HomeMy WebLinkAbout16-17871 CITY OF ZEPHYRHILLS
5335-8TH STREET
„ (813)780-0020 1 S71
BUILDING PERMIT
PERMIT INF RMATION LOCATION INFORMATIO
Permit Number: 17871 Address: 6851 WIRE RD
Perrr1it Type: MECHANICAL ZEPHYRHILLS, FL.
Class pf Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Es�. Value: Parcel Number: 02-26-21-0010-01200-0000
Impro�r. Cost: 4,895.00 OWNER INFORMATION
Datellssued: 10/31/2016 Name: ZEK INC ,
Tot�l Fees: 60.00 Address: 6851 WIRE RD
Amo�nt Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/31/2016 Phone: (813)782-4604
Wor,k Desc: A/C CHANGE OUT 5 TON
CONTRACTOR S APPLICATION FEES
BAHR'S ROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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Ins ections Re uire
DUCTS INSTALLED
DUCTSINSULATED '
FINAL I
REINSPECTION 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: n 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
I entities such as water management, state agencies or federal agencies.
"Warning 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."
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.
� "-
G`-�rn-�-
NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Departrnent
� �
Date Recelved • a,�� _ �b
- � Phone-Contact•for�Permlttin /
,� ,,I _
Owner's Name �� `�iv� �/ Owner Phone Number �
Owner's Addre s �B � Q �' /L�S s- Owner Phone Number -
Fee Simple Tltleholder Name • ' Owner Phone Numb�r
;� .
Fee Simple Titleholder Address ^
.
JOBADDRES �(��� �l ��`LL4� LOT# �
SUBDIVISION � PARCEL ID# U� �� � � �D � '
� , (OBT/UNED F,ROM PROPERTYTAX NOTICE)
WORK PROPO ED • NEW CONSTR ADD/ALT Q` SIGN' `Q Q DEMOLISH
;B. INSTALL � ;REPAIR
PROPOSED.0 E Q SFR Q �COMM ' Q OTHER
TYPE OF CON TRUCTION Q� 'BLOCK ' Q FRAME � STEEL Q
DESCRIPTION F WORK L� Cir11�/v fi Du.� � p % /
BUILDING SIZ � SQ FOOTAGE� , HEIGHT �
Q BUIL�ING $ VALUATION:OF�TOTAL CONSTRUCTION ' '
QELE RICAL $ � t AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
t .
QPLU BING $ '
QMECHANICAL $ ����, � VALUATION OF;MECHANICAL INSTALLATION
QGAS Q ROOFING .Q SPECIALTY r] OTHER
FIIVISHED FLO �R ELEVATIONS FLOOD ZONE AREA QYES NO _ �
BUILDER COMPANY` '
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Addres� � L'-icense#
ELECTRICIAN< . � COMP/WY ' � �
SIGNATURE �' REGISTERED Y/ N FEE�CURRE�'=� Y/N
Address ' , , _ License# '
PLUMBER , COMPANY �
SIGNATURE' � � , .,REGIST.ERED Y./-N•. - ,FEE CURRE� Y/N �
Address License,# �- ��
MECHANICAL` ' -" r � . ' aonnP�u�nc i�J-/f�5_ �'. AN�.G�-tg/��TN�
l�rx� ���'�.�ii�
SIGNATURE REGISTERED Y.,/ N FEECURREt� YI�N` -
Address� � � �`�el�°, `. ��/11;j ��� License# e��'t7�.3�I�d
OTHER '' �� � - � ' ;COMPANY ..
SIGNATURE = � �� � �� �� � � REGISTERED Y/ N,.,. FEE CURRE�•_ Y/N
Address - - - � ' .s ; Ucense#
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RESIDENTIqL:,, �•Attacfi':(2),Plot%P,laris;:.(2)sefs�.of�Building``Plans;`(•1)set�of�Energy=Forms;�R=0-1N Permlt for`new construcUon,
-, ;. :-Min(mumyten.(10)worlEtng;day,s_after'submlEtal"date:`Requlreif onsife,'Con'strucdon-Rlans;�3tormwaterPlans w%Sflt Fence installed,
� ,:�._.� .... .,..�
Sanita' FaciltUes:8��l;dumpste.r,°81teWork.PermitforsubdiWslo�s_/large�_pro)ebts�: , ;: ' ' � � •
ry ;. .
COMMERCIAL Attach(3)�eomplete sets`of B�uilding Plans'plus a�Life�$afefyr Pege;(1)set of Energy Forms.R-O-W Permit for new construction.
- Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilidas&1 dumpster.Site Work Permif for all naw;projects:All commerclal requlrements.must meet compllance -
SIGNPERMIT AttacFi(2)sets"ofEngineered;Plans:. .�.. . �. -.- � `
""PROPERTY SURVEY reyuirecl.for all NEW constructlon. ' '
Directlons: ..-".•:.;. , ., • , �
Ftll out eppli, don completely.
Owner 8 Co tractor sign back of appltcatlon,notarized
If over a250 ,a Notice.of Commencement is required. (A!C upgrades over 57500)
" Agent(for th�contractor)or Power of Atfomey�(for�tFie owner)wrould be someone v+rith notarized letter from owner authorizing same
�VERTHE COU�TER.PERMIT'TING���-w-.�Fro[�t_o�Ap.pl�c�ttq.�„Only)k,.<«-_•%_•; - ,�a��;;r.m:��.�►�x�,�,earw�b..�•
Reroofs ifshingle Sewers ,�' Seni�ge��pgrades_�A/.0 Fences�.(Flot%Survey/Footage) � _,J�;+�=�.1k.;7 �r'aE�d;�; .:� "t�•�,,,
.A,�t rt `�
I . ._• -� ----..� . .'-'.': ':. �n ;.. <_. •.� 5��� ` ��'f r
R" •�Z?i1G���1? "ik�;' .-;:�;:!'�,:,i If,is'r. . „', .s~ �ZC:ti(3l�,?4}:If.3C� .;{fSir`i �(?f, 1 ; �.,..:
Driveways-Not over Counter�f on`public roadvYays:.needs,ROW: P , �s , ��`+ � �(A��` '
, ,ti . .,. . i f� .LI .� e:i�; ;ft:;l;i•. ;R e ,7- •�
�` �;;�;ni �; `=,.rv' „�i;��;_ -- � DF:�,a,f,;, �,� .,.;�t:'r.;i�frrr.�� �''�';��-,��`-,�;:'�
afii' :i Ih�^'fea.,�,�:h''l' '., .,�� ' � .q2$�`+�K?�'r�:iint�i$�% ;ii;J•i�i D'3iifffi �°�.i'r,�'a�.i� �
�4.:LE',. - .. . . • _ -
t�'�Cak��Y;>"'r��wv-�'=•�r,t%�;v_� ,:at°' +T�`
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NOTICE OF DEED RESTRICTIONS: The undersignedunderstands�th�t,this.�p�rmif�may:be:subJect to„°deed",resUictions°_::.:._,,_.>r,
which may=be>more.res�rictive�th��-County�i+eg�ilat(ons: The underslgned����umes�responsibilityT'.forycomplianc�-with�any' � `
appNcable:deed reshictions. �... ;:� ..:. �: >-.. ; • ' _ . . .. :.- - ,.-. .,. . .�. • •' '': '::;' . "
UNLICENSED•SCONTRACTORS.AND CONTRACTOR RESPONSIBILITIES:��=<If°fhe�owner-hass�hired��a cantractvr or
cont�actors to undertake work, they may:be.:requlred_to;be,Ifcensed InJaccoedance.with:state.and�local:,regulations:���ilf-the�� � ��~���
cantractor�is-not Ucensed as°requl�ed,`tiy lew, bottr the owne� and=cont�acto�=may��be-cited�for=a�misdemeanor vtolatton
under state law. If the owner or Intended�,contractor;are;cuncertaln as to what Iicensing,;requlrements_;may=�apply-�for=tiie�=•-���r � ��
Intended woHc,they a�e�ad4lsed to contact ttie,:Pasco`County,Bullding`Inspection,Divlslon,-l.Icensing�Section at 727-847-
8008. Furthermore, If the owrier has�`hired�a�conhacfo��or"--contractors. he ts advised to have�the contractor(s),sign : ,_ _
,.., _.., �.,,.
portions of the"contractor,.Block"of..this�application..for_which they:will.�be:r.esponslble.-•_If.:you,:as:the owner'"sl'gn as`the�` �
cont�actor, that�tnay be an Indicatfon thaf�tie`is not:prope�ly`Iicensed�and`�I�"nof entitled�fo petmfEting pri�`tileges in Pasco
County. < __, .�:1 .. .- - ��
TRANSPORTATION:IMPACTIUTILITIES�(MPAC'��ANb�RESOU1tCE RECOVERY�FEES:��The understgned"uriderstands
that Transportation Impact Fees and.Reco.urse.Recov�ry-Fees may��apply:to•t(�e�,consttuction of new_bulldings��change��of���' ��`�`��
use in existing buildings,�or:,.expansion�of=�ezistin�g��buildings, as specffied.in Pasco County Ordinance number 89-07 and
� �,•--
90-07. as amended.,.:The undersigned also.�urtderstands� thait:�such fees;:,as��majr�e�_.due;;wiiF.:be tdeMi�ed at the�-tirrie�ofr��� ��=�' °°�'
permitting. It is further understood that Tre�spo�tatlon Impaot Fees an.d,Resoucce;.Recovery�Fees..must be paid prior to
receiving a.�certl�cate:�of>occupancy" or flnal�.power;release:� :If the proj�ck;does::not.Involve�.a��certfficate of occupancy-o��-�"����� '`'
flnal power release;•the-fees mu�t'be paid,p�1or to,permft Issuance. Furthermore;,if Pasco;County��lNater/Sewerwlmpact� �-� . ,
... ..... ., .,.. ..
fees are due,.they.must-be�paid�prlor#o permit.:,Iss,yance�In:accordance ar�Ith:applicable.Pasco':County o�tlinances. •
CONSTRUCTION'LIEN"LAW(Chapfer T13� Flor,�;tla Statute��as amende�): If valuation of work ts$2,500.00;or:more�.l � �. �•:;:
certify that I, �he �applicant, have-been provfded��wlth-�a-copy of:�the�"Florida-���onsCructton� Lien`_Law—Homeovvner's
Protection Guide" prepared by the Flo�ida Department�of Agriculture and Consumer.Aftairs. If the appHcant Is someone ;, ; ,
other than the`owner", I certifjr�.th�t.l�h�ve,o�talnedsa<copy.of:the;above:.de�,crltieddocui�ent-and:p.r.omise�:in,good:�:faikh-.to . z��
deliver it to,the:"owner"�prior toscommencement:'� � ' � � ' �� � -- -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify::that=ail the�inf.ormatlon:;in-thi�appllcation is accurate.and that all wurk
will'be done in compliance with all.appltcable�laws regul�ting constructlon� zoning and��land development. Appllcation (s
hereby made to obtain .a permit;to��do.:work,,.and ihstallatlon as indl�ated:��-�=°I, certify�that no work��or Installatton lias ,
commenced p�lor to Issuance of'a permif and that�.all work w(II be pertormed to meet�standards��of ail laws regulating•
construction, County and City codes, zoning regulatians, and land development regulaUons�tn�the�.Jurisdtction.: I�al'so. _
certify that I understand that the regulations of other government agencies may�apply to the.intended work, and that it is
my respons(biliiy to identify•what.actions I musbtake:to,bedn:.cortlpllar�ce;. S.uch,agencles include but=are.not iimited to: � •
- Department of Er�vlrvnmental��Protection-Cypress.'Bayfiead�,`VNeHand Areas and Envlronmentally Sensitive
Lands,Water/Wastewater Treatment. � �
- Southwest Florida Water Manageriment:�.:Dlstrtct-Wells; Cypress.r Bay.heads;� Wetland' Areas, Altering
Watercourses.
- Army Corps of Englneers=Seawalls, Docks,IVavlgable Waterways.
- Department of_,Health-:& Reitabllltative,Services/Environmental. Health Unit-Well.s� Wastewater�Treatment,
Septic Tanks._.: . - - � �- � �,� �
- US Environmental Protection Agency-Asbestos abatement. �
Federai AvlatlonAuthorliy,=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 fill material=1s to be usetl.�'In.:Flood Zone. "A", it is understood that a drainage plan addresstng a
°compensat(ng volume"will be submitted at time of permitttng whlch ts prepared by a professtonal englneer
Iicensed bythe�tate of Fiotida: � ,
- If the flll materlal.is to:be used in Flood Zone 'A" in>connec�on�uvlth�a �permitted building using stem wall ,
� construction, I certify that flll:wJll:b.e-used only.to..flll the area wlthin�the�stem wall. �
- if flll materlal is to be used in any area; I certify tfiat .use. of such flll wlll not adversely affect adjacent
properties, If use of flll is found:.to adveraely.�ifect adJacent�prc�perties�.the owner may be clted for violating �
the condfllons_of the building'.permit issued�under the.-attached���rmtt application, for:lots-.less-than one (1)
aare whicH are elevated'6y flll, ��t,engineer•ed dralnag��plan is required. •�
If I am the AGENT FOR THE OWNER,.I;promise In good fa(th to Inform the owner of•the permitting conditio�s set forth in
this affidavtt`pNor to commencing constructlon. I understand theta-separate permlt may be required for electricaf work. �
plumbtng,,signs, wells,.poois;. alr conditioning,.gas�_or.other. Install�tlons noE.spec�ic�lly included�in.the applicat(on. .A .
permit Issued shail be construed to'6e�a�license'•to��proceed with ttie.wor`k�nd_not-as:authoMty�to;violate,�cancel,�alte�, or
set aside any"provistons of the teahnical.c+odes;�nor shall issuance•of a.permlt.prevent the Bulldirig Of�icial from thereafter �
requtrin.g a.correction af er�ors in•plans, conshuction or vlolatlons ofany codes. Every perm(t=lssued'§hall�become invalid
unless the work authoNzed by such permit:�s.commenced�within sfx�months of�permit Issuance, or If work authorized by
the permtt is suspended or.abandoned-for.a:period_of�six E�)montFis.8�ter.the time the�work�is conemenced. An extension
may be requested� in wrlting; from tfie.Building,Officlal for a perlod=nottto exceed nineiy`(90)�days and will'demonstrate
justifiable cause for.the extension�. If work.ceases.for ninety(90)cons.ecutive days...th�Job�is.considered aba�doned. " •
WARNING TO OWNER: YAUR..FAILURE.TQ,REC.OttD,A:.,NOTIGE;OF:�COMMENCEMEMT;MAYyRESULT IN�'YOUR �
PAYING TWICE;FOR�IMPROVEMEN.TS�TO:YOUR�.PROPERTY:=�IF°YO.U�1�1�'�END:T�`i0BTA1N��FINAwE1NG;�C.ONSULT
- -1METH l1011R-LE[dDER�9RJAN A�'TORNEY�EFOR��Rf�ORf71Nfs�YOUR'NOTiCE'OF=COrIAl111EN �E�IIIENT�
FLORIDA JURA'�(F. .1.17.03) � -- - .. _`_ . .
� . - F �--- - --- �_.�.__ - --- ------- ----.
OWNER Ott AOENT CdNTRACTO �
Subsalbed and swo (or aRirmed be ore me this Subscrlbed'and' m-to(of afflrm )'before me'ftil�- .
m� ^ `" rn �i�l�s��� �o-�1- �..ir1 se„
Who islare ersonally kn .me.or haslhave.produced Who.ls/a ersonallyknown: me�or haslhaveproduced •
as Identlflcetlon.' as IdenBflcafton.
, �
Notery Public _ _ �- � Notary Publlc
Commisslon No: C Isslo N ,
�.��aY'�'���,, SYLVIQ p.CAMPBELL ,��PRY'PV.,, SYLVIA A.CAMPBEL'L
Name o ' L p e o or a Name ot N • rfE�t 'od State of Elorida
:•. t; My Comm.Expires Jul 19,2017 �� �P; My Comm.Expires Jul 19,2017 �
=:�, o.•' Cnmmission#�FF 034230 P,� Commission�FF 034230
��'��°����'� Bonded Yhrough Naqonal Nat�ry Assn. ����'�°������� Bonded 7hrough National Notary Assn: i
_ • � '�
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s�����N� ��°� A� �iervice Orderf Pronosal �� • • `���
dt�u-u•- �. � C. Arr Cariditioning&Neating
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Sales, Service & ns c � W�'RI�. ORI'�ER#�'SERVICE�iAI� 7�3�� JUhi •
L?�1TE1TI1+1E TAI',El�! t�2/�9/lE �'�:��'
444 Alien Rd. • Zephyrhills, F� 33541 �-��;�� P�� �;�� �„�
NOTES. - L}ATE/T:[M� F�I�OMI aEU '
C:��STOMER#/L[�CAT]:ON �tC4���11
F'HOIWE# 78�-4E�4
F'1-IC�1'JE�:# � I�I I CI�.' S CELL G
�'HO�IE:�# 9�7-.3�88
y CQIVT�iCT I�!7:G!', SCH�lC}B
�?�►JTEi S��? � T1 il�f,:,,',5!F�
ELI�',� L�DGE � �LN,:� _L�T�GE--�A R #i
Er��i W�RE RD � E,�S�. WIRE �I)
ZF_�fH�R I LL� FL. �:.��4� ZE�'N'f RM I L�a FL,.:,,°,�4�
J'ACf'. BURDI:--HOME#78E-51��
� TC]N TEt+lF'�TAR CQhJI�. 4l'c_`�l�..ci
I C��G������C`{�y E�L�.�.lK.�7G�:.�.�JJ.:� .
ESTI3�'1AT F���t I7f�:[I:Ih!
DESCRIPTION:OF.WORK, ; QTY. MATERIAES;&SERV{CES. . " UNIT PRlCE'� AMOtJNT
_1._ ' � ' �
__,.,.___...__ _.._._______.....__________.__._____—•--- -- ----- ---
�.c'I.QG r' /r4 T.s � ' �C./ � �,v �l�t/' � � \.7/�'�Sc�
L ,.'J- .S r�� � ;
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o , �� r' � ;
�a�r l t T C G��'� G G3�T _S'., ;v .�'" ry�s�. , � � �
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. I.v .�u v2�...'G.w✓L • -r .��C� �
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2- �n.+ . • � , � ,
, y� ,�
� RECOMMENDATIONS � �
_ .. - i
Annual Maintenance Recommended by All Equipment Manufacturers. � p��ssures lo HI T-Stat � i
_ . � , i i
, ;REFRIGERANT:R- LBS: $peP ibs. '' � i
F3L7ERS x x Changed Monthiy I i
FILTEftS x x Changed Monthly I I
� � ❑ REGULAR O�WARRANTY . , , TOTAL-SUMMARY - �
D`ehumidistat et#ings; When here°C}R!", When Away 6f3°la, T-Stat 80° p MA3NTENANCE CONTRACT SERVICE i
LIJJIITED WARRA TY• All materials,parts and equipment are warranted by the manufacturers' ' METHOD OF RAYNIENT ' CALL i
or suppiiers'written w rranty o�ly.Aii Vabor pedormed by the a6ove named company is warranted tor TOTAL �
30 days or as othenvi e indicated in writing.7he above named company makes no other warranties, ❑�ASH 0 CK# MATERIALS i
express or implied,an its agents or technicians are not authorized to make any such warranties on
behaltoia6ovename company. ❑DEBIT 0 CREDIT ❑QTHER MAINTENRNCE �
PROG. W 1 G �
1 have authority to orde the work outUned above which has been satislacioniy compieted.i agree iTat Selier ' ,
retains lille to equipme malerials fumished until final paqment is made.u payment is no�mede as agreed, CLAIM# �
seller can remove safd quipment/malerials al Seller's expense Any damage resulting from saitl removal shall � ��t � �y ��—_ _
All UNPAID BALANSCE 6VERr30 DAYS NO REFUNOS,��RVICE CNRRGE Witt BE ADDEp MONTN�Y TO DATE CQMPLETED ���' �
TECH. T� �
i
CUSTOMER SIGNATUR DA7E
�fa�2,�c �,.�cc •TOTAl. �'�;oZ�