HomeMy WebLinkAbout15-16839 CITY OF ZEPHYRHILLS
5335-8TH STREET
, ` (813)780-0020 16839
BUILDING PERMIT
PERMIT INFORMATION � , �-� � - - ': ` LOCATION INFORMATION
Permit Number: 16839 Address: 4850 TH STREET
Permit Type: MECHANICAL HYRHILLS, FL.
Class of Work: A/C CHANGEOUT Townsh' : Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14-26-21-0010-02400-0150
Improv. Cost: 3,400.00 � � OWNER INFORMATION. - �
Date Issued: 12/17/2015 Name: HI LC
Total Fees: 55.00 Address: 6 6TH ST ����L �
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-1675����� /
Date Paid: 12/17/2015 Phone: 813-782-4409
Work Desc: A/C CHANGE OUT 2 TON
- - CONTRACTOR S � � APPLICATION FEES `
BAHR'S PROPANE GAS &A/C, INC. i4/C CHANGEOUT 55.00
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� � � � Ins ections Re uired� - ' � � � � �
D TS IN TA 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
��
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813aso-ooxa City of Zephyrhills Permit Application Fax 813asaoaz�
Bullding Department
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Date 12ecetved Phane�.Contact far,Parmltttn �!� �t� — G� Y'�,�
4wner's Name l �r�1' �i YN� '� s� �'.Of Owner Phoae Flumber ���^�a�
� � Zl T .
Owner's Address � � - � .� T Owner Phone Number �� ` �
Fee Sirrnple Tltlehold�r Nama � ' � Owner Phane Number '� " �
Fee Simpte 71tleholde�r,Address '
JOB ADDRES8 LOT# C�
SUBDIVISION ; � � PARCEL ID# - �
, . (OBTSINED FROM PROPERT1f:TAX NOTICE)
WORK PROPOSED � NEW CONSTR ADDtALT � SIGN` Q Q pEMOL,ESH
INSTALI. REPAIR •
PROPOSED�U3E Q SFR Q COMM ` Q �C}TFiER ' `
TYPE 4F CQNSTRUC'1'ION Q ' �BLOGK " [] FRAME �� $TEEL ,�Q
DESCRIPTION OF WORK L ,3 Lyl�✓ d,,ipT f/�rs
BUILDING S�2E �� � SQ FOOTAGE��, HEtGHT�-��.�
�B���d���' I- . � VALUATION"OF'TOTAL COI�STRUCTION
, .J
QELECTRIGAL _� � AMP SERVICE Q PROGFtESS ENERGY Q W.R.E.C.
QPLl1MBING $ ' � �cj,`��
,��� , � �
�MECFiANtGAL $�j���• VALl71�TION C1F MECI1AidIGAI!h!S'i`ALCRTit3N -
� 7 �
(�cAs [� �ooFis�� .p SP.ECIA�TY Q o-r�E�
FINISHED FLOOR ELEVATIQNS ��� FLOOD zONE AREA . QYES NO
-_ 3.
BUFLDER COMPiAN1tA. = . `
SIGNATURE REGISTERED Y/ Pl � FEE CURRE� ` Y/N`
Address � License# � �
.. . , � - ' .. ,.
EtEGTRtC1AN : . -=GOMPANY' � ' `
SIGNATURE '�` REGISTERED Y/ N FEE CURRE�� ' '�Y/N- '
Address . _r.. . Lfcense;#:If � .�� �
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PIUMBER CCiNtP1�i�lY ._ � . - ,,; . .
SIGNATURE' " ' , u REGISTERED� � Y:/,.N�. ,�FEE;CURRE� '.�. Y/N_ :.,
Address . ircense# (•. �. - � �
MECMANtCAL` ' , ,����..._ .__ , . Y CQMPANY `,-����5 ,�t.o. A!+G L G,dS G s/
SIGNATl1RE REQISTEREn Y,/ N , - ,, FE CURREP Y,/�N -
Address� ` ' � � � . � - License#' _G�r-.a f.,,?9 %� �
_. , . ,.
oni�� . � . . s con��Au,r� _ .
SIGNATURE � � '� � � ` ` ' " ' �REGISTERED Y/ N>.� FEE CURRE� Y/N.
Addres�, „� � _ � � ' License#�� � �
RESIDENTIAI;,: _••l1#tacti{2j,Pfot.Plarts;;(2}set"s,of'Bultiling?Plaii`s;{1}"'s`efof�Energy=Foiiiss;R=Q=W Peripitfar new canstruction, �
, ..� Minimum;ten:(�1.0)�working;days,aiter subriilEtal`date.�,R'equlred onsite;�ConsttucHon-Plans;�Stortnwater'Plans w/SilYFence fnstalled,
`�A��Sanit'ary Fadl(tles,&s13,.;dumpster,xSite.YVor1c�P;,ermit fnrsubdivisioi�s/largiatproject�s _ � ' � -
,���
COMMERCIAL Attach(3)�cbinplete�set`s of'Buflillisg`Plans plus a"Cife Safety Page;('1}set af Energy�Forms.R-O-W Permit far neuv c;bnstruc8an. _
Mtnimum ten(10)working days'efter subtnittal;date. Required onsite,ConsUuckion Plans,-Stormwater Plans wl Silt,F,ence installed,
Sanitary.Facilitles&1 dumpste�,�,ite Woric Permit for all new.praJeofs::Rl!commercial requlrements.must meet comp!lence' :'`
StGN PERMiT Attacti-(2)'.sefs of'Engineereii:F'�a�`ys.. ,:..;;�. . . . _ .
"""PROPERTY SIJRVEY required for all,NEW construction.
Directian�: , ;�, -` � - -
F(U out applicaUon completely. '! �` ` '
Owner&Contrackor sign badc af appticatton,notarized ' � ' , , �
if over�2500,a Notica af Commencemeqt is,�uqulriad. (AlC ap'grades ovar 57500) � � ,
�t .,. � .._. ,.. , . ,,.._r.:�i•.1 ..
,�.:v+2'.". �� � .
'" Agent(for the contracEor)or'Power of`Attoiney f for ttie irnnmer)iivould be someone with notarized letter from owner authorizing same" �
� ' .
DVER7HECOUNTER,PERMITfiNG:..' '- :(Fron�of'APplication-0nly);;�; o: .�� ,� ` . .. - _ �`1.,,s...:,�-.+,w..v.h__« .,. _...a
Reroafs if shingles Sew�rs „ Service Upgr'ades,:�%C :'Eence§'(PIoUSurveylFootage) ^ ,;- �- „-,,:: ,...., -, �K�� = �
,,..� �.:�;. �,,,. ...� _ ,. ; , . .�.., ; .
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i. ;. '�:5�cs;': � t .�.
Driveways-Not over Caunter if on.pubtfc roadW�ys.,neei�s,ROW�, i . - - •. � .. ,.,.. . G��..,:.. �y`s,�r�
• _ .��. ..x.s. ..-w-..�1:.t �...v, e. -.. . . .-,v.__.,-....,.v,-.�....�n,c�_ro.r.- y .,r.�..e++. _....s..t
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NQTiGE O�.DEED RE8TR1GTfi0�IS: Th�e'unde�sigaect.undergtan.dsfth�t�thls.p�rmlfmayt:be:sab�eat.to,"deed"�restric�o�is"',R(. '_ _.
.. , . ,� . . .
which may;be,Imor�=restiractive>�th���County-regr�tat�ons:''TNe�:underslgned��as`sumes responsitiifity;for co�npliance�ith any
appNcabie deed�re�Mc�(ons. ��: , • � • `4 ���.• �, .'��.,��'�•x _ � � a� � ...,� � ... . , _.�
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UNlICENSED��C�NTRACTORS>AP�D Ct1NTRACTOR RESPON8IBILITlES: �if-tt%e°owrier;ha$-fiired';a ;coratractar or
contraotors to undertake work, they may,be.:req�rlre,d,�to;be::.licensed,In;accardance.wiW�state.at��_�local.'egulatlon'.s: :If`the�� � ��
cantractor Is-nat�Itceiise� as requlrecf:tiy law, bott�#he ovmer ar�#scoitt�aatot�r�iay►.-bej-ctted�for a-�mtsdezneanor vlo�atton
under state law. If the awner or intended=;con#ra�tor;are:;uncertaln as to.what Ilcensing;requlrements�may�apply`_for:�the'�L,-: --�-�• �
intended°wark,they are,advlsetl to contact:tfie.Pasco-County Bullding`Inspectlon,Qivlslon--Llcensing Sectton at 727-847-
8009. Fur#liermore, if the ovirner'tias tiired a�con�ac#or or can#ractors. he is aiivtsed to have fhe cantractor{s},,�ign,
-•.��'^..r r� , . , .
portions of the "cantractar Bloak° of..this..application,foc.,which.they, wlll.be responsible.$. It-yau, as-:#he owner sign"'as"tfie `
contractor, tha#�may�b�an indi�a#on`that'�ie 1s=iio#°:prope�jr Ilcensetlry�anc! Is rio#entiNed`tc� pertriltting prfulleg�s In Pasca
County. <;:;«��.,;.� .
?ltANSPORTATItlN�lMFACTIUT!lITMES�I�YlPAG'�AP1�RESDURCE REC�VEltY��EES:��T�he undetslgned ur�derstands
that Transpartation Impact Fees,and.Recourse.Rec�VeryyFees may,appiy_;tv�the;construction,of new,buildings�?change Jofi��� ''��=� ��
use in existing bulldings,��'or:expansi�in��of-�exlsti�i��abuildings, as speclfled.in Pasco County Or"dinance number 89-07 and
90-Ot� as ame�tied.�...The undet�slgned aisos:understands; th��.�sucl�fees;�,as�,�nay►�be::.dt�e,.�+ltl�be i�derit�led at the==time°of,�;; �,-� ` ;
permitting. It is iurtfier understood that Tra�sporkatlon Impecti�Fees and�Resour.i�e�Reco�e"ry�Fees.must be pald priar 40
fieceFving a"ce�#i#ica#e-of accu �n .... .. .
P �Y"°or final��power>;�elease. :IfVEhe prctj�ct:,does�not Invoive�a,cert�tcate of occup�ncy�or`.<.-�Y,,. '- �
final power retease�'tlie-fees mu�t tie�pald.ptlor to,;permlt issuance. F��thermore;If Pa�co�.Couniy`1Nater/Sewer�lmpact ;{���,��
fees are due,they must.be-:paid�prior,#o..permit�issyiance°:In.accord:ance.wltli�appllaabte:P�sco��County,;o�dlnances. • .
CONSTRUCTI�N�GEN'I.AW(Cheptsr 713,Flot�da St�tut�s;°��s°arr,�ertded):,if,,vialuatl,on oftwark.:is,,$2�SOO.O.O.�.ormore, l .,.
aertify that I� .�he-applicant;-have.been pravided �wlth~�=copy of th��".Florida� �onstructton Uen °Law Homeowr�er's •
Protectlon Gafde" prepared by'tfie Fiocida Dep�rtme�t�of Agrtcutt�re and C�nsum�r:AfFairs. #f#he app[tcant Is someone � � . .. �
KY� � ; ' � PY: . � • :.7.�
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ather than the°owner", i cert #hat,,l:have,obtained"a�co of.tt�e.abQva.des.cclbe.d:�iocu�ent:,and'rp.r.omise�.ln;good:faithto . :
deliver It to.the.�:owne�"p'rior�to'�comritericement�''� ' ' - ' .
CANTRACTOR'SI�WN�R'S AFFIDAVIT: 1.ceit�iy,;tiiat:all..the�ai�ormetion:,in�thia apptication is accurate.and that all waric
will�be done in compliance w(th all.applicabie`law� regulating constnt�ctlon� zoning and.land��development. Appllcatlon (s
hereby made to obtaln.a.perin�t=,#o,do:woik�:and r•Installatlon as lodt�efed:�..=:1� ceittfjr that no work t:oa� tnstaita#ton tias
commenced p�lor to i's"suance of�a�p�rmit and that`.all work wlll be p�rtormed�to meet-standards-of all I�ws regulating-
cor�s#rttctlon, County and City ccdes, zoning regulationst and land devetop�ettt cegtata�ons��in the �uelsdictbn. 1 a#'so �
certify#hat I uadersfand that the regutations of other government agencles may�appiy�ta the.intended work� and that it is ,
my responsibility ta IdentN'y�what.act(an`s I must take:to;be.,in>oor�lp!lar�ce;,.S.uch agencles•Include but:are.not llmlted to: ��:
- Department of Et�vlronme�ital=�Protectton=Gypres�.'Bayliead�, We�and Areas and Ernrtrpnmentally Sensitive
Lands,Water/Was#ewater Treatment. "�" �
,. .:
- Southwest Ftor�da WaEer Nianagement: :t�3s#rict-Wells� CCyptess. B�y.�ieails; �Wetland Ateas� A1te�ing
VVatercaurses. -. � � ;
- A�my Carps af Englneers-Seaw�Ils.Docks�Idavigable Wa►terw�ys. � �
- Depart,ment af:Heaith�.&.�.Refi�abliitat�►e;.Servlces/Ernironmental�Ne�ith l�nit Wetis� VNastewater Treatment, � �
Septic Tanks:, �� � � � - , ,y ,
- US Envlronment�l Protectlan Agency Asbes#os abatement�.:
Federal�►viatton.Authority,;Runways: .' r �
!ur�derstand.that the,foNowang��cestrfctlons apply'to the use of flMC• �
- Use of�ti is not attawed tn:Flood,;Zone"V"unless exprassty permitted. `
- If the:flll'mate�lal�1s to`b.e-usetl_1n:Flood 2one. "A", It is under`stood that a dra(nage plan addressing a
acompe�sating votume"witl be submltted at#me of penmitting vv�lch is prepared by a pTof��sional engineer
Iicensed by the State of Flofida: � - � , . �
- !f the fiii material�ts-to-be�used in Ftnod �one 'A° It�4 connec�ion�vfrlth�a..�rermitted 6uHdtng using s#em walt
� construction, l certify th.at.flll:i�rall:b.e used only to.flli the area withtn�the•s#em�wa11.
- (f flll mateNa) Is to be usei! in anjr area; 1�caKify t#�at .use of'such flll wlll no! adversely affect adjacent
pr�perties. tf use af fil! fis found,to:adver�ely<�ffect adJa�ent�ptoperties,.the ovmner may be cited for vioYa#ing �
the condEfions.of the building;permit.lssued�under tlie°�at�ached,permtt application;for,:lots�.less,than.one (1)
� aare whfch are elevated tiy flll,a�t�ngtneered dralneg�ptan Is required. .
If I am the AGENT F�R THE OWNER, I;pramise In good fa(th to Infarm-the�awner of-the permitting condft�ons set forth In
thts affidavit"prtQc to,comr�eracing cons�ctlor�� t.an�lteratand th�ta-�s�parate permlt may be requlred�for electrical work, _
plumbing, signs;wef�s,.p+aofis;.air.conilitioi�ii��,:gais;`.or�o�i�er install�tions not.spec�tcally inctuded-�in.the.:appiication. .A . �,
permit Issued shail be constcued to be�a�lice►nse��to�proceed with`ttie work eniJ:not�as:authority�.to.vialate,�cancel, alter, ar
set aslde any�provlslons•.af:;tfte,tech�tEca!cade�;�nor shalt tssuance�of a.perrnit.pr.event#he eufldirig O#f�cial from theceafter '
. ,..�.... ,.
requlrin.g a cor�ectton df e,'rro�s In�,ptans,cvnsfivctidn or vialations of,eny codes. �very.p�rmlt lssued�sfiall become invalid
unless the work authorized.by such pe�mit:�ls.commenced�wltl�tn sf�c�moroths of perm4# i�suanas, or t#�nrork suthorized by
#he permit is suspended or,abar�doned,-for a;period;of s�C:f8)moriti�s:�fter,tiae;tin�e#he�wo�"1c>is commenced. An eactenslon
may be requested� In wrttirig,_ftom the;Building,OTflolal for a period�_not:to exceed�ninety�(90)days a�d will demonstrate
jus#�iable ca�ase for•#he extenslot�. 1#w+�rk.ceas�es:for nlnefy.{90}consecutive:day.s,..the Ja6��s.consldered abac�donei�:
WARNING TO OWNEi�; YOUI�.�AIl.t�RE.�TQ.[�E.GQEtD.A.MQT�IGE:QF.�CQMMENCEMEMT.�VFAY�RESt�LT IN'Y{}llR -
PAYiNG TWICE,FOR,II�IPRO,VEMEN`�S Tfl YOUR�:PR�PERT.Y.�i�°YOU,t�t'FEND�T�'C1BTAIN��FIPtA►wE�NG;'C.ONSUL.'f
WIT U . D Ald TTO O'.E,,, �p G;' pU ' ; �
- F�.��t��A-,�u�tt�'ed� .. .. . .,._ . . ; .. - _.._
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__--.._ .--- .�-- - - - --- ,_ _ . _ _ _ ., ___-- —��-- . --
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OWNER QR AOE �„ CONTRACTOR- .
5ubscrlbed and sNrom ta( mned}beiore me thls Subscrlbed and`sworn�ta(cf afllrmedpbss�� �
ey .by... -� -
IMio Is/are parsonelly knavm to.me or.has/have produced 1Nho.ls/are p.ersonally�cnown tu me or haslhave-produced - •
� s tdentlftcaBor�. as tdentl�catton.
t` , .
Notery Public Ndfary Pubflc
Co�n !o . "`" �••�a t�oinmi�s! . .
,.���`';A�Al;a��; dOEI E.$ACON '� `��;`�,':4ygGc. JOEL E.BACON �
:.• .: Commission#FF 137073
Name at " i►tf�ei�ard� 18 Neme Natary �; �Ac�r�29,2018
�`'.�p i c�°%� 8ortded Tiuu Troy Fain Inswanca 860385 70f9 �•�',Pi�.��'�' BnMad Tlw Troy Fain iniwance BUa385�7018�
�� �. /�i . ���, ��'-�' `T
AS Service Order/Proposal � � � �
� PROPANE GAS C Air Conditioning&Heating
' AND A/C iNc.
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WORK ORDER#/SERVIGEMAN 6374� E5E
DATE/TIME TANEN 11/1E,/15 15:56
TAKEh! RY SC �5
��f DATE/TIME F'ROMISED 11/17/i� 1�:��
`�O ` � ����•'-� -�/h CUSTOMER#/LOCAT I O�I � �E,c 14
� � � � F'HONE# � H/ 813-788-3�65 0
- � �y� CO�ITACT
.� . �, L����M�� ���-.���r`-, , � DAMDN LEPLANC
_�_ -,�_�,r ,.�a:�:,$ � ��i
� ���- �"-- �� ROUTE/SEG? . ESE-�IEW
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F � FAITHFUL FRIENDS
�` , � , -'�� — 5�:�1 8TH ST '
ZEPHYRHILLS FL• 3.?�54c ZEF'HYRHILLS FL�,,�,�.�4�
' MITSURISHI A•/�f MSZ-A1�NA
S/N $�►Zi4�`�'T .
. , NEED COND S/N' S
ID: 9J,��/�9 � ,
=STIMATE FOR A/C FOR THE AF'ARTME�IT U�STAIRS. 5EE DAI�tOhl
• ,�.�,�`A- - �DESCRIPTION:OF�WORK�� " � � " ., `" ' C1TY• ; ._ MATERIALS&.SERVICES",:, � , UNIT'PRICE "�AMOUNT
__.����������__�_____________��_____ _— __�._______—______________ __�J_�. __—_1_
r L o� �o r .l /S Tow G000 ,v ' °p
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'� ,r� -s �'lw,o v�v £1/� L/�v� ` � �
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G./ C r2 � £> � �
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f 2 0 ��o �O0�po �
- � � r REGOMMENDATIONS � , ' , ' � � '
- - _ . - .. i i
Mhual'Maintenance'�Recommendeii 6y.All>.Eguipment,Manufactur,ers. _ � �
..:. . � . � - -
Pressures Lo HI T-Stat i i
-.. _
• REFRIGERANT.R=' � 'CBS.,.: '� - $Perlbs... � - -1 - I
__ �_ _ I I
I FILTERS x x Changed Monthly I " I
, � ' FILTERS x x Changed Monthly � ,� � �
❑ REGULAR ❑WARRANTY ;.TOTRL SUMMARX , -
�Dehuniidisfat Settings`:When here"ON";�?When Away 60°�:::.T-Stat 8Q° ❑ MAINTENANCE CONTRACT SERVICE • _ �
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD'OF-PAYMENT : - - CALL i
or suppliers'writfen warranty only.NI labor perfortned by the above named wmpany is warranted for ' " �` TOTAL i
30 days or as othenvise indicated in writi�g.The above named company makes no other warranGes, ❑CASH ❑CK# MATERIALS i,
express or implied,and its agents or technicians are not authorized to make any such warzanties on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authoriry to order the work autlined above which has been sa[isfactorily completed.I agree[hal Seller
PROG. W I C �
retains title lo equipmenUmaterials fumished until final paymenl is made.II paymenl is not made as agreed, CLAIM# �
seller can remove said equiDmenUmaterials at Seller's ezpense.My damage resulting from saitl removal shall
�wt be lhe responsibii"M1y of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO �
ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED .
TECH: T� � �
i
CUSTOMERSIGNATURE DATE ✓11��1/(?L ✓oic TOTAL � 0�
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