HomeMy WebLinkAbout09-9306 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9306
BUILDING PERMIT
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Permit Number: 9306 Address: 37627 NEW HORIZONS BLVD LOT 56
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34- 25 -21- 0090 - 00000 -0560
Improv. Cost: 2,728.00
Date Issued: 7/01 /2009 Name: HILTON, KENNETH E.
Total Fees: 45.00 Address: 37627 NEW HORIZONS BLVD
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/01/2009 Phone: (813)788 -4483
Work Desc: 4 TON NC CHANGE OUT
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ACE REFRIGERATION INC A/C CHANGEOUT 45.00
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D UCTS 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 4 ; ing your notice of commencement."
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• APPLICATION FOR PERMIT l} 3 )b
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAME, V7 N H I L ro Al PHONE <3 l3 - 7 8 g- Lim 3
OWNER'S ADDRESS 3 / 4a- 7 J/ 5etp E m m I J3 L ) b
JOB ADDRESS VCt. m
LEGAL DESCRIPTION: LOT(S) Sc BLOCK SUBDIVISION(YP/ 1v D 14 - 1) 121 Zg) / !
PARCEL I . D . # tl q - a S - 1 - 600 - 0000[) - 05 0 v (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: New Construction ,Addition Alteration K Repair Install
Sign __love Demolish •
PROPOSED USE: Single Family MI/F # of Units
Commercial Indust. Swim. Pool Other
Restaurant & Health Department Approval
DESCRIPTION OF WORK:) - /c ('_ hzi „ge. n tc7 T - 1:5 l3 Aecfit P a ka '
BUILDING SIZE: Square Feet, Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
BUILDING $ Valuation of Total Construction
ELECTRICAL AMP Service Florida Power Corp. W.R.E.C.
MECHANICAL $ 769 , 0 0 Valuation of Mechanical Installation
PLUMBING GAS ROOFING SPECIALTY
TYPE OF CONSTRUCTION: Block Frame Steea. Other
FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA?
YES NO
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CONTRACTOR SECTION
REAR COMPANY
State Cert. or Regist. #
Signature - City License Registration #
*********** * * * * * * * * * * * * ** * * * * * * * * * * * * * * * **
ECTRICLO . COMPANY
Signature State Cert. or Regist. #
City License Registration #
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/MBAR COMPANY
State Cert. or Regist. #
Signature City License Registration #
*********** * * * * * * * ** * * * * * * * * * * * * * * * * * * * * **
L COMPANY / 1 E A) ,02-. Cz> oki 6 L CL
(2)..).11A6^,-...A) State Cert. or Regist. # CAC° 3 °1 '75
Signature .LaQv City License Registration #
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
21= COMPANY
State Cert. or Regist. #
Signature y License R-
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APPLICATION AP • .3 44 +
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which way be more restrictive than City
regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
B. 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 City of Zephyrhills Building Department, (813)
788 -6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that say be an indication that he is not properly licensed and is not entitled to permitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's 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.
E. 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation - 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
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc. ", it is understood that a drainage plan
addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of
Florida prior to permit issuance.
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 code. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time, may be
alloyed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection must be logged during each six month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CI*RNCRIONT 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
COMNENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CmRMENCENENT ".
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SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1 COUNTY OF yo l -
The foregoing instrument was acknowledged The foregoing inst t was ackno edged
before me this 2)0 , 3 )Cf by before me this , � r� } by
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who is personally known to me or who has who is personally known to me or who has
pro uce produced — —
as identification and who did /did not as identification and who did did not
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(Name T . , :,' Pint -' o (N . nr.S
NOTARY P
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ZEl MICHELLE JACKSON Mw;ntULS JACKSON
/Ma v MAIN • us* N IMM �► V Notary hells • M Raids
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Jul. 1. 2009 8:59AM ACE REFRIGRATION INC. No. 4241 P. 1
Ace Air Conditioning & Electric
923 West Memorial Blvd.
Lakeland, FL 3 3815-
(863) 688 -2238 Fax:(863) 686-9798
Work Order: 64465 lune 29, 2009 12:35PM
Work j.ocrltion: 4737 Bill To: 4737
KENNETH HLTON KENNETH HILTON
37627 NEW HORIZON BLV 37627 NEW HORIZON BLV
GRAND HORIZONS GRAND HORIZONS
ZEPHYRHILLS, FL 33541 ZEPHYRHILLS, FL 33541
(813) 788 -4483 HOME PHONE s (813) 788 -4483 HOME PHONE •
Collin Date: 6/29/2009 12:33:00 PM Department: Air Conditioning
Requested Date: 6/29/2009 12:34:00 PM Call Type: A/C install -.Man. Housing
Scheduled Date: BillingTerms: COD
Caller: ACE/WAYNE Priority: Ready to be done
Taken By:Buzz Status: Unassigned
Arrived Started' Complete& Total Hours'
a7-2 sAa 130,
Authorized By Date Lca�celinician
Trouble Reported. -
(1 bus) AA- NORDYNE e + 3 D
(0 hrs) AC- 4 TON 15 KW
(l Ins) AC- 13 SEER
(4 hrs) AB- PACKAGE UNIT
Notes:
PAD& T STAT
NO DUCT OR ELECTRIC
10-10 WARRANTY
C0D- 52728.00