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Home My WebLink About14-15780 CITY Of�►Z�HYRHILLS � 5335-8T STREET � (si3)�s -0020 157 0 � BUILDIN PERMIT . PERMIT INFORMATION . � LOCATION INFORMATION. Permit Number: 15780 Address: 5730 8TH 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: 11-26-21-0010-03400-0180 Improv. Cost: 2,085.00 OWNER INFORMATION i� Date Issued: 11/14/2014 Name: DALE, GEOFFREY& CATRINA Total Fees: 50.00 Address: 5730 8TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/14/2014 Phone: (813)479-8284 Work Desc: A/C CHANGE OUT 3.5 TON CONTRACTOR S APPLICATION FEES AIR TEC SERVICES OF PAS O INC C CHA GEO T 50.00 � I r�t 1� 1� � � � - z� -� � C� : �,�� Ins ections Re uired ' DUCTS I STAL ED DUCTSINSULATED FINAL�� - Z`I -� REINSPECTION FEES: Reinspection fees will comply w th 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 no made when inspections called d)work not ready for inspection when called e) permit not posted on jo site fl 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 properly that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water managemen , 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 properly. If you intend to ob in financing,consult with your lender or an attorney before recording your n tice of commencement." Complete Plans, eci cations Must Accompany Appli tion.All work shall be performed in accordance with City Codes and Ordinances. O OCCUPANCY BEFO C.O. i CONTRA OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION ' CALL FOR INSPECTION - HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � . .w. ...._ .........,__ .... : _�..__�__.�._..._,._ _. _ ,i '� a• �"'��, SERVICE INVOICE LOCATIONOFWORK YSCA Yes / NO . .': , � ' ,. , 1� NAME - - ;�� 48 � 'AIF`I'ECn SF.k'u iGES, I;tC. - ; A i r �� ADDRESS ' 3SS35'CDUNTiY 2U 54 E � , � ' ZEPHRYHILi.S FL 3;�542 ,' � ,. �' � � iSl?i 779-75i�8 ''1 , � ` �� 813-779-7508 WORKTOBEDONE-CODE ; � .. � �IG !i8io5;.°:1.i�y25 ' . . : ,':, � � CD P.O.BOX 1120•ZEPHYRHILLS FL 33539 r:-�,.t��;�+. i[,: .i�cis3yiit'�,;9�ai�:�� , .�� _ - _ - FL State Lic.#CAC1815498 �,� � (e ate � _ t� i ' `4��Sc�»��p�m� ERVICE COST ENVIRONMENTALCHECKLIST ` " •�'�L� � ' �� ' ---r• � TECHNICIAN I t WORKPERFORMED OTV. UNITPRICE , ',, � .,, ,. PHONE 4 J')�� t , .: „ , . r �_ � �� J° �� U�C� 1DRCHUSAGE r,aPT[r,�;,1 pr; ' • STATE ZIP RECWMED 11;1•,'ILiYail!�:�. � ��-�irs�'�?.l��,i:�� V,�.(.: � \ �1 S �{ � C VACUUMPUMPUSAGE Il.i 1:C1i!Ju. •ki�"�� e \ {.. �� J � MAKE MODEL SERIAL NUMBER pTy, MATERIALS '� !C'�,.il� _ l- ..i:.d�lC Gt: � 1r�'1�� MAKE MODEL SERIAL NUMBER �, � • � .•. ( REFRIGERANTR. Si�7�):i:1 � il�:i�i�; ��'='S�i�7 � MAKE MODEL SERIALNUMBER Y..�� <c (S ` P`7 ��C��f �� i1�4lI' �ai�tjli:��'. - .i "itnr..:'�f`.J.� ii�icin�+: I . ;, :c:.� „ " ,,rt,F9.,t�,�;;r, s,��;+�p; � MAKE MODEL SERIALNUMBER �M°11 Ytl� ��;�1'1 ' .a.}+'L�� ;;��i'^i i �C� �l•! �� r�� , - ��,� C�•�+Cl'iiH� �+t,��'�:�iJ ' DESCRIP'TIONOFWORKPERFORMED ` ' i�IUQ ' ��°1 t� . 6?i�:c f`� e%i,'°;�1_C.;r,.,{:OL�9; �o:i:p:h;: � � r}— q e� �V J G ' � f V yJ �CCG('t:iid�ti•��I't� 1Y�6!IC' F,bi,;- ' `� ' f , - i :c�sr;F , . 71r,�i�1.f4�'aJ'-ci•u`c 1i: -., ,`� - . . i c:Jll J�.l „ � -`t� .. .,�t� . .....` �'�..._ _�... ,..`_{.�!�� . _ _.... , .,. � , G �L;uE•'Ji°h., i ,. , i �"ler�:ha�t Co;;, i - ,. 'THAr;k: 'r;;;i' ' � i ccr; a�,r,r,.� ,.E�( � �0 �• �Vn - � Q? S V'o �t�r�' , �. .. , .. , , , ❑o.k. u atvvw<- Time of Arrival: { ❑RELOCATE `' Time of Depar►ure: RECOMMENDATIONS I HAVE AUTHORITY TO ORDER WORK AS OUTLINED ABOVE.THIS INVOICE IS SUB.IECT TO A FINANCE CHARGE OF 1 1/2%PER MONTH. TOTAL SUMMARY ' ANNUAL PERCENTAGE RATE OF 18°/a WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEY'S FEES IF THIS INVOICE IS PLACED IN THE HANDS OF AN ATTORNEY FOR COLLECTION.CUSTOMER RECEIVED NOTICE OF CONSUMER TOTAL ' flIGHTS UNDER CONSTRUCTION INDUSTRIES RECOVERY FUND. MATERIALS TOTAL , LABOR SERVICE CUSTOMER'S SIGNATURE CALL CHG. � TAX f LIMRED WARRANTY:All materials,parts and equipment are warranted by the manufacturers'or suppliers'written warranty only.Ali d �� ie , labor performed by the above named compeny is warranted for 30 days or as otherwise indicated in writing.The above named company makes no other warrantles,express or implied,and its agents or technicfans are not authorized to make any such warranties on behelf of above � � named company. TOTAL I 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 Building D partment Date Received Phone Contact for P rmitting -- ZS6g Owne�'s Name 1�� e, Owner Phone Number Owner's Address ��u ��°�� Owner Phone Number 8�3��Zq � o d��i Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � rJ� O�G�T` �' ' _ LOT# � -�SUBDIVISIOW - - -�-- � - PARCEL ID - - - - --- - -- — _ -- —- (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � N TALLSTR 8 REPA RT [_] SIGN Q Q DEMOLISH PROPOSED USE Q SFR Q COMM � OTHER � ' TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q DESCRIPTION OF WORK d'�1 �- �z BUILDING SIZE SQ FOOTAGE HEIGHT OBUILDING $ VALUATIONOF OTALCONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ - �s��a �ECHANICAL $ .��5�V VALUATION OF ECHANICAL INSTALLATION � QGAS Q ROOFING Q SPECIALTY 0 OTHER -'J �� I `� FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO BUILDER COMP NY SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N Address License# ELECTRICtAN COMP NY SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N Address License# PLUM�ER COMP iVY SIGidATURE REGISTE ED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMP NY A��TEC{-1 � ��,U I C�S SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N Address p•0 • �� 1 a0 Z'�1��`j �• -rj3� License# ��G � o�S 4 Cl g OTHER COMP NY SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N Address License# � RESIDENTIAL Attach(2)P_lot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction, . Minimum ten(10,)working days after submittal date. Requly d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facllities 8�1 dumpster;Site Work Permit for subdi isions/large proJects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster.Site Work Permit for all ne projects.Ail commercial requirements must meet compiiance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW constructlon. � Directlons: Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) " Agent(for the contractor)or Power.of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW _ � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regul�ations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and Iocal regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain 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 contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block° of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RE30UI�CE RECQVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07�and 90-07, as amended. The undersigned also understands,ythat 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 issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of P►griculture and Consumer Affairs. If the applicanf is someone other than the"owner°, I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. - CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterMlastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of flll is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting wrhich 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 certify that use of such fill will not adversely affect adjacent properties. If use of fll is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for Iots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within 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 Official for a 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'T1iVICE FOR IIIfiPROVEIIAENTS TO YOU'�R PROPERTY. YF YOU INT�ND OBYAIN FINANCING, CON�ULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO E�mF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) ' � OWNER aR-AGENT- - - - - CONTRACYO -�- -- � — - Subscribed and swom to(or afflrmed)before me this ubs i� n swom to(or irmed)before me this by � � Who islare personally known to me or haslhave produced o fs/ar personall nown to me or has/have produced as Idendficatlon. as identification. Notary Public Notary Public ' ��'� "#A�.�;';CCIUELIN OGES Commisslon No. Com Is on No. '; ,`� ��•• •> ✓ • • � :%� � :;;,, 'd�u_:,; �xpires December 12,2014 _ {. Name of Notary typed,printed or stamped Name of Notary ty�d;`p,�'+`i��