HomeMy WebLinkAbout13-14343 • ` CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 �3
BUILDING PERMIT
Permit Number: 14343 Address: 4614 WISTERIA DR
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: WHISPERING OAKS
Est. Value: Parcel Number: 15-26-21-0160-00000-0410
Improv. Cost: 3,328.00 ;��;;w;:.;�,:
Date Issued: 7/08/2013 Name: WOLFE, TIMOTHY
Total Fees: 55.00 Address: 4614 WISTERIA DR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 7/08/2013 Phone: 813-322-5166
Work Desc: A/C CHANGE OUT 2 1/2 TON HEAT PUMP
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DUCTS INSI�,LATFQ�_
FINAL `�. � L � ''f'
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 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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recording 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.
CONTRA ATURE 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
�Z - ,3�
Date Received 8/ +
Phone Contact for Permittln
Owner's Name � ��'yl (/l/(J G,f Owner Phone Number �l3 —,�2 Z—.�/�j
Owner's Address ! � ,s Owner Phone Number
Fee Slmple Titleholder Name � Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED F�pROPERTY TO ricE)DEMOLISH
WORK PROPOSED e NEW CONSTR B ADD/ALT �� SIGN
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL O
DESCRIPTION OF WORK Z 1 Z ��- (,��'1�,
BUILDING SIZE � SQ FOOTAGE� HEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ���
�1�
[�MECHANICAL $ ��,�Q VALUATION OF MECHANICAL INSTALLATION
c-��
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License#
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License# �
MECHANICAL COMPANY .�/'Of�Q',s' ,�o �' �
SIGNATURE REGISTERED N FE CURREP /N
Address License# ����'�_
�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add�ess 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,Construclion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadllties 8 1 dumpster;Site Work 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 construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary FaciNties&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 requfred for all NEW consVucUon.
Directlons:
Fill out application completely.
Ovmer 8 Contractor sign back of application,notarized
If over t2500,a Notice of Commencement Is requlred. (A/C upgradea over E7500)
"' 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(PlotlSurvey/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" 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 local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdem�anPopyiolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 T�ansportation 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 or dinances.
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 "Fiorida 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'SlOWNER'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 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Envi�onmental 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.
If the fi�l 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 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 flll, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I p�omise in good faith to inform the owner of the permitting conditions set forth in
this aKdavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, welts, 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 prevent the Building Official from thereafter
requiring a correction of errors in plan e,r�'{Ss�C t�°mencedl within s zamonths of perm t P s ain eSUOr�if wo'rk auth r zed by
unless the work authorized by such p
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 FA►�TSRO YOUR PROPERII(.TIF YOU INTOEND TO OBTAIN F�INANC NG C'ONSULT
PAYING TWICE FOR IMPROVEMEN
WITH YOUR LENDER OR AN ATTORNEY BEFO E ECORDI G YOUR NOTICE OF C N EM NT.
FLORIDA JURAT(F.S. 117 -
ONTRACTOR
OWNER OR AGENT re me this Subscrlbed and swom to(or afflrmed)before me this
Subscrlbed and sworn to(or a rm by
bY yVho�s/are personally known to me or haslhave produced
Who islare personally known to mas Id ntlficatl�roduced as identlfication.
Notary Public
Nota Public
JACQUELINE BOGES "��'�"''
,.ti;�;;;�; �E Commission cz.' . OGE
Commission Ici�' � =*' �k: Commission#E S
,;�*.. ,.. ',= �>,F�;res'%ec.�mber 12,2014 -"-.,�' :
� Name of No . � „yF�������2014 #
Name of Notary type . �-�o�� �
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G?°il���%-.'�-�!�
' � r PROPANE GAS Service Order/Proposal NeatingBAirCondiUon�ng
� aNO A�c �N�. a�a
LASTS AND LASTS AND IASTS.
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i�ATE1"fIME TAKFN �El�.�/1� 1�:5�
Sales, Service & Installations TA�;E�v PY Jr,� i�
4441 Alien Rd • Zephyrhilis, FL 33541 p�arEi-rzr�� ��R�Jh1ISED
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DLF E, T I h'1 ' 4JOLFE, T I M
E14 WISTERIA I�R 4614 WISTERTA DR
EF�HYRHII_LS 1 �. J•JJ�` ZEF�HYRHILLS ,. FL3354`
3�Y0 7AF'�'AIV SRL I T
�/cB/13 SEF_ ESTII+1ATE FILE `
READY TQ INSTALL NEW UIVIT, SEE G!UOTATION ATTACHED.
DESCRIPTION OF WORK QTY MATERIALS&SERVICES UNIT PRICE AMOUNT
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RECOMMENDATIONS I ± � �
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wa�Maintenance Recommended by Al!Equipment Manufacturers. �Pressures Lo HI T-Stat '--- , -
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REFRIGERANT R- �� �
----------------------- LBS.
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FILTERS Changed Monthly I �
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J REGULAR �WARRANTY TOTAL SUMMARY
�humidistat Settings: When here"�f_, When Away 6�, T-Stat�Q° '] MAINTENANCE CONTRACT
SERVICE i
ITED WARRANI'Y All materials,parts and eqwpmentare warranted by the manufacturers METHOD OF PAYMENT CALL
ppliers written warranty only Ali labor performed by the above named company is warranted for ----- __—
ays or as omerwise�ndicated in wnUng The above named company makes nc other warranties, ]CASH .�CK# TOTAL '
:ss or implied,and its agents ortechmcians are not authonzed to make any such warranties on — -- MATERIALS
�fofabovenamedcompany. � DEBIT �CREDIT ]OTHER MAINTENANCE i
e authonty to order the worF outlined abo�a�vnich has been sahsfactordy compleled i dg�ee that Seller PROG W � C
s t�tle lo equipmenVmaterials(urnished until linal payment is ma0e If paymenl is r.ul�natle as ayreed C��M# �
can remo�e saitl e ----r---
quipmenLmatenals at Seller�expense qny damage reaull�nq frr�m�aid removal sh.�ll
�tne re'sponsi6ililv ol Seller NET 30 DAYS A 1 1�2°�SERVICE CHARGE WtLL BE h(JDED M1AONTHLY TO �
,Nanio an�,�NCes oveR 30 oavs uo ReFU�vos DATE COMPLETED
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TECH TAX
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File Ed�t Print UbYyr Sdup Wndav Hdp
b�8raautlKFamtFde ' ���_�_`'�
i Pam�Nunba pp�Type�Wa�T�Type j �Show Compb6ed Pamis
� Pdm� Appfed Ittued Type MIS Wak StreetAd�eu p�qy�, ---- ,
i 6123 9lZI/06 BP I 101 67�4 BASSIVOOD qR LOT M SIN6LE FAMILY RESIDENCE p35i f
627111128/06 5/21J01 S�iN i SUM 6010 SILVERADO RANCH BL ENTR WJ 8 COLUMM SI�N,FEN[E►�
i 6679 31T6J07 3Cl6107 BP I SW COURT ST 6 PRAIRIE R05E SITE WORK-WALNUT fiR01�E T04
I6998 91051U7 9/05M FE I fN 3536 HIDDEN RNER BLVD INSTALlATION NEW 2,600 FT 4q�Yt
128�3 3/13l12 3113/12 ADD I 43�1 5121191H ST 304 Sq FT ADWilON1635 SQ FT PO
I
i 1�295 6J18/13 6/18113 ME I AGR 69r2 TEAK CT A!C CfIpN6E OUT 2 TON
14307 6l20113 6121/13 I P00 6123�PHYR RIDGE DR INGROUND 15X 28 P0�16'V�M
14322 7l09113 7i11113 ADD I 434 620811TH ST WORKS'�I�ATTACH TO HOME 15,
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iGeneral pmp�, Mia lrnpectiorn�Faet'Cmtrado� Altadmer�s I I
I �� �J Viewp�plica�ion �
I �Nu�er: 14313
� �1� MECH MEGW�NCAL � �
F �akT9D�: AGR AICCHANGEOUT �
�Tt9� N!A NOT APPLICABLE
� 3.328.00 i
L� A!C CHAN6E OUT 21l2 TON HEAT PUMP
9PP�� BAHRS PROPANE GAS A/C
�#�+�PP� 7/08/2013
Datelswed 7lOB1Z013 Ittued�y. JB
E�s: 1101n01�
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