HomeMy WebLinkAbout16-17701 i
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CITY OF ZEPHYRHILLS
- �, �� 5335-8TH STREET
`' (813)780-0020 1 01
i BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17701 Address: 37525 COREY LEWIS AVE LOT 334
Perrriit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propos'�d Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Squau�e Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0180-00000-3340
Improv. Cost: 3,995.00 OWNER INFORMATION
Date!'�Issued: 9/01/2016 Name: BRAMAN ELWIN
Total Fees: 55.00 Address: 7645 GREEN SLOPE DR LOT 334
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/01/2016 Phone: 813-446-5866
Wo"'rk Desc: A/C CHANGE OUT 4 TON PKG
� CONTRACTOR S APPLICATlON FEES
BAHR'S�IPROPANE GAS &A/C, INC. A/C CHANGEOUT ' - 55.00
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� � � Ins�ections Re uired �
DUCTS INSTALLED �
DUCTSINSULA
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' 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.. ,
NOTIC : In addition to the re uirements of this ermit there ma be additional restrictions a licable to this ro e that
E q P , Y PP P P �Y
may b�e 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. '
� "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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"�CO O 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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813I��so-oo2o City of Zephyrhills Permit Application Fax 813-780-0021
� Building Department�" '' � - -- - . �
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Date Received Phone Contact for Permtttin � �� ' . ,U� = �(,� �i�
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Owner's Na Ie L 6GL�//V ��m,� Owner Phone Number U��"' ����g
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Owner's Add Iess ��'�o�� � � Owner Phone Plumber
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Fee Simple Titleholder Name Owner Phone Number '
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Fee Simple Titleholder Address '
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JOB ADDRESS �7�p�� �' , /�� • LOT# ��
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SUBDIVISIO�I (T�,� /�-l�p/�� PARCEL ID# ���� � L/I�D ���� . ��� ,
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP�SED , B �NEw CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED,USE Q SFR Q COMf1� Q OTHER
YYPE OF CONSTRUCTION � Q BLOCK ' Q FRAME Q STEEL Q
DESCRIPTIO�OF WORK /l�S, ��C% (,�/� /1J e-� % � T ��La I �d'�'1• /lk'�� �
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BUILDING SIZE SQ FOOTAGE��, FIEIGHT: :
OBUI�LDING $ VALUATION{OF TOTAL CONSTRUCTION
QEL�CTRICAL $ AMP SERVICE PROGRESS ENERGY W.R . �
� Q .E C.
QPL�MBING $ �
OME�HANICAL $ - VALUATION OF MECHANICAL INSTALLATION
� 3�9�; Q� . �/ � �ol
OGAS [� ROOFING Q SPECIALTY Q OTHER I
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� I
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�UILDER COMPANY
SIGNATURE REGISTERED Y/ N� FEE CURREA Y/N
Address' Lfcense#
ELECTRICIAN COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Addeess - License#
PLUA9BER COMPANY
SIC�iWATURE REGISTERED Y/ N FEE CURRE� Y/N i
Add�ess� ` License# ' ,
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MECHANICAL �,rj� ,/� COAAPANY J��i�SP A/II�=�YSt�/�° ���
SIGNATURE I' 6� � REGIS7ERED Y,/ N FEE CURREP Y/.N
Addres�� '��"�`� ��G''/1i /� �� /�LS � License# C�/�����`�O
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OTHER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. I
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Addres$p License# '
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RESIDENTI I� ;Attach(2)Rlot P,lans;(2)§ets of Building Plans;'(.1)set of Energy Fortns;R-O-W Permit for'new construction, ,
Minimumiten.(1.0)working:days afte�_submittal date:�Required�onsife,ConsUuction�Plans;�Stortnwater Plans w/Silt Fence installed,
� Sanitary FecillUes.&�1r;dumpster,�Site°Work•Permit for subdivisionsHarge projects . - --,
COMMERCIAL Attach(3)complete set`s of Buildirig`Plari`s plus a Ltfe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
� Minimum ten(10)working days after submittal date. Requ(red onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
��` Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requlrements must meet compilance i
SIGN PERMI� Attach(2)sets of Enginee�ed Fians. , . �� - -
"'"PROPERTY SURVEY required for all NEW construction.
Directlons: � �
_ -�-_"Fill-ouf applica�ti��mpletely,�_ '
Owner 8�Contractor sign back of applicatlon,notarized
If over�2500,a Notice of Commencement is required. (A/C upgrades over 57500) �
" /�qent(f��the contracfor)'or Power of Attamey(for the owner)would be someone with notarized letter from owner authorizing same
DVER TWE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs If shinlgles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) '
Drlvewa�ys-Not over Counter if on public roadways..needs ROV1! ;
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NOTiCE OF DEED RESTRICTIONS: The undersigned under.�tands.that this.p�r:mit.may be.subJect to"deed"restrlctions"
which may be�more�r.est"r.fctive than County regulations. �The undersigned assumes responsibility for compliance with any
applfcabie deed restrictlons. �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractar or
contractors to undertake work, they may be required�,to be�licensed In accordance.with state.and•local regulations. If the
contractor is not I(censed�as required�by law, both the owner and contractor-may be-cited for a misdemeanor violatton
under state law. If the owner ar intended contractor�are uncertaln as to what Iicensing.requlrements may apply,�for the I
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Sectton at�27-847-
8009. Funhermore, if the owner has htred a contractor or contractors, he Is advised to have the contractor(s) stgn
portfons of the "contractor Block° of this application for wrhich they will tie responstble. if you� as.#he owner sign as the
contractor, that tnay be an indication that he ts not.properly flcensed and is not entitled to permftting privfleges in Pasco
County.
TRANSPORTATION:IMPACTIUTILITIES=IMPAC7 AND RESOURCE RECOVERY�FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recove.ry.Fees may_apply_to:the construc�lon of ne�ir bu!!�ings,ch?n�a_ot�.� __
~ use in ex�sting tiuildtngs;o�;expansionF of�ezisti��`�buildings, as speclfied.in Pasco County Ord(nance number 89-07 and
90-07, as amended. The undersigned alsa understands, that such fees� as;may be�d�e,:w11F be ideMtfied at the time of
permitting. It Is further understood that Transportation Impact Fees and�Resource Reco�ery�Fees must be paid prior to
receiving a "certificate.of occupancy" or flnal power. release. :If the project.does not involve a.certificate of occupancy or
, final power release, the fees must be paid�prior to permit issuance. Fu�thermore, if Pasco_County WatedSewer Impact
fees are due, they must be-pald;prior to permit-Issuance�tn accordance with applicable Pasco:County ordinances.
CONSTRUCTION LIEN L.AW(Chapter 773� Flor�da Statutes�as amended): If valuation of work is$2,500.00 or more, I
certify that I, the app8cant, have.been provided with a copy of the "Florida Construction� Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departmeng of Agric.ulture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have:obtained a copy,of.the above.described docu'rr�ent�and.promise in,good faith to
deliver it to the"owner"prior�:to�commencement:
' CONTRACTOR'S/OWNER'S AFFIDAVIT: I ceitify that all tFie Informatlon in�thi� appl(cation Es accurate and that all work
wil��be done in comptiance with aii.applicable laws regulating construction, zoning and�land development. Application is
hereby made to obtain .a permit to do work and installation as Indlcafed: °I certlfy that no work or Installation has
commenced prior to issuance of a permit and that.all work wlll be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development cegulatlons�in the jurisdictton. ( also
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to Identify•what.actions I must take:to berin:.cortlpliance: S.uch agencles include but are..not Ilmtted to:
- Department of Environmental��Protection-Cypress. Bayheads, Wetland Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management ..l�istrict-Wells, Cypress.� Bayheads�, Wetland Areas, Altering
Watercourses.
- Army Corps of Engtneers-Seawalls, Dacks, Navigable Waterways.
- Department of Health� 8 ReMabilitative Services/Envlronmenfal Health Unit-Wells� Wastewater Treatment,
Septic TanKs. � ,
- US Environmental Protectlon l�qency-Asbestos abatement.
- Federal Aviation.Authority-Runways.
I understand that the following:restrictions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used'in �Flood Zone "A", It. is understood-that a drainage .plan addressing a
"compensating volume" will be subm(tted at time of permitting which (s prepared by a professional eng(neer
, Iicensed by#he.State of Florida: " �
- If the fill material.is to be used In Flood Zone °A° ins connection with.a�permitted building using stem wall
� constructlon., i certify that�il�.will:•be used only.to.fill the area within the�stemvvall. '
- If flll material "is to be used in any erea, I certify t#�at use of-such flll will not adversely affect adjacent
p�operties. If use of flll is.found to adversely:affect adJacent prope�tie5,.the owner may be cited for viofating
the condifions of the building�:permit issued u�der the attached permit.application, for Iots less than one (1)
acre�which are elevated�by�flil,an engineered drainage plan is required. .
If I am the AGENT FOR THE OWNER,.I,-�promise in good faith to Inform the owner of-the permitttng condittons set forth in
this affidavit-�prior to commer�cing�construction. I understand that a=separate permit may be requtred for electrical work,
plumbing, signs, wells, pools; afr condttioning,.gas, or_other installations not,spec�ically included�in.tMe application. .A
permit Issued 5hall be construed to.be=a`1lcense to proceed with the work and not as authority to.violate, cancel, alter, or
set aside any provisions of the technical codes; nor shall issuance�of a.permit.prevent the Bulldirig Oflicial from thereafter
requiring a correc8on af errors in�plans,; coristtuction or violations of any codes. Every permit Issued shall become invalid
uniess the work authorized:by such permit:�s-commenced•within six months of permlt issuance, or if work authorized by
the pe�mit is,suspended or.abandoned foc a;per.lod of§ix(8)months..after_the.time the�work�is commenced. An extension
may.be requested, tn wrlting; from the Bullding,Offlcial for a period.;not-to.exceed ninety�(90) days and`will demonstrate
justifiable cause for.the extensior�. If work ceas�s.for ninety(90)cons.ecut(ve day.s�..th�job�is considered aba�doned.
WARNING TO'OWNER: YOUR.FAIL'URE-TO:REC`ORD,A NOTIGE:OF COMMENCEMEMT.NtAY=RESULT IN�YOUR
PAYING TINICE:,FOR;IMPROVEMENTS;TO�YOUI�,:PROPERTY.,.IF�YO.U�IN'FEND�T��OBTAIN•FIPFANCING��CONSULT
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WIT Y UR` ' D �O � AI�ATT NEY�B FOR��, CO � C�� OU " O �C 'OF� �' � E GE �NY
' FLORIDAJURA'�.(F .. 1.7.03)� .� � � ° �
OWNER OR AOEN CONTRACYO
Subscribed and swo (or a(flrmed bef re me this Subscrlbed and's (or aflirmed)� efore me'fhl5
by -
Who is/are personally knovm to.me or has/haye produced Who is/a pe onallykno me�or has/have.produced
' as Identlflcetlon. ' as IdentlflcaQon.
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Notery Public. _ �� Notary Publlc
Commisslon No. " Co rF� n No.
Name of Notary typed,printed or stamped Name o N ��,e
� :; �'�: Commission 22 _
, .�;: :,;: Expires December 12,2018
%'' q°` gandod Thru Troy Fnln Insuranta 800�385•7019
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� � � R PROPkNE�C�AS ` • s � •
� � Service rder/Propasal
AND AIC tHc. Air Conditioning 8 Heati
'�ace �98�I $i 3-7s�-so i� �� � � .
'' � ' WORK t�RDER#IaERVICEMAl� 7�7�6 APR
; Sa�es,���rvice & Instal(ations .. DATEITIME TAF�EN �+8/���1E 16:�7
4!441 Allert Rd. • Zephyrhills, FL 33541 TAKEN ��r ����N +�`
NOTES:, ° DATE/TIME RRCIMISED
• . �- CUSTOMER#1LOCATION �t�7c:1
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BRA„I�AN, ELW I N B RAMAIV, ELW I IV
� 375�5 CDREY LEWIS AVE 375�� COREY L.EWTS AVE •
, , GRAh1D HORIZORIS
ZEPNYRHILLS FL ���41 • . ZERHYRHILLS FL33�41 I
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NDT CQOL.I NG. UN I T QFF l�dW. MATT ADI?ED 1. � �.BS REFR I GE RANT ?/�1�i 6 �
_�.� UESCRIP`i`�QN-.OF VYORK = � �:QN MATERi S&'SERVICES. UNfT'f�RICE- AMOUN'
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.��►f'iva�-1'��ir�tet�afTce�R�iliir�ttded=tiy'AlfEquipmentManufaCturers. p�essures Lo HI T-Stat i �
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�. REFRiGERANT i2- tSS. $per Sbs. � t
� � FtLTEft5 x x Changed MontMy i !
� FILTERS x x Changed Monthly z � I �
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� ' O REGULAR ❑WARRANTY � TOTtiL SUMMAR�f �
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Dehiic�nit�Istat:Setti�sgs:..When here�; When Away�Q°/s; T Stat 80° O MFtiNTENANCE CQNTRACT SERVICE - � � i
LIMITED WARRANTY• All materials,parts and equipment are warranted by the manufacturers' METHOD.���PAYMENI' �A�'� � � �
at suppliers'written waRanty only.All labor pedormed by the above named campany is wartanted for ' TQTAL i
30 days or as athenvise indEcated in wtiting.Tha abave named company makes no other warrantaes, O GASFi 0 CtC# MATERlALS i
express'or implied,and its agents or tecF�niCians ar�not authorized to make any such warranties on i
behalf of above named company, ❑QEBIT O CREDIT 0 OTHER MAINTENANCE i
I have authoriry to atder Khe woAc outiined ahave which has been sai�staMori[y compteted.t 2g7ee t�at Soi�er PRQ�• �� �
� reWins tllle lo equiomenUmalerials Nmished until finel paymenl is matle.If payment ts not made as agreod. (�,(J�f(�/j# i
Beller can remove saitl equipmenUmalerials al Sellpr's expense.Any damege resulling hom said removel shall �
nW be the responsibility ot Sellec NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY 70 OATE C4MPLETED
AI.I t3NPAi0 SAtANCE5 OVEft 36 OAYS.NO ftEFBNQS '�——
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