HomeMy WebLinkAbout17-18313 CITY OF ZEPHYRHILLS �"
�' - ' 5335-8TH STREET
(813)780-0020 313
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATIO
Permit Number: 18313 Address: 6720 ERIN 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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-0780
Improv. Cost: 3,434.00 OWNER INFORMATION
Date Issued: 4/03/2017 Name: MACLEOD BRUCE ALEXANDER & MARY L
Total Fees: 55.00 Address: 6720 ERIN CIR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-1851
Date Paid: 4/03/2017 Phone: 813-702-4440
Work Desc: A/C CHANGEOUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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Ins ections Re 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 performed 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 REQUIRED
PROTECT CARD FROM WEATHER
a�aaso-oozo City of Zephyrhills Permit Application FaX-a�aaeo-ooz�
- Building Department
� -�
Date Received Phone Contact for Permitting � �� — ����
Owner's Name �C� �u� Owner Phone Number ��3- ��a"�
Owner's Address �� C�JP//1� �\ -�//Gf.� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �/p/ �, LOT# �
SUBDIVISION 'YGLG Q LClPa PARCEL ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
B INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �e-r..�'s � (j ° `f J'�J e�-dLL.� TO/1� � l�am d��111
BUIL'DING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
, OPLUMBING $
�MECHANICAL $ ��I,3�/_, � VALUATION OF MECHANICAL INSTALLATION ��
.�7. 7 �` J,
QGAS Q ROOFING Q SPECIALTY 0 OTHER %��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
, BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Cicense# �
' PLUMBER, COMPANY '
SIGNATURE REGISTERED Y�/ N ' FEE CURRE� ' Y/N
Address -� License#•
MECHANICAL ��� `�7����� COMPANY H-�/�S G'����5 t �/G ���
SIGNATURE REGISTERED , � Y/ N FEE CURRE�. Y/N
Add�ess � 7' . ��eiJ ZGC� License_#� ��� ����p
' OTHER•� • ' COMPANY .
SIGNATURE-:, ' REGISTERED , Y/.N-. . FEE CURRE�' Y/N
Address� ' , - - License#
, RESIDENTIAL � i4ttach(2):Plof Plans;(2)�sets of�Building Plans;(1)`set of Energy Forms;R-0-W,P.emiit.for new:construction,
- .. ,, Minimum�;ten;(10)working;days aftersubrriittal�date. Required'onsite;Constniction Plans,Stormwater Plans w/Silt Fence installed,
� Sanitary Facilities 8�1�.dumpster;Site Work Permit for subdivisions/large projects -
-.COIVIMERCIAL Attach`(2)corriplete sets of Buildirig Plans plus a Life 3afety 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 fo�all new projects.All commercial requirements must meet compliance
; SIGN PERMIT Attach(2)sets of;Engineered Plans. �
� "'*PROPERTY SURVEY required for.aII.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) ' j
�a '.f,..
Agent(for the contractor)or�Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ,
OVER THE COUNTER PEl'tM "'�""�4��������v�e
" tT'fi�ICr�'�'�.'�'��j3y"o�"cof�tra`�r�'dqiFed) �"F�"�"'""�` ,,,��
Reroofs ifshin les '� Sewers�`�`"'��' F'Ser'vi�e U ra ' :.��'�y���h P���'e��t�'' .�` =•p..�
g � pg des'�A%C�.,, ;��Fences(Plot/Survey/Footage) ., .f,r•,;t ,; �s �
S, Gui;O•'t iL�,!r�`�{ ?;i:lypr� ,g���y�� -tv��-� L_ � FJi�i:�I!TC S!6i� _ 'i:;;V . - �.- �', e
Driveways-N ~ ��� �. _ p .y =. + � ''`�'�'p r , � •z;< ;r,,,.., .,�,� .i r':�:_; ,:t,a
o�;overC`o'unfer`if o'n''ulili�`Foadways;;.r�e¢s;R W - ��•��: ` ,�.``,�9; .� ,;l�,r,.;`
!.'4(i.i: ��i ;y iu���-b•it71t�;V� r,,�.,� Dt:'•;rEil i3 # r:0�2.^.ir.tit?r� .'�.:_a•�,S•:.�
'� � . '�:.y�yf'1; t`�•` :¢ �rfe,.'q',:'y
�: ..q. .�,j,� p n��'%��4hrt ' •li����'
f.4 .�� t1�.�Jia i11�1�:p!�:��1.�i�j�i���lp�::h���i�rIa��i. :.�•�i���iyi�:����-y���� 314�ia'�1E�i:�:1.��{��t�!�3'�Li. . .,i�l
�r".v.7+��1'N,y.. '6_ l3+'—�"�L�_'e�.'"��_''r� �
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NQTICE OF DEE(D RESTRICTIONS: The undersigned understands that this permit may be subject to"deed?' restrictions"�
which.may�be more:restrictiye than Caunty cegulations: The�und'ersigned assurimes�responsibility fat�corripiiance with'any``'
applicable deed restrictions.. � ' . .. �- � `
UNL{GENS�D:CONTRACTORS AND GONTRACTOR RESPONSlBILITIES; I� the owner has�hired�a�cantractor ar
contractars to undertake wark, they may,be required to be�licensed in accordance with state and local regulations: If the^���
contractor.-is nat licensed as required by'law, both the owner and:contractor may��6e cited for.a misdemeanor vialation
under sfate law. If the owner or intended contractor are uncertain as to what licensing requirements�may�:apply for.the� �' '
intended woric,they are advised to can#act the Pasco Caunty Building tnspection"Divisiart-=Cicensing Section at 727-847- ;
80Q9. -Furthermore, if the owner has hired a contrac#or ar contractors, he�is advised ta have the contractor{s} sign„ ; �
portions of#he "contractor Block" of this application.for which they wi}I be responsible. If you, as�ttie owner sign as tlis
contractor, that may be an indica#ion that he is not properly licensed and is not entitletl�to�permitting privileges in Pasca �� '
�
Caunty. � � � � `
TRANSPC3RTAT10N IMPACTIUTILITtES IMPACT AND RES4URCE REGOVERY FEES: The undersigned understands
that Transportation (mpact Fees and Racourse Recovery Fees may.apply ta the constructiori of new.builtlings, charige of� `� �
use in existing buildings, or expansian af existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such#ees, as`may�b.e due, wil! be identified at::the�time�of � "
' permitting. It is further understood that Transportatian Impact Fees and Resource�Recovery Fees must be paid prior to �
receiving a "certificate of occupancy" or final power release. If the project daes not involve a certificate af occupancyor.'-
final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer impact.
fees are due,they must be paid prior to permit issuance in accordance with applicabie Pasco Caunty ardinances.
CONSTRUCTION L-IEN LA1N(Chapter 713, Flarida Statutes,as amended): I€valuation of work is$2;5QOA0 or mor.e,.l, .,
certify that !, the applicant, have been provided with a copy of .#he "Fbrida Constructian �ien Law--Hameawner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someane
other than the"owner", I certify that I have obtained a capy of the above descri6ed document and promise in goad faith to
deliver.it to the`;owner"prior to commencemen#. �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify.that aH the information in this application is accurate and that a1I work
wil! be done in campliance with a!1 applicable laws regulating constructian, zoning and land-developmenf. Application is
hereby made to obtain a perrnit to e!o work and installation as �indicated. t certify that no work or in"staNatian has �
commenced prior to issuance of a perm'it and that a!! work will be pertormed to rneet standards of aA laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I �also
cerfify that i understand tha#the regulations of other government agencies may apply#o the intended work, and that it is
my responsibility ta ident�f}r what actions I must take to be in campliance. Such agencies include but are not iimited to: �
- Department of Environmental Protection-Cypress Bayheads, Vltetland Areas and Environmentaity Sensi#ive
Lands,WaterMfastewater Treatment.
- Southwest Florida Water Management District We!!s, Cypcess Bayheads, Wetland Areas, ;4ltering
Watercourses. _
- Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Heaith & Rehabiiitative Services/Environmen#al Health Unit Wells, Wastewater Treatment,
Septic Tanks.
- US Environmenta!Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restric#ions apply fo the use af fill:
- Use of fill is not allowed in Flood Zone°V" unless expressly permitted.
- If the ftll materia! is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professionai engineer -
licensed by the State of Florida.
- If the �II material is to be used in Flood Zane "A" in connection with a permitted building using stetn wall
constructian, I cerfify that fill will be used only to fill the area within the stem wall.
- If fili �materiai is to be used in any area, I certify that use af suah�fill will not adversely affect adjacent
properties. If use of fiil is found to adversely affect adjacent properties, the owner may be cited for vialating
the candi#ions of the building permit issued under the attached permit application, for iots less #han one (9}
acre which are elevated by flll, an engineered drainage plan is required. `
If I am the AGENT FOR THE OWNER, ! promise in good faith to inform the owner of the permitting coriditions set forth in :
�this affidavit pciar to cammencing construction. I understand that a separate permit may be requlred for electrica! work, '
plumbing, signs, wells, poo(s, air conditioning, gas, or:other installations not specifically included in the applicatian. A
permit issued shatt�be construed to be a iicense to proceed with #he work and no#as autharity to violate, cancel, ai#er, or
set aside any provisions of the technical codes, nar shall issuance of a permit prevent the Buiiding Official from thereafter
requiring a corcection of errors in plans, construction or violatians of any codes. Every permit issued shali became invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if wark authorized by
the permit is suspended ar abandoned for a period-of six(6) months.after the time the work is commenced. An extension
may be requested, in wri#ing, from the Bui(ding Official for a periad,not to exceed•ninety (90) days and will demonstrate
justifiable cause for the extensian. If work ceases for ninefy(90}consecutive days,fhe job is considered abandoned.
WARNlNG TO OWNER: Y!?UR FAILURE TC} RECQRD A AfOTICE OF COMMENCEMENT MAY RESUi:T IN YOUR
PAYING TWICE FOR IMRROVEMENTS TO YOUR PROPERTY, IF YOU-INTEND-TO UBTAIN FlNANCING�CONSULT
WiTH YOUR LENDER OR AN AT7'ORNEY BEFORE RECORDING Y011R NOTICE OF COMIifIENCEMENT.-- -------- --
__- - —__- __-- -
l FLOR(DA_JURAT(F. . �7A3}` __. _.�__ - � .
OWNER OR AGENT a�n'�?�' r�-- CONTRACTOR `�:rn .rc�-�,,
S. bsc'bed a swa t (ot affitmed} efare m�—�^��—T
y t�. e this Subscribed and s m (or affirmed}before me this
-S°'��1-� bv �.J r?-!�?1 �. �'1 fS Pa��t' "' - A-tY�t �. fV! S Y
' Who is/are ersonally known me or has/have produced Wha is/are ersonally known o me or has/have produced
�, as identification. as identlficatian.
� �
4���� J Natary Public _ Notary Publlc
Co mission Commission No.
SYLYIA A.CAMPBELL �,��aY a�e+,'
���i�YA9�4 ��,� fi
�*`r° `�: Notar Pubtic- c:° `�•� tdotary Public-State oi Florida
iVame of tVa � r�t+eRipCetat�l�ires Jui 19,201� Name of hlotary typed, !' pirr�omm.Expire&Jut 19,201
'•;� �� Gommtssfon A�PF 084230 : :�;^T Commission�F�Q3423Q
��'�'������` Bonded Through I�at(dnAl Notiry Ass�i: �'��°�io�r� 8bnded`(hrouph National Motary Assn.
� -- -
`��� �. � PROPANE GAS Service Order/Proposal �
� A1�ID AlC �rvc. • _
��ce�988 8 i 3-782-50 i 3 Invoice
LJORF: QRDE EMAN 74777 MAR
Sales, Service &installations � DATEiT i ME TAKEN �3i�►�/17 1�:¢�`
4441 Allen Rd. • Ze h rhills, FL 33541 �=TAKEN P�v Jh� ¢�3
P Y DAT�/TIME F'ROMISED 03/c9/17 13:00
NOTES: CUSTQMER#/LOCATION 4�037
PHONE# 813-7�d�-444� C
ROUTE/SEO MAR
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MACLECID, BRUCE � • f�IACLEOD, gRUCE
67�� ERIN CIR E7��� ERIN CIR
"VALLEYDALE" (GATE CODE 5�5f�)
ZERHYRHILLS ' FL ,33�4c ZEF'HYR!-IILLS FL.�354`
NEW GLI.ENT LOCATION, GET AC #S
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Arii�ua4,�intenarr�e:Reoorri���ntletl}k`�pil�f utpmer�t�:Man ��ct�urer�:�, � �
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� - .�,;REFRIGERAyT R- LBS: $per Ibs. I I
. � ` "' • FILTERS x x Changed Monlhly I I
, • ' FILTERS x x Changed Monthly I I
'❑ REGULAR ❑WARRANTY TOTAL St�M[liIARY
Q;B�(ai%t�iSt3t;Se:t�i�gS:;,When here�, When Away�Q'(Q; T-Stat�,Q°: ❑ MAINTENANCE CONTRACT SERVICE , i
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LIMITED WARRANTY:�All materials,parts and equipment are wartanted by the manufacturers' , ` ' (y��HOD bF PAYMENT CALL i
or suppliers'written warranty only.All labor perfortned by the above named company is warranted for , . TOTAL i
30 days or as othenvise indicated in writing.The above named company makes no other warranGes, ❑CASH ❑CK#
MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such wartan6es on
behalfofabovenamedcompany. • . ❑DEBIT 0 CREDIT ❑OTHER MAINTENANCE �
I�ave authorRy to order the wak outlined above which has been satisfadorily compleled.I agree thal Seller
PROG. W I C �
ietains IiVe to equipmenUmaterials fumished un61 final payment is made.I(payment is nol made as agreed, CLAIM# �
seller can remove said equipmenVmaterials at Seiler's expense.My damage resulting from said removal shall ` ,
nol be Iha responslblliry of Seller.NET 3D DAYS.A 1 12%SERVICE CHARGE WILL BE ADDED MONTHIY TO /,� ��j l� � w
ALLUNPAIDBAUWCESOVER30DAYS.NOREFUNDS DATE COMPLETED "'� — "�—
TECH: T� ' �
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CUSTOMER IGNATURE DATE ✓1LtiI///i/L ✓ou TOTAL 3.�3� I W
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