HomeMy WebLinkAbout16-17846 CITY OF ZEPHYRHILLS
5335=8TH STREET
,. � , (813)780-0020 846
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION �
Permit N mber: 17846 Address: 37841 PRAIRIE ROSE LP LT 28
Perm9t Type: MECHANICAL ZEPHYRHILLS, FL.
Class f Work: A/C CHANGEOUT Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Squar}e Feet: Subdivision: WALNUT GROVE TOWNHOMES
Est�. Value: Parcel Number: 15-26-21-0030-06600-0000
Impro�r. Cost: 1,400.00 OWNER INFORMATION
Date Mssued: 10/21/2016 Name: CAREY JOHN & BETH
Total Fees: 45.00 Address: 37841 PRAIRIE ROSE LOOP
Amount Paid: 45.00 ZEPHYRHILLS FL 33542-2203
Da e Paid: 10/21/2016 Phone: 813-778-4189
Wor Desc: REPLACE CONDENSER ONLY FOR EXISTING UNIT 2.5 TON
CONTRACTOR S APPLICATION FEES
BAHR'S ROPANE GAS &A/C, INC. MECHANICAL FEE 45.00
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Ins ections Re ired
DUCTS IN TALLED
DUCTSIN ULATED
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.
NOTIC : 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
� impr vements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Compl te Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' � s�s=��o-ooza City of Zephyrhills Permit Application Fax 813-780-0021
Bullding Qepartmen#
DfltB R9G@IVA{� ��0118=Cantactfor Per�ntttln � L5�„ —
Owner's Nam �/�G Q a'lcJtr°� Owner Phone Nurrtber /c'�r / �C1'" -Tf�
Owner's Add ss ��� l��Cf.�!/�/. L�.S� Owner Phone:Numher, � �
Fee Simple TlCleholder Name ( � � Owner Phane Number �� �
,i .
Fee Simple TI leholde�r Addre�s °
JOBADQRES ��8't7�I /"`R/�l� a�G LOT# �_�,_�
sugo�v�stow lit�A-�N ei��2av e�� PARCEL ID# l� o�� �/ G� 1C1 �1.,��L� D�cS�'C3
s (QBTAINED FROM PROPERTYTAX NOTICE)
WBRK PROP�SED =tv�w CONSTa ADD/A�T � SiGN� �C] � DEMO�ISH
��e; INSTALL REPAIR
PROPOSED? SE Q SFR Q COMM � -t3THER
TYPE OF CO STRUCTION � Q � BI,OCK " Q FRAME � STEEC C]
DESCRIPTIO OF WORK } � 6 � lc�e �D �$�/Q lf !l c,�[ 10'� /�/1,,,�
BUILDtNG SI E r� �' SQ�FOOTAGE�� . .H�IGHT�-��,�
���� ���' (' ' � VALUATiON�OF TOTAL CONSTRUC'1'ION
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QE� CTRiCA� � �$ ' � AMP SERVICE Q PRfOGRESS ENERGY Q W.R.E.C.
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QPL MSING �� '
QME�HANtCfU. ($�� ' ��� VALUATION OF'MECHANtCAt�INS7A1.1.,9Tlt3N
" �1��0 r.� .
QGA [� RpOFif+tG .Q SPECIALTY � OTHER� -
FINISHED FL OR ELEVATIONS ��� FLOOD ZONE AREA C]YES ,NO
BUIl.DER COMPANY . , '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address L'lcense# �� ��
. � . -,. .,. �
ELECTRlCI_ GOMPANY - �
SIGNATURE � REGISTERED Y/ N FEE'CURREk� Y/N
Adcire$s ,. , License,#.�- . � �
PLUMB�R GOMRANY � ..
SIGNATURE , ,REGIS.7ERED Y.I.N F.EE CURREk Y�/N. �
Addsess ..License,# � �,� I
MECtfANIGA� �+ ~ e COMPANY. R qS � - '�' �
SIGNATURE ' ��� REGISTERED Y.,/ N FEE CURRE�— Y/�N
Addrss$°`> I .;7�` f�`�1 enJ-- �"�/Ll..'�`� � License# �����_� T D I
OTHER � � - . ��GQ1411PANY ,
SIGNATURE � ": `+ ' `-` ' ' "REGISTERED� ' Y/ N.,. FEE CURRE�• Y/N
Address G -" `f' ' � ' s Ciceiise#•1 1 �
RE8lDENi7 ' :.-A#taioti'{2).Rtot�Plai�s;,(2}seEs�.6�+Builiiirig`}?lans;'�(9}sef afi Enetgy�Fo'rin's;:�R-0=W`Perinit far new c�r�struction, , � �
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�;_Minimum;ten;_(:10)warking;days„after subr`riittal'date::,Required onsife;�ConstrucBon-Pians;Stormwate�"Plans w/Slit Fence instaped, _
� Santtary FaGltUes;&1.,dumpster5lte�Work Fermikforsubdivisionsllarge�projebts," ,_ `.<; ` ` � '
COMMERCt Aftach{3)`comptete'sets�of Bsiltding Plans plos a��ife Safefy Page;(1}set of Energy Farms.R-O W Permtt for ne�v construct3on.
Minlmum ten(10)warking days afker submittal date. Requlred onsfte,CanstrucNon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FacflfUes&1 dumpster.Site Work Permlt far all new;proJects:.All commercfai requlrements_must meet compllance
, SI�N pERtVI! At#adi"(2)sets ofEiigiiieered;Plans.: �;.$."' . � _ - � -
""PROPERTY SURVEY reguired for all._NEW constructlon..
' Dlrectloas: ` ,- , - - � ' �
Ff0 aut a plicatlon completely.
Owner 8�Contractor slgn back of applicaHon,notarized
If over�504.a Not3ce af Cammencement Is regairad. (A!C upgrades over 57600) ;
.. •`.;����.: �.-
� Agent(f r the�contractor)'or Power ofAtfomey'(for the owner)wauld be�someone with notarized latter from owner autharizing same .
DVER Tt1E COUAI7ER PERMi771NG._ ._-{Front-af Applicatlon Only}.
� � u'.�'i+.o '��...#,k:s
', Reroofs if shingles Sew�na�����-Seniice'Gpgrades`�A/�"" Fences�(PIoUSurvey/Fookage) ,
�.l::'-�'t�,`:,.� i, � , ,/^ ;, ., t, ��54i1�f�s'�Sil�'ni:.Rn�k'�'`.m:'riYway."14,,�.�°asa�.cd4".%.c+u..�`
'f;`A f � .:i "��? :,.:r, c2}
Drivewa -Not aver Coynter�ifori publlc madways::nseds ROW` � � � '`� ¢'"� '` .. , ` ' ��
� , 5 Fb��e{;��} :lyr�' �C�r� , .. ;i•:' :f•
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��t;v',','i9r'^c�+•1...,rry.:..�:-,�g':,.�...,;: �,. •-ry :.�.. � . ��p�,,,.S,yr:: ••��r;'yA � , :.. ,.. . �' ; , " ;
i(�' t�"� �'"'"�"�'`'-=�!^`.a5.�: '..;r:=x'gR•-°a�;::a�1•�.,,;�r,:�;�..•.;,L,�'"'-.f``"�.tr _
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NOTICE OF DEED Rl�3TRICT�ONS: The underslgned und:erstands:th�t�,thi�:.p�rmi�,may_be,sub)ect;to,"deed"restrictions"`.,;,.,� :�
which may,be�morre:restcictive=the�County":r+egulattons:�The�undersigned'assumes respo�isibil(tyfor�coinpliance witfi��any� �
appHcable.deed restrictlons. �: -..,.�� ..' :_ ,- ��� .� • � . _ ,... �.... ,. .,. ,.__ .. ; , ..,:.., ,. ,.. ,..�
UNLICENSED CONTRACTORS�AND CONTRACTOR�RESPONSIBILITIES:�-°if=tlie��owner has-�hiced�:���cdntractcr or
contractors:to undertake work, they,may;b.e:re�quir;e,d�>to„be:.licensed i�t_;accordance:with state�.and•local regulations;�;If-the�-•�'� � ����
contractor is not`Iicensed as�requlred;tiy law, �both the owner and-�conUactor-may be�°clted�for�a?misdemeanor vlolatlon
under state law. If the owner or Intended.acontr;,a�tor.,�are.,,uncertaln as to what Iicenstng.requirements'may-:apply:�for-the'•� •= � �
„ , . ....-_.-.-. .�_. ...-�..� . . .
intended�work, they are advised to coritacti.tfie Pasco�County Buildtng'Inspectlon_:Divlslon--l:icensing�ection at 727-847-
...- ,... . ... . ..._ _ _ .._. .
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8009. Furthermore, if the owner'has��Fiired��a con�acto�"or contractors, he ts advised to ave �the contractor(s),sign,_ .,:;,.
.�,..,{..,..., .. ,
portions of the "contractor �lock" of.:thls.appllcation�for._which.they.wilt�,bear,esponsible.�. if:you,:�as.the,owner'sign`as`'the"
contractor, that•may be an indication that'15e'ts not.properly`licensed�ancl��is.not entitled to permitting priirileges In Pasco
County. t ;.:: ;."".;<''+. ' ..,
TRAMSPORTATIOPI;IMPACTIUTILITIES�IMPAC7�A�1b�RE$OURCE RECOVERY�FEES:`�The�undersigned-iinderstands
that Transportation Impact Fee�and.Reco.urse.Recovery.Fees may�tapply:tv�tF�e�,construction of new.buildtngs�::change��'of` `�� �=� ��`-
use in euisting build(ngs; or�:expar�si�mof+'ezisti�;g°=6uildings, as specffied.in Pasco County Ordinance number 89-07 and_
90-07, as amended.t. The undersigned also.understands� that�such fees�:,as�mayr be:.due;uwlll-be tdentified at theatih�e��of�3 � ���-� "�
permitting. It is furtlier'understood that Transportation Impaat Fees and-�Resource.'Reco�ery�Fees,.must be paid prior to
rece(vtng�a 'certiflcate:.of�oexupancy" or flnal•�power;�elease. �:If�-the.proJ�ct.does:not involve<a�certfficate of occupanby�ocF-�•"�='"� ��
final power.release;�the.fees mu�t�tie pald,prlor to_permit issuance. Ft�l�tkiei`more;(f:.Pasco,County�'UVaterlSewer,�,impact� >,:� ���
fees are due�.they.must.be=pald..pNor to.permit�-Iss.uance:�n.accordance with'applicabFe:Pasco�-County�ortlinances. •
CON3TRUCTION"LIEN�LAW�(Ciiapt�r 713� Florlcla�tatu�es,�amended): ff valuation of work is$2,500.00;or�more,,i ��-,;:
certify that I, -the. appiicant;_�have<be,en proyided�with--a- copy of the��"Florida��Constructton� Lien;Law-Homeowner's
Protection Guide" prepared by,tFie"Flo"r�ida Department�of Agrlc.ulture and Consumer,Affairs. If the appltcant is someone=.. ,:�••;
other than the"owner, I certify,�.that l;;have.ob.tained`a'copy.of..the:above..described;docui�ent-and.;p.r.omise:.in,good�faith�.to - �..�
delive�ft to.the.'owner"=p�ior=#oacommencement:� "� " � � ��" � � � � ' - . . �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify.,th�at�,all.th�,Information:Jn�thts appllcation is accurate and that all work
will'be done in compliance with all.appllcabie�laws regulating constn�ction, zoning and�-land�'development. :Applicatlon is
hereby made to obtain .a permit:,to _do,wo�`k::,and installation as indt�afed:- �°I� certlfyi that no work'or Installatlon lias'
commenced p�lor to Issuance of�a permit`and that�.all work will be�pertormed to meet standards-of all laws regula�ing�
construction, County and City codes, zoning regulattans, and land development tegulations=in the�jurlsdiction.-� I�:al'so _
certify that I understand that the regulations of other government agencies may�apply�to the..intended.work, and that it ts
my respons(bility to identify.what.actlons I must teke:to bedn:.corrtpllar�cs:. S.uch agencies include but=are.not ilmited to: •
- Department of Et�vironmental��Protection-Cypress.Bayh'eadsi;�VUetland Areas and Env(ronmentally Senslttve
Lands,WateNWastewater Treatment. � �
- Southwest Florida Water Manageriment�-:District Wells,' Cypress.r+Beyheads;� Wetland` Areas� Altering
Watercourses. - - - - `�� •
- Army Corps of Engineers-Seawelis�'Docks, Navigeble Waterways.
- Department of .Health;:;& ,ReY�abllltative�.Ser;vtc�s/Environmenfal:Mealth Unit-Well.s,-Wastewatera Treatment,
Septic Tanks:. ''_ � . - - . �. � _ �: .
- US Environmental Protection Agency-Asbestos abatement.
Federai Avlatton:Authority-.Runways:� ,
I understand.that the.following.��estrictions apply'to the use of flIL•�
- Use of flll is not allowed in:;Flood,;Zo,ne"V"unless expressly permitted.
- If the �flll material'is to be usetl=`in :Flood Zone. "A", It. ts understood that a drainage plan' addresstng a
°compensating volume" will be submitted at time of permitt)ng which is prepared by a professional engineer
Bcensed by-#he State of-Flo�ida: . ,,
- If ihe flll materiai�.is to:be used In Flood Zbne 'A" (n�connection�with�a pecmitted buflding using stem wall,
' constructton, I certify,that�ll:wall=b.e-used only.to.flll the areawithin�the�stem�wall:
- � If flll material is to be used in .any area; ( �certify that .use. of`such flll will not adversely affect adjacent
propertles. If use of flil Is fopnd�to adversely,�ffect adJaEent properties,.the owner may be cited.for violating,
the condi#ions.of the buildtng�;permit Issued under.the attached_permit applicatlon;�for:�lots�.less�ihan.one (1)
acre wfiich ere elevated�tiy flit;��r engtneered drainage plan is required. ��' •�
If 1 am the AGENT FOR THE OYYNER; I�promise in.good.fatth to inform the owner of�the perrriitting condttlons set forth In
this affidavit�prior to commencing constructlon. I under"stand that�a-aeparate permlt may be requlred for elect�ical work� .
�, ...
plumbing, signs, wells,.pools;_ alr conditioning,..ges, or.othe� install�tlons not•spec�tcaily Included-in.the application. .A
permit Issued shall be aonsirued to be a�license��to�proceed with"tNe work.and:not�as:authoHly.to;vlolate;�cancel, aiter, or ,
set aside any`provistons of the techntcal.codes;�nor shall issuance�o�a.permlt.prevent the B�Ildirig Offictal from thereafter
requirin.g a conection af errors In.plans; constiuction.or violations of-any codes. Every p'ermit issued shall become inval(d
unless the work authorized.by such permlt:�ls-commenced�within si�c;months of permlt issuance, or if work authorized by
the pe�m(t is suspended ar.abandoned-for.a;pertod of six f�)�montfis:after the'tirne the�work is commenced. An extenslon
may be requested� In writing,,from the�Bullding.Official for a period not.to-exceed�ninety�(90) days a�d will`demonstrate
justifiabie cause for.the extension�. If work ceas�s:tor ninety(90)cons.ecutive days�..the job�is.consfdered aba�doned. "
WARNIIVG TO AWNER: YOUR.:FAILWRE.Ttl.,R�E�.ORD A.P�OTIGE:OF;COMMENCEMEMT:IYPAY RESULT IN YOUR
_� PAYING TWICE;FOR:IMPROVEIWEN.TS_Tfl:XOUt��:PROPERTY:��i�°YO.U�INTEI�ID�'TO'��OBTAIN�FIPhANE1NC;�CONSUL.T
WITI�Y9UR LENDER:OR AI�AiTORNEY���OR��ItECOR�111[���;�OU�t'i�'�1��'���COIYi��E�C€Ai�� �-
FLORIDAJURA�(F.S�� 7.03)_ � ' . • �' - - � .
OWNER OR AOENT �. . CONTRAGTO
Subscrlbed and swom (or aftirmed)befo e me this Su�sc�r�ed and' i (ot afflrm )�b me�ftit�
b s � l /� � m e s�-i Y
Who la/are ersonally known .me or haslhave produced Who Islare ersonallyacno m.e_or hasA�ave-produced •
as Identlflcatlpn. � _ a�IdendflcaUon.
t
� Notery Public . � � � Notary Publlc
Commisslon No: "'� � � Co Iselon�No._ 7—�9'�'� �
,�����,,,
Name ot ot�n,�►,�t��printed��pp�MpgE�� Name of Notary ' , �� blic-State ot Florida
' :�+°. .`�= Notary Public-State o}Florida �'� ;�: •= My Comm Exp�res Jul 19,2017
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=•: ;•c My Comm Expires Jul 19;2017 �- °� Commission #FF 034230
�� �pQ� ��if U'Gl���:
;�,F oa; Commission�fF 034230 '� ���� Bontled Through National Notary Assn.
�''°�����''�� Bontled Through National Notary Assn:
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� PRt3PAI�IE C.-�AS Service f�rder/Proposal
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� �Salas, 5ervice & Instaila#ions .. ����' ����R�`'����'T`'E�'�� ���"•"� r�u�
444�1 Aiien Rd. • Ze h rhills, FL 33541 �� '���I�� ����A`E�� �7 f v�l l:�� ����� r'
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IGERANTR� tBS: 4`,�`.-`
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F4l.TERS x x Changed Monthty � �
FtLTERS x x Changed MonthSy � �
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C] REGULAR ❑WARRANTY -`;a;N��,��:�,•, L��:�;,r
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� �TVJf ��7L� C;`�!. l� MAINT�NAh10E CONTRACT „ yf• 8ERV4CE, i
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. . . . :..:-� _ .,�:�:.,.. . TOTAL i
6 _ .63 Q$1 51982..__ 4 _. . _. ' s on � MATERtAt.S' �
❑DEBaT O CREDfT 0 OTHER MAiM'ENJ�tCE �
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