HomeMy WebLinkAbout15-16293 �
_ , CITY OF ZEPHYRHILLS
- ' S335-8TH STREET
(8i3)�so-oozo 293
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16293 Address: 7252 HIGHLAND LP
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: OAK RUN
Est. Value: Parcel Number: 34-25-21-0100-00000-0060
Improv. Cost: 3,775.00 OWNER INFORMATION
Date Issued: 5/22/2015 Name: PADGETT DEBBIE
Total Fees: 55.00 Address: 7252 HIGHLAND LP.
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/22/2015 Phone: (813)715-7143
Work Desc: A/C CHANGE OUT 2.5 HEATPUMP
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C, INC. C CHANGEOUT 55.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL � - �1 - �T �
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 fi) 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 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 management, state agencies or federal agencies.
"!lVarning 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 commenceenent."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� �� "' ROPANE GAS �,ervice Oxder/Pronosal • , �' `
� AND AIC rNC. Air Conditioning&Heating
, ��re� �488 813-782-5013 -
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� 4441 Allen Rd. • Zephyrhills, FL 33541 ��'�i::�.:,i �:� � �-;+;; 'yTVI
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� DESCRIPTION,OF WORK QTY MATERIALS&5ER`U.ICES UNIT PRICE AfviOUyT
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��r::�?;�' ' RECOMMENDATIONS � �
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Annual Maintenance Recommended by All Equipment Manufacturers. "� �' U��i �r �f �f��"r'f ' � �
Pressures Lo HI 7-Stat i i
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' REFRIGERIUJT R- _ LBS. $per lbs. � �
FILTERS x x Changed Monlhly I I
. ' FILTERS x x Changed Monthly � „— �
�
" O REGULAR 0 WARRRNTY T{3TAL SUMMA
Dehumidisfat Settings: When here"QN", When Away 60°A, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE �
�tMiTED WARi2ANTY: AII maieriais,parts and equipment are warranted by the manutacturers' ����(}p QF F'AYMER}T CALL �
or suppliers'written warranty only.All labor performed by the above named company is warrantetl for ' TOTAL i
30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑�ASH ❑CK# MATERlA�LS �
express or impl"sed,and its agents or technicians are nof authorized to make any such wananties an
behalfofabovenamedcompany. • ❑pEBIT ❑CRECJIT ❑QTHER MAINTENANCE �
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I have aulhnriry to arder the work outlined above which has been sa4isfaclorily cpmpletetl.1 agree that Seller PROG. W ! C
retains YUe to e�uipmenUmateriais furnished uMit finai payment is made.if payment is not made as agreed, �[A�M# �
seller can remove said equipmenVmalenats at Seiter's expense.Any damage resulting trom said removai shatl
not be Ihe rasponsi6ilily of Seller.NET 30 DAYS.A 7 1/2%SERVICE CNARGE WILL BE ADDED MONTHI.Y TO �
ALL UNPAID BALANCES OVER 70 DAYS.NO REFUNDS DATE COMPLETED ,,,,,,, ,,,,,,�T..
TECH TAX �
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CUST4MER SIGNATURE DRTE
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a��-rsaoozo City of Zephyrhiils Permit Applicatian Fax 8t3-78Q-0421
; ;, Building Depariment
Date Recelved . Phone Contac#far Permitt€ng ��� ��� – J�f� .
Owner's Name 1��" �.'` �X7 Owner Phane Number ��a � ��� "
Owner's Address �c��c� j+ ���� �� 'Owner Phone Number � �
Fee Slmple Tltisholder Name � � Owner Phone Number �� �
Fee Simple TitlehoSder Address
�/.y )f� L j���/
JOB ADDRESS /vR �a� r/"/ F1`uN �A� Lt?T#
SUBDIVISION ��JK /C"L�J� ��� PARCEL ID# �T o?J""� .v�f C��GgD DL�GYQ �C�O�
' �(OBTAINED FROM PROPERTY TAX NOTICE) '
WORK PROPOSED e NEW CONSTR�ADD/ALT 0 SIGN Q Q DEMOLISH
INSTAIL REPAIR
PROPQSED USE Q SFR Q COMM � OTHER
TYPE OF CdNSTRUCTiON [� B�OCK � FRAME 0 STEEL Q
DESCRIPTION OF WORK ��-°l�7b��.,.° ��E /GLG'CG EJ�?'� G(�/?7 " o� ��'� dN��V Z�� o� I !J'�
BUILDING Si2E � � SQ FOOTAGE�� HEIGHT [,��
QBUtl.QING �> � VALUATION qF TOTAL CONSTRUC710N
QEIECTRtCA� � � AMP SERViCE Q PRQGRESS ENERGY [� W.R.E.C.
QPLUNi81NG ($>�
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[�I MEGHANICAI $ ����+ �D VALUATION OF MECNANtCA�INSTALi.AT10N
QGAS Q RQ4FING �) SPECIALTY Q OTHER
F(NISNED FLQOR E�EVATIpNS �� F�OQD ZONE AREA QYES NO
BUEIDER COMPANY
SlGNATURE REGISTERED Y! iV FEE GURREM1 Y!N
Address � License# � i�
ELECTRtC1AN GdMPANY
SiGNATURE REGtSTERED Y J N FEE CURRE� Y/N
Address License# �— ��
PCUMBER � � COMPANY
SIGNATURE � REGfSTEftEO Y I N FEE GUi2ftER Y/N
Address License# �` I
M�cNa�rica�. coM�ar�r ��f�'�� � ��/�c�',►�(�
SIGNATURE ��"�4�'��'' REGISTEREQ Y/ (1! FEE GURRE� Y 1 N
Address License# �/��� '�..���� - �
01'FtER COMPANY
SIGt�ATURE REGlS7ERED Y f N �e�eu��n Y!N
Address License# ��`��
� R�SIDENTIAL Attach(2j Plot Plans;{2}sets of Buflding Plans;{1}set af Energy Forms;R O-W Petm{t far new construction,
Minimum ten(10)working days after submtttal date. Requtred onsite,Construc8on Plans,3tormwater Plans w!S(It Fence installed,
Sanitary Facili6es&1 dumpster,Site Work Permit for subdivislons/large projects
, GOMMERCIAI Attach{3}complete sets of Butldirig Pfans pfus a life Safety Page;{1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal data. Required onsite,Construc#tart Plans.Starmwater Plans w!Silt Fence InstaNed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet comptiance
� SIGN PERMiT Attach(2)sets of Engineered Plans. - .
'•""PROPERTY SURYEY�equ[red#or all NEW consttuotion.
Dlrectians:
Fill out appUcatian campletely.
C►wner&Contractor sign back of applicaUon,notarized ,
If avsr 52500,a Notice of Commencement is required. (AIC upgrades over 57588) . _ .�r� ��' °_ -
" Agent(fbr the cantractor)ar Power of At#omey(for the owner}woutd be someone with notarized tetter from owner authorizing•same' ' �
, , ,'r .. .
DVER THE COUNTER PERMITi'tNG (Front of Appiication Only} ° �
Reroafs if shingEes Sewers Service Upgrades AtC Fertces(PIoUSurveylFootage} � ' , _ z � -
� Driveways-Not aver Counter if an pubtic roadways..needs ROW
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NOTtCE Q�DEEQ RESTRICTIONS: The underslgned undet�tands th�t this.pprmtt:rriay be subject to°deed°restrictions"
which may be more restricttve than County regulaklons. The undersigned assumes responsibility for compllance with any
appliaable deed restrictions. �
UNLlCEN�ED Ct�NTRACTORS AND CCINTRACTOR RESPONSIBIL1TtE5: Ef the awner has hired a cantractor or
contractors to undertake work, they may be:required..ta be.Ilcensed in accordance.with state.and�lacal.regulations. If the
cont�actor Is not Itcensed as required by law, both the ovuner and cont�actar may be clted far a misdemeanor violation
under state law. If the awner or intended contractor are uncertain as to what Iicensing.requirements may apply.��for #he
intended work,they are advised to contact the Pasco County Building Inspec#lon Dtvlslon—Licensing$eation at 727-847-
8009. Fur#ttermore, if #he owner has hired a contracfor or contractors, he is advised ta have the contractor(s) sign
portions of the "cohtrackar Black° of this applicatian for vuhich they will be responsible. If yau, as.the owner sign as the
co�tractor, tha# may be an indication #hat he is not p�operly licensed and Is not entitied to pertnttting privlleges in Pasca
County,
TRANSPORTATION IMPACT/UTtLITlES lMPACT AN�-RESt?URCE RECOVERY�EEES: The undersigned understands
that Transpartatian Impact Fees and,Recourse Recove.ry Fees may appiy�to.the construction of new buildings, change of
� use in existing buiidings, or-expan§ion of�existirig buildings, as specifled in Pasco County Ordinance number 89-07 and
90-�7, as amended. The undersig�ed alsa undersEan+ds, that.such fees,-aszmay�be�due,.will.be identified at the time af
permitting. It is further understood that Transpor#ation Impac# Fees and Resource Recov.ery�Fees must be pald prior to
receiving a "aertificate of occupancy" or fina!pawer release. :!f the,projecE does not invoive a cettiftcate of occupancy. or
final power release, the fees must be paid prtor to permit issuance. Furthermare;ff Pasco County WaterlSewer impact
fees are due, they.must be pald prior to permit issuance-tn accordance with appllaable�Pascv County ordinances.
CONSTRUCTiON Z.1EN LAW(ChSptBT 713� FIOtIda StAtUtBS�as amended}: If vatuetian af work is$2,500.00 or mare, 1
certify that I, the appli�ant, have been provided with a copy-of the "Florida Construction Lien.Law—Homeowner's
Protectlon Guide° prepared by ihe Ftoclda Department af Agtiaulture and Consumer Affai�s. if the appitcant[s someone
other than�he"ow�e�", I certify that I have obtained a capy of the above.described document and pcomise tn.gaad faith to
deliver it to the"owner"pt�or ta-commencement. '
CONTRACTOR'S/OWNER'S AFFtDAViT: i ce�#ify that a1C the informatibn in this applicatton is accurate and that ali work
will�be done in compliance with all applicable laws regulating construction, zoning and land develapment. Applicat(on is
hereby made to obtain .a permit to do wark ancf Installation as indtc�fed. 1 ce�tify #hat no wark or instatlatton has
commenced prior #o Issuance of a permit and that all work will be performed to meet standards of all laws regulating�
construction, County and City codes, �oning regufatianst and land development regulaUons-in the jurisdfction. i also
certify that I understand thaf the regulations of other government agencies may apply�to the intended wark, and that it is
my responsiaility#o identify what.actio�s 1 must take to be,in..compliance: Such agencies include bwt are not limited ta:
- Departmenf of Environmental Protection-Cypress.Bayheads, 1Netland Ateas and Er�vironmentally 5ensitive
Lands, WatedWastewa#er Treatment.
- Southwest Florida Water Management .District Welis, Cypress. Bay.heads; We#land Areas, Altering
Watercourses.
, - Army Corps af Enginee�s-Seawa!!s, Docks, Navigable Waterways.
- Department of Health & Rehabititative ServiceslEnvironmental Ftealth Unit Wells, Wastewater Treatment,
Septic Tanks. .
�� - US Environmentai Protection Agency-Asbestas abatement,
I - Federal Avi�tion Authority-Runways.
' f understand that the following restrictions apply to the use of flll:�
- Use of fill is nat a0owed in Fload Zone°V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a
"compensat#�g volume° wi}t be submitted at t�me af pecmltEing which is prepared by a professtana! engineer
Iicensed by#he State-of Florida.
'�, - !f the fill mater#ai ts-to be used in Ftood Zone "A" in,connec�ion�with.a �er-mitted buitd�ng us(ng ster» wali
', � construction, l certify that fill�.will.be used only.to fill the area within the stem wall.
'�, - If fill materlal is to be used in any area, I certify t�at .use of such fill wiU not adversely affect adjacent
properties. If use of tilt is fonnd ta adversely.affect ad�acent�praperties, the owner may be cited for v�olaEing
the canditions of the building:permit Issued under the attached permit application, for lots less than one (1) I
acre vuhich a�e elevated by f�lt;an englneered drainage pEan is required.. . ,
' ff i am the AGENT FOR THE OWNER, I,�promise in gaod faith to inform the owner of the permitting conditions set forth in
this aftidavit prior to commencing constn�ction. I understand that a:separate pe�mlt may be required for electrical work,
plumbing, signs, wetls, poals, a�r conditioning, .gas, or°othec installations not•speci#icatly included�in.the apptication. �A
permit Issued shaQ be constcued to be a license to praceed with the work and not as.authority to.violate,.cancel, al#er, or ,
set aslde any pravisfons of the technEcal codes; nor shali lssuance�of a permit prevertt fhe Bultding O�c3ai from the�eafter
requiring a conection nf erro�s In�plans,-canstruction or vlolatlons of any codes. Every permit issued shall became invalid
unless the work authotized.by such permit��fs-cornmenced�within sGt months of.permft issuance, or if wark authorized by
the permif is suspended or.abandoned#or a period of siyc{8}months after the time fhe�work is commenced. M extension
may be requested, in writing,_from the Building,Officfal for a period�not#a exceed nlnety_(9Q) day_s_an��will demonstrate_ _.._ -_�
��ustifla6ie c`ause foi-the e�ens3on�If work ceases,far nl�tefy{90)consecuttve days,..the job�is consldered abandoned.
WARNING TO OWNER: YCIUR.EAIl.URE TO•RECCIRD A.NOTIGE C►F COMMENCEMEMT IVlAY RESULT !N Yt7UR
PAYING TWICE�"OR IMPRC�VEMENTS TO YDUi�PROPERTY. IF YOU INTEND'TO OBTAIN�FiNtANCiNG��CONSULT
WITH YOUR LENDER�IR AN A7TORNEY�BEFORE-RECORDING°YOUR NOTICE'OF�COMMENCEMENT
��oRraa auRa�{� ��7.os} -� _
OWNER OR pG1ENT c .�+/y%�`2F�yc-t'/L CONTRACTOR
��"G-?..�-/ (ar a�irmed}bet re me thls Subscribed and bwom to{or afllrmed)betote ttie ttii�
Who Is/are p rs nall knovm to.me or haslhave produced Who Is/are personally knoum�ta me or has/have produced
as identiflcatlon. as ldenHfic�tion.
°""'` � ;r �1'.���ti"idota Pubitc Notary Public �
ry
� ' LINE BOGES
Go � ft¢tt. Commisslan No. �
missian
; P,; xp�res December 12,2018 �
~`%�;p�e;Q" 9onded Thm Troy Feht Insurance 8�1.85•70
'� Narae a o , IVame of Notary typed,printed ar stamped
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