HomeMy WebLinkAbout16-17845 CITY OF ZEPHYRHILLS
5335-8TH STREET .�' ,
(813)780-0020 17845
' ` BUILDING PERMIT
I PERMIT INFORMATION LOCATION INFORMATION
Permit lVumber: 17845 Address: 37757 PRAIRIE ROSE LP LOT 41
Permit Type: MECHANICAL ZEPHYRHILLS, FL. I
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propo ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squ re Feet: Subdivision: WALNUT GROVE TOWNHOMES
Est. Value: Parcel Number: 15-26-21-0210-00000-0410
Improv. Cost: 1,400.00 OWNER INFORMATION
Date Issued: 10/21/2016 Name: ORR THERESA
To�al Fees: 45.00 Address: 37757 PRAIRIE ROSE LOOP
Amo nt Paid: 45.00 ZEPHYRHILLS FL 33542-2200
D te Paid: 10/21/2016 Phone: 813-355-4564
Wdrk Desc: REPLACE CONDENSOR ONLY FOR EXISTING UNIT 2.5 TON
CONTRACTOR S APPLICATION FEES
BAHR'S� PROPANE GAS &A/C, INC. MECHANICAL FEE 45.00
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Ins ections Re uired
DUCTS IN�STALLED
DUCTSINSULATED
FINAL I
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
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 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.
"Wa�ning to owner: Your failure to record a notice of commencement may result in your paying twice for
impravements 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 BEF09tE C.O.
NO OCCUPANCY BEFORE C.O.
I ^ �
CONTRACTOR S GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-�80-0020 City af ZephyrhilOs Permit Application Fax-813-780-Oq21
, Building Degartment
� `
Date Received � . Phone�Contact for Farmittto S C� ��� — ��f�
Owner's Nam C/�� e/'�S Owner Pbone Nunfber ��^�� ��J°"�� . �
Owner's Add ss ����� •- �r'Q/J''� !�.� �OSG., .p� Owner Phone Number �� �
Fee Slmple T tleholder Name � � � Owner Phone Number �� �
�;� .
Fee 3lmple T leholder Address '
JOB ADDRE S ✓/�� / � * � b S� [.F' LOT# �_�
SUBDiViSlO �(��'��dL? `t�� � PARCEI.ID# �!� �� �f ���� �L��� �'Z��
_ (OBTAINED FROM PROPERTX TAX NOTICE)
WORK PROP QSED ° NEw CONSTR ADDlAti.T -�,� SIGN -0 [� DEMOI.ISH
I. �:e. INSTALL �- REPAIR
PROPQSED:t9SE Q SF12 � CQMM � OTHER
TYPE OF CO STRUCTION - Q � BLOCK ' [� FRAME [,� 'STEEI: Q _
DESCRtPTId OF WORK F . ����'" L� Q-�f,.? �nr.v�n}��ie ansl � . �/ /��
BUlLD1NG SlZE �� �� SQ fOOTAGf C.�� . . .MEIGHT
0������C' �_�� VALt3ATtOiV'OF TOTAL CONSTRI`1C'i'ION '
QE CTRiCAI $�'�� � AMP SERVICE Q PRt�GREBS ENEFtGY Q W.R.E.C.
L.
QP� MBtNG r$
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OME HANlCAL
�' VAlUAT10N QF MEGHANICAL lN81'ALLATlON
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QGA Q FtC}QFiNG Q SPEGIALTY � , OTHER•
FINISHED FL OR EI.EVATIQNS ��� FLOOD ZONE AREA QYE$ NO . `
BUIl.DER COMPANY' , -
SIGNATURE REGIBTEREb Y/ N FEE CURRE� Y/N ,
Addrss� � Ltcense# � ��
EI.ECTRICIAN;- , Ct1MPAFlY � .
SIGNA7URE '' REGI3TERED Y/ N FEE CURREk `Y/N
Addre38 ' `. , .. . LIC8t1Se#.� �
PI.UMBER ' � COMPAAIY ' , ° .
SIGNA7URE' ' � ,ReGIST�tE� Y./,.N ,FEE CURREA Y/N
Address - License,# � - � �
MECNAPIIC . . �'��� ` `��� ; COMPANIf Rl�R� l'13 tt�t1E G��'"%U'.-=1"v�
SIGNATURE• RE��sTEREo , , Y,/ N . ,FEE CURRE� Y./�N .
Address `•• � �'��I �/Cc�v "- • . llcense# ���D��.g`Z���
• -.. ' . .. ;: _ , , , , � . ,.
OTHER ,`` � ` `:GOMPANY �
SIGNATURE ° �-' '�•' � - •� " �' � REGISTERED � ' Y/ N�_ FeE cuR�n Y[N
Address - ,�° -'. ,r� ' `. ` . - � Llcetise# � �
.� ..�.......:.. ... � �. . .; .. ,.;
RESIDENTI,,�; �Attach:{2},Rtct%P,laris;,(2)sets:of+8ullding'Ptans;(.'!}sef of=Eriergy=Fa'rms�R=O=W'Perrtilt#or new canstruct�ori,
,Minimum,titen;,(:1A);wortcing�days;after subinittal date:-;R'equlred onslte;;ConetiuoNon;Plans;Stormwater Plans�w%Silt Fencs installed,
�� �8anffery Facilfdes;&:1:dumpste.r,�Site•Wor1c;P,ermit,for subdivislons/large'proJects; _..' ...�,. ,.' ' � - ' -
COMMERCI ' Attach{3)i�mplete`s`s#s''of Bulldliig�Flaris pliis a I.tfe�Saft�ty!'age;('f}set o#Energy Fotms.R-O{1V Permit tar new construc�tion.
Minimum ten(10)wo�icing days afker submittal dake. Required onsite,CansUucBon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Slte Work Permit for all new=proJects:All commercial requlrements�muat meet campliance
Sl�N PERMI Attact�{2jseis af Eng,i'neeced.Plans., - �;:�. _ . .
"""PROPERTY BURVEY repuired for all_NEW canstructibn.. �
Dlreettons: . . . . - .. `
Flll out a�plicadon completely.
Gwner&Contractor slgn back of applicadon,notarized
if aver �00,a Nottce af Cammencement Is reqaired. {AtC upgr�de�over 57500}
i. `s.`.`...4i'l�'r�. -. .._ .. '
" Agent(fa the contractor)`ar`Powe�of Attomey(fb�tfie owner)wouid be someone wit�notarized letter fram owner authorizing same
dVER THE C UNTER:PSRMiTLiNG . -- �(Front of ApplicaHon Onty)�- t •
Reroafs if shi gles Sewers Servlce Upgrades A/C Fences(PlobSunrey/Footage) ���.��
—s- ��•,,;�`=:.:,sxisa-��.s.cX`,,;,..:�r...F;' 'sr.�� t rtou��F.
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Drivewa NotoverCouttterifonjpublfcraadways::needsROW:;?'��; r'� ,�`:�r,=`r;
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NOTiCE OF DEED-RESTRICTIONS: The undersignedYunder�tands��,th�tFthts::p�rmif:may.,,be,.sub)ect,to,"deed"_restrictions” _.�.; `;,;.„
which may�.be�more'.r.esuictive=t#i��County>>regr�lations:The.underslgned as�ur`ries�=responsibiilty.for`compliance with>�any `'
applicable;d�ed�restrictlons. „ ,: <.�, .. : �. - � . _ . , .,. �.._ _..�-. .� - '-� � . .-"
UNLICENSED-�CONTRACTORS �AND CONTRACTOR RESPONSIBILITIE3: ��°If°tlie��owner°has"'hicetl'�a"cdntractor or
contractors to undertake work, they,may:b,e.r.equired;:to.-be<Iicensed Imaccordance.with,state.andyocal:�regulations���rlfithe���� � � ��'�
cont�actor is notUlicensed=as�requlre'd°6y law�'tioth•the owner and-c:onVacto�°rriay�berctEed�.for�a�misdemeanor violatlon
under state law. If the owner or Intended�;contr;actor,,are,,.uncerteln as to what Ilcensing.requlreRnents:�'may���apply���fdc�°tlie'��-�-•r ���`�
tntended work,they are advised to i:oritact.tlie`Pasco County:Bullding°Inspection;Dlvisior},-Llcensing�Section at 727-847-
8009. Furthermore, tf the oviine�'Fias�Filred-�a conhacto�"vr conEractors. he Is advised to have �the contractor(s),.sign., ;.
portions of the "contractor.,Block° of.this.,application.for_which.they,-will�be_.r,esponsible.�.-:If:,you;:asrthe_owne�sign'�as°�he'�' "�� ��
contractor; that•may be an indication thaf`Fie is fiot`.properiy Ilcen�ed and`�is nof'entftled�to perniifting`privlleges In Pasco
County. , ; ���`.
TRANSPORTA770N.IMPACTIUTILITIES�rMPAC'i�`ANb RESOURCE RECOVERY�FEES:�The understgned�understands
that Trensportation Impact Fees and.Reco.urse Recova.ry_.Fees„rriay-apply:to�the.;construction of new.buildings,ichange"�of"�� '�=��� ''
use in existing buildings,�or�expansi�nrof}ezistin�g-�buildings, a§ specffied.in Pascv County Ord(nance number 89-07 �nd
90-07, as amended.�.The undersigned also:uRderstands� that:�such fee.s��xas.may:be:<due;twlll::be tdent,ified at the�tirrie`�ofr�E �t� �
permitting. It is further underst6od that Tra�sportatlon Impact Fees and"Resour.ce:Reco�ery-Fees.must=be pald prior to
receEving a 'certi�cate-of-occupancy"�or flnal�power=.release.•�:If�the proJ�ct::does-�not,involve•:a:.certiftcafe of occupancy�o�u������ ' '`
flnal power release;the;fees mu�t,tie paid pcior to;permit Issuance. Ft��thei'more;��if:Pasco,�County;lNater/Sewer�impact� : �.
,.x�. " ,.. ...,
feesaredue,.they_must.be.pald..prlortopermit�l§suance.inaccordancewitF�:�applfcatite-Pasce'-.Countysoriiinances. •
CONSTRUCTION�LIEN�LAVII�(Clia�ter 713� Florlda§tatutes�aa am�nded): If valuatlon of work is$2�500.00:or more,.I ; . ....
cerlify that I, �he appiicant,-have-been provided�with--a-•copy� of the•�"Florida�Constructton` Llen::Law.—liomeowner's
Protection Gulde" prepared by�tlie�Flo�ida Departme�t�of Agric.ulture and Consumer Atfairs. if the applicant Is someone- ,. -.; ,
other than the"owner", I certif�r:-that.,l,have.obtained�a=copy,of:the:above:rfescribed�dooument�and.promise�in,good:faith�to .
deliver It to:the.'.ownec"�prior toycornmencemerit:-' ` � � ,� � � ' � ' � , . �-
CONTR�ICTOR'S/OWNER'S AFFIDAVIT: I.ce�t(fy:,tti:at-all th�alnformatlon�..ln•thl�appUcation is accurate�and that all work
will'be done in compi(ance+nrith all appllcabie�laws regulating constructlon, zoning and��land°development. Application is
hereby made to obtain .a .permit�;to :do�:wor.`Ic;�;and�Instellation as indi�eted:.� �:I ce�tf(y that no work=:or installatlon has
commenced prior to issuance of'a permif"and that.all work will be pertormed to meet.standards-of all laws regulating-
construction, County and City codes, zoning regulatlans, and land davelopment r.egulations�tn-the�Jurisdtction. � (:al'so _
certify that I understand that the regulat(ons of other government agencies may�apply:to the,intended work, and that (t is
my responsibility to identify�what.acttons I must•take:to be=In:.campitance.. S.uch.agencles include�but=are.not Iimtted to:_ .
- Department of E�vironmental>�Protection=Cypress�Bayfiead�;'WeN�and Areas and Env(ronmentally Sensitive
Lands,WaterMlastewater Treatment. �� -
- Southwest Florida Wate� Management��=•D9strict-1Nell's, •Cypress.~Bayheads;- Wetland' Areas, Altering
Watercourses. � - • , ��
- Army Corps of Engineers-Seawalls,'Docks, Navigable Waterways.
- Department of Health::.8. ReFiabllitativ.e,,Services/Environmenf�l:-Health Unit Well.s� Wastewater.�Treatment, �
Se�tta'Tanks:.� � - � � K � �_ �.� : ;
- US Envi�onmental Protection Agency-Asbestos abatement. r
Federal AVlation.Authority;=Runways.: -
I understand.that.the,folloiiving"restricttons apply to the use of flll:•
- Use of flll is not allowed in',Flood:�Zone"V"unless expressly pe�mitted.
- if the:fill material�=ls to be used.`In :Flood Zone. "A"� it. Is understood that a dratnage plan addressing a
°compensating volume"wiil be submitted at lime of permitting wFiich is prepared by a professfonal engineer _
Iicensed by=#he�tate of Florida: � -� -
- If ihe ffll material�is to, be used In Flood Zone 'A" in�connectfon�with�a��permltted buflding using stem wall
� construction, i certify that fUl:�rall:b.e-used only.to.flil the area within�the�stem�wall: - �
- � If flll material is to be used in anjr area� I certify that .use. of such flll wlll �ot adversely affect adJacent
propertles. If use of flll is found:to adv.ersely:,�ffect ad)acent��prctperties�.the owner may be'clted for violating
the cond�ions.of the_b�ilding�.permit issued�:under the`attached.�ermit appl(cation�:for:lots-.less�.than.one (1)
acre which are elevated�tiy flll,a�t engineered dralnage plan Is requtred. •
If I am the AGENT FOR THE�OWNER; I;promise In good faith to inform the oarner of�the permitttng conditlons set forth in
this affidavit�prtor to commencing constructlon. f understand that a�_separate permit may be required for electNcal work,
plumbing,_signs, wells,.pools;, alr conditioning,-..gas, or other. install�tfons noE,spec�ically included�-in..the•application. .A ,
permft Issued shall be construed to'6e a�Ilcense�:to proceed w(th tFie.work and not as authoNty:to.violate;'cancel; alter, or .
set aside any provisions of the technical.codes;�nor shall Issuance�of a.permlt.prevent the Bulldi�ig Offictal irom thereafter
requiring a conection af errors in-plans; construction or vlolatlons of-any codes. Every permlt;issued�shall�-become invalid
unless the work autho�ized�by such permlt:�ls-commenced•withln sf�c,months of�permit issuance, or if work authorized by
the pe�mit is suspended or abar�doned;foc a;period_of�six�(B)�montfis,:aRer the'.tirne the�work is commenced. An extenslon
may be requested, In writing,._from tNe Building,Officiai for a period..not-to exceed'�niriety�(90)�days�`a�d wllf demonstrate
justifiable cause for.�the extension: If work ceas�s.for ninety�(90)cons.ecutive days�..th�job�,ts considered aba�doned. "
INARNING TO OWNER: YOUR..FAILURE�TO..R�E�.ORD A::(�OTIGE:OF,-COMMEMCEIIIIENT:MAY=RESULT IN�YOUR '
----P_AYING TWICE:FOR�IAIIPROVEMENTS�-TO;YOUEt>:PROPER7Y:y�IF°YO.tI�INTEWD:TO'�i0BTA1N�fIN�1�E1NG;'C.ONSULT
WIT U r . D �O Alt!`1r.'�� �l�X F-�r1t��RECO � f�� OU :. ;C �O :,. �..� � E ,
FLORI�AJURAfi(F:S: 03} � �- .. ... . — - --=�—:�-_--== ~----� . _ _- --
OWPIER OR AOENT CONTRAGTO
���bed and ta r afflrmed) efor me thls Subecribed and' =to(of aRimted)� efore me ftii�.
L �o�h e/- l�a// 3' c'.S
WFio Is/a ersonally knovm��me ochas/have produced Who.ls/ p.ersonally kno, me_or heslhave:produced • �
as Id'entlflcatlpn. a�identlftcation.
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Notery Publtc . Notary Publlc.
Commisslon No�,�;(�1� Comm sslon�No. �7 I 9—� -
Name ot o �printedg��qpq�MPBEII Name oi Notary
�„� ,,,
��� �`c�'; Notary Public-State ot Florida �1�'R�pV�ii SYWIA A.CAMPBELL �
• - _+�. .�c�'- Notary Public-State of Florida
:'• •? My Comm.Expire9 Jul 19;2017 '� ,•E My Comm. Expires Jul 19,2017
'+�, �,�:� Commission N Ff 034230 =+ ��P� Commission�FF 034230
,����iiiiiN��, ��i�`OF F��P��� ..
B o n d e d T h r o u g h N a t i o n a l N o t a r y A s s n. "�������" Bonded Through National Notary Assn.
`"t�' ",Fi:( i � .
` IN
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' � .P�OPANE Sfi�sAS . • ���
.� . Sennce Order�roposa�
�. ;!�°H� .Af�.. iNG. Air Conditioning&'Meating
Sae�1988 8'I 3M782Kv0'i 3 -
WORK ORDER#1SERUICEh1AN 69543 � NOV
Sa�es, SENICE: $c ItlSfal�B'��OC1S ' 13ATElT I h'IE TAKEN . �1l7/i f t i 6 1�:�5
444 Rflen F�d, • Zep�ayrhEills, F�L 33�41 TAKEN aY Ac ��
I}ATEITTtt'{E �ROMI�ED �711�I16 �bQ�:��t
i�OTES: CUSTt]hfER#/L.dCRTION ��378
,�J'jQU7 et,�,- F�HC3NE# 813-3��-45�4
,��i. �l �'a�U DOL�DD d5�/D R(]UTEISEC� �o�-���-�477 c
ORR, HERESA ORR, THERE�A �519-315-3477
�7?57 F�RA I R I E ROSE LClC1P � 37?�7 R RA I R I E ROSE LO01�
WAL.NLtT GROVE VILLA�
ZEI�HY HILLS FL 3�54�C ZEF�HYRHTLLS FL3�54�
t.�r.�e'���'1
AH: ASPT�4E►14AC, 14103437Er9
WENT S TURDAY NOT COOLING IWOW. �''~�"�`1- i`�'�" VsX���1�`f I EG-
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❑ REGULAR ❑WARRRNTY
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hen here . When:Away T-Sta#: { � ❑ NfAINTENANCE.CONTRACT � SERVICE� '`i
UMl1'ED WARRAt�iTY AIE materieis�Partsand equiPment are warranted by.the man�€acharars';��-.,5 � �y A -` '" CALL i
:.ar suppliers' n warranty on1y.Ait iabor performed by the above•nameti conipany is wartantad for • � � � ' TOTAL i
3o days or as nvise indica6ed in writing.fie above named company makes no other.wamamies,`,[�CASH ❑CK#
ea�ress or imp ied,and its agems ar techniaans are not authar'¢ed to make any such warraMies on 'MATERIALS i
behaifofabo+r name�comparry _ Cl DEB►T ❑CREDIT 0 OTFfEF2 MA![�lTEENANGE �
~�~r. . PROG. W! C i
� I hava authorirylta ortler Me wark outlined above which�has�been sa8sfaetoriy completed.I.agrea that Seller`
roiains tlde to equSpmenVmateNals fumisAed until ftnal payment is mede.tt paymerrt�is not made as�agreed. CLAIIVI# 1
saiter can remQ�e saW�nVmatetats at Sefters�ettP�nsa.As�}'dama9e t�titbrffi ham'sRid iemoval shai! �
: ui uN wo e�C�E.S OVER 30 DAVa.NOYS�.AFu i�i2%SERVICE CWIRGE WIi.L SEADDED MONTHLY TO D,ATE COMPLETED �
ITAX �
( TECH: �
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, CUSTOMERSI�NATURE pp'� a/J� ✓au TOTAL i