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:
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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
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C____
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-78U-UU~1
Owner"s Name
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Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
Owner.s Address
Fee Simple Titleholder Namel
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Fee Simple Titleholder Address
JOB ADDRESS
LOT# I
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
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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
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ADD/AL T
REPAIR
COMM
FRAME
DEMOLISH
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BUILDING SIZE I I sa FOOTAGE I I HEIGHT I
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DESCRIPTION OF WORK
OTHER I
STEEL D
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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
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COMPANY I I
REGISTERED
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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 #
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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, 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
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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
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CA-C058626
I DATE OF ORDER
1- /5--07
DATE PROMISED
APARTMENT
o CASH
o CHARGE