HomeMy WebLinkAbout17-18455 CITY OF ZEPHYRHILLS
�'' � 5335-8TH STREET
(813)780-0020 18455
BUILDING PERMIT
� - PERMIT INFORMATION LOCATION INFORMATION
I Permit V�umber: 18455 Address: 37705 NEWPORT DR LT#79
Permi#Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-0790
Improv. Cost: 4,020.00 OWNER INFORMATION
Date Issued: 5/09/2017 Name: DUNN, HELEN
Total Fees: 60.00 Address: 37705 NEWPORT DR LT#79
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/09/2017 Phone: (813)782-5854
Work Desc: A/C CHANGEOUT 3.5 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS & A/C, INC. A/C CHANGEOUT 60.00
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Ins ections Re uired
DUCTS IN TALLED
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
^ ,
NTRACTOR S GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
65/08/2017 08:31 8137831374 BAHRS PROPQNE GpS PAGE 01/01
-�.v e��-��o� City of Zephyrhills Permit Application �/fo F�e��.�oo.z�
�►. ; • Bu�ding Depetlment
Oste Received 'Photn Cartaet fot P'efmitG • 1� o - b� '
dwner'a Nam� ��.' Qwrtgr Phone Number 3� d�' p�
Qwnarc Ad�as ✓��6� i27 �6Q.- Qwner Phene Numb�� .
Fge 8lmpie Tltlehold�r Alatrw 4irner PhWlB Numba�
�ee Simple T'�older Addres�
JOBApDREsB •�� OV-G'/,Q� 6Q, LOT� �
9UBDIVISION• /1 /" / PARCELIDM •D� �[O �J �� D��(,l
����+++ (OB)AINED FRON VROPFlRYTAX N67icq
WORK PROPOSED e NEW CO►�TR•� �ADD/ALT � SIGr1 � " Q .DEMOUSH
•INSTAu: REPAIR
PROFOSED UBE ' • Q SFR � COMM Q p7'tIEFi • .
TYPE'OFCON9TRUGifON [� BLOCK � Q •FRAME �Q 5TEEL � , ��'��
C�SCItIPTION OF WQRK • @ . �� �- 3�� �4/lJ G 11
BUIL'CINO 81� SQ F001'AGE HdOHT �
[�BUI�D�NG S VALUATiOW'OF TOTqt CONSTRUCTtON •
[��LECTRICAL $ AMP SERVICE Q pFtOGRESS ENERGY" Q• W.R.EC.
�PLUMBINO S ' /^
v�
�MECHANlGAL .$J���D, � ' VALUA`fION OF MECHANlCAL iNBTAUATIdN .
7' \(' ��
�]C9/iS •Q ROOFING �Q 3PEpqLi'Y Q O711ER � �b
FlTDSHEQ FIAQR ELEVA71QN5 FlOC3D ZONE AREA [�YE$ ,ND � r�
� �b
H()iLDER CQMPANY ��!.� 1� J'
81GHATURE REtdIgrERED Y/N FEE CURRED . Y/M • ��
ad�e�g 'Ueense.#I � I
ELECT'FitCLW � 'COMPANY ' I
SIGNATLRE RE6�ST�REP Y/I�f F�CU� 'Y!N
' Addrasa i:icense# ' . . �
PWMBER. . COMPAM( ' ' '
91QfQA�11RE t�G18Te�o Yj 1J. .; �Clar�fi 'Y/N.
Address ' .. • . , 'ETcense�#�' . �.
MECHANtCAL ' ' ' � : COMPANIi. /� . . DA •�� �,�y�-�l�C:�
91GHATURE' '' �� � REGIST�FD� .�/.N'� �ri3�l.�'/�S Y!�Y�
Aetaress• ��/ Z,' I 3�5 � , :.licznaett. . . a ri�.��'� �
.07HER' . . . ' C,WM�A111f � , . .. .
SICylVAT11RE�,:.� , � �_ REGIST�RED . Y./N. . . FEE,CURREA• :. .XlN ,
�Adprws�. klcense#
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REStDENTi/4L..� Adtich�2�PIoYP.larre:Z+2)iefeti��of�iiiikf'aSg+Ptane:'(13'setofEneigyFbmis;Ff-lD-W�P.errnitfotnew.00n�fruetFp[�,.. . .
, ••; ;r.'.:� �Mj!�irr,!urRtart;(;ta)yrp�king':clay�eNe�:�sdtifrtfttela�t�.�Required'or�sitt;Cbnslju�lan Plans,St�rrtj'vak�Flans w!Sftt�enoe 1nat�ed.
Sanitar�!,F�dHUes�•8,�,dumps�cn^,,,.�te:ljlEotk'P.?t(�1kfaF3�6�A$toi�4/Fg'rgePtOJ6CIS: -
COb10AERCIAL Attaclr'(2j•ccmpttiCe'sata'Gt�u6dln��Pl'a�c�Pluea'Ufe3afeqrP�qe;(1)setotEnergyForms�R-O-WPermitfornewwnstrudion.
Minimunt ten(7D1����s�mittei date. Required onsite,Construcdon Pfans,Startnwater Pfans w!SHt Fenca instaNed,.
' Sgnitary Fadlitt�&1 dumpsfer.31te Wo�k Pqmttfoi•all new p'roJetus.qll oommercJal FgqW�9p{g muSYma9t CompAarke
�:;9JON PERAAIT At�cfi'(�`se3e 4fFngirteereil P�na..:�.
� "*"PROAERTY SUf{;VEY�qyi�ed for all NkVY.consW cfion. � , ,
,'Dtre�tio115S ' • , � � I
Biq�dut applicetion oompl�ey...
Gwner&Contraavr s8n back of eppGoation,�vtariaed ,
if ovar 52300,a Motics�of Commanc�mtM.ls tpul�ed. {NC upgrad�a ovarS7500)
••• pgpqt(foi•9�'�`�aCtor) InennewiThnotarizedt
�;a�ataq, q F Y�t+< r'�":�.,,, .;.i3P4MA� A 4nf�!'2 ,m,.�y,,,o.
;OiIER'`I'liECOl1N'�R � :�.. .�cppyya�sa �±roq1� ,•.m %
#t'etoofsifshl�ies 5 � "���Seigice;UpS�adG.%�?°�!O `••l; ,�j� toflSu /Foofa sDiccix i4$�SP� ai�duo;u!en �%�''',t�e
. r'` ':d•�i7� �' 98) . ti:;; �tfuS87:;rSs? Nm;.;�,;t:.�tpn� �'��,
Drtveways-NotoverCounCer,ffan„p�tb}Icrcadways:.ne,edsFttiV{t, � ��"P�4�a`'�..-.°,";. '��.'�^�✓:�" ,
...«p{��yp.r� av. . .. . i.••�•`KF`4r"�lY.jn ii'.t�i 7:y a .•t• `.:.: .�i• I~�'.r�..:����
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s�aa8o-oo20 - City of Zephyrhills Permit Application '��� Fax-813-780-0021
� Building Department
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Date Received �3 �8 • — �b�3
Phone Contact for Permitting �
Owner's Name � �/� Owner Phone Number l3- � a- 8�
Owner's Address ��7b� dQ% �irQ, Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �� � �VL�Lp} � de, LOT# �
j�. / �c ^��
SUBDIVISION � � � 7�/�Y ei PARCEL ID# 03 � �� ��v �(�C� Q���
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONSTR� ADD/ALT 0 SIGN Q' � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK • Q FRAME � STEEL Q
DESCRIPTION OF WORK Gs, �C e— 3� � ! 6/�J � (DDyn d �
BUILDING SIZE SQ FOOTAGE HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�MECHANICAL $ �/� s�D' OD VALUATION OF MECHANICAL INSTALLATION
'T of
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN ' COAAPAWY
SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N
, Address Cicense# ' �
PI:UMBER COMPANY
SIGNATURE -REGISTERED Y•/ N ' FEE CURRE� ' Y/N
� Address ` License#�� --
MECHANICAL �� `�n���� . COMPANY �i�-/!Q.`r—S�D AN AS �' � -1��
SIGNATURE REGISTERED 5 Y/.,N" FEE CURRE� Y/N
Add'ress � /T� �f�,J �—�//�s 3�$ L-icens,e.# �v'�`����
`s. � ..
OTHER` " ' � COMPANY
SIGNATURE: � • " � REGISTERED �Y/.N. FEE CURREk �Y/N
Address � - • � � � License#
RESIDENTIAL �> A,ttach�(2).Plot Rlans;(2).sets ofBuilding-Plans;(1)set of EnergyForms;R,O-W:P.ermit for new construction,
Minimum ten.(.10)working.days after.submittalydate. Required on�site�Constriiction Plans,Stormwater Plans w/Silt Fence installed,
�� �Sanita,rysFacitities&.1..dumpster;Site.Work Permit for subdivisionsAarge projects
..COMMERCIAL Attach�(2)'compleCe sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor new constructlon. -
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence•installed,
� '. Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial�equirements must meet compliance
' `$IGN PERMIT Attach(2)sets of,Engineered Plans.
�R�*PROPERTY SURVEY required for aII.NEW.construction. .
Directions: � ,. ,
Fill out application completely.
Owner&Contractor sign back of application,notarized
lf over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
"' Agent(for th"e cont�actor)' f"o�T�cSfFAf�brft�y�f`,ro�`e� ��o'�'d'�beY�omeone with notarized I �a ' .
�1` i.i�tt,ry�/;,i ,.r.7's'_��.'. �\;.,""';;„,., }� ki�G1u9YlG9@C �Q��$F�w.a�d�+;�Ae�'
. OVER THE COUNTER PERM�TTING ,. .. co ,of "'�4 ' ±'�r�� � `���`�`'� '»��'��%
,, ;� PY .contract:requiied � " �"�- � •�,� '• �
)='..�:' �, , ,. ,�_ , ;,-__,c.;,:
%: r-i�iistl. fu'i9G,c= :n:t#tv ,:r,:p'�. `i„rt—'.,�• �
Reroofs if shingles Sewer� �, Service;Upgrades,;A/,C -�,F,�nce's��P,lot/Survey/Footage) $� , �r,;;,> .�;:��"�
;J,•� :�. ......, �...: '• � , r„' �:��M�!i�a_"� `' �'�'l)� �+ :ii�. .'?1iys! iiimr��: Y�'r`� "ta4 �s o "l''
.' ` �
Driveways-Not over Count'er if on public;roadways:.needs ROW , � � ''r�'t�t` f�� ' �" ""�• � �;'"-�> �y ,
� . ... =_ � `� z.,� .,�.,�� : , ,� : , , „.:.'��
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this.permit may be subject�to"deed"restrictians"„�; .
which may-be more resfrictive than County regulations: The;undersigned-assu'mes��resporisibifity•for cbmpliance with'any "`�
applicabfe deed restric#ions. � � � , � � . z.:{ � ::. ';4 -, I
UNUCENSED CONTR.ACTORS AND CONTRACI"OR RESP.ONSlBILITIES: lfvtfie owner-has`hired a-�contractor or �
contractors�to undertaRe work, they may be required to be licensed in accardance with state and local regulatians:.-If.the:�� _�
contractor is not iicensed as required by law, both the owner and contractor m'ay;=be cited%for;:a misdemeanor violation �
under state law. If the owner or intended contraetar are uncertain as to whaf licensing requirements.;may.apply fior°�tfie,=-"
intended work, they are advised to coritact the Pasco Caunty Baildinglnspect�on�Division-=Licensing Section at 727=847- ,
8009. -Furtherrrzare, if the owner has hired a contractor ar cantractors, he�is advised to ;have the contractor{s:} sign .r,.
portions of the "contractar Block" of this applicatian for which they wil! be responsible. _!f you, as�the owrier sign'as:ftis �
contractor, that may be an indica#ion that he is not properly licensed_and is not entitled-tb permitting privileges in Pasco �
County. _ � � � y� `
TRANSPORTATtt}N tMPACTLUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The und`ersigned understands '�
that Transportation lmpac# Fees and Recaurse�Recovery Fees may,app(y ta the constructian of new bui(clings, change'`af` ``� '
use in existing buildings, or expansion of existing buildings, as speci�ed in Pascv Gounty O�dinance number 89-07 and
90-07, as amended. The undersigned alsa understands, that such fees, as may b.e due, wilf 6e:identified at�.tkie tirrie of�
permifting. it is further understood that Transportatian Impact Fees and Resource�Recovery Fees must be paid prior ta
receiving a °certifica#e of occupancy" or final power release. If the�project does not involve a certificate of occupancy;or �
finaE pawer release, the fees must be paid priar to permit issuance.� Furthermare, if Pasco County Water/Sewer Impact.
fees are due,ttiey must be paid prior ta permit issuance in accordartce with appfieable Pasco County ordinances.
CONSTRUCTI�N LlEN LAW(Chapter 713, Flor�da Statutes,as amended): if valuation of wark is$2,54Q.OQ,ar more,_1, ,. +
certify that 1, the applicant, 'have been-provided with a' copy of the�"Florida Canstruction L.ien, Law—Nomeowner's �
Pratection Guide" prepared by the Florida Department af Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", t certify that I have abtained a capy of the abave desc'ribed document and promise�in goo.d faith ta
deliver it to the�"owner"prior to commencement.
CQNTRAGTOR'S/�WNER'S AFFIDAVIT: i certify#hat a(I the informatian in this appiication is accura#e and that all work
will be dane in compliance with all applicable laws regulating construction, zoning and land-development. Application is
hereby made to obtain a permit to do work and installation as indicated. f cerkify that no work or installation has
commenced prior to issuance of a perm'it and that all work will be pertormed to meet standards of al! laws regulating
construc#ion, County and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I also
certify that 1 undersfand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions ! must take to be in campliance. Such agencies include but are not iimited to: , �
- Department of Enviranmental Frotection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland A('@a5y Altering
Watercourses. .
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways. -
- Department af Heaith & Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment,
Septic Tanks.
- US Environmenta!Protection Agency-Asbestas abaEsment. . -
- Federal Aviation Autharity-Runways.
I understand that�the following restrictions apply to the use af fill:
- Use of fill is not allawed in Flaod Zone°V"unless expressly permifted. -
- If the fiil material is ta be used in Flood Zone "A", it is understood that a drainage ptan addressing a
"compensating volume" will be submitted at time of permitting vuhich is prepared by a professional engineer �
licensed by the State of Flarida. �
�I - If the �Il material is to be used in Flaod Zone °A" in cannecfion with a permitted building using stem wa!!
const�uction, I certify that fill will be used only to fill the area within the stem wall.
�i - tf fill materiai is to be used in any area, t certify that use of such fill will not adversely affect adjacent
properties. If use of fif! is faund to adversely affect adjacent properties, the owner may be cited for vialating
the conditions af the building permit issued under the attached permit apptication, for lots less than ane (1)
acre which are elevated by fill,an engineered drainage plan is requi�ed. ,
If I am the AGEIdT FOR 7HE OWNER, I pramise in good faith to inform the owner of the permitting condi#ions set farth in �
this affidavit pcior to commencing construction. I understand that a separate permit may be required for electrical work, '�
plumbing, signs, weils, paals, air conditioning, gas, or ather ins#allations not specificaily included in #he applicatian. A
permit issued shall�be construed to be a ticense ta proceed with fhe work and not as authority to violate, cancel, alter, or
set as'sde any provisions of the technicaE codes, nor shali iss�ance af a permit prevent the Building Official from thereafter
requiring a correc#ion of errors in plans, construction or violations af any codes. Every permit issued shall became invalid �
unless the work authorized by such permit is commenced within six months af permit issuance, or If work authorized by
the permit is suspended ar abandaned for a period��of six(6) months after the time the work is commenced. An extension
may be requested, in wri#ing, from the Building Officiai for a periad not to exceed-ninety (90) days and��will demonstrate
justifiable cause for the extensian. tf work ceases for ninety(90)cansecutive days,the job is cansidered'abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECQRD A NOTICE UF COMMENCEMENT MAY RESULT tN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU:INTEND�TO QBTAlN FINANCING,CQNSULT
WITH YOUR LENDER OR�AN ATTORNEY BEFORE RECORDING:YOUR�NQTICE OF COMMENCEIVIENT:--_-�---------� ----,�
FLURIDAJURAT{F.S..117.03j _w _— ---- - -- — -- - - �` � f
--- _.___ _ S
K'
OWNER OR AGENT �?-'lt-e�, CONTRAC70R G�'�d')t1L t1L,�,_
8ubscribed and swam t or affirmed} ef re me this Subscribed and swa to(or affirmed)be re me this
e, L s�ri2`' S- -� b 3" rn G rS.e�2.�f� ,
Who is/ar ersonally known me or has/have produced ` Wha is/ar rsonally known o me or has/have produced
- as identification. as identification.
� �
Notary Public Notary Publlc
Co mis n g,�, a"`Y p'�•, SYLVIA A.CAMPBEIL
Co issia t�,t�" °�% . .
��.��,a: �y.,� :r • :
�° `�: Notary Rublic-Siate ot Ftorida :•„ ` •; My Camm.Expires 3ut 19,2017
• -
PIB�TI@ 4t 8, �3[I dt'S� ' Name of N fl(���Ir„111,w;�ilinte
o� �ommissio� FF 034230 8onded Throug National Notary Assn.
�''%n°�,`.��Q�`` Banded Thruugh National Notary Assn.
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� AND AIC �rvc. Service Order/ r �osal
,�i��e�988 ��� 813•782-5013 , „ Invo�ce � 7
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, Sales, Service & Installations • a���' '`'�� '���`'� �-`�'`�"`� '`'```'"`'�� `� '` j " �'�
4441 Allen Rd. • Zephyrhills, FL 33541 � ��'���'�� '�{ ���i�'� in►:�
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• - =_, - � `.;° :RECOMMENDaTIONS-, -_� . - ' i ��`i�
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A��in,ual��MainEena'nce Recommended:by Ail%Equipment'Manu,factucers.,� � �
- - Pressures Lo HI T-Stat i i
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�T�� 1_ � �,�,i 1 �C9 �i 1(�� REFRIGEf2ANT R=- --_ LBS.'� - ;$per lbs.• I I
1 T� f 7 -
��n �'f�^ .��'� � � �� d'\r(i`� FILTERS x x Changed Monthly I I
i S.J
FILTERS x x Changed Monthly � �
❑ REGULAR ❑WARRANTY ' TOTAL•-SUMMARY -
Dehumidistaf Settings:;When here"ON'; When Away 6�;,T-Stat 80°. ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRAN7'Y: All materials,parts and equipment are warranted by the manufacturers' ="_ - � �METHOD'OF PP,YMENT- - CALL i
or suppliers'written wartanty only.All labor pedormed by the above named company is warranted for � " TOTAL t
30 days or as otherwise indirated in writing.The above named company makes no otherwarranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have aulhority to order the work�outlined above which has been satisfactorily complated.I agree that Seller
PROG. W ! C �
retains tille to equipmenUmaterials tumished until final payment is made.If payment Is not made as agreed, C��M#
seller can remove said equlpmenUmalerisls at Seller's ezpense.My damage resulting from said removal shall � �`'V
ALL UNPAID BAnLANCES VER 30 DAYS.NO REFUN S/SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED `b �'^��,� ��� �r���
�
TECH: T� �
i
CUSTOMER SIGNATURE DATE ✓9l��V/NL ✓o-u TOTAL ��v �D v