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Home My WebLink About12-13016 CITY OF ZEPHYRHILLS 5335-8TH STREET �sis)�so-oo20 13016 BUILDING PERMIT Permit Number: 13016 Address: 5316 11TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL,. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Value: Parcel Number: 11-26-21-0100-17100-0100 Improv. Cost: 6,995.00 Date Issued: 5/08/2012 Name: SAINT JOSEPH CATHOLIC CHURCH Total Fees: 70.00 Address: 5316 11 TH ST Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/01/2012 Phone: (813)782-2813 Work Desc: REMOVE REPLACE EXISTING A/C UNIT . n� / � DUCTSINSU D� FINAL ''�.�1 r � 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 t) 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 Accompany Application. All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. /�� CONT TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER '.i13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 . Building Department Date Received � l �Z Phone Contact for Permittin 8�3 78 Z -. ✓�6� � Owner's Name ✓�.T � � � T�v ��L L�y�r+-t Owner Phone Number / Q Z � Z 8 � � Owners Address �� 6 �� T� .s� Owner Phone Number � � Fee Simple Titleholder Name Owner Phone Number �- Fee Simple Titleholder Address JOB ADDRESS �� c�- LOT# � SUBDIVISION � PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � DESCRIPTION OF WORK �F'��VL Z � G � tSl-<�� /�v �- fs'4L r �T BUILDING SIZE SQ FOOTAGE� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �/ � �%/� � ((J OMECHANICAL $ � c�' VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � MECHANICAL ✓j /f COMPANY Bq ff� S af'y! G�i�-� L�1 � -t/�� SIGNATURE REGISTERED Y/ N FEE CURRE� Y N Address y y � .Q�� License# C�G D y��/�� OTHER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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)worlcing days after submittal date. Required onsite,ConstrucGon Pians,Stormwater Plans w/Silt Fence installed, Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Buflding 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 Facilitles 8�1 dumpster.Site Work Permit for ali new projects.All commerciaf requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. """"PROPERTY SURVEY required for all NEW consUuctlon. Directions: Fill out application completely Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) "` Agent(for the contractor)or Power of Attomey(for the ovmer)wouli!'be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) ° �� w�. . Reroofs if shingles Sewers Service 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 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 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: 1 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 instailation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be petformed 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 identiiy 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-Seawalis, Docks, Navigable Waterways. - Depa�tment of Health 8� Rehabilitative Services/Environmental Health Unit-Welis, 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 N ATTORNEY BEFORE RECORDING YOUR NOTI OF OMMENCEMENT. FLORIDA JURAT(F.S. 117.0 � OWNER OR AGENT L/ CONTRACTOR � Subscribed and swqm or a, for me this Subscribed and swom o( rmed}befdre m i - ��-1•-1!�by by Who islare personally own tb rtt� r has/have produced Who Is are�ersonaNy te-li�ear ha asedentiti ation - as identlficatlon. ._.._� .. -, _ -, �. , _� •� C �,, � � ` � Public l Notary Public Commi ��1�.�' Commission#EE 140709 CO �'�4,y,?yp��o C,ofii„IiS:.ion;*�r��0709 ��R�i�.� BondedTlruTroyFainlnsuraceE0o-385�7019 :•; :,- �.� •. ,. Na peal+a Name of o ary p ,p nt or mpe � � � � PROPANE GAS Service Order/Proposal Heeu�esa�ila I � AND AIC INC. LpSTS AN�LASTS AND LASTS:" ��e �988 813-782=5013 WORK ORDER#/SERVICEMAN 36cE�1 JUN Sales, Service & Installations T�ATE�TIME TAKEN 04I:�6�12 �8:�� 4441 Allen Rd • Zephyrhills, FL 33541 TAN,EN Pv ►�,. P. �5 DA7E/TIME RROMISED NOTES • CUSTOMER#/LOCATION 1'3�?,� RHONE# 78`—L61� F'HONE`# ' 8i..�i—J�B—BJ�� G , PHOtVE3# 813-4�4-.:,514 CQNTACT fi'{I Y,E COZ I NA - � RQ�JTE/SEG? JUN ST JOSERH CATHOLIC CHURCH . ST JOSEF'H CA7HOLIC CHURCH 531E, 11TH ST �31E 11TH ST *SOUTH SIDE-MAIN GHURCH ZEF'HYRHILLS FL 3,:,�4c ZEF'HYRHILLS FL,:,354:_ 10T 60C]DMAN 5RL I T **1`/�c:/1 1** ' AH: A R 1 c�4AA, 1 ].�$5c7�t'`� Cn: G5 X 1 1 1��.?,AA, 1 1►Z►$488'3E9 KW: AHF'.D i�-�, 1 i. 1�0�1�E7 EST. ON 1@TOIV GOODMAN A/C W/ 15 IiW. HEAT FOR NORTH SIDEOF CHIJRC;H DESCRIPTION OF WORK QTY MATERIALS & SERVICES UNIT PRICE AMOUNT — ----------------------------------- ----�----____-�_ � p o... G�o,o�l.ai� � � �� m•�. �t r� G/�.v-�- � m uT o� .� �r/ � � � � � - � � �� .� Uti. T � � - � � , � r'T Gi✓ � � , •:O £� � _��_ C /�ri2G 77 � � � � � � � � , � � � � � � RECOMMENDATIONS � � � i Mnua/Maintenance Recommended byAll Equipment Manufacturers. Pressures Lo____ HI T-Stat ' ' � i � i REFRIGERANT R- • LBS. i � •FILTERS � . Changed Mont�ly I I FILTERS . . Changed Mont�ly � � ❑ REGULAR _J WARRANTY TOTAL SUfiAMARY DehumidiStat 5ettings: When here"Qt�, When Away¢Qfs, T-Stat 85° � MAINTENANCE CONTRACT SERVICE i LIMITED WARRANTY• All matenals,pa�and equipment are warranted by the manutacturers METHOD OF PAYMENT CALL i or supphers'wntten warranry only All labor perforq�ed by the above named company is warranted for TOTAL � 30 days or as otherwise indicated in writing The above named company makes no other warranties ❑CASH U CK# MATERIALS � express or implied,and its agents or technicians are not authonzed to make any such��arranties on behalfofabovenamedcompany 0 DEBIT ❑CREDIT �OTHER MAINTENANCE i I have authonty to order the work outlined above which has Deen saUStactonly completetl I agree Ihal Seller PRO�. W I C � retains hlle lo equipmentlmatenals(urnished until final payment is made If paymen�is not made as agreed. C��M# seller can remove said equipmenUma�enals at Seller s ezpense Any Damage resulting lrom said removal shall � not be t�e responsibility of Selier NET 30 DAYS A 7 1!2°6 SERVICE CHARGE WiLL BE nDDED MON7H�y TO ALL UNPAID BALANCES OVER 30 DAYS NO REFUNDS DATE COMPLETED TECH: TAX i i CUSTOMER S�GNATURE �hTE ._'/ffr-i�� `�1��r� TOTAL ��s� �