HomeMy WebLinkAbout15-16690 CITY OF ZEPHYRHILLS
4 5335—8TH STREET ��
. (sl3pso-oo20 16690
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16690 Address: 37403 TEABERRY LP
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book: I
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcei Number: 10-26-21-0120-00000-0050
Improv. Cost: 4,920.00 OWNER INFORMATION
Date Issued: 10/26/2015 Name: LANE ROGER & MARGARET
Total Fees: 60.00 Address: 37403 TEABERRY LP
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/26/2015 Phone: 813-715-2607
Work D�sc: A/C CHANGE OUT 3TON
CONTRACTOR S APPLICATION FEES
BA R'S PROPANE GAS ,INC. C CHANGEOUT 60.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED �
FINAL l � 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
CC� TRACTOR 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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s��-�eo-ao2o City of Zephyrhills Permit Application Fax 813-780-0021
Buitding depatiment
Date t�ecelved Phons-Contact for Fermlttin �l �� — ��1
i7�wnsr's Mame ����. Owner Phone Number 1���� �
Owner's Address /� Owner Phone Number � �
Fee 3lmple Titleholder Name � � Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADORESS � �(1' / J� �}/� °(.� LOT# ��
SUBDIViSION ���)� f����(�� PARCEL ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK FROPOSED N£W CONSTR ADDlAIT � SIGiV' Q [� DEMOt»ISH
e INSTALL REPAIR
PROPOSED USE Q � SFR � COMM �] OTHER
TYPE OF CONSTRUC'1'ION Q BLOCK " Q FRAME [� STEEL Q
DE3CRIPTION OF WORK � C ��/�/1„I (° G( � �d"Y�7 �/II�NTS � T-/7�L ,
BtIlLDING SIZE SQ FOOTAGE MEIGHT C��
�g�«'���� L'� VALUA710N OF TOTAI.CONBTRUCTION
QELECTRtCAi. � AMP SERVlCE Q PRC}GRES5 EhlERGY Q W.R.E.C.
OPLtlMBI(VG ($— �
( �� Y�
QMECNANtGA� $�//��p �� VALUATIQN OF MEGHANtGA�IN8TAl1.ATtQN ,�/
.�,�� .
Q�s Q RQQFIiHG Q SPECIAI.TY � qTHER
FINISHED FLQOR ELEVATIONS �`� F1.00D ZONE AREA QYES NO
BUI�DER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I
Address ticense# r �
ELECi'RICIAN COMPAFiY
SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
Address License# r� �—�
PLUlIRBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � ' �
MECHANtCAl. � COMPANY /�} �S � �I�i�Bt/G� `���,
SIGNATURE �''�7't-P G���-.'1'�/�� REGIS7ERED Y/ N FEE CURRE� Y/N
Address � �� a ��j/tL,� License# ��j'��j'!`�j�!' �-}��
O'TiiER COMPANY -
SIGNATURE REGI$TBRED Y/ N FEE CURRE� Y/N
Address License# � �
RESIDENTIAL Attach{2)Plot Rlans;{2)sets�of Buitding Plans;{1}set of Energy�Forms;R-O-W Permlt far new constructian,
Minlmum.ten(1.0),working`days,after.subrinittal date. Required onsite,Construc�an-Plans,Stormwater Plans w/Sflt Fence installed,
Sanita'ry Facilitles&.1.dumpster,Stte Work�Fermit fur subdivislons/large proJects
CONIf111ERC1,4t. Attach(3)complete sets of Building Plan`s plus a l..tfe Safety Page;(1)set of Energy Forms.R-0 W Penntt far new canstruction.
Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
Sanitery Faailitles&1 dumpster,Site Work Permit for all new proJects.All commercia!requlrements must meet compllance
SiGN P�RMlT Attach{2)ssts af Eciglneered Plans.. .
""PROPERI'1'SURVEY required for all NEW construcUon.
Dlreations:
FIII out appltcadon completely.
Owner&Contractor stgn back of applfcaUon,notarized
tf over S25d4,a Natice af Commencement ts reguired. (AtC upgrades over;�T500)
'" Agent(for the contractor)or Power of Attomey(far the owner)would be someone with notarized letter from owner autho�izing same
OVER THE COUN3ER PERMiTfiNG (Front of Appllca�on Oniy}
Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PIoUSurvey/Footage)
Drivsways-Not over Counter tf on public roadways..needs ROW
1
0710E QF DEED RESTRICTIONS: The unde�rsigned undet�tands�.that th(s.p�rmit,maybe;subJect to"deed"restrictions" ~
hich may be�more r.esttictive=th�n Caunty��regulatiotis:�-'Tha undersigned'assuines responsltiility#or-catnp#iance wifFi aiiy
�pllcable deed rest�ictions. � _
N!.lCENSED Ct'�NTRACTORS .AND Ct?NTRACTOR RESPONSIBILITIES: --If tiie oirvnef-has -hired��a :contrac#or ar
m#ractors to undertake work, they may be;required-•,to:be.licensed in accordance.wlth state.and�tocal regulatfons. If the
mtractar (s not Iicensed as�requl�ed=tiy law� both the owi�er and coitGacto�•may be•clted-for a�misdemeanor violatlon
ider state law. if the owrter or tntendad�contraetof �re-uncertain as ta what licensing.requlre�rtents may apply.=far.the
lended work, they are advised to contact the Pasco County Buliding Inspecti�an Dlvision-Licensing Sectlon at 72T-847-
)D9. Furthermore, i# #he awner has hit�ed a contracto�or co�itractors, he is advEsed to have the contractor{s} sig�
�rkians af the "contractor Block° of thls appltcat(on tor whtch they wlll be r.esponsible. If.you,,.,as..the owner�sign �as�the
mk�actor, ttiat may be an tndication tha# he is not.proper�y Ilcensed and !s not ent4Ned to perml�ing privileges !n Pasco
aunty. . . '
RANSPORTATION IMPACTIUTIL.ITIE5IMPAC7 ANb RESOUR�CE RECOVERY�FEES:�`The undersigned understands "
rat Transportation impact Fees and.Recourse Recove.ry.Fees may,��apply�to the consfrvaEion of new bulldings,�change o#
se in exisking bufldings, or r.expansion:.of�existin;g�buil+dings, as specifled.in Pasco County Ordinance number 89-07 and
�-07, as amended, The underslgned aiso understands, that:suah fees,>as�may�be�due;,wlll:,be tdenttfied at the tirrie of- ."
ermiB(ng. It Is further unde�stood that Transportatlan Impacf Fees and Resource Recovery'Fees must be paid prior to
�ceiving r� "certlficate of occupanay" or flnal pawer..celease. :If Ehe proJect does.no�Involve-a;.certificate of occupancy or
nal pawer re#ease� the fees mu�t be pald prlor ta permit issuance. Futtherma�e;��Pasco County�tNaterlSewer�lmpact
:es are due, they�must be�pald prior to permi!-Issuance�in accordance.with applicable Pasco'.�County ordinances.
;ONSTRUCTION LlEN LAW{C6apter 713, Elor�da Statutes,as emended}: !�valuatlon of watk ls$2�5U0.0.0 ar more, l
ertify that I, the applicant, have�been provlded �with� a copy of the "Florida-Construct(on Llen.L'aw .—Hameowne�'s
roteckion Gutde" prepared by the Florida Departmenf of Agrtc.uiture and Consumer Affairs. .!f the applicant is someone
ther than th$"owner", 1 aertify that I have..abtained��a copy:af:the,above..descrlbed doaurr�enfiand.pro�ise in,good�faith ta
eliver it ta the"owner"�p�ior#o•commencement:' - '
��NTRACTQR"51QWNER'S AFfIDAY1T. 1.cetl;�#y tiaa#atl.the infarmatic►n Imth1�appltcatlon is accurate�nd that all vuork
rill'be done in compliance with all appl(cable laws regulating constructian, zoning and land development. Application is
ereby made ta ob#ain .a pe�mit to do. work.and ifnstaliatlan as IndlCeted:- 'I cer#ifjr that no work"or Installat(on has
ommenced priar to issuance of a perrrtif"and that:alt work wili be pert'armed to meet s#andatds of alt laws regutating�
onstruction, County and City codes, xoning regulatians, and land development regulatians-tn the jurisd(ct(on. ! al'so
ertify that t understand that the regulatlons af ot�er government agencEes mey�apply�to the Intended work� and that�t 1�
�y responsibility to identify.what.actions I must take:to beYln:.conlpllance, $uch agencles include but are.not Iimited to:
- Deparkment af E�viranmentai�•Protectiori-Cypress.'Bayhead�, Wetiand Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management :bisfrict-Wells� Cypress. Beyk�eads; Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigatile VVaterways,
• Department of NeaEth'& Re�abltltafive.Senelces/Envt�anmenEai Ne�lth Unit Wells, Wastewater�Treatment,
Septic Tanks. " ' _
- US Environmental Proteotian Agency-Asbestos abatement.
- Federal Avist[on Autha�ity-Ranways.
understand that the fallowing�restrictlons apply to the use of flll:•
- Use of f111s nat atlowed in Flood Zone"V"unless e�ressly permitted.
- If the flil rnaterial is to be used:'i'n.:Fload Zane. "A", it. ts understood #hat a drainage plan addressing a
"campensating volume"wil! be submitted at#ime of permE�ting_wl�ich (s prepared by a proFessfanal engineer
licensed by#he State af Florida.
- If ih� fill materia!.is to be us.ed In Flood Zone "A° irts connec�ion�with.a permitted building using 'stem wall
� constructiort, l cartifjr that fili�.wlll�be ased onty.to.filt the area wlthitt the stem�wa1i.
- If flll mateNal is to be used ln any erea, I �certify that .use. of such flll will not adversely affect adJacent
properties. lf use of fili is f�c�nd ta adversely��ffect adjasent properEies,.the owner may be clted for viotating.
the aondi#ions of the building:permit i§sued�under the.attached permit applicakfon, far:lots tess than.ane (1)
acre whlch are elevated�by#1!!,�n englneered drainage plan is requited. .
`i am the AGENT FtiR THE OWNER, I;,promise In good faith ta inform the�owner of�the permiftir�g condit�ot�s set forth In
iis aKdavit�prfar to cammencing construction. I�understand that �-separate permit may be required for eleatrical work, ,
�umbin�, signs, welis, pools; alr condit�oNng,.g�s, or,�ot�er inst'aliatlons-nat spectllcaily included-in.#he application. .A
�emnit Issued shall be aons#rued to be a Iicense to praceed with tFie wark and not as authority to,violate, cancel, alter, or
et aside any provislans of tlte techn{cal.cadt�s;�nor shall lssuance�of a permtt.pr.event the 8uildirig Offlcla!frvm thereafter � _
squiring a correction af e�ors in.plans, construation or vioiations of any codes. Every permit issued shati becnme invaiid � �
�nless the work authorized:by such permit ls-commenced�within s;Gc months of perrnit issuance, or if work authorfxed by �
�e permit is suspended or.abandoned for a:pertod of six{�)mont�s�after the time#he�wark!s cammenced. An extensio� '� �
�ay be requested, In writing, from the �uilding,Officlal for a period��not to exceed ninety�(90) days a�rd will°demonstrate �� ,
-�sti#iable_cause.for�the extens#an:-If�rork�ceasss-far--ninety-{90}cans.ecutlee=d�ys,..th ljoti�is c�nsldere�d-abao�doned:__- - _ __------� -I
YARNING TO OWNER: YC1Ui�.FAILURE�TC1..RE�.C��tD A:N01'IGE OF•COMMENCEME�tT MAY RESUI:T IN YOUR
'AYING TWiGE FQR IMPRC3VEMENTS T0 XQUR PROPERTY.;IF°YQUrINTE�tD`TQ�OBTAIN��FIt+fANCING;�CQNSULT � ;
YI'T Y U ND O AN A OR � B ORE ECO D G.�Y°U ' ��C 'OF� �� CE NT'
�aa�aA suRaf��.s. . 3} � .,
�wn��R oa aaeNr OGG"�'1�.� ^ ,Go�-�..Ut. ca�ncto �'�rr�?�;�C���=��'�...
ubscrf6ed and swom r aftlmfedj before me thls Subscribed and' M(ot at�rmed��beforis me thlg
by ,�y
Jho islare personally known lo.me or haslhave produced Who Is/ere p.ersonally knowrt to me or ha�/have-produced •
as ldenUflcatlon. ss ldentlflcation.
_ Notary Pub1Ic . � Natary Publtc
;ommisslon No. . Commission No.
lame ot Natery typed,pdnted or stamped Name of Nolary typed,printed or stamped
. ` � , 7v� 2 7 ' "' !a/N.�
� � � P:ROPAN�', GAS � � � � .
� AND AIC �tvc. Service Order/Proposal Air Conditioning 8�Heating
�it�e �988 813-782-5013 ,..-,-, ;-. : �.,�.,. .�_�_.r, , , ;-�:,.� .,., -;F,,=i�_ .: r.,��,
I:.,� Ii;�.� ,�..;;tt;.r�1a+ _rv�: �. .i�.F-�! � f._. r.
' �''(��1�j�E= �i`T i i F. i���14�•.C=!''i I%s r� '(?;".�; :L::� .�.::..� t;.7
Sales, Service & Installations ����-�f`�-��' �1� �, "�u y?''+
4441 Allen Rd. •-Zephyrhills, FL 33541 '�'`"{-�'=: -r�r;�?�. ����r�j`;,��_:;r':' _
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� JFe� �1C 4LJ1`r(�I�SCKIPTtClN O�'WC�t'ZK�4�� ������ QTY MATERIALS&SERVICES UNIT PFtICE AMO,I�i�
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RECOMMENDATIONS - 6�,. � � i �ba
Annual Maintenance Recommended by AII.Equipment Manufacturers. � �
Pressures Lo HI T-Stat i i
, • REFRIGERANT�, LBS. $per Ibs. I � I
i 1:.
� S
FILTERS x 't�x Changed Monlhly t I
k _ � � � . FILTERS x x� Changed Monthly � ' �
j r
❑ REGUI��AR �WARRANTY TOTAL SUMMARY
� Dehumidistat Settings: When here"ON",. When Away�O%, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE , i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL - i
or suppliers'written warranty only.All labor performed by the above named company is warranted for - TOTAL i
'30 days or as olherv✓ise indicated in writing.7he above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and iis agents or technicians are not authorized to make any such warranties on .
behalf ofabove named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authorily lo ortler the work outlined above w�ich has been satis(aclorily completed.I agree that Seller
PROG. W/ C �
retains lille to equipmenUmalenals furnished until fnal paymenl is made.If paymenl is not made as agreed, CLAIM# !.1 �
seller can remove said equipmenVmaterials at Seller's expense.Any damage resul[ing from said removal shall /�'
not be the responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO _ � �
ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED � �
� •, TECH
TAX �
1� F 1 �/ �
1 1 \`,':��;i.�:z l ti. r—._-e_... ��i� y
CUSTOMER SIGNATURE� DATE rlu, TOTAL � O�i/