HomeMy WebLinkAbout17-18376 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 1 6
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18376 Address: 37350 NEIGHBORS PATH
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: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 03-26-21-0010-05400-0040
Improv. Cost: 4,700.00 OWNER INFORMATION
' Date Issued: 4/18/2017 Name: BAHR RANDALL & SUZANNE
Total Fees: 60.00 Address: 37350 NEIGHBORS PATH
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542-1879
Date Paid: 4/18/2017 Phone: 813-997-5144
Work Desc: A/C CHANGE OUT 3TON 2 COMPONENT
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
�i
.. � �1� �l 7
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSU �T�
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 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 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
,
�
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
' Building Department
Date Received Phone Contact for Permitting f�G� ��� – `.�i � li�
Owner°s,CJame� Owner Phone Number (�L�7 -� 7�/ –'�/�
Owner's Address �/ ��� ' �j D ,s 7/� Owner Phone Number �
Fee Simple Titleholder Name , Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �✓�/� E�/ U7Q S /�"�/� LOT# �
SUBDIVISION PARCEL ID# (JJ f p�p `' �'� �r✓���'�5 � f�
(OBTAINED FROM PROP.ERTY TAX NOTICE)
WORK PROPOSED NEw CONSTR ADDIALT 0 SIGN Q Q DEMOLISH
e INSTALL REPAIR
PROP.OSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q
DESCRIPTION OF WORK R�� �C C �—GS j,,2� C v sJ7 d/��� ,5 3 ��
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ .
MECHANICAL $ y,��` �� VALUATION OF MECHANICAL INSTALLATION
.�
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS , FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN ' COMPANY -
SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address Cicense# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ 'N ' FEE CURRE� Y/N
Address " License#� � �
MECHANICAL ^�,y� R ; COMPANY �✓�Q� ���'� ��C,� �
SIGNATURE REGISTERED Y/.N •. . FEE CURRE� Y/N
Add�ess� ` � " �'N _ License-#; �'�g T�
OTHER•� � COMPANY
SIGNATURE��� ' REGISTERED Y/ N . FEE CURREM .Y./N
Address� � ' License#
'�RESIDENTIAL, AttacFi.(2):Plot Flans;(2)�sets of Building�Plans;'(1)'set of�Energy'Forms;R,0-W Perrtiitfor new construction,
-� , : �, Minimum:ten.(:10)working;ilays after`�`subrriittal'date. Requiretl'onsite;Constniction Plans,Stormwater Plans w/Silt Fence installed,
Sanita,ry;Facilities:&�1..dumpster;SiCe;Work.Permit for subdi'vlsionsAarge.projects . � ' � �
=COMMERCtAL Attach-(2)�complete sets of Building Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
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 qf;Engineered Plans.
� ""'PROPERTY SURVEY required for.aII.NEW construction.
� .Directions: --.
Fill out application completely.
Owner&Contractor sign back of appl(cation,notarized
If over$2500,a Notice of Commencement Is requlred. (AIC upgrades over$7500)
" Agent(fo�`tFie'contractor)orPowerof Attomey(for ttie owner)would be someone with not '�'clSlettef�ry ,
OVER THE COUNTE 'i��R�f� .ga";"� py �'�n q��) iJ���II�fi�.��dE'J,�Y2' � ,,,�,,,,,,,
�,,`�c� of contraat•re uir� =*
1a�,h;v ,+S n.s; Cu;:i�i�i t •r Q ,a -:�-,.'S
Reroofs if shingles Sewe[s� ;Sg�ce pgr�des;�;�l7C'�;;'°=Fences(Plot/Survey °'��s" •'st''' ���'riY`. '�r 4 j
s,h��rr.: �s.���.- i,,,�1 , , �� /Foota �i�; �r ;a,� . f��.� ,
" , zs�tt;�r: �,••,�'..+ Q�? � �y":
'+.' r �ii' •<ii v '?ii�U;•�sr.:•1 : ��( •�"'�� 77 ' t�A� c.�
Driveways-N r , •� G �� ��s� G£:,s.t;_, �� � ;;�.:fN.�� �.
ot o}�e�Coun{e�if,on p�b.l�c rn�dway's*�e��'s`f�OV� •'�'''""`� '•a�'�.�.����'`
iYi:;t��it' 1•G �tr.,i�trr c�.r 'hr��.....'a'_;`�� .R2u'.��i'e,S�J�IS�p;P`:'s't`.+dttt`7!!T h::�;ICi: �`•rui•s1��`'��+
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; �
NOTICE OF DEEm RESTRICTIQNS: The undersigned understands that this permit may be subject to"deed",restrictions",_ r;.
which-rnay.be more.res#cictive•than Caunty r:egulations. �The�undersigned�assumes Tesponsibilityfor�coriipl�ia%i`c��vuith,�ariy"
applicable deed restrictions.
UNLIGENSED CC?NTRACTORS AND CONTRACTOR RESPONStBILITIES: If-tlie owner has liired a contractor ar
contractors ta undertake work, they may,be required to be licensed in accordance with state and local regulations. lfi�the:• � , I
contractar is not licensed as required by law, botti the owner and�contractor-may�-tie cited=for�a riiisiiemeanor violation
under state law. If the awner ar intended confractor are uncertain as to what�.ticensing requirements::may�.app(y�focrthe.- "
intended wock, they are advised to contact the Pasco County Baiiding Inspection Clivisian=Licensing Sec#ion at ?27-847-
8009. Fu�fhermore, if the owner has hired a carttractor or contractors, he +is advised to have the contractor{s:) sign
� portions of the "contractor Block" of this applicatian for which they will be responsible. If you, as the owner sign as=thie
contractor, that may be an indication that he-is not properly licensed and is nat entitled�to permitting priviieges �n Pasco
Caunty. � �. :''�=` `
TRANSPORTATION IMPACT/,UTILl71ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands �
that Transpartation Impact Fees and Recourse Recovery Fees may.apply to the constructian of new,_builiiings, ctiange�'of� �' '
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and _,
9Q-07, as amended. The undersigned also understands, thai such fees, as may;be due, will !i'e�identifed at:the tir�ie�of �
permitting. It is fur#her understood that Transportation Impact Fees and Resource Recavery Fees must be paid prior to
receiving a "certificate of accupancy" or final power release. !f the_praject does not involve a certificate of occupancy�or-
final pawer release, the fees.must be paid prior to perrnit issuance. _Furthermore, if Pasco County Water/,Sewer-Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. �
CONSTRUCTtQN C:tEN �AW{Chapter 713, Flor�da Statutes,as amended}: tf valuation af work is$2,500.00 or more,-i ,.
certify that I, the applicant,�have been provided with a copy. of the "Flarida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant�is someane.
other fhan the"owne�', t certify that I have ob#ained a copy of the above described'tlocument and promise in gootl'faith to
deliver it to the°owner" prior to cammencement. �
C�NTRACTOR'S10WNER'S AFF[DAVIT: I certify that all the information in this application is accurate and that alt wark
will be done in compliance with all applicabl� laws regulating construction, zoning and land,development. Application is
hereby made to obtain a permif ta do uvark and installation as indicated. 1 certify that no work or installation has
commenced prior ta issuance af a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regu}atEans in the jurisdiction. ( aiso
certify that ( understand that the reguiations af other government agencies may appty ta the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmertfal Protec#ion-Cypress 8ayheacEs, V1lefland Areas and Enviranmentally 5ensitive
Lands,WateNWastewater 7reatment.
- Southwest Florida Water Management District Welfs, Cypress Bayheads, Wetland Areas, Alte�ing
Watercourses.
- Army Corps of Engineers-Seawalls, Dacks, Navigable Watennrays.
- Department af Health 8� Rehab9iitative ServiceslEnvironmental Hea(th Unit Wells, Wastewater.Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviatian Authoriry-Ftunways.
I understand that the following restricfions apply to the use of fill:
- Use of fill is nat allawed in Flood Zone"V"unless expressiy permi#ted.
- � If the fill material is to be used in_ Flaod Zone "A", it is understood that a drainage plan addressing a
"cornpensating volume" wi1! be submitted at time af permitting which is prepared�by a professional engineer
licensed by the State of Florida. �
- !f the fill material is ta be used in Fload Zone "A° in connec#ion with a permitted building using stem wall
canstruction, I certify that fill wiil be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such�flll will not adversely affect adjacent
properties. If use of fitl is found ta adversely affect adjacen# propertiss, the owner may be cited for violating_
the conditions of the building permit issued under the at#ached permit application, for lots less than one (1)
acre which are elevated by filt,an erigineered drainage ptan is requEred, _
If i am the AGEFIT FOR THE OWNER, I promise in good faith ta inform the owner af the permitting canditions se#forth in
this affidavit prior to commencing construction. I understand that a separate permit may be reguired for electricaf vuark,
plumbing, signs, weifs, poots, air canditioning, gas, or ather instatlatians nat specifically included in fhe applica#ion. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate;cancel, alter, or
set asids any pravisiotis of the teahnical codes, nar shatl issuance of a permit prevent the Building Official frorn thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permii is commenced within siac manths of permit issuance, ar if work authorized by
the permit is suspended or abandoned for a period..of six(6)months,after the time the wark is commenced. An extension
may be requested, in writing, fram the Building Official for a period nat to exceed•ninety (90) days and will demonstrate
justifable cause for the extensian. 1f work ceases for ninety{90)consecutive days,the job is cansidered abandoned.
, WARNING Tt� QWNER: YOUR FAILURE TO RECQRD.A NOTICE OF COMMENCEMENT MAY RESU�.T [N YaUR
PAYtNG TWICE FOR IMPROVEMENTS TO YOUR.,.PROPERTY. IF YOU�IN7END.=TO OBTAIN FINANCING, CONSULT
�--.- 1!!fl'Ct#-YO!!R��l�DEla-Olt-A[�-AT'�ORRl�Y-8���1�lE I�E�Q1tl�IR1�1l-t�t�R-�11C�'TIG�O�=�(�NlMEIVCEMENT.--- -
FLORIt}A JURAT(F.S. . 3) M1 � � —_� _� ____
OWNER OR AGENT CONTRACTOR
` 8 b��e��nd swom to or af�irmed}before me this Subscribed and swo {ar affirmed}before me this _
� L. /11 5Q. -I"7 b - I
Wha is/are rsonally known me or has/have produced ' Who Eslar ersonally knaw me or haslhave produced
� as Iden#Hcation. as identification.
.
Notary Public - ,� Natary Public
Com ' iori�to. �w� - PBELG� Co mission No. ,��.
� � �-, Natar Public-Sta���
SYl{f1A A.CAM
;` �'• te of Florida .`, �e�. � .�
�' � _ y ��9 2n�7 =�' `c'•., NOtary PubliC-Sfate of Florida
1Vame of Natary Sr s �qsiaa�FF 034230 Name of Notary typ � ~ �ommission�FF.034230
��''�n,q;,,;�+`'� 8�nded'�hroupA Nallon�l Nota Aasn. �`
,��� ��ti•`�� BbnGeO`tArouQh Nattonal Notary Assn.
( -
� � � � � .�OPANE GAS - �il:.LW.1�
d = :- ..Hn.A1� ��G. Serv�ee �rderJPro�asal
:�iar��988 - 4 � ���3�7.82�50�3 I7tIvolCe '
, WORK ORDER#/SERVICEMAfU ?�558 ❑GT '
Sa1es, S.ervice:& lrtstallations �}{�TE�TIh�E TAKE�I �r�1�8f 17 l�a 4�
4441 A11en Rd. • Zephyrhilis, FL 33541 TAK.EiV �v J►� ��
NOTES: F3ATEf T I ME RRO�#I SE�
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LIMl7ED WAItRAiNTY: AII matedals,pasYs and equiprrient are warraot8d by the inan�facturers'� �'��``v;��Y=c�;�' �"3�Y` _ �'�>"?>��'f:�=�'. CALL 1
':�:�{,,=�;.�._;•N1E�2?}=lOD;OF'rf��t�'-iitt�Nl*��....� _.�,�..:
orsuppiiers'wriftenwarsantyoniy.Aillabarperfarmedbytheabovenamedcampanyiswarrantedfor �-- r .<.--;=�._,�-.,,:r:=u : -: - r::--:�-�•-n:=�.:
30 days or as othetwise indicated in wriUng.The above named company makes no other warranfies, l]CASH ❑CK# TOTAL i
e�ress or implted,and its egents or technicians are not authorized to make any such warranGes on MATERIALS i
6ehaifofabovenamedcompany. Cl DEBIT ❑CREQIT 0 QTH�R MAINI'ENAPICE �
� PROG. W 1 G i
I have authodry to order the wOrk ouUlned above which has bean sa6sfactodly wmpleted.I agree thal Seller ' ._ „1,
retains tlUe ta eqpipmenVmaterials fumished until final payment is made.If payment(s not mada as agreed, (���M# �
seller can remmre sald equtpmenVmate�ials at Seiler s expense.Any damage resuiting trom said remwa!shaii �,!'Q
rtot 6e the responsibi6ty of Saltet NET 30 6AYS.A t 5/2°le SERVtCE CHARGE WiLI HE ADDED MON'fHLY 70 P f•r � ���
ALL UNPAID BALANCES OVER 30 DAYS,NO REFUNOS DATE COMPLETED �..{_
TECH: /,j,fj� T �sf'�% T'� �
CUSTOMER SIGNA7URE DATE ✓�'L�l�%/GJL �au TOTAL �/ `/ �`'�