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Home My WebLink About11-12317 ' ' CITY OF ZEPHYRHILLS 5335 - STH STREET �sis)�so-oo20 12317 BUILDING PERMIT Permit Number: 12317 Address: 38223 BOXWOOD DR 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: 02-26-21-021A-OOB00-0030 Improv. Cost: 6,790.00 Date Issued: 9/02/2011 Name: OWENS, KENNETH Total Fees: 70.00 Address: 38223 BOXWOOD DR Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/02/2011 Phone: (813)788-6068 Work Desc: GRANDNIRE 2.5 TON H/P 5KW 13 SEER SPLIT SYST EQUAL CHANGE OUT 1 �• , �- � � � , � ., � = �� - 1 , � DUCTSINSULATED FINAL 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 cons�truction 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. "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." Complete Plans, Specifications Must Acxompany Application. All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � � CONTRACTOR SIGNATU PERMIT OFFI R PERMIT EXPIRES IN 6 HS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - OUR NOTICE REQUIRED PROTECT CARD FR �WEATHER ais-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received -- �� Phone Contad for Permitting — 1 1 1 1 1 1 1 1 1 1 1 1 1 ti { � � � �a�-- �-0 �� Owner s Name Owner Phone Number Owner s Address � Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address � JOB ADDRESS �V ZJtJX * � � I' � �� LOT # C� SUBDIVISION PARCEL ID# oL- a� I� V�I � d —� (OBTAINED FROM PROPERTY TAX NOTCE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLI;iH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER � TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q �-� DESCRIPTION OF WORK l'3�� .J T�7 �S N Y �`�+�+E� �� 1��'v�v O�� BUILDING SIZE S� FOOTAGE � HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS E Y Q W R.E C. OPLUMBING $ �f 1� �� 7 / l �� MECHANICAL $ - � VALUATION OF MECHANICAL INSTALLA / �GAS � ROOFING � SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY � SIGNATURE REGISTERED Y/ N Fee euRaen Y/ N Address License # � ELECTRICIAN COMPANY SIGNATURE RECisrEaeo Y! N FEe eurxREn Y/ N Address License # � PLUMBER COMPANY � SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/ N Address License # � MECHANICAL qN7Y IR FOI�C�� AC �' Nl++ �( � SIGNATURE RECi57EReo Y/ N FEE cuRrxEn Y! N Address p� M Ut ��hL Ucense# OTHER COMPANY SIGNATURE aecisreReo Y! N FEE CURRE� Y I N Address License # � 1 1 1 1 1 I I I 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 I I I 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 RESIDENTIAL Attach (2) Plo[ Plans; (2) sels of Building Plans; (1) set of Energy Forms; R-O-W Permit for new conslruction, Minimum ten (10) working days after submi[tal date. Required onsde, Construction Plans, S[ortnwater Plans w/ Silt Fence installed, Sandary Facilities & 1 dumpster, Sle Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safely Page, (1) set of Energy Forms. R-O-W Permit for new cons,truction. Minimum ten (10) working days after submittal date. Reqwred onsite, Construction Plans, Stormwater Plans w! Silt Fence inslalled, Sandary Faalities & 1 dumpster Sde Work Permit for all new projects. All commercial reqwrements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. "'"'PROPERTY SURVEY required for all NEW construction. 1 i 1 1 1 1 1 1 1 1 1 L i 1 1 1 1 1 1 1 1 1 I..I.il 1 1 1 1 1 1 Directions: • Fill out applicalion completely Owner & Con[ractor sign back of apphcalion, notanzed If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500) " Agent (for the contractor) or Power of Attomey (for the owner) would be someone wilh notarized letter from owner authonzing same OVER THE COUNTER PERMIT'fING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PlotlSurveylFootage) 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 Co�struction 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-Welis, Cypress Bayheads, Wetland Are:as, 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTO � Subscnbed an bswom to (or affrmed) before me this bsidb'�and sw i e) or Y �by - Who is/are personally known to me or haslhave produced Who is/are erso known to me or has/have produced as �dentification. as identification. No[ary Public Notary Public � Commission No. Commission JohN , Name of Notary typed, pnnted or s[amped Name of Notary typed, printe or stamped 2 ,,ar a� c JOFIN J. AAF�ON * � � * MY COMMISSION � DD 977675 EXPIRES: April4, 2014 ��" FIOP��p BOfMed TINU BUAg�( Natary Ser�es -- - ------_—_ __-_____ ---- — -- --��---��---�---- - _- - _--- —_�:_� - .:.. � � � ..: ��I � �t �� . . T�1.L �. � & ��' �. CACOS$326 � � � 6802 Commerce A��e.. Port Richey, FL 34b68 Ptwne� (7�7) 835-0110 Fax• (727) 835-0117 NAME /�°^�NL OGV�iVS _ _ PHONE�/3-7��O�bP_ DATE 9��// ADDRESS,��_�u..aq� f/,L _ MECHANIC S/(e CITY�'�_��N/[.G f COUNTY �/ISGO ZIP �.�Sy2 CUSTOMER NO JOB LOCATION �_ PHONE SERVICE TYPE EQUIPMENT MFG. STYLE MODEL NO. UNIT S/N COMP S1N NATURE OF WORK TO BE DONE 7_ _� Tb /R C JOB COMPLETE? YES � COST SOURCE QUAd. DESCRIPTION PRICE ITEM COST HOURS CHARGE 7 3 °'� r�,.� i s E�K. � c w. ry �� c r r N"," �,� P.+ a w / � � hw c Lv.v�XR cT '� .1.0 / I�YG� w�.r, `6 /,S� T� s�i� A�v.� S29a i°o�v Gd� G iw/ We Value This Opportunity to Serve You! EXECUTIVE SAVINGS SEE BACK OF THIS TICKET FOR SPECIAL INFORMATION, AND PROBLEM SOLVING AGREEMENT DISCOUNT All electrical parts are non-refundable. SUBTOTAL �p v O_ Customer reque ce rathtr re irs r d dability and/or efficiency TOTAL BItLING ' � Customer Si na r AMOUNT COLLECTED /, fOd 00 MAKE CHECKS PAYABLE TO AIR FORCE 1 BALANCE DUE S, Z90 . o CUSTOMER SURVEY P�SE INITIAL PARTS WARRANTY 1. Was the representative clean in appearance? �°<« Yes _ No Ali pans as recotded are warrented as per 2. Was the representative helpful in answering all your questions? (�_ Yes _ No manufacturer specifications. 3. Was the service performed in a professional manner? �Yes _ No 4. Did the representative fully explain the services performed or any additional LABOR GUARANTEE services to be performed in a professional and non-pressuring manner? �C� Yes _ No The lab<�r charge as recorded here retative S Was the work area left neat and clean? �_ Yes _ No to che equipment serviced as �oted, is 6. Would you recommend to your friends, relatives 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 that Air Force 1 Excellen�_ Good Fair Poor INT'Sf+"�Q Air Conditioning & Meating will not be held responsible for any mold or mildew damage. 530 CHARGE FOR RETURNED CHECK Customer also agrees that it is their Warranty on thermostats is only orre year. Warranty as outlined is factory wavanty m addRion to wananty of fint year. Normal senice houn Mon. thru Fri. ffSPOf15tb1IICy YO check and maintain thelf 8:00 am to 5:00 pm. Warranty service at other tfines will incur additional cost This can not be modified unless signed by corporote office. All accounts due drain lines on a regular basis. Air Force 1 Air upon receipt. A finance charge of t'h% per month will be charged on all balances over 30 days, plus any attomey fees and/or court costs irxurred. Total �onditioning 8� Heating WI�� not be held liability of this agreeme�t is face value with attorney fees not to exceed t 0%. All payments must be made to Air Force 7. Mo viwrra�N�r en dwin INus. responsible for any damage resulting from a I have authority to order the work, which has been sansfactorily perforrtxd, as outlined above. lt is agreed that the selfer will retain tkle to arry equipment or matenal that may be fumished unnl final payment is made, and rf setNemeM �s not made as agreed, Me seller shall have the right to remove same and the Water leak. seller will be held harmless for any damages resulting from the removal thereof. CUSLO(Tlf f understands that after January You are rrot obUgated to pay any money unlass you sign Mis contrxt �nd r�tum k to tha salNr. 1 2010, manufacturers can no longer use BUYERS RIGHTTO CANCEL refrigerant R-22. This is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by p�oviding written notice to the Customer agrees that they are responsible for Seller in person, by telegram or by mail. Triis notice must indicare that you do not want the goods and services, and musc be de�ivered w posc upgrading existing electrical to code. marked before midnight of the third busines ay aher you sign this agreement. lf you cancel this agreement, the seller may not keep all or part of any cash down payment. R t of th for oing Buyers Righ� Cancel is hereby acknowledged on the date listed at the top of this agreement. Customer's Signat r 1 v Date_� � � •• 7i�Ck yesc � tlid a ta aacc�e yy�sc„