HomeMy WebLinkAbout12-13605 CITY OF ZEPHYRHILLS
5335-8TH STREET �'`r,�~
(sis)�so-oo20 �605
BUILDING PERMIT
Permit Number: 13605 Address: 38741 CR 54 E LOT 111
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Townshi
Proposed Use: NOT APPLICABLE p� Range: Book:
Square Feet: Lot(s): Block: Section:
Est. Value: Subdivision: SLEEPY HOLLOW T.T.PK#2
Improv. Cost: 4,700.00 Parcei Number: 02-26-21-0010-05000-0030
Date Issued: 11/14/2012 Name: SLEEPY HOLLOW MOBILE ESTATES
Total Fees: 60.00 Address: 38615 LANSING AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/14/2012 Phone: (813)788-3083
Work Desc: A/C CHANGE OUT 2 TON MOBILE HOME (BRACKETT, ROY)
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DUCTS INSUL%T�D��
FINAL_ <-
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 2 c when extra ins
trips are necessary due to any one of the following reascns: a) wrong address b)wndemned work res I ng
from faulty construction c) repairs or correcdons not made when in s p e c t i o n s ca l l e d d)vvork not ready for
inspection when called e) permit not pos�ted on job site f� 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 ro
may be found in the public records of this county, and there may be additional p PertY that
entities such as water management, state agencies or federal agenlci�esfrom other governmental
"Warning to owner: Your failure to r�ecord 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
Complete Plans, Specification Must p�m'ng your notice of commencement."
pany Application.All work shall be pertormed in acoordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRAC OR SIGNATURE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION R
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin
Owner's Name � Y^ �13-�g g -3og3
Owner Phone Number
Owner's Address :J �� � �"� �, t Owner Phone Number
Fee Simple Titleholde�Name � �
Owner Phone Number
Fee Simple Titlehoider Address
JOB ADDRESS J O��-�") � �- ,(- ,;—1
LOT# i�-1--L--.J
SUBDIVISION �I �e Q � PARCEL ID# O� �a c�a -o���-��-�,�_����
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDlALT � SIGN
� INSTALL B REPAIR 0 � DEMOLISH
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK C C (� �u(,�' � � -r}�l,l,(�I�
�i
BUILDING SIZE SQ FOOTAGE�
HEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
[�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY
Q W.R.E.C.
OPLUMBING $
�IECHANICAL $ ���� VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER
SIGNATURE COMPANY
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 COMPANY �`a(1 V 1'�'S �(,�(� ' �-�(}�,ciy�.
51GNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address , �Z' U� 1 ' Z �j3� License# �-- � � �
�THER
iIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address �
License#
tESIDENTIAL 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
:OMMERCIAL 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
IGN PERMIT Attach(2)sets of Engineered Plans.
"*"PROPERTY SURVEY required for all NEW construction.
irections:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
If over s2500,a Notice of Commencement is required. (A/C upgrades over aT500)
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
✓ER THE COUNTER PERMITTING (Front of Application Oniy)
:roofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadwaus..needs ROW ,
� . . .
NOTICE OF DEED RESTRICTIONS: The�e ulat ons. The undersigned alssumes esp ns bilty for compl a,nce tw th any
which may be more restrictive than County g
applicable deed restrictions.
UNLICENSED CONTRACTORS A ma beN q�uired�to be E en�sedsi Bac'coEdance th state a d locale egulationrs c Ifrthe
contractors to undertake work, they y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvif�lat{he
under state law. If th e adv sed to contact the Pasco C unty Bu Idingslnspection'Div s onreL cle s ng Sect on at 27-847-
intended work, they ar
he is advised to have the contractor(s) sign
8009. Furthermore, if the owner has hired a contractor or contractors,
portions of the "contractor Block" of thi a{he'is n1ot p operly I censedfland is not enttled t ypermitting pr v leges9n Pasco
contractor, that may be an indication th
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOV�ERY�nEES{ion of neweb ude gsnchange of
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of existinerstandlsgthat such fees,'asPmay be dueywOill�be dentified at the_tme of
90-07, as amended. The undersigned also und
permitting. It is further understood that Tn I S ower'�ele seaClf the p ojecRdo srno Rnvolve a certificatetof ooc pancy o�
receiving a "certificate of occupancy or fi p
if Pasco County Water/Sewer Impact
final power release, the fees must be paid prior to permit issuance. Furthermore,
fees are due, they must be paid ha rter 713,IFlorida Statutes, as amenlded)pllf valu ton of work is $2,'500 00 or more, I
CONSTRUCTION LIEN LAW(C p
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 A�gfi��uetabove d scr bed docum�ent nd prompseantgood fa th to
other than the"owner", I certify that I have obtained a copy
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: �e law�s reaulatingeconstn.i tion,'zonling an�d land developmentn Application is
will be done in compliance with all applicabl 9
hereby made to obtain a permit to d� W and thatlalltwork will be performed to meettstandards of all Iawsllaegulating
commenced prior to issuance of a perm
construction, County and City codes, zoning regulations, and land development ri9{o the ntendedJwork! and thatat is
certify that 1 understand that the regulations of other government agencies may app y
my responsibility to identify what actions I mu tect on C press Bayheads,SWetland A eas and En�o ment�a lyt Sensitive
Department of Environmental Pr Y
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 & Rehabititative 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 F1O�°at t me of permitting wl�i h is preparedrby agprofessionalreng neer
"compensating volume will be submitte
licensed by the State of Florida.
_ If the fill material is to be used in Flood Zone flA�ne a ea w thin the stem w m�tted building using stem wal
construction, I ce rti f y t h a t f i l l w i l l b e u s e d o n l y t o that use of such f i l l wi l l no t a d v e r s e l y a ff e c t a d�a c e n t
If fill material is to be used in any area, I certify be cited for violating
properties. If use of fill is foun e�ml{ds ued under thelattached per�mit applica on for lots less than one (1)
the conditions of the building p
acre which are elevated by fill, an engineered drainage plan is required.
m the AGENT FOR THE OWNER, I promise in good fa��hthatna�separat permit may be equ ed for lelectr ct I work�,
If I a lication
this affidavit prior to commencing construction. I unders a
plumbing, sig
ns, wells, pools, air conditioning, gas, or other installations not speciflcally included in the app
perm
it issued shall be construed to be a license to procee suancehof a pe mitprevent thehBu ding Officeal from thereval d
set aside any provisions of the technical codes, nor shal is ermit issued shall become in
requiring a correction of errors in plans, construction or violations of any codes. Every p
work authorized by such permit is commenced withonths a er the t mpe thetwork sc ommenced. Anhextensa e
unless the eriod of six(6) m y da s and will demonst
the permit is suspended or abandoned for a p Qb is considered ak�andoned.
may be requested, in writing, from the Buil�ea esOf�or'ninety(9)rconsecutive days,the jt �90 y
Justifiable cause for the ext�nsion. ff wo
WARNING TO OW
NER: YOUR FAtLURE TO RECORD A NOTICYOU INTEND TO BTA N FANANCSNGTCONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. �F
UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
WITH YO �
FLORIDA JURAT(F.S. 117.03) CpNTRACTOR `�
pyyNER pR AGENT and swom t�or��)����me this
i� ed and swom (or affl ed)before me thls �i �� � by
�,� by � ' �a ersonall known to me or hasa�dentificat on.
�t � p i z--
y��`"'a�e personally k__���?tO- mas IdenUficatl�roduced
r \ Notary Public
� Notary Public
Commisslon No.
Commission No.
Name of Notary tyPed.Printed or stamped
Name o rinted or stamped
�,��� Notary Public State of Florida g'�h'�' $hem L pp State of Florida
� Sherri tL Pope • � �
; My Commiasion EE 180320 '� �i` My Commiasion EE 180320
'�rn'n� Expires 03l18/2016
or tio Expiros 03H 8J2016
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S-- Ron lerna's Hesting& Cooting, Inc.
19121 US Hwy 41 North•Luv_FL 33349
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�°►„R�Gerti(ied Reterence Number: 3369371 Oate: 11/14/2012 �
ProduCt:Single-PaCk8g6 Alr-�pndklonor,Air-�pplK( 1
Model Number: 50VL-A24---30
Manufacturer:CARRIER AIR CONDITIONING �
TradelBrBnd name:CARRIER
Manufacturer resppnsible for tha rating of thfs sysbm combinstbn is CARRIER AIR CONDITIONMIG
Rated as;ollows in accordance wlth AHRI Standard 210/2�0•2ppg for Unit�y Alr-Condltbning and Alr-Spurca
Heat Pump Equipmsnt and subjact to vsrincation of�atin�accu�acy by AHF�I-sponsored,independent�thrb
Party testing:
Cooling CapBCity(etuh): 2360a
E�R Rating(Cooling): 12.� �a
, SEER RaGng(Cooling); 14.50
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CERTIFICATE VERIFfCAT1pN
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�2012 Air-Conditioning,Heating,and Refrigeration Institute � °^����rigPrnli�n fnstifu�e
CERTII�ICATE NO.: 129973827579322738