HomeMy WebLinkAbout14-14969 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3pso-oozo 14969
BUILDING PERMIT
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Permit Number: 14969 "�` �
Permit T Address: 38947 5TH AVE
ype: 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: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-14400-0085
Improv. Cost: 3,200.00
Date Issued: 2/13/2014 Name: MORGAN, ARJAY
Total Fees: 55.00 Address: 38947 5TH AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/13/2014 Phone:
Work Desc: A/C CHANGE OUT 2 TON
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DUCTSINSULA ED
FINAL -
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 reasons: a) wrong address b)condemned work resp It ng
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 ro
may be found in the public records of this coun and there ma be additional P Pe1'tY that
ty� Y 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
Complete Plans,Specifications N�ust 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.
V "
CONT CTO IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
� � � PROPANE GAS . . � �
AND AIC iNC. Service Order/Pro osal -
��ce �988 Air Conditioning 8 Heating
$�3�782-5013 WQ�rK CiRI�ER#%SF.RVIr:E=h1AIV ti�8�.,�,4 MAY
Sales, Service & installations �'AT��T T ME� THl�;�� ,�j.;�F,��y. ��,�4 j.
4441 Allen Rd. • Zephyrhills, FL 33541 TAKERI R�•�� �. �. �J
I�ATE%TIMt� F�RC�h1ISED
ES: i�IJST01�lER#:LJ7GGTIQiV ] �,�c'7
F�HOr�IE# 779-�1 r-;.�;
LC7N-f�aCT ' F�REFERa C�-1RL�
ROI_JTF_;SE�G! • MAY-CiJR
' MHF� � 1 ATTIG A/H i.7 ��
)RGAIV, AR,7A'f x. }�l_(�`{I�I� � MORGAf�I, flRJA�' c? ELA`fl'dE
l947 `��TFf AVE :�894� 5TH AVE
:F�H'r'RHII_I_S ��!=f�RRIER #� �; IN h1�h�p� �;� ,
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�. FQR IVEI,� f`�;C: h10�1. OR. Tt.11='�, F'o t�. R1?HC-1a;7nF,p.I��, MuLV�,1�;£1�
D��SGRIF''iiON t7F VV�tK Q`fY. MAT£RIALS&SERVIGEB , •
UtVt'T PRIC� }tMp1Jp1T
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� RECOMMENDATtONS `
M Maintenance Recommended b All • e� I 7�• ��
Y Equipment Manufacturers, '
Pressures Lo HI � '
T-Stat � �
RL�FftIGERpNT R- LdS. S per fbs. � � ~
� I
FILTERS x Changed Monthly
� I
RLTERS x Changed Monthly I `
I
❑ REGULAR ❑WARRANTY TQTRLSUMMARY
nidistat Settings: When here QN", When Away 6�, T-Stat � —
�° J MAINTENANCE CONTRACT
�WARRANTY: All materiais.parts and equipment are warranted by the manutacturers' SERVICE i
rs wntten warranry onty.All labor performed by the above named company is warranted for �ETHOD OF PAYMENT CALL i
�as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH l]CK#
��mplied and ils agents or technicians are not authorized to make any such warranties on TOTAL � v
ioove named company, MATERIALS i
❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
�onty�o oreer the work outlined above which has been satisfacrority completetl.I agree t�at Seller
!o eqwpmenUmaterials furnishetl until fnal payment is made.If payment is nol made as agreed. PROG. W / C �
emove said equipmenVmalerials a�Sellers expense.Any tlamag=resulting from saitl removal shall C�IM# �
�esponsibillly of Seller.NET 30 DAYS.A 1 v2/SERVICE CHARGE WILL BE ADDED MONTHLV TO I
J 3ALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
I
TECH: � TAX �
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°�r� �n � �� TOTAL , �
813-780-002C1 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin ��,� 7� __ ��
Owner's Name � ,ff � Q `� �j�^ ,�
Owner Phone Number 7 ��6�7
Owner's Address 3�' 7 S T �V� �
Owner Phone Number
Fee Simple Titleholder Name —�
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��
LOT#
SUBDIVI310N PARCEL ID#
WORK PROPOSED e (OBTAINED FROM PROPERTY TAX NOTICE)
NEw CoNSTR ADD/ALT [� SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM
TYPE OF CONSTRUCTION � BLOCK � OTHER
[� FRAME C7 STEEL O
DESCRIPTION OF WORK e, � � T t�i//�l
BUILDING SIZE � $Q FOOTAGE
HEIGHT
OBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE
� PROGRESS ENERGY [� I�V.R.E.C.
QPLUMBING g
MECHANICAL $ , md �1 �
�ZOD VALUATION OF MECHANICAL INSTALLAT N � � `
GAS �
� [�] 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
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURREA Y/N
Address
License# �
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
MECHANICAL � .._.-_-. � ;s f,°!.p q,r� G�AS .�C
SIGNATURE ' COMPANY
REGISTERED Y/ N FEE CURREA Y/N
Address
License# �Q�O f�
OTHER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License# �-
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles 8 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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities 8 1 dumpster.Site Work Permit tor all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'"'"PROPERTY SURVEY required for all NEW construction.
Direcdons:
Fill out applicaGon completely.
Owner 8 Contractor sign back of applicatlon,notarized
If over 52500,a Notice of Commencement is required. (A!C upgrades over a7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of AppHcation Only)
Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs RbW
NOTICE OF DEED RESTRICTIONS: The und ulat�ions. The undersigned a'ssumes e p ns b Ibty for compl ance tw th any
which may be more restrictive than County reg
applicable deed restrictfons.
UNLICENSED CONTRACTORS AND beNe�ed o be E ensedsiBac'coEdance th s ate and locat egulations.c Ifrthe
contractors io undertake work, they may q � for the
contractor is not licensed as required by �a onbactorhare unce ta n asnto what I ce s ngte quirem n'ts may app y�olation
under state law. If the owner or intended c
intended work, they are advised to contact t�ea contractor torBcolntrac to sp he'�s advised o'have he cotnt actor(s) sign
8009. Furthermore, if the owner has hire
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as t e
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pands
County.
TRANSPORTATION IMPACTIUTILITIES IMPARe oN� R eg�may applEyC�V�EeRconstrEustion of nedw b udi gsnchangand
that Transpo�tation Impact Fees and Recourse rY
use in existing buildings, or expansion of existinerstalnd's9that such fees,'as may be dueyw Il�be dentified at he tme {�f
90-07, as amended. The undersigned also und
permitting. it is further understood that TransppWerl eleaseaclf the p ojecRdoesrno Rrnolve a ce�tificatetof occ pancy or
receiving a "certificate of occupancy or final p
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
500.00 or more, I
fees a�e due, they must be paid prior to permit issuance in accordance with applicable Pasco County or inances.
CONSTRUCTION LIEN LAW(Chapte�713, Florida Statutes, a of he aF orida Construction L en Law—Homeowner's
certify lhat I, the applican t, have been provided with a copy licant is someone
Protection Guide" prepared by the Florida Depa�tment of Aof thetabove descr bed docum'ent and promPse in good faith to
other than the"owner", 1 certify that I have obtained a copy
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I c a�ifS�eaulatinge onst uction I zoning anld land developmentn A pli ation is
will be done in compliance with all applicable 9
hereby made to obtain a permit to do !�and thatialltwork will be perfoemed to meettstandards of all laws"aegulating
commenced prior to issuance of a perm
construction, County and City codes, zoning regueati overnment agenc'es may pply to the ntended�workl a d that it is
ce�ti fy t ha t I un d e�s t a n d t h a t t h e r e g u l a t i o n s o f o 9
my responsibility to identify what actions I mus tecfon C press Bayheads SW tland Areas nand Envi o ment la ly t Sensitive
_ Dep a r t m e n t o f E n v i r o n m e n t a l P r o Y
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Sou t hwe s t F l o r i d a W a t e r M ana gement District-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental P�otection 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 time of permitting which�s prepared rby agprofessionalr eng neer
"compensating volume wdl be submitte
licensed by the State of Florida.
_ If the fill material is to be used in Flood Zone f�Athe a ea w thin thetstem w m�tted building using stem walt
construction, I cer ti 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
If fill material is to be used in any area, I certify that use of suc h f i l l wi l l no t a d v e rbe�cit d for v aolat ng
properties. If use of fill is foun e`m tdssued under thejattached permit applica on, for lots less than one (1)
the conditions of the building p lan is required.
acre which are elevated by fill, an engineered drainage p
am the AGENT FOR THE OWNER, I promise in good fait�hthatna�separat permit may be requi�red for'electr ct I work�,
If I lication
this affidavit prior to commencing construction. I understan
P
lumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the app
ermit issued shall be construed to be a license to proceis ualncehof a pe mitprevent thehBu ding Officeal from thereval d
p ermit issued shall become in
set aside any provisions of the technical codes, nor sha
requiring a correction of errors in plans, construction or violations of any codes. Every p
unless
the work authorized by such permit is commenced W�honths after the ti pe the workas commenced aAn exte sate
the permit is suspended or abandoned for a period of six(6 gp da s and will demons
may be requested, in writing, from the Bk'ce'ases�or'ninety(90)r onsecutive days, the job is cons dered abandoned.
justifiable cause for the extension. If wo
WARNIN
G TO OWNER: YOUR FAILURE TO RECORD A NOTI�YOU NTENDETO OBTAINnFINANC NGTCONSULT
PAYING TW�CE FOR IMPROVEMENTS TO YOUR PROPER
WITH YO LENDER O AN ATTORNEY BEFORE ECORDING YOUR N TI OF M EN M NT.
FLORIDA JURAT(F.S.117 ���� �
-��--� CONTRACTOR �8 e t is
OWNER OR AGENT ed before me this Subscribed and swom o� me
Subscribed and sworn to(or ) - bY�-- ave p�oduced
by ` ° as identlfication.
Who is—ja�e personally known to mas identl c�o�roduced _ _
�- . -:
� � � � ry Public
j'
Notary Public _
Commis '
Commissfon Na. 's��"�`�= Commission#EE 140709
:�. :A:
Name of � 7019
,� P,�,�.• � TluuTmYFafi
Name of Notary tyPed.Prfnted or stamped