HomeMy WebLinkAbout16-16876 CITY OF ZEPHYRHILLS
� ' S335-8TH STREET
(813)780-0020 16876
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Perrroit Number: 16876 Address: 7142 OMEGA CT
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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0770
Improv. Cost: 4,995.00 � OWNER INFORMATION
Date Issued: 1/06/2016 Name: FUEGOS, MARIO & MINNIE
Total Fees: 60.00 Address: 7142 OMEGA CT
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 ,
Date Paid: 1/06/2016 Phone: 813-468-0308
Work Desc: A/C CHANGE OUT 3.5 TON HEATPUMP
� CONTRACTOR S � � - � APPLICATION FEES �
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
U '
� Ins ections Re uired " - ' '
DUCTS INSTALLED
DUCTSINSULATE
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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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 Zephyrhilis Permit Application Fax-813-780-0021
� Building Department
Date Received - Phone•Contact for.Permittin �1'3 /6 0� – �D�J
Owner's Name ��'�/� �e �J� Owner Phone Number O��" "T U �3`�—
Owner's Address ��"T� !J �–� �. .�3 Owner Phone Number
Fee Simple•Tltleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �l�f� T�m� Q' ��� 2��/�°� � ���-�`� LOT# �
SUBDIVISION A��h�- 1�1�C'tG�� � PARCEL ID# J� �� �'� ��� �il"""`�' ���
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED , e NEW CONSTR� ADD/ALT' Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED�USE Q SFR [� COMM Q OTHER �
TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q
DESCRIPTION OF WORK ��� � lQGE � � �� �e� �m � ��y ����
BUILDING SIZE �_SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATIONtOF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ ,�/p,p��'�� VALUATION OF MECHANICAL INSTALLATION
7 `-�
QGAS Q ROOFING .Q SPECIALTY Q OTHER . �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Gcense#
ELECTRICIAN COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGfVATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL �/��� ` COMPANY ��s �%��� `���`LJ�G'
SIGNATURE �/"`"o�� �-�� REGISTERED Y./ N FEE CURRE� Y/N
Addreas '��'�-� ���=�f � ��{��✓� �S�! License# C����� �
OTHER COMPANY
SIGNATURE ' REGISTERED Y/ N . FEE CURRE� Y/N.
Address � License#
RESIDENTIAL Attach(2):Flof Flans;.(2)sefs of Building`Plans;(1)seti of Energy�Forms;R-O-W Permit for new construction,
Minimum;ten(40),work(ng,days after_submittal date. Required onsite,Construction Plans,�Stormwater'Plans w/Silt Fence installed,
Sanitary FacfllUes:&=1,dumpster;.Site'Work�Permit fo'r subdiyislonsAarge projects
COMMERCIAL_-_Attach(3)complefe sets of Building Plans plus.a Life Safety-Page;(1)set of Energy Forms.R-O-W Pertnit fornew construction.
Mlnimum ten(1U)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permft for all neinr proJects:All commercial requlrements must meet compllance
SIGN PERMIT Attacti(2)�sets of Engineered�.Rlans.�� �
"'•PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out applicatlon cnmpletely.
Owner&Contractor sign back of appUcaUon,notarized
If over 52500,a Notice of Commencement i�required. (A!C upgrades over 57500)
" Agent(far the contraoto�)or Power of Attort'�ey(fo�the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER P.ERMITTING- (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
' Jy
(V�TICE O� D�ED R�;�TROCTOAN�: The und�rsigned under�Qands�.th�t this.permit.may_be,subJect tp"deed"restrictlons"
v�rhich may be,more=resteictive�th�n County�Pegulatlons. 'TFie�underslgne�`assumes respmnsibllity for complianae with any
applicable deed re�ttictions. �
UNLI+�ENSED CONTRACT4R� .AND CC7N7"�►CTOR RESPANS�BILlTtE�: �tf the owner has��hirec4 a contractor or
car�tr�otors to undertake wark, they rraay bs.regu'ired�to be;llcensed !n �ccordance.wlth s#�#e.and•iocal r�gulatlons. ;if the
contractar f� not Iicensed as req�ired��by law, both the om�mer and contcactor-may b'e�clked�for�a�mtsilemeanor violation
under state law. If#he ovvner or Intended conQca�ctcot,are•uncerkaln as to what (lcenstng.requirements rreay�apply�for'the
'sntended work, #hey are�dvised to cr�nfact the P�saa County�uilding in�pec#ion Divislon—Licensing Section at 727-847-
8U09. F�rihe�more, If the owner has hired � cont�actor �r coritractors,'he is advfsed�fo have #he contractor(s) sign
porkia�s of the "cont�actor Bloak" of thls app!lcatta�n for v+rhlch they wfll be Pe�panslble..If you,-as.�h� ovimer sfgri�as'fhe
cont��ctor, that may be an indication th�t he is riot.praperly,licensed a�nd�ds not�ntitied to permikking piivileges !n Pasco
Caunty.
Ti�ANSPORTATt�N-IMPACTli1TIC�'T�E�IMRAGT 1�N�3 RE��t1RCE RECAV�RY�FEE�: Th�underslgned understands
th�t Transporfati€ts� i�rapact Fees�nd.Recou�se 92ecavery.Fe��rnay•sppiy�to�the consUuction of nev�buildings,�change of
use In existing buildingst or:exparasi�in.of�ezis�6�g'�btiiidings, �s specifled In G�ascQ Caue�ty Clydinance n�mber 89-07 and
90-07, as amended.. The unde�signed also;understands} tha�suah fees,.as>may��be�due;:wll!=be iderttl�Ied at the�time of �
permitting. It is further understood that Tra�sportat4on lmpa�t�Fees and Resou�ce Recovery�F�es::rr�u'st be paid prla�r to
receiving a "certificate.of occupancy"-or Mal powec release. :If the proje�t do�s not involve;a-c�ertific�te �f occupancy a�
final power re{ease;�the fees must be paid pri�r to permit issuance. fiunthe�mare;if Pasco-County 1NaterlSewer impact
fees are due, they mus#be..pald priar to p�Pmit�{ssuanca-i�aacordance witfi�ag�pltaabi�Pasco County ordinances.
G¢?MSTRU�Tlt�N LlEN'�W(Ct�apter 713t EOor�����atu����a�arr��nd�d�: #f valuation of work is$�,500A0:ar more, i
certify that !T �hs. �pplic�nt,_ have-been provtded with a copy of the "Florlda Construction Cfert�L'avu-.--Nam�own�c's
Protection Guide" prepared by,the Florida Depa�tmenf of Agrlcultu�e �nd Cc�nsumer Affairs. If ths �pplicant Is someone
other than#he"mwrner", I certify th�#0 have.abtr�ined��copy of.the,above.de��ribed aiocur�en��and pror�ise�in,gaod fadkh#o
deliver�t to#he°owrter."p�ioc'to-comenencemerit:
GONT(dACT�R'�OQY�NER'�A���D/4YIT: # cec�ify#hat ali the-ir�formatior�°in this application is accura�e and that�ti work
wiA�be done in compllanc�with a!I app!lcable laws regulating�onstrua#lo�t� zoning ar�d I�nd rievetoprroent. Applicat6an is
hereby made to obtain .a pea�mik to do w�rk.and Installatlon as indlcated.. I certify that no we�rk=or Installation has
comme�ced prior to Issuance of`a-permit and thaQ.all work will be pertormed�4o meet standard� of aU laws reg�alating�
construction, County and City codes, xoNng regulatinns, and land devetopment eegulat(ons�in the Jur(sdiction. I also
certify#ha�t i unders#a�d that th�regula#ians of other government agencies �ay�apply��o the intended work, and that it is
my responsibility to identify.what.a�#'tons 1 rnusd tz�ke to be,tn.c+st3lpliance. �uch agencies it�clude but are.not iimited to:
- Qepartment of Environmentr�i I�rotectton-Cypres�.Bayheads, Vifeti�nd �rea� anci Envlror�mentally Sensitive
Lands,Wat�arMlastewater Treatment. ,_
- Southwest Florida Water AAanagement Dis4ri�t-Wells, Cypr�ss. �ay.heads; Wetland Areas, AlQering
V�/atercourses.
- Army Cotps e�f EngMaees�Seavvafls, C�ocks, iVavigabte Waterw�ys.
- Depactment af Heatth & Ret�abffitat�ve ServicesiEnvironmee�t�i Fleatth Unit Wells, V�lastewater•7reatr�ent,
Septtc Tanlis. . �
- US Envirconmental�Pratection Ag�ncy-Asbestos ab�terr�ent.
- Federal Aviation AuQh�rity-Runways.
I undersQand th�t the foilowing..restfictions appiy tm the use�f flll:�
- Use of fifi is not altovved in Fiood��oe��°V"unless expres�iy pePrroitted.
- If the fill materlal, is to be used_tn �Fitrod Zon�. "A", 1#. is u��erstoad that � drainage plan addressing a
"'compensating volume" wlll be subr�ltted at 4irne af permitting which Is prepared by a professiona! englneer
Ilcensed by the State of F9orida.
- if ihe fili materlai:_is"to be used in Flood ��ne °A" In�connec�ioro wlth:a }�errv�itt�ad bupding using stem uvalt
� construction, i certify#ha#fii(w�lt::be used anly.to fill the area within the stem wait.
- ff fll! ona4erial is ta be used in any area, 1 aer�ify 4ha# use. af such fili wiit not adverseiy affect �djacent
propertf�s. Yf use of fl!f Is foUnd to advetsely�ffe�t adjacent proper�fes,.the owner may b+e cl#ed far vfodating
th� conditions af the buEldtng:permtt lssued under the attaofi�d permtt application, for lots t�ss than_one {1)
acre vuhich are elevated by f1ll,an engtneered drainage plan is a�equired. .
if I am the AGEN�'FCbR TH�C►ViiNER, I;prarailse In goad faith to lnfarm the�owner of-the permitting condittons set forth ln
tl�tis �ffidaviQ`prior#o commencing corrostruction: I undersfand �ha#;,ars,epar�te permit may be required for eiectricai wark,
plumbing, signs, vveils, poots; �fr canditloning, .gas, or other Install�itfons r��t spec�#ically �ncluded�in.the �ppli�ation. .A
pePmit issued shali be constcued to be a'licsnse to proceed wltb #he work�inc! not as authority to vialat�,.cancel, aiter, or
s�k aside�ny provisi�ns mf the tech�i�al codes; nar shall tssuance�of a.p�rrnit.pcever��thre�uUdirig Q#�l�la9 from ther�after
requiring a�orrection af errors in plans; consfnactian ar vloiatloras of any codes. Every permit Issued shall becorne invalid
unless the wark autFrari�ecf.by such permit�is_commenced�r�ifhin sUc m.anths crof permit issuao�ce� or If work authoriz�d by
the permit is susp�nded or.abandor�ed for a;perfiod ot six�{�}m�nths.after th�#ime the�work is commenaed. An extension
may be reqe�esked, In writing, from the Buitding,Of�clai for � perlod not to gxceed-nlne#y(90) days acrd wiii demanstrate
J�sti�able cause for.the extension: If work c�ases:for ninety(9Q}consecutive d�y.sr._th��ob�8s consfdered abarrdvned.
V1iA�2Ni�+G TO OWNi�R; YOUR FAILURE T4.@tE�.OEtD.�i,N�TIGE OF CONIIVIENCENIEI�T IVI�#Y RES�UI:T IN Y�IUR
Pe4,Y1WG'"i'41VICE;Fi3R,1lVlPRt)VEA�IEN,TS TCt•Ydi1R PRCi@�RTIf.,.iF�.Y0.�1riF9'fiEt��`T�����AIN�FItV�A1�C�NG,��ONSULT
�1PfT AUR E�tD C1 A� '�TQR F RE�R�E�t3R� �� �tE! :� S9 ��E'O� , E � � T�
�=ta1F8Pt`i�,a4;➢BJrBAT(P�:S:`P.97'.03j e---�- -- -- � -- . - - _ �-- - _ -- -_ _._- -- -
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� ` - -
OUYME6t OR�ltiEN? ". ... . „����2..»�Ct CONTRAG'��
Subscrlbed and swrorra,tp(or affinned) efore m�this Subscrlbed and'swq to(or afllrmed��befcra me tlii�
by �f .by
VVf�o Islare pe�sonally known to me ar hasthave prqduced Who.tsi�re personally ka�owmtt�me or hasfisve produced
as Identlwcatlon, as ldenBflcaQon.
hlotary Pubitc . Notary Publlc
Commisslon Mo:` Commission No.
Name of Notaty lyped,pNnked or stamped Plame of Notary typed,printed or skamped
��'j .��2rLr�' T G✓��i� ��w �!�`1�vL � r�W� �o,�' �" � ��
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y ��
� � � P►N�AICG c� Service Order/Proposal � � � �
Air Conditioning 8 Heating
, �i'�t�e �988 , 8 i 3-782-5013 -� �_� --� -� ��- ,�� �-. _,�__-
[J l._F�i-. :,f;I:�k_.h•,,.i:i:,'t.��r.�f;, 1: ,�=1`1 F:T`I�t . C,,1F�.: '�% I?c_.C.
r7i�aTf.:'� � .0 ri� 1"i-a!'�f'�i `\ ��-,: i F; ` i."� i '',�,_.`;.
Sales, Service & fnstallations -�F��,�:r,i F; ,.• ;Fi �t��
� 4441 Allen Rd. •�Zephyrhills, FL 33541 �;;:�;-r;., ;-;.;:i� �sre,�;:;:c�_,�,:, "
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` , ' DESCRIPTION OF WORK _ �_.i �., . QTY MATERIALS&SER C�S , UNIT RRICE AMOUNT
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' " �•REGQMME.'DATI.ONS__,_J - �
�. , � - -._,._ . . /�/4 �� C/G% ,�S`f�T;-i2� i �c'�niob
Annual Maintenance Recoinmended by All Equipment:Manufacturers: ' �
- ' � Pressures Lo HI T-Stat i i
��r i i
��l f�i�/��' 8� �� r REFRIGERANT R- ,. LBS. $per Ibs. - � i .
FILTERS x x Changed Monthly � i
�, FILTERS x x Changed Monthly � 2 ,��
' • ❑ REGULAR ❑WARRANTY " TOTAC�SUMMAftY
Dehumidistat Settings: When here"ON", When Away 60°o,-�•T-Stat 80°:: ❑ MAINTENANCE CONTRACT ' - �i
__ �� - — SERVICE i
_IMITED WARRANTY• NI materials,parts and equipment are warranted by the manufacturers' METHOD-OF FAYMENT" - " CALL i �,
ir suppliers'written warranty only.All labor performed by the above named company is warranted for -
(0 days or as otherxise 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�n MATERIALS i '
�ehalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
�ave authority to order the work outlined above which has been sahsfactoril com leted.I a ree that Seller �
v v s PROG. W / C
elains title to eqwpmenVmaterials furnished until final paymenl is made.It payment is not made as agreetl, CLAIM#
eller can remove said equipmenVmaterials at Seller.'s expense.Any damage resulting from said removal shall _ ���.,
ot be ihe responsibility o(Seller.NET 30 DAYS.A 1 1I2%SERVICE CHARGE WILL BE ADOED MONTHLV TO CC���J�n/ — /1/D �
�LL UNPAID BALANCES OVER 3D DAYS.NO REFUNDS DATE COMPLETED -�"�
• ,;
TAX ' �
�/ }'j��U�/7//� � ✓ G.���;� TECH: i
1� �� �/� ��v �
USTOMERSIGNATURE , DATE ✓1L�C(//Gl'(, �1/, TOTAL i