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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 I � �C�' c���- ��- 1 � �� -�.�,� � S � '�,d 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) OWNERORAGENTC/..�� ' � CONTRACTOR ��""`" �5.�ubscrjbed d sw �rtne )bef r me is� Su crib�a d bwom o(or affi d efore me t �J /7/l�by�� ` � Y C �{�GSOOally or as/have produced ho i wn t e or has/have produced identification. as idenfificabon. � Notary Public �` �` Notary Public Commission No. Commission No. ._-- � ��„ am of ota d, 'nte or a ed Name of Notary type ,printed or sta ped .��""'��. ISRAEL CABRERA ������. ISRAEL CABRERA ��4Pay P`/B��y �SpRY P[�B�i ;a,�.o: Notary Public-State of Fiorida ,o ,�-. - 'a, .o. 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AWAari �txmap�vUe�am�amo'aav�++da�eawaia g , 'an's grrafure , ��� 2�0 ' _.�----^'- 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' �,� � 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 �