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Home My WebLink About16-17767 \ CITY OF ZEPHYRHILLS � a 5335-8TH STREET � (813)780-0020 177� BUILDING PERMIT ;' PERMIT INFORMATION LOCATION INFORMATION Permit N;umber: 17767 Address: 6901 ORLO DR Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: VALLEYDALE RO ASSOCIATION Est: Value: Parcel Number: 03-26-21-0170-00000-0580 Improvr. Cost: 3,695.00 OWNER INFORMATION Date Issued: 9/23/2016 Name: HINES SHIELA JOYCE Tot�l Fees: 55.00 Address: 6901 ORLO DR Amount Paid: 55.00 ZEPHYRHILLS FL 33542-4859 Dake Paid: 9/23/2016 Phone: 813-602-8636 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00 � I i � I I� I � � I �� F I Ins ections �e ired DUCTS IN �TALLED i DUCTSINSULATED FINAL � REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local gmvernment 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. ; NO OCCUPANCY BEFORE C.O. I I ^ � - CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � Building Department ' Date Received, g � :8/� — �Q�� / , Phone Contact for Permitting � i '' t ' Q 'Owner's Name, � Q� Owner Phone Number O�3" ' Owner's Addrel s �p-/�� 8 /�. Owner Phone Number Fee Simple Titll holder Name Owner Phone Number I � Fee Simple Titli holder Address JOB ADDRESS �� /e (� �, LOT# � SUBDIVISION i �' lEL PARCEL ID# � 'pKp� I ��/G✓ D�GeG.�> �� (OBTAINED FROM PROPERTY TAX NOTICEJ lNORK PROPOSED e , NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q DESCRIPTION OF WORK /)�'S� n � ��iriv e��T� ` L�(?7�"1 d71IG�U� 3 %� BUII:DING SIZI SQ FOOTAGE� HEIGHT ,. i QBUI�DING $ VALUATION�OF TOTAL CONS'fRUCTION QELE�TRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUi BING $ QMECHANICAL $ �� VALUATION OF M�CHANICAL INSTALLATION QGA; Q ROOFING Q SPECIALTY 0 OTHER FINISHED FL i OR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICI COMPANY SIGNATUItE ' REGISTERED Y/ N FEE CURRE� Y/N Address License# � PLUMBER COMPANY SIGNATURE 'REGISTERED Y/ N FEE CURRE� Y/N Address License# —� MECHANICAL � � , COMPANY ��"�� S r'D R/V�CS�S�� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address �t�fy-1 I��/e,� � �- ,�� License# � �� OTHER� COMPANY SIGNAT.URE-, REGISTERED Y/ N FEE CURRE� Y/N I Address� License# �— RESIDENTIAL Attach(2)Plot Plans;(2)�sets of'Building Plans;(1)�set of Energy Forms;R-O-W Pemiit for new construction, � .' Minimum.ten(10)working days after submittal date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, Sanitary,Facilides.&•1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete s�ts of 3uilding Plans plus a L��e Safety Page;(1)se'r of Energy Forms.R-O-W�ermii for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGPI PERMIT i4ttach(2)sets of Engineered Plans. j "**PROPERTY SURVEY required for all NEW construction. Dtrections: 1 Fill out al piication completely. Owner B��ConVactor sign.back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) •" Agent(for th'e c6ntractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C ,° Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW ,- _._.�_ . �:��-..:�w.,.;��:��,-;��..rt. .s Yr y- NOTICE OF DEED R@STRICTII�NS: The undersigned understands that this permit may be subject to"deed"restrigtions" whict� may.be more cestrictiye than Caunty regutatians. The undersigned assumes responsitiility far corripliance with'any� applicable deed restrictions. UNLl�ENSEQ C4NTRACTORS AIdD GONTRA,CTQR RESPQNSlBILITtES: if•the�owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accardance with state and local regulations.- If�the contractor is not licensed as required by law, bothi the owner and-contractor m'ay��6e cited far�a misderrteanor violation under state law. 1#the awner or intended contractor are uncertain as to what licensing requirements may�:appiy for.the; intended work, they are advised to contact`the Pasco County Building Inspection�Division=Licensing Section at?27-847- 8009. Furthermare, if the owner has hired a contractar or cantractors, he is advised to �have the contractor(s} sign portions of the "contractor Block" of this applicatian for which they will be responsible. If you, as the owrier sign as.the contractor, that may be an indication that he is not properly liosnsed and is nof entitled�to permi#ting privileges in Pasco Coun#y. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The.undersigned understands that Transportatian Impact Fees and Recourse Recavery Fees may apply ta the construction of neur buildings, change�of � use in existing buildings, or expansion of existing�buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undessignec! also understands, that such fees, as may be due, will be ident�ied at:ttie time af � permitting. tt is furfher understaod that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" ar ftnal power release. !f the project does not involve a certificate of occupancy-or final power release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco Caunty WaterJSewer lmpact fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTiON LlEN t�AW{Chapter 793, Flarida S#atutes,as�mendecf}: If valuation of work is$2,500.00 or more,-I certify that 1, the applicant, have been pravided with a copy of the "Florida Cons#ruction Lien Law--�Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. ff the applicant is someone other than the`bwner�, I certify#hat 1 have obtained a copy af the abave described document and pramise in good faith to deliver it to the"owner" priar to cammencement. CONTRACTt�R'SIQWNER'S AFFIDAVtT: 1 certify that all the infarmation in this application is accurate and that ail work will be done in compliance with all applicable laws regulating canstruotion, zoning and land development. Application is hereby made to abtain a permit to do wark and instailation as indicated, t certify fhat no work or installation has commenced prior #a issuance af a permit and that all work will be performed ta meet standards of all laws regulating construction, County and City codes, zoning regulations, and land develapment regulations in ths jurisdic#ion. ! also certify tha# 1 understand that the regulations of other gavernment agencies may apply ta the intended work, and that it is ' my responsibility to identify what actions I must take to be in compliance. Such ag�ncies include but are not limited to: - Department pf Environrnentat Protectian-Cypress Bayheads, Wetland �Areas ai�d Enviranmentally �ensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District V1fe!!s, Cyptess Bayheads, Wetland Areas, Attering Watercourses. - Army Corps af Engineers-Seawalls, Dacks, Navigable Waterways. - Department af Heai#h & Ftehabilitative ServiceslEnvironmental Hea(#h UniE-Wells, Wastewater Treatment, Septic Tanks. - US Environmen#al Protec#ion Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of�Il is nat allowed in Flood Zone°V" unless expressiy permifted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "campensatmg volume° will be submi#ted at time af permitting which is prepared by a professional engineer licensed by the Sta#e of Flarida. - !f the fi!! material is to be used in Flaod Zone "A" in connection with a permiited building using stem wall construcfian, 1 certify that�II will be used only to fil�the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent prape�ties. tf use of fill is found ta adversely affect adjacent properEies, fhe owner may be cited for violating the conditions of the building permit issued under the attached permit application, for-lots less than one (1) acre which are elevated by fill, an engineered drainage plan is requE�ed. 1f I am the AGEIdT FOR THE OWNER, I promise in good faith ta infarm the owner of the permitting conditians set forth in this affidavit prior to commencing constructian. 1 understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditianing, gas, or other installations not specifically included in fhe appiication. A , permit issued shall be construed to be a license ta proceed with the work and not as authority to violate, cancel, alter, or set aside any provisians of the technicaE codes, nor sha11 issuartce of a permit prevent the Building O�#icial from thereafter requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid unless the work author�zed by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period.of six(6)manths after the time the work is'commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifabte cause far the extensian. If wark ceases for ninety{90)cansecutive days,the job is cansidered abandaned. WARNING TU OWNER: YOUR FAI�URE TO RECORD A NOTICE OF CONlMENCEMENT MAY RESU�T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU�INTEND TO OBTAIN FINANCING� CONSULT WITH YOUR LENQ. OR AN ATTORNFY B�FO E RECORDlNG YQUR NQTICE OF C MEItifCEMENT. __ ._ _ � - --- PLORI�fiJURAT{F .117 03) - -- - - - - OVUNER OR AG� T s � QNTRAC Subscribed and swacn • ar affirmed}before rrfe this Subsaribed and om to(ar affirmed}before me this by y Who is/are personally nown to me or has/have produced �� Who is/are p orialfy n wn to me or has/t�ave produced r"'1f-!� as 3dentification. ' /.,�. as identification. r Notary Public GZQ..�� Notary Public Commtssion No. Com i ion N ,.••;;�';Q��;•,, JPGQUELINE BOGES �� Name af Notary typed,printed or stamped Name af Natary- ' 'r►t�d, . ;�� :,�:�„xpire mber 12,2018 ' ��'�Pi:,�Q.�� 'e8aded Thtu Troy Fefn Insuren:u 800�385•�018 �t �p , ; - , � � e i � � PROPANE GAS Se�`V1Ce OrClel'/Proposal • • • • � AND AIC �Hc. Air Conditioning 8�Heating S�r�e �988 8'I3-782-5013 � • � � �-ai,:_1;<�; [1j;r_�c_hr�;;. ; �,�_�,.�__E:-'��F�;�� ; :'..,�'"-� C�E-�-- :,I:.:, Sales, Service & Installations .�=�h; }��- ;; ;';r. �-�:;�. ;� .; ';�`; "{ _ -. =�-:'� _:�,- � . ,�. . r� 1' '1��'r i1:'r.� 4441 Allen Rd. � Zephyrhills, FL 33541 �"f�'� � ;'' " � ' . ` � f,l;-�� I �' . � , �'1'•._. ��j'li �tr� �__._. .. 't� { ( —. . ' . � ir�l!,'i NOTES• ' � ';. - . . , ' , ; i_�c-,11 ;j��,;i-. !a � � , ". .-� I , t,., ;';c.; ?:.�.'- L,;..i(_il.i;-;:, "1 ' , L:�„ __ ,__ , I , , I;i_.fl I (F _�l: '.... � ..'!, i i ' • . , e � T _ � � i � v I • ,` 1 I'��;, � .�i� i i " � ` ��.� h.l};.":'. _�i"1�: .t! I�-1 . '�,y :�r i'- �..i _.. 1�'�;�.� �'��i I."� �i f:r 4. �.1�_1� . {.'!-�L _� ].:I�-f ' - - • '�I�� . i:. % ...�� -- • n_� �ii..i- ��(I.._ I i 1_. -. F - "��. ._�:.i'il'' , i�i'7 ..�"�._�' i _' ''. " , ' ' ; ._r_,-� i�� " � ; .-': ��ai�.�.:_:_ i : ! ��. P,�� , �l�:' � � �_�Ka.-r�' C�.c��tnF� -�,� �',��?:� � � . _ _ r i�;;::��.i.._ . 1 DESCRIPTION OF WORK � QTY MATERIALS&SERVICES . , ; UNIT PRICE- AMOUNT - - - - -� - - i - i. - 1Crr+ � T�rj _. ��.:��r '-��f-F, `� { '� J�.�,�� _..) '�v.n �t�.-„i.,:��. r?r� i �iy� �c'L' . r� t i �(Lf � � I I ,;�` �'�/�� /� 'r�. c...a'1 I I � I ' - <_-.?"-l.?L ��.....E I nL�;<:r�,. ; I I � \ ��. � T :)��- i i - l i i 1� /K :^� �"l f�` >�'r, .� � � � I h. � ) ' ' --�s '�v • �� K,G%r �:rr `1 w{�, �L � ' � I I }��t (� �"�..,��y �;.,�1�� .,.� � 3�� , � i i � ',� ' •�� ( rr( ,,�_ ?�.f„ RECOMMENDATIONS �,` � �. i `�� i�t.; Annual Maintenance Recommended by Ali Equipment Manufacturers. Pressures Lo HI T-Stat � �� iREFRIGERANT R= LBS. $pet Ibs. � �� /r'�+ �CiV FILTERS x x Changed Monthly I_ I I � • FILTERS x x Changed Monthly �� • � i 0 REGULAR ❑WARRANTY � . TOTAL SUMMARX Dehumidistat Settings: When here"ON", When Away 60°/a, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL � i or suppliers'written wartanty only.All labor performed by the above named company is warranted for , TOTAL i •30 days or as otherwiselindicated in writing.The above named company makes no otfier'warranties, ❑CASH ❑CK# MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warranties on � behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i I have authority to order Ire work outlined above which has been satisfaclonly completed.I agree that Seller PROG. W 1 C retains title lo equipmenUmalerials(utnisheJ unlil final paymenl is matle.I(payment is not made as agreed, CLAIM# I seller can remove said equipmenUmalerials at Sellers expense.Any damage resuiting from said removal shall - ,. �� nol be the responsibihry of�Sellec NET 30 DAYS.A 7 1l2°!o SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED r �� ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS —� � i • TECH: T� �--N^ci�cyvP�.'G,t" ," . . f;__. • .. / i /t , CUSTOMERSIGNATUREI ' ` '4 , DATE ✓TC�I//NL ✓(Lu TOTAL �� v� � `/ � I