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Home My WebLink About12-13526 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 13526 BUILDING PERMIT Permit Number: 13526 Address: 5614 12TH ST 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: CITY OF ZEPHYRHILLS Est. Value:��p�9,� ' Parcel Number: 11-26-21-0010-10500-0150 Improv. Cost: Date Issued: 10/10/2012 Name: SIMMONS, BRANDON 8� STEPHANIE Total Fees: 55.00 Address: 5614 12TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/10/2012 Phone: (813)778-6951 Work Desc: 3 TON HEAT PUMP 5 . . .� � � t . DUCTSINSULATED FINAL�'�,�'Z` REINSPECTION FEES: Reinspection fees will wmply 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 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 reoording 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. ✓ -- CO RE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER es�is-iesu-uu�u c;iry ot[ephymills Permit Application Fax-813-780-0021 Building Department Date Received Q � Phone Contact for Permittin �/� !�G -- ��f� Owner's Name .�� Owner Phone Number Ovvner's Address / � S� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �� I G T � LOT# � SUBDIVISION PARCEL ID# (OBTAtNED FROM PROPERTY TAX NOTICE) M/ORK PROPOSED B NEw CONS7R 8 ADD/ALT �� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTIOId Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK /� e /� �//r1 / �(//v1 BUILDING SIZE �--1 3Q FOOTAtiE HEfGHT QBUILDING a VALUATION OF TOTAL CONSTRUCTION QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING a � �,J %�J�'J /� '�(i / 15 � � MECHANICAL $ � � 4 VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING 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 CURREP Y/N Address License# �- PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL � -COMPANY /f/L � l�i�'o ,a�,,-Z co p�s �2 L �" C SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ��Q /.�p�d � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � � RESIDENTIAL Attach(2)Plot Plans;(2)sats of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, Mfnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadlitles 8 1 dumpster;Site WoNc Permit for subdivisionsAarge 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 constructfon. Minimum ten(10)working days after submittal date. Required onsite,Conshucdon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance SIGN PERMIT Attach(2)sets of Engineered Plans. ••'"PROPERTY SURVEY required for all NEW construction. Directlons: Fill out application complete�y. Ovmer&Contractor sign back of applicatlon,notarized If over 52500,a Notice of Commencement is requlred. {AJC 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) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if pn pubU�tqa��ivwdys�.needs,ROW _� � s v ,. ..7. 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 applicabte deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to unde�take 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 appiy 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 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 permitling. it is further understood that Transportation Impact Fees and Resou�ce 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, ff 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 Agricuiture and Consumer Affairs. If the appiicant 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 installatfon as indicated. I certify that no work or instaliation 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 A�eas 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 Watervvays. - Department of Health & 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 fiil: - 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 certffy 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. tf 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 fnstallations 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, CONSUL7 WI7H YOUR L DE A O NEY F E RE ORD G Y FLORIDA JURAT(F.S. 11 _...______.-.__ . _. OWNER OR AGENT �/71�+ CONTRACTOR Subsc�lbed and swom to(o , fflr efore me thfs Subs b a s a/flrmed) s � by by �' - Who islare personally known to me or haslhave produced Is/ re p ally kno to me or ave produced as Identlficatlon. as idendficatlon. _i 7�_ ... Notary Public ��;�' otary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary ;� mm�ssion#EE 140709 Expires February 22,2016 �� .�� Bonded Thru iroy Fain Inwraiwe E00-385-7019 ' HeaLng 6 Alr CondlUonlna s � '' PROPANE GAS Service Order/Proposal �al1a` � p►tvb AIC ►NC. lASTS�NB USTS AND USTS: ;��lRf; t:!f='I:fE=F?#:�,EKI�ICCML�i�! --.�rf+:'f� ��;f=;; �ace 1988 813-782-�v013 �,�,z-e��r r r�� ;�r;�r� k��. - ,_�:-•� �� 1 :��,�: Sales, Service & Installations �'�'�'��`� �'`� r' �.` �yr„ t)�'=!TE:.j;�' :L?n[_ �''I�C3h7I aE�ia 4441 Allen Rd. • Zephyrhiils, FL 33541 ��y�;,-��i�{-MFr� e�_rir F3'i�i�,�r�.; j.r,��,�E:, NOTES '�L� � �I,�-- 7�g'Z-�D � . �-'�-afli4F# �3: ? _r t •} _T,,�� ;�� . r�,��ara��_�� s, �- -��ts-��=��t r��i-!O hd`=:�}# 7�l+. k`1��;+=, � r�c.-�n�-r��r.,�r �� -��t�ni�� n�a��c=,F.�-;- f?�E_� r�l '{'J�_� �T�� '� . Mf�►€�' --�1T� I±. �� l�`11'1{:{'ti�%y �� -i�"'�I�i��.1.4 r?.4t'llY�l..l1Yr�� '?1 �:,{'��"��17�4l.��_ 5 E��. �r i.��r f-= �;7�r��'_�' �F.�,:�. J.��:-f t-4 f=:T F<E'E T 7_��i-�`�f�V-{�l. l. � f �._. -?�v 1�+�, 'r�_'�.{��f?F�i'tE..l.._� ..,n a TOhI ;��F'I_ .[�r • C�,'�: HPGti��'��ri, �.�'iL�t�IJl�'1•+v�1 i -� . Fa r;r. F.1��'t?�.��R�.'�E=.,A, r:GI�`��1`_�lE�, ht�'i'� iltif� ?I'd�,T,'�t. l E:c"�'> CJi'� -:, 'r'r#t=f �-i."�"' �:,.�.�.„ '�"�. �.�... �,�, _.w,_,_ ��" r r��,� 2c x Z To�v �9� A.�. � � � 3yX�G`' . . S,Cw A v,xt t/� .� �r. R � . � ��, ��,•�.`��.�.��'(' �:,°y'. . c.. � � `'`: . r=F- /.�.5.�f� y�c� �Q � ' � � � s�q L. .� � .a,-�. v�,r � �'cz� ;� � � .�ivc .2t qG L /�iT"v2 ti �( � � .. .�.O D � /C>?C(� ,D.Gc i � - � � � � • ��7LT�' 7��'r?�' � ��"11° � :�'`-� .;��' '�'>;>:�; '"° ;��. ��,; �,�,- , . � i �� { .�^:a �,�:3,.>.-�':� i i ,�: • P° Lo HI ❑Cleaned 0 Cleaned ' ' �. 'µ'"�`,5;Cond.Fan Blwr Comp Heat Strip � i i i � �:4�'"`}':T I I � Cond.Fan Blwr Comp , , '-��, , i i PrimarylConditan ❑Cleaned SecondarylCondition ❑CIQ2�2d, REFRIGERANT R- LBS � � :`*��`Type ❑ Replaced Type FILTERS x x Changed Monthly i i �`� �N��'��„ `�i`: ,�'^- FILTERS x x Changed Monthly � � ."� - r°- .*a:. � '`��~ ' ❑ REGULAR ❑WARRANTY 'I"�Ui�:-�`a�W1A�4AR�Y ' ' kWhen here •`When Away� �~T-Stat�: ❑ MAINTENANCE CONTRACT SERVICE , LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' ' CALL i ��'�°��tT or suppliers'written waRanty only.All labor performed by the above named company is warranted for 'Y` i 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i express or implied,and its agents or technicians are not authorized to make any such�ranties on MATERIALS behaliofabovenamedcompany. -3 ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i 1 have eut�onfy to orCer t�e work outllneA above which has been satisiactorily completed.I agree that Seller PROG. -10% � retams tiUe to eqwpmenUmatenals furaishetl until final payment is made.If payment is not made as agreed, DATE COMPLETED seller can remove said equipmenUmaterials at S�Iler's eupense.Any damage reaulting from sa�d removal shall ��,r ��' � not be lhe responsibiliry of Seller.NET 30 DAYS;A t t/2%SERVICE CHARGE WILL BE ADDED MONTHLV TO ALL UNPAID BALANCES OVER 30 DAVS NO REFUNDS X�� -.—�-^ � TECH� TAX I .� / -- - TOTAL ��'� USTOMERSIGNATURE �� DATE ✓��!",,,�/ �✓Q�GC I� -G!//GJS