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Home My WebLink About16-18016 �ll CITY OF ZEPHYRHILLS 5335-8TH STREET . �;; (813)780-0020 18016 BUILDING PERMIT - PERMIT INFORMATION '' LOCATION INFORMATION Permit�BVumber: 18016 Address: 5255 18TH ST Per it Type: MECHANICAL ZEPHYRHILLS, FL. Class�of Work: A/C CHANGEOUT Township: Range: Book: Propo�ed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Squ�re Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-17800-0050 Im rbv. Cost: 5,926.00 OWNER INFORMAT;ION Date Issued: Name: OSBORNE, GEORGIA E. To�al Fees: 65.00 Address: 5255 18TH ST Amo�nt Paid: 65.00 ZEPHYRHILLS, FL. 33542 D��te Paid: 12/20/2016 i�sc1�C� 12 2� � Phone: (813)469-0468 Wdrk Desc: A/C CHANGE OUT 3.5 TON CONTRACTOR S APPLICATION FEES BAHR'� PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 A � '�� - �I ections Re uired DUCTS INSTALLED DUCTSINSULATED FINAL II REINS�PECTIOIV FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local �overnment 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. NOTICIE: 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. "Wa�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 fnancing,consult with your lender or an attorney � before recording your notice of commencement." Compl te Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with � City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. � NO OCCUPANCY �EFORE C.O. � . � �� ONTRAC O SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-78I0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � Building Department Date Received _� ~ Phone Contact for Permitting � ��"J �15� — �� Owner's Name � ��/` �� b /�� Owner Phone Number �C� —�� ` '� �/� �� Owner's Addre s �o� `J �� — ��1-S .Owner Phone Number Fee Simple Titl�holder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRES �� J�� LOT# � I SUBDIVISION PARCEL ID# // ��P �I v��v ` /�� D�SGi (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROP SED B . NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED U E SFR COMM OTHER 0 0 0 TYPE'OF CONISTRUCTION Q BLOCK • Q FRAME 0 STEEL Q DESCRIPTION OF WORK �� /� �1�7�"N � `QZL-'� ,3�oZ, /G � GO-7Y3 B��/�/r`jS BUICDING SI� SQ FOOTAGE HEIGHT QBUI IDING $ VALUATION'OF TOTAL CONSTRUCTION �ELE TRICAL $ AMP SERVICE � Q PROGRESS ENERGY Q W.R.E.C. QPLU BING $ � QME �HANICAL $ p� VALUATION OF MECHANICAL INSTALLATION � ` � OGA$ Q ROOFING Q SPECIALTY 0 OTHER II , FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � BUILDER COiNPANY II SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �� Address License# li ELECTRI.CI COMPANY ' - SIGfdATURE REGISTERED Y/ N FEE CURRE� Y I N � Address ticense# � PLUMBER.r COMPANY� SIGNATURE •REGISTERED Y-/ N FEE CURRE� Y/N Address �' License# —� MECHANICAL � COMPANY ��"f7�/��S !►p��}/lSe. 7t'��C.�JVG' SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Add'ress ��'�/ /�/,eN �.c�, License#� ��'o �3 �^'� 'i,. � OTHERY ' COMPANY SIGNA7'URE:• � REGISTERED Y/.N FEE CURRE� Y./N Address - - License# RESIDEN7'I _ I •:, Attach(2):PlofPlans;-(2):sefs•of Buildirig�Plans;(1)set of EneFgy Fomis;R-0-W Permit for new.construction,. =- ;, �Minimum:ten..(:10)working:tlays aftersubmittal•dafe. 'Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary;Facilities:8�1s.dumpster;Sife�Work Permit forsutid'ivi§ions/large projects � COMMERCI Attach(2)complete-sets'of Buildirig Plans plus a�Life Safety-Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster.Site Work Permit fo�all riew projects.All commercial requirements must meet compliance SIGN PERMI i AttacFi�(2)sets of:Engineered Plans. � � **"*PROPERTY SURVEY required for all NEW construction. I � -- I - � - - . � �•Directions: II „ ::� _ � � Fill out aRplication completely. Owner&iContractor sign back of.application,notarized If over$2��500,a Notice of Commencement is requ7red. (A/C upgrades over$7500) '" Agent(foj`4he cont�actor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizir�g same II ,> s- ..+wtr..�.,r_��u c�;e.r��aa�' � � .Y�d� �s�vam7u•.5+�i+' OVER�THE�COUNTEf� � ��py of contraet required � n :y� ,•�;• �: . Reroofs if shin�les Sew�� `�"� `�' : ) ��'��.''•�� }��;.J� - -.+%�_ , , I � 5 g ,.,3er,vice U grades A/.C� . Fences(PIoUSurvey/Foota ti �r �, �;j ��?o�%� ,;, � : _ � z�.yl�:?i��; tr:. , .:1 i::�-��' �. -\ 9 ��6'iii{'�i f1 r.f,Yi; !I�.i• e ' i .i r. . /d�� y e r. fi i> ,�n.t-S I:�i��r�.� ,i`G "`l,.�t::,r ^�" � ��IO�.�i SIiL :?'tir�,� ,.,:�iu.! ha -la`+�r�, .' 4 Drlvewa s-Not q,�er��ounter'i�on public.roadway"s::n:eeiis,:ROViJ , ��`'�;�;.;�< �' �iF�S�EU�'.+;. �t,ir;.�,•.�,<<,.: •,-,, -`,.•, ,. AC;�Eit ij ��, �u,:,<•,;,ere':,L� •:r�"�c.� �,:� y� �u:.A.@1.;,.;�:tt;�1''E;S,°�+:�i;toi�:slvtr� '.:,1,�•�' �j et^ +; �f.. �r�!f'P::�^,;:• ��i,i<<,'•• !�i:9A,.c�..''�/I,•Ai,�l `�f:�yL. � 4 f�"' 4 's'cli�'c¢s�ss'°�«`3'�g.t«'�cr'��'�'�N�(�='''3�"'T.i%' . . ��`t��'�+'�'`-�Y,9�'"+'�4�y'�A II --- �-.�-,.�.,.,,-- �...�.� - �.l . , - NCITICE OF DEED RESTRICTIONS: The undersigned understands tha#this,permit may be subject_to"deed"restrictions'' �,° which may;be mare:restrictive than Caurtty regulations: l"he�undersigned�assumes`�espons�tiility',fo�corrapliance utiri#h-'any`' app(icable deed restrictions. . _ , ,. }� UNLlCENSED GONTRACI'QRS.AND CONTRACTC?R RESPOIVSIBI�ITIES: I€. the=owner has hired-a contractor or contractors ta undertake wark, they may be cequired to be.iicensed in accordance with state and local regulations:.:.if tlie•��-: contractar.is no# licensed as required by law, botFi #he owner�and contracCor m'ay�-6e cited�-for�a rr►isiiemeanor violation. under state law. tf the owner or intended contractar are uncertain as to what licensing requirements=tnay apply for;t�re�F' intended wock, they are advised to conta'ct�tlie''Pasca County Building Inspection Division=Licensing Section at 727-847- 8009. Furthermore, if ihe owner�has hired-�a coritractor or contractars, he�is advised ta{have the contractor{s.) sign ; portions af the "contractor Blocku af this application for which they will be responsible. tf you, as`tfie.owner�sign 'as"fHe ; con#ractor, that may be an indicatian that he�is not properly licensed and is not entitled to permitt'ing privileges in Pasco , ., County. . . � � . , - TRANSPORTATION IMPACTIUTILITIES IMPACT AR1D R�30URCE RECOVERY PEES: The undersigned understands that Transpartation Impact Fees and Recourse Recovery Fees may;apply to the consttuction of new buildings, cFiange�cif�'"� use in existing buildings, or expansion of,existing"buildings, as specified in Pasco County Ordinance number 89-07 and . 90-07, as amended. The undersigned al,so understands, that such fees, as may.-.be.due, wil! 6e identified ai�the�time`of� '� , permifting. If is further understood that Transportatian impact Fees and Resource:Recovery Fees must be paid prior to receiving a °certificate of occupancy" or final pawer release. If the.project does not involve a certificate of occupaney°or.`� final pawer release, the fees.-must be paid priar to permit issuance. Furthermore, if Pasca Gaunty Wa#erlSewer lmpact, -� fees are due, they must 6e paid priar to permit issuance in accordance with applicable,Pasca County ordinances. � CONSTRUCTION LlEN LAW(Chapter 718;Flo�ida Statutes,as amended}; if valuation of work is$2,50QAQ or more,•,I.: . certify that t, the applicant, have been provided with a copy..af the "Ftorida Canstruction Lien Law Homeowner's Protection Guide" prepared�by the Florida Department of Agriculture and Consumer Affairs. !f the applicant�is someone. ather than the"owner", 1'cerfify that I have obtained a copy of the aboue described`dacument and promise-fn,gaod faitFi.fo�`; deliver it ta the,'sawner".prior,ta.commencement: _ ' CONTRACTQR'SI4WIdER'S A�FtDAVIT: I.certify.that alf the infocmation in this application is accurate and'that a11 warEc will be done in campliance with all applicable�laws regulating construction, zoning and land development. Application is hereby made ta obtain a permit to do work-and installation as indicated. ! certify that no .work or instaRation has cammenceii priar to issuance of a perm'it and�fhat a11 work witl be performed to meet standards of all iaws regulating constructian, County and Ci#y codes, zoning regulatians, and land development regulations in the jurisdic#ion. I also cerEify that 1 unders#and that the regulations of other government agencies may apply ta the intended wark, a�d tha# it is , my responsibility to identify what actions I must take ta be in compliance. Such agencies.include but are not limited to: - Department of Environmental Pro#ection-Cypress Bayheads; Wetland Areas ancf Environmentally Sensitive Lands,WaterNVastew�,ter Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Watenivays. - Department of Nealth � Rehabiiitative Services/Environmen#al Hea[th Unit Wells, Vlfastewater Trea#ment, Sep,tic Tanks. - US Environmenta!Protection Agency-Asbestos abatement. � - Federal Aviation Authority-Runways. I understand that"the fallowing restrfctions apply to the use of fill: - Use of fill is.not allowed in Flood Zone"V' unless expressty permitted. - If the fill material is to be used in Fload Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Fiorida. - If the fill material is ta be used in Flood Zone "A" in connection with a permitted building using stem wall constructian, I certify that fill will be used only ta fili the area wifhin the stem wall. • If fill material is to be used in any area, I certify that use of such�fill will not adversely affect adjacent properties. If use af fil! is found ta adversely affec#.adjacen# properties, the owner may be cited for violating the conditians of the,building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith ta inform.the awner of the permitting conditions set farth in this affidavit priar to commencing construction. I understand that a separate permit may be required for electrical work, pEumbing,�signs, wells, paols, air canditioning, gas, or other iristallations nat specifically included in fhe appGca#ian. A ` permit issued shall be construed to be a license to proceed virith the work and not as authority ta violate, cancel, alter, or set aside any prouisions of the technica! cades, nor shall issuance of a permit preven#tt�e Suilding.Qfficial from thereafter requiring a correction af errors in plans, construction ar violations�of any codes. Every permit issued shai� became invalid , unless the work authorized by such permit is commenced within six months of pe�mit issuance, or if work authorized by fhe permit is suspended or abandoned for a periad of six{6}monfhs after the time the work is�commenced. An exEension may be.requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justi�able cause for the e�ctensian. Ef work ceases for ninety{94}consecutive days,the#ob is considered abandoned. WARNlNG TO OWNER: YQUR FAILURE TO RECCIRD A NOTlCE OF COMMENCEMENT MAY RESULT IN YOUR , PAYING TWtCE POR IMPROVEMENTS TO YOUR PF20PERTY. iF YC1U:�INTEND TO OB1'A,1N FINANCiNG,C8N3ULT WITH YOUR LENDER OR'AN ATTO NEY BEFORE RECORDING YOUR NOTICE C1F'CC1 ENCEMENT. :._ __ _ . -- — FLOR�DA JUR,4T{F:S: :03}—R_-�v" _ _ _ � .._ ___,._ — , i-- — - f OWNER OR AGENT l� CONTRACTOR –' :+�,_2��– Subscribed and swarn or affirmed}bef r me thls Su6scribed and s n ta(or aft'irme bef �e me this �o��'�(lr �" �, �1�?'I la�` 'o�0f Ci ri1� L� S.Y!'l�� Who is/ar personally known me or has/have produced � Wha is/ar ersonally kno to me or has/have produced as 3den�fication. as identificafion. . �".-�'� ' � Notary Pubtic Notary Public Carr�mi tan No ��art��?-7cc��A�� Commission i1o. �d�pvo+�.� a�LY�lfM.b+�m1`OCL� .�rnYaL�(•�,, . •�� e�;. :�'�"'. .�; Notary Public-State at Flarfdt ;'r. �•. Notar Publtc-State 01 florMo� Name of Notary ' , c�olA.gt�`mpst!Expires Ju1�4,201T Name of Natary tyP ; ' Ts �. xpir8s Jui 18.2QtZ � =: "" Cammission#�fF 034230 ' ;�F �g.°.- Commissian�Ff 034230 � I'"�' �'a'� '�°��"' Bonded Through National Nol� Asan: ''�+4��ta`� Bonded ThrouqhiV�tionit NOtiry A411F: � _ �.1 � �f - ' PROPANE GAS Service Order Fro osal � � - � - - � e AN� Af� ING. Air Conditioning&�Heating ��ra�� 8`t3-782-5013 wo�N. ORnER#/SERVICEMA �=, . N 7�„74 AUC �S818S, S�NiC� & I►1St�II�fi1tJ1�S DATElTI�I�E TAF'.EI� 1�l i�l f� 15:�1 444'1 Allen Rd. • Zephyrhilis, FL 33541 7GN,��v �►Y Jr� �� I?ATEITIME FfROMISEL} NOTES: CUSTOMER#/LqCATI01� AG4674 r : -, RHOl�E# ,,� 813-[��,3-7'�;�� ROU7E/ . . . �(� �� AUG�B+�r� � ��, 9 OSHOR�{�, �EORCIA E. � OSE�ORl�E, GEQR�IA E> . F'. 0. E�0 X i 41'3 5��5 1 B7H �T ' ZE�'HYR�ILL� �L 33v.�`� ' ZE��HYRI-iILI_,.�'-s. FL.w.:�54� �?,-T TEMF'/HP TCH�36A�.A4 L��5�13� gLqWS 4�ARM ATR, HA� IT OFF NOW. ` • � . ( ` I .DESCRIPTION QF V1!ORK '.Q'iY.� MATERIALS"&SERVICES. , , UNI7.P,RICE • AMOUNT _____ II______�____....___.._______.....______ __ ________.....�_�....------.......___.�_ __�_ ----+-- � N ¢ � '�c� � �3�� t , . �� _ � � � � �S s - � � , ,� ��. , � !! �r•�s �i4..� � � -.;� � � ,. c� �� 1�51 k 5 .�— � � I 1 . � ; II - �.. � � �� I _ . ' ' � i i i � �+ t � RECOMMENDAT.IQN$ < . i � , � � . . - . _ . c� -.� . . t i ' Annua!'�Mai enance Recommended.by AII�.Eguipment Manufacturers:. . ' � � � ��. Pressures Lo HI T-Stat i i (� REFRtGERANTB=� _ - .LBS. .�. ' $,Per.lbs. I I +i �t I I . � FIL.TERS �x x Changed Monthly I I ' (I � FILTERS x x Changed Monthly � � ❑ REGULAR 0 WARRANTY TOl"fiL=SUMMARY Detiumidist�a#Settings: When here"ON",. When Away 6�,�T-Stat 80°. ❑ MAINTENANCE CONTRACT SERVICE _ i � V LIMtTED WA RANTY' AIi materials,parts and equipment are warranted by the manufackurers' �_,.(y�ETHO[3-OF:PAYtV1ENT CAL� � or suppliers'wri en warranry only.All labor performed by the above named company is warranted for '' ' TOTAL i 30 days or as ot envise indicated in wriGng.The above named compa�y makes no other warranties, ❑CASH ❑CK# A1fATER1ALS i express or impli d,and its agents or technicians are not autharized to make any such warcanties on- behalfotabove iamedcompany. ' ❑DEBIT ❑CREDIT ❑OTHEF2 MAIN7ENANC� - � 1 have aUNority!�Dtder the work ouUi�etl above whiCh has bee�Satis(actorily Campleted.1 agree lhal Seller PROG.'W � Ci retains titie ta eq��pmenUmateriais fumishetl untii finaV payment is mada K payment is not made as agread, .��M#� • � setier t;an remove'isaid equipmenUmatena�e at SeNer's expense.Any damage resuitmg kam said removai shaii ALL UNPAID BA�INOES OVERr3p DAYS.NO R FUNDS SERVICE CHARGE WILL BE AQDED MONTHLY TO dATE COMPLE�"Eb �.�_��r � (� TE.�i�"{: �� ` i ( Ct7STOMEftSVGt�ATURE DATE e/')'GLl//G/L .7oze TOTAL I I � j _ ' _ _ __... __ ' ' _ __ _..._ - _ _ . _ _ _ — _— - __ _ _ ' (I