HomeMy WebLinkAbout15-16615 i
CITY OF ZEPHYRHILLS
•+ 5335-8TH STREET
` (sis)�s I-oo2o 166 5
BUILDING PERMIT ,
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16615 Address: 37615 NEW HORIZON BLVD LOT 54
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0540
Improv. Cost: 4,006.00 I OWNER INFORMATION
Date Issued: 9/23/2015 Name: KEEFE WILLIAM SR & DIANE
Total Fees: 60.00 Address: 37615 NEW HORIZONS BLVD
Amount Paid: 60.00 ZEPHYRHILLS FL 33541-7694
Date Paid: 9/23/2015 Phone: 603-723-9982
Work Desc: A/C CHANGE OUT 4 TON PKG UNIT �
CONTRACTOR S APPLICATION FEES
CHRIS' C CO. C CHANGEOUT 60.00
Ic� �- � - ( S—
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Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULATED_�,_
FINAL t (j, �-T�
REINSPECTION FEES: (c)With respect to Reinspection Ifees 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 owrner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. 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.
CONTRAC OR I NATURE PERMIT OFFI R
PE IT XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�sa8aoo2o _ � City of Zephyrhills Permit Application�---� ° � ` � Fax s�aaso-ooz�
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Date Recelved , ' �;,�- - Phone Contact for Per �Ittin - - - = ��
9:
Owner'�Name � Owner Phone Number �OJ�' �o��• �'Y
Owner's Address � J O�i �/4y Owner Phone Number
Fee Slmple Tltleholder Name Owner Phone Mumber
Fee Simple Tltleholder Address
- � r_�
JOB ADDRESS LOT#
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SUBDIVISION : PARCEL ID# 7 ���/ O � O �OOO� � S� "
I (OBTAINED FROM PROPERTY TAX NOTICE)
WORK P120POSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �� C Q I C it'/� T/�J /~
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF T TAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
[�MECHANICAL $, VALUATION OF M CHANICAL INSTALLATION
� 'J• � �
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO
- BUILDE� -- — — - - - - -CO�P�p�y - -- --- — - - - � -- --
SIGNATURE REGISTE.RED Y/ N FEE CURRE� Y/N.
Addres� Ltcense#
ELECTRICIAN CONEP� �
SIGNATURE REGISTER ID Y/ N FEE CURRE� Y/N �
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Address " � Llcense#
PLUMBER COMPAf�Y �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I
Address License#
MECHANICAL / COMP 1 /�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y N
Address liiJ �� ��t�t- i� ��5',3.ro7.S� �icense# Q �p ,s� iS
OTHER COMP Y '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
�
Addre�s Llcense#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding'Plans;(1)sef of En rgy Form§;R-q-W Permlt for new construction,
Minlmum ten(�10):working;days.aRer submlttal date. Requlre onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGliUes.&1 dumpster Site Work�Rermit for subdivi�SlonsAarge proJects
COMMERCIAL Attach(3)eomplete sets of Bullding Plans plus a Life Safety F�age;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submlttal date. Requiretl onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence lnstalled,
SaniNary Facllides&1 dumpster.Site Work Pertnit for all new proJects.All commercial requlrements must meet complfance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY requlred for aIl NEW constructlon.
Dlrectlons:
Ffl�out applicaUon completely.
Owner 8 Contractor slgn back of applicatlon,notarized
If over 32500,a Notice of Commencement is rsqufred. (AIC upgrades over 57500)
" Agent(for the contraotor)or Power of Attomey(for the owner)would be so�eone with notadzed letter from owner authorizing same
�VER THE COUNTER PERMITi1NG (Front of Appllcation Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
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NOTiCE OR DEED RESTFiiGTiANB: The undersigned under�tands�:.that�his,p�r�mit.may be.subjeat to"deed"res#rictions"
whlch may be.more�rest�ictive than County cegulattons. �The underslgned assumes responsi6fiity for campiiance with any
applicable deed rest�ictlon�. - '
UNLICENSED CONTRA�TOR3 AND CONTRACTOR RESPONSl81LITIES: !f the owner h�s hired a cantractor or
cantractors to undertake work, they may be required�ta be:ltcensed In accordance.with state.and�locaf regulatlons. If the
cantrector is not licen�ed �§ required�by law, both the owner and cant�actor may be cited for a mis�iemeanar viotation
under state iaw. if the owrner or Intended�con#rac.tor �re uncertaln as to what ticensing.requiretvien#s may appiy�far the
inke�ded wark, they are advfsed to contact the Pasco County Building inspect#on Dlvislon—i�fcensing Section at 727-847-
8009. Funhermoret If thea owner has hired a contractar or contractors. he ls �advlsed to have the cantractor(s) sign
portions of the °contractor Black° of thls appilca#lon far whlch they wfll be responsible. If you, as.the owner sign as the
contrac#or, that may be an indieation that he is not.proparly iicensed and is not entftted to permitting privileges tn Pasco
Cour�ty. i
7RANSPORTATION IMPi�CTIUTIl.lTIES-lMPAC7 ANl�RESOURCE RECOVERYfEES: 'fhe underslgned understands
that Transportatian lmpact Fees and.Recourse Reaove.ry.Fees may,'�apply to°the construction of new buqdings,.change of
use in existing butldfngs, ar.expansion.of��exi'stin,g`6uildings, as specifled.in Pasco Caunty Ordinance num�er 89-07 and
90-07, as amended. The Fandersigned also understands, that.such fees, as�may`��.be due,.w111;be idenilfied at the time of
permitting. It is f+urther understaod that T�ranspartation impact Fees and°Resource Recovery`Fees must be paid prior to
rece�ving a "csrtlficate of�o��cupanay" o�#inal pawer celease. :4f the pro�ect.does 'not invoive a cer4i�cate af occupancy ar � _
--fana4-��wer-�s�{�asa;the;fe�s=must-be-pald-grior-to-pe�rmlt Issuance:v�t�ttF�e�more;if.�Pasco-Goun�iNaEe�lS�wer Impact
fees are due,they must be-paid prior ta permit lssuance-In acaordance with appllcable Pasco Caun#y ordlnances.
CONSTRUCTION LIEN�L!'�W(Chapter 713� Flarlda Statutes, as amended): If valuadan af work is$2,500.00 or more, I
certify that t, #he appllcarut, have-been pravided wi#h a copy of the "Florida Constructton Lien Law—Hameowner's
Pratectio� Guide" preparec] tsy the Fiorlda Departrrtent of Agricultu�e and Consumer.Affairs. if the appiicant is sameone
other than the"owne�', I certify that i have..obtafned=a coPY:of the a�bQVe..rlescrlbed�document°and.promise in,good faith to
deliver it ta the°owne�"�pri�r to�comme�cement; .
CONTRACTOR'S/OWNE�'S A�FIDAViT: I ce'rtify that all the Informatidn.in this applicat(on is aacurate and that all work
will�be do�e in compliance with atl.appticabie laws �eguiating constructiah; zoning and land development. Application is
hereby macfe ta obtain .a parmit.to da work.and instatlation as indtceted:. `t certify that no work .ar instaNation has
cornmenced prior to issuance of a permEt and that.all work wiil be performed to meet standards af all iaws regulating�
construction, County and Ciky codes, zoning �egulationst and land development cegulattans°in the �urisdictlort. ! ai'so
certlfy that I understand th�t the regulations of ather government agencles may�apply�:ta#he intended work, and#hat ik is
my responsibllity to identify•what.actions I must take.to berin:.cartlPlia�nce: Such ag'enctes include bwt are.not Ilmited to:
- Departmenf of Er�vironmental Protection-Cypress.�8ayheads, Wetland Areas and Envtranmentally Sensitive
Lands,WateNV4tastewa#er Treatment. i
- 3authwest Fi�rida WaEer Management .�tistrlct Welis, �Cypress. Bay.heads;- Wetland Areas, Aitering
Watercourses.
- Army Carps of�ngineers-Seawaqs, Docks, Navlgable Waterways.
- Depa�tment of Health � Rehabllitative ServlcesJEnvironmental Nealth Un1t-Well.s, Wastewater Treatment,
Septic Tariks. � .
- US Env�ronmer�tal Protection Aget�ay-Asbestas abaE�ment.
- Federal Aviatlon Authority-Runways. �
l understand that the followla�g.restrictions aPply to the use of flU:
- Use of fill ls nat�aQowed in Fload Zone"V"unless expressly permttted.
- If the fl1i material is to b.e used in Flood Zone. "A�, it. is understood #hat-a drainage pian addressing a
"compensa#ing volume" w�i) be submitted at time of pesmitting wfiiah is prepared by a professional engineer
Ilcensed by the State af Florida.
- !f the fiq ma#erla! Es`to be used In Ffood Zona "A" (n�s�onneciion�wltFi.a permitted buifding usfng stem walE
const�uction, !cettify that fill�:wlll�be used only.ta.flli the area wlthtn#he stem�wall.
- if ffll material I� to be used in any area, I certify th�t .use. of such�'flli will not adversely affect adjacent
properties. If uae of fill�is found to adversety.�ffect adjacent�properties,.#he owner may be cfted for vlotating
the condi#ions �f fhe bu3lding°:permit issued under the attached permit appiication, for lo#s less than:one {1)
aare which ar��fevated by flit,acr engtneered drainage pian is requfred�
If(am the AGENT FOR THI�OWNER, I;;�romise in good faith to l�form the awneriof-#he:permittfng.condfiions seYfarth in
this affidavl#�prior to aommencing canstruction. f understand thet a�s�parate permtt may be required for electrical:wrork,
piumbing, signs, wells, poals, air conditioning, .gas, or other. InstalMattons not.spe�c�ically included-in.the application. �A
permit issued shatl�be constcued to�be a�liaense to p�oceed with the work and not as.authority to.vioiate, cancei, alt�r, ar
set asfde any provisfans of t�e technEcat codeis; rtar shalt issuance��f a permit.pr.eve�the Buildlrig Otficiai from tfiereafter
req�atring a co�rectton a€errors In ptans�corestn�c#ion or vlotations of any codes: Euery petmtt issued shall become invalid
unlsss the work a�uthorixad.�y suah permit.�is.commenced�w[thln s�C;months of p�rmlt (ssuance, or If wa�k authorized by
the permlf is suspended or.�bandoned.foc a:period of six(8)months`afte�tthe time.the'wark�ts commenced. An extension
may be requested, in writinc�,.from the-Building.Offlcla) for a perlod.not to exceed;ntnety�(90) days a�d wDl demonstrate
justifiable cause for.the extension. If wark ceases-for ni�ety(90)cons.�cutive daysr..l he job�is,considered aba�don�d.
WARNlNG TO'QWNER; Y�UR.FAILURE.7Q..RECC1�tD.A.NOTICE OF•GC?MMENCEMEN7.M�1Y RESULT IN Yi�UR
PAYING TWICE;FOR lMPROYEMENTS T;O YOUR.PRQPER`CY.:I�,.YO.U�lN'�END"TQ�L1B-TAIN�-FfNANCING,'GONSUlT
WITH YC?UR L I�.DE�t�OR A.N A't'TOR • B F E��,ECO �� = .U ' O �.0� `O �` , . CE N '
��o���a�u�a����.s.�.��.a�> , I
OWNER OR AiiENT CONTRACTO �� _I "
Subscribed and swom (or aHirmedj b e me this Stibscrlbed and's to(or aflirmed)�befio� 1�
by ,
Who Is/are personally knovm to me or has/haye produced Who is/are p.e nally knawn��to me or s/have prcduced •
as°Identlflc�Uon. � as ldendficaBon.
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' ,,,_,,. Notary Pub!!c _ � No#ary Fu61tc
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Comm� s an tVa. Comt�tsst�ort No.
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Name at hlotary hiame o No r�o�s�„+
��l�:Y:�B�, J EL . A ON �: �o'p ' . .BACQN �
, ;,� :°_ Commission#FF 137073 =*� += Commissiqn#F 3
� �, :�,;,�o�= Expires June 29,2018 :`�` ,o; F 13707
p� '�,qF .��' Expires June 29,2018
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CAC458676
12232 WWY S07 DADE CITY .(�62)5��l-497T
DADE�ITY, FL 33�� ZEPHYRHILL${�13)�7�-9$1$ •
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NAME: Bflf�{ei�e pat�: ��Si�2l95 5RUr 5"�SC�M PKG UNCI' XX
I SkJBDNISlOt�l: Grand Hor�ns � H�aTpu�a� s'rt�.caoL x
ADRRESS: 37S"!5 New HoiROnB �
� �715 ZIP CODE: 33j54'{ COnWE�fsER F�A,�41E�QOdKTROA
I c�or�: H03 723-9582 wOwc ,� �t w�iF�:
cEU: R�r�: I HFATER: CPHEATER139A02
�srwamR: Chris � aRaroa COMFORTMAK�R
' � SEER RATING 4 4 5�.�� �
�zd 3a�o TH�+as�'As/caO�a � INSTANT F�EBqTE : 800.Op - �
Pao • 3 i�9.Qp
�I T A
' suB-�I�►NEl. � WARRAtdTY: PARTS: '10 YE4RS' .
cor��c�r To oasn�c nuars�HO�c�rRic � LABQR: � Y�AR •
ANCHOR COPID�NS�R I
rAx,►�ott��a�RanR I CONDENSER: RHJ4480�OKTPOA
REPIAGED A/C 8l�EAKERS AS NEEDED � ' IR HMtDLER:
�nnovE�x�s�r'��t��atnPM�r�r • H�rr��: GPH�ATER12$A4i�
5200 DISCQUNT!SEJ�IOR � I BRAND:
� � s�.w�rir�G: 94 4$06.QQ
� IhtST�4t�tT REBATE: 80Q.00
I T T L : 4,00�.oa
' � WaRRANTY: PAEtTS: '1Q YEARS
� � L4BOR: 1 YEAR �
�
I CONDENSER:
I AIR H�WDLER: �
� � HEATER: �
� � . swaN�: #NIA
I . S�ER RATING �(1jf�
INSTAN7 t���A1'�: �Jp,
►u���eAUr�tonn�rmoaae���waRKamm�eo,,suve.,ac��u►r s�� • T L ' �VlA
. AIh18'!'1'fL�'i'OEIIUiPM�NTA�Ot�lI+TERWISUM'1LFINALPAYMEN'T15t�SttDE.1FPAn�zar ; wARRANTY: PARTS: �
LSN07'ElADEASf4GREEPrBFdLEltCANRE�YESAWEQI1fPM�7dTAl�IDlt47ERW�..4L1T (ABOR: �
EX�Et�ISE ANY DAINAGE RE$11LT1NG FROM SAI�REM4VALSXALt PI4T BE
'C11E RESQOfV$lBtLl'{YQf SELLER LNutIlED WARRANiY:EQUtPMENi.PARTSATID Mh�tAt
vvR►rr�nt uwt�o�ncru�t�s wa�tru�rm aruv. • , t1NAC)
CUSTOMER SIGNATUI� QATE: