HomeMy WebLinkAbout08-8124
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8124
Permit Number: 8124
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 39014 MANO DR LOT 14
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0050-00000-0140
7,300.00
7/29/2008
70.00
70.00
7/29/2008
AlC CHANGE OUT 4TON UNIT
Name: FRAME, DEBBIE
Address: 39014 MANOR DR
ZEPHYRHILLS, FL. 33542
Phone:
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DUCTS INSULATED
FINAL
REINSPEcnON 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."
~SIG~ PERMITOFFI
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 Applicatioj.
Building Department ~.
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Fax-813-780-0021
Date Received
Owner's Name
OWner's Address ~1)fl/l{)(
Fee Simple Titleholder Namel
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I PARCEL ID#I
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DESCRIPTION OF WORK l...cJrIC\x\~ 0 (\LA:-\ Ale
BUILDING SIZE I I SQ FOOTAGE I HEIGHT I
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\J'a~~J 1-0050 - 00000-0 I~
(OBTAINED FROM PROPERTY TAX NOTICE)
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Owner Phone Number
Owner Phone Number I
JOB ADDRESS
Fee Simple Titleholder Address I
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SUBDIVISION
WORK PROPOSED
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NEW CONSTR
INSTALL
SFR
BLOCK
ADD/ALT
REPAIR
COMM
FRAME
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
STEEL D
OTHER I
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1$ I
1$ I
1$ ~) ~DD.9.S!- I
D GAS D ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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:~~~~RE I ;2,:~~ I Y I N FEE "'ARENT Y I N I
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D BUILDING
D ELECTRICAL
D PLUMBING
rjJ MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
Address
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
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COMPANY
REGISTERED
License # I
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YI N I FEE CURRENT Y/N'
C (lOG
MECHANICAL
SIGNATURE
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License #
OTHER
SIGNATURE
COMPANY
REGISTERED
FEE CURRENT
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 wI Slit Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 wI 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.
DI~~~ti~~~': I I I I . . I I I . . I I I . . I I . . . I . . I I I . . I I . I I I I . I . . I I I . . . . . I . . I I . I . I I . I . I . . I . . . I . . I I . . I . I I . . . ~ I I . . . I . . I . . I . . I . . . . . I I . I I I I . I . . I . . . . I I I . . I . . I . . . . I I I
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 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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.N:JIGE.,QFlDt=EDRESTRICTIONS: The undersigned understands that this permit may be subject to jjdeed"J~sifli:::tiohsii '.
." i~fr'~~,',more restrictive than County regulations. The undersigned assumes responsibility forC()n,pli~nC~i~l.t~~hY
....... ..... ..~~~fe~trlctions. ,- " " .... ',. . " >i:.i1'
'1~~N~~~;P(jNTRACTORS AND CONTRACTOR RESPONSIBILITIES: If t~e .0~perhasNfed~ 9ohtfa?!.pffW'
..Jt~~~(ir~"';;;'~ei'take work, they may be required to be licensed in accordancewlthst~tei.a6ct.lo.p~I.t~QYlaWjiis;:)lf{A~'"
~tr~~.. "!i<?E3nsed as required by..law, both the owner an? contractor m.~~~~;e<Rit~~f(:)t~.!n!$5j~nt~~;B,8ti~I(:j!~H()~
J~l~ '~~r~ :~I:~~rt~n~~~~:J: ~."~:~~: ~:~t~~~ddih~S,~~p:'i~~I'b'~~:w~~~@l~~~;r:~~t~~r
~6p.~,~.; 'W'e, if the owner has hired a contractor or contractors, he isadvisedJ.bh~veUie(j6rtrac{or(stsI9ti '
p-~tltractor Block" of this application for which they will be responsible.. ifyou,asthe~wn~fsi9.~ as the
9..J., <ay be an. indication that he is hot properly licensed and is not entitled to perhiitting ptiviiegesln Pasco
CoUnty,' ','
'Ns~(r'1'r' TiC)N IMPAGT/UTILlTIESclMPACT AND RESOURCE RECOVERY FEES:. The undersigned Uhderst. ends
.:th~~:rta~s ',n Impact Fees and Recourse Recovery Fees may apply to the construction of new bulidings, change of
'\.Js~JIl~xis' UilClings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
~O:~Oti.~S~"",.~~. The uhdersigned also understands, that such fees, as may be due, will be identified at the time of
, P~trnihing.I~J~Jufther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
re?eiving. a~~~tlitlcate of occupancy" or final power. release. If the project does not involve a certificate. of occupancy or
finl3lpower rel~~se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fe~s are due;J~~y,.must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTI(jN 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 "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 "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 s.eparate perm~t. may ?e requir~d for elect:ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n~luded. In the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authon~y ~o vlol~t~, cancel, alter. or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II~mg OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issu~nce, or If work authonzed . by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extenSion
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~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. 117.0 )
,
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OWNER OR AGENT
Subscrib nd sworn to (or rm efore me this
-2; by
o Is/are personallY known ta.me or has/haye produced
, as Identlflcatton.
ONTRACTOR
Subscribe!:! jlnd sworn to (or affirmed) before me this
1i;19-D5 by
o Isl.at9 p",r'l'QP'OlIly..known to me or haslhaye produced
as Identification.
Notary Public
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Comml"lo" . --'& ~ CIl~saa
',,':f.....li<;".l Expires December 12 2010
',P,r.I~\\" Bonded Th", Troy Fain lruulJ'JlIlNlo &00 9851'
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Name of Notary typed, printed or stamped
Notary Public
E SOGES
'. . .issi[')" DO 621833
Name df.f'Jot.1y~~~;'R~~t~~~';~9
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PROPOSAL
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FURNISH AND INSTALL THE FOLLOWING EQUIPMENT AND MATERIAL.
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STYLE AND SIZE AHU BREAKER
1 YEAR PARTS & LABOR WARRANTY
YEAR COMPRESSOR PART WARRANTY
YEAR OUTDOOR COIL WARRANTY
STYLE AND SIZE CONDo BREAKER
YEAR LABOR WARRANTY ON EQUIPMENT ONLY
YEAR EQUIPMENT ONLY PARTS WARRANTY
$YEAR DEPENDABILITY PROMISE
PRICE: $
Price good for 30 days
PAYMENT:
UPON COMPLETION
50% ROUGH IN 50% UPON FINAL
DRAWS
SELLER RETAINS TITLE TO EQUIPMENT/MATERIALS UNTIL PAYMENT IS MADE. IF A PAYMENT IS Nor MADE AS AGREED, SELLER CAN
REMOVE SAID EQUIPMENT/MATERIAL AT SELLER'S EXPENSE. ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE
RESPONSmILITY OF SELLER. BUYER WILL BE SUBJECT TO RESTOCKING CHARGE IF JOB IS CANCELED.
AGREED
CHRIS'
BUYER
DATE
DATE
. . .I
12232 US HWY 301
DADE CITY, FL. 33525
PH. 352-521-4977
813-779-9515
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