HomeMy WebLinkAbout21-1626 o
v
City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001626-2021
Phone: (813)780-0020
`' •
Fax: (813)780-0021 Issue Date: 03/04/2021
Permit Type: Building General (Residential)
Property Number Street Address
1126 210010 13500 0190 5350 8Th Street
Owner Information Permit Information Contractor Information
Name: SUSAN ELIZONDO Permit Type:Building General(Residential) Contractor:AIRSTRIKE HEATING AND
Class of Work:HVAC Changeout COOLING
Address: 5350 8Th St Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (505)692-3311 Mechanical Valuation:$5,641.00
Plumbing Valuation:$0.00
Total Valuation:$5,641.00
Total Fees:$68.20 Y �
Amount Paid:$68.20
Date Paid:3/4/2021 3:54:47PM l
Project Description
A/C CHANGE OUT 2.5 TONS
Application Fees
Mechanical Permit Fee $68.20
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.
CONTRA OR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�4t
B'a'nD9°7° City of Zephyrhills Permit Application Tnval'sI n002t
war R.�.ur..a
••r•e e•• .,. �"� r'radnr CYrn»et farm
Duan
omersrums SusanElizorTdo ownefPnensHumtxr 5t)r692-331T
Ownrh Addrau 5350 lath shoot Zephyrhilrs.FL 33542 D,,,.,w Pnom Numtw
Far 5rmpta TUMAordsi Nrn. OsnwT Pr+re�w Nutnthr ��
t'ar Srmpes Ttrrrrnorder Address
JOB ADDRESS 5350 81h street 2ephyrhilts.FL 33542 LOT s 19 8r a0 x
SUvOrA3ION pARcELIos 11-26-21-0010-13500-0190 -
RMT111"Zo mm MenRry rye rrr+cT1
WORK PROPOSED ® MWCONSTr® ALUALT Q SIGN Q Q DCttr]tISII
INSTALL REPAIR
PROPOSED USE Q STR COMM [� OTIrER
TYPE OF CONSTRUCTION Q 13LOCK 0 rnAmr. Q STEEL Q
OESCRIPTIONOFWORK RRe�move and replace(1)2.5 Rheem system i1() f &j
EILKI)1NG SIZE l SOFOOTAGE MEIGKT
�DTrlZTc�cG tZlZRi!'!!!!!!1!!!!l"j&1LT!!!i!i!l4lItItSa 4l6tCSR�tSSCtISStit
VALUATIONOF TOTAL CONSTRUCTION
QELCCTRICAL AMP SERVICE Q PROGRESS ENERGY W R.E.C.
QpLLrM9tNG
COuECNAracAL =5641.00 VALUATION OF MECNArnCAL INSTALLATION
QGRS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA MYFS NO
BUILDER COMPANY
SIGNATURE t rrccr.-s�Epm � M w(x"'p�r:» Y!N
Address — Uunrna s` 1
ELECTRICIAN COMPANY
SIGNATURE RMWILRED I YIN fEEaURREN`YIIN
Address tICtTT34 T t
PLUMBER COMPANY
SIGNATURE REGMTEREo I YIN FEECURREN Y I N
Addren Licenses l—
MECHANICAL COMPANY- Airstfihe Heating&Cooling
SIGNATURE r REMSTtY" I YIN FEE Cm"M LILN
p
Address tV, t ? �D UcetLsa.1L
OTHERF COMPANY I i
SIGNATURE REosrifEafn YIN FEECURREN L.ILN
Address I Ljce e s 1—
sisilslssstssiseolllslst/Illsllslsls Islet sseelaattolattslls not Isaias
RESIDENTIAL Attach(2)Plot pions;(2)seis of Budding Plans.(1)sea of Energy Forty.R•4W Peewit for new Corabsreiion.
Kniff tan ten(10)working Clays alter submitle)dale.Required onsile,Con&%Ktion Plans,5toffmaler Plans wI Shc Faft Installed.
Sanitary Facilities 61 dwnpsw Sde Wmk Permit for subdrvWonsilama projects
COMMERCIAL tdtaM(2)Complete Sala of Building Plan pho a Life Safely Page.(1)sal of Energy Fomis,R-O-W Permit for new wstrutbon.
Minimum can(10)workbV days alter submMtat delo.Required onsite.Construction Plans,Stmvrwater Plans vd Sal!Fe=installed,
Sarutary Facilities 8 1 dumpsiar.Silo Wank PemTil[or all new proleds.At mratemal Mqu"aements must meet Comphanco
SIGN PERMIT Attach(2)eels of Enginew8d Pun.
—PROPERTY SURVEY italubod Tar oil NEW Con56ucdan.
QlrocUons: '
fdl out application rornplelaly.
Owner a Contactor sign beck of applIcatlon,notaf)ted
If over$250,s Notice of Commencement Is required.(AIG uppfsdre owr$160)
Agent(lot the contrwor)or Power of Attomcy(lot the owrrar)waldd be SaMeMO Willi notorUod letlef from QWM 01171o06110 SUM
OVER THE COUNTER PERMITTING (copy of Corllrod required)
Reroots d shingles Swears Service Upgrades AIC pollee(PluitSurvoylfoobago)
Orivewap-Nol over Counler If on public roadw ap.,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'restrcilone 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 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 appricant,
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 descibed
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 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,WaterMastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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.
Ii 1 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,after,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from
thereafter requiring a conedion 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)consecuM 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 RECOROING YOUR NOTIC§OF COMMENCEMENT,
FLORIDA JURAT(F.S.11 7 n 3) r
OWNER OR AGENT CONTRACTOR
Subscribed and swo or affirmed efore rime this Subscribed and sworn to(or aM ed)before me this,
b Gr4ln r/ �0 efylc s �}7 1 G[G
Who Is/a personallvknmu�r aslhavh a produced Who I personalty known tome hasOrave produced
as identification, as identification.
Notary Public Notary Public
Mion No. ion No.
Name Notary� r ry ,printed or stampedName o Notary type ,printed or stamped
Notary Public State of Florida
• Michelle Clas
My Commission HH 075415
E Irea 12/29/z0za
(813)424-7 n
699 tJdTE IfIVOICE a. $434 ACE CLUB KE>+caMHIP
• r (727)479-2868 Tech Naa (..�+Jr•')JC %=`1 vtO e. .ti»tilt+vr.n.s u8 Sm+taps Ftrrfeiat hsfe
:i,P.. W1► WAIRSTRIKEUSA.COh1
CAC 1819732 Ape C" CJGa:.au�rru
ILwar tt«atlaq Le:l Ct%dinj Afro E%�=e p tiG Porraa.a
Cliarsras G,zrtriyat,rr+
cu
Sect JSr;2'es:t ! ,
4 d..,,n .<...a ...;:.'aJ rP.-'t.:S S4A r—1.s,g
C
' PCK+-7' :`-._�'� •-^-:'('� Start FL zip., ,+'S•�''I �.,,...,..-...v,,.;•.-,.al.•.,...«....,5,., i
Monx'TaI: Celt Fa► :xs�,_7v.:,.u<ww�„.eu.`,.�-r_u.,'c-.:;�',,s r.-'..'.:;mw•,..---..-.R�-•er, w_.., - ,"»°"',.>.r_:.s.".;'r i...aa.- i.+e.wAm:�`Na+.'"+..w•v�wass«.+...i... {: rat i. ,•n•.�..1r^c. 59 va.o ir•w�.rlL
Er;al High Low ACWW Iiat A:-,>ar:a..`.g..�:...;<f=.:.'.a._.r ,.+.pro irv•n.�§tjt
Salem
Reason For Ca. owark Complete ' TechrdcLt.I's r
E2A.--L S:perrsaer CIFollo.Up 13Work Incomplete ERRAND ®SC CHP OVERT C NCR¢ TGt4 INDOOR IJR QUALITY
'�'� � .�` rr % tr„ :'� l:� Aretscrar =CJ►. �:r1s =C.r�wrr .;ti!
1 (a
t::.Y Q ::iA.+t ::(�Mak't. :tr'S
V41,4l :{� �i+r1r►: ;:,%' t'i�rt
Y7rv✓.� , .::. / c� Cal ,�►lt' PAYM WOPTIONSi
rC.f i I�.r'Ji`3a ;NP/J:JJ_ � f��.)•�r1CC�S� Cr,
�-1 ' Q ca v% C�-c a o C CFO"C-Wa
J � ,y, .:...y a'—.v tom'^:;!J{++••�
a VISA y U= C Ara C t=va
Hama rat C a
+ii✓'C. L.,t CAM fir.
i
e---- CQ Care. EA;wr an
r !
- -' 5
y
._.._. .-_ - J,F• .�.^y it�..t_(r `rj�'�".. !* %'fi�� �. (,.6t�.•+r _.._.._. �i�1's�..iK!
x `/�r" i�,i nr^,.) ..ti�.J f/,�r Jf/ a+s+►�a-.""�,r�"t�y`r
_..._,..__.._..,-...__-. _.___. l" _.. ! .....-_. � - -. / J -- .- !+.rrr-r f a t-w.a!•i qti.�b.i1�,vw o s'ti wa+o+..m w
.•.ants r'et Yw N avt•wr repm'�w.•.i I fw r-_m.v4•a
!: .. - -_ �^ M �, T'.1 Y•a.y ti nV'r t'w•1115w wa�C*wa N
wVr!aY[o aN..am wa�S1jSi +t`LtJ1w JS4s af.JlT}U!r
•,►1=• "Ar•'b t".it df-'wr1't N wit Ar P F.rla'Y.e.r�ea•<srsw d r a c+sq.!w aae w D3 LM1 w e+w ws^+iM.&Ad A!"' ! - "ActsY&C
pensnas.rc-tw+vs`r�..+a..,a�•. tar_.rs.crt•':•r••wrw S�rTANOARD MEMBER TOTALS ti �M...pvn+•rc+xert',4p�ra.usarotaasr
�'tSTr✓%%"w rA1 m 1n.c" t i.?.'LIYMF3].r-W ra,vit C-04 ve"tr:m1 FCC
.*CnW if�:3f°fitt"PAw'3.'A,s."P r-et to.r.arJ/SrI Ps w"!a?'m f.[E:CI.I*, �,A..: •L'
Y/ we ss w u iM
wscwn•:vv z#A +'. .m o"Jw J true Wwl—j art-W.'r.f r• raft Is uaruarMr•
t lrmr 3JC t+w t a=ad.and a;"s tot*LZI,4 is of W-4 Arrrsrsd rear. - - . M Nti sa,-aw, s ♦.,pfAur bti'1k�w
rrs L•�f ew Arms
,, ft.t's7Aw M►.rVt iM Y
_ C .r-` t iwcmr!Ncw[w!i.w tr rC�r t+ilf.'M+ �i
w:*err."s atraw+msxs
SIj�AAWfCt �-�'�"��"�� / -. avwys.aMi:SLwdsArsrss.��'�Isw ,
s
1t
a >M" Ma u'
Contractor Letter of Authorization
I, Patrick Crah license holder for Heating&Cooling,authorize the following agents to apply
for, sign for,and pick-up permits under my license number CAC1819732
DATE; 0310312021
Please allow only the person(s)listed below to sign. This letter of authorization supersedes all others previous'
file.
Francisco Lozano
Patrick Crain
Qur Printed blame
Qualifier's Signature
The foregoing instrument was acknowledged before me this day of 20 2 b!
P4Ea i-d"; (, -4-t !, who i�ersona �:ano�ath.
knme r has produced
as identifscation and who did or not to
Notary Signature
Votary Stamp:
Notary Pubdc State of Florida
+F Michelle'Clas
o My Commission HH 07505
pant1� Ezp.12+24,2L24