HomeMy WebLinkAbout20-22638 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22638
` BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22638 Address: 38623 LANSING AVE LOT 118
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: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-00000-1180
Improv. Cost: 5,465.00 OWNER INFORMATION
Date Issued: 3/19/2020 Name: LECLAIRE, MARCEL & DOROTHY
Total Fees: 70.00 Address: 38623 LANSING AVE LOT 118
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/19/2020 Phone: (813)782-2561
Work Desc: A/C CHANGE OUT 3 TON HP
CONTRACTORS APPLICATION FEES
ENVIROMENTAL CONT. A/C CHANGEOUT 70.00
P11
DUCTS INSTALLED Ins ectaons 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.
C&NTIUCTOR 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
Date Received +
Phone,Contact for Permitting —
Owner's Name Ct'f�� I `� !/O�rJ (i�=G' �L Owner Phone Number 13— -76 z—Z'�6
Owner's Address 3tp 2 3 G/1 s•n Owner Phone Number
Fee Simple Titleholder Name F7 Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S C4✓ LOT#
SUBDIVISION S1 C�e I� dG./ �' � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
.;:''-'BUILDER COMPANY �AW ra'o'1 ey?e,1
SIGNATURE REGISTERED N FEE CURREN /N
Address t o07, 1 J -2-� License# ZA G 1 6 y 4 7z-
ELECTRICIAN COMPANY
SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
,SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&'1 dumpster.Site Work Permit for allnew 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. (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 (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/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 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. If the
contractor is not licensed as required by law'l 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 IMPACT/UTILITIES 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 LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, 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
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 installation, has
commenced 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 I regulations, and land development regulations in the jurisdiction. I also
certify that l 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 but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lan ds,,',W6ter/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Arrriy`,Corps of Engineers-Seawalls,, Docks, Navigable Waterways.
- -Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic.Tanks.
US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understandtl at.the;following restrictions apply to the use of fill:
Use:.of:fill'is not allowed in Flood ZI ne 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
"cornpensating..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 Flood Zone "A" in connection with a permitted building using stem wall
constru6tion,�_1.certify that ill will be used only to fill the area within the stem wall.
If fill';materia[Js 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)
adne,which`ale,elevated'by fill, an,engineered.,drainage plan is required.
If I am theAdMT,1 OR THE OWNER;I promise in good faith to,inform the owner of the permitting conditions set forth in
this afFdavit:,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=shallbe construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside-eny.provisions,of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiringr.a.correction of errors in plans,.construction or violations of any codes. Every permit issued shall become invalid
unless th6: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 demonstrate
justifiable cause for the extension. If work ceases 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITKYOUR'LENDER OR.-AN ATTORNEY BEFORE-RECORDING-YOUR NOTICE-OF COMME ENT._
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Subscribed Jb
o(qr affirmed)(�bbV�fore me this 1
by 3`W-Zo Who is/are personally known to me or has/have produced W /ar�,,pperown to me or has/have pro uced
asidentification. lJl�l ce-n 9-1-- as identification.
Notary Public k"� ""' Notary Public
Commission No. Commissio N .
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
i
Work Ordee r
Environmental Contractors 3/19/2020
10221 Hwy 301 Summary: PKG UNIT C/O
Dade City F/33525 Reference#: 11041-135
(352)567-5515 Tech: SHAWN
Bill To: Job Name:
Marcel&Dorothy Leclaire Marcel& Dorothy Leclaire
38623 Lansing Ave. 38623 Lansing Ave.
Zephyrhills, FL 33542-6312 Zephyrhills, FL 33542-6312
(813)782-2561 H (813)782-2561 H
Description of Work
INSTALL 3 Ton, Heat Pump, 14 SEER, R-410, BRYANT Package unit, with 5 KW heat strips, new digital
thermostat, concrete pad, and permit. Optional: DW Duct C/O @$600 (12" duct only) $5,465.00
AHRI#7818620
Installed Equip Install Date Model# Serial Equip.Warr Labor Warra Service Exp
BARD MP36A
HEAT STRIP H3HK005H-01 B 91766B 01/05
3 Ton MILLER Heat Pump-12 Seer- Q3RC-036K Q3F050403201
5kw Heat
3 Ton MILLER Heat Pump-12 Seer- 6/13/2005 Q3RC-036K Q3F050403201
5kw Heat
* FILTER: 14X20+REF: SIS=REC 11084+6/05-3T MILLER HP 12 SEER PKG++
* SLEEPY HOLLOW MHP++54E @ 12TH ST++2-26-21
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection,including attorney's fees.
Jacqueline Boges
From: Kalvin Switzer
Sent: Thursday,April 9, 2020 12:22 PM
To: Jacqueline Boges
Subject: RE:Pic for Permit#22638
Good to go
From:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Sent:Thursday,April 9,2020 12:20 PM
To: Kalvin Switzer<kswitzer@ci.zephyrhills.fl.us>
Subject:FW: Pic for Permit#22638
Sorry this is mechanical inspection...
Jackie Boges
813-780-0020 ext 3513
"A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed,a mere doctrine,but it is He
Himself we have."Dwight L.Moody
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail
communications may therefore be subject to public disclosure. If you received this message in
error, please do not read, forward, copy, etc. and delete immediately.
From:Jacqueline Boges
Sent:Thursday,April 9,2020 12:20 PM
To:Kalvin Switzer<kswitzer@ci.zephyrhills.fl.us>
Subject:FW: Pic for Permit#22638
Last of pictures
From:Carey Ehrman<envcontractors@vahoo.com>
Sent:Thursday,April 9,2020 11:41 AM
To:Bldg Dept<BDept@ci.zephvrhills.fl.us>;Jacqueline Boges
Subject: Pic for Permit#22638
EXTERNAL EMAIL
Address:
38623 Lansing Ave.