HomeMy WebLinkAbout15-15928 CI OF ZEPHYRHILLS
5335-STH STREET
�' (813)780-0020 159
- �~ B ILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15928 Address: 37401 WEDGEWOOD DR
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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0720
Improv. Cost: 4,395.00 OWNER INFORMATION
Date Issued: 1/20/2015 Name: WILFONG FAMILY TST JAMES &PEGGY
Total Fees: 60.00 Address: 37401 WEDGEWOOD DR �
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/20/2015 Phone: (813)782-2186
Work Desc: A/C CHANGE OUT 3TON
CONTRACTOR S APPLICATION FEES
BA R' PROPANE A C,I . C CHANGEOU 60.00
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Ins ections Re uired
DUCTSI STALLED
DUCTSINSULATED
FINAL�'� -{� -�
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fol�owing 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 p�rmit, there may be additional restrictions applicable to this properly 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 anagement, 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 Or inances. NO OCCUPANCY BEFO C.O.
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G.�7.�'L
NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
a�s'�sa-oo2o City of Zephyrhilis Permit Appiication Fax-a��-�saoa2�
, Building Departmenf
Date Received phone ontact for PermYtting �� ��� -- �a��
Owner's Mame l���b/V J� d�C'LL�� Owrner Phane Rlumber D ����go`�' c,�/�
Ov+mer's Address ��T�! � c°..��Q,? � Owner Phane Mumber � �
Fee Simple Titlehoider Name �ir` � � Owner phone Number ��i �
. � I
Eee aimple Titleholder Address ,_
`,
.'
Joe aoa�ESS ��'��'d � - o � 4 � . ��ll�s ��S`��- Lor� �� , ',
SUBDI!lISION W��G'L�PJD�G1� ��� PARCEL ID# � �� �` �/�D L���Q ���
-- ----______ ,.r__ _��_ ,--�._
- —�--. - - - _—_--_____.
{08TAINED FROM PROPERTY TAX NOTICE) �" ` -� " ~� - `
FMORK PROPOSED NEW CONSTR ADD/ALT C7 S1GN Q Q DEMOLISH
tNSTALL REPAIR
PROPl�SED USE Q SFF2 Q CflMM � � OTHER
'fYPE OF COMSTRUCTIOM Q BLOCK Q "�FRAME �� STEEL Q
,�/�,., I �ry
DESCRiPTION t�F VNORK �� �f�"/'y'i�i� L�{'""'L�C�' � � '��} �C ,G,/�?°Z pn/`e/��" }
BUILDING 51ZE �^ !� SQ F(1pTAG�[_� HEIGHT ���
� �� V LUA7'lON OF TOTAL CONSTRUCTIC7N - �
BUILDING $ �—. �
[�ELECTRtCAL $ A P SERViCE Q PROGRESS ENERGY [� W.R.E.C.
[�]PLUMBING (�6� , � /�rr.-a Y�
� j �� �.,�.,
QMECNANICAL $�1��� �� V LUATION aF MECHANICAL INSTALLATlON
_7
[�CCAS Q F200FING [� SPECIALTY [� QTHER �j2"`� � �
PINISHEQ FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
�UILDER COMPAtdY -
SIGNATURE REGISTEREQ Y I N FEE CURRE� Y I 111
Address License# ���r ' �
ELECTRIClAN CQMPANY
SIGNATURE REGISTERED Y/ N FEE GURRE� Y 1 N -
Addr�ss License# �—^ �
PLUMBER � CQMPANY
SIGNATURE REGISTERED Y/ N FEE CURREf. Y/N
dlddress License# �— ��
SIGMA URE� � 't-�. COMPANY �7�t� ���'1'il�CTi�-5't'D��
RECdISTERED Y/ N FEE CURREh Y 1 N
Aildress ��T 1 t..°l1,� /� �� � License# _�✓� ���% �C)�
OTHER • COMPANY
SIGPIATURE REGISTERED Y J N FEE CURREi� Y i N
1�ddress License# �� �
RESIt3ENT1AL Attach(2)Ptot Fians;(2}sets of Buiiding P ans;(1}set of Energy Forms;:R-U-W Permit for new canstruckion,
Minimum ten(10}worlcing days after subm ttai date. Required onsite,ConstnacUan Pfans,Starmwater Plans w!Silt Fence 3nstalled,
Sanitary Facilities&1 dumpster;Site Wo Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Buiiding P1ahs (us a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consknlction.
Minimum ten(10)working days after submitta(da#e. Required onsite,Canstrucfion Pians,Stormwater Pians wt Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Worl�Permit for aIt new projects.A{I commercia)reGuirements must meet compkiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'"*"PROPERTI SURVEY required for ali EW construction.
Direckians:
Fill out applicatian completely.
Owmer&Contractor sign back of application,notarized
!f over$254Q,a Nottce of Commeacement is requlre . (A/C upgrades over�7500)
** Agent(for the cpntractor}or Power of Attomey(for the o er}wouid be someone wlkh notarized letter from owner authorizing same
QVER THE COUNTER PERMI7TlNG {Front of Applica on Only)
fteroofs if shingles Sewers Service Upgrades A! Fences(Plot/Survey/Footage)
� �riveways-Not aver Counte�if on pubtic roadways..nee s ROW
NOTICE OF DEED 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 compli�ce witji any
applicable deed restrictions. °
UNLICENSED CONTRACTORS AND CONTR�ICTOR 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 licens�d and is not entitled to permitting privileges in Pasco
County. '
TRANSPORTATION IMPACT/UTILITIES IMPAC'T 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 occupancy" 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 issuanc�. 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 LAVV(Chapter 713, Florida Statutes� as amended): If valuation of work is $2,500.00 or more, I
certify 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. ' �
CONTf2ACTOR'SlOWIVER'S AFFIDAVIY: I certify that all the information in this application is accurate and thaf all work
will be done in compliance with all applicable faws regulating construction, zoning 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 regulations 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, WateNWastewater 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 Flovd 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 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.
WARfVING TO OWNER: YOUR FAlLURE TO RECORD �► N0710E OF COMMENCEINENT MAY RESULT IN YOUR
F'AYING TWICE FOR IflA�PROVEIIAENTS TO YOUR PROPERTY. IF YOU IfVTEND TO OBTAIN FINAfVCING, CONSl1LT
IINIIITH YOUR LENDER OR AN ATTORNEY�EFORE RECORDING YOUR NOTICE OF COM�IIENCEnAENT.
FLORIDA JURAT(F;�S:11,7.03) r �t , �•
OWNER OR AGENY� ' CONTRACTOR
Subscrtbed and sworn � or affirmed)be ore this Subscrfbed and s to(or affirmed be ore me this
by bY
Who islare personally known to me or has/have produced Who(s/are personally known to me or has/have produced
as Identtfication. as identificaGon.
Notary Public Notary Public
Commission No. Commission No. �
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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AND AIC �tvc. Air Conditioning 8�Heating
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4441 Allen Rd. • Zephyrhills, FL 33541 �r�-����r:_�n� ���r ���F?�-� ,Z,�;
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, . RECOMMENDATIONS _. � �'�� �� i°' �OU �(.�
Mnual Mai+�tenance Recommended by'All Equipment Manufacturers. I � 'i
Pressures Lo HI T-�tat � �
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' �(� 1 1 � O� i (1�I b�(./ �i �" ��•�� RE&RIGERANT R- LBS. 5 per Ibs. � I
/ �� � �J.�� � �� Cgn^�� Q L FILTERS x x ChangedMonthly I I
�y � "� c.� f
1 n C 1� �/ ^B' . FILTERS x x Changed Monthly � I
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❑ REGULAR ❑WARRANTY TOTALSUMMARY
Dehumidistat Settings: When here"ON", When Away�O%, T-Stat 0° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRAN'fY: All materials,parts and equipment are warranted by the manufactu rs' METHOD OF PAYMENT CALL i
or suppliers'written warranty only.All labor performed by the above named company is warrante For TOTAL i
30 days or as otherwise indicated in writing.The above named company makes no other warran es, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warrantie on
. �
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
II have authority lo order�he work oullined above which has been sahsfactoriiy completed.I agree Ihat S Iler PROG. W I C
retains title to equipmenUmaterials Iurnished until fnal payment is made.II paymenl is not made as agr ed, C��M# I
seller can remove said equipmenUmalerials al Seller's ezpense.Any tlamage resulting from said removal hall
nol he lhe responsi6iliry of Seller.NET 30 DAVS.A 7 1/2%SERVICE CHARGE WILL BE ADDED MONTHL TO �"
ALL UNPAID BALlWCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
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IICUSTOMER SIGNATURE DATE TOTAL �
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