HomeMy WebLinkAbout20-22718 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22718
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22718 Address: 5124 9TH ST
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: 11-26-21-0010-19400-0120
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 4/09/2020 Name: MARTY, MICHELLE & NEIL
Total Fees: 60.00 Address: 23501 ABERCORN LN
Amount Paid: 60.00 LAND O LAKES, FL 34639-8816
Date Paid: 4/09/2020 Phone: 813-802-6606
Work Desc: A/C CHANGE OUT 1.5 TON
CONTRACTORS APPLICATION FEES
STAY COOL AIR CONDITIONING & HEA A/C CHANGEOUT 60.00
l
DUCTS 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 OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ON RACTO SIGNATU PERMIT OFFICgR
PERMIT EXPIRE N 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 M G F
Date Received Phone Contact for Permitting
1'111!![It xa /^ [!a[[
Owner's Name l nn c 1 `r1 QQ Owner Phone Number l/ V
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 1_ G 1
JOB ADDRESSaq I\ t ✓ V LOT# �
SUBDIVISION PARCEL ID# _J 11`" Q_I I
O `
(OBTAINED FIROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADDIALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE d SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME 0c(�STEEL Q G
DESCRIPTION OF WORK IFTO • N
BUILDING SIZE SQ FOOTAGE= HEIGHT
cc L-c c ram-rc-sccc me ;rs cuss crccc t ��r r'scf><s c rc �>frrcres cn Qj
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION }�
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. V
=PLUMBING $
=MECHANICAL $ ��/-� VALUATION OF MECHANICAL INSTALLATION �
I W
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address !n,Liicense## a�
MECHANICAL COMPANY
SIGNATURE ,^ REGISTERED Y/ FEE CURREN Y/N
Address N Q l2 (� Qu1 �j License# 19
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
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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,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW ConsWction.
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(far the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Renwfs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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,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 property 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 80-07 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'SIOWNER'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 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 but 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 & 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"V"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 Flood Zone "A' in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill 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 to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from
thereafter requiring a correction of errors in plans,construction 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 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
WITH YOUR LENDER OR Abi ATTQRNEY BEFORE RECORDIN klm"CE —O&ANAENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this sd III and swom to or affirmed)bQ(e me t
by by, �L Wti
Who islare personally known to me or has/have produced W 01 are personally known to me or has/have produced
as identification. as identification.
Notary Public o Notary Public
Commission No. Commission No.Cy a )4C3 T J
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
' ;I AARONANDERSON
.1. .: MY COMMISSION#GG 23938:�
� Pa EXPIRES:August 24,2020-.
Ronded T}w Notary PUNIC UnderwdWS:, ;
.Alfa 'CON�a�l�`9t''+�ING ANID HFHATING _
4620 N HALE AVE,TAMPA, FL 33614
(727) 325-3554
jiil@staycoolfiac.com
CAC1813978
i
CONTRACTOR'S AumomzATION LETTER
I, DONALD SMITH license holder
for STAY COOL AIR CONDITIONING AND HEATING
authorize the following people to apply/ sign for permits
under my license# CAC1813978
Please allow ONLY the person(s) listed below to sign. This letter supersedes all others and is
valid for one(1) year from'date of this authorization.
JILLIAN TORNEY
ROBERT BALLARD
PAUL"MIKEY GOMEZ".
DONALD SMITH
ontractor's Signature Contractor's Printed Name and Date
STATE OF FLORIDA
COUNTY OF. iLX5136rj5LkC,,"
The foregoing instrument was acknowledged before me this O day ofAffilL...- ,by
DONALD SMITH who is personally known to me or has
provided as identification.
MRONMI)ERSON
'R
.,; Wc0MMtSs10N#662393$ Notary Public
= a: EXPIREs:Aagust24,2020
.?F�F p4•` 8onW Thm Notuy W&Undw.Wfets
CHECK LIST 107c Dunbar Ave. Licensed,Bonded,Insured
]COMPRESSOR Oldsmar, FL 34677 CAC1813978
a4STA
13LOW i PSIG 727-325-3554. 813-343-4584
OHIGH PSIG 863-225-9260 .352-854-8082 . 941-212-1085
OVOLTS Entail-sraycoolflac@gynaiLcom
13RATEDAMPS-I PULLING Serving Pasco,Pinellas,Hillsborough &Polk INV. #
]CONDENSER COIL 900
OCLEAN COIL&CHECK FINS COND. NAME �< DATE '"1_) MAKE
]REFRIGERANT J
OLEAK O CHARGE ADDRESS S^j L I �`� 5 MODEL# SERIAL#
WAN AND MOTOR CITY Z r ( � ZIP '3�jS`L) UWARRANTY
O RATED AMPS -PULLING OCONTRACT
OELECTRICALCONNECTIONS PHONE HOME: t _ UZ r*6RK: psERVICECONTRACT
OCONTACTS TIGHT&CLEAN ONORMAL
INSPECTION: Make All Checks Payable to:STAY COOL AIR CONDITIONING&HEATING ORES. DCOMM.
OFAN PULLEYS(ADJUST BELT) p
OCHECK,LURE BEARINGS&MOTOR :-A QUAN DESCRIPTION OF WORK '
IEVAPORATOR COIL
OCHECK f�e M o 5 I"c } (� e Cam-, J� 1 �!�
OAIR IN F
OAIROUT F h f •r C �� P �..,i� (� /� (.� ^� Sk�J I'� w� S�.r•1
ICONDENSATE AREAS ) I ^
0INSPECT&CLEAN DRAIN PAN �h �� f n C P
OINSPECT&CLEAN DRAIN
IAIR FILTERS J 1
13CLEANED 13REPLACED _ r r l 1 A
FILTER SIZE — c cS tom'\ 1�C� ' S v r "� r/ r•• ! U S
(HEATING ASSY.
OBURNER&HEAT EXCHANGER
OPILOTASSEMBLY
OPRIMARY RELAY&FUEL
OFAN&LIMIT SWITCH OPER.
OBLOWERASSEMBLY �5 5 I Q C 3cxa0 1r, a
ORV VALVE
OHEAT STRIP
PRATED AMPS—1—PULLING 7 J53 )DIN CA
ODEFRO5T CYCLE
IELECTRICAL COMP'TS. ' ' DtscouNr
ORELAYS O CONTACTORS I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO ORDER SUB
OOVERLOAD O PRESS SWITCH AS OUTLINED ABOVE IT IS AGREED THAT THE SELLER WILL RETAIN TITLE TOTAL
TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL FINAL&COMPLETE
THERMOSTAT PAYMENT IS MADE,AND IF SETTLEMENT IS NOT MADE AS AGREED,THE DIAGNOSTIC
SELLER SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL
OOK O REPLACE BE HELD HARMLESS FORANY DAMAGES RESULTING FROM THE REMOVAL CHARGE
THEREOF
OO.D.T. F WE RECOMMEND REPLACING ALL DUCT WORK WITH NEW SYSTEM INSTALLS. DEDUCTIBLE
S.C.A.C.&H.WILL NOT BE LIABLE FOR ANY MALFUNCTION WITH THE NEW
ARTS WARRANTY SYSTEM DUE TO THE USAGE OF OLD DUCT WORK
I parts as recorded are warranted as per There will be a$35.00 charge for all retumed checks
rnufacturer specifications. will bQ 1 I of�tt n all late payments at 30 days. im
do not,of course,guarantee other l lL .G.0
its than those we Install.If repairs later 'CUSTOMER AufHbhYff6sIdNATURE PAID BY
come necessary due to other defective p CHECK O CASH
rts,they will be charged separately. I cer*that I have performed services indicated. CKu
NO WARRANTY
ON DRAIN LINES x I1 ✓ l S VISA MC DISCOVER