HomeMy WebLinkAbout15-16851 CITY OF ZEPHYRHILLS �
5335-8TH STREET
� (813)780-0020 168
, ' BUILDING PERMIT
� PERMIT INFORMATION - ' -� � LOCATION INFORMATION �
Permit Number: 16851 Address: 39831 COG HILL LP LOT 108
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
, Est. Value: Parcel Number: 24-26-21-0030-00000-1080
, Improv. Cost: 3,295.00 � OWNER INFORMATION
Date Issued: 12/21/2015 Name: MAJESTIC OAKS LLC
Total Fees: 55.00 Address: 39831 COG HILL LP LOT 108
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/21/2015 Phone: (813)782-7518
Work Desc: A/C CHANGE OUT 2 TON
�' CONTRACTOR S �� ' _ APPLICATION FEES � � ' - "-
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
.
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� - ' � Ins ections Re uired � � � � �
',`�1� DU TS INSTALLED �
� DUCTSINSULATED
FINAL IZ - Z�r ' 1)^
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 OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�8aao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Buitd'sng Department
Date Receivsd Phane.Gontact for Pennitt�n � t' �(}a� –�'Ql,�
Ctwnst's Nams C� ��`� ��`" Owner Phone Number
Owner's Address (G""/7l ����� � ��b Owner Phone Number � �
Fee Simple Tltleholder Name �� � Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS J�D�/ L9 !G BO � �' /C/f%G GS �L� ��57 LOT# C��
SUBDIVISION �' eS '�� G'`��� PARCEL ID# �� � �l �03a t�6�o a7�'�
(OBTAINEO FROM PROPERTY TAX NQTICE)
WORK PROPt'3SED � e NEW CONSTR� ADDIALT � StGh! Q Q D�MOLtSH
INSTALL REPAIR
PROPOSED�USE Q SFR � COMM � QTHER
TYPE OF CONSTRUCTION Q BLOCK " Q FFtAME �] STEEL Q
DESCRIPTION OF WORK °i�-�s � e (,,;� C�'~6LL� � �O/ll G'�S 'Y�_. L L�'D77'"7 G/4Ie.
BU1LdITIG SIZE �� �.SQ FOOTAGE HEIGHT C��
���«����' � � VALUA710NjfJF T07'A�CONSTRUCTION
QEIECTFt1CA� � � � AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C.
[�PLUMSIRIG � �
QMECHANICAL $ ��/,��'�� VAWATION OF MECNANICAI,INSTALUiTIQN
/
OGAS Q ftOOFlI�iG Q SPECIAti'tY [� C}THEF2 "
FINISHED FLOOR EI.EVATI4NS ��� FLOOD ZONE AREA QYES NO
BUI�DER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address L:Icense# � �
E�ECTRIClAN COMpANY
SIGNATURE T' REGIS7ERED Y/ N FEE CURRE� Y/N
Address Ucense# �—M —�
PLUMBER ' COMPAt�tY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Addrass License# + �
SIG ATURE �i'l7.P „ . �, „ „
*.. r
COMPAfi�11Y �}�/Q S G �� ��°
,�-� REGIS7ERED Y/ N FEE CURRE� Y/•N
Address '�L}'�� �11e � Z�'�.� �3� License# �G>�����—�
OTFIER COMPANY
SIGNATURE REGISTERED Y/ N FEE CUR�n Y/N
Address License# � 1
REStDENi1At'. Attach(2}PI6t Plans,•{2}sets-of=8uilding`Plans;(1}set af Energy�Forms;R-{}-W Permi#for new construction,
Minimum;ten(�10):working;days aftec_subrnittal date. Requlred onsite,ConsUuction Plans,Stormwater Plans w/8ilt Fence installed,
Sanitary FacfllUes.&1:dumpster Site Work�Rem►it for subtlivlslonsllarge proJects _ �
COMMERC1At. Attach{3)�completr�sefs of Bciildiiig`Plans plus a,i.tfe Safety Page;{1)se#of Energy Forms.R-O-W Permit for new•cc�struction.
- Minimum ten-(10)working,days after submtttaf date:'-Requi�ed onsite,CanstrucUan Plans,Stormwater Plans w/,,ailt Fence installed,
Sanitary Facill8es&1 dumpster.Site Work Peimit tor all new proJects.All commerciaf requirements must meeYcompliance
StGN PERMIT Attach"{2)sets ofEnglrieered:P,lans... � � �
"`"PROPERTY SURVEY required for all NEW constructlon.
Directlans: � .. ---,
Ffll out appUcatlon complekely. `'�. , , . '
Owner 8 Contractor sign back of applEcattor�,notatizei! '�; . k .s' ,
If over S^�40,a Notice af Commencement is required. caic,u¢s�a�,s over s�soaj .-< - , �,__; .:;.; ;, ,
" Agent(for the contractoF)or Power of Attomey(for the owner)wauld be"'someone with notarized letter from owner authorizing same
OVER THE Ct�UNTER P.ERMITEfNG ;:(Front of Appllca�on Oniy),�' ' '� � `�
Reroofs If shingles Sewer� Service Upgrades,A/C�; ,Fences;(Plot/Survey/Footage) - - - . _ '
., ,:;� ..� .. ' �;;y ' �.• , � - - _
Driveways-Not over Counter if on pubHc roadways..needs,ROVH� � • , � .- ;; - �
- . -.- , . -, ..�,,, . _,....,. _ , r;, ;4 .. ,,t, . •- ..
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NOTICE OF DEED RES°TR�CTIONS: The undersigned undergtands�.th�t this;permtt�.may.be.subJect to"deed"restricttons°' ; � ..
which may be,more�testcictive-th�n County�reg�latlons:�The undersigned'�assurries�responsibflity for��oinpliance witfi any
appNcable deed rest�ict(ons. • ..
UNLICENSED CONTRACTORS AND _CONTRACTOR RESPONSIBILITIES: �If the owner has �hiced �a�contractor or
contractors to undertake work, they may.be.requtr�d-to:�be;licensed in accordance.with state;and•IocaO,regulations. 1f the
contractor ts not I(censed as�required'by law, both the owner and=contracto�=may be�cited��for-a ml�clemeanor violation
under state law. If the owner or Intended conttactor are._uncertaln as to what Itcensing.requlrements may=.apply..#for'.the •
intended work, they are advised to contacf�the Pasco County Bullding"In'spection Division—Llcensing Section at 727-847-
8008. Furthermore, tf the owner has hired a contracfor or�contractors, he is advlsed�to have th� contractor(s) sign
portions of the "contractor Block" of this application for which they will be .responsible. If you�-as.th� owner�stgn�as"'the
contractor, that may be an indication that he Is�not.properly Ncensed and is not entitled to perrriftting pridileges in Pasco
County. , , , •
TRANSPORTA710N.IMPACTIUTILITIES 1MPAC'fi'ANb RESOU�tCE RECOVERY�FEE3: The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may�apply�to.�the construction of new buildings,change of � -
use In existing buildings,�or�expansion.of`ezistin�g�bulldings� as specifled in Pascv County Ordinance number 89-07 and �
90-07, as amended.., The undersigned also�understands� thait.such fees,=as=may�be�.due;;wfll:=be tdenti�ed at the`time�of
permitting. It is furthe� understood that Transportatlon Impact Fees and�Resource Recovery="Fees.rtaust be paid prior to
receiving a "certificate of occupancy" or flnal-powec-release. :If-the project does�not tnvolve:a.certific�te of occupancy or
finai power release;�the;fees must:be paid prioe to permit Issuance. Ft��thermore;�if Pasco County V1latedSewer-.Impact �
fees are due,they.must.be-paid_pNor to permit-issuance-�n accordance witli�applicable Pasco�County o�dinances.
CONSTRUCTION'LIEN"LAW(Chapter 713� Florlda Statutes�aa amended): If valuation of work is�2,500.00 or more, I
certify that I, �he. appltcant, have been provided with. a-copy� of the� °Florida-Construction�Llen..l:aw=..Homeowner's
Protection Guide" prepared by.tFie Florida DepartmenC of Agric.ulture and Consumer Aftalrs. If the appltcant is someone
other than the"owner", I certify that I have�.obtained�a copy,of.the:above..described rlocuir�ent�and prora�ise in.good faith to
deliver it to the'owner"prior to�commencement:" - , •
CONTRACTOR'SIOWNER'S AFFIDAVIT: I cenify ttiat all the�lnformation,in�this application is accuraite and that all work
will�be done in compliance with all applicable laws regulating construction, zoning and�land development. Appitcation is
hereby made to obtain .a permit Co do. work;..and installation as ind(cafed:.� °I certifjr that no work or (nstallation has
commenced p�lor to Issuance of'a permlt and that.all work will be pe�formed to meet standards of all laws regulating-
construction, County and City codes, zoning regulations, and land development tegulations�in the jurisd(ction. I aiso
certify that I understand that the regulations of other government agenc(es may apply�to the intended work, and that it is
my responsibility to identify•what.act(ons I must t�ke.to be,in:.compliance: S.uch agencles-Include but�are.not Iimited to:
- Department of Environmental Protection-Cypress. Bayheads; Wetland Areas and Envlronmentally Sensitive
Lands,WateNWastewater Treatment. �
- Southwest Florida Water Management� District-Wells, Cypress.� Bay.heads; Wetlan�d Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- _ Department of Health & Rehabllltative Services/Environmenfal Health Unit Well.s� WastevHater�Treatment,
Septic Tanks. _ "
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Aviatlon.Authority=Runways.
I understand that the following:�restrictions apply to the use of flll:•
- Use of flll ls not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materlal is to be used_in- Flood Zone. "A", ft. is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which (s prepared by a professional engfneer
Iicensed by�the:,State of:Florida:
- !f ihe flll materlal�.is::to ,be used in Flood Zone 'A° in�connec�ion�with��a permitted building using stem wall
construction., I certiy that flll�wlll�be used only.to.fill the area wlthin the�stem�wall.
- If flll materlal is to be used in any area, 1 certify that .use. of such flll will not advers�ly affect adJacent
p�operties. If use of fill is found to adversely:�ifect adJaEent��properties,.the owner may be clted for violattng
the condilions of the"biiilding:permit Issued�under the.attached perm(t applicatlon, for lots less than.one (1)
acre which are elevated by flil, an engineered dralnage plan is required. .
If I am the AGENT FOR THE OWNER, I;.promise In good faith to Inform the-owner of�the permitting condittons set forth tn
this affidavit��prior to commer�cing construction: I understand that�a�separate permit may be required for elecMcal work.
plumbing, signs, wells, pools; afr conditioning,.gas,�or othec install�ttons noE•spec�ically Included�in.Qhe applicatlon. .A
permft Issued shall be construed to be a'Iicense to-proceed with tFie work and not as:authority to.violaQe,cancel, alter, or
set aside any provisions of the technical.codes; nor shall Issuance of a.permlt.prevent the Bulldirig Offi�lal from thereafter
requlring a correction af eRors In.plans; construction or violat(ons of any codes. Every permlt issued shall become invaNd
unless the work authorized.by such permft is-commenced•with(n sCx m.onths of permit issuance, or if work authorized by
the permtt is suspended or.abandoned for a period of six,(8)�montF�s.after the time the�wotk ts commen�ed. An extension
_may_be requested In writing,_ftom_the Building_Official_for a_period_not_to_exceed-nin�ty-(90)-days-a�d=will dernonstrate— ---
justifiable cause for.the extension�. If work ceases-for ninety(90)cons.ecutive:days...th�)ob�is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE�TO..REC.ORD A NOTIGE OF•COMMENCEMENT MAY=i�ESULT IN�YOUR
PAYING TWICE,FOR,IMPROVEMENTS�TO YOUR.PROPERTY. .I��YOt1�liV��'END°TD'i08TA1N�FIPFANEING;'CONSULT
lNITH YOUR ENDE O N°ATTORNEY�B FORE-RECOR�D G:YOU � = ��� 'OF` � �E CE�E '
FLORIDA JURA��(F.S.'1.1 _ � ' � -
OWNER OR AOEN CONTRACTOR
Subsaibed and swo to(or rmed)before me this Subscxlbed and'swom to(or aflinned)�before me'tl91�
by .by_
Who Is/are parsonally known to.me or has/have produced Who Is/are personally knovm M me or hasR�ave�produced •
as Iden9flcatlon. ' ' as IdenBflcatlon.
� Notary Pubtic _ � Notary Public
Co ston No': Comml
� „�,,,,, .
M1;l;:�:.ec;e�c; JOEL E.B
mission#FF 137073
Name ot , og��ed Name of:Ngta' �ed
•;`�:.'y��•. iss'ton#FF���a 73 e; Fain Ineuronw s�o,9
Omm 20 d,'�F ° 0onded Tlw Troy
''�'�:•= � 29, . .�;,;�•��.
=* •<= Expites June �.7o,e s.
°� ro Fe�nlnswaneeBO�•�
s9��,�, o°:`' BondedThmT Y
'����pn���,
c.��� l�; -�� ��5 �
s � � PROPANE GAs Service Order�Proposal � � � '
� AN❑ �►f�. INC. Air Conditioning&Heating
° �i"�tce�988 8 i 3-782�50'I 3 .
Sales, Service & Installations WORK ORDER#�SERVICEMAN 6416� NOV
DATE/TIME TAKEN ic/�8/15 11 : 13
4441 Allen Rd. • Z phyrhills., FL 33541 TAI{E1V �Y SARAH
�,,,�� �r�+,e,?'j DAT.E/TIME F'RO�iISE ,_ � �1{;��",�- ,5� }•�
i NOTES: �t ,M . �� -'
CUSTOMER#fLOCATION c
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� P'HONE# ���=`� �
/`���JL�� M�' � ��^��j COhITACT �����' - FR I EN
k� ry i�t�a i ROUTE/SEQ
�- �`7`� � ��5`�'1 � �a� a,M , �, .
►� Poss►6lre
JO{�ES, RAYi+'IOND JOi�lES, RAYMOND
398�1 COG HILL LOOF� 3993i COG HILL LOOP '
MAJESTIC OAKS !+'tAJESTIC OAK5 ,
ZEPHYRHILLS FL 3354�1 ZEF'HYRHiLLS FL33�4�/
` GPC13c4W^c1AP, �6�6�7874�U
CHECK RRESSURES. TOO!'. �LaS 11/27. SEE ATTACHED
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wa;;��-r,��;�Mr;�rs����:-::�r:�«�:_�. �a��;;.-�:�;���'��k�,<..-�� �s°�� ,.t�;,..Y�<,�..-:�: Pressures Lo HI
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FILTERS x x Changed Monthly I I
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❑ REGULAR ❑WARRANTY '�"�y'%�"'�r S�� ' �
�� f���� s.��`�:1MNtA�X:�'���._.
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ta�5e�.,' =��/Vhen here�N���When Away 6E�°o�T-Stat$�i°� ❑ MAINTENANCE CONTRACT
���.��k:.+d�.���� :,;�:..+ �����s�i �,:; SERVICE i
"yv,Y•:'���.�.r��=;�.a:..�r.�,fa.-�aFx�a�.�s� `i;*.,>=_� ';:�„
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' ��=:3'K•>-4.:� �pp: -� _, _ CALL i
ar suppliers'written warranty only.All labor performed by the above named company is warranted for '�'�;-'��.s�:"�"����� �� '��
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i
express or implied,and iLs agents or technicians are not authorized to make any such warranties on MATERIALS i •
hehalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have auUroriry to arder the work outlined above which has been satisfactority compietetl.I egree that SeAer
PROG. W/ C �
retaim liHe[o equipmenVmaterials fumished until final payment is made.If payment is not made as agreed, C��M# �
selier pn 2move said equipmenUmaterials at Sellers expense.My damage resulting from said 2moval shali
nALLUNPND BNAN ES OVER 3D DAYS.NO REFUN S%SERVICE CHARGE WILL BE AD�ED MONTHLY TO DATE COMPLETED '
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CUSTOMER SIGNATURE DA7E ✓Jl:U//Glti �o-u TOTAL �