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Home My WebLink About15-16110 CITY OF ZEPHYRHILLS 5335-8TH STREET ` ' �si3)�so-oo20 16110 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16110 Address: 6121 20TH STREET 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: ZEPHYR BREEZE Est. Value: Parcel Number: 02-26-21-0190-00000-0110 Improv. Cost: 3,795.00 OWNER INFORMATION Date Issued: 3/23/2015 Name: FIKE BLAINE A & BERNICE S Total Fees: 55.00 Address: PO BOX 1089 Amount Paid: 55.00 ZEPHYRHILLS FL 33539-1089 Date Paid: 3/23/2015 Phone: 813-714-1098 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS C, INC. A/C CHANGEOUT 55.00 •\� Ins ections Re uired DUCT INSTALLED DUCTS INSUI�&l�D� FINAL J 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 fi) 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. CONT CTOR SIGNATUR PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ` o,,.,ov-�,�u Gity of Zephyrhills Permit Application Fax-813-78Q-0021 Building Department Date Receivecl +� �,3 �`� Phone Contact for Permittin �� C ��f� Owner's Name �`��.. f"',�° � Owner Phane Number �'i�- ��y�/a,�� Ownec's Address (s l �� j� Owner phone Number Fee Simpfe Titiehaider Name � � Owner Phone Number _. i Fee Sirnpte Titlehoider Address JOB AQDRESS LOT# � SUBDIVISION � � PARCEL ID# (OB7AINED FROM PRCIPERTY TAX NOT�CE} WORK PRBPOSED e NEW CONSTR 8 ADDlALT C� SiGN Q Q DEMt}LISii INSTALL REPAiR � PROPOSED USE Q SFR � GOMM [� OTNER TYPE OF CONSTRUCTfON Q BLOCK [� FRAME [_� STEEL Q �, DESCRIPTION OF WORK �� U/l/i l i I BUILDING SIZE �� SQ FOOTAGE�,,,� HEIGHT �� C,��4N�' � `� VALUATION OF TOTAL CONSTRUCTION 1—..` [�E�ECTRICAL $ � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBlNG �6� ��'O '� MECHANICAL $��p.� YALUATION OF MECHANIGAL INSTALlATION � �� ; � I OGAS Q ROOFING � SPECIALTY [_� OTHER FINISHED FLOOR EL�VATiONS C�� FLOOD ZONE AREA QYES NO BUf�DER �fl�P� SlGNATURE REGiSTERED Y 1 N FEE CURRE� Y/N Address Ucense# � � I SIGNA URE� � COMPAHY REG1STEf2ED Y I N FEE CURRE� Y I N Address License# �— � Pl.UMBER COMPANY SIGNATURE REGtS3ERED Y/ N FEE CURRE� Y I N Address License# �� I MECHANICAL � �/ CQMPANY' �b� .S .� it/C �AS �-� � SIGNA7URE REGISTERED Y/ !V FEE URREP Y!tV Address License# ��'Y��/��z� � OTHER COMPANY SIGNATURE REGIS7EitED Y! N �e�cuR�� Y J N Address � License# � i� RESIDENT114L Attach(2)Plot Plans;(2)sets of Buiiding Plans;.(1)set of Energy Forms;Ft-O-W Permft for new c,onstruction, Minimum ten(10)working days after submittal date. Required anstte.Construction Plans,Stormwater Plans w!Sllt Fencs 3nstalled, 5anitary Faciiities&1 dumpster;Site Work Permit for subdivislansAarge praJects COMMERCIAL Attach(3)complete sets of Bullding Pla�s plus a Ltfa Safety Page;(1�set of Energy Forms.R-O-W Permit for new canstrvction. Minlmum ten(10)working days�after submfttal date. Required onsike,ConstruoBon Plans,Storn�water Plans w/S�lt Fence}nstaited, Sanitary Facilftles&1 dumpster.Site Work Permik for all new proJects.Al!cammerclal requlrements must meet comptlance StGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERIY SURVEY required far all NEW construation. Dlrections: Fill out applicallon campletely. Owner&Contractor sign back of appitcation,natarized If over 52500,a Nottcs of Cornmencement is requPred. (AJC upgrad�s aver 57500) '_' Rgent{for the con#ractor}or Power of Attomey(for the owner}would be someone with natarized letter from owner autharizing same DVER THE CdUNTER PERMITTING (Frant of Application Only} • - - -- - - � Reroofs if shingles Sewers 3erviceUpgrades A!C ' �Fer�ces{PIoUSurveylFootage} ` ° � � ", ; Drtveways-Not over Gounter if an�public roadways..needs ROW � , _ � ° , � ,. ,� - . , . :'. ,. I �OTICE OF DEED RESTRICTIONS: The undersigned undetstands�that this.p�tmlt,may.be subject to"deed"restricttons" vhich may be:more.restrictive than County,regulatCons. �The undersigned-assumes responsibiltty for compliance with any ippNcable deed restrictions. , ' , 1NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or :ontractors to undertake work, they may be required_to be:licensed in accordance.with state.and•local regulations. If the ;ontractor is not licensed as required-by law, both the owner and contractor may be cited for a misdemeanor violatton inder state law. If the owner or intended°contractor are uncertaln as to what Itcensing requirements may apply�for the ntended work, they are advised to contact the.Pasco County Bullding Inspection Diviston—L(censing Sectton at 727-847- 1009. Fu�thermore, (f the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign �ortions of the "contractor Block° of this appllcation for which they wiil be responsible. If you� as.the owner stgn as the � ;ont�actor, that may be an indicatton that he is not.properly licensed and is not entitled to permitting privileges In Pasco �ounty. �RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands hat Transportation Impact Fees and.Recourse Recove.ry.Fees may�apply�to the construction of new buiidings, change of �se in existing buildings, or.expansion�of.existing'�buildings, as speclfied in Pascq County Ordinance number 89-07 and �0-07, as amended. The undersigned also understands, that such fees, as<may�be due,:will be (dentified at the time of �ermitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prlor to •eceEVing a "certificate of occupancy" or flnal power release. :If the project does not involve a certificate of occupancy or •inal power release, the fees must be paid prior to permit issuance. Ft�rthermore, if Pasco County Water/Sewer Impact `ees are due, they must be-paid prior to permit-Issuance-in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713� Florida Statutes, as amended);, If valuation of work is$2,500.00 or more, I �ertify that I, the applicant, have.been provtded with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture 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'S/OWNER'3 AFFIDAVIT: I certify�that ali the information In this application is accurate and that all work wlll�be done in compliance with all appiicable laws regulating construction, zoning and land development. Applicatton is hereby made to obtain .a permit to do work.and Instaliatlon as indicafed.� I certffy that no work or installatton has �ommenced 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 regulations�in the jurisdiction. I also certify that I u�derstand that the regulations of othe�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 agencies.include but are.not limited to: - Departm'ent of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management .DisUict-Wells, Cypress. Bay_heads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmenfal Health Unit-Welis, Wastewater Treatment, Septia Tanks. _ - US Environmental Protectfon Agency-Asbestos abatement. - Federal Avlation Authority-Runways. I understand that the following.restrictions appiy to the use of fill:� - Use of fill Is not allowed fn 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=b.e used only.to fill the area wlthin the stem wall. - If fill material is to be used ln any area, I certify that .use. of such fill will not adversely affect adjacent properties. If use of flll Is found to adversely:affect adjacent�propetties, the owner may be cited for viofating the conditions of the building:permit issued under the.attached permit application, for lots less than one (1) acre which are elevated by flil, an eng(neered drainage plan is required. � If I am the AGENT FOR THE OWNER, I;promise in good falth to inform the owner of the permitting conditions set forth in thls affidavit�prior to commencing construction. I understand that a separate permlt may be requtred for electrical work, plumbing, signs, wells, pools, air co,ndttioning,.gas, or other ihstallatfons not spec�ically 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, alter, or set aside any provisions of the.techn(cal codes, nor shall issuance of a permit.prevent the Bulldirig Offlc(al from thereafter requiring a conection nf errors in.plans, construction or violations of any codes. Every permtt issued shall become invalid unless the wrork authorized by such permit��ls-commenced within six months of permlt issuance, or if work authorized by the permlt is suspended or.abandoned for a period of six(8)months after the time the work�ts commenced. An extension may be requested, in writing; f�om the Building,Official for a period.not to.exceed ninety(90) days and wiil-demonstrate justifiable cause for the extension. If work ceases:for ninety(90)consecutive days,.th�job is considered abandoned. WARNING TO OWNER: YOUR.FAILURE.TO,RECORD A NOTICE OF COMMENCEMENT MAY�RESULT IN YOUR PAYING TWICE.FOR�IMPROVEMENTS-TO YOUR�PROPER-TY. -IF YO.U;INTEND'TO OBTAIN�FINANCIidG,�CONSULT WIT UR LENDE O AN ATTORNEY�B FORE-R CO D G YOUR O � C 'O E EM T� FLORIDA JURAT_(F.S.117.03 ^ � - - — -- -- , -— — — - - — --• OWNER OR AGENT � CONTRACTO / Subscrlbed an bswom ta(or affl�ed)before me thls Subscribed and;swom to aflirmed)�before me this y b Who Islare pers ally knovm to me or haslhave produced Who Is/are personally known�to me or has/have produced_ as Identlflcatlon. as Idendficadon. � 1 Notary Public � Notary Publfc Co I sfon No. Comm lo _No. ' .•�`�i:P"�•. JOEL E. AC """�• JOEL E.BACON :.: �:+= Commission#FF 137073 ' ,.,•::n�.ev,a�,, :�a: " Ex ires Ju e 29 Na e of Nota � pNet �� ,Zp�g Nam o Notary � ,y� • d em�t'dm�eda��85-�a19 :`�• '; X a-7o�s 'a��P�F:.Qp`� Bonded Th�u TroY Fain Inswance 800�38 c��T ��- � � • � � � PROPANE GAS • • ' • ` Service Order/Proposal � AN� /4f C INC. Air Conditioning 8 Heating ��ce 1988 813.7'$2,..5013' � ' WORI: ORDER#/SERVICEh1AN �7`�8 REfV Sales, Service & Installations DATE�TIME TAKE�I , �..�I�JI1J �8:4� 4441 Allen Rd. • Zephyrhills, FL 33541 TAt%EN gY ' �;, g, ,�,� • DATE/TIME F�ROMISED � , . - OTES. CUSTOMER#/LOCATION 1�1�9 - � PHOhIE# � � 779-889� , RL?UTE/SEO • RE�! - _ ' ,r _ . _ F I IiE, RLA I NE and gERIU I CE � F I IiE—REI�TAL � F'0 ROX 1�89 ' 61c1 �:�TH ST ZE�HYRHILLS FL 3�53'� ZEF'HYRHILLS FL��54�' . ' '36 RUUD SF+LT SYSTEM , TEI�ANT e MS RHOD€-!�I �'tJG`999-371 1 � UPEA-17J i�NFDA I, . Th'I 1 E�E��54 � . ,. ' � , 81�—BE��-7787 IOT COOLIIVG / IIVSTALL NEW A/C � � " : DESCRIPTION OF WORK � - QTY. MATERIALS&SERVIG�S - UNIT PRICE AMOUNT` _ I ---------------------------------- -- ------------------------- — --- ' . . ., �, • . : . . - ., _ _ , _ — — —ri— — i-- � � S ar1 � ,S�" �'If �.., ' /'�.Srcd � � . (� e�,f , t�c, � o � � � � � � f � � �n r i�•'� � V�G�, i i � � � i ' /7 `L ' �vL 14/J� � � � � .. ,o, r,� � ?=sr��'.- � � � . � � � � L �/1d r �� G- �`T ��a� � i i _ ` , � � RECOMMENDATIONS � - - • , , ' � - � i i �I nnuai Maintenance.Recommended-by All Equipmenh Manufacturers. . ^� � � Pressures. Lo HI T-Stat i i — , i i RE�RIGERANT R- ,. . LBS. ' � $per lbs. �' � - FILTERS x x Changed Monthly I I FILTERS x x Changed Monthly I I ❑ REGULAR ❑WARRANTY TOTALSUMMARY ehurriidistat Settings: When here"ON", When Away 60° , T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i AITED WARRANTY• All materials,parts and equipment are warranted by the manufacturers' �_ „ METHOD OF'PAYMENT CALL i ,uppliers'written warranty only.All labor performed by the above named company is warranted for � iays or as othenvise indicated in writing.The above named company makes no other warran6es, ❑CASH ❑CK# TOTAL i ress or implied,and its agents or technicians are not authorized to make any such warran6es on MATERIALS i • alfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � ve authonty�o ortler Ihe work outlined above which has been salisfactorily completed.I agree Ihat Seller PR00. W ! C � ins litle to equipmenUmaterials fumished until final payment is made.If payment is not made as agreed, CLAIM# � :r can remove said equipmenUmaterials al Seller s expense.Any damage resultlng from said removal shall +� be Ihe responsibility o(Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE'ADDED MONTHLY TO � UNPAIDBALANCESOVER30DAVS.NOREFUNDS DATE COMPLETED •— O ' TECH: ' TAX � i �Y � �l I .TOMER SIGNATURE DATE �rL Q�(,(i TOTAL I