HomeMy WebLinkAbout16-17900 CITY OF ZEPHYRHILLS
5335-8TH STREEC �'
(�i3)�so-oozo �9�a
, BUILDING PERMIT �
PERMIT INF'ORMATION LOCATION INFORMATION
Pecmit N�umber: 17900 Address: 5941 9TH ST
Perm't Type: MECHANICAL ZEPHYRHILLS, FL.
Class af Work: A/G CNANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squar(e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est�. Value: Parce! Number: 11-26-21-0010-00700-0040
Impra�r. Cost: 3,050.00 QWNER INFORMATION
Date �ssued: 1110812016 Name: QUENNEVI�LE, MARC MICHAE�&ANITA
Total Fees: 55.00 Address: 5941 9TH ST
Amo nt Paid: 55.00 ZEPNYRNILLS FL 33542
Da e Paid: 11/08/2016 Phane: (813 782-5136
Wo 'k Desc: A/C CHANGE OUT 2.5 70N
CONTRACTOR � APPLiCATtCIN FEES
BAHR'S PROPANE GAS &A/C, WC. A/C CHANGEOUT 55.00
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Ins ectians Re uired
DU TSIN TALLED
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DUCTSIN U�ATED
FINAL
REINSI�ECTION FEES: (c)With respect to Reinspeckion fees will comply with Flarida Statute 553.80 (2)(c)the
locaf glQvernment shail impase a fee of four times the amount of the fee imposed for the initial inspection or
+ first reinspectian,whichever is greater,far each such subsequent reinspection.
NOTICff: In addition to the requiremenfis of fihis permit,there maybe additianal restrictions applicable to this property that
may b � found in the public recards of this county, and there may be additiona( parmits required from other governmenta(
entities such as water management, state agencies or federal agencies.
'"War�ing to awner: Your faiture ta record a natice of commencement may result in yaur paying twice for
imprc�vements ta your property. If you intend to obtain financing,consult with your lender or an attorney
� before recordirtg yaur notice of commencement,"
Compl te Plans,Specifications Must Accampany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO QCCUPANCY BEFQRE C.O.
NO OCCUPANCY BEFORE C.B.
� � �
�� ONTRACTO 51G ATURE PERMIT C7FFI R
PERMIT EXPIRES IN fi M{)NTHS {NITHQUT APPRCIVED INSPECTION
, CALL FOR TNSPECTION - 8 HOUR NOTTCE REQUIRED
PRt�TECT CARD FROM WEATHER
813-� o-ooao City of Zephyrhills Permit Application Fax-s�3-7sa-ooa�
Building Department
Date Recetved * , , -- P,hoaejCarrttact<far°ParrriittFn 9 t� – ,:,J L`� L�
a
Owner's Narne L�l,�l�/��Vl �/� Owner Pho»e Humber ��`3� /v v � /�
Owner's Address �;�7 / � � c�,,2/ Owner Phone Numbsr � �
Fee Simple Tlt eFiolder Name � � Owner Phane Number � �
r. .
Fee Stmple Tit eholder Address ^
JOB ADDRES � � � y ��� LO7# ��r�
SUBDiVISidN � � PARCEI.ID# �� � r� ��� �/�d �/D �
, . (OBTAINED FROM PROPERTX TAX NOTICE)
WORK PROP SED �NEw CON57R ADD/ALT � SiGN `[� �� 'C] DEMQLtSH
.e: INSTALL � REPAIR �
Pt20POSED�tI E Q SFR Q 'Gt}MM �� •OTHEt2 .
TYPE OF CO STRUCTION - Q ' � 'BLOCK ' [_] FRAME � "STEEI. 'Q
DESCRIPTIO OF WORK �y S, r/ G (�f//a'N' G�j>(�,� l ,�D?J� OJ�.' � v'� �'D
BUlLDtHG'SIZE �� ' ` � 8Q FOOTAGE�� ,HEIGHT .����
;
���� VALUATION:OF TOTAL CONS7RUCTION
DIIVG
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QE�E TR1CAl �' .� AMP SERIIECE Q PRfJGRESS ENERGY Q W.R.E.C.
QP1.t! BlNG C � , .
Q ME �FlANICAL $ �� �D.,_,y. YAl:UATtON OF;iV1ECFfANfCAI 11+1STALU1T10A1
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Q� Q Rt�OFiNG C} SPEGlA�TY C� . OTHER
FINISHED FL OR ELEVATIONS ��� FLOOD ZONE AREA QYES NO
8U1l.t}ER GC?MPANY' _
SIGNATURE REGI$TERED Y/ N . FEE CURRE� Y/N
, Add�e�s . Ocense#'� �
ELEC7RIC . _ ' COMPANY '
SIGNATURE � REGISTERED Y/ N FEE'CURREK° �Y/•N
Address " • . License# �— ' �
FLUMBfR COMPANY °
SIGNATURE' ' � ; ,REGIS'fErteD �Y./,.N.: FEE CURRE� Y/N. -�
Address � . • License,# �� ,�
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MECHAMIC ` ' �9 }���K� COMPANY. � /�J1��S t''0 �NiE C"�'..�-S�"��i
$1GNATURE Y/'GtJ'+�p���J.� REGISTERED , Y./ N F�Ecuwten YJ�N ,
Attdress:�. f f �'f�� � �'�/LL � license# ��a� ���T-��
OTHBR ' _ - . ` " ;COM,PANY � .
StGNATiIRE '" . • � � ` � � REGI3TERED� ' Y/ N.. FEE CURREn•� Y/N
Addre�, _ ' . _ � s1 , � , �_.,,_ �
Liceiise#
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EtESlDEN �, :Attacti;(2),Plot Plan's;a(2}sets:oftButlding�Ptans,(,1}�se#cfrEnergy=Foitns:°R=0-W�Perr»It for new consWctlari, `
Minimum,tenry(�1p);workfng�days aftet;subrijittal date:::Requlred onslte;�EonstnicBdn'Plans;Stormwate�Plans w/SUt Fence Installed,
Sanifary Faqilltles.&;.1_;dumpster,-Site�Worle:PermitforsubdivisionsAarge proJects`� .s�� ` '
COMMERCI Attach{3)completa sets'of Building`Plans'plus a Life'�afe#j+`Page;�('1}set of Energy Foims.#2�0-W Permtt for new canstruc�tion. �
Minimum ten(10)working days�afker submittal date. Required onsite,ConsUucNan Plans,Stormwater Plans w/SIIt.Fence installed,
San(tary FaailiUes 8�1 dumpster.Site Work Permit for all new:proJeots:_All commercla!requlrements.must mes!compliance
3lGA!P�Rf4lIT Attac�-{2)sets��f�Eiig[iieer.ed;Plans.,.:::�;,. , .. °..: . '
"""PROPERTY SURVEY reguired for,all,�NEW canshuctlon. .,
D�rections. � . .- , _ ,
Fill out ap licadon complekely.
Owner 8 ntractac sign back of apptfcatlon,notarized
If aver 500,a#lotice of Commencement Is required. (A/C upgrades over 57500) ,
' `" Agent(fo Nie c`ontractor)or Power of�Attomey'(for tFie owner)would be someone wlth natarized letter from owner authorizing same
{3VER TNE C�UNTER.PERMFT"-TiNG• -{Front af�Applicatiom Onl ' ' ����'F::..<,...<:>_.. ___a_>:.-�,�,�w ..
Reroofs if shin les Sewer� e�Ice�Elp'g�ades+�f�i.�.�f�nctes�R!¢t/Survey/Foota9e) ,,,;' � . , �, ,, . ';'.'
. _�_ __ � a.+7�t�Pai.o-.' :.��,�'�,'��'iv :,� .�� . • � •'�: ar ,
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f Drlvewa lVot aver Gounter Ktan�pdblic roadways:.neetls ROW �- � ` - k,;i.:r -�;
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� �+� - . - . ,� na'r.�rtti:,�i��a�.,f�.6i�:�.:•,:� ,,�r.�.�;o �...,,�.s �
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IdOi"I�E OF QEED RE3T.RICTIflNS:�The uriderslgned under�t2�nds:,ttt�t:thl��p�mtif�may�be�,subjecfi.to,"deed"restric��io�i,s";;;.�;N._r.,A,.
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which may be��more��restticttve�-th��Counfy�r�eigriletfnns:� Ttte`=underslgned°�assume��'re"spr�nsitiiltty forkcomplianc�wltii"any "'
appflcabfe:deed-restrictlons, , ,.;�., _ � � -- �. 4 ... _ ., ...-�
UNLICEtdSED•TCONTRACTORS ,AND CONTRACTOR RESP'ONS181LiT1ES:�=°if-the��oi�ner°has�hired��a�`cor�tiractor or
contractors ta undertake work,,they may;b.e.�r�ryqulced�to.:be.:llcen�ed ltt accorilance;with s#a�e:and,Ylocal:tegulatiosas:-��lf�the• -' _=--
contractor�ts�nat ttcerised:-as required,`tiy�avv,�tio#t�'#he owrt�artd=cantractar�may^bei�ctted fcir��a misi�,em�ranor vlol�tian
: �
under state taw. If the owner ar Intended;,.rrantrat�tcr�are,a.uncertein as to what Iicensing.r�quirements�:may:.;applyF•�cr=�tfae'-=�°-�<_���-�=
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intended wortc,they�re advlsei!to contaat_the.Pa�ca County Bullili�g.plrispectlon DhrlsEori-�.Llca�nsing Sec#ton at 727-047-
8008. Furthermore; If the owner fia�"hired'�a aon�acto� o�contractors� he fs edvlsed to have�the contractot(s)_.sign_„ : ., ,,..,
: �A'�,,.'t.. _4x..'.'�e}!C
portions of the"conkractot..Block".of,thlswa}�pilcation.for.whic.h_they,wlll,.be.responslble.�= If:you;:as.:#he owi�er sign as'tlie '` �
contractorr that��may°be an Indication that`iie-1s fio#:prope�y'licerised'antl��is"naf entitled�to permitting priiilieges in Pasca . �
County. � � . - _ .. . .��_._. ..�. a..... .._ _.� ,
TRA�NSP�RTAT�ON�IMPl�GT1UT1�:1'�IES��MPAC'��AI�€���tE�9�1�tCE RECC►VEEtY�EE�;T�he underslgned understands
thatTransportation Impact Fees end:Ffecour�e.Recavery.Fees_tn`ay.appiy��to�the;constructPon:of new_bulidtngs��change-of```�` �'� '"�
use in existing bulldirtgs, ar;�.expansi�rr=of�ezl�tiii�'�buildtngs, as spec�led.(n P�sco County Ordlnance number 89-07 and
90-07, as amended.,,.>>The under�tgned atso;understands, #hait"such fe.es;��as��majr'iie��due;Gwitl;<�e ideriti�ed at the�;time�of-�", .r,'�;°�``
e�mitting. It Is iiir'tiier unders�ood that Tra��p�ortation Im act Fees and"�R�eource.'Recaive" 'Fees,:mu'st be aid rior to
P p w, rYp P P
fece�vtng a°cerft�c;ate=of-occupancy"or flnal��power:release.� ��#he pro�+�t:.�aes:no�tnvolve;a:cert�icpafe of occupanc��a��.=-;t�' ,
final power-release;>.the=;fees=mu�t�tie patd;prior to;permit is�uance. Fu�t�ermore;°if:Pa�co,County��lNat�r/Sew�r,.lmpact �,-- <<,�� �>��
, .�. �v.
fees are due,they�must..be�pald=prior�a permlt;lssuance=lnuaccordance.wlEFi�.�aPPllca#i!e Pascc.Caunty oiti3lna�oes. •
CtDMSTRUCTION�t;tEN'LAW(Cii�p4er 713, Fiar�da�tatut�s,as annended!): ii valuatlan of work is$2,500:OQ.oc�more�.i� �� w��,�.
certify that I,-the.�ap,plicant;. have-been proylded with--a-~copy�of`the "Flarida� �onstructlon'��L'len`.I.aw�-•Homeowner's
Protectian Guide" prepared by tlie Florida Departmenf of Agricultc�rg �nd Consumec;.A.ffairs. tf the appllcant is someo�te: .. .,, �,�
mthee than the"owner", I certtfy.that I h�veyobtained�a'copy.of..the;abov�..rles,c�ibedtlocument-and;p.r..o�iise�:,i�ti,good'faith�to . , �:�
,, - _ , .,,.-� �. ��.. � _.., ..
dsliver It ta.ther owrye�'�prlor��;to�aQii�mencemerit:`. . _ . .
�ONTRACTOR'S/OWNER'�AF�i�AVIT: I.ceitiiyr•:tti�at=ali theklr�formatlon:Jn�th1�appilcatton is accurat�and that all wcyrk
will'be done in compliance with all.app8cable laws regulating c�nnstruction, aoning and�_land�deyelopment., Appltc$#ton is
hereby made to obtain .a.permit��#o do�work;d�and��Instailat�an as indt�eted:.�:.�:#• certify that no work�or tn�taila#ion iias .
commenced'prior b issuance of a permit"and that.all work will be pertormed ta meet.standards�of all laws regula�ing-
constructlon, Coun#y and Ct�y cades, zoning regulations, and fand development cegt�latlons�ln tFie:Jurisdtctton.�� 1==at'so._
cer�ify that I u�derstand that the regulattons of other�government agencies may�apply;to the Intended,work, and that it ts
my respansiblltty to identifjr.what.aations 1 must�take:to be�ln�c�rr�pllance�_;S,uch.agenctes-inatude but=are-.not limt#ed to. : -
- Department of E�lvironmental��Proteetion'=Cypress:8ayiie�d�;�1NeHend Areas and Environmentaily Sensitive
L�nds,Water/Wastewater Treatment. � � � ' -
- Southwes# F{a�rtda iNater Management�:Dlstrlct:WeNs;` Cyptess. Bay�e�ds�� Wefland� Areas, Altering
Watercaurses. . � - • - � ' �
- Army Cocps vf Engfneers-Seawails�'Docks,Mav#gatile Waterways.
- Department of� Health.:,8;Rei�abilltatl�e;Ser;vtces/Er�Yironmenfal,.Heal#t� Untt Well.s, Wastewater-Treatment, � �
Se�pttc Tan�s... . `" .. `. _ � _. _ � __. _--
- US Environmental Protection Agency-Asbestos abatem�nt ,
Federa)Avlatton.Authorlty�;ftunways: _ -
1 undecstand that the.4�ltow�ng.�res#rt�tions app4y'#o the use a#flli;�
- Use of fili is not allowed in:Fiood:Z,o,n�"V"unless expressiy permitted. �
- If the�flll materlal- !s ta b.e used.`In.:Flood Zone. "A". !k. is understood that a drainage plan addres�ing a
°campensating votume"wilt be submltted at#ime ofMpermitttng tinr�ilch is prep�red by a professionsl engi�eer�
Iice�sed byY�he State�af.Flatida � - '
- If the fill�material�is to be used tn Ftoad Zone 'A" in�cantt�#ion�wI#h�a�ecmltted bt�ltding ttsing stem Kratt.
' construation, I certify that�II�.wJll.�be-used only.to.flll the area within�the�stem>walL � �
- � If ilt! makerlal is to be� usei! in any ar�ea, 1 �certlfy that .use of 'such f111 wH! not adversefy affect acljacent
properties. if use of fiil is found ta adversely.�ffect adJaEent pcoperties,.the owner may be cited for ariorating
the condi#ions.of the b�ilding,permit.Is"sued"undec the'attaahed„permtt��ppllcation�:for:lots�less�than.one (1)
�are wFiicti�re elevated�5yt#�IR a�t engineer�ed dralnage plan is rerqteir�ed. .
If I am the A6ENT FOR THE OWNER;.I;proiinise in good_f.atth ta Inform the owner of�the permitttng canditlans set forth in
this a#fidauit'prtor'to-comrne�ctng constructlon. i"underst�nd that s-s�parate permit may be tequited fc�r etectcical'work, , . .
�,..:_, .
plumbing,.signs, wells,.poals;.air conditioning,.9as;�:or,oti3ec ins#ali�tlons nak spec�icatly inciuded�In the apptication. .A �.
perml4 Issued�hal! be construed to.b'e a'Itcense'�to�proceed with"ttie vhiork ancl not��s.aukhoMty:ta;violate,�'cancel; alte�, ar
set aside any provislons of the.technlcal.cade�;�nnr sh�111ssua�cesof a.perml#.pcevent the Bulldirig�'iclat irom thereafter
requlring a correction af errors In.plans;-aonsti�uction.or violations af-any codes. Every p'ermtt�issued"slialFbecoine invalid
uniess the wo�k authorized.by such permlt:�s.ca�menced•wlt#in sf�cxmonths of perm4t l�suance� or Ef work aa#harixed by
the permit is suspended or..abandoned-for a;period,of�sUc(�)montFis,:after the.#ime.the�wa�k�is commenced. An e�ciension
may be requested� tn w�iting�._from tHe.BuAding,Offlcial for a perlod�not=to exc"eed'nineiy�{90)=day§ ai�d-virill demonstrate
jus#�iabl+e cause fior.the extension�. If work ceas�:for ninety.{90}cons.ecutive day.s,..th�)ob;is conslderod abac�doned.
lMARNING TU OdNNER; YOUR.FAIUlRE,Ttil,R�EfCCtlttD A:_Nt?TIGE:t�F.�COMM�MC�MENT;MAY-IRESUl:T IN<YOUR
PAYING TWI_C,E;.FOR.�IMPMtOVEMENTS�-Tfl.YOUR::PR�pERTY:�•1�°.YOU�1�1'FEI�ID�°T�'��BTAIN�=FINAI�EtNG;'C.ONSU�»T
WIT D O: N A O FOR =. -QR� E"s:�. O R� � =C ''O ' °,< � � ��1M .. �'::.�--- - _.
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F�ORtDA:lURA�'(�':S:��03} � ` - _ . .
OWNER OR AOENT�17z-Q-. . ��,/Gt�.�u/IZ.Z�},,.. CONTRAGTO -
8ubsc�tbed an bswam ta r af�r�medj befare e#hts Se���bo,d and' 'to(�afli�pbefote me ttit�� ,
, b, � � ��, �.
YVho Islare rsonally kn to.me or;haslFta�e produced Who.is/a erson�liy hi�own me:or haslheve-produced • �
as tdenUflci�Bon. �s ideraiNicatlan.
4 r
Notery Public . Natary Pub1lc,
Commfs Commisslon.No.
,�;a• �
,�, Pav a������ ' .
�'r. ,o; � �tarv Publfc •State of Florida
iVame 1� =�tG�4�orsta�rp�d.►ui t 9 2017 tdame of No t5� =� ==�t��[ar �
r �; .x, . . y IC-St2t8 Ot FfOTIGB
:,', Pc Commission�FF 034230 , �
�i��o����� _ � �`w �; My Comn� Expires Jul 19,2���
Bonded Throuph,Natlon�l No►uy-Assn: %� 'o;: Camnussion#Ff d34230
• - ,�`''%�w�'�� Bonded firough Nationa�Notary Ass�l: ,
� +=f�� �- �?5 �. M.
� � � PROPANE GAS � � � � I
� AND AIC tNc. Service O�der/Pronosal ,
Air Conditioning�Heating
�Si�r e�988 .,_ $i 3-�82�'5o i 3
WORI'. ORDER#/SERVTGEtYIAN F�9c'�9 EAU
�ales, Service & Installations � DATE/TIME TAI�.EhI �7��5/16 �8:53
4441 Allen Rd. • Zephyrhills, FL 33541 TAt�.Eh� PY N.I�I a�
- ' DATE/TIME F�ROMTSED �7/�5/16 ��:��
NOTES:. . ,::�:,�.� : - ,:`':;��I:�:"•` =-:_:�>� CLJSTOMER#/LOCATION 17��1
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- ROUTE/SEQ EAU
G?UENIVE ILLE, MARC G?UENt�lEVILLE9 I'4ARC -
5�41 � H ST ��41 9TH �T
ZEF'HYR ILLS FL 3354� ZEF�HYRHILLS FL3354�
I�ITERTHERh1 P�RA—Q�31�K
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;,.�...:.......::...�. - _ _ ..,,; .<.,,:;.,^. ;,,-..'-' _ - "i:;.� i
- - �:REFRIGERANT�R=i`'.]'.;�'.=�`"" LBSr`�:��`- .'�$.Be[�Ibs:;::t:.`?.;�_:.�i,r:l::'-�: I
FILTERS x x Changed Monlhly I I
FILTERS x x Changed Monthly � �
_ ,....t�:�-,, .:��,.._-,�.-.!, _-� - .. .
❑ REGULAR ❑WARRANTY = _>����-TOTAL'.SUMMARY;��"'�'��_` _
,:;,.,,�„:.:;,,,.,..-�-�-:�;s�:;..,,.,.,. .. ,..�.:- �;�,-, ., „ - __ __ -
-, • .' ,,."' c,'.- ". ,,...-_,.:, ..�,.�,�. ......,,. ,._,., .,
_.,. . ^, ,.� .. ......:.... ...: ..... .�
-Deh�umidistat<5ettings;`r:When here"ON-,.�When Away 60°a�%T-Stat 80°; ❑ MAINTENANCE CONTRACT
--v:u;�<.;x:�:,r.Tf�-:;:�_,: - ��;,:;-..la — SERVICE i
LIMITED WA�2RAN7Y: AII materials, ads and e ui ment are warranted b��the�manufacturere' `= _- _ � ' �� � "'" �. CALL i
P 4 P Y `��_?:';,._=_MET1-10D=0FLPAYMENT,` :_.:'�:',_ ,.
or suppliers'wn yen warranty only.Ail labor performed by the above named company is warranted for ' -"` '' �" " � TOTAL i
30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# • MATERIALS i
express or impli d,and its agents or technicians are not authorized to make any such warranUes on
hehalfofabove amedcompany. ❑DEBIT RE OTHER MAINTENANCE �
�� 1 � PROG. W / C �
I have authority t order the work ouUfned above which has been satisfactonty completed.I agree that Seller / �
retalns title lo eq IpmenVmalerials fumished until final paymenl is matle.If payment is not made as agreed, CLAIM# VI �
seller can remove said equipmenUmatena!s at Seller's expense.My damage resuldng from said removal shall —�
ALLbUNPAID B�n INCES OSVER 30 DAYS.NO REFUNDS�SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED I
I
TECH: � � / T� i
/ ,�,,,,/ ��J/ i�
CUSTOMERSIG ATURE DATE ✓�l��Vi"UlL ✓ou TOTAL ��D �
I