HomeMy WebLinkAbout14-15229 CITY OF ZEPHYRHILLS
5335-8TH STREET
, _. - (sis)�so-oozo 'l. 229
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15229 Address: 37427 SERENITY AVE
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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-0180
Improv. Cost: 2,850.00 OWNER INFORMATION
Date Issued: 4/28/2014 Name: RUSSELL HAROLD & ELLEN
Total Fees: 50.00 Address: 37427 SERENITY AVE
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-1847
Date Paid: 4/28/2014 Phone: 813-783-1373
Work Desc: A/C CHANGE OUT 3 TON PKG SYSTEM
CONTRACTOR S . APPLICATION FEES
ALL TECH AIR &FILTRATI N C C CHANGEOUT 50.00
,
`ti � ,�
�/
Ins ections Re uired
DUCTS INSTALLED
DUCTS IN ULAT D•
FINAL �
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 fi� 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: Ybur 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
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
O SIG U PERMIT OFFI R
IT E ES IN 6-MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
!} ^T. _.... �.� . ..� � :-•-., _. , �- .-.��.1
� �t'
'# �-�°' `�'�3�d�.. T'w � h a- ,.�S�.f�..�.`4��'��Xi T�y g 5. �,a = .S ��"'`�a�w'� i
t t ^�7�4..,e'z � �4'�r..�z .�'�� ����e �€;t s �� � � �. � � r fi ix �"' r�� ;�� r ��
iY�33;i��. S�.� yv4.�, x�-�',g , ,»��i+� "��'^"� +..N��y�+� �,- -� 4`���.4 c ...�ads� a +��'���!.���na�y � -�"�h"�':t t .��c,'�° �{:)
���F v e,..���y�,._ ,}se.w�'. .,��^-�L �.�7^, �-x-.�...�.�\t.�'y� --,- .i --'` �+'ssa.�`a }«. ra�.,r'`� �rk x �.n exr, }s�,r- ��.#,a'� -�;w•.� �.i
� � �'{'�'�,� �a P '�`°';'�yt s�. :« t LV�RM t���,a`�"��°-f 1�`� �� ��,�, t� ���.4yd?��^x t�,_Rl �ae,Ld rz� � �"c'�� � � :Lz �'
�, #" i @ S a , t $K" 1^Y 'v,x�"2g N�` �,t� �tt.a�+ a- � r"fia"��-�-��'n`� �"`u3x� `r �, lw�.
'i � ��' 4� k, "r�`'�� ��;� r. ��°t`�k�E s,'7 � �t�� 'e ���' ?�- �'- �i, f�;YE� "��3'=r ¢w� ��",�' T �`�'f� �ll
�I � �. �e B � �� �� � v t '`' t'; r '�r C����; ��� f 11' r �., `3 �� , r ����. ��r�� �'�`y�. �i
.c sc c � } P� ,, f' '; � ��, 1 c. z 1 t t 4 e� ,�� s € 3� P> ��
t � -�L:' ���4+55 �'— , ."�k':iM r.> c`_��t �4", '���; �r @ � �. f�i�° 3 �t � �J' }*�� Fr:- } f l-: j� ��"'� �ela,aw� 3`,� �,a�,yi.� ���
�i! '�'` �s ts i�,� � r �"�. �r�� ;` t $i{'"��: f; f�a-�i !�`��} E': �� �� t��'f` 'F s,F� t� �"°�r :�"-;�-.� ��"�.': I� �;. r.. si
,, �`i � � `�` ° �
�` �: �. � r �(�� . � �� t i ( � � � �, � F ' �,
1� '� 7 x 4 � kK*�fk:�'1 r n � �/�;lx f�'�,��ks'�.t � ����f� `p. � J�` e t._ � � ��� r� � � f� �
�i' '�`a�' ..�yr"��`^���1�.� ���y''�° . ��`;������'��„'��`r`�'�����'� .'r`x,;.�"`�,�.g�-�4`_ $��S?�-.�1� ' k�.L'-�'^�'-��� �?
'k� -� � fi "�,*�f'Z���.. :3'\4�..+� .S�-A�Y'�'' g %�csa-3.S`a�._ -�. ��e x a - r.:$ �.1`�$4z' t�.�si?'i' ,�'4 „ci �.:;
� &,l� �` �����'��� �.�'R'�r :�1.�« . ��"cr"L� 'T4�r'i��n.!'�" � r '`` f� i.��z ���'b.. �°r.uf+'r �F�x'%� �3'�'�'�C'..�-.� . 3
y..pa:r6x2sbit3@ttixyt,a`.r1:.,be.� ��-c:�'��c..:14<.='r�;::!.c#[:�'-3-.a+sA#�*. .v.:,.�L -....-_.au..r v�es <K..au:'�' ...�,;s s .vl.,..z: tt'�1�e..:q-s-:� :�.s,..... u.�e.u�v.f m-Hk"a�c,c:?�a-tLSr.�,.:.�..s
� � �`�
��1 , ��9���������a�� ��9����n;�r���H��9 '+E�����5 �"�v ��� �7���9.s� �'�h• ��� 7��'���.��� �A�1�14�196 i:l
1, �
E{Y�f
. � . . '3-� �� e-� �-� �- . . F f
�' t
��� �,��3���.��`n��� ���
,$[," "�'' �j`-,`�( �j i �i, �p c�i
� �L ���"3����� � ���L't'�,hv���*1"� 1�8�°��°d� � s�
�� /�ir Canditioning&Heating , � � a a � �, �t
' �' �I
������� ������� ��a ������������������o ��.
j r� �j�
� �arold Russell (Sarrie) �`�CJ ��j���� "�
� � �
�� 37427 Serenity Ave ������ � ��i
Zephyrhills,Fl 33542 813-7�3-1373 � n � W � � ��
�f �� � E;
k�� ' ����a���r��0��5��r���������������,�.��r�������la�'E'��,����1�1���G�.�x���: ��
� 1. 1—Coodman ���IEL�� Puron�IOA(3 Ton Straight Coo1)Package 5ystem with 10l:w�eat ��
;; jl
, � -Paekage System:CaP�1336H41 ��635459 ��
� �
F` 2. This�,lso Includes:II�igital'�"hermostz�k,IVew I3rain,�Iazrricas�e�lzb�;S�raps for�'acZ.age Sysgem,and E��
�� Permit.$2,600.00 �
. � �I
3. Change�'ieturn to 14"�lex$250.00 ��
�� �
� ''�`�=��c�c���an VUa�ranty: {10�'�a�s�a�s��d fl ��ar L�b�r)�'tT�����➢�� �a
�� :;:;1`T�IO�Ii1C��,ICe�i��: (PeF1�I'�t'�—�h1S`€.�Slg C;f31'§CkF`£fOy1S, ��•iga�z�1 �1EC��•ac, �a�c �a�ct�����c} �
� .
�? �L,L,I�1�'�'E�L�A� GLTI��I�1'T��I�'T����� SP�C�'I�I�, AI.,�, �I��b�'O�� '1
��� ��1�/�PLET'���T�IO��t�l�,IT��I�I�TER���'� �LTI���': ������of��9 ;
, ��
�'+`���������]�'��`CT`��. ��`�r�`�I� ���`'vT���� �'�1��._i'�a� �.�iu���.���' �.�T�3 �'�'/��� �
�� �
�
�� ANSt�.TERATIOIVS O��EVIATIOI�S�'1ZOM����JOI�I�IfVt1�LVIIvT�ES�TTF�CO�'TS'WFE,L ��
� BE EX�CiJi'�D OI`TL�'L7P�I�I�IIL�TT°T�l�t ORI3�F�ANF)�h�iLL,��COTVi�f�N�X"Y"RA CH�R.G� �E
7P �h d��
'7` OVER P,1�ID,�OV�'b'�E PP.O����1�ili�dOUN'T.�,LL I��rI�EIidT�NNi'S CQNTIN�S�N`T UPOI�T j
��� �'d`RIIC�3 ACC�EPI'g'� D�I,A�'S��5�'�ND O�COI�d'I'R��,ANd�A�TS_QF�0�. �°{
a� r`• - �;)
f
�� � ; �
(�1 �',, ���
�� ��s��v��a�y st�b���t��., F��°� r��fil �. _ . � L;��'��es 30��ys '��
� 1�anageY, �ll-Teeh�i�°�FilP�°��zan, ��C ���
�' �{�
��
.t A�E��I��'�I�T�� ��+'fl��������L id
i - —
i� Ya�n m�.�st�ro�ide.a�i eonditional ag�provec!Fea��Docucnents and provide one�usi�ess day of your choiee�o sta}� ��
t;
�� home within 10 days of completing work at yosar house for City or County Inspection.'I'he�bove prices,specifications, �
�'(� and coP3ditions are sati§factory and are hereby accep�ed.�'ou a�e authoaized to do�he wor1;as speci�ied. �;`�
�jE �'ayments are as follovvs: ���36Q�o����e€a��o�.��e�zn�����'�y��4�:��G�ee@c a������ ���
n� f"�
�� , . . .� /} � !'!�
- �a( . . � �J �/ ,� �. - �1�
f l� �,;
��,; ����t i�/�-J�,�� ,� �.: �_i L �Fg� � �,�,'-��� �� � �aU���- � ; ;
�'; r i` � ,.,,, ��'�
��� ������...�.���.�.�.�����.°����o ��'���.;,���.���� �,���, ��;
i'j P�+,�`-y" ; r}�
�-i� � � - / �` ��k�*�Lx- �'i
,
;1� ' `-�l l. . ��.�+i P' � �
�'��� ���� ��� �' ti� f��
,
I�....b,�_.. ".ua �:,_ ,�,,;,,,,,,,,;;t.-,. H�_.�_�:,,, ..:.: :,.. ... ::.: �,. z:�� -
,..�-�...-,.��,.:✓iz,.ve....ic;�:.�.�.�..� . ��.-...- ��� .:f —` �lf
' n-3
�
813-780-0020 ,City of Zephyrhilis Permit Application Fax-813-780-0021
+
Building Department
,,
Date Received Phone Contact for Permitting -- - -
1 1 1 1 1 1 1 1 1 1 1 1 1
Owner's Name � `R' �I � • JS�uC.I� Owner Phone Number ��� � 3 - 3`13
� Owner's Address �� �� �.�(Cihti Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �� �� dL���I'�_� � LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q
DESCRIPTION OF WORK � �-Y�(�.! 0 " �� ,i h-�-' i � 11'�
BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCl'ION
DELECTRICAL. $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C.
� v` /
OPLUMBING $ � (
�MECHANICA� $� � �D�� VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING 0 SPECIALTY � OTHER �+��
_ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER - COMPANY -
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
ELECTRICIAN � COINPANY
SIGNATURE ReGISTERe� . Y/ N FEE CURRE� Y!N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License#
- MECHANIC L COMPANY � �-L I � � l
SIGNATUR REGISTERED Y N FEE CURRE� Y N
Address , � License# l� -1 .
OTHER COMPANY I
SIGNATURE REGISTERED Y/ N. FEE CURRE� Y/N
Address License#
IIIIIIIit1111tt.1111111111t1111111.1111111111111t1111111111111I111111
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 Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
- SIGN PERMIT Attacti(2)sets of Engineered Plans.
*"'PROPERTY SURVEY required for all NEW construction.
. . ._ . .
Directions:
Fill out application completely: '
Owner&Contractorsign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
*' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
' OVER THE COUNTER PERMITfING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
" .� Y. � .. " . , ' .. . . " . . - - � . _ • . . . .. ' . . � � .
.NOTIG�OF DEED RESTRICTIONS: Tlie.undersigned understands that this permit may,be subject to"deed" restrictionS°
�which may be more resfrictive than County regulations. The'undersigned assumes responsibility for compliance with,any
applicable deed restrictions. : ' � ,
� UNLICENSED CONTRACTORS AND CONTRACTOR .RESPONSIBILITIES; ' If tfie 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 Fasco County Building'Inspection Division—Licensing Section at 727-847- -
� 8009. Furthermore, if tlie owner has hired a contractor,o� contracto�s, lie is advised to have the contractor(s) sign
� ` . portions of the "contractor`Block" of this application fo�which they will be responsible. If you,.as the owner`sign as the -
contractor, that may be an indication that he is not properl.y licensed and is not entitled to permitting privileges in Pasco _ "
Counfy. , . .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
, 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 Resou�ce Recovery Fees must. be paid prior fo
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 Im,pact
fees are due,they must.be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
- CONSTRUCTION LIEN LAW(Chapte�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 :
Profection. Guide prepared by the Florida D,epartment 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'S/OWNER'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 ttiat all work will be performed 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 complian.ce. Such agencies include but,are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/WastewaterTreatment:
- Souttiwest Florida . Water Management District-Wells, Cypress Bayheads,. Wetland Areas, Altering .
' 1Natercourses. .. -
- ` Army Co�ps of Engineers=Seawalls, Docks, Navigable Waterways. .
- Department of Health &,Rehabilitative Services/Envi�onmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. . . ` -
- . . � US Environmental Protection Agency-Asbestos a6atement.
- Federal Aviatioci Authority-Runways.
I understand that the fiollowing.restrictions apply#o_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 6e.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 adyersely'affect adjacent p�operties, the owner may.be cited for violating
the conditions of the building permit i5sued under the attached permit application, for lots less than one (1) .
- acre which are elevated by fill, an engineered drainage plan`is required. : - �
- If.l am the AGENT FOR THE OWNER, I p�omise in good faith to inform the owner of.the permitting conditions set forth in
. this.affidavif prior fo commencing.construcfion. I understand that a separate permit may be �equired, for electrical work,
plumbing, signs,',wells, pools, air conditioning, gas, or other installations not specifically included in the.application. A -
permit issued shalf 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 afterthe time the wo�k is commenced.._An extension` ,,
, may.be requested,.in wr.iting; 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 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.
FLORIDA JURAT(F.S.11Z:03) _ _ r — .
OWNER OR AGENT CONTRACTOR - 1 1 I LX �' �� vr�
, " Subscritied and sworn to-(or affirmed)6efore me this Subscribed and swom to(or affirmed)before this -
_ by -. . . bY
Who is/are personally known to me or has/have.produced Who is/are personally known to me or has/have produced
a§identification. as identification.
Notary Public Notary Public ,
: Commission No.. . .: . ` Commission No. ..,
' Name of Notary typed,"printed or stamped Name of Notary typed,printed or stamped