HomeMy WebLinkAbout15-16526 CITY OF ZEPHYRHILLS
5335-8TH STREET
t - (813)780-0020 1 6
s BUILDING PERMIT �
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PERMIT INFORMATION i LOCATION INFORMATION
Permit Number: 16526 � Address: 6551 BRENTWOOD DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass 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: 04-26-21-0020-00000-OOA9
, Improv. Cost: 4,970.00 OWNER INFORMATION
Date Issued: 8/19/2015 Name: ROSS BARBARA
Total Fees: 60.00 Address: 10808 TRADITION LOOP
� Amount Paid: 60.00 TAMPA FL 33618-8794
Date Paid: 8/19/2015 Phone:
Work Desc: A/C CHANGE OUT 3.5 TON HEATPUMP
CONTRACTOR S � APPLICATION�FEES
BAHRS PROPANE GAS C, INC. C CHANGEOUT 60.00
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s ections�Re uired � - �
DUCTS INSTALLED ,
DUCTS INSl1LATED-�
FINAL Q.�GY-1 i
REINSPECTION FEES: (c)With respect to Reinspection!fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,�for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRA OR 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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� � � PROPANE GAS Service Order/Proposal � � �� �
� s ,4ND A/C itvc. Air Conditioning 8 Heating
. ��t�e �988 813-782•501� �
• ' WORN ORDER#/SERVIC�MAN E1�'�4 REN
Sales, Service & Fnstallations DATE/TIME TAKEN �8/14/1� 15:�E,
4441 Allen Rd. -Zephyrhills, FL 33541 TA�,E� �v SG �►�
DATE/TIME F'ROMISED �8/14/1� ��:��
NOTES `"I7'� Ta I�j �� u '�Z���� ►"'"�?I�CUSTOMER#/LOCAT I OIV AC��9�
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ROSS PAf��ARA I ROSS - RENTAL ' `BARRARA
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E�JJ1 PRENTWOOD DR I E�51 HRE�ITWOOD DR
STLVER OAIiS
ZEF'HYRHILLS FL 33�4�' ZEF'H`fRHZLLS FL,=,.3�4c
� :, RHEEM: RPf'.A-�4�JAS; 1'�93 MODEL
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RENTER:CzAIL MYERS 312-31�9 OR
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CALL DAWN AT SILVER OAKS 78`-E��� W/RESULTS. Uh1IT W�N' T TURN 01� GAIL IS HOME
DESCRIP�ION 6F WORK QTY i ,MATERIALS 8�SERVICES UNIT PRICE AMOUNT
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� _ RECOMMENDATIONS � �r.����— � 7� ��
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� Mnuaf.-Maintenance Recommended by All Equipment Manufacturers. � �
Pressures Lo HI T-Stat i i
, ' REFRIGERANT R- LBS. � $per Ibs. � I
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I FILTERS x x Changed Monthly I i
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� • FILTERS x x Changed Monthly � �
�- d REGULAR ❑WARRANTY TOTAL SUMMARY
Dehumidistat Settings: When here"ON", When Away�, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY. All materials,parts and equipment are warranted by�he manufacturers' METHOD OF PAYMENT CALL i
Ior suppliers'written warranty only.All labor performed by the above named company is warranted for i • TOTAL i
, 30 days or as othenvise indicated in wnting.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and ils agenis or technicians are not authorized to make any such warranties on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
� I have aulhoriry lo order the work outlmed above which has been satisfactonly completed.I agree thal Seller � PROC. w r c I
retams tille to equipmenUmalenals fumished unhl final payment is matle II paymenl is not made as agree4 CLAIM# �
seller can remove said eQwpmenUmatenals at Sellers expense Any damage resulting from said removal shall �
not be the responsihiliry of Seller.NET 30 DAYS A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO �
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COM PLETED
TECH ' T� Glk�{I
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CUSTOMER SIGNATURE DATE
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a�3aaa-oazo City of Zephyrhills Pecmit Application Fax 813-�so-ooa�
Bui(d'mg Department
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Date Rea'alved '� , ` '. . � ' ' ` �7 �'":.
Phone Cantactfor Permittfn r1,:,1'� Y t�n�' —.��/'3
Ownar'a Name � a'2!�� �O �,,,� `'s Ov�'tner Phone N'umber'`` �'.L' '.
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Owner's Address ���� 2� .✓1'"'" 00� Ouvner Phone Number y �. � �
Fee Simpte TlNeho(der Name �� � Owner Phone Number �� �
Fee Simple Titlehoider Addre�s
.lOS ADDRES8 _ S,-!��� " _ L,OT# ._C___^�
SUSDIVIStOtt �.\s�` 4 � _��*'�� ~�:��
PARCEI tD# '�.�
" i (OBTAINED FROM PROPER7Y 7AX NOTICE)
WORiC PROPOSED NEW CONSTR ADQtA�T C� SIGN Q Q DEMOLI54i
INSTALL 8 REPAIR
PROPOSED USE � SFR [� COMM � OTHER
TYPE OF CONS'TRUCTION Q BLOCK Q. FRAME � STEEL [�
DESCRiPT10N OF WOFtK �C Q,� �
BUILDING StZE � � SQ FQOTAGE��� � HEIC,HT ��..�
QBU{!OlNG �� �
VA�.UA7'lOhl OF TOT II.C0IUSTRUCTIOIV
�,]ELECTRICAL r?y� AMP SERVIGE � Q PROGRESS EIdERGY Q W.R.E.C.
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QPLUMBING (y','��
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QMECHANICAI. $ �,/��� od � VALUATlON OF MECHANIGA�INlSTALIATION
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QGAS [� ROOFING �] SPECIALTY �I �] OTHER
Ft1�i1SHED FI�QR ELEVATIONB FLOOD ZONE AR�EA QYES NQ
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8UlLDER GOMPANI(
$!GFlATlJ12E REGISTERED Y/ N FEE CURRE� Y/N
Address i.icense# �� _�
BI.EGTRICIAN GOMPANY i
SIGNATURE ,, ,, REGiSTERED Y! N FEE CURRE� Y J N
Add�ess �.Icense# � �
PL.UMBER � � COMPAII�lY
SIGNATt1RE REGtSTERED Y/ RI FEE CURREh Y�N
Address lEc�ense# � �
MECHANICAL COMPANY l.3rrjM'rG,s �Ito /rf�e/� L�-t S C
SIGNATURE R��ts7ERSO Y/ N FEE CuRREn Y J N
Addre� Y �i'�Y/ -4/'i.� � �—h��ff,f°,� �Icense# /Q� Q���� �
O'THER COMPANY '
Sf GNA7URE „ REfisISTEREd Y 1 N ��cuR�t�R Y/At.
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Addre�s � ltcense# � `� ,
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pla�s;(1)set of Energy Forms;R-O-W Permit for�ew construc�on, '
Minimum ten{10)warking.days after_submitta4 date. Reqalred ansite,Conshvc�on P1ans,Starmwa#er Plans wl Slit Fence installed,.
Sanitery Facifitles.&1.dumpster SRe Work Permit for subdivisionsflarge proJects
COMMEFtC1A1. Attach(3)•camplete sets of Building Plans plus a Llfe Safety Page;{1)set of Energy Forms.R-O-W Pem►it for new construcUon.
Minimum ten{1 Q}wocking days aft�r submlttal date. Requtred anslte,Gons#tucNon Plans,Stormwater Plans w!Sitt Fence Instafled, �
�Sanitary FacillHes&1 dumpster.Sfte Work PermR fur all newr projects.All cammerclal requlrements must meet compliance - - � -
SIGN PERMIT Attach(2)sets of Englneered Flans.� ,
""PROPERTY SURttEY requlred fcr att NEW c�nstructlan. j
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Directlons: �
Fill aut applica�ar�c�mpietely.
Owner 8 Cantractor sign back of applfcatlan,notarixed
!f aver 325Q0,a Notice of Gommencement la required. (A►C upgrade$over�T50Q)
" Agent(for the contractorj or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same
OYER THE COUNTER PERMITTING {Front of ApplicaUar►Qrely)
Reroofs if shingles Sewers Service Upgrades A/C Fenaes{PlotlSuroeylfoatage)
Drivewaya-Not over Counter lf on public roadways..nesds ROW
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�IOTiCE OF �E�D RESTRICTIONS: The undersi ned under�tands�.that this. rmit.ma be,sub ect to"deed"restrtctlons"
9 P� Y 1
vuhich rr��y be:more r.estrlctive th�n Coun�r�gulat(ons. �7he unders�gned assurri�� responsib911�for compliance with any
applicable d��d reshict(ons. �
tJNLIC�N�ED CONTRAC�ORS AND CONYRACTOR R�SPOiV�9�ILITIES: If th� own�r has hired � contr�ctor or
contractors to undertake work, th�y may be requlred.to be Itcensed in accordanc�:with sQate.and•local regula4lons. If the
contractor is not Hcensed �s requlred�by law, both�the o�wner and �onUactor may b�,ctQed�for a rnisdemeanor violatton
� under state laa►. If the owner or int�nded�contractor��re uncertain �s to what I�cens9ng.requUem�nts may apply�or the
intended work, they are advised to contact 4he Pasco County Buildlr�g Inspection Divlslon—LEcen§ing Section at 727-647-
8009: Furthermore, If the owner has hired a,conwactor or contractors, he is advised to hav� th� -contractor(s) sign
portions of the "�ntractor �lock" of this application foP wrhich they u�ill be responslble. If you� �s.the owner sign as the
con4ractor, th�t may be an indication tha,@ he is not.properly Iicerased ano1 9s not en8tl�d to p�rre�ftting privileges in Pasco
Cound�. -- --
TRAIdSPORTATION IIVIRACTfUTII�.ITIES�INIPAC7 ANI�RESOUitCE'RECOVERY•FEES: The undersigned understands
that Transport�tfon Impact Fe�s:and.Reco.urs� Reeov�cyr.Fees may.'�apply to°the constructlon of new buildings, change of
use in �nisting build(ngs, or expansion�of�,e�ii�tiri,g.build9ngs, �s spec�fled.iro Pa�co County Ordlnance.number �9-07,and
g0-07, as am�nd�d. The undersigned �Iso understands, that:such fees�.as=may�be�dne,..wlll:b��identified a4 the time of
�ermitting. It is further understood that Transpor4ation Impact Fees-an.d Resource Recovery=Fe�s must be paid�prlor to
receiving a "c�rt9�cate of accupancy" or f�nal powier r�lease. :If the �roject.doe� not Involve a certificate of occupancy or
fnal power reB��se, #he,fees must b� paid prior to perenit I�suance. Fu�thermore� if:Pasco County UVater/Sewer Impact
�e�s are due, tC�ey�must be-p�ald prior to p�rr�tit�Essuance�ln accordarac�with appllcable Pasco�County ordinances.
C�tdSTRiICTYON LIEN LJ�9N(Chapter T13� Fl�r�da St�tut���as a[r�ended); If b�luation of work is$2,500.00 or rr�or�, I
certify that I, �h� applicant, have-been provided wtth a� copy� of the�"Florida Const�ctfon Lten Law—iiomeowner's
PPOtection GuO�e" prep�red:by,the FlQrida Dep��tcraeret of.•Agrlc.ultur� and Consutner�A►ifairs.•sif�the,ap�licant is someone
other than Qh�"owe��r"; I�certify�t(�at B tiave.otit�itned'a copy;of.the abov�.d�s.cr�b�d�docur�enf°and.pro�0�e_In,g.o`od faith to
de0iver It to the"ovune�'prio�to•commencement.
CONTFtds►CTO�t°�/OV19N�R'�AFFIDAVIT: I ce�tify th�t ail the Infoemat�oh:'ir�4hls.a�pi�Catfon is accurate`�i�d that�II work
� �ill�be done in corripliance with al! appiicable laws r�gulating construction, zoning and land development. Application is
hereby made to obtatn .a permit #o do vvo�k.�nd ins#�IlatEon as indicafed. 1 c��ttfy that no work or Installa#{on has
commenced pPior to issuance of a perm6t and that.ail work avili be p�rtormed to m�eQ standards of all laws regulating�
� construction, County and City codes, zoning regulatlo.ns, and lan� d�velopment regulations in the jurisd�ction. ( also
certify�that I uaaderstand lhat the r�gul�tions of other gov�rnment a�encies may�apply�to the int�nded work, and fhat it is
�y responsibil6t�v to identEfy.what.act(ons I must take:to be,ln:.cotrlpila€�ce. S.uch ag�ncles.include but are..not Ifre�it�d to:
' - Department of Env(ronmenta9 Protection-Cypress.Bayheads, 1lVetland Areas and ErnfronmentalBy Sensittve
Lands, Water/Wastewater YreaQment.
- Southwest Fiorada Water (Wanagement .DtstNct-llVellso Cypress. B�y.heads°, 4N�tland Areas, AlQering
Wat�rcourses.
- Arrny Corps of Engineers=Seawrall�, Docks, Navlgatile lNa,teeways.
- D�partment og Flealth� � Rehabilitative Services/Envirmnrraen�al Health lJnit-Well.s� INast�wtater Treatment,
Septic Tank�. �
- US Envaronmental Protectlon Agency-Asbestos abat�menQ.
- F�d�ral Avlatlon Authortty-Runvvays.
I understand thaB the following,restrictlons apply to the use of flll:•
- Use of fill is not�Ilowed in Flood Zone"V�unless expressly permitted.
- if Qh� flll materlal (s to be used in �Flood Zone "A°, IQ: is understood that a dr�inage plan addressing a
"compensating volume" wilE be �ubmitted at tlme of pemoitt(qg w6ich is p�epared by a profess(on�l �ngineer
lic�nsed by the State of Florlda.
- tf the fill mat�ria9 fs.to,be used In Flood Zon� "A" (n�connec�(on�wlt6�.a permitted building using stem wall
construction, I ce�tify tkiat-�ill,:wliB:b.e used only.to#iil th�a�rea uwtthin the�st�m•dvall.
- If fiill material is to b�• used in any area, I certify th�� use. o� �uch flll will not adverseiy affect adjacent
properties. If us� of fl11 Is fou�d to adversely:affect adJae�nt��prope�lies,.the owner r�ay be clted for viofating
th� condi�ions of the b�tlding.perm(t issued under 4he.a�Q�ched p�rmit appl(cation, for lots less than.one (1)
acre wh0ch are elevated�by flll,an engin�ered draB�age plan I�required. .
If B am the AG�NT FOR TH�OIflINER, I,�promise In good faith to Inform#he owner of the permitting conditlons s�t forth tn
thi� affidavit�prGor to commencing construction. I under�tand.thet a�separat� permPt may be requtred for eiectr�cal work,
plumbing, signs, vvell�, pools;_ alr condit(oning,.gas, vr other insta�llatlons noE•spec�flcally included-on.the applicatton. .A
p�rmit issued shall be constra�ed to be•a�lic�nse to proceed wiQh th�'�irork and nvt as:�uthorlt�to,violatea�cencel, alQer, or
set asid�any �rovisions �th�technical c,�des;:noP shall Issuance�of a.peemit.prevent ttte Bulldi�ig Oiflclal from thereafter
r�quir6ng a correction af�e�ors In�.plans, construct0on or violatlons of�ny codes. Eveey permit Is�ued�shail become invalid
unl�s� the worBc �uthorizedr,by.:.su.ch permit:�is-co�rraenc�d:irvithin s�X t�onths of permlt Issuance, or if work authorized by
the permtt ts s�spended or.abandoned fof a:perfod of�si�(6)montf�s.-�ft�r the#ime.th��uvork��is-cornmenced. An extension
may be requ�sted, In wciting, from the Building,Officlal for a perlod aaot•to.exceed nin�ty�(90) days and will demonstrate
justl�iabs�cause�or.the extensior�. If worEc c�ases:for n(n�ty(90)cans.ecutive:day.s�..th�Job 9s.considered aba�doned.
Wda1RNING TO OWNER: YOUR.FAIL:URE,T�.,R�EC.ORD.:,A MATIC� O�-COMM�NCEWIEMT.�IIIAY �tESULT IN YOUR
4�r�YliVG TIRIIC�.1=0�'t�lMPOtOVENOENTS 1'�:.YOUR.PR�P�RTI(-.:IF�V0.9J�IN'�END�"T��=O�TAIN��IFtAt�C11dG;'CONSULT
WIIT UR D O: Ald TTORN ��� FO. ��, COR�F7 �:� . :V � , ;C :O ',.� . E .@
FLORIDA JURA�(F.�.1.1 �
OW�NER OR AC3E6dT CONTftAC'iOR
5ubscribed and awom to(or tArmed);b�fore m�this Subscribed and'swsom to(or affirmedpbefore me'ttii�
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Who is/are, o novm to.me.or hashi�ve producad Who ls/�re ona hnown�to me•orhas/have�produced •
es IdentlAcatlon, as tdentlflcatlon.
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Commis fo o. ' ° � � � � Comml��lo o. ,Y p�
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