HomeMy WebLinkAbout16-17878 �
CITY OF ZEPHYRHILLS
_�..�,�,� 5335-8TH STREET
� , (813)780-0020 17878
,� I BUILDING PERMIT ,,•`��
�`" - PERMIT INFORMATION � LOCATION INFORMATION �
Permit'Number: 17878 Address: 39305 GREENMEADOW DR APT 9
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class;of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 13-26-21-0070-09100-0010
Improv. Cost: 3,275.00 OWNER INFORMATION
Date Issued: 10/31/2016 Name: KINSMAN PROPERTIES LLC
To�al Fees: 55.00 Address: 36145 CHANCEY RD
Amount Paid: 55.00 ZEPHYRHILLS FL 33541-4705
Date Paid: 10/31/2016 Phone: 813-355-1910
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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I( � Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL 'I
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local gove'rnment 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.
"War'ning 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
I 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.
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CONTRAC OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
I PROTECT CARD FROM WEATHER
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., s��Tao-oo�o City af Zephyrhills Permit Application Fax-813-�8o-oaz�
' Bu[lding Department
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Date Eteau4iv�tl �� Phane•Can�ct.for�Ferrnittin � � �'. t b� _ ���� �
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Ownef'a Nanie //�J �('L� e-/�,'G/�,,'�j L Owner Pbone Number f�'- c�i 5-' I I� r
Owner's Add'ress ����� �'��'/UlneG�� �/Q Ow�er Phane Number
Fee Simple Tdklefiolder,Name � � � Owrn�r Phone'Number '�� � �
Fee Stmple Titleholder Address
JOBAbDRESS `�3�� �-Reen.lme OL� , "# LOT# �__��
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SUBDiViSiON � ' � PARCELIDO� �,J o� cX��� � !�/���. Qf
, (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED j�NEW CONSTR . ADA/A�T ' � SIGN Q Q DEMOLISH
�-e, INSTALL �REPAIR � ' '
PROP4SED:UjSE [� SFF2 Q `GOMM � •t?THER
TYPE QF CONSTRUCTION � Q BLOCK " �] FRAME ' [� STEE� Q '
DESCRIPTION OF WQRK � /7`C C-�`/4/1� B'"D LL7" - a �"r� � 1/'+�i � ,� ��7'7Y7 13��.'.N��
BUIlDING St2E ,� � SQ FOOi'AGE C� .,HEIGHT .��
QBUt�D1�IG � „��������.,_,. , = � i
I , VALUATiOhIMt)F`TOTA�CONS'fRG1GTiOW
QE�ECTRiGA� $ ' AMP SERVICE Q PRtJGRESS ENERGY Q W.R.E.C.
oP���B��� :C.. � _
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�MECHANICAL $ �arJ�-� �� VALUATtONQF'MECHANICAL.INSTALlAT1E}N ;
QGAS Q Rt7QFiNG .Q SPECIAI.TY � QTHER� �
FINISHED FL1QOR ELEVATIONS �� FI.00D ZONE AREA QYES NO
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BUICDER � CONlPANY�
$IGNATURE' REGISTERED Y/ N FEE CURREP Y/N" i
Address • Ctcense# � �
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! ���cr��c�ai�4 - , , �cor��,va}r � ' ,
, SIGNATURE i � REGIS7ERED Y/ N FEE CURREk-� ' �Y/-N
Address � ' � , �- License#_ � '
P�llMBER '. ��� ' ..C,O�dtRANY .. � `�
SIGNATURE , .,REGIS.1'ERED Y./,N ,FEE CURRE� Y•/N
Addres� llcense,# �- ��
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�i MECHAN1CAi. COMPANlt ����� l� .�Jv� 5��"/� �
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SIGNATURE; � �EGiS7ERED .Y,./ N . . FEE CURRE� Y/�N . ,
, Aa��s� . = �t � 1 � ��'d� 2�HJtt�' � ��. License#�I �'��""� ��� T U I
' 03FIER ;, . - ` ' . ;GOM,PANY ' .
' SIGNATURE' •. '"�`- �'' ' `� � � ' " 'REGISTERED� '' ' Y/ N:, 'FEE CURRE� Y/N
Address{ .," �. _ �,,',,� ,,� , ` ' Ucense# �� i
` - - ' � � -.. ,. _� $_,,.: . ,.- ,R . ..
RESIDENTlA#,�,.; _-Aftacti,-{2),Plo#�Plan's�:.{2)setsoE�Bulliling�Plaits;�(1)�setofErieigy�Fqirns;�R-O-W`Permltfttrnewconstruation,
- ' �� Mtnimum,ten�(�1,0);working;days`after�;submlEtalila#e:�:Required onsife,:ConstiuoBon�Pians;-Stortnwater Pians w/Stit Fence installed,
j�""� Santtary Facl�lldes�&�1;dumpster,SIte�Work;Permit for_subtlivislons/large;proJects..� ;;:;:�. �
COlV�MERCIAl. Attach{3)c+or�iplete sets of Biitl�iag Plaiis pliis a'1.1€e'Safetj/Page;'('f}sei af Energy Fomts.R-Q W Permtt for neuv coristructian. �
� Minfmum ten(10)working days after submitt�al date. Required onsite,Constructlan Pians,Stortnwater Plans w/SUt Fence installed, ,
Sanitary Facilitles 8�1 dumpster.Site Work Permik for ail newprojects.All commerc(al requirements.must meet campllance �
StGN PERMlT Attacti{2)"sats ofEngiiieered-Piaiis.< <.t �; F ., _ �-�„
I �� ""*PROPERTY SURVEY required for al,l NEW constructlon. � �
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DI�BCi..lOA8: i .
FIII out a�pltcaUon wmpletely. �
� Owr�er&�ContraaMr slgn back of applEcatlon,notarized ,
if over�2500,a Notics,of Comme�cement is required. (AtC apgrsdes over;7500}
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'" Agent(fo�the contractor)or'PoYue�of"Attomey(°��tFie owner)`vvould be someone with�notarized letter from owner authorizing same
dVER TtiE CQUNTER:PSRMt'i�#N�'s�-'�i�.{��'of�7�ip¢tfcatibr��F3ni"y}h���:°..� � ,s�3� �'-=�
Reroofs if shingles Sewers�� SerGic:e�Upgrai�'es'A/C .Fences•.(PI¢nt/Survey/Footage) � �1'9fs� �;• ,'°-'"""`, �
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NOTICE OF DEED RlES1fRICTIONS: The undersigned undergtands�;th�t,thl�;p�cmit•.may__;be;subJect to.,°deed".restrictioris"_`;�_,� ;;:.._;:ro
which may�tie�more�r.est�ictive-th�Fl County fegulations:�'=TFie`undersigned•assumes�'respon�itiillty°for"compliance wi'th any >�
appNcable.deed restrictlons. •._, :-..,,: .. :. =- � �, :: � _ • .. _:... ,' ....._' ., .,.,- =�.- „�_,
UNLICENSED CONTRACTORS ,AND CON�RACTOR RESPONSIBILITIE�:� �°If-ttie��owner=has��hired��a":contractar or
contractors to undertake work, they may:b,e;rgquired��to.,be-:ltcensed,ln�accordance.with-state.and_;local r�gulations:��:If the�=�' ''- -
contractor is not itcensed==as�required'tiy faw, botti�the owner.and-convactor�-may�tie�cited�.for�a�misdemeanor vtolatton
under state taw. If the owner or Intended.;contra�tor;are,.uncertaln as to what Iicensing requirernen#s,,mayn apply:for:tiie'- � � --�
tntended work, they a�e�advlsed to coritact_the�Pas"co County_�ullding`.Inspectlon Dlvlslon,-Llcenstng Sectton at 727-84T-
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8008. Furfhermore, 1f the oviirier'has�'Fiired��contracto�'or contracfors, he is advlsed to have �the contractor(s),,sign. :_, ,_ ,
�+.�- -.-� . .,
portions of the "contractor Block°..of..thls�application�for_,which,.they,.will�be.r,esp,onslble.�.:lf.you��:as.the ouvner-_�91gn�as`the `' "'"`� �
contractor� that��may be an indicatlon that`he�-is�not`properly licensed"and`�Is not entitled to pemiltting pri�ileges In Pasco
County. ' ' ' .�,•��_ __
TRANSPORTATION.IMPACTIUTILITIES��IdIPAC�'�ANb=RE30URCE RECOVERY FEES: The undersigned�understands
that Transportalbn Impact Feas and.Reco.urse.Recove.ry.Fee�.,rriey��apply.ta the 5construcNon of new_buildtngs,�changeF�of'_ `���� '''"
use In existing buildings, o�-:expamsian��of=�existin�:�6ulldings, a§ specifled.in Pasca County O�dinance number 89-07 and
90-07, as amended.,,,The undersigned also.urtderstands, thait:such fees,�;as�may:be�.due;�wlli:-.be identffled at the�time�of=��� ��•' �°`
permitting. It is ftirtFier understood that Tra�sportation Impacf�Fees and�Resource:Reco�ery�Fees,must be pald prior to
receiving a.'cerEi�cate.-of occupancy"or flnal�.power release: :If the.proJeck.does:not,involve:a�cert�icafe of occupancy°o�,�-��-" = �
final power-release; the�fees mu�t�be paid,:pclor to:permft Issuance. Ft��thermore;�if Pasco,,C.ounty`�Water/Sewer�.impact �- .. �
. _. , _:.. ... ... ,
fees are due�they..must be:pald..prior to.permit'issuance=ln.accordance.witfi;�arpplicabte_Pasco':Countj%�ortlinances. •
CONSTRUCTION'L'IEN�LAVII'(Cfi�pter 713� Florlda Statut����s amende�): ff valuatfon of work Is$2,500.00��or,more;:I . : r:°
certify that I, .the. applicant,_-have.been provided with-a-copy�of hhe�"_Florida� Constrtictton� Llen law—Homeowner's
Protection Guide" prepared by tFie Flo�ida Department�of Agric.uiture and Cons,umer;Affairs. If the applicant is someone�., ,, .
other than the°owner", I certifj�:that I�have.ob,tained�atcopy.of..the;above:rfesc�abed�docui�ent:and;promise`.in,good:faith�to ,,,
deliver It to.tfie."owner":.p%lorto=cornmencement:"� �� ' � �� �- � � � - ' -� . . '
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certity�.th;at:all�.th�AlnformaNdn in•thl�appllcation is accurat�.�nd that�II work
wiil'be done in compliance wlth all.applicable�laws regulating constructlon, zoning and��land�development. Appitcatlon is
hereby made to obtatn .a pecmit.:to_do_:work;.,and•Installation as indl�afed:•� :I. certify that no work�°or Installatlon has
commenced prior to Issuance of'a perrri(f'and that�.all work will be perFormed�to meet_standards=of all laws regulating-
construcNon, County and City codes, zoning regulatians, and land development regtalatlons�in the,jurisd(ction.- 1�:al'so.
certify that I u�derstand that the regulations of other government agencies may�apply.to the_Intended work, and that it (s
my responsibility to Identify�what.act(ons I must-t�ke:to,be�in:.compllance;...S,uch..agencles include but=are.not Iimited to: � �
- Department of Erlv(ronmental>�Protectton=Cypress.'Bayhead�, Wetland Are�s and Environmentally Sensitive �
Lands,WaterMlastewater Treatment. - ��
- Southwest Florida Water Management�:�DisMct:lNells;` Cypress.�Bay.�eads; 1Metland` Areas, Altering
VHatercourses. ; ' �
- Army Corps vf Englneers-Seawalis, Docks, IVavigable Waterways.
- Department of.Health;:,&,.Reliabilitative.,Services/Environmenfal•�Health Unit INells; �Wastewatert Treatment,•
Se�tic TanKs:_' �, , _ �� :
- US Environmental Protection.Agency-Asbestos abatement.
Federal Avletivn�Aut�ioMty-Runways,:�
I understand that the.following:�estcictions apply to the use of flll:•
- Use of flll is not allowed in`Flood=Zone"V"unless expressly permitted.
- If the.flll-mate�lal-=ls to�b.e used.�in :Flood Zone. "A", it. is understood that a dratnage plan addresstng a
"compensating volume" will be submitted at time of>permitt)ng wfiich is prep�red by a profess(onal engineer�
Iicensed by�tFie State of Florida: �
- -If ihe flll material is=to.be used in Flood Zone 'A" (n�connec�ion�with�a permitted buflding using stem wali
' constructton, I ce�ify that fill:�rJll:be used only.to..flll the area w(thin�the�stem•wall. �
- � If flll mate�lal Is to be used In any area, i certify that .use. of such flll will not adversely affect ad)acent
propertles, If use of flll Is found�to adversely.�ffect adJaeent�pra�perties�.the own�r may be cited for violating
the condlllons_of the bi�ilding�:permlt issued=under the.attached_�iermit �pplication, for;lots�.less.than.one (1)
acre whicFi are elevated'by►f111,��t engineer�ed dralnags plan is required.
If I am the AGENT FOR THE OWNER, I;prorrmise In good.faith to inform the owner of-the permitting condftlons set forth in
this affidavtt`prior to commer�cing constructlon. �0 understarid thet�a�separate permlt may be required for elecMcal work,
plumbing, signs, wells,.pools;, air conditioNng,.g�s, or.otMe� Installaitlons not.spec�fically Included-in.�the application. .A ,
permlt Issued shall be construed to be a�ltaense�to`�proceed wlth tNe;work and-not as:authoNty.to,vlolate�'cancel; alter, or ,
set aslde any provtstons of the technlcal.codes;�nor shall Issuance�of a.perrrolt.prevent the Bulldlrig Offictal from thereafter
requiring a correctlon af ercors In•plans; constivctlon.or vlolat(ons of-any codes. Every'permlt Issued�sfiall�become�invalid
unless the work authorized.by such permlt:is-commenced•wlthfn sGcmnnths of�permlt Issuance, or If work authorized by
the pe�mlt is suspended�or.aba�doned-fora;pertod,of�six;f8)monti�s.-aRerthe;tlrne the�woi'k�s commenced. An extension
may be requested, In wrlting, f�om tNe�Bullding,Offlclal for a perlod-not.to.exceed niriety=(90)'�days a�d wlll demonstrate
justlfiable cause for.the extenslon� If work ceas�es,for nlnety(90)cons.ecutive days�..th�job,is constdered abandoned.
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IMARNING TO OWNER: YOUit.FAILURE.YO..REC.OttD A.I�OTIGE:O�=�COMMEMCEMENT�.MAY RESULT IN`YOUR '
PAYING TWICE..FOR IMPROVEMENTS�.Tfl.YOUt�:�.PROPERTY: �IF°YO.U=IN�EI�ID:�TQ`�OBTAIN�FIN�I�EING;'C.ONSULT
WIT U � D � �: AI�ATTO NEY ORL�. ECOR�I F�� OU ' �,C ,O ,. :� . E . 7'� �
FLORIDA JURA�(F. ;� . .03) ,� ,;�.. . •. - .- ry ` - _ .
OWNER OR AOENT CONTRAGTO
Subscrlbed and swom r aflirmed)before e thfs Subec�lbed end' m=to(ot aRf e� befote me ttitk� .
/a-31- �o-�l-i� ;rA-ryne .L-., �l�lst%a,eY-
Who Islar ersonelly knovm �me or,has/have produced Who.ls/are p.ersonatlyknowmto me or hes/have-produced •
? - as Identlflca8pn. Ti�m,� �. ,�!'l�s��r as Idendflca0on.
�- Notery Publlc . � Notary Publlc. I
Commiss n o:° Com. s1on. o. • .
�i�`n"v'ev o� 'SYLVIA A.CAMPBELL ;�Ppy pV��� SVLVIA A.CAMPBELL
Name ot °prl dF e a e o or a Name ot Mot _.� �y om . xpires Jul 19,2017
.•; My Comm.Expires Jul 19,2017 �
%�, a:= Commission�FF 034230
=;���of`��A;' Commission A�FF 034230 '�':°;;;�`° Bonded Through National Notary Assn.
��������" 8on0ed Thrauph Hatlonsl Notary A�sn. .
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PROPANE GAS Service Order ro osal
-�, � AND AIC �tvc. Air Conditioning 8 Heating
����«e�988 813-782-�013
' ' WORK ORDER#/SERVICEMAN 7"�5 EJL
� Sales, Service & Installations DATE/TiME TAKEN , _ ; i���8I�16 Q�9:4E, '
4441 Allen Rd. • Zephyrhills, FL 33541 TAI:EIV aY K. g. 2��
DATE/TII�E PROMISED
NOTES: GUSTOMER#/LOCATIOIW �7�3� ,
F'HOtVE# 3��:-4�4-1841 C
i PHONE�# 8�.�-35�-1�i� C I
' CONTACT J�HN KINSI�A�t �
� ROUTE/SEQ EJL—CUR—
GREENMEADOW AF�TS GREENMEADOW APTS �,
3�311 GREEIVI�EADOW DR 393�5 GREENMEADOW DR
� ART #�
ZEP'HYRHILLS FL .�3�4� ZEI�HYRHILLS FL3354c
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I TEN: AUDREY 81�-8�8-74Q�7
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HIGH ELECTRIC aILL / EVALUATE SYSTEM
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:;4nnuat.Mainteriance Recommended`b:�'Ail<E"ui"ment:Manufa€tui�ers:' � '
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FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly � �
❑ REGULAR ❑WARRANTY %=��`?W�:�.��..,�,-._.,.v. ..:.. ..-.�„�,z.'::t�'�:�`;;'°'
' _s,v. -�' _;TO'FA[.�jS1JMMARY,v.. .,�. � _
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`-;sRah"urtaidistaf°Settitigs;�,.When here"�;��;When Away 6�;�T-Stat 80°� ❑ MAINTENANCE CONTRACT
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LIMITED WARRANTY: All materials,pads and equipment are warranted by the manufacturers' °_'_- �:�r;-;:��j:,{OD�OF"PAIFMF_I,VT`,;s��,,:;s�.,'
or suppliers'written warranty only.All labor performed by the above named company is warranted for '''�`��'"�`'� """=`:'""'r;`^-'�"='=';��'`�,�;='=`=�"�,==."^"
30 days or as othenvise indicated in wriUng.The above named company makes no other warranties, ❑CASH `c 0'CK# TOTAL i
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
I have authority to'oMer lhe work outlined above which has been sa8stactorily wmpleled.I egrea that Seller PROG. W I C
retains title to equipmenVmaterials fumished until final payment is made.If payment is,not made as agreed, C��M# �
selier ran remove said equipmenVmaterials al Seller's expense,My damage resulGng from sald removal shall
not ha the responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BAL4NCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: T� i
' �/ ,,,,,,/ `��J TO:'AL �
CUSTOMER SIGNATURE DATE V 1l�aV/(//i� V Q'LG
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