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HomeMy WebLinkAbout10-11157 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11157 BUILDING PERMIT Permit Number: 11157 Address: 38635 5TH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 15000 -0090 Improv. Cost: 4,390.00 Date Issued: 11/17/2010 Name: UNITED METHODIST CHURCH Total Fees: 60.00 Address: 38635 5TH AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/17/2010 Phone: Work Desc: 3TON A/C CHANGE OUT HEAT PUMP PACKAGE - - -•- . q 1 V 1 11 •'.,' C 01 4a .O DUCTS INSUL FINAL �(.J� 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." air CO TOR SIGNATUR PERMIT OFFI 'R 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 Fax -813- 780 -0021 Building Department Date Received 13 2 / _ © g Phone Contact for Permittin ; Owner's Name / r'n(Z !J/f/ 74 of .S T'GA„ i y/ Owner Phone Number 7gZ^ 376 y� Owner's Address 3 8 635 - _; T!' 4V Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS S,t3 LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n I 1 DEMOLISH INSTALL REPAIR PROPOSED USE 1 I SFR n COMM 1 OTHER 1 TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME 1 1 STEEL 1 1 —1 DESCRIPTION OF WORK /e e- / //1 /44 T G BUILDING SIZE SQ FOOTAGE HEIGHT (BUILDING $ VALUATION OF TOTAL CONSTRUCTION (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. PLUMBING $ MECHANICAL $ (' OU VALUATION OF MECHANICAL INSTALLATION (GAS 1 ( 1 ROOFING In SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREb I Y/ N I Address License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREI` I Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED 1 Y / N J FEE CURREh I Y/ N I Address 1 License # MECHANICAL COMPANY .e.4 (/re J /to Jo A 4/- 4 J e,11//G SIGNATURE p REGISTERED l Y/ N I FEE CURREI\ J Y/ N Address yy y, 4 / /f,� X Z ' S ,.?,35'y7 License # b C 0 OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I 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 $7500) ** 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 if shingles Sewers Service Upgrades NC 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 job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR R OR AN ATTORNEY OF C IMPROVEMENTS O FINANCING, CONSULT BEFORE RECORDING YOUR NOTICE MMENCEMENT WITH WITH YOUR JURAT (F.S. 117.1 / OWNER OR AGENT A CONTRACTOR Subscribed and . .� sworn to (or • . . . e me this Subscribed and sworn to (or a ;' e."T ore me this b by by is /are personal! known me or has /have produced Who Is /are personally known to me or entWic t produced P �----'-� as identification. as identification. Notary Public G 4' 141- Notary Public l � .�► _ Comtlittsion No d )ULLI. Commission No >> ▪ t. ;nrnission # EE 040520 le.: .l Name of Notary typed, printed or stamped Name of Notary typek$fled or st trpP" '' "i"°tla"caau>mia r an. ►. PROPANE GAS Service � (� AND AIC INC. rvice Order/Proposal a ° U /;(ce 7988 813. 782 -5013 usn ulo LASTS � LASTS: Sales, Service & Installations WORK ORDER # /SERVICEMAN 27146 CAU 4441 Allen Rd. • Zephyrhills, FL 33541 TA TAKEN 10/21/10 07:57 TAKEEN N B BY Y K. B. NOTES: DATE /TIME PROMISED 02 CUSTOMER# /LOCATI 06175 PHONE# 813 -782 -5645 PHONE2# 813 - 788 -2581 CONTACT ROY- BURNSIDE ROUTE /SEQ c CPU 6/3- z/s = 2 FIRST UNITED METHODIST CHURCH t 38635 5TH AVE FIRST UNITED METHODIST CHURCH 38635 5TH AVE ZEPHYRHILLS FL 33542 "SUNDAY SCHOOL ROOM" ZEPHYRHILLS FL33542 ST. ON DUCTLESS SYSTEM 1 ' z 2 8"Ir"" ":4" 461ii PTY aillikkkiitheeithiiiegitmasammiskum UNrtpRIGE aPAMOUNTM I 111111111 j 4 1 , / — • - . Zo / Vic ' ari 3 ro ,,../ ,-/ A AMMO , - 3 -A' o ' 11111111 IIMPIZSINIFINIMIA I III iniiiimimiiiiii, ' d AT 0 immimmi.11111111111111111NI �. o r �, ic IST ■ f Lo ®� HI Evap Chit ❑Cleaned fiend Coil ❑ Cleaned ■ s 'Cond. Fan Blwr �� Comp Heat Strip IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIM tpaCttat* Cond. Fan Blwr Comp kownw DO lac Pam Primary/Condition ❑Cleaned Secondary/Condition ❑ Cleaned - ' t Type L:1 Replaced Type III �� FORROMEMOMINIP MENIIMINStaikagging If1Wdl Mc?if ,,,,, ,,, # ,,, & li # ,,. .. } tprs ❑ REGULAR ''' � �hum3dtsf�) 8etttt gs ❑W ARRANTY TQT�at� M When here S�$L; When Awa 02-- . k IITED WARRANTY; All materials, partsandequipment are warranted by the mano Cure ❑ MAINTENANCE CONTRACT � Sk " repliers' written warranty only All labor performed a n d by the above named company is warranted for SERVICE t I"= p'AYMEtUT CALL ays or as otherwise indicated in writing. The above named company makes no other warranties, ess or implied, and its agents or technicians are not authorized to ma any such war ranties on ❑CASH ❑ CK # TOTAL INof abovenamedcompany. MATERIALS e authority to order the work outlined above which has been satisfactorily completed. I agree that Seller ❑DEBIT ❑CREDIT ❑OTHER __ la ti tle q ipmenumterials furnished ntil final ayent is e. If MAINTENANCE can rem ov e said equip 01 u Seller's exppanse. m An mad dama resultinglfromtaaidemov ens i DATE COMPLETED PROG. -16% t the responsibility of Seller. NET 30 DAYS. A 1 12% SERVICE CHARGE WILL BE ADDED MONTHLY TO INPAID BALANCES OVER 30 DAYS. NO REFUNDS / 1/2/14, r –7_ 00 TECH: �/ MER SIGNATURE j� /Cf(i .J(j/,( TOTAL DATE (tJ// I O .