HomeMy WebLinkAbout16-17793 CITY OF ZEPHYRHILLS
5335-8TH STRE�
(813)780-0020 1779•
t� ' BUILDING PERMIT
PERI1111T INFORMATION _ LOCATION INFORMATION
PermitlNumber: 17793 Address: 37350 CASTLEBERRY AVE
Perrnit Type: MECHANICAL ZEPHYRHILLS, FL.
Classlof Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0680
Improv. Cost: 5,200.00 OWNER INFORMATION
Date Issued: 10/04/2016 Name: HAVEN FAMILY LIVING HAVEN SHIRLE
To�al Fees: 65.00 • Address: 37350 CASTLEBERRY AVE
Amo�nt Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/04/2016 Phone: 813-973-1517
Wo k Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
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Ins ections Re uired � �
DUCTS INSI ALLED
DUCTSINSULATED
FINAL I
REINSP�CTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local go ernment 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 properly 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.
"Warneing 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."
Complet 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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CT IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED I,
PROTECT CARD FROM WEATHER ,
s�a-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
�' Building Department
Date Receiv�ad � �p� _ s0��
I Phone Contact for Permitting � 6
"Owner's Na e ��}e� � /� Owner Phone Number ��� /� ls�
Owner's Add�'ess ���SD �TG�PjepQ/Q �
Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Ti leholder Address
JOB ADDRES ��S� ��T��,�3 Pi2r�� �K� LOT# �
SUBDIVISION �Lf'OZ� PARCEL ID# >� � al �/�U 6��a (/(r� �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP �SED , NEW CONSTR ADD/AlT 0 SIGN Q Q DEMOLISH
B INSTALL � REPAIR
PROPOSED UI E Q SFR Q COMM 0 OTHER
TYPE`OF CONSTRUCTION Q, BLOCK - Q FRAME � STEEL Q
' DESCRIPTION OF WORK �eSi �� c hraN e��� C �N S � �dN
BUIL"DING aIZE SQ FOOTAGE� HEIGHT
' �BUIL ING $ VALUATION�OF TOTAL CONSTRUCTION
QECE TRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
I
QPLU BING $
QMECHANICAL $ ��bQ' � VALUATION OF M�CHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLO �R ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COM PANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License.#
ELECTRICIAN ' COMPANY
SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE 'REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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MECHANICAL �n,� - �� COMPAMY Opf3�'L"�'j7"�� _�NC�
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Addre"ss 7 y'7 ��(f —/f//�$ License# /7�T3��
OTHER, ' COMPANY
SIGNAT.URE REGISTERED Y/ N FEE CURRE� Y/N
Address•- _ � License#
RESIDENTIAL ; i4ttach(2)Plot Plans;(2)sets of Building•Plans;(1)�set of Energy Forms;R-O-W Permit for new construction,
Minimum:ten(10)working;days after§ubmittal iiate. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary.,FaciliGes 8:1 dumpster;Sife:Work Permit for subdivisions/large projects �
COMMERCIAL Attach(2j complete sets of Building 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 Plahs w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of,Engineered Plans.
*'**PROPERTY SURVEY required for all NEW construction.
Directions: •
Fill out applic�tion completely.
Owner&Con�ctor sign back of application,notarized
If over$2500Ia Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(forth'e�cOnVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER TME COUN ER PERMITTING (copy of contract-required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIQNS: The unders,igned under.stands that this permit may be subject:ta"deed" restricYions"
whEch may be more-restrictive than County regula#ions. -The undersigned assumes responsiliil'i#y'fa�compliance witii any
applicable deed restrictions. " ' � � '
UNLfC�NSED CONTRAGT4RS AND CONTRACTQR RESPt}NSIBILITIES: If the-owner has hired a cantractor or �
contractors to undertake work, #hey may be required to be licensed in accordance with state and local regulations: If:#he
contractor.is not licensed as required by"law, both the owner and contractor may��be cited-far-a misdemeanor violation �
under state law. If the awner ar intended contractor are uncertain as ta what licensing requirements may;app(y for.:the-
intended work, they are advised to cantact�the Pasco County Building Inspection Division=Licensing Sec#ion at 727-847-
80Q9. Furthermore, if the owner has hEred�a contractar ar can#�ac#ors, he is advised to :have the contracfor(s} sign "
portions of the "contractor Block" of#his applicatian for which they will be responsible. If you, as th'e owner sign as'the
contractor, that may be an indication that he is not praperly licensed anc4 is nof entitled to permitting privileges in Pasco
Count}r.
7RANSPOl2TATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVER'Y FEES: The undersigned understands
that Transparkation Impact Fees and Recourse R�cavery Fees may appty fo the construcfian of new buildings, change�of° "
use in existing buildings, ar expansion of existing buildings, as specified in Pasca County Ordinance number $9-07 and
� 90-07, as amended. The undersigned also understands, that such fees, as may be dtte, will be identified at tl�e time af °
permitting. 1# is fur#her understood that Transportation Impact Fees and Resource�Recovery Fees must be paid prior to
� receiving a "certificate of occupancy" or final power release. !f the praject does not involve a certificate of occupancy�ar-
final pawer reiease, the fees must be paid priar to permit issuance. Furthermore, if Pasca Caunty W.ater/,Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable.Pasco County ordinances.
� CQNSTRUCTION �IEN [.AW{Chapter 713, Flarida Sta#u#es,as amended}: If vatuation af wark is$2,500.00 or rr�oce, t-. ,:
� certify that I, the applicant, have been provided with a copy of the "Flarida Constrwction Lien Law-=Homeowner's
� Protectian Guide" prepared by the Flarida Department of Agricuiture and Consumer Affairs. If the applicant is someone
j other than the"owner�, I certify that i have obtained a copy of the above described'document and promise in good faith�to
deliver it_to the"owner' prior to cammencement. � �
I; CONTRACTt?R'SIC>WNER'S AFFIDAVIT: 1 certify that all the infarmation in this appiication is accurate and that atl work
will be done in compliance with all applicable laws regulating canstruction, zoning and land�development. Application is-
I hereby made to abtain a perrr►it to do wark and installatiort as indicated. 1 certi€y that na vuark or installation has
commenced prior to 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 regulations in the jurisdictiort. ! also
, certify that 1 understand tha##he regulations of ather govemment agencies may apply to the interided work, and #hat i# 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 EnvironmentaMy Sensitive
Lands,Water/Wastewater Treatment.
- Sauthwest Florida Water Martagement District Wells, Cyptess Bayheads, Wetland Areas, Attering
Watercourses. �
- Army Carps af Engineers-Seawalls, Docks, Navigable Waterways.
- Departmen# of Health � Rehabilitative Services/Environmentaf Heal#h Unit Weils, Was,tewater Treatment,
Septic Tanks. -
- US Enviranmental Protection Agency-Asbesfas abatement. -
- Federal Aviatian Authority-Runways.
!understand that the following restric#ions apply to the use of fill:
- Use of fill is not allawed in Flood Zone"V"unless expressly permitted. _
- If the fill material is to be used in, Flaod Zone "A", it is understood that a drainage plan addr�ssing a
"compensa#ing volume� wil! be submitted at time of permitting which is prepared by a prafessiona! engineer
licensed by the State of Flarida. �
- If the filt material is to be used in Ftood Zane "A" in connec#ion with a permitted building using stem v�rall
- canstruction, t certify that fill will be used only to fill the area within the stem wrall.
- If fill material is to be used in �any area, I certify that use af such' fil! will not adversely affect adjacent
prope�ties. If use of filt is found ta adverseiy affect adjacent praperties, #he awner may be cited for violating
the conditions of the building permit issued under the attached permit application, for.lats less than one (1)
acre which are elevated by fil1,an engineered drainage plan is requited.
lf 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 constructian. ! understand that a separate permit rnay be required €or electrical work,
pltambing, signs, weils, paa(s, air conditioning, gas, or other instatlations not specifically included in the application. A ,
permit issued shall be construed to be a license to proceed with the wark and not as authority to violate, cancel, alter, ar
set aside any provisians of the techrtical codes, nar shail issuance of a permif prevent the Building Clfficiai fram thereafter
requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shall �ecome invalid
unless the work authorized by such permit is cammenced within six months af permit issuance, or if work authorized by
the permit is suspended or abandoned for a period.of six(6) manths after the time#he work is'commenced. An,extensian
may be requested, in writing, fram the Building Official for a period not to exceed ninety(90) days and'will demonstrate
justifiable cause far the e�ctension, tf work ceases for r�inety{90)cortsecutive days,the jab is cansidered abandaned.
WARNING TC? 011MNER: YOUR FAlLURE TQ RECQRD A NC)TICE OF C.OMMENCEMENT MAY RESU[.T tN YOUR
PAYING TWIGE FOR IMPROVEMENTS TO YOUR,PROPERTY. 1F YOU�INTEI�D TO.OBTAIN FIRlAl�l�Gl�1C, ::fS6�5U�.�'
_— .___V�fl'�!i_YpUR IL-ENmER-0�2-�i�➢A'i"TORNEY�B�FOFtE-RECORClMNG YQUR NQTIGE OF GOMMENCEMENT.
F�ORIDA JtlRAT(F .'{17.03) �
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OWNER QR AGE �r..C� CONTRACTQR
Subscribed and swo {or affirmed b fore me fhis Subscribed and sw to(or affirmed}before me this
bY b
Who is/are personally known to me or has/have produced ' Who islare personally known to me or has/have produced
as Iden#ifica6on. ��. as identification.
Notary Public Notary Public
Cammissior�Nfl. Commission No.
Name af Natary fyped,prinfed ar sfamped tVame af Notary typed,printed or stampad
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Service Order/Proposal Air Conditioning�HeatiAg
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4441 Allen Rd. • Zephyrhills, FL 33541 ' ' �' �`�L-. -��'!-'� �', �:''"�� - =. _. , ., � �.�;-
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DESCRIPTION QF WORK _C:1'FY: MA� .�a�&�SEI�. .�5� _ _ �:.`PR� >.Lk�:! T_
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RECCs1vIMENDATJONS , - - ' i i
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Annual�Meintenanc Recomme�ded.byAll Eq�ipri3ent_Manula�turei�. � � �
= Pressures Lo HI T-Stat i i
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:REF:12iG� `3'ft;, _ ;;,�;; ,;;` _ �-t' �>"°;, = =
- �RAN.,+,.: �iL^�-` ,>$�.:1�'s.. _ _- _:�. �
-- -:,->>--i.- _ ''s`r_':s.: - - -::�;3.�i.f�'=�.'i:.'�'�� - -
. `FILTERS zY `'�x` ,ChangedyMonthlyv ,I I
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, FILTEP2S x x Changed Monlhly
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. ❑ REGULAR ❑WARRANTY - -_ _ -'=wi'T�O;`F��'S�!(YlfyfPiR1�',,,
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Dehumidistat.Settin�s: When here"ON",�When Rway 6�;; T-Stat 80°; ❑ MAINTENANCE CONTRACT y � SERVIC� �
. . . ... ,:;�:;::�..�.,�.:-.�.<< ��. CALL i
LIMITED WARRAN'fY: All materials,parts and equipment are wartanted by the manufacturers' ; „�:,[jj1L'('j=iQD;;_('�`�;]?AY[1�lEi�1T::;:_=. ._� � �
�r suppliers'written warranty nly.All labor performed by lhe above named company is warranted for ' � ` '�� '"•`'""="'�'�=`µ``"` - -
30 days or as otherwise indi ted in writing.The above named company makes no other warranties, ❑CASH O CK# TOTAL i
�xpress or implied,and its ag nts or technicians are not authorized lo make any such wanan6es on MATERIALS i
�ehalf of above named comp ny. ❑DEBIT Q;CREDIT ❑OTHER MAINTENAI�CE �
'have aulhority to order Ihe wo�k outlined above which has been salislaclorily compleletl.I agree thal Seller ' -
PROG. W/'C �
�etains title lo equipmenVmateri�ls furnisned until finel paymenl is made.II paymenl is not made as agreed, CLAIM# �
seller can remove 5aid equipme Umalerials at Seller's expense.My tlamage resulGng from said removal shall
4LL UNPAID BALANCES OVERr�O DAYS.NO REFUNDS SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETEp` I II
TECH: T� �
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:USTOMER SIGNATURE DATE ✓� �ow TOTAL G.� //,� CJ U
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