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Home My WebLink About14-15698 CITY OF ZE HYRHILLS � " 5335-8TH STREET (si3)�s -0020 156 ' BUILDING PERMIT " '"_�'PERMIT°INFORMATIQN ' LOCATION INFORMATION' . ..,,.��,, ... Perm�it Number: 15698 Address: 5138 21 ST 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: 12-26-21-0000-04400-0060 Improv. Cost: 4,000.00 ;071,VNER 1NFORMATION °��_::.�:��'��;�R;'°v='°��p�= Date Issued: 10/03/2014 Name: VANDEBERG TODD & CHARLA Total Fees: 55.00 Address: 5138 21 ST ST Amount Paid: 55.00 ZEPHYRHILLS FL 33542 Date Paid: 10/03/2014 Phone: 8137146325 i Work Desc:� A/C CHANGE OUT 4TON � ; - CONTRACTOR S APPUCATION FEES ' HOMEOWNER A/C CHANGEOUT 55.00 C./- c � �` 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 re sons: 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 jo site f) plans not at job site g) work not accessible. rmit there ma be additional restrictions a licable to this ro e that NOTICE: In addition to the requirements of this pe , y pp p p rly 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 n tice of commencement." Complete Plans,Specifications Must Accompany Appli tion. All work shall be performed in accordance with City Codes and Ordinances. O OCCUPANCY BEFO C.O. CO RACT SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � � . � � Shee 1 Absolute Air Systems, Inc. � 37325 Kossik Road BREAK DOWN FORM Zephyrhills, FL 33541 Lic.#CAC 1813789 Fax: 813 788 9189 813 779 0101 Email: steve@getcoldair com Quote To Tod e ur 385� 21 st . r ills, FL. 33540 813 4801063 vandebur , rhills.fl us Job Site: 3 2 21st St. Proposal 10/1/2014 General Proposal Breakdown Price 1 New System only,4 ton h/pump 15 SEER Comfortmaker $4,000.00 2 New System connected to all current con ections&slab included 3 New 2nd drain pan &float switch for insp ction included 4 Home owner is paying for the mech permi &any breaker changes needed *""*"`"`**'`''* 5 Install a/handler back on platform in attic included 6 Not responsible for caulking or painting fr m any work for change out included No engineering or Designing is included Any other changes for upgrades is the h/o responsibility,to save on cost *"'"'*'"`*"" This Price is for check only, credit price is dditional!!!!!!! Signature of Proposal _ By: (Person Authorized Sign Proposal) r ,,/ �/� / � Name� /(1 � �i' Signature: � , � Title: b 7 D r o'T� ��2/J/ Date. 8�,p d �� *** Credit cards have a 4% surcharge"""'` Please sign and email back to: steve@ge coldair.com or sign and fax to: 813-788-9189 Pag -1 e�s-�ao-oozo -- City of Zephyrh�lis Permit Application Fax-813-780-0021 _ Buildi g Department pate Re��ivE� Phone Contact r Permittin -- Owner's Mame D bp �- V�tr1t�� Owner Phone Mumber 3• �$0• /�� Owner's Address �,� � 5� r��i� Owmer Phone IVumber Fee Simple Titleholder Mame S Ol. � Ovvner Phone Number Fee Simple Titleholder Address �al�'�.� JOB ADDRESS �SA�1M P� LO�# � SUBDINI310N PARC L ID# 0�`��—a�r dbdb —��'y d(��d�D (OBTAINED FROM PROPERTY TAX NOTICE) lMORK PROPOSED B NEW CONSTR B ADD/A T � SIGN Q Q DEMOLISH INSTALL REPAI PROPOSED USE Q SFR Q COMM 0 OTHER 7XP�mF CONSTRUCTIOM Q BLOCK Q FRAM 0 STEEL Q DESCRIPTIOId OF WORK I2� OA.C� �/)')� � �rYj iBUILDifdG SIZE �Q FOOTAGE H�IGHT OBUILDING $ VALUATIO OF TOTAL CONSTRUCTI 0 QELECTRICAL $ AMP SERV CE PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ OMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATIOfV QGAS Q ROOFING Q SPECI LTY 0 OTHER FIfVISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO (�'"� "i BUI�. C MPANY ,/ \ S � SI A URE R GISTERED Y/ N FEE CURRE� Y/N Address �� 7J'� � 0`fj/J` ��ll��/ License# ELECTRICIAN C MPANY S�GIdATURE R GISTERED Y/ 111 FEE CURRE� Y/N Address License# PLUM�ER OMPANY SIGIdATURE R GISTERED Y/ N FEE CURRE� Y/N Address ' License# AAECHANICAL OMPANY SIGIdATURE EGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER OiVIPANY SIGtdATURE EGISTERED Y/ IV FEE CURRE� Y/N Address License# RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,StoRnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects COMIIAERCIAL Attach(3)complete sets of Buildfng Plans plus a Lif 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 wl Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit f r all new projects.All commercial requirements must meet compliance SIGM PERMIT Attach(2)sets of Engineered Plans. � � • '•'•PROPERTY SURVEY required for all NEW cons ctlon. Directions: Fill out application completely. Ovmer 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement Is required. (A/C u grades over 57500) •• Agent(for the contractor)or Power of Attomey(for the owner)wou d be someone wlth notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fen es(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW fV0'TICf�OF' CIEE[7 i2f��1'�IC�'IOFI�: The undersigned understands that this permit may be subject to"deed" restiictfian�: which may be more restrictive than Counfy regulations. The undersigned assumes responsibilify for compliance w'sth any applicable deed restrictions. UNLIC�NSI�D CO�IT�C�O�� e�RliD �C1IV�'�tA��'�� I�f�S�OiV�!l�I�IYI��: !f the owner has hired a cantractor or contractors to undertake work, #hey may be required to be licensed in accardance v�tith state and local regulatians. If#he contractor is not licensed as required by lawr, bo#h the owner and contractor may be cited for a misdemeanor violation under state law. if the awner or intended contrac#or are uneer�ain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Divisian—Licensing Seckion at 727-847- 84Q9. Furthermare, if the owner has hired a cantractor or contractors, he is adv9sed ta have fhe contractor(s} sign portions of the "contractar Block" of this applicatian for which they wrili be responsible. tf you, as the ovvner sign as the cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco ' Caunty. 'CR�►NS�OR1fA7'ION IMF'AC�IIJ'�ILI�'I�� 9�1��C1f AR1�1 f�E�Ol9�CfE R�GOi/IERI(fF��S: The undersigned understands that Transportatian lmpacf Fees and Ftecourse Recorrery Fees may apply to the construction of newr buildings, change of I use in existing buildings, or expansian of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and 90-07, as amended. The undersigned alsa unders#ands, that such fees, as may be due, uvill be identified at the time of permitting. It is further understood that Transportafion Impac� Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of accupancy" or final po�nrer release. If the project does not involve a certificate of occupancy or final powrer release, the fees must be paid prior to permit issuance. Furtherrt�are, if Pasco Caunty Water/Sewer lmpacf , fees are due, they must be paid prior to perrnit issuance in accordance with applicable Pasco Coun#y ordinances. CQN�7Ftt�G1"ION E.tIEN �.�►li�(Ch��a��r'�13, i�1�Pi��.��t��, �� r�rt�e�d�c�): lf valuatian of wark is$2,5Q0.00 or mare, 1 certify that I, the applicant, have been provided with a copy of the `"Florida Constructian Lien Lawr—Hameowner's �"rotectian Guide" prepared by #he �lorida Department of Agriculture and Co�sumer Nffairs. If the applicant is someone other than the°owner", I cerfify fhat 1 have obtained a copy of the above described document and promise in gaod faith ta deliver it to the uowner"prior to commencement. GONTR,�C`TOR'Sli�lf�l�EI�R'�.�►iF��(D�VIT: 1 certify that a1C fhe informatian in this application is accurate and that al!�nrork uvill�be done in compliance with all applicable lauvs regulating construction, zoning and land development. Applicatian is hereby made ta obtain a permit ta da uvork and installation as incficated. 1 certify that no work or installation has commenced prior to issuance af a permit and that all work will be performed 4o meet standards of all laws regulating construckion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I slso certify that i understand fhat the regulations of other government agencies may apply ta the intencled vuork, and that it is I my responsibility to identify what actians I must take to be in compliance. Such agencies include but are not limited to: - Department af Environmen#al Protectior�-Cypress �ayh�ads, 1lVe11and Areas and Enviror�mentally Sensitive L.ands, WaterMlastewater Treatment. - Southwest Flarida 1tVater �anagement Distr9ct-Wells, Gyptess Bayheads, Wetland Areas, Altering Vi/atercourses. - Army Corps of Engineers�Seawalls, Dr�cks, fVavigable VVatenrvays. - Depar#ment of Health & Rehabilitative Servicesl�nvironmental Flealth Unit-1lVells, Wastewater Treatmen#, Septic`Tanks. � - - US Environmen#al Pratection Agency-Asbestos abatement. - �ederal Aviation Authority-Runways. ! understand that the follovuing�estric#ions apply to the use of flll: - Use of fill is not allawed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "N", ik is understood that a drainage plan addressing a "compensating volume" �nrill be submitted at time of permitting vuhich is prepared by a profsssional engirteer licensed by the State of Flarida. - 1f the fil! material is to be used in Fload Zone NA" in cannection with a perrnitted buiiding using stem wal{ construcfion, I certify tha#fill will be used only to fill the ar�a within the stem wall. - !f fil! materia! is to be used in any area, I certify tha# use of such fill will not adv'ersely affect adjacent properties. i(use of fill is found to adversely affect adjacent properties, the owner may be cited for vio4ating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by�II, art engineered drainage plan i$ required. If I am the�,GEP1Y FOR THf� �1VIIW��, I prornise in goad faith to inform the owner of the permitting conditions set forth in this atfidavit prior to commenctng construct4on. ! understand that a separate permit may be required for eEectrica! work, piumbing, signs, wrelfs, pools, air conditioning, gas, or ofher installafions not specificaily inciuded in the appfication. A permik issued sha!! be construed to be a license to proceed with the work and not as authoriky to violate, cancel, alter, or set aside any provisions of the technical cades, nor shall issuance of a permit prevent the Building afficiaE from thereafter requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid unless the work authorizec! by such permif is commer�ced within six months of permit issuartce, ac if work aufhorized by the permit is suspended ar abandoned�for a period of six(6) manths afCer��he-time�the�work isycommenced.—An�exfension--- ---__ may be requesfed, in writEng, from the �uilding Officia! for a period not ta exceed ninety (90) days and wi!! demonstrate justifiable cause for the extension. If work c�ases for ninefy t90)consecutive days, the job is considered abandoned. {�tARtdl�9� 7'Cd t}1tVN�EF2: Y�U(� �AI�t9R� Tfl R��QRi� A �1QTIC�C Q(F �Oti�1�1ENG��E�!'T ii�11�iY R�SULT I�t Y{�t1� 1��1YIIVG 'TVVIC� IFi�R I�fl�'ROi/�I�i�H➢`�S YC)YOL91�`� �'f�f��'�FZ'1 Y. I�1(OU iP1YE�ID TGl 0�7'WIW FIPIAN�INC9, COYV�IIL.Y VltlT�-{YOl1� L�N�IEfZ O� �►N 1�7701Ri1i�Y I��1F��i'tIECC}IRC�IH4t�Y�U�NOTIC�Oi�C011t1[i�ENCIE�t1�R9T. FLORtDA JURAT(F.S. 117.03) OVN�lER OR AGEFIT�'��G"�- V�7Gt� i COPITPtACT'QF2 Subscribed and swom to(or affirmed)before me t ' Subscribed and sworn to(or affirmedj before me this ' by by Who islare persanally known to me ar haslhave produced Who Islare personally known to me oc haslhave praduced as identification, as identification. Flotary Public Flotary Public Commisslon No. Commission Na, Name of INotary typed,printed or stamped IVame of iVotary ryped,printed or stamped �\ t