HomeMy WebLinkAbout17-18440 CITY OF ZEPHYRHILLS
' - � 5335-8TN SCREET
(813)7$0-0020 18440
BUI�QING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number. '18440 Address: 376Q4 NEV11 Ht�RIZC}NS BLVQ
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass of Wark: A!C CHANGEClUT Township: Range: Boak:
Proposed Use: NOT APPLiCABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcet Number: 34-25-21-0090-00000-0650
Improv. Cost: 3,663.00 OWNER INFORMATION
Date Issued: 5/0312017 Name: MEIER RANDA�L J & SUZETTE M
Tatal Fees: 55.Q0 Address: PO BOX 1908
Amount Paid: 55.40 TRAVERSE GITY, MI. 49685-19Q8
Date Paid: 5/03/2017 Phone:
Work Desc: A!C CHANGEUUT 4 TON
CCiNTRACTOR S APPLICATtON FEES
BAHR'S PROPANE GAS & A/C, INC. A/C CHANGEOUT 55.00
� �
,
Ins ections Re uired
DUCT STA ED
DUCTS 1NStJ��
FINAL ✓ --'
REINSPECTIOIV FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shal! impose a fee af faur times the amount of the fee imposed far the initial inspection ar
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTiGE; In addition to the requirements af this permit, there maybe additional restrictions applicab(e to this property that
may be found in the public records of this county, and there may be additiona( permits required fram other gavernmental
entities such as water management, state agencies or federal agencies.
"1Narning to owner: Your failure to record a nofiice of cammencement may result in your paying twice for
improvements to yaur praperty. If you intend to obtain financing,consult with yaur lender or an attorney
before recarding yaar notice of cammencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE CA,
NO OCCUPANCY BEFORE C.O.
.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi M4NTHS WITH4UT APPROVED INSPECTIC►N
CALL FOR INSPECTION - $ HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City af Zephyrhills Permit Application �r.FeX a��-780-0021
, k Bultding De�rartment '
Da#e Etece�ved Phone�Cantactfor-�Permtitin � j� �c��L — �� j�
4wner's Name •+� d�"N L.L-- Owner Phone Number ��D '� Cyr ��
Ownsr's Address � �"`! /l1 Owner Phona Number � �
Fee Slmple 7ltleholder Name �� �� Owner Phane Number '�� �
. . : .
Fee Slmple Titleholder Address �
JOB AGDRESS �7 6 ��tJ l ZQ/� ��LJ . LOT# ��
sueo�v�s�oN f�rgn�r,.,a � d r��d P,�����a� �� ��" �1 ��sRt� t��aao c.r0 v�
__ — —
; (OBTAINED FROM.PROPERT-Y.TAX NQTICE)
WORK PROPOSEQ ..NEW COt3STR ADD/ALT � S1GN' Q Q DEMDl;tSH
e. IN3TALl. • REPAIR
PROPf3SED;-USE Q SFR Q COMM' C,� OTHER
TYPE OF CONSTRUGTION Q BLOCK ' [� FRAME [�� 'STEEL [�
DESCRIPTION OF WORK- - ' �G$,� �U� ��b GL'� �'} �OI� ,� I� � O/11c4 G"�Om �''
BUILDING SI�E � � SQ'FOOTAGE � HEIGHT�
. .
[�BUiLdiNG $ -��. . �--� �
� �, VALUATION`C1F�'I'OTAL CONSTRUGTION
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QELECTRIGAL _ �� AMP SE#tVICE Q PROGRESB EtdEFiGY Q W.R:E.C,
QPLUM8ING. 4�> �
Q�JIECHANIGA�. $ j� VALUAT[ON O.F'MEC1iANICAI INSTALLATItOiV
..,��lp�, ba "
��,as (� �oaF��v� ,Q SPECIAI.TY � a���
FINISMED FL.00R ELEVATIQNS r�� FLOOD 24NE AREA [�YE� FNO ,
L _
BUILDER COiNPANY�', : .
SIGNATURE REGISTERED Y/ N FEE CURRE� ' Y/N� . �
Addres� - ., -� ;,r' � - •License�#"� �
, �.. � • _ ,�. . .
ELECtRICiJiN. <<GOMRANY?'., , =�.. . ° " ' - '
SIGNATURE � REGISTERED Y/ N FEE CURRE�'''"' �Y/N
Addres� '� .-�g����,_.� License#�;�� � ��`� , � - �
PLUNOBER ` �OMPANY - = c.:_ � � ,
SIGNATURE` '' '' ' ,, REGISTERED Y/,.N;� ,FEE CURREN. ` Y�/N:. '
Address . � >Licen'ser# �� .��, = , . .. �
MECHJ4NtC�4i:' _ ��v , COit�PANY ���1� S,�.d"Opf� S �' �t��N'� ,
SIGN,�TURE REGI$7ERED Y./.N . FEE=CURREP,, .. Y./,�:N
Address`=. "���f �1/ull� �Qt ,��'�i'�/� ��:d License# ���-���� j.�� .
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OTH�R ' � _ . " . � ° `,COMPANY ' '` .
SIGNI�TUf�E' �� '�` " °� ' ' ' ' � �' REGISTEREDz� Y/ N:.. FEE CURRE� � Y/N .
�Addres� � � ��•`��<,. � � � ,� _ . 'License��'� �
RESIDElVTfAI::� A#taofi"(2),P-_lof,:Rla'ris;:(2}sets:ofxB�uit�IngsPlans;'�(1)set�of�Energy��o''rii�s;'i2-0=UY�Reiinit#or�new'constru6tian, ' � �
•• v:..Minimum;ten;(_1,Q);worlcing�;daysYafter:subriilttal d`ate:.:Requi�ed ansite;:ConstrucBon�Rlans;=Starmwater Plans-wl Silt'Fence installed,
"': ,SanttaiyFadtitlesa8�;.1,;dumpster.^Slte,Woric;PermitforsubdiVislonsllarge;projects'_.=_:: ;�� � ' ' S "
COMMERCIAl. Attach(3)�cbsnptete sets of Bulldirig`Plasts ptus a Li'fe Safety.�Page;(1}set of ERergy Farms.R-O W Permit for new`construction. _
� M(nimum ten(10)wo�lcing days after submtttal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitacy FactiiUes&1 dumpsker.Stte Work Permtt for all new�proJects:All commercial�equlrements must meet compliance ' �
S1GN PERMPT A#tactiJ(2)sets of Engineerec�Pi.ans.�;:: :°� � � <:,, �. -. '
""""PROPERTY SURVEY regulred for all NEW construction., � -
Dlrectlona: , _ _ �
Fill out appiicatlan completely. ,
C�vmer&Contractar slgn badc of appltca#[on.notarizad
if over y2500,a Notiea af Commencament i�requfred. dAfC upgrades over 575Q0)�
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" Agent(for ttis contraGtor)�or Povu�c,�,�3��ye�.�"„�,� er o�ld e.�ori eone with notarized letter fro owner�ptho.d���9�S.a�me? ;641+'!l��R. �
v"t' Y4mC�`' 4r*;t.'��f
DVERTHECOUMT.ER.PERMITTIFtG ct,;'���ron�nbfAp�li�aB�i'n�Qniy) .t5,°�,.,:.,, fl �:t;��n';'�a�,.=�pr-a=.�s��4�7;;rs.� :`;�_'='-��f�-�,�
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+� ��Z�' ;71 ; !'.tt, i ,A, .1�°L';i }.
Reroofs if shingles Sewers �enYtce�ipg�aile5°N�'�'c•+c,�'ence��(Pfot/Su�rey/Foatage) `�� �s�-��:, �r�.:o; ��^ . �--; >, :�
'— ....» �,. .��.'Y.�f_i�b.::z?':i:i'', �Ii!'i?L'i. �.ti>< ^l':' ,i�=��� t U ,.y-,�Y.b.�i•;i{.i:.� c dj a.". � , . ..
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Driveways-Not aver Caunter if a pu�i�icTb�d'wajrs:JrteHds�ROW=;��;'�,�s;` �n` . "r`�''=;';c�'�^n„''''�'�;�-'°;' � �`,`` -1jt-';';`.. " �
K�� $
�i�l�l`�'�bS��f iFf��ri`.1�:I:�t� :�', I'ilifi�'^ �td.��� 7� �C�`u�!Ky`''�;.3:�"�n'4�.:�:..�;�r`+�a�x,,.�a..'*�.�.,�s
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NOTICE OF DEED RES'PRICTIONS: The undersigned-understands��th�t,.this:��rmit,may_be:subJect;to."deed",resVlctlons° ._._�_�_,��_.
which may be�ino�e�rest�ictive�»th�i�County�i�e8ulations:`°The`undersigned���ssumes'resp�nsibiltty for�compliance'with�ariy'" `�� `�
appflcable deed'rest�ictlons. -:��.._,���. ::::.: : : ,• • . ._ . �= � �
UNLICENSED CONTRACTORS�:AND CONTRACTOR R@SPONSIBILITIES:� �-If the�owner�has��htred�-a":contractcr or
contractors to undertake work;.they may:be.;c�quire.d_to.:be-,licensed in��ccordance.with state:.and�local;regulatlon.s.:=1f�the�� �- - _V
contractor ts riot ltcensed as requlred=tiy law,.tioth the owner and conUactor�mey be4cited=for�a0.misdemeanor violatlon
under state law. If the owner or intended;.contr,actor.are.uncertain as to what Ilcensing.requlrements;.may�apply�for:tlne=��� � �
. ,. - - .
intended"work, they_a�e advised to�coritact the.�Pasco County Building�Inspection�Dlvislon-Llcensing�Section at 727-847-
8008. Furthermore, tf the owner`has�hired�a��conhactor o� contractors, he Is advised to have �the contractoKs),;sign. ,
poHlons of the."conttactor Block° of:this..appllcatlon-.forwhich they;will..be.:responsible.-� If:you,-as#he:owne��`§ign�a's'fhe "- �� �
contractor; that may be an indicatlon that'Fie is �iot.properly Ilcensed�a�tl��i"s`not entitied'to permitting privileges in Pasco , _
County. � " �`-� `' �
TRANSPORTATION�IMPACTIUTILITIE$�-1MRAC'��AN�RE�OUitCE RECOVERY�FEES: �The undersigned-�understands
that Transportatlon Impact Fees and.Recoucs� Recover.y.F�es may:�;apply_tm:tf�e;construction_of new.buildtngs;:.change�of��� "=-'-i
use fn existing buildings; or-:expar�sian�of�ezistin�g;`<buildings,as specffied.lr� Pascv County Ordinance number 89-07 and
90-07, as amended.H.The undersigned also;understands, that:'such fees,;,asmay�_be�:due;;wili:�be identtfied at the�:timejof�-- -���''=' �
permitting. It is ftirtfier understood that Transportation Impact Fees and'�Resour.ce�Recovery�Fees�._must be pald prlor to
receivfng a°certiflcate:of occupanoy" or flnal-power:Eelease. :If the.proJ�ct.:does.not involve.a�:certfficate of occupancy..or���=�'� ` `
flnal powec release;tFie.fees�mu�it:'be paid:;prior to..permit issuance. F��thermore;�if:Pasco,;Countyr�Water/Sewer�impact �� :�� -�
fees are due,.lhey,must.be,pald prior to.permit-lssuanee=ln.accordance witFr�applfcatife�Pasco�County�ordinances. •
CONSTRUCTION'LIEN�LAV11�(Cli�pter 713� Florlda Statutes��amend�d); If valuadon of work is$2,500.00;or more,J�� � :.,...
certify that I, the applicant,.have.-•been provided•with-a copy of the "Florida� Constructton�`Lien .L'av�Homeowner's
Protection Guide" prepared by the Florida Department�of Agriculture and Consum�r:Aftairs. If the applicant is someone. .. .
other than the"owner", I certifj!.that-l�have.ob,tained�a=copy.of:the��above..described'�locu�ent:and:promise;:in,gootl:fatth.to
deliver it to:the"owne�':p�ior�to�commencement:' � � -� ,: ' ' - . _
CONTRACTOR'SIOWNER'3 AFFIDAVIT: I.certi�yR:th;at�all::thg�,lnformation:in-thi.s appl(cation is accurate.�nd that all work
will�be done in camptiance with all.appltcable�laws regulating construction, zontng and��land development. Appitcatlon,is
hereby made to obtain_.a permit,;to:do.,�work,�.and!:Installatlon as indtCafed.�3 °I certify that no work�or Installatlon has -
commenced P�lor to Issuance of'a-permit"and' that'.all�work will be pe�Formed�to meet standards-of all laws regulating-
construct(on, County and City codes; zoning regulations� and land development regulations�tn th'e ,Jurisdtctfon., I�ai'so .
certify that I u�derstand that the regulations of othe�government agencies may�apply�to the intended work; and that it is
my responsibility to identlfy�what.act(ons I must•t�ke,:to�be,in:.carr�pllancs:N.S.uch;agenclesinclude but�are.not iimited to: �
- Depadment of Er�vironmental=�Pintection=Cypress`'Bayhead�; Vlletland Areas and�Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Managemerit�=:�istrict-lNells;�'Cyp�ess.c�Bayheads,- Wetland Areas, Altering
Watercourses. � �
- Army Corps of Engineers=Seawalls,-Docks,.Navigatile�Waterway�.
- Departrtment,.of,Health;'B:,:ReMabllitative.ServtcesLEnvironmen#aI...Health Unit-Well.s� Wastev�ater�TreatmeM,
Se�tia Tanks:_. � � . .
- US Environmental Protection Agency-Asbestos abatement.:�-. ,
FederaFAvlatlon,Authority.:yRunways: "' . _ -
-I understand.that the:following�restrictions apply'to tfie use of flIL•� �
- Use of filf Is not allowed in'Flood:Zone�V"unless expressly penn6tted..
- If the flli tnaterial=ls fo�be used: In.:Flood Zone. "A°, �It is understood that a drainage plan addressing a
"compensating volume" will be submitted at#ime of�.permifting whlch Is prepared by a professional engineer
Iicensed by��he State of Florida. - � . �
- If ih� flll�material-ts,to be used In Fiood Zone "A" in�connection�with�a-perm(tted`building using stem wali
� construction, I ce�tify that flll:wall=b.e�used only.to fill the area wlthln the�stem�wall: ,
- If fill material is to be used in any a�ea, 1��cenity that .use. of;such flll will not adversely affect adJacent
p�operties. if use of flll Is found_to adversely:�ftect adJacent�pra�perties,.the owner may be cited for violating
the condllions:of.the b�ildtng:permit issued�under tlie°attacFied.,permit application��for.=lots:less�than.=one (1)
aare whicfi are elevated�tiy flll.a�engineered dralnage plan is re�uired. �
If I am the AGENT FOR THE OWNER,_I;.promise In-good falth to inform the owner of the�permitting condit�ons set forth In
this affidavlt�prior"to commenoing constructlon. I understand that�a�separate pertntt may be requlred for elecMcal work, .
plumbing, signs,welis, pvols;. alr conditioning,.gas, or.othe� tnstall�tlons no��spec�ically included�in.the�application. .A , ,
permit issued shall be construed to�be~a'license'to`proceed wlth�tNe�wo�k and�not as:authodty:to:violate;::cancel, aiter, or
set aside any provtsions of the teclinlcal codes;�nor shall issuance�of a.permit.prevent the Bulldirig O�icial from thereafter �
requtring a cor�ect(on af.ercors in;plans; construction.or vlolations of�any codes: Every�p�ermit=dssued sfiall beaome inval(d
unless 4he work authorized.by such permit:�is.commenced�wlthln sfx.,months of permit Issuance, or If work authorized by
the permit is suspended or:abandoned��for.a;period:of six•.(8)�montF�s.:after the.tirne the�work�ts commenced. An extension
may be requested,.In wr(ting,,:f�om tFie�Building,Official for� period=not to exceed�ninety(90)�days a�d-viiilf demonstrate
justifiable cause tor.the extension�. If work ceas�s:for ninety(90)cons.ecutive�ays...the Job�is considered aba�doned. -
WARNING TO OIMNER: YOUR FAILURE�:TO.,REC.OltQ A.NOTIGE OF-�COMMENCEMENT:MAY-RESULTIN.YOUR
PAYING'TWICE�FOR.I.MPROVEMENTS�Tfl:YOUR:_PItOPER-lY:�41��YO.U�IN��END:TQ��OB�AIN�FINAwEtNG;�CONSULT
w�T �o: AN� TTO N � FOR���• OR� G:�. oU � ;C ,� . : . . E , .
� : t ,�., :-. . „ , . . . . ..
.. ___
FLORIDA JURA�:(F.S: .._, 3}_-- —.=' �� _ - --- - --- ��-=--- — -- - -- - — - -_ _ -
OWNER OR A�iEN7 , . �iJ'I CONTRACTO - �
Sub crtbed and swom to , a rmed)b to me this Subs�Ib and's to or aflirmed)�b' "re me ttii�
�/ /'{'I r er' �-` "" �. .. �
Who Isfa II known .me or has/have produced Who.is/a ersonallyknown me,or has/have•produced
` "ae Identlflcatlon. - as IdentlRcaUon. �
Public . _ - Nofary Public
Co s •��N���ys%. S A A.CAMPBEtI� - •
:r� • ' �'i0111R1�9 ;��'ar n� � �L
;•; ' •E M y C o m m.E x p i r e s J u l 1 9,2 0 1 7 r=o` ;��; N o t a r y P u b l i c-State ot Florida
�i Name of
Name ,,�� ���„ ` ��nded Through a onl Notary Assn. 9�,'r p� orti�n �FF 034230
, ���'�%°;�:°`� Bonded�hraugh Natianal Nolary Assn.
�����
.
s � � PROPANE GAS Service Order/Proposal
� AND AlC �rvc.
5����988 � g 13-7g2•5p i 3 Invoice
Sales Service & Installations • ���f�F� LF����r�`���7�.�t���'�:`�rt��� r�r,�� , ,���i;.i
� YS.�.Fi;'�:i';:E�li_ T;=?I!.r:f�; �:?��f/r'ri.' s. r �7�;�� :l t�1
4441 Allen Rd. • Zephyrhills, FL 33541 ;-�,F�€�rV ���,� �tr� ��r
L/f•I��i_t I .���i� �-'�'t��f��•_"'l_'��.=�J f,l�.���'ar i� !{2.���a 1(S`�,�1
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:? Y _ QTY�„�:�., 'MATERfALS&:SERVIGES `• " UNIT FRICE� AMOUNT �`
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, - - �RECOMMENQATIONS: _ r�;�=�.; - • _ �. � � ,) ,�, � ,� � �
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Annual�Nlaintenaoce'Recommeniied:+by:All:EquipriientManufactu�ers..� - f '� � '� �
- — - - - - Pressures Lo HI T-Stat i �
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• _REFRIGERANTR-` LBS: "- ' $per'Ibs: _ "'"
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FILTERS x x ChangedMonthly f � I ��J �I�%�" �
' FILTERS x x Changed Monthly �� � � I I
❑ REGULAR ❑WARRANTY _ • :t;=TOTAL Sl1MMARY. - ; __
°�.Dehumidistat:Settings`. When here"ON"=;When Away 60°0� T-Stat 8�° ❑ MAINTENANCE CONTRACT SERVICE . i
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LIMITED WARRANTY: All materials,pads and equipment are warranted by the manufacturers' : ' METHOD:OF.PAYMEN_•;„„` -� �"_ CALL i
or suppliers'written warranty only.All labor performed by the above n3med company is warranted for � `T` "
- ..�.�.:=•'"
30 days or as othenvise indicated in wrifing.The above named company makes no other warranties, ❑CASH ❑CK# �J�/ TOTAL t �
express or implied,and its agents or technicians are not authorized to make any such warran6es on � MATERIALS i
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
� PROG. W I C �
I have authority lo order the work outlined above which has been saUsfactorily completed.I agree that Seller
retains title lo equipmenUmaterials furnished until final payment is made.If payment is not made as agreed, CLAIM# I
seller can remove said equipmenVmaterials at Seller's expense.Any damage resulting from said removal shall (x�' � '
not be the responsibility•of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE AODED MONTHLY TO DATE COMPLETED v� �+
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS
i
TECH� , T'°'X i
° /� � ,�
i
� /� '�°��r, .✓` F G_`—,- �/ .� TOTAL '� C� �'�'
C S ATURE �'�, DATE ✓ �1l�sV//?f� Q'LIi +_!��J
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