HomeMy WebLinkAbout16-17790 CITY OF ZEPHYRHILLS
; , 5335-8TH STREET
(813)780-0020 17y90
BUILDING PERMIT �
PERMIT INFORMATION LOCATIOIV INFORMATION
Permit �umber: 17790 Address: 37346 CASTLEBERRY AVE
Pern��t Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�re Feet: Subdivision: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0690
Improv. Cost: 4,595.00 � OWNER-INFORMATION
Date Issued: 10/04/2016 Name: GREEN GERALD B RESIDENCE TRUST
Total Fees: 60.00 Address: 2724 RUSTIC OAK PL
, Amount Paid: 60.00 OVIEDO FL 32766-7049
Date Paid: 10/04/2016 Phone: 267-463-3062
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 INS ALLED
DUCTS INS LATED
FINAL I
I with Florida Statute 553.80 2 c the
REINSPECTION FEES: (c)With respect to Remspection fees will comp y ( )( )
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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for �
impro�ements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Comple�e 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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�'NTRAC OR 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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� a�aaso-oo2o City of Zephyrhills Permit Application Fvc-813-780-0021
- Building Department
Date Receiv�d �� 3 '78� _ !`(��
� • Phone Contact for Permitting '
Owner's Name � � Q- � � � Owner Phone Idumber . a�o�" 7�� ' 3�0
Owner's�Address 3�� (� 7��� �� '� Owrner Phone Plumber
Fee Simple �tleholder Name Ownar Phone Mumber
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Fee Simple itleholder Address �.
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JOBADDR SS -3 ��' ��T��i(JE'.� � 11,5' _ , LOT# �
SUBDNISIO PARCELID# � oKO �� CJ�� �D�o (�7 <�
(OBTAINED FROM PROPERTYTAXNOTICE)
WORK PRO OSED eI NSTALLS;R,� REPAIR � SIGN Q Q DEMOLISH
� PROP.OSED USE Q SFR Q COMM' 0 OTHER
TYPE�OF C NSTRUCTIOW Q BLOCK - Q FRAME 0 STEEL Q
DESCRIPTI N OF WORK Y ���S� �/C vttY�'N —OLl�T � �6� � �6m �a7V��
�UIL`DING S ZE SQ FOOTAGE .HEIGHT
06 ILDING $ VALUATION-OF'1'OTAL'CONSl'RUCTION
QEL C.l'RICAL , $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C.
QPL MBING $
OM CHANICAL $ = �� r' � VALUATIOfV OF MECHANICAL INSTALLATION
J
OG,S Q ROOFING Q SPECIALTY 0 OTHER
FINISHED.F OOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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ECECTRICI COMPANY �
SIGNATURE J REGISTERED Y/ N FEE CURRE� Y/N �
s
Addres Cicense#
PLUNJ�ER:: COMPANY "
SIGNATURE � -REGISTERED `Y�/ N 'FEE GURRE� Y/N
Address - License#, � -
't MECHANIC� � ~ CONiPANY A-J�12�s/' �le������
SIGFIATURE' � REGISTERED Y/ N FEE CURREn Y/N
Add�ess ��l i�/�eN , ZB /LLS �3 Lic,ense,# ��d���7� '
.�:vif'i , .. . . "
OTHER<� ��� � � COMPANY
°SIGNA'T,UREC'� � " � REGISTERED Y/.N FEE CURRE� Y/.N
�da�ess<„ . t;:,: , - , ., - ' License#
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:±..RESIDENTIAL :�.: AttacFi:(2)iPlot��P.lans;"�(2):sefs�of�Buililing'Plans;•^(1)•set of Energy,Forms;R,O-W Pemiit for new.�construction,
, -;•.,;,.;:;.�;,�K=,,Minimum;�ten;(,1'0.);w,orkingydays after.su6mittal.date. Requir'ed'onsite;�Constniction Plans,Stormwater Plans w/Silt Fence installed,
- " � Sanita.ryf�Facilities;&;1;,dumpster Site;Work P.ermit'for:subdi'vi§ions/Iarge,projecEs_� , ' - �
>. CO�AAMERCI Attach`(2)'complefe'sefs of'Building`Plans plus a Life Safety Page;(1)set ofEnergy Forms.R-O-W Permit for new constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanftary Facilitfes 8�1 dumpster.Site Work Permit fo%all new p�ojects.All comme�cial requirements must meet compliance
='SIGN PERMIT �AttacFi(2)sets ofaEngineerQd Rlansc�', �� .
� - ****PROPERTY SURVEY_required for_aII.NEW construction. -
:`Dicections:_ ,..:,;.:-,..� ,:.,.. ,.,
Eill'out a plication completely.�
Owner& ntractor sign.back of application,notarized
If over$�500,a Notice.of Commencement is required. (A/C upgrades over$7500)
" Agent(fo tHe cont�actor)or Power�of Attomey(for tFie owner)would be someone with notarized letter from owner authorizing same
� :01LER THE=C �UNTER,PERMIT.TING.'..�,;;;,(copy of�contraet-requi�ed) � -
Reroofs if shin les Sewers ,,,Seniice lJpgrades.A/C �•, Fences(PIoUSurvey/Footage)
- Drivewa -Not over Counterf if on public roadways::needs•ROW_;
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NOTICE OF DEE�►RESTRICTIQfdS: The undersigned understands,that_this;permit may be subject,to"deed",restrictions"�' �'
which�:may.be':rnore,:cestr•ictive�fhan.County:r.egulatioi�s: Tlie;undefsagned�assumes:responsiti9lity=for�compliance'`with any�"`
applicabie deed restrictions. . °����=�=-= -�'=��°=`
UNLICENSED GC►NTRACT{}RS AND COIdTRACTOR RESPONSIBIL'ITtES: If�#lie-�owner�fias�Fiired}a�:,cvntractar or
contractors ta undertake work, they.may be.requir.ed to be�lieensed in accordance with state and local_cegulations:��ifrtiie�-,�
cont�actor is not.licensed�,as cequired by {aw, both'the owner�and��cont�a�tvr��rnay=�tie cited�for°_a-rnisdemeanor violation �
under state law. lf the owner or intended.contcact�r are uncer#ain as to what licensing require%iien#s,�may«.apply f.oc'the:�:°�
intended work,�they are advised to cantact'thie Pasco Caunty Building Inspection.pivision-=Licensing Section at 727=847- •
8fl09. Furfhermore, if the owner has hired' a contractar or contractors, he is attvised ta4�have #he=�cantractor(s)._sign , : ;
portions of the "contractar Block" of#his applicatian,for which they.will.be.responsible. If�you,,as:,th'e'owne�'sigrr as';the"'
cont�aGtor, fhat may be an indication that he is no# properiy licensed and is not entitlet! fo permitting-pr'ivileges,in Pasco _ ,
County. - - --- , ....... .: . ... . .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOV�RY�FEES: The undersighed understands
that Transporkation lmpaat Fees and Recaurse Recavery Fees may.<apply;#o the construc#ion of.new buildings, ct�arige'iif='''� � "
use in existing buildings, ar expansion.:of.euisting buildings, as specf�ed in Pasca County Ordinance number 89-07 an'd ".-,
9Q-47, as amended. The undersigned alsa understands,�that such:fees, as'mays=b.etdue, will be:ideniified at�.tlie�,time.=of=�" '-�
permitting. I# is further understaod tha#Transportation Impact Fees and Resource"Reeovery.,Fees must be paid prior to
, receiving-a "certificate of occupancy° or final..p,ower release. !f the praject does nat involve a ceitificate of occupaney�.or=:��•
final power-release, #he fees must be.pa�d prior to pecmit issuance. Furtfiermore, if:.Pasco Caunty Vttater/Sswer.�lmpact;;� .
fees are due,they must be paid prior to permit issuance in accordance with applicable.Pasco County or'dinances.
CO(dSTRl�CT10N �:lEN I.AW{Chap#er 713; �tarida Statutes,as ame�ded}: 1f valuation of wtork is$2,5Q0.00=_or..more,�,l�,;;,..-
certify that I, the applicant, have been_ provided -vuith a copy. of the "Florida -Cons#ruction..tien.,Law-=Homeawner's
Protection Guide" prepared by the Flarida Department of Agriculture and Consumer Affairs. !f the applicant�is someane:
other than the"awner", i certify that I have obtained a copy of the above described document and pramise�in gootl,faith#o, , �
deliver.it:to the.°owner"prior.to commencement. ' ' -
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Ct}NTRACTOR'�IC?WNER'S AFFI�AVlT:�.I;certify that-ali the information in this application is accura#e and that atl inrork
wlll be done in compliance with all applicable laws regula#ing construction, zoning and;land=development. Applicatio❑ is
hereby made ta obtain a permit .to da wark and installation as•indicated. E cert'ify that na<work or iristallation�_has
cammenced prior ta issuance af a permit and that all work will be performed to meet standards af all laws regulating
construction, County and City codes, zoning regulations, and land development regulatians in the jurisdic#ion: t also
certify that I understand that the regu(ations of other government 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 age�cies include but are npt limited�to:
- Depar#ment af Enviranmental P�o#e'ction=Cypress Bayheads, We#land Areas and Environmentally Sensi#ive
Lands,Water/Wastewater Treatment.
- Southwes# Florida Water Management Dis#rict Welts, Cyptess Ba}rheads, Wetland Areas, Attering
Watercaurses.
- Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & ReFtabilitative Services/Environmentai .Health Unit Wells,.:Wastewa#er Treatment; �
Septic'.Tanks. " ' .
- US Environrnental Protect#on Agency-Asbestos abatement.
- Federal.Aviation Au#hority-Runways.
I understand that-the following restricfions apply fo the use af fill:
- Use af filt is not atlowed in Fload Zone"V"unless expressly permitted.
- If the fill material is to be used in. Flood Zane "A", it is understoad that a drainage plan addressing a
"compensating voEurrte"will be submittsd at time of permitting which is prepared by a professianal engineer -
---� licensed by the State of Florida.
- If the fili material is to be used'in Flood Zone "A" ir► cannection with a permitted building using.stem wal!
canstruction, i certify,that.fiii wi(I be used only#o fill the area within the stem wall.
- If fill mate�ial is to be used in-any area, I certify that use of such 'fill will not adversely affect adjacen#
prope�ties. If use of fill is faund ta adversely affec#�adjacent properties, the awner may be cited for violating
#he conditions of the'bailding permit_issued under the attached permit application, for lots less than one (1)
I acre virhicli are elevated by filE,an engineered drainage plan is requ4red.
If I am the AGENT FOR THE OWNER; I�promise in good faith to inform the owner af the permitting conditions set forth in
this affidavit prior to commencing�constructian. I understand that a separate permit may be required far electrical work, �
p(umbing, signs, we(Is, paols,.air conditioning, gas, or other- instaltations nat specifical(y included in the application. A , ;
I permit issued shall,be construed to tie a license to,proceed'vuith the wo�k and�not as authority ta�violate,-cancel, alter, or •
� set aside any provis3ons of ttie technicat codes, nar shatl issuance of a permit prevent the Buitding Official from thereafter
requiring a correctian of errors in.plans;'construction or violations of any codes. Every-permit issued shall become invalid
unless the work authorized by sueh permit is commenced within six months of permit issuance, or if uvark authorized by
the permif is suspended or abandoned-for a period.of-six(6)months after the time#he wark isacommenced. An extension
', may be requested, in writing, fram the Building�Official for a:period not to exceed�ninety (90) days and will demonstrate �
� justifiable cause for the extens�on. Ef work ceases for ninety{90}consecutive days,fhe job is considered abandoned. �
WARNING Tt� OWNER: YO.UR P�►tLURE'.TQ.RECORD,,A NC?TlCE QE COMMENCEMENT MAY-RESU�T IN YOUR
PAYtNG TWICE FOR.tMPROVEMENTS TO YOU;R.PROPERTY..,IF YOU>,INTEND'TO.OBTAIN FINANCING,-CONSULT
-- - �!![TI-I-YCa�R L:�ND�R_OFt_i4fV.AT_T_ORN BEFORE RECORDING YC?UR NQTICE�F`CQ MENCEMENT:
FLt}RidA JURAT{F.S�17. ) °�- ��� {� �--—�- .-. F.- ----- � _____.__�
OWNER'OR AGENT�""'� y • �/2G�, CqNTRACTOR �'� G��a"'�,�—
Subscribed an bswom to affirmed)be#are m #h!s Sub�bed aPd s ta(ar affirm be re me this
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Who is/are personally known to me or has/have produced �' Who ts/ar personally k v+m to me ar haslhave producett
asiden�fica6on. F��. as identificatlon.
Notary Public % otary Public
Commisslon No. m ssion a »������•�.
_�� �+` Commission#FF 150422
Name of Notary typed,prinfed ar sfamped Name of iVatary " �� 'd r �
, � u�`. ry roy fun lnsurancp 6pp3&5-7018
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' � ' PROPANE GAS Service Order/Proposal: � � � �
A�v� AlC �Nc. Air Conditioning&Heating
S�r�e �i988 8��.7s2�50 i 3 , - .
,
S les, Service & Installations WORK •ORDER#�SERVICEMAN 7145� SER
4441 A len Rd. � Ze h rhills, FL 33541 �ATElT I ME TAKEN +����1/�5 1�:2�
�,, ! �� p y TAKEN BY K I M 02�
OTES: C�� �Q.r � DATE/TIhIE PROMISED �D9/^c^c/16 13:��
CUSTOMER#/LOCATION �8�42
, � P�iONE# , �6�7-463-3t�62
� ROUTE/SEQ ' � • SEP
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37346ECA TLEEtERRY AVE I�'u`�' �36�~��� v37�34E,EGASTLEHERRY AVE .
ZEPHYRHi LS FL� 335425a^ �'3�"���g�3 ZERHYRH�LLSAIVOR FL3,�54�
' NEW CUSTOMER '
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:STIMATE-i(�'`?� U� IvOr,-�
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nnual�-Nlaintena�ce.Rewr�r,neneled:=by AiI;Eg�sipment�Manufa'!atu,r.ers.�, � � �
�.� �• Pressures Lo HI ' T-Stat i i
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.,.REFRIGERANT R= - LBS. . $;Petitis:� r I I
• FILTERS x x Changed Monthly I • I
' • ' .FILTERS x x Changed Monthly I • �
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❑ 'REGULAR ❑WARRANTY ... . - TO�'AL:$UMf1if,ARY •
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�huriaidistat;$_,t�i[igs: When here QN°, When Away 6 ° , T-Stat 80°^ ❑ MAINTENANCE CONTRACT SERVICE i
MITED WARRAt�'fY: All materials, arts and e ui ment are warrented b the manufacturers' :' _ '" ' CALL � i
P" Q P Y ��CAE�'�l-10DxOF�:f?�0.Y11IIEAiT ��
suppliers'written war anty only.All labor performed by the above named company is warranted for ' TOTAL i
days or as othenvise�indirated in writing.Tne above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
press or implied,and its agents or techniciais'are not authorized to make any such warcanGes on i
halfotabovenamed�Ompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
ave authonty to order I�e work outlined above•.vhich has been salislactarily completed.I agree that Seller PROG. W ! C
ains Gtle to equlpmentl�naterials Iumished unU�final paymenl is made.If paymenl is not made as agreed, CLAIM� �
ler wn remove saitl eqtiipmenVmatenals at Se��er's expense.Any damage resultlng Irom said removal shall �,M I �
t be lhe responsibiliry ol Seller.NET 30 DAYS.F.1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO ♦- V��
L UNPAID BALANCES VER 3D DAVS.NO REFUNDS DATE COMPLETED
TECH: T�• �'1ciI�AGA
iSTOMERSIGNATUREI DATE ' ✓7GLI%NL �c� TOTAL � N
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