HomeMy WebLinkAbout15-16717 CITY OF ZEPHYRHILLS ,� `!l�
5335-8TH S`i'REET ,i"
� � tszs)�so-ooza 1671?
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16717 Address: 37724 ALISSA DR UNIT B B�DG 16
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ct�ass of Work: AJG CNANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ORANGE BLOSSOM RANCH
Est.Vatue: Parce) Nurnber: 15-26-21-017A-01600-OOBO
Imprav. Cast: 3,975.00 QWNER INFORMATION
Da#e Issued: 1110412015 . Name: BACKMAN, GAIL
Total Fees: 55.00 Address: 37724 ALI�SA DR
Amount Paid: 55.Q0 ZEPNYRHILLS, FL 33542
Date Paid: 11/04/2015 Phone: 813)788-3505
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATION FEES
BA 'S PR PAN GAS C, INC. HAN EOU 55.00
,,�'"� V ,
. tl«%'
����
� "
Ins ections Re uired '
D S IN ALLE
DUCTS IN LATED .-
FINAL ��
REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statu#e 553.80(2)(c)the
locai government shall impose a fee of faur times the amount af the fee imposed for the irtitiai inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit,th�re maybe additiona! restrictions applicable to this property that
may be found in the pu6(ic re,cords of this county, and there may be additional permifis required from other governmentai
entities such as water management, state agencies or federal agencies.
"1Narning ta awner: Your fai[ure to record a notice af coEnmencement may result in your paying twice for
impravements to your property. If you intend to abtain financing,consult with your lender or an attorney
befare recording yaur natice of commencement."`
Complete Plans,Specifications Must Accampany Application.All work shall be pertormed in accardance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE GO.
NO OCCUPANCY BEFORE C.O.
�' � �
�G��
C� NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MONTHS WITHOUT APPROVED INSPECTIBN
CALL �OR INSPECTION - 8 HOUR NOTICE REQUIRED
PRUTECT CARD FROM 1NEATHER
„ 813-7�0-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
� �
Date Received Phone Contact for Permlttin D�� �� – ��4�
Owner's Name /7��/� C�i'T�a�' Owner Phone Number ���” % Q '���
Owner's Addrsss �'��� � ��� '�-�L� Owner Rhone Number
Fee Simple Titleholder Name � � Owner Phone Number �� �
Fee Simple 7ttleholder Address
JOB ADDRES� ��J � I �Jr -�/2. LOT# �_�
SUBDIVISION r/���G��jAS�dl�'J/ii��ii�7 PARCEL tD# ��+•d o�� o� �f�� �L4��G� ���
{OSTa1HED FROM PRQPERTY TAX NOTtCE)
WQ[2K PROPQSED NEW C4NSTR RDDJA�T Q SIGiV Q Q DEMC}LISH
e INSTALL � REPAIR
PROPOSED USE Q • SFR Q COMM � OTHER
TYPE OF CQNSTRUCTION Q BLQCK " �,] FRAME �� STEEL Q
DESCRIPTiON OF WORK L'',�✓DBNL'�aly�'I �� �i'$�1'L1 �aCSj,�" �/a, �Jt� �o-r�);,7�i�/Uc/�
BUIl.DltVG SIZE �� � SQ FOOTAGE C� HEIGHT �,_,i�
QBUILDING � � VA�UATtON OF TOTAI.CONSTRUCTION
QELECTRICAL � � AMP SERVIGE � PFtOGRESS ENERGY Q W.Fi.E.C.
QPLUMBING $ �
OMECHANICAI. $ �t�pf"�F""�lj , VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS �. � FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
��r��$ Cicense# �� ^i�
ELEGTRICIAN GQMPANY
SIGNATURE � REGISTEREp Y/ IV FEE CURREt� Y/N
Address License# � �
PLUMBER GOMPANY
SIGNATURE Re�is�Rea Y/ N FEE cu�aEn Y/N
Address License# � ^�i—�
MECH�0.NICAL �,.fj `" � COMPANIf /fx`ftc�S� t^p' � S� G'' �G,
SiGF1ATlJRE ," " fr�" G���A//t_2-'�..,.� REGISTERED Y/ N FEE CURREn Y/N
Address �T��"/ /� � ��/�ft L.L,,�"� ��5r}/' license# ���/z--d��g'���
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ltc�nse# �� ����
RESidENTIAL Attaah(2)Plot Plans;(2)sets.of Building"Plans;(1)sef of EnergyFartns;R-0=W Permik for new.canstruotion,
Minimum,ten(1.0)swortcing days after submittai date. Requlred ansl#e,Construction Ptans;Stormwater Plans w/Silt Fence installed,
Sanitary Fac(IIUss&1.dumpster,Sfte Wa�ic�Permit#or subdivislonsitarge pmJects
COMMERCIAL _ Attaah(3)complete se4s of Bulliling Plans plus a Life Safety Page;{1)set of Energy Forms.R-Q-W Permit for new canslruc8on. -
` Minimum ten(10)worfcing days affer submt#tat date. Required onsite,ConsUucdon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Factilties&1 dumpster.Site Work Perm(t for atl new projec#s.AI!cammeraial requirements must meet compltance
SIGN PERMIT Attach(2)sets of Engineered Plans.. � - - ,,
'""PROPERTY SURVEY repuired for ail NEW construcUon.
Directlons:
Pii�out appiicaUon completely. �
Owner&Cantractor slgn back of applicaUon,notarized
If ovsr$250Q,a Notics of Commea�cesnan4tts-r@quirsd., �tAfG upgradss over Sr7500)
kM Agent(for the contiactor)�or�Power of Attomey(foF tti�s oti+ner)would:be sortteone with notarized lette�from owner author3zing same
dYER THE COUN7ER.PERMIT=ING ::i �:(Front,of Applicat�on Onfy}�.�:_ ^� . �-
Reroafs if shingles Sewers � 'Service Upgrades A/C; �Fe�ces.(PlodSurvey/Footage�
Qriveways-Nat over Gounter if on pubila roadways..�eeds ROW`
. �
I
OT10E OF DEED RESTRICTIONS: The undersigned under.�tands��th�t,this,p�rmit.may.be.subJect to°deed"restrlcttons" �
hich may be.,more-rest�ictive�than County.•regulations:�TFie undersigned assumes re`sponsitiil'tty for compliance with any
�plicable deed restrictlons. _ . .
NLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBILITIES`. If-the owner�has hired �a'conhactor or
mtractors to undertake work, they may be requlred-.to be:licensed In accordance.with-state.and•local regulations. If the-
mtractor ts not Iicensed as�requlred"by law, both the owner and contiactor=r�iay be-clted�for a�misdemeanor violatlon
ider state Iaw. If the owner or Intended contractor.are juncertain as to what Iicensing.requlrements.may�apply�for,the
tended work, they are advised to contact the Pasco�County Building Inspection Division—Licensing Section at 727-847-
)08. Furthermore, If the owner-has'hl�ed a contracto� or�contractors. he ts advised to have the contractor(s) sign
�rtio�s of the "contractor Block° of this appl(cation for whtch they will be r.esponsible.__If.you� as.fhe owner sign as fhe
mtractor, that may be an indication that�he ts not.properly Ilcensed and is not entitled to permitting privileges in Pasco
ounty.
RANSPORTATION.IMPACT/UTILITIES�(MPAC'�•ANb�RESOURCE RECOVERY FEES: The undersigned understands ��
�at Transportation Impact Fees and.Recourse Recove.ry.Fees may'�apply:;to°the construc8on of new buildings,.�change of
se in existing buildings, or.,expans(on��.of�existin,y�-fiulldings, as specifled.in Pasco County Ordinance number 89-07 and
�-07, as amended. The undersigned also:understands, that:such fees�;as�rnay��be�due;:.will�:be identtfied at the'time of� �
armitting. It Is furtlier understood that Trac�sportatlon Impaat Fees and Resource Recouery�Fees must be paid prior to
:ceiving a "certi�cate of occupancy" or flnal powec�.release. :If the proj�ct does not Involve:a certificate of occupancy or �
nal power release, the fees must be pald prlor to permft issuance. Fu�thermore;�if.Pasco County Water/Sewer•Impact
:es are due, they�must be�pald prior to permif-Issuance'In accordance.with gpplicable Pasco�County ordinances.
�O(dSTRUCTION LIEN�LAW(Chapter 713� Florlda Statutes, as amended): If valuatlon of work is$2,500.00.or more, I
ertify that I, the applicant, have.been provided wlth. a copy of the °Florida Construction�.Lien Law=Homeowner's
rotection Guide° prepared by the Florlda Department�of Agric.ulture and ConsumerAffairs. If the appl(cant Is someone
ther ihan the"owner", I certify that I have.obtalned�a copy,of:the above..rfescribed doauiijent�and.promise in,good�faith to
eliver It to the°owner"priorto-commencement: ` . ,
;ONTRACTOR'S/OWNER'S AFFIDAVIT: I certify,.that�all.the.inf.ormation In thi�appllcation is accurate and that all work
rill�be done in compliance with all applicable laws �egulating construction, zoning and land development. Appllcation is
ereby made to obtatn .a.permit to do work.;and Installation as indlcefed: I certffy that no work or Instaliatton has
�mmenced prior to Issuance of a permit and that':all�work will be performed to meet standards of all laws regulating-
onstruction, County and City codes, zoning regulations, and land development cegulatlons�in the jurisdictton. I also
ertify that I understand that the regulatlons of other government agencies may�apply�to the intended work, and that it is
�y responsibility to Identify.what.actions I must�take:to be,in:.corr�pllance: S,uch agencles Include but are-not limited to:
- Department of Erlvironmental�Protection-Cypress.'Bayheads, Wetland Areas,and E�v(ronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management: -District Wells, Cypress.� Bayheads; Wetland Areas, Altering �
Watercourses.
- Army Corps of Engtneers-Seawalls, Docks, IVavigable Waterways.
- Department of Health� 8 RehabiNtative Serv(ces/Environmen#al Health Unit-Well.s� WastevEtaater�Treatment, '
Septic Tanks. � ' _ -
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Avlatton Authority-Runways. ,
understand that the following•restrictions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fiil material is to �be used`In.:Flood. Zone. "A", It. is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of petmifting which (s prepared by a professfonal engineer
licensed by the State�of Florida.
- If the flll materlal.is to be used in Flood Zone 'A" in�connec�ton�with.a permitted building using stem wall
� construction, i certify that fill�:wlll�be used only.to#ill the area within the�stem wall.
- if fill materiai is to be used in>any'area, I �certify that .use. of such flll will not adversely affect adjacent
properties. If use of flll Is found to adversely:�f�ect ad)aEent propertie.s,.the owner may be cited for viofating
the condiiions of the building�:permlt Issued�under the attached permit application, for lots less than one (1)
acre which are elevated�by fllt; an engineered drainage plan is required. •
`I am the AGENT FOR THE OWNER, I;promise in good fatth to Inform the owner of�the permitting conditlons set forth tn
iis a�davlt prior to commer�cing constructfon. I�understand that a=separate permft may be required for electrical work, ,
lumbing, signs, wells, pools; alr conditioning,.gas, or�other install�tions.no� speciflcaliy included in.the application. .A , ,
�ermit issued shall be construed to be a�Iicense to proceed with tNe��work and not as authoNty to,vlolate,cancel, alter, or . „
et aside any provistons of�the techn(cal.codes;�nor shall issuance�of a.permit.prevent the 8ulldirig Offic(al from thereafter ;
�qufring a correction nf errors in-plans, constn�ctlon or violatlons of any codes. Every permit Issued shall become invalid
�nless the work authorized by such permit•Is.commenced�with(n sGc months of pertnft Issuance, or if work authorized by ' �
ie permit is suspended or.abandoned for a�period of�slx(H)montF�s.aRer the titne the work(s commenced, An extension ,
�ay be requested, in writing, from the Building,Officfal for a period.�not to.exceed ninety(90) days and will°°demonstrate
�stifiable cause for.the extensior�. If work ceases-for ninety(90)cons.ecutive day.s,..th�Jotf is.considered aba�doned. -. � �
.. ; �
VARNING TO OWNER: YOUR.FAILURE�TQ,REC.ORD .A..NOTIGE OF�COMMENCEMEMT MAY�RESULT IN YOUR ���
�AYING TWICE FOR IMPROVEMENTS TO YOUi�.PROPERTY. �IF�YOU�INTEND'�TO'OBTAIN�FIPtANEING,�C.ONSULT ,
YIT U NDE O AN°ATTO NEY�B FORE� ECOl�t7 G�YOU ' O �C '°OF` �� � E CE NT�
LORIDA JURA�(F.S. - .03) ' �
- -�-- --- - - --— � - - - -� -- -- ---- - - - -
�WNER OR AOENT �P CONTRACTO �i
ubscrlbed and awom ta r aflirtned)before me thls Subs bed an 's to(of aRirmed)�before me tlils
by �
Jho Isfare pe�sonally known to-me or has/have produced Who.(s/are onally own to me or haslhave produced
as Identlflcatlon. as IdenBflcaOon.
Notery Public ��� Notary Public
;ommisslon No. Com sl No. .:•;�:��.°i�--. .IACQUEL BOGES
?„i .k:
?;; Expires December 12,2018 t9
lame ot Notary typed,printed or stamped Name of Notery typ d,' or
�
� 1'' �v i ,' "' .� r. �Ot/.i7���� f dl /J/L �.� fY�✓ �: ��
� •
� � � PROPANE GAS Service Order/Proposal � � � �
AND AIC �[vc. Air Conditioning&Heating
�ii��e�988 .,813•782-5013 _ .
Sales, Service &_I� tallations ��a�'� �-��j��`�"����E�'u�:��'Y'�'� �`���'? ���:
��,5 i3AT�,''I 1:{�1i 'I t;!-;�N �`?%'c:81:I� :!�n���;
� 4441 Allen Rd. • Zephyrliills, FL 33541 -���yfrE�� ��� ��,o �, �;��
NOTES: L��-I�E%l'TfT{i= �R3�i�rS►��.7
� C�J��I�I�IFk�i��:!_CJC;t��!"Ti��l �:'�1 S�,
���..i�i���:� �:�;.. -�8�—.:•",��Z��
l:•'L'fl`�l��s-7C'!' E���;"f f�p�L_`,'
!?L7�J"f��'�FG+ DE��;
�;
.
.,
fis��:.sJ���ir�r.�, ��a:c�_ � �-���t_,J.r��,�aa r.,�r�
"+'"';=• ' sC^r+ Tf , •J7��1 �t• �n
�,%� ��•�t• f=�L_�,�...�(1 .� ,:',� . r �l L_]:.--''�l L rt •
�7�f�i�MrE L�a_.����Jt�1 RF�i�ar;F-i ��C�i��l17�
�'L..F�'I-i'f�e!-1:[l..i:_.� "'!.. ..:,1�����: ?Fr�'!��'r'ni�-i:[�._i_^ ��_.ti:�,��:r,�,
L�l-� ��Jfd NE�:� F?�'�".
.,_ .:_:.=.:,,y.:.,�vt.f ::_-:�� .,_,:.:...�,-:��=-�-� - - - _ — - -
�}a>� - -�2 � - - 33ay"'y_ !' e cr�.-s1`_ _^a� r _ �"�'L� .f n .e:? -r•..s���_;,��- _
- ,:°iz'�-'
- - :�DESGL�IPTION:OF�INORK�ti�ti' QTY,r� �MATERIALS;&'��RVlL"'ES:::� �:-�:;� UNIT;PRICE. 'AMOUNT:
;.�, . .. ,,. .
- �= �
.�. _.r.-. , .;._..—''z
z r._ .__ ,
,.._,.,,.W,.°-_.�,�....�„ _
_...x_,_,t v -_.. .:.:... ....�,:.. ,. ;:.._._..._ -
, ... ,.�:.._ .>, ,,.<<:,. _ _ .�z.�._
�.s. S• =�:;.� -. - - - ',_�'-v »�`? - ' -
- �-- - --
,u,.4 ....1..�.n ._ .,.t.�.�....s_ .r.. �-..-�r..:-�.'_:.�^',n.:.._.,.. . " - r�4":.- _ _
�, _ '
.
� -'
.,
c.2
.s ."__ _ ._ ..." _ . ./d.._.-. _ �.-., ._. ..v.�+�'-s.. .. :�ij__.,..r�..'.1.="e!• _ _ _
ti
.._.� _._. .i . .. ._ .�_.,.+� . _n..4_4. ..... .... .... __. ..,....5= ,,..v�.�.Ri..__._. e:�� - _ _ -- _ _ '�'yr=' _ _ __ _ ` _
_ _"�'.",�.,.. �-,....,_�.��.+- _ _
-. -"r.�_.'^.:_•`s..N_
.:._•t.a._..__-f....,v,�z`'._-._.:•..1�� Y-:.-.—�...... _. -a,r.:-3i:'.. ':`r.
� �
_..._..__._.,.........._..._.__......._..��'_".._.._.._....._.....__._•__•__�.._'_"....._._�..��_.._.....__...._...._._..�.._._.�.�_.__.._._�_�..`�
� 2 A29.� � % �e�v � W._`�___ -----£ ____._.'.._.._ __�� G�
S�w. A�.r � T � �
� �
' .z , v�z ��� '�avv / � S L£ rJ�v ' T � �
T � �
� _ Gv c ' � / �.� / � �
'� I I
C N Q+/� / �
I L < < �b e�7 �L -` C f7.l�N L rJ,�I I
i i
i
' i i
�., . ,._ . :�,..._ ._.__ _.___ . __ i i
�S' .F'� _ __� ':I:' -_- _ i.4�: :'_�._ - _ _ _ '��'�::.:`C.
- _'I s'«��� _ _"_ ':t"_:.-t`> " _
.-:.��:�--_ -_ �;;;;� �%REEOMM�NDATIONS•- _- - - =r � i
�;��_>�>: _ : - - - - - �
'r�°-
- =.r'�v - - -
- - - - - �
G
- v.':r..F--:r
��-� - - . L
�:��-� - - �.� c.
.f-- - - `�•` - - -- - c/1�v T .� /J £ � �
- - - - - "-.Sr -- z"�,�:» .",_ _ "_ _ __
_ -'�M_�;i.:- _ - _ ;_v>"- _ - " - - - I I
�Anrnial;'Maintetiance�Reeommended°ti"�AIi;E?uiv ment`Manufactucers:�:.:'.
3.--.».,.w.,....:.:;.�>,,:,,_«.�::_-,;.:=:,t = - - - - _ _ --- -
.....:..... ...: �Y
. �:.-.,�r.-s::;��:.;�_--_-;'�",_-�.�;=-��':_.�.....,. . �,�,.. Pressures Lo HI TStat i i
:�._
_ .,_.�•,-_._--_.-�. _ _ � _.
- - - - :y:�� _ _ _ _ .- - _ -.�,�;�-�-_- -- _--�:;�: __ _- - si:�==:='= i
__ '"__ ___ F:n313� _- _= _ -i:..f' _ _
�2;� `:fiEFRIGERAS�LT:R-`=- - :t:BS.:_:'-tr =— = 'rltis.`:� - - °-�
�;�:�`%';.c. »-�_-;�:��%SPP, --'(°��;='�•: I
_ - ' -- - sa.x�� --- �,f-- ,.t',,.,:Ti':" -
,:i'� .�9-� 3=
FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly � �
���'�<,..r}�':�_,9:'�-..;�.---r'�iF�=�,s,i��-r..s.-:�'=. .s;:s„-.,-;_
❑ REGULAR ❑WARRANTY =;'�;�.%r�;;;r�TAL'SCJMMARY���' "__ _
.:--.:. �,-:,-�._.-,...:_.,.-::_ ._. -,:.._.. _.-_: .:_-.... ��'r __- ;T`���x-_--= - - _
-�DehutraidisfafiSettings:�,When here"ON°:iWhen Away 6�;:;-';T-Stat 804� ❑ MAINTENANCE CONTRACT ` r �
y>.,>,. - - ��� - :,,s:- -- SERVICE i
, . . ..,- ..
:....
,.-.-:.....,:.-_->..,..::.�.-._.....;,:.:�;:., - .;: . -
,P � e4 P t rranted by the manufacturers' _ __`•�°'�':'-i_`�'�
LIMRED WARRANTY: NI materials arts and ui men are wa '�- - = � � � ��' ' f '''-i t""�-- CALL i
��:���=s;�`��'.`i�•METHOD'OF�frAYME�;F=`%<:�`�.;w::�;;;v
orsuppliers'written warranty only.NI labor performed by the above named company is warranted for '-"'�"'=•''-- =��'��'�"°'�'-'=�'"� '=`-'�-'�"�'u�=�==�-;����°
30 days or as othenvise indipted in writing.The above named company makes no other warranties, 0^CASH ❑CK# TOTAL i
e�ress or implied,and its agents or technicians are not aufhor¢ed to make any such warranties on MATERIALS i
behatFofabovenamed company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authority[o orEer the vrork outlined above whidi has been satisfacton'ly completed.I agree that Seller
PROG. W! C �
retains title lo equipmenUmateriais fumished untii final payment is made.If payment is not made as agreed, C��M# �
seller can remove saiC equipment/malerials at Seiler's expense,My damage resulfing from said removal shall /� p
rrot be Me responsibility of Seller.NET 30 DAYS.A 1 112q SERVICE CHARGE WILL BE ADDED MONTHIY TO �G�(f CN� (/'O� �
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: T� �
_ ;} �
" ����c �du TOTAL �� o�
C t . � �' . e.r . •. • • DATE '