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Home My WebLink About11-12183 � CITY OF ZEPHYRHILLS 5335 - 8TH STREET (sis)�so-oozo 12183 BUILDING PERMIT Permit Number: 12183 Address: 38401 COTTONWOOD PL Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: DRIFTWOOD Est. Value: Parcel Number: Improv. Cost: 6,890.00 Date Issued: 7/29/2011 Name: SMITH, EUGENE Total Fees: 70.00 Address: 38401 COTTONWOOD PL Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/29/2011 Phone: Work De�c: EQUAL CHANGE OUT RHEEM 2 TON HEAT PUMP 5 KW SPLIT SYSTEM -j f / �� ( J / � � � a � • y DUCTSINSUL ED FINAL - �- REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when e�ctra 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 o er: Your failure to record a notice of commencement may result in your paying twice for improveme o your properly. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commenceme " TRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , aisaao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received � � Phone ConWCt for Pertnittin -- TITf T T C Owner's Name C V GC N� •'� Owner Phone Number �� 'O� 1V Owners Address 1 O � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Ti[leholder Address JOB ADDRESS J � � l� .0 LOT # � SUBOIVISION �TT U PARCELID# 02 a� 2� '��, � Wl_�� QQ�� (OBTAINED FROM PROPERTY 7AX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �\ � E�' C� 5 ' � ��V�I G��N9t Q(� BUILDING SIZE SQ FOOTAGE � HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY R.E.0 �PLUMBING $ � � 0 ;3 ° ,T j 1S ` �MECHANICAL �. D� VALUATION OF MECHANICAL INSTALLATION � OGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N Add ress —� License # ELECTRICIAN COMPANY SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER COMPANY SIGNATURE REG�STERED Y/ N FEE CURRE� Y/ N Address License # MECHANICA C PANY I R OR C� � C� HL, 11� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address m1��Rv„ �r License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bwlding Plans; (1) set of Energy Fortns, R-O-W Permit for new consiruction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, Sanitary Facilities 8 1 dumpster; Site Work Permit for subdrvisions/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 construchon. Minimum ten (10) working days after submirial date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence instatled, 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 applicahon, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over a7500) " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authonzing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Sennce Upgrades A/C Fences (PIoUSurvey/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 poRions 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, Fiorida 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 ServiceslEnvironmental 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NOTICE OF COM MEN . FLORIDA JURAT (F S. 117 03) OWNER OR AGENT CONTRACTO ' Subscribed and sworn to (or affirmed) before me this �u and swo o(or �jfir ed) oce me this b Y J�J "�bY Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. `— as identification. Notary Public �� Notary Public Commission No. Com issio No. Name of Nota Q1 PRY Pv� ry ryped, printed or stamped Name of Notary typed, printed or stamped J � �� ,� � �* MY COMMISSION N DD 977675 EXPIRES: April 4, 2014 � FI�P��P Borded Thru Budget Notary Services -• � �.�� _ ��a � . , TO�.L F��. �` � � & �� '�`��6� CACO58326 � �� 6802 Commerce Ave., Port Richey, FL 34668 Phone: (727 ) 835-01 l 0 Fax: (727) 835-0117 NAME ��r�E�#,�°�_ .S�j'�T/� _ PHON�/3��A� DATE 'j �Zz f // ADDRESS � t�dT7"�iV Gl/!JlI1� ��E MECHANIC J'`�� C�TY�fP�fK�t/�1 t COUNTY U Z�Pe�'�J-r� CUSTOMER NO. JOB LOCATION�j��fi�_� PHONE SERVICETYPE EQUIPMENT MFG. STYLE MODEL NO. UNIT 5/N COMP S/N NATURE OF WORK TO BE DONE JOB COMPLETE? YES NO COST SOURCE QUAN. DESCRIPTION PRICE ITEM COST HOURS CHARGE / �� Z To n. P[. T' ,� Co v N3T�t,� w i L i f/� q / 8`�" � o�,� �fi-R�f � !! -� � G l "7�/L'c l We Value This Opportunity to Serve You! EXECUTIVE SAVINGS SEE BACK OF THIS TICKET FOR SPECIAL INPORMATION, AND PROBLEM SOLVING AGREEMENT DISCOU All etectrical parts are non-refundable. sUS 7oTA� Customer request repi t rather than pai for dependa6ility and/or e�f'iciency TOTAL SILLING Customer Si nature � AMOUNT GOLLECTED �� MAKE CHECKS PAYABLE TO A/R FORCE f BALANCE DUE CUSTOMER SURVEY PLE/�SE INITIAL PARTS WARRANTY 1. Was the representative clean in appearance? ✓ Yes _ No AII parts as recorded are warranted as per 2. Was the representative helpful in answering ail your questions? �Yes No manufacturer specifications. 3. Was the service performed in a professional manner? v' Yes No 4 Did the representative fully explain the services performed or any additional services to be performed in a professional and non-pressuring manner? � Yes No LABOR GUARANTEE 5. Was the work area left neat and clean? The labor charge as recorded here relative � Yes _ No to the equipment serviced as noted, is 6. Would you recommend to your friends, re�atives and neighbors? �Yes _ No guaranteed for a period of 3o days. 7. Overall, how would you rate the value you received from AF1? Customer agrees by signing thac Air Force 1 Excellent � Good Fair Poor INT' Air Conditionirtg & Heating will not be held responsible for any mold or mildew damage. $30 CHARGE FOR RETURNED CHECK Customer also agrees that it is their Warrenty on thermostats Is only one yeac Warranty as outlined is factory warranty in addition ro warranry of first year. Nomul servke hptus Mon, thru Fn. f25POf151b1IliY 20 check and maintain their 8:00 am to 5:00 pm. Warranty service at other times wifl incur additiona� cost. This can not be modified unless s�gned by corporate office. A�I accounts due upon receipt. A finance charge of 1�l,ao per month will be chaiged on all balances over 30 days, plus any attorney fees and/or court costs incurred. Total drain lines on a regular basis. Air Force t Air liabi6ty of this agreement is face value with attorney fees not ro exceed 1090. q1� payments must be made to Air Force 1 No wura�ey on era�„ ia,.,. Conditioning & HeaHng WI�� not be held Ihaveauthoniytoorderthework,whichhasbeensatisfacto�ilyperformed,asoutlinedabove.ItisagreedtbatthesellerwillretamtiNetoa�ryequipmentor responsible for any damage resulting from a material that may be furnished until final payment is made, and if settlement is not made as agreed, the selle� shall have the right to remove same and the water leak. seller will be held harmless for any damages resu�ting from the removal thereof. Customer understands that after January You are not obilgand to pay any money unless you slgn this contract snd roturn k to tM sdler. 1 207 0, manufacturers can no longer use BUYERS RIGHTTO CANCEL refrigerent R This �s a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by providing written notice to the Customer agrees that they are responsible for Seller in person, by telegram or by mail. This notice must indicate that you do not want the goods and services, and m�sc be dei��ered or posc- upgrading existing electrical to code. marked before midnight of the third business day aker you sign this agreement. lf you cancel this agreement, the seller may not keep all or part of any cash down payment. Receipt of the�oing Buyers Right to Cance hereby ac �wledged on the date listed at the top of this agreement. `�' � i \ � c" C✓G' .�� Customer'sSignatu�� , ___ Date •• 7<ca.�ck q�C �i t!� a ta a�ue „ �•