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Home My WebLink About15-16039 ;• i CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 16039 BUILDING PERMIT PERMIT INFORMATION ' LOCATION INFORMATION Permit Number: 16039 - Address: 38745 2ND 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: 11-26-21-0010-19600-0120 Improv. Cost: 3,170.00 OWNER INFORMATION Date Issued: 2/25/2015 Name: BUBNACK STEVEN M Total Fees: 55.00 Address: 38745 2ND AVE Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/25/2015 Phone: (813)817-3398 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTOR S APPLICATION FEES BA R'S PROPANE GAS , NC. CHAN EOUT 55.00 �.- Ins ectio e uired DUCTS IN TALLED DUCTSINS TED 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 properly. 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. CONTRA TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ± � " i ! ,�„-"'� l��j} ��I.� I Ili I � � PROPANE GAS c,,,,yervice Order/Proposal � • � �` ' AND AIC tNC. Air Conditioning 8 Neating �ii�e�e�988 8�3M782•50�3 . , Saies, Service & installatians �Q��` ��'�`��!-�:�=��=j��' '��'� F�� L�11'�f?']:f�l� T�tt,El�l ��`;11 !i�; ��o�S �. 4441 Allen Rd. • Zephyrhills, FL 33541 ;��.;��,� �4• ��,� �� NQ7ES:_ •�� V'�,�7 rti`�Q�K. � T�!�/u o .�o.+c� ��TE!'i 1 r1L �RC7h�i T��?a , � ��l�T,�.(��F�f��;'LC"J�{'�T 7�1�? :c��.�►�;� , ' �'!-3��1�� 3 i�,--��.�—��`�t� J�-�'L �ia�ace_, /�'��--1 ��5r��,'�'�QU�-�:�� -�� '�i�-°-� " �� -�_ �-��l31�°1�''l1oL?f�-- Gjl�� . �r.1�hi�Ci-.a �T�tf� �E t�1tiiAC;�q �T�4.rE 'C-r+{�-�i G:IYL• F^i Y.� ,.��t t li'J C`l�t.v r�^.E�E ' �F�l�'I-��`RI-III�L� FI._ .,s.:��t•� ZcF'E-i`�F�'H�:l_€.�:-; €=L a:�.�4�:: RE'—�Qi�ll? �:'� 5 �"�!� �'I'�C�a A!C 'f�'�ISi'�l_1_�'I? �L��./L��r�k."►,:: �"��1��:.��+AKA�, i._�� .�`�,.�.,�4 i=�TI1Ylf�TC .=s�<::�::- ...,e_.. _ _ - - ,��.c, ,.:,�.,.>.V:,......,.�:.,.,.�..;�,� ..,r ,. �,;..,::_:.;-, :...w, - ,�x-:..,. :_ _,_, - ..,._._,. ,,.��. , ..__ ..:. -...�.--_,....u., �:.. y..,,,._� . . .. - - - - -- - �....�.... ._�.R..-.: y . . � . .e;., i��._..:'� - _ _ '%J:i.:::.'=v'°�".=.�n.,=', r::+ ' _ - � - ' �"�f k:;�YV,: �i,ii'.f1,-��:r" _ _ ,;;,ja:. �4"ir�. .-':3�. �� :;�D�S�RIP7>I- �F�. _ ;Q . �ra:-w;M.. .E_. _ .. . . . 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Pressures La NI T-Stat � i - - - - '(�-- _- :x-.;>n-.,:?'_ - - - --- —;.�:_,:.,_: - -- ,r.>.-�.:':.:`.�Z.:;;,_;%: __ -- r3� I i'�� =�L!'�� ' �\/ �� REfE2IGERANTRr s �LBS:'� � r $Pg�.�s r�s .,: irJ*st � � . r u.. _ .-r; rrw�.. .,r �' - �� . �.__�._ ...46:r _... , ..._ ....>_ . 9s._. ..._� _ �� p�- ` � FiLTERS x x Chan ed Month I ) FILTERS x x Changed Monthly � � ❑ {ZE�.7U� _ '=s:` '."y`^f�c:ph;�:..�.r�y" ..>is�-_ - _ R 0 WARRANTY ;�;�- 'TC1i'Al:'••51JNlNlARY�x,:.�,��:;`. _{ � ,� N -..,:�:x:,:<.� .,.�.; :�r•.,.:r.r,. � 'f ,. :�. ,��. Dehurrpdistafi;$eCtirigs,;�;When fiete°.'ON":_�When Away 0° -=:T-Stat 8{I°' ❑ NiAINTENANCE CONTRACT SERVICE yF.:�. !_1r: ::�wr.`Y�. i'�:` •"F,kf.i'.'t:� � UMITED WARFtANTY: Nl materials arts a� e�~�me b e manufaciurers' - - = --'•"::`:,= " CALL �P nd quip ntarewarranted yth a.��'''":�=METHODNOF;PAYMENT;.=�'�:'�' " � '�;�':e;�rt,�%;:j.�r:�_:,..,-?:_,.:;,..�:.,:;3:z:.,;,-;-;:�-v�.<s=i•_..�i F�;��;=� ar sappfiers'written warranty onty.A!I la6or perfarmed by the atrove named company is warranted far '�° �- TOTAL i 30 days or as othenvise indicated in writing.The above named company makes no ather warrenties, ❑CASH ❑CK# MATERIALS i express or implied,and its agents or tecfinicians are not authorized to make any such warranties on trehalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � PR06. W 1 C i I have authority to order the work outlined above which has been satisfacton'ly wmpleted.I agree that Seller • i retains ti#!e to eqvipmenUm terials f�m3shed undS final yment is made.tf payme�st{s not made as agree0, GLAEM# S seller can remove saitl eq enUmeterials at Selle expense.My damage reSUlting hom said removal shall .� nat be the respomiWlity cf r.NES' 2%,SERVICE CHARGE WILL 8E ADOED MpNTHIY TO � " �p I� nu.uNpAio envaces s. FuNOS DAi'E COMP�ETED �G?U O�t/ ..._...._.�_. TECH: �� t CUST� ERSI6NA E Qq'(E ✓1l�� Jo-u TOTAL �` - I s�aaaa-oozo City of Zephyrhills Permit Application Fax-813-780-0021 , ' � Building Department ( Date Recelved Phone Contact for Permitttng �� o �– �� Owner's Name l�/��NQ��G�, �L er✓� Owner Phone Number O ��°�� ! ` „�✓ / Qwner's Address � "T� ��D �1�� Owner Phone Number � Fee Simple Titleholder Name � � . Owner Phone Number �— � Fee Simple Titleholder Address JOB ADDRESS O �� / J�e � � �"{�L'�"'� LOT# �� SUBDIVISION � � PARCEL ID# �� °"�1 � ��L I t�'�� "�� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e t3EW CONSTR ADD/AlT � SIGh! � Q DEMOItSH INSTALL REPAIR PROPOSEd[JSE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 BTEEL Q pESCRIPTION OF WORK l��m d f�e- "�"f�� -° � � � � C Q'�"1 ��%�✓`�'-'' �/� �� BUILDING SiZE � � SQ POOTAGE[_�_� HEIGHT �`� QBUICDCNG �_--_� VALUATION OF TOTAL CONSTRUCTION �ELECTRtCAI� r> � AMP SEFttlICE 0 PROGRESS ERIERGY Q W.R.E.C. L �PLU�ne�rv� �� 1 ,�d OMECHANICA� $ � t �7�t D� VAl.UATtON OF NIECNANICA�INSTAi.CATtON .� P l �GAS Q ROOFING Q SPECiAITY � OTHER FINISHEQ FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO BUILDER CBMPANY SIGNATURE REGIS7ERED Y/ N FEE CURF2E� Y/N Address License# � � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � � PL.UMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ,,._, ,,._„_,,,.....,, . Address License# � � ' MECNANICAt � � � /� COMPANY letS d' F�N��-S �` �� SIGNATURE ��''��'�'�" REGISTERED Y/ N FEE CURRE� Y/N Address License# ��.-�!�-U'T� / T"� � 07HER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �— � RESIDENTIAL Attach{2)Plot Plans;{2)sets of Buitding Plans;(1)set of Energy Forms;R-O-W Permit for new construcfion, Minimum ten(10)warking days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/8ilt Fence installed, Sanitary Facilltiss&1 dumpster,Stte Work Permit for subdivisions!large projects _ ____ COMMERCiAL Attach(3}comptete sets of Sui{ding P1ans ptus a Life Safety Page;{1}set af Energy Forms.R-O-W Permit for new construction. - � Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facitities&,1 dumpster.Site Work Permit for a11 new projects.A(I commerciat requirements must meet compliance S1Ghi PERMIT Attach(2}sets of Engineered Plans. ""PROPERTY SURVEY required far all NEW construction. birections: � Fill put application completely. Owner&Cantractar sign 6ack of appl�cation,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) '* Agent{for the contractor}or Power of Attomey(for the owner)wouid be someone with natarized letier from owner autharizing•same �•��-,� . . � OVER 7HE COUNTER PERMI'i'T7NG (Front of Application:O'niy) � - , • � ' ` Reroofs if shingles Sewers Senrice Upgrades A/C , Ferices(Plot/SurveylFootage� _� �� .� , i�. . .,r . �1. . ` Driveways-Not over Counter if on,putilic roadways,.needsAROW _ - "` ' •° .-� ' . °�°, , ° .. ,,,�-,-,•�r:; � � . � NOTICE OF DEED f2E5TF31CTIONS: 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 applicabie deed restrictions. UMLICENSED CONTRACTORS AND CONTRI�CT'OR RESPONSIBILITIES: If the owner has hired a contractor or - contractors 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 , I 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. - 'fFt/�NSPORTATION iMPACTIl1TILITIES IIVIPAC'�'AND RESOURCE RECOVERY FE�S: The undersigned understands I that Transportation 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 i 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 LIEtd L�►Vil(Chapter 713, Florida Statut�so 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. CONTRACTOR'S/OWNER'S AFFID�►VIT: I certify that all the information in this application is accurate and that all work 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 Health 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" arvill 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 fill 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 lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the�►GEfVT FOR'THE OWNER, 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 �9D) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HIAY RESULT INI YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIFVAFVCING, CONSULT !RIlT�!Y�!!E�-LENJ�Fl�-�R-�INATTORWEY�EFOFtE RECORDING YOUR NOTICE OF COIIAl1AENCEMENT. FLORIDA JURAT(F . .03 � - - C- - `— - OWPIER OR AGEId7 CONTRACTOR Subscribed and swom o r affirmed) ef e me thfs Subscribed and m to(or affirme )b fore me this by bY Who Is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced as Identlfication. as identificaGon. .7 � `� ��- otary Public � Notary Public i��n,,.,, .a.,..xm: . �,•�p�'.�Y.ry,w. JOEL E.BACON - • Co Is p � Com s ion No .••'�i:�PG'�••, JOE.t E. :�� . - ',� :� Expires June 29,2018 ;.; :«: un�;r:s.,�,,�` . ;a a. - • : �.; > .2018 � oQ:� ��, :Q� GA�,1It''�; aidedTlwT Fainlnsurance8W3B5-7019 Name oF ' , Name of Notary p' ;� �ted�d�`'starrY e8""° ,. � —-- --