HomeMy WebLinkAbout17-18047 ;;
CITY OF ZEPHYRHILLS �
5335-8TH STREET
. (813)780-0020 1804
� BUILDING PERMIT
, PERMIT INFORMATION LOCATION INFORMATION `
Permit f�umber: 18047 Address: 39547 QUARTZ DR
Perm�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: EMERALD POINTE RV RESORT
Es�. Value: Parcel Number: 24-26-21-0020-00000-0010
Impro�. Cost: 3,000.00 OWNER INFORMATION�
Date Issued: 1/04/201�7 Name: MITCHELL KENNETH J JR & DONNA
Total Fees: 50.00 Address: 212 MOUNTAIN RD PO BOX 73
Amo�nt Paid: 50.00 CHINCHILLA PA 18410-0073
D�te Paid: 1/04/2017 Phone: 570-335-8931
Wo�k Desc: A/C CHANGE OUT 2.5 TON PKG
! CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 50.00
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I Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL I
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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.
NOTIC : 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.
"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 pertormed in accordance with
'� Ci 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
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER �
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813-7�aooao Ci of Ze h rhills Permit A IICa�lOt1 Fax-813aeaoox� � ��
i . tY P Y pP
i Buitding Department
ii Date Rec�tved � ° Phone�Co»tac#for Pernitttin -d ��.+ — ��
Owner's Name v'T�! Owner Phone Nurnber � � ' ��� �� .
Owner's Address � /��7 � Li.' �Z ��� � Owner Ph'one Number� � � '
Fee Slmple Tltleholder Name � � Owner Phone Number � �
;,�
Fee Simple Titleholder Addresa -
! �._� �-�
JOB ADDRESS� � � Jr'� 1tiA-ru. 1�-- �, �oT�
suBoirnsioN �merr�-�j�o�ns; � PARCEL tD# '�� ��@ c�l ���ZD .b"t��t�d l>f>/� '
� , ' (OBTAIN6D EROM PROPERTI!TAX NOTICE)
WORK PROPt3 ED •,NBw CONS'fR ADDIAIT C'� 5tG(U' �� Q DEMOLlSH ;
I� ',e. INSTALL 8 REPiAIR
, FR�P05ED=USE Q SFR. Q CQMM . [� t�THER _
TYPE AF CON TRUGTION <• Q" °"9LOCK ' Q FRAME �� STEEI. '�]
pESGRIPTIONI,OF WORK' , �-�� Gt��N e-f�LL- / �7'"n7 t1J�P�Z� � a ��'L .
' IBUIlDtNG S!2 i �� �`SQ fOOTAGE `� HEIGHT �.E�� �
0����' ��� . �� VALUATtON`fJF`TOTA�CONSTRUCTION rv ,
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QELEGTRiCAi. I:($ ' � AMP SERVICE. •Q PRGIGRESS ENERGY � W.R.E.C.
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QPLU BINC, ,��� � ' ' '
QMEC ANIGA� ($� � VALCJATION pF=MECtiA1V1CA1:li�iSTAL1.AT10iV. �
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�GAS Q FtOQFING Q,= , SPECIALTY;.��,•_-..OTFiER�, _ �
FINISHED FLOOR ELEVATIQNS r�� FI.00D ZQNE AREA ,QYES. NO
L - '���.
�u«a�� coM�iuzit:� .. .._ � ,.
SIGNATURE �'i REGIS7ERED Y/ N ' 'FEE CURREP Y/N' .
� Addresa i k � • �Cicen"se#���:: �
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ElECTRtC1AN . � 'COMPANY ' � ,. . ..
SIGNpTURE � REGISTERED Y/ N �E curt��-" " 'Y/N
, . � . �
Addresa ' " . ` License:# �- f �
PLUMBER" GOMPANY ` > : - '
SIGNATURE' ReGiS.TEREo YJ..N: . F�e:cuEtRen� Y:•/N
Address , . ' .Cicense,#���• . -. � : ��� �
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MECHANICAt:'' ,- :, ���;X,�,, ,i O�G�?tAJL ,,. CBMPANY. ���J�S_ �.. . l�1�-' �/3`I��'7�_"-', " �
SIGNATURE ��1� REGI57ERED Y./.N . ., FEE CURRE�.. YJrN .
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. .. �'�� !`t�t�' �. �"�lLlS � s _ , . �tcerise# �.���L�d ���'�g �
Adclre�s��-�=
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OTiiEEt �' - � ' � '.GOMPAN1f` �
51GNA74IRE ��' � ' ' ' '" � REGISTERED Y/ N:..- FEE CURRE�� Y/N �
Address ' R,4„�' ... 5 - . , - .. Ucense#�� ' < �� _.
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RESIDEN'i'IAI: � : Attacti'{2};Plo#�P,latts:..(2}sets�of'Bulldingi Pla�s;'{1)sef oF Energy`Foans;Y R-0=V4t Perinit for new construclion,
�;..�.- _,• �
•�: �� Minimum�ten�(1.0)�workingydays,afker.;submlttal`dat"e.�.Required onsRe„ConstiucBan=Pians;°'StonnwaterPlans�w!Silt Fence instailed, �
`� '� Sani�aryFac11i8es;&,1y,dumpster•_SIte�Woricy.P..ermitforsubdivi5lons/large;projeafs. ,._:_;..��. . "� � � _
COMMERCIAl. Af#ach{3}�poinplete sefs°of 8u11�iog Pla�'s plus a Life Safety Page;{1}set of Energy Famts.RA•W Petmit for new caasttuctia».
Minimum ten(10)working days afker submltMal date. Requlred onsite,Constructton Plans,Stortnwater Plans w/Silt Fence installed, ,
San(tary FaciliUes&1 dumpster.Stte Work Permit for all new projects:.All commercial requlrements.must meet compilanGe �� �
SiGH PERMIT Attacbi"{2)sets of'Eng,i'nee�r.ed�Plans:,, :.�-�..�� :. �._ . . - ' � ,
"""PROPERTY SURVEY reguired„for_all fVEW consWcUon.
Dlrec#ions: ••-�- .: . _ •-
Ftll out ap�licatlon completely. • t
Owner 8 Cantractor slgn back of appltcaHon,notarized
� tf over�2�OQ,a Notiee af.Cammencement Is reqnired, (A!C upgracfes aver iT500} . ' ` '
'" Agent(for the contractor)ar"Power of Attoiiiey�(tor`tlie owner)would be�someone with�notariz 1@;tter ?; o n�e,r a o�zin same
.T� �`a—;'siYr.S�. Asr;Hairv'�.+��".�tra&a:�n�"�a«r�? , az.��jE�.be ��yy�a )
�,;.,� �•^.��.;.t'tu .s=,s.,�
�, C}VER THE COttN.T.ER,F �� .;�r�:.;{F�nt��f 1�ipplication,Qnly)�,� .�1s,�A.,,, �;
����.�}•yti�,.
�I Reroofs if shing�es S wqr� S,ervi Up r,a�l�s ,N��';"�„>:�ences(Plat/Survey/Footage) r.�:;,nl;t�;,rpt%; • ��t,i;;�i vus�e�t� ',"=�„2��, i�
r.��!��i�t�t,a.;�- �re r � o . -, •: �y � /
( . �. -Crt �--. .._ . -- =:�^4;�f� -°�. ?� - . '. . ;tiF$.ect r�tbaa�iqz� r�tr�ra,}t�,3 .n�:.�° ' ..
t�^,j�t i��t,p��i�':ros,z��y tr± - g x
'Drivswaya�-{Votaver unte ifon.p b c a s..ne�OV1t.: � y�aNt:��!��na:���r::t�an,i ":'�k- ,�"'��
a s� 2, �
��. .. 1• s€}�a �n'�t't � :� .a'..; ,
�ea�".�s Fn 't �� .('tei�±1[t'�tj ei:r?;}i�ui?^WU�ift!�loeJflUk: ''%.is;'ei�s5�•
� r.'�. �::,,.:4i!zr.nt�r.:?;p,UQ9'.tr tt»Y.,(:Dt� �:�r�n�aC'
� �"°`�'�''e�tiA ' .�'ij`7��ai�j� � i
�S7'i,s�'..f.y'=,Sv'�''�;'�`�`'r��"":,'a�,"��'<�'�c+�'"�E.�'�
NOTICE OF DEED RESTRICTIONS: The undersigned;under�tands�;th�t;thigAp.�rm�t.may;_be subJect;to:°deed".restrlctions'�;,' "`�``
...� f- . :1 Y.� C.." .� . ��.�.'fi.w.-:i�
which may�be<more`�r.est�ictive�t#is���Cou�ity�regrilatfons:�The�und'ersigned assurr`ies �esponsibiittj`r-for compllance with any"� �
� aPPlicable,deed resttictlons. . ,.� :: : .� , ..: : � ., , .•-_ ,,, _ :.. � - -
... .,. ... _ . ,_ .. _._ . . .._ .... ..
UNLICENSED• CONTRAC7'ORS AND CONTRACTOR RESPONSIBILITIES: �<If°the��owner has�•hired� a�';contractor or
cont�actors to undertake work, they may,be.:requiced:�to.,i�e;licensed Irt.accordance.with;state.and�local:4regulations!��if�the<<�=� �-����
coMractor-ts-not ifcensed'-as°re'qulred'tiy law� tiottt�ttie'owner arid contractor�may��be�cited�fora�misdemeanor vtolativn
under state law. If the owner or Intended>;contractor�erezuncenaln as to what Iicenaing.requirementsTM;m�y=�:apply�.ior�tfie �� �-�- � ��
. i-��.,...,h :......1 � f..:,- .. 'p
intended work,"they are advised to contact tFie�:Pasco County Bullding'Inspectton�Dh►lslon--l:tcensing Section at T27-847-
' 8009. Furttiermore, (f the ovirner��Fias�`hired a contractor or contractors, he�is advtsed to have �the contractor(s),.sign: __� ;
portlo�s of the "contractor Block° of.thls.,application._foc;which they,wilt.be�tesponsible:-:�If::you;t.as.the_owrte�"sign'�as'the'
contractor� that�may be an indication that`iie�is not properly 1lcensed�and�''Isr not'entitled'�to perrriitti'ng�p�ivileges In Pasco
County. � . . :�;:: _,. . .,
TRANSPORTATION.IMPACTIUTILITIE$`�IMPAC7 ANb RESOkJitCE RECOVERY�FEES:��The�undereigned�understands '
that Transportation Impact Fees and.Reco.urse.Recove.ry.Fees r�ay:•:apply�to�tf�e;�constructlon of new,buildtngs,,change of=`��i �=• �
use In existing buiidings;or,�ezpar�slan>of�ezistin;g',buildings� as specifled.in Pasco County O�dinance number 89-07 and
90-07, as amended...The undersigned aiso;understands� ttiat:�such fees;�;as��may:be�:due;w.w,ill<�be.identified at the`�'timeaof` -� ����'r'�`
permitting. It is furtlier understood that Transportation impact'Fees and'�Resource:Reco�ery'Fees.,must be pald prior to
receiv(ng-a 'ce�fiflcate�of-occupancy"or flnal�.power:Felease:�':i��the.project�..doesfno�Involve:a:certificate of occupanoy�or'�'�=-~=�'°�'�°
flnal power release;the,fees mu�t_be paid;prio�to:permit Issuance. Ft�ithermore; if:Pasco;County�INater/Sewer��lmpact •��.��;����.
fees are due,,they:must:be>paid;piior�o p.ermit�Issyance�in.accordance wltFi��appllcatile�Pasco�'�County,�ordinances. •
CONSTRUCTION'LIEN'L.AW(Cliapter 713� FloNda Statutes,a�amended): If valuaHon of work is$2,500.00;onmore,.l�� ;� ��y=;
certify tFiat .I, the .applicant, have.been provlded �with.a-copy-of��the_".Florida �onstruction:_Llen :L'aw—Homeowner's
Protection Gutde" prepared by'tfie'FI6�Ida Depertment�of Agric.ulture and Consume.r.Affa(rs. If the applicant Is_soineone�- ,,� -:F
other than the" - .`�",`
ow�er", I certifjr,��that I_have,oqtainetl�a-copy.of:the:abQve;rfescNbed'�ocu'Fi�ent�and:p.romise`in,good':fatth�to _ - �.�
deliver It to.the.`owner":prlor,to�cmmmencement:' �" ' " � ' �� . ' "` � , --
CONTRACTOR'S/OWNER'8 AFFIDAVIT: I.certify;�:tti;at,:ell�,th��informationz,ln�thi� applicatlon is accurafe and that all work
will'be done in compliance with all.applicable laws reguleting construction, zontng and��land�development. Appltcation fs
hereby made to obtain�.a:permit,to :do..;w�rk:-,and Installation as indt�eted:-�-.-:Id certffy that no work aor Instaliation lias �
commenced prio� to issuance of.a permif and that�.all work will be�pertormed�to meet-standards-of�all laws regulating�
construct(on, County and City codes� zoning regulatlans, and land development regulations�tn the:Jurisdiction.`�I�.al'so _.
ce�ify that I u�derstand that the regulations of other government agencles may�apply;,to,the...lntended,work, and that it is
my responsibility to Identihr•what.actions I must�teke to be�In�compllar�ce.,,S.uch;agencles:inciude-but-are:not Ilmited to:. �
- Department of Er�vironmental>'Protectton-Gyp"ress:'Bayfi'ead�;�WeNand Areas and Envlronmentally Sensittve
Lands,WatedWastewater Treatment. " � � � �
- Southwest Florlda Water Management'•.�isfrict:Wells; "Cypress.�Bayheads; Wetland' Areas, Altering
Watercourses. . . � - - �,: ; • � - -
- Army Corps of Engineers-Seawalls,'Docks, Navigable Waterways.
- Department of,,Health�.8: ReY�abllitative...Services/Envitonmental:F�ealth Unit Weil.s� 111�astewater�Treatment,
SepticTanks..,: '_."' _ � : ' � � --� _
- US Environmental Protection Agency-Asbestos abatemen� . �
- FederaFAvlatton:Autho,r,Ity�Runways:�� '
I understand.that the.following::rest�ictions'apply"to the use of flll:�
' - Use of fill Is not allowed in�.Flood;Zone"V"unless expressly pe�mitted,
- If the,.flll"material�"ls to`be used:In :f lood Zone. "A", tt Is understood that a drainage plan addresstng a
"compensating volume"wlll be subm(tted at�ime of�permittJng which is prepared by a professional engineer �
Iicensed by the�tate of?Flo�ida. - �
- If th� flll•material�.is to be used in Flood Zone 'A" In�connection•writh�a��ermitted building using stem wall
construction� I certify that flll:wall:b.e used oniy.to.fill the area within�the�stem�wall: �
- If flll material is to be used-in any area, I �certlfy that .use. of such flll will not adversely affect adJacent
propertles. If use�of fill is found�_to adversely:�ffect adJacent'�properties,.the owner may be cited tor vlolating. - '
the condi#ions.of_the bi�ilding;permit issued under the.�`attached permit applicatbn,°for.lots�:less�than.one (1)
aare wNtcfi'are elevateil�by flil;a�t englneered dralnage plan is required.
If 1 am the AGENT.FOR.TH�OIMN�R,,I�promise in good f.alth to Infortn�the owner of�the permttting condftlons set forth in
� this aifidav(t`pNor Co comrrieracing constructlon. �f understand thafia�separate permit may be requlred for elecMcal work, . _
plumbing, signs� wells,.pools;. air.condittoning,.g$s� or.other Install�tions not spec�fically inclu�led�in.the�application. .A
permit Issued shall be construed to�be a`Itcense'�to�proceed with'the work and:;not-as:authority.:to:violate,�'cancel. alter, or
set aside any�provisions of the.technical cades;�nor shall issuance�of a.permtt.prevent the Bulldirig Official irom thereafter
requiring a correction af eRors_in.plans; consfr"uction or violations bf any codes. -Every�piermit lssued siiall-tieaome invalid
unless the work authorized.by such permft:�s-commenced�within six.,months of permit I�suance, or If work authorized by
the pe�mit is suspended�or.:aba�doned-for:a:period;of�six�f8)�montFis:after.'the time the�work��s commen�ed. An extension
may be requested, in writing,.from,tfie Building.Official for a perfod:not.to exceed'=ntnety-(90) days a�d=will�demonstrate
justifiable'cause for.the extension: If work ceases.for ninety(90)cons.ecutive�days�..the)ob�is constdered aba�doned.
WAItNING TO OWNER: YOUR..FAILURE�TQ,REC.O�tQ.A;NOTIGE:OF:�COMMENCEMENT:MAY�RESULT IN YOUR
PAYING TWICE;FOR�IMPROVEMENT��Tfl.,YOUR�.P1tDRER�Tf.��I�°.YO.U�IN'FE�ID�TQ'��OBTAIN�F1NiAI�EMIG;'CONSULT
WIT . D �O: AN�i4TT0 FO'RE�,�� OR�d %; pU ' r ��C -'p � �°• � E ` .
' . „.. _ .. .,. . . _.. .� ...,. ..
_ FLORIDA JURA��(F. �_17.03} _ �..-: ----- - - _ ' ' R - - — ----�—- --- -- -- — — --
OWNER OR AliENT � ��� CONTRAGTO �
Subs_�e and ewam to refli�)b�i��thl� Stibs bed and� m�to(or aRirmed�before me�it�.
-�-� � �,� ��y� �e�-
Who lsla ersonelly kn me.or,has/have.produced Who.is/are ersonally kno �• .me oc fiaslhave�produced •
� as Id'entl8catlpn. � es Identlflcadon.
� . �
� �,���:0�9 . ,� .
otery Publlc .�� . c Notary Publlc
Comml� n No: Comr�Isslon.No.
``ai���y��� YL�tQC'{�"8'MNP$Ek�— . ' : - , '
���`Par au��.
,� ��':,Notuy Pubtic.SWte ot Flurfd� ,.•,e` B��-, Nofory PubUc�State af f.lorida
Name ot Notary , : m• . � 17 Name of Nota ed d
��, �= Commission M fF 03A230� _ ry� d ���°mm..�cpnes Jut f 9, 7
, =:�, e£= Cummiesioo�I FF 034230
''H,;;;N`' 6ortded'�Arpu ph,N'�t1onAl Notaty Asan: ''�,4;,;`N`O B o n d e d�h r o u p h N a t i o n a l N o t a r y A s s n.
� � � PROPANE GAS � � � �
� AND AIC �tvc. Service Order/Proposal Air Conditioning 8 Heating
J/��e �988 $'�3��82-50'I3 �oR�. ORDER#/SERVICEh�AN 7,�51� APR
. ,
Sales, Service & Enstaliations DATEIT I ME TAF�.E�I , �+�1�Q�3!17 �8:�1
I TAI:EN RY N,I M ��
4441 Allen.Rd.�• Ze ph yrhills, FL 33541 � ti A i'E/T I M E P R O M I S E D �1�¢�3�1 7 ��:�r�
, NOTES• CUSTO�fER#/LOCATION ia801
I F'HONE# J7�—..��._rJ-8�.3 1
. RDUT,E/SEO AF'R
M I TCHEL�L, IiEN ' ' M I TGHELL, KEN '
39547 �►UARTZ DR 3�547 G�UARTZ DR
EMERALD F�OINT
ZEF'HYR ILLS �FL 33�4� ZEF'HYRHILLS FL�354�
� MILLER
F'�RAQ�364, F'3F�4�3Q�i E�1
gLOWING WARM AIR. NICI'. INSTLD RE—COND COND FAN MTR ON 12/�8/1E. - -- • '�
�;- .�� " DESCRIPTION OF 1NORK - � '�; QTY. ,.MAl'ERIALS�&SERVICES - y - UNIT PRICE AMOUNT
.i� _ , . . , _,_
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�� • � RECOMMENDATIONS �. `
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__ _ _ .. _ � n.� i
Annual�Maint'nanceRecommended'byAll`Equipment�Manufacturers. � �
.,�- - Pressures Lo HI T-Stat i �
i ,i
REFRIGERANT R- LBS: ` " $pe[Ibs. , � , I
FILTERS x x Changed Monthly I i
�I ' ' FILTERS x x Changed Monthly � �
,, � REGULAR ❑WARRANTY �-, TO'fALSIJMMP.RY �
�Dehumidista�,Settings: When here Q,�:When Away 60° , T-Stat 80°_ ❑ MAINTENANCE CONTRACT SERVICE i '
. .. . ,� -•
LIMITED WAR�ANTY: All materials,pads and equipment are warranted by the manufacturers' ' -' METHOD:OF PAYMENT � - CALL ' i
or suppliers'written warranty only.All labor performed by the above named company is warranted for r . TOTAL i �
30 days or as otherwise indicated in writing.The above named company makes no other wananties, ❑CASH ❑CK# MATERIALS i
express or implied�and ils agents or technicians are not authorized to make any such warranlies on �
behalfofabovenaimedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
I have aulhority to�rder the work ou(lined above which has been satisfactorily completetl.I agree Ihat Seller PROG. W / C
reLains title to equi'menVmalerials fumished unul final payment is made.If payment is rwi made as agreed, CLAIM# I �
seller can remove s id eqmpmenVmaterials at S ler's expense.Any damage resulling�from uid removal shall i
not be the responsi ility of Sell r.NET DAYS. 1 1l2%SERVICE CHARGE WILL BE ADDED MONTHLY TO �
ALL UNP�10 BAIA CES OVE 30 S.NO NDS DATE COMPLETED
TECH: T� ` i
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CUSTO 'R SIGNI�`TURE DATE �L QCG TOTA �j`,,�� ,
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