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Home My WebLink About14-15620 CITY OF ZE HYRHlLLS _ w 5335-8 STREET � (si3)� -0020 156 BUILDIN PERMIT PERMIT 1NFORMATIQN LOCATl4N INFORMATIQN Permit Number: 15620 Address: 39341 5TH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Praposed Use: NOT APPLICABLE Lot(s): Biock: Section: Sc{uare Feet: Subdivision: ZEPHYR HEIGNTS Esfi. Value: Parcel Number: 12-26-21-0040-00100-0201 4mprov. Cost: 4,437.00 QWNER iNFORMAT1flN Date Issued: 8/29/2014 Name: WORRELL JOSEPH D Total Fees: 9 00.04 Address: 5335 BERNADETTE DR Amaunt Paid: 10p.00 ZEPHYRHILLS FL 33541-9100 Date Paid: 8/29/2014 Phone: 813-312-7770 Work Desc: A/C CHANGE OUT 2 T{�N 13 SEER / ELECTRIC CONTRACTOR S APPLICATION FEES FLORIQR EITA ECHA 1 AL,INC GHAN EOUT 60.04 E ECTR AL FEE 4Q.04 �F�9kt1�A-Q�LI�t'��WI��,�`�� t`-�-� ,� � j 1 Ins ectian Re uired DU TS INSTALL D DUCTSINSULATED FINAL �()"-I J -l Y 1=1�13F��- �� REINSPECTION FEES: Reinspection fees wil! camply ith Florida Statute 553.80 (2)(c) when e�c#ra inspection trips are necessary due to any ane af the following r asons: a}wrong address h}condemned work resulting from faulty construction c) repairs or corrections n made when inspections called d) wark not ready for inspection when calted e) permit not pasted on jo site f) ptans not at job site g}work nat accessible. I�OTICE: In addition to the requirements af this pertnit, ther may be additional restrictians applicable to this property that may be found in the public records of this county, and ther may be additional permits required from other governmental entities such as water manageme t, state agencies or federal agenc9es. "Warning to owner: Your failure to record a notice f commencement may result in your paying twice for impravements to your property. If you intend to ab in financing, consult with your lender or an attorney before recording your otice of commencement." Complete Plans, Specifications Must Accompany App icafiion. All work shall be performed in accordance with Ci Codes and Ordinances. NO UCCUPANCY BEFQ C.O. I '�rT�'�G�'i� ` i Ct�NTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN fi MONTHS ITHOUT APPROVED INSPECTION CALL POR INSPECTION - HQUR NC?TICE REQUIRED PROTECT CAR FROM WEATHER ( e�a-7aaoozo City of Zephyrhill Permit Application Fax a��-�eaoo2� Buiiding QepaRment ' � Date Received � _ � Phone Contact for Petmi#tin 'T'T�f'I- Owners Neme { Owner Phonm Number J'"� V Owne�s Address�.J�-J�../1 1-4 � ..�1 � dwner Phone Number �� -. Fea Simple Titlshotder Name Owner Phone Number �— � Fee Simple 7itlehold9f Addf066 � � �_�� JOB AdDRESS � LOT# SUBDlttISlOPt ��'��7{�__�� PARCEL 1 ^ 1 "'��}{x.}""C.l{� � t (OBTAINED FROM PROPERN TAX NOTICEj WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH INSTA�L REPAIR i PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCT10N Q BLOCK Q FRAME � STEEL Q I _..-, DESCRIPTION OF WORK C] ��Y�- BUIIDING SIZE �� SQ FOOTAGf HEtGH7 BUILDING $ VALUATION Q TOTAL CONS7RUCTION I �ELECTRICAI. �/^�� AMP SERVICE � pROGRESS ENERGY Q W.R.E.C. \...T' .... P�UMBING �� /�� MECHAt+iiCAl $� rZ� VALUATIQN dF MECHANICALlNSTAl.l.ATlON 1 �.3� � t iQGAS Q ROOFING Q SPECIAL � OTHER FINISNED FI.00R EI.EVATIdNS r`� FLOOD ZO E AREA QYES NO L BUILDER COMP NY � SIGNATURE REOIST RED Y/ N FEE CURREA Y/N Address � License# � � ELEGTRICIAA! CpMF NY ��.��t t. I t 1 1 t.1 dl�t!I Ct.t I i StGRlATURE � REGtS RED Y J M1I FEE CURREA Y I N �v�— ` L'�a .t�,d'! Address � License# � PLWMBER CI�MP NY � � SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N Address License# � � MECtlANICAL - CQMP Y �tGr�t l��Jz. �4•(�,,,,,-rF// � SiGNATURE RBG�sT eo Y 1 N FEE CURRER Y/N Address l.icense# C�(,�� /�/(J� OTHER � GQMP NY � SIGNATURE rtEGIST eD Y/ N FEE CURREA Y/N � Address �'�( , License# I � 11111111111111111111111111111111111 1111111111111111111111111111111 RESIDENS1Al. Attacb(2)Plot Plans;(2)sets of Building Plans;{t}set of E ergy Forsns;R-O-W Permit for new consWCtion, Minimum te�(t0)working days after submittai date. RequEr d onsite,Cansfruction Ptans,Starmwater Pians wi S3It Fence lnstelied, Sanitary Faatities 8 1 dumpster,Site Work Permit for subdi 'sions/large projects ' COMMERCIAI. Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new wnsVUCtion. Minimum ten(10)woricing days after suGmittai date. Requir d onsiie,Consttuction Plans,Stormuater Plans wt Silt Fence instatled. Sanitary Facilities&i dumpster.Site Warfc Permit for ait n projects.Atl commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERIY SURVEY required for all NEW construction Dlrections: Fill out application completely. Owner&ConVactor sign back of applicaGon,notatized !i over$2500,a Notice of Commencement Is requ3red. {AtC upgrades over 57500} " Agent(far the conlraclor)or Power of Attomey(for the owner)vrould be so eone wilh notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Qnly) Reroofs if shingles Sewers Service Upgrades AJC Fences{Plo SurveylFoofage} Driveways-Not over Caunter iF on public roadways..needs ROW il � _ � NOTICE OF DEED RESTRICTIONS: The undersigned und rstands that this permit may be subject to"deed"restrictions" ' which may be more restrictive than County regulations. Th undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR R SPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may 6e required to be I censed in accordance with state and local re�ulations. If the contractor is not licensed as required by law, both the ow er and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are u certain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco Count Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor r contractors, he is advised to have the contractor(s) sign portlons of the"contrector Block"of tnis application for whi h they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properl licensed and is not entttled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery F es may apply to the construction of new buildings,change of use in ex(sting buildings, or expansion of existing buildings as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,t at such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Imp ct Fees and Resource Recovery Fees must be paid prior to receiving a"ceRificate 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 i suance. Furthermore, if Pasco County WateNSewer Impact fees are due,they must be paid prior to permit issuance in a cordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statut s,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a opy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of A riculture and Consumer Affairs. If the applicant is someone other than the"owner',I certify that I have obtained a copy f 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 t e information in this application is accurate and that all work will be done in compliance with all applicable laws regulati g construction,zoning and land development. Application is hereby made to obtain a permit to do work and installat on as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all wor will be perFormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, nd land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern ent agencies may apply to.the intended work,and that it is my responsibiiity to identify what actions I must take to be in ompliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management Dis rict-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Nav able Waterways. - Department of Health & Rehabilitative Seroi s/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos batement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use o fill: - Use of fill is not allowed in Flood Zone"V"unles expressly permitted. - If the fill material is to be used in Flood Zo e "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at tim 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 II the area within the stem wall. - If fill material is to be used in any area, I c ify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely a ect adjacent properties,the owner may be cited for violating the conditions of the building permit issued un er the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered dr inage plan is required. If I am the AGENT FOR THE OWNER, I promise in good fai h to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understan that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or oth installations not specifically included in the application. A permit issued shall be construed to be a license to proceed ith the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall iss ance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or viola ions of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced ithin 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 O�cial for period not t xceed ninety(90) days and will demonstrate justifiable cause for the eutension. If work ceases for ninety 90)consec iv days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE F C MENCEM Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE TY. IF YO IN ND TO OBT I FI NCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOI� N ICE OF CO EMENT. N N � FLORIDA JURAT(F.S.117.03) I+ W I� T OWNER OR AGENT CO TRACTO 1 Z N N o Subscribed and swom to(or affirmed)before me this crib a d swor t ( r ir ed m s w ti � bY by , C7 LL- h � Who is/are personally known to me or has/have produced o is/ re personat t me or h ave roduced w � T � as identification. as iden' cation. W O �0 v1 O � � m ` " tn uJ o Notary Public Notary Public Z � W � � � Commission No. C issign No. � � d � G'� � Q � W Name of Notary typed,printed or stamped Nam o Notary typed,printed or stamped .,,,,,,,,,, �, :.`� • �o••;, 'n i 0 Q'p'; O� 3 c r.:� ,:i 'a'co .� ��.:- n :,pH ' 5��,; c ,��.� v " ! � ` �^� - --��!'OpOS1��# F �.�C:�,� � �`�� d �«,;�, . � 2716 Sraadway Genter Blvd � =�� Brandon,FL 33514 � , LocaL 727-545-7957 - -' Tai}Fres:866-395-2612 Arizona California Colorado �io 'da 1Vlichigan l�Fevada IHew Me�co , Rt}C141964 811214 240935 CAC1 ]6454 71162'16 0�75345< 87072 ,_, Last First Date �(/r;%1f ''3U.SfpL, Address Technician 3i3�:I .S'�� 5�� .�i�,� r� Address 2 City State Zipy *�Y?��r .�� l J�,��.. 7elephone One Telephone Two ERtall QUOtB EXpir"dtioll instalta n tterns []30/60 AMP Disconnect Fused [J Fil#er Dryer []WeatherTight Whip [] Insultube [)Sheef Metal Trans'stioNElbaw [j Vibration Pads []Mercury Free Thermostat []Compressor Blankets (]Copp�r Wire from Disconect to Outdaor Uni []15%Silver Brazing Rod []Anti-Micrabial lnsulation [�R-11 Flush Kit []AngEe lron StandiRedwaod []Crane Service . []Sheet Metal Platform (]Secondary Drain Pan []Scuttle Repair []Candensate Trap w/cleanout [l RemavaVpisposal Old Equipment []Kili Switch= =::}=`�• . �.: []Propertiy Sized Fuses []HERS Test{CA IVlariclitory)$250 Quantity Brand Model# Description , Seer1EER, PreTax � uo t�; u,� � �.�r�n�r l� ��'k'-Ud.`f-��a � °^ �-1c��V ��w, �� 3.37 quantity Brand Madel# Qescription � .�rtn��r 4v.tiC'C�3(.��`�.�1'�..j 4'�' �U�. ��tt �l�adP�C!" QuanYily Brand Model# Description Quat�tity Brand Nlodel# Descriptla Seer/EER, PreTax Qua»fity Srand Modei# Descriptio Qnentity Brand Modet# Descriptio : Warranties Years AdditionalOptions Descriptions Compressar . � j� f�2v ;�S-}��f��.,,_ C�,n 1 L,f,�r, -�wt ��I�w.., Coils f� / 1 t t� (VGx4,1 ( f(ni�.�. 4t�n /f .-�-(-SC. �nt�t1� t� �te.l 'n-)-};c tr`4E.°�. 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J It � ' � ` � 1i � � FLORI A DELTA MECHANICAL .� � �r �r• .� ,,,� ,�, .. , . � ;.�, a 2716 FtOADVUAY CENTER BLVD, BRANDOiV, FL 3353.0 � � PE 2MIT DEPT. 866-219-0880 70LL FREE 866-219-0729 FAX Contractor's uthorized Signature Form By Qualifier: DIMITRE BOBEV License Information: Number: CAC1817901 Limited Power Of Att rne from Contractor Be it known,that I DIMITRE BOBEV the contractor bove, have made and appointed, and by these presents do make and appoint as agent STEPHEN ORRILL to be true and lawful attorney for me and in my name, place, and stead,of the sole specific and imited purposes to execute any and all documents pertaining to building permits issued and/or inspec ions performed by CITY OF ZEPHRYHILLS ,Zoning and Building Department as I,the undersigned, mi ht or could do if personally present. The authority of the person appointed as me attorney and agent o exercise the powers granted herein shall commence on the date set below and shall remain in full force and effect until the license expiration date note below,or death or specific written rescis ion by either party. I understand that, by signing this instrument, I am authoring CITY OF ZEPHRYHILLS , Planning,Zoning, and Building Department to issue permits based o the signature of my above-named attorney and agent. I understand that I am fully responsible and egally bound for all acts performed under my license number, including those of the agent. In witness where of, I have hereunto set my hand seal this y of � 2014 . Signed sealed and delivered in the presence of: � � i nature f Qualifier State of Florida County of Hillsborough � The foregoing instrument was acknowledged by me this day of 20�by: DIMITRE BOBEV who is personally known by me or who s produced as ider�a�r' i ion and who did/did not take an oath. � Notary Public < a,n�.--,�.�_:.�. r 0 PFY pUB�� DECEMBER BALL �` F�`°= �otary Public-State of Florida . . �' ;N: �- ;Q? My Comm.Expires Jul 31,2017 . , o, 'yr P``.` � '�,,;oFF�o,• Commissian # FF 006228 ��t°�