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Home My WebLink About15-16756 ; CITY OF ZEPHYRHILLS . � 5335-8TH STREET ' �si3>�so-oozo 167•6 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16756 Address: 6833 ORLO 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: VALLEYDALE RO ASSOCIATION Est. Value: Parcel Number: 03-26-21-0170-00000-0620 Improv. Cost: 6,900.00 OWNER INFORMATION Date Issued: 11/18/2015 Name: BATHURST RICHARD LAURENCE & ELIN Total Fees: 70.00 Address: 7010 FULLER RD Amount Paid: 70.00 GREENVILLE MI 48838-9227 Date Paid: 11/18/2015 Phone: 813-783-9998 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES SEABEE C AND HEAT IN C CHANGEOUT 70.00 � � ^ 2� �-t � � L � Ins ections Re uired � DU T IN TALLED DUCTSINSULATED / FINAL ��`.Z ^� � 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 pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � , �r �� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , . 813-780-0020 City of Zephyrhills Permit Application FaX-s��-�eo-ooz� Building DepaAment Date Received phone Contact for Permitting ��-r-r� -rrr a Owner's Name �� ^ a�� L� "{, Owner Phone Number �� 0�r ��/u Owner'sAddress '7b�D ��[,l�ei2.- r2� ��re�Y� .��"t�WnerPhoneNumber � Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � O/�D �/ • LOT# � SUBDIVISION L PARCEL ID# �-�b-a I-o f�o� �"""V' �O (OBTAINED FROM PROPERTY TA7(NOTICE) WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN � Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �� I LV� � v- iL�C'(N-�lEf,��l�(� BUILDING SIZE SQ FOOTAGE� HEIGHT � U �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ ,�/�I �MECHANICAL $ Q VALUATION OF MECHANICAL INSTALLATION ��, r � �GAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address License# � PLUMBER COMPANY ��, SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y( N FEE CURRE� Y/N Address � License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllltlltlllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large proJects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construclion. Directions: Fill out application completely. Owner&Conlractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) i " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITIING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 1 r NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. 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 faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that ali work 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 indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"wili be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, welis, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technicai codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. ' 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 Y R NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTO . Subscribed and swom to(or affirmed)before me this Subscrib d a d s n or r , t 's by �bY ' Who is/are personally known to me or has/have produced Wh is/are personally known to me o has/have produce as identification. as identificatio . \ Notary Public Notary Public Commission No. C mission No_� O �� Name of Nolary[yped,printed or stamped Name of Notary lyped,p inted or slamped 2ot�Y p:B`,c LINDSEY BASSETT * * MY COMMISSION#FF 063303 EXPIRES:October 15,2017 ��7lFoF�p?��e BondedThruBudgetNotaryServices , °° ` `�� eab��:e�=;�A��.,�8z� ��e�at� ��In.c:� = � z�0-7� ��w�� . , . _ � . .. . .. . .� , . . .��leut, u�ee�,�� . TO.LL:FR'EE::855-8�3_-25.55 cca.oi}: : � -'a�� MAIN OFFICE �NORTH OFFICE � � 7924 Rutiilio Ct 6896 W:Graver Cteveland Blvd. 9 New Port Richey,F,L 3.4653� Homasassa,:FL.34446 �.Can po�„ NAME_/C,�G�'�Q ..� (��-/n/p�.�'�f'f'/.(�� PHbNE �I3 7�3"/7/"GS' �DATE I�L9—��i.'�'� ADDRESS ��33 ,Qi�L-�7 EJI2 MECHANIC �7' CITY��lC.Ls COUN'�'I',,�,�t�� Z1P 3�I1 CUSTdM£R iV4. JOB LOCATION PHONE SERVICETYPE�IlC, EQUIPMENT MFG. STYLE MODEL NO. UNIT 5/N �OMP S/N NATURE OF INQRKTO BE DONE JOB CQMFLETE? YES � COST SOURCE QUAN. � DESCRIRTION PRICE �ITEM 'COS7 � HdURS CHR�RGE Tf.l�/� L is/�?— �''dt'•`� tie rt r -�7.� w,�.-s �"'=57�}-T' �4 .� �P� We ValueThis Opportunity ta 5erve Yaut EXECUTiVE SAViNGS SEE BACK OF THIS TICKET FOR SPECIAL INFORMATION,AND PR46LEM SOLVING. AGREEMENT:dI5C0UNT -. Aii electrical parts'are non-refunda6le.=' � .SUB roTA[ �D4� � Customer"requesf�ce ceme�nt�rather:than` ` irs for d'ependa6ility and/or.efficiency. ' TOTAI BILCING . �,� Custamer Signatur ` AMOtSNT COLLECTED '•. ��d-aiO MAKE CHECKS PAYABLE TO SEABEE BALANCE DUE `�-,,,,, �USTOMER SURVEY PLEASE INITIAL PARTS WARRANTY 1_ Was the representative clean in appearance? Yes '.=No Ail parts�as�recorded are warranted as per_:. 2. Was the representative hefpful in answering all your questions? Yes _:;No manufacturer specificafions. " � . 3. 1�J�s the service performed in a professianal manner? Yes _No 4. Did the representative fui(y explain the services perfarmed or an}7 additional LABOR GUARANTEE services to be performed in a prafessional and non-pressuring manner?. , Yes .No The labor chaige as recorded fiere �elative 5. Was the work area IefC neat and clears? Yes _No to the equipment serviced as noted, is 6. Wauld yau recommend to your friends,relatives and neighbors? Yes �Na guaranteed for a period of 30 days. � 7. Overall,haw would you rate the valua you received from Seatiee AC,&F1eat,;lnc? � Customer agrees by signing thar Seabee AC ExCellent Good Fair Poor � IIVT'S &Heat,'Iric.will'not be held responsi6le for � any molcl•or mild`ew damage.� $30 CNARGE FOR RETURNED CHECK Gustomer atso agrees that it is- their Warranty on thermostau is only one year.War2nty as outlined is fattory warranty in addRion to warranty pffirrtyear.Normal servite hours Mon.thru Fri. COS�Of751IJ1Ill'y t0 check and main#ain their 8:60 am to 5:00 pm.Warranty service at other times wil)incnr additionai cost This can not be modified u�less signed by corparaYe office.Aii accouau due• :�jCBlA 1in25 4n d f8gula[�.7d515.52d�.f�@ AC& uponreceipz.AfinancechaegeofPh°opermonthwiEtbecfiargedonaltbala�cesover30days,plvsanyattoeneyfeesandlarcovrteosuincurred.Totaltiabi2- ' iry of this agreemenx is face value with attorney fees not to exceed 10%.All paymenu must be made to Seabee AC&HeaG�nc.No warranty an drain Ifnes, H0at,111C.will not be field responsi6fe for any thaveauthori toorderthework,whichhasbeensatlsfactorii rformed,asoutiinedabove.itisa reedthatihesetlerwittretaintit(etoan damageresultingfromawaterleak. tY Y i� g y equipment or materiat tfiat may be fumished unfii{�nal payment is made,and'rf setilement is not made as agreed,the setlet shall havethe right to remove same and the Customer understands that after lanuary sellerwillbeheldharmlessforanydamagesresultingkomtheremovalthereof. '�, 2010, manufacturers C�t1 110 longer use You ase not obtigated to pay any meney u�less you siga thls tonVact and return it to the seller. refrigerent R-22. BUYEftS RIGHTTO CANCEL Customer agrees that they are responsible for This is a home solicitation sale,and if you do not want the goods or services,you may cancel this agreement by providing written nptice to the upgrading existing eledrical to code. SeIler in penon,by tetegram or by mail.This notSce must indicate that you do not wanc the goads and services,and must be de(ivered or post- marked before midnight ofthe third business day after you sign this agreement Ifyou cancel this agreement,tha seller may not keep all or part of ary cash down payment.Receipt of the foregoing Buyers Right to Cancel is hereby acknowfedged on#he date listed at the top of this agreement. ,/� ` J�G� d _�"'� Customer's Signature��7��kk ��] �;��tsL1l„�j " Date_,,�/?�� 4 r ss�� u � ��Zf.� Q��d'x�GG[�C� �tl� d.�'LG�P. ly4�.� CAC181S493