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HomeMy WebLinkAbout11-11992 CITY OF ZEPHYRHILLS - 5335 - 8T}i STREET • �s13��so-oo20 11992 BUILDING PERMIT Permit Number: 11992 Address: 39040 CARDINAL 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: EASY ACRES Est. Value: Parcel Number: 13-26-21-0100-00000-0190 Improv. Cost: 4,995.00 Date Issued: 6/10/2011 Name: DOUGLAS, ROBERT JR Total Fees: 60.00 Address: 39040 CARDINAL AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/10/2011 Phone: (813)679-9796 Work Desc: A/C CHANGE OUT 3TON � �__ �- -� � DUCTS INSI�AT�F,D� FINAL �f' / 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 � 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." � � CONT CT R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ati�-�eo-oo2o City of Zephyrhills Permit Applica6on Fax-813-780-0021 /�,/ //�►► ' / ` BufWing Departmerrt � I ��(// [�' Data Reeeivad Phone Co�Mad for PwmHtl , I Owners Name 0 Ow�er Phone Number ��' / � Owner's Address d /� Owner Phona Number Fee Simple Titlehotder Name � Owner Phone Number � Fee Simpie Titleholder Address JOBADDRESS R�H LOTlt � SUBDNISION � � PARCEL IDA � � �' D�V �DDOGIV "Q� / (08TAINED FROM PROPERTY TA% NOTICE) WORK PROPOSED NEW CON57q ADD/ALT � SIGN Q Q OEMOLISH e INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK K� � r R l , b e l („�/►/�/V e Ol+Q ���'yl Q'� BUILDING SIZE �� SQ FOOTA6E � HEIGHT �� QSUILDING 3 VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING �� QMECHANICAL $ 1, A� VALUA710NOFMECHANICALINSTALLATION �'..,1 :J �GAS Q ROOFING Q SPECtALTY � OTHER FINISHED F�OOR ELEVATIONS r� FLOOD ZONE AREA DYES NO � BUILDER � Cp�y�p/Wy � —� SIGNATURE REGISTERED Y/ N � amaEn Y/ N Addrees License # ELECTRICIAN � COMPANY � SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N Address Licensa # PLUMBER � � COMPANY —� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # MECHANICA �/�, � „ _ �p,( COMPANY .�J�R S p�/� "r �/� � SIGNATURE ��u� REGISTEREO Y/ N FEE CURRE� Y/ N �wa.�ss 2- i/ �J5 / u��� C�4�D'f34� � OTHER � COMPANY 91GNATURE REG�STERED Y/ N FEE CURRE� Y/ N Address License # �--� RESIDENTIAL Attach (2) Plot Plans; (2) seb of BuiWirg Plans; (t) set of En�gy Forms; R-O-W Pertnit for new wnstruction, Minimum ten (10) worlting days after submilfal date. Required onstte, ConsWdfon Plans, Stortnwaler Plans w/ Silt Fence Installed, Sanitery Fad�ities & 1 dumpsler; Slte Wak Permit (or subdivlslonsAarge proJects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) sel of Energy Forms. R-O-W Permit for new construcUon_ Minimum ten (10j working days aRer submllFal date. Requlred onsite, Constructlon Pians. Starmvrater Plans w! Silt Fence installed, Sanitary Fadlitles & 1 dumpster. Site Work Permit for ail new projects. All commercial requirements must meet compflance SIGN PERMiT Attach (2) sets of Engi�eered Plans. ""PROPERTY SURVEY required for a8 NEW construction. Directione: Fill ou[ applicadon completely. Owner & Contractw sign back of appticatlon, nofarized H over Yt500, a Notice o/ Commencema�M Is required. (A/C upgradea over E7500) " Agent (fa the conVactor) w Power of Atbmey (for the ov�mer) woWd be someone with notarized letter from owner autYwrizing same OVER THE COUNTER PERM(iTING (Front of Applicatlon Only) Reroofs if shingles Sewers SeMCe Upgrades A/C Fences (PbbSurvey/FOOfage) Driveways-Not ovar Counter H on public roadways..needs ROW rooizoo d see� sti oi t�ozio�rso wo�� � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permR may be subject to "deed" restrictions" which may be more �estrictive than County regulatlons. The undersig�ed assumes responsibility fa compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contracior or contradors to undertake work, they may be required to be licensed in accordance with state and iocal regulations. If the contractor is not licensed as requfred by law, both the owner and contractor may be cited for a misdemeanor vblation under state law. If the owner or intended conhacior are uncertain as to what Iicensing requirements may apply for the inte�ded work, they are advised to contact tha Pasco County Buflding Inspection Divis'wn--ticensing Section at 727-847- 8009 Furihermore, if the owner has hired a contractor or contractors, he is advised to have the conhactor(s) sign portions of the "contractor 8tock" 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 properiy �icensed and is not entiHed to permitting privileges in Pasco County TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEE5. The undersigned understands that Transportation impact Fees a�d Recourse Recovery Fees may apply to the construction of new buildi�gs, change of use in existing buiidings, or expanslon of existing buildin�, as specffied in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, wili be ident�ed at the time of permitting. It Is further understood that TransportaHon Impact Fees and Resouroe Recovery Fees must be paid prior to receiving a'certificate of occupancy" or flnai power release. If the proJect does not involve a cert�cate of occupancy or tinal power release, the fees must be paid prior to pertnit issuance. FuRhennore, if Pasoo County Water/Sewer Impact fees are due, lhey must be paid prior to permit issuance In acxwrdance wfih applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapier 713, Florida Statutes, as amended): 1f valuation oi work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Fbrida Construction Lien Law—Homeowner's Protection Guide' prepared by the Flo�ida Departmerrt of Agriculture and Consumer Affairs. If the applicant is someone other tha� the'owner', I certify that 1 have obtained a copy of the above descxibed document and promise in good faith to deliver it to the'owner prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT. i certi(y that ali the information i� this application is accurate and that all work will be done in compiiance with all applicable laws regulating const+vcdon, zoning and land development. Applicafion is hereby made to obtain a permit to do work and instaitation as I�dicated. 1 certify that no work or installation has commenced prior to issuance of a permit and thai all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulatfo�s, and land development regulations in the jurisdictlon. 1 also certi(y that i understand that the reguladons of other govemment agencies may apply to the intended work, and that it is my responsibility to identi(y what actions I must take to be In compliance. Such agencies include but are not limited to: - Department of Environmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WatedWastewater Treatment. - Southwest Florida Water Ma�agement District-Welis, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of EngineersSeawalls, Docks, Navigabte Waterways. - Depa�tment of Health 8� Rehabllkative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - lfS £nvironmental Protection Agency Asbestos abatement. - Federai Aviation Authority-Rumnrays. I urtderstand that the following rest�icUons apply to the use of ftll: - Use of fiil is not aliowed in Fiood Zot�e °V" unless expressly permitted. if ihe flll materiai is to be used In Flood Zone "A", it is understood that a drainage plan addressing a "compensating vdume° will be submitted at time of permltting which is prepared by a professional engineer licensed by the State of Florlda. - If the fill materlal is to be used in Fiood Zone °A" in connectian with a permitted building using stem waA construction, I certify that fill will be used only to ftll the area within the stem wall. - If fill material is to be used in any area, 1 certify that use of such fill will �ot adversely affect adjacent properties. H use of fill is found to adversely affect adjacent properties, the owner may be cited for vioiating the conditions of the building pertnit 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 OYYNER, I promise In good faith to inform the owner of the permttting condiGons set forth in this affidavit prior to commenang construction. ! understand that a separete permR may be required for electriql work, plumbing, signs, wells, poois, air conditloning, gas, or other installations not spec�caliy induded 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, construcHon or violations of any codes. Every permit issued shall become invalid unless ihe work authorized by such permit is commenced within six months of pertnft issuance, or if work authorized by the permit is suspended or abandoned for a period of six (8) 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 just�able 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 7WICE FOR IMPROVEMENTS t0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WRH YO E R AN A O FORE EC R I G Y U O CE OF MME M NT. FLORIDA JURAT .S. 17. 3)- - / _ � OWNER OR AGENT � �COTFiRACTOR Subscribed and swo o(or aTfirmed) bef e e Ws Subscxibed and swom io (a alfmned) before me thfs by y WFw islare personallY krw'�m lo me a haslhave produced Who �s�are personalN ktrown to me or hasfiave produced esfdentlflcatlon. asidentlfication. No�ary Public _Notary Public Commission No. Commission No. Name of Notary ryped. pr�nted or stamped Name ot Notary typed. PriMed w sWmped �oorsoo d ssea sv o� ��oz�o��so Wo�� l/un/� L'�' i rt vi� .-� .v .,i-� HwNnD d Alr Condltlonlnp �� � PROPANE GAS Service Order/Proposal a/�a' � AND AIC INC. USTS AND LASTS RMD IASTS: - �itce 1988 813-782-50 i 3 � WORF; ORDER#/SERVTCEMAN ��Z►815 OCT Sales, Service & Installations DATE/TIME TAN.EN Q����3�11 �9:�3 4441 Allen Rd. • Zephyrhills, FL 33541 TAt%E� PY ' ASH +� 1 D�TE/TIME F"�Rt7hIISED NOTES CUSTOMER#/LOC:ATION AC434c RH�NE# t313-E79-9796 C � ROUTE/SEG? UCT � DOUGLAS, RQBERT DQUGLAS, R�BERT ���4� CARDINAL AVE 39�4� CARDINAL AVE ZERHYRHILLS FL 3,�54� ZEF�HYRHILLS FL3:��4�' .IAN I TROL PN.G , :ST I MATE FOR NEW UN I T, f�EG?�JEST K. P. ONLY �' . ,:�,��!f�tPl'IOM OF V�i�., . ' ° �� � r ��� � , � � - �_ � � � �� � �. � �i�k A�� d ,�.. g�,., �. � ,� -r ------------- � � --•-------------------- -- -------------------------- �°° °° , t� °w --- --- — 1 i o,v �, -/ £ -- -- - �a d 'i' Z o° i' h� o�✓ r -- ' �.�/. Av �r -�/� ,�" '� � ----- -- - � ��. l�i�. � � � � � d S �! r �� j �� C � ,� .? r aa �, (' �. � � �� ' / -�,z - -�^ va n � � / � 7� C� � pi�" 300 ,(J �/G � - � � � � � � x , - — — ---�- � __ . ° �#�t�Gl� �t5'T` .' , ` i � � � Lo HI _ �frap:-Coil ❑Cleaned CondCoil UCleaned � ----------- ' � � I �• Cond. Fan Bl wr Comp ___ Heat Stnp __ � � �� : -- - -- � � i � Cond. Fan _ Blwr Comp ___ � i - - - i i fi y�� PrimaryiCondifion ❑ Cleaned Secondary,�Condition _ __ 0 Cleaned REFRIGERANT R- LBS i i �-��k. ' Type __ U Replaced Type Fi�reRS . . cnar,9ed nno��niy � � i � - - . �:. .. . — __ --- -- — � �_ ,' i FILTERS a � Changed Monthiy �i � " - - ' �`' - . I � , _ �tttal � ' j'tlgd �iy:�f11 EQI�ij3t{'IEt1t !►�aliCJfdGtufC.+IS ❑ R E G U LA R ._1 WA R RA N TY 3 '��'ALtS�1AAtH4f�.Y_. k?e[1l�mid48C�ttt 4, �� ^' When here "Qt�_, When Away ¢�,°(,�, T-Stat ''i° ❑ MAINTENANCE CONTRACT SEf2VICE � LIMITED WARRANTY� All matenals, parts and equipment are warranted by the manufacturers - x.�- CALL i , ��'���1F°E?1�N1'�'`��`,c`��t•::=^> ���. or suppliers vmtten warranty only. All labor performed by the above named company is warranted for i 30 da s or as otherwise indicated in wrilin The above named com an makes no other warranties, TOTAL Y 9 P Y U CASH ❑ CK # MATERIALS � ' express or implied, and its agents or techn�cians are not authonzed to make any such warranties on behaltofabovenamedcompany ❑ DEBIT ❑ CREDIT ❑ OTHER MAINTENANCE i ' ha+e auMOnty to order the work outlined above which has been satisfactonly completed I agree t�at Seller PROG -10% � reta�ns tnfe to equiDmenVmafenals furnishe0 until final payment is matle If paymenl is not made as agreed, sN4e� can remove sa�d eqwpmenVmatenals at Seller s expense Any tlamaoe resulung from said removai snar DATE COMPLETED _ _ �w�� /� �� rwt oe :ne reSDOnsi��lity o! Seller NET 30 DAVS A 1 1�2'�� SERVICE CIIARGE Wll L BF 40DED MONTHL�' TO P�L U�PFI BA�ANCES OVER �G DAVS NV REFUNDc � � J � TECH T � i CUSTOMER SIGNATURE DATE �/7/ ��/O{( TOTAL / /�� / f ��i