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HomeMy WebLinkAbout07-6388 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6388 Permit Number: 6388 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 3,500.00 Date Issued: Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 1/22/2007 Work Desc: 2 TON AlC CHANGEOUT Address: 38242 IRONWOOD PL ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-021A-00EOO-0020 Name: AWE, CHARLES Address: 38242 IRONWOOD PL ZEPHYRHILLS, FL. 33542 Phone: ( r1?jl1 ~ DUCTS INSULATED FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." NO OCCUPANCY BEFORE C.O. ~l--. ~. NTRAq OR SIGNATURE" PERMIT OFFI ' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER /~ C____ 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-78U-UU~1 Owner"s Name I r ;}- ')- rc.~ 7 c'Acz ~,/~ J3);2<-;2 9/ Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received Owner.s Address Fee Simple Titleholder Namel ~r t.:' N UL-- .;''t) c,f Fee Simple Titleholder Address JOB ADDRESS LOT# I PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK I B D D PARCELlD#1 .-)2. - ~~- ZI- 0 ~/f1. - 60 G'co -cxfl.o (OBTAINED FROM PROPERTY TAX NOnCE) SIGN D MOVE D SUBDIVISION WORK PROPOSED E1 D D I ADD/AL T REPAIR COMM FRAME DEMOLISH D D D ;Z 7Irv A7c~ c A C~ "'~ BUILDING SIZE I I sa FOOTAGE I I HEIGHT I IIIIIII , III1III1I1III11111111111111111111111111111111111 , II , II , 111111111111111111111111 . I , III r "111111111111111111111 . IIII J II t IIIII r IIIIII r 11111111 DESCRIPTION OF WORK OTHER I STEEL D o-z:~d--- OTHER I D BUILDING 1$ I o ELECTRICAL 1$ I o PLUMBING 1$ I o MECHANICAL 1$ 55(;.0 ~-c) I o GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111 " III " 1111111111111 " 11111I " III " 1111111111111111 " 1111 " III " 1I111 " 11111I " 1111111111111111111 " 11111111111 " " " 1111" 111111 COMPANY I I REGISTERED I I I I I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE Y/N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Address License # /BA OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # 1111111111" III/III " 1111111/1111 " 111111111111111111111111 " II " 1111111111111111111111I " 11111111 " I " 11111 " " 1111I11111111111 " I " " 11111111111 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 subdivlslons/large projects COMMERCIAL Attach (3) 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/ Slit 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. .......11111...'"1'.11..11111...11......1111.11..............11.........................11........................11111111111111111111111111111111 Directions: ' Fill out application completely, Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (Ale upgrades over $5000) .. 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 Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter If on public roadways..needs ROW r~~l~f'{i unlYid ' .' N ~ liON IMPACT/UTILITIES. IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands '~t"tr 1011 Impact Fees and Recourse Recovery Fees may apply to the construction of new bUiidings, change of \tJ~ijlri~x', '...".',' ","uiltJings, or:expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 'i~Q..d]i~s~m~~~~9: The undersigned al.80 understands, that such fees, as may be due, will be ideriHfh~d at tHe time of >,~,~ftl)i,~ting.;,I!"i.~,.'~~~her understood that T,ransportatlon Impact Fees a~d Resource ~ecovery Fees must be paid prior to {i,' ' regeIVlnga;?e~lflcate of occupancy" or final powerrelease. If the project does not Involve a certificate of occupancy or '" finFlI power Jele~~e, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due;.thf:lymust be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTioN. LiEN LAW (Chapter 7.13, 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 "o'Nner" 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, WaterlWastewater 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 nin~ty ~90) da~s 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) CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who Is/are personally known to me or has/have produced as Identification. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who Is/are personally known to me or has/have produced as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped ; ,~.;:'>.-,.~ "t- ''';:,~ .?, -':'.I!'t;"~.::.-fii. -------- , NAME Kinsey Central Heat & Air-Conditioning, Inc. p. O. Box 2209 Zephyrhills, Florida 33539-2209 (813) 782-2300 17~s-es/" [ ADDRESS CITY MAKE MODEL SERIAL NO NATURE OF c) SERVICE REQUEST QUAN, PART NO, PRICE " '.. ~- SERVICE PERFORMED TOTAL MATERIAL TECHNICAL SERVICE TIME A charge of ] SYO will be made on all unpaid balances after 30 days, which is an annual percentl'lge rate of 1 fNu applied to past due balances. Customer is liable for any charges incurred in collecting this bill. ,/ _ ," DATE COMPLETED 71UUm ~(Utl /- /I -Ci /' CASH g~ ~g~~LETION _ TAX TOTAL TECHNICI~ ~ CUSTOMER'S SIGNATURE ~7Jlf.~"""'''!'''''?:;-'''~_'''-- "Ci~:"""~'.:. CA-C058626 I DATE OF ORDER 1- /5--07 DATE PROMISED APARTMENT o CASH o CHARGE