HomeMy WebLinkAbout14-15854 '�_ CITY OF ZEPHYRHILLS
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BUILDING PERMIT �
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15854 Address: 39517 MEADOWOOD LP
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: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0700
Improv. Cost: 5,300.00 OWNER INFORMATION
Date Issued: 12/16/2014 Name: KASSABAUM, KYLE & HICKS KRISTINA
Total Fees: 65.00 Address: 39517 MEADOWOOD LP
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542
Date Paid: 12/16/2014 Phone: 8135055072
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATION FEES
UN UE AIR INC C C ANGE T 65.00
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� Ins e �tions Re uired
D S INSTALL D
DUCTSINSULA ED
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 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 fl 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."
Complet lans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordina,nces. NO OCCUPANCY BEFO C.O.
C TOR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTI�N - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� aisaeo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021
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B�ilding Department
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Data Received phone Conta t for Permittin
T
Owner's Name I I SOwner Phone Number
Owner's Address � � /�wner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
I
Fee Simple Titleholder Address
I
JOB ADDRESS � LOT H
SUBDIVISION ARI EL IDN J I 7O�
(OBTAINED FflOM PFiOPEHTY TAX NOTIC�
WORK PROPOSED e NEW CoN57R e ADD(ALT 0 SIGN Q Q DEMOLISH
INSTALL REPqIR
PROPOSED USE Q SFR Q COfv�M 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRA�nE � STEEL Q
DESCRIPTION OF WORK O`�—
I �"� F3o�I'-�
BUILDING SIZE SQ FOOTAGE� HEIGHT �
Tr1TT1"ITTTrTTrTTrTTrI'Tti T 1"ITTI"ITTTrTrP'T'
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SE IVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��'\
QMECHANICAL $� .�,^^ ^ VALUATION OF MECHANICAL INSTALLATION '� �
J�
�>U
QGAS Q ROOFING Q SP CIALTY 0 OTHER -
FINISHED FLOOR ELEVATIONS FLOIOD ZONE AREA DYES NO
-�C '�FF��-.���F'�F�..-r�.-�i-'r�'r���'r-i�w�-�..-r�FC�'�-'rF7�i����'r���7-����..-r���'�-'r�
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License q
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N '
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
MECHANICAL �y{1,R COMPANY I r �=f VILILS
SIGNATURE �E'.�� L�/`�� REGISTERED Y/ FEE CURRE� Y/N
Address �/��� License N l�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
1111111111111111111111111111111 11111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sani[ary Facilities&1 dumpster;Site Work Permit r subdivisionsparge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Li�e Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence insialled,
Sanitary Facilities&1 dumpster.Site Work Permit I r all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
**"PROPERTY SURVEY required for all NEW conStruction.
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Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C uPgrades over$7500)
** Agent(for the contractor)or Power of Attorney(for the owner)wo�l�ld 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(PIoVSurveylFootage)
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 regulatio i s. 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 the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contracto�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- I
8009. Furthermore, if the owner has hired a cont�actor 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 Iroperly licensed and is not entitled to permitting privileges in Pasco I
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Reco�ery 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�elease. 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 ith a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Departmeht 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'S/OWNER'S AFFIDAVIT: I certify t at 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 ihstallation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that�all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regul�tions, and land development regulations in the jurisdiction. I also
, certify that I understand that the regulations of otherlgovemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take�o be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protectio -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Manageme t District-Wells, Cypress Bayheads, Wetland Areas, Altering
I Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. ,y,
- 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 submitteti 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 lonly 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 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��roceed 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,constructionlor 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 fo i 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 YO NOTICE OF COMMENCEMENT.
FLORIDA JUR,4T(F.S.117.03)
OWNER OR AGENT CONTRACTO �
Subscribed and swom to(or affirmed)before me this Subscribed and swor�n to(pr a�fi d efQ r� e�{��
bY by �I�Y�� �J��L�x�
Who is/are personaliy known to me or has/have produced Who is/are personallv known to me or haslfiave produced
as identification. ' as identificafion.
� �
Notary Public Notary Public
Commission No. C mrpission No. J
i � 'A ��qwnri.•
Name of Notary ryped,printed or stamped Name of Notary typ d, rinteii oc' .•
�S.� �°' Notary Public-Stale of Florida '
c�+;N„ �: My Comm.Expires Jun 5,2018 •
� '•',r A'� Commission#FF 130052
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�1:�!��-� ��UIVIQUE AIR_ Installation Coni�ract
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877-247-7365
INSTALLATION ADDRE55 BILLING ADDRESS
Name of Cfient Kyle Kassabaum Kyle Kassabaum --1
Address 39517 Meadowood Loop 39517 Meadowood Loop
City/State/Zip Zephyrhills,FL 33542-6714 Zephyrhilis,FL 33542-6714
Phone Number 8135055072 8135055072
E-mail Address kkrlmetals@aol.com
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..:..: - INVESTM�NT ��� �
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Retail: $7,945
Utility Rebates: ($p}
Manufacturer Rebate: ($p� , - ,f payr►�ei�t,:Qetails:,, � -
Discounts: ($2,645) - ` • - '` _:... - �- � _� . �_ " -
Depo'stf• <�'. - �$0��
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Amount Due:
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5 30 , :r• ,.
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�Balance Due,�(Financirig)?._'� ;:�5,3_0,6;;
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F -, .. FIIVANCING; � .< = . �
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Flnancing @ 60 Monrhs No lnterest(WfJ
Est.First Month Minimulm Payment: $89
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. . . ........
° y :_��_;:::;:��POST INSTALL:REBATES : ; ; � TOTAl:COST:OF:OWNERSHlP�(TCO):;
Ut(lity Rebate: $p Est. 1 Yr Savings: _
Other Rebate: $p Est. 10 Yr Savings: _
7ax Credit: $p
TCO __
Net Investment: $5,300
TCO Monthly _.
Buyer Is the owner of the property at the Installatlon Address and Is legally autl�orized to enter Into thls Agreement Unique retains title to all equlpment,parts and
materlals used to improve the property until Buyer's full payment Is recelved by Unlque.A servlce charge of 1.5%per month(18%annual percentage rate)or the maxlmum
rete permitted by appllcable law,whlchever is less,wlll be made on all overdue�amounu. Buyer responstble for attorney fees,where allowed,for amounu not patd.Should
any Instant Rebates provlded under this Agreement become uncollectible,Buyerwlll be responsibfe for payment to Unlque of such uncolleafble Instant Rebates. Prlces are
valld for l0 da s from Iswance of thls A reement �
Custome�Signature �� �� CA Signature
Customer Name )( �Lp����o� sab��uc►� CA fVame
Date � � ��)�I �y Date
0510�3 License numbers: CMC 041072 � CFC 1426265 � EC 13002942
50# 647383 Thank You for Choosing Unique Services as yoirr Home Comfort Speciatist. ��