HomeMy WebLinkAbout15-16377 CITY OF ZEPHYRHILLS
5335-8TH STREET
� A (813)780-0020 ��77
BUILDING PERMIT '
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16377 Address: 37544 GILL AVE LOT 273
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
Esi�. Value: Parcel Number: 34-25-21-0170-00000-2730
Improv. Cost: 4,424.00 OWNER INFORMATION
Date Issued: 6/17/2015 Name: OI, PAUL KEITH & NORMA JEAN
Total Fees: 60.00 Address: 37544 GILL AVE LOT 273
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/17/2015 Phone: (813)779-1356
Work Desc: A/C CHANGE OUT 4 TON PKG UNIT `
CONTRACTOR S APPLICATION FEES
HRI ' C CO. C CHANGEOUT 60.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATE4
FINAL � •- ���`��
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.
C T C OR SIGNATURE PERMIT OFFI R
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CAC058575
PROPOSAL SHEET
CUSTOMER. DATE. 6/17/2015
NAME. PaulOil PHONE.
ADDRESS 37544 Gill ave
CITY: Zephyrhills, FI. STATE. FI. ZIP- 33541
FURNISH AND INSTALL THE FOLLOWING EQUIPMENT AND MATERIALS, I
4 ton 14 seer S/C American Standard Package unit, 10 kw heater, digital thermostat,
pad, removal of old unit, connect to existing duct and electric, permit, tax and labor included.
EQUIPMENT WARRANTY: 1 YEAR LABOR 10 YEAR PARTS
� 10 YEAR COMPRESSOR
, TOTAL JOB WARRANTY 10 YEAR PARTS AND LABOR
� PRICE: $4,424.00 **PRICE GOOD FOR 30 DAYS**
PAYMENT: X UPON COMPLETION DRAWS % %
SELLER RETAINS TITLE TO EQUIPMENT/MATERIALS UNTIL FINAL PAYMENT IS MADE. IF ANY PAYMENT IS NOT MADE
AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT/MATERIAL AT SELLER'S EXPENSE.ANY DAMAGE RESULTING
FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILTY OF SELLER. BUYER SHALL BE SUBJECT TO A RESTOCKING
FEE OF$75.00 IF JOB NOT CANCELED WITHIN 3 DAYS OF ACCEPTANCE.
� AGREED: �}
CHRIS' ���, C� ' DATE: �� • /� �/.5�
BUYER DATE:
(352)521-4977 12232 HWY 301
(813)779-9515 DADE CITY,FL 33525
(352)521-3393 FAX
__
o,.a-�o�-w�V t;ity ot�ephymiiis Permit Applicatian Fax-813-780-dd21
Bullding Department
.
ts Receiva�! Phono Cantact for Permtttin
rner•s Nama p� Qwner Phons Numbe�r f�� ���'l�J
mer's Address ��J 7 7 // / ./"T�` Owner Phane Number �^ �
�Simple Titlaholder Name � �� Owner Phone Number � �
s 8imple Tittehoider Address
B ADDRESB L.OT# �
'BDIYISION ( �"�.JO`a.t�t,t(/ �'d?'r 3�'� PARCEI.IQ# 7 � � ts'� V ' t1t1V Q� �7��
(OBTAINED FRdM PR PERTY TAX NOTlCE)
)RK PROPOSED e NEW CONSTR 8 ADD/A�T � SIGN Q Q DEMOLISH
INS7ALL REPAtR
.OPOSED USE Q SFR Q COMM � OTHER
PE 8F CONS7RUCTiON Q BLOCK Q FRAME C� STEEL Q
SCRiPTiON OF WORK ��t..._ � C X 1 S i � TL�� t��+'
iILQING SI2E ��� 8Q FOOTAGE�� HElGHT [�._.�
QBUILDING t6`-r� VALUATtQN OF TOTAL CON3TRUCTIQN
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QEL.ECTRICAL �.� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPL.UMBING ��
�tNECNANICAi. $�jj���ry ��,,,,,1� VALUATION OF MECHANICAL INS7ALLATION
7 7` ��" t1c✓
C]�AS Q ROOFiNG C] SPECtALTY [� o��R
(ISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NQ
ILDER COMPANY -
iNATURE __ _ ._ �_ �REGISTEREO Y/ N FEE CURRE� Y/N
Address Llcense# �— �
ECTRICIAN � COMPANY
i�IATURE REGISTEREd Y/ N FEE CURRE� Y/N
Addra�s License# �— ��
)MBER � CdMPANY
�NATURE REGISTERED Y I 1d FEE CURRE� Y/N
Address License# �— �
CHANICA! COMPANtY � t�"i.S /"" `� O
NATURE � REC71S'(ERED 1 (V FEE CURRE� I R)
Address � �,}�-��� Ucense# ��Q ���f�"�
iER COMPANY
NATURE REGIST�REb Y I N FEE CllRREh Y/N
Address License# �� � �
ilDENTlAL Attach{2)Ptat Pians;(2)sets of Bu3lding Pians;{1)set of Energ}r Forms;R-O-W Permlt for new canstructton,
Minimum ten(10)working days after submittal date, Requtred onsite,Conshuctton Plans,Stonmwater Plans wt 38t Fence finsta{led,
Sanitary FaciltUes&1 dumpster,Sike Work Permit for subdlvislans/large projects
AMERCIAI. Attach{3}complete sets of Buitding Plans qtus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuctian. �
Minimum ten{10)worktng days after submittal date. Rec}uired onslte,Constructlon Plans,Stormwater Pians w!Sift Fertce Instalfed,
5anitary Factlities&1 dumpster..Site Work Permit far all new projeats.All commercial requlrements musYmeet compflance
N PERMIT Attach(2}sets of Engineered Pians.
"""PROPER7Y SURVEY required for al!NEW constnaction.
c#1ons:
FIII out appllcallon complekely,
Owner&Cantractar sign back of appitcatlon,nota�ized
if av�r�250d,a Notice af Commencem�nt is required. (A/C upgrades over$7500)
Agent(for the cantractar)ar Power of•f�ttom fdr`th`e`owrier.woutd be someohe anth no#arized letter from owner authorizfn same
, �Y't ).. 9
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iR THE COUN7ER PERMtTTING :. (�ront of ApplicaBon�Oniyi} �
+ots if shtngles Sewers Seivice,Upgrades�RlG���°�Fences(P1oUSunreyiFoo#age}
3 �,..... .. „, ,: � . _ ,
drivswayswNot over Cdunter if on pubtic roadways::need�RbW`" ` ��q
� •
NOTICE OF DEED RESTRICTIONS: The undersigned undetstands�that this.p�rmlt:may.be.subject to"deed"�estrictions° �
which may be:moce rest�tctive�th�n County regulatlons. "The undersigned assumes responsiblltty for compNance with any
applicable deed rest�lctions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be:requtred.to:be.�llcensed in accordance.with state.and•local regulatlons, If the
contractor (s not Ifcensed.as requlced-by law, both the owner and conUactor may be cited for a misdemeanor violatlon
under state law. If the owner or Intended contractor are uncertaln as to what Iicensing.requirements may apply�or the
intended work, they are advised to contact the.Pasco County Bullding Inspecotlon D(vlslon—Licensing Section at 727-847-
8009. Furthermore, If the owner has htred a contractor or contractors. he is advised to have the contractor(s) sign
portions of the "contrector Block° of this applicatfon for wh(ch they will ba r�sponslble. If you� as.tha ownar sign as the
contractor, that�may be an indication that he is not.properly licensed and Is not entitled to permitting privileges fn Pasco
County. .
TRANSPORTA710N IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry-Fees may�apply�to:the constructlon of new buildings, change of
use in existing buildings, or.expansion�of.existin,g�buildings, as specffied in Pascv County Ordinance number 89-07 and
90-07, as amended. The undetsigned also understands, that such fees� as;may_be�due,.will be identified at the time of
permitting. It is further understood that Transportation Impact Fees an.d Resource Recovery Fees mu�t be paid prior to
' rece�ving a "certificate of occupancy" or flnal power release. :If the project.dmes not involve a certiflcate of occupancy or
final power release, the fees must be paid prior to permit Issuance. Fu�thermore, if Pasco County Water/Sewer Impact
fees are due, they�must be-pald prior�to permit Issuance-in accocdance with a�plicable Pasco�County ordinances.
CONSTRUCTION LIEN U4W(Chapter 713� Florlda Statutes,as amended�: If valuatfon of work Is$2,500.00 or more, I
certify that I, the applicant, have•been provi.ded with a copy of the "Florida Construction� Lien Law—Homeowner's
Protection Guide° prepared by the Florfda Department of Agric.ulture and C�nsumerAffairs. If the applicant Is someone
other than the"owne�", I certify that I have.obtained a copy.of.the above..described docurnent°and promise in,good faith to
deliver it to the°owner"prior to�commencement.
CONTRACTOR'S/OWNER'�AFFIDAVIT: I certify that all.the Inf.ormation in this application is accurate and that all work
will�be done in compltance with all applicable laws regulating constructlon, zoning and land development. Application is
hereby made to obtatn .a permit to do work.and installation as tndicatedo- °I certffy that no work or installation has
commenced prlor to Issuance of a permlt and that.all work wtll be pertormed to meet standards of ali laws regulating
construction, Caunty and City codes, zoning regulatio.ns, and land development regulations-in the jurtsdiction. I al'so
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it (s
my responsibllity to Identify�what actions I must take to be,ln,00r�lpllancs: Su�h agencles.include but are.not Ilmited to:
- Department of Environmental Protection-Cypress.Bayheads, Watland Areas and Environmentally Sensitive
Lands, WatedWastewater Treatment.
- Southwest Florida Water Management :Dist�ict-Wells, Cypress. Bey.heads; Wetland .Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Department of Health 8 ReMabllitative Services/Environmenfal Health Unit-Well.s� Wastewater Treatment,
Septtc Tanks. _
' - US Environmental Protectlon Agency-Asbestos abatement.
- Federal.Aviatlon Authorlty-Runways.
, 1 understand that the following restrictions apply to the use of flIL••
- Use of fill Is not allowed in Flood Zone"V"unless expressly permlQted.
- If the fill materlal�-is to b.e used in Flood Zone "A", It. is und�rstood that�a drainage plan addressing a
°compensat(ng volume" wili be submltted at time of permitt(ng wliich is prepared by a professionai engineer
Iicensed by the State of Florida.
- If the fili materlal is'to be used in Flood Zone "A° ins connection�with.a {�ermitted building using stem wall
� construction, I certify that fill�:will:be used only.to.fill the area within.the�stem wail.
- If flll material is to be�used In any area, I certify that use of such fill will not adversely affect ad)acent
properties. If use of flll is found�to adversely:affect adjaEent properties�.the owner may be cited for violating
the conditions of the buflding.permit Issued under the attached permit appl(cat(on� for lots less than one (1)
acre which are elevated�by flll, an engineered drainage.plan ts required. • .
If I am the AGENT FOR THE OWNER, I,,promise in good faith to Inform the owner of�the permitting condit(ons set forth in
this affidavit prior to commencing construction. I understand that a separate permlt may be requtred for electNcal wrork,
plumbfng, signs, wells, pools, air conditiontng,.gas, or other installations no�.spec�fically induded�in.the application. .A �
perm(t Issued shall be cor�sttued to be a license to proceed with the work and r�ot as.authorily to,violate,.cancel, alter, or
set aside any provistons of the tech�(cal codes; nor shall issuance�of a permit.prevent the Bulldirig Of�icial f�om the�eafter
requiring a cor�ection.nf errors in:plans�-constructlon or vlolattons of any code�. Every permit Issued shall become invalid
unless the work authorized.by such permit:is.commenced•within sGc months of permft issuance, or if work authorized by ��,
the permit is suspended or.abandoned for a period of six f8)months after the time the�viro�k•Is commen�ed. An extension
may be requested, In writing, from the Building.Official for a peNod not to ex�eed-ninety�(90) days and�will demonstrate
- --jusEifiable-caus$-fo�=the-extensio►e.=1f work ceases:for ninety(9Q)-conseca�tive�days,-..th�job�isconsidered-aba�doned. — - - -
WARNING TO OWNER: YOUR.FAILURE•TO.REC.ORD A MOTIGE:OF COMMENCEMENT MAY RESUlT IN YOUR
PAYING TWICE,FOR IMPROVEMENTS TO YOUR�=PRO�ERTY. IF�YOtJ�INTEND`TQ-OBTAIN�FII�FANCING;'CONSULT
WIT UR L . D O A � TTOR O . � CO �D G� OU ' • �� '
FLORIDA JURA�(F.S.117.03), _
OWNER OR AOENT CONTRACTO
Subscrlbed an bswom (or a�irmed)befor me this S�ubscrib�nd'swom to(or aflirmed)�b� re me ttii$
Y �
Who Islare personally knovm to ma or haslhave produced Who Is/are onally knovm ' �rr�e or•haslhave produced• •
as Identlflcatlpn. as IdendftcaUon.
Notary Public . Notary Publlc
,o�e^•.rt;��: JACQUELINE B '
Commisslon No. Comrf► Ion�N . =
_�,;�. ,p; Expires December 12,2018 �
�K �`�� Bonded Thru
Name o(Nolary lyped,printed or stamped Name of Nolary ,
I �