HomeMy WebLinkAbout16-17737 CITY OF ZEPHYRFiILLS
•�� � 5335-8TH STREET
� (813)78o-o0z0 17737
� BUILDING PERMIT
I PERMIT INFORMATION LOCATION INFORMATION
Permit tNumber: 17737 Address: 37501 GILL AVE LOT 186
Perrr�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Squ�re Feet: Subdivision: , GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0140-00000-1860 i
Improv. Cost: 4,110.00 OWNER INFORMATION
Date Issued: 9/15/2016 Name: FAUCETT WILLIAM & CHRISTINA i
Total Fees: 60.00 Address: 37501 GILL AVE LOT 186
Amo�nt Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/15/2016 Phone: (317)997-1915
Wo k Desc: A/C CHANGE OUT 3 TON �
( 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 INSTALLED
DUCTSIN�ULATED
FINAL I I
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local �overnment 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
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
improvernents 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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, PirK-� c iy��P�y�-C�
NTRACTOR 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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813- SO-0020 City of Zephyrhills Permit Application Fax-813-780-0021
�� ' ' � Building Department
Date Recelve Phone•Contact for Permittin ,�S�� �6� - �U�
Owner's Nam /— � l• Owner Phone Number ���'" �/'
Owner's Addr ss � d/ �'/a�� F�� Owner Phone Number �
Fee Slmple TI leholder Name • Owner Phone Number
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Fee Simple TI leholder Address
JOB ADDRES �7�d / J,/� �- ,/`�5 / � �.� LOT# �
SUBDIVISION �l�/�/V7,� 7' ZD PARCELID# 3�f a5 ai ���� ddU� LO��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP� SED , e NEW CONSTR� ADD/AI:T Q SIGN� Q Q DEMOLISH
! INSTALL REPAIR
PROPOSEO- SE Q SFR [� COMM Q OTHER
TYPE OF CO STRUCTION Q BLOCK 4 Q FRAME Q STEEL Q
DESCRIPTIO I OF WORK /�G'��', �" (� �' �6GQ.'L. � �D/J 1 �6 �/���
BUILDING SI E SQ FOOTAGE� HEIGHT
QBUI DING $ VALUATION OF TOTAL CONSTRUCTION _
QEL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPL MBING $ "
QME HANICAL $ .t,l,�l�, B� , VALUATION OF MECHAfVICAL INSTALLATION
l
QGA, [� ROOFING Q SPECIALTY Q OTHER
FINISHED FL OR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICI COM PANY
�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address' �License#
PLUMBER ; COMPANY
SIGNATURE ! REGISTERED Y/ N FEE CURREA Y/N
�
Address! License#
MECHANIC c - COMPANY /✓/rffl2S .✓�d /f/�Ie ���L° r%�[�'
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address' ���� /7`l ej� ��/`$ �j� License# ��L°D�J���'
OTHER COMPANY
SIGNATURE � REGISTERED Y/ N. FEE CURRE� Y/N
Address� � Ucense#
RESIDENTI Attach(2).PIoQ Plans;(2)sets of:Builtling'Plens;(1)set of-Energy�Forms;R-0=W Permit for new construction,
Minimum,ten:(1.0)working:days_aftec submittal date: Required onsite,ConstiucUon Plans;Stortnwate�Plans w/Silt Fence installed,
Sanitary Facilitles&;.1;dumpster 8ite�Work•P.ermit for subdivisionSAarge projects - �
COMMERCIAl. Attach(3)oomplete se4`s of Building Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)woricing days af�er submittal date. Required onsite,ConsUuction Plans,Stom►water Plans w/-Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all new proJecfs:All commerclal requlrements must meet compliance
SIGN PERMI Attach'(2)sets of Engineered .P.lans.,- � .
""PROPERTY SURVEY required for all NEW constructlon.
Directlons:
Fill out ap licadon wmpletely.
Owner& ntractor sign back of applicaUon,notarized
If over S 500,a Notice of Commencement is requlred. (AIC upgrades over�7500)
" Agent(fo the contraotor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
DVER THE CpUNTER P.ERMITTING (Front of Appllcation Onty)
Reroofs if shin les Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivewa� -Not over Counter if on public roadways..needs ROW
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N0T10E OF QEED RESTRlC7lQMS: The und�rsl�ned under��ao�ds°:�tte�t.thfs=p�t�mlt may.be,subject to:"deed"cestrictlons"
which raia,y,be�more�r.estrictivm�s#han�ounty•=�eguiations:�TFie under�igr�ed`�assuriies responsibility for`cooiipiiance witfi'any
applicable.deed restrictians.
UNl.10EN�E�} C�N'�A+�TQRS I�iN� CIDNTRd�iCTOit RESPONSl��1�11'�I��`:�--lf the avvr�er has hlred a cao�#ractor or
contractors#a undertake work, #hey may.be:required:to.be;;itcensed in acc�rdan�e.vulth stat�.rand�local reguiatlons. If the
contract�r is not Ilcensed as requtred'6y law, both the c�v�r�er �nd ccinti��ator=may bervctted for�a°enis�err9eanor vialation
under state law. if the ow►ner or Intended�aontractmr:�.are unc�e�taln as to mvhat Ilcensing.c�quirements`may�apply�for the
intende�d uvark, they are�advised to contac#the P�sco Cotanty�uilding.lnspection pivision—l:icenstng Section at 727-847-
8�09. Furthermore, tf �he ��nrner has hl�ec! a cantraicto� o� contractors� he is advised tc� have the cantracta�{s}, sign
portlons of the "contractor �fack" of#his applfcatian for which they will be.cespansible. If yau,-as..the ovvner sl�n a�'the
co�trac#or, that�ritay be an lntf�eat6o� that fie 4s �►ot.properly (lcer�sed and Is rio#en#itisd to perr�ittfng prlvileges tn Pasco
County. '
TRAN5POR7ATION 1MPACTIUTILITIES•IME�AC7AN��REs�AUR�E REC�VEItY�F�ES;�-The�unders6gned underst�nds
that Tr�nspor��tlon Irrapact Fees�nd.Reco,ur�e Re�ove.ry Fees rvt�y�•apply t�th�'�nstruction af new.buildings,+chang�of
use in �xisting buildings, or.expanslon�of��e�isten,g;buildings, as speclfied in Pascv County Ordinance number 89-07 and
SO-07, as amended. The undet�lgned a4sca understands, t#��t such fees,,as may�be due;,w11E:-be tderitif�ed at the ti�vie of
permitting. It is further understood #hat Transportatlon Impact Fees and Fte�ourc� Recovery'Fees must be paid prl�r to
receiving a "certificate.of ocoupancy" or flnal,power.release. .4�the project does not Dnvolve a certificate of acctapancy-o�
final p��ver re(ease; the.fees must�be paid prtor Qo perrniE issuance, Furtherreiore;-iE P�sco Caunty i�ater/Sewer•Impact
fees are due, they�nust�be�paid prior to permit�issuance�On accardance with appllaable Pa§cm County o�dinances,
CO�l�T�3UGTIQN ClEN l.�W'(Gh�p�t+�r 713, Florld��tatu#�s�a���n�nded}: tf valuatlon of work ts$2,500.00.or more. 1
cerQify that I, th� appl6cant, have b�aen pradided with a ce�py-of the "Florida Constructian Lten L"av►r:Horneo�rner's
Rrokection Gulde" prepared by the Flo�ida D�partment�of Agric.ulture and Consumer A#[airs. 1f the appitcant Is so�neone
other than#he"owner", I certify th�t I have.abtained a�copy.of the,above.descrlbed document�and.ptomiser in,gpod faith to
deliver it ta.the°owrner"prior ta>commencemerit: � '
CO�VTFt�►CTOR'SlOWNER'�APFaDAVIT: 1 c�rt�fjr:thaQ all.the,lr�#armation in thls appllcatEari is accuraQe and thaf�N work
will�be done in compliance with all applicable'laiws regulating �onstruction, zoning and land development� Applicat(mn is
hereby made 40 obtaln .a p�rmit ta� do. wor6c.,,and 6ns#allatfan as Indlca#ed: °i certlfy that no wrark�or Ins#allatton has
cammenced p�lor to lssuance of'a permit"and�that.all�work will be pertormed to rneet,standards of a91 laws regula#ing-
const�uction, County and C�ty code�, zoning regulationst and land development r.egulattons�in 4he jurlsdlct(on. ! �1'so
certlfy that 1 ucrders#ar�d tha#the regulati�ns of ot�rer gover�m�nt agenci�s may�apply�#a the intended work, and tha#it is
my responsibility to iden#ify�uvhat.actbon� I must take Qo be�in:.camplt�nce: Such agencles include bu#�are not Iimited to:
- Depacke�ent of E�uironm�ntal=Pr�t�ctio��Cypress.'Bayliead�, UVetl�nd Areas and Environmentally 5ensi#9ve
l.and�, Wa@�rM/astewater TreatmenQ.
- Southwes4 Florida W�ter Management Qistr6ct We!!s, Cypress. `Bayheads; Wetian�� Areas, Aitering
Watercourses.
- Army Corps of Engin�ers-Seawails, Qacks, �Vavigable W�tetways.
- Departm�nt of Health�� Reliabltit�t#ve Services/Environme�ifal Health Unit Weil.s� Wastewrater Treatment,
Septic Tanks. .
- 41S Enviror�mental ProtectEon Agency-Asb�stos abatement.
- Fedetat Aviatlon Auihority-Rurnvays.
I understand that th�following:restrictions apply to the use of flEl:�
- Use of filt Is no#allowecf in Flaocf Zone"1�'unless expressiy perr�aitted.
- If the fill makerfal is to be used. In ��Iood Zone �A", It is understbod that a drainage plan addressing a
"aompensating volume"wrllt be submltted at t�me of perm�tting wli�ch is prepared by a profe�si�nal englneer
Ilcensed by the Sta�e of Flortda:
- !f the �I! materlal is to b� used in Flood Zone °A" In��onnec�ion wlth.a {�ermitted building using stem wral0
canstruction, I certi#y tha@ fift wili.�be used anly_t�iill the area within the stem�wali.
- If fill material is ta be used in any are�, I ce�Qlfy tha# use�. af such foll wili not adversely affect adjacent
propettles, If use of#i11 is found t� advetsely�f�ect ad}aEent properties,.th�ow�er may 6e clted for viaCating
the canditions of the building-.permit issued under the.attacfied permit application, for lots less than one (1)
acre which are e#evated by fllt,a�engln�ered dralnage plar�!s requ#red. .
if 9 arv�the AGENT F�R THE Ci1PVNEit, i;;promise In good faith to i�'orm the owner�f-the perm(tting condi#ions set for�h in
this affidavtt prtor t�+ commencing cor�structlon. I underst�nd thaQ �-separate permlt may be requtred for eleckPical wark.
plue�bing, signs, welts, pools, air condiftoning, .9as, or o#her instaEt�i#ions �no�,speci#ically Includeci�in.the ap�licatioe�. .A
permit issued shall b� canstcu�d to be a Ilcense Qo proceed uvikh the work�nd not as.authorlly to.violate,.cancel, alter, or
s�t asfde any provisio�s of the t�echnlcat cod�st nor shatl fssuancs�of�_permit pr�vent the Buifdirig Qtficla)from th�reafter
requiring a correctio��f errors in ptans,consinictlon or violatians of any cmdes. �very pesmit Issued sha0 becorrte invalid
unless the work authorized by such permit�is �mmenced�within sGc montha of permit issuanae, or if work auth��ized by
the p�rmlt is suspended or abando�ed far a periad ofs�C{�3�montF�s.after th�t6me the�wark is carremereced: An extension
may b� requested, In writing, from the �uilding.Official for a p�arlod,not to exceed Nn�ty(90) days and v�ill demonstrate
just�iabie ca�ase for fhe extens�on, If wark ceases.for ni�ety{90}cans.ecutive days...the�ob,is consfdered aba�do�e�.
VlIAItNING TO �11lINER: YOUR.FAlLURE�TO,REC.O�D�► N�Tl�E OF CA�IIMENCEMEI�Y MAY RESUl,T !P! YO�lR
P�iY�idC'iMlICE.F�R tMPROVENIEPITS T�YOla�t:PR'OPERTf. 1�YBtl�t{�I�F�lD`TU'OBTAiN�Fti�tA�1�RNG��Cf3MSIL��T
WIT UR LENDE O ANF 'fYORNEY 8 � RE� COfi� G:`� OU '" � ���'O ' �•' � E C�E T�
��at��t�A.au�ai�{�.s.t��.os> .� .,. - ` -
ONPNEEt�DR ACENT '"' CONTROaCTO /J/-���1"u�C...
S�bscrlbed and swom t�{or afflrmed)b tore me thts Sabscribed and'svvct Qo{or aflttmed)�before me ttils
bY •�Y
Who islare personally knovm to.me or has/have produced Who.ls/are persanailyknovm to me or haslhave•produced
as IdenUftcaBan. as iden�ficaUon.
Rlotary Publtc . Nofary Pubiic
Commisslon Na:t-. Gomrflisslon No.
Nlame aC fdotary typed,printed ar stamped Name af Notary typed,pdnied or stamped
��a � '1..,.��a t 4..J ��1 �`-��
`��� ' � � � PROPANE GAS Service Order/Proposal � � � �
p � AND AIC iNc. ,�.._ Air Conditioning 8�Heating
�i�t�e �988^.. 813-782-5013
• �C��K i��=;'�,�.�#?�i�EFt4':�:G�t71At�� • �1_�r��� �UG
Sales, Service & Installations . �;:.-a-�-�,�-;-�r=�� -�ra�.,��� ;��,,.•��,����:, �,�,o �.�
444 Allen Rd. • Zephyrhills, FL 33541 -f-�.;��,�-;;; ��;� F;i�7 ��'�
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� ❑ REGULAR ❑WARRANTY '".`',"��`'���:"'TOTAL'SUMMARY``."�._� �';
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.Dehyfmitlis ❑ MAINTENANCE CONTRACT SERVICE i
at Settings: When here"..ON";''When Away 60°d,�T-Stat 80:_i
LI'MITED WARRANTY: All materials arts and e ui ment are warranted b the manufacturers' _`��~''��'ry - - '`�'��`'` CALL � i
,P q P Y _ ��>,�METHOD:�OF�PAYlVIENT?;.�_�-=;;=:':=<;
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or suppliers'wri�en warranty only.All labor perfortned by the above named company is warranted for �-- � � - TOTAL �-��' ���i �"�� �
30 days or as o erwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS +�`�� �"�i� '�'�
express or impli d,and its agents or technicians are not authorized to make any such wartanties on i
behalfofabove�amedcompany. ❑DEBIT ❑OTHER MAINTENANCE i
I have authority to ortler the work tlined above which has bean salisfactonly completed.I agree that Seller + PROG. W I C
retains title to e�ipmenU rials rnished until final payment is made.If payment is not made as agreed, C��
seller n remov said uip en a rials at�Seller's expense.Any demage resul6ng trom sa(d removai shall '� � � ^�,
not the respo ility f S 0 DAYS.A 1 1l2%SERVICE CHARGE WILL BE ADDED MONTHLY TO �''� �,�y � ���+ ;.;,-)�� - � ��
ALL NP B � C OyE 3pDAY�S. REFUNDS � DATE CaiCA'�'CETED �i, )" ��� �
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