HomeMy WebLinkAbout15-15935 CI OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 159 5
:, B ILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15935 Address: 4801 AIRPORT RD STE 112
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: 13-26-21-0130-00100-1120
Improv. Cost: 3,600.00 OWNER INFORMATION
Date Issued: 1/22/2015 Name: KREBS DOROTHY J TRUST
Total Fees: 55.00 Address: 11542 GRAND LEDGE HWY
Amount Paid: 55.00 LAKE ODESSA MI 48849-9202
Date Paid: 1/22/2015 Phone: 813-715-2706
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
CHRIS'A/C CO. C CHANGEO 55.00
�
In e ions Re uired
UCTS IN TALLED
DUCTSINSULA ED .
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 fo lowing 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 f� 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 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 O inances. NO OCCUPANCY BEFO C.O.
CONT OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE TION - 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
a»-.a�,�� city ot Zeph rhilis Permit Applicatian Fax-s�a-fi�aoo2�
B Ilding Deparhr►ent
Data Recelved �•p'��• �� phone Gon at for Permittin
sa_. v� _�., .����
Dwner's N�me;. � CD;;-O' 7. � � ' :� � '�C)vvrie��Phone'Numbe'r✓' :�'/.j� ' �/,�' a�Q�
, ;`n-� ¢ `: ',`;.5'... �V �[' � '�:,r�.'�..;t;��: r.�� � ,r:�;:,i,�: `�. �
Dwner's Addr`ess O Q' "' s%'��� Q/`� /7' � �,O�+irier Phane�Number«�°.�,�.._, .
Fee Stmpie Titleholder Namev Y Aw�ter Phone Number '� �
. , ; s
Fee Stmpte Titleholder'Address - - -
JOB ADDR�SS • �OT# �___r�
5UBDIVISION �d X �t��t_r�cfDS' 1 PA CEL 1�# � � 04 l � � " d ��} 1��
, (OBTAINED FROM PROPERTY 7AX NOTICE)
IMORK PRQRQSEb e NEW CpNSTR 8 AD /ALT . L� SiG(V Q [� DEMO�RSN
DC INSTALL RE AIR
PROPOSED USE Q SFR Q CO M � OTHER
TYPE OF CONSTRUCTION Q SLOCK Q F ME Q , StEEL Q
DESCRtPTtON OF WORK 1�� � �S /F�J
SUILDIHG SlZE �� SQ Ft?OTACaE !�lE1GHT ��
QBUILDiNG �_-----� ' �/ALUAT ON OF TOTAk.C4�ISTRUCTIOR!
QER.ECTRICAL �—� ANlP SE VICE � PROGRESS EIVERGY- � W.R.E.G.
QPLUMBING �S�� .
�MECHANICAL $ �r � VAI.UAT ON OF MECHANICAL INSTALLATION '
QGAS Q ROQFING [� SP CIALTY [� OTHER '
=1NSSHED FLOOR ELEVATtONS � � FL OD ZONE AREA QYES NQ
3UILQER __ GOl!lP/elMlr _ - - - -
9Zi"`aA1A3lIr`�IE- - - - - ` � REGISTERED Y J N FEE CURREh Y/N
Acldress Cficense# �� �
°_I.ECTRtC1AN � � COMPANY
31faNATU12E � REGISTERED Y J Fi FEE CURRE� Y/M
Address _ l.Icense# �� �
�LUMBER - � COMPANY -
3iGNATURE - ttEG�sTEr�so Y! N �E cu�x�n ` Y/N '
Address Llcense# �� �
AECHAIdICAL /�-'��� ,,,,. COMPAlVY , /'%� `� O�''M - CZ,R�j
31GNATURE ZL%�2i�'C� �' �' REGISTERED Y N . FEE CURRER 1d
� ' l.icense# �!'�� �,,.�r���'�
Address o�c�. GrtJ� , Q
)THER COMPANY I
�IGAiATURE ��s7EREO � Y! N FEE GURREA Y 1 N
Address License# � �
tESIDENTiAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permit for new construcHan,
Minlmum ten{1Q}wodcing days after submlttal date. Ftequited onslte,Construct[or�Plans,8tormwater Pians wi Sitt Fence)nstalled,
Sanitary Fadll�es&1 dumpster;Site Work Permit i r-subdivislonsAarge proJects .
:OMMERCIAL Attach(3)complete sets of Building Plans plus.a Lif Safety Page;(1)set af Energy Forms.R-O-W Permit for new consUvction.
Minlmum ten(10}woriclrtg days after submlttaf date. Requlred onsite,Canstructlan Plans,Stormwater Ptans wl S11t Fence installed,
Sanitary Faciii8es&1 dumpster.S(te Work Permit f r all new projects.Ali commercial requirements must meet complfance
�IGN PERMIT Attach(2)sets ot Engineered Plans. - ,- -
:*"PRt?PER'tY SURitEY required for a11 NEV1t con ction.
qrectlons: y
F411 au#appllcaUan a�mpletely.
dwner&Contractor sign back of apqlication,notarized '
IT over S290d,a Notice of Commencement is.required. {AIC u grades aver;7500)
' Agen#(for the conhactor}or Power of Aftomey(for the owner)wou be s'omeone wtth notaKzed letter from owner authorizing same
IVER TWE COUN7ER PERMITTING {Front of AppUcaBon Only)
,eroafs if shEngles Sewers Servlce Upgrades NC Fen s{PtoUSurveytFootage}
Driv,eways-Not over Counter if on public roaclways..neads 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 compliance with any
applicable 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 thfs 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.
__..'fl3ANSPOR7'At101d IMPACT/d1TILiTIES_.IMPACT AND_RESAURCE_RECOV�RY 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 °certifcate 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 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.
CONSTRUCTIOPI LIEN LAW(Chapter 713� Florlda 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 certi_fy 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 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
ce�tify that I understand that the regulations of otfier 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,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Department of Health 8 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 flll� "
- 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 certify tfiat use of such fill will not adversely affect adjacent
properties. If use of�II 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 flll, 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 a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, orrother installations not specifically included in the application. A
permit issued shail 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 Buiidirig 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
justiflable 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING� CONSULT
WITH YOUR LENDER OR AN ATTORN Y BEFORE RECORDING YOUR NOTICE OF COMME CEMENT.
FLORIDA JURAT(F.S. 117 3 �
OWiVER OR AGENT ��'� CONTRACTOR
Subscribed and swom to(or afflrmed)before e this Subscribed and swom to(q affirmed)b ore me this
by . bY
Who(slare personally known to me ar has/have produced Who Is/are personaliy known to me or haslhave produced
as Identlflcadon. as IdenBfication.
� '�'—' tary Public Notary Public
,,��,,,,
,••':ey,e�,, JOEL E.BACO Commiss '"'Y�'�••
Commi .�. �� ,.
' :�; :a: Expires June 29,2018 =*� r Commission#FF 137073
Name of Name of N .�.,�;p� rA�r�l� �eoo.�ao,9
__,.� ' SEI�VICE ORDEF2
� C H � I S /C \ / INVOICE
� � V ��
i � •
�'' C O NI P A Y Zo��2
;��. _
CACO58575
� 12232 H1NY 301 Di4DE ITY (352) 521-4977
DADE CITY, FL 33525 ZEPHY FIiLLS (813) 779-9515
BILL TO:
Foxwood Condos
SPLIT SYSTEM X PKG UNIT
NAME: Dorothy Krebs DATE: 1/22/15 MODEL# 24HX8 R410A TXV
ADDRESS: 4801 Airport Road, #112 SERIAL# X12B727770
CITY: Zephyrhills ZIP CODE. 33542
PHONE: 813-715-2706 WORK: MODEL# 4
CELL: RENTER: SERIAL# ESG140703537
TECHNICIAN: DATE: 1/22/15
PROBLEM REPORTED• BRAND: Frigidaire
` � ..DESCRlPT}QN OF WQRK PERFQR .ED � ' . " � ' '1tVARRANTY� ,
Frigidaire 2 ton a/c split system, 8 kw heater, Pr 3000 digital thermostat, PARTS & LABOR
pad, cQnnected to existing, electric, tax, permit, I bor included PARTS ONLY ^ I
Also seal ducts per code START UP . 1/22/15
, .. . . "
,. . . ,.
- „ � �'REC"ONlMENDATtONS MISC�` ` -
�... . .... . ..... . ... . .
5 year compressor
year parts warranty
- ° ` � PAYMENT � . _ � year a or warran y
CHECK# DUE: CASH: �
„. .. �, ... __.. ... ,..�, _
CREDIT CARD#: SUCTION PRESSURE.
CARD TYPE: � LIQUID PRESSURE:
APPROVAL CODE: TEMP DIFFERENCE:
EXPIRATION DATE: FILTER.
. . ° . , � � � . �. - , • DRAINING PROPERLY:
I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE HICH HAS BEEN ~ ` ` „ - -
SATISFACTORILY COMPLETED.1 AGREE THAT SELLER RETAINS TI LE TO EQUIPMENT �
AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT IS OT MADE AS LIMITED WARRANTY EQUIPMENT,PARTS AND MATERIAL
AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIAL AT SELLERS EXPENSE HAS WRITTEN MANUFACTURER'S WARRANTY ONLY
ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE T E RESPONSIBILITY ALL LABOR PERFORMED BY CHRIS'A/C HAS A ONE YEAR
OF SELLER. WARRANTY CHRIS'A/C MAKES NO OTHER WARRAfJTIES
3600 00 - •
---------�------ � --- �- -
TOTAL: �
CUSTOMER SIGNATURE DATE: