HomeMy WebLinkAbout16-17719 ,
; CITY OF ZEPHYRHILLS
I; 5335-8TH STREET
;' �, (813)780-0020 17719
. j BUILDING PERMIT
�
� PERMIT INFORMATION ; � ' - LOCATION�INFORMATION -
Permit N'umber: 17719 Address: 37545 SERENITY AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: '
Squai-e Feet: Subdivision: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-0040
Improv. Cost: 3,295.00 � ` � OWNER INFORMATION
Date Issued: 9/08/2016 Name: GREENE CLYDE E & BERNICE GREENE
Total Fees: 55.00 Address: 37545 SERENITY AVE
Amou°nt Paid: 55.00 ZEPHYRHILLS FL 33542-4837
Da.".te Paid: 9/08/2016 Phone: 231-733-2606
Work Desc: A/C CHANGE OUT 3 TON PKG
� '' CONTRACTOR S - -APPLICATION FEES �
BAHR'SI�PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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- )C Ins ections Re uired ' � �
D CTS 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
� 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.
"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."
Comp@ete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
q City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
d NO OCCUPANCY BEFORE C.O.
, �
� ONTRAC OR SI NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
IJ PROTECT CARD FROM WEATHER
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s��-�so-oozo City of Zephyrhills Permit Application Fax 813-780-0021
� Building Department
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Date Recelved �l 3 `��, ' �� ��
i; Phone�Contact for Perm(tting
Owner's Naml ���E�E �l e Owner Phone Number �����7��'
Owner's Addrass � � �, l� Owrner Phone Number
Fee Slmple Tltleholder Name Owner Phone Number �
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Fee Simple T(tleholder Address �'
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JOB ADDRESS � f'' �i j � . - LOT# �
SUBDIVISIO� ,LV`� PARCEL ID# D3'�o�0���! �✓`"v�Q�d � �
� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED , e •NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH
II INSTALL REPAIR
PROPOSED:USE Q SFR [!] COMM Q OTHER .
TYPE OF CONSTRUCTION Q �BLOCK ' Q FRAME Q STEEL Q
DE3CRIPTIOW OF WORK ��j� �� ((r/� e-Q '7' � b� ��� �C l � D �/V
I
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING S VALUATION`OF�TOTAL CONSTRUCTION
QEL�CTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
I , o 0
QPL�MBING $ / ��I q
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
� ��.��. o� �
OGAI3 Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FL i OR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE ' REGISTERED Y J N FEE CURRE� Y J N
Address � License#
PLUMBER COMPANY
SIGNATI�RE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL' ��,j� �-/i'l/��Ly� CONAPANY �/�'/�1QS !'b !�-/11� � d-�I'e ✓�j��
SIGNATURE � REGISTERED Y/ N FEE CURREP Y/N
Address �'7�T / �1//enl � J1.1.$ License# L..�/4�� c�9��
OTHER COMPANY
SIGNATURE �REGISTERED Y/ N . FEE CURRE� . Y-G N, .
Addres�� - License# �
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RESIDENTIAL Attach(2)Plot Plans;(2)sets.of Building'Plans;(1)sef of Energy�Fortns;R-O-W P,ermlt for new conshuction,
�'' Minimum;ten(:10}working:days�aftertsubmtttal date. Required�onsite,Construction Plansr Stormwater Plans w/Silt Fence installed,
�� Sanitary FaGlities.&:-1.,dumpster,�Site Work�Permit for su6divislonsAarge projects � . � �
CORAMERCI�,�L Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constru�tion.
'' Minimum ten(10)working days'after submittal date. Required onsite,Construc8on Plans,.Stortnwater Plans w/Silt Fence installed,
[, Santtary FaciliUes&1 dumpster.Site Work Pertnit for all,new projects.All commercial.requlrements must meet compliance
SIGN PERMI� Attacfi(2)�sets ofEngineered.Rlans.,., �e��� � . j
""PROPERTY SURVEY required for all NEW construction.
Directions:
Ffll out a�pplicaUon completely.
Owner B�+ConUactor sign back of applicaUon,notarized
If over SI2500,a Notice of Commencement is required. (AIC upgrades over b7500)
" Agent(filr the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMITTING (Front of Application Oniy)
Reroofs if shingles Sewers Service Upgrades A/C `Fences(PIoUSurvey/Footage)
Drivewaly�-Not over Counter if on public roadways..needs ROW
NOT�CE O�DEED REa�TRIGTIONS. Tt�e a�nd�rslgned unders#ands°that thls.��emlt.may be�subject to"deed"resfrlcttons°'
wrhich m�y be�more reste6ctive�than Gounty regulatlon�. �The undersigned assume� responsibility far compllance with any
a��licable deed restcic#6ons.
UNLi+CENSED CCINTRA�TORS AND CCtNTR/ldi�CT�R itESPONSt�iLi'TiES: tf the awner has hired e contractor ar
contractors �o undertake work, they raiay be required to be llcensed In accaPdance.wikh �tate.and�lacal regulations. If the
contractar t� not iiaensecf a� required'�y I�w, both the awrner and contractor-croay �e ctt�d for a misdemeanar vialation
under state law. If the owner ar tntended�contra!etor are uncertaln as to vvhat �icensirtg.requirements may apply�ar the
intended work, they are advfaed to cantact the Pa�c�County�ullding Inspectlt�n Qlvlsloi�--L.E�ensing Sectlon�t4�27-847-
8009. Furthermare, if #he awner has hired a �ontractor or contractors, he is advised ta have the cae�#ractor{s) sign
pvrtions of the "�antractor Black" of this appllcatian far whtch they rrvill tie respansible. If you, as.the owner stgn as the
cor�tractor, that�nay he an Indication �hat he #s not.p�p�rly licer�sed and Is not entltisd to permltting privileges Er� P�sco
County.
`Pl�ANS��R7�TIl7N lMPi4CT�UTl4lTIE5 IfNlPAGT�4ND RESt�URCE RECQVEfftY FEES: The�ndersigned understands
i�art 5'rans�or��ii0a� �mpac��ees and ��oue�e �ecdvery.wees en�y.�ppiy t��he cdn��ruc�ion�c�f n�w bulidi�gs, ch�nge o�
use in existing buildings, or.expansi�n.of��exisQing�buildings, as speclfl�d in Pasco C�unty Ordinance number 89-07 and
90-t)T, as ame�ded. The, under�lgned also undet�stands, fhaE s�ch f�es� �s�-ma�r be�dt�e,,w�l➢ be identlfied at the time of
permitting. It is iurther unders�ood thaQ Transportation Impaat Fees and�Resource Reco�e "ry Fees must be paid prior to
rece�ving� "�ertificaf� of occup�ncy° oa�final power-�eleas�, :!f th� peoject daes not ir�v�lve a certtficate of�cc�pancy or
finai power reiease, the.fees must 6e paid�prior#o permit issuance. Fa�therrroar�; 3f Pasco Cotanty 1NaterlSewer dmpact
fees are due, they must be-paid;prlar to pe�mit lssuarace�in acaordance with applt�able Pasco Co�anty ordinances.
CANSTRUCTION E.lEN t�W(Ch�pt�r 713� �lot1���tatut��.���mec�d�d}: !f valuatio�of vuork is$2,500.00 or more, �
cerQify that i, th� �ppl(cant, have.been provided wikh a copy of the °Florida Constructlon Li�n Law►--6iomeowner's
Protection �ulde" prepared by 4he FD�rida D�partmenf a�f Agricu[ture and G�ns�merAffairs. If the applic��t i� someor�e
other than#h�"owner", i �ertify that I have obtained"a c�py;of the above..descrlbed document�and promise ira.gaad faith to
deliver it to Qhe°owner"prior to�commerecerr�ent.
C�NTRd�C'�'�R'S/t?VI�NE13'�AgF1iDANIT; i ceitify th�t ail the}�formatitrn iri��this�pplicatlon 6s accurate and that aii work
will be done in compliance wiQh all appi(c�ble laiws regulating constructicon. zoning and land develapment. Application is
h�ceby maa#e to obtatn .a per�nit Co do work and in�tallatlon �s tc�dEcated: ;1 certifjr that n� uvork or Instai�ation h$s
commenced prior to issuance of a permik and that ali work wilY be perf'ormed to meet standards of all laws regulaxing
constructiore, County and City codes, zontng �egulatians, and lar�d dsvelopm�a�i regulatfor�s-In 4he jurlsdictfan. ( also
certify that 1 �rrdersf�nd tt�at the regulati�ns a�f okheP gavernment�gencies m�y��ppiy�to the i�tended w�rk, and that it is
my responsibdlity to identify�what.�c#ions I must take.to be�in.corr1p01anc�. S,uch ageneles)nclude but are n�t 6imited to:
- Depactment �f Er�vlronmental�Pratecfian=�ypr�ss �ayheads; Wefla�d Areas and Envfronmentally Sens6t�ve
Lands, Water/Wastewater Treat�enk.
- S�utt�wes4 Fl�rida Wz�Qer Managera�eni .!�€s#rict WeOs, �rPress. Bayheads; Wetiand Areas, Altering
Watercourses.
- Army Corps af Engin�ers-Seawalis,C9c�cks, Navtgable�!lateruvays.
- I�ep�rtrn�nQ �f Health 8� Rehabllitafiv� �ervlces/Ernironmenfal Heaft� Ui�it Wells, Wastewtatsr 'T'reatment,
Septt�Tanks. .
- t�S Environmental Prot�cflor�Agency-Asbest�s ab�teQnent.
- Fed�ral Aviation Authority-Rurtvvays.
i underskand that the follawtng.�eskrictions app0y tc�the use of flU:
- R1se a�f fill is not allawed in Flood Zone utl�un�ess expre�sly p�rrmitted.
- mf the fill m�terfal is ta be used In �FIoAd Zone "A", It. ts understaod #h�t a drain�ge pla� addressing a
ucompe�nsatin� volum�"wii� be subml#Qed a�#time of permitting which is p��pared by a pro#essio�tal engineer �
Ncensed.by-the State-of Florida. �'
- !f t1�e fill m�tec�a! is to b� us�d in Flood Zone �A° ira>connecti�n w8th.a �ermitted buitding using st�m wal!
� construction, I�er�ify that fiti wlil:�be used�nly_to.fill the area within the stem wait.
- Ef fill material is to" be used in any area, I cerdlry th�t .us�. of su�h flll will not ada�rsely affect adjacent
pr�pertle�. i�use of fill Is found to adver�ely:�ffect ad�aee�t�prciper�ies,.the awner�nay be �ifed for viotattng
the c��ditions of the-building•.permit issu�d under the attacfied permit.applica�ion, for lots less than.one (1)
acre whfch are efevated by�Dlt,an engtnee�ed drain�ge plan!s regcalred. .
tf i am th��GEF➢T��P2 THE C9WNER, 1;promise in gaod#aith to Ir��'arm the own�r�of#he permitting conditians set forth in
4his a�davtk prior to corr�rvoenoing construction. I"understand that a separate perml�cnay be rea�utr�d for electrical work.
plumbing, s�gns, welEs, pools, sir conditio�ln9,.9a�s. or ather fns#all�tio�as not.spec�#c�tly incEuded ir�.#he appiicatian. .A
permit issued shall be construed to be a°Iicense tm proceed with the wrork�nd not as authority to.dialate, cancel, alter, or
set aslde any provtsfons of 4he technical.codes; nor shali Essuance�of a.permPt.prevent the Bttilding t�lcfat fr�m 4herea#ter
requiring a correcti�n.af errors in.pians, caristructlon or violatians of any cades. Every perrnit lssued shail became invalid
uNess the work aa�thori�ed.by such p�rPnit:�ls-commenced•wi�hln ��C �n�otths of p�rrr�l� i�su�nGe, a�r if work autharized by
�he permi��s suspended oc.abandoned f�r a:p�riad af six{6}monttas aftet the#Ime the�wmrk fs�ommenced. An exfension
may be requested, in writirog; from the Building,tJfficiaE for a period��not�to exeeed nine#y�(90) days and w►iil demonstrate
justlfiabie c��se for.the extensfon; If work cease�:�'or�trtety(90}�onsec�ttive d�ys,..the job�s��nsfdered abandoned.
9A��►RElIN� TQ CiWNERc l1011R.FAILURE�T�,REC:�1R�A NQ'�'8G� �F�COMMEN�EMEt�T:lVPAY=RESU�.�' �P! YOUR
PAYING TW�CE,-Ft}R,_1NIPROVEi411EN..,T.S:'PCb:YOUR,��tDPERT:Y. :I�YO.U�tNTEND�`TQ`OBTA�N°��ONtANC1NG�'C��ISULT
�IITH Y U LENDER A �4'�'T �tRI�Y'B �ORE� CO �� C:��OU ' O � :�1��. , � E�i NT
FLORIDAJtlRRT . 11T,0,� " �
QWPIEI2 OR ACi � ��-'(,� COR9V'13ACT
Subscribed and s to(or e rm e r 'me thls Subscrlbed atsd's�ua to{ar af�rmed)'b re me'fti#s
by
Who Islare perso Ily knovm ta.me or has/have produced Who Is/are p.er�onally knoum Qt�me or ha�/have produced
as tdetttl�caBan, as tden�ticatlon.
Notary Pubfic Notary Pubiic
Gammisslon No. Comm4sslon-Na.
Name o1 Notary typed»ptinked or stamped Name of Notery iyped,pdnted or stamped
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� � � PROP�ANE GAS Service Order/Proposal � � � �
� AND AIC [Nc. , Air Conditioning 8 Heat
J� ` ��ce �988 8 i 3-782-5013
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, �; Sales, Service & Installations =.�����=. �a:����=� � �'�'��`�' ������ �'F= " }���� �`��- 1���
4441 Allen Rd. • Zephyrhills, FL 3.354't� � �-�' � ��' i`'' '" �''=�
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II ';.3:;: - m�-::::Ls"s=�.:. =- ��'s::.�'.`;'::. 'iy��-';
�Yx Y Chan ed Monthl' I I
� FILTERS. x g y
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II � FILTERS x x Changed Monthly I I
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II � , , "'4`a.,.�;v. '�:.s: "'-'-. -- .
% ❑ REGULAR �O WARRANTY �«;t:=_�:��;��;',�"�.�,t��M'�Y;���
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.I)ehuinidisiai.Settings: When here'`ON'`; VV�hen Away�r;T-Stat 8B°�; ❑ MAINTENAN�E CONTRACT SERVICE i '
-....r� �::..::.. . .... _ _. _ . .<-„-
-..�:,�_-.�.�-y:.,.�; u__ ,.v°= CALL i
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LIMITED'�WARRANTY: All materials,pads and equipment are wartanted by the manufacturers' � _- -_.,��'''�Q,�� � '���,r`=�;��.::�:�:;�:"
� __:.':a:��:.,``: ..�g-:��:r-�:;^�,-���
or suppliers'written warcanty only.All labor performed by the above named company is warranted for °•''_-= �-- '- ���•`.-".°" ,'.�`.- _ =-_`�`".'
30 days or,"as othenvise indicated in writing.The above named company makes no other warranties, 0 CASH �0 CK# TOTAL i
f. • MAT�RIALS i
express or�implied,and its agents or technicians are not authorized to make any such warranGes on �
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have auth'briry to ortler the work outlinetl ab¢ve which has Ceen satisfactorlly compleled.I agree thal Seller ' PROG. ,N I C �
retains litlello eQuipmenUmaterials(umished unliFfinal.payment is matle.If payment is not made as agreed, CLAIM# ' �_ \
seller can remPove sai�equipmenVmalerials al Seller's expense.My Eamage resulting from said removal shall . � ♦ _� r (`-�•.(`� ` �
not 6e the res onsibili of Seller.NET 30 DAYS.A 1 1!2%SERVICE CHARGE WILL BE ADDED MONTHLy TO ( �,
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
i TECH: .
TAX �
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CUSTOMER SIGNATURE DATE ✓1 E%L!//Glfi ✓Q�.G - � TOTAL 3� �� �
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