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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 . 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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 . �