HomeMy WebLinkAbout17-18449 f y
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18449
BUILDING PERMIT �77��
� � PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18449 Address: �739�OAK RUN CIRCLE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: OAK RUN
Est. Value: Parcel Number: 34-25-21-0000-00300-0100
Improv. Cost: 3,200.00 OWNER INFORMATION
Date Issued: 5/05/2017 Name: OAK RUN PROPERTIES INC
Total Fees: 55.00 Address: 38070 DAUGHTERY RD
Amount Paid: 55.00 ZEPHYRHILLS FL 33540-1375
Date Paid: 5/05/2017 Phone:
Work Desc: A/C CHANGEOUT 2.5 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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Ins ection e uired
DUCTS INSTALLED
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 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
� NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE IaEQUIRED
PROTECT CARD FROM WEATHER
� L�13-�ao-oo�o City af Zephyrhills Permit Application Fax-s�aaso-oo2�
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Build�ng Depattment
Dats Recelved p1��sne-GonNact=for�F�rn�tttin !� ��� _o�L�
Qwner's Name �GL/� f' �,Q✓� Owner�hone Nunnb�r �!���tT cg-wcac
Owner's Address �a �/�v "� 6-�,�z� Y� Owner Phone Number �� �
Fee Simple Yltleholder Name � +� � Owner Phone Number �� �1
,$ - �
Fee Slmple,Tltleholder Address �
JOB AD�RE3S� �� d G/� LOT# ��
SUBDNiSION • �/'�1�.��+GGN � P.ARCEL-ID# '�� e�� ta�� � G/��� �'�.'��i'd ���4�
, (OBTAINED FROM PR�PERYY,TA7(NOTICE)
WORK PROPOSED �NEW CONSTR ADD/ALT C� SIGN Q Q pEMOL.iSH
;e. INSTALL. REPAIR ~ -
PEtOPOS6DrR1SE Q S�R Q CQMM Q OTHER
TYPE OF COId3TRUCTION �- 'Q ` 'BLOGK " Q FRAME [� STEEL` Q
DESCRIPTION OF WORK ' �B'r�` i �6�` C.I'�F�N e��D7.G� �r � �/� � �pr7'y') O Lo/V1�
BUILDING�SIZ� "r� � SQ�FOOTAGE � , HEIGHT iC��
� QBUC�DING � � VALUATION:'�L1F TOTAL CONSTRUC710N N "
� QECECiRICAt, $ ' AMP SERVICE Q -PROGFtESS ENERGY Q W.R.E.C.
�
' QPLUMBING $
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QMECHANICAL $ VALUATION OF(tit]ECHANICAI.tNSTAI_IATt{,7N
� 3��::�. ��..
�c�s o �oaF�N� :o sPEciA�Tr � OTHER
FINISHED FLdOR ELEVATIONS � �-� FI.00D ZONE AREA �YES. NO
BUl�DER COM#i�4VY', , � .
SIGNATUI3E REGIS7ERED Y/ N FEE CURREA Y/N' .
Address � - '��°' � L3cense#`� �
_ �:: � , . . .. . .
El.EC7RIClAN, , ' ' r.C�MPANY''' "� ` � .� � � " .
SIGNH►TURE � REGISTERED Y/ N FEE GURRE�-' •�`•'�Y/�N "
Addre4s - • . . •� � }, �License•.# }� - , � . , ' _� �
PLUM�ER COMP..Afi�Y , + f ' t � - -
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SIGNATURE� '` , , REGISTERED Y.G�N;i �•; .:FEE�CURREA• =. Y./N; ��;. •-
Address ' ` � � _License.# �� . . r�.,.
; � � _ . •4� � �., .
MECF9ANlCAl:` �,� . COMPANY J�R-� . Q-N"��-����"'��� �11�U ,
$IGNATURE � ` REGISTERED Y.,/.N . FEE CURRE�_. Y.I-N; :
Addrsss: ' - 7��1 � <-�J�: , , ^. .License# �������,. �
OTHER � . �' �GOMP�lF1Y , - -
SIGNATURE .. - � ' • •� ' ' REG�S7EREo Y/ N,... �.FEE CURREn Y/N
Addrss� ` -- , _ _. ticon`se# � � � _
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RESIDENTIAC:4:_ llftacti"{2};Plat�Platisr{2}si�ts:of.Building�Ptan's;{1}'sef af�Energp^�orins;��R=0=11V;P'eiisrit tti�new cbasUui:tion, ,
�, .. �, ;..., �.....• �.: . _,.
;;..Minimum;ten�.(:1,0),working�ciays_'afte�:subinittal date.:;Requlred onsite;.Construc8on Plans;�Stotmwate'r Plans w/Stlt Fence installed,
�,�,�.�.„ :..:.-. �,. . :_ .,
SanitaryFacllitiesc&�1;dumpster-�Slte-Woric,:P,.,ermik#or:sutiilivislons!large:proJects�'; �F „- � - � • �
CdNlMERCIAI. Attach{3)�tzomptete sets of Building Plans pt'us a`Cife Safefy�Page;(1}set of Energy Forms.R A-W Permit for new construction, - -
Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Pla�s w/Silt Fence installed,
Sanitary Facilitl�s&t dumpster.Site Work Peranit tar alf new:praJecEs:.AU commeraial requlrements.must meet camplla�ce �
SlG1V PERMiT Attacii(2�"sets df Erigliteered=Plans:;;� T°,; ~�,: �.-. � •
••`"PROPERIY SURVEY required_for all,NEW:gonstructlon.,, r. �,
Directions: , , � _ . �.
Fill out applicadon completely. ,
Owner&Contractor s[gn back at appticatEon,ROt"dfiZSd
If over 32500,a Nottce af Commenceenent i�requi�ed. (A!C upgr�des over;7500) , ,
�.... t.+,,,��,�zi„�'% �a:�+�i�fi
rrr wxu^»ll�ae`-' $�,�*rt�;;.,.�=+
Agent(for the�contractor)or Power of'Attomey�(far tt►e o�wc�er�wo�ul�d be someone with notarized letter "m owra�r�u 1 oµz�ng,sam� �t���r,,,
N Aa 1�..+"':.�' ,, ( ' �.4-'at5`��a r �4
.Y.Y.J.:�f r'9. P`aR't
OVfR7HECOUNTERPERM1�TiNG'� �p���r�ytpf,,APBiication^ r�i�t�.,�t F.�I;c�'�,;+,,t::i�.:� . .t�c„n;i �':,`��.::: �.
�i fa s f3 r;y, , r,��it �: *��� ,i
Reroofs(f shingles Sewe�.��:���erv��ce,Upsq�,d�ss�`,/�� a� 4j�h�'� t/Survey/Footage) fi PG;:, t f:,�,<fl �. ��;y R r._-
y yt. �st ai 7Rt�Cli��' '?leT.t�.���.�. a ��`S� s���t ��.�`it°-{fi tit ` ;t:fl?f::i ~:p� Y�,;` t:l.
Driveways-Not over Cour��e��F'on��iubl�c r,�ac�v�a�y��E=needs`i2.��:�,;��� �t�a�2 ��?;.-,�,.�,r_ ;.,, • '-,;;,,,.__ ,
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i�t.� t: r � ty�c�"9:r���r�� n;� : axa��r,,rv.,�.;::�
tn� ue?�'u�JGfi i� ''�"� ,_J„"�'a. . ._ . _y'- 5*`C.
��.;t-'.;�.1iF`1G�r.i:,�}{)t:cX� 1� n�,�uy;�y'�qe�•.,ey
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NOTICE AF DEED RE�TRICTeONS: The understgned understands�:th�t;lhls:permit.may,._be.subJect.:to,°aeea"„restrictlons'':�.:4,`;�`�`;
which may�be:�more�=r.esMictive=4ha�"CounlyFegailatCons:��The unde�signed°-assumes��esponsitiilt�i�for�compllance''vvith'any�` �
apppcabl�'deed re�trictions. <,::,.�.:•,. -:..:• : : , � _ . ; . ,. _ , , .. . : .:., ... : _
1JNLICENSED• CONTRACTORS .AND CONTRa4CTOR RESPONSI�ILITII�S: �if the��owner has �hired`�a�:contractar or
contractors to undertake work, they_may.be„ceiqulred�.to�be;licensed In�accortlance.with state�.and,;local;regulatlons:,rlf`the t� � •�-��
contractor (s-not Itaensed'as� requlr`edKtiy law,.botffthe owner and�contractor�may=be=ct'ted for��a�misilemeanor violatton
under state law. If the owner or intended,contra�tor;�re,;uncertain as to what Iicensing requlre�nents-may��apply��for=tiae �- ' ��
_._:.
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intended work,`they are advised'to contact ftie.Pasco County^Building'Inspection:Dlvislon�-Licensing Sectton at 727-847-
8009. FurtFiermore, ff ttie owner has�'lif�ed`a� contractor or contractors, he 1s advised to have the contcactor(s),.#sign ;
portions of the;°conttactor,.Block� of,this.appilcation�for.which.,ihey will..be�responsible: .ff:youu;.as;ythe owner�°sign'°a�the'; ' .
contractor, that�may be an Indication that�'tie is not:properly�licensed'"and"is not erititled to perrnitting�pri�ileges In Pasco
County. � : ti��. �� : ; . ...
TRANSP.ORTATION-IMPACTIUTIGITIE$��IMPAC7�ANb RESAl1RCE ItECOVERY�FEE�: The`unde�signed understands
. . . .
thatTransportation Impact Fees and.Recourse Recode.ry.Fees may-:apply:�tv:the;constructton.of neH►.�buildings�=change'of"`="�=�.'"�
use in existing bufldings, o��.exp�r�si�n��of��ezlsti�i�g.�buildings, as spectfied.in Pascv County Ordinance number 89-07 and
90-07. as amended.,r:The undersigned also;und�rstands, th�t'such fees„�s�may:'tie�.due;;wllL-be.fdenfffied at the`time°�of=3°� -� ; `�
permitting. It Is turtfier understood that Transportatbn impact'Fees and�Resoucce.Reco�ery-Fees,must be pafd pr(or to
receivin �a °certf�cate=of�occu anc or flnal°- owerrel�ase:=:If°the. ro�ct..does.not.involve�a�:;certificate of occu anc :�o����•_,�-�'��'"
9 P Y"- P p 1 P Y
final power�release;,#he�.fees`-mu�t;be paid:;prlor to.,pecmit Issuan'ce. Fu�hermore;�if:Pasco.,County�VllatedSewec:.lmpact . � .. ..
fees are due,.they;:.must.be,::palds,p�lor#o pecmit�.lssuance-ln.accordance viilEli:appllcabte=Pa�co'�County>o�dinances. •
GOR1STRl1CT10N"l:IEIV`LAVII'(Chepte�713��FIor�cla��atut�s,�amer�d�d): If valuat�on of work is'$2,500:OO:,or moce� l� � :=«;>_:
, certify that ,I, the. �pplicant;�-have;�been-provided. with-a copy-of. the°�".Florida Constructton�:Llen.:Lav�-Homeowner's
Protection Gulde" prepared by tFie Florida Department�of Agricultur� and Consumer;Affairs. if the applicant is someone :,� � . �
other than the°owner", I cert�:that,l;h�ve;:obtained�a^cwopy.of the.above::descrlbed tlocui�ent�and;pro,�iise-�.In,good'_faith-to
delive�It to.the,'ownec"�'.p�ior�to�cornmencement:"� � � �� � � ' � ' � r�- ' , .
CANTRACTOR'S/OWNER'S AFFIDAVIT: t.certify��ttiat�.all the,information:`In�this applicatlon is accurate�nd that all work
' will'be done in compliance with all applicable laws regulati�g constructlon, zoning and�land�development. Applicatlon is
hereby made,to obtain :a .pecmit,:to:do.,wo�Ic;4;and installation as tndlcafed.�.=:1� ce�tify Qhat no work�:or Installatton fias
commenced prio� to issuance of�a permif"and that'.all work w(II be pe�Formed�to me�t_standards-of all laws regulating-
constructlon, County and City codes, zoning regulations, and land development tegulations=tn'the�`.jurisdtction:: 1 also:
certify that I understand that the regulations of other government agencies may�apply�to the_intended work, and that it is
my responsibility to identliy.what.�ctions I must take:to be�In:,compllance::,.S.uch,agencles�include but�are.not Iimited to: _ � -
- Department of Et�vironmentalr°Rrotection=Cyp�ess:Bayheads�; 1MeNend Areas and Environmentally Sensittve
Lands,WateNWastewater Treatment. �
- Southwest Florida Water Management:�=:d7istrictlNells; ��Cypress.r�Bayheads�- Wetland Areas, Altering
Watercourses. , � � ,� •
- Army Corps of Engineers=Seawa�ll§, Docks, Navigable Vllaterways.
- Department, of,Health;';&.;Rehabilitative.-Services/Environmenfal:..Health UniRWell.s� Wastewater°Treatment,
Septic`Tanks:.� ''`' ` '- � .-� -- - �" -
- US Environmental Protection Agency-Asbestos abatement.:�,, . �
FederaF Aviatton�Authorlty-Runways�� " -_, _ ��
-I understand that the:follouvirig.'restricfions apply to the use of flll: �
- Use offlll is not allowed In:Flood:Zone"V"unless expressly permitted.
- If the-flll'mate�lai� is �to b.e u�ed:`In.�Flood Zone. "A", It. is understood th�t a dratnage plan addressing a
°compensating volume" will be submitted at time of•;permitting wihich is prepared by a p�ofessional englneer �
Iicensed by'the State;of:Florlda: �� " . � . - . . . -
- If th� flll material��is to be used in Flood Zone "A" ins connection�witfi��a permitted�buildirag using stem wall
� co�struction, I,certify that fill:will:b.e used only.to.fill the areawithin the�ste�n=walL � L
- If flll material�Is to be used in any area;' I'�ce�tify that use. of.such�flll will not adversely affect ad)acent
properties. If use of fill I.s found to adversely.;�ffect ad)acenf�pcoperties,.the owner may be clted for vlolating '
the condi#ions�of the.building:permit issued=under the=at�acfied permit-�pplication;�.for.°lots�.less::.than=one (1)
acre which are elevated`by f111,art engineered dralnage plan is required.
If I am the AGENT FOR TME OIMNER,,i;:promise In good falth to inform th�owner of the permitting conditions set forth in
this affidavtt�prlor!o cominer�cing construction. I understand thafi a;separate�permlt may be required tor electricaf work,
' plumbtng,,signs., welis,.pools; alr condltiontng,:gas,_or oth�r install�tlons nol�spec�flcally included�in.the application. .A� �
permfl Issued shall be construed to be���Iicense:to��proceed writh`the work and not�as:authoMty�.to.violate;�cancel,.alter, or
set aside any�provistons ofi tHe tecFin(cal codeis;�nor shall issuance�of a.permit.prevent the Bulldirig O#ficial from thereafter
requiring a correction af.errors_In;plans; constructlon.or violations of�any codes: Every•p'ermtt=lssued�sfiall�beaome invalid
unless the work authortzed.by such permit:�s.commenced•wlthin sUc„months of permit Issuance, or if work authorized by
� the permit is suspended•or:aba�doned:for:a;period,of�six(�)�moMfis.:after the time the�arork Is commen�ed. An extension
may be requested, In writi`ng,Y from tFie��uilding.Officlel foc a pertod��not.to-exc�ed�-ninety�(90)��days a�d-will demonstrate
justifiable cause tor:the extenslon.. If work ceas�s:for ninety.(90)cons.ecutive•day.s...th�)ob�is�considered aba�doned.
vV�1RRIING TO O1IVNER: YOUR.FAILURE�•TO...R�EC.ORD:A.MOTIGE:OF.-COMMENCEIVIENT..NFAY�RESUlT IN�YOUR
P�IVING TWICE;FOR IMPROV�MEN�S:TO:�YOUI�.PRO@ER7Y. IF�.YO.U:rIN'�END�TO��1BTAIN�FIN��IEING;�CONSUI.T
WIT R O A O N FOR��.�E�O f�f OU ' �� 'O � E E �` ,
_. FLORIDA_JURA�:(F:S� .03} _-- ---- � ---�--- _ . , , : , � , . -
�
OYVNER OR AOENT GONTRACTO
Su�salbed and awo,,,�,n or aflirmed)before me thls Subscribed and'su►a to(ow aflirmed)�b' re me tlitk
il .5 -J� L � - � _ . . _
bVho Isfare rsonally knovm�o.me or haslhaye produced . Who,is/a p. �onallyknown•tu e;or has/have�produced • ��
as Identlfli:atlon. � ` - es IdentlRcaflon. �
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� ��' �. -=i , te P blic . '��-�-�-''� , /� Notary Publlc
C Issl I�o�'v.'�% YLVIA A.CAMPBEII Co Ission•No
;� �.;, atary u �c- a e o o ,-��..ti • 'a.$ A.CAMPBELL
:•: �•3,M Comm.Expires Ju119,2017 • koti�y PuMic-
Name ot nte�ort�aped4E FF 034230� Name of Nota , 1��npadExpires Ju1 1 g,2p17
`� �"'%°����`` Bonded Through National Notary Asen. +� .�:� Commission�FF 034230�
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-- � � � PROPANE GAS � Se�'V1Ce OrCler/Pronosal
� ; AND AIC wc. .
� Invoice
�Kce �988 8'13�782"5��13 � WpRK ORDER#/SERVICEMAN 767�4 ORF�
-� DATE/TIME TA�.EIV' ������17 ��0 1`' ,
Sa�es, Service & Installations �TAr.EN BY SARAH �'�
4441 Allen Rd. • Zephyrhills, FL 33541 � � DATEiTImE PROMISED
ul r 4� ZU��-�CA� I�u CUSTOMER#/LOCATIOI� ��'��'i
NOTES: �.0���� • , F'HONE# 813-788-c7�'3 0
� X l"1 n 2'7�(.f� r,.�d A•�G PHONE�# FAX-783-8489
1JJ / �H�J��1J��7�� C
A I�L��-"�'c� r��� ' �_ • F'HONE.?�# '
, � n��.ceYc��"� CONTACT , W I LL H I NGHAM
/t1����24 QSI 6�1� ROUTE/SEG! �Q � c, v aR�
5� o9il o6z+�87 . . _ � � .
E�INGHAM REALTY INC PINGHAM REALTY INC
37730 OAN. RUN CIR ,
38�7Q� DAUGHTERY RD - •
ZEF�HYRHILLS FL33�41
� .� ZEPHYRHILLS FL �'�'4� . NEW CUST NEED #S
' - • . TENANT: KIM 35`-4�7-9185
' JUAN - 813-778-3584. .
NOT COOLING
. _ . . - - ,
7Y MATERIALS:&SERV,ICE$ UNIT PRICE ANIOUNT
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` '` � ' ,,'DESCRIPTION-OPWORK
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` � � - ;REGOMMENDATIONS ' � �
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Annuaf,�Nlaintenanee,Recommended.by'AlI Equipme'i�t�Manufacturers• Pressures Lo � HI T-Stat � . i
� ' LBS. 5 Per,ibs. � I
• ' REFRIGERANT R-
• ' � .
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' FILTERS x x Changed Monlhly
� ' ' � • � I
FILTERS x z Changed Monthly
TOTAL SUMMARY
' ❑ REGULAR ❑WARRANTY , . � �
� T Stat 80 ❑ MAINTENANCE CONTRACT SERVICE / T� i
�Dehumidisfat Settings:'�When here"ON"; When Away 60° ; � - ° CALL b✓ �
� LIMITED WARRANTY: All materials,parts and equipment are warranted by lhe manufacturers' _ � METHOD OF PAYMENT TpTAL �
r or suppliers'written warranty only.All labor performed by lhe above named company is warranted for �❑CASH ❑CK# MATERIALS �
30 days or as otherwise indicated in writing.The above named company makes no other warranties, i
express or implied,and ils agents or technicians are not authorized to make any such warranties on �DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
+ ' behalf of above named company. PROG. W 1 C
� I have aulhonty to order lhe work oulhned above which has been saNslactorily campleted.l agree lhal Seller I
relains ti0e lo equipmenUmaterials fumished until finel payment is made.If payment is not made as agreed, C�IM# �
seller can remove said equipmenVmalerials at Sellers expense.My damage resulting from said removal shall DATE COMPLETED
not be Ihe responsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO � ` I
ALL UNPAID BAIANCES OVER 30 DAYS.NO REFUNDS T�( I
� � TECH: i
��M�. �,/..,. TOTAL !