HomeMy WebLinkAbout15-16425 CITY OF ZEPHYRHILLS ,
5335-8TH STREET
;, �+ ( is)�so-oo20 16425
BUIL ING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION '
Permit Number: 16425 Address: 37606 NEUKOM AVE LOT 21
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0210
Improv. Cost: 6,800.00 OWNER INFORMATION
Date Issued: 7/02/2015 Name: CHRISTMAS FRANK JOHN & DEBORAH
Total Fees: 70.00 Address: 37606 NEUKOM AVE LOT 21
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/02/2015 Phone: 813-783-8658
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
PROGRESSIVE AIR SYSTEMS INC C C A GEOUT 70.00
Ins ec ions Re uired
DUCTS INSTALLED
I F�WALS IAI�UL��D�
� �
�
REINSPECTION FEES: Reinspection fees will com ly with Florida Statute 553.80 (2)(c)when extra inspection I
� trips are necessary due to any one of the followi g reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or correctio s not made when inspections called d)work not ready for
', inspection when called e) permit not posted n 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
ma be found in the ublic records of this coun and there ma be additional ermits re uired from other overnmental
� Y P tY, Y P Q 9
entities such as water mana ement, state agencies or federal agencies.
"Warning to owner: Your failure to record a n tice of commencement may result in your paying twice for
�i improvements to your property. If you intend�o obtain financing,consult with your lender or an attorney
� before recording y ur notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordina ces. NO OCCUPANCY BEFO C.O.
� LoC/a ��,.���=�
9
i
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MON�HS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTIC�N - 8 HOUR NOTICE REQUIRED
PROTECT ARD FROM WEATHER
s�s-�eaoozo City of Zephyr ills Permit Application Fax-813-780-0021
Buil ing Department
� Date Received Phone Contac for Pertnitting 72� 847 _ 3898
Owners Name FRANK CHRISTMAS owner Phone Number 813-783-8658
Owners Address 37606 NEUKOM AVE Owner Phone Number
Fee Simple Titleholder Name Owner Phane Number
Fee Simple Tideholder Address
JOBADDRESS 37606NEUKOMAVE LOT# 2�
SUBDIVISION GRAND HORIZONS ppRC L ID# 34-25-21-0090-00000-0210
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CoN57R e ADD/ LT � SIGN Q Q DEMOLISH
INSTALL REP/j R
PROPOSED USE Q SFR Q COM� 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q F E Q STEEL Q
DESCRIP110N OF WORK EQUAL CHANGE OUT OF �(��a�� ���� � �0 N
BUILDING SIZE SQ FOOTAGE 16 0 HEIGHT �
Q BUILDING $ VALUATI N OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ `����
�MECHANICAL $ 6800.00 VALUATI N OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q SPE IALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLO D ZONE AREA DYES NO
1 1 7 I i 7 i i..t�1..t •��i.-t i.-1 '
BUILDER OMPANY
SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN OMPANY
SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER ICOMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY PROGRESSIVE AIR SYSTEMS,INC
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address 5907 DASHER CT,PO RICHEY,FL 4668 License# CAC033669
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
1111111111111111111111111111111 11111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date- Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit or subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Li e Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal dat . Required onsite,Construction Plans,Stomtwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit or all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW co struction.
i Directions:
Fill out applicalion completely
Owner 8 ConVactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C pgredes over$7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)wo Id be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only
Reroofs if shingles Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
• NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTO 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 regulations. If the
contractor is not licensed as required by law, both th owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor re uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco ounty Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contra tor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application fo which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not pr perly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AN RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recov ry Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buil ings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understan s,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportatio Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to pe mit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuanc in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida tatutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided wi a copy of the "Florida Construction Lien Law—Homeowners
Protection Guide"prepared by the Florida Departmen of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a opy 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 certify th t all the information in this application is accurate and that all work
will be done in compliance with all applicable laws re ulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and in tallation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that a I work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulati ns, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other overnment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-�ypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Managemen District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Dock ,Navigable Waterways.
- Department of Health & Rehabilitative ervices/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asb stos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flo d Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted 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 in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used nly to fill the area within the stem wall.
- If fill material is to be used in any are , I certify that use of such fiil will not adversely affect adjacent
properties. If use of fill is found to adver ely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issu d under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engine red drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in g od faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I un erstand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, �r other installations not specifically included in the application. A
permit issued shall be construed to be a license to p ceed with the work and not as authority to violate, cancel,alter,or
set aside any provisions of the technical codes,nor s�all issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction r violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is comm nced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period o�f six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Offic'al for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for inety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RE ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR ROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFOR RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNERORAGENT CONTRACTOR� � ` �
Subscribed and swom to(or affirtned)before me this Subscribed and sworn to or affirmed1 before me this
by 6/24/15 by WILLIAM ROGERS
Who is/are personally known to me or has/have produced Who is/are personalty known to me or has/have produced
as identification. �""�-�`� as identifica ion.
��
Notary Public �
/
Commission No. Commission No. 03592 ,
��""��. NORMA-JEANNE PRITCHARD
NORMA-JEAN � �o'�,
Name of Notary typed,printed or stamped Name of Notary typed,printed g * e *��_ � �• - of Floflda
5•. . •= My Comm Expires Jul 14,2017
=;l P,` Commissi�n#FF 035922
���'%°����'� Bonded Througii National NottfpABSn.
�
��s���;- �
PROGRESSNE R SYST�MMoS, 1NC.
� , ,
,• � A/R CDIVDITI !Y/NG �r H�4T/NIG �
�� 5907 Dasher Court � Port Richey, FL 34668 turn to the experts
Lic.#CAC033669 �727� g47-3�9� • (8y 3) 909-1444
`y;: �.
www.progress�iveairsystems.corr� _ - - y _:
PROPOSAL SUBMITTED TO PHONE DATE
�`�7����- �l��-/,�<� 6� ��7�� °- �" �"� '�Z> �/
STREET
� � ��,� �✓'v�- � /�.��
CITY STATE ZIP
������f/�-�lLt� �_ 3,� �''�;�
� ' a� `�ilJa�tle
� y►-� �-�-��-�-.� �' � ,�'1 H- r- � �� � � r v�- �-- . ��r�-�v
ti �' � � - c�i� ,f�' l�' �3� �v> !I-t�
, �
,�i/�e/ C'� . - Z�-�— �°��. ,�'- -�s�- e? f�� ` G'/ �'f �
�=f ��,� �-��r�.-:�-� � � •Z��`; .�' cj:S ��-Y,
��Le n? �S � �j.. 1 "� —� �
• �c. ' T��--�� �r �� 7'sS'1- ,�' ��i `�"d
,�'�'I`�-'��✓ '�I-���'z-e�r� ..` � i' ,�' 4 f"� �• �s" �
/ � E I�`'' LABOR WARRANTY ��� �Ir�PARTS W RRANTY ��COMPRESSOR FACTORY WARRANTY
7ir/e�v�a�,fia�e hereby to furnish material and labor complete in accordance with above specifications
for the total sum of: $ -��''� �'�'- : ��� �1 v�✓Or2:� dollars. $ �• �'��
Payment is due upon completion. �'''��
� ��C�� �r��
All work to be completed in a workmanlike manner. Any alteration or deviation from above specifications involving
extra costs will be executed only upon written order , and will become extra charges over and above the estimate.
Customer has 3 working days to cancel contract.
AUTHORIZED SIGNATURE: /�� " C� DATE: G� �� / ,
�cc�e�ita�ue a� ��a�ua�: The above prices specifications and conditions are satisfactory and are hereby
accepted.You are authorized to do the work as spe�ified. Payment will be made as outline.
� �
.�"iy�te�t�vte: � �'�"`'`"` �� DATE: � "� ��'
OTE:This proposal may be ' hdrawn by us if no accepted within 30 days. Owner responsibl for all court costs
d attorney fees if paymen ' not made as outline� .
_ I
� , �
� ���������
��������NC.
f � , a �' :/ �
- �t �,
- �� .a+ e �si� �d itt � " d��
5907 asher Court ,
Port chey,FL 34668 �
7 7-847-389$
June 24, 2015
City of Zephyhills
5335 8th Street
Zephyrhills, FL 33542
To Whom It May Concern:
I, William Rogers authorize the persons na ed below as authorized agent signers for all
permitting with the City of Zephyrhills. If y u have any questions please call our office.
Eric Fish
� Sheryl Anello
' Pat Morse
� Harry Van Huis
Tony Gualemi
Norma-Jeanne Pritchard
Thank you,
1,.�.��- 2��-
William Rogers
President/Owner
Progressive Air Systems, Inc.
STATE OF FLORIDA
COUNTY OF PASCO �
The foregoing instruxnent was acknowledg d before me this 8th day of June 2015 by William
Rogers who is personally known to me.
��
Valerie Hanna-Notary Public ,��������� VALERIE HANNA
�r°��aY Pue c+'; Notary Public-State of Florlda
�`•: � w•: Commission#FF 187919
'N''%°�n''O`°�` BO�dedtluougtl Nat10�21aNOtery oASStI.