HomeMy WebLinkAbout15-16257 i
CITY OF ZEPHYRHILLS
� 5335-8TH STREEf
� �sis��so-oo20 1 6 7
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
', Permit Number: 16257 Address: 36841 CLUBHOUSE DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 04-26-21-0000-00100-0020
Improv. Cost: 4,695.00 OWNER INFORMATION
Date Issued: 5/07/2015 Name: S & R DEVELOPMENT LLC
Total Fees: 60.00 Address: 36841 CLUBHOUSE DR
' Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
' Date Paid: 5/07/2015 Phone:
Work Desc: A/C CHANGE OUT 5 TON �
CONTRACTOR S APPLICATION FEES
' BA R'S PROPANE A C, INC. C CHANG OUT 60.00
�,
I
Ins ections Re uired
DUCTS INSTALLED
DUCTS INS�II.ATED
FINAL - �
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following 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 permit, 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 management, 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 intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
, �
C NTRACTOR SI NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
$�3-?�o-oo2Q City of Zephyrhi{Is Permit Application Fax-813-780-OQ21
Bui{ding Department
L �
Date Received 8 f� ��c�- - ���,�
Phone Cantact for Permtttin
Owner's Name r � �1 G � � Owner Pbane Number O 1� ��'�'1�c�.�
Owner's Address /"p tPaCtp G-�/L,l,� Owner Phone Number � �
Fee Simple Tltleholder Name � � Owner Phone Nurt�ber �— �
Fee 3lmple Titleholder Address
JOB AUDRESS �4!-'��I � ��e �ji2, �/�/G�.S ��� LOT# [„i�
suedivisioN �- � pARCEI.ID# �T �� c�� l.�DdD ��� DG�,�G1
(OSTAlHED FROM PROPE{tTY7AX NQSICE}
WORK PROPOSED , e NEW CONSTR� ADD/ALT �] SIGN Q [� DEMOLISH
INSTALI. REPAlR
PROPOSED USE Q SFR Q C(JMM [�� QTHER
TYPE OF CONSTRUGTION [� BLOCK Q FERAME � STEE�. Q
DESCFtIPTIbN OF WORK �-°/I�,�)Ue gt C' IG�G°�? �T� � I� ,�,, �G� � �»7-lwtJe�V'�5
BUILDING SIZE �� � SQ FOOTAGE C.�� HEIGHT ��
QBUILDING �� VALUATtON OF TOTAL CONSTRUC710N
[�ELECTRICAL ($ � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�
QPLUMBIN{^a ($— � �,ry''}
� �� j .
OMECHANiGAI $ � VALUATiON OF MECHANICAL(NSTALLATION �'
y�O /�, DD
QGAS Q ROflFING [� 5PECIA�'iY �� OTHER
FINISHED FLOOR EI.EVATIONS �'� FLOOD 20NE AREA QY&S NO
BUILDER COMPANY
SIGNATURE REGI57ERED Y! N FEE CURRE� Y/(V
Address Lfcense# � �
ELECTRICIAN �� COMPANY
SIGNATURE REGISTERED Y! N PEE CURREA Y!N
Address License# �� �
PLUMBER COMPANY
SIGNA7URE REGISTERED Y/ N FEE CUF2RE� Y/N
Address License# � �
MECHAN1CAt )o_^ n*, co�rpaNV ,�►�J�i�S�d AitJe C�s`��,� TN'�
SIGNATURE ���� ��"'�'� REGISTERED Y/ N FEE CURREI� Y/N
Address 7T7"� �lP� ,� /GL License# r��G•v�� �f� �
���� COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � —�
RES1DENi1At. A#tach(2)plaf Plans;(2)sets af 8uilding Plans;(1)sef of Energy Forms;R-O W Permit for new construction,
Minlmum ten(10)worktng days after submittal date. Required onsite,Construckion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facifities&4 dumpster,Site Work Pecmit for subdivistanstiarge proJects
GOMMERGtAt. Attach(3}camplete sets af 8uildErig Plans pius a Life Safety Page;(1)se#of Energy Forms.R-O-W Permit for new wnstruction.
Mfnimum ten(10)working days after submittal date. Required onsite,ConsUuctlon Plans,Stormwater Plans w/Silt Fence fnstalled,
Sanitary FaciliUes&1 dumpster.Site Work Permft for aEi new projects.AI!cammerclai c�equirements must meet compiiance
SIGN PERMtT Attach{2}sets of Engineered Ptans.
`"""PROPERTY SURVEY required for all NEW canstruction.
Directior�s:
Ffll out applicatlon completely.
Owne�&Gantractar sign back of app{fca�an,notacized .
if over$2500,a Notice of Commencement is required. (AIG upgrades over S750Q)
" Agent(for the co�Vactor)or Power of Attomey(for the owner)would be someone with notarized letter frorrt owner authodzing same� �
OYER THE COUNTER PERMITIING (Front of Application Oniy} . �
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Faotage) � '
Driveways-Not aver Counter if an public roadways..needs ROW � � " � '
. .j' •" * ..'�.
f '4
NOTiCE t?F DEED RESTRtCTiOMB't The undersigned unders�tands°th�t this,p�rmit.may.be.subject ta°deed"restrlctlons"
which may be�mote-resttictive-than Gounky regulations. �The undersigned assurries responsibiitty fa�compliance with any -
appllcable deed restrictfons. _ .
UNLICENSED COIVTRACTClRS -AND -CONTR,�ICTQR RESPONSIBILITIES: If the owner has hired a contractar or
contractors to undertake work, they rnay be requlred-to be<Ilcensed In accordance wikh state.and�loeal cegulallons. If the
contractor is not licensed as required by Isw, both the owner and aonf�actar-may be cited for a misdemeanar viotation
under state law. If the owner or Intended�contractor are unce�tain as to what Ilcensing.requirements may epply�or the
Intended wark,they are advised to contact the Pasco County Buildlt�g Enspection D�vision—I.icensing Sectlon at 727-�847-
8009. Furkhermore, (f the owner has hired a contractor or contractor,�, he is advised ta have the cantractor(s) sign
porkio�s of the"aontractor Block" of thts app!lcatton for whlch they wlll be responslble. If you� as.the awner sign as ttis
cantractvr, that t»ay be an indicatian that he Is not.properly licensed and Is not ent�Hed #o permEtking privileges in Pasco
Counly. �
TRANSPCIRTATION IMPACTIUTII.ITIES-IMRAC�'ANb-RESaURCE RECOVEEtY FEEB; The undersigned understands
that T�anspartation Impact Fees and.Recourse Recove.ry.Fees may�apply to the construction of nevv buiidings, change of
use 1n existing baifdl�ge, or�expansion_of��exfsting`�bulldings, as spec!#led.In Pascv County Ord4nance number 89-U7 and
90-07, as amended. The undersigned aiso understands, th�it such fiees�:as�ma�r be�.due,:wili 6e identified at the time af
permittl�g. It is further understood that Transportatlon Impact Fees and Resou�ce Reco�ery"Fees must be paid prlar to
receiving a°cert�iaate of occupancy" ar fina! power.-rolease. :If the praject daes not involve a cert�tcate of occupancy or
final power release, the.fees must be paid prior to permft issuance. Furthermore;if Pasco.Coun#y Water/Sewe� Impact
fees are due�they must be-paid prlar#o permit-Issyance�in accordance with aRpiicabfe Rasco'County ordinances,
CONSTRUCTION LiEN LAW(Chapter 713� Fiarlda Statut�es�as�mended): if valuat(on af work ls$2,500.00 or more, i
certify that I, �he applicant, have�been provlded wl#h a copy of the "Florida� Constructlan� Lfen Law—Homeowner's
Protec#ion Guide" prepared by the Ftorlda Department af Agricu[ture and ConsumerAfFairs. If the appllcant is someone
other than the"owner", I certify that i have.obtalned a copy;of.the above.described dacurr�ent�and.promise in.gaod failh to
dei�ver it to the'owne�"pr�ot to�commencement, ' .
CONTRACTOR'S10WNER'S AFFIDAVIT: I.cerkify#hat all the lnf.ormation in this application is accurate and that all work I
will'be done in compliance with all applicable laws regulating constructlon� zoning and land development. Appllcatlon ts
hereby macfe ta obtain .a permit to do wark.and instailation as Indi�afed.� i certiiy that no wark or instaliat�on has
commenced prlar to issuance of a permit and that all work will be pert'ormed to meet standards of all laws regulaking�
consiructton, Gounty and City codes, zoning regulatlans, and land develapmer�t r.egulatlons-In the Jurisdtctlon. 1 also
certify thak I understand that the regulat(ans of ather gavernment agenc(es may�apply�to the intended wark, and that it is
my responsibflity to identify�what.acttons 1 must take to bedn..cotr�plfance: S,uch agenates fnatude but are.not limited to:
- Departmen# of Er�vironmental Protectton-Cypress.Bayhead�, 1Ne�and Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Vltater Managemert� DlsUict iNells, Cypress. Bayh�ads; Vltetland Areas, Altering
Watercourses.
- Army Corps of Engfneers-Seawaifs, Docks�Navigable Waterways.
- Department of Health & Ret�abiHtative Services/Environmenlai Nealth Unit Well.s, Wastewater Treatment,
Septic Tanks. � ,
- US Envlronmental Protection Agerfcy-Asbestos abatement.
- Federal Avietton Authority-Runways.
!understand t#�at the fopowing.restrtctions appiy to the use of flll:
- Use of fill is not allowed in Fiaad Zone"V"uniess expressly permitted.
- If the fill materfs�l (s to be used In �Fload Zone. "A", It. Is understood that a drainage plan addressing a '
"compensating voiume"witt be submitted a##ime of perm[ttin$which is prepared by a prafessfanaC eng#neer
Iicensed by the State-of Florida.
- If th� #iil ma#erlal is to be used In F#ood �ane °A° in�cannec#ion�wtEh.a�permitted buitd€ng using stem wa}!
� construct(on, i certify th�#fiil�:w►lll�:be used only to.f111 the area within the�stem�wall. ,
- If fll! materlal is ta be ased in acty area, I �aertlfy that .use. of suah flll wll! not adversaiy affect adjacent
praperties. tf use af filt is found to advers�ly:�tfect adjaeen#��properties, the owner may 6e cited tor violating
the condltions of the buflding:permi# issued�under the.attached permit applicatlan, for lots less than one (1)
acre whfch are e#evsted�by iilt;�rt englneer•ed dralreage plan is requlred. , .
if I am the AGENT FOR THE OWNER, I,;promise In goad faith to Inform the owner of the permitttng conditlons set farth in
this affid$vlt prfor to cammencing aot�struo#lon. i understand that a�separate permlt may be requlred for e#ect�lcal work,
plumbfing, signs, we8s, paots; air oonditioning,,gas, ar other tnstall�ttons not.spec�ficaity inctuded�in.tMe appticatian. .A
permit issued shall be aanstrued to be a Iicense to proceed with the work and not as.authority to,violate, cancel, alte�, or .
set aside any provislons o##he technlcal.cades; nor sh�ll issuance�of a.permit prevent the Bulldlrig t�#'filcial from thereaiter
�equiring a conection af errors in�plans; canstruction or violat(ons of any codes, Every permit Issued shall became invalid
uniess ihe work autho�lzed by such permit:�ls-commenced wlthin sGc rnonths of penntt issuance, or If work authorized by
the permit ls suspended or.abandoned for a.period of six(�}months.after the time the�work is commenced. An extenslon �
may �e requested, in writing, from the Buflding,Official for a per(od�not to exceed ninety(90) days a�d will demonstrate
justi�able cause for the extensiort. If work cease�.for nlnety{90}cons.eautive days...the)ab�is cansidered aba�doned.
WARNING TQ QWNfR: YQUR �AIL.URE�TQ.,RECG�tD A NOTIGE OF�COMMEMCEMENT NtAY�RESt]�:T 1N YOE1R
PAYtNG TWICE I�OR IMPROVEM�NTS Tfl YOUR PROPERTY. �IF�YO.U�INTE�ID�°TI'�OBTAIN�FINAi�iC1NG�'CONSULT
WIT U D � AN TTOR CaRE� � CO � �� O ' O �C 'C! � •' CE T�
FLORiDA JUf2R�(F.S. . } � � _ __,
r ._.... _ t_ _ _ -- - - .� __ _ - _
ONM�R OR Ai3EN7 ��Q�/XZ-e/�„�OMTRAC70R
Subsaibe d aNirmed)before me th1s Subscribed and'swom`�{ot aflirrned)'betare me'thl� � .
— �6�._ by
o is/a pe�sonally k wn lo me or•hasRiava produced VYho:ls/are personallyknown•ta me ar haslhave�produced •
as IdenUBc��cn. as iden�fic�tlan.
�.- ' Notery Pubilc . Notary Publlc
Co mis tar�t�.: r :.� Comr�G�sian.No.
;�� `:: Commission#FF 150422 '
= - o
Name of � � .nt�r,qrF�t�ya�dao-3a�ao�s Name of Notery iyped,Printec!or s#amped
�.
.Y=\ _ � ,' ,
� � � PROPANE GAS Service rder/Proposal � � � �
,, *
� AND AIC itvc. Air Conditioning 8 Heating
, �ace �988 813-782-50 i 3' ��,�,�� - ���/� ..
Sales, Service & In�taliations WORK ORAER#�SERViCEMAN �837E CJ'L
4441 Allen Rd. • Zephyrhilis, FL 33541 DATE/T I I�E TAKEIV , �4/1�/1� ��>��
' TAI'.EIV PY SH �5
VOTES• ' � DATEJ"fIME F'RO�IISED
CUST•OMER#/LQGATI0I�I 19�,6c /1
, F'HONE# �31�,-788-1cc5
• � ROUT�/SEG! � ` CJL—NEW
— . �
_ ; �MAF�i 1YR=LABOR 1�YR F'ARTS
. _ , ..
SILVERADO — CLUBHOUSE � SILVERADO — CLURHOUSE
,�6841 CLURHOUSE DR �E841 CLUPHOUSE DR
, a�#UNIT #l��
ZEF'HYRHILLS FL• 3354L �EF'HYRHILL� FL3,?,�4c
- �T AMAI�A S/C A�C ##?/14/i�**
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, • AH: ASRF4�:6�16, 1����1��`4
' -' CD 4 ASX 1',?,0E�1, �8�8JJ73�3
- KWa HKR-1�A, 1���81�4`1
=STIMATE
' ' DESCRIPTION QF�WORK . QTY. MATERIALS:'&.SERVIG�ES UNIl'PRICE AMOUNT
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4°:�r" - - - �E�'.�Ol.!ldENDATIONS i i
:�n.. - • i i
�' by All Equipment Manufacturers. ' '
--���'�=��= ' - Pressures Lo HI T-Stat� i i
! i i
• REFRIGER,4NT R- LBS. $per Ibs. � i
FILTERS x x Changed Monthly I !
� ' FILTERS x x Changetl Monthly , �
� " ❑ REGULAR ❑WARRANTY TOTALSUMMARY
, �. _
�� �� �'�` 4'+'rcn h�e`ON'. When Awa.y 60%, T-Stat 80°. ❑ MAINTENANCE CONTRACT
�"''�`�'��=� ' " � — SERVICE ,
�[��Re=-"�'��e'7'a`- +3-a�,�-�,,�:x,ien;are warranted by the manufacturers' METHOD OF PAYMENT CALL �
`�'�'-�°'-"uc'�"�a-'.�.,�sr�is!axr:e�'rr-w+tr���above named company is warranted for -
I[€�c�:��c w:vrc'��^c.=named company makes no other warranties, ❑CASH ❑CK# TOTAL'
i������-�7�-ncas�ro; aWwnzed to make any such warranties on MATERIALS
�'°'��`�'-�'^ ❑DEBIT 0 CREDIT ❑OTHER MAINTENANCE �
A�""�'�+"'t'a"=�'��$�w'a��-_.v?^,s.aos�actonty completed.I agree Ihal Seller PROG. W / C
�c'�''��a���'�'d' –+v'�s�^aae If vayment is not made as agreetl. CLAIM# �
f�=�'�sse�c a��?�-Ys =n�Camage resulGng from said removal shall
��'�"'�'���3�'•5+''�.��^,Sc4f:Cc C ARGE WILL BE ADDED MONTHLY TO DATE COMPLETED
r,.""�p,-�:t�:..aaC—���.r:S v_'x=.'
TECH: T� �
�/—/ � �
n`'—"c.'�+F'S DATE ✓/Ga�r�,�c �c� TOTAL ,