HomeMy WebLinkAbout15-16840 CITY OF ZEPHYRHILLS
5335-8TH STREET
:
(813)780-0020 16 0
� � BUILDING PERMIT
PERMIT INFORMATION � " LOCATION INFORMATION � _ -
Permit Number: 16840 Address: 5221 8TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16700-0110
Improv. Cost: 7,465.00 OWNER INFORMATION
Date Issued: 12/17/2015 Name: C & R HOLDINGS OF ZEPHYRHILLS
Total Fees: 75.00 Address: 5221 8TH ST/38501 4TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/17/2015 Phone: (813)545-0485
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S � APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00
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� ' Ins ections Re uired _ -
D TS INSTA ED
DUCTSINSULATED � _�
FINAL � �- I -/ � �
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 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.
���� �
CON CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-reo-oo2o City of Zephyrhills Permit Application Fax 818-780-Op21
Butlding Qepattment ��Z ` �� j 2,
/�
Date Recelved , `� > Phane-Contac#for:Permtttin �� — CS�•!•�
Owner'a Name �JO ,�r �� D Ow»ar Phone Number ,,,�_,,,��
Owner's Address l a�� r� T Owner Phane Number �
Fee Slmple 7ltleholdeeName �� � Owner Phone Number '�— �
Fee Simple Titleholder Address
J08 ADDRESS �/Q�l LOT# C_�
SUBDIVISION , �� � RARC�L ID# � � >
- (OBTAINED FROM PROPERTY TAX NOTICE)
WORIC PROPOSED • NEW CONSTR ADDIAt.,T [,� S1GN" Q C] DEMC?I:ISH
INSTALL 8 REPAIR
PROPQSED�USE Q� SFR Q COMM C,� OTHEFi
TYPE QF CONSTRUCTION Q BLOCK ' [�] FRAME [� STEEL Q
DESCRIPTION OF WORK G � �
BUtI.DliVG S1ZE � � SQ f007"AGE�-.-�_ . HEEGHT _C_.._i�
QBt11GE}ItVG ($ , � .�._. « _-: _ , . .
L VALUATiOtV"OF'TOTAI CON31'RUC'C{ON
QE�EGTRIGAI $�'— ' � AMP SERVECE Q PROGRESB ENERGY [� W.R.E.C.
�
QPLUMSING $ � f ��
..�� 6��
Q �O � VALKlATtQN OF MECHANICA�INS'TALLATION.
MECHANtCAL $
31�0 -
C]GA5 C] ROOFING .[� SPECIALT,Y. [��] QTHER
FINISHED FLOOR ELEVATIQiVS �� FLOOD ZONE AREA QYES NO
e�u��.��� co��A�rr �
SIGNATURE REGISTERED Y/ N FEE CURREA ` Y/N
Addres� � � -. Licerrse�# �— �
_ �.. � • � .
ECECTRtC1AN: � _G'OMPANY, ,
SIGNATURE ' REGIS7ERED Y/ N �ee cut�n- "-Y 6 N
Addre�s . . ., _ License:# � �
FLUMBER ' �COMPANY . -
SIGNATURE' " � , ,� {REGI57ERED . Y/.-N•, - �,FEE CURRE� ,: ' Ya/N
Address � + License.# � ' �
��{fflL ' a
MECHANICA3: � - . GOMPANY „S. IG.- sv� A.S�'� '�"
StGNATURE- �� REGIS7ERED , Y4/ N _ FEECURRE� Y./:N
, + C�iG d�,,�s !►.'g' �
Address`� �- � � Licanse#�
OTHER � ' . � � . °�CQMPANY �
SIGNA7URE �- " ' REGISTERED - Y/ N., FEE CURRE� Y/N.
Address � - . - � " tici�nse# � � -
RESlDENTIAt»,;•:-._ :Attacli'(2)rPtot�Plaiis;•(2)sets.of:Biillding'Ptaos,{'1}sef afr�nergy�Foitns;R-0=W`Pemslt for new construation, • .
-..:Minimum;tep(+1.0);woricingjdays aftec:subinittal`date:�.Required onsite,-�cinstnicGon�Plans,'Stortnwater Plans w/SIIYFence installed,
.._°���.,, . _ ,
Sanifary FaclllUes:&�;1.,dumpste_r,-Slfe WorlccPermit for,sutidiVisio�s/large=projects. :�
COMMERCIAR. Attach{S)�6oimpleCe seGs af'Butldl�g°Rlans plus�a t,ife�Safety Page;(1)set af Energy Forms.R-0 W Pemti#ior new canstruc�on.
Minimum ten(10)working days afker sutimlttal date.'Required onsite,Canstructlan Plans,Storrnwater Plans.w/SUt`Fence installed,
Sanitary FaciliUes&1 dumpster_51te Woi1r Pe[mit fo�all new.projects..All commercial,requlrements.must ineet caomplianes
StGN PERMIT Attadi"{2)`s+ats ofEngineer,edcPlans.� _.-,+� , . ,
"`"PROPERTY SURVEY r�quired for all NEW construcUan. .
Dlrectio»�: ° �
Fill out applfcatlon ccmpletely.
Owrner 8 Contractor stgn back of applfcaHon,noharized
{f over�2500,a NotCce af Cammencement is required. (AtC upgrad�s over�7500) .
,. ,�,.,�;,�.,_�
'" Agent(for tFie conhactor)or'Povirer,of�Attomey�(for tiie-owner),would;ti�,;soineone with notarized letter from owner authorizing"same- - _• --
,, - ,
1 , ;.;,,. .`_y:.���..�; .t` - ,. , , '_ : '_i�`: ..,
DYER THE COUNTER.PERMiT(1FIG. � , .(Front-af�APpflcatton{}n1Y),'` '�;: s:n � „ i , -�-,,� ,�.. ,,.:., • : �
Reroofs if shingies Sewers Service�Upgrades.,,/,>/%C , •Fences(RIotLSurvey/Footage) , '� ,-_,, , • ', _ _
. . . , �;:,
� - ~ . . , " ,,, „ , .3 .. . .., -, . .
Drivaways-Not over Counfer if on publfic roadwrays::iieeds ROW ,���°'•�- '.. , ' ' -.�, , 4 ' .,_-.
�. • A} - , . ' i
_„ ,t ... .-.j '.a
Nt�T10E OF DEED�REST�t1��tdNS: �'Fie��rtdetst�ried�under�tands=;ttt�tfthl�:p�cmlt;m.�,r be.subJe,ct to,"deed"..restrlc#I�ri`s". ' ` ;
, .,e.. ... n � . �}, J:i '' f',, . •Ey.. .., .
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which may�.be.;mor.e:r.estrictive��tha��Coun[y�°regr�la'tfnns:��7he-und�erslgned��assumes~�respr�n9lblllty for'compllaiice�with any
app!lcable:deed=res�lctlons; ,. .�,,- - :, _ . . „ ; . • ,,....,�.�:•��:; -".`� .:.�':, �:�...:1.� •.:�i .�.... . .
t1NLiCENSED�CdNTRACTORS�At�p CONTRACTOR RESPQNSIBIl:ETlESr -tf ttie�oiivrter:has�°hired �a;:cpntr�ctor or
contractors to undertake work, they may:be:,r.e�quired..to-b�:ltcensed In.accordance.witti st�te.aritl•local;regulations:''�if�the� � _ -
contractor is�not�ltc�nsed�as required�liy taw, tio#ti�#he awner and=confractot{riiay�be-cttiad far a�m�sdemeanar viofatian
under state law. If the owner or Intended,;contra�tar,-;ere,,�uncertaln as to what Ilcensing.requlrements:;may>>apply�.for�the - �-�
intended'inrorli,they aire advlsed to c�ritact ttie Pasco!County;Bulliling:Irispectivii.Dlvislon--t:lcensing Section at 727-84T-
8Q09. Furttiernnore, if the owner has�iil�ed a�can#ractor or corifractors, #ie Is advisec! fo have the con#ractar{s),.sign.; .
portlons af the "contractor Block°.of.thletiappllcation.for_.whlch they. wlll.be r.esponslble: If-you;:as=:the ovameir�sign`as fhe`' f
contraator� that�may�be an Indication thaf'1ie�1s nat`:properlp`1lcens��anif`Is"iia#enti�ed to peritiltt€n� prtirllrages in Pasco
County. ��:.��. ��� _
TRANSPORTATION.lMPACT/UTIL1�'�ES�[MPAG'�AN�CtESOU�tCE RECQVEltY�FEES;��The�understgneid�unde�stands
that Transportation lmpact Fees and.Reco.urse Recovery:�ees'rtiay>.apply ta�the;construction;of new bulldings,�ehange fof'�� �` °' - ;
use In existing butldings, or�expansl�n���of;extsi#in�.i6ulldings, a"s speclfled.(n Pasco County Ordlnance nu�nber 89-07 and
90-07. as amended.r.'�he underslgned atsozunderstands; th�t�such fees;:;as�may��e�dae;:w111.:6e ldentl��d at the�t�me`of: _ �_ �-
permilting. It Is fu��tFi"er unders'tootl that Tra�sportatlan Imp�ct'Fees and��Resource:.Recovery�Fees.must be pald prlor to �
receluing a`cerf�icate-af a+acupancy"orfinat�-power:cetease. -1��Ehe,pro�ect.:does�not Invotveda�cert�flcate of occupancy��.or��::.-;`::, ' ;
flnal awer.release;�.the�fees mu�t be�' atd,p�tor to. ermi# Issuance. Ft�kthermore�(f:.Pasco;.C.oun 1Nate�r/Sewer�-�Impaat -��_.��� '
p p p.: . � ,._... ,.. fY'� ;
fees are due'.ttiey_mustbe,pald-prlor�o permtt.lss4ance-ln.accordance wltt�;appllcabte.Pasco'�Cou�tji a�dtnances, -
CONSTRUGTiON"CIEN'!AW��Gtieptar 743, Elortcia�statutes,,,as amepdec�j: �f vatuation of�vuork;ls;�2�500.00.ar�mare�..l ° � - _.
certify tFiat .I, #he appllcant,.have-been.provided.uiiith-=a`copy-�of�the�"Fio�lda��Constnuct(on� Llen`':LaHr—Homeawner's
Protection Guide" prepared by:tfite��loi�da Departmenf of Agric.ulture and Gonsum�r.�AfFalrs. 4f the applt�ant Is someone� , ,
other than the"owner", I certlfjr-#h�t.l:h�ve,obtralned�a�copy,of..the above..descrltaed:�lbci»ent°and.p.r.or�ls�.lri,good failh.to �
de#iver it to..tlis:"oinrriet":p�iot to?c�ommencernerit:'� � .. , - �, . . ,
CONTRACTOR'SIpWNER'S AFFIDAVIT: 1.certt�y;��that=ail�the�,inf.ormation.:i��thia appiicatMn is accurate.�nd fhat aii work
will'be done in compliance with all appllcable�laws regulating constructlon� zoning and-land°development. Appllcatlon Is
hereby made to obtatn_.a permit to,.:do _w.oik;and�installation as tndtcafed:��,.=1• cerl,tfy t#ist na watk=`�or tnstallation fi�as
cammenced p�tor ta Issuance of a permlf"antl�that`.all work wlll be perFormed to meet standards of all laws regutating�
constntc##ort, County and Ci#y codes, xoning regulations� and land devetapment r.egulatlans��tn the jur�sdtctlon:: I atso
certlfy that I u�derstand that the regulatlons of othe��government agencles may�appiy�to the..lntended work� and that it is ;
my responslbility to Identify•what.�actions!must k�ke:to be,ln:.corttpllance Such:agenales lnc��,de but;are.raot Ilmited to: � ,
- Departmen# of E�lvironmental�Pratec`tion`=Cypress.Bayfiead�� WeNand Areas and�Enulronrn�ntrally Sensitive �
Lands�WatedWastewater Treatment. ,. •
- Southwest Florida Water Management�.D3s#rict We11s, Gypress. 8ay_#�eads;- Wetiand Areas� Altering
Watercourses. . - �
- Army Corps of Engfneers-Seawalls�`Docks,Navlgable Waterways.
- Department of ,Health;.&,.Rehabilitafive. ServtcesrEt�vitonmen#al h�ealth Unit Wetl.s� Wastevvater=Treatment,
Septic Tanks..' � - . �
- US Environmentai Protection Agency-Asbes#as ab�tement.
- Federel Avlatlon:AutMo�lty-l�unways.
!undessta�d that the.fotlowing:reaUlctlons appty�to the use of flll:
- , Use of fill Is not aliowed in Flood�2one"V"unless expressly permitted.
- If the.�fill matetial-<Is"to-�be�used�`In :Flood Zane. "A", tt. Is understood that a dralnage pl�n addre�sing a �
"compe�sating vo3ume"wi1) be submttted a##Ime af�permtfting wEilch Is prepared by a profe�slonaE englneer �
Ilcensed by the State of'Flotlda. ` � �
- If the �i11 matertal is�to be used tn Fiood �one 'A" in�conneclion�vulth�a-.�ermitted building usln� stem wati
� , canstn�ction, l certtfy that filt�.wall=b.e�used only.to#llt the area within�#he�stem vvall.
- !f flll mate�la! Is to be used !n any area; 1�certlfy that .use. of such flll will not adversely afiect adJacent ,
praperties. if use of fifl is.found.to adversely.,�ifeat adja�eitt<�pt'operties, the owner may be�3ted for vtala#ing �
the condl#ions.of the buflding':permlt Issued�under the attacfied.�ermlt a�pplicatlon, for:lots.I�ss��than:one (1)
acr$whlch are elevated`�y"t�ll;a�t engineer�d dralnage pian is requlfed. . •� ..
If I am the AGENT FOR.THE 01MNER, I;:promise In,good.f.alth ta Inform the awner of-the permltttng aanditlans set forth (n
thls affidavit�p�lor to:co�men�ing,constructl,on`�•�1 unde�r�taii� thet g s�parate permtt may be requlred for electc#cetl�worttr . ..
plumbing,,signs, wefis;:poois;.afr-conditi�b�iin�;'°g�s;�o�`.o��ier instatt�Nons nat�spec�icatly included-in:.:the�,appiication. .A ,
permit Issued shall be constcued to b`e"e'Hcense to�proceed wlth"tti�e�roo�k an�d�not�as:autFioHty�to:vlolafe..cancel,alter, ar '�
se#aslde aity provl�io�s�.of�#�e-�ech�lcc�l cod�s; nor shall tssuar�ce�f a.permlt.pr.event#he BuEldlrig(J#8c1�1 fmm theres#ter � �
requlring a carrectlon t�f errars Iri:ptar`ts,constnictlon or xlola0ons of-any codes. Every p�ermlt I.ssued`sfiall�become invalid
unless the worlc suthorized.by such perm4t:�s.cocnmenced�wtthln sfac.,months of�permlt lssuance, or tf wark autharized by
the permtt is suspended�or.aba�daned•for$;period,of�six�)�inanftis.efter the tirne the�work��s commen�ced. An ex#enstan
_ may be requested, In wcitlri �g fram the Bullding.Offlclal for a �erlod.nat to,exreed nlnety�(90�days and-viilll�demanstrat�=_____ _—
�ustlt�able cause for.�the eattensiott�. If work ceas�s,for nlnefy.{90}cans.ecutive:days,..ttte�ob��s consldered a�ba�tdon�d:
WARNING Td OWNEf�; YOUf�..FAl1.tJRE TQ,RECO#tD A:.MO�T�IGE�4E-�COMMENCEMEMT=MAYtRESUl:T IN�YOUR
PAYING TWICE,FOR�IMRROVEMEI!t�'S Tfl YOUF�,PROPER-TY. I��YO.U�ifi�l�"�'END:T�-'�'JHTA�IN�FiN�'►f�EiNG;'C.CiN3ULT
WIT Y U D �O N�►� ORN �_ FOR 'i.�OR� ��s OU ' �C ' `,: E
FI.ORIDA JURA�'(F.S:117. •- , . _ _ . . ,. - �
QWNER OR A��NT CONTRAGTO /"' � '
Subs«ibed and swom {or afii ed)befiore me thls 3ubscribed aruf'svaom=to(ot attfrmed}�betore me't2i1g
by .by...
Who Is/are personally known to.me or hes/have.produced Wlio.ls/are p.ersonally kitown•ku me.or haa�lhave.•�roduced -
as Id'en�flc�8ori. as tdenBficatton,
j� � f
(�' C.r-- Notery Publtc _ �---- ' � Natary Publtc
Commissla � �"F'••�. SOEL E.BAC4N CommG� on. .�•';*�T°�%'.,, JQEL E.BAGflN. .
' :.. Commission �.: :�: ommiss�on FF 137073
�a: :'a€ Ex ires June 29,2p18 :�� �o�; Ex ires June 29 2018
Name af N ' �Pt�6�Aib�T��ft�i�!"�° Name a Note �lint�d�mpiakfi���aaasaots
� � � PROPANE GAS Ser�,ice Order/Proposal � � � �
� AN� Af�i IIVC. Air Conditioning&Heating
�S'i�r� �988 $'��-'7$2,-5013 W�RI', DRDER#/SERVICEMAN E3E�7 EJN
' DATE/TIME TAKEN 11/ic/15 �8: 1�
�� Sales, Service & Installations TAKEN PY t%. g. ¢��
4441 Allen Rd. • Zephyrhills, FL 33541 DATE/TIME F�ROMISED
VOTES: CUSTOMER#/LOCATIOhI �8�4�
F'HOhIE# , 813-78,_,-44�9 C
� PHO�IE`# 81�-78L-1�4� C
' ROUTE/SE�� EJI�
.
HILTON SR, ROBBY ' • HT.LTON SR - RENTAL, POP�1Y
E41� 16TH ST 485� 19TH ST
) _
ZEF'HYRHTLLS FL ,?,,_,541 ZEF'HYRHILLS FL33541
• TEIVANT: CHRIS 997-44�7
' , S3BA-�L4N�A, S3BQ��Q�9�1�1 E
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=ST. TO REF'LACE A/C UNIT ,\ '
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��` ;.:':r=` : .°��°:`..:LIESCRIPTION-OF_WORK�'� , :;�' �,jz.,, .,�'� =�'Q11'•�..'„ :.:MATERIALS&`SERUIGES..-;,.;. : ;� : UNIT�RRIGE..'� AMOUNT '
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;>-- _ "_ _ - �RECOMMENDATIONS:� - " ' � � i �
_ - - - �� i i
luinua►"`Mairitenance:Recommended:by.AlfEquipment�Manufactu"re�s:_.: ;,' � '
- � �: - Pressures Lo HI � T-Stat i �
...- . . . . ,. ..�. < , ___ . . - - • ,-
(� REERIGERANT.R= . LBS. �_., = ' 1 - $pe�.lbs."' I - �
. _._ . . - �I.- I
' FILTERS x x Changed Monthly I • I
" � FILTERS x x Changed Monthly I � � I
❑ �REGULAR ❑WARRANTY - . TOTAL:SUMMARY- -��, _.:�
�huriiidistatSetfings:•rtWhen here"ON"_y.'When Away FQ"L;•,T-Stat 80°� ❑ MAINTENANCE CONTRACT � SERVICE , i
;,,
lMITED WARRANTY: All materials, aRs and e ui ment are warranted b�the manufacturers' � - ` ` ' CALL � i
P 4 P Y -.:'''... ,METHQD OF.PAYMENT";�;`;��''.,_..:
:suppliers'written warranty only.All labor perfortned by the above named company is warranted for " �• '" - TOTAL i
)days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
qxess or implied,and its agents or technicians are not authorized to make any such warranties on '
�alf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
Rave aulhority to order ihe work outlined above which has been satisfactorily completed.I agree Ihal Seller
PRQG. W I C �
xains litle to equipmenUmalerials furnished until final payment is made.If payment is not made as agreed, CLAIM# � >
�er can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall /� i EJ d
LL�UNPAID BALAN ES OVERr30 DAYS.NOYREFUNDS/SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED ��/u� � 6
TECH: T�� -' �
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��� �� �
USTOMER SIGNATURE DATE TOTAL �