HomeMy WebLinkAbout10-10072 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10072
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BUILDING PERMIT .."
Permit Number: 10072 Address: 3 8607 4TH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11 26 - 0010 - 16900 - 0160
Improv. Cost: 3,000.00 ., AA .., ,
Date Issued: 2/02/2010 Name: FIELDS, ROBERT & EILEEN
Total Fees: 45.00 Address: 36753 GRACE AVE
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/02/2010 Phone: (813)610 -0595
Work Desc: 2 TON NC CHANGE OUT
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DUCTS INSULATED
FINAL 7 9 (
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."
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CONTRACTOR SCNATURE PERMIT OFFI 'R
PERMIT XPIRES 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 , - _ 2 Fax -813- 780 -0021
Building Department / f (
Date Received 1 : - 5-, 5, t - -
Phone Contact for Permitting "7
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Owner's Name R obe'-f F �LLi s Owner Phone Number
Owner's Address I 6 ! J a a. '`' "'._, I Owner Phone Number
Fee Simple Titleholder Namel Owner Phone Number I I
Fee Simple Titleholder Address `
JOB ADDRESS 3E&07 4 r ► V''/J e -� LOT #
SUBDIVISION PARCEL ID #I 1 / — 6/ _, 1 -- Oo 1 0 -1&000-01&01
(OBTAINED FROM PROPERTY TAX NOTICE}
WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I I MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE I 1 SFR I I COMM 1 I OTHER 1 I
TYPE OF CONSTRUCTION I I BLOCK '' I I FRAME I I STEEL I I OTHER I I
DESCRIPTION OF WORK 6 ut p k j f
`
`� TAG HEIGHT
BUILDING SIZE SQ FOO
I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C.
I I PLUMBING $
a MECHANICAL $ o D VALUATION OF MECHANICAL INSTALLATION
I I GAS 1 1 ROOFING I 1 SPECIALTY 11 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 1N
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address I License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
MECHANICAL 6elLeA ' + COMPAN 01.41.S / - A. L Co a�
S I REGISTERED I YIN I FEE CURREN I Y N I
Address f o � � � , VLJ y 3 0 / License # G A C OE ge ' 7 I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
Address License #
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 w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /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.
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 (Front of Application Only)
Reroofs Sewers Service Upgrades A/C 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 "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 separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the 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. 117.03)
, l /��h CAI / 4 CONTRACTOR / / /
OWNER OR AGENT �� S bscribed and sworn to (or affirmed) before me this
S sorb dd,�and swom to (or affirmed) before me this — /b / d by
2.--/U by
Who Is /are per5tonally known to me or has /have produced Who Is /are personal) known to me or has/have shde produced
as identification. l"1
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Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
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PROPOSAL 256
CHRIS' A/C
HIGH EFFICIENT HEATING & COOLING
C O M P A N Y
CACO58575
DATE: :`" / / ` r,
TO:
NAME: ` ; - 5
s PHONE #: s F 6
ADDRESS:
CITY: _ ` � STATE /ZIP:
FURNISH AND INSTALL THE FOLLOWING EQUIPMENT AND MATERIAL.
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STYLE AND SIZE AHU BREAKER STYLE AND SIZE COND. BREAKER
-`1 YEAR PARTS & LABOR WARRANTY YEAR LABOR WARRANTY ON EQUIPMENT ONLY
' 1:-) YEAR COMPRESSOR PART WARRANTY — YEAR EQUIPMENT ONLY PARTS WARRANTY
YEAR OUTDOOR COIL WARRANTY ' T / :' 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 NOT MADE AS AGREED, SELLER CAN
REMOVE SAID EQUIPMENT/MATERIAL AT SELLER'S EXPENSE. ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE
RESPONSIBILITY OF SELLER. BUYER WILL BE SUBJECT TO RESTOCKING CHARGE IF JOB IS CANCELED.
AGREED
CHRIS' _ 64;"*" DATE
BUYER DATE
12232 US HWY 301 DADE CITY, FL. 33525 PH. 352 -521 -4977
813 - 779 -9515
CITY OF / / BUILDING
ZEPHYRHILLS DEPARTMENT
°1\ NOTICE
v itA
OF ADDITION OR CORRECTION
DO NOT REMOVE
ADDRESS DATE PERMIT#
2,z7 q Pic 1007
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered, any part of the work with flooring, lath, earth 780 - �U2Q O RE- INSPECTION
or other material, until the proper inspector has had ample time to approve I
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON. -FRI. INSPECTOR