HomeMy WebLinkAbout17-18257 �� CITY OF ZEPHYRHILLS
+� ��" 5335-8TH STREEf
(813)780-0020 18257''',
BUILDING PERMIT ,�-��,�. f
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18257 Address: 55�8�10TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL:
Class of Work: A/C CHANGEQUT Township: Range: Book:
Propased Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHlLLS
Est.Value: Parcel Number: 1'f-26-21-0010-1'{800-0150
Improv. Cast: 3,765.00 OWNER INFORMATION
Date Issued: 3113/2017 Name: B F SMART ING �
Tatal Fees: 55.00 Address: 6815 DAIRY RD �
Amount Paid: 55.00 ZEPNYRNILLS FL 33542-1629 ��
Date Paid: 3/13/2Q17 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATI4N FEES
BAHR'S PROPANE GAS &A/C, ING. A/C CHANGEOUT 55.00
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Ins ectians Re uired
D TS I TALL
DUCTSlNSULAT�D
FINAL� ��.,�
REINSPECTION FEES: (c)With respect ta Reinspection f�es will comply with Flarida Statufie 553.80 (2)(c)the
loca!government shait impose a fee of four times the amount of the fee imposed for the initial inspection ar
first reinspection,whichever is greater,for each such subsequent reinspection. �
NOTICE: In addition to the requirements of this permit, there maybe additianal�restrictions applicable to tttis property that
may be faund in the pub(ic recards of this county, and there may be additiana( permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to awner; Yaur failure ta record a notice of commencement may resutt in yaur paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender ar an attorney
befare recording yaur notice of commeocement."
Complete Plans,Specifications Must Accompany Application.All wark shall be pertarmed in accordance with
Ci Cocles artd Ordinances. NO OCCUPANGY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
,�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MCINTHS tNITHUUT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FRBM WEATHER
�� ��;�saao-oo2a City of Zephyrhills Permit Application Fax 813-780-0021
�:.:, , Suflding Depastment
DateReceived ' .. . . ° Phort�•Contactfor.PermittFn � O�� /r�o2 — �l�
Oweer'a Name �� `�✓��}1@- .��/�� Owner Phone Number .
Owner"s Address � �/g�r - Owner Phbne Number �� - � �
Fee Simple Titleliolder Name � ' Owner Phone�Number � �
r;r .
Fee Simpte Titleholder Address '
�+ f y•-.-
JOB ADDRESS �'�� ,�� oZ L� / ! �� '��� LOT# �
suBoivisioN � � � �,��E��o# ll � �/ ��t� 1l�� al��
` � � , (OBTAINED FROM PROPERTY.TAX NOTiCE)
WORK PROPOSED �°`NEW CONSTR ADD/AlT � StGM1I Q Q DEMO1,iSH
•:e. INSTALL �. REPAIR �
PROPOSED.t18E Q SFR [� GOMM � �� �{aTFiEFt .
TYPE OF CONSTRUCTION • Q ' BI.00K ' Q FRAME _ �� STEEI. Q -
pE3CRIPT10N1 OF WORK � /�rS �Gy G"j G�'!>�G � ��� �
BUILDING'SIZE �� �:SQ FOOTAGE��_ � HEI,GNT'��—______�
06UII.DING � � VAlUAT10N`OF TOTAI:'CON$7RUGTION , ' � r
QELECTR{GAl _ ,r � � AMP SEFtVtCE �Q PROGRESS ENEF2GY Q �W.R.E.C.•
�
QPLUMBING� $ `
,� '
�ECFfi4N1GA� $ ���* ' VA�UATIaN G1F'MECHANICAL tNSTAIlATIE}N
C��. � .. , . .
�c�s � aoo���v� [p , s�ec�A�.�nr � OTFiER= -
FINISHED FI.00R EI.EVATIONS ��� F1.00D ZONE AREA QYES NO
BUILDER COMPi4NY '
SIGNATUI2E REGI6TERED Y/ N _ FeE cuRr�n Y/N�
Addre�s - Ctcense# � �
ElECTR1C11AN� . . , COMRANY � . .
SIGNATURE '� REGISTERED Y/ N FEE'CURREP` '�Y/N
Addre�s ' ` � . � � .. Llcanse�#.� � �
PLUMBER COMP.ANY � ; .
SIGNATURH`' , ,.REGIS.TEREq — Y/.N.. . ;FEE CURREK ' Y-/N. � .. ,
Addreas �, ,License# � - �- � t
, �/
MEGHAMiCAE:' � c.,. COMPANtY �� f. R`14I S`�/Y.Y�
51GNATURE� • �,� '� RE,G,ISTEREP , Y.,/ N ' FEE CURRE�- Y GN ,
Address:" '���'��ll�11�' � ����—�l LZr.S ' _ License# �����"��
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OTHEi2 " � _ ` � ` _.. � .. :G�M,,Pl1t+lY � � . . .
SIGN�I7URE�. �Rr' � `�� - ""�� • � ' d ` � " REGISTEREP Y/ N>._ �'FEE CURRE� Y/N
Addre�a . � ~ � . - , - - � ` ' Cicense# � � �
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RESIDEN'FIAL;; -',�Attacfi�{2):;Ptat Pians;(2)sefs:ofoBuitiling!`Ptans,'`(.9}sef of=Energy�Foiin§;R=0-W'Peimlt far`new canstn=ction, � ..
_ ::�-Minimumrtenz(•1,0);worktng;days„;after�subnniftal°dafe::;Required onsife;:ConstruoBon=Plans;�`Stoimwate`r'Plans w/Silt Fence instailed,
~•�".�'��V.Sanitaiy�Facillkies;&,1;dumpster�Slte°Worfc;;Pem�it_for.�subdivislohs/large'rproJects �- ' - : . � � ,-
C�MlWIERCt,A4. - Attach(3)�comptete sets oPBiilllding Piaris ptus a�l.ife Seifeiy Page;(i}set of Enet�y Forms:�-o w�erm�t�or ne��ons��on. -
Minimum ten(1p)wo�icing days after submittal date. Required onsite,CansUucNon Plans,Starmwater Plans w/Silt Fence installed,
Santtary FaciliUes&1,dumpster.Site Work Permtt Eor aU newprojebts:All commercial�equlrements.must meet compllance '� •
StGN PERMIT Attacfti(2)s'ets af"Engineeret��Pian_s.; �:;;";=- .; .. ° ,,�,. - ,
«"""PROPERTY SURVEY requlred_for all_NEW construc.tion... - '
Directiona: .-£,•Y. ,,.. , - �
Fill out applicatlan completely.
Owraer&Contrac#or stgn back af appi[caUon,notarized
If over'�2500,a Nottce.of Commencement 1�required. (A!C upgrades over i7500) .
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Rgent{for the contra�toc)`or Powe�of Attomey(for tlie�owner)�would�be someone with notarized letter from owner au#horizing same
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Drivewaya-Not ver,�rv,�fer,�on p�bii�r��a�ay.S.•needs�Q �C , � �-i,,,,Fi;,, .� sr,�r��?;°=�
,4;, iU�,i:�7��,7K_S.SfrC,�,. �!>+. ��mre � 7..,; Jb,4t���t a? w ' ItC�, J e,,�
t i ;j :r �y��"� .:I�,�.y*.�+.'. ��'u`if��::iYi�ts tllr`��Fi}1 iAi'�Ji,�di7 °'e<cir�'''RY
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NOTiCE OF DEED RE�Ti31CTIONS: The undecsigned;undergtands�;th�t,lhls:permit�.may;be;sub)ect;to°aeea"re5trictions"�:.._,_ ,.z�_:
which may�`be>more�-rest�icttve-th��-Counly��riagulatfons:�=The.underslg�ned�-assumes~�esponsibility=�for"compllance`with'any " Y 1j�
, aPPUcable deed restrictions. � . . � , � . :� - � �•`�;`"=
-.. �... ., : . . ._ - _ .. _ . .<..:._. _.. .P.. . ,,.
UNLICENSED� CONTRAC7'ORS .AND CONTRACTOR�R@SPONSIBILITIES: �•If-the��owner-has�;hiretl��a"cantcactor or
contractors to undertake work,,they may b.e;r�quired:to.,be;licensed In.accordance.withwstate.and�local,cegulations:�<Ifthe� ��`� ���-'�='
contractor ts-nof ltcensed°as'required.'tiy�law,�both the owner.and�-=contractor°�rriay�tie��cited�for�a�misdemeanor vtolation
under state law. If the owner or Intended�contra�tor;are::uncertaln as�to what licensing;requirements;may�:appty:.for=tfie--:�� � • ~"
,. : - ,._....... ,- ,....,, ,.., . _._s
intended work, they are adviseii�to aontact.tfie,Pasco County,Bullding;Inspection,Dhrlslon-Llaensing Section at 727-847-
8009. Furthermore, If the oviiner'iias�'hired��a�con�racto�'o� contractors, he Is advised to have the contractor(s),Jsign._: .� .
portions of the"contractor Block� of this,application_for.which they, will.be-.r.esponsible:.;If:you,�as,#he oviiner`stgn�'a§'the ` '�` �'��"���
contractor, that may�be an indication thaf'he=ts,not�properly�Iicensed�and��is`not entitled�to permitting�p�ivileges In Pasco
County. - , : �,._,;..,_ . _.
TRANSPORTATION.IMPACTIUTILITIES YMPACY ANb�tESOURCE RECOVERY�FEES: 'The�undersigned uriderstands
that Transport�tion Impact Fees and.Reco.urse.R�cove.ry.Fees,may,apply:to�tF�e_constructton of new_bulldings,:change�of����`=•� �_
use in existing bulldings,�or�.expansi�n>of�ezi�tingy'�buildings, as specffied.in Pasco County O�dinance number 89-07 and
90-07, as amended.,,.;,,The undersigned also:understands, that:`such fees;-�as��may_`�e::due;;;will.��e identified at the�time�'�ofr���" •��` LL`�
permitting. It Is furtFier understood that Transportation Impacf Fees and"�Resource�Reco�ery�Fees�.must be paid prlor to
receiving a.°certiflcate-of�occupancy" or flnal�.power=release.• ;If�the.proJ�ct�::does..no�Involve�aa�certificate of occupancyfo���{=���'����
final power-release;the-�:fees mu�t�be paid�p�1or to,permR issuance. F��tk�ermore;ff Pasco,_C;ounty`Water/Sewer:;lmpact� �-,. -,.
. , �,. .. �
fees are due,.ihey_must.be:paid-pr:,lor to_permit�•issuance�ln accordance with.�appNcatife_Pasco�.County ordinances. • -
CONSTRUCTION�LIEN'LAIIV(Chapt�r 713� Florlcla$tatutes�as am�nded): .if valuatlon of work Is$2,500.00;ormore, I �; >���.
certify that I, �he �applicant;-have-been provl.detl��with-a~copy��of the�"Florida Constructton� Lien;Law�—Homeowner's
Protection Guide" prepared by,the Flo�lda Department�of Agriculture and ConsumerAffairs. If the appl(cant is so'meone � �.,. .
other than the'owner", I certify.that�l;have,ob..ta.ined�a�eopy.of:#he,abave�.described.docurt�entand�pror�ise:in,good',faith to . � �.:
deUver It to-the.'.owner�'=prior=to•cornmencement:' � � - - ' - . �
CONTR�ICTOR'S10WNER'S AFFIDAVIT: I.ceitlfy�;ttiet>all�the,lnformatltm In•thls appllcatlon is accurate and that all work
will'be done in com lia ce with all. �Ilcable laws re ul t1 � s
n a a n con tructlon zonln and�land develo en.
P pp 9 9 � . g _ _ pm t Appllcatlon is
hereby made to obtaln .a .pecmit,:to do._wor'k.;,and�Installatlon as Indl�ated:.t- I• certi�i that no work�:or Installa#Ion Fias
commenced prlor to Issuance of�a permtt-and that.all work vvlll be pertormed�to meet�standards-of all laws regulating•
constructlon, County and City codes, zoning regulations, and land development regulatlons�in the:jurtsdtctlon.�� (�°al'so. . _
certlfy that I uaderstand that the regulatlons of other government agencles may�apply to the.lntended,work, and that it is
my responslbility to Identify�what.act(ons I must•take:to be:l,n:.corrl�llance. Such.agencles Include but=are.not Ilmlted to: �
- Department of Ehv(ronmental=�Protection=Cyp"ress:'Bayh'aad�;-wea'and Areas and Envlronmentally Senslttve
Lands�Water/Wastewater Treatment. ""
- Southwest Florida Water Ma�agement.District-Wells;'�Cypress.r~Bayheads;� Wetland` Areas, Altering
Watercourses. - � . � �
- Army Corps of Englneers=Seawalls;'Docks, tVavlgatile Waterways.
- Department of,Health:'8.,RehabllltaHv,.e.Ser,vlces/Envitonmental:.F�ealth Un1t-Well.s; Wastewater�Treatment;
Septic Tanks.. - ` � � � • - _- -
- US Envlronmental Protectlon Agency-Asbestos abatement.
- Federel Avlat vn_Autt�orl -.Runwa s.- �
t . . ,h! _ Y ,
I understand.that the.following;restrlctfons apply to the use of flIL••
, - Use of fill Is not allowed In Flood,Zo,ne"V"unless expressly permltted.
- If the�filf materlal=1s to be used.`In :Flood Zone "A°� It. Is understood that a dratnage plan addressing a
°compensating volume" will be submltted at time of�perm�ting whlch Is prepared by a profess(onal englneer "
Ilcensed by the�tate of Fiorlda: - � -
- If ihe flll materlal�.ls to be used In Flood Zone "A" in�connection�wlth�a���ermltted building using stem wall
� construction� I certify that flll:walt-b.e used only.to.fill the area wtthln�the�stem�walL �
- If flll material Is tv be used In any area, I �certlfy that .use. of such flll wlll not adversely affect ad)acent
propertles. If use of flll Is found.to adversely:�ffect adJaeent�-propertles,.the owner may be'clted for vloCating _
the condlllons_of the bi�llding;permit Issued-under the"attached,permit appllcatlon;for�lots�.less•than one (1)
acre whlcFi are elevated��6y flll,an englneered dralnage plan Is requlred. . •�
If I am the AGENT FOR THE OWNER;_I�promise In_good falth to I�form the owner of-the permltting condftlons set forth In
this affidavlt�pNor to commer�cing constructlon. I understsmd that,a-separate permlt may be requlred for elecMcaf work� ..
plumbing, signs, wells,:pools; alr condltiontng,.gas,.or.otMec Ins#all�tlons not•speclflcally'Included�in.the application. .A ,
permit Issued shall be conshued to be a Ncense'to�proceed wlth tNe_viiork and not.as:authoNty to,vlolate,�'cancel, alter, or
set aslde any provistons of ihe technlcal.codes; nor shall Issuance�of a.permlt.prevent the Bulldirig Of�lclal from thereafter
requlring a correction af ercors in.plans; constivc8on or vlolattons of any codes. Every p'ermlt�lssued sfialF�become invalld
unless the work authorized.by such permlt>is-commenced•wlthln sUc months of�permlt Issuance, or If work'authorized by
the permlt ts suspended or.aba�doned-for e;period„of�slx{B)�montfis:after the.tlrne the�work�ls corremenced. An extenslon
may be requested, In writing� from tlie Bullding,Offlclal for a perlod-not.to exceed'�nlnety-(90)�days a�d wlll'demonstrate
justlfiable cause for.the extensior�. If work ceas�es:for ninety.(90)cons.ecutive days,..th�Job�is consldered aba�doned. � "
WARNING TO OWNER: YOUR.FAILWRE�TO.REC.O�tQ A..I�OTIGE:OF�COMMENCEMEMT,MAY-RESULT IN�YOUR
PAYING TWICE;FORiMPROVEMEN.TS�Tfl:X�OUi�:PROPERTY. .I�°.YO.U�I�1�'EKID:T�'�OBTAIN��FINAI�CING;'C.ONSULT
- WITH YOUR CENDi�R�R���Pi�►7T�Ft(VEY�F0�3�RE�S�l3�IRI��=X0�1���'FICE'OF}C�NAl11rENC�EIIMENT'_ '
FLORIDA JURA�(F.S . 7.03) � ,� .� . . . - �. _ . -- --- ---`——_-
OWNER OR AOENT �,gh, CONTRAGTO �
Subscrl�dandswom (orafflrmed es e Is S�sc be`dand� = (oraAirtn �b �� :�il��
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IMio Isfa ersonally kn me or haslhave produced Who.lelare onallyknown• .nte or heslhave-produced •
as Identlflcatlun, as Identlflcaflon.
` �""y Notery Publtc
� - Notary Publlc
Com sslon misslon No. •
+�����,�''.,� YLYiA.A.CIiN�PeEI! , •
a %••. o r P 1 ..��"'i"�••, 8YLVlA.A.CAINPBE
Name oI No FIb1y�1AlRipHlpires Jul 19,2017 : Name oi Motary typed, eilofary Pubtic•State o1 Flarida
�`= Commfsslon�FF 034230 =• •: My Comm..Explre5 Jul 19,2017� .
���''�����`�d, 8bnded�hroupq Natioflal flot�iy As�n: ��, �,.�: Commission A�FF 034230
, . �'"y°���'" BDnded'fhrOuQh N�ttOn7t Nohry•Assn;
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�`� ��`� � � P�OPA'NE GAS • �
�.�` ; A,;ro �vc IN�. �`-:,:'�ce Order/Proposal
S�r�e�988 8 i 3-782-50 i 3 Invoice
WQRK ORDER#/SERVICEMAN 74�4� E5E
Sales, Service & Installations � DATE/TF�IE TAKEN ��f2��17 13:�i
4441 Allen Rd. • Zephyrhills, FL 33541 TAKEIV sv sc �ir�
NOTES: fly'�� DATE/TIME pROMISED ��/��/17 13:��
CUSTOMEft#lLOCATTOtV 0��48 ,
PHONE# 913-714-1��6
( PH01�lE�# TEI4ANT:
� � �� F'1-IOiVE3# 813-451-7E,4�
RQUTE/SEQ ESE-INIA-
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FIIfiE, i�IKE ' . FTKE-RENTAL� MIKE
� 0 �aX 1�89 ���4 1�TH ST
TENAIVT; LESLIE MERCEDES
ZERHYRHILLS FL 3353�3 ZEt�HYRHILLS FL33�4�
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� �M` 'u� ��i,�� �. FILTERS x x Chan ed Monthl I I '
FILTERS x x Changed Monthly � �
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❑ REGULAR ❑WARRANTY `=u'z�-"'-�4:� ,T�,� ,.. ^����--":-;:= i
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LIMII'ED WARRAN'tY: NI materials, rts and„ui ment are warranted by the manufacturers'.�''�_�;��:`_-:�; _ ��=�'�`- _ - -_ ==;;�h;`,�'_ CALL i
Pa e4 P ✓;x,r,.. wME>`i`tlflD=OrF:F��1�?l�l,�'>-i:� -
or suppliers'written wartanty onty.Ali labor performed by the above named company is warranted for ��=�;=~::`w`" .:. ' l _ - - - _ _
30 days ar as othervvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK#`�4 TOTAL i
eupress or impliad,and its a gerrts or technicians are not authoraed to make an y such warran6es on MATERIALS i
behalfofabovenamedcompamr. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authodty to order tha work outl(ned above which has been satlsfactorily compieted.I agrae'thal Seller
PROG. W/ C �
retelns dtie M equlpmanVmaterials tumished untli flnal payment is matle.If peyment(s not made as agraed, C���# �f
seiler can remwe said equipmenVmaterials at Sellers e�ense.Any damage resulting hom saia removal shall ��v
rrot be tlie respor�sFhtAty of Seilec NET 30 DAYS.A 1 12Yo�SERVICE CNARGE WILL BE ADDED MONTHLY TO �
ALL UNPAID BAIlWCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
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CUSTOMERSIGNATURE DATE