HomeMy WebLinkAbout13-14139 CITY OF ZEPHYRHILLS
5335-8TH SIREET �
� � (si3)�$o-0020 139
BUILDING PERMIT
Permit Number: 14139 Address: 38802 4TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-17900-0015
Improv. Cost: 3,135.00
Date Issued: Name: PARKER, JEROME
Total Fees: 55.00 Address: 5334 17TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/01/2013 Phone: 813-714-2658
Work Desc: A/C CHANGE OUT 2 TON
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DUCTS INSU�TEI��
FINAL [
REINSPECTION FEES: Reinspection fees will wmply with Florida Statute 553.80(2)(c) when extra inspection
trips are neoessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or con�ections 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 r�ecording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
" CONTRACTOR 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
Date Received Phone Contact for Permitting =3�� 5�.+� __ (p )I 1
Owner's Name �S�7,( t e �Q,� Owner Phone Number ��2 � �� �' �� Qj�Z-
Owner's Address o�Jd 3 {"� ��� ,� �L Owner Phone Number � � 3 ' �� � y � �(o �J�i
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S.�i� �L �"I � ��}� ZQ h C ; � j FL LOT# �
SUBDIVISION PARCEL ID# �( '��'"�� 'v01 G � I�7�1��� - Da 1 j
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER �_ —�
TYPE OF CONSTRUCTION 0 BLOCK � FRAME 0 STEEL Q OTHER
DESCRIPTION OF WORK �'(-� �AL-C'- A�(C � ' S '� ��� Ti✓
BUILDING SIZE SQ FOOTAGE HEIGHT
Q BUILDING $ � VALUATION OF TOTAL CONSTRUCTION
� ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
0 PLUMBING $
MECHANICAL -�( % r✓�
0 $ 1� .� � pO VALUATION OF MECHANICAL INSTALLATION �
c> J
0 GAS 0 ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address Lice�se#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
MECHANtCAL COMPANY SGU�he�n �i`C)�pt{, L�s1'� =t'�C�
SIGNATURE L���� REGISTERED Y! N FEE CURRENT Y/N
Address "(,Q� C� �5� ,�.bS�� �L � ��� � License# � A C i 8 t 3 5 '1 g
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT 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)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
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,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facitities&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 construction.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A!C upgrades over b5000)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRi eT�ON County r gulafions. The undersigned a'ssumes esp nsibilty for compi ance tw th any
which may be more rest
appticable 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 misdemyan�opyiolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a t 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 understan s
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 finat 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'SIOWNER'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 of a permit and that all work will be pe�formed 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 fi11 is not allowed in Flood Zone"V"unless expressly permitted.
tf 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 f�the'Iowner mayrbel cit d for v�olat ng
properties. If use of fill is found to adversely affect adjacent properties,
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, �ction1Se u de�stan'd that a�sepah at permit may be req u ed for'electr cal work,
this affidavit prior to commencing constr
plumbing, signs, wells, pools, air conditiocense to oceed with the work and ot ascau�t or ty t�o�violateecanP'elaa'Iter, or
permit issued shall be construed to be a I P
set aside any provisions of the technical c nst u t onsoalviolations of any codesprE erytperm t iss ed shall be ome inval d
requiring a correction of errors in plans, co
Y
unless the work authorized by such permi ais e od of six(6) mhonths after the ti pe thetwo kas commenced. An extension
the permit is suspended or abandoned fo p
may be requested, in writing, from the Buil eiag �f��Ininety(90)rconsecutive days, the job isoc ns de ed ab�a donedstra e
justifiable cause for the extension. If work c
WARNING TO OWNER: YOUR FAILURE TO RR PROP RTl(.TIF YOU INTEND TO OBTAIN F NANCING CONSULT
PAYING TW�CE FOR IMPROVEMENTS TO YOU
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
. CONTRACTOR be ore,me this
pWNER OR AGENT �- �S bscrib an m to(or affi ! ) � ������
Subscribgd and swo (or affirm �before me thfs ��2,•, �.�-� by - -� -
3 J 3 by J 2 Ce�'r���� o is/a�ona,�n to me or has/have produced
W ho is/are pe��n a l l v kno`_^m t°m e o r h a s/have produced - as identification.
as identification.
� _ Notary Public
, � Notary Public � `
�- �,>���� �,,� z�� Co mission No. ��� ���� `� 5
C misslon No.
Name of Notary typed,print�r�r�}P�d•, �r;,n pk�x}�y�
Name gf���,Yp�Y$�.��(�� �ar� � ' Ford
Darlene Ford � -C��� •n���._ •�DD9o5245
�.�:Commission#DD905245 `-:�.,` i:z.~_:t� 'J.07,2013
;�Expires: AUG.07,2013 so.����� � _. -� . �r.�c��o„�rc
g0��7'HRU A7L1.�"i'IC 6D\'DING CO.,INC.
PROPOSAL
SOUTHERN COMFORT ENT. INC.
4109 CR 656
WEBSTER, FL. 33597
352-793-5501 352-567-6111
CAC1813579
NAME DATE
Jerome Parker 4/23H 3
STREET 12303 Hwy 301 JOB NAME 4 Ave
CITY,STATE Dade City,fL JOB LOCATION 38802 4 Ave
F�' HOME/OFFICE: 813-7142658
We hereby submit spec�cations and estimates for:
REPLACE SYSTEM
Equipment: ICP 2 Ton 13 SEER S/C 7kw
Warranty: 1 Yr. Labor, 10 Yr. Parts
Inciudes; To existing Electric, Ductwork, Refrigerant Lines, Labor�Tax
Not Included: Framing, Painting, City or County Permit
WE PROPOSE hereby to furnish material and labor-complete in accordance with above
specifications, for the sum of:THREE THOUSAND ONE HUNDRED THIRTY-ONE dollars
(s3135.00)
Payment to be made as follows: UPON COMPLETION
All material is guaranteed to be as specified. All work to be completed in workmanlike manner
according to standard pra�tices. Any atteration or deviation from above specifications involving
extra costs will be executed only upon written orders, and will become an extra change over and
above the estimate. All agreements contingent upon strikes, accidents or delays beyond our
control. Owner to carry fire,tomado and other necessary insurance. Our workers are fully
covered by workmen's compensation insurance.
A THORIZED SIGNATURE ,� �� ��
ACCEPTANCE SIGNATURE ,
� � �— DATE ` !3
Note: This proposal may be wit awn by us if n t accepted within 30 days
CITY OF � �
ZEPHYOili1LL3 I I BUILDIN�i
DEPARTMENT
OF ADDITION OR CORRE
CTION
� • • - � �
c �� r� s
ADDRE55 TE
~ �� -'r� ` r PERMIT.t
�l
� THIS JOB HAS NOT BEEN COMPLETED. The following odditions or corrections shall be made befora t
will be accepted. he�ob
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It is unlawful for any Carpenter,Contractor,Builder,or other persons,to
cover or�a�se to ee co�ered,any part of the work with flooring,�ath,eart►� AFTER CORRECTIONS ARE MADE CALL
or other material,until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTION
the installation.
OFFICE HOURS 7.30AM-4.30 PM MON-FRI INSPECTOR ^�5