HomeMy WebLinkAbout16-17880 � / ��.
, � CITY OF ZEPHYRHILLS
5335-8TH STREET
, (813)780-0020 1 80
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
� Permit Number: 17880 Address: 6056 PARKHILL TERRACE DR
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
E�t.Value: Parcel Number: 02-26-21-0000-03300-0010
Improv. Cost: 3,195.00 OWNER INFORMATION
Date Issued: 11/02/2016 Name: ZEPHYRHILLS LTD
Total Fees: 55.00 Address: PO BOX 5252
Amount Paid: 55.00 LAKELAND FL 33807-5252
Date Paid: 11/02/2016 Phone: 352-257-0032
Work Desc: A/C CHANGE OUT 2 TON SPLIT SYSTEM
I CONTRACTOR S APPLICATION FEES
� BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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{ ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL �
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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.
NOTICE: In 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
� 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.
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CONTRACTOR SIGNATURE PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� j CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
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813-Tao-oozo City of Zephyrhills Permit Application Fax-813-780•Op21
' sul�a�ng Department
DateReceived .P..honeACantactfor�PermttNe GO� - ��L
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O+++rner's Name F7 /2 l G-L.� � Owner Phone Number �aa� ✓ �J�'��3cr�'
Owner's Addeeas ��� � ��r,7�- ElQr1 �f--� Owner Phone Number �
Fee Simple Yltlefiolder Name � � � Owner Phane Number � �
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Fee Simple Titleholder Address ' ,
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JOB ADDRESS (.�'��� �R /!/ � t_..- LOT# C�
SUBDiViSlO� �1��lLG• /��1�• f t/✓_-_�� FARCEi,ID# p� � �1 ��'����� ade�
1 , (OBTAINED FROM PROPERTY TAX NOTICE)
WORKPROPOSED ��.NEwCONSTR ADDtA1.T � SIGN �[� [� DEMOI.ISH
' e. INSTALL � �REPAIR � '
PRQR05ED�USE Q SFR� [,� `C{)MM '[� OTHER '
TYPE OF CONSTRUCTION� - •Q' ' BLOCK " [� FRAME �� STEEI: Q
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QESCRIPTION OF WORK � �C Cs1ff E- G�l..� , � �,/l� � l�� �� lU�
BUtLDING S!�E .�� �" SQ�FOOTAGE�_� ` ..HEIGHT` {,
QSUI�DtNG � � VALUATIONVCIF 7'OTAL COt�ST`RUC`t'ION y ` " '
QEIECTRiCAI. $ ' M AMP SERVlC� Q PROGRESS ENERGY Q W.Ft.E.C.
QPLUMBlNC, '
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QMECHANtCAL $ ' VALUATlOIV OF MECHfWtCAI.INSTALLATiQN !���` ��(•��✓`
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QGAS Q RQOFING Q SPECIAt.7Y [;� = OTNER
FINISHED F1.00R ELEVATIONS FI.00D ZONE AREA QYES NO ���� ��
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Btlil.D�tt COMPAt�IY . .
SIGNA7URE REGISTERED Y/ N FeE cUR�n ,Y/N
Addre�� � � • iicanse# � I
E�ECTRiC i: , , `;COMPAR�IY �
SIGNATURE � REGISTERED Y/ N FEE CURRE�'- ' `Y/N
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Address .. , ce i
PLUMBER _ COMFANY , , � °
SIGNATURE' `'` , ;REGISTERED Y/ N� � FEE CURRE� '" Y-/N
Addressi � � Licens.,e,# �...- �
MECHRNICAL ,,, � � � CCIMPAFlY S. l`O ,9- "f" Gi�-�ll�� .
SIGNATURE�j � � „ REGISTERED Y../ N . , , FEECURREP Y,/sN -
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Address�}' - � / �iil �� ;��{1LlS � _ � Ltcense# �i� �'�l'�� 1
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OTHER ::�: _. ; _ -` _ � � _ , 5_ `.'CO,NIP1iR�1Y , - ..,.
SIGNA7URE:� "<r :`-"=' '�� ��-' '`°� ` ` � ' �` `REGIS7ERED � ' ' Y/ N1.� FEE CURRE� . Y/N
Addres� , , - : ' . �, : ' �� - Gcense# � �
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RESlQENTFIU:,;,,-;Attacfi;{2}.Ftot�P.laiis;�:{2}sets�.of�Building7Plans;(1}'seE of'Eriergy�Faiin"s;�R=O=W`Peririit for new consttuction,
- '�• ,::.Minimumeken4(�1,0),Fworicing;days`afler;subi'ni$al'date:s:Requlred onsite,;Cbnstrucd"on'Plans;'Stormwate�'Plans w/Silt Fence instailed, -
(j�'�+��Sanitary FaGlttles;&�1�,dumpste_r,=51te;Work,,Permlt for.s,ubdiyislon's/large':.proJebts-,,-_-':.:r ,. ' .
COMMERCIAL At#ach{3)"•coinplete`sefs`of BiilEding"Plans pliis a t.lfe Safeilyr��Page;{1}set of Energy Fcrsns.R-O W Permit far nev+i canstructton:
� Mintmum ten(10)working days ai#er submfttal date. Required ansite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilitles&1 dumpster.51te Work Permit�for all nevu:proJecfs.All comm�rGal requlrements must meet compllance �
S1GH PERM1� Attacfi"{2}sets of�Engineei.r,ed"PEans., �:..,^-:� � ._ _ .-�
"'"PROPERTY SURVEY reyuirecl for all wNEW constructlon.
Dicacttons: ' , �i,:,s, . , • , ,
Fill out applicaUon completely. �
Owner S�Contractor sign back of applfcaHon,natarized
if over 1��500,a Notice af Camms�cemerrt is required. {AtC apgrades avar S75QQj
" Agent(for the contractor)'or Povue'r of Attamey(fur tFie�owner).woul'dtbe someone with notarized letter from owner authorizing same
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DVER THE COUN'fER,PERh�i�tT11�`� ,.t�r�(,ro�Appllcation:,Qt�ly)_�a,. _ t�
Reroofs if shingies Se`�vers. ' �;�,�,�ice,UPgrad�s,A!C`;�;��F+�c�(PlodSurvey/Footage) �_�h � .�all R •
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. . ._�- t}r--_,. ��'„�it{x� li't`s:ei� �i+},...'�9�t ��ti�� . - ` _ i� . ;;i+s`t�° '.`i>�J�. �ti�r�-„ .
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Drivswaya-t�tat over�un�e�(f or��Sutili�►aa�tuv�y,s..needs��t�7.,�;`� � , � r'C��-. ° " ,
(i,.^,��r I f C !l � � �..., 'S ttl� �t �I1��"':'P�•'lJ.a .t7iiT;L1J i(i�i1 `[e, �s" + y�
f���r�:.i`���t`' �.,
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�� NOTICE OF DEED RESTRlCTIONS: The undecsigned.;undergtands�:th�t:this�p�rmlt�,may,.be,subJect to.,"deed",resUictlons°:'.'__;,�t.,�;�,
� which may�tie=more��resVictive=tha�-Counfy��regulatlons:��The�underslgned a§siimes�'responsiblitty fo�compllance'with any
IaPPHcable:deed_restricttons. .�, ..�., -::. . �- �: . • ._ _ • ,.., �:.... ... � .. ......._ ,. ,. � . _ .
UNLICENSED=CONTRACTORS AND CONTRACTOR RESPONSIBILITiES:� �lf�the•owner�has^��hiced��a�`contractvr or
contractors to undertake work, they may�b,e�requlceda�to-be.;licensed ln.accordance.with state:;and__Iocal.regulallons.:���If=the�• �' _��"
contractor is-not licensed-_as�requlred=tiy law� both'the oumer and=cont�acto��may be~ct'ted�:for-�a�misdemeanor violatton
under state law. If the owner or Intended�;contcactor;�:are,:uncertaln as to what Iicensing_re,quirements��may-�apply�ior.tFie�-• �.-=<>�_- �'
intended work,tHey are advised to�aontact.tFi�e�Pasco County Bulidin8°Inspectton�pivislqn--Licensing Section at 727-847-
8009. Furthermore, If the ovirner'Fias"hired''a contractor or contractors, he Is advised to have :the contractoKs),;sign.
, .,,..,._��.<,,_�,.,�,�, .-..;:.
portions of the "contractor Block" of.this..appllcatlon.for,which.�they, willrbe.:r.esponsible.-. If you;:as-#he owner sign as the'� `
coMractor, that��may be an indication thaf�iie�=ls~not`prope�ly'licensed�and��is not`entitled`to permitting priiilleges In Pascq _ _
County. � � i: �- .. : �_._�
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4RANSPORTATION:IMPACT/UTILI'TIES�(MPAC�'�ANb�RESOURCE RECOVERY�FEES: �The unde�slgned unde�stands
that Transportation Impact Fees and.Reco.urse.Recovary.Fees may�appiy.:�to�tl�e:,constructlon of new.buildings;�:change':�of°��� °�-� '''�
use in existing bulldings; o���expansi�n���of-ezistin,g�`�buildings, as specifled.in Pasco�County Ordinance number 89-07 and
90-07, as amended.l:,The undersigned also,understands, tli�t��such fees„as�rnajr'�e:<due;,:will;�be identified at the-time�of`��� .,;� ''-`
permitting. It is fur'tfier unders'tood that Transp'ortatlon impac4'�Fees and'��Resource.;Recoii.ery�Fees�..must be pald prior to
receEving-a 'certf�cate of�occupancy" or flnal�power;release:�:If-the.proJ�ct;�:does�:not involveaa:certfftcafe of occupancy��o����"�•'�`��'�'��
flnal powec-release;the;fees mu�t'be paid�;p�ior to,permft issuence. Fti,�thermore;ff:Pasco:!C;ounty"Water/Sewer.•;Impact �����•°��
fees are due,.they:must..be;paid:prlorto permit_�Issuance:in accordance.with.applfcatitePasco�-County��ordinances. •
CONSTRUCTION LIEN�L.O�►iW(Chepter 713, Flor`tda Statutes,,as amended): If valuatlon of work is$2,500.00.;or more�:l� ��.._ ;:w3.:
certify tfiat I, the. applicant,-have=b.een provided•�with--a-copy of�the°"Florida�"Constructton� Lien :Law=Momeowner's
Protectio� Gutde" prepared bythe�Flo�ida Department�of Agriculture and ConsumerAifalrs. If the appllcant Is so`meone .,. •.:• �-�
other than the"owner", 1 certify,-that,l�h�ve:obtained`a�copy.of:#t�e;above.ries.c�ibed��locu�ent�and;promis.e�:in,good.:faithto . . .
deliver it to.the.'owner"::p�ior::to�ccmmencement:� " ' ' � ,, y � � - �
CONTRACTOR'S/OVYNER'S AFFIDAVIT: I.certifjr.�:tfi,akail,.the,;inf.ormatton:in:thi� applicatlon is accurate�nd that all work
will�be done in compliance with all.appltcable laws regula8ng construction� zoning and��land�deve)opment. Appltcation,is
hereby made to obtain..a.permit�.Co do,�;woflc:;.and%ihstallation a� Indl�afed:-�.-°I certffy"that no work='or Installation Fias' •
commenced p�lor to Issuance of�a'permit`and that'.all work will be pertormed to meet_standards-of all laws �egulating-
construction, County and Clty codes, zoning regulatiQns, and land development regulations�in�the:jur(sdiction. � i.al'so. _
certify that I uaderstand that the regulattons of other government agencles may�apply�to.the.intended,work, and that it is
my responsibility to identify�what.actions I must�take:to be<In:.complfar,�ce:.,.S.uch:agencles�lnclude but=are.not limited to: _ -
- DepaRment of E�lvironmental�Protection=Gypress�Bayhead�;�WeNand Areas�and-Environmentally Sensitive
Lands�WateNWastewater Treatment. �
- Southwest Florida W�ter Management�:Dlstrlct-Vllelis;"�Cypress.�Bayhead�;� '�Wetland` Areas� Altering
Watercourses. �
- Army Corps of Engineers-Seawalls, Docks, N�vigable Waterways.
- Department_of,_Health_:.8�,.ReMabllltative,,,Ser;vtceslEevitonmental�.Heaith Unit Well.s;�Wastewater�Treattnent, � {
Septic Tanks. � -' � � - � � � - �:
- US Environmental Protection Agency-Asbestos abatement.
Federal AVlativn<Aut�iotity-Runways:�
I understand.that the.follow�ng::resirictlons apply'to tFie use of flIL�
- Use offill is not ailowed in',Flood Zone"V"unless expressly,permitted.
- If the flil material`is�to'b.e used.`In.:Flood Zone. "A"� It. is understood that � dratnage plan addres�ing a
"compensating volume"will be submitted at�ime of permitt)ng which ts prepared by a professfonal engineer ",
Iicensed by�the State of Flo�ida: - = ;
- If ihe flll material-is to be used In Flood Zone 'A" in�connection�with:a permttted building using stem wall
' constructton, I certify that fiil�.wall:be-used only.to flll the area within�the�stem�wall. _ '
- if fill mate�lal is to be used in any area; I �certify that .use of such flll will not adversely' affect adjacent
p�operties. If use of flll is found�to adversely:�ffect adJaEent�pcc�perties,.the owner may be'cited for viol'ating,. �
the cond�lons_of the b�llding:permit Is"sued�uflder tiie"attached_perm(t �pptication,:for:lots:�less�.than one (1)
acre whtch are elevated`by flll,��engineered dralnage plan is requlred.
If I am the AGENT FOR THE�OWNER; I;promise In good faith to Inforrra the�owner of the permitting conditlons set forth in
this affidavit`prtor to commencing constructlon. ;I understand that a-s�parate permit may be requtred for electrical work, . ,
plumbing,.signs, wells,.pools;, air conditioning,.gas,:or otMe'r. install�ttons noE.spec�tc�ally inclu�ded-in.the�application. .A .
permit Issued shall be conshued to'be�a�license'�to�proceed wlth`tFie;work�nd not:as�authoNty�to:violater;°cancei, alter. or .
set aside any�provtstons of.ihe technical-codes;�nor shall Issuance�of a.permit.prevent the Buildirig Oifictal irom thereafter
requlrtn.g a correctton af errors in•plans; con§fruction or violations of-any codes: Every�permit-Issued sFiall-become�invalid
unless the work authorized.by such permit:�s.commenced�within sfx..,months of pertnit Issuance. or tf work authorized by
the permft is suspended or.aba�doned-for:a�;period of six:(�)montt�s.aRer the�tir�e�the�work�ts commenced. An extenslon
may be requested, in writing,,from.tfie.�Building,Officlal for a pertod=not-to exceed�ninety�(90)�days a�d wlll'demonstrate
justifiable cause for:the extenslon, If work ceas��.for ninety.(90)cons.ecutive days�..th�Job�is considered aba�doned. - � �
, _ • .. � � . .
WARNIRIG TO OWNER: YOUR..FAILWRE�TQ.,�REC.ORD A.MOTICE:OF,�COMMENCEMEMT:MFAY��RESULT IN YOUR
P-d4Y�[NG'fWlCE;:EOEd�El�dP!?tOVElWEId����'dJ:VQU��:PR�l�@R1!'Y:--IF�:VO.U:�OA9'FEMD:_TQ+��OBTAIN���IN�I�EING;��.OPISULT -- - -
WIT D �O_ AN A O �ORE�,�E�O � �:� .U :'• , � � C 'p ,: °,. � E �
FLORIDA JURA�(F. • . 7.03) �- • � - - ,_ ' ` � .
�
OWNER OR AOENT . L2JL CONTRACTO
Subscribed and avwm r alflrmed)beto me this Subs�xibed and' m=to(ot aflirmedpbefore me ftil�
b �n 11-1- ..� �Lt / �s
Who Isla rsonally known �me or:has/have.produced Who.is/a p.ersonallyJmo me or haslhave-produced •�
" 'as Id'entlBcatlpn, as IdendficaUon.
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Notery Public . ^ Notary Public
Co Isslon No: Comm �Ion�No. -
,•t►.arpue•, A.CAMPBELL
��au��np� 5 y� .`�+ `�: Nafary Publlc-
Name ot Nolary . ;�R!!lAP��blic-State oi Florid� Name ot Notery ,� : �$e�im.Expires Jul 19,2017
'• •: My Comm.Expires Jul 19,2017 .;� �gA.' Cammission�Pf 034230
_-� T: '"�°��t�``' Bonded�hrou h,
�j� �; Commission#-Ff 034230 p Nafional kotary Assn.
"„���:��� Bo�ed'ftuough N'ational Nolary Assrt. '
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� �' � PROPAIVE GAS � � � �
� AND AIC itvc. Service Order/Proposal Air Conditioning 8�Heating
Si��e�988 813•782�50 i 3
" WORI'. DRDER#/SERVICEMAN 7��88 OCT
Sales, S�rvice & Installations DATEIT I ME TAKEN :.i,�D�31�1 E 13:�� I
4441 Allen Rd. • Zephyrhills, FL 33541 � T�KErt aY � sc ��
DATE/TIME PROMISED 10/31/16 �D�:��
NOTES: q � I'�u� �� }�►��=r CUSTOME R#/LOCAT I ON 01384
�� � �, a�� RHt1NE# �5�-�57-�03� C
r CONTACT RIGHARD
ROUTElSEQ OCT
A & M ;APARTMEt�lTS PARK HILL TERRACE A�TS
R. O. B'OX 5�5� 6�56 F�ARK HILL TERRACE
LAKELAND FL 338�7 ZERHYRHILLS FL
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❑ REGULAR ❑WARRANTY �?��xyY.:3p�';d;Ux`;����r`��,<«�"',�:.;:�
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'}�j�iLLi�aj,�t�.�e�i�ys;:�Whemhere"��;p:When Away 60%-:,.;T-Stat�;�. ❑ MAINTENANCE CONTRACT SERVICE
_..:. .•:;-:z:�. - u • .r;,;-;_ :,.._. _ _ .,,,.,.,,.. .r:.,,�.c.•�..��,,,�.�•;;,•_.,r�,_> CAL'L �
LIMITED WARRANTY: Ali matenais,parts and equipment are wartanted by the manufacturers' � �';�_ %� (�;,��" :s, 7�=�'.�-"
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or suppiiers'written wartanty only.AlUabor performed by the above named company is warranted for �"'_�'�"""'��'�°`-"-`'" TOTAL i
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on
behalf of above nzmed company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authoriry w ordet the watk ouNned above which lias been satisfactorily completed.I agree that Seller PROG. W/ C ' �,
reteins GOe to equipmenVmaleAals tumished until final peyment is made.If payment is not made es agraed, CLAIM# �
ulier pn�emove said equipmentlmaterials et Seller's expense.My dainaga rzsWting hom said rertroval shall
not be the responsibiliry of SeOec NET 30 DAYS.A 1 12%SERVICE CHARGE WILL BE ADDED MONTHLY TO �
ALLUNPAID BNANCES OVER 30 DAYS.ilO REPUNDS DATE COMPLETED
I TECH: T� �
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CUST-0MERSIGNATURE DATE ✓IL'�X/I�I� ✓�u TOTAL��C� O�