HomeMy WebLinkAbout15-16101 t CITY OF ZEPHYRHILLS
* 5335-8TH STREET
(si3��eo-oozo 101
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION /
Permit Number: 16101 Address: 6638 JUNIPER CT
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: DRIFTVI/OOD
Est. Value: Parcel Number: 02-26-21-0210-00000-1190
Improv. Cost: 3,970.00 OWNER INFORMATION
Date Issued: 3/19/2015 Name: LEHAN WILLIAM &JOHNSON CATHERIN
Total Fees: 55.00 Address: 6638 JUNIPER CT
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/19/2015 Phone: 813-355-3612
Work Desc: A/C CHANGE OUT 3 TON HEATPUMP
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C,INC. C HANGEOUT 55.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED��
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� 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.
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CONTRACT R 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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�,s-,�u-���� City of Zephyrhills Permit Application Fax-813-780-0021
f ,
�;, Buitding Department
date Recefved Phona Contaat for Permitting ��✓ �d o� – 'dJ Q L�
Owner's Nama L"'l�1F►'1J? ���J�G3N 8wner Phone Number p��°" 3��"' �Cl� ��
Owner's Address ll��P �25 1 � e•@� Owner Phone Nember �� �
Fe�Simple Titteholder Name � � Owner Phane Number �� �
Fee Simple Tltleholder Address
JOB ADdRESS � /.!��� lX�v�� �, �� �e �i j21�!L�S �`�, ��O�# [�
suso�vis�or� ��i~L• ��t.t�r�� Q,���L�� �a' �� �l Q�/!.� ���D /1`��
(OB7AINED FROM PROPERTY TAX NOTtGE)
WORK PROPOSED e NEW CONSTR�AQDlALT �� SIGN' Q Q DEMOl.ISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTIQN Q BLOCK [� FRAME [� STEEL Q
DESGRIPTiON OF WORK JT��11� ° � �/LI �' ��� 7��-'� Lt-1J� "" r� d/►��l1��
BUILDlNG SIZE � � SQ FOQTAGE['� tiE1GHT �__�
QBUILDING $ � VAItlATION OF TOTAL CONSfiRUCTIQN
[�ELECTRICAL ($ � AMP SERVICE Q PROGRES3 ENERGY Q W.R.E.C.
� _
QPLUMBING �>� � � f�O r
ti f
OMECHANICAL $ �� �7�0 �� VALUATIQN QF MECHANICAL WSTALLATION
/
QGAS Q ROQFING Q SPECIALTY Q O?'HER
=1NISHED FLOOR ELEVATIONS �—� FLOOD ZONE AREA QYES NO
�UILDER GOMPANY
31GNATURE REGISTERED Y 1 N FEE CURRE� Y/N
Address License# � ��
3LECTRICIAN C011lflpAJ+11(
fIGNATURE ,_ REGI&TERED Y/ N FEE CURREh Y!N
Address License# �— �
�I.UMBER � COMPAIdY
►1GNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Add�^ess License# � ��
` ,1�:7 A'/-�/�'S !'�•9-11P�C� "y" i'
IIECHANICAL ,'l�d'Y��Q �%�y�L(�i'X-P-2.. COMPANY � 'y � �
�I�NATURE REGISTERED Y/ N FEE CURRE� Y/N
AddCASS 7�7l �`!P� �r ,G.'" J� VJ �� License# ��.p 1j+�'�° �'��
1THER COMPANY
�1GNAfit3RE aE��sreaeo Y/ N FEE CURRE� Y/N
Address - �lcense# �� �� - -
;ESiDENTtAL At#ach(2}Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perrnit for new construction.
Minimum ten(10j wotking days atter su6mtttal date. Required onsite,Construction Pians,8tortnwater P�ans w/Silk Fence installed,
Sanitary FaciAties&1 dumpster,Site Work Permit for subdivisions!large pro�ects
OMMERCIAL Attach(3)complete sets af Building Plans plus a Life Safety Page;(1�set of Energy Forms.R-Q-W Permit for new constructian.
Minimum ten(10}working days after submittal date. Required onstte,Canstruction Plans,Stormwater Plans w/Silt Fence installed, '
San(tery Facilities&1 dumpster,Slte Watk Permlt for ati new pro]ects.A!f commerciai requ(rements must meet compliance
1GN PERMIT AHach(2)sets of Engi�eered Plans. .
"*'PROPEF2'CY SURVEY required for alt NEW aanstruction.
Irections:
Fii!out appticatian compfetety.
Owner&Gontractor sfgn back of applicat�on,rtatarized ,
If over S250q,a Notice of Commencement Is�equired. (AfG upgradss over$7500)
Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized let#er from owner authorizissg same
VER THE COUNTER PERMITTING (Front of Application Qnly?
eroofs if shingles Sewers Servlce Upgrades A/C Fences(PIoUSuroey/Footage)
DNveways-Not over Counter tf on publlc roadways..�eeds ROW .
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NOTICE OF DEED RESTftICTION�: The ur�dersigned under.�tands that this.p�rmif.may.be.subJect to"deed"restNcttons°
which may be:more.restrictive than County�regulatlons. �The undersigned assumes responsibillty for compliance writh any '
applicable deed restrictions. '
UNLICENSED CONTRACTORS AND �CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required.to be:l(censed 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 uncertaln as to what licensing.requlrements may apply•for the � �
intended work, they are advised to contact the Pasco County Building (nspectton DIvlslon—Licensing Section at 727-847- I
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 appllcation for which they wfll be responsible. If you, as.the owner slgn as the
cont�actor, that tnay be an indication that he is not.properly licensed and is not entitled to permitting privileges in Pasco
County. ;
TRANSPORTATION IMPACTIU7ILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�fation 0mpact Fees and.Recourse Recove.ry Fees may�apply to.the construction of new buiidings, change of
use in existing buildl�gs, or.expanston-of existin�g buildings, as specifled 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
rece�ving a "certificate of occupancy" or final powec release. :If the,project does not(nvolve a ceitificate 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 Cou�nty ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes,as amended): If valuatfor�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 DepartmenC 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"prio�to commencement. �
CONTRACTOR'SIOWNER'3�►FFIDAVIT: I ce�tify that.all the Information in this application is accurate and that all work
will be done in complfance with all applicable laws regulating constructlon, zoning and land development. Applicatton is
hereby made to obtain .a permit Co .do work.and installation as indicated. I certify that no work or installation has
commenced prior to fssuance of a permit and that.all work will be pertormed to meet standards of ali laws regulating-
construction, County and City codes, zoning regulations, and land development regulations�in the jurtsdtction. ( 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.corrlpliance: Such agencles.inciude but are not limited to:
- Department of Environmental Protection-Cypress.'Bayheads, Wetland Areas and Environmentaliy Sensitive
Lands, WatedWastewater T�eatment.
- Southwest Fiorida Water Management .District-Wells, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. '
- Department of Health� 8 Rehabllitative Serv(ces/Environmenfal Health Unit-Wells,;Wastevirater�Treatment,
Septic Tanks. , .
- US Environmental Protection Agency-Asbestos abatement. ,
- Federal Aviation 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 is to be used in �Flood Zone "A", It. Is understood that a drainage plan addressing a
°compensating volumefl will be submitted at time of permitting wrhich is prepared by,a professional engineer
licensed by the State of Florida.
- If the fill matertal is to be used in Flood Zone °A° in�connection with a �ermitted building using stem wall
construction, I certify that fill�will:be used only.to.flll the area within the stem wall.
- If fill material is to be used in any area, I _certify that .use. of such fill wiil not adversely affect adjacenf
properties. If use of fill is found to adversely:affect adjaeent properties,.the owner may be cited for violafing
the conditions of the buiiding.permit Issued under the attached permit appllcation, for lots less than one (1)
acre which are elevated by flil, an engineered drainage plan Is required. .
If I am the AGENT FOR THE OWNER, I,promtse in good faith to Inform the owner of the permitting conditfons set forth in
this affidavit�prior to commencing construction. I understand that a-separate permit may be required for electrical work,
plumbtng, signs, wells, pools, afr conditioning, gas, or other installatfons not speci�cally included in the application. .A '
permit issued shali be construed to be a Ilcense 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 Bulldirig O#fictal from thereafter
requiring a correction af errors in-plans;constructlon 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 permlt 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 is commenced. An extension '
may be requested, in writing, from the Build(ng,Official for a pertod not to.exceed ninety(90) days and will demonstrate
� �justifiable cause fo�the extension.-�If work ceases for nine�ty(90)--consecutive-days,-..the job is-considered abandoned�-- - --- - -
WARNING TO OWNER: YOUR.FAILURE.TO�RECORD A NOTICE OF•COMMENCEMENT MAY�RESUlV�tPl YOUR
PAYING TWICE.FOR IMPROVEMENTS TO YOUR��PROPERTY.�IF°YOU�INTEND'TO�OBTAIN•FIPFANCtNG;CONSULT �
WITH YOUR L NDE OR AN A'i'TORNEY B O . E�=RECO D G YOU OT C '.O O E MENT
FLORIDA JURAT(F.S� . 3) , ` � ''
OWNER OR�1GENT� � CONTRACTOR '
Subscrlbed and swom to afflrmed)befor me Is ' ubscribed and's to(or affirmed)�before me tFils
by .�y •. ,
Who islare personally vm to me or has/hava produced Who Is/are personally knovm•to me or has/have produced
� as Identlflcatlon. as tdentlBptlon.
Notery Public . Notary Publtc
Commisslon No. Cammission.No.
Name ot Notary typed,printed ar stamped Name of Nolary typed,printed or stamped - •
y 1� br 5ao�fe2-- ° �
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� � � PROPANE GAS Service Order/Proposal � � � �
AND AIC irvc. Air Conditioning 8 lieat�ng
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�" Sales, Service & Installations �-,�E;�:ra �;:�
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° DESCR1PTlO�i.OF;WORK QTY � „'MATERIAC$�& .ERVICES � � UNIT:PRICE°;�:�;AMOUNT;_,; I
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� Annual,Mainfenance Recorrimended by=All,Equipment:Manufactu�ers.-�`�= � �
° �-��• - �:-.:: - - •-- Pressures Lo HI T-Stat i i
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G l �5��1 �'L'/1 t��.�tn6J��C�f =-__:_�REF.RIGERAIVT.R;__:` ::,,;LBS; _ :_ - .-'_c.$:perlbsi;'',-- :_ = I:- � I
, t FILTERS x x Changed Monthly I ' I
� FILTERS x x Changed Monthiy � �
❑ REGULAR ❑WARRANTY " -` .,TOTAL SUMMARY= :.�_;
DefiuFnidisfatsS"ettings:-When here"ON";'When Away 60°o;,�T-Stat 80°, ❑ MAINTENANCE CONTRACT SERVICE � i '
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LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' ��- _- -;'_METHOa QF PAYNIENT:-=:-�', � .` CALL i
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or suppliers'written warranty only.All lahor perfortned by the above named wmpany is warranted for ` `="' ` "- `"�' ' ' ``
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30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL t
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authority to order the work auUined above whlch has been satisfactorily completed.I agree that Seller
PROG. W I C �
retains title to equipmenVmaterials fumished until final paymenl is made.I(paymenl is not made as agreed, CLAIM# �
seller ran remove said equipmenUmaterials at Seller's expense.My damage resultlng 6om said removal shall
not be the�responsibility of Seller.NET 30 DAYS.A 1 1!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
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' CUSTOMERSIGNATURE ��� DATE ✓���1�I////N Jau TOTAL � i�'VI v�/