HomeMy WebLinkAbout16-17688 s.
, CITY OF ZEPHYRHILLS �
5335-8TH STREET
(813)780-OOzo 17688
BUILDING PERMIT
' PERMIT INFORMATION �' � LOCATION INFORMATION
Permit Idumber: 17688 Address: 38533 5TH AVE HISTORIC
Perrroit Type: MECHANICAL ZEPHYRHILLS, FL.
Class mf Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
� Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15200-0070
' Improv. Cost: 10,975.00 OWNER INFORMATION
Date Issued: 8/24/2016 Name: CITY OF ZEPHYRHILLS
Total Fees: 0 , �,f Address: 38533 5TH AVE -HISTORIC
Amount Paid: 9 . 0 � ZEPHYRHILLS, FL. 33542
Date Paid: 11/17/2 16 Phone:
Wo'rk Desc: (2) UNITS A/C CHANGE OUT 1-4 TON / 1- 2 TON DUCTLESS &WIRE IN ATTIC
CONTRACTOR S APPLICATION FEES
BAHR'SI PROPANE GAS &A/C, INC. A/C CHANGEOUT 90.00
REESE �ELECTRICAL INC
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� Ins ections Re uired
DUCTS INSTALLED
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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
I 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
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may be found in the public records of this county, and there may be additional permits required from other governmental
i ; entities such as water management, state agencies or federal agencies.
"Wa�ning 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.
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�P O� -�i
CO TRACTOR SIGNATURE PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION '
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
; PROTECT CARD FROM WEATHER
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:��� `"� PURCHASE ORDER
2 �'�r"�.
r,.... �ri;tliniil� �;.
, �,,� ;,,�-��.,. � No. 0000031144
�;I��r ��,-�;ephyrhllls ,:- .� -_ .
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VENDOR: SHIP TO: BILL TO:
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Bahi's Propane Gas&AC,Inc City of Zephyrhills
44410 Allen Road 5335 8th St.
Zep yrhills,FL 33541-0000 Zephyrhills,FL 33542
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VENDOR NO. VENDOR PHONE NUMBER TERMS DATE REQUIItED DELIVERY DATE
BalirProp (813)782-5013 0 11/15/2016
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SI�PPING INSTRUCTIONS
(none)
ITEM QTY U/M DESCRIPTION/PASK PRD CODE ACCOUNT UNIT PRICE AMOUNT
1 1.00 Air Conditioner Installation at Jeffries 001-1200-512-6203 10,975.00 10,975.00
House
' SUBTOTAL. 10,975.00
TAX. 0.00
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SHIPPING: 0.00
TAXABLE. No TOTAL: 10,975.00
CONFIRMING:
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AUTHORIZED SIGNATURE
�I IMPORTANT OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE
T7vs purchase order is given upon the representadon and guaranty af the manufacturer or seller that no breach of any State or Federal
Law or Regulation has occucred in connection with the manufactwing,processing,branding,labeling or transportation of
the merchandise herein mentioned. If such breach occurs or is charsed by any le�ally constituted State or Federal authority,
I the buyer shall be entided to rescind the order and retum the unused merc6andise and shall also be held hamiless by the manufacturer
or seller against any penalty incurnd and/or the cost of defense of any proceeding designed to penalize the buyer.
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��:���'��""�'���� PURCHASE ORDER
���'Y���;:�"�-�. '��s� No. 0000031279
�i�y �f ���e.phyrhills � �'� ��
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VENDOR: SHIP TO: BILL TO:
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Reese Electrical Inc City of Zephyrhills
PO Box 862 5335 8th St.
,1
Zephyrhills,FL 33539-0862 Zephyrhills,FL 33542
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VENDOR NO.� VENDOR PHONE NUMBER TERMS DATE REQUIItED DELIVERY DATE
i ReeseEl 0 11/29/2016
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SHIPPING INSTRUCTIONS
(no'ne)
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ITE1V� QTY U/M DESCRIPTION/I'ASK PRD CODE ACCOUNT UNIT PRICE AMOUNT
1 I.00 Electricalforthe Jeffries House 001-1200-512-6203 1,751 00 1,751.00
_ Project
SUBTOTAL. 1,751.00
TAX. 0 00 ,
SHIPPING. 0.00
TAXABLE. No TOTAL: 1,751.00
CONFIRMING:
�L � �-O��
c� /.
AUTHORIZED SIGNATURE
1 IMPORTANT OUR ORDER NUMBER MUST APPEAR ON EVERY INVOICE AND PACKAGE
� This purchase order is given upon the representation and guaranry of the manufacturer or seller that no breach of any State or Federal
Law or Regulation has occucred in connection with the manufactucing,processing,branding,labeling or transportation of
the merchandise herein mentioned. If such breach occurs or is cha�ed by any legally constiluted State or Federal authority, '
the buyer shall be entided to rescind the order and retum the unused merchandise and shall also be held haimless by the manufacturer ,
or seller against any penalty incucred and/or the cost of defense of any proceeding designed to penalize the buyer. I
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813-780-0020 City of Zephyrhills Perrnit Application Fax-813•780-0021
� • 9ulldiag Department
Date Reaelvad . , , . � -Phone-Coetact�for`Permltt(ri ;`� . v� �j' O� – �l`�� .
Owner's Naene r !� � Owner.Phone Number � .
Owner's Adelress ��'�� e�� '�'. ,_,� t1,�.,{ �$ .. Owrier-Phane=Number � � �
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Fee 5lmple T!kleholder Name �� � Owner.Phane.Numbei ;�. :
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Fee Stmple Tttleholiler�Address _ '"° '
JOB ADdRESS ��Jr�J S�� �%�/GZ.S /��. �3•� �' L.OT# ���
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suBo�v�s�oN . � .. !�� �n�cEt��in# ��l �lv,� -�!� �1��'� t��'G`�
�.�{OBTAINED FttGM PROPERTYTAX'N8'ttC�. ��
WORK PE2�POSED ; '" • NEW CONS7R � �'� ADDJAl:T� � � StGN =[� :. Q�" DEMOLISH ,
� _ .. � .e . INSTAI:L :�• =RERAIR � - _ .
PROP03ED:USE. Q ' SFR [] COMM`' C,_,—] OTHER:. '" ' .
TYPE OF CONSTRUG710N�; ''Q `BLOGK�' ; (��,.. F,RAME ,� STEEL ..Q �
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DESCRIP'i1�N dF WORK j� �� �/� � ' �j"���Al}.G'�I�' �'/C ^C�3y7'I �.u' "�" ^�' � �
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BUlLDiNt'sS1ZE',�� ��SQ.FOOTAGE�� .��� � ;�HEiGHT'�.. : � `c� � �:/
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QBUILDING $ ����w.�—�, 'VALUATION 0�01'AI:'CONSI'Rt7CYlON � �`^rt' �" �' �;`j'i`'�$itrti, jQr,��L
� E�ECTRICAL $ = AfitlP SERVICE ` Q PROGitE3SS ENEt2GY [�. � W.R.E.C. .
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QPLUM8ING $ ` , , ,. � �/: ��
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[�MECHANICAL - $ � 'VALUAI'ICIN�OF...MECHANICAL.lNSTAl.LATION "
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QGAS Q ,ROOFING�,;��] SP.ECIALTY�-[�' OTHER. ' ' �
FINISHED ILOOR EI.EVATIONS FLOQD ZONE AREA �YES. „ NO ,
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BUlLpER � . ' ' COMPANlf' , .
SIGNATURE REGISTERED . Y! N FEH GURREt+'..,F �.Y l.N�:.. , . ., .
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Address � , � l'lcens�# ;
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EI.ECTRIClAN�.�-.<�� y COMPANY ., `�'�S£ "�-. �L��.tc�.`t, ,.
SIGNI�TUitE ��"' REGI3TERED Y 1 N �cu�n Y!N
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Addreas C,� 2 �"'— t, G-�3'��3 � � I . .:ltceiise#:';��`-.et3c�o r353 � �
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PLUMBE1t , x . r COMPANif^ : " --•'• "
SIGNATURE - . } :REGISTERED� ���. -Y/.-<N:. . ._r.�.cuR�+ '.. Y/N:
Address .. ,-.: .• / ..Ucense#: , .
n��cw!w�cAi; �-. w -,. . ,cou�Pai�r;� _ �-�./���5�fo .�i� �..��� .... `. << .,
�SIC3N�TURE ' " ��"""��""� �-Q/Yt� �,�✓ , REGISTERED: , -.Yr/�N , ='�FeE CURREt� � 'Y:kfll.;;,_ • .
aaa�$��- �f��1' �e `.� � ��5� .. , '. . .;ucense#� ,C�����'�.I � I,
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SIONATURE :' � ,;�`, . .� , . �'REGISTEFtED . Y L Pl:.� .fEE GURRE� ,:j:-Y-/�.Nn
licldee�.,,. ..ta;,,;;:,�;.�.,� . . : '.�}, . _.�,'..:_ � _ - � " ' rLlcense# _ : , „ �
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S bENTlAL:-: `°=Attaoti�`2'Plot=Flans�.2�.sets'=of'BWtdl`n j'Rtans�-�1.��y ot'=Erie� �Foriirs``R-U=W�P t: �z�` :`,,`ri,. .
'� � .,._.�`- .., ...{_?..,, .:.. . . ,,'t,,}.: '...,� .g , ��;);seti;:;,:,.,.. ,�!.�.. ,�.•,.,w���.:-, ->erinf for;new,`kco.:�.treic�on,:
� �'s,liAlnlmum+;,ten,(�10)tworking;dajis,afte'r',;sutir,'nittail�d"ate:�'Requlredonslte;�Constnicdon�plans,.Stormwatei°Plana�w%:StltFenqeinstelled, __
.'� ,Sanitary Fec�tiUesh&s+1,,c�unsnps,'�r,Site�jlVork�Per.m�t.(or:sutid�vi'slori&liatge,pro)ects �:;;§�,�f���.,�;`.;~,� . °. �- �.''= `� , -. ' � - .
GOMNlERCaAL Attach(3�''comptete setsrgf"Biiltditig f'laris pltis a'l:Ife.Safety!'sge;('1}set of Ehergy FOrms.R-C?W Permtt fo[naw oanstructton.
Minimum ten(10)working days after submittal date. Requtred onsite,�Canstructian Plaste,Stormwater Plans w/Sllt Fence installed, ;
Santtary FadiiNes.&ludumpstec..Site Work-Pe[mit fo�r all,�new�proJec#s:";All`commerclai.requirements�mu�st meet compilance ,_ -
SlGN PERMlT Attacti(2j=set"s ofEn'°g]�eeii;ed:F'f'a =�:��:r:=:. ..,. .. . � � � , , . -
�� �as:ia .::;�_ :.` ',..�..,.., . ,.. .
, •""PROP�R7Y_:SURY'EY:required for,all•NEW ponstructloc�:: � -, - .
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Flll out applicaflon complekely.
Owner 8 Conlractor sign back�of appltcadon,notarized
If over�52600,a•Natice of.,Gommencemesrt ia requiresi. �(/UC upgredes pveP STSdOj _ •.. • -
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Agent(#or t#se contractor•}or:Power of Attoiii'syi(farttie bwner}wauld be someone;wi.th no#arized letter from awner authori ng same
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OVER'TFiE C{3Ut�1�:�Et:P�ttM1TTINt#::. _:-'{Front;of=FtPPllcatiori Oniy) -
Reroofs if shingles Sewers 3ervice Upgrades AlC,_x:..,Esnces-(PIaUSunreylFaotage) -. _ . � ,� , ; v ...
_ ._.._.._ �... ._.. ._..:,,_. ,.,, _ .. _._.._ . ., , �:� � , . ,
dNveways-Nat over Counter if on.pub(ic roadways.:iieeds ROW � �
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OTICE,OF DEED.RESTEa1CTIANS: ,The�undersigned�understa�ds.�fth�t,this�,.p�rtni�imay;be subject,to"deed".�r,,est�ictions"�';A'' ' �
ti=��••-.. �-5� �.^ ,x r,- _
�hich m�y::6e°more�.rest�ictive:th�����untytreg�lat�or�s:�sTFie�dnde'rsigned!sa��umes�res`ponsibilttj�'tor.coiripllance with'any ` � ' .
PPilcable;deed•restrictions. � =:��:.:iid.C�:$y.nq,..R_,i��:...�ne � _ _ _ _ ..elb°;,�; , � .
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NUCEN.SED�`;CONT�tAC�ORS'�AND'�`CONTRAGTOR�RESPOwSIHILltl�S:°`��t��the;owner��tias��hl�e�l��x��'i��ritractor or
�ntractors�tounde'take�wo�k,.tite ma �be:�r..�1�:u�ired�to�i5e,licerised:`In�.accordance.with-state_:and,Local�rregcilaHons:��°Ifh'tF�ie$��� = . .
• �,;._�..:,� .,,.f_... .;.��� -� x �..:: = = �.�:,-.::�..:;_-:a:a�,;_..:�,L:-.�.;..�A��.n, -
Y.., Y..,. ,:...�q ,,,;:, r , ,. :.. .:�:....:�. �r ,.. � .. ,. . ;
mtractoc:.,ls;not��.11censed�;as��requlred::tiy law;.;botti-;the<owner.andacontcactv�=�may�be�clted��for-��riilsdetneanor-vlolation
nder state law. If the owner or tnfendefl,>.�c�ntr,ectoK�ere;,uncertain.as.to wFtat�licensing.requtrements,�may�:�apply'�fo���tlie;������°t=����:�
tended work;�they�are*advised't'o`:contact tlie Pasr:o7County,:Building�lnspectio%j`pl'vlsion.--;,;l:tcensing:Section:at 727=847- - .
)09. Funhermore;�lf`tfie��ouvne�'Na�"�hlreiJ'`a��conhacto�'o���`confrectors;�tie',i�"advised�to�have:.the4conytractor(s)�;sign.: :; :;�=:.'::
,. , ,,,r ;'
�rtlons of'the_'contrector Block°.of:tf�le appitcatlon,:for.which�they,will_.be:t�e,sp,o�slble..=Jf you;�ras:.fhe,.ownertistgn`as rthe� �
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mtractor; tliat�iriay-tie�an Indtcation�that he�ls=nof�•:properly�licensed and'is'not"enNtled b'�pertnft�(ng prluileges.in Pasco, . ,.; "
ounty. � � . . .: _: - ,�.., � .:.; -_:.,,:�,,;i:-:.,,:4r::.,_;. ; ,
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RANSPORTA'TION�IMPACT1UTiL��I�S:�IMRAC�Af�I�>I�ESOUaCE-RECOVERY�FEES:��Th��undersigned':u�derstands �, :
atTrensportation Impact Fees:and.Reco.uree Recovery.�'ees,ri�`�y�sapply�#at(�eimnstructlon.-of:new:_b.uil.dings;;ichangeYof`''���-��°'���' �� .�
:e in exisNngmbuildings;�.gr��expar�si�;i;rr.of��il�ti�is�b�lltlings;"as'specifled.In Pasco.County O�dinance.number 89-07 and ;; �
)-07, as amended..��;_Th� undersigned also�urtderstands� th�ltsuoh fees,.as,�ma�r`�e:�d�e,twill-�be identified at the�time�of=��' �`�`���°'`'�`� '�
jrmitting. It Is fu�rtiier'understood that Tra�i�portatlon.Impacf`Fees and��ttesou�ae�Recovsry?�Fees:mu�f�be paid prior to. _ ,
ceEvfng a:`cerfiflcate�of=:occupancy"�or flnal°�power,release:�::l���the:pro)�t�,does:no��:invoive�a:.certiftcate;of occupancy.�o�r�����-='�' �
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ial power celease�,the,_fees;:mustt�b0~paid=prlor,to pe�mit issuance. -F��tk�ermore;;�it:Pasc��.County;Water/S.ewer�impact�;• �-���-• � ,
es are due,tFiey�:must..tie pald,.p�ior,to..permll;Issyence=:ln,a�;cocd'.ance with,applicabte�Pasco,County o"r'dinances.
DNST�tUCT10N'LIEN"LAlfl�(Cl�apter 719, Florlda�Statutea��am�rrded). if valuatlon of�work Is$2�500:OO.or�mor.e, I� �. ,
�rtify that_al,.:the ;applicant,.._t�ave:ub.een;<.providetl-with ra.copy.:of`-�the�T"Florida•�Cons�uctbn`�`Lieti:law--Homeowner's
•otection Gutde" preparetl by.;tFie��Flo�ida°Department'of Agricult�re and Consum.�r�Affairs: If the �pplfcant Is soMeone.,��, >:� -�t._.
her than the'owner"� I certifji°.that:l;have:.obfatn���"�`copy:of.the,abQve.:descr;l�etl�'dbcu�ent;and_;pfomi,se"�in;good�.faith:to:; ._ , � .
..� .,.: t :�� :a:;.: .
aUver R to:the.'owne�"°p�iorts:to4com'mencemerit:'-�''-� � - .� - � , . � _ _ ," '--..... .. .
ONTRACTOR'S/OWNER'8�AFFIDAVIT: I.ceiti[y;tti�atall��the�-:Information•_i��thla application Is acxurate.�nd that all work
ill'be do�e in compllance with all applicable laws�regulating construction� zoning and:.land development. Appltcation is
:reby made to._obtain:�ta�.permitu_to�,:do.rwotk,zand��irigtallatlon as indlcaf.e.d�:���.:I�:certtfy-'t�at,no work';or' Installatton"hes
�mmenced'�p�lo�to'Issuance of a:pemiif and�thaf:ali'work will b� pertormed�to meet-_standards..of:all laws regulating-
mstnic8on, County and Cily codes� zoning regulatians� and land development�tegulattons�`in�the;Ju�isdtction:����-�I�also� _ ;
�rtify that I u�derstand that ihe.regulatbns of other government agencies may�apply;;to..the„intended work, and that it (s
y responsibility to Identify�what.actions I must:tak�:to besln:.00trlpilancs:.�uch:agenoles•�Include but�ace:not Iimited:to:. � �
7, �_;�.. ...:, j�„�:..�F�.....:....: .. �:f�.,;..,,, , ,
- Departnient of E�lvironmental��Prote`cti�n=G3ipress''BayFiead�; Wetland rAreas�and�E�vironinentaliy Sensittve
Lands,WaterNtlastewater Treatment. ` " " - � �' �
- Southwest Florida Water Managemen��,::I�istNct-Wells; �Cypress•'".Bayt��ads�;�'�Wetland Areas, Altering '' '? '
Watercourses. . ,. � ' ' � ' � ' �`�
- Army Corps of Englneei�s�Seawall's;Docks,Navlgatile Weterways. -
- Department„of Health,.,�_Reh�abllltattve.:Serdtces/Ernrironmental-:,Nealth�Unit:Wells;,:Waste.water�Treat�ient;
Septic�Tanks:. �- ' .. � , , . � � �
- US Environmental ProtecBon Agency-Asbestos abatement.., ;
Federal Avletlon;Authority,.aRunways:� --,. . - � -
nderstand that_the<follawang;rest�lctlons,apply to'the t�se offlll:• -
- Use of flll Is not allowedln Flood.yZone"V"unless expresslywpermltted.
- If�the flll'°mateFl,al;'Is':to'`be:-useil-ln:,flood;�.Zone. 'A", 1t�ls understood� that�a �drafnage�plan addresstng a
"compensating�volume"wlll.be submltted.at tlme of permitttng whlch ts pr�pared by a professional englneer
Ilcensed�by�;#Iie�,State°o��Flotlda: ' � � . � � ,. �� . � -- .. � �
- If.tfie:fill.:materlal�_t��to;be used In �lodd��one 'A" ins connectlon�wlth`:a��er•mttted buflding using stem wall
' construc8on.�_I certifjr.that,fill,:wJll:ti.e;used only.to..illl the.area withln�the�stem wall: .= • � � ' ' -
- If flll-mate�al-.Cs-�to'-tie��used°In���any�•area;=l=�certffy that .use. of suah`�flll' w111.not adversely affect�adJacent
propertles. If use:of flll.ls faund.to ad.v,ecsely�,taffect"�'adJaEer�t��pr�perties,.the owner may be'ctted for vlofating• !
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the condwons;of,the.ti�illatng;permlt Issued�under t�e';attacfied„permtt�appllcatlon,-for:lots less�than;one (1)
acre whtch�ere=-elevafetl�tiy,illl;.�rt englneered dralnage plan ts requlred. • . �
am the AGEN.T..FOR}THE;OWNER;'I;�romise'�In:good falth to�lnfocm�the owner of�the:;penn,ltting condftlons set forth In .
s affidavtt`prlor to�commeiacing�consfiuctttin. �"I'�unders.tand"that e�separate permlt�may be requtred for elecMcal work� .- ��; .,
4;
imbing, signs, wells,,_pools;;alr_.condltloning,,:gas,-_orr;otMer Instal��itlgns"not•spec.fflcally Included�tn.the application�. •A ._.
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rmlt Issued sfiall"tie:cons�t�ued'to'be°a'llcense>tq;proceed w1t�''the'�wo�k and nok:as�authoHty:to:v.lolate,.cancel;alte�, or .
�aslde any�provlstons of tfi�e"techolcal;codes;�nor shall Issuance�of a:permtt�:prevent the Bulldlrig Oiliclal from thereafter �
�ulring a conectlon af eRo�s,ln;plans,"consWctlon,or vlolatlons�of=any codes: ��ve.ry,.;p�ermlt lssued�s�hall become lnvalid � -� -
less the work autho�zed'by sucti permlC:�ls-coi�aienced�wlfhtn sU.c#months of,,permlt lssuance� or If work authorized by `��� �
., ,. ;. ., ,
`;,� ;
�permlt is suspended:or..eba�do�ed,fo�_a�:�er.lod�of:�se���):mon�s;.aReF the:tlri�e�the�work��ts commenced. An extenston ;
:.,.;. ...<„ ,. . :; ;
...,. n . ,
iy be requested� In°w�ltl�g;:afrom'tHe��Bi�lldln8;OfflEtal��foc=a pe�lod::nof�to:exeeed�ntnetjr{�).�ays a�d wllf demonstrate ;.,
tlflable cause for.�ttie exfen"siori: If�work.cea�es:for nlnety(90)cons.ecutive:days..the Job�is�consldered abaadoned. "'" �
. .. ' . �•4 _ . . � , ,i,{ I
1RNING TO�OWNER: -YOUR:�FAILWRE'�Tta.,;R�EC:�R�:A;�dTl:CE;:O,F.:COMBAEMCEAAENTaNFAY:RE�ULT�IN��YOUR �:`,, ;
YING TWICE;FOR IMPR01%EMEI�I�'.� ,, ` ` '
..� , .. S;�Tti:YOUR;tP1�OPEI�TY:<;�I�°.YO.U,`ItiF�EWD�l'Q�E7'�AIN•�FINiI�filE1NG;'�C.OI�ISULT ,t;�
� •YOU. �D.. ,A��`�1� `A:- _9 .N F. :, .p`"p' �;, ,p' � "} - . �
- � � .:,: . _ ,_..:.� .:.-..;;., ---�__
►RIDA JURA'�•(F.. 7.03} . " � _ � ,. — ------- —---- - -—
NER OR AOENT'� CbNTR/tCTO .
s�xlbed end ewom (or a�lhned b fore me thls ' Sutisaltied'and' m=to(ot'aftlrmedpb re;me�tlil8- .
by •b _
i Is/are personally known b-me or•has/have produced Who�ts/ere.personallyknowri•to me,or_#res/have:prcdixx:erd •
� - asldentlBaatlqn. - � ' ' '. as ldentlflcatlon. '
<� - .. .�c�
Notary Publlc . Notary Publlc
imisslon No: ' C�mr�las n• .
ie ot Nolary typed,printed ar atemped Name`of Notery e� oJ E BOGES
_"� �'►� Comm
. ; ; ission#FF 150422
' ' • ���.k �,� �xp(res December 12,2018
P���� �� BondedihruTroyFdnlnaurenceBpQ��Q�g
��gai vescr�ptoon , II�I�I��������III�I��I��I���I�'�I�I������I����I�I�����I�IIII �
� � sx-26-zx-oola-lsaoa-oo�o 2016133853
, , Assessed En Section �1,Townshlp 26�auth,Range 21 East
of Pasco County, Flarida �
__.._._.,___._...__.__.,__....____.,_�______..__.__�_...___._..._.._..._.__..,_.__......_..�.�_..._..:_,..,.______._.�__..�___.�_..�..___
____-----,
CITY C7F ZEPHYRHIt,tS PBl PG 54 I.QT 7 GESS 1NEST 3.43 Fi OF NORTN 24.9 FT`THEREOF&E.OT 8 'Rc����7��(�}2� `���; '�Q1.Q10
LESS NORTM 24.9 FT THEREOF&LdT 9 LESS EAST 3.0 FT'OFNORTH 24.9 FT THEREOF ALL IN �S; Q�,00 XT: 0.00
BLOCK 152 SUBJECf TO INGRESS&EGRESS EASEMENT QVER SOIJTH 4.7 Ff OF EAST 21.57 F1' �8�2��2016 K. D. K. , Dpty Clerk
OF Nt3i2TH 24.9 FT t7F LOT 7 BLOCK152 OR 901&PG 406 • �
NOTICEU�C4MMENCEMENT p�ULA S.4'NEIL,Ph D.PflSC4 GLERK & CQMPTRbLLEFt
' , 08oRagK�1�'T��m F'G �5��
� Pamtii No. ! /,��� ,
j Praperty ldenrificatian T7o. r�- �„�/a '°„��' ��/�� �`l���t� " e'.:��%'G� � .
� t
� THE UNDERSIGNED hereby gives nodcc Ehat improvements wili be madc to ccrtain rcal property,end'm accordance with Sxtion
!. 713.13•ofthe Flbrida SUahrtes,the following infomwtion is pprovided in this N077CE OF COMMENCEMENT.
� ,
1.D�scription afProP�Y(�S� .�►�P�/+�) �� ��G51�� '
a)Str�t Address:. �'i —FA � �""'
, 2,Gtneral dcscription af improvtmcnts: a �d ���
Y 'b . ,r � S 'lF'/�'i •
3.Owner Informadon � /�' � ,
a)Name�sstd'address; 1 TY !1 J" ��.,�,Ja�11.C�,�ll,�, 5���' ,�`��'-'�_ �'�:,�h�vr�t�il/.s,f=�
,� b)Name and address of fa sim la trtlehotder('if ather ttfar�owner �,f/� 3�5'��'
�
c)]ntercst in praperry N�/
� 4.C�Offtf3Ct4!IlIEOIfiIIY14A . /� .riil� ���1�711�� �LY G�,Li{}iI�CN/.I.l.S�s
a)»�r,c ana aaat�:L�t�rt � �n1e � , •1 � ,��,�.��'�/
b)Telcptione No.: �1,�` /� Fax No (Opt) � �8' �, 7f/-
$.StiiCt}�IAfbt1'(S6ti0A
a}Namc and actdress: R L 7" e l�b 13�X 3 t�' { �L Ipt lp!Z.
. b)Amount of Sand: � -t � "
I c}Tatephonc No.: ' D fi�uc No.{Opc.)
6.Ler,der ,
a)Name and address: � ,
� Phone N�. • ,
7.tdc»iity of person wiihin the Siau of Florida dcsigrsated by awnor upon whom noticts or athcr documant�may be served:
a)Name end address;
' , b)Telephonc No.: Fax No.(Qpt)
8,In udditian to hissysscSfi mvsitr designsies the fallowing pet;,on to nceiv�a capy of the[.ienor's Notice as provzdcd in Stc2'ton
. 713,13(i)(b),F)orida Scanrtes: � � ,
a)Name and address: '
, bj Tttephoac No,: Fax No.(Op�}
.9.Expiration dete of Notia of Cammenccment(thc expiretian dete is onc year from tha datc of rccording uniess e different date is
Spccified): •
� WA�iNING 7'O OWtVER: ANY YAYMENTS MADE BY THE�IWNER AFTER THE EXPIRATION OF THE NOTICE O�
CO�MEtYCEh1EIYT'ARE COHSIDF�RED iMPRUPER PAYMEKCS tlNp�R CTiAPTER 713,FART I,SEGTION 713.13,
; ,. R FWRIDA STATUTES AND CAN RE5ULT IN YOUR,PAYING'ttii'�CE FOR IMPROVEMENTS TO YOUR PRUPER'IY.
, A NdTICE QF C,OMMENCBMENT MUST BE'R�CO�ItDED ANb POSTED ON THE JOB STf�BEFORE THE F[RST
, iNSPEC'fIO2'I. IF YpU TNT£ND TO t?BTALN FINANCIIHG,CQNSULT YOUR,LEND�R QR A1V ATTORNEY BEFORE
COMMENCING WCiRK OR REC0I2DtNG YOUR NOTICE OF COMMENCEMENT.
. � . ,.
SfAT�QFFLORtDA � ����„_ � (�..._��-
COU2iTY O�PASC4 , ` " f
� ' Signatureof amOwna'sAuthoti Offiur/DireaodF*artncrlMuuiger ,
� ' • , ' ' ��'�.�/'Q>""i�f�1'70.
• Print Nune �.
�������������� �y/ ,�r
���\���� m� mcnt wss ncknowlcd_�a me this�_,L�/�xlay of i C_ �%_,20 i rr,by.G"'�r r}�� .,j
\��ti�y ,• •• l...� � �....1 as � �Y.� � c��_� (tyPe af authority,e.g.off ccr,trustce,attomo}r
��O'�',.�, A^ ' /. ;; . /,,��iS' .., yof on behaifofwhom inshument was executed}, .
� ti;���1 � g � w,. ;� � �/� , �a
_ :��'st�nall�Kno a��7R�uced I�lcntificazion Notary Signature .�Sl"1/, .fi, ���.�_.�/»,��-1'�,.-��
.� . � ��� — ., . , .
S i� I � •�„ �
,�r� .. l,� / . /
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i*`;Ty�y�'ti,, ���rodaced Namc{grint) /.3/'/.�s /7"/',,�/�'�G?,�/"
.
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.•�,''��,q9Y�''C':"n,��,�`���a
������uant ta Scctioo 92.525,Florida Stazuus.Uada pa�alries of IxirjarY,I dtclare that t havc read she£oresoing and that .
I thc acu ststed in it are irue to tht besi of my knowiedge and belief.
Sigtet�cn af Nattuat Puwn Signiag Abort
� � FORV91/iOC.Nsd20D1• � • .
� . /
, � CITY OF ZEPHYRHILLS �
5335-8TH STREET
(813)780-0020 1768
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit �lumber: 17688 Address: 38533 5TH AVE HISTORIC
Perrv�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15200-0070
Improv. Cost: 10,975.00 OWNER INFORMATION
Date Issued: 8/24/2016 Name: CITY OF ZEPHYRHILLS
Total Fees: 9 .00 Address: 38533 5TH AVE -HISTORIC
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: �� Phone:
Work Desc: (2) UNITS A/C CH GE OUT 1-4 TON / 1-2 TON DUCTLESS
' CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 90.00
�
� Ins ections Re uired
DUCTSI STALLED I
DUCTSINSULATED
FINAL �
�
I
I
REINSPECTION PEES: (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.
I NO OCCUPANCY BEFORE C.O.
�
ONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
; CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED '
� PROTECT CARD FROM WEATHER
�
• ' �
PROPOSAL
� � � PROPANE GAS
� ,�ND AIC �Hc.
�ir�e�988 8'I3-782-�0'I3
4441 Allen Road.—Zephyrhills,FL 33541
Ph:813-782-5013 Fax: 813-783-1374
; E-mail: bahrs.office(a�tampabay.rr.com
�Proposal Submitted To: Gail Date: August 10, 2016
�E-mai1: .GHamilton ci.ze h rhills.fl.us Phone: 813-714-3118
�Street: 38537 Sth Ave Job Name: Jeffiies House
�City: Zephyrhills State&Zip: FL 33542
,We hereby submit specifications and estimates for:
Unit 1 (downstairs):
• Bahr's will install 1-4Ton 14SEER Daiken package A/C with a l OkW heat strip
• Complete new duct system with additional returns if needed
� • Includes new boxes and grills
� Warranty: 1 yr labor, 5 yr parts, and 5 yr compressor
Unit 2 (upstairs):
• Bahr's will install a Daiken ductless system with 3 air handlers
• Approximately 18SEER rated system
' � Warranty: 1 yr labor, 5 yr parts
TotalCost: .................................................... $16,975.00
Donation to City from Bahr's: ............................ -$6,000.00
Total: ............................................................ $10,975.00
All material is guaranteed to be as specified. All work to be completed in a workman like manner according to
standard practices. Any altercation or deviation from above specifications involving extra costs, will be executed
only upon written orders, and will become an extra charge over and above the estimate. All agreements are
contingent upon strikes, accidents, or delays beyond our control. This proposal is subject to acceptance within
days and is void thereafter at the option of the undersigned.
Authorized Signature � 3feain�.53aRn
Acceptance of Proposal
, The above prices,specifications,and conditions are hereby accepted.You are authorized to do the work as specified.
' Payments will be made as outlined above.
; ACCEPTED: Signature �ai,G�'���'�nilton
Date: 08-10-16
SH
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