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HomeMy WebLinkAbout08-8315 .. CITY OFZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 8315 ermlt Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 8315 MECHANICAL AlC CHANGEOUT NOT APPLICABLE Address: 5220 10TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-18100-0110 5,100.00 9/15/2008 60.00 60.00 9/15/2008 AlC CHANGE OUT 5 TON CHU CH OF THE LIVING WORD 5220 10TH ST ZEPHYRHILLS, FL. 33542 Phone: (i ~~ _ ~ \,,\ ~I 1jD A DUCTS INSULATED FINAL REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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." ~RS1~ 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 Application Building Department Fax-813-7HU-UU~1 Date Received Owner's Name Owner's Address Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number r~ g I 3) q Cf 1- t q 30 Owner Phone Number i Fee Simple Titleholder Address I 5~~O l 0 J.J\ S t 1 LOT # I J PARCELlD#\ tI-;<h -;;u - 0010 - I gt 00- Of JtZ) (OBTAINED FROM PROPERTY TAX NOnCE) 8 NEW CONSTR 0 ADD/ALl 0 SIGN 0 MOVE 0 DEMOLISH INSTALL [JLJ REPAIR PROPOSED USE 0 SFR 0 COMM 0 OTHER I . TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I ;~~;~; ~ [.".".~ i,,; ;;7~!. ~~~''''~ ,~t~~, L"".,,,,,,,,,,,,...I.,,,,,,,,,, "'.""",: 1$ I 1$ I 1$ I pO MECHANICAL 1$ 5l () 0, 00 I o GAS 0 ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO 111111111111111111111111111111111111111111111111111111111111111 ; 1111111111111111111111111111111111111111111111111111111111111111111111111111111111 JOB ADDRESS SUBDIVISION WORK PROPOSED BUILDING VALUATION OF TOTAL CONSTRUCTION o PROGRESS ENERGY o W.R.E.C. o o o ELECTRICAL AMP SERVICE PLUMBING VALUATION OF MECHANICAL INSTALLATION Address License # 111111111111111111111111111111111111111111111111111111111111111111111111111111111. 1111111111111111111111111111111111111111111111111111111111111111 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 subdivlsionsllarge 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. BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE MECHANICAL SIGNATURE Address I ~;;l. B;;{ V S COMPANY REGISTERED Y/N FEE CURRENT Y/N I I I I I I I I I I License # Y/N FEE CURRENT Y/N License # Y/N FEE CURRENT Y/N License # ~;~I I A(~CU~NT~i I License # ICAC05gS15 Y/N FEE CURRENT Y/N DI~~~ti~~~': . .. . . . . . . . . . . . . . . . , .. . . . .. .. . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . .. , . . . . . . .. . . . .. .. . . . . . . . .. , .. , .. , .. .. . . . . . . . . . .. . , . . . .. . .. . .. . .. . .. . . . Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) .. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage) Driveways-Not over Counter If on public roadways..needs ROW ............. ... ... ..I ci;!)>;:.Nt=n~~,~~cR~ED RESTRICTIONS: The undersigned understands that this permit may. be slibjedto'id~~d;if~stfl~{j6Hsli '.. ;';;i',i~;'Y:'~~~1i~~~abie~;~r~:t~~~~~:~ve than County regulations. The undersigned assumes responsibility forCOfnPliafi6a..~ItM~~~ ~~LI9:e~.$.~~"Loo~TRACTORS AND CONTRACTOR RESPONSI'BILlTIES: If the.o~ner.has.hife~Jt..bantfab~r6f{!T' .:'t?O!f~~tg~~t9,~t'gertake work, they may be required to be licensed in accordancewithstafefjiid J()9alf~~yi~tlpl1s,if l.tJK~,'!'i btt~ctcjt'i~,;n9tlicensed as required by. law, both the owner and contractor m~ybe (;il~.aJo~ a.iJjl~d~tri~.~fii:lr\i191~HtiB elf the owner or intended contractor are uncertain as to whgtli9~iisihQte~~ir~hi~M~.ma~~ppIY,t()rj~~' I '.~Yare advised to contaot the Pasco County Building Inspeotl()~ Di"i$ion"'LiCehSitiQ~~ctlp~~ti?7::.84f:: ! ... k~re, if the owner has hired a contractor or contractors, he Isadvlsed.Jd h~~e thecOptfaqI6f(s)slgfl'; BPptractor Block" of this application for which they Will be responsible.. if youi8sthebwnefsign a,stMa cOihtract~tl,f11ay be an indication that he is not properly licensed and is hot entitled to permittihg prrVii@ges in. Pasco olJnty.;......, .. . .." "?\.. RA~~e~RX~tl~N IMPAqT/UTILlTIESIMPACT AND RESOURCE RECOVERY FEES: The ~nderslgned.Uhderstahds .-.th~t:rra~spg.~~tiqnlmpactF~es and Hecburse Hecovery Fees may apply to the construction of new bUiieJings, chahgeof .~~~in~xistiAg'lJ~il9ings, o~,.expansion of existing buildings, as specified in Pasco County Ordinance number89~07 ahd . 9q..07,~s~m~D(fe~. The uhdersigned also understands, that such fees, as may be due, will be identified at the time of pe:riniUih9..)tl~~~rther understood that 1;ransportation Impact Fees and Hesouroe Hecovery Fees must be paid prior to reteiving a"~~~ificate of occupancy" or final powerrelease. If the project does not involve a certificate. of occupancy or final. power re'~~~e, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due;;th~ymust 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 oertify 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 oonstruction, 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, Dooks, Navigable Waterways. Department of Health & Hehabllitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Hunways. 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 "oompensating 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 oonnection 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 attaohed 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 oonstruction. I understand that a s.eparate perm~t. may ?e requir~d for elect.rica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n~luded.ln the application. A permit issued shall be oonstrued to be a license to proce~d With the work a~d not as authorl~y ~o vlol~t~, cancel, alter, or set aside any provisions of the teohnical oodes, nor shall Issuance of a permit prevent the BUilding OffiCial from the~eaft~r requiring a oorreotion of errors in plans, construction or violat~o~s o~ any codes. Every ~ermit 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 th~ work is oommenced; 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 oause 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. 11 ~3h, " .. /),1 A /I ,. _ OWNER OR AGENT ~JtLeL, CONTRACTOR ~~ Subscribed and sworn to (or affirmed) before me thi Subscribed and sworn to (or affirmed) before me thi by by Who Is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced asldenUfication. asidentiflcation. Notary Public Notary Public Commission No. CommIssion No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped J5~O~ fila -0/-01f-D 09/14/2008 22:18 FAX 8132541822 DIAZ FRITZ ISABEL 141001 CHRIS' Ale COMPANY CAC058575 P~oposal Submitted To: Pastor David Fritz Date: 912012008 Phone: S13--991J1930 Fax.. 813w2G4-1822 Job Name: Address; Church of the LlVlna Word 5220 10th Street ZH Install 5 ton R410A 13'e.eer heat pump split sy.stern, pad, refrigerant.piping. digital therm06tat, 8uxiUary pan. :2 float sWitches, hanging kit, line cover. removal of old equipment, tax, labor and permit included, "', TAPPAN $5100.00 TRANE $62 0.00 '7./6.tJr rT'IiJD 06 01<' SS8/Jfk 60~G f'~pJ !'() S?68 Price $ seE ABOVE Warranty: . ChriS' one year limited warranty on materials "nd labor, TOTAL 01'1 oornpte$SOr. ---1....- Yrs. Warranty on equipment ~rts. 1 Yr. Part warranty on outdoor coil oniy. Payment to be made as foll0W6: CHRIS' AuthoriDCI Signature: NOTE; This proposal may be withd ---!. year Ii"'!ited manufaaturufO warranty 1 Yrs. Warranty on equipment only labor. I hove ,.\lttIority to m... UI9 worlc. which IlhlIIIIMI perfermed lIill OI.ltIIMd 1l1lOIM. It lB agrMd till .....r will ...., t1t18 ~ lIlY .q~pmBlll gf ma\IIll'IlIl tftBt I'll'" be lumished villa flnlll ~ is maCle. till! If settlement ill not Ill8de as agreeO. the M111tt SI'IaIl haY81:he I1gm 10 TemOW same end 1he seller w1H l)e heltI narmfen for encr olllllllljeS raut1ing from the remove! \I'lenW- I agtM to PlY 81 ClO$t 41fttl f$ilflClnable ~. fee If tntc nwolCe 1tI ~ in tile nilnclll of \IIl1lltl:Jrr1ey for c:dIeelion. SIllier ir; subject m restocking ehilrge iDf job I;lII1c1led ~ CWAltG8&: ~4~_o-'1l dIIJ5 (11/1'110 ~ PER MOM1'tl (1ft ANIIIJM, ftA'Tl:I'" be in..-cI ('Iwl\ete -_It). Ooraws o o not accepted wWlIn 3D dayS. . - ~ ,,, '.. '" .~;,;~ ./:,;~.,;t, ,.~:=' ,-'~ C__~S'J~.q~ SIgnature: ~ . . Signature: Date: Date: q,l J'S/1J8 12232 US HIGHWAY SD1 OAD~ CITY. FL. 33525 PHONE 352-52~-4977 FX352-521-3393 ,..:.-...' ,~.........-- ,.........-'&. VIIV 6S~:g goOZJS~J6:a+ea ~H :~Bed UMOU>\un :WOI::I