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Home My WebLink About15-16028 CITY OF ZEPHYRHILLS � 5335-8TH STREET � ` (sis)�so-oozo 16028 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16028 Address: 4846 5TH ST 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: 14-26-21-0010-01500-0110 Improv. Cost: 3,500.00 OWNER INFORMATION Date Issued: 2/19/2015 Name: LINVILLE TERRY W & JOY O Total Fees: 55.00 Address: 5215 BERNADETTE DR Amount Paid: 55.00 ZEPHYRHILLS FL 33541-1999 Date Paid: 2/19/2015 Phone: 813-997-3830 Work Desc: A/C CHANGE OUT 2 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GA & C,INC. C CHANG O T 55.00 �� Ins ections Re uired DUCTS INSTALLED DUCTSINS LAT�F 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 fi) 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. � CONT T R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-784-0021 Building Department 4`., Date Received Phone Contact for Permitting p� ✓ ��02` - �b L � Qwner's Name G-��/�/� �-�'/�2 l �" �U Owner Phone Number c5 J�, � -��v�� Owner's Address �� J"� /e3 c�i/�, f�-2>� � �� Owner Phone Number �^ � Fee Simple Titieholder Name �— � Owner Phone Number � � Fee Simple Titleholder Address JOS ADDRESS �� J�j� � { �.°' �z�l�L.�S,, /�� • ��'�� LOT# � $UBDTVtS10N �^ � PARCELID# J� �� f ��ed� Q�.�e�,� � ��`� (OBTAINEO FROM PROPERTY TAX NQTICE) WORK PROPOSED e NEW CONSTR� ADDlA�T � SIGN {� Q DENIOLISH INSTALL REPAIR PftOPOSED USE Q 8FR Q COMM Q OTHER TYPE OF CONS7RUCTION Q BLQCK Q FRAME � STEEL Q DESCRIPTION OF WORK �-.�J�I� 9� �G' �G�..L'� •'�� BUI�DlNG SIZE �^ � SQ FOO7AGE�__�� H81GHT �� Og��p�N� L'_____� VALUATION OF TOTAL CONSTRUCTtON �rl QELECTRICA� �; � AMP SERV(CE 0 PROGRESS E�IERGY Q W.R.E.C. QPLUfu1BING �$>�� L QMECHANICAL. $ ��r.,��' �� VRLUATION QF MEGNANIGAI.tNSTA�tATIQN l{QO� � �GAS Q ROOFING Q SPECIAITY � 4THEFZ FINISHED FLOOR ELEVATIONS L�� FLOQD ZONE AREA QYES NO 8iJ1CDER �pMpp,�+ SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �— � Ei.EC7RICIAF! �� COMPANY SIGNATURE _ REGIST�RED Y/ N FEE CURRE� Y/N Addrsss License# �— � P1.UNtBEi2 CONIPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �` � MECHANICAL - � ` COMPANY ��'lf1� � PD A�tt1� C�S � �j{�'/� • SIGNATURE � '� �- �~,��"�- REGISTERED Y 1 N FEE CURRE� Y J N Address ��'�3��211� �7'c�g. -��.¢,+��.j �•'?.� License# ��a_�.�`�� eS � OTMER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �— � � RESIDENTtAL Attach(2}Piot Plans;{2}sets of Building Pians;{i)set af Energy Forms;R-t?-W Perm�#for new co»struction, Minimum ten(10j working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facil(ties&1 dumpster;Site Work PeRnit for subdivisionsflarge projects CQMtUlERC1AL Attach{3)compfete sets of 8uilding Plans plus a Life Safety Page;{9}set af Energy Forms.R-O-W PErmit for new construction. Minimum ten(10}working days after submittel�date. Required onsfte,Construction Plans,Stortnwater Plans w/Silt Fence installed, - Sanitary Facilltles&1 dumpster.Site Work Permit for al!new proJects.Ap commercial requirements must meet compliance StGN FERM17 Attach{2}sets of Engineered plans. ""PROPERTY SURVEY required for all NEW construction. 3irections: � Fill out application completely. ;- Owner 8�Contrector sign baok of application,notarized ; � If aver 52544,a Notice af Commencement is requFred. ;(AtC upgrades over�TS00} r '" Agent(for the contractor)or Power of Attomey(for the owner)would be s"omeone with notariaed letter from owner authorizing same = , �VER THE COUNTER PERMITTING {Front of Application Only} ' ` 1�' �' 2eroofs If shingles Sewers , - Senrice Upgrades�A/C �Fences(Plot/Survey/Footage) _ _ ; „ , Driveways-t�tot over Counter if on piabtio roadways..needs ROW� � � - � , � ,� _ . ,- , 1. , , �_�yw 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 �►ND CONTRACTOR RESPONSIBILITIES: If the owner has hired a .contractor or cont�actors 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 the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired 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 the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting.privileges in Pasco County. TRANSPORTATION IMP�4CTIUTILITIES ItIAP�4CT AND RESOURCE RECOVERY FEES: The undersigned understands that Transpo�tation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned 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 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 permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEIV U�►W(Chapter 713, Fiorida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. COiVTRACTOR'S/OWNEFt'S AFFIDAVIT: I certify that all the information in this application is accurate and that all vvork will�be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand.that the regulations of other government 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-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Flealth Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos 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 Flood 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 only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of�II is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for Iots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OInINER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance�of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OVYfVER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT nAAY RESULT IN YOUR PAYING TWICE FOR IAAPROVEMENTS TO YOUR PROi'ERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ViIITH YOUR LEND R AN ATTORNEY E�ORE itECORDING Y OTICE OF CO ENCEIViENT. FLOi21DAJL-'RF�T(F:S i17:G3) `-' u- - - - - - - -e- - - - ---¢ ` ----- --- - -- OWNER OR AGENT ONTRACTOR �� Subscribed and sworn to(or i ed)before me this Subscrlbed and swo (or a(firmed)before me this by bY Who islare personally kno o me or has/have produced Who Is/are personally known to me or has/have produced as Identlfication. as idendfication. �j Notary Public Commis n No. Commi ion No. `�Y'oy�, JOEL E.BACON ;�}�"��Y��;; JOEL E.BACON :Lti••�• ,�; ;.: :.- Commission#FF 1 Name f No �� dPO�irlg �,��rg��p�g Name of Notary ty " �f�d�29,2018 o;FAF��?,•` BondedTlwTroyFainlnsurance800.985�7019 �'�.P��;°•��, BondedTlwTroyFainlnaurance800JB5-fit9 . ' �'�1��'��'��i�� ~�'y �/�-� r ! ,�� 1 � 1� r . . . . `�=��9;��ZQ� y ;� .� Service Order,/Pro�osal Air Conditioning 8�He 1 �� , , . �� '� t �'� � � �� t` I��I ` ` WC}�RK ORDER#ISERWICEMA1�l 5EE4� REN �I `}1 '�� } � �'I �� i`` '�' � ll�l 1 _ ' i�►iiuiuiiii iiiiui ur�III��I��I'II'I'��` DATE/T I ME TAf'.EN � 4Z�c/�9/1,'�'.� 14: 1� l� TAKEN gY KIM �� v� �� ---- - ; 'DATE,�TIME RROMISED _ ��A . � CllSTC}MER#lLOGAT I Qh! 1��3c' �� - M'�� t�HOhiE#� �13-997-383� C ' " 1 �� ,`,. � 1{�' �� 1II1 �� FtOUTE/S�l� REN-NEW ,�,_� � ��(� �� li�:�11 �� -^_-��; v� � j+1A�' `� ' -AIF-I ATTIC r III��.I,!{- r� ,��1► � � — � . . ��i�!�l�fi�� ►��lilpp !'� o \/`/ � 1 . . . r �Cj�V�1. M'Vi..JLY�'I. U ,j j y��C{�J�: t) ' /�.n✓1� 1'� _ . jt V ` , . � , � (�� '�� LINVILLE - REIVTAL, T�RRY � N�- ��r� {� • 484E. �TH ST ' ; ♦ �� u _... _ ---`� . � M'M"*V'�4 r ZEF'HYRHILLS FL3,?,54�: , (~`: ,,,�.r i w;��-- t � • , � �� ,,� � _ � . 'M A ,��,+��.v�� N `i �, � ,� ..r ',t . . � ' QZY.� _ -AIATEFtIALS 8�SERVICES ` � UNIT PRIGE, f�MOUN' I� ' � i � ��` _ , j----------- ------ --- -- -- !-- ---�C � � vt a ;-�-- , '.'�_ � 4� ovb ��r ��i G �Z� � � y�p� o° - ! ,C� �rQ i � („� , Q°� �===_�� ' /.3 S �� . �' _.- �' � . € � � { � //� ; � ov A . � � � � � � � � .� ':�� r ' o z ��2..._,. � � ` z G� �.%� � � � N I � � t , : � � t � � � � � ,. �Pressures Lo H! T•Stat + � _ i � ' R�cFR1GERAFIT R- leS. $per lbs. � , FttTERS x� x Changed Monthly t i FILTERS x x Changed Monthly � � � � REGULAR ❑WARRANTY TOTAL SUMMEiFtY £Jleta�'�at^�tings: When here°�fV". When Away� T�Stat 80° � MAINTENANCE C4NTRACT SERVIGE , LBitTEU WARRANI'1': All materials,parts and equipment are warranted by me manutacri�rers' MEfHOD OF PAYMENT CALL i a�c.ppc�s ��nry onty.All labor per(ortned by the above named am�pany is warranted(or � � f TOTAL � i �1 dajs or as a�t�esxise ind'+cated i�writing.The above named company makes no oti�er warranties, ❑�ASH �GK# �ir"u � a�ress or irr�ed,and its agenis or technipans are not authorized to make any such warran6es on MATERIALS a �otatrrnenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER ' MAINTENANCE � �ra+e arssoncy to order the work ou»ined abave wnich has bean satisiact«iry mmpteted.�agree mat Sel�er PR��. W 1 � rera+u o5e N eqripmenVmatersats tumished untii finai paym¢nl is made.it paymeni is not made as aqreed. CLAIM# � se�er�n rrrrare saiG equipmenVmatenals al 5eller's expense.My damage resultlng hom saul rertroval shall ��`,��7�.�^ r�p[De me retr,��onsiblrty o(Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL 6E ADDED MONTHLY TO �� AlLt1NPN08NJtNCESOVER30DAYS.NOREFUNDS QATE COMPLETED +�r� _ _,,,,, EGH: � T� � 1 Ci7t ----- "7.--9.r�. C.f tc twcR clns+x c