HomeMy WebLinkAbout16-17847 CITY OF ZEPHYRHILLS
n 5335-8TH STREET
� (813)780-0020 �7$
BUILDING PERMIT
PERMIT INFORMATION " LOCATION INFORMATION
Permit Number: 17847 Address: 37759 PRAIRIE ROSE LP LOT 42
Peri�nit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WALNUT GROVE TOWNHOMES
E�t. Value: Parcel Number: 15-26-21-0210-00000-0420
Improv. Cost: 1,400.00 OWNE621NFORMATION
Date Issued: 10/21/2016 Name: HRADISKY ARTHUR & DEANNA
, To�tal Fees: 45.00 Address: 37759 PRAIRIE ROSE LOOP �i
Amount Paid: 45.00 ZEPHYRHILLS FL 33542-2200
Date Paid: 10/21/2016 Phone: 813-841-1852
Work Desc: REPLACE CONDENSER 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 e ir d
DUCTS INSTALLED
DUCTSINSULATED
FINAL I
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REENSPECTION 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 ienposed for the initial inspection or
first rein§pection,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.
"Warning to oen�ner: Your failure to record a notice of commencement may result in your paying twice for
ienprovements to your property. If you intend to obtain financing, consult with your lender or an attorney
� before recor¢iing your notice of commencement."
Complete 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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CONTRACTOR SIGNATURE PERMIT OFFI R
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WE�4THER
813a�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
• ;` •
Date Recelveii � Phone.ContacE'for Permitttn g l � �8 z _ 5�C �
Owner's Name ��/S �i 1� !�� Owner Phone Number O l�" O�`'`g��• I
Owner's Address �7�� 7 ! �}GRGe I�OSe ��3 Owner Phone Number �
,� , .
Fea Slmple Tltleholder Name � ` Owner Phone Number '
. �- , - �
Fee Simple Titleholder Address � � , �
JOB ADDRE�S � � / �� /l�/� f'�P LLs� LOT# � ,
SUBDIVISION {/�A'�/V�(iT C�'!"d d 1J�e �- PARCEL ID# �� � o�` �oC`� D���I� vL� �
WORK PROPaOSED , � �New CONSrR ADD/ALT �" SIG�V NED FR�OM.PROPERTY,T�rice)DEMOLISH
e, INSTALL �� REPAIR � • .
PROPOSED�l1SE Q SFR Q 'COMM - 'Q °OTHER
TYPE OF CONSTRUCTION - Q� " BLOCK " Q FRAf1AE � L] �STEEC Q
DESCRIPTION OF WORK �4 � 9e E �L�CG N�e�S�'-�2 011j�` O� �oZ- ��
,i . . . .
BUILDING SIZE � " " � �' SQ FOOTAGE�. . , „HEIGHT �..J
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QBUILDING $ .,,. . �.� � ` :. ' I
� , _ VALUATION OF TOTAC CONSTRUCTION �
� ' i
QELECTRIGAL - $ , - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. i
Q PL�MBING :$ ' - - � ' -
QMECHANICAL $ �/���, �� VALUATIQN OF'MECHANICAL INSTALI:ATION
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QGAS Q ROOFWG �Q SPECIALTY.�] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ;NO _
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I
BUILDER COMPI4NY' '
SIGNATURE REGISTERED Y/ N FEE CURRE� ' Y/N-
, ' - ,
Addre�s Cicense# � ' ;
ELECTRICIAPI _ _ � '`COMPAWY ° �
SIGNATURE �' REGISTERED Y/ N FEE CURREk �Y/N ,
Address " �� " . License# .
PLUMBER `.,_. . COMP,ANY- - i
SIGtdATURE � � � � ,REGIS.TERED , Y.I.N.. � , :FEE CURREP� ' Y�/fV. . . '
�►ddre�s� ' � . , � Licepse,# r
MECHANICAL �,,,,,��,, p � . C.O�YIPANY �J�J'I�/ZS �}-NGC� � ��/�
,G+W//t�c: ;�'�Y��LE'�..�. ,r: _
SICaNATURE � - `i REGI§TERED , Y./ N . ,, ,:' FeE cuw�En YJ�N�
Address�=" _ •'•��5�'/ i�/�6� � ' ° � . License# �Cl>�c�9T� '
OTHER '" -� � ,. . � ` � � ';COMPANY_ . , , � . .
SIGNATURE I�''= •+ � �` � •� `'� ` ' � ' "REGISTERED� ' ` Y/ Nt.: ` FEe CUR�� . Y/N
Address I - .` , . - . . _ ,� .�' - - � License#� .
�.,,.��t. . . , .�;..,,. �.. ..: ,F,,. .
RESIDEWTI���: �;AttacFi'(2):PIo.t1Plans;;:(2)sets;of BuIlding:Plan's;`(�1)set of�Energy�Forins;�,R=O-W�Perrtilt for new aonstrticUon, � .
�, '�j^:p i.:.Minimumsten°(:1,0);working;days,aRer,rsubriiittal`datei:Requireil onsite,:Con§trucdon�Plans;Stortnwrate��Plans w%Stlt'Fence installed,
';' -Sanitary'FaGlltles;&1��dumpster,SIte�Work,Pertnit for subdivislons/large'projects: :.,.;;-. ` `
CONIMERCII4L Attach(3)�eomplete sets of Building`Plaris plus a�Life Safe{y�Page;(1)set of Energyi 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 Facilides&1 dumpster.Site Work Permit for all new�proJects:All commercial requlrements.must meet compliance , _. �
. StGN PERMI�' Attaoh'(2)'sets of-Engineered:Plans.;:-�.�,�� � � �. ' ' ' �
� ""PROPERTY SURVEY reguired for all NEW�construction. , ' - , •
, -
Dlrectlona: � `r�:5�ta.=. - - - `
Ftll out applicatlon completely.
Owner 8�Contractor sign back of applicatlon,notarized
If over;2500,a Notice of Commencement la required. (AIC upgrades over ST500) - �
�, �:,:,�..,
" Agent(fo'r the cohtractor)`or Powe�ofAttomey(fo�tiie'owiner would,�be someone virith notarized letter from owner authorizing same
I 1�"..�i.K,� -ya:varxu!n:tiS�c�ss�nni�et�s�s.sx•:.t'r:�c:R�..�,-�a.r ,- ,
DVER THE.COUNTER:PE�MIT'LING;��r;;�-:(Front c�f Application Only)-�•_ � �" ,�.,�;..��•h���-�� ���r' I
Reroofs if shingtes Sewe�s t .,, Service;.Upgrades A/G�;=��F.e�oes(PlodSurvey/Footage) �;.�y q� ,�,r;�;?;r�= �,:;r°��,,,
I . ,. ..:,�,n 4C)' 1 __ f' .t .� , .1..�`. �L�1.) . �`�.i�:. � .r
� l:;•i,.';,e ;:;�; t.:}r;[;t;�_,;,e}•�,`" _� ".;,�`�."--i:, v,`'�''" t�4 9't;t2 •:7�:�,1�`�3'�5S4s1z° , :�,.: tia�
� �i�ii4:. Ce � ',�r�',:.J . .�a�
Drivewaya-Not over G3`,ounter.If;on;public,roadways..needs:R•O,,Vtif:-� � '+��s�e,�;4,;, ,:,,,�;_, jn;,,.3� �'�;' -,,,�V ti.��,4 �
� �.t �;;;a.`,;�,,:,SnP:inF;i�;'iL'.i9`'.i�'i.�..i„tf "'���.��,a•�� p ,.y.no-�.:dl ��''i: tti}r:,>.�+Tt17tf'!.1 ,.Y;J� a
„��."ta�i�'""�,�"""&G"*,�'�,.�tr��;,t;�'•�y.:.�...i��,h�sr.�t;f"'r"':..T/e'cx:3,;.a3 i:...�+' g ,,•°nf,:' '•,a`.`, Y�,�
.ttZ$h'y��zi�1i jn�C�GL`.•f'y�,rt,;t;�g�y{;,�F J` 'y s
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NOTICE OF DEED RESTRICTIONS:. The u�deesigned undergt�nds�:th�trthis;p�rmtt,.may.be.subJect,to,"aeea",resUtctions"_:it 4�`:�. :.
which may�tie;more��r.est�(ctive=the�n County�regrilatrons.`=TFie:undersigned=a§sumes�responsibiiity='fo�=compHan�with any ����'��"
applicable:deed�re�trictlons. �.. :.��.' <...;. �,. : • " . .. _. �, .,_ .�: �..�_._�? �. ��-, ; ,.,,��-
UNLICENSED=COPITRACTORS AND CONTttACTOR RESPONSIBILITIES:���==If�the�owner-has�'hie�d;°a�`conMactor or
contractors�to undertake work, they may:be;re�qu1r,ed.to.-be;lfcensed I��ccord�nce.:with��tate:and�loc�l.,regulations:��If�the`��--' `' "'f
contractor=ls not Ilaensed�as requlred;tiy law,:both�the owner,and�confractors�may'be�clted�for�a��misdemeanor violatlon
under state law. If the owner or Intended�contractor,are.;uncertaln as to what Ilcensing.requlreRnent�:�;may-��appty�:for�-°tlie��:=��������°'
' _ ., . . . . : _
� intended work,tFiey a�e'advlsed to coritactitlie:Pa`sco�County.Bulld(ng.Inspection,,Dlvision;.-Licenstng Section at 72T-847-
8008. Furthermore, tf the owner'tias'fii�d�� con�racto�'or confractors, he Is advtsed to have �the contractor(s),,sign.
.:-....-:.::,,�. :,,:.�;... � �::,;�;::
' portions of the "c.ontrector._Block".of.this,application_for.whlch.,.they,..will..be-.responsible.-.,If..you;=as,#he owner�'_sign�as`the"� � " �
contractor,-thatinay be ara indication that"he�is~not`.properly'licensed�antl'Is'"noC entitled to permitting prlvlleges in Pasco
County. . , - , �:�_.:���;�
, ��.. ._.:-:�
TRANSPORTATION3IMPACTIUTILITIES=1�fAPAC7 ANb RE�OURCE ItECOVERY�FEES:"The�unde�signedTunderstands
. . .
thatTransportation Impact Fees:and.Reco.urse.Recovery.Fees mey��apply;to�tfie;congtructlmn of new.butldi�gs�:change of'�����=������'`�'
use in existing buildings,�or expar�si�n���of-�existin�-+buildings, �s specifled.in Pasca County Ordinance number 89-07 and
90-07, as amended..;:The undersigned also:understands, that�such fees;;as:�maybe�=due;,:.w.11l�be identi�ed at the timewof°'° �1'�f'�
permitting. It Is iurtFier understood that Traasportation Impact'Fees and'�Resource_.;Reco�ery�Fees:.mu�t be pald prlor to
receiving-a "certf�cate:-of occupanay"�or flnal�.powerrelease:-:lf�the.proj�ct:.does;.not Involve�a�certiflcate of occupancy.•�or j��}�-���;��
flnal power�.release;:�,the=,fees must�be'pald;pcior to;permft tasuance. Ft��t�ermore;�ff Pasco:County'�Vllater/Sewer;impact� .�::-:�;�_"�
..��_. , . . . .,. ._:,
feesaredue,.they.must.be=paid:.pNorlo.permtt_�;I§s,�ance�in.accordancewitl���pplicatite;Pasco�,County-ordinances, •
CONSTRUCTION'LIlENxl:A1PY"(Cliapter 713� Flor�cla St�tutes�.a��m�nded): if valuation of work is$2,500.00:oc;more,•i�� :; =�.LLr:
certify that I, �he applicant,:�have�been proylded��with--a copy�of.'�.the:�"Florida=='Constructton�'Lien'Law—Homeawne�'s
ProtecNon Guide" prepared by,the"Flo�ida Department of Agric.uitur� and Consum�rAtfairs. If the appilcant Is.someone� .- �., .
. ,. . .... : . ,
- .w;
other than the`ovmer", I certffy;,that.:l;have:ob.tained�a=eopy.of:#he:above..des.cribed:iiocument-and;promise;in,good'faith�to � �.;
deliver(t to:the:'owner".•pi�or-to commencement:'' . - •-- � . �
CONTRACTOR'S/OWNER'S AFFIDAVIT: 1.certKy,:th;at�all.the�,lnf.ormatiqn:in�thi�appltcatlon is accurate.and that all work
will'be done in compliance wiih all.applicable laws regulating construction� zoning �nd��land.development. Appitcation is
hereby made to obtain .a permit;_to,:do..,work,�,and li�stellatlon as ind[�ated:=� .1• ce►tffy that no work�-:or installatton fias�
commenced prior to issuance of'�a permif and that�.all work will be pertormed�to meet_standards�of all laws regulating-
construct(on, Counqr and City codes� zoning regulatiQns, and tand development regdlattons�in the.jurisdfction.���laal'so. �
certify that I understand that the regulations of other gove�nment agencies may�apply;to the_intended work, and that it is
my responstbility to identify�what.acttons I must�take,to be�in:.co[�1pl,lance:,.Such agencies include-but�are,not itmited to: � - :
- Departmen� of E�lvironmental=Protection"=Cypress�Bayhead�; Wedand Area� and Envtronmentally Sensitive
Lands�WateNtlVastewater Treatment. � � � � -
- Southwest Florida VVater Management:��� Distric.t-Wells; Cypress.�Bay�eads�,-"Wetland Areas, Aitering
Watercourses. - , , . � . , � ,
- Army Corps of Englneers�Seawalls,�Docks, Navigable Waterways.
- Department of ,Health;;�;,ReMabilitativ.e,Senttces/Environmenfal�Health�-Unit-Wells�:Wastewater�Treatment,. �
Septic Tanks.:` = ' - " - "• - . - _ _ _ _ _: .
- US Envi�onmental Protection Agency-Asbestos abatement. .
- Federel�Avlatlun.Aulhorfty=Runways:% - �
I understand:that the�followtn."g;restcictlons apply`to tfie use of flIL•�
- Use of flll is�not allowed in:Flood;Zone"V"unless expressly permitted.
- If the-fill`materfal=1s to b.e used.`�In :Flood Zone "A", it. is understood that a drainage plan. addressing a
' "compensating volume" will be submitted at tlme of�permift)ng wlitch is prepaeed by a professfonal engineer '� �
Iicensed by-the State of�Flo�ida: � - � , _ . • � -
- If ihe ffll-material-.is to be used�in Flood Zone 'A" In�connec�ion�uvith�a �permitted building using stem wall_
� conatructton., I certify.that fill:wall::b.e-used only.to.fill the area wtthin�the stem wall: � .
- If flll materlal is to be used in any area; 1 certify t#�at .use. of such flll wlll not adversely affect adJacent
' propertles. If use of flll is found�to adv.ersely:�ffect adJacent��prc�perties�.the owner may be cited for violating, "
the condi#ions�of the building;permit.I§sued�under tlie attached,permtt �pplicatlon,-for:.lots less.�.than.one (1)
acre whtch are elevated`tiy 1111;a�engineer•ed dralnage plan is required. .
If I am the AGENT FOR THE OWNER,.I;.promise in,good,fatth to fnform the owner of the permitttng condfttons set forth in
this affidavtk�prtor fo commencing cvnstruction. I underst��d thet a-separate permit may be requfred for elecMcal`work, ; . ,
plumbing,,signs, wells,.pools;. alr conditioning�.g�s��or other Installa�t(ons not�spec►flcally included�in.the appiication. .A ,
permit Issued shall be construed to be�a'Itcense'�to�pi�oceed wlth tFie.wo�k,and-not�as:authoHty.:to,vlolate;'cancel, alter, or
set aside any provisions of the technlcal codes;�nor shall Issuance�of a.permlt.pcevent the BulOdtrig O�ficlal from thereafter
requlring a correction Qf eRors In-plans; constiuctlon or vlolatlons of-any codes. Every�pemttt=lssued"sFiall become invalEd
unless�the work authorized:by such permlt:�Is.coRnmenced�wlthln sUc�months of�permlt lssuance, or (f work authorized by
the permtt is suspended or:aba�doned-for.a:period_of slx(B)montF�s.after the#Ir�e.the�work�ts commenc�d. An extension
may be requested, In writing,from tfie;�Bullding;0(flclal for a p�riod.�not.to-exceed nlnety�(90)�days a�d-vii111`demonstrate
Just(flable cause for.�the extenslon�. If work ceases..for nlnety.(90)cons.ecutive�days...the job;is consldered aba�doned. - "
WARNIPIG TO OWNER: YOUR..FAILWRE,TO...R�ECO�tQ A:;I�OTIGE OF:�CAMMEN�EMEII�T�MAY=RESULT IN�YOUR �
PAYING TWICE;FOR INIPROVEMENTS�TO;�YOUi�:PRDPER�7Y:�il�°YO.URINTEI�ID:TO`��OBTAIN�1FINiAf�EtNG;�C.ONSULT
WITH YOUR LENDER OR AN ATTORNEI���EFOR��R�ECOR�Ip��YOU�'NOTIG�'OF=C�QI4111111ENCEIIM��NT' ° � - -
FLORIDA JURA�'(F:S: .03) A .`` ' • � , - , '� � . „ - - �: , '
OWNER OR A�iENT - �,e'�Piyt:2/L=-- ���'�CYO ` - - — - -- - - — ` - —
`"subscilbed and avuom (or atflrtned)b ore me thls Subscelbed'and'swo - (of afllrmed� ` me'tfii� .
/Ut�-/ �5 r' !fl-aZl--%!o .:•b � r� G. r5 ��'
WFio Isla ersonally knovm .me or:haslhava.produced Who.ls/a. onally kno • :me or has/heve-produced �
� ae Id'enBBcatlpn. as IdenBflcatlon.
� •
• Notery Publlc . Notary Publlc
Commisston N " Commisslon•No. ,
♦1PaY p���i . .
�`��11Oj��� SYWfA A.CAMlPBELL �=_�'• �°�: Notary Public-State of Florida
�pR�p(i�i
Mame ot Nota � , 9t84Ml�dl�ic-State bt Florfd� Name ot Notery typ st�fq�m.Expires Jul 19,2017
:'• •e My Comm.Expires Jut 19,2017 sj, p°;� Commission�FF 034230
�OFF����� Bonded Throu
q,F oP�:•' Commission+�FF 034230 '"��""� gh National Hotary Assn:
��''°���"��� Bonded 7hrough Natlon�l No1ary A�Sn:
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_ � Ser��ce OrderJPro�►asa�
A�D A,l� �t�tc. Air Conditloriing&Heatin�
� �ir�e�9c�8 8�3•{?'82M�t3�3
i Sales,��rice & lnstailations . WORK ORDER#JSERV xCEMAN G95��� JUN
4441 A�len Rd. • Zeph�rrfiif4s, FL 33541 DATElT i ME TpKEI� 07 i 13 f i 6� 08;��
TAKEN B�( K I M ��►
NOTES: DATElT I 1�E PROM I SED �t71 i�!i fs �+�:�D�
�'R�y CUSTO�iER#lLOCATIf1iV �83I6
f�HOttiiE# 8f 3-841--185�
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� lJr o�Q� � 1f,�lD �L�D4Q �'t'-�o�D RDUTEISE4� JUN
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HRADISKY, ART HRAI3SSFiY� ART
�7759 PRA I R I E RCISE LQt3P 3?75�3 P RA i R I E ROSE LQOP
� - WALNUT GRQVE VILLA�
ZEP'NYRHZLLS FL �3�4� ZERHYRHIL.LS FL33542
� � GOODMAIW �/13!15 N. 0. I. I
� ' CD: USX 130�41 EH, 141�2iP1133�
AH: ASGT�0Ci4A8, 14ii�5��33
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� CI REGULAR C�tNARRANTY f }, �• '�, ���,'='�+`'�F
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LIMITEDiWARRANTY: Ali rr�teriais,parts and equipment are warranted by the manufacfurers' �;;�;..,���: •�,,,�' •,-
ar snppGers�written wananfy oniy,Alt tabor perioimed by the abave named company is waaanteQ far '�"- �"�`^°' "-� � ��':-.��"�?
30 days or as othenvise indlcated in writing.`I1ie above named company makes no other warranties, ❑GASH ❑CK# TOTAL , r
express or implied,and its agerds or technidans are not authorized to make any such warranties on MATEf2lALS {
6ehatfofab'ovenamedcampany. ❑DEBlT 0 CREDIT C!OTHER MAlN7ENANCE _
�nave auuiarity w emar mme wone aun�eed amve,+mkd,nea neen se+;sraaeriry wmpteted.�agree mac seuer PROG. W 1 C
retains title 1`n eqaipmanVmateriais Nmished�vntlt flnal paymant Cs mada.N paymeM is not mede as agreed, (',,�(y� }
seuer Can remove said equipmentlmatariab et 3eller's expertse.My damage resulting from said remaval sllan
nALLUNPNdBALAN E OVER30 AYS.OYREFUNDS$�����GEWIt1$EADDEDMON'CNLY70 �yATE COMPLE7ED � �
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oustoM�s�cHansrt� an-re �1�2%tZ� �as,u TOTAL i
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