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Home My WebLink About09-9034 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9034 BUILDING PERMIT Permit Number: Address: 9034 5438 18TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 14500 -0201 Im rov. Cost: 3,760.00 Date Issued: 4/17/2009 Name: LINN, EILENE M Total Fees: 50.00 Address: 5438 18TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/17/2009 Phone: (813)788 -9109 Work Desc: REPLACE A/C /HTG SYSTEM SOUTHERN COMFORT ENT. INC. NC CHANGEOUT 50.00 0 6(P � DUCTS INSTALLED DUCTS INSULATED FINAL REINSPECTION 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." 6e.g.- 40 /■• . ‘74;1■, • -1° CONTRACTOR SIGNATURE PERMIT OFFI "R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER SOUTHERN COMFORT ENTERPRISES, INC. 4109 CR 656 P. O. BOX 486 WEBSTER, FL. 33597 DADE CITY, FL. 33526 352 - 793 -5501 352 -567 -6111 CAC1813579 DATE: - / 1 7 - &9 COUNTY /CITY OF: 0 i(1 Cr Zeph f hi 1/ S TO WHOM IT MAY CONCERN: I, Thomas Lachance, license holder of Southern Comfort Enterprises, Inc. authorize demi e "f I d tLa to sign for release of Mechanical Permit on my behalf for the E, 5430 18 S+ Ze r ki k Name of Job Location of Job / 9 Thomas Lachance STATE OF FLORIDA COUNTY OF ji mom( HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgements, appeared before me Thomas Lachance, personally known to me, who executed the foregoing instrument and they acknowledge before me that the executed same. WITNESS r� y hand and official seal in the County and State las aforesaid this 17 day of Apr ( , 2009. °aa, Not- ry ?II State of Florida )4 ndu; U C r) otary and Seal , 004422o0 SOUTHERN COMFORT ENTERPRISES, INC. 4109 CR 656 P. O. BOX 486 WEBSTER, FL. 33597 DADE CITY, FL. 33526 352- 793 -5501 352 -567 -6111 CAC1813579 4/14/09 PROPOSAL FOR Eilene Linn 5438 18 St Zephyrhills, FI. 33542 813 - 788 -9109 CHANGE OUT SYSTEM Equipment: Tempstar 2'/ Ton 13 SEER 410a 10kw Warranty: 1 Yr. Labor by Dealer, 10 Yr. Parts by Manufacturer Included: New Refrigerant Lines, New T -Stat, To Existing Electric & Ductwork, Tax & Labor Not Included: City or County Permit, Painting, Framing Total Cost (exclusive of permit) $3760.00 t : - 499 i r Date -00 flO cceptance Owner /Age Signature Date 813-780 -0020 City of Zephyrhills Permit Application • ...• _ .- . -- - Building Department Date Received /7 j� 3 54 - (j// / ✓ � 7- 0 Phone Contact for Permittin a Owner's Name et t 6n 4 k i nn Owner Phone Number 8/ 3- '7g8 -- ‘ih 9 Owner's Address 5 Li3B /i3 S i Ze p\ h I a 5 Owner Phone Number Fee Simple Titleholder Name( Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS &AO 'e— LOT # SUBDIVISION PARCEL ID# 11 — (94/ -671 - 0010 -i y 51f0 JO 0 I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I I ADD /ALT 1 1 SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE I 1 SFR ( ( COMM I I OTHER i ' II , ► . i n "t► TYPE OF CONSTRUCTION n BLOCK 1 1 FRAME n STEEL n OTHER DESCRIPTION OF WORK Zi-p‘L3 -CP, 16 - ) -k/}T7 - E g‘-e BUILDING SIZE SQ FOOTAGE HEIGHT I I I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENER Y— . " #'_._,,-1. W.R.E.C. PLUMBING $ g 4 i � MECHANICAL $ py J. Q o® VALUATION OF MECHANICAL INSTALLATI N 0 GAS n / ROOFING 1 1 SPECIALTY n OTHER ` FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES n NO COMPANY 1 I SIGNATURE BUILDER REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address I License # 1 I ELECTRICIAN COMPANY 1 I SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address 1 1 License # 1 I PLUMBER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY ISO uTi {f KIN.) 0...0 w `� 'T SIGNATURE ' - - REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 4 1 / K65-40 CO it B570 T1, .33? l( License # I CC. 1 &' q 13 S 7 1 OTHER COMPANY I SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # I 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 wl Silt Fence installed, Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/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/ 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. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A/C 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 rApplication Reroofs Sewers Service Upgrades A/C Fences (PIot/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 IMPACTIUTILITIES 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 1, 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'SIOWNER'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 d for this affidavit prior to commencing construction. Iunderstand other installations specifically included ded the a c tion� plumbing, signs, wells, pools, air conditioning, gas, set aside a ny p i s io construed ns of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter set asde any proviio requiring a correction of errors in plans, construction r menced six a months of permit pss work become authorized by unless the work authorized by such permit pbe requested, is suspend in d or writing, from abandoned the Building Official for a period not to the days and will demonstrate may be equested, in g, from 9 ob is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the j WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO N MENT FA RE UL IN YOUR CONSULT T WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this by by Who Islare personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped