HomeMy WebLinkAbout15-16100 CITY OF ZEPHYRHILLS
• 5335-8TH STREET �y
_ � �sis��so-oo20 16100
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16100 Address: 6234 SILVER OAKS DR �
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-012A-00000-0130
Improv. Cost: 4,170.00 OWNER INFORMATION
Date Issued: 3/19/2015 Name: JONES PHILIP &WILETTA
Total Fees: 60.00 Address: 6234 SILVER OAKS DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/19/2015 Phone: 813-782-5013
Work Desc: A/C CHANGE OUT 3.5 TON HEATPUMP
CONTRACTOR S APPLICATION FEES ��
BAHR' PROPANE GAS& C, INC. C CHANGEOUT 60.00
�
I
Ins ections Re uired
DUCTS INSTALLED
DUCTS IN��LA�D�
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) coridemned 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, Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
O TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE �tEQUIRED
PROTECT CARD FROM WEATHER
o„-,��,-w�U City of ZephyrhiAs Permit AppGcatian Fax 813-780-0021
BuHding Department
Date ltecefv�a�i Phone Contact for PermPttin D � O � ���
dwner's Name �/v�� �'1 ��y Owner Phane Number ,_.
Owner's Address j �l � '` � `"T'�, �'� �a �ner Phone Number �
Fee Simple TlNehaldar Mame � Qwner Phone Numbsr _
Fee Slmple Titiehoider Address
JOB ADDRESS a�� �l l9/P/2 K�' �� �"'E'71 G!S � ( G"• LOT# �
SUBDIViSION `� '�'��� ��`�S � PARCEL 1D# �� � � �`�� ��� ���Q
(OBTAINED FROM PROPERTY TAX NOTICE�
WQRK PROPOSEQ e NEW CONSTR� ADDlA�T [� SiGM1! {� Q DEMOLlSFt
lNSTALI REPAIR
PROPQSED USE [�] SFR [� COMM [� 07HER
TYPE OF CONSTRUCTlON Q BIOCK [� FRAME [� STEEI Q
DE3CRIPTION OF WORK /�- � /\ �/��t � 1" " " ��um� ~ � �d� ���N�5 �i� �
BUIlDING SIZE �— � SQ FOOTAGE�� HEIGHT [��
QBUILDING $ -� VALUATION OF 70TAL CQN$TRUC710N
[�ELECTRICAL ��� AMP SERVICE �) PROGRESS ENERGY C] W.Ft.E.C.
QPLUMBING $ � � �/�7t
(L_ U
QMECHANICAL $ VALUATION OF MECHANICAL INSTALlA7lON ��r
yi�1�. �
��as Q ROOFING Q SPECIALTY � OTHER
=lNISHED FLQOR E�EVATiONS � � FI.00D Zt3NE AREA QYES NO
3UlLDER COMPANY
51GNATURE REGISTEi2ED Y/ N FEE CURRE� Y i N
Address License# � �
?LEGTRICIAN COMPANY
iIGNATURE REGISTERED Y! FI FEE CURRE� Y!N
Address License# � �
�LUMBER COMPAPlY
iIGNATURE REGISTERED Y 1 f+l FEE CURRER Y I N
Address License# �_ �
IIECHANiCAL ` ,___��'���.�1�• COMPANY l��R 'S �rop���G-� �'����..
NGNATURE REGlSTERED Y! N FEE GURREA Y 1 N
Address '��'�� � l EAI�� G�-�115 �✓3.5 License# ��'t'�'���'��1
1'fHER COMPANY
�iGNATURE REGIS7EFtED Y/ N FEE GURRHP Y t N
Address � License# � `�
;ESiDENTiAL Attach(2}Piat Ptans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new constructton,
Minimum#en(10}working days after submtttal da#e. Required onsite,Constructian Plans,Stortnwaker Plans w!S(It Fence Installed,
Sanitary Faciii�es&1 dumpster,Site Work Permit for subdlvlsionsAarge projects
dMMERCtAI Atkach(3}complete sets of 8uiiding Pians plus a Ufe Safety Page;(1�set of Energy Forms.R-O�W Permit for new cc>nstre:e±�on: - - --- -
_._____.- Minimum ten(10}wortcing days after submlttal date. Required onsite,Construction Plans,Starmwater Plans w!S41t Fence lnstaNed,
SaniFary Facilities&1 dumpster,Site Work Permit for all new proJects.All commercia!requlrements must meet eompffance
IGN PERMtT Atkach(2}sets of Engineered Pians.
"'�*PROPERTY SURVEY required for aU NEW construotion.
Irections:
F(11 out application completely.
Owner&Contractor sign hack of appltcation,notarized
If over a2500,a Notice of Commencemenk 9s required. (A!C opgradss over 57560)
Agent(far the cantractor}or Power.of Attomey_(for ttie owner}riirouid-be'someone with notarized tetter from owner authorizing same
VER THE CQUNTER PERMITTING + (Fiont oE Application Only} �
eraofs,ff shingles Sewers Service'Upgrades A(C Fences(PloUSurveytFootage}
Drlveways-Not over Counter if on publlc roadways..needs RCtVY` "�" "`
NOTICE OF�EED RESTRICTIONS: The undersigned under�tands°that this,p�rmit may be subJect to"deed"restrictions"" _.
which may be.more restcictive than County reguletlons. �The undersigned�assumes responsibiltty for compltance with any
applicable deed restrictions. �
UNLICENSED CONTRACTORS AND _CONTRACTOR RESPONSIBILITIES: If the owner has hired a coratractor or
�contractors to undertake work, they may be required..to be�Ilcensed in accordance.with state.and•local regulations. If the
contractor fs not licensed as required�by law, both the owner and contractor may be cited for a�misdemeanor violatton
under statie 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 Bullding Inspectlon Division—Llcensing Sectton at 727-847-
8009. Furthermore, tf the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of thls application for which they will be rasponsible. If you, as,.the owner sign as the
contractor, that may be an indication that he is not properly licensed and (s not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY�FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change of
use in existing buildings, or.expanslon•of existin�g'buildings, as speclfled in Pascv 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 flnal power release. :If the.project does not (nvolve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. F�rthermore, if. Pasco County Water/Sewer Impact
fees are due, they must be-pald prior to permit-issuance-In accordance with applicable Pascv County ordinances.
CONSTRt1CTION d.lEPl LAW(Chapter 713� Florlda Statutes, �s amended): If valuation of wark 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 ConsumerAffairs. If the appltcant 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 certify that.all the Information in thi� applicatlon is acsurate and that all work
will be done in compliance with all applicable laws regulating constructlon, zoning and land development. Application is
hereby made to obtain .a permit to do work and Instailation as indlcafed.�� 'I certify that no work or installation has
commenced prior to issuance of a permit and that.all wvrk will be pertormed 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 agencles Inciude but are.not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management :District-Wells, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 ReMabilitative Servlces/Environmenfal Health Unit Welis, Wastewater T�eatment,
Septic Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviatlon Authority-Runways.
I understand that the following restrictions apply to the use of flll:�
- Use of�fill Is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material (s to be used in �Flood Zone "A", It (s understood that a drafnage plan addressing a
°compensat(ng volume" will be submitted at time of petmitting which is prepared by a professional engineer
Iicensed 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�.wlll.b.e used only.to.flll the area wlthin_the stem wall.
- If fill material is to be used in any area, I certlfy that .use. of such flll will not adversely affect adjacent
properties. If use of flll is found to adversely:affect adjacent properties,.the owner may be cited for viofating
the conditions of the buiiding.permit Issued under the attached permit application, for lots less than one (1)
acre whtch are elevated by flil, an engtneered drainage plan is required. •
If I am the AGENT FOR THE OWNER, I,promise in good faith to Inform the owner of the permitting conditions s�t forth fn
this a�davit�prior to commencing construction. I understand that a separate permlt may be required-for electrical work,
plumbing, signs, welis, pools, air condttioning, .gas, or other installations not specifically included in the application. A
permit Issued shall be construed to be a Ilcense to proceed wfth the work and not as a�thority to,violate,cancel, alte�, or
set aside any provisions of the technical codes; nor shall issuance of a permit pcevent the Bulldirig'O#ficial from thereafter
requiring a correction nf errors in.plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit.�is commenced with(n 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(s commenced. An extension
may be requested, In writing, from the Building.Officfal for a perlod not to-exceed nlnety (90) days and will demonstrate
justifiable cause for the extension. If work ceases.for ninety(90)consecutive days,..the job�is considered aba�doned.
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•FIPtANCtNG;�CONSULT
WITH Y�UR LENDER OR AN ATTORNEY�BfFORE�RECORDING�YOUR NOTICE'OF COMMENCEMENT:
�LOR+.��,!!!F:?+T LF.S:'!-�A9;—^-- - - --- ti-• — - � , - — — - �- '_
OWNER OR AGENT CONTRACTOR
Subscribed and swom t �r aflirmed)before me this Su�cribed and's m to(or aff(rmed)�before me tfiis
bY J - � .
Who Is/are personaily knovm to me or haslhave produced Who Is/ar personall kno to me or hasR�eve produced.
as Identlflcatlpn. as Identlfication.
Notary Public . Notary Publlc
;"��Pya'•,, JACQUEL E
Commisslon No. Commi s No. �.�''� ���= mission# 150422
�� Q; Expires Decem er ,
.'�"�0.� Bonded Ttw Troy Fein Inwrance 800�395d019
Name of Nolary typed,printed or stamped Name of Nolary ,
1 rr � �i`T�, �
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�- df � �� � PROPANE GAS ^' • • • • V
� ' f AND AIC tNC. Service Order r� �SC�l qir Conditioning�Heating
� �e�988 : l. °_ p� -
� 813-782-5013 ;.a��f; ,_�s:.�7�:���;���.F{i��.��I`'��IU e���,�:= J��
.�,)j-{r i_/� i j.P 1 E_. ��3 �1,!-a i.r'."'..rti �L�,� � �.7 f.�J ��S o J�
Sales, S'�fvice & InstaAations _{..�,�,��, .�,,, �,���#��; �,r �
4441 Allen Rd. • Zephyrhilis, FL 33541 �-�;_���t;-;:r,x;;� Y�;�,���;����±
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FILTERS x x Changed Monthly I I
FILI'ERS x x Changed Monthly � �
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❑ REGULAR ❑WARRANTY �-_'�`fOTAi:_SUMMARY'.;'-��=::.,;;
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LIMITED WARRANTY:TAII materiais,parts and equipment are vrarranted by`ffie manufadurers' �_��_=_ � ,+'" CALL i
'�< -=-::;y=..METHQD;OF-PAYME(VT,-=`,��Y�-�==>'-� �.
or suppliers'written wartanty oniy.NI labor perfortned by the above named company is warranted for "�'`�"'"''�""�"`'" ""'"�''`'''"'"�'"-`�`'''"`"''""`` '
30 days or as othenvise indicated in wrifing.The above named company makes no other warranties, ❑CASH ❑CK# TO'fAL _i_
express or implied,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 to order the work oullined above which�as been satisfadorily wmpleted.I agree that Selier •
PROG. W! C �
retains tltie to equlpmenUmaterials tumishe0 until final Dayment is made.If payment is nat made as agreed, CLAIM# �
� seller can remove said equipmenUmaterials at Seller's expense.My damage resulting from said removal shali
not he the tesponsibiliry of Seller.NET 30 DAYS.A'I 12%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED 1
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS
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CUSTOMER I ATURE� /r