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
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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."
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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
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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
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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
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k?e[1l�mid48C�ttt 4, �� ^' When here "Qt�_, When Away ¢�,°(,�, T-Stat ''i° ❑ MAINTENANCE CONTRACT SEf2VICE
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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
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CUSTOMER SIGNATURE DATE �/7/ ��/O{( TOTAL / /��
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