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Home My WebLink About16-17769 CITY OF ZEPHYRHILLS 5335-8TH STREET , - (813)780-0020 �7� ' BUILDING PERMIT � PERMIT INFORMATION LOCATION INFORMATION Permit �Vumber: 17769 Address: 39336 GREENMEADOW DR APT 19 Perr�it Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS E�t. Value: Parcel Number: 13-26-21-0070-09100-0010 Improv. Cost: 3,275.00 OWNER INFORMATION Date Issued: 9/23/2016 Name: KINSMAN PROPERTIES LLC To al Fees: 55.00 Address: 36145 CHANCEY RD Amo nt Paid: 55.00 ZEPHYRHILLS FL 33541-4705 Date Paid: 9/23/2016 Phone: 813-355-1499 Wark Desc: A/C CHANGE OUT 2 TON CONTRACTOR S APPLICATION FEES BAHR' PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00 � ; v .� Ins ections Re uired DUCTSI STAL ED • DUCTSI SU TED FINAL � REIN PECTION FEES: (c)With respect to Reinspection fees wrill 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. NOTIC : 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." Comp ete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. ' I _ - , /, ONTRACTOR SIGNATURE PERMIT OFFI R V PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER J $�s- so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 t Building Department ' Date Recoive phone�Contact for Permitting O�J �� -- ��`� • Owner's Idam l � �/� /l6 ��'� �1�.��.5 Owner Phone Number �'13 - 35�-��-�1R Owner's Address � �'T� � � � Owner Phone Number Fee Simple Ti leholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �� Co l'��/� - � � . T �/ LOT# � SUBDIVISIO ��N� l� PARCEL ID# `� �� o� �D/� �L�� o�v (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROP SED B . NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR u((��`�^ PROPOSED SE Q SFR Q COMM � OTHER TYPE OF CO STRUCTION Q BLOCK - Q FRAME � STEEL Q DESCRIPTIO OF WORK ��.- �<e C�v �—du-� � � � ��l BUIL`DING SI E SQ FOOTAGE� HEIGHT OBUI DING $ VALUATION�OF TOTAL CONSTRUCTION DEL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPL MBING $ �E� HANICAL $ �j�� VALUATION OF M�CHANICAL INSTALLATION J QGA Q ROOFING Q SPECIALTY Q OTHER FINISHED FL OR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRIGI GOMPANY SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N Address License# ' PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# - M.ECHANIC � � COMPANY S �'��/�� `�T SIGNATURE" REGISTERED Y/ N FEE CURREA Y/N Address ( E�/v License# 7-J -6 'g�0 .�{.'� OTHER ` COMPANY SIGNATURE.. - REGISTERED Y/ N FEE CURRE� Y/N Address- - License# RESIDENTI . Attach(2)PIo4Plans;(2)•sets of Building-Plans;(1)set of Energy Forms;R-O-W Permit for new construction, , .f. " - - ,Minimum,.ten(10)working;days after submittal date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, Sanitary:Facilities&-1 dumpster;Sife Work Permit for:subdivisions/large�projects COMMERCI Attach(2)complete sets of BuilBing Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit 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 fo�all new projects.All commercial requirements must meet compliance -.SIGN PERMI Attach(2)sets of Engineered Plans.' '"`*PROPERTY SURVEY required for all NEW construction. , �.Directions: • � Fill out a plication completely. - Owner& ntractor sign back of application,notarized � If over$ 500,a tdotice of Commencement is required. (A!C upgrades over$7500) '" Agent(fo th`e contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE C UNTER PERMITTING -=•°-= (copy of�contract•required) Reroofs if shingles Sewers Service Upgrades NC Fences(PIoUSurvey/Footage) Drivewa Is-Not over Counte�if on publio roadways..needs ROW ___ x��s�--^.��..._^^�r,r�sss:m.vsR:�.�:1v"" '"rv:;nv fdOTICE OF DE�D �4ESTRICTi�M�: The undersigned understands that this permit may be subject to"deecl�° restrictiorts" ,' which may be more.restrictiVe than County regulations:`,The�:undecsigned asswmes responsibilityrfor compliance with�any appiicabte deed restrictions. . ' ' � - UNLICENSED CONTRACTORS AND CONTRACTOR RESPf3NSti�ILiT1ES: if fiie awner�has hired a cantracfor or contractocs to undertake wark, they may be-required to be licensed in accordance with state and locat regu(atians.�if#he• cantractor is.not licensed as required t�y'law, botli-#he owner and:contractor rtiay 6e�citetl�for a�rnisdemeanor vioiatian under state law. If the owner or intended contrac#or are uncertaln as to what licensPng requirements.may.-apply for�.the. intended work, they are advised to contact`the Pasco Gounty Building Inspection Division—Licensing Section at 727-847- � 8Q09. Furthermore, if the owner has hired�a contractor or cantractors, he�is advised ta �have.the contractor(s) ,sign partions of the "cantractar Block" of this appiication for which they wili be r.esponsible. if you, as tHe owner sigri as tiie contractoc, that may be an indication�that he is nat properiy licensed and is not entitied�to permitting privileges in Pasco Caunty. ' . - TRANSPORTATION IMPACTIUTILITIES.IMPACT AN� �RESOURCE R�GOVERY F�ES: The undersigned understands that 7ransportation Impact Fees and Recours� Recovery Fees may apply to the construction of riew buildings, change'of - use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89•07 and 90-07, as amencied. The undersigned atso understands, that such fees, as may iae due, witl 6e;identified af the time af ° permitting. lt is further understood that Transportat�on Impact Fees and ResorarcefRecovery Fees must be paid prior to receiuing a °certificate of occupancy" ar final power release. !f the project does not involve a�certificate of accupancy or_ final power release, the fees must be paid prior to perm4t issuance. Furthermore, if Pasca County Water/Sewer lmpact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca Caunty ardinances. � C4NSTRUCTtOFd L.IE(� LAW(Chapter 713, Florida Stata�t�s, as arvsended�): If valuation of work is$2,500.00,or more„I,;,. certify that 1, the applicant, have been provided with a copy_of the "Florida Constnuctian Lien Law-Homeawner's�� Protec#ian Guide" prepared by the Flarida Department of Agriculture and Cansumer Affairs. If the app(icant�is sameane other than the°owner", I cettify that I have obtained a copy of the above d'escri�ed'document and pramise in good fai#h to deliver it to the.".owner"priar.-to commencement. � CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this applica#ion is accurate and #tiat al!work will be done in compliance with all applicable laws regulating construction, zoning and land-development. Application is hereby rnade to. obtain a permi# to do.work and installatian as indicated. i certify thaf no work,or installation has commenced p�ior to issuance of a permit and that aif work wifil be performed to meet standards of all taws regulating construction, Caunty and City codes, zoning regulations, and land development regulaEians in .the jurisdiction. i also certify that I understand that the regulations af other government agencies may apply to the iniended wark, anc! #hat it is my respansibility to identify what actions I must take to be in compliance. Such agencies includs but are not limited#o: - Department of Environmental Protection-Cypress Bayheads, Wetlan� Areas and Environmentally Sensitive Lands,WateNWastewater Treatment. ' - Southwest Florida Water Management District Wells, Cyptess Bayheads, Wetiand Areas, Attering ' Watereourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment, Septic Tanks. ' ' � - US Enviranmental Pratection Agency-Asbestos abatement. - Fecferal Aviatian Autharity-Runways. � !understand that the foflowing restric#ions apply ta the use af fi1f: - Use af fill is not aUowed 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 "campensating volume" will be submitted at time of permitting which is prepared by a professional engineer - licensed by the State of Florida. - If the fifi material is to be used�in Flood Zone "A" in connection with a permitted building using stem wail construction, !certify that fi11 wi11 be used onty ta fill 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 properties. If use of fill is faund to adversely affect adjacent properties, the owner may be cited far violating the canditions af the building permit issued under the attached permit application,.for lots less than one (1) acre which are elevated by fii(, an engineered drainage plan is required. If I am the AGENT FQR THE 4WNER, 1 pramise in good faith to inform the owner af the permitting conditions set forth in this a�davi# prior to coanmencing constractian. 1;understand that a separate permit may be required for electricai wark, � plumbing, signs, wells, poals, ai� conditfoning, gas, or"other iristallations not specifically included in the application. A T . permit issued shall be construed to be a license to proceed with the wark and not as authority to vialate, cancel, alter, or set aside any provisians of,th�technical codes, nor shall issuance of a permit prevent the Building O�cial from thereafter requiring a correction of errors in plans, construction or violatians of any cades. Every permit issued shall become invalid ur�less the work author�zed by suctt permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a peri�d.of six{6}months after the time the work is�commanced. An extensian may be requested, in writing, from the Building Clfficia! for a periad nat ta exceed ninety (8Q} �iays and wifl demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. V4lARNING T8 OWNER: YOUR FAtLURE TO RECO,RD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYlNG TWtCE Fi'�R tMPROVEMENTS Ti3 YOUR PRfJPEFtTY. IF YOU'INTEI�D-TQ OBTAitd..F{NA,N�IE�C;�A�SUL'T--.-------- - 9�!#Ti-i YC1UR�.EPfC9ER-t�R�A�t A'i"�B �'Y k3�FORE RECC}FtDIMG YOU NOTIC�OP COM ENCEMENT. FLORIDA JURAT(F . 17,03) � � � OWNER QR AGEMT �-' CONTRACTOR G�3z-�- Subscribed and swo (or affirtned) efor me this � Subscri6ed nd sw o{ar affirmed for me this by -2;3-1 b Wha islare persanally kr�own ta me or haslhave produred r ho istare p o atly kna o me or hasthave produced as identlficatlon. as identificaUon. Notary Pubtic ��G�i Notary Public Commission No. Com issi n No. �•��::::r%a�., JAC «'� �= Comm+sslon#FF 15Q422 Name of Notary typed,printed ar stamped Name of Notary typ c#,�, �',�r ecem er , . :;;�a��Rt' Bonded Th+u Troy fain Insurence 600385d0i8 � -- -� .L' � � � i PROPANE GAS • � ; � � j � � AH� AlC �Nc. Service Orderf Pro,�asal AirCanditioning&Heatir �Six��19�8 813-782�-5Q 13 , , , .. Sales, Senrice & lnstallations • WaRK ORDER#ISERViCEMA1V 71�54 EJ� 4 41 A{ken �d. • Ze h rhills, FL 3354'! ��flTEtTIME TAKEi� ��119t 16 ��; 14 P Y TAKE�! BY K. R. �� NOTES: DATEtTIIYlE PROMISED � CU�TOMER#/L.00ATIt]N 4�7248 PHOhIE# 35c-4^c4-1841 C I ' ' PHCIIVE�# ' .' 813-355-i 49'9 C . ' CONTACT • JOHiV K I NSi+�fAi�l FtOUTE ta�''EG`� EJL-GU R- . r GREEIVMEADC]W ARTS CREEIVMEADOW A�TS 39311 GF2EENh1EADOW �R 3�335 GREENMEADOW DR ' ART #C1 ' ZERH RHILLS FL. 3354c ZEF'HYRHIL.L.S FL.�354� � M# �'H 1�JA2�3�-�, S# 180�E3�111 - • . �� TEt�t: Gl...EhIDA. 8Es3-'334�-53�� ' � . A1G OT GOOL II�G/ ., ` CiESG_RlF''fit7.N?'t3FiltIQRK , ;QT1' - NtAh�ERiFtLS&:S�VIGES Uid,t3,;F!R4G�..; AMOIJNT • � i -- -- ------�-- -- --- ----- � --- a� --- o�-�- - � �� Of.��sa G- �,�a 2 y � � � . �. �� ; wv F" s a s�'�A �� a � � I � � C'o� l�rc c r�� , � � � . � , , � ,�', i i i i t i i i � -, �i2�GOIVIfrAEIVDATIONS;-�:.;, ' . ��Jf� oN � �OQ �� :Annuats:aintenarice Recoz�itnended by A4l Equiprrient'INaaufac�urers. � � =- Pressures Lo • Nf T Stai � � . _ _ ., i . i . 'REFRI�ERAPiTR- 1:8S. '$.(i�r_(fis.- i i � FILTERS x z Changed Monlhly i � � , � � . FlLTERS x x Changed Monthiy � � • ❑ REGULAR ❑WARRANTY TO'CA,I:�;StJl1ilMaRY 'DeFiu�i�tidistat�Setfings:_When here"��I "_, When Away 6�, T-Stat .t,�0° ❑ MAINTENANCE CONTRACT SERVICE � �LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METMOD-QF PAYMENT CA�L - t , or supptie 'wri#en warranty only.AlI labor pedormed by t�e above named company is wa¢anted far 30 days o as othert+ise indicatad in writing.The above named company makes no other warrenlies, ❑CASH ❑CK# � TC)TAL i • express o impiied,and its agents or technicians are not authorized to make any such waeranties o� MATER4A�S t behaitot ibavenamedcompany. ❑DEBIT O CREDlT ❑OTHER MAlNTENANCE � !have aut�so6ty IO oMBt the work ouUinetl above which bas been satlslactorily completad.I agree thal Seller PROG. W I C i T 9 D Y C Y 9 �.��TV}� / , t • fetaln5 Gtld to a uiOmanUmateriais fumi5hed unttl finat a ment is made.N a ment is nat made as a rsed, /''}} � seller can ertwve saitl equipmenUmateri8ls at Seller's expsnse.Any damaga resultlng trom said removal shall (/� r� �/'J(3 I not 68 the 2sponslbility ot Sotiec NET 30 DAYS.A 1 712%SERVICE CHARGE'Nt�l.BE R6DED MONTFtIY TO , / � � ALL UNP D BAUINCES OVER 30 DAYS.NO REFUNDS . , DATE COMPLETED I .. d �� I I TECH: { ICUS70MER S}GF7ATURE DATE e/TGQJI�i/'f� �ou TOTAL 3��