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Home My WebLink About15-15977 ; CI OF ZEPHYRHILLS � - 5335-8TH STREET `' -�- (sis)�so-oo20 1597 B ILDING PERMIT , PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15977 Address: 4527 BLOSSOM BLVD 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: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-0170-02000-OODO Improv. Cost: 6,575.00 OWNER INFORMATION Date Issued: 2/16/2015 Name: PREBBLE KELLY BRUCE & JEANNE LYN Total Fees: 110.00 Address: 13033 19 MILE RD LOT 139 Amount Paid: 110.00 GOWEN MI 49326-9646 Date Paid: 2/16/2015 Phone: 813-702-6325 Work Desc: A/C CHANGE OUT 2 TON /ELECTRIC CONTRACTOR S APPLICATION FEES U AIR ONDITIONING A ING A/C CHAN EOU 70.00 ELECTRI AL FEE 40.00 CARLOS MARTINEZ ELECTRIC INC � � ' �� - � � � � \ � : LJ � In ections Re uired DUCTS INSTALLED DUCTSINSULATED FINAL Z-L� - 2� 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 corre ions not made when inspections called d)work not ready for inspection when called e) permit not pos ed 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 county, and there may be additional permits required from other governmental entities such as water m nagement, state agencies or federal agencies. "Warning to owner: Your failure to record 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 recordi g your notice of commencement." Complete Plans, Specifications Must Accom any Application.All work shall be pertormed in accordance with ity Codes and Or inances. NO OCCUPANCY BEFO C.O. C T �CTOR SIG RE PERMIT OFFI R PERMIT E PIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION CALL FOR INSPEC ION - 8 HOUR NOTICE REQUIRED PROTE CARD FROM WEATHER 813-780-0020 City of ephyrhills Permit Application Fax-813-780-0021 � Building Department • "'i Z � � �� Date Recelved Phon ContactforPermitting `Z'� � � � Owner's Name C(A (?\ �, � Owner Phone Number � J � 7 DoZ'(��Ja Owner's Address �'1��, Owner Phone Number ��O�U� d"� � . 5 Fee Slmple Titleholder Name Owner Phone Number Fee Simple Titleholder Address I JOBADORESS �`J LOT# � sue�ivisioN D t� C:`S CEL ID# {5= L�- l- U1�io �,c,ei-- v� o (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR� ADDIALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK �Q FRAME � STEEL Q DESCRIPTION OF WORK C G�� 'T6h \P S\S BUILDING SIZE SQ FOOTA E� HEIGHT � �BUILDING $ LUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ M��`�.� MPSERVICE Q PROGRESSENERGY Q W.R.E.C. ' ., QPLUMBING $ I `�MECHANICAL $ ALUATION OF MECHANICAL INSTALLATION • �� QGAS Q ROOFING Q SPECIALTY � OTHER � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IELECTRICIAN � /!/ COMPANY �.��I�S 1 1 �Q.�'��(�Q2, GIEL.O�IC+�—�L. SIGNATURE / REGISTERED Y/ N FEE CURRE� Y/N Address ��00� N2 � t7C� ('T1��. U!Y< L 5�(0�0� License# C � .� ' PLUMBER CqMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N� Address Lfcense# MECH CAL �COMPANY �is. /y)��(.,P317�/�alJf nC SIGNA URE REGISTERED Y/ N FEE CURREA Y/ _ Address �"�� 3��Ave �/� �L 3�(O�Jp� License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# 111111111111111111111111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building lans;(1)set of Energy Forms;R-O-W Permit for new constructfon, Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Wo Pertnit for subdivisions/large projecls COMMERCIAL Attach(3)complete sets of Building Plans plus a Lifa Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after sub ittal d81e. Requlred onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster Site Wor Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Pians. ""PROPERTY SURVEY required for all EW construction. Directions: FIII oul application completely. Owner 8 Contractor sign back of application,notarized Ii over$2500,a Notice of Commencement Is requlre . (A/C upgrades over$7500) " Agent(for the contractor)or Power of Attorney(for the o ner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMIT77NG (Front of Applica on Only) Reroofs if shingles Sewers Service Upgrades A/ Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..nee s ROW ' •' � NOTICE OF DEED RESTRICTIONS: 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 responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor 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, th the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended cont actor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the asco 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 appli ion for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is ot properly licensed and is not entitled to permitting privileges in Pasco Counry. TRANSPORTATION IMPACT/UTILITIES IMPA T AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse ecovery Fees may apply 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 90-07, as amended. The undersigned also un erstands,that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transp rtation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final p er release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prio to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit i suance in accordance with applicable 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 provi ed with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Dep rtment of Agriculture and Consumer Affairs. If the applicant 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 commencement CONTRACTOR'S/OWNER'S AFFIDAVIT: I c ify that all the information in this application is accurate and that all work will be done in compliance with all applicable I ws 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 or installation has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning egulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of ther govemment agencies may apply to the intended work,and that it is my responsibility to identify what actions I must ake to be in compliance. Such agencies include but are not limited to: - Department of Environmental Prot ction-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatme t. - Southwest Florida Water Mana ement District-Welis, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls Docks,Navigable Waterways. - Department of Health & Rehabili tive Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agen y-Asbestos abatement. - Federal Aviation Authority-Runway . I understand that the following restrictions appl to the use of fill: - Use of fill is not allowed in Flood Z ne"V"unless expressly permitted. - If the fill material is to be used n Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be su mitted 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 i 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 a y area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found t adversely affect adjacent properties,the owner may be cited for violating the conditions of the building per it issued under the attached permit application,for lots less than one (1) acre which are elevated by fill,an ngineered drainage plan is required. If I am the AGENT FOR THE OWNER,I prom se 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 licen e to proceed with the work and not as authority to violate, cancel, aiter, or set aside any provisions of the technical code ,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,constr ction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is ommenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a p riod of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Buildin Official for a period not to exceed ninety(90) days and will demonstrate justifiable cause for the extension. If work cea es for ninety(90)consecutive days,the job is conside ndoned. WARNING TO OWNER: YOUR FAILURE RECORD A NOTICE OF COMME EMENT MAY RESULT IN UR PAYING TWICE FOR IMPROVEMENTS TO OUR PROPERTY. IF YOU INT N�TO OBTAIN F C G,CONSULT WITH YOUR LENDER OR AN ATTORNEY B FORE RECORDING YOUR NO OF C� CE T FLORIDA JURAT(F.S.117.03) OWNER OR AGENT , CONTRA OR Subscribed and swom to(or affirtned)before me this Sypsc'be and s ( ffirtne� e e�th' by i�—7v—J_-`�i by Who is/are personally known to me or has/have produced Who islare personally known to or haslh e produced as identification, a identification. Notary ublic Natary Public Commission No. Commission No. Name of Notary typed,pr(nted or stamped Name of Notary typed,printed or ,,?q;�::ey;�,, CRISTINATURCOTTE ,; „ NfY GOMMISSION�FF 027671 ; :'a; EXPIRES:kugust 3,2017 �%'�,�of��yQ:�`� Bonded Thru Notary Public Underwriters State License# .�.I��c� CAC056871 � ��o R-r� � � �� Con��i� ��at�� o co��NSO� �°�° �� a�c��t�a��ax� , . � � � � Liquid psig ��E�'THR�� ` - suction psig 5�27 13TH AVEI�TiJ]E9 P+TEW ��R�' I2ICI��+�', �'L 3465�, � (727) 846-��g� • (��0} �4�-8�fl� Fan Amps NAME � E � �� SUBDIV oN Compressor Amps qpDRESS TONNAGE /P S/C PACKAGE Heat Recovery � ❑ ❑GAS -22 ❑aio-,a COf1tclCtOPS CITY / STAT� ZIP COND.MAKE YRD AIH MAKE Q� YR��j ..e.� �i Capacitors PHONE _ � ELL� _ ODEL# MODEL# � Safety Kit EMAIL �22 SERIAL� SERIAL# oil Motor RECOMMCiVDATIONS DESCRIPTIOfV► OF WORK • o Add Refrigerant Cond.Breaker � v � �� "Cond.Coil ��C- s Accumulator � �'�'� AIR HANDLER � � � " b .3 -�'. Fan Amps . Drain Tabs , � � ,�. K.W Size � ' Relays Duct System ; Tighten Electrical CUSTOMER SURVEY PLEASE INITIAL a �� Unit Rusting 1. Was the representalive helpful in answering all your ques�ons �Yes — No A4tic Insulation Z, Was the service performed in a professional manner? �Yes _ No *Evaporator Coi 3. Did the representative fully explain the services . � -� • � � sue- Temp.Drop �— performed or any additional services to be performed ` / AIH Breaker# 7 V I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO TOTAL �� O in a professional and non-pressuring manner. Yes — No SO ORDER AS OUTLINED ABOVE.IT IS AGREED THAT THE SELLER TRIP T•Stat ❑�Ig Merc�Zone 4. Was the work area left neat and clean? Yes _ No WILL RETAIN TITLE TO ANY E�UIPMENT OR MATERIAL FURNISHED CHARGE � � UNTIL FINAL 8�COMPLEfE PAYMENT IS MADE,AND IF BAIANCE IS PROT CTION 5. Would you recommend U.S.AlC&Heafing Yes — No NOT MADE AS AGREED,THE SELLER SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY TOTAL �O�5 GO Ev(U� M EfVT 6. Overall,how would you rale the value you received from U.S.Air Conditioning and Healing? DAMAGES RESULTING FROM THE REMOVAL THEREOF ALL SALES ARE FINAL.NO EXCHANGE/REFUND ETC. Excellent GOOCI_� Fair Poor I AGREE TO PAY ALL COST OF COLLECTION,INCLUDING DOWN PAYMENT UItP8VI0I@t SySteRl ATTORNEY FEES.STATUTORY RETURN CHECK CHARGES APPLY. Air Cleaning System pARTS WARRANTY�AII paAS as recorded are warranled as per manulaclurer specilications.We do nol guar- KE CHECKS PAY E:U.S.A/C&HEATING CORP. ❑C ❑CK.# anlee olher parts Ihan Ihose we install.II repairs laler become necessary due lo olher delecfive parts,they will /.� rl Il�hole House HEPA be charged separately.olhenvise 30 day warranty on all parts and labor. � •C•C./� L�� NEW EOUIPMENT:Federal Taz Credil will nol be acknowledged unless stated on lhe invoice.Musl meel Federal X — � Dehumidifier S stem uidelinesto ualil.One earlaborlromdateolinslall.Customerisres nsible�ore istere ui menllorwarranl. TE ICIAN'S GNATURE ❑FINANCE -�•s`'�`J � 9 Q Y Y Po 9 Q P Y �„�n„�;. 'PLEASE NOTE.There will be an addilional charge lor chemically trealed cleaning. BAI�,NCE DUE Q � NO WARRANTY EMERGENCYSERVICE.AIIPMAandwarrantyserviceisbetween8:00am-S.00pm,Monday-Fridayexcluding X _ UponCompletion �egal holidays.A�I other work subject�o additional charges. CUSTOMER AUTIIORIZED SIGf AT RE ON DRAIN LINES 1?112-INV �C� �� TECHii TMN is . �