HomeMy WebLinkAbout15-16555 CITY OF ZEPHYRHILLS
5335-8TH'STREET
_ (si3)�so,-oo20 16555
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BUILDING PERMIT
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PERMIT INFORMATION ' LOCATION iNFORMATION
Permit Number: 16555 � Address: 37443 NEIGHBORS PATH
Permit Type: MECHANICAL � ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT ! Township: Range: Book:
Proposed Use: NOT APPLICABLE i Lot(s): Block: Section:
Square Feet: � Subdivision: ZEPHYRHILLS COLONY
Est. Value: � Parcel Number: 03-26-21-0010-04400-0040
Improv. Cost: 4,795.00 OWNER INFORMATION
Date Issued: 8/31/2015 Name: CALHOUN DAVID
Total Fees: 60.00 � Address: 37443 NEIGHBORS PATH
Amount Paid: 60.00 � ZEPHYRHILLS FL 33542-1897
Date Paid: 8/31/2015 � Phone: 813-779-4411
Work Desc: A/C CHANGE OUT 4 TON I
CONTRACTOR S � APPLICATION FEES
BAHR'S PROPANE GAS& ,INC. C CHANGEOUT i 60.00
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Ins ections�Re uired
DUCTS INSTALLED �
DUCTSINS ATED i
FINAL
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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 therei 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,�pecifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances.',NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRA TOR SIGNATURE � PERMIT OFFI R
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PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
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CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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v„-,o,,.�,,.�� t,;�ty ot Gepny�hills Permit AppAcatian Fax-813-780-0021
BuHding Qepartment'
.te Recalved = Phone Contact for Permittin i � � ��� — '�`� `
rner's Name ��v Z �' Owner Phone Number � � ✓ ✓ /� - ��J
rner's Address ...+ � �.� d R. �T Owner Phone Numbsr
e Slmple Titleholder Nama Owner Phone Number
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I �Stmple Tltleholder Address �
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�B ADDRESS � / �`�'"�C ✓ �i �`7 G7 D 12- J�"�Th� I LOT# �
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iBDiVISiON PARCEL tD# ( � �
(88TAINED Ft28M PRdPERTY TAX NOTtGE)
SRK PROP05ED � NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH
INSTAIL REPAIR
;OP05ED USE � SFR Q COMM � OTHEF2 �
PE OF CONSTRUGTION Q BLOCK Q FRAME � S7EEL Q
;3CRtPTiON OF WORK ��� � �� -� 1 t� � � � � e °"� �1J'�71 L�/1�
, I�LDlNG SIZE �,_,_„_� SQ FOOTAGE� , � HEt�aNT C�,�
QBUILDING �� VA�UATION OF Tt�TAi.Ct}NSTRUCTIQN
QELECTRiCAL (;s� AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C.
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�'i QPLUMBING (S6__�
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II QMEGHANICAI $ VA�tlATi4(V OF MECHANICAL INSTAl.CATION
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QGAS Q ROQFING Q SPECIALTY � � OTNER
' IISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES N4
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ILDER COMPANY
'� iNAT'tJRE REGIS7ERED Y/ N FEE CURREA Y!N
�I Address (.fcense# � �
I `cCTRiCtAN COMPANY I
tFiATURE REGISTERED Y/ N FEE CURREA Y/N
Addrass Llcense# � �
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)�ABER COMPANIf I
� �NATtTRB REGISTERED � Y! N FEE CURRE� Y/N
Address i L.icense# � �'�
CHANIGA! � '-- ,�f � COMPAtdY l�/�'�I�J`� �-'�'S*".��'
NATURE G��iJ� L�/' .U�"� REGISTERED Y J N FEE C RREP Y/N
Address � Llcense# (,� �C� �� 'p
, � ____1���
�ER � CQMPANY .
NATURE REGISTERED Y/ (d FEE CURREh Y 1 id
` /4ddress License# ( ` �
iIDENTIAL Attach(2)Ptot Ptans;(2)sets of Building Plans;(1)set of Energy Fort�ns;R-O-W Permit for new canstruc8on,
Minimum ten(10)working days after submittal date. Required onsite,�Conshuc8on Plans,Storsttwater Plans w/Sf1t Fence Instafied,
Sanitary Facill8es&1 dumpster;Site Work Pertnit for subdlvislonsflarge proJects
MMERCiAL Attach(3)complete seks of Butlding Plans plus a Ltfe Safety Page;(1}set of Energy FoRns.R-O-W Perr�Et(or new c�nst�uction.-
Minimum ten(10)working days after submlBal date. Requfred onsite,Co»strucHon Plarss,Storsnwater Ptans w!Sitt Pence finstailed,
Sanitary Facllttiss&1 dumpster.Slte Work Permit for all new prcifects.All commercial requirements must meet compiiance
N PERMIT Attach{2)sets of Engineered Plans. '
""PROPERIY SURVEY requlred for a!I NEW canstnict�on. �
ctions: _ �
FIII out appAcaHon campletely. , �;_ , -
Ow�er 8�Contra�tor sign back of applicatfon,natadzed ' '.
If over$254Q,a Noflce of Gortemenc:sment is required.� jAiC upgrades,av,ec$750d) ; � ' `; :�''� r
Agent(for the contractor)or Power of Attomey(for the own�rj�would be someone with notarized lek#er from owner authorizi'ng same • •-- `�
:R THE CQUtdTER PERMITTING (Front of ApplfcaUon Qnly) , �
�ofs if shingles Sewers Service Upgrades R!G Fences{PloUSuroeyiFoatage) ,_. ,. ._ _.. -- �°. �_ - ` '�'�
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Drlveways-Not aver Counter!f on publlc roadways..nesds,RQW u.. � ?i'-.'• •' - "� � � _
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NOTICE OF DEED RESTROCTIONS: T e undersigned understands°that thls.p�rmit:may be.subJect to"deed"restrictions" "`
which may be:more cesUictive�thaln Cou ty reg�latlons. 'The undersigned assumes responsibillty for compllance with any
applicable deed rest�ictions. �
UNLICENSED CONTRACTORS AND ONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be r�quired..to:be:llcensed In accordance.with state.and�local regulations. if the
contractor is not ifcensed.as requlced�b law, both the owner and contractor may be cited for a misdemeanor violatton
under state Iaw. If the owner or intend d�contractor are�uncertain as to what Ilcensing requirements may apply for the
intended work, they are advised to conta t the.Pasco County�ullding Inspection Division—Licensing Sectton at 727-847-
8009. Furthe�more, tf the owner has (red a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contrector Block° of thia application for whfch they will be responsible. If you, as.the owner sign as the
contractor, that may be an indication th t he is not.properly Iicensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTIL-ITIE IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportatton Impact Fees.and.Re ourse Recove.ry-Fees may�apply�to the constructlon of new buildings, change of
use in existing buildings, or:expansion�o :existing'6uildings, as specifled in Pasco County Ordinance number 89-07 and
9�0-07, as amended. The-undetsigned a so understands, that such fees� as,may°be due,.will be Identlfied at the time of
permitting. It is further understaod th�t ransportatlon Impact Fees and Resource Recovery Fees must be paid prfor to
receiving a °certificate of occupancy" or nal powec�release. :If the prvject>does not involve a certfficate of occupancy or
flnal power release� the fees must be p id prior to permft issuance. Fu�thermore�-if Pasco County Water/Sewer.Impact
fees are due,they must be-pald prlor to p rmit Issuance-1n accordance with appllcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 13� Florlda Statute��a� am�nded): If valuatlon o�work is$2,500.00 or more, I
c�rtify that I, the applicant, have been provided with a copy of the "Florida Construction Lfen Lav�—Homeowner's
Protection Guide° prepared by the Florid Department of Agric.ulture and ConsumerAffairs. If the applicant Is someone
other than the"owne�", I certify that I hav ,obtalned a copy.of.the abave..described docurrjent°and p.r.omise In:good faith to
delive�it to the°owner"prior to•cornmenc ment:
CONTRACTOR'S/OWNER'S AFFIDAVI : I cer�tify that all.the Inf.ormation in this application is accurate and that all work
will'be done in compliance with all.appi( ble laws regulattng constructlon, zoning and land development. Appiicatlon is
hereby made to obtain .a permit to do work,and instellatlon as Indlcafed:_ 'I certify that no work or Installation has
commenced prior to issuance of a per .it and that.all work wili be performed to meet standards of all laws regulating-
const�uction, County and City codes, z ning regulations, and land development cegulations�In the jurisdiction. I also
certify that I u�derstand that the regulatt ns of other government agencies may apply�to the intended work, and that it is
my responsfbility to identify�what,act(ons I must take to be,in�.corrlpllance: Such agencies.include but are.not Ilmited to:
; Department of Envlronmenta Protection-Cypress.Beyheads, Wetland Areas and Envlronmentally Sensitive
�� Lands,WatedWastewater Tr, atment.
'i - Southwest Florida Water anagement �.District-Wells, Cypress. Bayheads; WeQand Areas, Altering
i Watercourses.
i - Army Corps of Engineers-Se wails, Docks, Navigable Waterways.
' - Depa�tment of Health $ Re.abilitattve Services/Environmenfal Health Unit-Wells, Wastevitater Treatment,
� Septtc Tanks.
; - US Environmental Protec8on gency-Asbestos abatement.
' - Federal.Aulation Authorily-Ru ways.
I understand that the following:rest�ictions apply to the use of flll:•
Use of fill is not allowed in Flo d Zone"V"unless expressly permitted.
I - If the fill materfal is to b.e sed in �Flood Zone "A", ik (s understood that a drainage plan addressing a
� "compensating volume" will b submitted at time of permltting which is prepared by a professional engineer
� Iicensed by the State�of Florid . ,
'� - If the fill materlal is to be us d in Flood Zone "A° In�connection�with.a permitted building using stem wall
� � construction, I certify that fill�. Ill:be used only.to.fill the area wlthin.the stem wall.
`i - If fill material (s io be used in any area, I certify t#�at use of such flll will not adve�sely affect adJacent --
� propetties. If use of flll is fou d to advers�ly,affect adJacent_properties,.the owne� may be clted for viofating
� the conditions of the buflding�permit Issued-.under the attached {�ermit application, for lots less than one (1)
i acre which are elevated�by All,an engineered drainage:plan Is required. .
If I am the AGENT FOR THE O.WNER, I; romise in good faith to Inform the�owner of�the permitting conditlons set forth in
this affidavtt prior to commencing constru tlon. I understand thet a separate permlt may be required for elecMcal work,
plumbing, signs, wells, pools; air cqndttio. ing, .gas; ot oQher ins#allations not specJfically included in.the application. .A
permlt issued shall be construed to be a Ii ense to proceed witb the work and not as authorily to,violate,cancel, alter, or ,
set aside any provisions of the technlcal des; nor shall tssuance�of a permit prevent the Bulldirig Official from thereafter
requiring a correction nf enors in pla�s, conslructlon or violatlons of any codes. Every permlt issued shall become invatid
unless the work authorized.by such permi :is.commenced�withfn sGc months of permit Issuance, or if work authorized by
the permit is suspended or.abandoned#or period of-six(8)months.after the time the v�rork�ls commenaed. An extension
may be requested, in writing; from the Bu Iding,Official for a p�rJod.not to exceed nineqr�(90) days and will demonstrate
justifiable cause for.the extension. If work eases.for ninety.(90)consecutive days�..th�job is considered abandoned.
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WARNING TO OWNER: YOUR.FAILUR �TO,R�CQRQ A MOTIGE•OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TVYICE FOR IMPROVEMENTS O YOUR�:PRO�ER-TY. IF YOU�INTEND`TO�OB�'A1N�FII�ANCING;�C.ONSULT
WIT Y L N TTO OR � CO f� OU �� O � :O � •' T.
FLORION JORAfi . .-997:03� -- - -- -- -- = - -'`- ---- ---- — "
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OWNER OR AOENT CONTRACTO � i��
-S�ldscrlba�and sc� o(er aNlrr�ed)belc:a rne lhls Subscrlbed and'sv� to(or aQft�med)�before ene tfil� --
� by �by.
Who Is/are personally knovm to.me or has/have prod ced Who Is/�re personally known to•trte or-has/have produced� •
i as Identlflcatlon. as Identlflcatlon.
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� Note Public _ Notary Public
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Comm s n No. Commlesl No.
Name ot Name of Nolary typed,printe stam ed
�` �,�;,���.� �����,.
� =�� .+= Commission#FF 137073 ;�,ti."•��y,�; JOEL E.BACON
' � � Ex ires '•; ..: Commission#FF 137073
_�. ,p; P June 29,2018
� Ra;,`,a•' Bondod TIw Troy Fan�ns�raMe g�q3� � �a: Expires June 29,2018
)018 '��i,���,°,R.��'�` Bonded Thm Troy Fan lnsiva�e E(q.?9a•T419
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' � � � � � PROPANE GAS � • ' ' ' �
� AND_A1C �tvc. Service Order/Proposal Air Conditioning&Heating
��t�e �98� 813-782-501� .W
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i:-a C?���I ;�-.i��f'=I,d¢:� '_.�_�,, , _[�_:E:.�•,�i f�: r-,�..��;����. i. r;�;
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SaleS, �ervice & I�nstallations A7,'�TE. • � ;i fli �!-r'�F`E"P��! ��t: - _��_�• � 1 `-�� ����o ���"'
4441 Allen Rd. Zephyrhills, FL 33541 '��` '��� _ _
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NOTES: T7/'� ��1�('��a � ..i n q� � L f'I I�:: �il!i'�1f: {�;�: :t C;C=E'i i Tf-i�,� i;�-;i;�•�:;h �C
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DESCRIPTION OF WORK , Q�Y. • !MATERIAI_{,S&SERVECES .., UNIT PRICE AMOUNT
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RECOMMENDATIONS � � i�. i
C� !3� , (C�v , 6
� Annual Maintenance Recommended by All Equipment Manufacturers. � � '
Pres'sures Lo HI T-Stat i i
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, , REFRIGERANT R- LBS. $per Ibs. � �
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� FILTERS x z Changed Monthly I I
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. FILTERS x x Changed Monlhly
�. O REGULAR ❑WARRANTY TOTAL SUMMARY
Dehumidistat Settings: When here"ON"; When Away80°o, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE , i �
LIMITED WARRANTY: All materials,parts and equipmenl are warranted by the manufaclurers' I METHOD OF PAYMENT CALL '" i
or suppliers'writlen warranty only.All labor performed by lhe above named company is warranted for TOTAL i
30 days or as othenvise indicaled in writing.The above named company makes no other warranlies, ❑CASH I ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on
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behaltotabovenamedcompany. ❑DEBIT�❑CREDIT ❑OTHER MAINTENANCE i
I have aNhonry to order Ihe work outlinetl above which has been salis�actorily compleletl.I agree lhal Seller � PROG. W J C
retains tiUe to equipmenVmaterials fumishetl umil final paymenl is made If paymenf is not matle as agreed, CLAIM# �� � �
seller can remove saitl equipmenUmalenals at Sellers expense.Any tlamage resulting from said removal shall
nol Oe the responsibility of Selier.NET 30 DAYS.A 7 7/2%SERVICE CHARGE WIIL BE ADDED MONTHLY TO I
, ALLUNP ALANCESOVEf30�S.NOFZEFUNDS DATE COMPLETED -
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��9, , - r TECH r
� TAX �C,I,�,C��
' �/ /� �,, TOTAL
CUSTOMER SIGNATURE DATE � ZC���? Q'CG I