HomeMy WebLinkAbout14-15597 . . CITY OF ZEP YRHILLS �
5335-8TH STREET
(si3)�so 0020 15 7
BUILDING PERMIT
`- ..�°�����:��PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15597 Address: 37424 CASTLEBERRY 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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0630
Improv. Cost: 4,150.00 OWNER INFORMATION
Date lssued: 8/26/2014 Name: CURL RICHARD C & SHEILA
Total Fees: 60.00 Address: 37424 CASTLEBERRY DR
Amount Paid: 60.00 ZEPHYRHILLS FL 33542
Date Paid: 8/26/2014 Phone: (813)702-4028
Work Desc: A/C CHANGE OUT 3TON
CONTRACTOR S APPLICATION FEES
CHRIS' C CO. C CHANGEOUT 60.00
. ���
�, � , ��r
,'�
� �,,�
�;
�
Ins ections Re uired
D CTSI STALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply w th Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re sons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site fi) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther 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 managemen , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your n tice of commencement."
Complete Plans,Specifications Must Accompany Appl cation.All work shall be pertormed in accordance with
.�
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� /- � /
� ° �%-•��'
CONTRACTOR SIGNATU E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
� PROTECT CAR FROM WEATHER
o�irrwrvvcu c.:�ry or cepnymms rermrc Appnca Iton Fax-s13�780-0021
Bullding bapartrnent •
Date Reeetved � ' �r'��_��{ � photl0 Cordact for PermNttn �� • ••
OwRe1's Nam• +C�A,vO '� el� V� � Owner pho e Number ,d�P"'���^.�� �
owner's Addreas 37�0�'1 �n� Z • Owner pho ie Humher
Fee Slmple Tltleholdv.Nama • Owner Pb0 liumbet
Fae Simpfe Tltloholds'r Addreda � �
Jo�noottess 3�'�� �In1.e s �or a . � �
SuBDIVISION ' RARCELID# I�-d�-a � of�b--Q000a o�3a� .
I ' � {08YA1 �ttaaPROpER1YTA1tND7�Cq '
WORK PAOPOSk"p ,e w�rhr cONSTR 8 AOD/ALt � SIGN � �] DEMdLISH
IN3TAl1. REPAIR '
PROPQSEp USE � � SFR ,Q COMM [� OTHE �
7YPE OF CONSTRUCTlON Q BLOCK '•Q FRAME C� STEE � •
pESCRIPTION.OF WORK . t'tY 1'Il.. V :•�
9UILDING SIZE � " 34�OOTAOE� ' HEIO T �
QBUILDiNa S ' � VALUATION OF TOTAL CONSTRU IbN
Q�RECTRICAL' S AMP S�RVICE � �f PROGR�SS'ENEf2GY [] W.R.E.C:
. . . .
�P�uM'sini� �..s . �. . ' , : ' , , . �� � �
.[�M�RFIANrCAI. • S �1�� .�, � va�uAnoN oF MEC►(ANICAL IN ALLR71oN . •• � �
-��� (yQ�
�GAS• � ` Q� F20qFING �Q •SpECIAL•TY �' O?H ' �' (�1 �]�' � -�`1
u /
FINISHED FLOQR ELEVATION$ FLOOD ZQN�AREA , YES .NO v !`.�t �
U v
9UILdEit ' . .. ._ . ._. . ..,__. ._ :-. -.-�- •- COMPANY —: .,
..-... .. .... ....._ ..
81�NATURE RE�I87EREb Y'!' ' FEE cuRnen •' Y/•N . , . ._.
Address � License#'
FI KCTRICtAN , ' ' CQMPANY• . .
SIONA7URE �GisrERED Y!M FEECURRE� Y/N•
Address Llcense#
PLUM9ER ' . • COMPANY . . .
StGNATUR� ' REGISfERED - , Y! N FEE CuRREt� •Y/N
Add�es9 Llcence#• �
MECHANICAL /1 {J9�� COMPANY �S� � ' �/�
SN3Np1yRE v'" REGISTERED N FEECURRE N
Address ( a�3�+ • D6+Ql � License# � 'ds 7� .
OTHER ' � ' COMPANY . .
9tGNATURE • ttEOlbt�aeo • Y N , FEE cuwsen Y I N •
Address License#I. I
RESiD�NT1AL Altacli(2)Plot Plans;(2)sets of Building Plane;(�)sek ot Energy forms;R W Fermlt tor new constructton, ,
' •Mlnimum ten(10)worMng days after submiNal dBtC. Requlred onslte,Con ctinn Plans,Slormwat9r Pldns riv!Slit Fenr�'Installed,,
Sanitary�edlitles&9 dumpstar,Slte Work Permilto�subdivlGlon6llarge praJ ets ' � ' • ' ' ��
C0�1eAEftCU1L Atfach(3)complete sets oFBullding Plans plus a ufe sstety pag'e;•(1)•set dt nergy Farms:RA•W Pe�mit for new consVUCtlon.
Minimum ten(10)working days aftel submiHai dale. Required onslte,Cons ction Pldns,Stunnvrdbar Pla�w/5ilt FenC@ mstalled,
Santtary FadOtles&4 dumpster.Slle work permit for all new proJects.All co merclal teqWrements must meet complfance
SION PERMIT Attach(2)seb of Engirlee�ed Plans. '
•"'PROPERTY SLIRVEY requlred tor ell NEW CDnsWcUon. '
Directtons: ' , . �
FII out epplicatlan completeiy.
Owner 8 ContractOr 5�baak oi app�icfltion,h0lA�ed
(f ove►'iZ50Q,a NaNee of Commeneement is►equired. (WC upgrades over 57500)
*• qgent(for IAe conUactor)or Power of Attomey(tor fhe owner}would be someone with no zed lette�fiDIN Owper authorSzing sBmE
OVER'fHE COUNTER PERMITTINO (Frol1t Of Appllcatlon Only)
Raroofs H shingles Sewers Service Upgred'es AIC Fencas(PIot/Survey/Foofeg )
Oriveways•Not wer Counter if on public roedv�raYs..needs'R01LV' ' • . ,
813-78Q-0020 City of Zephyrhill Permit Application Fax-813-780-0021
Building epartment
Date Receided -��-t[..� Phone Contact for ermitting �. �( -- ��
Owner's Name ��C,hC�vr� �' � g��,� �/� Owner Phone Mumber �C�'° ��J 1-' (��oo�
Owner's Address ���p�� �- L2,�2. ��- � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB R�DRESS J��C� -'( , �Le (� � 5 LOT# �
SUBDIVISION PARCELI # �U'��-�.�I- �Io'�f%�-�Q��a"' Q�o3f3 ---_ --- _,^-
--- --` ' -- -' - -' � - (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
� INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q _ BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK 1�Y i"il.. �.,�,�-' � V a'��-�
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION O TOTAL CONSTRUCTION �
QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
�ECHANICAL $ �; VALUATION O MECHANICAL INSTALLATION
�t1�� . �
QGAS Q ROOFING Q SPECIAL 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
BUILDER - - -COi'�i �►NY - - - -- _ __
SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COM ANY
SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COM ANY
SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL I��,y�_�y� CO PANY �YW�"S � �
SIGNATURE `��F��� REGI TERED N FEE CURRE ! N
Address I �a�� U (� �G� License# 1... � �� ���
OTHER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities&1 dumpster;Site Work Permit for su divisionsAarge projects
COMMERCIAL Attach�3)complete sets of Building Pians plus a Life Sa ety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�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 required for all NEW construc on.
Directtons: �
Fill out appiication completely.
Owner&Contractor sign back of application,notar(zed
If over 52500,a Notice of Commencement is,requirgd,.. (AlC upgra es over ST500)
,,�,�,.:..,:-.,..�.�:.:._.. ,_,
*' Agent(for the contr�'ctor)or Powec of:Attomey(for•the,owner)would b someone wlth notarized letter from owner authorizing same
;:,'.��- - �._..............:.:._. - . , _, . ...�,�,...� .�
OVER THE COUNTER PERMITTING• •.....(Front,of;Applicatio��Only) ; �� �" • �
Reroofs if shingles Sewers.,,`;,;.„,Service Upgrades`A"/C';�` ;Fences( lot/Survey/Footage) ` " � - ';; ;; � ��'� �'
�.c_�.\r .�-n.�. . --. : . .�...NV_.. ,a5' .-�., i.. A�.'S � � ., � . � • � ' `
Driveways-Not over Counter if on public roadways..needs ROW ' -, . _ .;. � .�..... -
t
s...�,_. �,... ..� . ... < .,�._..,. - ..,...,.�.._
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.
UNLICEN�ED 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
I intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
SOU9. 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understarids
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 specifed 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 p�id 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 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"owner" prior to commencement. �
CONTRACTOR'SIOWNER'S AFFIDAVIT: t 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 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 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 Environmental 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 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 Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
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 electrical 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 pe�mit 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 FAILURE TO RECORD A NOTICE�OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COfdSULT
WITH YOUR LENDER OR A ORNEY BEF RE RECORDING YOUR NOTICE F MMENCEMENT.
FLORIDA JURAT(F.S.11 �3) .
OWNER OR AGEN '
CONTRACTOR � �
Subscrlbed and swom o(or affirmed)be e me this Subscrlbed and swom o(or affirmed)b ore me this
by
Who is/are personally known to me or has/have produced Who Is/are pe onal known to me or has/have produced
as Identificadon. as identification.
Notary Public � �"'�•• Notary Public
""�°�"''• E.BACON ="Q �' �mmission#FF 137073
Comml ".y -,, JOEL Commissio N :a: •
;.:' :,r omm ssion#FF 137073 '�Rf;t�, 8��Troy Feln Intuance Bpp3g5.7019 '
:�; o� Expires June 29 2018
Na o �e 8°r�st��7o�s Name of ary typed,printed or stamped
�° SERVICE ORDER
=p� CHRIS' A/C �N�o��E
� . : .. HvAc
i —
'� C O M P A N Y 19458
CAC058575 -
12232 HWY 301 DADE CITY (352) 521-4977
DADE CITY, FL 33525 ZEPHYRHILLS (813) 779-9515
BILLTO: �Q �V � ��
Wedgewood
SPLIT SYSTEM X PKG UNIT
NAME: Richard &Sheila Curl DATE: 8-25-14 MODEL#4TW63036C1000A6
ADDRESS: 37424 Castleberry Drive SERIAL# 14253RCLBF
�1N; Zephyrhills ZIP CODE: 33542 ,
PHONE: 706-331-0625 WORK. MODEL# GAF2AOA36S31SBA
CELL: RENTER: SERIAL#�13181 R3TAV
TECHNICIAN: �eff& Cody DATE: 8_25-14
PROBLEM REPORTED. BRAND: ±American Standard
.. : �-` =�DESCRIPT(ON OF,WORK PERFORMED � . , � . � . ., :WARRANTY�`� �
American Standard 3 ton 13 seer Heat Pump Split System, kw heater, float switch, pad, PARTS & LABOR
drain pan, digital thermostat, connect to existing electric&d cts. Seal duct work per code, PARTS ONLY x
tax, labor and permit included Also removal of old equipme t. START UP : 8-25-14
�
, ,- ; �.RECONIMENDATIONS ; .. ' . : . _ NttSC;`� � � ' : - ,
10 year compressor part warranty
10 year parts warranty
, .. .. . _
. . . ,. . . _
- •�- "� ��� ° �- � 'PAYMENT- = " - �� 1 year or warranty
, . lab
CHECK# DUE: CASH: . ° - � - �_ `� !
., .
......�m.��..�_. ._._ w:.,._._.,�_.._.__...;,�_...�.�..._._.�.._ .�._. �_ .::�...-
CREDIT CARD#: {��� SUCTION PRESSURE:
CARD TYPE: LIQUID PRESSURE:
APPROVAL CODE: TEMP. DIFFERENCE:
EXPIRATION DATE: FILTER:
:. .. . . . _. . � ,. ._. . . ..
,. . _ .. _ _ .
� � � � - - � - . � DRAINING PROPERLY:
� I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE WHICH HAS EEN �' � ~ _ - • � " ' ` . ; "' ., � °
SATISFACTORILY COMPLETED I AGREE THAT SELLER RETAINS TITLE TO EQUI MENT � � � -
AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT IS NOT MADE A LIMITED WARRANTY•EQUIPMENT,PARTS AND MATERIAL
AGREED,SELLER CAN REMbVE SAID EQUIPMENT AND MATERIALS AT SELLER EXPENSE HAS WRITTEN MANUFACTURER'S WARRANTY ONLY
ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONS BILITY ALL LABOR FERFORMED BY CHRIS'A/C HAS A ONE YEAR
OF SELLER. ` WARRANTY.CHRIS'A/C MAKES NO OTHER WARRANTIES
�
�i �
r ,—— G� �( d " �-/�� TOTAL: $ �tt5s-90 ..
-*� ------ --
CUSTOMER SIGNATUR ATE: �. J�1�� `'�