HomeMy WebLinkAbout16-17870 �
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 17 0
� BUILDING PERMIT
- PERMIT INFORMATION LOCATION INFORMATION
Permit N'umber: 17870 Address: 5251 19TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class a�f 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: 11-26-21-0010-17710-0060
Impro . Cost: 3,425.00 OWNER INFORMATION
Date ssued: 10/31/2016 Name: MOORE, JAMES & MARY
Tot I Fees: 55.00 Address: 5251 19TH ST
Amou t Paid: 55.00 ZEPHYRHILLS, FL. 33542
Da e Paid: 10/31/2016 Phone: (813)362-9181
Work Desc: DUCT WORK REPLACE ONLY*'`********
CONTRACTOR S . APPLICATION FEES
BAHR'S ROPANE GAS &A/C, INC. MECHANICAL FEE 55.00
, .
�
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, � �
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Ins ections
D CTS INSTAL ED
�
DUCTSIN$ULATED
FINAL I
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
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 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.
"War ing to owner: Your failure to record a notice of commencement may result in your paying twice for
impr vements to your properly. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of comenencement."
Complete 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.
� �
�... GG�yyi.�
ONTRACTO SIGNATURE PERMIT OFFI R I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�eo-ao�o � �City af Zephyrhills Permit Application Fax 813-T80-QQ21
� . SuHding Department .
Dats Race4ve ' . . � F?hane•Cantact for.Permiftin �� �r� — �� L�
Owner'a Namd� Q-!Y1 E Owner Phone Number o��-� ���Z.'�/��
Owner's Add�sss �o�J'r/ f�� ��. - /L �S Ow�er Phone Number �� �
Fee Slmple Tltleholder Name � � � Owner Phone Number �� -
.;� '
Fee Slmpte TI leholder Address °
JOB ADDREB� � / �� � �•t ~ L r�.
r�� .,,, � /L �" /�"'� LOT# ��
SUBDIVISIO � � PARCEI.tD# �l � �I �C3I� l�?j}r �
, , (OBTAINED F.RdM PROPBRTYTAX NOTICE)
WORK PFtOP SEQ �NEw CONSTR' ADDlA[.T C� S1Gt+f Q- C] pEMO1:iSH
�_e. INSTALL � • REPAIR �
PRQPOSED: SE Q SFR � `COMM � OTHER .
TYPE OF CO STRUCTION - Q"` `BLOCK ' [� FRAME �] 'STEEL Q
DESGRIPTIQ OFWORK' „ �Cd �1.�77'7E.. �lYl�l.�e � e ZQL"�ZyC1G5?Z. fI/I' LE/'1 L •f—'
BUtlDING S! E �� ` � SQ FOOTAGE�� . „HEIGHT����
QBUt1.dING �� Vp��ATtON:{3F 7'OTA4.CONSTRUGTIi�N.., ,
QEL. CTRiGAl. �$ �~ , ' � AMP SERVECE Q Pf20GRESS ENERGY Q W.E2.E.C.
�_�...
QPL�MBING �6� ,
QME NANIGAL $ �,���.. �� VALUATIQNQF=MEGHANICAtlN$TALLATipN-
QGA Q RQOFlNG Q SPEGtALTY ['� OTHER= `
FINISHED FL OR ELEVATIONS �� FLOOD 2pNE AREA [,�]YES NO
BUIl.DER COMPANY'
SiGNATURE REGI3TERED Y/ N FEE CURREP Y/N
Addre�s � � - - Llcense# �� �
ElEC7'RIC . : ..'COMPANY� " • _
StGNqTURE "' REGISTERED Y/ N FEE'CURRE��•� 'Y/N
Address ;. - . .- . LEcense#.( -. . .�
PLUMB£R' CONIPANY �
StGNATURE , ; ,REGIS.TERED Y./,.N•. ` FEECURREn " Y•/N • '
���� � ..Cicanse# �� 4�
StG ATURE• �'����{1��h-' , GOMPA�IY R�/�R.S. ._ {'� f�;/t�L�T�fi"''lC�(,�
REGISTERED Y./ N . , .FEE CURREA Y/�N
t;
�a�« � �y��! �-tl���E��- �-���,cs e�,��'S l � � ����Ss#� ���3�� ^�
:� . . -
OTHER ' � � � � ` ';COMPRNY
SiGNATURE �_ � '��� ' � • ` ' ' ' ' REGISTERED Y/ N,,. FEE CURRE� Y/N
Addf6• ,' � , .. °a . . t . ClCetf56#'� �
RESIDENTI,. ', � -Altacti;{2},�Ploti P;laiis;,(2)sets�_of Bu�lding�Fians;(1)seE of-Eeergy�Faims;�R=O�W'Peririit tor new c;bnstructiari, -
�_.Minimum.ten;{1,0);woricing;,deys aiter"�submifEai`date.�:Requlred onsite;<Constiuc8on Piens;Stortnwater Plans w!Stit Fence�instailed,
Santtary Faclllties�.&1;dumpster;SlXe;W.,o,r1c,,Permit[or subdivisionsAarge;pro)ect�i. ' -
COMM�RG Attach(3)ciiinpiete'sets''of BuHdfng`Pians`piiis a l.ife Safetjr Page;{'f}set of Energy Forms.R-t)-W Permtt#or nevii cans#nsctlon.
� Minimum ten(10}working days'afker submitta�.date. Required onsite,CansUucUan Plans,Stormwater Plans w/Silt Fence installed, _
� SentMary Facflitles&1 dumpster.Site Work Pertnit for all new'projecfs.All commerclal requlrements_must meet compllanbe�"=`� �
Sl�N.PERMI Attacti"(2)sets�of�Engliseereci;Rlans.;,:�.�:K e, �, _ . . • .
"•"PROPERTY SURVEY required_for aii_WEW construc.t�on.,_ . � ,
Dlresttons: � . - '
F(Ii out a piicatlon completely.
Owner 8 Contractor sign back of applicatlon,nota�ized ,
tf aver 500,a Noticc�of Commencament 1�requ�red. {A!C apgrade�over S75fl0}
�, ��'�.�.�.-.�,< . .. . �
MY� �s.� .
Agent(f r the contractor)or Powe�of74ttor►iey(far tiie�owner)would be someone with notarized letter irom owner autha�izing same
dVER THE C UNTEtt:PEEtMiT-"iiEiG� ��,�;�Ri��a#�n,r�t1Y�,�.���s,r
k' ��=r��s#�"�nc�4`�as�il�;rs4��
Reroofs if shi les Sewers rvice ra '.v? � ; w cr, � +:sw^ ,,;:���•:,
9 .sUpj d8� �C3,i � Fences.(PIoUSurv�y/Foota9e) ..�'(3. tA:. ��`1f,. G .� :,.
M 'i'•�.,�.,`,�r,� .�
:........ ...... libt'•.ti�i 4C`?il�el�}` _;i,+lU!��l;';F.i�l�i 'rL�,`,��=:i� '�,1�,j ��iilriE�t�.l qtsiC- .u'=;;�5 }�S61C�:� far"-w �. .
Drlvewa -Not aver Coun#er tf an 'ubi�roadwa .;needs ROW�,^. --;+{,�, _ � t• �,t; C � y; . �. ,t*,f',;.">'�`
� �. �� ,�,���j` s i i_� . �.i<2 2i1; �`:4ii�.. %r� �+rc A�
�'r:�o:.,�. 1? 'Cz tiCl22SI±ii';r!; :�';," � i:E�a�C1 �`� f;�J r i�.,•f%„�w,.. .
� � ii;�f;ftif�.,; :,.�t.�'�'I:;j��6
.�c.'i`S';d�i'Y:�i4�`:rXS'r9'��d:.�.�i:T::_}Lutt�L) /MJ'��S=�i�;,•.+'`` � .r+Ss t r : y'��ar. �s:�3s:i:�����.
3.d.. .4a"1Gv �i�'137}0�,1�•SJ.�i��+� � fti,
. �p6i+�$��^�`�`�.�°'w��� �$^.��td�
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Y 11 ,:ip. ....�. d
NQT#CE�F DEED�E�T.R�GTIONS. The undec�lgn�d,undet�tands°=th�#�th1�s;�rmit�may,nbe,subJecl,to_�deed .testrlctlons ..._�__�,�_..:,
which may�be.<mor`e�.restt(ctive��th��t=Gountyr�c�gr�latCons;"The�unde�slgned°assumes responslbility°far''comp'dance-witii�any" �`""""`
applicabte:d+�ed'restricttons. . � • _ , . _ ,.= ..� � . ..�_,
UNLiCENSED�CONTRACTORS,A�1D Ct1NTRACTOR R��PONS18tLIT1ES: £tf=the�awner has���hiredY�a contract+ar or
contractors ta undertake work, they m�y;bs.;r,eq�ire.d�,ta�be,ltcensed In..accardance.with�state:.and�iocal regulatl."_o_ns:•}Ifthe�� �r -
contractor 1's�nat tiaensed=as'tequlred"by law,"bath #he owner �rad-ciintract�r��may #ie��ci#ed�.for°a�misdemeanor vtolation
under state law. If the awner or Intended.;}contra�tor,;are;:uneertaln as to what Ilcensing:re,qulremer�ts:may-=apply�:for�the'-. -•�-���°-'
. , � �.*., ,,... .,. ..�...
intended work,-ttiey are=ad'vlse�to caritact:ttie:Pasco County,Bul4dtng;Insper:tRon Ditir,Isl,or�--L•tcensfng�Sectton at 727-847-
8009. Furthermore, tf the owner`tias'hire+d"a ccin�a�t+oF'o"�icoritractors� he Ts aiivised to have;the contractor(s),,.sign : ,.
ortions of the._contractar Block' of.this..apq Ication.fo_r_,which�the ; wfll.be,r,�sp.vnslble.-..If you,:as:#he_oviin � ' "��` �� �
aontr�c#or� that�may�be an indir:atlan thatfieil=ls not properljr`ItcenseE!"�ntl`�Is'naf'entt�ed'#o petmlf#�iig�priui er''_s,ign-�as°'the ,.' :
p Y
#eges In Pasco
County. � - � _ .,. ._., - : , ��., �
TRANSPORTATIt?N,IMPA►CTItlTlLl'1'IES-�CMPAC'��AN��ltESOF1ltCE RECtJVERY�FEES. T�he understgned"unde�stands
that Transportation Impact Fees and.Reco.urse.Recovety.Fees mey�:ep{ity:�ta�tfie 4construction:of new.buildings,,change'=of```�` ��-.:=�
use in existing buildings; or:exparisi�in�tof��eiilsti��:'�buildings, as speclfled.in �asco County Ordinance number 89-07 and .=>
So-o7. as amended.,.The unde�stgned alsof�nderstands, thaE=such fees,.sis�may:���:due;�wlli;��be tdent�ied at the��t�mea�oft�� °u� -���A
permfkting. It Is furkher understood that Transporkatlon Impact'Fees and,Resour+ce�.Recovery��ees..must be pald priar to
rece�utng a•ce�fi#tcate�of-acxupancy°or flnal•.pawer�release: =1f�the.pro��ct;.does�.riot irnaive�a�cert�tcate of occupancy�or f�.;�<� ;.:;
flnal,power release;.the�,fees-mu�t,�be patd pclor#o.permft issuance. Ft��fhermore;ffPasco:County��iNater/Sewer�impact� ���...- .
fees are due,.they.musk.be_pald..prior to permit-lssyance`ln,acQardance wttt���ppllaatile.Pasco'-.Coun#y-oidlnances. �
CONSTRUCTtON��:IEN'I.AW'(Cli�pter 713� Flot�cia�ta�ut���as�mend�c�}: If valuation af�nrork ts$2�500.00�or more,.1� : ���;
certify that I, #he applicant,. have-been provided��wlth�a�-copy- of.�#he. °Flmrida Con"strucHon� L(en�_Law=-Homeowner's
Protectlon GuideA prepared by ttie F1oi�da Qepattmeat of Agcicultc�re and C�nst�mer Aftalr`s. If the appticant is someone ,.
ather than the"owner", I certify.�.that I.have;obtainetl=a�copy;of:the:abQve.descNbed�docuinent:and:_p.r.omise�;in,gaotl�.faith�to . >f,
deliver It to the-'owner":pr:ior:=to.=cornmencemeni:" • .: � . _ �_
CONTRACTOR'SIt3WNER'S AFFiDAVIT: i.certity:;tiiat:att�the�,tnf.ormation:In�thi�appltcatlon i�accurate and that ali work
wlll'be done in compliance with all.applicable�laws regulating constructlon� zoning and�land�'development.` Appltcation,is
hereby made to abtaln .a.pernn�t.#o:do_:wark.:,artd�Ihsfallatlon as Irtdt�at�d:•:..�°I cettify that no wor�=:or tnstallattoit Fias
aommenced prior to Issuance of'a perrriit'and� that�.all work will be pertormed�to meet standards�of all laws regula�ing�
consb�ctc#��n, County and C�ty codes, zoning regulatlons� and.iand devalapinertt r.eg�,ilattons=in the�urisdtctlon.= I��aisa _
certify that i understand that the regulatlons of other gavernment agencies may�apply'to the intended.wotk, and that it ts
my�esponsibHity to identtty�what.actlpns I must�take:to befin:.corrlp!lar�ce: Su�h agenoles Include but=are.nvt Ilmited to:
- Depar#ment af E�vironmental.tProtecttori-Cyp�ess�8ayfiea��, W�'Nand Areas and Enuironm�an#aliy Sensitive
Lands�Water/Wastewater Treatment.
- Southwest F1or�da 1N�te� Management�:l�3s#rictVllells; Gyrpress.�8ay.heads;� ��Wetland� Areas, Altering
Watercaurses. � �
- Army CQrps af Englneers-Seawalis,Dacks,Navlgatile Waterways,
- Department of.Heaith'&.,Rehabtlttafive,Setvlces/Envitonmenfal F#eafith Unit-Welts��lNastewater=Trestment,
Septla Tantis.. . ' � , .. . _, _ --
- US Environmentat Protectlon Agency-Asbes#os abatem,e.r�,
Federal�Avlativn.Aut�ori,ty-Runways. ' �
t undet�stand that the.foliowirig.�restrtctlons appiy#a tFie use af flll;•
- Use o#fitl is not allowed in'F1ood,;:Zone"V"untess expressiy permitted.
- If the fill mate�lal�-'is to-'b.e used. in.:�lood Zone. aA"� It is und�rstaod that a drainage plah addresstng a
"compe�tsating votume"will be submftted at tirne of�permitting w�lch ls prep�red by a professianai engi�eer
Iicensed by'the�t�Ce of F�o�ida: � .
- 1f the flli material�1's to be used In Flood Z�ane "A" in4 connectton-wl#h:a�permltted buiidir�g using stem wall
� aonstn�ctton, t certif�r that fULtirall.�be used on(y.to flli the area wtthin the��tem>wap: �
- !f fl!1 mate�ial Is tb tie used !n any a�ea� 1 certt�r that .use of such flll wlll not adversely affect adjacent
' properties. It use of fili is foand ta edversely��ffect ad)a�ent��properties,.the awner may be ci#ed for via�ating "
the condiilons_of the bullding;permit Issued under tlie�aNached permtt appQcatian;:for.:�lots-.less�than.one (1)
aare whicti ar�elevated�tiy flll;a�t engl�teer$d drainag�pEan is requlred.
If 1 am the AGENT�OR THE OWNER;.1?.promise In_goad faith#o inform the�owner of•the permitting condft(ons set forth in
this aftidavtt'prlor ta cominer�cing constructlan. �i u�a��tana tnat��:separate�permlt may be requtred for electrlcaP work, .
ptumbing, signs, wells,:poots;, alr conditioning,-.ga�s, or.other ins#al��tions nat.spec�ically included�in.the�application. -A _
permit Issued shall be canshued to b`e�a�Itcense�to�proceed with tiie:wo�k and-nat-as:euthoNly:to,vlolate;�:cancel, alter, or
se#aside eny pravistons of�tlie#ech�iEcal-cade�;�nar shalt lssuance�of a.permit.pr.event tt�e 8altdtcig Of�clal from thereafter
requiring a correction af errors in.plans; constructian or vlolattans of-any codes. Every perml#Issued�"sfialF•become inve�l(d
un4ess the work au#horized.by such permlt:�is.commenced•wlthtn sf�c.manths �f permlt issuance, or tF wark authorized by
the permit is suspended or abandoned�for.a;perfad;of�six�(�)�monfiis:aRer the tirtte-the�wortk�!s commenced. An extension
may be requested� tn writing� from tFie.Building,Official far a period.not-to.exceed'-ninety�(90)Tdays a�d-.will demonstrate
�usti#iabie cause far.�the e�ensiot� If work ceases..for nlnety.{90}c�ns.�acutlue day.s...th\fob��sconsEdered aba�daned. , ,
WARNING TO OWNER: YOUR..FAIltJRE,T4�.R�C.O�tD A N�TIGE�:OF=�C�MMEMGEMEI�T=NIAY�RES{�!T 1N`YOUR
PAYING TWICE;FOR iMPROV�MEN�'S�-TEJ.YOt�1.�,;PROPERtY:�tiFrYO.Uwii�'�E�VD:TQ`'C�BTAIN��FiN�WEMIG;'CC3NSULT
WIT AN�►TTO NEI� F `REi.ECOR� ��� OU ' • �'O '� `�� � E '
FtORIDAJtIfiA��{F,S:11�.03} ...� — - . . �. . � _ � . ; :'- .
ONRdER OR AOENT'"' Y'ati�L��,��,,.�_ - —Y-COMTRACTO — ——�— —- . -- — ~— -
Subsaibed and swo (or ai9lrt�ed efore me this Subscrlbed and' = ot affinn b�` e ttifi�.
/0-�1�/� b G. s�eyr L'� �3/-/� •b,�,,,:,,, �m� �� y?t�s�rrP�`"
Who Isfare rsonally n .me_or;has/have,produced Who.le/ere 'reonalrykn�me or haslhave-produced • �
` �s Ideri$�ca�Gh: � as id�tntlficatlon.
� �
Notery Pubttc . Notary Pubiic
Ca is lo tVa"- Com ss n. a, �
�..���,�',;;P�•.,, SYIViA A.CAMPBEI:I ��tiPpY p��/� SYWIA A.CAMPBE�I
Name at 9 ;� k� iC�p $e o rt a Nam a ed ri a
_• •: My Comm.Expires Jui 19,2017 ='+ •= Y Comrtt.Expires Jut'19,201_7 .
,�ij�4F f��o�� Commission�FF 03A230 ��'��tot i*oP�;� Commission�F�034230 � �,
, .
+•t���••• 6anded?hrauph Natlans!No2ary Aser'r: 6onded Throuph Nation�l Nattiy As�i: . �
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� _ PROPANE GAS Service rcier/Proposal
� p►�� AI C �Nc. Air Conditioning 8�Heating
��rc� �988 � 8�3-782-5013 ' , --
� � ItJC7{-�'Y•, f_"!��'rI:'..�'ii�i?F���:''�'?��'���'�H i'�_'.v�;:i ��r`T
ales, Service & Installations . ;;����.�-i-_F�Zj�. -i��x�,��a ; �,:� .��:�:_,.��, :�C,��^
4441 All�,Rd. •,Zephyrhills, FL 33541 '�'�=7i-,�.��.� r�.;� �z�� i-��:r,� L°���
NOTES: ���,��� ��=��E�.. :f-:iC��tl•= 1�-'fa��s`TI��r���7 � ,:� :�y�:;���: i� !.�?t�a��t��
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`Annual Main enance:Recommended�tiy: II-Equipment;Manufaeturers'�;` � � �
= =- • � - =� •~ Pressures Lo T Stat i i
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r" � ❑ REGULAR ❑WARRANTY _ ��TAL`SUMMARY.,-`�--';"•.---•=`
,P;�' J, =,-iy..r,�:�:;.;�. - - - .,av�;"�_,.;=+*_.S;:'_ : _
.Detiumidist t'Settings; When"here"O ";�When Away�6� 5tat 86°>: ❑ MAINTENANCE CONTRACT _ SERVICE���� i
LIMITED�WARRANTY: All mateiials, s and e i ment are�ivarrant€`6' the1D nufacturers' ', - � � ''`�� ' ! '`" CALL i
P� P . Y -°,={v1��T'HOD;QE;PAYI�IE�1T_<.::�='<��=_::�
or su liers'writt�en warran onl All(a�or rfortned b the abo Y�'n'amed C6m an �s a�ranted for �'�`�''��`` -°=ry` ° -_--- - '•s"`�"'�-"--_
PP ty y � P y' TOTAL i
30 days or as ot�erwise indicated in writir�The above amed cdrapany makes no oth r;�7artanties, ❑'CASH' ❑CK#. MATERIALS i
express or implied,.and its agents or technicians are n authorized to make any su`�h warranGes on
behalf of above�amed company. _ �c � � ❑DEBIT ❑CREDIT 0 OTHER MAINTENANCE i
I have euthority t order the w6rk outl' been satlsfactorily completed�I agfee that Seller PROG. W/ C
retains title to eq ipmenUmateri urnished until final pay ent Is made.I(payment is�rot made as agreed, CLAIM#
seller can remove said equip Vmalerials at Sellar's ex e e.Any damage resultlng from said removal shall ���
not be the respon ibility of Iler.NET 30 DAYS.A 1 %S RVICE CHARGE WILL BE'ADDED MONTHLY TO � �yq �1
ALL UNPAID BA NCES VER30�AYS.NO R NDS DATE C PLETE I � �y�'��•
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CUS70MER SIGI�ATURE � DATE TOTAL �✓I�[/�
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