HomeMy WebLinkAbout16-17791 CITY OF ZEPHYRHILLS �
5335-8TH STREEf
, _ (813)780-0020 17791 I
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit f�umber: 17791 Address: 6006 RIDGEWAY DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Squa�e Feet: Subdivision: ZEPHYR RIDGE
Est�. Value: Parcel Number: 03-26-21-0130-00000-0520
Improv. Cost: 3,795.00 OWNER INFORMATION
Date assued: 10/04/2016 Name: BAKER RICHARD & JEAN
Total Fees: 55.00 Address: 6006 RIDGEWAY DR
Amou�nt Paid: 55.00 ZEPHYRHILLS FL 33542-799
Date Paid: 10/04/2016 Phone: 813-841-7689
i Wor,k Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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Ins ect s Re uired
DUCTS IN TALLED
DUCTSINSULATED
FINAL ,
REINS�ECTION 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 b�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.
"War�ing 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.
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� � NTRACTOR �� GNATURE 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 l@cscoive� , Phone•Contact for Permittin �l Ja ��
9 -
Owner's Nam I /�.1 Owner Phone Number , .D��^ �
Owner's.Address ��b�Q /�jd � .�, Owrner Phone tdumber
Fee Simple Titleholder Name Owner Phone Number
Fee Slmple Tii leholder Address —
JO�ADDRESS D� ��/� EGl} � �� /z �� � !6� LOT# �
sus�ivisio . PARCEL ID# D� a� �� 6�-�l� 40D�4 D5-�.0
(OBTAIPIED FROM PROPERTY TAX PIOTICE)
WORK PROP SED � . NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL � REPi41R
� � SFR COMM ` OTHER
PROP,OSED YSE . Q Q �
. TYPE OF CONSTRUCTION Q BLOCK - Q FRAME 0 Sl'EEL. ,Q
DESCRIPTIO OFWORK 6��—�, �/� G/�-itl e or�� s �0�� D 7—S � �dN
BUICDING`SI E SQ FOOTAGE - HEIGHT
QBU LDING $ VALUATION'OF`TOTAL CONSTRUCTION t ,
QELECTRICAL $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C.
QPLIIVIBING $
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OM CHANICAL $ � �p�O VALUATION OF MECHANICAL INSTALLATION
_`
QGqS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED.F IOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER COflAPANY �I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres License#
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ELECTRICI, COMPANY �
. SIGMATURE ` REGISTERED Y/ N FEE CURftE� Y/N
Addres Cicense# �
PL`UMBER_: COMPANY �
SIGNATURE REGISTERED `Y/ N- FEE GURRE� Y/N
, Addres License�#°' • '
,,MECHANICAL a�� � COMPANY , A�L�/�S �6 Allle(�f����G.�JC'� I
$IGNA7URE REGISTERED . Y/ N FEE CURRE� Y/N I
Addres� � ��/ l r�le/1� �' �–I�lL�S License# �������
,..i�Y.�'�. ... . � � ,
orHER,� ��- � � , coMPa�ir � �
'SIGNA'T',URE+,� ,,: ' � � REGISTERED Y/.N FEE CURRE� Y/N
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Addres .,,. - � - - �� - � � � ' License#
f.,RE$IDENTI I =::,; Attach`.(2jiPlot'P,.lans;`:(2):sets�of�BuildingPlans;'(1')set'of�Energy,Forms;�R-0-W P.ermitifor new_wnstruction, •
4 Minimum;ten._(1 U)wo,rking'cJays after.'sutimittal�date. Requirecl�onsite;Constniction Plans,Stormwater Plans w/Silt Fence installed,
, r�� ��� �� �Sanitary.,Facilities:&{1:dumpster Sife; ,W.ork Permit'forsubdivisions/large:projec4s;' * � ` � -
;.,COMMERCI,�L Attaah`(2)`complete`sets ofBuilding�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 Facilitles 8�1 dumpster.Site Work Permit fo��all new projects.All commercial requirementsmust meet compliance
`-�SIGN`PERMI Attach�(2)sets of:EngineerQd Plans:' : -. � - �
, - "'*PROPERTY SURVEY required for all.NEW construction. ,
- :Di�ecti.ons: I ,�-:.-�. � - �- . . _ .
Fill''out application completely.
Ovirner�Contractor sign�back of application,notarized
If over 2500,a Notice of Commencement is required. (A/C upgrad�s over$7500)
" Agent(f`r the confractor.)orPowerof Attomey(for'tFie oiivner)would be someone with notarized letter from owner authorizing same
OVER THE�OOUNTER PERIIAITTING. -. =(copy-of-contraet-requlred) � ��
Reroofs if sh�gles Sewers _Service Upgrades A/C Fences(Plot/Survey/Footage)
Drlvew ys-Not over Counter if on public roadways.:needs ROW
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NOTIGE.OF DEED RESTRICTIONS: 7he undersigned,understands,that-.this.peemitmay beysubjectto"deed°res'trictioii�°;'";�
which:may.6e_more-�r.estrictive than-.County.r.eguiations. sTkie:unciersigneii�assumes°��responsibil�ty#or�compliance'`rivitfi�any'M""'
appiicable=deed restrictians. -
U�9LlCENS.ED==.CONTRACT..ORS AND GC?NTRACTOR RESPONSI�ILITIES: If the�owner�ttas-�#iired��a��;c4ntractor^or�� A
contractors #o undertake work,.:they.may b,e required to be�licensed in accordance with state and.lacai rega:lations:�If�:the�-�� �
contractor is not licensed-as_required by lauir, botf� the owner�and`conf�actoi��►i�tay=6e�cited�for�.a'misdemeanor violat�on
under state iaw. I#tFte awner ar intended:.ca,ntcactor are uncertain as to what.licensing re.quire'inents;�may�appl,y..for"tfi`e::�" �
intended work�they are advised to contact'tFie'Pasco County Building Inspection`pivisiori=Licensing Sectibn at?27=847=
8009: Fur#hermore, if the owner lias hired`a corifractar or confractors, he is advised to"have the. contractar(s} sign, .. :
�.., .:.- , ,
portions of the "contractar Block" of this applicatian,for uvhich they.will..be.responsible: .If,you, as,`#he;bwner sign as-:th�e� `, ;,
contractor, that may be an�indication that he is not'properly licensed'and is nof erititle�t fo permitting priviteges in Pasco=_ .
Caunty. � - _ _ . .. - . --
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TRANSPORTATION IMPACT/U7ILITIES IMPACT AND �tESOURCE RECQVERY FEES: The'undersigned understands �
#hat Transportatian Impac#Fees and Recourse Recovery Fees may-�apply#o the constructian af.new,.buii,dings, c}iange�`af> �`�'. ;_
use in existing buildings, ar expansion;of,existing buildings, as specified in Pasco County Ordinance number 89-07 and
9Q-Q7, as amended. The undersigned afso understands, that such fees, as inay�be�dtae,.witl be`idenfifed at:�tFie'.#ime':�of=''���°` ';
permifting. I# is further understood that 1'ransportation Impact Fees and Re`s'ource��Recovery,Fees must be paid prior to �
receiving a "certificate of occupancy° or final,.power release. (f#he project does nat involve a�ceitificate of occupancy:oc�:=•�-
final pawer release,.#he fees must be paid prior to permif"issuance. Furtfie�more,,if..Pasco County VUater/Sewer.�imgact:;,-�� �
fees are due,,they.must be paid prior to permit issuance in accordance with applicable Pasco County o�dinances. �,
CONSTRUCTtON I:IEN I.AifV{Cl�apter 713; Flar�d�Statu#�s,as amea�deci): tf valuation af wark is$2,50,0.00.oc more,;1::._.;-
certify that I, the applicant, have been. provided with a. copy_ of the "Flarida Construction Lien Law.-=�'Homeowner`s �
Protection Guide" prepared by the Fiorida Department of Agricultu're and Consumer Affairs. If the applicant is.someone._
other than the"owne�', I certify#hat I have obtained a copy of the abave describetl""document�and promise�:in good`faitfi�to:.�-;
deliver it:to the."owner"�priar to commencement. ' � � .' -
CONTRACTt3R'�It')WNER'S A�'FtDAY1T:91;certify.that,ai(�the infarmation in this applica#ion is accurate and that ati wark
wili be done in compliance with ali applicable laws regulating construction, zoning and land-development. Applicatioa is '
hereby made ta obtain a permit_.to da-work and installatian as.indicated. i certify #hat no`work or iiistaliation has
commenced prior to issuance af a permit and that all work will be pertormed ta meet standards af all laws regulating
oonstruction, County and City codes, zaning regulations, and land development regulations in;the jurisdic#ion: ! aiso �
certify that I understand that the regulatians of other government agencies may apply ta the intended work, and that i# is ,
my responsibility to identify what actions I must take to be in complianc�. Such agencies include-but are not limitedJto:
- Department af Environrrmen#a[�Protec#ion=Cypress Bayheads, Wettand Areas and Enviranmentaliy Sensitive ,
Lands,Water/Wastewater Treatment. I
- Southwest Floeida Water Management Dlstricf-Wells, Cypress Bayheads, Wetland Areas, Altering '
Watercourses. , ° -
- Army Corps of Engineers-Seawalls, Dacks, Navigable Waterways. ,
- Department of Health & Rehabilitative Services/Environmentai .Heaith Unit.VVells,.-.Wastewater Treatmen#,
Septic Tanks. � - �
- US Environmental Protect'ton Agency-Asbestas abatement.
- Federal.Aviation Authority-Runw�ays.
I understand thaf the following re"st�ictions apply to the use of fll:
- Use of fi1l is na#allowed in fi(ood Zone"V"unless expressly permitted.
- If the fill material is� to be used in. Flood Zone "A", it is unde�stood that a drainage plan addressing a
"compensating valume"will be submitted at time of permifting which is prepared by a prafessionai engineer �
licensed by the State of Florida.
- If the fill material is to be used in Flaod Zone "A" !n connectian with a permifted building using stem wall
canstruction, I certify that fi11 will be used only to fill the area within the stem wall. �
- If fill material is to be used in any area, 1 certify that use of such fi8 wiA not adversely affect adjacent
prope�#ies. tf use of fill is found ta advetsely affect adjacent properties, the owner may be cited for viotating.
. the conditions of the�building permif�is'sued under the attached permit application, for lats less than one (1)
acre whicii•are elevated by fi11,an engineered drainage pfan is reguired.
If I am the AGENT FOR THE OWNER;°I-�promise in good faith to-inform the owner af the permitting conditians.set forth in •
this affidavit ptior to cammencing construction, I_urzderstand that a separate perrnit may be required for etectrical work,
p(umbing, signs, weils, paols,,air condifioning, gas, or�oth'er 'instattatians not specifically included in the application. A _ �
permit issued shall,be construed to be a license to:proceed"`with the work and not:as aathority ta�violate,.cancel, alter, or �
set aside anp provisions af tFie technical codes, nor shall issuance of a permit prevent the Buitding.Official fram thereafter
requiring a correctian of errors in.plans;construction or vialations of any codes. Every'permit issued�shall become invalid
unless the work authorized by such permit is commenced within,six months of permit issuance, or if wrork authorized by
the permit is suspended or abandoned-for a period of six(6)months after the time the wark is�cammenced. An ex#ension ` �
ma�r be requested, in writing, from the Building Official for arperiod nat to exceed•ninety (90) days and wi!! demonstrate
justifiable cause for the extensian. If,work ceases far ninetyr(90}cansecutive days,fhe job is considered abandoned.
WARNING TC? OWNER: YOUR FAI�URE TO`.RECORD`A.NOTECE OF C4MMENCEMENT MAY RESU�T IN YOUR
PAYING TWICE.FOR,(IVIPROVEMENTS.:TO YO.UR,RROP'ERTY. .1F YOU:.INTEND�TO,OBTAIN iFINANCING, CONSULT
_ ..__NVITH YG?UR L:�NDER OR AR!A'T''TOFtNEY BEFORE RECQRDING YQUR�NQTICE OF GQMMENCEMENT:
FLC}R1DA SURAT{F.S.1�Z,03} � .,,_ ` � t. � � " `
OWNER OR AGENT� � t�,_ CONTRACTOR f.��Y1�P_
Subsc�bed and swom to r a�f'irtned}befor me#Ftis Subscribed and suv to(or affirme be re me this
by bY
Who Islare personally known to me or has/have produced '� Who!slare personally knawn to me or haslhave•produced
as ldentification. � �,:� as identificallon.
Notary Public Notary Public
Comm[ssion No. Gammisstan No,
Name of EUotary fyped,printed or stamped Name of Natary typed,ptinted ar stamped
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Sales, Service &.�nstailations n�t.�l"F�; i 7 h'!c� 'f Flt;r��� ��:�ra i,=��;�.�:. �t�F n L��
4441 �,Ilen Rd.��, Zephyrhills, FL 33541 ������r� �Y i'`�� +���`
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� ..� '_� DESCRIPT(ON O�WORK CITY. _ (VtATERiALS&SERViCES UNfT PRiCE A{UtOUNT
._....:_.�.. ..._.._ .. .. .. _. _. s... .... ... ... .._�._.. ... ,.. ._._._ _... .. .. .. .. ._............. ..i. ..._.._.__r _,
_._.... _.... _..._.... __ _... ...._. . ._.._.»...._..... . .
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Pressures Lo �� HI '' ^' Evap Coii° Cleaned Cond Coii Cieaned + �; t t�ti�h.� } � �
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Amps Cond.�an ���d Bl+vr • � Comp i r•`� Neat Strip y l.'` • �,�F,( �—` � ��,, � r �
Capacitors �ond.�an.,�.� Slwr�� G o�d Comp��.:i�4(i - - (-c,, �r ��, /,�,�. i i �
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Drain"Pan Primar�/Condition ciea�ad Secondary/Condition_�Cleaned � ���� � �
T-Stat Type�,� Se3t Type � � �
' - REGOMIVIENRA'TIONS ,,._ p ��;,,�1 G�,.� � �
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Annual hilain�nance Re"comrnended byAll'Egulpmenf Manufacturers. - i �
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�»� REFRIGERANT R� LBS. S per Ibs. � �
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� ( 1 � �� �,� , '/� FILTERS x x Changed Monthly I- I
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• � . � � � - FILTERS x x Changed MonthEy � ' t
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Cl REGULAR ❑WARRANTY TO�AL.SGIMMAFt'(
behurTitdistat`�ettiRgs: Whe;�here"O�I ",When Away 0° T Stat SQ° O MAINTENANGE CONTRACT MAINTENANCE i
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l.EMtTED WARRANTY: Ali ma2etials,parts and equipment are warranted by ihe manufackurers' lV�ETHOD QF PAYtV{Eh4T PFt10E ' i
or suppiiers'written tranry aniy,AII Iabor performed by the above named company is warranted for . TOTAL
30 days or as othe ise indirated in writlng,.xhe above named company makes no other warranties, ❑CASH l7 CK# MATERIALS i
express or implied,and its agents or techniciens are�ot authorized to make any such warranGes on
behalfofabovanam�dcampany. ❑DEB[3 0 CREI?IT 0 d3NER MAINTENANGE �
I have auNodty to o er the work outlined a6ove which has Ceen satislactorily wmpletetl.I agree Nal Sallnr
PROG. W I C �
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ref�ns Otle to equipm ntlmatedals furnishe0 untd final paymenl is matle.If payment is not made as egreotl, CLAIM# �
se�ter can remove sai equipmenUmateriais at SOqer's ea�pense.Any Oamege resviting fram said removai sha4
not bs iha rasponsibNiy ot Selies NET 30 DAYS.A t 12%SERVICE GHAftGE WILI 8E ADDEg MONTHLY TO �ATE COMPLETED '
ALl UNPAIp BALANC S OVER 30 DAYS.NO REFUNDS ���
TECH: ` t- T� ` �
5 MER516NATURE DATE ✓7GGf//[?L �u TOTAL � �
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