HomeMy WebLinkAbout16-17353 CITY OF ZEPHYRHILLS
, � 5335-8TH STREET
(813)780-0020 17353�'
BUILDING PERMIT �
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 17353 Address: 6439 HUNTINGTON DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0850
Improv. Cost: 4,670.00 O.WNER INFORMATION
Date Issued: 5/16/2016 Name: VANDERWYDEN WILLIAM
Totai Fees: 60.00 Address: 11240 SW 112TH TER
Amount Paid: 60.00 MIAMI FL 33176
Date Paid: 5/16/2016 Phone: 305-281-3348
Work Desc: A/C CHANGE OUT 3.5 TON
CONTRACTOR S - APPLICATION FEES -
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
.`
. - 4v
C�
� � �3J� �
�
� Ins ections Re uired
DU TS INSTAL ED "
DUCTSINSULATED
FINAL
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.
� � �
NTRAC O SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�8o-ooxo City of Zephyrhills Permit Application Fax 813-78p-Q021
Bullding Degartment
Date Racelved , "Phone Contacf for Per�ntttln � �1�� ���. = 1�
Ow»er's Name �7'lV���.'�. E.'' 1� b G Owner Phane Number o�.o � �����
Owner's Address I`�� � � ��.�� ��/� ��J� OwnerPhone Number r- �
Fee 8lmple Titleholder Name � � Owner Phone Number � � ,
?•�t - �
Fee Simple Tltleholder Address °"
JOB ADDRESS �7�J GLIL TI l�,ti 'G 1'? � �� . LOT# ��
SUBUIViStdN �1 l 1�� C;./� •J PARCEL 1D# � �
�(OBTAINED FROM PROPERTY TAX NOTIC@).
WORK PROPOSED NEW CQNSTR ADDlAI.T Q StGN [� Q DEMQI.ESH -
e INSTAI:L �REPAIR
PROPQSED USE Q SFR [� CQMM [� OTHER �
TYPE OF CONSTRUCTION Q BLOCK " Q FRAME � STEEI. [�,
•. ��y �
DESCRiP110N OF WORK • �5.. fI C � A"l� �-'-'" �L�.-� � oZ lLi1+V �CD.� f.+�L'�/1I�S
I , �, „
�� BtliLDING S12E � ' � SQ FOUTAGE HEiGHT . �
QBUII.DINC, .$ ��..n._a_ �M
, VALUATION OF TOTAL CONSTRUCTION
Q � � AMP SERVIGE Q Pi2t}C�RESS ENEf2GY [� W.R.E.C.
EI.ECTRICA! $
QFLUMBfNG ��
OMECHANlCAL $ ,t� �� � VALUAT{QN OF MEGHANtGAt.INSTAL�ATIQN
��. ��
QGAS Q ROQFING Q SPEClAI:TI C� OTHEFt
FINI5HED FL.00R EI.EVATIONS ��� FLOOD ZONE AREA QYES. NO
BUt�DER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y./N
Address , License# � �
ECECTRICIAN COMPANY
SIGNa1TUFtE �' REGISTERED Y/ N FEE CURRE� Y/N
Addres� -Ucense#;�� �
P�Ui111BER , �p�ypp�� •
SIGNATURE , REGISTERED ,Y/..N > F�cutt�En Y/�N. `
Address , License# � �
MEC#fANICAI: � c• �,/* COMPA#Y �1�12 r� p f}j�G • �`��,,',, T�l,�
SIGNATURE ��'�'�____�I�""���� � � REGI ERED .,
„s7 Y:/ N FEECURRE� Y%N
� Addfess �'�'�� � �N � � �1�,L �_ License# .�.-�/`i-�Z'��'"�'���
I OTHEit COMPANY _
SIGNATURE ' � ' ` RECaISTERED ' Y/ N... � FEE CURRE� ,.,�. Y/-N: .
Address - - _ -� - -. � , . - _L'icense# �� �
RESIOE�Ii'IAR:�.: -:-.Attach.{2}..Pld#'.P,lans;:(2)*set`s.of'8�uitd3ng`R#ans;{1)setof�Energyr;Fors�is;:Ft-O=W.Ferinitfor,nevir.constructloa, - ,
::�;Minlmum?ten:(10);working;days;after;subiiilttal�tlate:;Required onslte,:CanstrucaomPlans;tStormwafer'Plans w/Sllt Fence installed,
. '.� �5anitary�Fadltdes>.&n1#,dumpster�Slte�Work>PermltforsutidivislonsAarge;proJecfis�',.":��'h'``=''- ''-- �
COMMERCIAL Attach{3}�iyoin�plete'sets of B`v`il'tling Plans plus a l:ifs Safety Page;(1}set a�Energy Forms.R-O W Permtt far new c8nstructlon.
Minfmum ten(4p)working days�after submittal date. Requlred ansite,ConsUucdon Plans,Stormwater F�lans w/Sflt Fence installed,
- � Sanlhary Fadlitles&1 dumpster.Site Work Parmit for all`new'proJects.All commercial requirements must meet aampllance
StGN PERMIT Attacli{2)"sets of'�nglrieei�}Ptans;;�4���t;u�,� _. , -.
"""PROPERTY SUR1iEY regulred,for;all NEIN const[uadan.. _
` Dtteotions: �t. . . . �
Fill aut appNcatlan completely.
Owner&ContracMr sign back-of applicaUan,notadzed
{ tf avar 3�500,a Notice cf.Gommencement is required. {AIC apgrades over;7500)
I �� .�.ihti;_.,i.,
Agent(far ttie�contractor)o�'Power�of Attaimey(ki�:the�owrier).would be someone with notarized letter from owner authodzing same , ,
BVER THE CtitlNTER.PERMiiTING.-- -- {Fron#af�AppfEcaUan Onlyi}.`. '. . _ �
Reroafs if shingles Sewers ^Service Upgrades A/G Eences;(Plot/Survey/Footage) ,
Driveways-Not over Gounter if on putslic roaduvays.:needs RdW . r - ~ � •.,,.�. ,
�
G, • , i
y9T
NOTICE QE�EED RES.T.R�C'�'It?NS: The ut�derslgnedFun�erstands;:ttt�t�th3�:;p�rmit.may:be.sub�ec#.to�"deed"res#rtattons°.' _ -
which may<be�fiorew�restcictive;th���•Gounty�r�egula#rton§.'Ttie9un;derslgne�d`�assumes �espvnsibility for complience'v6rith�'any ` � 3
appqcable dsed`rest�ictivna. � _. ._. �.,;, :- .. „-. , : �_._ .` :��.� ' . '
UNUCENSED':CONTRACTGRS'.ANt� �CONTRACTOR RESPONSlBILITIES:�-�N`�=fhe�owraec e�ttas�fiirec!���':contractar or
contractors ta under#akework,thr�y.may:be?r.�,quire.d�to:;ba�:licens�d In°.accardance.with;s4ate.and�l�cal„regulatioe�s:,��lf�khe `
contractor':Is�not-ltcertsed��as�requlred"6y latift; bOl#`I'tIt@ 01Ntlet allds�COtltiSL�OT�titBy'b@�°GI�t3d�for a�niisclemeanor vloiation
under state law. If the owner or Intended:contr,a,cta�,are,;uncertaln as to what Iicensing,requlre�nent�:�may��apply�for:�tifie�- -��{� j���
intended work,'they are_advlsed to�contact ttie'Pasca Counfy BuIlding'Inspectlon.,D{vlslon--Ltcensln��Section at 727-847-
�aas. FurtheTmore;-[f thie awner�Fias`tiifed a carit""ractii� of�coMrractocs� he�is aiivised to have;the contractor�s).,.sign ,
�- 'L r, t:..l";L'r9r'v�N�v,'. . . .�
pnrtions of the "contractor Block° of this appilcatian for_which.they.will..be responsihle. ;If-you,-as._the oiivne�slgn�as'tFie
contraator, that�ay be�an indfca#ion-Eh�t�he�is_not'�propet�y I�censed anc!"Is'iiot-eritiNed�ta peri�il�#ng�piiulleg@s in Pasca
County» � i. ,,� .. ., .
TR�INSPORTA710N�IMPAGTlUTIU�'I�S-IMPAC'�ANb-�tESOU�tGE RECOVERY FEES;�T�h�ander�ignetl`unders#ands
that Transportation lmpact Fees�and.Recourse Recove.ry.Fees►i�ay;applyj#o�ti�e_construction.afi.new..buildings;=change�of`•� `�." ''
, use in exisNng buildings,�o�:expenston��of�.eXistin;gi��uildings; a§ specifled.(n Pascc� Counly Ordinance number 89-07 and
� 9Q-O7, as amended:,,.�The undetsigned a{sorunderstands� th�ti`such fees;;as�ay�be•�-dt�e;�wltl>;;l�e identiffed at the�time;of._ ..: ,�
e�mittin It is furtFie�underst6od that Trans ortatlon Im act Fees and��Ftesource Recoue 'Fees:mu�t be ald rior to
P 9• P P rY��' P p
rece�ving a"cee#tflcrate.-of occupartcy"�or f1na�-power�retease. :!€°the prc��ct,;does:no��Invoive:a;cert�lcafe of occupaiicy at .;, .
final power�etesse,,the:fees.mu�t�be paid�prlor ta permft Issuance. .Fy�thermore;;•lf Pasco;County'1lVater/Se.wer:�fmpact - - �
fees are due,they�rtust.be.pald�.pnior ta permlt�issyance��n,accordance witfi:appUcabls:Pasco�Countjrai�dinances.
CONSTRUCTtON`�tEN"tAiN{C#iapteir 71�, �t���da Statut�s����mended): 1f valuation of work is$2,500:OO�cr more,,h � � .
ceMify that I, .�he .applicant, .have�been�_pravided with. a�copy�of:.#he° "Flartda-�Constructlon--Lien .l:aw--Homeowne�'s
Protection Guide" preparett by tlie Fioilifa Dep�rhner�f of A$rlculture and Cor�sum�r;Affatrs. If#he appllcant ts someane . .
ather than th�"owner", I certffy that.luh�ve.o�tained�a<copy,of.th�above..rles.crit�ed�tiocurrient�and:pro.mise'In,good�faith�ta .
delive�It to the�`owne�'�priQr�:to�corrirriencement: � � ' � �
CANTRACTCIR'S►tfWNER'S AFFIDAVIT: 1 c.ertifjr;>tfist all°•the:{nformation�in•this appticatlon is accurat�and that atl work
will'be done in compiiance with all.applicable�laws regulaNng co�structlon� zoning and°�land�development. Appltcation Is
hereby made to ob#ain .a.permlt.to:.do. wot`�:�and lhstallatlon as indl�afed:�-- �1 certffjr tFiat no wark'Jo� Installa#ion�ttas
commenced p�lor ta issuance of a perrnit and that:all work w(II be pertormed to meet standards;df all laws regula�ing- �
constructlon, County and ClEy cades, xoNng regula�ians, and tand development regulattons-in tlie$°ju�lsdlction.� t al'so �
� certify#hat I u�derstand that the regulattons of other government agencles may�apply�fa #he intended.work, and that it is .
� my respansibility to(dentffy�what.actions I must•t�ke to be,ln:.conlpllance:{Such agencies include but-are.not Ilmlted_to:
- Depart�nent of E�viranmen#a1�rProtectibn-Cypress.Bayheaid�;�1Net�and;Are� as�d E�vtronmentally Sensitive ;
La�ds,WatedWastewater Treatment. �
- Southwes# Ftorida tNater Management�.�t�strlct Wells, =Cypress.£�8�y�ead's; We#land Areas, A#tering �
Watercou�ses.
- Army Corps of Engtneers-Seawalls,flocks, Navtgatile Waterways.
- Department cf .Health� 8 Ref�abtlit,afive Ser,vices/Environmenfal F#eat#h tlnit:Wells� Wastewater�Treatment, � `
Septtc Tanks. � _ �
- US Envlronmental Protectlon Agency-Asbestos abatement.
- - Federal Aviatlon_Authortty-Runways.�
I understand that the following.restrictions apply to'the use of fll1:•
- Use o#ffll is not atlawed in Flood:Zone"V"unless expressiy permltted.
- If the fill�material 'Is �to �be useii:�in.�Flaod Zane. "A", it. ts understoad that a drainage plan addresstng a
"compensating valume"wtll be submlfted at#ime af permitting uvlilch is prepared by a professlonal engineer
Iicensed by��he;State af Flnrida: -
- t# #he tlll materiai_Is.;ta be used In Ffood Zone 'A" it��con�tection�w3th:���ermitted buitd3ng using s#em wali
� construction, t certify that fiil�w111=b.e used onty.#a#ill the area wlthin�the�stem:walL -
- If ffll matertal is �to be� used-°In any area, I �certtfy that .use. of such�'flll �will not adversely affeat adJacent
prape�ties. If use�of fi1! Is fonnd#o adverseGy.,�fFect'ad)acer�#•�pra�pertfe��.#he awner may be cited for uiatating �
the condi#ions of_the"`building_;permit issued•under the at�ched permit�appltcation; for�:lats less than.ane (1)
acre whfah are elevatetl�6y�fl11,a�t engineered dEainage plan[s required. . .
If I am the AGENT�OR THE:OIMNER;I�promise In;good faith ta inform the ownet af�the permitting_candit�ons set forth In �
thls atfidavlt��prlor to comitmencing coristruction. �1 underst��id thet�a�s�parate petmit may he requlred for electrfcaf workj. "
plumbing, signs, vvelts,:pools, air.,,candittoning�..gas, ot'otMer ins#a�E1�tEciris na!•spec�ically fincluded�in.the appiication. •A , ��,
permit issued shall be constiued to be�a'Ilcense�to��p'roceed with the work and not�as.authority.ta.violate,cancel; alter, ar .
� set aside any provlsions of the.tech�ilcal.cadeis; nor shalt tssuanc��of a p�rmit.preven#the Bultdirig t1#fifcial ft�m therea#ter ;,
requiring a correction af errmrs in°�plans,'consfiruction,or violations of any codes: Every p�ermit lssued�shall become invalid
unless the work authar�zed.by such permit_�s.co�nmencsd•wlthln sFx months of permlt Issuance, or Ef work authorized by
the pe�mit is saspendad:ar.abandoned for a::pecfod;of six(8)montfis':after the tirne fhe�wor`k>is cammenced. .An e�ctension
may be requested, In writing,._from the 8uilding:Offlclal�for a pertod-not to�exc�eed'ninetyr-�(90) days�and will'demonstrate �;
� ustl�able cause far.�ths e�ensio�: If v�ork ceas�s;for nlnety(90}cons.ecu#tve:day.s�..#he job�s.consldered aba�tdoned.
NARNING TO OWNER; YOUR.�A!l.URE T�?.=f�EC:QttD;A:NATlGE,QF=COMMENGEMENtT�MAY�RESUl:T iN YQUR ;
�AYING TWiCE.FOR�tM,PitOVEMENT3�TO Y�OUI�;PROPERTY.���I�°YOU�I�'�'E�VD:T�-�tSBTA1NuF1(V�►1�E1NG;�CONSULT
17 YQUR ND O� AI� � TTO •.�� FOR�t � �O �D G:�YOU '� � ���� ' � °' � E C � ' �
=l.ORlUA JURA�`(F Aa� . _ . � � �—
---- — -- c: - - -- -- - - ----• _ - - _ - —._ � __ —_ —
DWNER O!t AOEN�"— -i�— '- - M1 ,�i�.�� CONTRACTO
'subscxlbad and swom to t a#flrmed}be r me ts Subscrlbei3'and'swam� ot ai�mied}�betora me tti($
Vho IsJare rsonell . to.me or has/have prqduced - Who:is/are e onally a to me or haslhave�produced • -
as tder�$�i�tlon. � es Eden�flcatlan.
. ` _ -"r �
Notary Public . � � Natary Pubtfc
ssian •�+��""°'�""'_ Comr� n.tdo. ,,,���«:
�::�;�;.,, ;�'���"•4�-., C
��: ';�: Commission#FF 150422 _,,: ;�: ommission#FF 1504�2
IBRi@ 4I`N0�3 �Rt � ��8�.3g5d014 Nama af Notary type • (� Sr Fa��nsursnea�sU!�385-74i9
��'�iQi1i,o�a� Bwrdadthru '�re�n,.*``, °Y
___.��
�
� � � PRtJPANE GAS 5,��,ic� Order�o�asal . � s-�—�
� M �
,8►t�[� A l G �►v c. A i r C o n d i t i o n i n g 8 H e a t i n g
�iitee �988 8�3-782-5C}13
� i'!a"�r�7.' I 'r, � �l , . - r�- - " _
' f��t , ��}: � *��i_!� � _. t. , I���
Sa1es, Service & Installations .��,�.,-s..- �;�r,�: , ., -;a � �;:�� - �:, ,;_a; „�,-.
4441 Allen�Rd. ��Zephyrhills, FL 33541 '.�.��;} �_��� �_���. -.. .'�=�
t?C.:-t-�_- i�3�=�' r „ :s= . . , �a�=, � ,,-�_, z_';�_~
NOTES - -
.,
(' .�`_ t . �r�l( i:�! !. ��i� , i � ..''" . �_'i.'4.�
,,-
�='��4_''i �i: a<� -'��`'�' �- - � ._ ., , �
- r;�"ti i t;: -,€. , -_. .;'��.:
—�� -
_ , crj , - , � ,_a� ,�-
, , �..��'_ _ ;-+. .
' . � . .
;f4-ai��d..,.i+l�:` I�;�1`-�., #.�� � ; _ :_i: !i -�t•; � `._ . , _- �t � .
�� �� �~ . :`'� r :� • �� i_ { �� i=, . ., , ' 1 . � l i\!� . . �. �'� ��,
` � � �i�_ C; ...�� �� , .
'7�t..di��l , f'�. _._ ���:_ '�_ _ ; , E..j . .._ • � � �_ s �
_ v. '.r�r. , --, ,c.. __ .. - .. , ..`i 3• _.'S.`' i"€:
, ` ._ ._. � r .',�� . _ _ � t't*1`� , I. � t
.. . �- �.'�'�1-��--� ,-���a I'!'_l..l _ . � ' -
DESCRIPTION'QF WORK QTY. MATERIALS'&SERVICES UNIT PRICE AtvidUNT
�`-,,.;.. .',.�... ��� -?;.. !<° �. �c.�.r � - �,)}�„? v rti �..�`%t� �e _ _ i . ��� i�
��t�}' l � i
" � i
V � I I
• I I
-L �� � .y. I !
I I
��� s.l � s f,� � I I
�/
.l� ��,� 1 1
/' I I
'��"S%-t 'r^' � n� I t
� - /i� �4✓ �/{„��K � ��" I I
� i I
I
t 4
RECOMMENDATfONS
.,�: r,^ , �.j i'`J
Annual Maintenance Recommended by Ail Equipment Manufacturers. � '
Pressures Lo Ftl T-Stat i i
i i
, REFRIGERANT,R- LSS. $pet ibs. � �
, FILTERS z z Changed Monthly I. i
, � ' ' . FILTERS z x Changed Monthty � �
E� REGULAR ❑WARftRNTY T4TAL SUMMARY
'Defiumidistat Settings: When here"QN";.When Away 60°0, 7-Stat 8Q° ❑ MAINTENANCE CONTRACT SERVICE �
UNfiTED WARFiANTY� AII materials,parts and equipment are warranted by the manufacturers' tVIETFiOC7 OF PAYMENT �A�� �
or suppliers'written warranty only.All labor performed by the above named company is warranted for
'30 days or as otherwise indicated in writing,The above named campany makes no other warranties, ❑�ASH 0 CK# TOTAL � ...,_, j�
sxpress or impiied,and its agenis or technicians are not authorized to make any such warranties on MATERIALS ��1 � iC.
Behalf of above named company. ❑DEBIT ❑CREQIT 0 OTHER MAINTENANCE �
I have authority lo order the work outlined above which hag been salisfeclorily completed.I agree lhal Seller
PROG W I C �
reta3os titie ta equipmenUmaterials furnished until finai payment is made.tGpayment is�ot made as agresd, G(�,��(,7�# '�
seiler ca�rsmove said eqmpmenVrnateriais ai Seiter's expense.Any damag�resWhng from saitl removai shaA Vj
not be the.r.�sponsibili(y of Selle�N�7 30 DAYS.A 1 7/2%SERVICE CHARGE WILL BE ADDED MONTHI.Y TO —f�.+�,�,:
A�LUNPAIC7BALANCESOVER�uaAvs r,oREFur,os � • DATE COMPLETED (�'"`-�
•X r �',`f{ ` .T�#� .'!._ /
�' ,�`�„1, r ,�- j'; ;' TECH: ;f.- 1'.,u{C�.-�
'� f`�a%'r'�. ��.j r`.�--�'�'_I:`-�t:. ���J. .:`f�-�f�..._..-----� ��i/-` �`U/�� TOTAL �_" �/j� � �
CUSTOMER SIGNATUI2E �� O E j � `�/���'�� '-"�'"L� �� 1 U I �
r;;