HomeMy WebLinkAbout15-16449 CITY O � ZEPHYRHILLS ���'�
5335-8TH STREET
� � " ( 13)780-0020 1644
BUIL�ING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16449 Address: 39444 SOUTH AVE '
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 Number: 12-26-21-0000-04900-0040
Improv. Cost: . OWNER�INFORMATION
Date Issued: 7/16/2015 Name: CITY OF ZEPHYRHILLS
Total Fees: ` �, � Address: 39444 SOUTH AVE
Amount Paid: •N�' `���� ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: A/C CHANGE OUT 5 TON-NO C ARGE FOR WORK-AIRPORT BARRACKS
CONTRACTOR S APPLICATION FEES
BA R'S PROPANE GAS& C,INC. C CHANGEOUT 0.00
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Ins ections Re uired
I DUCTS INST LLED
DUCTSINSULATED
FINAL'� - l�--��
REINSPECTION FE�S: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
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 on job site fl 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 mana ement, state agencies or federal agencies.
"Warning to owner: Your failure to record a natice of commencement may result in your paying twice for
improvements to your property. If you intend�o 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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CON CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT �ARD FROM WEATHER
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s�saso-oozo � City of Zephyrt�ills Permit Application FaX-s�saaaoo2�
Buildi De artment
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Date Received � `Phone Contact r Permittln �d — ��ZC/
Owner's Name ���2 /OdLT �10/�HQf�G� � Owner Phone Number
Owner's Address �! L .SO /�' V � Owner Phone.Number -
Fee Simple Tltleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PARCE •ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/A T Q SIGN� Q Q DEMOLISH
B � INSTALL B REPAIR
PROPOSED USE Q SFR �] COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK �Q FRAM Q STEEL Q
DESCRIPTIOW OF WORK /�-�� � f 6� � D I�-�✓� �
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY � W.R.E.C.
QPLUMBING $ ,
MECHANICAL $ � VALUATIO OF MECHANICAL INSTALLATION
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QGAS Q ROOFING Q SPECII LTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOO ZONE AREA _ QYES NO
BUILDER CQMPANY
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N -
Address I Cicense#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CUf2RE� Y/N
Addresa I • Licerise#
PLUMBER C�MP.ANY
SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N
Address License# r—.
MECHANICAL COMPANY �/L � /1-t� y/ G9t��ZN L.�cz/
SIGNATURE R GISTERED Y/ N FE cu�trten Y/N
Address License#
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OTHER CQMPANY
SIGNATURE REGISTERED Y/ N ; FEE CURRE� Y/N
Addreas � ' I License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets.of:Building'Plans;(1)se�"of Energy-Form`s;R-q-W Pertnit for new construction, .
Minimum:ten(10)working"days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FacfllUes&,1..dumpste,r,,Site Work Permit for;subdivislonsAarge•projects
COMMERCIAL Attach(3)complete se4s of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permlt for new construcdon.
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 for all new projects:Ail commercial requlrements must meet compllance
SIGN PERMIT Attach(2)sets ofEngirieered Plans..4:, ,
••••PROPERTY SURVEY required for all NEW c:onst cUon.
Directions: '
FIII out application completely.
Owner&Contractor sign back of appifcatlon,notarized
If over 52500,a Nottce of Commencemeot is required. (A/C up rades over 57500)
'" Agent(for the contractor)or Power of Attomey(for'the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER P-ERMITTING- (Front of Appllcation,Only),,..•.,,�,:;a
Reroofs if shingles Sewers Servioe Upgrade"s,A%C �,. Fenc; ;(Plot/Survey/Footage)
Driveways-Not over Counter if on pub'lic'roadways.;needs ROW
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NOTlCE OF QEED RE3TRlCTtONS: The undersigned under�tands�:th�t.thls„p�rmlt.m�y.be;subject to"deed"restrlcttores" 9 ��
which may be:�moce-r.estrictiVe«#h�n County�reguiations: �The undersigned'assuiries responsibility for�compiiance`witti'any �
applicable deed restrictfons. ., , '
UNIICE�ISED Ct9NTRACTORS -AND Ct�N1'TRACTOR RESPONSIBI�ITIES:� tf the owner�has�fiired s contractar or
conQractors to unde�take work, they may be requfred�ta be.ltaensed In accardance.with state:and�local regulations. If°the
cor�tractor Is na# Itcensec3 as required`6y lawi botti�the owner and conVactor•may be��ctted��fiir a�misdemeanor viofatlan
under state iaw. if the owner or tntended�contra�tor are uncertaln as to what Micensing.requirement� may.�appty:�for�the
intended work, they are advised to cantact the Pasco County Building Inspection Dtvislon--1:iaensing$ection at 727-847-
8009. Furthermore, Ff the owr�er has hlTed a conti�actor or contractors� he is advised to have the con#rac#or(s) sign ,
portians of the "contractor Black" of this applicatia� for which they wilt be.respvnsible. If yau,-.as�.the own'er''sign�a's tlie
contraator, that may be an indioaUon that tie is riot.properiy licensed and !s not entitled'to pertnitking privlleges in Pasco
County.
TRANSPORTATION IMPACT1l1TICITIES IMPAC'fi'AND�RESOURCE RECOVERY FE�S;�The undersigned unde�stands
that T�ransportatEon Impact Fees and.Recaurse Recave.ry.Fees may':apply°ta the constructian af new buildings,:change af � '
use in existing buildings, or..expansionr_of-�existirig'�buildings, as specifled.in Pascv County Ordinance number 89-07 and '
SQ-OT, as amended. The unde�slgned also ctnderstands, tl�at such fees..as tmay�tie�due,:wifl.�6e tdentf#ted at#he�`time°of-
permitting. It 1s further understood that Transportatlon Impacf Fees and�Resource Recorery�Fees must be p�id pria�to
receiving a°certificate of occupancy" or flnaF powec:releass. :If the proJect does not involve.a certi�icate of oacupancy or
final power ret�ase; the fees must be paid priar ta permit {ssuance, F�rthermare;�if Pasco County�INaterlSewer�lmpact
fees are due, they must be.paid prior to permit-Issuance-in acaardance wltFi appliaabie Pasco�County ordinances. '
COMSTRU.CTION CIEN"t.AW{Ch�pter 715,Flor�d�Statutes�as amended}; if valuatlon of work is$2�500.00:ar mpre, 4
certify that I, the applicant, have.b'een provi.ded with a capy� of the °Florida-Construction Lien Law -Homeowne�'s
protecti�n Gulde" prepared by the �lorlda Department af Agrlc.ulture and Consumer Affairs. if the appiicant ls someone
other than#he°owne�`, 1 certify that 1 have.abtalned�a�copy.of..the above..des.crtbed�document�and.promise in,good�faith to
deliver it to khe"owne�'prior toacommencement. ' .
CONTRACTOR'S10WNER'S AFfIDAY1T: 1.ce�tifjr that$IC the�informatlon In thl�appltcation is accurate and tfiat ali work
will'be done in compliance wi#h all applicable Isws regulating construction, zoning and�land develapment, Apppcatian is
hereby made to obtatn .a permit ta da work.and tnsteita#ton as indE�afed.= °I certifjr that no wark or tnsta!latton has
cammenced prior to issuance of a permit and that.ail work wifl be pertormed to meet standards of all laws regula�ing�
construction, County and City codes, zoMng regulations} and land development regulatlons�In the juclsdtctton. ( also
certify that.1 undersfand tha##he regulatbns of ather government agencies may�apply�#a the intended work, and that i�is
my responsibility#o identify�what.actians I must t�ke to be�In:.carrlpliance. S.uch agencles include bu#�are.nat Ilmited ta: � ,
- Qepartment of E�tviranmental Protectiort�Cypress�BayFteads� 1tVefland Areas and Environmentally Sensitive �
Lands, Water/Was#ewater Trea#ment.
- Southwest Florida Water Management .Distrfct Weils, Cypress. Bay�eads; Wetiand Areas, Atterfng -
Watercourses.
- Army Corps af Englneers-Seawalis, Dacks, �Vavigable Waterways, �
- Depar#ment of HeaEth- � Ret�abilitattve SetviceslEnvironmental Fles�lth Unit Wells, Wastewater Treafinent,
Septic Tanks� � �
- US Envi�onmental Protectlon Agency�Asbes#os abaiement.
- Federal Av9atlon Authori#y-Runways. �
I understand that the follnwing.restrictions apply to the use of flll:� _
- Use af fill ls no#aliowecf in Fload Zane�V°unEess expressly pe�mit#ecf.
- If the fill material is to be used_ in �Flood Zone "A", It. is understood #hat a drainage plan addressing a
"campensattng volume°wilf be submitted at#ime af permltEing whfich Es prepared by a professtonai engineer
1lcensed by the Sta#e-of Florida;
- !f th� tiU materla! is�to be used in Flood Zone °A" tn�connectlon wlEh.a�germitted building using stem wall
� canstruction, i ce�#iiy#h�t fiit w�lt:b.e used only.to fill the area within the�stem wai).
- If flll material is to be used in any area, I certlfy that .use. of such fill will not adversely affect adjacent
pfopertles. If use of�ill Is foc�nc�#o adversely:�ffect ad�a�ent�propertfes,.the awner may be cited�or uiolating
the condltions of the.bullding,permlt fssued under the attached permit applicatlon, for lots less than.one (1)
acre whlah are elevated by Al1,an engfneered dralnage plan is required. .
If i am the AGENT FOR THE aa{iNER, i;�promise in goad faith to infarm the owner of the permitting conditions set forth In
this afFidav(t�prior to commencing constructlon. ( understand that a�separate permit may be requtred for elect�ical work,
piumb�ng, signs, welts,•pools;_air ca�ditianing��.9as� or ot�er Install�tlons not.spea�icalty included in #he application. .A
permit Issued shall be construed to b�a Iicense to proceed wikh the work end not as:authority to.violate; cancel, alter, or
set as#de any provistans of#fie technCca!cades; nor shall issu�nce�aF a.permft.pr.event the Buitdirig Q#�tctal Erom thereafte�
requiring a car�ection af e�rors In.plans, constructlan or violatlons of any cades. Every perml#Issued shall become invalid
unless the work authoNzed by such permit�{s.commenced•wlthin sf�c months of permit issuance, or if work authorized by
#he perrr�iE�s suspended or.abandoned for a:period of s�ic{8)monti�s.after fi�e#irne th��work Is carnrnenced. An extension
may be requested, tn writing, from the Building.Official for a period�not ta exceed ninety(90) days and will demonstrake
��UStifia6le cause for�ttie eXtens3an:-tf work ceas�s for�iinety{90}cons.ecuttve:days;..th�f ab�s�constdered=a�andoned. .�_ `. _
WARNING TO OWNER: YAUR_FAILURE•TQ.REG��tD.A_NQTlGE OF G4MMENGEMEMT MAY RESC!!T tN Yt?UR
PAYING TWICE.FOR IMPROVEMENTS TCi YOUR�P�OPERTY. .1�Y8U=tNTEND�TQ'OBTAiN�fINFANC�NG;'Ct3NSULT
WITH OU END O A TTO N FORE� CO �� G�� OU ;� O � �' � E E E T'
��.o�roa,�uRa�r t�.s.�.�T.o .. _ .
QWNER OR A13ENT "� CONTRACTO "
Subscrtbed and swom hi(or a ed)befare me thts 9 bsc bed and'swam`#o(or af�rmed)•before me NiFs
by -f�- _
Who Islare personally knovm to.me or has/have produced Who.ls/are ersonall �wn�td me or haslhave produced •
as identlflcatlon. es tden�fica#lon.
' . .
� Natary Public . Notary Pubitc
Commisslan No. Com si �Na.
•j,PY���1��
Nams o/Notary typed�pdnted ar stamped Name of Natary _ . .� Et4 FF 150422
;;� P; Expires December 12,201$ �
4�"k•O�J
� . ,Q���;�� 9onded Thru Troy Fain Insureneo 800.3Q5�1019
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� � � PROPANE GAS ' � � '
. � AND AIC �NC. Service Order�Proposal Air Conditioning&Heating
�it�e�988 �13-782-5013 �
Sales, Service & installations WORK ORDER#/SER.VICEMA�i E���E GJL
4441 Allen Rd. • Zephyrhills, FL 33541 � ---- - �pTE/TI�IE TA�.E�v _. �7��.5�1� �4: �� .
TAI',EN ESY I'.. P. �1c
NOTES: DATE�TI�IE F�ROMISED
CLIBTOMER#/LQGATIOI�I c:E,�,1c
f HO�IE# Q 13-78�-��,?,� O
RHOI�lE2# 813-78�-��3c F
G'HO�IE:�# 81,3—�JJ—E�L 7�T C
COIrlTACT _ . NATHAN OR LUCY
ROUTE/SEG? CJLi�xc4xi �Yc
MA� , F,ERIJUL FLTRF'ROGRAM
CITY OF ZEF'HYRHILLS PARRACKS-�JIVIT #1, IVORTH EASi
._,94�� SOUTH AV 3�444 SOUTH AVE �
ZEF�HYRHILLS FL JL+J�C ZERHYRHILLS FL3��4�
� � . �T TRAI�E '
TCC�E��FL��HE, Rc:6..°iLEU�H "
NORTH EA�T-UNLT #1
18-i�x�4x1 FTLTERS
EST TO RE-II�STALL IJi�IT FROM THE TE�IF�0�2ARY FIRE DEF'T. TO THE L'�ARRACIiS /R�f�AIR
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DESCRIPTION OF WORK QTY. MATERIALS 8�SERVICES UNIT PRICE AMOUNT
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RECOMMENDATIONS i � I
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Annual Maintenance Recommended by All Equipment Manufacturers. � �
Pressures Lo HI T-Stat i i
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REFRIGERANT R- LBS. $per�bs. � �
FILTERS x x Changed Monihly I I
FILTERS x x Changed Monlhly I I
❑ REGULAR ❑WARRANTY TOTAL SUMMARY
Dehumidistat Settings: ;When here"ON", �When Away 6�,'T-Stat 80° I ❑ MAINTENANCE CONTRACT SERVICE i I�
LIMITED WARRANTY: All materiais,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL i
or suppliers'written warranty only.All labor performed by the above named company is wartanted for TOTAL i
30 days or as othenvise indicated in writing.The above named company makes no other warran6es, I�CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warran6es on
behalfofabovenamedcompany. b DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authority to order lhe work outlined above which has been satisfaclority wmpleted.I agree that Seller � PROG. W/ C I
retains title to equipmenUmaterials furnished until final payment is made.If payment Is not made as agreed, � ��M# �
seller wn remove said equipmenUmaterials at Seller's expense.My damage resulGng from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 1l2%SERVICE CHARGE WILL BE ADDED MONTHLY TO �
ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED
�ECH: T� �
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CUSTOMERSIGNATURE DATE ✓1�:U//(?(i ✓o-c� TOTAL /v