HomeMy WebLinkAbout12-12849 CITY OF ZEPHYRHILLS
. _ 5335-8111 STREET -
(813)780-0020 12849
BUILDING PERMIT
Permit Number: 12849 Address: 37540 LILLY BEA AVE LOT 243
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 3425-21-0170-00000-2430
improv. Cost: 3,355.00
Date Issued: 2/28/2012 Name: SISK, FRED & NAOMI
Total Fees: 55.00 Address: 37540 LILLY BEA AVE LOT 243
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/28/2012 Phone: (813)713-0616
Work Desc: A/C CHANGE OUT 4 TON 13 SEER PACKAGE
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DUCTS INSULqT�D�
FINAL_ fy
REINSPECTION FEES: Reinspection fees will oomply with p�orida Statute 553.80(2)(c)when extra inspection
trips are neoessary 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 acxessible.
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 properly. If you intend to obtain financing,oonsult with your lender or an attorney
before recording our notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in acaordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
, ��-%
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Ace Air Conditioning&Electric
923 West Memorial Blvd.
Lakeland,FL 33815-
(863)688-2238 Fax:(863)686-9798
Work Order: 74303
February 27,2012 11:56 am
Work Location• 26044 Bili To: 26044
FRED SISK
37540 LILLY BEA AVE . FRED SISK
LOT 243 GRAND HORIZONS 37540 LILLY BEA AVE
ZEPHYRHILLS,FL 33541 LOT 243 GRAND HORIZONS
(813)713-0616 HOME PHONE* ZEP�IYRHILLS,FL 33541
(813)713-0616 HOME PHONE*
Callin Date:2/27/2012 11:53:00 AM Department:qu Conditioning
Requested Date:2/2g/2012 11:54:00 AM Call T
Scheduled Date• YPe�A/C install-Man.Housing
BillingTerms:COD
Caller:ACE/JC Priority:Ready to be done
Taken By:Rose Status:Unassigned
Arrived: Started: Completed:
Total Hours:
Authorized By Date
, Lead Technician
Trouble Renorted• �� �
(1 hrs) AA-ECO TEMP
(0 hrs) AC-4 TON HEAT PUMP
(1 hrs) AC- 13 SEER
(41v's) AB-PACKAGE UNIT
Notes:
(RP)CHANGE OUT
IJNIT
PAD
ALL NEW DUCT
DIGTTAL T-STAT
STANDARD WqRRpNTy
PERMIT
COD$3355.00
Page 1 of 1
a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting _
Owner's Name c Owner Phone Number �� — ° Q(Q � (o
Owner's Address 7� p �— 1 L L �t R J� L�� Owner Phone Number —�
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �G� m�, LOT# �j.) "` '
��L_J
SUBDIVISION � /� � ��.f�, r 5 PARCEL ID# �' ^— � — �/�Q � D�� ..�! � 3(�
� (OBTAINED F�pROP��EAX�E) DEMOLISH
WORK PROPOSED B NEW CONSTR � ADD/ALT SIGN
INSTALL REPAIR
PROPOSED USE � SFR � COMM Q OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK A G �' - � � , �j y�� _ — /3 —— �C c`
BUILDING SIZE C '
SQ FOOTAGE HEIGHT
Q BUILDING $
VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL �$� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�
� PLUMBING $ �
0 MECHANICAL $ .., VALUATION OF MECHANICAL INSTALLATION
.�,3SS. O
� GAS � ROOFING � SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO
BUILDER COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRENT Y/N
Address
License#
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRENT Y/N
Address
License#
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
MECHANICAL � �r, COMPANY �CE /� )1e C C IlJ IJ qR E� <-
SIGNATURE ���-`��� �'L-`—Z- e-�-�-��
REGISTERED N FEE CURRENT Y N
Address �''� �a jY��1Y�p�� � /(� �icense# C f��,l�3�"7'S,s
OTHER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRENT Y/N
Address 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. Requlred 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 8 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$5000)
" 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 Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drivewa - s ROW
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':.lY'113i'YL 9ft:te: . '•1, � -,,��:
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" res#.ric}ion�"
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 contrac or 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 misdemeanorl�ifO�t�he
u�der state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y
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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOV�ERY�n EES{' n of new b gd ngsncha ge of
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expsnsned also unlderstand'sgthat such fees,'asPmay be duey OI abe dentifi d at the�me of
90-07, as amended. The under g
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid pnor to
receiving a "certificate of occupancy" or final power release. tf the project does not involve a certificate of occupancy or
fina l po w e r r e l e a s e, t he 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 app lica b le Pasco C o u n t y o r d i n a n c e s.
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'SlOWNER'S AFFIDAVIcable law'fs regulatingeconst ucfon,l zonling anld land developmentn Applicaltion is
will be done in compliance with a pp
hereby made to obtain a permit to e m`t a d thatlalltwork will be performedltoemeettstandards of all lawsllaegulating
commenced prior to issuance of a p
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction I also
certify that I understand that the regonsl I must take to be n ompliance.' Such agencies nclude bu�t are not I'mi ed to:�t is
my responsibility to identify what ac
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensi ive
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cyp Y
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 us submitted at time ofpermitting wh ch�s p eparedrby agprofessioaalf eng neer
"compensating volume" will be
licensed by the State of Florida.
_ If the fill material is to be used �n Used onl�to filAthe a ea w'thin the stem W mitted building using stem wal
construction, I certify that fill will be Y
If fill material is to be used in any area, I certify that use of such fill will not adverbel cit d for vaolat ng
properties. If use of fill is found to adversely affect adjacent properties, the owner may
the conditions of the building perm�t �neered dr�a nage plan se equ�dt application, for lots less than one (1)
acre w hic h a r e e l e v a t e d b y f i l l, a n e n g i
If I am the AGENT FOR THE OWNER, I promise �understandhthatna�separat permit may be req g ed for'electr c al work�,
this affidavit prior to c o m m e n c i n g c o n s t r u c t i o n. I l i c a t i o n
plumbing, signs, wells, pools, air conditioning, gas, or other installations no t speci fic a l l y i n c l u d e d i n t h e a p p
permit issued shall be construed to be a license tor shall e sualncehof a pe mitp event thehBu ding Off ceal from therteafter
set aside any provisions of the technical codes, n
re uiring a correction of errors in plans, construction orCeo���ithin si amonths of perm t pss a'n e,UO aif wolrk authorized bn
q
unless the work authorized by such permit is commen da s and will demonstrate
the permit is suspended or abandoned for a perioOd�c al fo6a per od not tohexcleedtn netyr(g0)co ymenced. An ex ensio
may be requested, in writing, from the Building
'ustifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoiN YOUR
J
WARNING TO OWNER: YOUR FAILURE TO UR PROPER'TY.TIF YOU IN�END TO OBTAIN F NANCINT, CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN
FLORIDA JURAT(F.S. 117 03) ! � l,U,��h�'
CONTRACTOR
pWNER OR AGENT Subscribed ar�,d sworn to(or affirmed)before me this
Subscribed and swom to(or affirmed)before me this ��d by ��� ���� �°—�
by Who is/are personally known to me or ha asadent'fication.
Who is personally known to me or has/have produced �� �,���\�� �,�p�.:�,(�__
as idendfication. �
<` \ � , � .. C`�� Notary Public
Notary Public
i�, r
commission No. EE ��o ��
Commission No.
qoin
Name of Notary tYPe �y PubNC-$htt ol Fbtid�
Name of Notary tyPed,printed or stamped . •�M�r Comm.Ex�ka N4►Z0�Z01i
ConMnbtlon+�EE 1l8040
�' �Tp�l�tIMN�I NMh►Apn.