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Home My WebLink About14-15639 _ � CITY OF ZEP YRHILLS � 5335-$TH SfREET �si3>�so ao2o 15 39 BUILQING PERMIT PERMIT INF�QRMATfQN LOGATIQN INFORMATION Permit Number: 15639 Address: 3349 MALACHITE 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: EMERALD P41NTE Est. Value: Parcel Number: 24-26-21-0020-00000-0460 Improv. Cost: 5,500.4Q OWNER tNFORMATtON Date Issued: 9f09/2014 Name: KENNEDY, CHARLES Total Fees: 65.00 Address: 3349 MALACHITE Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/09/2014 Phone: Work Desc: AlC CHANGE OUT 2.5 TON 33 SEER CONTRACTOR S APPLICATION FEES AM }2lCAN RESEDENTlAL,a R lCES OF GHANGEOUT 65.d0 j� � � �� L.- � r" � S� �, � i�; - Ins ections Re uired DU TS IN 7ALLED DUCTSINSULATED FINAL � – ��, — `� REINSPECTION FEES: Reinspection fees will comply w th Florida Statute 553.80 (2)(c) when e�ctra inspectian trips are necessary due to any one of the failowing re sons: a}wrong address[s)condemned wortc resulting from faulty construction c) repairs or corrections no made when inspections called d)work not ready for inspection when catled e) permit not posted on jo site f} plans not afi job site g}work nat accessi6te. NOTICE: in additian ta the requirements of this permit, ther may be additional restrictions applicable ta this praperly that may be found in the public records of this county, and ther may be additional permits required from ather governmental entities such as water manageme , state agencies or federal agencies. "Warning to owner: Your failure ta record a notice f commencement may result in your paying twice for improvements to your property. If you intend to ab in financing,consult with your lender or an attorney befare recording yaur atice of corrimencement." Camplete Plans, Specifications Must Accompany Application. All work shall be performed in accardance with City Codes and Qrdinances. NO OCCUPANCY BEFO C.O. ��-��--. CONTRACTOR SlGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION CQLL POR INSPECTIOtN - HC}UR NOTICE REQUIRED PROTECT CAR FROM WEATHER ( � 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 , ' Building De artment Date Received Phone ContactforPe ittin � ` 13 -�bS-I35 Owners Name �\ �O �� Owner Phone Number I Owners Address 3 3'�g YV1 �� • Z� Owner Phone Number �3sya Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 3 M 9 �ala.c�.�� t• 2 L► ��,'` 3 ,Syo a 0 SUBDIVISION PARCEL ID# 2�—2�—� �� DO�-(� —O f7bO 0-'O-y�U (OBTAINEO FROM PROPERTV TAX NDTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH >f INSTALL e REPAIR PROPOSED USE Q SFR Q COMM � OTHER m t� TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIP110NOFWORK I�JA�re� ��Q �-�� 35�-� � U � QnJ��Q OJ� BUILDING SIZE SQ FOOTAGE HEIGHT � QBUILDING $ VALUATION OF OTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �� ` �MECHANICAL $�COV VALUATIONOF ECHANICALINSTALLATION � � J QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO BUILDER COMP NY SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMP NY SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMP NY SIGNATURE REGIST RED Y/ N FEE CURREA Y/N Address License# MECHANICAL COMP NY A�J SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N Address License# OTHER COM NY SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N Address License# Itlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;('I)set of nergy Fortns;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Requ red onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permit for sub ivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe y Page;(1)set of Energy Fortns.R-0-W Permit for new construdion. Minimum ten(10)working days after submittal date. Requ red onsite,Construclion Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all n w projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW constructio . Directions: Fill oul application completeiy Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (AIC upgrad s over 57500) " Agent(for the conVactor)or Power of Attorney(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 Service Upgrades A/C Fences(P ot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW , NOTICE OF DEED RESTRICTIONS: The undersigned under tands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be lic nsed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the own and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are un ertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009 Furthermore, if the owner has hired a conVactor o contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for whic they will be responsible. If you,as the owner sign as the contractor,that may be an indication that he is not properly I censed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACTNTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fe s may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,th t such fees,as may be due,will be identified at the time of - permitting. It is further understood that Transportation Impa t Fees and Resource Recovery Fees must be paid 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 is uance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in ac rdance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Ag'culture and Consumer Affairs. If the applicant is someone Iother than the"owner", I certify that I have obtained a copy o the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWMER'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 regulatin construction,zoning and land development. Application is hereby made to obtain a permit to do work and installati n 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 govem ent agencies may apply to the intended work,and that it is my responsibility 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,WatedWastewater Treatment. - Southwest Florida Water Management Dis ict-Welis, Cypress Bayheads, WeUand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navi able Waterways. - Department of Health 8 Rehabilitative Servi s/Environmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos batement. I - 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 ti 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 c rtify 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 d inage plan is required. If I am the AGENT FOR THE OWNER,I promise in good f ith to inform the owner of the permitting conditions set forth in this affidavit prior to wmmencing construction. I understa d that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or oth r installations not specifically included in the application. A permit issued shall be construed to be a license to procee with the work and not as authority to violate, cancel,alter,or ' set aside any provisions of the technical codes,nor shall is uance of a permit prevent the Building Official from thereafter requiring a correcGon of errors in plans,construction or viol tions of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced ithin six months of pertnit 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 i may be requested, in writing,from the Building Official for 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 PROP RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR NOTICE O OMMENCEMENT. FLORIDA JURAT(F.S.117.03) � OWNER OR AGENT C NTRACTO Subscribed and sworn to(or affirmed)before me this Su scribed and orn to(or affirmed)before me this by by Who is/are personally known to me or haslhave produced o is/are personally known to me or has/have produced � as identification. . ,o.�,Y'P a�;, J L E.B C N �; mmissio # F 137073 Notary Pubtic 't :�' ' �U(1 N$ Public �' �P�N�.•`� BondedTFwTmYFainlnsurence Commission No. C mmissio o. Name of Notary typed,printed or stamped N me of o ry typed,printed or stamped CMC 1249406,.Cr'C 1427670 ' y � I � . � a ' � I(�STALLATION �ORK ORDER (727) 5��-4200 ��, � , �/� � � (�13) 2�2-3737 ��fC� � O 6`rI � Customer Name A { \�, at � �Call Slip# �� /"c/� /qC `� �� - dr�� ( ) City State Zip Code � Ph6ne Phone ,. Scheduled installation Date 11Ve hereby ree to furnish and you agre ay for all neces'sary equipm nt,materials and labor to instail the following ftems listed in accordance with the, nditions and specifications set fort n the reverse side. . . _. . .. . .. _ � • . Option.#1 ��.�� Optio #2 , �� Option#3 � U � � . . ,W/ KW W/ � KW W/ KW . � — l� — RICE $ /,;�� $ PTIONS + " + " p� + - � + - + - + - + - �� + - '� + - T AL � ,� $ � �` $ . Warra : Comp.�arts�La r Warranty:_[��omp Parts�,Labor ; Warranty: Comp Parts Labor Refrige t recovered and dis pos of as re quired b y law. Com pl te clean u p includin g use of floor savers to protect your home and remova xisting e ' ni. All work completed is done in ccordance with existing codes and,permits, as required. . � � . � � � Hurricane Tie Downs ❑ frig. pipe( ) � Drain Lir1e_Reconnect_New ❑ Supply plenu Aecon New Reconnect New ❑ L'rfetime equipment slab ❑ efri ' e•cover ❑ New Plywood Deck ❑ Return plenu e�� New ❑ Sound isolation pads ❑ Expansion valve ❑ Ceiling saver kit(pan&float) �emove existing equipment ��A/H WhiplDisconnect ❑ Tape/Seal Du ( ) ❑ Main drain safety switch ❑ A/H Stand ❑ Coffin Box C/U Whip/Disconnec ❑ T-stat Wir Reconnect_Ne ❑ Attic Liglit ❑New Outlet ❑ Insulate Return Box �Digi#al T-stat � Conn.to exist.elect. ❑ Support attic equipment ❑ Vertical ❑ Horizontal ❑ Flood Zone 1i40{ ) ❑ Crane/Stories Reach Access � ) reaker Brand ize A/H Size C/U Wire Size A/H Size C/U ��.,.,�..,..,.,.,,�...,,,,._�.. ;,, ��,/j�{:'�w<��;�, <.:.�._-�,,.�:,.,� �-�-;-;,. x y�.�.:..:��,; �.� .�s.:�,�„.V,.,..;�;:�:� .�:� �- ,•:�;--- � w �.� V ^ �- _ 'U�t'm �i" � �"•�.sr>. s. ,"�;.5 . 2.:� � .';�'.•$- �'�.'.w,. 4�.�• .�' w,c' '�• :�" ;%�1::..F . at P at�ct�on,Giiaran °��° `:��,��„� � � Q � Y�#.��.: a., � °y"�,, .�- ";' /e-ilii on�iti:�nal'Money Ba' ri�ee '� .,`,'. �.,,a� �.,zr�t:.,�..;v,,.3:e": ' -aa��;zuPR �'�-.�,y�.t'�•'- ae�:,. �,,,. ,� - ��:va .. _;i � '+i•,°' � ��Cri',..� . . . a��= ��., .�� Gu ra, �' ��`,� ' � �' ':�`�r�-'4=h�r Seni'rce G a ntes o'mfart�` a nt�e��,.�.:,��<��=�M:�;�� . ,..�,.<- . . : �.. ... .>...-�:�f:�:-�W.c.�;:4:w-�':�:�:";;.:�'�.^='K:��.:�;�".,:.-�=";:'�"��=�;�''�'t,-"+�,�^=�a�.."-.m.'--.'�_�-`,,,�°','.T�'.��,r�`�,�.�:;;��,k��c„`�,��"��_,_,�.� ;%�:- `= ss:��;�y�.:5�„^° +� . . ..a��`=3'e:n��..:�?�::�. -:�>.��:_�- AQDITIONAL: � , INSTALLED AMOUNT: S $ REBATES $ Initial ot responsible for any existing ductwork. � ( ��ed to home n ) ` s ,��=t� By: � Date: y: � Date: Cuslane� f�-,�^-� Company epresenlafi� Terms: ❑ Cash ❑ Check# � #�� `i/� Exp�� ❑ Fnanced through: Note:Beginning 2010,R-22 equipment will no longer be produced. Replacement parts and r frigerant will be avaitable,however,equipment cannot be mixed. 410A is the new refrigerant. BUYER'S RIGHT TO CANCEL.This is a home solicitation sale,and if you do not want the g ds or services,you may cancel this agreement by providing written notice to the seller in person,by telegram,or by mail.This notice must indicate that you do not want the goods or s rvices and must be delivered or posunarked before midnight of the third business day after you sign this agreement.If you cancel this agreement,the seller may not keep all or part of a y cash down payment.