HomeMy WebLinkAbout13-14442 ;�
, CITY OF ZEPHYRHILLS
� • 5335-8TH STREET
(813)780-0020 14442
BUILDING PERMIT
Permit Number: 14442 Address: 39676 MEADOWOOD LP
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: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0280
Improv. Cost: 7,338.00
Date Issued: 8/12/2013 Name: COX, JOSHUA H.
Total Fees: 75.00 Address: 39676 MEADOWOOD LP
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/12/2013 Phone:
Work Desc: A/C CHANGE OUT
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DUCTSIN TED
FINAL �i^ �.T-�
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 fauity 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 federat 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 recording 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.
C NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
/
, e�s-�go-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
r'
Date Received phone Contact for Permittin --
Owners Name Owner Phone Number
Owner's Address Owner Phone Number �
Fee Simple Titlehoider Name ��b � Owner Phone Number �
Fee Simple Titleholder Addresa
J06 ADDRESS LOTA� �
SUBDIVISION PARCEL ID#
�OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTIpN Q BLOCK FRAME � STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
OBUILDING a VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENER ----Q- W.R.E.C.
OPIUMBING a `�.
' � � _
MECHANICAL LUATION OF MECHANICAL INSTALLA ION � �
�
�
QGAS Q ROOFING Q SPECIALTY Q 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
Add�ess License# �-
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY � �CS � I/l�'I/
SIGNATURE REGISTERED Y N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stonnwater Plans w/Silt Fence installed,
Sanitary FaGflties&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)wo►king days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence instalied,
Sanitary Facilities 8 1 dumpster.Site Wo�lc 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 consVuction.
Directlons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Noti�ce of Commencement is required. (AIC 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 P�RMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/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 Counry 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 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 cont�actor 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
contracto�, that may be an indication that he is not properly Ncensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that T�anspo�tation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildi�gs, 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 final power release. If the project does not involve a certficate 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 pafd 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"owne�"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ali work
will be done in compliance with ali applicable laws �egulating 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 performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and tand development regulations in the jurisdiction. I also
certify that 1 understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibiliry 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 Flealth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Envi�onmental Protection Agency-Asbestos abatement.
Federal Avfation 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 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 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 requfred.
If 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 elect�ical work,
plumbing, signs, wells, 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 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
justffiable 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'rn�LENDER MR AN ATTORNE Y EFO E RECORDING YOUR NOTI E OF COAI ENCEMENT.� CONSULT
WITH Y�UR
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me thls Subscribed and swom to(or aftlrmed)before me this
by bY
Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Identlflcatlon. as identlfica6on.
Notary Public Notary Public
Commissfon No. Commission No.
ed, rinted or stam ed Name of Notary typed,printed or stamped
Name of Notary typ P P
PROPOSA�
CD R N E R STO N E A I R 4946 Land O'Lakes Blvd.•Laoa o'Lakes,FL 34639
L.icensed•Bonded•In�ured•#CAC1816647
� Air Conditioning& Heating , ehone(813)949-4445•Fax(813)929-8088
ww�v.CorneratoteAirFla.com
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Cesed Evap.Coil Make �d� �clud alf required permils,liebility&Worlvnen's Comp.Insurance
SEER Rating System 1� � SEER Ratlng System 2 � oi existing ec}uipment end debris from ihe premises
1��t n� 4�0 [ ad tor outside unft Q�lumicene Tie-Downs for outside unft
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pRefrigerant: R410 ❑Dther
❑Length of Run p,��p� �Y Warranty by CorrMrston�an work performed,and
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pAd�tionai Inslruaans � ti 3�� �iDm'�
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tQno Le ns Ouarantee(5ee Reverae)
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Existing WH �1 Exist�ng Cond �0 ❑ essar �_yrs. ❑Labor � yrs.
New A/H New Cond p Par�s ��!l�• ❑Other yrs.
pDouble Disconned ingle Disco�nect ❑Other
Detalls of Work To�Be Perfo ed:
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rot�imre�n $ �33�. ,o
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Rebete(Gas) $
Rebate(Electric) $
Manufaclurer Rebate(s) $
Service Refund $
Comeretone Credits $
s„emw $ 733 S. •
oown Yeymment $( ,
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Balencs Due $ � ��A S dollars
narKting Terms: ` Thia proposel Is valid for days.
❑COD Terms: Payment due to fnstaller8 in upon atldl of kiete119tiOn I aoept ths pwpoW�d tM sprcMcelbna and oaMkbm
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