HomeMy WebLinkAbout14-15834 �
CITY OF ZEPHYRHILLS
_ ' S335-8TH��TREET
,, �'(sis�isa-oozo 158
� . ` BUILIDING PERMIT
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15834 Address: 5744 13TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):15 & 16 Block: 72 Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-07200-0150
Improv. Cost: 6,300.00 OWNER INFORMATION
Date Issued: 12/09/2014 Name: BALDWIN DONNA RAE
Total Fees: 70.00 Address: 5744 13TH ST -
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/09/2014 Phone: (606)923-2004
Work Desc: A/C CHANGE OUT
CONTRACTOR S � APPLICATION FEES
CHR S'. C C . C CHA GEOUT 70.00
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Ins eations Re uired
D CTS INSTALLED
DUCTSINSULATED
FINAL °��L - �L� - (5/
REINSPECTlON FEES: Reinspection fees will com�ply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or correctio�s not made when inspections called d)work not ready for
inspection when called e) permit not posted�on job site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permi� there may be additional restrictions applicable to this property that
may be found in the public records of this county, anc�there may 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 of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording.�our notice of commencement."
Complete Plans, Specifications Must Accompany�Application.All work shall be pertormed in accordance with
ity Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRAC O SIGNATURE PERMIT OFFI R I�,
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED .
.� PROTECT QARD FROM WEATHER
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.:`� C C► M P A Y
20442
CA�058575 -
� 12232 HWY 301 LIAD� CITY
(352) 521-4977
�� DADE CITY, FL 33525 ZEPHYR�iLLS �813) 779-9515
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B(LL TO:
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� � SPLlT SYSTEM PKG UNiT�
NAME: ponna Baldwin p�TE: 12/10l14 MODEL# g6BMM024KA �_
ADDRESS: 5744 13th Street � SERIAL# 86D14Q823554
���� �ephyrhills ZIP CO�DE: 33542
I PHONE: 646-923-20Q4 WORK: � MODEL# MSN4BDt724K
CELL: RENTER: � SERIAL# MSF140908067
�� TECNNICIAN: DATE: 12/10/14
' PRC?BLEM REPt�RTED: � BRANQ: Maytag
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� , , t3ESCRIPTIC3N'C7F"1IVORI{PERFC3RMED� .. . � ` . , ` . ` -.. Vt7ARRANTY "
Maytag 2 ton 13 seer heat pump splifi system, 5 kw heater, auxiliary pan, PARTS & LABOR
hanging kit, fiaat switches, digitai thermostat, pad, duECtwork, PARTS oNLY X �
tax, permit and labor included. Also sea( duct work p�r code START UP :
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_ . .. .
` - REGC3MMENDATIUNS - . , , ` , MISC. - ` , ,
_ �� -
� 12 year compressor
12 year parts warranty
_°. . � ..� - �°: PAYMENT � �. 1 y�ar abor warranty
'I :� - _. - � � - . - , . . � . .
CHECK# DUE: CASH: � . _ ,a . �.._.�_._�� __ _-,_ ...._ ��:.__. �. _ ,_
CREDIT CARD#: ( SUCTiON PRESSURE:
CARD TYPE: � LIQUlD PRESSURE.
APPROVAL CODE: � TEMP. DIFFERENCE: �
EXPIRATiON DATE: � FlLTER:
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� . � � � - ' ` bRAlNWG PRQPERLY�
!HAVE THE AUTNORl7Y 70 ORDER THE WORK dUTLlNED ABOVE WHICH�HAS BEEN � `, � � ', °� � -
SATlSFAGTQRILY GOMPIETED.!AGREE THAT SE�LER RETAfNS TITLE T� EQUIPMENT '
AND MATERIALS UNTIL FINAL PRYlv1ENT IS MADE.iF PAYMENT IS NQT tvL�DE AS LiMITED WARRANTY EC2UIPMENT,PARTS AND MATERIAL
AGREED,BE��ER CAN REMOVE SAID EQt11PMENT AND MATERIALS AT SE4�L��LERS EXPENSE NAS WR(TTEN MANUFACTURER'S WARRANTY ONLY
ANY DAtViAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILITY ALL LABOR PERFORMED BY GHRIS'A!C HAS A ONE YEAR
QF SEILER. WARRANTY CHRlS'AlC MAK�S NO oTwER wn,RRartTiES
6300 00
,�.._.__...o�s�_=s���.��_ae..__.._--
TOTAL: �
CUSTOMER SlGNATURE � DATE:
�J"i�FCR E1llS)fVESS I-Fi0C-=38Ei-5377 y
-- 44
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8,3-�so-oozo City of Zephyrhilis Permit Application Fa�
Building Department
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� Da�,e Received Phone Co tact tor Permittin __
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Ourner's Idame !�/'J� �.. Owrner Phone Mumber 6 �p � , l
O�nmer's Address ,s�j�y� �,� � Owmer Phone INumber I
Fee Simple Titleholder Name � OvHner Phone Idumber
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Fee Simple Titleholder Address �
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JOB ADDRESS .f� 7 /� � � LOT# �
SUBDIVISIOPI P�RCEL ID# /��- � � �/(} a� (�`S�
'`v -'_-- -' ---- --- - - - l - - - - -�' -�-(l7BTA1NEDFRORA'PROPERTYT/►XPlOTICE)-� - .-
WORK P6tOPOSED NEW CONSTR A�D/ALT
� SIGN Q Q DEMOLISH
INSTALL �8 REPAIR
PROPOSED USE Q SFR Q COMM_ Y 0 OTHER
TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAME � STEEL Q
DESCRIPTIOM OF NF/ORK �i'¢ �� �,�� ��
BUII.DIfdG 51ZE SQ FOOTAGE � HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTIOIV
QELECTRICAL $ AMP S�ERVICE Q PROGRESS ENERGY
Q W.R.E.C.
QPLUMBING $
�MECHAfVICAL $���� VALU TION OF MECHANICAL INSTALLATIOfV
��. �
QGAS Q ROOFING Q SpECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUIL.DER CORAPANY
SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N
�►ddress � License#
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ELECTFtICIAN COMPANY
SIGRU�7'URE REGISTERED Y/ N FEE CURRE� Y/IV
Address I License#
PLUMBER COAAPAtdY
SIGWATURE REGISTERED Y/ N FEE CURRE� Y/N
Address f Ucense# � I
MIECHANICAL COMPAPIY �t f,� /��(_- CO �-�
SIGfdATURE l/,� REGISTERED N FEE CURRE� N
, �
Address l.�J O �a.�.� � � License#.
OTHE6i COMPANY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y I N
6lddress _ ! License#
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RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Building Plans;('��)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)woticing days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitfes&1 dumpster;Site Work Permi�for subdivisions/large projects
COMRAERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facillties&1 dumpster.Site Work Permi for ali new projects.All commercial requirements must meet compliance
SIGf�PERMIT Attach(2)sets of Engineered Plans.
'•""PROPERTY SURVEY required for all NEW co struction.
Directions: -
Fill out application completely.
� Ovmer 8 Contractor sign back of application,nota�ized
I •• If over 52500,a Notice of Commencement(s required. (A/C upgrades over�7500)
� Agent(for the contractor)or Pow!er of Attomey(for the owner)would be someone with notarized letter from owner authonzing.same � ;
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ONER 7HE COUNTER PERAAITTING , (Front of Application Onlj�)��� "' � � '' f-Y�" ` •. • , ;
Reroofs if shingles Sewers,i ��Servlce Upg�ades.�-.NC,;��,'F�nces(Plot/Survey/Footage) � • .'• J � - �, - ' :i
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u e'rifon °utilic'roadwa's::needs.ROV1l _ _,� „ ,,, _ , _ . , �
ver Co nt . � . .,_,_ .... . .. � �
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. IGE OP DE�D RE�TRIC'TION�: The undersigned understands that.this permit may be subject to"deed" restrictions"- i
ich may be more restrictive than Caunty regulations. The undersigned assumes responsibitity for campliance with any �'� � i
applicable deed restrictions. '�,
LIN�ICENSEO CON�R�CTOR� �ND CCJIVT'��TO� F�ESPONS��lLITIES: !f the owner has hired a contrac#or or '
contractors #o undertake work, #hey may be required to be licensed in accordance writh state and tacai regutations. If the .
conlractor is not licensed as required by law, both the ovvne� and contractor may be cited for a misdemeanar violation
under state law. if the owner oP intended contractor are uncertain as ta what licensing requirements may apply for the
intended wark, they are advised to cantac#the Pasco County Building Inspectian Division—Licensing Section at 72?-847-
8009. Furtherrnore, if the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign
portions of the "contractor Black" of this application for which they �iii be responsibie. if you, as the owner sign as the
conkractor, thak may be an indication that he is not properly lic�nsed and is nat enti#led to permitting privileges in Pasco
Coun#y.
TRNNaP01�'TATION IMF�AC7'/IJTILI�"IE� I�f1�AC1�ANC� ���iOU��� �ECOV�itY FEES: T'he undersigned understands
that Transportation Impact Fees and Recourse Recavery Fees may apply to the construction of neuv buitdings, change of
use in existing buildings; or expansion of existing buildings, as specifled�in Pasco County Ordinance number 89-0? and '
90-07, as amended. The undersigned also understands, that.such fees, as may be dus, wil! be identified at the time of
' permit#ing. I# is further understood that Transportation lmpact��ees and Resource Recovery Fees must be paid prior to
receiving a '"certificate af occupancy" or final power release. !f the project does not involve a certificate of occupancy or
final power re3ease, the fees must be paiil prior ta permit issuance. Furthecmare, if Pasco County Wa#erJSewe� lmpact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
C(3N�TRUCTION LIE[� LAiiV�Gha�pt�r Y13, IFlor�d�atat�t��, a�arrier�d�c9}: (€valuation of work is$2,500.00 or rnore, 1
certify that I, the applicant, have been provided wikh a copy af the "Florida Construction Lien Law—Homeowner's
Pcotection Guide" prepared by the Florida Department of Agriculture and Cansumec Affairs. !f ths applicant is someone
other than #he"owner", 1 certify fhat 1 have obtained a copy of the above described document and promise in good faith ta
deliver it to the"owner"prior to commencement. -
CO�iT(RA�TOR'�J0�1t�1ER'S�F�ID�iV1T: 1 certify that all the information in this applicatian is aacurate and that,all work
will�be done in compliance writh all applicable laws regulating construction, zoning and land development. Application is
hereby made to abtain a permit ta da wark and installation as indicated. I certify that no work or instaltation has
, commenced prior to issuance of a permit and that aif work will be perfarmed to meet s#andards of aIl iaws regulating
� construction, County and City codes, zaning regulations, and land developmenk regulatians in the jurisdiction. I also
� certify that 1-understand that the reguiations of ofher gavernment agencies may app4y to the inter�ded worfc, anci that it is
I, my responsibility ko identify what actions I must take to be in compliance. Such agencies include but are not limited ta:
- Department af Environmental Protection-Cypress Bay�ieads, Weflanci Are�s and Environmentally Sensitive
Lands, Wa#er/Was#ewater Treatment. �
� - Southwest Flarida Water Y1�anagement District-Wells, Gypress Bayheads, Wetland Areas, Altertng
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watenivays.
' - �epar#►nent of Health & Rehabilitative Services/�nvironmenta! Health Unit-Wells, Wastewater Trea#ment,
Septic Tanks.
- US �nvironmenta{ Protection Agency-Asbestos abatement. '
I - Federal Aviation Authority-Runways.
! understand that the follovuing restrictions apply ta the use of fill:�
- Use of fill is not allowed in Flaad 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 uolume" wiil be submitted at time of permitting which 4s peepared by a prtrfessionaE engineer
I licensed by the State of Florida.
- If fhe fill material is to be used in Flaod Zone "A" in connection with a permitted building using stem uvaft
cons#ruction, I certify that fill will be used only to fill fhe area wi#hin the stem wail.
- If fiH material is #a be used in any area, ! certify that use of such fi!! will not adversely affect adjacent
properties. (f use of fi�i is faund to adverseiy affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
j acre which are elevated by fill, an engineered drainage plan is required.
, If I am the 14GENT FOFt TIiIE 01�fIV�R, I promise in goad faith to inform the ovvner of#he permitting conditions set forth in
this affidavit prior to cammencing construction. I understarid that a sep�rate permit may be required for efectrical work,
� plumbing, signs, wrells, pools, air eonditianing, gas, ar other instailafions not specificaliy included'in fhe app(ication. A
. permit issued shall be construed to be a license to proceed with the work and not as autharity to violate, cancel, alter, or
set aside any provisions of tite technical cades, nor shall issuance of a permit prevent the Buitdirtg Ufficial from thereaf#er
requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced writhin six manths of permlt issuance, or if uvork aufhorized by
the permit is suspended or abandoned for a periad of six(6) rrionths after the time the work is commenced. An extensio�
rnay be requssted, in writing, fram the 8uilding Officia! for a period not to exceed ninety (9Q) days and will demonstrate
y justifiabie cause far tiie extension.�If tivorR ceases fo�ninety(90}consecutive days,-the job is considered��abandaned:�---�� _�_ ___.
'lii►►AR[�IN� TO Q{AIN�t�: YC1t�R �All.�fR� TCt �(�Ct?ttD A NQTiC� {3i� CONlMEN�Ei�E1�T�M�Y R��UE.T pN YOE1�t
F�AYIIVG'TVVICE FOR I{ViPR01i�M�WTS 1'O YOUR PI�OI��FZYY. I�YOII IPIT�ND TO OBTAIN Fl�ll/n►INCING, COiVSUL.T
VYITN YOUR��hl�?ER QR�N TTt?R�EY��(FqR�f�(�C�FtDtNC�Y�tJR NClTICE �CC3�f1iVlENC� ENT'. �
FLORiDA JURAT(F.S. 117.03 � ,
01�tNEE2 OFt ACEF1 � � COPlTRACTt}R �-. � .,.�'-"'"" ,
Subsc�tbed and swom o(or affirmed)before me thi Subscribed and sworn to{or affirmedj befare me t s
by • by
Who islare p ally knawn to me or haslhave produced Who{slare persanally known to me or haslhave produced
_as I entlfication. as identification.
ry Public Notary Public
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rj�,;ya Bcnded Thnt Ttay Fein tnsurance 8Q43d5•T449 �
Name of otary type ,pr n e or s ampe iVame of N .