HomeMy WebLinkAbout20-666 Q
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f ;►� City Of ZephyrhillS .PERMITNUMBER '
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-` 5335 Eighth Street
Zephyrhills, FL 33542 BGR-000666-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 09/02/2020
77
77
Permit Type: Building General (Residential)
Property Number Street.Address'`
02 26 21 0300 00000 0190 6773 Basswood Circle
Owner Information Permit Information ContractoFInformation;k='_
Name: ROBERT&CAROL ROTHGEB Permit Type:Building General(Residential) Contractor: RED CAP PLUMBING&AIR
Class of Work:HVAC Changeout INC-MECHANICAL
Address: 6773 Basswood Cir Building Valuation:$0.00
ZEPHYRHILL,FL 33542 Electrical Valuation:$0.00
Phone: (813)779-8441 Mechanical Valuation:$7,468.00I �A
Plumbing Valuation:$0.00
Total Valuation:$7,468.00
Total Fees:$77.34
Amount Paid:$77.34
Date Paid:9/2/2020 11:42:30AM C
Project Description _ r r
A/C CHANGE OUT 2 TON
Application Fees .
Mechanical Permit Fee $77.34
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 subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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.
CONTRACTOR SIGNATURE PE IT OFFICE
(PEI�/MZITEXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
I.,ILy UI/-UPI I yr l Nub rCi I I I I L 1-%PPIn1t2UUII
Building Department
Date Received Phone Contact for Permitting
Iiti€X€€ ``ff r- . I.I I QQ p'r
Owner's Name 12Obtr OTIr� C{o Owner Phone Number
Owner's Address 3 �(' is Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 14
tt r�
JOB ADDRESS U113 -gosswagd r LOT#
SUBDIVISION Drjk-'ty0[0d LISt PARCEL ID# 0a-01CO -CA(-Q30O-00noo 0�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADD/ALT u SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION 11400,
1 BLOCK = FRAME STEEL =
DESCRIPTION OF WORK 1400. SQUAB. CRA966CUT XP u-o C AASUIA —z_
BUILDING SIZE I SO FOOTAGE HEIGHT
L LILkL L-LL{L{L{LLL+LL,{LC[.CR.{LLL CLL k.L.L C L C{C LL LL{L{CICL L{LL LLL,
=BUILDING S VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
i
®MECHANICAL $ 4 VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER �v
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
il#Ill 0 V#9
0 11 Il
il III f i f f i 41 f i III Il
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE RE;ISTERED Y/N FEE CURREN
Address f�� �/i- License#
MECHANICAL COMPANY 96CA `6`I'^ It)"6hglit
SIGNATURE go� {`__� AA�• T RE-GISTI_RLD YIN FEL CURRENp YIN
Address GID r"4 l�fl/ 1&,.,, License# CKC 1$1 3 3 411
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
Ittti€loll IWRATIS1€li1Y.Ii11111t"iI€€[I€€€i€I€Yfiis Ittattlls t€i111 €lt€.t
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&9 dumpster;Site Work Permit for SUbdlvlslons/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,Slormwater 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 construction.
Directions: I s I
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 Attomey(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-Nut over Counter if on public roadways..needs ROW
�.uy Ur z_CNr iyi i uua rci i iui r%NNmuauUr i
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 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'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 he 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subsc ibed and sworn to(or affrmad)}Zefore pe this
by �by �.:ds( � hav
Who is/are personally known to me or has/have produced is are personally known to me or has/have produced
as identification. as identification.
Notary Public / LI Notary Public
Commission No. Commission No. GG q�O�
-Dt,6r a. OA--N
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
r
Debra 002
.� CornmMIM#GG 1907
ExplM March 21,2022
Banded On Aaron NOtM
PLUM KING & KIR
PO Box 9627 Tampa, FL 33674
Phone: 813-963-3056 Fax: 813-963-3016
http://www.redcapplumbingandair.com
August 7,2020
To Whom it May Concern,
I, L�wolC. y2i Cat ,do authorize the following
to pull permits on my behalf.
Manuel Litchfield
Eddv Cueya
Darryl Phillips
Thank you,
Linda Ricci
Lie#CAC1813344
Red Cap Plumbing and Air
STATE OF FLORIDA COUNTY OF 4�,�1Sbocova�n
The foregoing instrument was'acknowledged before me this 7 day
Of ALA,,� , ate,by L.iwol 0-tc4. .Who ' personally lrnow
to me or has produced identification (type of identification)
Signature of Notary Public Print Notary Public Name
Type/Stamp Name of Notary
` �:8A Debra Offs
- _ Commisslon$GG 198887
F.xplres:March 21,2022
'o� Bonded thru Aaron Notary
Plumbing#CFC1425669 HVAC#CAC1813344 --- - " ` '• "' '_- '
I � EQUIPMENT IDENTIFICATION THIS IS YOUR INVOICE# . 34382
Mfg. Type- ;Model# Serial# , Loc.
�:I DATE I l 'JOB TYPE
8605 N:Nebraska Ave,Tampa,FL 33604 - f - _ -_+ �� - _ - -' �. % s•L- . ) =`BME IN 'TIME OUT
Phone:(813)963056 t
i - - - 'redcapplUmbingandair.com
�'P'L:'U M B 1 N G & A 1 R` Ejrre'acappiumbing 4 - TECH NAME
�. x e .A _ ;ti ; _ JOB STICKER#
5' :::.i _,'• n � :1+�j- I' . . n' iYe Vie. 7�: i •r o _ :PO#'
ICustomerName: �'.l. '�''1' ,t�I►J �/1/ �t,Yc�. r' - _ ` _
NOTES: -
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".City: ;= ck - Slate: FL Zip: 2 f Bill To: z
;H/VV/CYly el
H/W/C# :Address:
�+ • INSPECTION
THERMQ18TAT ; l7T Static Pressu a DRAIN i '. l7 Pu Flow. % ❑Discharge. ❑Defrost/Terminate WARRANTY'CLAIM ACKNOWLEDGEMENT
I'; =
❑Aceuracy ❑,Return Supply'- ❑Inspect Pan Condition
OUTSIDE FAN -❑Discharge Temp OTHER by an 'Insurance
I. Extended Warranties are underwritten
I '°-.;0 Set Point O Evap,Coil _ ❑Clean Drain/Flush ❑Electrical Connections :❑Sup/Sub ❑Tighten Screws company.
'� �, parry. As with all insurance, certain requirements and
b Ambient Temp. O Clean. _ ,`, ❑Pan Guerd;+ ❑Volts AMPS� ELECTRICAL ❑Clean,&Wax OD Unit limitations apply.,If your warranty claim Is denied,or portions
I il.❑•Ru'sting/^Corrosion ❑BioSide Spray ❑Capacitors ;. ! ❑Relays „ ❑Clean.Cabinet Switch thereof,the owner is responsible to pay for those repairs.
"AIR FILTERS r•❑,Recommend Pull 8 Clean ❑Float Swit&h, ❑Fan — '❑Contacts ❑Rust 8 Corrosion
{,,:, ! = r _ Dear Valued Customer,
❑.Type•' :BLOWER, COMPRESSOR ❑Noise ❑Pressure Swtch REFRIGERANT LOG
l]Cl6i A6d!Replaced P Strip HeatAMPS ❑Electrical Connections ❑B`ilance_ ❑Sequencers ❑R-22 :❑410 A third party warranty claim will be processed byRed Cap foi
r - } - _ = either LABOR/PART(S)or both;on;your behalf.We will make
❑Size," O Electrical Connections- ❑Volts DAMPS ❑Temp ❑Overload/Fuse Links_ ❑Recover lbs. every effort to collect for the repair-from yourwarranty company.
❑Localibn ❑,Volts AMPS': ❑Capacitors•'' / REFRIGERANT ❑Transformers ❑Put Back_lbs. In the event they do not pay,you will,be responsible to pay for
_ - therepairs made thaPma D FBG`%A/H.,E'•,:,.. _.-, ❑Blower•Wheel CONDENSOR COIL ❑Type' _ ❑Disconnect ❑Back to Shop_lbs. - y not be covered by youc_warranty. `
AHU., Blower,Relay ❑Clean Yes_No -r ❑Suction: 1 ❑Defrost,Control By signing this corm,you acknowledge if the claim ris unpaid.
I':'❑Temperature Differential ❑��Capacttors -/- ❑,Corrosion Protection ,] ❑�Sucliori-Temp i: :- ❑Connections _ = you will be responsible for today's charges as quoted by your
-1 Service Technician.Payment will be due upon receipt bf invoice.
• • • •
We value you as'a customer and would like to thank you for
choosing Red Cap for your heating and air conditioning needs.
_ /' _ Please feel free to contact a Customer Service Representative
;�j �i� 150,l(,_ _ f - r. -_��)� f�with any additional questions at(813)963-3056.
`I .�`.:,? U'{�Y •1 �•�✓k. 4:L�;✓L( ,�. 1 (�,� .•/yyt•r� V�`.•�I:�./.- _ n 1 �`7 V t �n..w//2Ci Date:
1 �
Invoice#' Quote Amount$
ILA
UO /L� _PAYMENT OPTIONS
❑VISA ❑MC ❑AMEX '❑DISCOVER
) I 61� � IZ � �-Z'l �,Z�,l��• ."�L = i r fJ j'/ -
I �• r Auth Cade
.u, J ❑CASH ❑CHECK# s
Ag Bement for Sery ce:The;estimated,piice Induces (orolher)tax It does not cover unto eseen parts or labor which may be needed after the workJbegilts.Written customer authorization will be obtained'befo a beg, mg work ❑BILL OUT
'.I'autho¢e the perfonnant�o(the wo k described herein.+Tfl s invoice includ ng fazes,s due and payable upon receipt Signature.X APPROVED BY
INVOICED-
CID Exp.Date: I I- 0
11 aniIiENTTEsers:-70TAL DUE AM PAYABLE"ai_Fln UPON - - �' � � - WORK COMPLETED -
`.tldIIPLErII)Ml)NLE55 OTHF7i1415ENOTE0.tthq�:•:: +• ; MAINTENANCE CALL CHARGE - - SATISFACTORILY Initial X
i' a.OLif`J®rildie owner(audiormtl repieseMaarerrn•erernl'Mime -
prermsee ai d'erh Cie work IM&Md BEO :i b Be Pedamed. I -
i,I eudia'va'W proard ro'abm Dbilmdrand Remneretlaeon' _{• �?�l►. "' ' �" _
i,(YaA7 aa�ry'rmd an other wort�pleim,t triebr aimrotlm '�• /. [� - .
'Rear .ere ammnte�e tepee—w D . Los", r�j� )i SUBTOTAL $ $
7 aGo a end W,ae Gal lab f,&d: ete'!ul as•x rvy = - -.
`Deem i0rahk��acUiokdye and epee m pay a rtryrdJy eerfm Y l� n/ ;: ,, i _ '- - _
'-durge'ol 75%;o1 ore eNie wsad balarrx'shou'N I dolauE m aJ(i"I1 fti'7 - ., _ — - --~- _ _ LESS14
;p�dgeB r �a�eaaAe�ed41Rea.�b COUPONS;' $ $
I ctlkC Sn,,Nrpad balance.I IKretry adum'weaae Cial d my Cieet :° I 1 n - - - '-
',5 teemed foi• deN lords,I mWd be fettle fm.3 film Nei.. �`r{ '{�Y� (j N - Cv '1 , lJ `-'(��lF y' •- .,
Ba1N0ldlbe e,erkmsso4•mrtliea 6'more,pus ra®ax vah� - �. TOTAL -•dEz r I a'ritl�'mm msh I r�noiu etlumWeEge out I low res4 1 �' .
ihiderstnod.,aid apes%au me.term and mr 66i rat bth �/ •\
+ oil depo`rY and rNene side d Ibe lmm.(Addtiwl Terms
l Cardtiaa appeir on the rewne ei0e of ties doament)
D SIGNATURE XAUTHO PAYABLE $ $
-