HomeMy WebLinkAbout14-15870 CITY �F �EI�HYRHILLS
5335-8TH STREET
(813)780-0020 158 0
, : BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15870 Address: 5204 9TH ST HISTORIC
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: 11-26-21-0010-18200-0110
Improv. Cost: 5,975.00 OWNER INFORMATION
Date Issued: 12/22/2014 Name: PARSONS MARY LEE
Total Fees: 65.00 Address: 5204 9TH ST HISTORIC
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/22/2014 Phone: (813)715-1925
Work Desc: A/C CHANGE OUT4 TON
CONTRACTOR S APPLICATION FEES
HRI ' C CO. A/C CHANGEOUT 65.00
,�� ,
.
�
� "' �2 ' 1 �
V �~ I�
Ins ections Re uired 'I
DUCTS INSTALLED
DUCTSINSULATED
FINAL P - `C� -��
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 no#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.
�
� 07LP/�,
CONT CTOR SIG TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
n��-�a�-W�U Gity ofi Zephyrh`rtts Permit Applica#ion Fax-813-780-002'!
BulEding Departmen!
Dats Reaelved ` `
Phone Contact for Permittin
t'�wner's Naene;. ° � :" _. - Owner�hone Nurnber ' .�,�� / ���
�= _ ��f� � .. .,.� ;...:�:_��..�__._Y... �.� �. �..�. �
Dwner's Addre�s;' �• :�.'2:°��Dinmer�Phone Number
,'.,..... .,' ( ' .. :J:'�, ,i
' . ..R-.,:.- , r�.� c.•.. ..�<�. ..�^..,. �.,.._.- .-_ �` .. ' . _.. ' . :�:,- .
A.,�...,, . ri
.,e,..., . "' .:. ; y
Fee Simpte'4'itleholder Warne � ,.;,.,OyimerPhone+Mumber
Fee Simpie 7iNeholder Address
10B ADDRESS �-�}�=1/t'Y�..' - LOT# �
_�
SUBDlVIS{ON �� � PARC�!fD# .l ' • �! ° C�� U � �C�� C�J�Q
,_ ___.__(OBTAINED_FROMPROPER?YSAXMQTIGED--- -- - - - ----_--- - ' -
._ �__.,._ -- _. _
- -- ___---- - - _.._-�._ ____ _ .___
WORK PROPOSED e NEW CONSTR� ADD/AI.T � 81GN [,� Q DEMOLISH
1NSTALL REPAiR
;
PROPOSEp USE Q SFR Q COMM ." [� OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q
DESGRtPT10N QF WQRK PY� � � 1 �
BUILDING SlZE ���� S�F007AGE�� liEIt3HT
QBUILDING $ � VAl.UATION OF TOTAL C01�4S7RUCTtQN
QEl.EC7R�CAL �9i --� AMP S6RViCE Q PROGRESS ENERGY [� W.R.E.C.
�
QPLUMBING �—r� f�'� V
� ��
�MECHANICAG $ VALUATION OF MECHANtCAL INSTALLATiQN
�? � �
[�]GAS Q ROOFING [� s��cracrv C] OTHER
=1RliSNED FLOOR ELEVATiONS �� FLOOD ZONE AREA QYES NO
3UILDER COMPANY
�stGNATUitE REG�STERED Y/ N FEE CURRE� Y/N
Address �lcense# ������
=_LECTRtC1AN COMPANY
3i�NATURE REG�STERED Y/ N FEE CURRE� Y J N
Addre�s �Icensa# � �����
�LUM9ER � � COMPANY
3tGMA�'URE REG[STERED Y/ N FEE CURRE� Y/N
Address l.lcense# ��i `�
�
AECHANlCAt `? � COMPANY � _
3lGNa7URE ' ' �'"`�"� REGlSTEREO Y (+! FEE CURRER
Address �.� � � 1 License# ����, Q�,) / �
�THER COMPANY
ZlGNATURE REGtSTERED Y! N FEf CURREA Y 1 N
Address Ucense# ��� ���
tESiQE#ITtAL Attach{2)Pfot Plans;{2)sets of Build3ng Plans;{1)set of Energy Fortns;R-O-W Permit for new canstructian,
Minimum ten(10�working days after submlttal date. Requlrsd onslte,GonstrucUon Plans,Stormwater Plans w!Sfli Pence Installed,
Sanitary Facilitles&1 dumpster,Sike Work Permit for subdivisionsAarge projects
:OMMERCtA� Aftach{3)asmptete sets of Butidtng Ptans pius a Life Safety Page;(1}set af Energy Forms.F2-O-W Permit for new cons#ruction.
Minimum ten(10}working days after submfttat date. Reqaired onslte,Constru�tion Pians,Stormwater Ptans wi Sitt Fence instailed,
Sanftary FaciliNes&1 dumpster.Site Work Permit for all new proJects.All commerclal requirements must meet compllance
;iGN PERM17 Atfach{2)se#s ot Engtneered Pians.
"'"PRQPERTY SURVEY required for a!I NEW construcUan.
)irections:
FN!out appltca8on c�mpletely.
Owner 8�Contractor s(gn back of applicatlan,notarized
if over�2500,a Natice of Commencement is requlred. (AIC upgrades over;T500)
' Agent(far the contractor}ar Powar of Attomey(for the awner)wouid be someone wikh notarized letter from awner authorizing same
1VER Ti�iE COUNTER PERM11TiNG (Front of Appitcatlan Onty}
I ;eroois!(shfngles Sewers Servlce Upgrades R!C Fenaes(PtoUSurveylFootage}
'� Driveways-Not over Counter if on pubtic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands tha#ihis permit may be subject to"deed"restrictions"
which may be more restrictive than County regulaEions. The undersigned assumes responstbflity for compliance with any
appiicable deed restricfions.
UNl.ICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, #hey may be requ�red to be f[censed 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. 1f the vwner ar inter�ded contractor are uncertaln as #o wha# licensing requirements may appiy for the
intended work, they a�e advised ta contac#the Pasco Couniy Buildtng Inspection Division—Licensing Section at 727-847-
8009.- Futthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
; portians af the °cantrac#or Block° of thfs application for which they will be respo�sible. 1f you, as the ovmer sign as the
I contractor, that may be an indicatian that he is not properiy licensed and is nat entitled ta permitting privileges in Pasco
r County.
TRANSPORTATION IMPAGT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�tatian Impac# 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 Caunty Ordinance number 89-0? and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of____ _
permitting. tt is further understaod that Transpor�ation lmpact Fees and Resource Recovety Fees must b�paid prior to
receiving a "certificate of ocaupancy" or final power release, If the project does not involve a ce�tificate of accupancy or
final power release, the fees mus# be pafd prlor to permit issuance. Furthermore, if Pasco County Water/Sewer impact
fees are due, they mus#be paid prior to permit issuance in accordance with appticable Pasco Coun#y ordinances.
CONSTRUCTION_LIEN LAW(Chapter?13, Florida Statutes,as amended): If valuation af work is$2,500,00 or more, I
certify that 1, the applicant, have been provtded with a copy of the °Florida Canstruction t�ien �.aw—Hamevwner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If#he applicant is someone
other than the"owne�"r 1 certify that 1 have ob#alned a capy of the above described document and promise in good faith ta
deliver it to the°awner"prior to commencement.
CONTRACTOR'SlUWNER'S A�FIDAVIT: I certify that a!! the infarmatlon in this application is accurate and that all work
wiil�be done in compliance with aft applicable laws regutating constructicin, zoning and land development. Application is
hereby made ta obtain a permit to do work and installation as indicated. I certify that no work or installatian has
commenced prlor to issuance of a permit and #hat a11 work wil) be perfarmed ta meet standards ofi alt laws regulating
constructian, County and City codes, zaning regulations, and land development regula#ians in the jurisdic#ion. I also
certify tha# 1 understand that the regula#ions o#ottier government agenciss may apply ta the intended wark, and that it is
my responsibility to identify what actions I must take to be in compilance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, We#land Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwes! Florida Water Managemen# District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Department of Health & RehabiEitative Services/Envi�onmental Health Unit-We!!s, Wastewater Treatment,
Septic Tanks.
- US �nvironmenkal Protection Agency-Asbestos abatement. -
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of flll:�
- Use of fill ls not ailowed in Fioad Zatte"V"unless expressly permitted.
- If the flll material fs to be used in Fload Zane "A", it is understood that a drainage plan addressing a
"compensating volume" wil! be submitted at time of permitting which is prepared by a prafessional engineer
licensed by the State of F(orida.
- If the fill material is ta be used in Flood Zone °A" in connect(on with a permitted building using stem wall
construction, t certify that fiil will be used only to fill#he 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
proper#ies. if use of fill is#ound to adversely affect adjacent properties, the awner may be cited for violating
the conditians of the building permit issued under the aftached permit application, far iots less than one (1}
acre which are elevated by fill, an engineered drainage plan is required.
tf i am fhe AGENT FCiR THE OWNER, 1 promise �n good faith tQ inform the awner of the per�itting conclitions set forfh in
this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, paots, atr cond'stion�ng, gas, or other lnstallations not speclfcally i�cluded in the applicaklan. A
permit issued shall be conskrued to be a license to praceed with the work and not as authority to.violate, cancei, alter, ar
set aside any provisions of the technical codes, nor shall issuance of a permlt prevent the 8uildirig Of�cial fram thereafter
requiring a�correction af errors in plans, construction or violatians af any codes. Every permit issued sha11 become invalid
unless the work autharized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit Is suspended ar abandoned#or a perioc!of s9x{8)months after the tlme the work is cammenced. An extensiar�
may be reques#ed, tn writing, from the Building Official for a period na# to exceed ninety (90) days and will demanstrate
�usfi�able cause for the extension. If work ceases for ninety{90)consecutive days,th�jab is considered abandoned.
WARNING TO OWNER: Yl?UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPRt�VEMENTS TO YC}UR PROPERTY. iF YOU INTEND TO OBTAIN FINANCINC,CCINSULT
WO'FH YOUR LENDER OR A ATTORIdEY BEFORE_i�EGIDRDING YAUR NOTICE F COMMENCEMENT.
FLORIDA 3!?RAT{�.S.117 } f�
OWNER OR AGENT . '_�___�� `� �� CONTR,AG�`TOR
Subscribed ancf swam or afflrmed}before me lfi1� S4bscrlbed and swam to(or aff(rmed}before e thls
by bY
Who is/are ersonally known to me or has/have produced Who is/are personally known to�e or has/have produced
� � as Iden�flca�on. as Id H�caBo�.
�
'� `y
i i � f
� ,�,.ti�i:'r"y'� . ACON tc.�.....-
�,�;,, , .,, a ry Pubiic . Notary PublEc
.`q . -M. .
� -�z := C�mmission#FF 737473 Camm � �:= P��gs June 29,2018
Commisslo J; . :_ ..� ,�� ''
,
% � �'FjiR� °.�`` Bomfad TIw Troy Feen Inaaence 006385�7019 � `
l/
hlame Qf�Natary typed,printed or sfamped Name of Notary typed,pr�nted or stamped
e '
. J i�
, / ��� �1.7 c.`'� :.��
f Ilf� y�* � � ���� .8 ����
�� � i R f. .
..n� � � � � � ,� � � Pf��P0��1,L
G�C��8�7�
12232 !i{l�301 DADE CI71� (352j 521-�k977 � . - _--
QADE GBTI(, FL.3352�a ���'F9XRFII�.LS�813�T79-959s ; .,`} y" �
� — t 1 — S"1�-� Gc�.�.�� .
� !K �,�+�. �5 �'rc;��-=�.
Vd��tJ 9-'i"1-.. �i.�I.... °.
NAME: M�f�t L�@ P&CS411S C}8te:, 12/16/14 � SPI.lT SYSTEM- __ . �- PKGt7N4T 'XX�
SUBDIVISIC�IV: � MF�TPUMP _ L
Aa���ss: �204 str�s� :-'-,.= �. �:-_:-:. C�(��J`� :�,�=3,�.:'.:,.r;;.: ." .:
cirr. � �Zephyrhills ziP cac�E. 33542 c oErvsER: PPH2RD042K
PHONE: 813-715-1925 WdRK. IR HANDLER: �
. CELL: �+Qv�2 �Gv'1r.,G;nS RE ER: � j i � �... EaTER: K3HK008H01 B
ESTIMATOR: ChCIS cs�' �1� � ND: MA�AG
�`; •'`i,<'='"± -�.t'i=�*r`'�':v.�,l:tV�t.:x��6�`�f".R�t-Q�J^'��L. , . , ' SE RATthlG: �� � �,�7�J.{}�}
� PRO 3000tTHERMOST'AT/GQOD —' ,� ' � �- ��
PRO 5000 THERMOSTAT t BETTER ~ ::�, _: .°
PAD CONDENSER: PPAZRFX4HKA
DISCONNECT AtR HANDLEft:
AtdCHOR CONDENSEF2 H�T�R: H3NK015H01 B
7AX,LABOR AND PERMIT s�uNO� MAYTAG
SHROUD '(�' : C��� Q SEER RATltVG: �I rJ � �i,��JO,�O
10 SUPPLY VENTS
2 F2ETURf+i IYENTS _ _ ,
ALL DUCTWORK AND GRILLS CONDENSER:
ELEGTRtC INCLUDED A(F2 FlANDLEF2: �
ALL DUCTWCIRK ANIJ GRILLS FiEATER: �
`� BRAt�tL}: �
SEER RATING: � #I�IJ�Q
�
, z �, s - � ""WAF2RANTY„�_ - -,... _-
.., . . ,. ...... .. , . ,
,;,; . ,_,,,, ., .�- - -
,•�.�,
- ��= connPR�sso�: 12 YEARS
�,.., . ,�,.,.,.,� ...�...,-1.,K. .._..,:... ..:�_: _. .. , , -.._ . ._�., .� _ . . .
I HAVE THE AUTHORITY T6 OFZ�ER THE WOftK 4UiL1NED ABOVE. I AGREE THAT SEILER PARTS: �I�YEARS
RETAIN$TITLE TO EQUIPMENT ANO MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT I.ASOR: 1 YEAR
IS NOT MAQE AS AGREED,SELLER GAN REMOVE SAID E(2UEPMEN7 AND MRTEEiIA�S AT EXTENDED 3ABOR WARRANTY: NO
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMQVAL SHALL NOT BE `- , , ` ' �' �' �=�-' ' ` ' - � .- _
THE RESPQNSiB{lf4Y OP 8ELLER. LIMETED WARRANTY'EQUtPMENT,PAftTS AN6 MATERIAL ' ` - -
t{AS WRiTTEN MANLtFACTURER'S WARRASJTY 4NlY
ALL LABOR PERFQRMED BV CHRIS'A/C HAS A 4NE YEAR
CC)$TQMER SIGFtIATURE C}ATE: WARRAN7Y CHRIS'R1C MAKES At0 QTHER WARRAMTtES