;�:poals air conditioning-,.-gas}:or other-installations-not=specifically.,includ`ed-in�the-�application. A permit issued;shall be-construed,to be a.license to,proceed;iwith4he_work.and not-as authority to-violate,cancel; alter;+oi,.. set aside'any'proyisions ofMthe�technical;codes .nor'shall.;issuance of a permit:prevent the.Building:Official from-thereafterp,.- requiring.a-cor.rectidn'of-,errors-=in plans,construction or violatlons�of any-codes:.-Every:permit-issued°shail�become•-inva io unless the•work:authorized-by;swch.,permit is commenced within,.six.months,of-permitissuan_ce,,or,.if.work authorize`d�by the~permit'is-.suspended'or abandoned,for'a,period`ofsix(6)months a#ter•the`time the:virark is commenced:";, extension may be.requested,in�writing,,.from.the Building.Official farLa,4petiod not to exceed ninety(90)days and wilt:demonstrate r justifiable_cause;fortheiextension:HTifwork:.ceases:farninety( 6)j'bons' tive,.days,,Ahe.job,.is-considered:abandorte WARN NGt_TOLOWN:ER:':..YOUR FAILUR.E_.TO-,RECORD::A�NOTICE::QF3COMMENCEMENT;MAY;RESULT',IN;,YQ.UR PAYINGr W(CRFO`R IMPROVEMEN fS 7'OYQUEt*PRflI�Ei tY:t'lE 1t` IJ NT', A16* bSTAIN'P! NCIN ;CONSULT WITH-YO.URlEND.ER'=OR AN£nTORN tE RECO DING.sYt Uit Nt TIGE OFt•�(tllM CEMENT. 3 FLORIDA"JURi4T'(F:S:1'1`7:03f r ;, - s tsy � • - ' me this"� Subscribeii�and�swrom-to�or.affim7e8)^b'eforeem e•this�� , . Subsiiribdd and`swc `.o'' '``afli"r.� ,;,.. ;. Who is/are personalty known to me or hasihave produced Who(dare personals , no to e. lief. _ e orh s/riave"producetf'':�_ . . as identificallon. ;,' as identifieaHiSri:' .7777-77- Notary Public °No�ary.:Petilicd - Commission No. Commission No. = Name of Notary typed,printed or stamped .Name0.,NotarMyped,pcjntedAorstamped.;...:. i a i i j m i . 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: d GV a B ry Permit#: l:S 'Site'Address: Contractor: ?' t 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'Eriergy.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. GtJ Name of License Holder(print or type) Sign ure of License H der