HomeMy WebLinkAbout16-17693 CITY OF ZEPHYRHILLS
� ,, 5335-8TH STREET '
(813)780-0020 1 93
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit Rlumber: 17693 Address: 7848 KAY MARIE AVE LOT 312
Perm�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: GRAND HORIZONS
Es�. Value: Parcel Number: 34-25-21-0180-00000-3120
Improv. Cost: 4,620.00 OWNER INFORMATION
Date Issued: 8/26/2016 Name: MARGIOTTA LEONARD & TAVERNA CAT
Total Fees: 60.00 Address: 7848 KAY MARIE AVE
Amo�nt Paid: 60.00 ZEPHYRHILLS FL 33541-7729
Date Paid: 8/26/2016 Phone: 813-355-3947
Wor,k Desc: A/C CHANGE OUT 5 TON PKG
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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Ins ections Re uired
DUCTS IN TALLED
DUCTSINSULATED
FINAL I
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local g�vernment 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.
NOTIC In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may b��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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
impr vements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Compl te 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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CONTRAC OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROUED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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e�a�780-0020 i f Z s P m' i Fax-813-780-0021
C ty o ephyrhill er it Applicat on
; f Buitding Degattment
Date Recei d �� _ ���
'� ' Phone Cacitaat`for Parmltttn
Owner's Na I e �,`�`��� � 7� ��p/,J Owner Phane Number �� �.��• •1!�
Owner's Addrass �O 1 /// /e �e. Owner•Phana Number
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Fee Slmple Itleholder Name Owner Phone Number �� I ,
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Fee 8lmple Itleholde�Addres� L�
JOBADDRE�S � � IC...'' IIC� LOT#
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susaiv�sro C�¢.�3� Dr�.�t� paRCE�.io# � �S�� �1�D O�a6� ,����
- (OBTAINED FRQM PROPERTY TAX NOTICE)
WORK PROPOSED �� NEW CONSI'R ADDlALT � SiGN [� ` � DEMOL;ISH -
, . � INSTAtL .FtEPAIR
PROPOSEQ. SE Q SFR -� COMM "� OTHER
TYPE OF C NSTRUGTION � BLOCK '" �[� FRAME [� STEEI, [�
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DESCRiPl1 N OF WORFC A ��S �/� N G''— ' oJ / O�V P�' �,�. I Lf E'
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BtlILDIHG S ZE � SQ FOOTAGE . , HEIGHT �� j,
QB 11..D1NG ($ ,. � -�.;.,;�;.-�__ . �.- _.._..' - . .
L VALUATION`4F T01`Al CONSTRl1C1'ION
QE CTRICAL � � AMR SERViCE Q PRCI�RESS ENERGY Q W.R.E.C.
QP MBlNG $ � t`���
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QM CHANtGAL $ VALUATION C}F MECFtANIGAC 133STALCATION ��
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o � o Ro��E�� o �P����.,� o OTHER
FINISHED F OOR ELEVATIONS r�� FLOOD ZONE AREA C]YES. IVO
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Bt11LD�R COMPANY
SIGNA7URH REGI3TERED Y/ N FEE CURREA Y./.N
Addres' Cicense# t �
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ELECTRtCI, COMPANY
SIGNATURE " REGI$TERED Y/ N FEE CURRE� Y/N
Addre� , _ ,�License#,� I
PLt1MBER COI�IPAh1Y
SIGNATURE REGIST.ERED Y/•--N • �FEE CURRE� Y/�N.
Addre . , License# �� �
MECHAP#tC1�1. Q 4 a :G{}MPANY . �vl lS �Ne �'�C �-�"d�G'
SIGNATURE) �� ����� REOISTERED Yr/ N F E CURRE�" Y./�N, �
Addre�� • '17/'��f,-i'T�1G'� r�; G� �N/L!-�'.�� License# .�'�d����-G) �
OTHER � • �,COMAIWY
SIGNA►TUR � REGISTERED Y/ N.;; ' ,Fee eu�n r. Y/:N..
Addre� . , , ��: , `� .._ � ' _ � ' ticense#
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RESIDENTI - Attacti{2},P1at:P,lans;.{2)s+9fs=af�Etisltd[itg Rlaits;(1)set of°Energy=Far�ri§;i2-O=W:Permit:fior:nevir;consfruc6on,.
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- Minimum�.ten�•(:1:0)�working;days;after,'submlEtal'date.:a Requlred onsite,.Canstnicbl'an�Plans;�Stormwate�`Plans w%Sllt Fence lnstalled,
�_ ,�Sanitary Facilttles::&�1,dumpster,SitetWbik;P,ermttfor:s,utidiyislorisllarge°pcolects` . �;'x'`: `� , .- ,
s a_.,..,_w..r w. ,.
COMMERCtA41. Attach{3)`compfete sefs of Buitding P1ans pitts a l:ife Safety Page;{1)set of Energy Forms.R O-W Permit for new constnsction.
Minimum ten(10)working days�after submittal date. Requlred onsite,Gonstructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadltdes&1 dumpster.S(te Work Permit for all'new:projebts,All commercial requlrements must.mee!compllance
SIGN PERM T Attactf"{2}set"s of`Engl�eer,ediPla�s;,��::,:,};�.;�. .., �.... ... - .
' """PROPERTY SUR1%EY�equired forall IVEW_canstrucUon. �
Dlrectlons: ; .. , :.�-°� , �
FIII out ppUcaUon completely. .
Owner Contractor sign back-of appilcatlon,notarfzed
if over ?500,a Notice.af.Gommencement is required.. ,(A/G upgrade�over 57500)
,��..:,yii-'5;:::I.,., �
" Agent(�ar th�e contraotor)'or:P"o`wer of Attomey"(for tt�e owner)would be someone with natarized letter ftom owner auttrorizing same
DVER THE GOUNTER:P,.ERM1TifFtG��-•� -- (Front-of�Application Oniy)�
Reroofs If sh�ngles Sewers ,Service Upgrades A/C y Fences(PIoUSurvey/Footage)
drivew ys-Not over Counter if on publlc roaduVays..needs ROW
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N07'tCE QF DEED RES�'Rf�CT1U�IS. The ut�derslg�ed=unde�ts�nds�tt.h.�t,ylhls,;P�rmtt�may.be�sub�ec#,.to,,..�deed;;,res#�tctic�ns. . _,
which may:be�more=rest�icttve'�tha��i Gountyi�regulattons.�The'�:un,dersigned�assumes resp'nnslbilliy for complian`ce'wltFi'-any�` '
applicable d�ed�restrictlons. � : ,. .� .�; , _ .. _. .. .s. _._.:, ' .�, .
UNt10ENSED�:CON�'i�ACTORS-AND �CONTRAGI'OR�RESPfJNSt�ILlTIES: �eif=ttie oinmer yhas�-hired�ra`:co�itractor ar
contrao#ors#o undertake work, #hey may:be:re,quireidato�;b�.licensed In°accatdance.with;�tate;and;•loc�al;�egulations.�:.if�-the ��� `�' ',
contractor ts not��itcensed as`:requlred�6y laint, bot�i tiie ownet.an�l:ciari#iaetoryinay�ba--cltecl�for��a=inisclemearior violatlan
under state law. If the owner or inter�ded�:c.�antracto,r,•;aee,,uncertain as to what Iicensing;requirements:�mayF:apply�.for.::tln'e•� -�� - =���� '
intended work, they are�.advised�to contac#ttie:�Pasco.Counfy_�ullding'Inspec#ton_DI`v`!slo,r`t-;-Llcensing"5ection at 727=847-
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8009. FurEhermare, If�the awner�has�'Fiired a cantracto� or-contractors, he is advtsed to have.,the contractor(s),.sfgn,, ._ , ,.:
. �;�--,. .._ ,
portions of the °contractor Block" of:thle application for which.they_will.be_r.esponsible. .If�you;.as:_fhe owrier"slgn'�as�the
co�ttractor, that may be�an indicaiion that=he�1�'no#`proper�y ticensed and`'1s'�riot`QrttiNed�to pettriiE�fiig p�ii�ileges In Pasco ,
County. . ,� , � . .
TRANSPORTA'TION�IMPAGT/UTILlT'I�S�[MRAC't�ANb-RESOU1tCE RECOVERY�FEES;�The undersignei��undetstands
thatTransportation Im�a,ct�e�s:and.Re�o.urs�a Recovery.Fee�may�_apply.#a�the:cr�nstruction af.new„bufildings;:change�of • � ��
use in exisHng bulldings,T+�r-expanst�nroi-�ezisti�;g,buitdings, as specl8ed.(n Pascq�County Ord(nance number 89-07 and
9Q-07, as amended:�,The undersigned �Isa�;understands, th�if�such fees;-,�s=may��ie:=dt�e;�w111�:��re Idei%tif�ed'at the�time`of�- -.�. .
permitting. It Is furtlier unders'taad that Transportation.ImpacC Fees and<Resoucce Reco'v"e'ry�Fee's-.musf be paid prior to
reaelving a°certlRcate-of-occupancy°�or t�nat�power�retease. :I�`the pro�ec#;,does:no��fnvoive;a;cert�iraite of occupancy o�, - ::, .��
finai power release;ry the.fees,mu�t-be paid'pr.lor ta permit issua�nce. Ft��thermore;:�{f Pasco;Gounty`WaterlSe.wec�:lmpact �
fees are due,they�must..be_.pald�prior tn.permil�issuance��n_accordance uvitfi:appilcatile Pasco•County ordinances.
CONSTRUCTION"[:1EN�E.AW{Cliapter�13,E#aris�a Stattu#�s,��am+�nd�c�): ifi vaivation of woric�is$2,500.00,or more; I �.
cenify that I, !h� appltcant, have.bee�n.pravi.ded�with. a=copy nf,#�e° °Flarida-�Cons#ructton- Lien�.l.aw--Homeawner's
Pratectlan Guide" prepared by tFie Fiorlda Depa�tmer�t�o#Agrla�lture and Cons�m�ar�Affairs. If the appllcant ts sameone .. ,.
other than th�"owner*, i cert�y that..i:h�ve,obtatnetl�a'copy.of the:above..des.ert�ed`docuiirient�and;promise°in,good�faith to .�
deliver it to the�'ownec"prlar�:to�ccrtiniencement:� � � � " " "` " �
�tJNTRACT�R'S/qWNER'S AFFlDAVIT: 1 ce�ttfy..that all�the-.infarmation�imthi�applica#ton is accurate.and that ali wark
will�be done in compliance with all appllcable lawa regulating construction, xoning and°land•develqpMent. Application is
hereby made io obtaln .a perm3t,#o..do:;worlc.:and 1'ristalla##on as Ind{catedr-:.`1 certify #fiat na work'=ar installatton has
commenced p�lor ta issuance of,a permit'and�that.all work will be pertormed�ta meet standards of�all laws regulating-
cons#ructian, Gounty�and City codes,.xoning regulatians, and (and devefopment regulations�in t#ie�'Jurlsdiction. 1�a!`sb �
certify that I understand that the reguiations of other government agencies may�apply;to #he intended work, and that it is ,
my responsibility to identlfiy�what.actions I must•take:t�be�ln:.corrlpllance: ,S.uch agencles lnclude bu#-are.not!!m(ted.to:
- �epartment of Ertvlranmanta#��Protection=Cjrp�ess.�Baj+head�;�iNetiand,Ar�as and Envfronmentaliy Sensitive
Lands, Water/Wastewater Treatment. :
- Sauthuvest Flor(da iNater Management� .�?istrict V1lells� -Cypress.<.Bay_head"s; Wetiand Areas� A1#ering �
Watercourses. . k
- Army Corps of Engineers-Seawalls}Docks, Nev�gabie waterways�. �
- Department of Health�8 Rel�abili#af�ve ServiceslErn+iranmental Mealtk� Uni#-We11.s, Wastewater�Treatment, `
Se�ttc Tanks: �. _ �
- US Envlronmentai Protectton Agency-Asbes#os abatemen� �
- Federal AvlaQon Aulhority-Rur�ways.
l understand that the following�restrictions apply to'the�se of fllt:•
- Use af fill is not allawed in Ftood Zane"V"untess expressiy permi#ted.
- If the fill material (s to 6e used'-�in.�Flood Zone. "A", tt. is understoa� that a`drainage plan addressing a
"compensating volume"wlll be submttted at#ime af permitting which ts prepared by a professlonal engEneer�
Iicensed by�#he�State•offlorlda: .
- !f the f3A material.Is..to be used fn Ftood �ons "A" in4 connectian�wlth:a'�erml#ted bulitling using s#em wali
� canstruc#ion,,I certiiy#hat fiil;wall:�b.e used.only.ta fitl the area within the�stem�wafl. -
- If fill material 1s =to�be used�°in any area, f�certtfy that .use. of such'flll�w11! not adversely affect adJacent
proper#ies. ff use of fill is fnnnd to adversely.,�f�ecf ad�acer�t•�propertie.s�.the awner may be cited far uiolating
the condi#lons'of fFie"'fiullding��permit issued�under the atf+�ofied�ermit-�ppilcation, for:lots less ihan.ane (1� ,
acr$whtch are elevatecl�6y flit,a�t engineer�d dralnage plar�is required. . �
If 1 am the AGENT.FOR THE OWNER;l;.promise In,good faith to Inform the ownet af>the permitttng condftlons set forth In
this affidavik'pr�or to commeacing coristructicrt. "I'unrlerstend thak a;s��arate permlt may be requtred for etectrlcal work,
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ptumbing, signs� weiis,:paols;:alr. condltioning,::gas,\or��other. inst�ll� ons not•spec�ically inctuded�in.#he�application. .A ��,
permit issued shall be.constkued to'be°a'Iicense�to�proceed with the work and nok�as�authority.ta.vtolate,cancel, alter, ar
set aslde any provlsions of'ths.tecli�[cal.c�des;-nor shall issuance�of a.permit.pr�ve�t f��Bultdlrig O#1lclslirom the�eafter �
requiring a correction.af errors in�pians, consCruction or violations of any�codes: Every permtt issued�"shall become invalid `
f;
unless the work authorized:by such permlt:is.coEnmenced�withtn s(?c months of�permft tssuance! or!f wark aulhorized by
the pernti#is suspended or.abandoned for�a:period;of,six�)�maittfts;:at#er tha time fhe�wot'ic is commenced. An extensian
may be requested, in writing,__from the�Bullding.Officlal�for a perlod.�not to�exceed�-nlnety'(90)�days�and will`demanstrate ;
ustlfiable cause foc the extens�o� Ef wor.k ceases:for ntr�efy{90}cons.�cutive:day.�...th��ob�s consldered abandoned. ':
NARNING 'TCM 01NNER; YOUF�_�AILtJRE.TCX.<,R�E�OttD;;A::NOTtGE-QF;CO�VI�VIEN�EMEMT:MAY�RESUI:T iN�YOUR �
�AYtNG'iWtCE POR IMPRO�%EMEN.TS�TO.XOUR�:PRDpERTY.;::IF.YC1U�iIV�TE�ID�'.'Ta��8TA1N�;FINANEiNG�'C.ONSULT
_MI'�H-Y_� R I�EMDE �� .�M= '�TA T8 �"� �- � - d�:��'62 't' .;� ': �' ��C� C - ----_ - — -
-�oRioa,�t�Ra;�t�.s. z: } � �� _...
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)WNER dR AOENT CONTRACTO
iubsc,�ibed and&wcTrtt to a rr»ed} e ts stxibed and'swc� {pt af�rmed}-6 ra e f�
by � _
Vha Is/are personatly . to.me or haslhave produced INl�a�is/are. ona kn to me�or.hesThave�produced• -
as tdentlfli�8qn. ` ss ider���catlon.
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Abtiary Pubtle . Natary Public
sommisslon Na; Corn n.Na.
lame ot tdotary typed,p�lnted or stamped Name ai No ��Y p�r ..;����� gpGES
_ �'�� _ �ommission#FF 150422
'���� K�.P,res C�ecamber 12,2Qi8
f+f��„+'� llw�ded 7Mu Sroy fain inwtance 8D4385•7019
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� � f � � . � PRUPA�+IE GAS . • • : •
� AND AIC ttvc. Service O►rder/Fronosal Air Conditioning&Heating
�aee19�8 , ' � �
. � 813-782-5C)'[3 .
• WORK ORDEf�#/SERVICEMAN 70c5E, ESE
Sales, Servic� &�Installations 'I�AT'E!T I ME TAKEN �81��/i� i 3;41
4441 Allen Rd: • Zephyrhills, FL 33541 TAKEN sY SARAH ¢��
DAIEITIi�E �ROh1ISED
��S• CUSTOMER#/LOCATION 13E13
• �'HQhlE# 81�-3��-�947 H
. RHONE�# � ' .' 917-2'7�-��54 C
ROUTE/SEG^.►_,,,_..____�..�,� • E�E
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�RGI�TTA, LEOh2Af?D OTTA, LEQ#�ARD j
�48 KAY M�RIE AVE 7848 KAY MARIE AVE , �
GRANp HQRIZONS �
�RHYRHILL.S FL 3,��41 ZEP'HYRHILLS F1:.3,��41
5�' COLEMA�I PY.G AC **1 Q�1�5/.Q+B��
- . RAC�+6�ZtH i 3�1 R, AV�FB�"3`TW 18
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� . -;DESCRfPTiU(xf�flF._W.C?RK _ -.:"Q1Y bIATERIALS:&SERVICES UNiT PRIC� AMOUNT
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. R�coM���inA-rior�s �v c G v t � �
- - £�/l�: 'T
!i Maintenance ecommended by A(I Equipment Manufacturers. ` ' �
- - Pressures Lo . HI 7-Stat i i
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• REFRI�ERANT R- 6BS. 3 per Ibs. { 1
• FILTL'RS x x Changed Monthly I I
' � FILTERS x x Changed Monthly � ti � s
CI REGU�AR O WARRANTY TOTfit SUMMfi+f2Y
inidistaY•�ettin,g�:_When here"l�; When Away 60°�, T-Stat.�0°` ❑ MAINTENANCE CQNTRACT
SERVlCE � '
D WARRANTY: d!t ma#edais,parts and equipmer�t are warranted by the manufadurers' (V1ETMtJD OF PAY#UIEN'f GAL� �
ers written warranty o ly.All labar performed by the above named company is warranted for TOTAL i
a as othenvise indica ed in writirtg.The above named company makes no other warranties, 0 GASH 0 CK# MATERIALS i
�r�mpiied,at�d iis age ts or technicians are nat authorized to make any such warraniies an �
abovenamedcompa y. ~ • - ❑DEBIT 0 CREpIT ❑OTHER MAINTENANCE
� PROG. W I C �
Rwnry to artler the wo outlined above which Has Ceen Saqsfaclonly Complete0.I agree lhal Saller _ , ._
�e to evuipmenVmateria tumished uniii final payment is maCe.If payment is not made'as agraetl;�(',,�((lrj# �'
remove said eqaipmen materiats at Sellefs expense.Any damage resufting trom said removai shatt /�/��J ��
VO B U1NiCES OVER 3 DAYS.NO REFUND$ SERVICE GHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED �� OILr '�L..""'`� I
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3R StGNATURE AATE �l��12�;1%IfiTC� �ft� _ 70TAL �'�.�1�!OV . "'t