HomeMy WebLinkAbout12-13377 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 13377
BUILDING PERMIT
Permit Number: 13377 Address: 37317 GILL AVE LOT 170
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s):170 Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0140-00000-1700
Improv. Cost: 3,590.00
Date Issued: 8/24/2012 Name: LINDKE, ALBERT
Total Fees: 55.00 Address: 37317 GILL AVE LOT 170
Amount Paid: 55.00 ZEPHYRHILLS, FL
Date Paid: 8/24/2012 Phone:
Work Desc: A/C REPLACEMENT
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I
DUCTSIN LATED
FINAL � 3 (-�
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)oondemned 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.
"Warning to owner: Your failure to reaord 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 reoording your notice of aommencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
�
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
..-
C T TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�3-�eo-oozo �ity af Zephyrhills Permit Application Fax-813-780-0021
• Buiiding Department
Date Received
Phone Contact for Permittin _
Owner's Name � �--� � kL Owner Phone Number � 3 � ��..5� go13
Owner's Address 3 7 3 � 7 ���L �f� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS 3 73 I 7 � r �..�. !� 1/C_
LOT# 1 �7 °
SUBDIVISION ��� �U� l Z�'n�J , PARCEL ID# 3 4-�s a i-�r 4 v �p��� _ � ,���
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL EPA1 �
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q
�� t � '
DESCRIPTION OF WORK �'�, ��—�
BUILDING SIZE SQ FOOTAGE�� HEIGHT ��
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS_�fQERGY Q W.R.E.C.
/�
QPLUMBING $ �� ��/ %
' r /
l�� IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO ���.--�- .--'�
� �. �'d.D D .;
QGAS Q ROOFfNG Q SPECIALTY [� 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 ,�� � p COMPANY � )� C D/IIIJ � ELE C
SIGNATURE ��L� REGISTERED Y N FEE CURRE� Y/N
Address �3 m Em v R�,qz .�.�.� License# �� C��3 9 7 S5'
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 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,Constniction Plans,Stormwater Plans w/Silt Fence installed,
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 constniction.
Dlrectlons:
Fill out application completely. ,
Owner&Contractor sign back of application,notarized
If over 52500,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 with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
e ic Upgrades A/C Fences(Plot/Survey/Footage)
NOc'JF:DAG�JJ�311��
�AiUfl��lpu�p�-l��nt i roadways..needs ROW
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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 Iocal regulations. If the
contractor is not licensed as requi�ed 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 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 certi�cate 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: 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 �f 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 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.
- tf 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 flll 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 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit pr,ior 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 spec�cally 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 YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03) , •
OWNER OR AGENT CONTRACTOR,+�-�A���^ �
Subscribed and sworn to(or affirmed)before me this Subscri�l and�to r affirmed)be#grg tn�Q�Q
by c�3 ►1� �.�S�C�� �,,J� \l i �
Who islare personally known to me or has/have produced Who is/are perso Ily k own to me or haslhave produced
as identlflcatlon. ��S60�ft� �� as identification.
Notary Public \ '�n l�U�pX_XR ('�' ����_X�v `-' Notary Public
Commission No.
Commission No. C� �-'
M`� � IINq�.IE�ti�C1I�OM
� � �
Name of Notary typed,printed or stamped Name of Notary typed,printed or sta � �C�����p�20/i
Can�iabs+f EE 1NIN
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ACE AIR CONDITIONING & ELECTRIC ��� ��d���� � � C� O � �
923 West Memorial Blvd.
Lakeland,FL 33815 PMONE DATE OF ORpER
Tel: 863-68&2238/800-282-7841 '�_$�3�a,?�l
'� ❑DAY WORK OCONTRACT ❑EXTRA
TO � JOB NAME I NUMBER
�7�/7 • � JOB LOCATION
G ���I�Ci{�[/J 0 �/� C����/ OB PHONE STARTING DATE
T.�:
�TY. MATERIAL PRICE AIAOUNT DESCRIPTION OF WORK
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P�p
OTHER CHARGES
TOTAL OTHER
LABOR ►�as, w�� AMOUNT
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TOTAL LABOR
DATE COMPLETED TOTAL MATERIALS
TOTAL MATERIALS
TOTAIOTHER
SIGNATURE TAX
TOTAL D d
WORK ORDERED BY ToReorderca11600-370-5591 orwww.printit4less.com
I hereby ecknowledpa ihe aetisfactory completion ol tl�e above deacribed work
THANK YOU
,_
Ace Air Conditioning& Electric
923 West Memorial Blvd.
Lakeland,FL 33815-
(863)688-2238 Fax:(863)686-9798
Work Order: 75933 August 23,Zoi2 9:zi �
Work Location: 25421 Bill To: 25421
ALBERT LINDKE ALBERT LINDKE
37317 GILL AV 37317 GII.L AV
LOT 170 GRAND HORIZONS LOT 170 GRAND HORIZONS
ZEPHYRHILLS,FL 33541 ZEPHYRHILLS,FL 33541
(813)715-9823 HOME PHONE* 30�—Qy13—2Z�'� (813)715-9823 HOME PHONE*
Cauin Date:8/23/2012 8:58:00 AM Department:Air Conditioning
Requested Date:8/24/2012 9:00:00 AM Call Type:A/C install-Man.Housing
Scheduled Date: BillingTerms:COD
Caller:ACE/DALE Priority:Ready to be done
Taken By:Rose Status:Unassigned
Arrived: Started: Completed: Total Hours:
Authorized By Date Lead Tec6nician
Trouble Reported.•
(i t�> .�.�-ECO�� �� �� 1��9�,lo�r -�-a, cs,e e... -�,�.c.. 8�3��5—°l��o
(0 hrs) AC-5 TON HEAT PUMP � �l�
(1 hrs) AG 13 SEER
(4 hrs) AB-PACKAGE iJNIT
Notes. �L.(��C.� �t.uC'�.
CHANGE OUT
IJNIT
DIGITAL T-STAT
PAD
STANDARD WARRANTY
PERMIT
BID PRICE$3590.00
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