HomeMy WebLinkAbout15-16083 CITY OF ZEPHYRHILLS
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BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16083 Address: 37730 NEUKOM AVE LOT 6
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: GRAND HORIZONS
, Est. Value: Parcel Number: 34-25-21-0090-00000-0060
Improv. Cost: 4,370.00 OWNER INFORMATION
' Date Issued: 3/12/2015 Name: VAGIANOS STEPHEN & MILDRED C
Total Fees: 60.00 Address: 37730 NEUKOM AVE
Amount Paid: 60.00 ZEPHYRHILLS FL 33541-9302
Date Paid: 3/12/2015 Phone: 813-857-5571
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& , INC. A/C CHANGEO T 60.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL ��r� "�� �
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection I
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,Specification� Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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4441 Allen Rd. • Zephyrhills, j���y;.�_L,..�� �,���.�.;n�;.�
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�Aiinual�Ma""� "'nance;Recommended�tiy�All`Equipment-Manufacturers:'.:"�;
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<REFRIGERAfVT�R=+ -`-LBS:�- -- _ ?"$ �erlbs��:
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FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY = �'�•TOTAL,Sf1MMARY�;--:>�_;�;
"Deliuiriidistat;Settings:��;When here"ON";<.?When Away 6�;;`T-Stat 80°:' ❑ MAINTENANCE CONTRACT
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LIMITED WA�RANTY: All materials,parts and equipment are warranted by the manufacturers' r- �- ;:_jyj��. '� `QF=PAYMENT;:''�;� ;��<°:±: CALL i
or suppiiers'wntten warranty only.NI labor performed by the above named company is warranted for '`�""�-�` -� " ' ' -' ""' ` '° "` TOTAL i
30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH CK�# 1 1� �� MATERIALS i
express or impiied,and its agents or technicians are not authorized to make any such warranties on
behalfofabovenamedwmpany. ❑DEBIT�0 CREDIT ❑OTHER MAINTENANCE �
I have authority to order lhe work outlined above which has been satisfactorily completed.I agree Ihat Seller •
PROG. W I C �
retains title lo equipmenUmaterials fumished until final payment is made.If payment is not made as agreed, CLAIM# �
seller can remove said equipmenUmaterials at Seller's expense.Any damage resultlng from sald removal shall J
ALLUNPAID BALANCES OVER 30 DAYS.NO REFUN S�SERVICE CHARGE WILL BE ADOED MONTHLY TO DATE COMPLETED ����D� /1� '
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CUSTOME GN E �'' DATE �
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a�saao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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Date Rece�ived Phone Contact for Permitting g�3 �O a — ��`�
Owner's Name ��7" /�dl✓�s ���� Owner Phone Number ���7— �J " ��
Owner's Address ����� �u/�O� U� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address +
JOBADDRESS � � D �� Q/,n v� LOT# �
__ susoi�%�si�� �n1�_ Dr�_ �,!5- ----��ce�_ia#.,_��.�5 _�l ��d, ODG_'�_-LY��C' -- -, -
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR� ADD/ALT 0 SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM r � OTHER
�
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK ��inbc�e�-�� 1�� �}.,, � .� � � D/� �� , �C/
BUILDING SIZE SQ FOOTAGE HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ ��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � i��
}��C�� dcl
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL — � COMPANY 1�-�/� S /' ��ff'� �J3"�`�J
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 7�T� /9"��e._°/U � ��j/`1 '�.. License# ��"G°� ,�%
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of 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 Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of 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 Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,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)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not ove�Counter if on public roadways:.needs ROW ,
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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.
UNLICEFISED CONTRACTOItS �►ND CONTRACI'OR RESPONSI�ILITIES: 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. Fu�thermore, 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,theywill 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.
TFt�►NSPORTATION IMPACTIUTILITIES INiPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and_Reco,urse Recovery Fees may apply to the construction of new buildings, change_of
use in existing buiidings, 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• �f the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuanc�. 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.
CONSTRUCTIOFI L.IEN LAV11(Chapter 713, Florida 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.
CONTRACTOR'SIOWNER'S AFFIDAVIY: 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" 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 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�II, an engineered drainage plan is required.
If I am the�►GENT FOR THE OIiVNER, 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.
WARPIIPIG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ilAf�Y RESULT IN YOUR
PAYING TWICE FOR IMPROVEIIflENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAWCING, CONSULT
WITH YOUR LENDER OR AN AT70RPIEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT. �I
FLORIDA JURAT(F.S. 117.03) � -- �
OWPIER OR AGE ` CONTRACTOR '
Subscribed and swo � (or affirmed ef re me this Subscribed and to(or affi�med)be re me this
by bY
Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as IdenUficatlon. as identificaGon.
� Notary Public � Notary Public
Commiss No. Commfss' n o.
,�„�,,,, ,,,�,,,
Name f No ,' i°,��� i 137073 _ Name of Notary typed, riiqQe ta '
_. :: mmission#FF 137073
=;;�•,��o: Expires June 29,2018 :;�•,�Q�: Expires June 29,2018
�'9,p�k���, Bonded Thru Troy Fein Insurance 800385-701g I'�7,R��,. Bonded Thm Troy Fain Insuranca BW�385-7019
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