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Home My WebLink About14-15852 CITY OF ZEPHYRHILLS !,r' �• , ' S335-8TH STREET ; �si3��so-oozo 15852 -- BUILDING PERMIT �� PERMIT INFORMATION I LOCATION INFORMATION Permit Number: 15852 Address: 6017 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: PARK HILL Est. Value: Parcel Number: 02-26-21-0180-00000-0450 Improv. Cost: 3,800.00 OWNER INFORMATION Date Issued: 12/16/2014 Name: BACK LULU JEAN REVOCABLE TRUST Total Fees: 55.00 Address: 39038 CITADEL CIR Amount Paid: 55.00 ZEPHYRHILLS FL 33542-2718 Date Paid: 12/16/2014 Phone: 813-715-0150 Work Desc: A/C CHANGE OUT 2.5 TON � CONTRACTOR S APPLICATION FEES BA R'S PROPANE AS& C, NC. C AN EOUT 55.00 � fNAL - ,�Z - l i� �-�'� ��r��`� ��i3 � Ins ections Re uired DUCTS INST LLED DUCTSINSULATED FINAL � Z � 1'�. --/� 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 following reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corrections 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 property 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, Specifications Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. �ii� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i � 6t3'taU-UULU C:lty o#Zepii yrhiils Permit Applicafran Fax-813-T80-0021 Building Department �- a Date Received phone Contact for Permittin ��3 7�� -- ��./ 3 Owner's Name � U G j,,a !QG� Owner Phone Mumber �l3`��-��.� Oarttier's Address �� j�� T ' Owner Phone Number ��_ � Fee Simpte TitEeholder Name � � � f3wner Phone Number �— � I Fee Simpte Ttttehaider Address 4' t�.� JOB ADDRESS � � �OT# SUBOIVISlOM C � PARCfL iD# -- - --..._ _ -. - -,- --- - --- - - -- - _._- -- _ (OBTAINED FROM PROPER7Y?AX NOTICE)__�.__ — _---- - -._.�--- i 1l�QR!(PROPQSED e New coNSra 8 AQD/ALT � SIGN Q - - Q � DEMOLISH INSTA�.L REPAIR PROPOSED USE Q SFR Q COMM � OTHER � TYPE OF GONSTRIJCTIOtd Q BLOCK Q FRAME � S'1'EEL Q DESCRIPTlON OF WORK c�r �- / �/4�� !`� �+`"�� 8illl.DtNG S!Z£ � � SQ FC?OTA�E C� HEIGtlT �� QSUlLDING �� VA�U TtOi�!OF TOTAL GONSTRUCTIt3P! ELECTRICAL AMP SERVICE PROGf2ESS ENERGY W.R.E.C. C� � C� O QPLUMBING - �i � �c��l ,,,.... � � [�NI�CHANICAL $�� v[a� VALU ION OF MECHANICAL INSTALLATlON � � QC�AS Q ROOFING Q SPECIALTY � OTHEft FINtSHED FLOOR ELEVATIONS FLlOOD ZONE AREA QYES NQ SUi�.DER COMPANY StGRtATURE REGISTERED Y/ N FEE CURRE� Y/N ,,,.....„ .....,_—„— Address I �icense# �� ELECTRlC#AN COMPANY SIGNIATURE REGISTERED Y/ N FEE CURRE� Y/N Address I �Icense# �� FLUMBER � � CtlMPANY SIGNATURE REGISTERED Y/ IV FEE CURRE� Y I N Address I i.icense# �� MECNANICAL � �� COMPANY �� S �� c l�r,��' L' � � SIGNATURE REG(STERED Y! N FEE CURRE� Y!N Address I.icense# ��v?� �� O7NER COMPAIdY SIGNATURE REGlSTERED Y 1 N FEE CURRET Y/N Address ( l.icense# C^ � i I RESlQENTlAL Attach{2)Plot Plans;{2)sets of Building Plans;{1,)set of Er►ergy Forms;R-O-W Permit for new constn2ctian, ' MinEmum ten{10)wotlting days after submittal da e. Ftequtred onsite,Constructfon Plans,Stormwater Pians wJ Siit Fence fistalled, Sanitary Facilities 8�1 dumpster,Stte Work Permi�for subdivislons/large proJects COMMERCtAL Attach(3)comptete sets of Buifding Pians ptus a Life Satety Page;(1j set of Energy Forms.R-O-W Permit tor new construckion. Minimum ten(10)working days after submittal date. Required onsite,Consttvction Ptans,Stormwater Plans w/Siit Fence instatled, .Sanita.ry Facili#les&.1 dumpster.Site Work Permi�for all new proJecks.All cammeraial requirements must meet compliance StGN PERMIT Attach{2)sets af Engineered Ptans. I - '«**PRt�PERTY SURIJEY required for ai(NEW co�sUvction. Directians: Fiil out appiicatlon completeiy. Owner 8�Contractor sign back of application,.nota►ized tf over S25Q0;a Motice af Gorrimenaement Is requi�ed. {AtC upgrades over�7500} " Agent(for the contractor)or Pov+ie�'of�/�ttomey`(fo�=tfie owrier)would be someone with notarized letter from owner authorixing,sa.me,:.r.,��..., OY�RTHECOUNTERPERMITTEN�� " {FrontofApplfcation�;t}nt�)�� _ . -, -, - - ,,'':�`-',: � `..;e Reraafs if shingles Sewers Seivlce Up'grad'es�`A/C �".F'nces(Plot/SurveylFootage} , , , = ` „";;'`�'�; , ��; . . , ,. ;,,:.�_'�,. , ,._. ._ � - 1; � Oriveways-1Vot over Coun#er�if on publfc rosdways..needs4ROW ' y --.; :,' .._ .' ...i,�: >..� -.A . �.- .', a . �� b NOTfCE OF DEED RESTRICTIONS: The undersigned understands that this permit�may be subject to`deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicabie deed restrictions. � �� ` - ' - � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake wock, 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 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 pe�mitting privileges in Pasco County. • � TRANSPORTATION IMPACT/UTILITIES II�IPACT AND RESOURCE RECOVERY 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, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation 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 permit issuance. Furthermore, if Pasco G,ounty Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LA1fV(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 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"owner"prior to commencement. CONTRACTOR'SIOWNER'S �►FFIDAVIT: 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 ln compliance. Such agencies include but are not limited-to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater 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 fill 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 which 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 fill 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 lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OUVNER, I promise in good faith to inform the owner of the permitting conditions set forth in this a�davit prior to cbmmencing 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 pe�mit 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 F'AYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA►NCING, CONSUL.T'_ VYITH YOUR LENIDER OR ATTOFtNEY BEFORE RECORDIfVG YOIJR NO E OF COMf111ENCEMENT. FLORIDA JURAT(F.S. 117.0 OWNEFt OR AGENT CONTRACTOR � Subscribed and swom to(or affir d)before me thls Subscribed and swom to(or affirmed)before me this I by by � Who lslare personally k�own to me or haslhave produced Who Is/are personally know to me or has/have produced as IdenUfication. a idendfication. � „NY:YI� J LE. ON ' ,. ��.. Public .•• Notary Public _.: :: ommisswn Comml �o �t��.'� Commission#FF f37073 Commissio � �: Expires June 29,2018 ;�� , F „ e roy au�nswanee 8 • 19 r P„��`��,, 8ondediNuTroyFainlnawanw60D.385-1018 Name IVotary typed,printed or stampe Name of Nota ped,printed or stamped � s � r PR�PANE GAS Service Order/Proposal � � � � � � AND AIC i[vc. Air Conditioning 8�Heating �i�ce �988 813-782-5013 � WORI'. ORDER#/SERVICEMAN JJ�F�7 DEG Sales, Service & Installations DATE�TIME TAKEN i�/�4/14 14:�5 4441 Allen Rd. • Zephyrhills, FL 33541 TAN.E� RY ANDREA �� DATE/TIME �ROh1ISED NOTES. CUSTOh4ER#/LDCATI01�! �c48E, � F�HONE# .. 81.�—..�JJ—1 1�J C CONTACT aARPARA 813-714-E ROUTE/SEQ DEC-IhiA PACI'., LULU JEAhI REVOCABLE TRST ' HACI',, LULU JEAN REVOC. TRUST ,?,��38 C I TADEL C I R '' 6�17 18TH ST ZEF'HYRHILLS FL ..��J4G ZEF'HYRHILLS FL.?,3�4� EST TO REF�A I R AC - � DESCRIPTION OF WORK � QTY. MA7ERIALS&SERVIGES . .`. <_. � - �• UNIT_PRICE'', -AMOUNT � --------------------- -----------I -- ------------------------- ---�-- ----�— — -- - / ��, ��£ I �' o v , e� �e2 A � - -�cr/ !v £ � � 3 S� �2 Y/o ,4 ; ��;�v .. /�� -�a.�. � � - �o�- � , � � . Q � . � � � - � � C c� o � ZDo�� / � � 4 � � , � i ` � � '. �� ` ` , RECOMMENDATtONS> �� /J��N! r T i � ib0 � ; . Annual'Ma'intenance Recommended by.All Equipment Manufacturers. � � � � - Pressures Lo HI T-Stat i i .. .. , , i . i � � ,'REFRIGERANT'R- � , - CBS: , $per.lbs:. ; I I , FILTERS x x Changed Monthly I I '� � I I FILTERS �x x � Changed Monthly � � O .REGULAR ❑WARRANTY'' ' - ` , TO�ALSUMMARY ' DehumidistatSettings: When here"OIV", When Away 6�, •T-Stat 80° ❑ MAINTENANCE CONTRACT - SERVICE i LIMITED WARRANTY: All materials,parts and equipment are wa�ranted by the mariufactOrers _ �VIETHOD OF PAYMENT - CALL i or suppliers'written warranty only.All labor performed by the above named'company is warranted for � - 30 days or as otherwise indicated in wriling.The above named company makes no other.warranties,. ❑CASH ❑CK# TOTAL i express or implied,and its agents or technicians are not authorized to make any such warranties on � MATERIALS i behalf of above named company. Q DEBIT ❑CREDIT ❑OTHER MAINTENANCE � I have authority lo order the work outlmed above which has been satisfactorily compleletl.I egree thaY Seller 'PROG. W ! C � retains uUe lo equipment/mate�ials Wrnished until fnal payment is made.If payment is not made as agreed, CLAIM$� I seller can remove said equipmenUmaterials at Seller s expense.Any damage resulting Irom said removal shall , not be Ihe respansihility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADOEO MONTHLY TO DATE COMPLETED I ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS I TECH T� i CUSTOMER SIGNATURE DATE �/7GU//GfG ✓(�u TOTAL �S d��O