HomeMy WebLinkAbout15-16295 CITY OF ZEPHYRHILLS
�; _ 5335-8TH STREET
� (si3)�so-oo20 .16295 ,
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 16295 Address: 38550 5TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16900-0060
Improv. Cost: 4,295.00 OWNER INFORMATION
Date Issued: 5/22/2015 Name: CHAMBER OF COMMERCE
Total Fees: 60.00 Address: 38550 5TH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/22/2015 Phone: (813)782-5013
' Work Desc: A/C CHANGE OUT 5 TON
CONTRACTO.R S APPLICATION FEES
BAHR'S PROPANE GAS& C,INC. C HAN EO T 60.00
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Ins ections Re uired
' DUCTSINSTA LED
DUCTS INSULF�C���
FINAL `�7�
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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.
. .
(�-Lrr�.Q.
CONTRAC OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�,�-,o�,�u L�ty ot Lephyrhitls Permit Application Fax-813-780-4G21
BuNding Department
.te Recefvec! Phone Contact for PsrmiHtln ��.�. ��~� — '"��4�� �
mer's Nams � h �'�1LL5 G-/��nt.3 t�O112 ��Owner Pltane Number O/v�°" �cs �°-1��
rner's Address �1J� �� E � Owner Phone Number
e Simpie Tftlehatder Name � � Owner Phone Number
e Simpie Titiehoider Address
�BAbDRESB ✓ � `JSJ�C� � �' 47Uti LQT# [��
�BOivisioN �� � PARCEL ID# /.1� r�.(,�,z .�/ �G?l ll>iLsD ��d
(OBTAINEp FROM PROPERTY TAX MOTICE�
�RK PRdPb3ED e NEW CON5TR� ADQtA�T �� SIGN Q Q DEMGILISH
IRIS1`ALL f2EPA1R
:OPOSED USE [� SFR Q COMM [,� OTHER
PE!?F CONSTRUC7lON Q B�OCK C] FRAME [� STEEL Q
;3CRIPTION OF WORK - � 1 C?'71.) � /�" �
�ILdINCa SIZE � � S4 FOOTAGE�_�__� HEIGHT [�_�
OBUlLDING r�� VALUATION OF TOTAL CdNSTRUCTION
L
QELECTRICAL � � AMP SERVICE Q PROGRESS ENERGY [_] W.R.E.C.
QPIUMBING ��
�MECHANICAL $ y/�Q��� VALUAT�ON OF MECHANICAL INSTALLA710N
'7 !
[�GAS [� ROOFt(3G Q SPECIAL"t'Y [� OTHER
NSNED FLOOR ELEVATIQNS �� F�OQD ZORfE AREA QYES NO
1LDER COMPANY
iNATURE REGI&TEREO Y! �i FEE CURRE� Y/N
Addrass License# � �
�CTRICIdN � � COMPANY
�NATURE REGISTEREO Y/ N FEE CURREM1 Y/id
Address License# �'�� �
1MBER � COMPANY
�NATURE REGISTEREO Y/ N FE�GURRE� Y!N
Address License# �— �
CHANICAi. �(.G•Y1'� `Y—�1��t.(3.�','rtR.�.., COMPANY ��J��'`r. !�'d,o�IIJ�.° �� 9Z �}'fe, �.—?�,n/�,
NATURE � REGISTEREO Y/ N hEE CURRE►� Y/N
Address License# ���,'7 ,� g r��
!ER COMPANY
NATURE REGISTERED Y/ N FEE CURREt� Y/IV
Address L(censs# �` `�
iIDENTiAL Attach{2)Plot plans;(2)sets af Building Plans;(4)set af Energy Forms;F2-t3-W Permit far new construction,
Minimum ten(1Q)warking days a8er submittai date. Required ansite,Canstruction Ptans,Stormwater Plans w/Stlt Fence tnstalled,
Sanitary Facilitles&1 dumpster;Site Work Permit far subdivisfonsliarge projects
AMERCIAI. Attach(3)complete seis of Building Ptans plus a Lffe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new conshuotlan.
Minimum ien{1 Q}workfng days after submittal date. Required onsite,Constructian Ntans,Stormwater Plans w/Silt Fence installed,
Sanitary Facliities&1 dnmpster.Site Wark Permit for ail new proJects.All commercial requirements must meet compUance
N PERMlT Attach(2)sets of Engirteered Pians. °
""'PROPERIY SURVEY required for ati NEW constructlon.
ctlo»s:
Fi!!out applfcadon camptetefy.
Ownec&Contractor stgn back of application,notarized
if over�2508,a Notice of Commencement is requlred. (MC upgrades over�7540) �
Agent{for the contractor)or Pawer of Attomey(far the oumer)wauld be someone with rtatarized}etter fmm owner authorizing.same�,^�, . �
iR THE CQUNTETt PERMtTTiNG (Front af Apptication Oniy} ' • � �'` �� ' ,
�afs if shingies Sewers Service Upgrades AiC Fences(PIoUSurvey/Footage) ��� �• � � , " . "
Drivaways,Not over Gaunter if an pubtic roadways..needs ROW -• �'-.` ' ' - `�.." -"" -. .`-.•.. ,."
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NOTICE OF DEED RESTRICTIONS: The undersigned unders�tands°�.that this.p�cmit:may.be,subject to"deed"resVictions"
which may be�more�restr:tctive:�thaln.County.regulatlons. "The-undersigned assumes-responsibllity for compHance with any
applicable deed rest�iction�. �
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 regu�ations. If the
contractor is not Itcensed.as required-by law, both the owner and contractvr may be cited for a misdemeanor vlolatton
under state law. If the owner or intended contractor are uncertain as to what licensing.requirements may apply ior the
intended work, they are advised to contact the.Pasco County Building Inspection Division—Licensing Sectton at 727-847-
8009. Furthermore, ff the owner has hired a contractor or contractors, he is advlsed to have the contractor(s) sign �
portions of the "contractor Block° of thle application for which they will be responsible. If you, as.the owner stgn as the
contractor, that may be an indicatton that he is not.properly Iicensed and is not entftled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES�MPACT AND RESOURCE RECOVERY FEES: The undersfgned understands
that Transportation Impact Fees:and Recourse Recove.ry..Fees may�appiy�to the construction of new bulldings, change of
use in existing bulldings, or:expansion�.of�existing`6uildings, as specifled in Pasco County Ordlnance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as:may be�due,.will tie identifled at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recov.ery Fees must be pafd prior to
receiving a "certiftcate 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 prior to permit Issuance. Ft��thermore,-ff Pasco County Water/Sewer Impact
fees a�e due, they must be pald prior�o permit I�suance-In accordance with appltcable Pasco County ordlnances.
CONSTRUCTION LIEN LAW(Chapter 773� Florlda Statutes�as amended): If valuatlon of work is$2,500.00 or more, I
certify that I, the applicant, h�ve•be�n provlded with a copy of the "Florida� ConsUuction Lien Lav�Homeowner's
Protectfon Guide° prepared by the Florida Department of Agrlc.ulture and ConsumerAffairs. If the applicant Is someone
other than the"owne�", I certify that I have,obtained a_copy;of.the above..described docurr�ent°and promise in.good faith to
delive�It to the°owner"prior to�commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all-the Inf.ormation In this application is accurate and that all work
will'be done in compliance with all appl(cable laws regulating construction, zoning and land development. Application is
hereby made to obtain .a permit to .do worl�..and Installatlon as Indicated.-_ I_.certify that no work or installatton has
commenced prior to issuance of a perm(t and that.all work will be pertormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulations, and land development regulations-tn the jurisdiction. I also
certify that I understand that the regul�tions 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 berin.carrlpllanee. Such agencles-include but are not Ilmited to:
- Department of Environmental Protectiort-Eypress.Bayheads, Wetland Areas and Envtronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management :District-Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health� $ Rehabilitative,Services/Environmenfal Health Unit-Well.s, Wastewater Treatment,
Septtc Tanks. .
- US Envlronmental Protectlon Agency-Asbestos abatement.
- Federal.Aviatlon Authority-Runways.
I understand that the following:restrictions apply to the use of flll:•
- Use of flll Is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material�is to be used In flood Zone "A", It (s understood-that a drainage plan addressing a
°compensating volume" will be submitted at�ime of permltting w61ch is prepared by a professional engineer
licensed by the State of Florida.
- If the fill materlal is to be used in Flood Zone "A" In�conneclion with.a��permitted building using stem wall
� construction, i certify that flll�.wlll:be used only to fitl the area withln:the�stem wall.
- If fill material Is to be used in any area, I certify that .use of such flll will not adversely affect adjacent
propertfes. If use of flll is found to adversely,affect ad)aEent�properties,.the owner may be cited for viofating
the condi#ions of the building�:permit issued under the attached permit application, for lots less than one (1)
acre which are elevated�by flll, an englneered drafnage 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
thls affidavit prior to commencing construction. 1 understand that a�separate permlt may be required for elect�tcal work,
plumbing, signs, wells, pools, air cqnd(tiontng, .gas, or othec Ins#all�ttons not spec�fically included�in.the application., �A
permit issued shall be constcued to be a Iicense to proceed wtth the work and not as.autho�tty to.violate;cancel, alte�, or ,
set aside any provisions of the technical codes; nor shall issuance�of a permit prevent the Bulldirig O#flcial from thereafter
requiring a correction af errors In.plans,�construction or vlolations of any codes. Every permlt Issued shail become invalid
unless the work authorized.by such permit:is.commenced�within sGc m.onths of permlt Issuance, or if work authorized by
the permtt is suspended or.abando�ed-for a period of=sGc(8)months.after the time the�work is commenaed. An extension
may be requested, in writing; from the Building,Official for a perJod.°not to exeeed�ninety�(90) days and will�demonstrate
justifiable cause for_the extension. If work ceases.ior ninety(90)cons.ecutive:days�..th�job:is considered aba�doned.
WARNING TO OWNER: Y�UR F�►ILURE.TO.,R�CORD A.MOTICE:OF�COMMENCEMEM'��MAY RESU�.T IN YOUR
PAYING TWICE FOR_IWIPROVEMENTS T�YOUR-�PROPER7Y. IF YO.U�IN'TEND•`TO'OBTAIN•FINtANCING;�CONSULT
WITH YOUR LENDER OR AN ATTORNEY BfFOR��RECOR�IKIG�YOUR�`NOTICE`OF COM ENC EN'�'
FLORIDA JURAT(F.S.117:03) - , �
--OWNER OR AOENT - �- -- -- -- CONTRACTOR,_, -�-----~-- -- - ----- -� --- v— -
Subscribed and swom ta( affirtned)before me this Subscrlbed and'swom to(or aflirmed)�before me tfii5
�� -�S �by
VYho is/ar personal knovm to.me or hasThave produced Who is/are personally known to me or�has/ttave produced. •
as Identlflcatlon. as IdentlBcatlon.
� blic . Notary Public
Comm lon ;i�'�Y'��•:�•. �ACQU INE BOGES
Comnnission No.
�; �;�: Expires December 12,2018
'� •'S�' �o�s
Name of Notary Name of Nolery typed,printed or stamped
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� � • ' � PROPANE GA� Service Order Fro osal �� � � ± �
� AND A/C irvc. Air Conditioning&Heatmg
", ���e �9 813-782�501�3
Sales, Service &�nstallations wo��1 q�1�E€?#f sE��zC��s�� ���=a� ���t
DATE/TI�1E. l`�IN�EI� �Jf��IIJ 11 :4$
� 4441 Alisn Rd. • Zephyrl�ills, FL 33541 �-At�,�t� P.f flG ��
NOTES: i/�o�i�i��� -�.r� ✓r'���s' Cf�ib�/�£/^ T}t�TE/TTl�'IE F'��l"II�EL� ���`Z'?/15 ��ok'.+k'�
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+ F=�NO1�F_# . ' °1:�,-7��—�gi:� 0
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ZEF�HYRNI�L.S �`NAi�IHEi� s��' CC�fi�M ZEFrN`fRl-l�L�u CHA�iREf� t�F r[3i��1
�:,8�5� �TH AVE '�a��� 5`fH AVE
ZE�'HYRHILL� F;i� 3;��4� ., `LF_F'HYRI-iTL1.�� FL�3�4�:
_ t't f!-2"'D 1 L�I'I Y.���L�t 1�f L��L�'t K.+1�t i.-.w.t!_
i� rOND OI�! .R�OF � _
N�JT CO�JI�TNGa . E�T ��I hdEl� UI�TT„ �
DESCf2IP7'ION:�F 1IVQRi< Q'TY` ' MATERIALS.8�SEf2VICES l'INIT'F'f210E ATVICIUNT
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Annual:'Ffisintertance�:Recotninen�ed by'Aii";Equipment�ManufiacEurers. pressures Lo HI T-Stat � �
. � i
. REF}2tGERANT F?- LBS. 5 per Ibs. # 1
FILTERS x x Changed Monthly I I
FILTER5 x x Changed Monthly � • �
" . O REGU�AR 0 WARRANTY TOTAL BUMMAF2Y
Dehumiiiistat:Settings:. When here"QN", When Away CzQ°[Q;�T-SYat 8D° ❑ MAINTENANCE CONTRAC7 SERVICE i
LiMITED WARRAN'fY: AlI materials,parts and equipment are warranted by ths manufacturers' METHOE�-OF PAl'MEI+lT CA�.0 �
;or suppliers'written warranty only.All labor perfortned by the above named company is warranted for TCJTAL i
30 days or as othenvise indicated in writing.The above named company makes no pther warcanties, ❑CASH ❑CK# MATERIALS i
express or impiied,and iLs agents or techniciaos are not authorized to make any such wamanties on
�ehalfofabovenamedcompany. ❑DEBIT D CREDIT D QTHER MAINTENANCE ;
�have authprity lo ortler Ihe work outlined a6ove which has been saliafactorily campietetl,I agree ihat Seller
Pf�OG. W I C �
reta�ns Gtte to equipmenVmaieriats lurrtished untii finat p2yment ts made.ii payme�t is not made as agreed. �(A(M# ' . _ �
zetier can remave said 4qui➢R+enVmateriats at Seiter s azpense.Any damage resu7Ung from said remavat shaii
not be the responsibility of Seller.NET 30 DAYS.A 1 1R%SERVICE CHARGE WILL BE ADDED MONTHLV TO �
ALL UNGAID BALANCES OVER 30 DAYS.NO R6FUN05 DA7E COMPLETED
TECH: T� It/G.�t�,c�,�
CUST4MERSIGNRSURE �ATE aJfl�Gr/GTG �i/(J•%I TOTAL 7/ 7"s� �O