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Home My WebLink About15-15901 � ✓� CI OF ZEPHYRHILLS � ; - ' 5335-8TH STREET (si3)�so-oozo 159�1 B ILDING PERMIT � PERMIT INFORMATION I LOCATION INFORI'dIATION Permit Number: 15901 ' � Address: 37436 MARTINDALE AVE 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: VALLEYDALE RO ASSOCIATION Est. Value: Parcel Number: 03-26-21-0170-00000-1440 Improv. Cost: 4,368.00 ' OWNER INFORMATION Date Issued: 1/09/2015 Name: LOOMIS THELMA Total Fees: 60.00 Address: 12215 CRUM RD � Amount Paid: 60.00 PLAINWELL MI 49080 Date Paid: 1/09/2015 Phone: (269)370-1959 Work Desc: A/C CHANGE OUT 3.5 TON � CONTRACTOR S ; APPLICATION FEES ALL TEC AIR 8�FILTRATI N LC C CHANGEOU 60.00 �- � �� P� L- ` - I � -- iS' �� In ections Re uired DU TS INSTALLED DUCTSINSULATED FINAL I - ,�" �S REINSPECTION FEES: Reinspection fees will complylwith Florida Statute 553.80 (2)(c)when e�ctra inspection trips are necessary due to any one of the fo lowmg reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corr ctions not made when inspections called d)work not ready for inspection when called e) permit not po ted on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this p rmit, there may be additional restrictions applicable to this property that may be found in the public records of this coun and there may be additional permits required from other governmental entities such as water anagem�ent, 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 int nd to obtain financing,consult with your lender or an attorney before record ng your notice of commencement." Complete Plans,Specifications Must Accom any Application.All work shall be pertormed in accordance with City Codes and O inances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED PROTE T CARD FROM WEATHER , � � 1 + si�-�saoozo City of Z phyrhilis Permit Application Fax-813-780-0021 : Building DepaAment ; ' i Date Received Phone ontact for Permitting ) m OwnersName `T�e(n�a liOpF�'�1 I � � — ��— -1 Owner Phone Number Owners Address P0��S C�vl/Y� � �10. 1�(h-l'�' �'! Owner Phone Number Fee Simple Tideholder Name �l0 � Owner Phone Number I Fee Simple Titleholder Address I JOB ADDRESS J l0 r n �7c�1 I e �7'V LOT# � i SUBDIVISION PARCEL ID� ��7^'��J ��"��`�Q� y y0 (OBTAINED FROM PROPERTY TA)C NOTICE) WORK PROPOSED e NEW cONSfR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME i � STEEL Q DESCRIP710N OF WORK �!� l.�(l ' V � �; 5 1-Ol1 ��i'Pln✓►� BUIL�ING SIZE SQ FOOTAG � HEIGHT � r-rr'rrr'e- �BUILDING $ V UATION OFITOTAL CONSTRUCTION QELECTRICAL $ A P SERVICE Q PROGRESS ENERGY Q W.R.E.C. . QPLUMBING $ O` �MECHANICAL $ �/� �i? V LUATION OF MECHANICAL INSTALLATION �`�� Q 0 �� QGAS Q ROOFING Q SPECIALTY� � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � ri .�I��....��..-.-..-...r..-r�...��r-.-.-..-.-..-r�.--r:.i� BUILDER COMPPNY SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N i Address I License# I ELECTRI CIAN COM PANY SIGNATURE REGISTERED " Y/ N FEE CURRE� Y/N i Address I License# PLUMBER COM IANY r— SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . i Address 1 License# MECHANICAL COM IANY I`I V� 1� \ A � vl�C SIGNATURE ' REGISTERED N FEE CURRE� Y/N � Address /�p ��l�Z v_/ I License# �Si� p� ( �p I OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i Address I License# Illlltllttlllllllllltlllltlt 11111111111111111111111111111111111111 � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PI ns;(1)se[of Energy Fortns;R-0.W Permit for new construction, Minimum ten(10)urorking days afler submi al date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work ermit for subtlivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans p us a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construIXion. Minimum ten(10)woriting days after submit al date: Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Faalities&1 dumpster.Site Work ermit for all new projects.All commercial requirements must meet compliance SIGN'PERMIT Attach(2)sets of Engineered Plans. ««PROPER7Y SURVEY required for all N W construction. �1-' 1-�5....-r.--r .-.�-.-.�-r6-1�-7..r..-r�..-r.....-r..-r..-..-r.--.-.�-.-r��1-�1-�� Directions•• Fill out application completely. ,., _ � Owner 8 ConVactor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) " Agent(for the conVactor)ar Power of Attomey(fordhe o er)would be i omeone with notarized letter from owner authorizing same OVER THE COUNTER PERMITI'ING (Fronl of Applicatio Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not aver Counter if on public roadways..need ROW � ' I { � � � , � ` NOTtCE OF AEED R�STRICTIOPIS: The unde signed understands that this permit may be subject to°deed"restrictions" which may be more restrictive than County regu ations. The undersigned assumes respansibility for compliance with any applicable deed restrictions. . UNLICENSED CQN7RACTORS AND CON7 GTOR RESPQNSiBI�i7tES: lf fhe owner has hired a contracfor or contractors to undertake work,they may be req ired to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, pth the owner and contractor mey be cited for a misdemeanor violation � under staEe law. If the owner or infended con#actor are uncertain as#o whaf licensing requirements may apply for the intended work,they are advised to contact the asco Caunty 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"cantractor Biack"of this applica ion far which they wi![be responsihie. tf you,as the owner sign as the I contractor, tha#may be an indication that he is ot properi i licensed and is not entitled to permitting privileges in Pasco Counry TRANSPQRTATiQN IMPACTlUTlLITlES lMPA T AKD RESOURGE RECQVERY FEES: The undersigned unde�stands that Transpartatian impact Fees and Recourse ecovery Fees may appiy to the construction of new buildings,change of use in existing buildings, or expansion of existi g buildings( as specified in Pasco County Ordinance number 89-07 and 9Q-07,as amended. The undersigned alsa un rstands,ttiat such fees,as may be due,wi!!be idenfified at the tirne af permitting. !t is further understood thaf Transp rtation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final pp er release: If the project does not invalve a certificate of occupancy or final power release,the fees must be paid prio ta permif issuance. Furthermore, if Pasco Gounty WatertSewer lmpacf fees are due,they musf be paid prior to p�rmit is uance in accardance with appiicabte Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,FI rida Statutes,as amended)� If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provid d wifh a copy of the "Florida CanstrucUon Lien Law--Nomeowner's Protectian Guide"prepared by the Flarida Depa errt of Agriculture and Consumer Affairs. tf the appticant is someone other than the"owner",I certify-that I have obtai ed a copy of the above described document and promise in good faith to deliver it to the"owner"prior to cammencement. � ' GOhtTRAGTOR'S10�11l�dER'S AFFIDAVIT i ce ity that a31 the irifo[mation in this application is accurafe and that a!(work will be done in compliance with all applicable la s regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work nd installation as indicated. I certify that no work ar insta!lation has commenced prior to issuance of a permit and haf ali work wiii be perfprmed to meet standards of ail laws reguiafing construcfion, Gounty and City codes, zaning r guiations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of her government agencies may apply to the intended work,and that it is ' my responsibility fo identify what actians I musf t ke to be in icompliance. Such agenciss include but are not timifed to: - Department of Environmentai Prote tion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterlWastewater Treatmen. - Southwest Florida Water Manag ment Dis�rict-Wetls, Cypress 8ayheads, Wefland Areas, Aitering Watercourses. " - Army Corps of Engineers-Seawalls, ocks,Navigable Waterways. Departmen2 of tiealth & Rehabilita ive ServiceslEnviranmental Health tlnit-Wells, Wastewater Treatmsnt, I Septic Tanks. I - US Environmental Protection Agenc -Asbestos abatement. Federa!Aviafion Authority-Runways. � ,_>.---�f<unders�and>that�the-fa!l,qwing restrictions appty the use o�filY��,.�s.�,�,�.�,.��z,�-„�.A>.�,,�r , - Use of fll�is not-allowed in Flood Zon "V"unless expr'essly permitted. `��'�- - ff the fi!!materia! is to be used in Flood Zane"A", it is understaod that a drainage plan addressing a "compensating volume"will be sub itted.at time o(permitting which is prepared by a professional engineer licensed by the State of Floride. - !f the fill maierial is to be used in lood Zone"A" in connection�with-a-pefmitted building using s2em waA construcfion,i certity that fi(1 wi(I be u ed only ta 61I the area within�the stem wall. - If fill material is to be used in an area, I ce�rtify that use of'such.fill will not adversely affect adjacent Iproperties. If use of fill is found to dversely affect acljacent propeRies,the owner may ae cited for viola5ng • the conditions of the building permit Issued under the attached permit applicatian,for Iots less fhan one(1} acre which are elevated by fill,an en ineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promis i�good faith to inform the owner af Yhe permitting conditians set forth in this affidavit prior to commencing canstructiorr. understancl that a separate permit may be required for eiectrical work, p(umbing, signs, weiis, poois, air conditioning, as, or other installations not specifically included in the application. A permit issued shall be construed to be a license o proceed�with the work and not as authority to violate,cancel,alter,or sei asids any provisions of the technical codes, or sha11 issuance of a permit prevent the Building tJfficial fram fheresfter requiring a correction of errors in pians,construc ion or violations af any codes. Every permit issued shall become invalid I unless the work authorized by such permit is co menced within six months of permit issuance,or if work authorized by � the permii is suspended or abandaned far a peri d af six(6}(months after the time the work is commenced. An extensian � may be requested,+n writing,from the Building fficial for a period not ta exceed ninety(90}days and wiil demonstrate i justifiable cause for the extension. If work cease for ninety(90)cansecutive days,the job is considered abandoned. � WARN(NG TO dWNER: Y.dUR FAIi.URE TO ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR - � PAYING TWICE FOR IMPROVEMENTS TO YO R PROPHRTY. IF YOU INTEND TO OB7AIN FINANCING,CONSULT , WITH YOUR LENDER OR AN ATfORNEY.BEF RE RECORDlHG Y011ft NOT(GE QF COIVtMENCEMENT. f FCORIDA JURAT(F.S.117.03) t/" /� i OWNER OR AGENT � CO ITRACTOR �dl.��( C 1 `� / l� ��G/��I O1� ��• I Subscribed ar�d swom io(or affirmed}before me this ' Subscribed and swom to(or a�rmed)before me this�— � by ( . hy Who is/are personaliy known to me or has/have produced Wholis/are personaliy known to me or has/have produced as idendfication. ' � i *y�+y`�`�`�;rif% .{ E .B {�N I C ss' #F 7 ' � Notary Publi '*� tary Public � �%�� ' Commission No. Cominiss n t3'bR:�:R�`�, ed'ItwimyFanins�ance&�6�3857019 I I i Name of Notary iyped,printed or stamped Name of Notary typed, nied or stamAed c i � � ' � I , I � I — —T3�-.T.^_.�b:".•5M1°�:�:r��1""+_v ,m^T'-.�a�r.�-c^v�..�^r�. -�-'—F 'v�C�..�" - ^'��'�::_..."'� - _ ' ' ''' _ -so�:2-.�...'^._"-\; I �a� ��10� - �t"-+t`�'''"w.�' .�'{�.'YY.c� ��y -,�,�,a��..f�'wy� _s ._�`-E '��LL ..-F^ r,fi"' .5,i?S- �j�j �I •�„'� ';'{vYi�S��L�.Xf+..�.�.�194.. �� " ku _ �r'u .t *�..,.8�$�.,yy��a�..i L_��,urz �)��r ��'� h 1' .. .._F ` r.' I�i �:i ; R.rx C r h g r,_. •�;• �,�-�''fy, �:- �J�� t.a�;��q;'r'(�4 r��tiKkk'� ,.�,�"a d� ��F:S>?Zt�''4�w;�f^rt�x f��„a�v:' '�"�`^ � ku�f b ? kr^ '� : k;{,`� �') �� G��}�q,�� c� (ra F'1'�v��y�4,7°`1-'��,;��F�'`"' �it,+-^•�^ i �s` r �..��' y I-[['[4';'""j a�e "+Ec�"�'r,l�Y,. � ��"_'� � � '�:'a•�?4 � � '��'� ;.��f�`',�;�7/ �fi } '�',:� 9 - �} T"b"� � .?3t,�'y e�%�� .� �'y .�;�,� �� .3 ..�f-�!;p�� ? 'm' 6 � r�;�i y1� r a ,p,��&r'� ±� � ��` �,�{, $i �"�i '�� '� 'ra 4s�".�� "� 'i E'� ��.i �q'�=��8 �� i�-x`� �f3 ,�� F ��is�`�� F��;�`�"�r �� : ! a�e I s ..� ,�a' � r � .� +,�i: 4A � , ��i��5"s 5� �2 f x �i 1 � �n �r rY'r E i;�., �, 'y�' � r �.• t,.� �:. � � 4' T, � '�x�. �y�; _ �.. s�. Q:�u' �1w €��:;��,�it �,�t f�.. `n"� �1:�n'_�;�.4:: �"�_ 1 �� y� ��. l��, �% ��:��;. i y,�•f1"s E$i �k" w� �3� �3. �Ii , _ 4t�,�,�:�, _ " s�,_ �;_�. �._�F,_ f.R��i��:6 �r �,,..'_� _ f �r' 4�� °4.J. �i:_ '..;k ,.re ':�2° :-a��_. -�=`J7� -.�F��,,,�.�i,_ ;k. ��-t -� m�l:_ ` -y 'i+°: � _ ..�' ",: �/ _ _ � •� y� ^°+:� 4- �::a �;;E � :!' ��. �.y ix•.,r�. .,.y.? as�..+..�e ':+s:�+ _.��'w l.:r�r:�x• �=k, � _ ,,t _ �I —p�,y � ' �W..e..i�^.'�i ��'YfGS�[k�°'q". ""d'.,;�.r� .:��C'.�`... ��"�� o-. (I A i' • �+ . � . .' ' YY:''a��;�".'T��e�,3,-�'.�,�-tB1'?�7'�a`��.a�.k n m.��.^;�::SY{wW+..h• �3��._��'4•_,.'�#'......._.._v_.__.-a....�F..a_......: .......a......._ ..�.-w..-.......-....a '�'.�xd lvl I ;� �� L'�.e�� g�, �,'��t��tn��s �+�3� •� ��t ��.�m��6�� a� ��.smi�.��s�G�CE��1�14196 ''` �i `-��'��T�e � �� Q��: :� ,4, � �, � , - � _.��,�__�_�_..�',,_.''�� `' ' ryir Conditioning&Heatin� ��'� �-�� -`� '_�%`(� ; x�-t�_.��g ��-��o�� ; ��9�'�� TI�l�/�"�."�['��o �T��'��'�A��A'�'a R =�Cl`�� '; Jeny�Nancy Guess (Same) � 374361i�iartindale Ave ��5`� � Zephyrhills,�'133542 269-370-1 59 nancyandmolly@gmail.com i , ; E-- �� --i� � � ��t��?�?��?��a�?�?�sE��'��: ��?��,��.r��'��'��,,;.��€�:��;.�e�'��z: �i � i� 1. 1 —Goodman fl3�3E�1[� Puron 410A(3 % on�eat Pump)�'ackage�ystem with�icw�eat , ,`� Facica�e System: CpPI�1336�i41 F�I 5677 71 � � �� 2. This Also Includes:Bigital'I'hermostat,2�1e Drain,F3iuricane�lab�i Straps for Pacicage System,Duct � � Cover and Permit. ; 3. Change Flex under home^'No Chas�ge � „ ti�^��oodmaFi l�arranty: (10 �ears P�s and 1 �e�r La�ior)�`��an�fl�u�ee� � ';:';:I�€��iclud�ng: {An��a•e-��is�i�g �o�c�itio� .�rigfl i al �„Iec��zc, =�.�d�u�t�J��) � d � tiLL 1VA�d�f�ll'iL� 1`��S' i]f U t3.d�t'�1V� L 1'l.3'%3�L"'3_G9 �g�S..A%'AFiEl' I�L� Vd�dt.l� 1�� C�li/�I,�TEl�II�T V�1�l��AT�TLI I�NT+T�It��R T'I�E Si_Tl� OF: ��➢ � �f��J�'��T��I�T�'�'��°+ ��1T��ID ��'��'E��T ��+�k��l�Q�f� ( �� l�N�'A�,TE�7'IOi�T�OiZ 1�3E�I�R.TICDN�F �IVi F�b,�fTE Vi1��gIr1VOL`JiI'JCi�XTsZF.COSTS f1JFLL � ' BE E�CUTED ON�.�'UPON�1JI�'T'�'EN RI��&2.Q;ND WILL,�ECOME AN��:TRA CHA�tCE � � OVEl�A.T�TD.4�OVE THE PRO�'OSAL A OUNT.ALL ACIREEMENT�COI�T�IVGENT UP01�1- ; , � �TP�IICE� �CC�UU�ItitTS i3EL��S�EYOI D�'riJR COIrTTFcGL�IVI3 ACTS��EiO�. - � � - I . , p / ' �N ; Respec�lly s�t�srnitted,�atricic�l nQ�--I . �xpires 30�ays � I� � 1�lanager, �FTl-Tech AiY �c FfltYation, LC j � � � �� ! �I �,��I�'�'�T � ��+'��IL �.'ou must provide all conditioa�al approved Permit Doc ents and provide one business day of your choice to stay } home,within 10 days of completing woric at your house f r City or�County Inspection.'i'he above prices,specif cations, a amd conditions are satisfactory a�d are hereby aceepted. u are authorized to do the worlc as specified. �� P�yments are as follows:��.,��,f�E�I2�,�e ac�Co�v ye��a(��,��.�;��ee�.��a•�ask�-�65��Q��=�3,9��'.€�Q) �I E�sstE�rg ��eee��t�e��t�1��-raret +�Esf�.6� (��aES ��e�[��e�z�e��e€�S�C��a�f�� I �' � ' �I , , � � �� E;,, �. f�,� �'rp�� i�� atE !;� �� Q ! � �� , �f �� „ ..� i ��,.`�� { �j ��J�d1�'��'�C�'2?� �g�`.�_+�_ 7i �:_�i��'"��,,.. . ��:,�j;... �f ., , . _.__r . .____�.�..._��__�,_,_____�._.�.:.��._z.-^,� - - - -_ _.:`._:.,.. ,....l ��e."Z:.:�.__..,.w,,.,...�5�_�-�_ wti_:...,._._n_........—�.�_��.. ^?��".�.,�...:L_::'�i""'...'A.°:�;��,M.�,��t..,.._ .. .:L .,,.�.�. •- _-,�""�u,�.a_.,..::�'"'_'_.��.:�•,^^•.�.��ia.iF!_'e'. y'"..:�_`=v�