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Home My WebLink About15-16294 CITY OF ZEPHYRHILLS � 5335-8TH STREET (si3)�so-oozo 16294 ` BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16294 Address: 5220 10TH ST 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 Numbe,r: 11-26-21-0010-18100-0110 Improv. Cost: 4,495.00 OWNER INFORMATION Date Issued: 5/22/2015 Name: CROSSROADS PENTECOSTAL CHURCH Total Fees: 60.00 Address: 5220 10TH ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/22/2015 Phone: 813-714-3822 Work Desc: A/C CHANGE OUT 5 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS& C,INC. C CHAN EOUT 60.00 ��`n / GU 1 i � / Ins ections Re uired , DUCTSINSTALLED DUCTSINSULATED FINAL REINSPECRON 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. � , CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �,,,-,o�w��u t;ity ot Lephyrhills Permit Appiication Fax-813-7saoo2� Buildtng Department ,te Recelvad Phone Contact for Parmiitin �r� �� - $�� F�rjl.�s j)�j.��' ��/ v+p�-TA- Owner Phone Number g�3 r �JJ' -' �22 rne�'s Name �� rner's Address p� �� +� ��✓f Ll"� Owner Phone Number e 5lmpie Titiehoidar Name � � Owner Phone Namber _,_, e Simple Tltleholder Address �B QDDRESS �c�a�� ,/� � JZ � 1L �� . 335 �- LOT# [� �BDIViS10N �- � P,aRCE��o# /1 �/ Db,l D .1'��lb�C3 L311�9� � (OBTAlNED FRONI PROPER'fY TAX NOTIGE� �RK PROPOSED e NEw CONSSR� ADQlALT [�,] SIGN C] Q DEMfJl.I5H iNSTALi. REPAiR :OPOSED USE Q 5FR Q COMM � OTHER PE OF CONSTRUCTION [� BLOCK � FRAME � STEEL Q :SCRIPTION OF WORK �f� G��.qsN �`bl� r � +C+ ��'-�� °� �� 11Lp1NG SIZE C � SQ FOt�TAGE Q�__� HEIGNT �__� 4 � QBUILOiNG �� VALUATION OF TOTAI CONSTRUCTION QELECTRICAL (;&r4-� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. L �P�uM�iN� ��J OMECHANlCAL $ �L�G�� rj 'VALUATfON OF MECHANICAL fNSTALLATION QGAS [� ROpFING Q SPECfA�TY � OTHER IlSHED FLOOR ELEVATlQNS �� FLOOD ZGiNE AREA QYES NO fLDER COMPANY iNATURE REGtSfiERED Y/ N FEE CURREM1 Y 1 N Address Ltcense# ( �----� =_GTRICtAN COMPANY iNATURE REftSTERBD Y/ N FEE CURRE� Y/N Address License# ( � JMBER � COMPANY �NA7URE � REGIS7ERED Y/ N FEE CURRE� Y J N Address License# �� ct+�w�c� , _ `` . coMpa�nr ,�1�i2S/"��PR-Ne Csr-3� �-- �/� ��,, NATURE �n��' REGISTEREO Y/ N FEE GURREE Y/IV Address � License# �L/r�� `��5� iER � � Ct?MPANY NATURE REGiSTERED Y/ N �e cuRaen Y!N Address License# � ` i � clDENTIAL Rttach(2)Plot i�lans;(2}sefs of Building Plans;(1}set of Energy Fortns;R-O-W Permlt far new construcHon, Mlnimum ten(10j worlcing days aftersubmitta!date. Requlred onsfte,Constructfon Pians,Stottnwater Pians w!Sik Fence installed, Sanitary FaclllUes&1 dumpster;Sita Work Permit fot subdivislonsJlarge proJects AMERCiAI� Attacfi(3}campiete sets of Building Plans plus a Llfe Safety Page;(1)set of Energy Fom►s.R-t?-W Permit for new constn�cNon. Minimum ten{10)working days after submitta!date. Required onsite,Constroction Pians,Stormwater Ptans w/Silt Fence installed, Sanitaryr Faciiities&1 dumpster.Site Work Petmit for atl new proJects.All commercial requlfemenGs must meet complfance N PERMiT Attach(2j sets of Engineered Plans. , ""PROPERTY SURVEY requlrec!for aii NEW constructlon. ctions: Ftll out application c�mpletely. Owner&Contractar slgn back of application,nota�tzed tf over�2500,a NotlCe of Commancem�nt Is requtred. (AfC upgrades ovar 57500j Agent(for the contractor)or Power af Attomey(for the owner)would be someona with notarized tetter from owner autho�iztng same ;R TNE COUN7ER PERMITTING (Front of Application On{y) _ : -, _ - '° �`;"' � _� , � �ofs if sh{ngles Sewers Service Upgrades A/C Fences(Ptot/Survey/Footage) � • '`"' • Driveways-Nat over Counter if on pub!(o roadways..needs ROW . , : , � .. , ' � '� �' Fr -.. ,.�.,-� . �.. ._r .. .r.-•:. ... ...,-._� ' NOTICE OF DEED RESTRICTIOIV5: The undersigned undetstands°�that thls.��tmlt:may be,subject to"deed"restrictioris°' � which may be;more cesUictive-than County regulations. �The�undersigned assumes responsibility for compllance with'any applicable deed restrictlons. � � - UNLICENSED CONTRACTORS AND CONTRACTOR RESPOhIS1�ILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required..to:be.•Ilcensed In accordance with state.and•local regulatlons. If the contractor ts not Ifcensed.as requlced=by law, both the owner and conVactor may be clted for a misdemeanor violatlon under state law. If the owner or intended contractor are uncertaln as to what Ilcensing.requirements may apply�or the intended wrork, they are advised to contact the.Pasco County Bu(Iding Inspectlon Division--Licensing Sectlon at 727-847- 80�9. Furthe�more, If the owner has hlred a contractor or contractors. he is advised to have the contractor(s) slgn portions of the "contrector Block° of this appllcation for which they will be responsible. If you� as.lhe owner sign as the contractor, that�may be an Indication that he is not.properly licensed and (s not entitled to permbtting peivileges in Pasco County. - - - TRANSPORTATION IMPACTIUTILITIES IMPACT AND�RESOURCE RECOVERY�FEES: The undersigned understands that Transportation Impact Fees.end.Recourse Recove.ry..Fe�s may�apply�to the construction of newr buildings, change of ' use in existing buildings, or expansion..of existirig`buildings, as s ecifled In Pasca Coun Ordinance number 89-07 and P �Y 90-07, as amended. The.undersi ned also understands, that such fees as•ma •be�due,will be identified at the time of. 9 � . y , permltting. It is iurther understaod that Transportation Impact Fees and Resource Recovery Fees must be paid prfor to receiving a "certificate of occupancy" or final:power release. :If the project.does not involve a certfficate of occupancy. or final power release, the fees must be paid pr(or to perm(t issuance. Ft��thermore, if:Pasco Couniy Water/Sewer-Impact fees are due, they�must be pald prior to permit Issyance�ln accordance with appllcable Pasco�County ordtnances. CONSTRUCTION LIEN LAW(Ch�pter 713� FloNda Statutea,as �mended): If valuadon of work.is$2,500.00 or more, I certify that I, the gpplicant, have.been provid'ed with a copy of the "Flortda Constructfon Lien Lav�Homeowner's Protection Guide° prepared by the Florida Department of Agric.ulture and Consumer Affairs. If the applicant Is someone other tha�the"owner", I certffy that I have,obtained a copy;of the above..described document and promise in.good faith to deliver it to the°owner"prior to•cornmencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that ail.the inf.ormation (n this application is accurate.and that all work will�be done in compliance with all appl(cable laws regulating constructlon, zoning and land development. Application Is hereby made to obta(n .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 �egulating construction, County and City codes, zoning regulations, and land development cegulations-tn the jurisdiction. I also certify that I understand that the regulattons of other government agencies may�apply�to the intended work, and that it is my responsibility to Identify�what act(ons I must take:to be,in.corrlpllance; S.uch agencies include but are not Ilmited to: � - Department of Environmental Protection-Cypress. Bayheads, Wedand Areas and Envfronmentally Sensitive Lands,WatedWastewater Treatment. - Southwest Florida Wate� Management :I�istrict-Wells, Cypress. Bay.heads; Wetland .Areas, AlteNng Watercourses. - Army Corps of Engineers-Seawalls,Docks, Nav(gable Waterways. - Depanment of Health & Rehabilitative,Servlces/Environmenfal Health Unit:Weii.s� Wastewater Treatment, SepttaTanks. � � . - US Environmental Protection Agency-Asbestos abatement. - Federal.Av.lation Auihority-Runways. . I understand that the following�restrictions apply to the use of flll:• - Use of fill is not aliowed in Flood Zone"V"unless expressly permitted. - If the fill material-is to b.e used in �Flood Zone "A", it. Is understood that a drainage plan addressing a I "compensating volume" will be submitted at time of per:rqitting which is prepared by a professional engineer licensed by the State of Florida. - If ihe fill material Is to be used In Flood Zone "A" in�connectlon�with.a permitted building using stem wall � construction, I certify that flll�.wlll:be used only.to flll the area wlthin.the�stem wall. - If flll materaal is to be used in any area, I �certify that .use of such flll wiil �ot adversely affect ad)acent p�operties. If use of flll 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) I .acre which are elevated by flll,an engineered dralnage.plan Is requtred. � If I am the AGENT FOR THE OWNER, I,,promise in good faith to Inforen the owner of�the permitting condltions set forth in this affidavit�prior to commencing constructlon. I understand that a separate permit may be required for elecMcal work, plumbfng, signs, w�lls, pools; air condltiontng, .gas, or�othec Installatfons not spec�fically included in.the application. A sh II be cor�stcued to be a Iicense to roceed with the work and not as.authori to,vfolate,cancel, alte�, or permit issued a p tY set aside any provis(ons of the technical codes; nor shall tssuance�of a permit prevent the Bulldirig O#t(cial f�om thereafter requirtng a correction nf.erro�s in-plans,�construction or vlolatlons of any codes. Every permit Issued shail bewme invalid unless the work authorized.by such permit:�s.commenced�wtthln sGc months of permit issuance, or if wo�k authorized by the pe�mit is suspended o�.abando�ed#or a perlod of=six(8)months after the time the work��is commenced. An extension may be requested, in writing; from the Building.Offlclal for a perlod.not to exceed ninety(90) days a�d�wiil demonstrate justifiable cause for.the extensior�. If work ceases:for ninety.(90)cons.ecutive day.s�..the job is.considered abandoned. WARNING TO OWNER: YDUR.FAILURE�TQ,R�CORD A NOTIGE:OF�COMMENCEMENT�MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YO.UR-PROQERTY. 1�YO.U�IHTEND`TO'OBTAIN�FII+tANCING;�CONSULT WITH YOUR LENDER OR ANA�TORNEY�AEFORE�i�ECORBING�YOUR NOTIC�':OF COMMENC�EMENT: FLORIDA JURA��(F.S�NTO ) _ ._�___,- �� - -- --- --�_ —- ------ — - ------- ~ �.__� OWNER OR AGENT ��,CONTRACTOR` Sut�,scribed an�.swom to( ffirmed)befor me Is ' Subsaibed and'swom to(or afflrtned)�before me tFil� , J ZZ�S b �by Who Is/are pe nally . wn to me or has/hhave ptoducad Who Is/are personalty known to me or�haslhave produced• as Identlflcatlpn. as Identlflcatlon. (.tL�x1� � Notery Public . . Notary Public Com Comt�►Isslon.No. '��""°y�' JACQUE�INE BOGES :iq•' ��;: _*� Name ot Notary typed,pdnted or stemped Name o � �� e em m 2,2p�g • F�qP,• er ��'P Bwn:ed Thtu iray Fain Insmarke gpp_3g5•701g �� , �i� � � � PROPANE GAS Service Order�Proposal � � � � }� , AND AIC �tvc. Air Conditioning 8 Heating . .�itee�988 V��! V��O�✓ ....� - �aa�i; I_.l�l_��IC'N.'�r�Gl-5�'v`7��YY1�F _'��L}J J�tii4 `� Sales, Service & Irrstallations�� .. . _ __ �r��.i-�T r��c �a�:�r.� :,�7�:�� i .•:z�� +�z��: �,� 444`1 Allen Rd. • Zephyrhills,=�FL 33541 ��;�,-�; r,y� �;, r a � �„�, F- � � _ NOTES: t� U�",'!"�.i�l�:C,�;= c'�f��i�':=,i�fs I � \ � / ��c-f C.3hriE�F�a�;�.`t C�;��rr'�a��y �;s:r�; ��; � � 5 G r, �f+ C�i� t L :-'I-�11''�l�� i:i.•� -7:�=�f�—��'�'��'c_ c:�c,r�a-��-r �-�ASi'G� rt;c�:ur�nir - �7��1..;1 E/�;�`i.�s: ..Ti1t•I—±CJ(a . 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REFRIG`ERANT.R=.-.-�...,�:.=-LBS: -;_ $.Peribs. ;=:-r ' f I FILTERS x x Changed Monthly i I FILTERS x x Changed Monthiy � � ❑ REGULAR ❑WARRANTY - �',TOTAL SUMMARY ,- Detiurtiidi.s#af��ettings: WHen here"ON",,�When Away¢�;,T-Stat�°= ❑ MAINTENANCE CONTRACT SERVICE i :..'r�:;;.-�;.r�:':.,t..::_,. ,�:t:, .:. , , :,. LIMRED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' " _ =,-:[�I�ETNOD OF;PAYMENT - --_- CALL i ,..-. _ . �_.; ;.--= or suppliers'written warranty only.NI labor performed by the above named wmpany is warranted for ` '- �- `- '= � � - - � 30 days ar as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i express or implied,and its agents or techniGans are not authorized to make any such warranties on MATERIALS i behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � I have euthority to order the work ouLined above which has been satisfactority completed.I agree that Seller PROG. W/ C � � retains tlUe to equipmenVmaterials tumished unGl final payment is made.If payment is not made as agreed, C��M# � � seller can remove aaid equipmenVmeterials at SellePS ezpense.My damage resuitlng from satd removai shall /LLLUNPAIDSBAUIN ES OVER 30 DAYS.NOYREFUN S%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED - � TECH: T'� � i CUSTOMERSIGNATURE OATE ✓J� ✓osc TOTAL I