HomeMy WebLinkAbout16-16896 CITY OF ZEPHYRHILLS
::- � 5335-8TH STREET
� (813)78o-oozo 16 6
BUILDING PERMIT
� PERMIT INFORMATION - LOCATION INFORMATION �� � ,�
Permit Number: 16896 Address: 37401 DERBYSHIRE DR
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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0890
Improv. Cost: 4,395.00 OWNER INFORMATION
Date Issued: 1/13/2016 Name: HOECKELE STEVEN & DEBORAH &MAR A
Total Fees: 60.00 Address: 37401 DERBYSHIRE DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/13/2016 Phone: 813-782-5564
Work Desc: A/C CHANGE OUT 3 TON HP
CONTRACTOR S • � APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
` ^
�
G1
- Ins ections Re uired � � �
D CTSINSTALLED
DUCTSINSU TE
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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
'I 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.
� �
QL�mQ �
ONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8;HOUR NOTICE REQUIRED i
PROTECT CARD FROM WEATHER
,
� e��-?ao-ooaa City af Zephyrhills Permit Application Fax-813-780-Q021
r � � BuNding Department _
� -�, - .
Date Recelysd ' � Phone�Contactfor.PerrtiitEtn �
Owner's Mame o�C.s � � � �!>C� Owner Phane Number U ������JS
Owner's Address � b/ �e /�i ! . '+� Owner Phone Number �— �
Fee Slmple Yitfeholder Nama � � Owner Phone Number ��� �
, Fee Simple Titleholder Address
� , � r
� / JOB ADDRESS � ��I .�rll r" �A- - �C�' L G S / ,� LOT�R ��
suso�v�s�or� � .� e�p�` � 1�//PaRce��a# . ID � ,�`�j t.�/�.A t3L�1�1S D�'�'1
(OBTAINED F,RdM.PROPERT1f TAX NOTICE)
WORK PitOPOSED_ �,�Ew'CONSTR . ADQlAi:T �� SiGN Q Q DEMOLtSH
�.e, INSTALL REPAIR
PROPOSED�USE � Q SFR� [� COMM Q - C?TtiER
TYPE OF CQNSTRUGTION � Q ' BLOCK ' [� FRANIE [�] STEEL Q
DESCRIPTIQN O�WORK J ��� � �(31V �`� b�/1"2 aC. �l.?7`� ���5
BtItLDING SlZE` � � � SQ FOOTAGE��-� HEIGi�iT 'C��
�$������' L , � VA�UATION`C)F1'O'i'10.LCOi�BTF�UGT'IOIV
• �
QE�ECTE2IGAL ., -� � AMP SERVIGE Q PR{�GRESS ENERGY Q W.Ft.E.C.
QPLUMBlNG �� � ^
QMECHi�WICAL $ ���� VALCIATlON OF'MECHRNICAI!{�lSTALLATION
�_`��„ o ,�- �
QGAS [J EZOOFiNG Q SPEC1AlTY � OTHER
FINISHED FLOOR ELEVATiQNS ��� FI.00D ZQNE AREA QYES. NO
BtI1l.DER COMPANY� .
SIGNATURE REGISTERED Y/ nl FEE CURRE� ` Y/N
Address � - Ltcense# ( �
EtECTRICIAN:. - . ,'COMPANY � -_ .
SIGNATURE � REGISTERED Y/ N FEE�CURREN= ' ''Y/N�
AR3dress � . , ., n Licanse#..� • �
PLUMBER � COlNDPAHY . ,
SIGNATURE .� _' :,' :: . . , , : � .
� ; ,REGISTERED r ,Y./>.N>j �. ,FEE-CURRE� --•- Y/N.
Address � ,. .llcense,# 1.-_. -.... �� , . ,� 1
� ��/� , �/
MECHANlCAR:' _.� GOMPAN1l- �t�?l�'lEi�i� S j� ��, ��{V�,°i
) �;.-:.
SIGWA7URE � � 'G���%"i'�h-- .` �Gis7ERea ....Y../ N . , �E Cuat�n- Y./�N� •
� . . -. . � .z.
. � - j/� �``�
,- . �.. .,:
,.;.. -7'�7! '�/'7 �N` ' �� s . �.. _ license#� C�l"r'G� 7.c'��"T^t�- 1
Address ° - _
' ' . , _� .. .. . � • . , _ .
O'fHER � r , , - _ ;CONIPANY � ....
SIGNATURE a � ` " � �`' � ' ' �REGISTERED{ ' , Y/ N.,.. ' FeE cui�n _ Y 7.N.
Addres� � , - . ., . _ h„ • � ` � . ' ' � Cicanse# �` 1
� _ . .�,.;:, - � ,. . . :. r - � .
RESIDENTIAL.,c; Attacti;(2)�Plct�P1ans;�(2)sets.of�8u1lding!P.laizs;(1j sef of=Energy�Forins,"R-0=Vit`Peliziit for'nsw consttuction, �..
- .�; Mintmum}ken{(41.0),�worlcing�days;after,:submlttal date.::Required onslte;�ConstiucBon Pians;Stomnwater Plans�w%Sflt Fence instai�ed,
. " `" SanitaryFaclltdess&=.1rdw�mqste,r,.�S(te°alVorlc;jPermit;fgrsu6diyisions/large',-projects ,__', � " ' , `
GOMMERCIAI. Attech{3}�coinpiate seCs�of 8aliiitrig Plaris pius a l.ife Safety Page;{1}set of Energy Farms.R-U-W petmit for new construcUdn.. _ __
Minfmum ten(10)working days after submitfal date. Required onsite,�CanstrucUon Plans;Stormwater Plans wi Silt Fence installed,
Sanitary Facilides 8�1 dumpster.Site Work Permit tor all new;,projects..All commercial rerqulrements.must meet compllance
SIfiN PERMIT Attadi"{2)'sets�of`Eiiglneer;edcPtans:. ,,,,.�:�:- � r , . � �
•"'•PROPERTY BURVEY reyuired,for all NEW,constructian.. - � _
- - - - , i
Dlrections: ,-�� ... , - ��
Fill out applicatlon completely.
Owner&Contractor slgn back of appficatlan,natarized
If over y260d,a Notice af Commencement is reqaired. {AtC upgrades aver ST500)
.. a'-�:.+;,>:-;n,�a;.�
AgeM(for the contractor)or`Powe�'of Attomey(Wr tFie�owner)�would be someone with notarized letter from owner authorizing same
_._ - , - �,�..
OVERTWECOUNTER:REttMlTTiNG...,;==�`:{Ftoiitof.ApPlication;Orily}-.,.;:.,��< �.� „ ,
Reroofs if shingles Sewers S,ervice Upgrad,`es A1C;;;:;;, Fences(PlodSurvey/Foatage) . .. w„_
_ �_,..., ......_ _.:r. .�-- " �,�.�. ..,,__ -�'a.. . .. . :,�m,,r,:
r�.,.
Drivewaya-Not over Caunter if on publfc;roadway`s,;:neec�s,ROW- ,
�. � .� .�.. ,.�, ..,,w,. ��. . . ...,. .
, � _
• � �• �
N�TIC@�F DE�D RE�T.�1�'P�QN�: T@�e undersigned unde�tands;tt��t=;thi�_�p�rmlt:may.bessubject to."de�d"restrlc�tons" .� `. :
whtch may.be�more.resthicttve-th��t Gaunty�'reguta�Cons: �'fhe u�i`derslgi�ed assurries��`resp�nsililllty`.for°corinpllance with�eiy- ' � '
appllca�l�deed=reshlcNg�ts, ,. : . .:,.' . . _ * � _
lJNU�EN��D�Gt�M'�'�ACTORS J4ND CANT�4CTOR RE�PONSIl�1L{'�'I�S: -If-the �awner�has.:f�ired a�contractor or
oontractors#o und�rtake work, they may�b�,;reiqulred_to�be;llc�nsed In.accordance.wlth state.and;loc�l�regulatlon�.' �If�the � - ��
cantractor Is-n���Ifr�nsed �s=reqult�d'Eiy �aw, boE#r the ow�ter arad-i;ontractor3�may b��cited for�a�r»1��gmea�ar vi�lation '
under state larnr. If the awner or Intended�;contra�tor,�are,;uncertaln as to what IOcen�ing.,requlcemen#s,'may���app9yu�or�'ttie� ��� °-
intended work, they are ativlsetl to contacf.4tie Pasco Counh,r_B�Ilding'lnspeict�on�;D+lvlston-,-�(censing Sectlon at 727-847-
8008. Furthermore� 1E ttre owner Fias�F�i��i� a cotiUactor ot coritractors� ii� is aavisea to ha�e tne can�ractaKs},stAn ,
y�,_,,,�.: � �,.,U �� ,._�
por�lons of the "cantrecta� Block" of.thls.appllcatlon foc,whlch,they.wlll be.re�po�slble.. If.:yau;as:#he owner sigri°'as'the `
contr�c#or, that�may'be an Ir�d€cation #hat'Fie is'no4:proper#y 1lcensed and ls'not ent�lsid'to p�tmltting p�ivlleges !n Pascv
County. `�`"
.. . . .
. . , ... .. .
TRANS4ARTATIflN�IMPACTIl�T9LlTIES'I�MPAGY AN�1�tE��U�CE R@CC��►E[21�fEES;�The underslgned uiid�rstarads
th�tTranspartetion lmpact Fees:a�d.�eco�ar�e Recovecy.Fees mey:.appiy��#o t�e:c�nstn.�c#i�n_of n�vu_butldings,.�change���� L. �- `
use In exisNng bulldings, or;expansi�m���of�eiilstin�'�6uildings, a� spealfled.ln P�s�o County Ordlnance number 89-07 and •
90-�7, �s amended...;Tne undez�lg�ed �Isa understands� fh�t:�such fee�,;,as��may�:be��.due;:;w11F.be ldentlf[ed at the,�nie��of ` -� , ;:
permitting. 1� Os furtPier understaod that Tra�sportatlon Impact Fees and"�tesource;Reco�ery'Fees.must b� pald prlor to
receE�ing-a°cecftficate-of occupancy" ar flnal•power;release: :1�-the prcj�cQ::does:r�ot invafve�a.�cert�tcate of occupancy o�''�==�
final power.:release;:the fees mu�t b� paid.prtor#�,permi� isstaance. F��tB�ermore;if:Pasca,County�lNater/Sewer-=lmpact � .. .
9ees are due�:_they.must.be-pald:prlor t�.permit_Issuancei�:ln accordance w1t�..appllcabls:Pasco'C+�unty o'r'dlnances. �
�t3�t�'CRU�TI{}N'i:9EN"L:A114t((;h�pter 7�3,�1or#id:Stat�t��,a��me�d��): lf vatua�on at wark is$2,500.00,�or,rnare�.1 {.: -w. .
certify that I, the .appllcant,-�have been pravldetl��wtth-•a=copy�of.`#he "Florida Constivct(on� Llen Lav�-Homeow�er's
P�oteckton Gu#de" pr�p�red by ttte Fiorlda DepsrEmenf af Agriculture snd Consum+er.:Aff�lr�. lf the�ppltcant is someone ..
other than the`owner", I cert(fjr.th�t I h�ve.a�talnatl°a�eopy;of:the;ab�va-.de�scrltied�locuri�ent:and.promise�;ln;good`:faith to _,
deliver!t.l�the.".owne�'�pr9oc�:Qo�commer�cement:' - � . . . �
�ONTii�CTOR'�OOWi�lER'S AFfIDAVIT: O.cer.#6[y,°.that,�il�tfi�e�;ie�fmrmatid�:irnthi�applicaNan i�accurate.and fha#atl woric
will'be done in compliance wlth aU appllcabl� laws regulating cons#ructlon, zpning and:�lar�d�development. Applicatlon is
hereby made to obtaia� .a permit�.to do.�rr.oik:.�snd�liigtalla#lon as Ind[ceQ�d:=:,::1 ce�ti�"r th�t no work`Y�r lo��talta#ton #ias
commenced p�tor to Issuance of a pemiit and that.all�work wlll be pertormed #o mee� standards-of all laws regulating�
const�uctlon, County and Gity ccxles� zoning �egulattQns, and land devalopmer►t regafatlons�En the jurtsdlctlon. ! al'so
ce�ify that 1 und�rs#and that the regulations o�other gadernm�nt agencies may�apply�#a the tntend�ad work� and that it Is
my responsibllity t�Identity•wh�t,acttorts I must tak�:to,b.e.dn�cortlpllance:.�uch.agencles Includ�a but�are.nat IlmJted to:
- Depactment af E�vironmental:°Protection-G�rpre'ss,�Bayfieacf�� We�and Ar�as and E�vtronmentatly aerrsi#ive
Lands,lNatedlNa9tewater Treatment. ,.„ �
- Saut��rest �lorfda Wat�r M�tt2tgett'#ett� �f�fStrlC!We118� {%YPress. Bay�eads; Wef#and Areas, Altering
W�t�rcaurses. . - ��
- Army Corps af Englneers-Seawalls��ooks,Navlgatile Wate�vv�ys.
- Depa�tment of.Health�& -Ret�abllitative,Setvicssl�nviranmet��ai .Heaith Uitit Welts� tlVastewater�Treatment,
Septic Tank�: " � .
- U5 Enviranme�t#�0 Pra#ection Ag�ancy Asb�stas ab�temen#.
Federal Adlalton_Authorfty-wRunways.���
1 understand that the..follciwing:restrlctl�ns apply'to the use of fl!!:•
- Use ofi fili is e�ot allowed in°�Fiood,:Zone"V"uniess expressiy peranitted. .
- --- It the-filf material�ls to b.e usetl:ln:-:Flood Zane °A", Ik is und�rstood that a drainage pla� addressing a
°compensating volume"w€11 be submltted at�ime of;p�rmi�ting wFii�lt is prepared by a prof�ssianal engln�er
Ilcensed by thie State of�Florlda: - �, " � -
- !f th� filt enat�rial=!s:to-be<used in Ffood �one 'A" i�=connec�lon�with�a �►ermi#ted b�aildirtg using s#errt wall
� construction, I certil�r..th.at.fUi:wJ0l:be used only.to fill#he are�withlro�the stem watl:
- If flll materlal Is to. be used ln any area;�1�`aertlty that .use �f such�flll wlll not adversely affe�t adjacer�t
propertles. If use of fill ls fonnd�.ta.adverseEy,�{#aat ad)seer�#��prop�rtie.s,.the owner may be cifed for�folating
the coredl#ions..of..the.bullding`:permlt Issued;under tFie�at�ached�p�rmit appilcatlon� for.lats�less than.one (�j
�cre wi�tcli ar�elevated'!iy tIll,a�t er�glneer�d draln�ge plan is required. .
If I am th�AGENT FOIt THE CIWIVER;,I�promise On.goodyfatth to tnform th�owner cf the permltting condR�ons�set forth In
thia affidavit p�lo�to comrr�encing constructtvn. ! understand #het a-s�par�te permlt may be requlred for eEeatrfcel`work�
plumbie�g, signs, wetls, paots; �Ir.canditio�ing,..g�s,-�r.other lns�all�#tons no�.spec�tcsatly inciu�.ded-in.#he application. .A �
�-.
permlt Issued shall be consirued to be�a l(cense'�to�proceed wlth tNe�n'rork�nd not�as:authodQy to:vlolate;.cancel, aiter, �dr
s�t aslde any provisEoits of the tec#infcal cade��; nor shall lssuance°of a.p�mtit.pceven#the Bultditig�d�l from thereafter �
requlring a carrectlan af ercors in pians; constructlan or vlmlat(ons of•any codes. Every,pi�rtnit lssued sfiall become invalid
un4ess the wrork aukhor(zed by such permlt:�s-cornmenced•wlthln sGc months of penntt lssa�ance. or!F woek authorized by
the permit is suspended�or:abandoned;for a:period�nf.six:(8)mc�ntt�s�aiter the.�irr�e the�v►+ovk�ts commenced, An e�ctens6on
may be requested, tn writing, f'ram tlie Bullding,Of�clal�for a per9od:not.to �xc�ed"ninely�(90) days and virilf demonstrate
�tts#�iatbie cause fot�the extension: If v�ork c�as+es:far nlnety{90}cons.�cutiv�d�y.s,_th\job�is consldered aba�doned:
11k�AR10lIP�4a Ttt OWI�Ef3. YOUlfi,.FAIl.URE•TO�R�COEtD.AhN!}TtGE Q���°+OAfIdVl�NCEMEMT 11�AY-REStJt:T IIN�YOUR
PAYtMta'iYl►ICE FCiR�iM1�RQti/EMENTS�TO YFi111�:PRC�PERTYd��IF�YOt1:�IB�'FEwD�'TO`�JBTAIN��FINAI�EING;'CCINSUL.T
VIP'IT U D �O. �1µ TTO NEI�� FO'R��, OR� Ea';� AU :'• . ,� E°af :�. < , . E T. �
F[.ORIDA JURA�'• F.S:"k1T. � . . , .__ � ._ .�- = - —.—-—_.___ _ _ _ _ __ -_—.---
�.._._.�_._{----_____.� _ �. --- -- --- �, _ 4 ... ..
- _ � _"_ - t '�.
OWNER OR/4t3EP1�• ' li�^�'�"""'�-- GONTRACTO �r�
8ubscribad and swom to a�ltmed}beiore �thts S'bs��b nd' at aflirtned}-before me thi�•
bY l.., . . �-
Who Is/ere personally k cn�m to.me or haslhave produced o.le%re;pe onallykno •to me or hasihave•produced
- as tden8ftc:s8on. �s iden��catlan.
� Notery Pub�c . ��__ , � Notary Publtc
Ca�smisston Na::. Cam���„j� . 1
,�,�,ti.��^Ya��; JACQUELINE.BpGES
_,�.
t�ame ot Motary ty�ed,Pdnted or stamped Name of idot - _��flt�i�5��r 12,20f 8
��''rP;;;.°.�`'� Bonded Thru Tray Fmn Ineurance BOa385•7019
1 -
/
.
��►'l�� I� ►/�//� �.�:srA�� �.� ' �s=�
s \��� �' � PROPANE GAS Service Order Pro osal . � � � �
� AN� AIG �r,c. Air Conditioning 8 Heating
��tc��988 '� 813-782-5013
` WOR�. ORDER#/SERVICEMAhI E,4E�1 JUI4
>'
�` Sales, Service & In�tallations DATE/T I ME TAN,EN �1/�4/1 E, 1�:�:,�3
�-� 4441 Allen Rd. • Zephyrhilis, FL 33541 TAt%E�v av �. R. ��
vorEs:STFv� L DATE/TIME F'ROMISED ',,
�N�i�io�,c�f� t��iv,� �o� CUSTOMER#/LOCATION �8E96 �
�'HONE# 61�.:r 7BC.—JJEr4 H ,
� CORITACT � STEVEN cE,7 4E,�,-3Q�
ROUTE/SEG? • JUN
. ,
, HOECIiELE, MARGARET _ HOEC{',ELE, MARGARET � I
� 518 ADAMS AVE �7401 DERL�YSHIRE DR .� '
WEDGEWOOD �
� LANGHORI�lE �A� 1`��47 ZEPHYRHILLS FL3.�,�4c
AH-ATTIC '
JVERFLOW FULL / UNIT SHUT OFF CALL STEVE WITH DIOG�IOSIS '�
..;.....;. . .
C::+,;-��.,;;'�,.::`::�' .;.,<' �.-:,,,,:: �__:.<.-..,. _ _ _ . . .
: - - �DESGRIPTIO(Y'OF WORK- �`� .-,�:QTY ;`>, ��°MATERIALS 8�SERVICES >• - • � UNIT PRIGE :_`AMOUNT
--- -------------------- --� --- �
— ------------ -- ------------------------- — -- ---
P �A O G� .- A 2 TS 3 O N �/j'I .STf9 2 � ' y�9s'°"
�"�� v �.� � � �
� �
� ,
.s� v�, � T � �
' I I
�iY! £ . �.�r0�;� /-AN � �
� � �
� �
• � �
" v , ' s-r/ 0 19�/c oti i
� �
�
,. � �
, ��. � ' � �RECOMMENDAI"IONS ' � �
- - . _ v � I r��pU
Annual Maintenance Recommended by-All�Equipmenf Manufacturers:_ - � �
� - Pressures Lo HI T-Stat i i
� i i
• FtEFRIGERANT R- LBS. $.per Ibs., � �
FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly � ��l'y/�
iC7
❑ REGULAR ❑WARRANTY � l'OTAL SUMMARY �
Dehumidistat Se{tings: When here°ON", When Away fi�,_..T-Stat 80°: ❑ MAINTENANCE CONTRACT SERVICE _ i
.IMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' �� • � METHQD�OF PAYMENT � -= � CALL i,
�suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL i
0 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i .
�ress or implied,and its agents or technicians are not authorized to make any such warranties on
ehalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
have au�hority lo order the work oullinetl above which has heen satisfactoniy wmpleted.I agree that se��er� PROG.
etains title to eqwpmeni/malerials furnished until final paymen(is matle.If payment is not made as agreed, CLAIM# 4 �
elier can remove said equipmenVmalenals al Seller's expense.Any tlamage resulUng from sald removal shall f/`-�
ot be the responsibiliry of Seller.NET 30 DAYS.A 1 1!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO � /� I�
�LL UNPAID BALANCES OVER 30 DAVS.NO REFUNDS DATE COMPLETED 2�/
TECH �
i
//�,,�,,,/ ��//_ i
USTOMER SIGNATURE DATE ✓7LU//NL .J(/�(! TOTAL �
___' �