HomeMy WebLinkAbout16-17792 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 ��792
` BUILDING PERN9IT -- "
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� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17792 Address: 6062 PARKHILL TERRACE DR
Perrriit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS
' Est. Value: Parcel Number: 02-26-21-0000-03300-0010
Improv. Cost: 3,195.00 OWNER INFORMATION
Date Issued: 10/04/2016 Name: ZEPHYRHILLS LTD
Total Fees: 55.00 Address: PO BOX 5252
Amount Paid: 55.00 LAKELAND FL 33807-5252
Date Paid: 10/04/2016 Phone: 352-257-0032
Wo'rk Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S •APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANG�OUT 55.00
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Ins ections Re uired
DUCTS INSTALLED
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DUCTSINSULATED
FINAL If��/ +,�/��
REINSPECTION 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
I 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 properly 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.
"Wa�ning 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."
Compl'ete 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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iONTRAC OR I NATURE 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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s�s- so-oozo City af Zephyrhills Permit Applicatian �aX-s�a-7ao-oaz�
� � Building Department
Date Receive�l phpne Cantact for Permltting � �� �O a� - ���� �
'Owner's Name � /Q/�/!_1,.5 '� T� O�w�Ph�Numbe� ���-��/���
Owner's Addriass �� V�� 5��dh" L.4�/�C�l `,� Owner Phone Number �— �
Fee Simple Tittehotder Nama �— � Owner Phane Number �� �
';.
Fee Simpte Ti�iehotder Address
aag naaR�ss �2���- �A-�Kt�1�� �Gr�h'���R� �oT# �—�
susa�V�slo �Ft-f�'k�t1LL 7~'�rr 1�°TS P,atzcE�.io# Do�- ��P �1 �6131.3 D�3D13 Dl�l�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK RROP SED . NEW CONSTR ADDlRLT � SiG3V Q [� DEMOLIfiFi
e INSTALL REPAIR
PROPOSED SE Q SFR [� CQMM C� OTHER
TYPE OF CONSTRUCTION Q BLOCK - [� FRAME � STEEL Q
DESCRIPTIO�OF WORK ��5� �`lL�., .�'�{�H' �'16� 02 lr�d"!�'j c',?7tt�N'I'S �Dltl
BUI�DING St�E �' � SQ FOOTAGE� HEIGHT C� �
i
QBUi t?tNG I$ _ � VALUAT101V�OF TQTA�COiVSTRUCTION
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QEL GTRICAL � � AMP SERVIGE Q PRQGRESS EtUERGY Q W.R.E.C.
OPL MBINCy ���
QMECHANICAL $ VALUA710N OF M�CHANICAL lNSTALLATIQN
.�1��, bCS
QGA� Q ROOFING Q SPECIAL7Y �� QTHER
FiNISHED FL�OR ELEVATIQNS FLOOD ZONE AREA QYES NO
BUILDER � CONtPAtVY
SIGNATURE ,, REGISTERED Y/ N FEE CURREA Y/N
_,,,�,,,....,._,,.
Address, License# �� �
ELECTRtCF GOMPANY
SIGNATURE � REGI3TERED Y/ N FEE CURRE� Y/N
Address �icense# �— � �
PLUMBER C{?MPAIyY
SIGNAYURE :REGISTERED Y/ N FEE CURRE� Y/N
,,%�� Address License# � �
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MECHANIG � � , �r,� C4MPANY �����R� F �111�'-+�9L ��-��1I�
SIGNATURE ��� �r��"��"� REGISTERED Y/ N FEE CURRE� Y/N '
Address �}'�}l}' �,�/t'1V I� License# ������g�S �
�
OTHER' ' COM PARlY
S(GI$ATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �icense# �` �
REStDENTI � Attach{2}Pfat Ptans;{2}.sets af Bu(Iding•P[ans;(1)set of Energy Forms;R-.Q-W Permit for new construc6on,
,. Minimum ten(10}working days after submittal date. Required onsite,Construction Plans,Stormwater Pians wl Silt Fence installed,
_ __ Sanitary,Facilities&1.dumpster;Site Work Permit foc subd'ivisions(large projects
C4�t+fitF2Cli�i,.- Attach(2}coinplete se�s`cf Bas.LxfSi�P�3�iS-{1IUS-a I_(��Safe#+r_Page;{1}.set of_Energ rLForms.R-4-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans;Stormwater Plans wi Siii-r=ence t�sia�led, � = - ---
Sanitary Faoilities&1 dumpster.Site Work Permit forall new projects.All commercial requirements[nust rneet complianee
� SIGN P�RMI Rttach{2}sets af;Engineered P1ans.
""PROPERTY SURVEY required for aII.NEW canstrucUon.
Directfons:
Fill out application complstely.
Owner 8�Contractor sign back of application,nokarized
tf over$2}500,a NatEce af Cammencement is required. (AtC upgrades over$7500)
`" Agent(fo th'e contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autharizing same
OVER THE C. UNTEit PERMITTtNG (copy of contract required}
Reroofs if shin les Sewers Service Upgrades A/C Fences(PIoUSurvey/Foo#age)
Drlvewa -Nof over Counter if on pubtic roadways..needs ROW
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NOTlCE OF DEE� RES"PRICTIOMs: The undersigned understands that this permit may be subject to"de�d"r�strictions" -
which may,be morerrestrictiVe than County regula#ions: 'The undersigned assumes respa�sibili#yfor compliance with any
applicable de�d restrictions. - �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPt?NSIBILlTIES: !f the owner has hired a contractor or
contractors ta undertake work, they may be required to be'licensed in accordance with state and local regu(ations. �f#he.
cantractor is not licensed as required by law, both�the awner and canfractor may b'e cited far•a misdemeanor violation
under state lauv. 1€the awner or intended confractor are uncertain as to wha# (iaensing requiremen#s.may�,appiy for.the-
intended work, they are advised to contact`the Pasco Courity Building Inspection Divisian=Licensing Section at 727-847-
80Q9. Furthermore, if the owrter has hired a contractor or contractors, he is advised #o ;have the cantractar,(s} sign
portions of the "contractar Biock" of this applicatian for which they will be responsible. (f you, as ttie owner sign as tiie
contractor, that may be an indication tfiat he is nat properly licensed and is not entitled`to permitting privileges in Pasco
Gounty. �
TRANSPORTATION IMPACT/UTILITIES IMRACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpar#ation Impact Fees and Recaurse Recavery Fees may apply to the consfruction of new buildings, ct�ange°of`
use in existing buildings, ar expansion of existing buildings, as specified in Pasca County Ordinance number 89�U7 and
90-07, as amended. The undersigned also understands, that such #ees, as may be due, will be identified at tlie time'of
permitting. It is further understoad that Transportation Impact Fees and Resource�Recovery Fees must be paid prior fo
receiving a "certificate of accupancy" or final power release. If the praject does nat invalve a certificate of occupancy or.
ftnal pawer release, the fees must be paid priar to permit issuance. Furthermore, �f Pasco County WaterlSewer fmpact
fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco Caunty ordinances,
CQNSTRUGTION LIEN �:AW(Chapter 713, Florida Statutes,as amended}: lf valuation of work is$2,500.04 or more,�l �
certify #hat I, the applicant, have been pravided with a copy of the "Florida Constrwction Lien Law--Homeowner's
Protection Guide" prepared by the Florida Department af Agriculture and Consumer Affairs. If the applicant is sameone
ather than the`bwner", 1 certify that 1 have obtained a copy of the above described dacument and promise in good'faith to
deliver it to the°owner"priar to cammencement.
CI'�NTRACTOR'SICfWNERSS AFFIDAVIT: 1 certify that all the infarmation in this applicatian is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to abtain a permit ta do work and installatian as indicated. 1 certify that no work or installation has
commenced prior ta issuance of a permit and that all work will be performed to meet standards of all laws regulating
canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that 1 understand that the regulations 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 agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentatly Sensi#ive
Lands,Water/Wastewater Treatment. � '
- Southwest Florida Water Management District-We!!s, Cyptess Bayheads, Wetland Areas, Alterirtg
Watercaurses.
- Army Carps of Engineers-Seawalls, Dacks, Navigable Waterways.
- Departtnent of Health & Rehabilitative SenticeslEnvironmental Health Unit-We11s, Wastewa#er Treatmertt,
5eptic Tanks. -
- US Environmental Pratec#ion Agency,Asbestas abatement.
- Federal Aviation Authority-Runways.•
I understand that the following restricfions apply to the use of fill:
- Use af ft1E is not altowed in F1aod Zane"V" unless expressly permitted.
- If the fill material is to be used in, Flaod Zone "A°, it is understaad that a drainage plan addressing a
°compensating volume" will be submitted at#ime of permitting which is prepared by a prafessianat engineer �
licensed by th�State of Florida.
- lf the �II material is to be used in Flood Zone "A° in connection with a permitted building using stem wall
construction, I certify that�II will be used only to fili the area within the stem wa(1.
- If fill material is to :be used in any area, I certifiy that use of such fill will not adversely affect adjacent
propecties. If use of fi11 is found ta adversely afFect adjacent properties, the owner may be cited far violating
the conditions of the building permit issued under the attached permit application, for.lo#s less than one (1)
acre which are elevated by fill,an engineered drainage plan is reguired.
lfi 1 am the AGENT FOR THE OWNER, I.promise in good faith to inform the owner of�the permitting conditions set forth in
this affidavit prior to commencing construction. ( understand that a separate permit may be required for electrical work,
plumbing, signs, wells, poals, air conditioning, gas, ar other installatians not specifically included in the application. A '
permit issued shall be construed to be a license ta proceed with the work and no#as authority to violate, cancel, alter, or
se#aside any provisions af the technical codes, nar sFtall issuance of a permit prevent the Building C}ffRciat€rom 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 cammenced within six months af permit issuance, or if worEc autharized by
the permit is suspended or abandoned for a period.of six(6)months after the time the work is'commenced. An extension
may be requested, in writing, fram the Building Official far a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the e3ctension. [f work ceases for ninety{90)consecutive days,the job is considered abandoned.
WARNING TC? OWNER: YOUR F�4l�URE TO REGORD A Nt?TlCE OF COMMENCEMENT MAY RESULT !N YOUR
PAYING TWtCE FOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU�INTEND-TO OBTAIN FINANCING, CONSUI.T
WITH YOUR LENDER OR AN ATTORNEY BEFORE REGORDING YOUR NOTICE OF COMMENCEMENT.
F1.OF21DA JURAT(F. . T.43} .ti r
OWNER QR AGE �„� ;�,(/L._ CONTRACTOR �vY",Y'�.� .'�Yr�C/�
Subscribed and swom t r affirmed)b me this Subscribed and s to{or affirtned}before me th9s
by by
Who is/are personally known to me or hasJhave produced � Who is/are perso�ally knawn to me or has/have produced
as identification. as iden�fication.
Notary Public Notary Public
Commiss'san No. Commissian No.
Name of Natary typed,printed or stamped Name af 1Votacy typed,printed or stamped
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� , der ro osal
Air Conditioning&Heating
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c3f�,Cd�� y't/c�3�d021d � ,
S Iles, Service 8� SERVICEMAN 7160E SER
4 4 4 1 A l e n R d. �Ze h r hi l ls, F L 3 3 5 4 1 DATE/TIME TAKEN ��i2e�i� 11 : i�
�� P y TAKEN PY K I M �� ,
NOTES DATE/l"IME F'ROI�ISED
CUSTOMER#/LOCATIOIV Q�138Q�
PHONE# .jJ�—i_J7—����
� CONTACT � .� JIM
. ROUTE/�EG! • SEF� '
A R M pR� PERTIES aARKHILL TERRACE AF'TS
PO PDX 5c�c 6Q�E�� PARKHILL TERR DR
LAKELAND FL .:,38Q�7 ZEPHYRHILLS FL335 ' �
ESTImf�TE
, DESCRIPTION�OF WORK _ . QT-Y._ MATERIALS&SERVICES UNIl'PR AMOUNT
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IRECOMMENDATIONS . i i
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Mnu,al-Maintenahce Recommended by AIF Eguipment Manufachirers: ' '
� Pressures Lo HI • T-Stat i i
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REFRIGERANT R- LBS. $per.lbs. , � �
. FILTERS x x Changed Monthly I , I
• FILTERS x x Changed Monthly I I
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❑•REGULAR ❑WARRANTY TOTALSUMMARY
Dehumidistat Settings:.When here"ON", When Away 60°0, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
_IMITED WARRANTY• All materials,parts and equipment are warranted by the manufacturers' � METHOD OF PAYMENT CALL � i
u suppliers'written wa�ranty only.All labor performed by ihe above named company is warranted for TOTAL i
10.days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
�xpress or implied,an its agents or technicians are not authorized to make any such warranties on
�ehalf of above named com an. �
P Y ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
have authority lo orderlthe work outlined above which has been satisfactorily completed.I agree that Seller G. W � C
etains title to equipment/malenals twnished untd final paymenl is made.II payment is nol made as agreed, CLAIM$� ��� `��
sller can remove said ebuipmentlmalerials al Seller s expense.Any damage resulting from 5aid removal shall
iol be Ihe responsibility f Seller.NET 30 DAYS.A 1 1/2°o SERVICE CHARGE WILL BE ADDED MONTHLV TO
�LLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED
TECH TAX,� � �
i
�f /G �� � �
:USTOMER SIGNATUR DATE ZC2'�IZ Q�C(i TOTAL �
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