HomeMy WebLinkAbout15-16556 CITY OF ZEPHYRHILLS
� 5335-8TH STREEf
f ' (si3)�so-oo20 16 6
BUILDING PERMIT
I
PERMIT INFORMATION ! LOCATION INFORMATION
Permit Number: 16556 Address: 37437 GILL AVE LOT 183
Permit Type: MECHANICAL , ZEPHYRHILLS, FL.
, Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: , Parcel Number: 34-25-21-0140-00000-1830
Improv. Cost: 3,995.00 ! OWNER INFORMATION
Date Issued: 8/31/2015 Name: FOGLE, FRANK& FRANCES
Total Fees: 55.00 Address: 37437 GILL AVE LOT 183
� Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
' Date Paid: 8/31/2015 Phone: (813)780-2246
Work Desc: A/C CHANGE OUT 4 TON �
CONTRACTOR S ; APPLICATION FEES
BA R S PROPANE GAS& C,INC. C CHAN EOUT 55.00
Il� l� �
�. -- � � � �
� ry �
� `
�
Ins ectionsiRe uired �
DUCTS INSTALLED
DUCTSINSULATED
FINAL 2 - l ^ l �
REINSPECTION FEES: (c)With respect to Reinspectionlfees 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� c
�
NTRAC OR SIGNATURE � PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD, FROM WEATHER
I
�
, . ,"q- •• . .. .
� "_..._ _^, ..,_,.. �.
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Buflding Department
r " �
� - . ._.. ...__.�.._..
Date Received _ ,_ -- ..,__,,, --.- - G� 3 ,.7,�/.2. _.., �Q��
� • ,Phone Contact for Permittln� .'D�' �s -
}, q :�: . 4 .... .. ...: ... ..:..:... . _��� ` 781�-2Z�
Owne�'s Name .`'/"���.����" `.-�"�D�N t� Owner'PHone Num�ier �?- �'
, ,, ....,.,...�_.,.,.. . _,r.�e�-.
Owner's Addrgss-.�� ,%� .�U�— � '4�;Oviiner Pfione Number __
� �Y i �
Fee 1Slmple Titlefiolder Name,+ �' :' Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS '�f6�� / - <�� �y�- LOY# �
�
SUBDIVISION L?�/'}�� �r���� PARCEL ID# 3� 3� v�1 G`�� ��d0� ����
I (OBTAINED FROM PROPERTY TAX NOTICE) -
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
B INSTALL REPAIR I
PROPOSED USE Q SFR [�, COMM Q OTHER
TYPE OF CONSTRUCTION Q. BLOCK Q FRAME � STEEL Q �
DESCRIPTION OF WORK _. /`"�=��y� .`� �E �Qe e-� � �p� j�K /�71C �� p��/U�
BUILDIPIG SI2E � SQ FOOTAGE� HEIGHT -
_ i _ -
QBUILDING � � $ VALUATION OF TOTAL CONSTRUCTION •
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY' Q W.R.E.C.
QPWMBING $ �
QMECHANICAL $ �C�QY Q� VALUATION.OF MECHANICAL INSTALLATION
� /J
QGAS Q _ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS , FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I ,
Address I - License#
ELECTRICIAN - COMP i Y `
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I
Address � I License#
, I
PLUMBER COMPANY
SIGN.ATURE REGISTE�ED Y/ N FEE CURRE� Y/N
Address � " I License,#
MECHANICAL Gz�� � COMP.� ��2 S ,�o/�A-N�G�S�����c
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
. i •
; Address - I License# ����3��d
. I
OTHER COMPANY
SIGNATURE REGISTERED Y/ N _ FEE CURRE� Y/N.
I
Addre�s - � I � � � � Llcense#
�
RESIDENTIAL Attach(2)Plof Plans;(2)sets=of�Building'Plans;(1)set of En1ergy�Forms;,R-O-W Permit fornew construction,
Minimum:tem(10),working,days-after.submittal date. Required onsite,ConsUucBon Plans,Stormwater Plans w/Silt Fence installed,
� Sanitary FaciliUes�&t dumpster Site Wor1c Permitfor subdivislonsAarge projects
COMMERCIAL Attach(3)complete sets of Bulldirig Plans plus a:Ltfe Safety�Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working'days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes 8 1 dumpster.Site Work Pertnit for all ne�projects.All commercial requlrements must meet dompliance
51GN PERMIT Attach(2)sets of Erigineered Flans:,, .
""PROPERTY SURVEY required for all NEW construcUon.�
Directlons:
Fill out applicatlon completely:
Owner&Contractor sign back of applicadon,notarized . �
If over 52500,a Nottce of Commencement is requlred. (AIC upgrades,over 57500) ' �
" Ptiqent(for the contractor)or Power of Attomay(for the owner)would be so�eone with notariiei!letter from owner authorizing same
OVER THE,COUNTER PERMITTING (Front of Application•Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) , -
Drlveways-Not over Counter if on public roadways..needs ROW
NOTiCE OP DEED RESTRiCTiC1NS: The undersigned und�rstands�that this.p�rmit. y be,sub)ect to"deed"restricttons"
a
which may be:more�r.estcictive�thac�County+regulations. �The understgned assumes re ponsitiiiity far comptiance with any
appllcable deed resttictions.
UNLICENSED CONTRACTORS AND CONTRAC70R RESPQNStBlL-ITIES: If th owner has hlred a contractflr or
contractors to under#ake work, they may be requir�d_ta be�:llcensed in.accordance.virlt state.and�Iocal regulations. If the
contractor is not ticensed as required=by law, both the awner and canUactar may b -cited for a misdemeanor violattan
uncfer state law. tf the awner or Intended°contrac#or ara uncertafn as ta wha# licensi�g requirements may appiy��or�the
intended work, they are advfsed to cantact the Pasco County Buliding inspectton Dlvis on--Licertsing Seation aE 727-847� �
8009, Furthermore, If the owner has h[red a contracto� or contracto�s. he 9s advt ed to have the cantraato�s) sign
portlans of the "contractor Biack° of thls application for whlah they will be responsibl . If you� as.the awner stgn as the
cantractor, that�rnay be an indication thatfie is no#.properiy licensed and is no# entit) d to permitting privileges ln Pasco �
Courtty. '
°FRANSP4RTATlON lMPACT/UTILITIES tMRAC'f AND RE3QURCE RECClVERY FE S. The undersigtted undersfands
that Transpa�tattan Impact Fees and.Recaurse Recove.ry Fees may��apply ta the cons at#an af riew bulldings, ahange of
use in existing buildings, o�expansion-of�existir%g'��uildings�.as specifled.tn Pasco Co nty Glydinance number 89-07 and
90-07, as amended. The underslgned atso wnders#ands, that such fees,,as:enay�be�: ue;.wlll:be identified at the time of
permitfing. it is further.understood that Transportation impact Fees and.Resource R covery' Fees must be paid priar ta
reae�vi�tg a "cer(iiicate af�occupancy"or fina! pawer.release. :1f-the.pro)ect.does not i alve.a certificate of ocoupancy.ar
---final�power�re(ease;the�fees mc�srbe pald-prlor-to permlt�lssuarice:Furthermoce;4� asco-Countjt Water/SeweT tmpacf�" _., __�._
fees a�e due�they�must be�paid prior to permlt-tssuance�in agcordance wlth appllcable� asco'County ordirnances,
C�NSTRUCTION LIEN LAW(Chapter 713� Flarlda Statutes,aa amended): if valua!on af work Is$2,500.00 or mpre, !
certify that I, #he appiicant, hav�-been provided wi#h a copy of fhe "Ftorida Con tructbn Lien .Lav�--Homeawner's
Protection Gufc#e° prepared by the Florida Department of Agric.ulture and Cansumer irs.-�If the apptican# is sameone
other than the"awr�er", f certify that! have�abta�ned'-a c�py,of the above descrlbed�doc r�ent°and.p.r.omise in,good faitfi�to
deliver It to the°ownec"prior to�cammencement; ' ,
CONTRACTOR'SlOWNER'S AFFIDAVIT: I ce'rktfy that all.the.inf.o�mation in this'appll atton is accurate�nd�that all work
wiii'be done in campiiance with al9 appticabie iaws regula#ing cons#ructton, zon(ng an land development. Appitcation is
hereby made #o obtafin .a permit #o do worlc.and instailatian as indicafed: .:1 cert �that no work.or tnstallatton has
cammenced prior to Issuance of a permtt and that.alE work wili be petformed to me t standards of ali laws regutating�
const�uction, County and Gity cades, zoning regulations� and land developntent reg lations°ln�the �u�3sdia#ion. 1 atso
certify that I u�derstand that the regulations af ather gover�ment agencles may apply� the intended work, and#ha# it!s
my responsibility to Identify.what:actions I must take.to be,ln:.corr�pllance. Such agencie -Include but are_not lim(tec!to: �
- Departmen# of Environmental Protection=Gypres"s.'Bayheads,�Wetland Ar as and Envtranmentally Sensitive
Lands,VVater/VHastewater Treafinent.
- Sauthwest Fbrida Water Ma�agement. :Distrlct Wells, Cypress. ,Bay eads, Wetiand Areas, Altering
� � Watercourses. .
- Army Corps of Engineers-Seawalls, Docks,Navigatile Waterways.
- Department of Health 8� RehablAtative ServloeslEnyironmenfal Health.U it-Welis,.Wastewater�Treatment�
Septic Tanks. '
- US Environmentaf Protection Agency Asbestos abatement.-
- Federa!Avletton Authorlty Rnnways,
I understand thr�t the following.�rest�letions apply ta the use of flll:�
- Use of fill is not allvwed in Flood Zone"V"unless expressly permitted.
- if the fit) material is to be used in Flaod Zane. "A", lt. ts under"stood #h t-a drainage plan addressing a �
"compensating voiume°will be subr�itted at time of p�rmitting which is pr pared by a professional enginee�
#icensed by the.State of Fiorida:
- 1# Ihe fiN materla!.is-to be;used:tn Flood Zone "A° In4 cvnnea�ion wlth:a p rmitted b�aild#ng usfng stem waN
construction, I certtfjr that ftll�:wlq:be used oniy.to fiU the a�ea wlthEn#he stem� alf.
- If fill material Is to be used In any area, I certify ttaat use. of such�flll III not adversely affect adjacent
properties. tf use of filt is found to adversely:affect adjacent:properties,.th awne� may be cited far vlolating
the condi#ions af the buitding,permit issued under the�•attacfied permit app icatian, for lots less than one (1)
acre whlch are elevater�by f�ll,an engineered drainag�plan is required. •
If 1 am the AGEMT FOR THE QVI�NER,�I;:promise!n good fattb#a i�focm the ov+mer of•th permitting conditions set.forth in
this-affidavlt�prior to commenaing construcklon. I�understand that�.separate permlt m y be requlred fvr eleotrica#�work� '
ptumbtng, signs, we(Is, pools; alr cmnditioning,.gas, or other. install�tians nal.spec�ical y included-in.the application, A
permit issued shait be constcued to be�a'iicense.to proceed with tfie�work and not as:a thority to:violate, cancel, alter, or
set aside any�provisions ofithe.technical codes; nor shalt tssuance•of�a.permi#.prevent . Bu(Idirig�f'icialfrom thereafter
requirEng a correctto�nf er�ors In.plans, constt�uctlon or vtolatlons bf,any codes. Every p tmi#issued shafi became inv,aiid �
uniess the work authorized.by sucfi petmit:�is.co�nmenced�wlthln sUc tnanths of petmit i su�nce, or`if work aathorized by_
the permit is susqended or.abandoned foca.period.,of six(8)-montFi�s';afterthe tlrne the�w rk�ts cammenced. An extension
may be requested, tn writing; from the Building,t3fficial for a perlod-not to exceed:nlne (90) days a�d will demanstrate
justifiable cause fbr.the extensior�. if work aeases:for ninety(90)cons.�cutive:days,..#he) b is-conside�ed abanda�ed.
. : . . ..
WARNING T0� QWNEl�: YOUR.FAILURE:Ti'1.;REC:�RD. A...N�TIGE OF-.�COMMENC MEMT MAY-RESUI:T IN�YCiUR �
PAYING TWlCE.�'OR=IMPROYEMENT3;TO,YQUl�PROPERTY..;IF°YOU�=lIVTEN�:�TQ`�BTAIN��FlN�ANGlAIC;'CONSUE.T �
WI UR ' ':O ' N�A OR EY�B FORE� CO �t7 Gr+ °UR` O �C = ` - T' ��.,
FLC1RIpA dURA�(F.S.,1. � .� j.' '' ` ' - , � . ' , ! ' ' ,
� •
OWNER OR Al3ENT �" _� ' LC./� CONTRAGTQ '�m"� ' �-�„_,;:�;,,_,�--�
Subscribed and swom M(a. flirmedj before me ih s Subscrlbed and' m�to(or affirmed)`b fore me tl�is ,
by <by �
IMio is/are personally known to•me or has/haye pnpduced Who.ts/are p.ersonally�ciiovm�to me.orh s/have�produced, •
as identlflcatlqn. as identlflcaUon,
Notary.Pubilc _ Notary Pubiic
Cammis n No. ' Y ��:��"„_, Cornmiss n o. ,
`��jp:fy�.,r 3��rs::fY,a�,��r . ACO ' ' ,
,«; Com►nission#FF 137073 ;,; ,.. Commissi n#FF 137073
Ptatne a1 Natary typ ' o�B�ded ru roy Fain Insurance 8G0.385d019 Name pf Notary ty ' o e 2 ,20 $
"'�''F'�, �'�p���°.`' sonded Thn�T Fain inswanco 8tW385dot9
'..P,t,.�
� - a
`�
� W
� � � � � ANDPAICG c� Service Order/Proposal � � � �
� Air Conditioning&Heating
�i��e�988 813�782-5�t�'I3 � .�._.� ...._. ....
Sales Service & Installations �t�`�'�fi[�-` ��jd���ii'`'����.`--`�.r�N�v �,`���`�'� �:���
' aJ I���1.=r' 1 T��� � L�t-'t�'� l%;Gr J,.;r� 1 1 a iL`17 a t:�
4441 Allen Rd. • Zephyrhills, FL 33541 ��-;a�;���a �? ;� �.;, ��o -v_,u�
NOTES: 7)fa'fE!��:I:h�� PP,�:?�I'�:��:�
���.����(l�lk:.�t�!`I_.�CF=�� �.C�IlI k'IF���:�ar�
�:'1�IOiur� 81_;:�_;'�3�_..;=�i==�,•C�
f�f:?!.�'i��=.:ic:.r! �h�� __
I
. I
. � . I
- —� �-� . � _ _ _ � „
I°��►,�_�, i� i.A1dN;. � �C_LCq ��?F�twl-,
,a I'�'r,'i ��1.L 1_. �?V�. ,.:,r d;•.:;i f=J.��. C�{�t�,
� � r;trra�`�a�ai�:�i��•.�s '
�
�►.:r'i;'Yi�F-1 i�l_.�.�i f=;.. ',:,L��l '_T�F�'��`�`;F;.11._i_`= F�(__��..';`.-�t�E
°�
" ���1���'�t�'/o`f/��'3�l
.�
�Ji�;'�T C11J`4" t?F ��EC)i'�-]
e� ry. w �
,--...:i..nF,"^"„"Y.".y_.•_........ ...:.:"";.r : -.,.." " __ __
. �... , ..5.+...""....:r-..r,:�;.x L�_i� .....;,�.5'.'.: .. .....::.. " __.
�...:.. . ..,�;'._ ..�-..- _ _ _ _ ' '
, . F . . . _.,�.. ---.a.::_.. .�...e'r.s.. ,.�x.3,_�,.+.,.'"Y,_" . .;"v.�.�::.',' - _ _(Yl!.:: ::''y.';� _
.. �.... ...r,.y:.�-^,F,;:i'.: �•:..,z�::'.'.:"x_�
y. _..�. ._.a:._ .J.r{^r,.,.�_ �.__... -,-,,.-"�.� " _
.t. ..3" ' " ... -.rL., ,�_...�_:.:.. . ; '�.e_.,;=n-.� " - � " _ - _
+ � ja`5..:.'.,��t':,f.`i'.�i'?�„�.:�.•., :_�...>> .;..i..::.;r_..�y„-.-r'�..: v. � .... r .,.s - " _ "
. ",fY.,.....C'3..,.. ,',.'.' _ 'r..,`. ".
��•�.n f.7t .t..�..>+. :' �. �- "'�� -.....��. -- -_
��1,� fi-.- ��,... _DE GRfPTIOf�:OF:.WaRK=_•:-�� .�.�:.�_:,.:�.-.;.> �Q�. _:MA�ER�ALS:8�'SERUICES�-=:=:,=:�««ti=��'''=:==,'-"'.�:,'.UNITFRI` E:�: ��OUNT-
• ..._:r t ,..� �5.. - - - - = - -
• , .__r..,_.,:.,....._..,.� ,� . .v..,-,.:::•
• ��_.�:?.,..>_.�_,:-„ ,._.,�.,� .,:.:::._;.-.., �. ._.,:: - - - - - - - -
�,-,
C �AM
_�s ,. �:,- - - - -- -
.,, �...,,...,... "y,...:.r_... .,�a,..._ _ , ., �.. ._,.. -
a'J"a __.�_. . . ,. �....,...,-....n.,,,..., � �',:.__..•.,,_ . '�=:�_ .'r_'=' - - - - -
. ..._ . . _ _ _ - _ _____ _ _ __ _ __ _ - _ - - _ - - _ - _ -
.�.--...,.,t
•:.�
__. .._._�.`_��`_._��i.��z._..__ " ._..__ _ _ -.--_---._.- --..�_.�_' . _.
� � �
� �c e� T��r-�� e - s�y.-___��,-._1 w 5��--�- - -.._._I._.._ __. __._
�k �-$t-, l Y w l�e��. � �
� � �� �-f�.a5¢�� ' � "' i i
i
� ._ _ i i
i�
� �E �'�� �'�,� ��Q �� I�g�� � �
. (.�3�✓�. . �E�,.J e , 'f't�f uncs i i
I i i
� �t�, W.S f�C�l�Q_ t�r y� I 1
7 I I
� � C. 3 ,� I -"' I
�l �. t��� o � � 5 � �5�s�c�c:
- -_ - _- _ _ :`.i: _-- _ _ -_ _����.- - - _'. _
_ - _ _ _ -`'/n:�
' ' I
�
�'�:` �'BECbM�.E"��T'OI�S��=
;`� _ - M N A J. =�-s's:,: G:
- =�:. - -
�
;,r.f
_ <<�';-�
,',il�i � �
T:•'�'-K - _ "
' �
' i�{. -
_ ;�.�:� _
^ � r
� �,;.
� 'v �i:'%'��"'
3.��� ..:. .,...?�/�;�.!r. _ _
-.r,._ ,.y.,�,. : .r..i ':v. . �.'✓,�.�+�
�.�._ ._.�.� ...:.:r.�.,_....,� �:_�.-� .:rt� �.»vivc,.�.v.,.�c:�i�:.:•:-��t - = _ "
_ - _ _ i��"•� �� � � �
' _ i)1: '_}:"4"- _ v'h`�_ __ _ '__ n1" " _ _.'I::_ " — _' �
�Ann af-Nlainfena'ee"�Recommended��b`.�AII;;E�;ui ment-Manufacfurei�s:�;��` � ' �
.�.:�� -_-_.�:�_ =:t ---- _;,�y ''q__P====.._L:. _ ___ __-_ , Pressures Lo HI T-Stat ; i i
.;:-�:��=-- - _ - - - - - - - - - -
1 - - - -
- = i� i
:�: - _ - - :- -_ _ _-__ -- - -_- -- _- _ _-
�E - — ��r'�' - - _- --
C�CJ tR FRIGERANT`R-:�� ..LBS-� -$'�eN6s:..- - -
-. _... �... .
� _- - : - - - � - - P,-_ - - �_I' _ I
� � � 2 ��� - - - -
r,�t � � I
� � - -
. - - - - -- - - -
,,;�..: �.�.....�_. -. , .. _, :�_�� .....,. ._ .: : .:,� �
� ,. �.�..��:-.._
6u /�t FIILTERS x x Changed Monthly I I
� I I
FILTERS x x Changed Monthly
I - :.._.=.f�.�_l_�_' : .._.`_"'- ' ' '_ a,:'::v. . ' I
❑ REGULAR ❑WARRANTY = -_ -:_-:'TOTAL:SUMMARY':�=.,. •f
_ =--_-_ -- -- -_ : _ _ - �
;Deliumidistati:Settings;_:W#�en here"ON";`3When Away 60%,;;T-Stat 80°: ❑ MAINTENANCE CONTRACT � SERVICE ', 't i �
- - - �
LIMITE..;,:.>_�:..:..:_,.,.��.� _., , .
D WARRANTY: All materials,parts and equipment are wartanted by the manufacturers' �`-- �� -t�' � ` � ��� ""'�`- "`" � -` `'"'• CALL i
;'-:..t -ME'fHOD OF'PAYMENT;`=:-=�:_ ;:,..,-.�-
or suppliers'written warranty only.All labor performed by the above named company is warranted for � "'�=°� "�' "'—" - - TOTAL t
.. .,..r. _ _ _ ...
,. _ ... - .. . _:. �..,......;- ,.....
30 days or as otherwise indicated in writing.The above named company makes no other wartanties, ❑CASH ❑CK#
express or implied,and its agents or technicians are not authorized to make any such WartanUes on ' MATERIALS I
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
� PROG. W I C �
I have authonty to order the vrork aWined above which has been satisfactorily completed.I agree Ihat Seller �
retains title to equipmenVmaterials fumished until final payment is made.It payment is not made as agreed, CLAIM# �
seller ran remove said equipmenNmatenals at Seller's expense.My damage resulting from said removal shall i
not be the responsibility ot Seller.NET 30 DAYS.A 1 1/2 h SERVICE CHARGE WILL BE ADDED MONTHLY TO 1
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNOS DATE COMPLETED
� i
� � � TECH: I T� i
�t��-,.,.� �G r`� ,�l�r / M,,,,/ ��J/ �
CUSTOMERSIGNATURE DATE � ✓1��W/NL ✓ou TOTAL I
I