HomeMy WebLinkAbout17-18335 CITY OF ZEPHYRHILLS
4 ;- • 5335-8TH STREET
_ (813)780-0020 1 5
BUILDING PERMIT
� . PERMIT INFORMATION� � LOCATION INFO- RMATION - -
Permit Number: 18335 Address: 38042 LAWANDA LP
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: WAYWARD WIND
Est. Value: Parcel Number: 14-26-21-0160-00000-0110
Improv. Cost: 4,360.00 OWNER INFORMATION �
Date Issued: 4/07/2017 Name: BELLINGER ANTHONY&TAMARA
Total Fees: 60.00 Address: 38042 LAWANDA LP
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/07/2017 Phone: 813-997-4459
Work Desc: A/C CHANGE OUT 4 TON PKG
CONTRACTOR S APPLICATION FEES �
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
�
� Ins ections Re uired
DU TS INSTALLED
DUCTS INS TE
FINAL i
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 properly 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 properly. 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 REQUIRED
PROTECT CARD FROM WEATHER
a�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
_ - - • Building Department �_ '7_��
Date Received (�
Phone Contact for Permitting �� d a — ���
Owner's Name e�l�/�f Lie C� Owrner Phone Number ��� ��� " TTS
Owner's Address ��/ �� Q, � Owner Phone Number
Fee Simple Titleholder fdame Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS ��D � L+LJ � Ud G� !7/L� LOT# �
SUBDIVISION PARCEL ID# / v� �I �/�� ��DDD ���d
(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 0 STEEL Q
DESCRIPTION OF WORK L� �� L� �/v � "" �L� T�/v �!� �/C
BUILDING SIZE SQ FOOTAGE HEIGHT
� OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
'1J MECHANICAL $ �� j� D� VALUATION OF MECHANICAL INSTALLATION
Lp .
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I
Address License# '�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Cicense# r
PLUMBER. CON1PANY
SIGFVATURE REGISTERED Y�/ N FEE CURRE� Y/N
, Address License#
MECHANICAL p��' � ` CONiPANY ��}N/a S �� I�-/��C� ��L`- �
SIGNATURE ��""`'� REGISTERED Y L N FEE CURRE� Y/N ,
Aild�ess � `7"�' � � , G'/�7�/ ! License.# � L!J T� /�
OTHER COMFANY
SIGNATURE � � RE�ISTeReo Y/.N FEE CURRE�' Y/N
Address - License#
RESIDENTIAL. Attach(2).Plot Rlans;(2)=sets of'Building�Plans;(1)'sefof'Energy Forms;R,O-W Permit foc new construction,
�- Minimum.,ten;(10)working.iiays aftersubrriittal date. Required onsite;Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities.&•1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complefe sets of BuilBing Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
i 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 all NEW construction.
Directions: , -
, Fill out application completely.
� 'Owner&Contractor sign,back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
"" Agent(forthesco�t��otor:j,�orPov����of,Attpmey;(for,=t4e,�wner•)would be someone with notarized letter from owner authorizing same
OVER THE COUN�ER PERMITTING� "�`�� �(copy,of contraef required) `'�`�""�"''�'�``'"'�`'`�`�'""`�"`�"�`'�S""`��`�
Reroofsifshingles+`' .� `Sewers'`'`. � ; � s.:;�"c�r';� Ah;'d.sY? ,.,�,.` :,.•
'� ,, _ 'Se'rvice�Upgrades.�A/C ; Fences(PIoUSurvey/Footage � , �y„�;'•.
'•,�i�; .`? ii�� .,:i. �. ;,�•�" i �;.�� • ' et•1iUa'�IL'.3F4i�.�i-Jiitili`i`!C1::Y .�/.=.:+,y+.:
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' Drivewa s-N � •�r� z v �.,.., . :, , ,�+i ;m �' .. ,,, , � �::• +.; ",.~ �
y 'ov�r��Counfer if on pukilic��oadways.. eeds ROW ���'� ��jL 1,�`��''` +� �"'' �� .`�' �
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� $�}'z"��aa�y`"�ts`�`otmw�'�1's"`n';'ym�r`i'tiR',�i'"a`;Sa �1 �,�,. ,,,v�;V.;r�:'C r�a..�In;;i' �'`^"f'� �i�:i.�,'''.
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NUTICE OF DEED RESTRiCT10NS: The undersigned understands that this,permit may be subject to"deed° restrictions° ° -
which..may be.more=restrictiue than County regulatians: The;undersig�ed assume`s"responsibilifjt fbr comptiance vdith�any` "'
, applicable deec!restrictions. ' _ ` � ::. . � '
UNLICENSED CQNTRACTORS AND CC?NTRACTOR RESP.ONSIBILI71E5: lf the owner-has hired a contcac#or or
contractors to u�dertake work, they may be required to be licensed in accardance with state and local regulations: .,If�.the- �-
contractor is not licensed as required by law, bo#ti�the owner and contractor�rriay��be cited�fo��a misdemeanor violation
under state {aw. If the owner or intended contractor are uncertain as to what licensing requirements.may apply for=�the '" �
intended work, they are advised ta caritact'the Pascci County Bailding Inspectiori"Division-=Licensing Section at 727=847- �
8009. Fur#hermore, if the owner has hired a contractar ar contractors, he is advised to ahave the contractar(s} sign . _
I portions of the "contractor Block" of this application.for which they will be responsible. !f you, as�ttte�owrier sign as'ttie � �`
, contractar, that.may be an indication that he is not properly licensed and is not entitled�to permitting privileges in Pasco
County. _ - -- ' ;
TRANSPORTATI�N 1MPACTI.UTILiTtES 1MPACT AND RESt,)URCE RECOVERY FEES: The und`ersigned understands
that Transpartation tmpact Fees and Recourse Recavery Fees may,apply to the canstn.iction af new buitdings, chan'ge•of� �+� �"
� use in existing buildings, or expansion of.existing buildings, as specifed in Pasca County Ordinance number 89-Q7 and �
� 90-07, as amended. The undersignec! also understands, that such fees, as rnay�be due, wil!be identified at-the-time af '
permitting. it is further understood that Transportatian Impact Fees and Resaurce Reeovery. F.ees must be paid prior ta
receiving a "certificate of occupancy" or final power release. If the.project daes not involve a certificate a�occupancy�or •
final power reiease, the fees mus# be paid prior#o permit issuance. Furthermore, if Pasco County Watec/Se.w,er-Impact.:. -
fees are due,tiiey must be paid prior to permit issuance in accordance with�applicable Pasco Caunty ordinances.
CCINSTRUCTItaN �IEN LAW(Chapter 713;Ftarida S#a#utes,as amended}: ff valuation of work is$2,5Q0,00_or more,•.1,,
certify that I, the appliaant, have been provided with a copy of .the "Florida Constructio� l.ien Law-=Hameowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone.
other than the"awner", I certify that I have obtained a copy of the abave described docume�t and promise•in goad'faith�to
, deliver it ta the"owner" prior to commencement.
, CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify#hat atl.the informatian in this appticatian is accurate and`#hat alI wark
'i will be done in compliance with all applicable laws regulating cartstruction, zaning and land-development. Application is
� hereby made to obtain a permit to do work and installation as indicated. ! cerki€y that no wo�k or installation has
commenced prior to issuance of a permit and that all work will be performed to rneet standards of a!! laws regulating
construction, County and City codes, zoning regulations, and land develapment regulations in the jurisdiction. I also
certify that I understand tha#the regulations of other government agencies may apply to the intended work, and that it is �
my responsibility to identify what actians i must taice to be in compliance. Such agencies include but are nat limited to: ,'�
- Department of Environmentat Protectian-Cypr�ss Bayfieads, VIletland Areas and Enviranmentally Sensitive
Lands,WaterM(astewater Treatment.
� - Southwest Florida Water Management District-Wells, Cypress Bayheads, We#land Areas, Altering
Watercourses.
- Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabi6tefive Services/Environmental Health Unit Weils, Wastewater Treatment, ��
Sept9c Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
i I understand that the following restric#ions apply fo the use af fill:
- Use of fill is not allowed in Fiaod Zone"V" unless expressly permitted. �
- If the fill material is ta be used in Flood Zone "A°, it is understaad that a drainage p(an addressing a
"compensating volume" wif! be submitted at time af permitting which is prepared by a professional engineer Y ',
licensed by#he State of Florida. ,
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used anly to fill the area within the stem wall. �
- If fill -materiai is to be used in any area, 1 certify that use of such�fill will not adversely affect adjacent I
properties. If use of fill is found ta adversely affect adjacent properties, the owner may be ci#ed for viaiating
the canditions af the buitding permit issued under the at#ached permit application, for lats iess than one (1}
acce which are e{evated by fill, an er�gineered drainage plan is required. `
If 1 am the AGENT FOR THE OWNER, I promise in good faith to infarm the owner of the permittirtg canditions set forth in
this affidavit pcior ta cammencing construction. I understand that a separate permit may be required for electrica! wark,.
piumbing, signs, we11s, pools, air conditioning, gas, or:other installations not specifically included in the�application. A
permit issued shall°be consfrued to be a license ta praceed with the work and not as authority to violate, cancet, alter, or
set aside any provisions of the#�chnical cades, nar shall issuance of a permit prevent the Building �fficia!from thereafter
requiring a carrection af errors in p}ans, canstruction or violaiions-of any codes. Every permit issued shall became invalid -
unless the wark autharized by such permit is cammenced within six months af permit issuance, or if work authorized by
the permit is suspended or 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 Buildirig Official for a periad not to exceed-ninety (90) days and will demonstrate
� justifiabie cause for the extensian. If wark ceases far ninefy(90)cansecufive days,the job is considered abandoned.
WARNING TO OWNER: YQUR FAILURE TO RECORD A NOTlCE OF CQMMENCEMENT MAY RESUl.T Ifd YOUR '
RAYING TWICE FaR IMPROVEMENTS TO YOUR_PROPERTY. !F YOU�INTEND�TO�QBTAIN FlNANCING,CQNSUI.T
WITH YOUR LENDER OR AN ATTORNEY�EFORE_RECQRDING YOUR-_NOTICE_OF_COMMENCEMENT...–v —.�-_ _ ��-=
FLORIDA dL3RAT�F.S.11 3} _ � , '
� QWNER OR AGEN7 ` U��-� CONTRAC70R �7�—
�ubscribed and swo to affirmed}before me this Subscribed and sw n (or aifirmed}before me this
� �' .:- �/rj� __bu- � t 1?�t�-Pm�y'
Wha is/a ersanally kno to me or has/have produceii Who is/are ersonally kno to me or has/have produced
' as iden6fication. as identificatian.
f I� /'�,�
, .,�t� Notary Public C�• �'^"G--� , o ry ubtic
C� iss'son Commission No. ,��`�°A�••, SYl.VlA A.CAN1PBfU.,
�.,���Y�,��,.,, SYLYIA A.-CAMPBEIL. ;1•. .�•: o ary u ic-
.>�o'�" `�<,; = ` ' •_ My Comm.Expires Jul 19,2017
iVame of Nat ; e eP�¢,�jr�y�pires',tul 19.:2q17 Name of Natary typed, .,F+ft,tttt�` pecCommission#�
,"� Qc Commfssion�Ff 03423Q �'•°F'��+� 8bnded Through NaHon�l Nalaty Assn.
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BELLINGER, RAGE AhID TAMARA � �BELI:� � �
�$�4� LAWANI3A LP 3� L��i tF �
� i�1`lA� !iIl� !�!1 S18D �
ZERHY RH I L.LS ,FL �3542 FL33�42
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ESTIMATE , `
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, � ` � • FII.TERS x x Changed Monihly � �l
, ' ` Fl�TERS x x Changed Monthly � �
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-S�3M �l'47�_
❑ REGULAR 1�WARRANTY � 'lYT7`A1., �k,_,:';;:��;}` .
=El�li�iiriiifistaf�Sett�"pgs:_�1Nhen here�, When Away¢Q�, T Stat ❑ MAINTENANCE CONTRACT M
- = w.t - �� SERVICE ,i
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LIMITED WARRANTY: AII matedals.Parts and equipment are warranted 6 the manufacfurers' =;,,-` ' r_,..,...� _, ... . .4;. ..,.V. ..
Y �� '3f��'N{}D-QF t'AY3�t��"`"���=-`. CA�� �
or suppliers'written warranry only.NI labor perfotmed by the above named company is warranted for ��"` � , . TOTAL i
30 days or as ad�wise indirated in writing.The above named company makes no otherwarranties, (]CASM ❑GK# MATERlALS t
eaqaress or i�lied,and ils agents or techniaans ate not authorized to make any such wartan6es on
betatfofabavenar�dcanpany. • . l�DEBIT ❑CREDfT ❑OTHER MAINTENANCE �
PROG. W I C �
I have auUioiSty p5 ortler Qia wak wl6.�ed above whiCh has been utlsfaelqrily eompleted.I agree thal Saller i
�etan5 G'tle 6�equipnaNm2tntiak M+ishtrG unti!6�ai payment is made.if paymer�t is not made as agreed, (`,,�Q�(y�# t
se�er tae mn4+e said ea�pmerNmateri�at SeBat's e�er+se.My demage resul�ng irom said remova!shall
rat de the�aesDily o(Se/ec NEf 3p OAYS.A 1 1/2%SERVICE CHARGE WILL BE ADOED MONTNLY TO �
AL.4.UNPAIO B�N.ANCES OVER 30 DAYB,NO REFUN�S DATE COMPLET D ....._,._. ......
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CUS7{?6ERStl3tWTURE QATE �/�;�^ J�o�cc TOTAL