HomeMy WebLinkAbout15-16099 CITY OF ZEPHYRHILLS .��
: ' S335-8TH STREET �
• (sis)�so-oozo D99
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16099 Address: 6773 ERIN CIR � �
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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-1180
Improv. Cost: 3,220.00 OWNER INFORMATION
Date Issued: 3/19/2015 Name: LACOURSE GARY& CAROL
Total Fees: � 55.00 Address: 6773 ERIN CIR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-1852
Date Paid: 3/19/2015 Phone: 813-715-1139
Work Desc: A/C CHANGE OUT 3 TON PKG
CONTRACTOR S APPLICATION FEES
BA R'S PR PANE GAS& C, INC. C CHANGEOUT 55.00
.- -
� - `� � �
i �� Q
Ins ections Re uired
DU TS INSTA ED
DUCTSINSULATED
FINAL I
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 properly 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.
a-�/�'-� ^ �'
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
�
o��-•a�-���� City of Zephyrhills Permit Application ' Fax-813-78d-Q021
� Buitd'mg Department
.• .
date Reaetvad Phone Contact fcr Permttting �t� ��`� - ����
dwner's Name J�,,L�L,' a/�-�.�� C�1�`� Owner Phone Number J�,��� /��
Owne�'s Address (.���� ��J/l� �r . Owner Phane Number �— �
Fee Simple Titieholder Name � � Owner Phone Numb�r � �
Fee Simple Tltleholder Address
.108 ADbRESS .� �C.. t"'ll'� �l 1"" V!�-LG� �iL �I C/� LOT# �—�
SUBDIVISIQN � � PARCE�!D# �✓����' G2-/ -��''�'�-G�Gi� �'��S''G>
{08TAINED FROM PROPERTY TAX NOTICEj
WORK PROPOSED e New coNSra� �.�s ADD/ALT � StGN �] Q DEMO�ISN
INSTALL � REPAIR
PROPOSED USE Q SFR [� COMM [� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEI. Q
DESCRIPTION OF WORK !"'��'-1?71311_ 1�- IlE-' (.�,�c�.._° T`l'E � �- - � �r11 '� l�ri}E.`- �..�°Drr d/��?Aa
,,..,
BUlLpING SIZE �^ � SQ FOOTAGE�_� HEIGHT �
�BUILDING r6 � VALUATlt'�N{3F TOTAL CO{VSTRUCTION
L
C]ELECTRICAL ��� AMP SERVlCE Q PROGRESS ENERGY C] W.R.E.C.
QPLUMBING �$ �
�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �j�Q��
���a,� ?.�
- QGAS Q ROQFING [� 8PECIA�TY [-� OTHER • D G/ VI �
-INISHED FLOOR EI.EVATIONS FLOQD ZONE AREA QYES NO �
�� r '
3UILDER COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N
...._...,_..� ,_,�—_
Address Liaense# �� �
:LECTRICIAN COMPANY
i1GNATURE REGISTERED Y/ N FEE CURRE� Y/N
,,..,_,,..,_, ..�
Address license# �— �
�LUMBER � GOMPANY
31GNATt1RE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
AECHANICAL ^� ` � COMPANY ����5 !'O��-/V2�"� � �L' �
;IGNATURE ���� �i�f�� REGISTERED Y/ N FEE CURREN Y/N
Address ��"/"���G/1/� � �°lf/L.C.�✓, ��, Licensa# �/T�-C� �����t' I
17HER COMPANY
s1GNATURE ,. RECisrEaEO Y/ N FEE CURRE� Y/N
Add�ess Lfcense# ��i ��
;ESi0ENT1AL A#tach(2)Piot Plans;(2}sets of Building Plans;(1}set of Energy Forms;R-O-W Permit for�ew canstruction,
Minimam ten{10)wodcing da}rs after submlttal date. Reqvlred ansite,Construction Fians,Starmwater Pians w!Silt Fence ins#alled,
Sanita Facllities&1 dum ster,Site Wark Permit far subdivislons4arge projeats— , -�=J - - --"- �
P -- -----— -
_ .--
C3MEeSE��BAs:.=-=Aftaci�(3)wmal"eio sets of Building Pfans plus a Life Sa"�ety Page;(1)set of Energy Fortns.R-O-W Permft for new constructlon. `,
Min3mum ten(10)working days after submittal date. Rec�uired�onsite,Construction Plans,Stormweter Ptans w/Silt Fence installed, ' -�,
Sanikary,F.acilitiss 8�1 dumpster.Site Work Perm(t for all new projects.Ali commerefa!requl�ements must meert compllance
IGN PERMIT Attach(2)�sets of Engineered Plans. • .
"*'PROPERTY SURVEY required for atl NEW conshuct7on. '
ireatlons: -
Fill aut application camptetely. •
Owner&Gontractor sfgn back of appifcaUon,�notarized
If over�2500,a Notice of Commencement ts requfred. (AIC upgrades over 5�500)
Agent(far the aontractor)or Power of Attomey(for the awner)would be someone wlth notarized letter from owner authori2ing same
VER THE COUNTER PERMITTING (Frbnt of Application Only)
eroofs if shingles Sewers Service Upgrades A!C Fences(Piot/Survey/Footage)
Driveways-Not over Counter if on publ(c roadways..nseds ROW
' '
• :,
NOTICE OF DEED RESTRICTIONS: The undersigned under.stands�that this.p�rmit.may.be sub)ect to"deed"restrictions"
which may be:more restcictive than•County regulatlons. �The undersigned�assumes responsibility for compliance 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 required..to be:licensed In accordance.with state.and•local regulations. If the
cont�actor is not licensed as required-by law, both the owner and contractor may be c(ted for a misdemeanor violatlon
under state law. If the owner or Intended contractor are uncertaln as to what Ilcensing requirements may apply•�for the � -
intended work, they are advised to contact the Pasco County Building Inspectton Divislon—Licensing Sectlon at 727-847-
8009. Furthermore, tf the owner has hlred a contractor or contractors, he is advfsed to have the contractor(s) sign
portions of the "contractor Block° of this application for which they wlll be responslble. If you, as.the owner sign as the
contractor, that-may be an indication that he is not properly licensed and is not entftled to permitting privileges In Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recove.ry Fees may apply to.the construction of new bulldings, change of
use in existing buildings, or expansion�of existin�g'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 prlor 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 WatedSewer Impact
fees are due, they must be-pald prior to permit Issuance In accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda St�tutes,as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provtded with a copy of the "Florida Construction Llen Law—Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and ConsumerAffairs. 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 AFFIDAVIT: I ce�tify that.all.the Information in this appllcation is accurate and that all work
will�be done in compliance with all applicable laws �egulating constructlon, zoning and land development. Application is
hereby made to obtain .a permit to do wo�k 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 pertormed to meet standards of all laws regulating-
construction, County and City codes, .zoning regulations, and land development regulatfons-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.actions I must take to be.in.corr�pliance. Such agencles include but are.not limited to: �
- Departmen4 of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Weils, Cypress. Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & ReMabllitative Servlces/Environmenfal Health Unit-Wells, Wastewater Treatment,
Septic Tanks. � _
- US Envi�onmental Protectfon Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of flll:�
- Use of fill ls not aliowed 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 petmitt(ng which is prepared by'a professional engineer
licensed by the State of FloNda. -
- If ihe 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=b.e used only.to.fill the area wlthPn the stem wail.
- If fill materlal ts 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 condi#ions of the building.permit issued under the.attached permit application, for lots less than one (1)
acre which are elevated by flll,an engtneered dratnage plan is requlred. .
If I am the AGENT FOR TH�OWNER, I,promise tn good faith to fnform the owner of the permitting condit(ons set forth in
this a�davtt prior to commerncing construction. I understand that a�separate permit may be required for elecMcal work,
plumbing, signs, wells, pools, air conditioning, .gas, or;other installatfons not specifically included in the application. .A
permit issued shall be constcued to be a Iicense to proceed with the work and not as authority to.�violate, cancel, alte�, or
set aside any provisions of the technical codes; nor shall Issuance of a permit.prevent the Bulldirig Official from the�eafter
requiring a correction nf errors In.plans, constructfon or vlolations of any codes. Every permit issued shall become invalid
unless the work authorized.by such permit:is commenced withln six months of permit issuance. or if work authorized by
the pe�mit is suspended or abandoned for a period of six(6)months after the time the work ts commenced. An extension i
may be requested, in writing, from the Building,Officlal for a period.not to.exceed ninety (90) days and�will�demonstrate '
justi�able cause for the extension. If work ceases;for ninety(90)consecutive days,.th�Job is considered abandoned. �
� -� ,
�_ _WARNING_TO.OWNER:,YAUR_FAILURE-TO.RECAttD A-NOTl�E-�F—GONIMEldCEENEIV� !lAAY'RESUL-T IN-YOl9R-- - �- -
PAYING'TiNICE.FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU;INTEND'.TO OBTAIN•FINANCING;�CONSULT
i`J8Y0',1 Y�P►3R��S3�D�r`3'�::�'+R9 aA.'!":OP36`:�°!�{�'�OR�-°���RD60�1G�Y�Q!°`E:��'E'^�:�'�'C�6��I�1�+lCE:�".�T�T -�
FLORIDA JURA��(F.S.1.17.03) � 1 � � �
OWNER OR AGENT �-C.. CONTRACTOR
Subscribed and swam to aflirmed)befor me this Subscribed and'sw to(or affirmed)before me fhts
by _by •
Who Is/are personally knovm to me or haslhava produced Who ts/are personally known to me or haslhave produced.
as identlflcatlon. as IdendflcaUon. �,
o ub ic . Nota Public II
N tary P I ry
Commisslon No. Commission No.
Name of IVotary typed,prl�ted or stamped Name of Notary typed,printed or stamped
y /'�Q t' � �'i .�/ �'v
�
� �. � PROPANE GAS Service Order/Proposal � � � �
� AND AIC iNC. --Air Conditioning 8 Heating
' �7�e �988 813-782•50�3
�1nKi�; U���:.PY�r.•'��'f:��'r:Er�ifzp� :�74•�+'r �i�P,
Sales, Service & installations ��TE:`i��:r��� ����.�:rs t�,y1;'1 �. :�� ti?��o �f
. 4441 Allen Rd. • Zephyrhills, FL 33541 � ;�j�`��`;._�'`� , �`���� ,._, ., _ `�''� �..�'�'
A r��arr r � .t n�i�_ �=�n���:ry��z� ���� ��,�!1. �.j:� __ �._5�t�t�
NOTES: .�,.�.��.�i'—'�l�''v�.R.�'� L.,IJ�Ti�t��i�::F'.��i�.'L.C1G�;,-Ts�il'.1 ��:��;'''�� �
�
4�';-IfJf��(:#� ?�,•'.__'?i�.-� � ,:;�i i-i .
' � , RC3iJTE. ��.r� E s��
�3��,C�.-��_rj!�D OD�-L��� ,
,
����..���_�'�S�:iC..!� �_7f-I�'V�t� 1;-��^f��.�t`�..n_'.r�y ��lr-tii"��J
�l(•i�tj! L 1 R,T I 1! ��.r��t L•�_..C ��f f'�..! {=.f=i J.�`� i..:��.1...�� .
�±f=l�_1.._�:`;' ;�L;!_..�: .
�i-E-�r-{�'�HTL1_'�� F=1_ 3•�'=,�;.;� %'L�,;-�i',`�1--Ftl_{.._� • �i_.��.������'
I
r:'?T:f i�i��l`�= 1.="�]F4 I`dG:;� lil�!'�'"f' f�11L� ("_j{_J�-'T ':;1f.;f�?!�_ ;��l.._l�i�L�� �1_,i_.. 1:J1-iEf`�1 �3�•( 4,1!�i4' _
- ._:,:5..:.;;�;,R;:: _ - - -- - , - _ _ - _ - - -- =- - -
-- _ - - - - I.:.�<Tl:''���,-MP,TERfALS 8�� E"y::• ,.: - :
',�: Q S R ICES t:'--<'- -_�`.`.._- -:= ::;�`N T RR�C �_._�." :
--. _ �:. :, . ,� _ .. :...... . . .. _
''°� = �• � " �>; _ �DESCR(FTION:OF;VIIORK •., " � - - _ .0 t 1.,E AMOUNT
;., �,., ,,_� -- ... _ - - - - -
=� „ . - . ,. - - - -
� �ov ,. fi/ _ . _ . . .
�I .._._____. ._.._._.._._._._..____.._.____._---w.____.___..---�:--_..___._--_--.
_ ._ _ _______.__._ .._ ____ _�. ._ . _ ._..___. _.._--
.� ��r aoo o .- �1r� S � 3 7"0`v , � �
T � �
s� '
�2 , � ,�
. �
2. U,ti ;0 'bo '
� !�/C�-� �G �. A P G o '.S '
- Jd,• , � L '=sl- � � �
0��e �/ �TS � �
� ��
. ,� i i
i
� i i
- �"' - - ___- „'RECOMMENDATIONS'- -�-__ ,,�.
- - ��iG0 i
-- _ - - - - -- - � i i
i i
'Annual;�Ma'intena�nce:Recommended�6y�All'Equipment'Manu�cEurers::L.r pressures Lo HI T-Stat � �
__ . _._ _ .._ _. _. - - �� -. __ �-. . .-..
_._<..�.:_:_ :,_,.,�. _,., - - -_ .. ..,-,-._ :: _- __..r i
, =?REFRIGERANT.R-i%�.-`'r.t J:;LBS.' :t -- �S;perlhs:';_.; _"-_ _'1 _ I I
FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly � �
❑ REGULAR ❑WARRANTY ` �:�=_TOT%AL=_SUMMARY'_ •",-_ I
.�.j�..,:_.::,,,,���.,�,_, - .,_�;_:. ;.,.,_. - -_ - - _ -_- ,
DehumidistatSettings:';When here"ON";_<When Away 60%,:T-Stat 80°� ❑ MAINTENANCE CONTRACT SERVICE � i
—
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' :�,;"'_' :;.:: ` METHOD;:OF;PAYMENT=- :._= =:=__a:. CALL i
or suppliers'written warranty only.All labor perfortned by the above named company is warranted for - '� � "` '--° � -
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL � i
express or iinplied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
� behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
�� I have authority lo order lhe xrork auUined above whic�has been satlstactorily wmpleted.I agree Nat Seller -
PROG. W I C �
I relains Gtle to equipmenVmaterials fumished until fnal payment is mada.If payment is not made as agreed, CLAIM# �
seller can remove said equipmenVmatenals at Seller's expense.Any damage resulting from saitl removal shall
no[be Ihe rasponsibitiry of Seller.NET 30 DAYS.A 1 1!2%SERVICE CHARGE WILI BE ADDED MONTHLY TO Q v �� ^ ZOO I O
!LLL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: T� ���L�A�',D
� CUSTOMERSIGNATURE � - .DATE _ V1l�sV/NL ✓oic TOTAL F� � �I�O
nJ
� ._.
I . �