HomeMy WebLinkAbout15-16327 CITY OF ZEPHYRHILLS 'f
5335-8TH STREET f�
�si3)�so-oozo �1'6327
' - ' BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION-
Permit Number: 16327 Address: 5915 GALL BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed l7se: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0020-00000-0090
Improv. Cost: 3,795.00 OWNER INFORMATION
Date Issued: 6/02/2015 Name: JOHN-MARY ENTERPRISES LTD
Total Fees: 55.00 Address: P.O. BOX 17072
Amount Paid: 55.00 TAMPA, FL 33682-7072
Date Paid: 6/02/2015 Phone: (813)264-2262
Work Desc: A/C CHANGE OUT 4 TON PKG
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE AS& , INC. A/C CHANGEOUT 55.00
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Ins ections Re uired
DUCTSINSTALLED
DUCTSINSULATED
FINAL (f-2���
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 recoraling your notice of commencement."
Complete Plans,Specifications Must Accompany Applicatmon.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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C NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IIV 6 MONTHS WITHOUY APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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d,�-,a�-wcu c.uity ot Lephyrt�ilis Permit Applica#ian Fax 813-780-0021
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8uilding Department
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te Racelved Phone Contact for Parmittin o�� `a°� — °"`�
rner's Name rZ ���f` r`�-�� �ner Phone Numbar �
,ner's Address � /� �� Owner Phone Numbsr �
I ��e Simpte Tittehotder Name � Owner Phone�Jumber ,�_
e Simpta Tittehoider Address
e Aon�ESS ..���/ ,._....�,. � /o.�L� �.. �oY# ��
BDiVISIOId ��� � PARC�L tD# �� �� L.�L/ / v���/� ""`'' �"'j
(09TAINED FROM PROPERTY TAX NOTICE)
�RK PROPOSEp � NEW CON5TR� ADDlAIT �� StGN Q Q QEMOt�lSH
INSTAI� REPAIR
.OPOSEb USE [� SFR [� COMM �� 07HER
PE OF CONSTRUC�'IQN Q B�OCK Q FRAME �'� STEE� Q
SCRIPTION OF WORK �G�-/�? I� 4�� � � � f t7/V /�I�`/ I C l.�2..//�'.. � �
� �/7')f�t���
�ILDING SIZ6 Sti FOOTAGE� HEIGHT _
QBUl�QING �----� VALUATION OF TO7AL CONSTRUCTION
�ELEGTRICAL. ($ �� AMP SERI(IGE [� PROGREBS ENERGY Q W.R.E.C.
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� �PLUMBING ($ � �
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�MECHANICAL $ ����� �� VALUATION OF MECHANICAL INSTALLATION �j� �
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i QGAS Q ROOPING Q SPECIALTY [,� OTHER '
! lISHHD FL40R ELEVATIONS ��� FLOOD ZONE AREA QYES NO I�
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ILDER CQMPANY
i1dATURE ��ist�R�o Y/ N FEE GURRE� Y/�i
acldress License# � �
°_CTRICIAN � CQMPANY
�NATURE REG#STEREQ Y J N FEE CURREA Y J RI
Address �icense# �i ^�
lifABER � � COMPANY
�NATURE REGISTERED Y/ N FEE GURREA Y/N
Address i.icense# � �
ct�a�aicn�. � __. ���.— _f � �� COMPANY �•41fi�S �'a �n/�G=�-s ��'��
N�ITURE REGISTERED Y/ N FEE GURREt+ Y!N
Addross trcense# ���� ��L 7"�3 �
�ER � � COMPANY _ �
NATIJRE REG�ST�RED Y/ N FEE CURREP Y!IV.
Address License# �' �
iIDENTIAL Attach(2)Plot Plarts;(2)sets of Su3ti!!ng Pians;(1 j set af Energy Farms;R-U-W Permit for new construcUion,
Minimum ten{10}warking days after submfttat date. Required onsite,Canstruction Pians,S#ormwater Ptans w/Siit Fence tnstalled,
Sanikary Fac!{It�es&1 dumpster,Sfte Wark Permit far subdivislonsflarge projects
AMERCIAL Rttach{3)camptete sets af Sufiding Ptans pius a Life Safety Page;(1)set af�nergy Forms.R-O-W Permit for new consWcHon. `
Minimum ten{10)working days after submittat date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,- . —
Sanitary Facilitles&1 dumpster.Site Work Permif tor ait new projects.Ail commercia)requirements must meet campltance
M PERMIT Aftach(2}sets of Engineered Plans.
'""PROPERT'Y SURVEY required far aii NEW constructlon.
atlons:
FfA out applica�on campletely.
Owner&Contraotor slgn back of apptication,notarized
!f over$2500,a Naflca of Commencement ts requlred. (JJ�!!C upgrades ovar$7800j
Agent(for the aantractor)or Power of Attomey(for the owner)would be someane with notarized letter from owner authorizing same_ -
;R TNE COUNTER PERMITTiNG (Front o#Appticallon Only} ' � � � ' ' - , ,
roFs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) ' ' ,
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D�iveways-Not over Countar if on publtc roadways..needs RdW :, '' ' , : ' „ ` , , '
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NOTICE O� DEED RESTRICTIONS: The underslgned under.stands�that thls:��rm(t:may.be.subJect to"deed"resVtctCons°
whiah may be:more restricttveythan County regc�lstfans. 'The undersigned assurries responsibiiify for comptiance witfi any
applicable deed rest�ictions.
UNl.#CENSED CClNTRACTORS AND C�NTRACTOR RESPONS1Bti.ITtES: if tt�e awner has hired a cor�trac#or or
contractors to undertake work, they ranay be requlred..ta:be_ilcensed In accardance.with state.and�lacal regulations, If the
contracto� is not licensed..as required-by law, bath the owner and contraator tnay be cited for a ntlsdemeanar vtola#on
under state iaw, if the awner ar intended�cor�tra�tor are uncertain es ta what ilcenatng.requireRnents may appiy�for the
intended work, they are advised to cantact the.Pasco Caunty Buliding Inspection Divlsian—L.Icenstng Seation at 727-847-
8009. Furthe�mare, tf the awner has htred a contractor or contractors, he Is advlsec! to have the contractar{s) stgn
portic�ns of the "aontractar Block° of thls applicatlan for which they wlll ba responslble. If yau, as.the owner sign as the
contractor� that may be an indicatlon that he is not.properly Ucensed anc! (s not entfNed to permlEting privl}eges In Pasco
County.
TRANSPORTA710N IMPACTIUTILITIES IMPACT ANd RESOURCE RECOVERY FEE3: The undersigned understands
ihat Transportatton Impaat Fee�.and.Recourse Recave.ry�Feea maY�apply to-the consUuctlon of new bulld�ngs, change af
use 1n existing bulldings, or expansian�.of:existin,g'buildings, as specifled in Pasco County Ctrdinance number 89-07 and
9Q-OT, as amended. The undersigned also understands, that such fees, as,may°be�due,.wiii be Identffied at the time �f
permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prlar to
receiving a "certifiaate of occupanay" or flnal power. release. :If the proJeck:does not Involve a certiflcate c�f occupancy or
ftna! pawer release, the fees must be patd-prto�to petmtt Issuance. Fu�thermare, if Pasco Caunty V1later/Sewer.impact
fees are due, they must be�pald prlor to permit issuance-In accordance with appltaable Pasca'County ordinances.
CQNSTRUGTf�N LIEN LAW(Ch�pter 713, Fiorlda Stateate�i a�amsnded): !f vs�tua�on of'wark is$2,500.40 or more, 1
certifiy that i, #he appilcant, have•been provided with a capy of the�°Florida Constructlan� Lien Law—Homeowne�'s
ProtecQion Guide" prepared by the Flartda Qepartment af Agric.ulture and GonsumerAffairs. !#the appltcant is someone
other than#he"ow�er", !certlfy that 1 have.obtainsd a copy;of.the abave..described�acurrient°and p,camise in.gaod faith to
deliver It to khe"owner"p�ior to•commencement.
GflNTItAtC'C+QR'SlOWNER'S A�PIDAYlT: 1 cet�tify that a{I the Ir�focmatton�In�this applEcatton�s accurate and that a11 work
wiil'be done in campllance with all applicabie laws �egulating constructlon, zoning and land develapment. Applicatian is
hereby made to obtain .a permit fa do work..and installatlan as Indtcated.� '1 certity that no wark oc installatton has
commenced prior #a Issuance of a permit and #hat.alt work wi11 be perFarm�d to meet standards of aH taws regutattng
constructian, County and City codes, zoning �egulatia.ns, and land development regulaUons-in the jurisdictian. ( also
certify th�t 1 uc�derstand that the regulattons o€other government agencles may�apply�ta the lntended wartc, and that�t is
my responsibility#o identify�whet actfans I must take:to be�in:.corrlpliance. Such agencle�.include but are not Ilmited ta:
- Qepartment of Er�vtronmental Protecttan-Cypress. Bayheads, Wetiand Areas and Environmentaily Sensit�ve
Lands�WaterlWastewater Treatment.
- Southwest Florida Water Management. :District-WeAs� Cypress Bay.heads; Wetland .Areas, Altering
Watercourses.
- Army Gorps of Engineers-Seawalls, Dacks, Navigable Waterways.
- Department af Health � Ret�abilitative Setvtce�/Envirortrrtental Nealth Unit Weil.s, Wastevfrater ?teatmenf,
Septtc Tanks. ,
- US Environmental Protectlon Agency-Asbestos abatement,
Federal.Avtatlon Author�ty-Runways.
I understand that the following.•restrictions apply ta the use of flll:
- Use of fltl is not aliowed in Flood Zane"V"unless e�rsssly permttted. -
- if the fill materia) is to be used in Fiood Zone "A", tt Is understaod that a drainage pian address(ng a
'"compe�sating valume" will be submltted at time Qf permitting whtch is prepared by a professional engineer
tiaensed by the State�af Ftorlda.
- If the fill material is�to be used in Flood �one "A" in�connec#ion�with.a�permitted building using stem wall
� construction, l certtfy tt�at filt:wlit:be used only_to.�111 the area w!#hin the�stem wall.
- If flll materlal Is ta be�used in any area, 1 certify that .use. of such flll wfll na►t adversely affect adjacent
properties, If use of fill is.found to advers�ly:affect adjacent pro�e�ties�_the owner may be clted for vlolat{ng
the condifions of the building.permit issued under the aHached�permit appi�catian� for.lots tess than one (1}
acre wh[ch are elevated by flil,an engineered dralnage.plan Is required. �
If 1 am fhe AGENT FOR THE OWNER, 1�promise tn good faith to E�form the awner of�#he permitt€ng ccnd�ttons set forth In
this affidavit�prtor to commencing constructlon. I understand #hat a�separate permlt may be required for electrical wark,
plurnbing, slgnst weils, poois; air conditlaning�.g�s, or other !ns#alE�tfons not spec►fically inciuded in.the applfcation. �A
permit issued shalt be canstrued to be a iicense to pmceed with the work and not_as-authortty to.vloiate,cancet, aiter, or
set aside any provis[ons of the technlcal cades; nor shall Issuance-af a permlt.prevent the Bulldfrig O#flcial from thereafter
requiring a corraction.nf erro�s#n.p3ans��constru�#iort or vialations of any codes. Every p�rmit Issued shail become invaljd
uniess the work authorized.by such permit°Is.commenced�within sGc mon#hs of permit Issuance, or if wo�k authorized by
the perrntf ts suspended or_abandoned#or a pertad of siac{Sj manths after the time the wark is commenced. An extensian
may be requested, in wrlting, from the Building,Clfficial for a perlod.not ta exceed-nlnety�(90) days and•wfli demonstrate
justifiable cause for the extension; (f work cease�.for nlnety�90j cansecutive day.s�..the job�is.considered aba�daned.
WARNING TO OWNEFt: YC1UR.FAILURE�TO.,RECCIRD A NOTMGE.O� COMMENCEMENT MAY RESUlT IN YOUR
PAYING TW10E.Ft)1��IMPRCtVEMEPt�'S T��fQUR�:PRO�ERTY. I�YOU�lN'FENI�`TQ�Q&TA�N•�[MANGING;'CQNSUl.T
WIT U L . TTO N OR � CO � � OU " A � C : � E '�
FLORlPA JURA�"CF.�u, 7ZA3� • .. __�_._-- --_- — . _____.__ _ - --- ---- --_____.._�. �--
_OV�ONER OR ACiENT -_— Y_--Y — — - -— - --- ONTRACTOR
Subscribed and swom to or aHirmed)b ore e this Subsaibed and'swom to(or affirmed),before me tlit�
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Who Is/ e personally knovm me or hasR�ave produced Who Islere p.ersonally known ta me or has/h Ide dflcatlon.
es Identlflcatlon. , ,
�.�.Jt.1Gt� Notety Pabllc Ptotacy Publia
Co sslo Nl ' Comntrlsslon.No.
��: �':�:: Cammission#FF 150422
Name ot N . ., , ,��'p nld�r�l���e eooaes-iois Name of Notary typed,Printed or stamped ,
`°�` � ���'LL i ��
� � � PROPANE GAS ' ' ' '
� Arvo AIC �N�. Service Order/Proposal Air Conditioning&Heating
��tce �9��
, $'�3"782"5d,'�3 N)ORFt ORDFR#/S�RUICEMA�I �965� AUG ° `
nATF/7I1�F TAKE�i �5/�811� 11 :LE �
Sales, Service & Installations TAN,E�I �Y - � ,j m ��
4441 Allen Rd: • Zephyrhifls, FL 33541 DA1'E/TIh1E F�RQMISED
NOTES • .. CUSTOMF R#/LQCAT I QI� � 161�8
- 1=�HiJ�lE## "� � al,_,-71?,-194E
COnITACT OWNER: /,�IARN, AYERS
. (�OtJTE/SEG� ' AUGJJC'74
_ \ ' , •,
F'RILLIMAN, MIKE - � F�LAZA BEAUTY SflLON
F�0 �CIX 46 J�1 J GAL.L PLUD
(F�ROF'ERTY MANAGER) (OWI��R: MAI�K AYERS)
ZEF�NYRHILLS FL. 3�5�9 ZEF�HYRHILLS FL.:�.:�J4G
; 4 TO�I MI�LER F='K.G AlC, 1�KW HT
� F'�RA-�481i, F��F�4��4��'718
�� ' IIVSTALLETJ �8l9l�4 � -
I NS1"ALLED Or�l THE ROOF
CALLEn I IV PY �t I��'.E 1=�R I LL I�1AIV, AI�OTHER C�]mRAi�`( SA I D CnMF�RESSOR W�IVT OIJT, WAIVTS c:I�D
OF�INION. CALL MR. F'RILLIMAN WTTH DIAGI�OSES. "
DESCRIPTION OF WORK � , QTY " MATERIALS&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 Ibs. " I �
FILTERS x x Changed Monthly I I
� FILTERS x x Changed Monthly I I
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�• � ❑ REGULAR ❑WARRANTY TOTAC SIJMMARY
� Dehumidistat Settings: When here"ON", When Away 60%, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: All malerials,parts and equipment are warranted by lhe manufacturers' METHQD OF PAYMENT CALL i
or suppliers'written warranty only.All labor performed by the above named company is warranted for .
30 days or as othenvise indicated in wriling.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have aulhonty Io order Ihe work outlined above which has heen salisfaclorily completed.I agree Ihat Seller
PROG. W ! C �
retains litle lo equipmenUmaterials(urnishetl until fnal paymenl is made.I(payment is nol made as agreed, CLAIM# �
selter can remove said equipmenUmaterials at Seller s expense.Any damage resulting from saitl removal shall
nof be the responsibiliry o(Selier.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: TAX^ G Jk��
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CUSTOMERSIGNATURE DATE ✓JLti!//Gn ��CG TOTAL I