HomeMy WebLinkAbout16-17171 CITY OF ZEPHYRHILLS
5335-8TH STREET
� � (813)780-0020 17 1
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 17171 Address: 6235 HUNTINGTON DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-1320
Improv. Cost: 7,409.00 � = � - "OWNER;INFORMATION.
Date Issued: 3/15/2016 Name: KUHN JAMES L JR
Total Fees: 75.00 Address: 6235 HUNTINGTON DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/15/2016 Phone: 813-782-5563
Work Desc: A/C CHANGE OUT 4TON & 1.5 TON
CONTRACTOR S � APPLICATION FEES
' BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00
� �
� � Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULAT��
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.
"Ware�ing 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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
a
NTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
;_.
8�s-�aaoozo Cify af Zephyrhills Permit Application Fax-813-780-oa7�
Bullding Departmant _
J
Date Recelved Phone Cantact for Fermlttin � (��� �3 oZ— �^�,G
Owner's Name "�� 1� � Owner Phooe Number ���-^` ��t3 c� �~�
Owner's Addrass o�.�� G�/'() /�v Owner Phane Number � �
Fee Simple Titleholder Name • Owner Phone Number � �
Fee Slmple titleholder Address
JOB AbORESS (e�� �J ��/\,1 /V � o LOT# [�
susoivis�oN �i�UE'�1 �..�,�.-�"� PARCEL ID# 3 � �l �l�C� GryDI�l.�B �,3�a
(QBTAINEQ FROM PROPERTY TAX NOTICE}
WOiiK PROPOSED � e NEW CONSTR� ADD/ALT Q S1GN• Q Q DEMOLISH
INSTALL REPAIR
PR4POSED llSE Q 3FR � COMM � OTNER
TYPE OF CONSTRUC"170N Q BLOCK � Q FRAME ['�� STEEL Q
DESCRIPTION OF WORK �L�+ � � G',,�{74- G�--d LL.� � /O/l,J � � aNG.A�r� �
� C� �. - ��p-�,���� ,
�
BUILDING SIZE � 5Q FOOTAGE MEIGH7'
_ .,,_ �
QBUi�DING � � 1/ALUA710N OF TOTAI.CONSTRUC710N _
QELECTRICA� �� AMP BERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMSING ��
QMEGHANtCAL $ .�f�J ,q (�r. —� •: VALUATION OF MECNANICA�IRISTALLATION '�,,��� �
! 'Zw �, � �
��s � �aoFiN� p s�EciA�.rr 0 OTHER
FINISHED FLOOR ELEVATIONS ��� FLOOD ZQNE AREA C]YES NO
BWLDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r� �
ELfCTRICtAN , � COMPANY
SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N
Addre�a Ucense# �— I
PLUMBER � COMPAMf
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �� ��
MECHAi�11CA1. c Q.. ���� -� COMPANY �l r�,,1'S r'f3 /�Y��' S�"`"'��'
SIGNATURE REGISTERED Y/� N FEE CURRE� Y/N
Address �1�� 1 f} lenl �' �l�>L`-S License# ��"�-��� / `7'G��
OTNER COMNANY
SIGNA7URE REGI37ERED Y/ N FEE CURRE� Y/N
Address License# � �
RESIDEN'�'iAL� Attach(2)P..tof Plans;{2}sets aE:8uilding'P1ans;{1}se#of Eriergy�Forms;R-O-W Permit for new consfructton,
Minimum,ten,_(10),working,days-after.subrnittal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Sflt Fence installed,
Sanifary.,Eacili8es&-1:dumpster,.Site Wark�Perm[t for subtlivislonSAarge pro]ects
COiYlMERClAL Attactt{3)cori�plete sets of Building Plans plus a t,tfe Safety Page;{1}set of Energy Fosms.R O-W Permitfar new ca�structton. --
Minimum ten(10)working days after submittal date. Required onsite,Canstruction Pians,Stormwater Plans w/Silt Fence installed, —
Sanitary FaclliUes&1 dumpsfer.Site Work Pertnit tor ail new projeats.Aii commerclai requlrements must meet comp{lance
SlGN PERMIT Attach{2)sets of Engipeered-Plans.: �
""`PROPERTY SUR1/EY requlred for a0 NEW canstrucUon.
Directions:
Ffll out applicaHon completely.
Owner&Canhaotor slgn back af appl{cation,natarized
If over 5,2500,a Notice af Commencement is required. (A/C upgrades ov�r 57504)
" Agent(for ttie contractor)or Power of Attomey(fo�tha owner}would be someone with notarized letter from owner authorizing same �
�VER THE CQUNTER PERMIITING (Front of Appiication Oniy)
Reroofs if shingles Sewers Service Upgrades AJC Fences(PIoUSurvey/Footage)
Drivewaya-Not over Counter If on pubiic roadways..needs ROW
�f10E OF.DEED RE�TRICTIONS: The undersigned understands°:th�t this.p�cmit.may b�,subject to ndeed"restrictions" �
which may be�more-r.estNctive=than County.�regulatlons. �The undersigned assumes responsibillty�for cornpliance with any
applicable deed restrictions. .
� UNLICENS@D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: -if the ow►nerhas-�hired a contractor or
contractors to undertake work, they may.be required:to be,licensed in accordance.with state.and•local �egulations. If the
contractor is not Ifcensed as cequlred°by law, both the owner and convactor may be cited for a-misderneanor violation
under state law.' If the owner or Intended contractor�are uncertaln as to what Ilcensing.requirements may apply�for the
' intended work, they are advised to contact the Pasco County Buliding Inspectlon Division—Ltcensing��ectton at 727-847-
8009. Fu�thermore, If the owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign
portfons of the "contractor Block" of thls appllcatlon for which they wlll be re�ponsible... If.you, as.the oamer sign�as the I
conQractor, that may be an indication that�he is-not.properly Iicensed and 1s not entitled to perrriittfng privileges in Pasco
County.
TRANSPORTATION.IINPACTIUTII�ITIES IMPACT ANb R�SOURCE ItECOVEltY-�FEES:The undersigned understands ,
that Tr�nsportation Impact Fees and.Reco.urse Recove.ry.Fees may�:apply:to 4he constructfon of new bulldings, change of '
use in existing buildings, or-expansion-of�ezisting`�buildings, as speclfied in Pascq County Ordinance number 89-07 and
90-07, as amended. The undersigned aiso understands, that.such fees,,a�;may_tie�.due;�wlll 6e identified at the^time of�
pe�mitting. It is further understood that Tr�nsportatlon Impact Fees and Resource Recov.ery��Fees.must be pald prior to
receiving a °cert�icate of occupancy" or flnal-powec.release. :If the project•,does not (nvolve:a:certificate of occupancy or
final power release, the fees mu�t be paid prior to permit issuance. Ft�tthermore;�ff.Pasco County Water/Sewer-Impact I
fees are due, they�must be�paid prior to permit-Issuance�in accord"ance witff applicable Pasco County ordinances.
CONSTRUCTION GEN I.AW(Chapter T13� Florlda�tatutes, aa amended): If valuatfon of work is$2,500.00 or more, I '
certify that I, the �pplicant, have been provided with a copy of the "Florida Construction Lten Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs.- if the applicant is someone
other than the"owner", I certify that I have.obtained a copy.of the-above.described document°and.promise in,good faikh to
deliver it to the°owne�"prior to�commencement: .
� CONTRACTOR'S/OWNER'�AFFIDAVIT: f ce�tify that all the Information in this.appl(cation is accurate and that all work I
will�be done in compliance with all.applicable'laws regulating construction, zoning and land development. Application is
hereby�made to obtain .a permit to do work and Installation as indicafed: 'I certify that no work or (nstallatton ha,s
commenced pr(or to Issuance of a permit and that:all wvrk wili be perFormed to meet standards of.all laws regulaking-
construction, County and City codes, zontng r�gulations, and land development regulations-in the jurtsdlctlon. I also �
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responstbility to identify.what.actions I must teke to bedn_.corilpliance. S.uch agencies include but-are.not limtted to:
- Department of Environmental Protection-Cypress.Bayhead�, Wetland Areas and Environrnentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress. `Bay.heads�, Wetland Areas, AlQering
Watercourses.
- Army Corps of Engineers-Seauvails, Docks, tVavtgable Waterways.
- Department of Health'�, Rehabifltative Servlces/Environmental Health Unit-Wells, Wastewater�Treatment,
Septic Tanks.
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Avlatton Authority-Runways.
i understand that 4he follow�ng:restrictions apply to the use of flll:•
- Use of fill is not allowed in Flood Zone"V"unless expressly perrnitted.
- If the flll m�terial is to be used In Flood Zone. "A", (t Is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professfonal engfneer
Iicensed by the-St�te of Florlda.
- If the fill materlal is to be used In Flood �one °A" In�connectfon with.a permitted building using stem wall
construction, I certify lhat fill�.w�11=b.e used only.to.fill the area within the�stem�wall.
- If flll material is to be used in any area, I certify that use. of such fill will not adversely affect ad)acent
propertfes. If use of flll Is found to adversely:�ifiect adJacent propertie5, the owner may be clted for viofating
the condifions of the build(ng,permit Issued under the attached permit application, for lots less than one (1)
acre which are elevated�by flil, an engineered dralnage plan is required. .
If 0 am the AGENT FAR THE OWN�R, I;promise In good faith to Inform the owner of�the permttting conditlons set forth in
this affidavtt�prior to commencing construction. I understand thata-separate permtt may be requtred for electrical work,
plumbing, signs, wells, pools; air canditioning, .gas, or o4hee installatlons not.spec�ically lncluded in the application. .A
permit issued shall be construed to be a I(cense to p�oceed vvith the w►ork and not as authorit�r to.violate,cancel, alter, or
set aside any provisions of the technical codes; nor shall Issuance�of a.permlt prevent 4he Bulldirig Official from thereafter
requiring a correction af errors in.plans; constn�ction or violations of any codes. Every permit issued sfi�il become invalid
unless the vuork authorized.by such permlt�s-commenced•withln six months of permif is�uance, or if work authorfized by �
the perPnit is suspended or.abandoned for a period of six(8)months after the tlme the�work ts commenced: M extensio�
may be requested, tn writing, from the Building,Official for a perlod�not to exceed ninety (90) days and viiill demonstrate
justi�abfe cause for.the extension. If work ceasea:for nineQy(90)consecutive:days�..th�job�is.considered aba�done�.
INARNING TO OWNER: YOUR FAILURE�TO,RE.C.Ot2D A NOTIGE OF COMMENCEMENT MAl( RESULT IN YOUR
PAYINC;TWICE.FOR IMPROVEMENTS TOYOUi�:PROPERT'Y. IF°YOU�ENT@ND'TO�O�TAIN�-FIN�►NGrtNG��CONSl1LT
11VIT Y UPt LE D O AN ATTOR EY 8 FORE.RECOR�D G:� OU ' O •CE'.O ° -' � E CE E T' -- - -
FLORIDA JURAT(F.S. . 3) �, �-� �- - .-
01NNER OR AGEN 20J� CONTRACTO
Subscrlbad and swam t r afliRned)bei re this Subacribed and's M(or aflirmed)�before me thts
by .bY
lNho Is/are personally 4_ own to.me or has/have produced Who Islare personally�Cnowm•to me or haslhave•produced •
as Identlflcatlon, as IdenBficaOon.
Notery Publlc Notary Publlc
Commisslon No:.�. Comml�sion No.
Name ol Molary typed,printed or stamped Name of Notary typed,printed or stamped
� y.
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�� � � PROPaNE Gas Service Order,/Pro osal . ' � � °
, ,� AND AIC ltvc. Air Conditioning&Heating
�7ce�988 813-782-5013
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� Sales Service & I�staliations � ' �-; �r � -�- ;-, � - ;;�- -.�.:: �. -
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4441 Allen �Rd. �-Zephyrhills, FL 33541 ���'� �:=.�' i.�.; �_;;-;���,�_; ���:,
NOTES• 1 i;:,-�-;_, -;� ;�,y;`_- j 'f �_iir{ � ___�.
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� DESCRIPTION OF WORK � � , -;= Q�1': MATERPA,L`S'&'SERV.ICES;� � UNIT PRICE - AMOUNT
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_. � , RECOMMENDATIONS ,.. �,(.cr_: ,j„j- `,`�'�f, ,`�� .;f�: �.,` i �
Annual,Maintenance Recommended-by All Equipment Manufacturers. � .� " ' �
-- Pressures Lo FH T-Stat ��.y r<' �-�('?� � • { �? �,. ' i
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REFRIGERANT R-: LBS. - $pe�.lbs.
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. FILTERS z x Changed Monthly I,.$ j i , I r,(
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, FILTERS x x Changed Monthly ,
�
O REGULAR ❑WARRANTY TOTALSUMMARY
� o u..
Deliumidistat Settings: When here°ON", When Away 80 , T-Stat 80-. ❑ MAINTENANCE CONTRACT
II — - SERVICE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by ihe manufacturers' � METHOD OF PAYMENT CALL ' i
or suppliers'writlen warranty only.All labor performed by the above named company is warranted for TOTAL i '
30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
I have aulhority lo order lhe work outlined above which has been satisfactorily completed.I ag�ee that Seller PROG. W 1 C
retains litle to equipmenVmaterials turnished unul final payment is made.II payment is not made as agreed, CLAIM# i��
seller can remove said equipmentlmatenals at Sellers expense.Any damage resulfing from saitl removal shall � ���7�
not be the responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO yQ� �� �
ALLUNPAIDBALANCESOVER3DDAYS.NOREFUNDS DATE COMPLETED �'"� I
TECH: T� + �
CUSTOMER SIGNATURE DATE
��� �� TOTAL �yo� �
�