HomeMy WebLinkAbout14-15717 CITY OF Z PHYRHILLS
, ''=,��` 5335-8 H STREET
.i � (sis) so-oo20 157 7
BUILDI G PERMIT
� " �P�ERMIT�INFORMATION LOCATION INFO,RMATION� �
Permit Number: 15717 Address: 5237 TANGERINE 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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00600-0090
Improv. Cost: 3,100.00 � OWNER��INF.ORMATIO.N��'.�'">�"k,�g*::;�,' ;_�.�.�
Date Issued: 10/13/2014 Name: LEVERNE W & MARION I MOREL
Total Fees: 55.00 Address: 318 S SHIAWASSEE ST
Amount Paid: 55.00 CORUNNA MI 48817-1642
Date Paid: 10/13/2014 Phone: 813-714-3388
Work Desc: A/C CHANGE OUT- 2.5 TON
� CONTRACTOR S APPLICATION FEES
ALL TECH AIR &FILTRATI N LC C CHANGEOUT 55.00
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� - Ins ection Re uired v . -- - � ` ` '�� ' .
DUCTS INSTALLED
DUCTSINSULATED
FINAL t,L- �L� �- (�
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REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following r asons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections n made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site� 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 ther may be additional permits required from other governmental
entities such as water manageme t, 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 otice of commencement."
Complete Plans,Specifcations Must Accompany Appl cation.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
��'�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
a1�3-aso-oozo City of Zephyrhiils Permit Application Fax-813-780-0021
` l Buiiding epartment
Date Received �
Phone Gontacf for ermitfing -
eouee � aa ee � ea
Owner's Mame �e1��!'�/�e. -�" �,c�("�Q t'1 J�'t��-� �i"c,t S� Owner Phone hlumber O i� 7���" ��JC�C�
Owner's Address �If.� �• �f'�1 t7�WG�$$-e'C- �'� ��t`'`ntt � �
8J2-7 Owner Phone Numbor
Fee-Simple Tifiehoirier Navne � Owner Phone Number � �
Fee Simpie Titiehoider Address
JOB A,DDRESS �(,7�� J Cf+'� �i� '� ��'. LOT# �
SUBD{V4SION �� � PARCE41 #
(4BTAlNED FROM PRpPERTY TAX NOTICE)
,' WQi2K PROPOSED NEW CONSTR AC7DlALT � SlGN Q � DEMOL(SH
� 1NSTALL 8 REPAIR
PROPOSED USE � SFR � COMM t� (7TNER
TYPE OF COMSTRUCTION Q BLOCK Q FRRME U STEEI. �
DESCRIPTION pF Vi/ORK �I� �nci�i ��� � c� S�Yl 1 1�Gti Pi�t�vt S h c� *��/S�M
BUtLD1htG S1ZE �T- � SQ FOt}TAGE HElGHT �_��
�s~
�BUILDING � � VALUATION F TOTAL CONSTRUCT(ON
DE�ECTRtCAL �� RMP SEftVI E O PROGREBS ENERGY Q W.R.E.0
�PLUMBING ��� ����
�MECHANICAL $ ��� /Qp VALUA710 OF MECiiRNiCAt INSTA�LR7tON � 1
�GAS � RdOFiNG � SPECI LlY � C7TNEft
FlNISHED F�OOR ELEVA7IONS C�� FLOO Z(7NE AREA �YES NO
■ � v a • i �
BU4LDEl3 � � G iNIPAT3Y
SIGNATURE R GISTERED Y I N FEE CURRE� Y/N
Address License# [----_- �
IE4ECTRICIAM � T pNiPANY
�
SlGMATURE EGiSTERED Y I N FEE CURREA Y!IV
Address license# �-_- �
PIUMBER OMPANY
SIGNATURE EGISTERED Y! I�l FEE CURRE� Y/N
Address License# �-,--- ��
NIECHAI�{CAL ` ..--� COIitiPANY �� !�-'-C�'� / �t� T( �dl7 L.L.-�
SIGNATUR,E REGISTERED (V FEE GURRET Y i N
�
Address ��"'Y,�O � � l'�JR Q �� License# ���-� �,�� C � �
OTHER COMPANY
SIGNATURE REGiSTERED Y/ N FEE CURRE� Y 1 N
Address License� � �
- - � n s 8@ �-P-9 !_!_0 1-p_8 B 9 ! ! 1@ S 9 ! 9 ➢. 0 � A � 6 If il � 6 B E 1 1 1 6 1 I i@ S 9 1 i 1 { ! � 0 ! 1 1 ! i ! II 8 & 1 8 p 9 ! I
RESlDENTIA� Aitach(2j Plot P(ans,(2)sets of Buiiding Pians;O set of Energy Forms;R-O-V`J Permit for new construction, __
� Minfmum ten{10)war{cing deys after submiftai da e. Reqvired onsite,Constcuction P4ans,Stormwater Plans w!Silt Fence instafled,
Sanitary Facilities&1 dumpster;Site 1Nork Perm' for subdivisionsliarge projects
COMMERCIAL Attach(3)compiete sets of Building Pians pius a iFe Safety Page;(1)set of Energy Forms.R-O-W Permii for new consttuction.
Minimum ten(14)worlcing days after submitta�d te. Required onsite,Consfruction Pfans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpstec Site Wark Per t for af!new projecfs.Aii cammercial requiremenfs must meet comp4iance
SfGN 4'ERMIT Attach(2)sets of Engineered Pians.
'"""PROPERTY SURVEY required for all NEW nsiruction.
e e . n � _
Directions:
Fiii aUt appiicatiort campletely.
, Owner&Contractor sign back of appiication,notarized
!f over$2500;a iVotice of Commencement is required. (A!_ upgr�des over$7500)
** Agent{for ihe contractor}or Power of Attorney{for the ownec) ouid be someone with notarized tetter frvm owner authorizing same
OVER"i'HE COUNTER P�RMITTING (Front of Applicatian O ly)
Reroofs if shingles Sewers Service Upgrades A1C Fences(PfoVSunreylFootage)
Driveways-Not aver Counter if on publlc roadways..needs R W
NOT9CE OF Q�ED RESTRlC"FIQNS: The•undersigned und rstands that this permit inay be subject to"deed" restrictions"
which may be more restrictive than County regufatians. Th undersigned assumes responsibilify for compliance with any
applicable deed restrictions.
UhtLiCENSED C{3�t�TRt�CTt�t�u Ai�D GOt�T�ACTOR. !� SPO[�S{SIC.i'TlES: if the ovuner has hired a cantractor or
contractors to undertaks worlc, ttiey may be required to be icensed in accordance with state and loca! regulations. !f the
contsactar i� 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 intend�d contractor are uncertain as to whaf licensing requirements may appiy for the
intend�d work; they are advised to contact the Aasco Coun y Building lnspecfion Division—Licensing Sec#ion at 727-847-
8Q09 Furthermore, if fihe ownes has hired a contractar ar Gontractors, he is advised to have the con#ractor{s} sign
partions af#he "contractor Blocic" af this appfication for w!�ch they wil! 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 entitled to permitting privi►eges.in Pasco
� County.
TRANSf�ORTATiC1N iMi�ACTlUTIL1T{ES IMPl�CT AtV� F� SCDURCE RECC}VERY FE��: The undersigned uncterstands
that Transportation Impact Fees and F2ecourse Recovery ees may apply to the construction of naw buildings, change of
use in existing buildings, or expansion of existing bu'slding , as specified in Pasco County Ordinance number 89-Q7 and
90-Q7, as amended The undersigned also understands, hat such fees, as may be due, will be identified at fhe time of
• permifting It is furfher understood�that Transportation Im act Fees and Resource Recavery Fees must be paid prior ta
receiving_a "certificate af oecupancy" or final power relea . lf the praject daes nat invoive a certificate af occupancy or
final pawer release, the fees must be paid prior to permit issuance. Furthermare, 'sf Pasco County WaterlSewer lmpact
fees are due,#hey must be paid prior to permit issuance in accordance with applicable Pasca Caunty ordinances.
COf�STRUCTIUf� LIEN L,41N (�hapter T13, F9orida Stat tes, as amended): if valuation of work is $2,500.00 or more, 1
certify that I, the app(ican#, have been provided with copy of the "Flo�ida Constructian L'sen Law—Homeawner's
Protection Guide" prepared by the Florida Departrnent af gricuiture and Consumer Affairs. !f the appficant is someone -
other#han the"owner", I certify that { have abtained a cop af the abave described document and promise in gaod faith to
deliver it to the"owner" prior to commencement.
COMTR,aCTOR'SIOWiVER'S R�FFIDAVIT: 1 certify that a I the informafion in fhis appiication is accurate anci that all worl<
wiil be done in compliance with ali appiicabie laws regul fiing constructian, zoning and iand deveiopment. Applicatian is
hereby made to obtain a perm'st ta do wark and insta!atian as indicated. ! cert'sfy that no work or installation has
� commenced prior fo issuance of a pesmit and that a41 ark will be performed ta meet standards_of all laws regulating
construction, County and City codes, zoning regulation , and land development regulatians in the jurisdicfion. 1 also
certify that I understand that the regulations of other gov rnment agencies may apply to the intended wor}c, and that it is
my responsibility to idenfify what actions 1 must take to b in compiiance. Such agenc"ses inciude but are not limited to•
- Department of Environmental Pratection-Cy ress 8ayheads, Wetland Areas and Environ��nentally Sensitive
Lands,WaterMlastewater Treatment.
- Sauthwest Florida Water Management istrict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,�Docks, avigable Waterways.
- Departrnent of Health & Rehabilitative Se ices/Env'sronmenta( Health Unit-We!!s, Wastewater Treatment,
Septic Tanks.
- lJS Environmental Protection Agency-Asbes os abatement.
- Federal Aviation Authority-Runways.
' � understand that the faliowing restrictians apply to fhe u e of fi1}:
- Use of fill is not aSlowed Rn Fload Zone"V"u less expressly permitted.
- If the filf snateria! is to be used in Flood Zane "A", it is understood thafi a drainage plan addressing a
"compensating valume" wiil be submitted a time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- lf the tili maferial is to be used in F400d one "A" in connection with a psrm'stted buildirsg us'sng stem wa!!
construction, 1 certify that fi14 wi!! be used on y to fil!the area with'sn the stem wall.
- !f fi!! t»ateria! is to be used in any area, I certify that use of such fill will nat adversely affect adjacent
properties. If use of fill is found to advers ly affect adjacent praperkies, the awner may be cited for viaiating
the condifions of the building permi# issue urider the attached permit applica#'son, for fots less tha�7 one {1)
acre which are elevated by#iil, an engineer d drainage plan is required.
if 1 am the AGENi" FUR'T�4E C!ilVi�EF?, 1 promise in go d faith to infarm the owner of the permitting conditions set forth in
this affidavit prior to cammencing construction. I und rstand tY�at a separate permit may be required for eiectrical wark,
plumbing, s+gns, wells, pools, air conditioning, gas, a ather insta�lations not specifically included in the appiication. A
permit issued shall be cans#rued to be a license to pr ceed with the work and not as authori#y to violate, cancei, alter, or
se# aside any provisians of the technical codes, nar sh !{ issuance of a permit prsvent the Suilding Official fram thereafter
requiring a correc#ion of errars in plans,_constsuction a violations af any codes Every permit issued shall become invalid
unless the wor4c authorized by such permit is comme ced within six months of permit issuance, ar if wark authorized by
the permit is suspended or abandaned for a p�riod of ix(6) inanths after the time the work is commenced. An extension
may be requested, in writing, from fhe Building Clffici 1 for a period not to exceed ninety (90} days and wili demonstrate
� justifiabie cause for the extension if work ceases for inety{94}consecutsve days,the job is considered abandaned.
WAF2N1fifG TO 011VI�EF€: YOUR FA�ILUR� TO REG0�2D A NOTICE OF GO(VIMEMC�M�1�1" i111IaY E�ESULT I�d Yt7UF2
PlaYING TW10E�FOR IMPROV�MCf��S TO YOUR F�OPERTY. 1F YUU 1�1T�t�D TO QBTAIN F1i�At�C1NG, GOF�SULT
1aUITFI YOIJR LEt�DER QFZ P,N/kTTC7Ri�EY BE�C3R F�EGORd1NG YC}UR i�Ol'[CE QF COtVttV9E�lCEl1flEP�'�.
FLdR1DA JL3RAT(F S 1'17 63} � i/ ��� , �
COi3TRACTOFt ���4��j� t i �����Gtl�l!a'/""! , (�
pWNER OR AGEfdT —��
Subscribed and sworn to(or affirmed)before me this Subscribed and swbm,#o{or affirmed)before e this
by by
Who is/are personatiy tcnown to me or haslhave produced Who isia�e persona known to�me or haslhave produced
as identification. as identificafion.
Notary Pubiic .a�«;, Nolary PubliC
, CommissionNo. Cammissi� +� �*' CorttmisSion#FF137473
�: i es�une
wy`'�,'����`, Bonded7luvTroyFeininautance80�385•7619' .
Name of Notary typed,printed or stamped Name of fary ype ,prin e o
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�� 35946 State Road 54, �ephyrhai�s,F1335�� ��� ����7�e���� ������m������3� CAC1814196 �(�;
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�; AirConditionin &Heatin ��� �-� �, _ �'-��� Q�e��a�� :�
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? � F1tO�OSAL S�T�l�I'T'�'ED T'�: �O�TO�� FEI�'ORMIED�To ='
, E Brewer Reality 5237 Tangerine Dr ���
_ '� P.O.Box 994 �
t�
�: Zephyrhills,Fl.33539 813-714-3388 br wer0701@hotmail.com
� �
�, �; WE HEREBY PROPOSE'T��URNISH TEIE 1VIATEi2IALS PERFORM THE LABOR NECESSARY FOR: ���
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� 1. 1 –Goodman 13 SEER Puron 410A(2 '/2 Ton He t Pump}Split System with Skw back up heat ��
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f:
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� " CONDENSER: GSZ130301 /AIR HANDLER: I7F30C'14 �_R.I S93h�60 ry
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� 2. This Also Includes:Digital Thermostat,Flush Coppe Lines,Flush Drain,Re-build Hang Kit for Air s�
� Handler witli Float Switches,Hurricane Slab.&Strap for Condenser,Seal&Mtastic all Duct Work,Block �j
"iE# Load Calculations and Permit. �3
� Yf �(
{ **Goodman Warranty: (10 Years Parts and I Ye Labar)�*Incl�ded ��I
� i '`"'�1vGi�i�.t��llt�lll�: �1�71� i i4�-s��;.iSiil�� '��}iit?i�7C�i2S, �.�`i�Li?c�����Gitli�, a�c:X.i�l:���.�c'.IIG�i�,'t v�'�I1�I?i�`� '€��
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' ` ALL MATERIALS ARE GUARANTEED T BE AS SPECIFIED ALL WORK TO BE �
� � COMPLETED 1N WORKMANLIKE M R FOR THE SUM[ OF: �� ��3��a��
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j; '�'��'_��'�'���i����:� ��� ��1`���.�� ���,��.����d� ��l��f� ��
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, f ANY ALTERATIONS OR DEVIATIONS FROM OVE WORK INVOLVING EXTRA COSTS WII,L a'
BE EXECUTED ONLY UPON WRiTTEN ORDER ND VVILL BECOME AN EXTRA CHARGE �
OVER AND ABOVE THE PROPOSAL AMOUNT.ALL AGREEMENTS CONTINGENT UPON �
,�.� ; STRIKES.ACCIDENTS DELAYS BEYOND OUR CONTROL AND ACTS OF GOD. ��
��; j ���
� Respectfully submitted, Patrick Kilgannon Expires 30 Days �
� � Manager, All-Tech Air &Filtration, LLC '4�
� � ACCEPTAl�CE �F P�OPOSAL ��
�
�= 3; You must provide all conditional approved Permit Documents a id provide one business day of your choice to stay home,within �a
� 10 days of completing work at your house for City or County In pection.The above prices,specifications,and conditions are �s
� satisfactory and are hereby accepted.You are authorized to do t e work as specified. �
� Payments are as follows:�+3,22€�:�1€�����ss�a�'s��r ���{���� ;ff�9�.�#{?�€���fi�o�-��sh) ��
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CITY,OF / / � / / BUILDINQ
tEP�iYRHILLS DEPARTMENT
OF ADDITION, R CORRECTION
� • • - •
A�DRE55 DATE PERMIT�,
' /J� " I��:, 1 � J���
��
THIS JOB HAS NOT BEEN COMPLETED. The following a ditions or corrections shall be made before the job
will be accepte .
4� � � � � � �l OS� � �
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�t is unlaw(ul�or any Carpenter,contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
' cover or cause to be covered,any part of the work with flooring,�ath,earth 780_0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample Qme to approve
the installaGon.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR�?���5�
�__ '�°`, —