HomeMy WebLinkAbout08-7419
CITY OFZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7419
Permit Number: 7419
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6617 NORTH LAKE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0150-00000-0040
5,100.00
1/23/2008
60.00
60.00
1/23/2008
AlC CHANGE OUT
,JOe."
Dl,!CT~TED )- -'-'
: ~NAL.) /IK~ 8' '"
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."
eul~
CONTRACTOR SI NATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit AppllcaUUII
Building Department
1~\~
Date Received
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Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee SimplE! Titlehold~r Namel
JOB ADDRESS
Fee Simple Titleholder Address I
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I PARCEL ID#I 03-&<.0. d. \ - 6\'5(")" 06C>DO- L")D4-D
(OBTAINED FROM PROPERTY TAX NOTICE)
D NEW CONSTR E1 ADD/ALT D SIGN D MOVE D DEMOLISH
D INSTALL REPAIR
PROPOSED USE D SFR 0 . COMM D OTHER I
TYPE OF GONSTRUCTION D BLOCK 0 FRAME D STEEL D
DESCRIPTION OF WORK ~/p. ~~(l1\C1< out (SeJ'it- CSlj~/l
BUILDING SIZE I I ~Q FOOTAGE I I HEIGHT r '. l
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LOT #
SUBDIVISIO~
WORK PROPOSED
OTHER I
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1$ I
1$ I
1$ I
1$ 5 I lCD, 00 I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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SIGNATURE REGISTERED Y I N FEE CURRENT Y I N
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
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PROGRESS ENERGY
D
W.RE.C.
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PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
I Y IN
FEE CURRENT
Y/N
Addres$
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License # I
~t \T~IYl t1-\f
Y I N FEE CURRENT
License # I
Address
Address
I nQ ·
I Y IN
MECHANICAL
SIGNATURE
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
IIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11.111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislons/large projects
COMMERCIAL Attach (3) 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, 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 construction.
1111111.11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIillllllljllllllllllllllll
Directions,:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the cqntractor) 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 Ale Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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 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 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'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, 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 "An 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 ,,",:all. .
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 properti~s, the. ow~er may be cited for Violating
the conditions of the building permit issued under the attached permit application, for lots less than ohe (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 ~f the permlttln~ conditions s~t forth '"
this affidavit prior to commencing construction. I understand ~hat a s~parate perm~t. may ?e reqUlr~d for elect~lca.1 work,
lumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatJons not speCifically ,"?Iuded.ln the application. A
p 't' ed shall be construed to be a license to proceed With the work and not as authOrity to. Violate, cancel, alter, or
~:~~~I~~S~ny provisions of the technical codes, nor shall issuance of a permit prevent the B~i1.dlng Official from the~eaft~r
requiring a correction of errors in plans, construction or violations of any codes. Every ~ermlt Issued. shall become. ,"valid
unless the work authorized by such permit is commenced within six months o.f permit Issu~nce, or If work authOrized. by
the ermit is sus ended or abandoned for a period of six (6) mon.ths after the time th~ work IS commenced: . An extenSion
p b t Pd in writing from the Building Official for a period not to exceed nmety (90) days and Will demonstrate
~~a~l~e:~::fO~ the exte~sion. If work ceases for ninety (90) consecutive days, th'lJob is considered abandoned.
, LURE TO RECORD A NOTICE OF COMMENCEMENT MAY t:tESULT IN YOUR
~:~~~~~EO~~E~p~g~::~TS 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) . r
CONTRACTO
SU7scrlbed and om to (or affirmed) befo me this
"I 7~Jo<is by F:'}.e. t=:1l1\....." ~: I ';r_nY'/'.ry,
~ Is/are personally known to me or has/have .oduced
, . 'l')e;,,) 12- I l c.' 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
-....
C;-f~ ~ ~ ~ . '- .loJ-...
Notary Public
Commission No.
CommIssIon No.
Name of Notary typed, printed or stamped
Proposal/ Contract
CO/\/lillll-j'MENl
~ELli\BILIT','
All-TECH AIR, Inc.
38147 16dl. Ave.
Zephyrhills, FL. 33542
Office 813-870-6934 Fax 813-783-2336
info@alltechair.com I alltecbair .com
State License # CAC1814196
DATE: 1/23/08
PROPOSAL SUBMITTED TO:
WORK TO BE PERFORMED AT:
Carl Peeples
6617 Northlake Dr.
Zephyrbills, Fl. 33542 813-782-0715
Same
Install 1-24-08
WE HEREBY PROPOSE TO FURNISH THE MATERIALS AND PERFORM THE LABOR NECESSARY FOR:
1. 1 - Trane XR 13 seer (4 Ton Heat Pump) split system with 10kw backup heat
CONDENSOR: 2TWR30481000A VARIABLE SPEED AIR HANDLER: 2TEE3F48A 1 OOOA
2. This also includes: Trane Digital Thermostat, Hurricane Slab for Condenser, Correct size
Breakers and City of Zephyrhills.
***** Warranties: lOyr's Compressor / 5yr's Functional Parts /1 year Labor *****
*****Not including: Original Electric, Copper and Plumbing Drain*****
ALL MATERIALS ARE GUARANTEED TO BE AS SPECIFIED, ALL WORK TO BE
COMPLETED IN WORKMANLIKE MANNER FOR THE SUM OF: $5.100.00
FIVE THOUSAND ONE HlJNDRED and 00/100 DOLLARS
ANY ALTERATIONS OR DEVIATIONS FROM ABOVE WORK INVOLVING EXTRA COSTS WILL
BE EXECUTED ONLY UPON WRITTEN ORDER AND WilL BECOME AN EXTRA CHARGE
OVER AND ABOVE TIIE PROPOSAL AMOUNT. ALL AGREEMENTS CONTINGIENT UPON
STRIKES. ACCIDENTS. DELAYS BEYOND OUR CONTROL AND ACTS OF GOD.
Respectfully submitted, Patrick Kil~EV. Expires~Days
President All-Tech Air, Inc.
ACCEPTANCE OF PROPOSAL
The above prices, specifications, and conditions are satisfactmy and are hereby accepted. You are
authorized to do the worlc as specified. Payments are as follows: Balance at Start Uo estimated now
without chan!!e5 SS.I00.00
Print (} f} R L ? ~E? LE ~ Signel'J6( f:~U-f..t1.h~ _ Date / - 93 - 0<>7
. _ / 0
We app<<dt:de ~ hdimMd/
NOTICE OF'COMMENCEMENT'
111111I 11111 11I11111111111I11I11 111111111111111 11111111I1111
2008019246
Permit No. ~ YA ., _____
Property Identification No. ()~.- L~ -2-' ." 0150- 00'000 - 00 Y.O
. TIm UNDERSIGNED hereby give'informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE O~ COMMENCEMENT. P B '31 fbS (9-
t,0
. or
I I..P4,lt Y L-
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N ibJQ...'(p d 'Uph~rh~' I$J~
. Or ,. B"35l{2
3.0wner Information . . C LJj'" e ~ l.!J
. '. a) Name and address: , .D...J' ~eQ I . -< .lDLe'...
, b) Name and address offee simple titleholder (if other than owner)
. c) Interest in property , .
4.ConrraCtodnfunDalion "t:. " "" Q "" (} 00lA"' ~"" . ~:rA
a)Nameandoddres" -fl-:"f!1~-r ~ oJ. "1;;. "~. n3~50S
b) Telephone No.:. ~ - ~ 'tJ.-@ ~ . '... ,Fax No. (Opt.) ;1J __ . '. .
5.SuretyInformation. ~" . 'J ~ . ,.~ '
, a) Name and address: .... ~~L.'. \. ihVlOhJr..
b) Amount of Bond: ~ ~I ' , . . . . .... . , .
C)TelephoneNo.:~,) 0 - loq ~y FaxNo.(Opt.)81~ -,f$ ~C$~lL)
6.Lender
a) Name and address:
I.Description of property (legal descr!l!!.ion:)
a) Street Address: I r \
2.General description of improvements:
R
Phone No.
7. Identityofperson within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No,: Fax No. (Opt.)
, 8.In addition to hiinself, owner designates the following person to receive a copy of the Lienor's Notice as provided iri Section
713.13(I)(b), Florida Statutes: '
a) Name and addTess:
b) Telephone No.:
9.Expiration date of Notice of Co
specified): 2- - ,- ,
W ARNJNG TO OWNER: ANY'PAYMENTS MADE BY THE OWNER AFI'ERTHE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDERCHAPTER 713, PART I, SECTION 713.13, ,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOURPROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPEqION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT youR. LENDER OR AN AITORNEY BEFORE
COMMENCING WORK OR RECORDING YOuR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA e ee
...............................,.............~ /). /J-
COUNTY OF PASCO r RICHARDS. MARTIN .: '. .~~'X.. ~,d/e~......- .' ,
I CommI ClDCI535462 Signature of Owner or Own '$ AuthOrized OfficcrlDircctorlPartncrlManager
I .' ilcw==~54i' c?~~L" -PE~pLE5
E' ~,gr,~ Flarid8 Nol8ryAssn..1nc : PrintNamc : '.
r.. .1I......iI......................~............ ~
The foregoing instrument was acknowledged before me this ~ day of . 0 ()..A.
as
in~h, ~e~~on~
Personally Known _ OR Produced Identification K
T~e ofIdentification Produced FL d)L
Name (print) ~<-lo.'rj. S (fJ(Arhr.
Verification pursuant to Section 92.525, Florida Statutes. Under penalties ofpeIjury, I declare that I have read the foregomg and that
th, fBcti """" m it are tru,to th, bost of my know"'", ond b,liof. a
SjgnatureOfN~~~~ ---
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