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Home My WebLink About12-13092 CITY OF ZEPHYRHILLS %� ,__ 5335-8TH STREET ^ (813)780-0020 13092 BUILDING PERMIT Permit Number: 13092 Address: 38604 TRELLIS 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: ALPHA VILLAGE Est. Value: Parcel Number: 35-25-21-005A-00000-1430 Improv. Cost: 4,400.00 Date Issued: 5/22/2012 Name: LULOFF, BRIAN Total Fees: 60.00 Address: 38604 TRELLIS AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/22/2012 Phone: (813)695-3631 Work Desc: A/C CHANGE OUT 2 1/2 TON -r � A � DUCTSINSULATED FINAL S�L3'I� 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 acoessible. 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 pertormed in acxordance with � , Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. �Z�2 -------J v7 CON CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department o:.. Date'Received Phone Contact for Permfttln -- 4 4 � Owner's Name .- � �' Owner Phone Number - 6 Fl- q�a Owner's Address 3 S b 0 l r I, 2. Owner Phone Number � Fee Simple Titleholder Name � � Owner Phone Number � Fee Slmple Titleholder Address JOB ADDRESS � ' vC LOT# � SUBDIVISION � PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q' SIGN Q Q DEMOLISH B INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION �/ BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK C ��Ct✓t a 1/ BUILDING SIZE � 3Q FOOTAGE� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �CHANICAL $ ��U C7 VALUATION OF MECHANICAL INSTALLATION -� 1 ��`� Z QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Llcense# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C O`��O sd S/ .Sr � MECHANICAL COMPANY r! S r ��L �D�u C� �1 SIGNATURE REGISTERED / N FEE CURRE� Y/N Address (�+�� So I �� j3S�S License# �— OTHER COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� 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)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facillt(es 8�1 dumpster;Site Work Permit for subdivlsionsllarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new wnstruction. 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 construcGon. Directlons: Fill out application completely. Ovmer&Contractor sign back of application,notarized If over S2S00,a Notice of Commencement is required. (A!C upgrades over ET500) *' Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) 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" restriciibns" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed rest�ictions. 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 "cvntractor 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 entiHed to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES 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 fu�ther 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, Florfda 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 appllcation is accurate and that ail 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. 1 certify that no work or installation has commenced prior to issuance of a permit and that all work will be pertormed 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 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 expressiy permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" wiil be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. if the �II 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�II 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 Iots 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 p�event 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 WITH YO R'LENDER OR AN ATTORNE Y EFORE RECORDING YOUR NOT CE OF COMMENCEMENT.' CONSULT FLORtDA JURAT(F.S.117 03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or afflrmed)before me this Subscribed and bwom to(or afflrmed)before me this by Who islare personally known to me or has/have produced Who is/are personally known to me or ha as denUficat ona as idenUficatlon. Notary Public Notary Public Commission No. Commfssion No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped � �„ � SERVICE ORDER - , RIS A/C �� -' �� HVAC � • .. �� --- 1111 P A N Y 12457 CACQ58575 � 12232 HWY 301 DADE ClTY (352)521-4977 �� DADE CIT'Y, FL ' ZEPHYRHfLLS (813) 779-9515 LAKE C4UNTY (352)508 5614 � BILL TO: ��,s /YI{tn V��IcGL SPLIT SYSTEM ,t' PKG UNiT NAME: • � �ATE:,s-g i MODEL# �.R ADDRESS: � T�� ` SERiAL# CtTY: Zr ZtP CODE:33Sye PHONE: �o`,o WORK: MODEL# CELL: ��3,3�� 47JY RENTER: SERIAL# TECHNICtAN: �� DATE:�,b,_�,l PROBLEM REPORTED: o � BRAN�: 1 �bw� r �+ r� .So.�. :,� a la o � F � � .,,.er' PARTS 8�LABOR C�,.,f' s PARTS ONLY START UP: �lv % Ti.� 1�!'cw ( .. El/ .!� r .r .',. /.i.c te�� fv �H �.. � F CHECK# JGp DUE: CASH: �' ��`�� $`'��"� �t . ._ ._ . �`��:`��y CRED(T CAR�#: �-S U - � SUCTION PRESSURE: � CARD TYPE: ,� � LIQUID PRESSURE: APPROVAL CODE: ��2 �I TEMP. DIFFERENCE: EXPIRATtON DATE: ILTER: Gpc� •'�:��;.�:�:..�,.,�,,�g.,�,,yM,:.�.� .r . �3.<;�,�;;;�<.��;��_� ; .x' ,'�. �� INtNG PROPERIY: �' ..}-.� • �r., � . . I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE WHICH HAS BEEN ° "�� ;"�'�;'.� SATISFACTf}RlLY COMPLETED.I AGREE THAT SELIER RETAINS TITLE TO EQUIPMENT � AND MATEFtIALS UFJTIL FIMAL PAYMENT IS WFADE.IF PAYMENT IS NOT MADE AS MAITED WARRANTY•EQUIPMEM,PARTS AND MATERIAL AGREED,SELLER CAN REMOVE SAID EQUIPMENT AMD MATERIALS AT SELLERS EXPENSE WRITTEN MANUFACTURER'S WARRANTY ONLY ANY DAMAGE RESUlTING FROM SAfO REMOVAL SHALL NOT BE THE RESPONSfBiLiTY L LABOR PERFORMED 8Y CHRIS'A/C HAS A ONE YEAR dF SELLER. ARRANTY CHRIS'A/C i�AAKES NO OTHER WARRANTIES ��• OTAL: $ -7 S• v� •------------------------ CUSTOMER StGNATURE DATE: