HomeMy WebLinkAbout15-16557 CITY OF ZEPHYRHILLS �
1` 5335-8TH STREET
(si3pso!oo20 165 7
' BUILDING PERMIT
� PERMIT INFORMATION i LOCATION INFORMATION
Permit Number: 16557 Address: 5940 DOGWOOD ST
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: 12-26-21-0260-01800-1290
Improv. Cost: 3,195.00 � OWNER INFORMATION
Date Issued: 8/31/2015 Name: ZEPHYR CHRISTIAN CHURCH INC
Total Fees: 55.00 Address: 5940 DOGWOOD ST ( MH)
Amount Paid: 55.00 ZEPHYRHILLS, FL 33542
Date Paid: 8/31/2015 Phone: 812-946-2934
Work Desc: A/C CHANGE OUT 1.5 TON j
CONTRACTOR S � .APPLICATION FEES
BA R'S PR PA E AS& C,INC. C CHANGEOUT 55.00
.M.�-
C� r � � �� �.-
c�L V�
Ins ections Re uired '
D CTS INSTALLED
' DUCTSINSULATED
FINAL � =Gt't v��
REINSPECTION FEES: (c)With respect to Reinspection�fees will comply with Fiorida 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 recordin our notice of commencement."
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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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CONTRACTOR 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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q�,rro�-v��cv city ot�epnyrhiiis Permit Application Fax-813-780-Od21
Suilding Depactmen i
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I te Receivs� Phone Contact for Permittin � C7 i 2�� - �d � �
rner`s Name � � L,+�l��s t l�lV �h'�i{.1��+ t?wner Phone Numbes ���"' � �- �� ,
rner's Address e1 ` �� �� ��l� �� Owner Phone Number � �
Owner Phone Number � 1
�Stmple 7ttlaholder Name (
e Simple Titleholder Address
B ADDRESS � t� t,e?�C3 '� � '�t�� oV�� LOT# �`�
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aQms�oN �� PARCEL fD# ��i ��T �1' bZ� 0�' D!c�'Z?�-1�9�
(OBTAINED FROM PROPERTY TAX N0710E)
)RK PROpOSED e NEW CONSTR(a!;J ADD/ALT � SIGN Q [� DEMOLISH
INS7ALL U REPAIR
.OPOSED USE Q SFR [� COMM � OTHER
PE OF CONS7Rt1CTidN Q BLOCK [� FRAME � STEEI. Q
SCRIPTION OF WQRK � `�` 1 .� �7'a n.� c �G�I rf �` � �rl.�Y1� ' �1L.?�c�
91.QIMG S1ZE �y� SQ FOOTAGE I HEIGHT �`
OBUILDING �� YALUATlON OF TOTA�COf�STRUCTiON
QELEC7RICAL $ AMP SERVICE � Q PROCyRESS ENERGY C] W.R.E.C.
QPLUMBING ($ ��
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QMECNANICAi. $ j��� VALUATION OF MECHANIICAL INS7ALLATION
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QGAS Q ROOFtNG C] SFEGIAITY � 07NER
ItSHED FLOOR ELEVATIONS C�---� FLOOD ZONE AREA QYES NO
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ILDER COMPANY �
;NATURE REGISTERED Y/ N FEE CURR6� Y/N
Address � Lfcense# r� i �
°_CTRICIAN COMPANY �
�NATURE REGISTERED � Y! N FEE CURRE� Y/N
Address i Ltcense# �— �
JMBER COM PANY
�NATURE REGlSTERED Y! N FEE CURRE� Y J N
Address License# �— ��
CHANICAL - � � COMPANY �N-1�4S /'ti A-�� f�y�-S �`"/C w.-T
NATURE �e-G�� l /Z.L�-�'-�tt.,P�-- REC.,iSTERED Y i N �� RREh Y!N
Address License# (...���-� �`���{'t'�� �
fER COMPANY
NATURE REGIST�RED ! Y/ N FEE GURRER Y l N
Address - � Ucense# �4 �
SIDENTlAL Attach{2)Plot Plans;(2}sets of Buffding Plans;{1}set a#Energy Fomis;i2-d-W Permlt for new consttuctlon,
Minimum ten(10)workfng days after suhmlital date. Requtred onsite,�Construction Plans,Stormwater Plans w/Sflt Fence lnstaiied,
Santtary FacltiUes&1 dumpster,Si#e Work Permft for subdivislons/large proJects
AMERCIAL Attach{3}camptete sets of Buftding Plans ptus a Life Safety Page;(1}Iset of Energy Farms.R-O-W Permit for new construction.
Minimum ten(14)working days after submi#kal date. Required onsite,IConstruct(on Plans,Starmwater Pfans wi SHt Fence tnstafied,
Sanitary Facitities&1 dumpster.Site Work Permit for all new projects�All commercial requirements must meet compliance
N PERMIT Attach(2)sets of Engineerad Ptans. �
""PROPERTY SURVEY required for aq NEW constructlon.
ct�ons: � �
FIII out appllcatian completely. 1 �, �
Owner&Contractor sign back of appltcation,notarized, ���, ; y , � `�; ,
if over�250d,a Notfce af CammQncement is required. (A/C.upgrad@s over 57500) • • ; �!�y ',,
A ent for the c�ntractor or Power of Attarn ^ �
g { } sy{for the owner}'woutd be stimeane with notarized letter fram owner authorizing same �'
ER THE COlJN7ER PERMtTTiNG (Front of Aqpiication Oniy} � . _ _ �
�ofs If shtngles Sewers Servica Upgrades A(C Fences{PtoUSutveylFaotage} �" ` � � „ �
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Driv�ways-Not over Counter if an pvblic rciaifways..needs ROW "` � ,,; . ` ` , . ` �' .
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NOTICE OF DEED RESTRICTIONS: T e undersigned undecstands��that this.p�rmit:may.be.subJect to"deed"restrictions"
which may beFmore res�:ictive�th�ln Cou ty.regulatlons. "The underslgned assumes responsiblltty for compliance with any
appUcable deed rest�ictions.
UNLICENSED CONTRACTORS AND ONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be requlred..to be:llcensed In accordance.with state.and•Iocal regulations. If the
c,ontractor ts not Ilcensed.as requlred-b law, both the owner and contractor may be cited far a misdemeanor violatton
under state law. If the owner or intend d contractor are uncertaln as to wrhat Ilcensing.requirements may apply.�for the
intended work, they are advised to conta t the.Pasco County Building Inspectlon Divtston—Licensing Sectton at 727-847- ,
8009. Furthermore, tf the ownar has Ired a contractor or contractors, he Is advised to have the contractor(s) sign
p'ortions of the "contractor Block° of this pplicatfon for which they will be responsible. If you, as.the ownar sign as the
cont�actor, that may be an indicatfon tha he is not properly licensed and is not entiNed to permitting privlleges In Pasco
County.
TRANSPORTA710N IMPACTIUTILITIE �MPACT AND RESAURCE RECOVERY FEE3: The undersigned understands
that Transportation Impact Fees:and.Re ourse Recove.ry-Fees may apply to.the const�vctlon of new buildings, change of
u'se in existing buildings, or:expansion�.o existi�i�g�6ufldings, as specifled in Pasco County Ordinance number 89-07 and
90-07, as amended. The-undersigned a so understands� that such fees� as:may�be�due,,will tie Identlfied at the time of
permitting. It is further understood that ransportation Impact Fees and Resource Recovery Fees must be paid prior to '
rece�ving a "certiflcate of occupancy" or nab powec release. :If the project.does not involve a certificate of occupancy or
final power release, the fees must be p id prlor to permit Issuance. F��thermore, if Pasco County Water/Sewer Impact
fees are due, they�must be�pald prlor to p rmit Issyance-In accordance with�applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 13� FloNda Statutes�as arroended): If valuatlon of work is$2,500.00 or more, I
certify that I, �he applicant, have•been provlded with a copy of the� "Florida ConsVuction Lien Law—Homeowner's
Protectio� Guide" prepared by the Florid Department of Agric.ulture and Consumer Affa(rs. If the applicant is someone
other than the"owner", I certify that I hav ,obtained a copy.of.the abave..deacribed document and promise in,good faith to
delive�it to the"owner"prior to-commenc ment.
CONTRACTOR'SIOWNER'S AFFIDAVI : I ceMify that all the Information in this appllcatlon is accurate and that all work
will'be done in compliance with all.appli ble laws �egulating constructlon, zon(ng and land development. Application is
hereby made to obtain .a permit to do work..and installatlon as Indicated.� `I certify that no work or installation has
commenced prior to Issuance of a per it and that.all work will be pertormed to meet standards of all laws regulaking� I
construction, County and City codes, z ning regulations, and land development cegulatio�s�in the jurisd(ction. I al'so
certify that I understand that the regulati ns of other government agencies may�apply�to the intended work, and that it Is
my responsibility to identify�what.act(ons I must take,to be,ln.corrlpliance. Such agencies.include but are not Ilmited to:
- Department of Environment I Protection-Cypress.Bayheads, Wedand Areas and Env(ronmentally Sensitive
Lands,WaterMlastewater Tr. atment. �
- Southwest Florida Water anagement .I�istrict-Welis, Cypress. Beyheads; Wetland Areas, Altering I
Watercourses.
- Army Corps of Engtneers-Se walls, Docks, Navtgable Watervvays.
- Department of Health & Re.abilltative Servlces/Enyironmental Health Unit-Well.s� Wastewater�Treatment,
Septtc Tanks. - ,
- US Environmental Protectlon gency-Asbestos abatement.
- Federal.Aviatlon AuthoHty-Ru ways.
I understand that the following:restrictions appiy to the use of flll:�
- Use of fill Is not allowed in FI od Zone"V"unless expressly permitted.
- If the fill material�is to b.e sed in �Flood Zone "A", tt is understood that a drainage plan addressing a
� "compensating volume" will b submltted at time of perrt�itting which is prepared by a professional engineer
licensed by the State of Florld��a.
- If the fill material is'to be us�ed in Flood Zone °A" In�connec�ion�with.a�permitted building using stem wall
� construction, I certify that flll�:�lll:be used only.to fill the area wlthin the�stem wall.
� - If flil material is to be used�in any area, I certify that use of such flll wlll not adversely affect adJacent
properties. If use of flll is fou d to adversely:affect adJacent��properties,.the owner may be cited for violating
the condltions of the building permit issued�under the attached permlt application, for lots less than one (1)
acre which are elevated by flll �n engineered drainage plan Is requtred. •
If I am the AGENT FOR THE O.WNER, I,� romise in good faith to Inform the owner of�the permitting conditfons set forth in
this aifldavtt prior to commencing constru Uon. I understand that a�separate permlt may be requtred for elect�ical work,
plumbing, signs, wells, pools, air conditi ntng,.gas� or other ins#all�tions not.spec�fcally included in.the application. .A
permit Issued shall be constcued to be-a I cense to proceed with the work and not as authortty to,violate,cancel, alter, or ,
set aside any provisions of the technical des; nor shall Issuance�of a.permlt.prevent th�Bulldirig O#ficial from thereafter
requiring a conectlon.nf enors In.pla�s,-c nstruction or vlolaBons of any codes. Every permit Issued shail become invalid
unless the work authorized.by such perm t:�(s.commenced�within sfx months of permit issuance, or if wrork authorized by
the permit is suspended or.abandoned�for a period-of six f8)montf�s.after the time the work�is commenaed. An extension
may be requested, in writing, from the B ilding,Officfal for a perlod.not to exceed ninety(90) days and�will demonstrate
--��astlfiable-eause-for-the extension:—!f wQrk ceasas�for-ni�e�►�(90)consecutive days,--ih��ob�6s-considered-aba�d�ned:�_--- --
WARNING TO OWNER: YOUR.FAILU E�TQ:,REC.ORQ A:NOTIGE:OF�COMMEMCEMENT AfFAY RESUlT�IN YOUR
PAYING TWICE.FOR.IMPROVEMENTS �O YOUR�:PROEERTY. IF YO.U�INTEND�`TO'OBTAIN•FIPFANCING;�CONSULT
WIT UR D �O AN ORN O ECO D �� OU " O � � E T�
FLORIDA JURAT(F.S.1.17.03) � � .�
OWNER OR AOEN'1`=-� ��� CONTRACTO
Subscrlbed and swom � r aflirmed)6�fore me ihls Subscribed and'swo to or afffrmed)�before me thi$ . '
by . .by .
Who islare personally known to me or has/have prod,ced -Who Is/are p.ersonally known•to rtte or hasmave produced. •
as Identlflcatlon. as IdentlflcaUon.
� Mo ry Public � Notary Public
Com on No. Commlaslon•No
,.,�,��u,.. BACON �
Name of Notary _e�' .+:q,rc�lRlllt�eol►#F Name of Nolary typ d; or �[�e qCON
ires June 29,2018 =' ;�'
'_A: . :,: Exp .7019 ;�: �.; Commission#FF 137073
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;;,�••' B«�a� :;2,�:a: Exp J ne 29,2018
�p �, '�i,p,�„°�''�` Bonded Th�u Troy Fain Insutenee Bpp.9g5.7019
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� � � ' PROPANE GAS Service Order/Proposal � � � �
AND AIC �[vc. I Air Conditioning 8�Heating
�K�e �988 $'I3-782�50'I� WORI'. ORIDER#�SERVICEMAN 6i�50 �IOV
DAKE�I gY TAI�.EhI 0B/�4/1� 10:��
Sales, Service & Installations � �� ��
4441 Allen Rd. • Zephyrhills, FL 33541 DATE/TI�ME RROMISED �ei�4�i5 ��:��
CUSTOMER#/LOCATION � C��S� /4
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:F�HYRHILLS FL 3354� ZEP'HYRHILLS FL�3541
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' FILTERS I�x � x Changed Monthly �I I
FILTERS x x Changed Monlhly � �
❑ REGULAR ❑WARRANTY �'�'�::,;;�`•`:�OTALPS.UMMARY��,',._-`__ --
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urriidi,'s_tat�Seffings:�':When here"ON";�When Away 60do�;iT-Stat 80°; ❑ MAINTENANCE CONTRACT �SERVICE il�
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ED WARRANTY: NI materials,pads and equipment are warranted by the manufacturers' = '`���-i�"�°:(NETHOD''r.OF� x•;r:'�;'<'� CALL i
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I iliers'writlen warranty only.All labor pedortned by the above named company is warranted for �"'"='��"°;'��`-"'`�=,��'°�-_�.. °°`°���:.•---��°'°°-°`-=T- TOTAL i
s or as otherwise indicated in wriGng.The above named company makes no other warranties, ❑CASH ❑�CK# MATERIALS i
�or implied,and its agents or technicians are not authorized to make any such warranties on i
�f above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
authorily to order lhe vrork outlined above which has been satis(actorily completed.I agree that Seller I
PROG. W I C, �
title to equipmenUmateriels fumished unlil final payment is made.If payment Is not made as agreed, C��M# �
3n remove sald equlpmenVmaterials at Sellers expensa.My damage resultlng from said removal shall
PAID BALANCES OVER 30 AYS.NO R FUN S%SERVICE CHARGE WILL BE ADDED MONTHLYTO DATE COMPLETED I
- TECH: T'4X G �L
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MER SIGNATURE DATE TOTAL � _
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