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HomeMy WebLinkAbout15-16141 CITY OF ZEPHYRHILLS 5335-8TH STREET � l -� (sis)�so-oozo 161 1 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16141 Address: 38919 3RD AVE 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-17700-0091 Improv. Cost: 4,249.00 OWNER INFORMATION Date Issued: 4/06/2015 Name: KNECHTLY, LARRY & DIANA TRUST Total Fees: 60.00 Address: 38919 3RD AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/06/2015 Phone: (813)788-6644 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES ' BAHR PROPANE GAS& C, INC. A/C CHANGEOUT 60.00 .�� , � _ r �- - f � �J� (� Ins ections-Re uired DUCTS INSTALLED DUCTSIN ULATED FINAL � - �� -� REINSPECTION FEES: Reinspection fees will comply with Plorida 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 t) 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 perFormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. , { Gl/I��� ONTRAC OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROi/ED INSPECTION CALL FOR YNSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received s � Phone Contact for Permltting LS�� �oa _��`� Owner's Name Owner Phane Number �����O O ' ��y Owner's Address ��1 � C� ���'�� Owner Phone Number � � Fee 8imple 7itleholder Name �� � Qwner Phone Number � � Fee 5imple Titleholder Address JOB ADDRE$S �� /�� ��a ���' ��`���` LOT# C—� SUBbIVISION �— � PARCEL ID# � t�C� �I Q��� f �f�� ���� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PRQPOSED e NEW CONSTR� AODlALT C� SIGN [� Q DEMOLISH INSTALL REPAIR PRQPOSED t1SE Q SFR Q GOMM 0 OTHEf2 TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK ��l�d'7.1 e � l�O� � f !J" AI � </� �G= L�� � � �3/tl �T� BUiLqING SIZE ��� SQ FOOTAGE�� HEIGH7 �, � �BUtLdING I$ � VALUATION OF TQTAL CONSTRUCTION � �E�ECTRiCAL �$ �� AMP SERVICE � PROGRESS ENERGY � W.Ft.E.G. � QPLUMBlNG � � �MECHAiVICAL $ �� gI � VA�.UATION OF MECHANICAL IN3TALLATtON ll� QGAS Q ROOFING Q SPEC{ALTY � OTHER FINISHED FLOOR ELEVATIONS �^ FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address �r �^ "'— License# � —� ELECTRICI,AN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � �� PLUMBER GOMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �� � ,....„ MECHANIGAi. G�� � � COMPANY ��S /�i�J��C�7r' �G. �t� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address ��.....,,` ,,. l��... ....,,. .._ � I� � � ✓�� j License# �17 w�J����� OTHER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address I.icense# � � RESIDENTtAL Attach{2}Plot Pians;(2}sets of Building Pians;(1}set of Energy Forms;R-C}-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, - -- --— °-Sanitary Facifi@es&1 dumpster;Site Work Petrr�it for subdivisions/targ�projects---_ _--- --- -- —- ---�_�__� �_______ COMMERCIAL Attach(3)complete sets ofi Building Plans ptus a Life 8afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, 8anitary Facilities�1 dumpster.Site Work Pe�rn�t for all new projects.All comrrtercial requirements must meet compEiance SIGN PERMIT Attach(2)sets of Engineered Plans. *"'PRQPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. � , . '; ,r . Owner&Contractor sign back of application,notarized , , If over$2500,a Notice of Commenaement is required. (A/C upgrades over$7500) � � � +x �y . Agent(for the cantractor}or Powe�ot Attomey{for the awner}would'b�;someone with notarized tetter from owner authorizing��same '-_.� , , _ . , , . OVER THE COUNTER PERMITTING (Front of Application Only) ° � .- ,-,,.,, .., .,� x, _ Reraofs if shingles Sewers Service Upgrades�AIG�-�� Fences(PIoUSurvey/Footage) ' � _ , � _ � � ; �, Driveways-Not over Counter if:on public roadways..needs;ROW ' . �- � � . ', - .., �. . � r � t� NOTICE OF DEED R�STFtICTIONS: The undersigned understands that this permit may be subject.to°deed° restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLIC�NSED CONTRACTOFtS AND CONTRACI'OR FtESPONSI�ILITIES: If tfie 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. TRAIVSPORTATION IMPACT/UTILITIES IMP�1C'T 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 v+ritFi applicable Pasco County ordinances. CONSTIZUCTION LIEPI LAIRf(Chapter 713, Florida Statutes, as am�nded): 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 AFFIDAVI7: 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 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 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 Watenrvays: - Department of Health & Rehabilitative Services/Environmental Health 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 lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. ff I am the AGENT FOR THE OWNER, 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. WARNIIVG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIfVG TWICE FOR_IMPROVEMMENTS TO YOUR PROPERTY. IF YOUJNTEND TO OBTAIN FINANCING� CONSULI' WfITH YOUR LENDEI2 OR AN ATTO EY BEFORE RECOFtDING YOUR NOTICE OF CO iV1EAICENIENT. FLORIDA JURAT( .S.1 .03) � � C I OWNER OR AGENT C CONTRACTOR - Subscribed and swom r affirmed)before e this Subscribed and s to(or affirmed)before me this by bY Who is/are personally known to me or haslhave produced Who Is/are personally known to me or has/have produced as Identlfication. identification. � � � Notary Public Notary Public Com I ion No Commis No. �.Y:'y JOEL E.BACO ;zqti.••-��;; ;,.o:�:Yeya�.,, JOEL E.BACON ommission#FF 137073 Name of Notary t'g�e�qoi�cV�p� � Name of Notary type :�ri it� �F¢�on 37 73 %',�PF F;o;;•` go�BdihruTroyFeinlnauranoeB00�385•7079 �� �o`: xpites June 29,2��8 ''��i,ff��°�`��, Bonded ThN Troy Fain Insurence 800�385-7019 ' J. � � r- ' PROPANE GAS � � � � � � AN❑ Af E. INC. Service Order/Proposal Air Conditioning 8 Heating ��tce �988 8`I 3-782-501� _ • , , Sales, Service �& It�stallations �!C`1F.i-, �-:f�,I.j�����y-'rE::F�s.�T.r.;�y1�����ra �,-,��?F..=� �t��F� 4441 Allen Rd. • Zephyrhills, FL 33541 r''-'-T k� -;� 1`'tE= ��-E-if`�E='`..; ";~'-':��'�-` � `=' `��j°`�'�" ' �1-'i t"�[' r\� �''��.' 7 t-I i-,'(.'��-� ��E.r_ NOTES: • • t��i=�i;.�: �r�t r���- !��r�o?=,� =-;_:�::� ' �_�_.��_;�;� ��.;���•..r.�� i. ;-;,—;.,-r�;?--,�•,� r.� — -�, � . !�i _'�_E�•�... ���1'"i�;�'��i_�f;� , %:{.{ _� �'� �i)�_.i';j.�,`F'. � �mI�T ' �="'i.��_� !��=_ . -;E:�? � - ' fa{��R . . �— ' ._ . f Q�;�� � /l �l� �� a��� �7�0� �o�/ � . ;;I�!f:�--�F;-i 1_.1 5 J i=d,_;� � ,'j•?�:-i�i'(i . . ���C i�` .:r�i,�_a �' - - i t.',. :c:�. �� ; i - 'I —1 �,�`i�;� F:!�t t_ ,t 3 1 =�F,'i.i }..� i�:. . i'_'{.�i'.. �'r-, '-� i:: r-i ;;���. -: 7 r (•�;.. � r-� - . � ��::,�,i:�i � " ' � ��__, 13 � r:H ! � l. _� � t•� c. i , I'�r1 I.._k � � . . ... ._. ..._. ._ :�_ -- - _ �_ • � ,-- . • . = I I - • _. ' �s i:��f i '•i�"j1 s:j.t��_'_,(_:,�j.!_- �_•�.j;r'!c_��_9��3!i 7�i i?; � ..--� '1-r•r-• —r , — _-�. ,,.._. r;•f; r-� i +:J � r`r 7 I�)C': - �. -- c�:� - ���' Y' �.x. �'"'.:_� �r'7�.� l i 1(. 1 � s. I " =' .. ` C�P.i :. �.. . "'�.j.i ' l� ' ' '_ i � `, i - . �. .F�l�. � . �-,.... r��R�:.� �-� � a i . _.�__�a�.,r-- r�a�.i ... . :E , r ., ;� . , ;:r_t.,�;�;�: , � _,. .: _, :>_:.:, . � . : - DESCRIPTI'ON.OF�-WORK -. � QTY:- -MATERIALS.&SER�ICES UNIT-PRICE AMOUNT — 1 U �. F� � �,-, h � J/ ' � '� � � -�-- . . __.,. __ � _ _ -- -. - ._ __ -�;. �. ._ _._....-- _...._�. ._.._ ._._..__. ,__.._. _ ., - -. _._.... _. _�. _ -�. w � � ,'.� � 75 � � � � � ` 1� � � 3�s�/��� _ � • � � � �r�, � `�� ��, ��.,���� �- c,� ' ,� � � � � � � \ ��r�, � ' � � � � - . � � � � �, l� ►�, Hr' � � � ' �. � ,,�� � 7 S ;w G� � �+3�� � � � � � RECOMMENDATIONS N � � . , i i Annual Maintenance Recommended by All.Equipment Manufacturers. � '� � Pressures Lo HI T-Stat i � - - i i 'REFRIGERANT R- LBS. $per lbs. � � i FILTERS x x �Changed Monlhly I I . FILTERS z x Changed Monthly I I ❑ REGULAR ❑WARRANTY TOTAL SUMMARY - - Dehumidistat Settings`:When here"ON", When Away'6�,,.T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' _- METHOD OF f'AY:MENT "% CALL i or suppliers'written warranty only.All labor performed by the above named company is warranted for . TOTAL i 30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warranGes on i behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i I have authonty to orderthe work outlined above which has been salis(aclorily completed.I agree thac Seller PROG. W t C relains tille to equipmenVmaterials fumished until final payment is matle.If paymenl is not made as agreed, CLAIM# � _ seller can remove said equipmenVmatenals al Seller's expense.Any damage resulting from said removal shall + nol be lhe responsibility o(Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO - - � I(� r ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED - TECH- C.�`.V Q - -- - TAX �V1C.Iy�G� .��,,� �Jo-c� TOT/�L �ya��� c� ICUSTOMER SIGNATURE DATE �