HomeMy WebLinkAbout15-15899 �
Cl OF ZEPHYRHILLS
+ 5335-8TH STREk�'
{sis��so-ao2o 158. -
BU LDING PERMIT
PERMIT lNFt3f2MATiON � 1 -- LOCATION INFQRMATlON
Permit Number: 15899 ' Address: 3839 LAURE�VALlEY BLVQ L4T 33
Permit Type: MECHANIGAL ZEPHYRHILLS, FL.
Class of Wark: A/C CHANGEUUT Township: Range: Book:
Proposed Use: MiJBILE HOME SUBDIVISI(7 ; Lot(s}: Block: Section:
Square Feet: � Subdivision: MAJESTIC t�AKS
Est. Value: � Parcel Number: 24-26-21-Q000-00100-0330
Improv. Cast: 2,695.00 � - pWNER fNFORMATION
Date lssued: 1/08/2015 Name: NHGFL115 LLC
Tatal Fe�s: 5Q.00 Address: 3839 I.AUREL VALLEY BLVD LtJT 33
Amount Paid: 50.40 ZEPHYRHlLLS, FL. 33542
Date Paid: 1/08/2015 Phone: 517-648-6824
Work Desc: A/C CHANGE OUT 2.5 TON ' �
CONTRACTt3R S � l APPLICATlUN FEES
B ' PR PANE GAS& , N . C C AN EOU 50.40
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in ections Re uired
DUCT I T L E
DUCTS lNSUI�AT�D ���
FlRfAL (
REIMSPECTION FEES; Reinspection fees will omplylwith Florida Statute 553.80(2)(c)when extra inspectian
trips are necessary due to any one of the fo! aw�ng reasons; a)wrong address b) condemned work resulting
from faulty construc#ion c} repairs or carr ctians riot made when inspections called d)work not ready for ,
inspection when called e) permit not po ted on job site f} plans not at job site g)work not accessibte.
NOTICE: In addition to the requirements of this p rmit, thi re may be additianal restrictions applicable to this property that
may be faund in the public records of this county and there may be additional permits required from other governmentai
entities such as water anagem�ent, state agencies or federa(agencies.
"Warning to owner: Your faiture ta recor a notice af commencement may result in yaur paying twice for
improvements ta your properLy. Tf you int nd ta obtain fin�ncing,consult with your lender or an attorney
before record ng yaur notice of commencement."
Compiete Pians,Specificatimns Must Accom any Application.All wark shaN !�e perFormed in accordance with
Ci Cades a 8 dinances. NO CICCUPANCY BEFf3 C.O.
C NTRACTC?R SfGNATURE � PERMIT OFFi R
PERMIT EXPIRES IN 6 ONTHS WITHi3UT APPRt3VED INSPECTION
CALL FOR INSPE IUN�- 8 HOUR NOTICE REQUIREL�
PRQTE CARD FROM WEATHER
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� a��-�ao-oozo City of� phyrhiils Permi#Application �ax-813-78d-0021
y , euilding Department �
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�ate�eceived phone ontact f r Permittin ��3 7�� -- ����
Ov+tner•s Idame Cm°"'/ ���� L�-�. ' Cbwner 9'hone f�umber �� "LQ7'�'�'��
�vvuner's Address �! � ���� � ��G3 Owner Phone Idumber ��;
Fee 5ir�ple Titleholder ldame C i � Cf�vner Phone Idumber � �
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Fee Simple Titiehalder Address �
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,eo��►D�R��s �$�� l� �le- �v' . �'c� �7 �tt�s ��3v� �o�# �..�'
sca�t�c�sim� !?�1,�t-�t�� ���� P�►ricg�.sa# �� o�� �l �� d��.t3t� Q4�1.�
� (OBTAINED FROM PROPERTY TAX NOTICE)
MlO�t4t PROPQSED � NEW G{}NS7R ADDIAL � SSGN Q Q DEMt)�.tSN
INSTALL REFAIR
�9tOP03��CO�E SFR Q COMM C� OTHER
TYP�OE GOtdSTRUCTIOId Q BLOCK Q FRAME 0 STEEL Q
D�SCRIPTIOM OF H!►ORK �/�" ������� ��""� L ` �
��lt�.blRtG�iZE � � SQ FOOTAG �_`_�� IiE1G}9T �-_��
QSUtLDING $ � �/ ��A'TION OF TOTAL CONSTRUCT{t3iV
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QELECTRICAL {$6 �---`� A P SERVIGE Q PROGRESS ENERGY Q W.R.E.C.
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QPLUMSING � �y y� i �
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�MECHANIGAL $ � ��r"' �� V I.UATION'OF MECHANIGAL tNSTALtATlQ�I
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��AS [� ROOFlNG Q SPECIALTY � a���� �
F�IVISHED FLOOR ELEVATIONS L� � FLOODIZONE AREA QYES NO
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0tD{�DER i COMPdlNY
SIGId�►TUR� � REGISTERED Y/ N FEE CURRE� Y/N
Address � I License#
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�L�c���c�a� ' COi�IPAtdY
SIGiVNATUEZE � REGISTERED Y/ M FEE CURRE� Y/N
�ddress � I l.icense# �
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PL�tflflBER � G014lIPAh1Y
51G�NATURE � RE�ISTEF2ED Y/ N F6E CURRE� Y/N
�ddress i ( License# �-
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��CHAINICAL f��` � � Cf}4�PAIdY /�/�}` �P !" ��'-��o� - f
SIGRIATURE '""� i RE�GISTERED Y/ N FEE CURRE� Y/N
Address i � License# �,�,,,'�J�`I� °D
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O'�`H1�Q� I ���a1tNl�dlt�Y
SIGWa4TURE � REGISTERED Y/ I�I FEE CURRE� Y I N
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Address � license# �
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42E31��iNT9AL Attach{2).Ptot Plans;{2)sets of Building Pi ns;(1}se�of Energy Farms;Ft-O-W Permit for new construction,
Minimum ten(10)working days after submi tal date. Required onsite,Construction Pians,StormwaterPians wI Silt Fence instailed,
Sanitary FacUities&1 dumpster;Site Work ermit for subdivisionsllarge projects
CCii}fltUiE6tC1A� Attach{3}complete sets of Building Plans tus a�ife Safety Page;(1}set of Energy Forms.R-fl-W Fermit for new consUuc#ion.
Minimum ten(10)working days after submi kal date. Required onsike,Construction Plans,Stormwater Plans w/Siit Fence instalied,- - - -
Sanitary Facilities 8 1'dumpster.Site Work Parmit fariall new projects.All cammercial requirements must meet campliance
Slt'xM FERiNitT Atfach(2}sets of Engtneered Plans. ' i
"""'PROPERTY SURVEY required for all N W cons#rUction.
Directians: ;
Fill out application campletely. j
Owner&Canttactor sign back of appiicatton,notarized � �
lf over 52500,a Tdotice of Commencement ts required. (A/C upgrades oeer$7500}
'" Agent{for the contractor)or Power qf Attomey(for the o er)would be someone with notarized letter from owner authorizing same
O!!�R THE COURITER PERMITTIMG (Frant of Appticati n{?nty}
Reraofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) •
Drivev�rays-Not over Counter if on public roadways..need i20W
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P10TICE OF DE�D RESYRICTIOR9S: 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
applicable deed restrictions. w . ,
UNLICEIVSED COWTR�►CTORS AR1D COPI��tAC'�OR �ESPOFISI�ILIYIES: 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 owmer 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 contractocs, he is advised to have the contracto�(s) sign
portions of the "contractor Block" of this application for which they vvill be responsible. If you, as the o�nrner 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. � . _ , _
YR�4FV�POR'p'ATIOFd IMPACT/UTILITIE� IwflPAC�'�►P1D RE�OURCE Rf�COVERY 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 flnal power release. If the project does not involve a certificate of occupancy or
final power release, the fees must 6e 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 LY�N L�►IiV(Ch�pteP�93, fFloPid�Sta��te�, a� am�e�e�ed): If valuation of work is $2,500.00 or more, f
certify that I, the applicant, have been provided with a copy of .the "Florida Construction Lien Law—Homeovvner'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.
CO�fTR�►CTOR'S/OWIW�R'S AFFI��iiIIT: 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, zoriing 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 r�gulations 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 in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterNVastewater Treatment.
- Southwest Florida VVater Management District-VVells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewrater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Ftunv�rays.
I understand that the following restrictions apply to the use of fill:�
- Use of fill is not allowed in Flood Zone"V" uriless 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 AGEN7'FOR YHE OYiIRI�R, 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 fhe 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 �uilding 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 pecmit 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.
ifi9ARNBi�G-'T'O-OWN��:��YOUR �/Q,IL-URE-YO @a�CO�D-�-�lO'�lCE,O��OflflflAENCEE�EP�-T-_�fli�Y_�ESU.L�_IW YO.l3H�__._ --- -
P�►YIPIG'TWIICE fFOR IfiAPRO\/EflflENTS TO YOUR PRO�ERTY. IF YOl1 IAITEND TO OBTAIN FIIVI�WCIWC, COR➢Sl1�T
_ _WIITFI YOUR LEPIDER OR AW i�T7'ORIdfEY��FORE �LECORDING YOUR �lOTIC�O� COHAfiflEWC�i�iI�W�.
FLORIDA JURAT(F.S. 117.03) � , — � .. -- ---
_ � �
OI�INER OFt AGEN7 COP1Ti2�CTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and s �to(or affirmed)befor me this
by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced ,
as Identlfica6on, as identification.
Notary Public Notary Public
Commissfon PJo. Commission No. �
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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i Air Conditioning 8 Heating
Si��e �98� � !� �/� �p ; -- -
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4441 Allen ��_� ��4�'�rira� /� _ � � `� �`,; �_,;-; .h�;
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DESCRIPTION OF WORK QTY. I MATERIALS&SERVICES � " UNIT PRICE AMOUAJT
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RECOMfv1ENDATIONS , �v" � O� � `�-�' � �
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Arinual Maintenance Recommended by All Equipment Manufacturer . ' •�
� Pressures Lo HI T-S�tat i i
� f '� RE�RIGERANT R- LBS. $per Ibs. , I I
� \ 41G Gi J (�}n
,� � �1 G FILTERS x x ChangedMonthly I I
G. � C�C c'�l
� ' FILTERS x x Changed Monthly � �
____r_.�_ _r ; � LO REGULAR ❑WARRANTY TOTAL SUMMARY
�
Dehumidistat Settin s: When here"ON", When Away 60°!0, T-Sta 80° ' O MAINTENANCE CONTRACT � SERVICE i
—
LIMITED WARRANTY: I ra2terials,�ad e ui ment are warranted by Ihe manufa ers' i METHOD OF PAYMENT CALL i
or suppliers'written warranty only.All labor performed by the a l�amec�eom�2hy is warra ed for '
30 days or as otherwise indicated in writing.The above named company makes no other warr nties, ❑CASH ❑CK# MAT R�IALS ,i
express or implied,and its agents or technicians are not authorized to make any such�varran ies on '
behalfotabovenamedcompany. ❑D�EBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authoriry to ortler the work outlined ahove which has been salistactority completed I agree th t Seller j PROG. W I C I
retains htle lo equipfnenUmatenals furnished unGl fnal payment is made.II paymenl is not made as greed. CLAIM# �
seller can remove said equipmenUmaterials at Sellers expense.Any damage resulting Irom saitl remo al shall I � l � - � �
not be the responsi6ility of Seller.NET 30 DAVS.A 1 7/2%SERVICE CHARGE WILI BE ADDED MONT LY TO �
ALL UNPAID BAIANCES OVER 30 DAYS.NO REFUNDS DA IE COMPLETED
TECH: TAX �
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CUSTOMER SIGNATURE _ DATE CX�/Z o,cc TOTAL �