HomeMy WebLinkAbout20-22556 CITY OF ZEPHYRHILLS s'
5335-8TH STREET
(813)780-0020 22556
BUILDING PERMIT /
PERMIT INFORMATION. LOCATION INFORMATION
Permit Number: 22556 Address: 38134 16TH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-00800-0010
Improv. Cost: 3,200.00 OWNER INFORMATION
Date Issued: 2/27/2020 Name: JOHNSON, DEAN
Total Fees: 60.00 Address: 38150 NORTH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/27/2020 Phone: (813)610-5925
Work Desc: A/C CHANGE OUT 2.5 TON SPLIT SYSTEM
CONTRACTORS APPLICATION FEES
CUSTOM AIR CONDITIONING &AIR QU A/C CHANGEOUT 60.00
-V^
DU TS INSTALLED
Ins ections Required
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.
(T&QE"" C , I—t%n &-- ?�
ONTRACT R SI ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8137780-002g City of Zephyrhills Permit Application Fax-913-7e0-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name Owner Phone Number CJ J 0 59 a "
Owner's Address 3�15e N oti''�ln f Cv e., Owner Phone Number
Fee.Simple Titleholder Name [ Owner Phone Number
Fee Simple Titleholder Address
1 1 1 1
JOB ADDRESS o `�`-� �p V-e LOT#
SUBDIVISION C PARCEL ID# � 1 C �o� �1 "' �-UA Cl J' Ob`b
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADD/ALT SIGN Q Q DEMOLISH
L� INSTALL REPAIR
PROPOSED USE SFR Q COMM II OTHER
TYPE OF CONSTRUCTION [� BLOCK Q FRAME STEEL 0
DESCRIPTION OF WORK a 5 YZ ��°�� Cool 1 LA Seer Sp j�\-
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING 9 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E:C.
=PLUMBING $ �
F71MECHANICAL r$ -, VALUATION OF MECHANICAL INSTALLATION
=GAS �[�]� ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD.ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License,#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address �— License OF
NY
89GHA PLUMBER REGISTERED
SIGNAYURE REGISTERED Y/ N FEE CURREN.
Address �— License#
MECHANICAL COMPANY C w'U,`1 n\ C UN ', r
SIGNATURE REGISTERED VJ N FEE CURREN Y1/`N
Address Gag � Y2� WLw License# l,rlC "c
OTHER COMPANY
SOGNATURE REGISTERED Y/ N I FEE CURREN
Address License# F
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 orisite,Construction Plans,Stormwater Plans w/Silt Fence•installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)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 PERMOT 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. (A/C 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 (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage),
Driveways-Not over Counter if on public roadways..needs ROW
.NOTICE OF DEED,RESTRICTIONS: 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 compliance with any
applicable deed restrictions: :
UNLICENSED CONTRACTORS AND CO NTRACTOR'RESPONSIBILITIES:. .If the• owner has hired a contractor or
contractors toy 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 a 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: '_Furthermore,' .if the owner_ has.hired a contractor,or.contractors, he is advised to have,the contractor(s) sign
portions of the-"contractor Block",of this application for which they will be responsible. If you, as.the:owner sign as the- .:
contractor;-that-may be-an indication that he is not properly licensed and.is'not entitled.to permitting privileges in Pasco
County: ;.
TRANSPORTATION-IMPACTIUTILITIES IMPACT AND 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 buildings, or expansion of existing buildings., as.specified in Pasco County:Ordinance number 89=07•and-
90"07;'as amended.::The undersigned also understands, that such fees, as may be due, will be•identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a."certificate of occupancy" or.final'power.release. If the project'does not involve a certificate'of occupancy or
final power release, ,the fees must be,paid prior to permit issuance: Furthermore, if Pasco County Water/Sewer.Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LNEN LAW(Chapter.713, Florida Statutes, as amended): If valuation of work is$2,500.00 or.more, I .;
certify that), the applicant, have been.provided-with:a copy of the "Florida-,Construction Lien'•Law=Homeowner's
Protection.Guide".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
0.
'deliver it to.the"owner".prior to.commencement.'
CONTRACTOR'S/OWNER'S AFFIDAVIT: I 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 a permit to:do.'work and installation as indicated: I certify that.no work or,install
ati,on has
nc commeed prior to'issuance:of a permit and that all work will be performed to meet standards of all laws regulating
construction,; County and City codes; zoning regulations,,and land development regulations in the jurisdiction: I 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 must take to be in compliance. Such'agencies include beat are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally;Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida. ,:Water Management District-Wells, Cypress Bayheads, Wetland.—Areas,'' Altering
Watercourses.
- Army Corps of.Engineers-Seawalls; Docks, Navigable Waterways..
- Department of Health''A Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks: _
- US.Environmental Protection Agency-Asbestos 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 W"unless expressly,permitted:.
If the fill material is to be-used .in.Flood Zone ':A", it is understood .that, a drainage 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..
If.the-fill.material-is to be used in In.. .Zone "A" in connection with a permitted building using stem wall ;
construction, I certify that fill will be used only to, the area within the stem wall.
- _ - If fill material is to be :used in,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 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, 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,permitting conditions set forth in
this affidavit prior to'commencing construction..-I understand that a separate permit may be required,for electrical work,
plumbing;.signs, wells,'pools,,;air,-conditioning,,gas, or°other installations,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 fo.'violate, cancel, alter, or-
set asideany,provisions of the'technical codes, nor shall issuance of a permit prevent.the Buildirig.Official'from thereafter
requiring a correction of errors in plans;,cpnstruction 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 fora period of siu(6)'months after the time the work is commenced.- An extension
maybe requested,-in writing, frorri the-Building;'Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension, if work ceases for ninety(90)consecutive days, the job is considered abandoned. _
WARNING TO Oliif�NER- ;YOUR FANLURE TO RECORD A NOTICE OF COMMENCEMENT MENCEMENT MAY, RESULT IN 'YOUR
N�MYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO.0,BTAIN FINANCING, CONSULT
WITH lYOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM MENCEMENT.
FLORIDA JURAT(RS:117.03)
OWNER-OR AGENT -CONTRACTO
:'Subscribed and sworn to(or affirmed)before me this S b ibe and swo 0 or o e
�:. by '1 a�by 'paY�c t Vl
,Who is/are personally known tome or has/have produced Who Is/are personally known to me or hasthavb produced.
as Identlficafion.. as identification.
Notary.Public C `' Notary Public,
Commisslon No. Commission No.
' bile StptB
Name of Notary typed,printed or stamp Kali MaGI®Ilan Name of N ary.typed,printed or stamped.
M is
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Custom Air Conditioning & Air Quality, LLC
6804 Oak Crest Way,Zephyrhills FI 33542
a memt3erof`:I►AtKtAYgroup 8132556221 manager@customacquality.com I customacquality.com
RECIPIENT: E Quote
Dean Johnson
38150 North Ave
Zephyrhills, FI 33542
SERVICE ADDRESS:
3813416th Avenue
Zephyrhills, Florida 33542
- e ® • TOTAL-
2.5.Ton Straight Cool 14 1 $3,200.00 $3,200.00
Seer, Condenser, Air
Handler 5kw Heat, 10 Year `
parts and 1 Year Labor
Warranty
Permit 1 $0.00 $0,00
Total
1 $39200o00
This quote's =:. :.:r the next 30 d° a,; w;tich values may be subject to
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