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Home My WebLink About14-15848 I CITY OF ZEPHYRHILLS �,.>''� 5335-8TH STREET �*" ' , ' _ � �1i3��so-oozo �5848 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15848 Address: 5131 18TH 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: 11-26-21-0010-20200-0030 Improv. Cost: 5,000.00 OWNER INFORMATION Date Issued: 12/15/2014 Name: CHILDERS JAMES W & RHODA A Total Fees: 60.00 Address: 8611 HANDCART RD Amount Paid: 60.00 ZEPHYRHILLS FL 33545-5207 Date Paid: 12/15/2014 Phone:� (727)534-1853 Work Desc: A/C CHANGE OUT 3 TON � CONTRACTOR S - APPLICATION FEES COOLQUE T INC C C ANGEO T 60.00 � , �� Ins ections Re uired � D CTS INSTALLED DUCTSINSULATED FINAL � � REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the followi�g reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or correctior�s not made when inspections called d)work not ready for inspection when called e) permit not posted on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there 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 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 your notice of commencement." Complete Plans,Specif tions Must Accompany IApplication.All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. 'L�JOr C TRACTOR SI ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MON IHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � COOL� UEST' CONDENSER AIR COND11'IONING - HEAT �� •-� - � � • vo�rs 7817 Rutilio Ct. • New Port Richey, Florida 34653 COMPRESSOR NPA_RIA_ CAC1813939 APPL ANCE � U 5T �„o#6 4�t�� STR COOL_HEAT PUMP_ �Q � Pasco:(727)859-0500 APP�IAN[E REPAIR Hemando:(352)68&2977 COND FAN NPA_RLA_ S.Plfl@IIBS:(727�585-4348 ,�,�,,,.�iq��m Hillsborough(813)9F2-2649 HEAD PRESSURE NAME DATE SUCTION PRESSURE_ �� rs ELECTRICAL CONNECTION_ ADDRESS � / �2 ��,�1 �? v CONTACTOR DATE SCHEDULED — CITY� / J / TATE � .° ZI CAPACITORS FAN_COMP_ MAKE MODEL � � COND COIL_ SERIAL NUMBER CONDITION ❑WARRANTY — ❑SERVICE S.E.E.R_ - i4GREEMENT AIR HANDLER Home Work/ ❑NORMAL Phone Cell ❑RES. ❑COMM. VOLTS . � _ � � � • . ._ . BLOWER NPA_RLA_ FLAT �� WHEEL CONDITION_ RATE `o e� HEAT STRIPS KW_AMPS_ � ��u COIL CONDITION MOLD INSPECTION_ S e r.�n: T FLOAT SWITCH_ /_ DUCTS_ Y� THERMOSTAT_ DRAIN IINE&PAN HANG KIT_ HEAT SHIELDS_ RELAYS_ CONDITION_ SIZE WIRE_ CERT.# TOTAL TECHNICIAN PANELMAKE,_ SIGNATURE �'�� " `" '"� ' ' CHARG�S BREAKER SIZE AH COND NAME CK# — — � '• • ' • SUB TOTAL ENTER TEMP DL# I HAVE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO SEA DISC LEAVING TEMP CpEDIT CARD# ORDER AS OUTLINED ABOVE.IT IS SIGNED THAT THE SELLER OT_ WILL RETAIN TITLE TO ANY E�UIPMENT OR MATERIAL FUR- EXP. CVU: DEPOSIT NISHED UNTIL FINAL&COMPLETE PAYMENT IS MADE.AND IF SUPER HEAT SETTLEMENT IS NOT MADE AS AGREED,THE SELLER SHALL Tp�p HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BE FEE BILLING HELD HARMLESS FOR ANY DAMAGES RESULTING FROM THE REMOVALTHEREOF. T� I OK WORKTO BE PERFORMED AT PRICE QUOTED. PARTS WARRANTY: All parts are warranted per manufacturers specifications.No warranty on Freon or parts with • � � glass,rubber,plastic or printed circuit boards.We are not responsible for any damages or inconveniences caused by X � � • clogged drain line problems or inadequate duct sizes unless otherwise stated on this invoice.Coolquest is not liable for AUTHORIZED SIGNATURE . damages caused by water leaks,unless otherwise stated above. LABOR WARRANTY: Any labor charges relative to equipment service noted is guaranteed for a period of 30 days. ABOVE ORDERED WORK HAS BEEN COMPLETED SATISFACTORY AND I ACKNOWLEDGE RECEIPT No charge warranty work will be provided only during normal working hours. OF MY COPY TERMS: Cash,Check,Money Order or Credit Card.In the event payment isn't received as agreed,purchaser agrees to pay all cost of collection including reasonable attorney's fees.There will be a charge of$30.00 for all returned checks. X DATE� ��`''�� eia-�saoozo City of Zeph irhills Permit Application , Fax-s��-�saooz� Bu�lding Department � ' „ �1 � � DateReceived 1 p`' �a.' PhoneConWCtforPertnilting �� V� _�� Owners Name Kml'�a CJ'J I Owner Phone Numb r` �� 0 � Owners Address � � wl I Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple TitleholderAddress, I �j I � JOB ADDRESS U I �. LOT# �� SUBDIVISION PARI ELID# � � � � �� V` � ��O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NSTALL57R e R PfAL�T � SIGN Q Q DEMOLISH PROPOSED USE Q SFR Q CO MIM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME Q STEEL Q DESCRIPTION OF WORK � JS I �� I� U "" �+ BUILDING SIZE SQ FOOTAGE �; HEIGHT � Q BUILDING $ VALUAT ION OF TOTAL CONSTRUCTION ' QELECTRICAL $ AMP SE I VICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �MECHANICAL $ QO� VALUAT ON OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SP ICIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLdOD ZONE AREA QYES NO BUILDER COMPANY• SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address I License# /�'� e� MECHANICAL COMPANY L(� / �( e SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address I License# � �3 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address I License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1�set of Energy Fortns;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Pertnit�for subdivisions4arge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a�ife Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construclion. Minimum ten(10)working days after submittal dat8. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW co�struction. Directions:• Fill out application completely Owner&Contractor sign back of applicatlon,notarized If over$2500,a Notice of Commencement is required. (A/C I pgrades over$7500) i " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only�) ' Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � � ' NGTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" ' which may be more restrictive than County regulationsi 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 local regulations. If the contractor is not licensed as required by law, both th� 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 prbperly licensed and is not entitled to permitting privileges in Pasco County. � TRANSPORTATION IMPACT/UTILITIES IMPACT A�D RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recov ry 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,that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportatio� Impact 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 p�rmit issuance. Furthermore, if Pasco County WatedSewer 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 mo�e,I certify that I, the applicant, have been provided w;th a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Departmer�t of Agriculture and Consumer Affairs. If the applicant 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"owne�'prior to commencement. CONTRACTOR'S/OWNER'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 i stallation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that�II work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regula ions, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other�ovemment 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,WateNWastewater Treatment. - Southwest Florida Water Manageme t District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Dock ,Navigable Waterways. - Department of Health & Rehabilitative �ervices/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. i I understand that the following restrictions apply to th�use of fill: ' - Use of fill is not allowed in Flood Zone"V' unless expressly permitted. - If the fill material is to be used in Flo�d Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Floo Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used Qnly 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 fill is found to adve sely affect adjacent properties,the owner may be cited for violating the conditions of the building permit iss�ed under the attached permit application,for lots less than one(1) acre which are elevated by fill,an engine�red 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,lor other installations not specifically included in the application. A permit issued shall be construed to be a license to pkoceed with the work and not as authoriry 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 ior violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is comm nced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period o�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 TWICE FOR IMPROVEMENTS TO YOUR�ROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 03) t OWNER OR AGENT �li�-s—._, CONTRACTOR Su ed and or aifirm d)before e i Sub c' ed and swor o( �affirme efore me thi ��by �by Who is/are own to e or has/have produced Who i are ers all to me or has/have produced s'den' CaGon, identifi Gr�'on. ( �C'� �J.Q�• i �� , � � Public ublic Commission No. Commission No. � a� �!¢p�ary ty Name of Notary typed,printed or stamped � * MY COMMISSION R FF 042434 �ot"a:.°,°e�,� KIMBERLY M,RITiEH EXPIRE5;August 4,2017 * � * MY COMMISSION N FF 042434 ��Rti� pandQdTAN�udBetNataryServices EXPIRES:August 4,2017 NJ9rFOFF�DA\o! BondedThruBudgetNofaryServlces , � � I I �11R CONDITIONING, HEATIIVG & APPLIAI\iCES LICENSED & IN�l1RED CAC1813939 12/12/2014 TO WHOM IT MAY CONCERN: I,JANE M. HARPER,AUTHORIZE THESE INqIVIDUALS TO BE AUTHORIZED REPRESENTATIVES � TO PERFORM ANY NECESSARY ACTIONS FOR THE ABOVE LICENSE INCLUDING REINSTATEMENTS: ROBERT CAPAZ FL. D/L C120-773-67-330-0 NICHOLAS OCASIO FL. D/L 0220-633-79-066-0 KIMBERLY RI7TER FL. D/L R360-513-74-631-0 THOMAS RAPONE FL. D/L R150-820-88-426-0 EDWIN MORALES FL. D/L M642-200-65-043-0 MARK GOODELL FL. D/L G340-541-72-391-0 KAZIMIERZ GORCZYNSKI FL. D/L G625-510-85-025-0 WILLIAM HARTLESS FL. D/L H634-930-63-458-0 MARSHALL COLLEY FL. D/L C4i00-541-83-014-0 WALTER EDELMAN III FL. D/L E345-901-94-162-0 THANK YOU, • w �� 8lata ot '��r��-�- countY�f_...� Tha fo�e nA in�umenty�pse�a�8ed1�.l.r' ��y JANE M. HARPER , e$ �- E�dJ �-! LICENSE HOLDER Pers«,��ry kn ._.__�p�+��"�on Typeidentlficati duCed PRESIDENT/OWNER `� 7817 RUTILLIO COURT �'}0�'ry� NEW PORT RICHEY, FL 34653 e°�`:0.'`�e`% I4MBERLYM.Rfl'IER � * * MY COMMISSION A FF 042434 � EXPIRES:August4,2017 �9tFppFl,OR��< BondedThruBudgetNotaryServices http://coolquest.com • 727�859.0500 • Fax 727.869.6477