HomeMy WebLinkAbout17-18439 CITY OF ZEPHYRHILLS
5335-8TH STREET
� . (813)780-0020 18439
BUILDING PERMIT
' PERMIT INFORMATION- � � LOCATION INFORMATION �
Permit Number: 18439 Address: 39210 PARK DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 7,199.00 OWNER INFORMATION
Date Issued: 5/03/2017 Name: LUKENS, JARRETT
Total Fees: 75.00 Address: 39210 PARK DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/03/2017 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00
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I s Re uired
D CT I STALLED
DUCTSINSULATED
FINAL
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 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 properly. 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.
, CONTRA OR SIGNATURE PERMIT OFFI R I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Departrnent
Date Ftecelved Phone:Contaict�for�Permlttfn O�� ��2 — d�.��
Owner's Name ! �J ��"r e�C� Owreer Phone Number �!�'
Owner's Address c��l� " Owner Phone Number
Fee Simple Titleholder Name � l Owner Phone Nu"mber �—
�, .t " -
Fee Simple Titleholder Address
JOB ADDRESS � � a�� �J'R� ��� LOT# ��]
SUBDIVISION � ' PARCEL ID� /� � �/ � � ,� C/
, ' . (OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED _NEW CONSTR ADD/ALT Q SIGN` Q Q DEMOCISH
� INSTALL -�.REPi�IR
PROPOSED=USE � Q SFR Q COMM `Q OTHER
TYPE OF CONSTRUCTION � Q 'BLOCK ' Q FRAME Q STEEL" Q
DESCRIiaTION OF WORK' - . �P..��v� � li Gi e—l.SLQ-% ��I'� !.O/� � l�d7'Yl d��i�
BUILDINGSIZE � SGl FOOTI�GE " HEIGHT��
QBUILDING $ VALUATION'OF�TOTAL CONSTRUCTION ,
QEL'ECTRICAL $ " " AMP SERVICE Q PROGRESS ENERGY Q "W:R.E.C.
OPLUMBING: � :$ _, ' � � \ .
QMECHANICAL $ VALUATION OF'fyIECHANICAL IfVSTALLATION l� ,
_ �l � .. �
QGAS Q RO.OFING .Q SPECIALTY Q OTHER -
FIWISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
- " „
BUILDER COMPi4NY'• �
SIGNATURE REGISTERED Y/ N FEE cuR�n � Y/N' .
Address -_ °�� � Ctcense#" �
ELECTRICIAPI. , - -t COMPANY= -�` ."` 'r _ � - - ,: -
SIGNi�TURE � REGISTERED Y/ N FEE GORREK°-� '��� Y/N
. ,. ,. - : _ . . - .
/�dP63S . ` a� ,, L�CQ�I38,#; '
PLUMBER �_ � COMPANY ' - ��� �� - -�.
SIGNA7URE` `�' ; REGIS.TERED Y,../,.N.� ±_,.�, EEECURREN � ,-�� `, Y/.N, ',�:�<
Address Llcense;#.�l� . , -�,�-, � -- „ �: .
MECHANICi4L ' , � • COIYIPANY � �}"1�/e�S ;,..A�I�G � "t:.. C
SIGNATURE ~ REG�S7ErtED Y/-N . " FEE CURREA-F Y:LrtN- : .
Address -'� 7T'�� ��L°l�'/Ct� ��/7/�6 ��71 ;License#� (..d/Tl�l�.T� .C3.
OTHER ' ' . ` ' "COMPANY _ � - , � . ..
SIGNp►TURE , =��' ., `-: 4, � �� � :`. � ° ` _ - � . REGISTERE� Y/ N.._.' " '�FEE CURRE� , Y/N -
.�. ,
Addreas' . . ' ��„ � � , . , , - - ` Liaense#� �
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�RESIDENTIAL'_;;.="Attaofi`(2):Plot?Plans;(2)sefs..of'BuilBi'ng!Plan's;•(.1)set�of'En'ergy'Forrns;-R=OOW�Perrriltfor'new construction, .
. :, ktl,Mi.nimum:.ten,(:10),working,days_:efte_r.�submiftal daEe.:s:Requlreii on'site;:ConstrucUon:Plans•,>Stormwate�'Plan�w/Silt'Fence fnstalled,
� Sanita'ry.Eacpttles;8��.1,,,dumpster;Site Work.Permitfor:subdiv.isionsAarge proJects,:.^p..::. ' " � '
COMMERCIAL Attach(3)complete sets of Building Plaris plus a Life Safefy Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)warking days after submittal date. Required onsite,ConstrucUon Pians,Stormwater Plans w/Silt Fence installed, -
Sanitary Facilities 8�'I dumpster.Site NVork Perrriit for all new:projects..All commercial requlrements_must meet compilance `�
SIGN PERMIT Attach"(2J sets'of Engineered�Plans:�. - '�� , ;� �� , ,
••'"PROPERTY SURVEY required for all,NEW construction. .
Directlons: � �- ' " � '
Fill out applicatlon completely. - _
Owner 8 Contractor sign back of applfcatlon,notarized
If over 52500,a Notice of Commencement is�requlred. (AlC upgrade�over�7500)
'• Agent(for the contract��; o"" of;Att ,; r e qwn r) ou1d be�someone with notarized�ette�rfr.q.R�,g�r a,�u,t�o in same
���«�:�wx�,fl.�,.a�a�.• ��-�.r. �
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DVER THE COUNTER PEii�411TTiNG{r`'Fa,;`(F�`o�if`of<ApplicatiomOnly), � ` ,� "��
Reraofsifshingles Se rsr�'•'uf"�?�Seivice�Wpgrades�fA/C�,:� R �e" -.�`�q�f:2 �.;i'i��_+ s -,>r`i�,����;,; ,�
,_� : ;Kences(Plot/Survey/Footage) . , r.:;;t �
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!i�,.7-3u::r ,iz;;;,;;t.�r�3 t��l,+ ,�.''r k,
Drivewaya-Not over Co�unt�'�if�on''p�iblPc�roadways.needs'ftOVV''�, `�' `•t '� �'��r�'����1{���- =�}� _ .�
$t a ;� .,U `hi1Gi • r:t1 ^>t;F'•yi. +,l,; F nut, '•, . � �
S41r;±�� RP.nPSS;C�, rT? t,a , - � -fGi� t7Ul.�us,r.,..'�i Y� •`'•.V� .
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. ,. . „�..:, _, ...,._,..erslgc�ed.understarsds�th�t�#hls:.p�rmlt:may.:be�subject,to.,,deed,restrlcttons._...�,,.._..�
NOi'iCE A�DEED RESYRI�TIO�IS:.The und
which may be::more<r.est�ictive��th�n County�regul�itlons:�=The°:underslgned��s`sumes�re�ponsitiill�y�for`campllanoe�witfi�'any' ° ��
appllcab}e'deed�restrlc#lons. - .::.�...=�. :... � , �._ . :. _ . _�
UNLtC@NSED�GONT�IC'�'ORS AND CONTRA�TOit .RESPON�t�1�ITiES:� �ff�ti�e°-ownet�-has'�hired�-a":aantrackar or
contractors to undertake work, tFiey may:be;ceiqu►lred�ta.�be,:llc�nsed l�i-accordance.writh,sta#e::and�lacal,r�gulatlons::lfthe���` � t4°��
contractor i§-�ot�tii�n"s"ed=°a��reqiilre��liy IaV�.�liath�the oumer�rid`contcactor{r»ay lie��cttec!"ia�r�a��inlsdeineanar uiolattan
under s�ate law, If the owner or Intend�d}.contr�ctor�are,funcertaln as ta what Ilcen�tng„requlrements,:'may=-apply':ior:�the' �-- -�
intended"work,tt�ey a�e'�advlsed�f�contact the.Pasco Caunty,�Bulliting�{nspes:tlon D(vlslot�--t.icenstng Secttan at 727-847-
8008. Farttiemnore, if the awmer''tias'tilred � contfactbr'ar contractors, �ie Is aiivised ta have�the contrac#aKs)„sign 4 , ;
portions of the.,°contraator Blaak" of:thls dappllcation.fo�,whlch:.they,wlll..be-ce�ponslble.- If..yau;�as•.the awne'r'sign"as fhe ' ` ' '`"
contrac#or, that�may°6e an Iiidication that Fie is riot:ptoper�y lice�sed`antl'�1s�not`entlttiad to permitting pr�ulleges in Pasco
County. , : a:;;;:��.�.A . ., ,
T�NS�?t?RTAT�QN-1NlPi4CTlUT1L°:lTIES�l�IlPAC7 ANb�ltE�t?URCE REC�1tERY�FEES.`1C�he unde�slgne�-uriders#ands
that Transporfation Impact Fees.and:Reca.urse Recov,_e.ry-��es m�ay;appty.t�:tf�e,constructlon of new.bulldings,�change of��# `��'`�
use In exisNng bulldings,�or�expanslon��of�+�zlstin�g>>6uildings, as speciited.ln Pas�o County Ordinance number 89-07 and
90-07, as ame�ded..;.The undetsigned aisa;andet�t�ands, that:�such fees;;�as>-may;;�e•-.due;:w11l:3be ldent�#ed at the='time`:of;' �=
_ . . .
permitting. It Is further understood that Tra�spbrtatlon (mpact�Fees and�ResoucceMReco�eryEFees:,must be pald prlar to
rece�ving-a"cert�icate.of occupat�cy°�ar��inal��pawer=,celease;r :If�tfie.pro��c#;does�.no�invc�fve>.a�cett�icafe of occupan`cy.=o��=::.`4' ,
final powec retease,;�the;fees�mu�t�tie="paid�;p�lor to.pe,r,mit Is�ua�ice. Fu�th�rmare;-If.PascoaCounly�lNater/Sewer�:lmpact �:::.
fees are duet_tk�ey.must bs:pald;.pNoc�o_,permtt�lss�ance�ln.accocdance wltk"r appltcable.Pasco'<6�unty�orillnanaes. �
CONSTRI;ICT�ON`t�IEN"LAW(�ti�pter 7't3, Flortda Ststute�,as�mend��): If vatuatibn af work Is$2,500.00:ormore,.�i� • -�-;��
certify that I� �he.. appllcant;.have�been�,provtded �w(th-a�copy°of the:"�lorida��`Constructto�:=Lien :Lauv—Homeoavner'�
Protectlon Ga1de" prepared by ttie�o�da Depa�men#of Ag�{cuEt�re and'Cansc�mer:�0.�talrs. 1f the appltcant Is sameone�:,. � . •.��
, ,.. . _
r ...Y,. .'., : ,..,�>, -., - ..s, ;`
other than#he aw�er", I certiFy;;that.l�.have.;abtained=a�capy.of:thefabove:.desc�lk�ed�docu�ent°and:p�ror�tsi�:,ln,gaod',falth,to , -..�,
deliver It to..the�'ownec""p�ior:to�cammericement."''� . � � • -
CONTRACTOR'�i/��V1�1ER'S AFFIC1AViT. I.cer�ify:#tia�t,,all_th��;lnformatitm:i�thi� applicatton is accurate�nd that all wrork
will'be done in campl(ance wlth all;appllcable llaws regulating aonstructlan, zoning and�land°develapment. Appllcatlan is
hereby m�de to obtairr.a.parmit,.to,do.:wark7��nd.instatlat#on a�s indt�ated.�:.:t� cea,titjr that no work�or Installatton i�as .
commenced prlo� to Issuanci� of`a'permif'and that`.a1M work w(II be perForrmed�to meet_standards of all laws regula�ing-
cons#�uctlon, Goanty and City codes, zoning regulatians, and land developrr�ent regula�ons�tn the�urtsdtctlon.: l,at'sa
certlfy that I uaderstand that the regulations of other gav�rnment agenc(es may��pply�to the lntended work, and that it is
my responsibility#o Identify.what.actlons 1 must•k�ke:to be.ln:.cor�pllancs.,�Such.agencles-lnclude but�are.not lfmfted to: � � -
- Departmen# of Er�vironmentafi�'P�tectfon=Cyptess4"Baytiead�, V!/e�end Areas and,Environmentalty Seresitive
- Lands,WateNWastewater Treatmenk. '
- Southwes# Ftor�da Water IVma�agement:�istrlct.lNells; '-Cypress.C.Bay�eaifs�; We##and Area�, Altering
Watercourses. -
�,.p.i 'i� `L �P
- Army Corps af Englnee�i�s-Seawalls�Docks,tVavl�able Vltaterways.
- Department of ,Heaith�;,&,;Ret�abliitativ.e.�.ServicesJEm►itonmentaB�Heaith�Unit Welts� Wasteuuater-.�Treatment, �
Septic Tank�:._'' ° ' . � .
- US Envlronmental�Protection Ager�r Asbestos abateme.nt�._ .
, Federal�Avtatlon:Authoclty=Runways:� � ' ,
� -!und�rstand�that theffollovit}rig.;cestrlct�ons appfy�to the tase of fllt.• •
- Use of fill 1s not allowed in;F1oad Zone"V"unless expr.essly_perra�ltted,.
- If the.-�ill`'mate�lal��ts to be usetl: In :Flood Zone. "A". (k I� underst�od #hat a drainage plan addressing a
"compensating valume"will be subrnitted at#ime of�p�rmitting wfilch is prepared by a prafessiona! engineer '
Ilcensed by°the State of;Flortda: . ' _ . -� . ., . . . .
- If th� fl!1 materlal�.is ta be used In �laod �one 'A" In�connec�i�n�wlth�a��+acmtlted bultd6�g using stem walf
' constructfon, I certify.that fill<vulll.be�used only.to.flll the.area�wlthln the�stem�>w�ll: _� • �
- !f fiA materlal ts to be used !n any area; f�ce'rtlfy �ha# .use of�`such fl11 wNl not adverseiy aEfect ad)acent
properties. if use af fill is found_to adverseFy:�ffect ad)aeeiit'�pc�per#ies�.the owner may be cited for viblating
the�condltfons_of the bullding:permlt�lssued�under the''attacfied permlt �pplicatlan;:for.;lots�:less-�than:'on� (1)
acre whliiFi are elevated'by flll��ct englneered dralnag�ptan is requtred. -
If I am the AGENT�OR THE:OWNER; I;:pramise In.good fatth to Infarm the�o,wner of.-the:permltting condftlo�s set forth in
th3s a�davtk`prtor�ta commencing cvnstructlon, �f unilet�tand #hat�a separat�permit may be requlred far etecMca# work,
plumbing,�signs, wetis,,;poots;, afr conditioning�.ga�s, or. other install�itions nml,spec�tcaity inctuded•in the application. .A
permlt Issued sha�ll be canstnued to be�a llcense`:to'proceed vulth tFie work end not as:authorlty::to:vlolate,:`cancel, alter. or
set aslde any provtsions of the#echnlcal.cod��; nor�halt tssu�nce�of a.permit.pr.event fhe Bultdlrig Qf�cial fram thereaiter.
requtrin.g a.correctlon.nf,errors�,ln:,plans; constiuctlan�or violattons of�any cod�s:- Every�.permlt�lssued:shall�become invalid
unless the work authorited by such perrrtlt:�ls-corrtmenced wfthfn sf�t�months of permlt lssuance, c�r if wark authorized by
the permit is suspended ar-.abandoned-for:a:period;af si�c;f8)montiis.after#he tlm�#he�work�ds commen�ed. An extension�
,: . . .
may be requested� In wrl#Ing;.;,#rom th�Bulldtng,Offlcial for� perlod.not.#o e�scceed�nlnety-{90)'�days a�d��wlll demonst�ate
}ustl�able cause for the e�ensior�. If woric ceas�s:for ninefy�(90}cons.ecutive day.s,._the Jab�is cansidered aba�don�d.
WARNtNG TQ ClWNER. YO.UR.;�A!!!!RE=,TQ.,R�E.C.C1t2D AaR1,OTtGE�.OF.�C�MMEMCEME�4T=MAY-RE$ULT IN�YQUR
PAYING TWiCE:-FOR�IMPRO'VEMEI!tTS_Tfl YOI�R.PROPERTY.�:I��YO.U�INTE�D�TQ'�OB7'AIN��FIN�API��NG;�C.ONSULT
WIT A � 0 N � EAR���- O @ G=: OU � � ;� `p '" `,: � E - �
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OMm1ER OR AOENT � i ��-Q� _ �� CONTRAGTCA� --— - - - - -- -- - - -- -
Subs bed artd swom �at�mted) e this Su�1 b and' {ot afQ ed� efor�`nte ttitg
S� � me L �se9��"' �i��~� 2...�.,�lr�. '
Who lsla arsonatly kno tame.ochas/have produced Who.ls/ar stsonally knn ta.me�or has/have•produced • -
� "as fdenliflcatton. � �s tden�fica#3on �
Notary Publlc _ � Notary Publlc
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,_ ��s„ Notary Public�State of Florida ;•�o ��•,�, NpxBry PubUe-State at Flotida
Name ot�tatary - p � ' Name of Not�ry �i� �� � � .
=�.* P�,� Commission#FF 034230 0�� Commission�EF d34230
��''�%�°`�;°`�, Bonded Through Nalional Notary Assn. ��'�%`;��;;°o-`�� Bonded�Through Natmnal Notary Assn.
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PROPAI�IE GAS `};�;�._� . :'` f-_� ._�:,- = �.-
� AhID AIC tHc.
�S�er�viee�{Orcter�Proposal
��itce�988 813-782-5013 Invoice
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4441 Allen Rd. • Zephyrhills, FL 33541 "�" "` ' ' `��'�"''�`� ' -`,`�
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- - _ , , , REC.OMMENDATIONS_- � , � �
- � - - � i i
,4nrival�Maintenance'Recommended"by:All'�EquipmenfManufactiirers._ ,: � � I
= - - � Pressures Lo HI T-Stat i i
-- - - - -:i. i �
• ."',REFRIGERANT R- ; - LBS._ 5 per lbs. ' � �
FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly � � �
❑ REGULAR ❑WARRANTY • TOTAL Sl1MIVIARY�
';Dehumidistat Settings:._When here°ON", ,When Away 60°a,:T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
J� - -
LIMITED^WARRANTY: All materials,parts and equipment are warranted by the manufacturers' - �� METHOD OF PAYfVlE1VT CALL i
or suppliers'written wartanty only.All labor perfortned 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 named company. ❑DEBIT ❑CREDIT ❑OTHER •MAINTENANCE � �
� PROG. W/ C �
1 have authority to order the work oWined above which has been satisfaclorily completetl.I egree lhat Seller
retains title to equipmenVmaterials fumished unUi final payment is made.If payment is not made as agreed, CLAIM# �
seller can remove said equipmenUmalerials at Seiler's expense.An damage resulting from said removal shall
not 6e Ihe responsibilityof Seiler.NET 30 DAYS;A 1 712%SER �G�HARGE WILL BE ADDED MONTHLY TO �
ALL UN`ID BALANCES OVER 30 DAYS.NO REFU�lDy-�.�/,�'' � DATE COMPLETED
� " ,� �/ _ � �� � ��/�'=.���/y TECH: T'4X �6,c.�sd:•��%�
� ,i��{-.s� / / ,�,,,,/ ��J/ s �
C STOMER SIGNATURE j D T@ ✓9l��///UJL ✓o-u TOTAL ,��f �� �Ss�.�i
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