HomeMy WebLinkAbout16-17990 - — �
CITY OF ZEPHYRHILLS
5335-8TH STREET'
(813)780-0020 �7���
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit [�umber. 17990 Address: 37718 NEUKOM AVE �.OT 8
Perrr�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A1C CHANGEOUT Township: Range: Book:
Prapos,ed Use: NOT APPLICABLE Lot(s): Btock: Sec#ion:
Squa,re Feet: Subdivision: GRAND HORIZONS
Est.Value: Parcei Number: 34-25-2'l-0090-00000-0080
Imprav. Cast: 4,695.00 OWNER INFORMATION
Date Issued: 1210812016 Name: SATTER�EE Vt(ALLACE D &TERESA A
To#al Fees: 60.00 Address: 37718 NEUKOM AVE
Amoun# Paid: 6Q.00 ZEPNYRHILLS, FL. 33541
� D�te Paid: 12/08/2016 Phone: (813)788-7494
Wo k Desc: A/C CHANGEOUT 3.5 TON
CONTRACTOR S APPLiCATION FEES
BAHR'S PROPANE GAS &AJ , INC. A/C CHANGEOUT 60.OQ
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i Ins ectians Re uired
D TS IN ALLED
DUCTS EN�U�,4TED
FINAL �
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REINS ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
tacal�overnrnent shall impase a fee of four fiimes the amounfi of the fee impased far the initial inspection or
� first reinspec#ion,whichever is greater,far each such subsequent reinspection.
NOTIC : In additian to the requirements of fihis permit, there maybe additiona! restrictions applicab(e to this property that
may b� found in the public records of this county, and there may 6e additianal permits required from other governmenGal
entities such as water management, state agencies or federal agencies. ,
"Wa'ning to owner: Yaur failure to record a natice of commencement may resalt in yoar paying twice for
impr; vements#o your properly. If you intend to abtain financing, consult with your lender ar an attorney
6efore recording your notice of comrriencement."
Complete Plans,Specifications Must Accompany Application. All work shall be pertarmed in accordance with
j Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
; NO OCCUPANCY BEFARE C.O.
i
' � �
'CONT T R SIGNATURE PERMIT OFFI R
' PERMIT EXPIRES IN fi MONTHS 1NITHCIUT ARPRt31fED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PRQTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
• Building Department
Date Received ' g�� �8� _ ��t�
Phone Contact for Permitting •
Owner's Nam I ��Ct,�i"'' e� �l�-1 l(�� � Owner Phone Number UL�' �Jr
Owner's Addrl ss � / /�� /V� . O�7J �l� Owner Phone Number
Fee Simple Tit eholder Name Owner Phone Number
Fee Simple Ti I leholder Address
I JOB ADDRESI �/��U �G� D�'1 J �JC LOT# �
SUBDIVISION � (�1� j'lZl) PARCEL ID# � �� �� Ll(✓ ���� ��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP��SED B . NEW CONSTR� ADD/ALT 0 SIGN Q � Q DEMOLISH
� INSTALL REPAIR
�
PROROSED ISE Q SFR Q COMM 0 OTHER
TYPE OF CO STRUCTION Q BLOCK • Q FRAME 0 STEEL Q
DESCRIPTIO OF WORK ��5,: �/�. �I��/� L `-QLL� ` � �D/�/ �Y!'1 �IP./IP`�
BUILDING SI E SQ FOOTAGE HEIGHT
�BUII DING $ VALUATION'OF TOTAL CONSTRUCTION
QEL ICTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
- I
QPL IMBING $
QMEI�HANICAL $ VALUATION OF MECHANICAL INSTALLATION
� 9-l�q�', a�
QGAI Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FL� OR ELEVATIONS FLOOD ZONE AREA QYE8 NO
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BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
�� ELECTRICI COMPANY
SIGNATURE i REGISTERED Y/ N FEE CURRE� Y/N
Addressl License# r
PLUMBER.: � COMPANY
SIGNATURE �REGISTERED Y/ N FEE CURRE� ' Y/N '
� �
. Addressl License# - I
MECHANICA4 ' � , .���'yj,` �� , COMPANY ��S '�'�G1/{/
SIGNATURE ���'� REGISTERED Y/ N FE CURRE� Y/N
Address� �- '��'� ! � `� License# C./T�� �r3��� l i
;��, � i .. _
OTHER � COMPANY
SIGNATURE- � REGISTERED Y/.N FEE CURREA Y./N
Address�. � _ , - - License#
RESIDENTIAI�. :. Attach:(2)Plot'P,lans;�{2)�sets of�Buildirig=Plans;(1)'set'of Energy For'ms;R-O,W,Permitfor new.construotion,
_ Minimum.:ten=(�10)working•d'ays aftersubmittal.date. 'Required onsite,"Constriiction Plans,Stormuvater Plans w/Silt Fence installed,
� � Sanita,ry Facilities.:8 1s.dumpster;Site;W.ork Permit for subd'ivisionsRarge=projects
COMMERCI Attach(2)complete`sets of Building Plans plus a Life 3afety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
IMinimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
�= Sanitary Facilitles 8 1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance
SIGN�PERMI Attach(2)sets of;Engineered Plans. - _
. � ""'*PROPERTY SURVEY required for aII,NEW construction.
`Directions: ' � > • , , • - -
� Fill out a plication completely.
O.wner&�iConVactor sign back of application,notarized
„ If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(fo the confractor)or Power ofAttomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE CI� UNTEF�P TT (��p�/�Q • 4 /�1�1 ,,.1) - - ���"1�""�''�`""�y
v�.�'�' �.M�>iwJ��3tiSMn�G���k�QF�lx�rC,y' •`�� ,vusq,�.
� Reroofs if shingles ,�Sewersaa��;•���Se�viae,'�P9rades,p.JG�,�1,,. F;ences(PIoUSurvey/F tage)���3�°;� r�A'`�.�Y� 4 `.,,;-=-`-,. �
�i '"!}'2:�i'�U aSE.fL' :t'iil�'��1�,..u�� �o�.=r,.`t, �. . �.�lN7��'�'i57a Cu?=tti"�i'i.1��. ,is�'•'a,' ri
� Drivewa'Is-Noto�r,-�Count rifo .p � " c c; ,�% s<;�;s�3 �•' •-�• � *`r��` -�
,,} e,, n ,�blic;r,oadways.needs�ROV1( �;F�;., ? 't � �"`�"� �' �•�•. �
�'�i �'cP �i :i: ,�.,�- "•s\s i�J.,J' - i'� i:C9�3.7 h nf:i$•'.{+Rrl�:'�� ''wr'-a �r
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NOTlCE OF DEED RESTRICTtONS: The undersigned understands that this,permit may be subject to"deed;' restrictions",�,,'
which.may be mare restr.ictive,than Caunty.reg�lations. The�undersigned assumes'�fespansibitity'for•cornpliance with:'any' �'
applicable desd restrictions.. � - ..r -�
UNLlCENSED CONTRACTORS AND CON7'RACTOR RESP.C?NSIBlLII'lES: !f tlie owner fias hited�°�a--contractor or
contractors to undertake work, they may„be required ta be�licensed in accordance with state and loca! cegulations.. If"the�•" �
cantractoc is not (icensed as required by taw, botii the owner and,contractor rriay=�be citedMfor-a�misdemeanor violation
under state 1aw. If the owner or intended cantractor are uncertain as to what iicensing requirements:.rnay,x,apply for.ttie -`
intencled wor:k,.they are-advised to caritact't3ie'Pascp County Buiidinglnspectiori Division=Cicensing Section-at 727-847-
8009. Fu�thermore; if the owner has hired`a coritracfor or cantractors, he�'is advised to <have the contractor(s) sign ,,
pa[tians of the "contractor Black" of this application for which they wiU be responsible. !f yau, as"the owner�sign as+�ttie �' ,,
contractoc, that may be an indication that he is not properly licensed and is not entitled to permEtting privileges in Pasco
County. - ..-. � �
TRANSPORTATlON IMPACTNTILITiES.tMPACT AND RESt3URCE RECOVERY FEES: The undersigned understands " ;
that'Cranspartation tmpact Fees and Recourse Recovery Fees may.apply ta�#he canstruction af new,buildings, cFiange`of�`�'' '
use in existing buildings, oc expansion of;existing"buildings, as specified in Pasca County C?rdinance number 89=07 and
90-07, as amended. The undersigned also understands, that such fees, as-may_be.due, will be identified at.the�time-af=�'° �.
permitting. It is further understood that Transportation Impact Fees and Resource:Recovery. Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of accupancy:or �
finai power reiease, the fees_-must be paid pcior ta permit issuance. Furthermore, if Pasco Coun#y Watec/Sev►rera�lmpact •,
fees are due,ttiey must be paid prior ta permit issuance in accardance with app(icable Pasco County ordinances.�
CONSTRUCTlON�LlEN LAW{Chapter 713;Flarida Statutes,as amended): 1€.valuation af worlc is$2,500.00 or more,..i-,;
certify that I, the applicant, have been provided with a capy_ of .the "Florida Construction Lien LawiNorrteawner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant�is someone,
other than the"owner", i cerEify that I have obtained a copy of the above described'document-and promise-in good'faith to.
deliver it to the.'°owner"p�ior to commencement. �
CONTRACTOR'SlOWNER'S AFFtDAVIT: .t.certify.#ha#a11 the informa#ion in this appiication is accurate and that all`work
will be done in complianee vuith al! applicable'laws regufating canstruction, zoning and-land-development. Apptication is �
hereby made to abtain a..permit to da, work-and installation as indica#ed. �! cerkify that no work�.ar installation .has ;
commenced prior to issuance of a perm'it and�that all wark will be pertarmed to meet standards of al! laws regulating
construction, County and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I also �
certify that ( understand that the reguiations of other government agencies may apply to the intended'work, and that it is
my responsibili#y to identify what actions i must take to be in campiiance. Such agencies include but are not limited to: � ',
- Qeparkment af Ernironmenta!-Fratectian-Cypress Bayhead's, WetEand Areas and Enviranmenta!!y Sensitive
Lands,WaterMfastewater Treatment. � �
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering '�
Watercourses. .�
- Army Corps of Engineers-Seawalls, Docics; Navigabie Vllaterways.
- Depar#ment af Heaith & Rehabilitative ServicesJEnvironmental .Heafth Unit Wells, Wastewater Treatment,
SepticTanks.
- US Environmerita! Protection Agency-Asbestos abaternent. .
- Federal Auiation Authority-Runways.
. I understand that�the follawing res#rictions apply to the use af fill:
Use of fill is not a(lawed in Flood Zone"V"unless expressiy permitted. �
i - ff the fill material is to be used in Flood Zane "A", i# is understaod that a drainage plan addressing a �
"compensating volume" will be submitted at tirrte af pert�nitting which is prepared by a professional engineer � �
licenssd by the St�te of Florida. ,
- If the fill material is to be used in Flaod Zone "A" irr connection with a permitted building using stem waN
construction, I certify that fill will be used only to fill the area within the stem wall.
- if fiii material is to be used in any area, I certify that use of such�fill will not adversely affect adjacent
properEies. If use of fi(i is found to adversely affect.adjacent properties, the owner may be ci#ed for violating
the canditions af the building permit issued under the at#ached permit.applicatian, far lots less than one {1}
acre wliich are elevated by fill, an engineered drainage pfan is required.
If I am the AGENT FOR THE OWNER, I promise in goad faith to inform.the owner af the permitting conditions set forth in '
this affidavit pcioc to commencing construction. I understand that a separate permit may be required for electrical work, �
plumbing, signs, wells, pools, air conditioning, gas, or other instatlations not specifically included in.the application. A , �
permit issued shall'be construed to be a ticense to praceed with #he work and nat as authoNty ta vioiate, cance(, alter, or
set aside any pravisions o##he technicaf codes, nor shall issuance of a permit prevent the Buitding Official from thereafter
requiring a correction of errors in plans,�construction ar violations of any codes. Every perinit issraed shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if wock authorized by
#he permit is suspended or abandoned far a period_of six(8) months after the time the work is'commeneed. An extension .
may be requested, in,writing, from the 8uitding Officiai for a periad�not to exceed�ninety (90) days and will demonstrate
justifiable cause for the extension. (f work ceases for ninety(90}consecutive days,fhe job is cansidered.abandoned.
WARNING TO OWNER: YOUR FAlLURE TO RECQRD A NOTICE OF COMMENCEMENT MAY RESUL.T IN Y{?UR
PAYING TWICE FOR IMPROVEMENTS TCJ YOUR PR�PERTY.. IF YOU.-INTEND TO�OBTAIN FINANCtNG, COPISULT
WITH YOUR LENDER OR AN ATfiO NEY BEFORE RECORDING YOUR NOTICE OF CO ENCEMENT.
FLOR(DA JURAT(F.S. 7.03} � ..—_' � -
OWNER OR AGENT Q�"L2J'L CdNTRACTOR �''�L-�.
Subscribed and swom {or affirmed)before e this Subscribed and sw to(ar affirtned)bef re me Utis
"" Y11.�L t S�a1�c.'r +-�-,� L Y}1 t S 2t'}
Wha is/ar ersonally know to me or has/have produced ' Wha is/are ersonally knovun o me or has/have praduced
as 3den�fica6on. as identiflca#ion.
� '��'1�' Notary PubliC y Notary Pubtic
II Comm�ssion No. Commissian Na. -
.�'a'r'a�'jr SYCVI��.CAMPIIEL'L ����*'Y Pp�p SYIVtA A.CAMPBEi:I
,�`'pS� 08��r �y►A bs 4
� Name of Notary typ Kfl'i �e ` 1��� Name of Notary r ' t�_s d
y omm.Expires Jul 19,201 r 5�. .•y o umm.Expires Jul 19,2017
'.', �`�' Cammission�FF 034280 Commission�fF 034230
���'`"����++�p,4, Bonded Tltrough Nation�3!Notaty Assn. ,���+s�OF R�pO,` Bonde�Throagh National Notary Assn:
ere���a�
,�
/ +�
� � � • • • •
� Gas
� PROPANE Service Order/P�oposal
AND AIC [tvc. Air Conditioning 8 Heating
' �aG�e �988 8'I3-78'2•5013 -
` I�.I!��I�-tl i „';', -E� �� s._,l "ft, ,. ,'..�;:F,r-i - ,�;" - i_, -r_
, _ � ._i�. C ii• ._ .t'� t .. �: . . ,'�.` . _.._.
ales, Service & Installations � .�;,,,, ;;,,, ;,,i��,;, -; ,;„ �.,t � ,4;�, , , � ,�::,
4441 Allen�Rd. � Zephyrhills, FL 33541 �;.r_,� �:.� F�, , ,; =.,�:�r.;:.;�; ;;�=� r
- ; ;..a-,�- -: �:.,� �- , :,..: , � � �'�fi,r1 ; , ,:��_- . ,.�'��- �y ,
NOTES• ._. . �� : .. , ,,
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..�f - - QESGRIPTfON OF W.ORK - _ ..QTY. MA�ERIALS.B�.SERVI�ES � - UNIT�PRICE A-PAOUNT
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� .!Z!�19`..'.!�I.e_5... �.�.�.�. ` /� r�-r n%���. �'r.�:'"•.......1\.+.��.ti�......_._ .. ..�1 ��h V'iC:C�'./i�l'j.^_... L7.11-'.-�1.. ' - I
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-+ �I° � itECOMMENDATfONS . � �
- I i i
AnnuaGMaint i ance Recommended by.All Equipment ManuF<icture�s: � � �
Pressures Lo HI T-Stat i �
�. i i
I G�� �:�� ' �J�f (�- REFRIGERANT'R- LBS. -$pei Ibs. \ � I
< < i
� FILTERS z x Changed Monthly I.�• i
t"� !I� �—f� L�(�/ ' FILTERS x x Changed Monthly � \�. • �
t ,� ,� .
� 0 REGULAR ❑WARRANTY TOTAL• SlJ ARY
' 'Dellumidistafi�Settings: When here"ON°. When Away OC�° , T-Stat 80°. ❑ MAINTENANCE CONTRACT SERVICE i '
I. , ' •, _
LIMITED WAR ANTY: All materials,parts and equipment are warranted by the manufacturer5' ttiAETHOD OF PAYMENT •� CALL i
or suppliers'written� arcanty only.All labor performed by the above named company is warcanted for . TOTAL i
'30 days or as othe��ise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,li nd its agents or technicians are not authorized to make any such warranlies on � i
behalf of above na ed com an. � ❑DEBIT ❑CREDIT 0 OTHER � MAINTENANCE
I have authonty lo o�er the work oullined above which has Oeen satislaetorily compleled.I agree that Seller , '� PROG. W I C I _
retains title lo equip�enVmatarials furnished until final payment is made.If paymenl is not made as agreed, CLAIM# I
sellar wn remove sa equipmenUmaterials al Seller's expense.Any damage resulling from said removal shall r� �
not be the responsibil ry of Seller.NET 30 DAYS.A 1 1!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED � �`� ��� I`J � �
ALL UNPAIO BALAN ES OVER 30 DAYS,NO REPUNOS
I
. TECH: T� ' i
CUSTOMERSI�aNATI RE DATE �/�Z�!//UIL �a�te TOTAL �� '
12f08/2016 13:59 8137831374 BAHRS PROPANE GAS PAGE 01/B1
843-78DA020 Ci#y of Zephyrhills Permit AppliGafion Fax-8'13-78D�D021
I • Bw'lding Deparlment
�' Dab RecolYed yp I
PhotieContaetforPumltling • �1� !O� ..�Qr.�
^ Oxmar•s Name "4�'�(„��"' �'� vV a.( t�L4� owner t�one N�mb� "0'6�`- 35 –
Ownar'�Addr98a �/ /l� ')'Y) Ownar Phon�Number
Fee Simpl�Titlehalderidatne � Ownar PhonO Numb9t �
FBa Simpie Titloholdor Addresa '
JOB ADDRE93 �/!I U EGL� Q7'?7 Il� LOT f� �
SUBDMSION•. 1�r`�-fJ.__ � _7�1`1T� � PARCEL IDd! � pt� a�I � Bd��
1�+4NEAFR0i11PRCPERTYTAXNOTICEJ .
WORKPR�t3SeD ,NEWCONSTR ADD/ALT � 61GN � � O DEMOI.ISti I
e INSTAU, � REPAIR . �
PROPCISEQ USE Q SPR �Q COMM Q OTt�IER . '
7YPE'4FCONSI7YUCTiON Q BL�K - Q FRAAAE Q STE�1, � , �
oesc�PnoN csF woac �'. �'�� �ih�V �o[� . a� �'�"
HUIL'WN;�,81ZE SQ pO0TA0E HEIfaHT �• li
QBUILDING S VALUATfON'OFTOTAI,CpPIS7R1JC11pN , �(
QELEGT.f(ICAL ffi AMP SERVICE Q PROGRESS ENERCiY Q W.R,E.C. �U
�
[]PLUN�INci $ , . • �
�11AECHANICAt� $�� �, �� VALCiA710N pF MECHANICqt,INSTALLAI'ION• �
n„S`akS , Q ROGFING [] SPEGALTY Q t7THER
FINIStIED FLO�R ELEVATIpNS FLOOD ZpNE AREA []YES Np �
81fi1:DER' � . � COMPANY -- ' - � ,
StONATURE REGtSTEIiED l�J N �Curu�en Y�!�� .
Addr668 'Ueense# �
ELEGLRICIAN t;OMpqplr
SIGNATEIRE ' REOlsttit6n Y!N ' fEECURREI� Y/N
/lddlg56 • � �y.�sp� °
PLUNBF_R:. ' CO'BAPANY' • ' _ .
$lGNI1TURE R6GI9TTERRE� Y•/N .' fEECURNEt� 'Y!N
_ NE�
' �►� � • ' LICeD88#�L_.' .
MECFH4NICAL' ' , GOMFANY , t'✓/7'!rl�.�S /'�9;(JA�1IE [�7`1S't"�/C--HV�
SIGi!llXTU(iE "'' r�SrERW T'�lT—r-�CURRE� 'YlN
" Addri'as'-' '�� f L� � Licen�e# �����'�O �
r•,'sr�. . . . •
'OTHER �' • �8(y�pp�y
91G�IATt)R�s. _ ' ' REGYSTEREp Y .N FEE CtAtREk ,_Y.!N
Iiddres3•. . .'1. `�.(ceit3e# �
RESIQ�N'f�W. .:' Ariacft•j2}�PkDN�I"an6;#3)sefscY`.... .,Plans 1 �ot E � Form'•R,0-1N:P�rtdt aew.cbnstn�di'
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;t�,_;',;�. '-MRd2Yq!ryF,!en�.(na)�rv�xmg�eaysatt�r:sr,6mrtta��aa�e.Ftequlred�bhsitB;Con`str�ctionPlans,SthrrmVatetpierisw/SOtFencalnsiailed,
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""PROPERTY SUR�Y requ�d foc ail NfiW censhucllon. .
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Reroofs if shingles Sevuers Ser�ice Upgrar,t� yC Fen�es(PIoVSunraylFoatage)
Gi4veways-Not over Cwmter fFon pu611c roadvYeys..need$ROVY