HomeMy WebLinkAbout15-16730 CITY OF ZEPHYRHILLS
5335-8TH STREET
-; ' (813)780-0020 30
' BUILDING PERMIT
` PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 16730 Address: 39022 SOUTH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 13-26-21-0100-00000-0030
Improv. Cost: 3,870.00 OWNER INFORMATIO.N
Date Issued: 11/12/2015 Name: THEEL, MARY
Total Fees: 55.00 Address: 39022 SOUTH AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/12/2015 Phone: 813-782-0668
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATION.FEES
BAHR' PR PANE GAS& ,INC. C CHANGEOUT 55.00
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� Ins ections Re uired �
DUCT INSTALLED
DUCTS INSULAT D
FINAL �Z - ���,T
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 properly 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 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
_ .,
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
L s��-��o-oo�o City of Zephyrhills Permit Rpplication Fa�c 813-78Q-0021
' Building peparkment -
:
Date Recelved Phane.Contact for Psrmlttfn D r3 �Gl v� - ����
Owner's Name E�L- Owrner Phone Number d�� " ���-�8
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Owner's Address ���c�c,�+ p�~T� ��� Owner Phone Number �� �
Fee$Imple TlUeholder Name � � Owner Phane Number �� �
Fee Simple Tltlehotcler Asldress
JOB ADbRESS � `�a�v� �OGC �V� ��'' dJ f�/�7��L�S ��, L.OT# C_�
suBnivisiaN �� � --� PARCEI.ID# � �� `r�I �G�1�6 �d"G�� G���Gf
(OBTAINED FRQM PROPERTY TAX NOTICE)
WORK PROPOSED , e NEW CONSTR�ADD/ALT � SiGN` � Q DEMOLISH
INSTAt�� REPAIR
PRdPOSED USE Q SFR Q COMM � CiTFiER
TYPE OF GONSTRUCTION Q BLOCK ' C] FRAME � STEE� Q �
DESCRIPTION OF WORK �6� �.� e-D�� �� /o� � ��-i �✓�NT"
BUiLD1AiG SiZE �—� � SQ FOOTAGE� HEIGHT C�,�
QBUILDlIVG $ •f_."---� '
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL . , �� AMP`SERilICE [� PROGRESSENERGY Q W.R.E.C.
QPLUMBING ��--�
OMECHANICAL , �$ � �j s�� D� VALUATtON QF ME�FiRNICAL INSTAl.l;4TiON
L�. � +�;
�JGAS Q ROOFWG Q SPECIALTY Q OThtER
FlNISHED FLOOR ELEYATlONS � FLOOD ZONE AREA QYES ' NC?
SUILDER CBMPANY
SIGNATURE REGlSTERED Y 1 N F�E cu��n Y J N
Address Lirsnse# � �
E�EGTRICIAN y COMPANY
SlGNATURE REGISSEREd Y 1 13 FE�CURRER Y I N
Address License# � �
._.,
P�UMBER COMRANY
SIGNATURE _ aE��s7�a Y/ N FE�cu�r+ Y!N
Address f._ff —. License# � �
MECHANIGAL G���� ~ COMPANY �}7f/`� � �'Y> f�/v+�L � ��it�
SIGNATURE REGISTERED Y.! N ��GU� Y!N
Address ���I �i1c� ��/I -� �.���% License# �l-�G''D 11'�.���� �
OTNER COMPANY
SIGNATURE REGlSTEFiED Y/ N_. FEE GURREP Y 1 N.
Address Ltcense# �^!�
RESlDENTIAL� Atkach(2)Plot P,lans;.(2)sets:of Buililing Plans;{1)set of Energy�Forms;R-O-W Pemrit for new construction,
Minimum,ten(•10).worlcing,days:aftet.submittal date. Requlred onsite,Canstivctlon Plans;Stormwater Plans w/Silt Fence installed,
Sanitary Facilides&�1,,dumpster Site Work,Fertnit far subdivisionsAarga projects �
COMMERCIAL Attach(3)coriiptete'sets of Builiffng Pians pius.a Life Safety Page;{1}set of Energy Forms.RA-W Permit far new construction.
Minimum ten(10)working deys after submtttal date, Required onstte,Constructlon Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facllitles&1 dumpster.Site Work Permit for ail neinr proJec#s.All cammereial requl�ements must meet compllance
SlGN PEI2MIT Attacti'(2)sets ofEoglnee[ed�l?ians. � -
"""PROPERTY SURVEY required for all NEW construction.
Dlrections: '
Ftll out applicatlon campletely.
Owner&Contractar sign back of appltcadon,notarized
If over�2500,a Notice of Gommencement is required. (NC upgrades over aT500) �
" Agent{for the contra�ctar)or Power of Attomey{for the awner}would be someone with notarized letter from owner authorixing same
DVER THE COUNTER P�RMITCING (Front af Appiication Only}
Reroofs if shingles Sewers Service Upgrades A/C Fences{PtaUSutveylPaatage}
, Driveways-Not aver Counter if an publia roadways..needs ROW
�I
NOTiCiE OF DEE�RE�TRICTIOPIS: The undersigned under�tands=tfi�at this.pprmit.may be,sub)ect to"deed"restrlctions"
which nnay be.more�resteictive•than Coursty regulatlons. �The undersigned assumes responsibility for carnpliance writh any
applical�te deed restrlcttons. � •.� -
UNLICI_NSED GONTR�ICTCIRS AND CONTt2�►CTOR RESPONSIBIO:ITIES: if the owner has hired a cantractor or
contractors to undertake work, they may be requtred to be:Ilcensed i�accordance-wEth stat�.a�cl�local regulattans. If the
cantrac�tor is no# Ifcens�d as required by law, bath the awner and contractor may be cited far a misdemeanor viotatian
under stake law. If the owner or Intended contractor are wncertain as ta what Iicens(ng.requlrements may apply�far�the
intande�work, #hey are advtsed to contact Ehe Pasco County 8utlding Inspectlon Dlvlslon--E:Icensing Section at 727-847-
SOQ9. Furthermore, If the owner has hlred a con#�actor or contractors, he is advised ta have the contractor(s) sign
portions of the "contractor Block° of this application tor whiah they wlll be responsible. If you, as.fhe awner sign as the
contractor, that rnay be an indication that he is �ot.praperiy licensed and is not entitled to psrmitting privileges in Pasca
County.
� i'RANS�PCIRTATION IMPACTIUTIi.ITlES IMPACT f�N1}RESOURCE RECOVERY�EES: The understg¢�ed tanderstands
�; thatTransportakbn Impact Fees and.Recaurse Recove.ry.Fees may�-apply to°the construction of new buildings, change of
use in e�xisting buildings, o�:expanslan.of=�ezisti�g`�buildings, as speclfled In Pasco County Ordinance number 89-07 and
90-07, <<s amended. The undetsigned also understands, that such fees,.as�may�b��due,,will:be idenfified at the time of
permitting. It is i'urther understood that Transportation Impact Fees and Resource RecoVery Fees must be paid prior to
:i rece�ving a "c�rt3ficate af occupancy° �r ftnal�power release. :If the�ro�ect.does a�at 1n��lve.a c��ttf�cate a€-o+r�up��cy-vr
- -final-power-release,the.fees"must"lie paid prior to permit issuance. Furthermore;•if Pasco County Water/Sewer (mpact
'' fees are due,they.must be-paid prior to permit-Issuance-!n aaaordance wttn appHcabte Pasco County ordinances.
{;
; CONSTiRUCTiON LtEN LAW(Chapter 713� Flor�da Statutes,a��mended): if valuation af work is$2,500.00 or more, i
�� certify that I, �he applican�, have�been provlded with a copy of the °Florida Constructloe► Lien Law—Horeieowner's
Protecticm Gufde" prepared by the Florlda Depa�menf of Agricu[#t�re a�d Consumer Affairs. If the appticant Es sameone
�� other th��n the"owner", I certify that I have.obt�ined a oopy of the above..described docurnant and promise In,good faith ta
�,; deliver ft to the°owrner"prior.to�commencement: _ '
� CONTR��ICTOR'S/OWNEit'�A��IDaViT: i certify that all�the Informatt�n�in thi�appiicatian is accurate and that all work
' will'be do�e in compiiance with all applioable law� regulating constructlon, zon9ng and lartd development. ApplEcatlon is
' hereby rnade to obtatn .a permit to do wark..and instatlation as indtcated: '1 certtfy that no wark .or tnstaltation has
` commenced priar to Is�uance of a permit and thaQ.all work will be pertormed to meet skandards of all laws regulating•
� consEruatlon, County and City aodes, zon#ng regulations, and tand development r.egalattons-in the Jurlsdlcfian. t afso
certify that I ur�derstand that the regulations of other government agenales may�apply�to the intended work, and th�t it is
my resperoslbtlity to identlfy.what.actlons I must take ta be,ln:.car�pllance. Such agencles tnclude but are.not timited to:
- Department of �nvironmental Pratec�ion-Cypress.�Bayheads, Wetiand Areas and Environmentaily Sensitive
Lands, WatedWastewater Treatment.
- �outhwest Florida Vitater Management .t��strict 1Nells, Cypress. Bayheads; W�tland Aceas, Atfering
Watercourses.
- Army Corps of Engtneet�s=Seawalis, Docks, Navlgatite Waterways.
� - Department o# H�alth � RehablHtative 5eroices/Environmenfai Heaith Unit Wells, Was#ewater Treatment,
, Septfc Tanks. � _
- US Env�conmentai Pcotectlon Ageney-Asbestos abateme.nt.
- Federal Aviatlon Authority-Runways.
i underst�3nd Eha#the foilowing:restri+ctions apply to the use of fli1;•
- Use of fill is not allowed in Flaod Zone°V"unless expressly permltted.
- �If the fill material is to be used in Fload Zane. "A"� It. (s under'stood-that-a drainage plan addressing a �
"compensating vaEt�me"wil! be submltted at time of permitting whlch is prepared by a praf�ssfona! engineer
licensed by#he State of flor(da.
- �f the frll materlal_Es to be us.ed In Flood �one °A" 1��connectlon�wr�th.a perml#ted building �s�ng stem wall
� constructiar�, 1 ce�tify that fill�:w111-bs used anly.ta.�1�1 the area within the stem�wall.
- !f flll materla} is to be used In any areaf ! cettify that .use af such flll wll! not adversely affeot adjacent
properties. if use of fill is found to adver�ely:affect adjacenfi�=properties,.the owner may be cifed for viatating
the condikions af the"building,permit Issued under th��attacfied per.mit application, for lots less than one (1)
acre which�re�levated�by#�1E,an engineered drainaga plan is requirad. .
If I am the AG�NT FOR TH� OWNER, I;promise in good faith to inform the-owner of��the permitting conditfons set forth in
this atfida�vtt prior to commencing constructtan. "i understaiid that a-separate.permlt may be tequired for electrlaal wark,
plumbing, s+gns, wells, poots,, air conditioning,.g�s, or ather. instaitations not spec�flcally inciuded�in.#he applicatian. �A
permit Isstasd shalf be construed to be a'Ncense to praceed with the"work and not as:authority ta,vlolatet cancel, alter, or
se#aside��ny provEsfons o#,th�technical codes;�nor sha�l lssuance�af a.permit.pcevent the Bulldirig O#ilcial from thereafter
requiring ai correct(on af errors In.plans, construction or violat(ons af any codes. Every permit issued shall became invalid
unless the work authorized.by such permit.is commenced wlthln s€x manihs of permlt Issuance, or 1f work authocized by
the permit is suspended or.abandoned for a.periad of six(8)months.after the tlme the�work is commenced. An extension
may be re�quested, In wrlting, from the Building,Official for a period not#o exeeed nlnety(9Q} days a�d wlll demonstrate
jus#ifiable cause fbr the extensior�. tf work cea�es for n�nety{90)cans$cutive days�..the)ob is consideted abandvned.
WARNING TO'QWNER; Yt)UR FAflURE-TA.,REC:Q�tD A.N4TIGE OF�COMMENCEMENT-NtAY RESUL:T IN Y�UR
PAYING TWICE„FOR IMPROVEMENTS TO.YOUR�<PR_OPERTY:;IF�YO.El�IN'FEND�TQ=OBTAIN•PINFANCING,'CON9ULT
1fY1TH YOU`R � DE A AT70R� EY•B FORE.RECClR�? ��y OUR� t!��C ` � � E .GE T�
�lOf2lDA Jt1it11'�(F, {.1.17.0 } �' -• , � c�
OWNEl�OR/\tiE[dT OAlTRACTt! -'"'tv`"'.•`(/ �-�„"."„`,
Subscxibed arad swom fa(of flirmed}before me this Subscribed and'sworn� or affirmed)�befare me�ttits
_bY__._ .by .
Who!s/are pei�sona!!y kn Tto.me or has/heve produced Wha.istare p.ersonaity ki�ow�:tt�me,ac hasfisve-praduced
as identl�callon. as tdenUflcaUon.
Notary Public Notary Publlc
Commtsslon No. Commisslon•Na.
IVart�e af Notait±/typed,pdnted or s#amped Name of Notary fyped,pdnted or stamped
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I � �� Service Order/Proposal
AND AIC tt�c. Air Conditioning 8�Heating
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Sales, Service & Installations p�-�-F�-�-�;�:;�: �-���,,�-fi,� � ���,�,.,��� ,�,���;�
4441 Allen Rd. • Zephyrhilis, FL 33541 �-r�����► i;�� �,T�i tn�
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FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly � �
❑ REGULAR ❑WARRANTY - �%::'"�.i°�,TO�AL;SUf1AMARY�:`'=';"_:;,;<;_:
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Detiuinidistat;Sgttings;"iWhen here"ON":�When Away 60=,'`;T�tat 80°= ❑ MAINTENANCE CONTRACT`- ' SERVICE`Tr. _ !V„i� , �
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_IMITED WARRANTY: NI materials,parts and equipmenf are wartanted by the manufacturers', _ -_ -;,:r�yME'f'HOD=:QF=PAYMENT�:=':�;�`:sF�,.;;;� �
�r suppliers'written warranty only.NI labor perfortned'by the above named company is warranted for �'-n�"''`�"'"_'```;"'":r''"" ,'^�:','�-'.�.;�=--=,�:�_:-:�_;;::.�
)0 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i
:xpress or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
�ehalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
'� PROG. W / C �
have authoriry lo order ttie xrork outlined above which has been satlsfactortly comple[ed.I agree that Seller
efains title to equipmenVmaterials(umishetl until final payment is made.If payment is not made as agreed, C�M#
;eller mn remove said equipmentlmaterials al Sellei s e�cpense.My damage resulting from said removal shall /'Q �' //�''�P�I D�
iol be Ne responsibility oi Seller.NET 30 DAYS.A 1 12%SERVICE CFIAF2GE WILL BE ADDED MONTHLY TO ` � �._��_��
aLLUNPAID BALANCES OVER.30 DAVS.NO REFUNDS DATE COMPLETED
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USTOMERSIGNAT; DATE TOTAL _`� /���' )
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