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Home My WebLink About15-16119 � CITY OF ZEPHYRHILLS 5335-8TH STREET i (813)780-0020 1 9 BUILDING PERMIT PERMIT INFORMATIO(d LOCATION INFORMATION Permit Number: 16119 Address: 37516 LAUREL HAMMOCK DR Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Pro�osed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: OAK RUN Est. Value: Parcel Number: 34-25-21-0100-00000-0150 Improv. Cost: 4,095.00 OWNER INFORMATION Date Issued: 3/30/2015 Name: NIEPOETTER MELBA J REVOC TRUST Total Fees: 60.00 Address: 37516 LAUREL HAMMOCK DR Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/30/2015 Phone: 813-788-9212 Work Desc: A/C CHANGE OUT 3 TON HEATPUMP CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS& C,INC. HANGEOUT 60.00 ��j� C� ' � / ' Ins ecti s Re uired D CTSINSTALLED DUCTSINS T D FINAL -� REIRISPECTION 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. CON RACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTYON CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date ReCeived t. � Z►�2. _ Phone Contact for Permitting �� C� Owner's Name ��T T /i s FG/3!3 Owner Phone Number �� — 7o b � !a7/ Owner's Address 3�� ,� Owner Phone Number Fee Slmple Tttleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �/�� .LL� )7)OL�i �K �� LOT# � SUBDIVISION PARCEL ID# �� d� ��(�t� �I�� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR�ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK �/!�/DI�L 4�/5�%�/!-�� /� f� � -- � �� D�� BUILDING SIZE SQ FOOTAGE� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ OMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION � �D9� QGAS Q ROOFING Q SPECIALTY Q OTHER i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �> , ELECTRICIAN , COMPANY SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � MECHANICAL � ` COMPANY �/P•S /��JA��jf}�� L°��, SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �(�Ld � �^�- OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. - -- Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Santtary Facllities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance 51GN PERMIT Attach(2)sets of Engineered Plans. ' ""PROPERTY SURVEY required for all NEW construction. I�i �Irections: � FIII out application completely. Owner&Contractor sign back of appNcation,notarized If over a2500,a Notice of Commencement Is required. (A/C upgrades over 57500) " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same �VER THE COUNTER PERMIITING (Front of Application Only) �eroofs if sh(ngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on pubBc roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands Qhat this permit may be subject to"deed"restric�ons" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLIGENSED 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 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 uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the ' contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. , � � TFZANSPORT�►TION IMP�ICT/UTILITIES IAflPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing 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 prior 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 Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordlnances. CONSTRUCTION LIEN L�►W(Chapter 713, Florida Statutes, as amended): If valuation of work'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 Consumer Affairs. 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 certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work 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 perFormed 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 ln compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Flealth Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill:� - 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 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 be used only to fill the area within the stem wall. - If fill material is 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 conditions of the building permit issued under the attached permit application, for Iots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OVNNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in�the application. A permit issued shall be construed to be a license 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 Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within 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 is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. , WARNING TO OYVNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY FtESULT IfV YOUft PAYING TIAIICE FOR IMPROVEMENTS YO YOUR PROPERTY. IF YOU INTEIVD TO OBTAIN FINANCING, CONSULT VVITH YOUR LENDER Ott AN AT'TORNEY BEFORE FtECORDING YOUR NOTICE OF COMMENCEnIIENT. FLORIDA JURAT(F.S.117.03) - - - —� - - - - - -- --=---'--- -`- - - - --- �- OWNER OR AGENT COfdTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by by Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced as Identlfication. as tdentification. Notary Public Notary Public Commission No. Commissfon No. • Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped _ 4�/ � �� ' � r PROPANE GAS � � � � -' ' ; �� ' AI�iD AIC �NC. Service Order/Proposal Air Conditioning&Heating c�%�tG2�988 $'j�•'7$;Z.50'I3 WORK ORDER#/SERUICEMAh! �7893 MAY DATE/TTME TAKEN 03/23/15 14:0E TAKEhI PY • JM 4�3 Sales, Service & Installations DATE�TTME �ROMISED . 4441 Allen Rd. • Zephyrhills, FL 33541 CUSTOMER#/LOCATION �e1�E NOTES: P'HDNE# ��.�- 54E-6�98 C PHO�IE2# g°/3- 788-9�1� H ' CONTACT DHT:I�ELBA N I EF�OET ROUTE/SEQ MAY18x��x1 MAF� A/H ATTIC I�I�F'OETTER, MELBA , NI�EpOETTER, I�ELBA WARD, MARY LEA - 3751E� LAUREL HAMMOCI� DR 37516 LAUREL HAMMOCF4 DR OAt�, RUN #15 ZEG�HYRHILLS FL 33541 ZERHYRHILLS FL�3541 3T RHEEhI H�' A/H RBHC-17J�71VFD/M 1 fs�+3�99�9 RRIiA-�3�JAZ/651�M��03154E8 � TO:NOV ��J�3 IIVSTALL 3T RHEEM HEATF�UMF� 13SEER, 4�D��. �� F�ERMIT 75. �Q� - �: ;��- - - - rF - -- - - - :S- � - .:YF;��,y:" NEr�.�a �i1` _'�.';'� �?.. e�rsY - ^K �'.L ',r 1�'rr: '>ix.e <.'r- a:�'.�'.v;.",2�:i..w;��v;y.� .;�^w,•`��ey'�a3�Wrc �:ur�� .. �a�,� - -a.:,_-r.j" .�ix�3n,.'4...�f � 'r.� - !z.>z'" .=.�s .� rf,= -�r.,, ��s�::Y�3?'-.,�-.�>�E}�S.�:RIP�1�7t�1"��?1(UORK�.,T:.-�-:�3�f�.,•��->=�. :�-x�:u�t1Y:. :4�1�'AE1'I.ERIALS8cS�RVIG�S.�- �r,,?��. ::UNkTI?�3fC�';s,,Al@IQ[JNTw� �_..� . 4-- �y._ - ��.� __...___.,.�.�._...._._..,__ _._�_._�...._::,.�.— — — ;ir�s:.;...��_._n:....�........:�.._,r...�,��_M.,.,...-.�.-�..�..:�L�_,a��e�:�e-._«_-:.:-.,,,..._.�:.,n_�,...>.,�.:,_,._>....�-,.,�-vn: — ---�--- — -- — �;�r�.. — z=,r-.�- �..r.,�.,_��K,...:,;.a..._.�.�::.<,�v=.__-- .�..,.�,�.,1„:.�,-{, � - i ! ..J l�.� � _�r- � 1 I I I I I �/D � I I � �� I I `�` � �' I I . I I e m� � � � � � � . , � � � � , � � _F�,.k�t.�.��_ _ :��::::st:�..,.,x��:,__ _ __ -_.;z._- _ -_:k,.:_= _-==:;_: _ __�.:,_ q (� ==�M�;�� Y�:�:,�,�3=_ -°,��;_`;,REGO` 'iEND�`(',.ON� =�z�;�y; ��;':�,.,..-.. �.�/� i / �-F�',�%� .�3,M ��x�.:..�;��y..:p:,.v...�.<ti.3,?;_::;;.,�,: -;��-ti,��F`uti�:�:-�'�<�:5;'' - /��..�'/ / ..c5'{:G`h:`,T+�3'��•,::'n::Gi''j,^:.'i':'-'si::�'.'�ew.:1�;i�i..•'.'� z•rS^,�.:t�;s,�N., _ �-sk�.} �*�:ila- ��(��V ` � / - "_ a1�r -'"'-i.7>' _ ' '_ " �a.":.G-r.;�i% "- _r`:�=:__ ' ' _ ..F,.:r - _ ''#, _' :..�aw,-;`�.�P�T°��`%=`-'� _ � � ;Anniia�l!�J,ain�enance�Retommenii`ediY .�1l;;E�`�i`me`�-:Man�factur,�rs:��:_; �t`:�.:x-:.,-- �r�;;;-=- - :r-;;� - =�p--- -=:�_��; Pressures Lo HI T-Stat i i _ ��_r_�-..,�:.�:�-. � .�:�;,s,�.. y�•-•= -- - - =-- — - - -- _ _ _w��,.,,-_; -- - �,�a; - � __ :_-�.�...,:. ��.'� ��r-- ��-.:�= _ - :.�-:.:;�: i ;&t=%G`.:;�',; -- - - ..E�_..=`j`="- -�ir'Y = _��- - - !�#3EER GE6AN7<Rz=�_t%:- �'.�BS;�T�` - - �?�:'`'� `TGlbsr: - - -- - 'a;a';�.�- _� - - -,..'?=��:�.- =?r4. �.�-�:.� ..'x"sT-'�"�.t;,��;<�t•'�>�°Y. I :'1't`• " '3: ':i'h:.=i?�'� - - �:L:s :.L;'�::, - FILTERS x x Changed Monthly I I FILTERS x x Changed Monthly � � I . ""'S;':,;�":�:t "'^:1��-.».j:` .,.c..�.y��"'�:.-�s:�:Fy�r.� "�.. I ❑ REGULAR ❑WARRANTY "�`s'"�'"---?`TOFAL�`S17N1btl%ARll�eri;�:�u':� � r��-,:�z- _. _>. -_ :. �E_��a_:': ,�.,;s�?,_, _ ' _ _ _ ns::y e,r - ra�': 5::. -:;"y,-;i"°�;%;2 :�i.,:Prs.;"i;::�'tl::_- y.n�..,._.^..'-:x.y`"r ', ..rY-._ ..i'r"'!,:[�l�4"��•�x+.:,-'L,�nF,y u'� 'p?�J' - _ �3ehuiiiidistat,Settili"gs:#When here°ON=;;;:�When Away§0°/i,=�'T-Stat$Q�, ❑ MAINTENANCE CONTRACT ��}T � -{---�:��:"��r:�:>�%��-� -��G �.s�:=� �r::�:=vi ��=� SERVICE i LIMITED WARRANTY:uAll materials, arfs andF�ui ment are wartanted b the manufaclurers' "��u�o-;�-�u�s� �1;'� - �`e`"'�=�.�>~;- CALL i ' P �9 P Y =� _,�s,:�.r- �IVIE7'hlO�b�.,OF�PAYME�IT,�:.=;^;� _ -�'� or suppliers'written warranty only.All labor perfortned by the above named company is warranted for ��`•��'"`y"��`rc�°'`:�.'�'"�`=:;�`�"-°'``='"=`�_�°-:�'';"�''`��'�`=° 30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i express or implied,and its agents or technicians are not authorized to make any such wartanties on MATERIALS i behalfofabove named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � PROG. W I C � I have authoriry to oMer the vrork outlined abova whfch has been sadsfaclorily completed.I agree that Seller . � retafns GUe to equlpmenUmaterials fumished until final payment Is mada.IT payment Is not made as agreed. CLAIM# � ' seller pn remove sald equipmenVmaterials at Sellers ezpense.My damage resulting trom said removal shall � ALL UNPAID BALANCES OVER 30 DAYS.NO R FUNDS SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED I TECH: T� � I i �/, ��/ TOTAL � CUSTOMERSIGNATURE DATE ✓Jl�� ✓Q�I.I