HomeMy WebLinkAbout15-16394 . ` CITY OF ZEPHYRHILLS
5335-8TH STREET
� �sis)�so-oo20 16 94
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16394 Address: 6546 TEAK CT
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class.of Work: A/C CHANGEOUT Township: Range: Book:
Proposed llse: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-021A-00100-0020
Improv. Cost: 3,500.00 OWNER INFORMATION
Date Issued: 6/25/2015 Name: SPINA STEVEN & JUDITH &THURSTON
Total Fees: 55.00 Address: 6340 HUNTINGTON DR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-0606
Date Paid: 6/25/2015 Phone: (813)780-6104
Work Desc: A/C CHANGE OUT 2 TON SPLIT SYSTEM
CONTRACTOR S APPL�CATION FEES
BAHR'S PROPANE GAS& C,INC. CHANGEOUT 55.00
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Ins ections Re uired
D CTS INSTALLED
DUCTSINSULATED �
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 f) 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
,
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
' Fax-813-780-0021
.-,p,�-,ow;„L� LityotLephyrhillsPsrmltApplication ;.�a��cc� �
`� . Buitding Departrnent �' �y ,t j
���.
ts Recelved PhonA Contact for Parmit#in ��-.'� ��dZ"— ���G''�
rner's Name �1���/� ���° �J Owner Phone Number ��3— t��'� "'�/�
rnar"s Address �3�� Jll2��f1) �N � 3� Owner Phone Numbsr
e Simpls Titleholdsr Name � � Owne:Phone�lumber � �
a SEmp}e Titieholder Address
B ADDRESS lte�� �1.,° �'Z�` G"' /.� t�,L �t7�t-aJd�Sp/ CD LOT# �_-�
'9DIttIS10N jf-t'Lt)t3flG7 � PARCEL ID# �o� �.� � �o�A G�1 C3L5 f.�G"��Q
(OBT/UNEO FROM PROPERTY TN{M0710E)
)RK PRQPbSED e N£W CONSTR� ADQlA�T [� SIGN [�] [� bEMOUSN
lNSTAI.L REPAlR
.OPOSED USE Q SFR Q COMM � OTHER
PE OF CONSTRUCTlON C,J B�OCK Q FRAME � STEEL Q
SCRIPTIdN OF WORK ��. � G-°"f��r � �'D�j � ��� �1 � CcrjJ2 d�l!'t.�AJ
4l.DING StZE � � 5Q FOQTAGE[� HEIGHT L��
QBUILDING �� VALUATtON OF TOTAL CCINSTRUCTION
C]ELECTRICAL _ �6 � AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C.
QPLUMBING ($ �
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�MECHANtCAi. $ r1"5-�pw� VALUATION OF MECHANtCAI 1NSTALI.ATION
J
[�„]GAS [� ROOFING Q SPECIALTY � OTHER
IISHED FL40R ELEVATIONS ��� FLflOD Zl�NE AREA QYES NO
ILDER CdMPANY
iNATURE REGISTEREQ Y/ N FEE CURREP Y i N
Address y License# � �
3CTR1CU4N � COMPANY
�NATURE REGISTEREQ Y! N FEE CURREh Y I N
Address License# �_i �
)MBER ��� COMPANY
�NATURE REGISTERED Y! N fEE CurtrtE� Y!N
Addreas License# ��! ��
GHANICAL � COMPANY +C7/'`J-fffQ S p/?� h�-NE'—C�� �'L' �fV`Cr
NATURE L��C,.ti77��^�i�'i't.L^� REGISTERED Y/ N FEE CURREt� Y/N
Address License# ��'�' ��`��� �
�ER � COMPANY
NATURE REGiSTERED Y I N FEE CURRE� Y/N
Address _ Lfaense# r� ��
i1DENTIAL Attach(2)Plot Plans;(2)sets of Bu3lding Plans;{1}set of Energy Farms;R O-W Parmit far new cons#ruetlon,
Mintmum ten(10}working days after submfttal date. Required onsite,Constructian Pians,Stormwater Plans w/Silt Fence instaUed,
Santtary FacitiUes&1 dumpster;Site Wark Permft for subdivisionsRarge projects
AMERCIAL Attach{3)complete sets of Bulfding Plans pfus a�.ife Safefy Page;(1)set of Energy Fortns,R-O-W Permlt for new construcUon,
M(nlmusn ten{1Q}workfng days af#er submitta!da#e. Required ansite,Cons#ruction Plans,Stormwater Plans wl Silt Fence lnstalled,
Sanitary Fac�llUes&9 dumpster.Site Worfc Penrrtit far aN new projects.All commerclal requlrements must meet compllance
M PERMlT Attach(2)sets of Engtneered Plans.
"'"PROPERTY SURVEY required far aM NEW constructian,
etlons: 'k � � -,
F!H out applica8on campletety. �r
Owner&Contractar sign back af apptication,notarized � '' .
If ovar a2500,a Notico af Commencement is required. (A/C upgrades over 57500) , - .� ���� `�
.... � . . ..x°, �
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner authoNzing same.� ,-�•��� � ; ,' "
:R THE GOUNTER PERMITI'tNG (Front of Appiication Only) ': - � . � � ,
•,};,.
�ofs if sfifngies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) : �� ` - - � . ,
, .. _ ,=� L,� .
Driveways-Nat over Counter if on public roadways..needs ROW � � � � �
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NOTICE OF DEED RESTRICTIONS: The undersigned under�tands�that ihls:p�rm�f:may.be,subJect to"deed"restrictlons°
which may be..more restrlctive�than County regulatlons. 'The undersigned assumes responsibility for compHance with any
applicable deed resUictions. •
UNLICENSED CONTRACTORS AND COtdTRACTOR 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'regulations, If the
contractor ts not Ilcensed as requlred-by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or Intended contractor are uncertaln as to what Ilcensing.requlrements may apply�for the
intended wark, they are advised to contact the.Pasco County Building Inspection Divlslon—Licensing Section at 727-847- ,
8009. Furthe�more, If the owner has hi�ed a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of this application for which they will be responsible. If you, as.#he owner sign as the
contractor, that may be an indicatfon that he is not.properly licensed and is not entftled to permitting privileges In Pasco
County. '
TRANSPORTATION IMPACYIUTILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The underslgned 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�`buildings, as specffied in Pascv County Ordlnance number 89-07 and
90-07, as amended. The.undersigned also understands, that such fees, as;may°be�due,.will be (dentifled at the time of
permitting. It is further understood that Transportatfon Impact Fees and Resource Recov.ery Fees must be paid prior to
receiving a "certificate of occupancy" or flnal power release. :If the project�.does not Involve a certfficate of occupancy. or
final power release; the fees must be paid prior to permft issuance. F��thermore� if Pasco Caunty WatedSewe�.Impact
fees are due, they�must be-paid prior to permlE Issuance-in accordance with�appifcable Pasco County ordinances.
CONSTRUCTION LIEN L�1W(Chapter 713, FlorJda Statutes�as amended�: If valuadon of work is$2,500.00 or more, I
certify that I, the applicant, �have�been provlded with a copy of the "Florida ConsUuction Lien Lav�—Homeowner's
Protection Guide° prepared by the Florida Department of Agriculture and ConsumerAffairs. If the appl(cant is someone
other than the"owne�", I certify that I have.obtained a copy;of.the above.described�locurr�ent°and promise in,good falth to
delive�ft to the"owne�"prior to-commencement. ,
CONTRACTOR'SIOWNER'�AFFIDAVIT: I certify�t�iat all:the Infocmation in this appltcatlon is accurate and that all wark
will�be done in compliance with all applicable laws �egulating constructlon, zoning and land development. Application is
hereby made to obtatn .a permit to do work..and installation as ind(cated. °I certify that no work or installatton has
commenced prior to Issuance of a permit and that.all work will be pertorm�d�to meet standards of all laws �egulaking�
construction, County and City codes, zoning regulations, and land development cegulations•in the jurisdiction. I also
certify that I u�derstand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify�what,actlons I must take,to be,in.corr�pliance. Such agencles Include but are not Iimited to:
- Department of Envlronmental Protect(on-Cypress. Bayheads, W�Hand Areas and Envlronmentally Sensitive
Lands�WaterMlastewater Treatment.
- Southwest Florida Water Management :I�istr(ct-Welis, Cypress. Bay.heads; Wetland Areas, AlteNng
- Watercourses.
- Army Corps of Engineers-Seawalis, Docks, N�vigable Waterways.
- Department of Health & ReY�abilitative_Services/Enyironmenfal Health Unit Well.s� Wastevirater Treatment,
Septtc Tanks. _
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal,Avlatlon Auihority-Runways.
I understand that the following�restrictions apply to the use of fltl:•
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materlal�fs to be used In Flood Zone "A", It is understood that a dreinage plan addressing a
"compensating volume" will be submitted at time of permitt(ng wh(ch is prepared by a professional engineer
licensed by the State of Florida.
- If the fill.materlal is'to be used In Flood Zone °A" (n>connec�ion�with.a {�ermitted buliding using stem wall
' construction, I ce�tify that fill�wlll:be used only to.flll the area wlthin the�stem wall.
- If fill materiai (s to be•used In any area, I certify that .use. of �uch flll will not adve�sely affect adjacent
� p�operties. If use of flll is found to advers�ly�affect adJaEent properties,.the owne� may be cited for viofating
the condltions of the building.permit issued under the attached permit application, for lots less than one (1)
acre whtch are elevated by flll, an engineered dralnage plan is required. •
If I am the AGENT FOR THE O.WNER,.1�promise In good faith to fnform the-ov�rner of�the permitting conditlons set forth in
this affidavtt�prior to commencing construction. I understand that a�separate permit may be requlred for elect�ical work,
plumbfng, signs, wells, pools, air conditioning, .gas, or other ins#all�tions not spec�fically Included in.the application. �A
permit issued shall be construed to be a Itcense to proceed wfth the work and �ot as�.authority to..violate,cancel, alter, or
set aside any provis(ons of the techn(cal codes; nor shall Issuance�of a permlt.prevent the Bulldirig Officlal ftom thereafter
. requiring a correction.Qf errors In.plans,-construction or violatlons of any codes. Every permit Issued shall become invalid
unless the work auihorized.by such permit��is.coEnmenced•withln $Gc months of permit Issuance, or if work authorized by
the permit is suspended or.abandoned for a period of six(6)montf�s.after the time the�work��is commenced. An extension
may be requested, (n writing, from the Bu(Iding,Offlcial for a perlod.°not to exceed-nfnety�(90) days a�d�wiil demonstrate
--justifiablecae�s�for-the-extensiora.-�lf work ceasas:for-nin�ty.(9Q)-con�ecutive-d�ys,..the�ob�is-con§idered-aba�doned:--- --
WARNING TO OWNER: YOUR.FAILURE.TQ,RECORQ A.NOTIGE.OF-�COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR��PROPER7Y. IF�YOU�INT�ND`TQ�OBTAIN•FIPtAWCING;�CONSULT
WITH YOUR LEND�R OR AN ATTORNEY BEFORE�RECOR�INf YOUR`�N�Ti�E`OF COMMENCEMENT�
FLORIDA JURA�(F.S.1.17.03) � ,
OWNER OR Al3ENT ` CONTRACTOR '
Subscribed and swom M atflrmed)before me this Subsalbed and'swom to(or affirmed)�before me tFiis
by ,by ,.
Who Islare personally knovm lo me or has/hava produced Who Islare p.ersonally known to.trte or�haslhave produced. •
s Identlflcetlon. as Identlflcatlon.
ry Public . Notary Public �
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e�uamsul ur+�A 1 N41 PsP 8 ,o �r'
Commissl '0°8 =� :�= Cammisslon.No. '
—8C0'�`9�'ekiaf-s�►. . .rt; '
ELOL£L��#uoiss�wtuo� '_";;�a•'��'
Name o N ta ed N�me of Nolary typad,printod or stamped
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�� � � PROPANE GAS Service Order/Pronosal � � � �
AND AI� �►vc. +— Air Conditioning 8 Heating
�7�e �988 813-782-50�;3 �
Sales, Service & �nstallat�ons WORF�.• ORDER#/SERVICEhfAN E�17'3 c MAR
DATE/T�IME TAFCEN �E/18/1� 14:49
4441 Allen Rd. • Zephyrhills, FL 33541 TAI�.E�v RY Ac ��
NOTES• • .. DATE/TImE F�ROMISED �E/18/1� 13:Q��
_— CUSTOMER#/LOGATZOhI 1`3320
F�HONE# 813—��7-3961
• F'HO�IE`# TEIVT:ENGL I SH
- G'HONE;=�# � • 81,_,-78�-61�4
- � _ CONT,�ICT � LANCE SM I TH
�. ,ROUT�/SEG! , MAR�.:rJ4G
_ hIAP . • AH— ATT I C
SF'INA, MR STEVE SPINA—REIUTAL, 'STEVE
C!0 LANCE SMITH 654E TEAK CT
PO ROX 153E DRIFTWOOD CONDO '
ZEPHYRHILLS FL 33�3'3 ZEF'HYRH�I.I�LS FL3354�
.
' ' r REIVTAL �FtOF'ERTY ,
,. • �T PRYANT SF'LT SYS
COND:E,F��CJ�c4—R/c^E�`�7EQ�c 17� ,
' �° A/H:FC4RNF�3�/4�97A1'3�64
NOT COOLING. SET AT 75 TEM� AT 89. *-x� CALL LAfVCE. ShiITH WITH WHATS WR�IVG-��
� � � DESCRIPTION OF'WORK QTY. :� MATERIALS&�SERVICES , � UNIT PRICE AMOUNT
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' RECOMMENDATlONS , i i
- - P�%�r ` .����o � �
Annual Maintenance Recommended 6y QII`Equipment�Manufacfurers. ' '
Pressures Lo HI T-$tat i i
. i i
, _ REFRIGERANT.R='_ ' LBS,�-- ' , - $per Ibs. - , I I
FILTEkS x x Changed Monthly I i
� . FILTERS x x Changed Monlhly � �
�• � REGULAR ❑WARRANTY TOTAL SUMMARY
DeFiurimidistat-Settings: When here"ON";"When Away60°o, T-Stat 80°. ❑ MAINTENANCE CONTRACT SERVICE . i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers .� �- METHOD OF FAYMENT_--: •� CALL "- i
or suppliers'written warranry only.All labor performed by the above named company is warranted for �' . TOTAL i
30 days or as otherwise indicated in writing.The above named company makes no other wananties, ❑CASH ❑CK#
express or implied,and its agents or technicians are not authorized to make any such warranGes on MATERIALS i:
behaifofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
PROG. W / C �
I have aulhonty lo order lhe work oullined above w�ich has been satisfactorily completed I agree Ihat Seller � I
retains tiUe lo equipmenUmatedals tumished until final paymenl is made.If payment is not made as agreed, CLAIM# ' ' �� �
seller can remove said eqwpmenUmatenals al Seller's expense.My damage resulting hom said removal shall
nol be Ihe responsibility of Seller.NET 30 DAYS.A 1 1l2%SERVICE CHARGE WILL BE AODED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH. TAX �
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CUSTOMERSIGNATURE DATE �/�/'� ✓otic TOTAL !�/�S�n ��
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