HomeMy WebLinkAbout14-15565 �. ` CITY OF ZE HYRHILLS
' S335-8T STREET
(sis)�s -oozo 1 65
BUILDIN PERMIT
� ePERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15565 - Address: 5514 12TH ST
� 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-13900-0190
Improv. Cost: 2,790.00 OWNER INFORMATION �
Date Issued: 8/12/2014 Name: MOREL JAMES I & JOYCE E TRUST
Total Fees: 50.00 Address: 5914 WILSON DR
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-7927
Date Paid: 8/12/2014 Phone: 813-714-3388
Work Desc: A/C CHANGE OUT 3 TON PKG SYST M
CONTRACTOR S APPLICATION FEE$
ALL TECH AIR &FILTRATION LC AIC CHANGEOUT 50.00
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Ins �ections e uired �
DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply wi h Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following rea ons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not�nade 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 ay be additional restrictions applicable to this property that
may be found in the public records of this county, and there ay 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 o commencement may result in your paying twice for
improvements to your property. If you intend to obt in financing, consult with your lender or an attorney
before recording your no ice of commencement."
Complete Plans,Specifications Must Accompany Appli ation.All work shall be performed in accordance with
Ci Codes and Ordinances. O OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021
, � Building epartment
Date Received Phone Contact for ermitting _
Owner's Name �N�QS 4C J� GG' �O(�Pi l Owner Phone Number � i 3 �(�{-3��
Oevner's Address S�� ! ��� J���� Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
� Fee Simple Titleholder Address
JOB ADDRESS ��� K ��� ��f�e� LOTl� ��
SUBDIVISION PARCEL I�#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN [� Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK � Ci� ��� T � f1 cS"�'('�i� h"�" ��( �. c� [��2pY1
BUILDING SIZE SQ FOOTAGE HEIGHT
OBUILDING $ VALUATION O TOTAL CONSTRUCTION
QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
��
QPLUMBING $ ��
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�MECHANICAL $ � ��yD.� VALUATION O MECHANICAL INSTALLATION
��
OGAS Q ROOFING Q SPECIAL Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
BUILDER COM ANY
SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COM ANY
SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COM ANY
SIGMATURE REGIS ERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COM ANY " 2C.V► �'� � I-t�'+C�O�,�lo(1 �
SIGNATURE t REGIS ERED Y/ N FEE CURRE� Y/N
Address ��-c i�Fa0.{y s� License# C��$� ! L `�
OTHER COM ANY
SIGNATURE REGIS ERED Y/ N FEE CURRE� 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 construcdon,
Minimum ten(10)wo�icing days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted,
Sanitary Facilit(es&1 dumpster;Site Work Permit for sub ivisionsAarge projects
COAAMERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Saf�ty Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance
SIGM PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY requ(red for all NEW constructi n.
Directtons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
: � If over a2500,a Notice of Commencement Is required. (AIC upgra es over ST500)
'" ' 'Agent(�or the cohtractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same
,OVER THE COUNTER PERMITTING . . (Front of Application Only)
'Reroofs if shingles�` Sewers Se'roice Upgrades A/C Fences( lot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE O� DEED RESTRICTIONS: The undersigned understands that#his permit may be subject to"deed" restrictions"
which may be more restrictive than County reguEations. The undersigned assutt�es responsibilify for campliance with any
applicable deed restrictions.
UNLICENSEQ CONTRACTURS AND CO�ITRACTOR RESPONSlBtLl1'IES: !f the owner has hired a cantractor or
contractors to undertake work, #hey may be required to be licensed in accordance wifh 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 taw. if the awner or intended cont�aetor are uncertain as ta wFtat licensing requ'rremenfs may apply for the
intended work, they are advised to contack#he 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 cantractor(s) sign
portians of the "contractor Black" of #his appfication far which they will be responsible. If you, as #he owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permit#ing privileges in Pasco
County.
TRANSPORTATIOfV IMPACT/UTILI7'IES IMPA�Y AND RESOURCE RECOVERY FEES: The undersigned underskands
that Transparta#ian Impact Fees and Recourse Recovery Fees may apply to fhe construction af new buildings, change of
use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-Q7, as amended. The unders4gned a4so understands, that such fees, as may be due, wii! be identified a# the time of
permit#ing. It is further understood thaf Transporfafion Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�tificate of occupancy" or final pawer release. (f the project does not involve a certificake of occupancy or
finat powrer release, the fees must be paid prior ta permit issuance. Furthermore, if Pasca Caunty V1/aterlSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CQN5TRUGTION lIEN 1.AW{Chapter 713, �larida Statutes, as amended): !f valuation of work is$2,500.00 ar more, i
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. lf the applicant is someane
other than the"owner", I certify that I have obtained a copy of the above described ciocumen#and promise in good faith to
deliver it to#he"owner"prior to commencement.
CONTRACTOR'SIOWN�R'S AF�IDAV1'T: 1 certify that all the 'tnformation in this appEication is accurate and that al4 work
will be done in campliance with all applicable laws regulating construction, zoning and land develapment. Application is
hereby macfe Eo obtain a permit ta do work and installation as tndicated. 1 ceetify that no uvork or installation has
commenced prior fo issuance of a permit and that all work will be performed to meet standards of all faws regulating
construction, County and City codes, zoning regulations, and land development regutations in the jurisdictian. 1 also
certify that I understand #haf the regu(ations of other government agencies may apply to the intended work, and that it is
my responsibility to iden#ify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department af Environmental Protecfion-Cypress Bayheacis, Wetland Areas and Enviranmentally Sensitive
Lands, WaterNVastewater Treatment.
- Southwest Florida Water �anagement District-Wells, Cypress Bayheads, Wetland P�eas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depar#ment af Heaifh & Rehabilitative Services/Env�ronmentat Flealth Unit-Wells, Wastewater Treafinent,
� Septic Tanks.
� - US Environmental Protection Ag�ncy-Asbestos abatemen#.
- Federal Avia#ion Authority-Runways. �
!understand that the following restric#ians apply to the use of fiR:�
- Use of fi11 is nof allowed in F1ood Zone"V"unless expressly permitted.
- If the fill material is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
"campensating volume" will be submi#ted at time of permitting vuhich is prepat�ed by a professional engineer
licensed by the State of Florida.
- If fhe fill material is to be used fn Flaad Zone "A" in connectian with a permitted building using s#etn wall
construction, I cettify that fill will be used only to fill the area wifhin the stem wall.
- If fill ma#erial is to be used in any ar�a, 1 certify that use of such ftll will not adversely affect adjacent
properties. if use af fii( is found ta adversely affect adjacent properties, fhe owner may be cited for vioiafing
i the conditions of #he building permit issued under the attached permit applica#ion, for lots less than one (1)
; acre which are elevated by.fiEl, an engineered drainage plan is required.
If I am the AGENT FOR THE OWN�R, I promise in gaad faith to inform the owner of the permitting conditions set farth in
fhis affidavit priar to commencing constructian. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or ofher installations not specifically inciuded in the applicatian. A
permit issued shall be construed to be a license #o proceed with the work and not as authori#y to violate, cancel, alter, or
_ se#aside any proyisions_of the#echnical codes, nor shali issuance of a permit prevent the Building tJfficial frorn thereafter
requiring a correction of errors�in plans, canstruction or violations of any codes:��very permit"issued sh�all became�invaiid- --- �� �-
un[ess the work authorized by such permit is commenced within six months of permit issuance, ar if vtrork 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 wri#ing, from the Building Q�ciai #or a psriod not to exceed ninety (90) days and wil! demonstrate
justifiabie cause far the extension. If work ceases for ninety(90j consec�tive rfays, the job is considered abandoned.
WARNING TO CIWNEE2: Y{?UR FAILURE TO RECCIRD A NOTICE CtF COMIVIENCEMENT �tiAY R�SULT IN YC?UF2
PAYIIWG TWICE FUR IIYIPROVEM�NTS TO YOUR PROPERTY. IF YOU INTEND TO OBYAIN FINANCING, CONSl1LT
WtTN YOUR LENDEFt C1R AN ATTORN�Y��FORE �ECORQlNG YOUR NOTICE C1E COMIV�ENCEtV1ENT.
FLORIDA JURAT(F.S.117.03)
OWhlEROi2AGENT GONTRACTOR ��.�('lGt` Jti(d� 11'�YIOfI L1(�•
Subscrlbed and swom to(or affirmed)before me thls Su1bscr`b-ed and swom to(or affirmed)before me this
by ,�1..���'�!by
Wi�o isJare personalty known to me or haslhave produaed � Who fslare personally known ta me or haslhave produced
as(dentlficaGon. "'— as identification.
ry ,.,'"�°0� JACQI���RUITINER
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Commfssion No, Ission No. `*y �*# �Y CO(V1iY11SSIQN#FF1448i7
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° aQ -0153 FloridallotaryService.com
Name of Notary typed,printed or stamped Name of ry typed,printed or stamped
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�� 1�'E HEREBY PRf3POSE TO FURNISA TFL�RTATERI'.4LS A PERFOPu1�f THE LABOR NECESSARY FdR: � 7��J� I�;�
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}� Cover and Permit. ���
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� ALL MATERIALS ARE GUARANTEED TO E AS SPECTFIED.ALL WORK TO�BE f�
' COMPLETED IN WORI�MANLIKE.MA R FOR TI�SUM OF: �'�4��Q.�e� ��
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qg� ANY ALTERATIONS OR DEVIATIONS FROM AB VE WORK INVOLVIATG EXTR.4 COSTS WILL g!�
} BE EXECUTED ONLY UPON WRITTEN ORDER A7�7D VJILL BECOMF AN EXTR.A CHARGE I.
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`� OVER AND ABOVE THE PROPOSAL AMOUNI'.AI�L AGREE[v1�NTS CONTINGENT UPON I��
� STRIKES.ACCIDENTS.DELAYS BEYOND OUR C NTROL AND ACTS OF GOD. ��
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_� Respectfully submitted,Patrick ilgannon ., Expires 30 Days �
Manager,All-Teclz Air&Filtratao� I,A�
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�� You must provide all conditional approved Permit Documents and provide one business day of your choice to sta} �a!
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� home,within 10 days of completing work at your house for City or ounty Inspection.The above prices,specifications, �,
;�) and conditions are satisfactory and are hereby accepted.l'ou are aut orized to do the work as specified. �
�G Payments are as follows:`�7�2f�.�itE i�a�e c�r��orrn•�Ietin (E��T 52,79fD.a�h��ec�c aP�o sl�aJ �
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35946 State Road 54, Zephyrhills, F 33541 �vww.alitechair.cort�
Office �13-�70-6934 Fax 81 -783-2336 CAC1814196
August 12, 2014
', City of Zephyrhills
Building Department
To Whom It May Concern:
I, Patrick J. Kilgannon, Jr. hereby uthorize & appoint Lori Crawford,
William McGinley, and Aaron Br am as my representatives for the
purpose of pulling Mechanical Pe its on behalf of All-Tech Air &
Filtration, LLC, through the City of Ze hyrhills Building Department.
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. i gannon, r.
— -------------------------------------- ------- --------------f
; STATE OF FL RIDA ;
� COUNTY OF����� '>
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' Sworn to (or affirmed) and subscribed before me this�day of 20�,by ;
` Patrick J. Kilgannon Jr. � �
' :�=o��PrpU���: JAC�UELINE HORRUITINER � ,
� " ': MY COMMISSION#FF144817 j � `
� €,;?.. �o�s -
�•.',�'o;�woQ;.=•' EXPIRES July 24, 2o�s Si a e ofNotary Public '
1 (40�)390-0153 FlorldallotaryService.com t
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� (NOTARY Stamp) l��e' �� '�_ G ,
Nam o otary Typed, Printed, or Stamped �
; Personally Known�OR Produced Identification ='
; Type of Identificatio <
� Produced
We appreciate our bu�iness!
All-Tec6 Ai ,Inc.2011