HomeMy WebLinkAbout14-15764 � � � CITY OF ZE HYRHILLS
5335-8T STREET
(si3)�s -oo2a 15764
BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15764 Address: 5623 CYPRESS 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: YINGLING ADDITION
Est. Value: Parcel Number: 12-26-21-006B-00000-0170
Improv. Cost: 3,990.00 • OWNER INFORMATION
' Date Issued: 11/05/2014 • � Name: KINNE JOHN & LINDA
Total Fees: � 55.00 Address: 5623 CYPRESS ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 11/05/2014 Phone: `�.(3 �"� �o �'Z 9�'
Work Desc: AC CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C,INC. C CHANGEO T 55.00
�
Ins ection Re uired
DUCTS INSTALLED
DUCTS INSU�.jTE,Gl.
FINAL �/� J'
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 fi) plans�ot at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this properly 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,Specifications Must Accompany App ication. All work shall be pertormed in accordance with
Ci Codes and Ordinances NO OCCUPANCY BEFO C.O.
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
: , . wf� . .1N�� ��
, . . .
L��� � � � PROPANE GAS Service Order/Pronosal
AND AIC iNC. Air Conditioning 8
� �'i�r�e �988 813-782-501 __ .
�:!OE�F; � ,��t��F�;E _3E-'r'•�,�ir��f`•i(;i� -_��'f:,�ie.'' ��'
� Sales, Service & Installations � �'����'�`� ��� �`jr- f�� '�''F=�r`' . �`��' `��' � ��� � ` � `�
-1 T;.:.}-.,f:'�.,; �.,,./ `_�.1 t'
_ 4441 Allen Rd. • Zephyrhills, FL 33541 fy,{�_�-�_.,:-: �.�.1i__ :-,;;2�;��; ,��_{_,
' NOTES ' C�Jt,i nl�if_.f=`���i_r-��-,-� � ��;;,� ; � ;_�=,_:
n ,_�.;,�.? - �ia��;
i _l . ;��-ii=i1�,4:=;t ... � _
' , ;5;. __--r'i',i��f -;'`=1'�l�!
f���f-4(::�I•!F_�'hG -
' c'i_:); ;T-c_ %_ir `, f,;;:;��
1 �
,� . .
CCL,;
_l. � . . .
, Tf,li`•�{_ �f-i'--F'
I' f i�'{'•i i=,. ��{-i�--�' ° -- -- -
L _ r�. { ,._ .,. L,�.,,-� . �: 4'�=�r-�t:_�..._ _-,-
�. - - , , -��-�- �- � _
..,E�.,� f� R i_ - �
. 'r��'� :1`� t 1._I _ r� � .'ir..�{��:,
_ ._.._ - ;c.• . _1: � �'� ;f'
_ .
'- -'r'-,�� `�• �'_'— -._��_.,>F r_: ° , .
�F- -I I .[L's_�_
_..
_.I� . I'; ,c , .
• .,
�
�� - -
'�- �-�_-;l �i�r-��rl= u ,
HC1Fi lJ
� QTY, " MATERIALS&SERVICES UNIT PRICE AN
DESCRIPTION OF WORK
- - -- __ ��__ .- �--
._. .- -- - �---�--- - -. .__....-- _ .___
-- _ _-. --- --- - - -
- �- - - _. ._". q
1 -- - .� .,L r2 �� . � � C I
._ �
� °o � � �
i - � � �, - �
�. � � ' 3 T'o r✓ �iHf r '
. � v � �1
� ' �,�, �� � � ; 7..
�LFl"' V /�(�(/ � �
L"'6� � C. n.�• ,
'- '�e �` � � �
o • �`S�In y �
o '
ti �
i
� -- i
RECOMMENDATIONS , -*'�• t 7 �
' - i
Annual Maintenance Recomrraended by All Equipment Manufactur rs. pressures Lo HI T-Stat '
i
J / REFRIGERANTR- LBS. $Perlbs. �
�ai� vti�� s �� .
FILTERS z x Changed Monthly �
, � o d- � �G
Chan ed Monthl �
��u r FILTERS x x 9 Y
� ❑ REGULAR ❑WARRANTY TOTAC SUMMARI'
Dehumidistat Settings: When here"ON", When Away 60%, T- tat 80° ❑ MAINTENANCE CONTRACT SERVICE
LIMITED WARRANTY: All materials,parts and equipment are warranted by the man facturers'
METHOD OF PAYMENT CALL
_.. or suppliers written warranty only.All labor periormed by the above named company is wa anted for TOTAL
30 days or as o[herwise indicated in writing.The above named company makes no other arranties, ❑CASH ❑CK# MATERIALS
express or implied,and its agents or technicians are not authorized to make any such wa anties on �DEBIT ❑CREDIT ❑OTHER MAINTENANCE
� behalf of above named company. pROG. W I C
_ I have authority to order lhe work aullined above which has 6een satis(aclonly completed I agre lhal Seller
retains title lo equipmenVmaterials fumished until final payment is made.If paymenl is not mad as agreed, C��M#
seller can remove said equipmenUmaterials al Seller's expense.Any damage resulfing from said r moval shall
nal be ihe responsibiliry of Seller.NET 30 DAYS.A 1 1l2%SERVICE CHARGE WILL BE ADDED NTHI.Y TO DATE COMPLETED
ALL UNPAID BALANCES OVER 30 DAYS:NO REFUND9
� %� TECH: T� ��✓
G�G�� , _ ' - �`f . �l� �✓ou TOTAL 3 .�rn
\ .� -- ---��
� _.1.._..u..,..:c� � �: . . r' _ DATE .
813-780-0020 City of Zephyr ilis Permit Application Fax-813-780-0021
; , ; -� Buildi g Department .
Date Receieed Phone Contact or Permittin ��� _.�D��j
Obrner's Idame [J �, ,;v L Owner Phone Idumber �p� ^ ��� �
Owner's dlddress �6� ,� c 0�£f�C' Obmer Phone Number
Fee Simpte Titleholder ldame � Owner Phone Mumber
' -- - - --- -- - - —
- - - -- - - -
Fee Simpie Titleholder Address
5�G Z 3 C-V R S S
JOB ADDRESS [ P � �.OT# ��
sueDidisioN PARC L ID# I� ' 2 6 — 2� � ��6 r3 � �O�Op — O f 7 C�
(OBTAINED FROM PROPERTY TAX NOTICE) ,
WOR6C PROPOSED e NEW CoNSTR e ADD/A T � SIGN Q Q DEMOLISH
JNSTALL REPAI
�RO�OSED USE Q SFR Q COMM 0 OTHER
T1fPE OF CONSTRUCTIOM Q BLOCK Q FRAM � STEEL Q
DESCRIPTIOfd OF IMORK L.�� !T -
BUILDING 51ZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERV CE � PROGRESS ENERGY Q VU.R.E.C.
QPLUMBING $ ^ b�
/ 1
MECHANICAL $ � y.D� VALUATIO OF MECHANICAL INSTALLATION � `S '
OGAS Q ROOFING Q SPECI LTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO
BUILDER C MPANY
SIG(d�►TURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
�ILECTRICIAM C NiPANY
SIGMATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUAf�BER C MPAMY -
SIGIda4TURE R GISTERED Y/ N FEE CURRE� Y/N
Address � L(cense#
MECHAfVICAL � C MPANY �p��2 � /10 ,a�iti£ G.4,S � �
SIG�dATURE �� R GISTERED Y/ N E CURRE� Y/N
Address License# �D ,3 ��
OTFlER C AAPANY
SIG(dATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)s t of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)`working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities 8 1 dumpster;Site Work Permit for subdivlsions/large projects
CORAAAERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon_
Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities&1 dumpster.Site Work Permit fo all new projects.All commercfal requirements must meet compliance
SIGId PERMIT Attach(2)sets of Engineered Flans. , __
•••"PROPERTY SURVEY required for all NEW cons ction. � -
Directions:
Fill out applicat(on completely. �
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (AIC up rades over 57300)
°• Agent(for the contractor)or Power of.Attomey(for the owner)woul be someone wlth notarized letter from owner authorizing same
ONER THE CUUNTER PERMITTING (Front of Application Only) . • - �- - =--�- _ _::,..,��.�_. ..,� _,...,
Reroofs if shingles SeW�ts�� ''"" "8eivice Upgrade5`NC;�,-'"�-Fenc s(PIoUSurvey/Footage) , � _ _ ,_, �
a +.;,, ::..: = : ,�.�� ..�y;:,":�. : ; °' , ,-: - , -.
�: - - : .. , ".i- .,�'. ..�, 'r-t;
Driveways-Not over Counter ifon,public`roadways..needs`R01N ` , '°,�• - � -
:1 _��� .� ��,_I �."_. ., _ � ' . , ._ _.. . _., ..-o , _�... � ,�I\.t'j b
, :o . _. � . . ±-r��
�
y „ M
�i PIOTIC� OF 9��E� RfE�"T�ICY60iV�: The undersigned understands that this permit may be subject to"deed" restrictions"
vuhich may be more restrictive than County tegulations. The undersigned assumes responsibility for complianae vrittt any
applicable deed res#ricfians.
UI�L1���dSEiD C4WYRiA�lfO�� d���! C�3+�IT�►�'Y��t f��S�Qft95�1��l4Y#��: lf the owner has hlred a cantractar or
contractors #o undertake v�ork, they may be requir�d fo be licensed in accordance rr�ith state and iocai regutations. If the
' contractor is not licensed as required by law, bath 4he awner and contractor may be cited for a misdemeanor violation
under state law. If the ovvner ar intencfed contractor are uncertain as ta vuhat iicensing requfrements may apply far the
intended work, they are advised to cantact the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
8009. Furthermore, if #he ov�rner has hired a contractar ar contracfors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they wiill be responsible. tf you, as the avvner sign as the
- cont�actor, tt�at may be an indicat+on that he is not properly licensed and is not entitled to permitting privileges in Pasco
� County. `
� T�R9�P��1'�'iICB� 9Rf�P�CTIIJTIL9YIfE� �6����►C'�'�R�� ���PJU��� Rf��Ol���Y��fE�: The undersigned understands
; fhat Transpo�tation Impact F�es and Recourse Recav�ry Fees may apply ta the cor�stretctian af nevtir buildings, change of
use in existing buildings, or expansian of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
9Q-07, as amended. The undersig�ed also unders4ands, that such fees, as may be due, w�ill be identified at the time of
permit#ing. It is further understaod tha# Transportation Impact �ees and R,esource Recovery Fees must be paid prior to
receiving a "certificafe of accupancy" or final power release. !f Qhe project does not involve a certificate of occupancy or
finai power re{ease, the fees musf be paid prior to permit issuance. Furthermore, if i'asco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accardance with applicable �'asco County ordinances.
�OPI�Yk2�C'�1�1� �1(ER! ��(+C��p���Y�3, �I�r�¢���Q�gu���, �s �r��nd�cl�: !f valuafion of uvork is $2,500.00 or mare, 4
certify #hat I, the applicant, have been provided vvith a copy of the °Florida Construction Lien La�nr—Hameowner's
Protection Guide" prepared by the �'lorida Department of Agriculture and Consumer pffairs. !f the applicant is someone
other than fhe"owner", 1 certify that 1 have obtained a copy of fh�above described doc�ment and promise in gaod fai#fi to
deliver it to the"owner" prior to commencement.
GO�TR�CTC�Hi�'�l�Dlf��9�i�'���IFE��011�': I cerfify that a11 the information in �his application is accurate and that all �nrork
will be done in compliance vuith all applicabte laws regulating construction, zoning and land developmenk. Application is
hereby made to abtain a permit 4o do �nrork and ins#allatian as indicated. 1 certify tha# no �nrork or installation has
commenced prior to issuance of a permit and that all work twill be perfarmed to meet standards of a(f (aws reguiating
construckion, County and City codes, zoning r�gulations, and land dev�lopment regulations in the jurisdicfion. I also
Icerfify that 1 understand thaf fhe regulations af ofher government agencies may apply to the infended wark, and that it is
my responsibility to identify wha#actions I must take to be in compliance. Such agencies include but are not limited to:
- departmenf of Environmenfal Profection-Cypress Bayh�ads, Vlletland ,�reas and �nvironmentally Sensitive
Lands, Waf�rNVas#ewat�r Treatment.
- 5authv�resf �larida V1(ater �anagement District-V!(ells, Cypr�ss Bayheads, 1/Vetland Areas, Alkering
VVatercourses.
- Army Gorps of Engineers�Seawalls, C7ocks, YVavigable 1Nafervuays.
- Depar#ment of Hea#th � Rehabilitativ� Services/�nvirartmental Flealth Unit-Welis, Wasfewater Treafinent,
Septic`fanks.
- US Enviranmental P�otection�gency-AsbesEos abafi�m�nt.
- F'ederal Aviation,4uthorify-F2unways.
� I unde�stand that the following restrictions apply ta the use of fiU:
- Use of fill is not allawed in Fiood Zone"V"unless�xpressly permitted.
- If the fill material is to be used in Flood �one "A", it is unders�ood that a drainage plan addressing a
"compensating vo€ume" wiEl be submitted at time of permifting �nrhich is prepared by a professianal engineer
licensed by the State of Florida.
- If fhe �II material is to be used in Flood Zone "A" in cannection writh a permifted building using stem wra1E
construction, I cerfify thak fill vvill be used only to fill the area tnrithin the stem wall.
- !f fill material is to be used in any area, I cerfify that uss of such fill vvi!! not adve�sely affect adjacent
properties. If use of fili is found to adversely affect adjacent prop��ties, the owner may be cited far�iola#ing
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
aere which are elevated by fill, an engineered drainage plan is required.
If I am the AGIE�II" �0�3�'F9� 011�i11�➢f��, I promise in goad faith to infarm the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required far electricaf v�rork,
ptumbing, signs, wells, pools, air conditioning, gas, or other instaliafions not specifically included in fhe app(ication. R
permit issued shal! be construed to b� a license to procesd writh khe work and na4 as authori#y to_violate, cancel, alfer, or
set aside any provisions af the technical codes, nar shail issuance af a permit prevent the �uilding {}�cia!frotr� thereafter
requiring a correction of�rrors in plans, constructian or violations of any cades. Every permit issued shall become invalid
unless #he wrork authorized b}t sctch permit is commenced vuithin six rs�anths of permit issuance, or if rrvork authorized by
the permit is suspended or abandon�d for a periad of six(6) months after the time the vvork is commenced. An extension
may be requested, in v+rriting, from the 8uilding OfFicial for a period not #o excsed ninety {90) days and will demonstraEe
justifiable cause for the extension. li work c�ases for ninety(90)consecutive days, the job is considered abandoned,
it�ARNp�(G 1't3 �IiilR1��: Yt?U�t ��f��l�� �� R���R� � RR��IC(E �� �f}ii��iiE�1C��l�P17" ��Y R��11L7' 1�1 Yt3t1�t
--�'��l9WC� TVRlICE �C1R G6Y0�'�OVIEiW�i�7�Y�Y04.U1� �'IFi!�fPE��. Y��011 VP1YEPiD TC) O�Y,k11iV �IPIk�I��IPI�, GO�1�U�.lf
l�i�H Y'�Ul�d LIE�l��l��Ft��1�7Y��2�P�1(���Q�� �l���l'��}!(��Y�}k1@� R10 IG�C��C�W�i��A1C��V�I��i�f'.
FLORIDA JURAT(F.S. 117. �
Ol��t�ft C}��aGEhl'�� ,..,.�-- GOR!'T�GYO� �"�"`—"�°°°�-°—•-�----_
Subscribsd and swom to(or af' e before me this Subscribed and swom ko or affirmed)before me this _
by by
Wha islare personalty own ta me or haslhave produced Wha Islare personally knavun to me or haslhave produced
as identlficaUan. as identification.
� �d"� Notary Public � Notary Public
Commiss '�Ye''••. JOELE.6ACON
Cam 5 on N
_;, i.= Commission s��s+.eY,�, JOEL E.BA�ON
:a: ?<: Fa� ires June 29,2Q18 ;� «� Commtsslon#FF 137073
Name ot N a .'' , �i�cT1"tlF�f�' PJame of PJota �e8�ir�,2018
''.,p,���°�`� 8adedTlwTruyFeNlnaurance800�385•7019