HomeMy WebLinkAbout17-18284 CITY OF ZEPHYRHILLS ,
5335-8TH STREEi'
� � � (813}780-0020 2��
BUILDING PERMIT �
- PERMIT INFORMATION - - LOCATION INFORMATION
Permit Number: 18284� Address: 6433 51LVER OAKS DR LC?T 104
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass of Wortc: A!C CHANGEOUT Township: Range: Boak;
Pr.oposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square F'eet: Subdivision: SlLVER OAKS
Est.Value: Parcei Number: 03-21-26-0120-00000-1040
Improv. Cost: 5,900.00 OWNER 1NFORMATION
Date issued: 312012017 Name: GO�LHARDT, RICKY& RHONDA
Total Fees: 65.00 Address: 6433 SILVER OAKS DR LOT104
Amount Paid: 65.Q4 ZEPHYRHILLS, FL. 33542
Date Paid: 3/20/2Q17 Phone: (813 788-4013
Work Desc: A!C CHANGE OUT 4 TQN SPLIT SYSTEM
CONTRACTOR S APPLICATION�FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
.
�
Ins ectia e uired
D CTS I TALL D
DUCTSINSU TED
FINALi ,,•�__�`' ' 1 _._.
REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
locai government shall impose a fee of four fiimes the arnounfi 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 additianal restrictions appficable to this praperty that
rnay be found in the public records of this caunty, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to awner: Yaur faiture ta record a natice af commencement may resu[t in your paying twice for
improvements ta your property. If yau intend to obtain financing,consult with yaur lender ar an attorney
before recording yaur notice af commencemenfi."
Complete Plans,Specifications Must Accompany Application. All wark shall be pertormed in accordance with
City Codes and Qrclinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRE� IN 6 M4NTHS WITHOUT APPRC}VED INSPECTION
CALL FOR INSPECTION - 8 HOUR N4TICE REQUIRED
PRCITECT CARD FROM WEATHER
:;-. - s�'3aso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
= Building Department
Date Received ' gl?, �8� _ �' �
Phone Contact for Permitting
Owner's Name U �� ��" � 6 Owner Phone Number ��J ^ /�� y�L
Owner'sAddress � �� f l���1�, ��-b(,S � `. OwnerPhone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS l��-33 ���t��. (/�5 �p�� LOT# �
SUBDIVISION �L�U�� A-KS PARCELID# (13 �l� �I l/`crYs Ow�� �� �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED - e NEW CONSTR B ADD/ALT 0 SIGN Q � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK • Q FRAME Q STEEL Q
DESCRIPTION OF WORK �� I� � (.r � e'o T��e S �r� P, a � �t�'
BUIL'DING SIZE SQ FOOTAGE HEIGHT
�BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ j .
�ECHANICAL $ -+ VALUATION OF MECHANICAL INSTALLATION �/�
.� 9Do, oa Z
OGAS Q ROOFING Q SPECIALTY 0 OTHER ,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
��
BUILDER COMPANY �
SIGIdATURE REGISTERED Y/ N FEE CURREt� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N
� Address Cicense# � � �
PLUM BER COIM PANY
SIGNATURE REGISTERED Y=/ 'N FEE CURRE� Y/N
Address ' License#•
MECHANICAL j�,��� ����� , COMPANY �} �S ��e[sf/`�t�C � (�
SIGNATURE �'���� �41 � ' "` REGISTERED . ; Y/ N FEE CURRE�- Y/N
Address `7`"�� �'7��G License.# ��✓/�-�! �v�
OTHER•� "''� COMPANY
SIGNATURE• � - tiE�isTERe� Y./_N FEE CURRE�' Y/N
Address - ' , � ' License#
RESIDENTIAL_ Attach-(2)=Plot Flans;=(2)�sets of'Building�Plans;;(1)'set ofEnergy'F,orms;'R-.O-W P.errriit for new construction,
•� , �;•. --Minimum:ten;(10)wo�king`.iJays after:submittal-clafe. Required�onsite;Constniction Plans,Stormwater Plans w/Silt Fence installed,
' - ` �Sanitary;Facilities,&�1:.dumpster;.Site.Work Perrriit for�sulidivisionsAarge projects� � - �
_ .COMMERCIAL Attach�(2)`complefe sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for 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 for all new projects.All commercial reGuirements must meet compliance - --
-SIGN PERMIT Attach(2)sets of;Engineered Plans.•
****PROPERTY SURVEY required for.all.NEW construction.
"Directions: �- .• -,
Fill out application completely.
Owner&�Contractor sign.back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for th`e contractor)o�,Power�,of,�A�o�g,ey,(f9s th&��eYp�ou(�b*�''s'omeone with notarizeddettectfiA�p�p,►�,t��e�[,�ytho�izi���arr�e�,�__`�zy^
�<,��c„ . •",,':1,,%� ..,:...,�, .j1a � ,.l..:a���;='; , < �'I�'ii �� r?.
�.:OVER�THE COUNTER_PERMI7TING •� � "(copy of contract-required):-•- �- � � - ;;
' Reroofs if shingles Sewers.� '��'Service'Upgrades`A/C� _ Fences'(Plot/Survey/Footage) �; r" ' � � � ` ' •- .� �
� , ;;' _ - � . ;7 ,$ �� ,
Drlveways-Not over Count�if on putilic�'r'oadways:,needs.ROW;�; ,,�' � � '' ' - _-
� ,,.�;:, �,.i�DG:�:;;,�+,�., . - . �� � � :��r.r,�;;;;;;,, ,,�,,;t. ,W��n� e �,�o� ''�,�.,,.�-• �:,
�.�'i*':NY���+1 t�"`�' -.i4.. ...)"t��•-��Y����E:n�:�f... �Q��'r'"c^'�.R�`!Va".W'ny y�,��_.31�y� y.���
y�vS,L: �'�' �49� Ai.i'b"A'S�'A.g%]:��
_ _� -�t��.:.���;�-..�
y 4
NOTICE OF DEED RESTRICTIONS: The undersigned under.stands that.this permit.may be subject to"deed"�re'strictions". '. ,
which mayxbe more=restrictive.than County reguiations: The�undersigned assumes=responsibility�fof:compliance with any._ '
applicable.deed restrictions. � ; ...,, �� �
UNLI�ENSED-C4NTRAGT4RS AND CQNTRACTOR RESPONSIBIGtTtES: If tfie owrter-has hiced���a� cantractar or
cont�actors�to undertake work, they may,be required to be licensed in accordance wi#h state and locat regutations::�If:the,F �
contractor.is not.licensed as r�quired by law, both'the owner and°contractor may��t�'e-cited�for`a�misd'emeanar violation
under sfate law. If the owner ar intended contractor are uncertain as fa what Iicensing requirements.`�rnay:apply�:for�thet
intended work, they are advised to contact tlie.Pasco County Building'Inspection-Division=Licensing Section at 727=$47- �
8009. -Furthermare, if the owner has hired`�a contrac#or or cantractors, he is aclvised to have the contractor{s) sign,
portions af the '"contractor Black" af this application for which they will be responsible. .If yau, as'the owner sign as�_tHe`
contractor, that may be an indicatian that he is not properly licensed and is nat entitled-to permi#ting.privileges in Pasco
County. � . " --, .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands ;
that Transpoctation lmpact Fees and Recourse Recovery°Fees may.apply to the construc#ion of new:builclings, change=of-='
use in existing buildings, or expansion of.existing 6uildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned alsa understands, that such fees, as may be.due, will 6e identi�ed af>#tie titrie�of �
permitting. It is further undersfood fhat Transpartation Impact Fe�s and Resource'Recovery. Fees must be paid p�ior to
receiving a °certificate of occupancy° or final power release. If the�project does not involve a certificate of occupancy;or,, �
final power release, the fees.must be paid prior ta permit issuance. Ftarthermore, if Paseo Gaunty Wa#erlSewer-lmpact �
fees are due,they must be paid prior to permit issuance in accordance with applicable:Pasco Cou,nty ordinances. �
Ct1NSTRUCTI4N LtEN LAW(Ghapter 713, Ftorida S�a#u#es,as amended): If valuatian af wo�k is$2,500.OQ,ar moce,.l, .
certify that I, the applicant, 'have been provided with. a copy_-af the °Florida Canstruetion Lien Law=Homeowner's'�
Protection Guide'` prepared by the Florida Department of Agricultta�e and Consumer Affairs. tf the agplican#>is someana.,
other than the"awner", I certify that 1 have obtained a copy af the above descriped document and promise-in good faith to�
deliver.it to the"qwner" prior ta commencement. �
CQNTRACTOR'S1aWNER'S AFFIDAVIT: i certify,that all the informafion in this applicatian is accurate and that all wark
will be dane in compliance with all applicable laws regulating construction, zoning and land�development. Application is
hereby rnade to abtain a permit to do work and installatian as indicated. E cectifiy that no wark or_installation has
commenced priar to issuance of a permit and that all work will be performed to meet standards of all laws regulating
constructian, County and City codes, zoning regulations, and land development regulations in the jurisdictian. I also
certify that t understand that the regulations of other government agencies may apply ta the intended work, and that it is
my responsibility to identify what ac#ions I must take to be in compliance. Such agencies include but are not limited ta: a
- Department af Environmental Pratec#ion-Cypress Bayheads, Wettand Areas and Environmenta##y Sensitive
Lands,WaterMlastewater Treatment.
- Southwest F{arida Water Management District Wells, Cypress Bayheads, Wetland Areas, i4ltering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Healfh Un4t Welts, Wastewater Treatment,
Septic Tanks.
- US Environmental Pratection Agency-Asbestos aba#ement.
- Federal Aviation Authority-Runways. •
1 understand that the fallowing restricEions apply to the use of fill:
- Use of fiii is not ailowed in F1ood Zone uV"uniess expressly permitted.
- If the fill material is ta be used in Fload Zone °A", it is understood that a drainage plan addressing a
"compensating va[ume° wiit be submitted at time of permitting which is prepared by a professianal engineer -
licensed by the State of Florida. �
- If the fill mater�al is ta be used-in Flood Zone "A" in connection with a permitted building using stem wall
constructian, 1 certify tha#fill wili be used only to fill fhe area.within the stem wall.
- If fill material is to be used in any area, ! certify that use of such-�fill will not adversely affect adjacenf
prope�ties. lf use af fli is found ta adversely affect adjacent properties, the owner may be cited far violating
the conditians of the building permit issued under the attached permit application, far lots less than one (1) ;
acre which are elevated by f E1,an erigineered drainage plan is requited. �
If I am the AGENT FqR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set farth in �
this a�davi# prior ta commencing construction. I understand that a separate permit may be required for electrical work, �
plumbing, signs, welts, pocals, air conditioning, gas; or other installations naf specifically included in the appiicatian. A '
permit issued shalf be construed ta be a license to praceed with the work and not as autharity to violate, cancel, alter, or
set aside any prov'rsionsaf the technical codes, nor shall.issuance af a permit prevent the Building`Official from th�reafter
requiring a correction of errors in plans, construction ar violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit 3s commer�ced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned far a period_of six(6) mon#hs after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period,not to exceed-ninety(90) days and will demonstrate
justifiable cause far the extension. If work ceases for ninety(90}consecut'rve days,the job is cansidered abandaned.
WARNING TO OWNER: Yt�UR �AILURE TO RECO,RD A NOT#GE.OF GOMMENCEMENT MAY RESU�T tld YOUR
PAYING TWICE FOR IMPR4VEMENTS TO YOUR PROPERTY,,IF YOU INTEND.TO OBTAIN{FINANCING, CONSULT
WlTH YOUR LENDER OR AN ATTORNEI(BEEORE:RECORDlNG YOUR NOTICE OF`COMMENCEMENT.
FLORtDA Jt1RAT(F.S.117.03} � � _ _� �_�_.--. ---
OWNER OR AGENT_���� — -- �K�?—""`�GONTRACTOR__ _ _ ' —_ ._
— — -�Sutiscnbe�c and swom t {or affirmed}bef re me this Subscribed and swo t {o�affirm d)befar me this
.3`a2b- °'� S ' b � )Ylr.� .�"/'"
Who islare ersanally knawn o me or haslhave produced ' ho islare p onally kna o me or haslhave produced
as identifica6on. as Identification.
c �`�,��``^'''�y(' �
� Notary Public °�.� Notary Publig
�f """'• SYl.VIA A.CAMPBECC
Gb missian ��'i"�'"��`� C is n, , �Ao'�•,
����!�p�'o�� � :?.�.'��. Notary Public-State ot Florida
'��*��—�a'��'; Notary Pubhc-State of florida . .,,�J, .
.',:,�« .•3 M Comm Ex ues !
Name of Nata :ty�ed;. ri �d�ir 't�fi�s ' Name of " =j�rint@dron�et6��dFF 034234
• P*: Commissian # FF 03Q230 •,,��,,o,•
��''�;,;,;.`.°' Bonded Through National Nolary Assn.
���+��+��` Bonded Through Nation�l Notary Assn.
�:. . � . ,
� � � � � PROPANE GAS Service Order/Pro osal �
�� J� - AND AIC ►tvc. n
�i��e �9�8 813-782-5013 Invoice
. ,
.Sales, Service & Installations � --WORK ORDER#�SERVICEMAhI 74419 AUG
4441 Allen Rd. • Zephyrhills, FL 33541 "�ATE/T I ME TAKEN �2�1��1� 1�:��
- � TAKEN SY K. B. 00
NOTES: DATE/TIME RROMISED
CUSTOMER#/LQCATION Qt705E
PHONE# • .813-789-4013
ROUTE/SEQ . AUG-INA-
GOLLHARDT, R I CK GOLLHARDT, R I CF: ' ,
6433 SILVER OAKS DR 6433 SILVER OAI:S DR '
ZEF+HYRHILLS FL 33542 , ZEPHYRHILLS FL33�4c�
� EST 01N A/C
.. �:..,,..,r,;......._.,�., ....
...� , ,.,......._.,.. _
. -;,.:,:�:,,..�..,,,,;;�.;.,,,_,:•.;.,_<._ � - - - . - -
'::.. ., ��r':...:'....."...:.,-::'..:.:-.:.A:::'.....: .. . . .. ..; . . ...r:,..,.•,.. - , - -
- �`�� '=-=-����•=��SGRlP1lQ�J+OF.iIffORf�=-; _ - - _ - •�'Q1Y= ' ;MRTERfALS-�SERVICE$- ;FJNI'P PRiCE_��AIVIOUN
� _ ",K.. .-7:. _ " "
���������.������������.�������������� �� �.������������.������������ ���i�� ����i
IO .- �.� .s � E �oye. � �,a.��e L ;,� � �
' � cJ v � �
� � GJ�o ,•L � �
' oN L �. : � D Z `� 41i' �� D ,Q '
/i/ l �N T � �
� ° � . ' - S�� ZsT�oGs .• � ��od�
� � ,
, � �ur
,._...,: _
�tJ�w 7 L 3 �
.., ..,
, . _.
-• .
,.,: ..;..:�.. ... _:-; ,. -
�REcoMnnE�r�ai�
�, ..,.. .. , ,, , , .
_._;:.,;<;�,�,.-x__ � - -
ivtvs �
......, ....:..... = -.._�: ::...ti :;,.....,.. ,
._ .._ :. _. . �.. . _ - ..� . :.
- �Q�� �' 2cd� �
�i4itr'iiiat=Nlai�t�ei►anceRecot�irrieei�deii;by��Vlli:Eijuipin�nt,: tiifacCurers. . � �
� _ •> �� . .- ° �� = , ._. Pressures Lo HI T-Stat i i
, ,- i i
, , , -. :- -REFRIGERANT f�=- , LBS: $Pet-Ibs: I I
, • ` � ' , FILTERS x x Changed Monthly � I I
. ' � FILTERS x x Changed Monthly ,� I I
❑ REGULAR ❑WARRANTY TOTAL St1MIM?iRY
,Dehn�j�is{�t-5;ettiisg�:.�•.When here°(�, When Away fQ'jQ;.T-Stat�', ❑ MAINTENANCE CONTRACT SERVIGE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' N1E'THOD flF PAYMEIVT - CALL i
or suppliers'wriflen warranty only.NI labor performed by the above named company is warranted for � ° • - . TOTAL i
• 30 days or as otherwise indicated inx�riting.The above named company makes no other wartanties, ❑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 aulhorily to ortler lhe work oWine e which has been satisfactorily completed.I agree Ihal Seller
PROG. W I C �
• retains Utle lo equipmenVmaterials tu ed ntil final paymenl Is matle.It payment is not made as agreed, CLAIM# �
seller wn remoye said equipmenV erials Seller's expense,Any damage resulting hom saiC removal shall
not be the responsibility o(Selle T 30 AYS.A 1 ° VICE CIIARGE WILL BE ADDED MONTHLY TO I
ALLUNPAIDBALANCESOV 3 UNDS DATE COMPLETED
TECH- �� TAX �
CUSTQNIERSI A E DATE ViI�.V/(AL ✓au TOTAL I