HomeMy WebLinkAbout16-16888 r
, CITY OF ZEPHYRHILLS
- ` - 5335-8TH STREET
� � � (813)780-0020 16 8
- � BUILDING PERMIT
- PERMIT INFORMATION. - - LOCATION..INFORMATION �
Permit Number: 16888 Address: 38719 WINDFLOWER AVE
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: SLEEPY HOLLOW MHSUB DIV
Est.Value: Parcel Number: 02-26-21-0260-00000-0020
Improv. Cost: 3,275.00 OWNER INFORMATION
Date Issued: 1/11/2016 Name: SLEEPY HOLLOW MOBILE
Total Fees: 55.00 Address: 38615 LANSING AVE
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-6312
Date Paid: � 1/11/2016 Phone: 813-782-9890
Work Desc: A/C CHANGE OUT 2.5 TON
� � - CONTRACTOR S ` � APPLICATION FEES �
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
2 � ( (� - ( �7
�r:�
� . Ins ections Re uired
TSINSTALLED
DUCTSINSULATED
FINAL �_-(�((,
REINSPECTION FEES: (c)With respect to Reinspection fees will compiy 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.
� `
� ��
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION �
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER �
1
w, r.�8»-�eo-oQ2o City of Zephyr�iills Permit Application Fex-s�aaeaoo2�
' � �' euitding Oepartment -
Date Recelved phanerContact tarPermlttEn . �/� t�� _��`�
Owner's Name ���' ���DGV - � ,. dwner Phone Plutrtber ����'~/�ol r l���
,�} � ��� �� -
Owner's Address ����� �- �%/1,I �'TU�_ dwoer Phone Number
Fee Slmple 7ltleholder Name Owner Phane Number' �_ �
Fee Simple Titlehalder Address
J09 ADDRE3S ��J�� �/N��L�'G�E' /`�`V� LOT# ��
su�o�visioN � I���'IIoGt� �� PARCEL ID# l..�o'� �?�o �/ l?� _D DD�� DG�,?1�
, , (OBTAINED FROM.PROPERTYTAX NOTICE)
WOFtiC PROPOSED � HEw CONST� ADDIAI.T [� SIGN `C} ' [� DEMO�ISH
-e. �INSTAl,I. REPAIR
PROR03EC3>.USE • Q SFR. Q COMM' �� QTFiER
TYPE OF CQNSTRUCTION � Q' ' BLOCK ' L]' FRAME Q STEEI. Q �
�(, 1 ~'�. j�
DE3CRtPTIONOFWORK �`. � C G G�'—aLG"(� � v� jD41I /�l �G / � N,�{J�
. ,
BUIl.DING SIZE �� � SQ FOOTAGE,�� HEIGNT � ,� �
0��l�d��C'' � � VALUATiOIV'dF1'�O'i'AL CONSTRI`lCTION
.�J
QEt,ECi'R1GAl ��� AMP SERVICE Q PROGFtESS ENERGY Q W.R.E.G.
QPLUMSlNG (�>—M� `
L
Q �� ly��� VAC.IlATtON OF MEGNANICA�INSTAICATIQN
MEGHANtCAL $
,,,._,_, �
QGAS _ Q ROOFING Q SPECIAt�TY C� OTHER -
FINISHED FI.00R EI.EVATIONS ��� FLOOD ZONE AREA QYES NO
B!lII.DEit CQMPANY: ,
SIGNATURE RHGISTERED Y/ Pl FEE CURRE� Y/N
Address Ucense# �� �
� E�ECTRlC1RN: 'COMPAHY '
SIGNATURE ' REGISTERED Y/ N F.EE CURRE� � Y/N '
Addre88 , , . . , l.iGeitSe�#.( � J
, , , • . � ;.. . �
PI.UMBER .CQMPANY .,, . -
31GNATURE' _ , ; REGISTERED. , Y/,.N., ; FEE CURRE� � . ". Y•/N.
Address � ' � i.icense# �1 .. I - • �.
� ,
M�cr�a�tca�: ' c, ctiMP�r ,�i4i-fR5 e ��� -.��
� .�tcm�.t"i'���'.� ,�.�_ , t��o :�� /�
SIGNATURE� ��isrERea .,_Y../ N. . .,,, �e Cu�. Y/�N
Addrsss� '`J'17�7'"f ��/�1�! ` a Z iyritL�'' 3�5�}l �ic.�nse#'I t�?-c=��.J�L�`�,�
OZNEtt ' , - ` ' ;GOMFANY �
SIGNATURE � � " ' ' 'ttEGfSTERED' Y/ N.. �e cuwtEn ' Y/N
Addre�as � . . � ,�^ . , _ Ucense# � �
` - �� .. . _ ,.,...:, . . . ,.. ,. . ,.
REStDENTfAl;; Attach'{2);Plotf Plans;.(2}seis=of BuiEiling�Plans,'(1}seti of-Energp�Foiii�s;�Ft-0=W Pemi,it far new canstruc�on;
� � MinlmumGten;(,1,�Q);working}days;a�ter,:submiftat`date���Requlred onsite;Cansfrtictlon"Plans,Stormwater'Plans w/Sift Fence installed,
' � `��"Sanitery Facilftl,es,&>1;,dumpsterrvSite�.WockgPermitfor,sutidivisionsAarge�proJects _ ;; ' � - - � �
COMMERCIAE. Attach(3j�ecmptete'sets'of-Bisltdl�g Piaris plus a Ufe`Safety Faga;'{1 j set af Ertergy Farms.R�-W PeRntt for new construction.-
Minimum ten(70)working days after submithal date. Requlred onsite,Canstructlon Plans,Stormwater Plans w/Sflt Fence installed,
Sanitary Facilides&1 dumpster.S[te Work Permit for all r►ew.proJects.,All commerctal requirements.must meet cempllance
SIGN PERMIT Attacti{2)"set�of Engineered;F?Ians:. •= �- . .
""PROPERTY SUR1/EY required for aII,NEW,canstruCUon..,
Dlrectians: , . . . "
Ffll out applicaHan wmpletely.
Glwner&Contractor slgn back af appiicatlen,notarfzed
{f over�2500,a Nottce of Commsncement is required. (AlC upgrades ovee y7900)
_.,�.,;`���.�.,;,r3;r .... ,=.�, . .,n,.,.. :ri_..,..�..,_.... _ . .
" Agent(for ttie contraotor)or Power of Attomey�(fo�the:owner�j;would�be,someone with nota►ized letter fiom owner.autfiaNiing,same"' .
;.; ,: „�,;.,. :, ; -
DVER THE COUNTER,PERMtT11NG {.. .(Froiit of�ApPllcatioii�t3nly)-,•� ;x '• � . , , -
Reroofs If shingles Sewers Service Upgrades""/�VC''• ��Fences;(RIoUSurvey/Foatage) � ' �� � . � .
Drivswaya-Not aver Caunter if on public roadways::needs R01N"� '''� .,w,� � � , .� f . , , ,` •� , , 'yr- -
. . .. .�,
.
� - . .
� � :-;, ..- ., ..
�� b c :to deed esWatlons
F10TfCIE oF DEED,RESTR1CTiONS:. The undecstgned;undergtands�,th�t;;thi.,,.,p�rmit:may�be,su._Je t ..�r.,t -
._.:..�,..
uvhich ma,_ tie}moce<r.e'st�ic#�re>th��t�Coun • _� �1afCans..:�The:r�ndetsi ned-:. . '. ;"... .. _ : .__:,.. ,�,�. „�.-:�.,..H• �_..� �: >> . �� ,., ._�.s _.
Y.�, ty"r+�regui . �� -�ssumes}`�espdnsitillitq'fior'compiiance.wi'th`any��"
appitcable deed restfi�tions, �..�.w.�r .:,-�;, ....�;., ' ,.._`....: " •n:,-. -'. , .
UNLlCENSED�GONTitACT�?RS ANLf GONTRp►�TQR RESPANSlBIl:1�lESS:° !f-theh arivtter-has=filr�d`��"a�ntracto� or
contractors to undertake work� they,may��be;r.e�qulr:.edlto:;be;llcensed'in-accordance.wtth:,state.and�local,regulatl.ons:���If�the�- `` °�� -
contractor.ts-not Ilcenseid�as��-�required;tiy law, botN�the awner�.and ciinUactor�may�be�clfeii.fix-a�niisdemeanor "v.lolatlon
under state Iaw. tf the owner ar tnterided„cgntractor;er"e,�uncertaln:as=ta what;iicensing;,requtrements;may�,apply_�f6r�tiie`�� ��-�:���"-
fntended work�they are,advlsei!fo contact the I�asca County_Bultding;fn'spection DivisEon---llcensing Section at 72T-�47-
8009. Furttierinore* tf the owrier�°has'�'Fiired�a contractor or contractors, he !s advlsed to have th� contractat{s),slgn. , .� a .
portions af the°contracta�,-Block",_.of.thls,.appllc�tian.:for_whloh.they;�nrlll.be.responslble. lf..you;_as:the oviiner`sign��is`�the"'
. ,�.......�...�:.
coM�actor; ihat may'�be an indication that`he'is �ot�properly ilcensed�antl'is�not entitled to permltting pri�lleges In Pasco _
Caunfy. � . : :,..- ,_. .
TRANSPnRTATiON IMPACTlUi'IkiTiES�1�MPAC'�ANb-RESO�JRCE RECt?�PERY FEES:�T�te underaigned'understands
that Trarispo�latian Impact.Fees.and:Recourse RecoVery.Fees may:apply�to�E#te�constructian:of new�.bufldfngs�;change�of�H.-�:,�°� °`�
use in exisking buUdings,�or�.expan�i�n��of�extstii�=�uili�ings, as spectfled.ir� P�sco County Ordinance number 89-47 and �
90-07, as amended.;_.,The undersigned also;understandsf ttia�t.such fees;,�s�may:be��due;�wlll�:be tdent�fed at the�time�of�#� �r='`"`�°��
permitting. It is furtlier understood that Tra�sportatlon Impact Fees and`Resource.:RecoVery`Feesi must be pald prior to
receEving a."certfficate�of�occupancy'°orflnai��.power.reiease; :if��the:project.,does;not irncfve:a:cert�icate of occupancy°or�='=�= ��,-
�., „...
flnal pawer_release; tlie�fees mu�t�e pai8,pr.lor t�:permit issuance. F��thermore;if:Pasca�,.C,aunty.Vllater/Sewer�:lmpact :-, �::�.<;;..
fess are due�,tt�ey_must.be;paldprla ta,permlt-iss_yance-ln_. :.aa'�ordance:witl���applicabte.Pasco:County ofdinances. •
�ONSTRIJCTION'L:IEN"LAYV(Ctiapter T13.Elorlda Statutes,as ameeded}: !f valuatlon of work is$Z,500.OQ?ar more,,l� � � .,_
cer#ity tFiat I, �he -applicant�:-have.been provided�with:�a-copy�of #he�"Flor(da� Consttictton��Lten';Lau�--Hameawner's
Protec#ion Guide° prepared by'the Fto�ida Departmenf of Agrlculture and ConsumerAffairs. If the appltcant is someone .:•. .:...,;�
: , , � . _ ,f...
other than th�'awner", 1 certify_#�at t;tr��ve.cbtained�aacopy;of:�he;above.:�ies,c�lbed°documentiand,pro,�ise;:tn:,good'.falth-to . .:-,_
deliver fE ta the."owner"'prtor�.to=cortimenceimeti#:` _ . :.. . .. . , . � ..
CONTRAGT4R`S/OWNER'S A�FIDAYl1: t.c�i�ti�y;�that:ai{,.th�;lnformatia�n��n�thl�applicattan is accurate�and that atl wark
wili'be done in com liance with all.a llcable laws re ulattn constructlon, xor�In and land°deveto,ment. A ttcatlan is
P Pp 9 9 8 P .. PP
hereby made ta obtatn .a.permit��to,;do_�work:;and�-tn"stallatlon as ind[�efed:-:_��I ceK4hr tha# nv work}:or lns�llatton has
commenced prtdr to issuance of'a permit"and that:ali woric witl be performed to meet standards-of�ali laws regulating�
canshuctbn, Coun#y and City codes� zoning reguiatians, and land devetopment re�latlons�ln the jurisdtction:� (�al'so
certlfy#hat t ur�derstand that the regulatbns af other gavemment agenci�s may�appty to;the_infended worlc, and that it is
my responslbll(ty to(dentffy�wha#.actions t mu�t t8ke.to,be,ln:.cprt�plia�ce...,Such,agencfes include but are.nof limited ta:;.,�
- �epartment af E�vlronmenkal�°Pro'tection=Cypress.`Bayhead�,�l�IteNand Areas.and EnvironmenEafiy Sensitfve
Lands�WaterlWastawater Treatment. _ � �
- Sou#hwest- FtoNda Wafer Managerttent: :�lisfrict-Wells,' -Cypress�• Bay.heads; °Wetland Areas, Altering
Watercoafses. - .
- Army Corps of Engfneer�s-5eawatis��Dacks,Navigabie Waten�vays.
- Department of,Health,�.&,.,Ret�ablAtative.F;S�rvices/Environmen#�!�Mealth Unit Well.s, 'Vldasternraterv Trea#anent,
Septla Tanks. � . . ° � _
- US Environmentat Protectlon Agency-Asbestas abatement. .. �
Federal Av#atton�Authority_:Runways:� -� �
i understand,that the.folfowing.•.restrlctlbns appiy ta the use of fill: �
- Use af flli!s not allowed In:Ftood:2ane�V"e�nEess expressiy permltte�d.
- if the.�D matarial=-Is�to•'be use�:�'!n-.Fload Zane "A", It !s u�derstoad that a dralnage ptan addressing a
"compensating valume"will be subr�ttted at#ime► of�;permltting which ts prepared by a prefesslona! enginee� ' �
licensed by#Fie:�tate of:F�ofida:.� --. ,;,,._ � .., , . .
- If th� flil matertal�is'to .be;used tn Fiood Zone "A" in�connection�with�a permitted building using stem waU
' construa#ton, i,certify,.that�li:wlli:b.e=�sed oniy.to filt the area within the�stem wali.
- If fill materlal�fs-to be use� iii �ny ar�a� �t�cenifjr that .use. o#' sucFr fltl will n�at adverseiy affect adjacent
p�opecties, !f use o#,fi!! is found_to adversely.,�fFect adJaceaE,�p�perties,.the owner may be cfted for vla!'�ting.
the condl#ions_;of.the buildtng`:perml#a�issueid��under tfie"attached permit appllcatlon,for lots.less:than.one (1)
acre wFilcli e�e eie�vated�6y illl,a�r englneered dralnaga plan Is requtred. �
if 1 am the AGENT-�OR THE OYVNER; I';promise in good,f.alth to inform the a�wner of-the permltting candit�ons set forth in
this affidavit'prior ta�cotnmeracing conshvctton. 1"undersfand that a�separate�permit may be requtred for elecMcal woric,
..,�,.._... �.
plumbtng, signst weNs�,.pools;, ai� cocndltlaning�-:g�s,rv�or:otk�er inst�i!!�#l.o;ns no�,spec�lcafiy induded�tn.the application. .A ,
permit Issued�hall be constcued to�e~a�Ili;ense'-to�proceed wltb`'tl18 vVo!'k 8[It!•�t1ot�#�s:Eluthoclty:;t0,vloltiter��al�t�1, al#er� or
set aside any provlstons of the.teciinlcal cod�s;�nor shall issuanceY�of a.permlt:pr.event the Bulldtrig�t'tclal from thereafter � �
requiring a correction nf eRors in.plens; cons#ivction.or_vlotations bf•any codes:� Every�p�ermlk issued"sfiall-tiecomerinval(d
ctn#ess the wrork ac�thorizedby such permt#.3s.cammenced�withtn.s�cAmon#hs of�permi# issuance� or if wark authorized by
.,..
the permit Is suspendecl��or:abar�doned;for:�;perlod,,of�s#�:{a8)inont�s�fker;the.ti��th��wa�k��s comrnen�ed, An extenston
may he requested� In wciting,-_from.tlie�Bulldtng,f�ff1clal;for a �eriodf:not#o-excei�d�i�[tiefy��(80,�ay_s aztd�t�il.demonstrate-_ �_ _._
Y us fia�le�cause fo�:the extension�. ff wo�k ceas�es:for r�inety.{90)cons.ecutive:day.s,.-the job�is-constdered aba�daneid:
- �� - �- � - - �
NIARNING TD CIWNER: YOUi�;.FAiLURE,Ta,RECORD,A 1�aTtCE:OF«COMMENCEMEMT..MAY RESULT.IN YCIUR
PAYING TWICE;I�QR�iMRROVEMENT�-�'�Yfl,UF�:PR�RERTY.:��}iF°YO.Uxtt+i�'�E�1t3�`TTQ��CiBTA1N�=FiN�►M�ifi1G;�ON3ULT
WIT N� TFO FO.E� �.�i � � p :�� �� �. . . E . T. :f, .
� FLORI�A JURA��(F:S:i :D�') '; �,f ���:: , ,,. .. . , ,;^ .
OWNER QR A�iENT --.� �� ! � ' ;,, . : ��`r�'� �
,�,��Ol�ti'RAGTO
Subsalbsd and swom to(c �Imred)before me la Subscribed and' �to(ot atflrtned)'befiote me�ftilg .
�y ,by ,. , .. .
W#io Isfare personslly knovm to.me or has/have.pt9duced , 4Nt�o Istare persanaily�Cnown•ttr m�or hasfiave-proditc�c! � �
' as id"entlfl�d'on: � „_, as IdentlflcaUon.
�
Nata P . � Natary Pubitc
,"A" Comr�ls ...•:'�::",,,�. JOEL E.8ACOtd ' '
Comm n F1a:�, .••;�:.:t�"•�., 30EL E.BACON' , '�-. . .
;,,: :,;: amrti'ti�ttln�'f�f-'f3�i9 .�. .:
;�: :�: Expires June 29,2018 ;�;: =a�: Expires June 29,2098
�rcsBdD--385-70i9 �
Name of Noiary iyp ,' or Name of Nata ' ,
I-� j' ►� '
. �. . . �
s' � ` ' PROPANE GAS Service Order/Proposal
� L AN� AIC �Hc. Air Conditioning 8 Heating
,
' �itce�988 813-7�2-5013 _...
.� . ��nr,�� :;��r_���1x��- �_:�E����V.1:�-��=�+if=t��� �.:,-�c��+7 LtiF'f_.
� Sales, Service & Installations r;N'1��=�-� �f'�I�:� 'l�r'�!�'E-r�� � �'��'�i :1`� �.E.� .�.•`_'�
4441 Allen�Rd. • Zeph rhilis, FL 33541 �"fji�!=��'� ��� � �=���'��E� ���r /'�
� �� ��7-i !:'. '� .�.I�i:.: ��f?�{T�.�.�f-.TJ � �QS.� �_� r::`r"? �'s.�:J ��'��°L51�('I `�r�1^�
NOTES: �� � �,� • a,°� r�i_�:-;-r�:�;:-i��:;,�:�::; ;�����-r�:ctr.k ���:.�.,.�;,;�
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1=_��1�.L M F�i'T 1�: T f j f?t=�='!._.f=�C�_ �1�'� .
' • DESCRIPTION OF WORK .QTY. •�' MATERIALS&�SERVICES � ` - =` -UNIT.PRICE AMOUNT ,,
. -. i . i
-� -- - - -. _ N To,,� �"�M(a3�r 1 y � ' '
� � �
C, I . � f�e�►f . �� � �
! � � �
�J P!� (;�Q.i:� q .. � � �
(,J►P✓1 �n c� ,l- � ' i
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' 3�sr�✓
'�t.J "�(MQg�4-`f" E� �'a� � con����'
' C� �, . i ��-� pv
' a5s ;��
• .v�ti :i " . � U,U �i �� �
' � ' �,,�-�- r.�d( � ' � pc� �
� ...� RECOMMENDATIONS� . �. , _ _ '�� � ���e)� i ���
Annual Maintenance Recommek�ded b All E, ui ment'Manufacturers. � _ � �
Y � P . Pressures Lo HI T-Stat � �
- , . ,., � , i
� ��M����r � S �n S�{��,� REFRIGEt2ANT R- LBS: � " $'Per,lbs. , 1 I
!
� �Y O �'�C.� �� I� � FILTERS x z Changed Monthly I � �
`�
FILTERS x x Changed Monthly � �
0 REGULAR ❑WARRANTY �•- TOTAG SUMMARY �, �
,. � - -
�Dehumidistat Se,ttings'When here"ON", When Away 60°0; T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE ' i
LIMfITED WARRANTY• All materials,parls and equipment are warranted by lhe manufacturers' T " `METHOD.OF PAYMENT � CALL i
or suppliers'written warranty only.All labor performed by the above named company is warranted for " TOTAL i
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on �
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
PROG. W 1 C
I have aulhonty lo order the work oullined above which has been salislactorily compieted.I agree�hat Seller ' _
retains title to equipmenUmaterials furnishetl until fnal payment is made.If payment is not made as agreed, CLAIM# //�� I_�\
seller can remove said equipmenUmaterials at Seller s expense.Any damage resufling irom said removal shall ]„J V V
not be fhe responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED r �( r��� ��
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS
TECH• T� i
��sc� y�u - �
TOTAL �
CUSTOMER SIGNATURE DATE