HomeMy WebLinkAbout14-15863 CITY OF ZEPHYRHILLS
i � , 5335-8TH STREET
:
(si3)�so-oozo 15863
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15863 Address: 4824 16TH 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 i
Est. Value: Parcel Number: 14-26-21-0010-02100-0100
Improv. Cost: 5,890.00 OWNER INFORMATION
Date Issued: 12/17/2014 Name: NELSON FAMILY TRUST NELSON CLAR
Total Fees: 65.00 Address: PO BOX 2032
Amount Paid: 65.00 ZEPHYRHILLS FL 33539-2032
Date Paid: 12/17/2014 Phone: (813)780-9532
Work Desc: DUCT REPLACEMENT 7 DROPS
CONTRACTOR S APPLICATION FEES
A C TABLE CLIMATE S L TI NS C CHAN EOUT 65.00
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Ins ections R ired
DUCTSINSTALLED
DUCTSINSULATED
FINAL ��( Z�� �
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.
/6��� �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 NIONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
;
813-780-0020 City of Zephyrhills Permit Application Fax�13-780-0021
, Building Department
F� • Date Received /� �7 � phone Contact for Pertnittin 7 ��7?
r
OwnersName ' � OwnerPhaneNumber ��� '7J�`"�53�
, Owner's Address � � T Owner Phane Number
Fee Slmple Titleholder Name Owner Phane Number
Fea Slmple Tltleholder Address �
JOBADDRESS � �� � Z ��I'� 5C� LOT# 'v
SUBDIVISION PARCEL ID# / -' � �� —lJ
WORK PROPOSED � NEW CONS7R e ADD/ALT � SIGN NEO FR�OM PROPERTYT�nc�DEMOLISH I
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK /,�vLil� (..� w �dro .S I
BUILDING SIZE SQ FOOTAGE� HEIGHT �
I QBUILDING $ VALUATIONOFTOTALCONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��-�
OMECHANICAL $� VALUATION OF MECHANICAL INSTALLATION ���
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE a��isre�o Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
,
Address License it
PLUMBER COMPANY
ISIGNATURE rtEClsrE�o Y/ N FEE CURREN Y/N
Address License#
� MECHANICAL -•• •-�-COMPANY 1
SIGNATURE REGISTERED ` Y/ N ,�e curtrt�h Y/N
Address 1 �/Q � —{�Q(' � (/� ��'�3 �� License# G � /7 y
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
1 1 1 1 t 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAI. Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Permit for new cansWction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Sitt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large proJects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Pertnit for new construction.
Minimum ten(10)working days after suhmittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facil'fies&1 dumpster.Site Work Pertnit for all new projecLs.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Diredions:•
Fill out application completely.
Owner 8 Contractor sign back of appfication,notarized
If over§2500,a Notica of Commencement is requlred. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Frant of ApplicaHon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
r
" NOTICE OF D�ED 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
appiic�ble 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 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 IMPACTNTILITIES IMPACT 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 occupanc�'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,Florlda Statutes,as amended): If valuation of work is$2,500.00 or more,I
certity 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'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 pertnit 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
m res onsibili to identi what actions I must take to be in com liance Such a encies' c e
y p ty fy p g in lud 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 certity 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, 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 COMMENCE NT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T TAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC CO ENT.
FLORIDA JURAT(F.S.117.03)
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� Notary Public �` �` Notary Public
Commission No. Commission No.
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am of ota d, 'nte or a ed Name of Notary type ,printed or sta ped
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��4Pay P`/B��y �SpRY P[�B�i
;a,�.o: Notary Public-State of Fiorida ,o ,�-.
- 'a, .o. Notary Public-State of Florida
_•; :•E My Comm.Expires Jun 1,2016 '.; ;•; My Comm.Expires Jun 1,2016
=;9� op;= Commission#EE 203211 =N; P;' Commission#EE 203211
�'�°����"� Bonded Through National Notary Assn. ��'••;�o��;°.��
Bonded Through National Notary Assn.
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Accountable Cliana�e Solutions
13540 N Florida Ave Suite 205 Tampa, FI 33613 888-787-7477 acs@acshomeservices.com
CAC1817480 Fax: 813-515-6992
I, Matt McClellan, License Holder and President of Accountable Climate Solutions, dba ACS Home
Services hereby give authorization to receive and pay for any and all mechanical permits for the
company to:
JASON KYLE MARINO
1571 SHERWOOD ST
CLEARWATER FL 33755
M650-431-80-451-0
Sincerel , �
,_.M_.___ . : .. . .....�,.
Matthew McClellan
Accountable Climate Solutions Inc
ACS Home Services
Lic#CAC1817480
STATE OF FLORID �
COUNTY OF � �Ci, '
�
The fore oing instrument wa�c�cn�le,,d_g7d before me this�day of�C , 20�
bY.�i4y'?`fF_G►� ���� `h►'��
I � �
X �2%� � (Signature of Notary Public-State of Florida)
X (Name of Notary Typed, Printed, or Stamped)
Personally Known OR Produced Identification
Type of Identificati n Produced
��""'�� ISRAEL CABRERA
�,�P�Y P`B���i
.°,r°.�,`�-: Notary Public-State oi Florida
« : •E My Comm.Expires Jun 1,2016
=N�� `a:= Commission#EE 203211
9'FO����`�, Bonded Through National Notary Assn.
/
CITY OF / / / / BUILDING
ZEPHYRHILL� � � ° DEPARTMENT
OF ADDITION OR CORRECTION
� • • - •
qp E�$ DATE PERMIT�,
�`�°� ; �j� J/ /-2�i��� ��✓���
I THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
� �f�cG Q vG ZJOI •P
�' ��i' (., ` �
.�o .S ' ' s' �,�
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It is unlawFul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any paA of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTIO
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR �