HomeMy WebLinkAbout17-18255 ,�
CITY OF ZEPHYRHILLS
" ' - 5335-8TH STREET
(813)780-0020 18'55
BUILDING PERMIT �,��
�
� PERMIT INFORMATION � L-OCATION INFORMATION
Permit Number: 18255 Address: 3946 COPELAND DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: LIGHT INDUSTRY Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 24-26-21-000-00100-0120
Improv. Cost: 3,975.00 OWNER INFORMATION
Date Issued: 3/13/2017 Name: RINKER MATERIALS OF FLORIDA INC
Total Fees: 55.00 Address: 1501 BELVEDERE RD
Amount Paid: 55.00 WEST PALM BEACH FL 33406-1501
Date Paid: 3/13/2017 Phone: 813-780-7800
Work Desc: A/C CHANGE 2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
/ ` n
/ `
Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULAT
F I NAL
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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
f.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
,
� a���so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
.. - _ . Building Department .
Date Received Phone:Contact<forsPermittln ��� ol _ ,rQ f�
Owner'a Name /)/N��iQ, �!/��//y,� DI�/ Gt, Owner Phone Flumber V l3"'p� '" �A
Owner's Address �D/ . J>i 7je e /�J ES�� �;Owner Phone Numb�r •.
Fee Simple Tltleholder Name • ' Owner Phone Number '
�,a , , .
Fee Simple Titleholder Address �
JOB ADDRESS Lr GIC�i►,� �i� �,- /LLS �oT# ��
SUBDIVISION � ,� ` PARCEL ID# o�'f a�i: o�L ���'� �L�l/�L9 Dl �
, �_ , .. (OBTAINEDFROMPROPERTYTAXNOTICE)
WORK PROPOSED • NEw CONSTR ADD/AL-T Q SIGN 0 �Q DEMOLISH
�:8. INSTALL REPi41R
PROPOSED.USE [� SFR Q COMM' Q OTHER ' ' '
TYPE OF CONSTRUCTION � �Q' r BLOCK " Q FRAME � STEEC Q _
DESCRIPTION OF WORK ' �� ��/�-lV �- OLC.` � �T Il� p� �p�� ��j��
BUILDING SIZE � � � SQ FOOTAGE� HEIGHT _ • '
QBUILDING $ , VALUATION�OF`TOTAL`CONSTRUCTION , '
QELECTRICAL , $ ' AMP SERVICE Q • PROGRESS ENERGY Q W.R.E.C.
QFLUMBING� $ - ` - `
QMECHANICAL $ 3Cd��s � VALUATION OF MECHANICAL INSTALWTION
QGAS . � Q ROOFING .Q SPECIALTY � OTHER� • �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDHR COMP'14NY • '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ,
Address � - License# I . ' �
ELECTRICIAN� , , ' `C'OMPANY ' �
SIGNATURE �' REGISTERED Y/ N FEE CURRE�°• Y/N
Addres� - „ License# � �
PLUMBER ' COMP.ANY-., , �
SIGNATURE` _ REGIST.ERED Y./•N FEE CURRE� Y/N �
Address License# .
MECHANICAL` ,, � ."��Y�� COMPANY K3�ffR�S i�Ne_�5� e. .i�e,
SIGNAYURE � ` REGISTERED„ :. Y./ N . ; FEE CURRED Y,/�N
r ,
Address '�::•7'T � �I P/�I '."Z-!�/LLS �, - ' Ltcense# ��/�T39� -
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OTHER ; ' � ' � ' ;COMPANY
SIGNATURE�- "-.:_ . ' - `^ - �` � �' a " ' " ' `' REGISTERED � ' Y/ N... FEE CURRE�• Y/N
Address f'�a :r,� • ' ' �� � ' Ucense#' � '. - -
>; :�.- - �i-� ��• .
RESIDENTIAL'-, ,Attacfi"(2);Plof P,lans;:.(2)sefs of�Building`•Plans;(1)set of-Energy�Forrns;R=O=W'Pertrilt far�ew construcUon,
,;__Minimum;ten(1.0)wo,riiing�days':aRer„submlttal�date:::Requlred onsite;.Consiiiicdon�Plans;Stonnwater Plans w/Silt Fence installed,
.::;...�. , _, ,.,:.... _
SanttaryFacilldes;&;�1��,dumpste.r,-Site�Work,Permitfor:subdivisions/large:projects. ,�� .[,r ' ' � '� '
COMMERCIAL Attach(3)complete se(s`of Buildtng Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permtt far neW construotion. ' �
Mintmum ten(10)warking days after submltMal.date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciiitles&1.dumpster.Site VVork Permit for all new�pro)ects.All commerGal requlrements.must meet compllance
SIGN PERMIT Attach(2)sets-ofErigineered�Pians._ � � � � � .. ° '
"'•PROPERTY SURVEY reguired for all,NEW constructlon. .
DlrecNons: -- '
Fill out applicatlon completefy.
Owner 8,Cantractar sign back of applfcaUon,notarized
If over�2500,a Notice of Commencement is requlred. (AIC upgrades over aT500) , . �
.. ...:,.� ,:,..,.
Agent(for tFi'e contractor)�or Porirer of Attomey(for ttie owner)would-be someone with notarized letter from owner authorizfng same
DVER THE COUNTER.pERMIti1NG'�'�`� � "�E�o"f�`��lf`ca on Onl"y - �� ' `�'"�"'°""��`."�'��'�''�"�`"'�'��"�"`����
� �, rAD aPP �..�.. y� � �7 A sy' J�'� ,,»�. .�,,,,.
.3.ir!yr,q 'j u fE r' �� .i.i?Ff''�1�$ rJ ���i,.��, X!,
Reroofs If shingles '�ewers^ ' Service Upgrades A/CGY--_�`Fences(PIoUSurvey/Footage) � , �
.� :�i�'i#c�..ir,jr •;�i�U�_�. :fiV! ral�;� '�� !�t f,� L<;f}G?��C F�Ib'1%;.„i'nU�':1h1�: �`�a'�r.�;``�'
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DNvewaya-Not ove�Gounter`if`on'puB�lic r`oa'dways..n�eds�ROV11;� jx ��'`�` E` '`!'2:t';{"3 `;2iiF`'�,:4(:� -�lo�`� ,�
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IVOT9C�OF D�ED RES`TRECTION�: The undersigned undergtands;th�t,this.:p�rmlQ;may.be;subJecfi to"deed"restrlcQions" __ . �.
which maybe�more-testcictive-tfi�� County.�regulatlons: �The uiedersigned�'a§surine9��responsi611tty`fior�compliance witl�`any
applicabie.d�ed.restrictions. .. . , • _. � �
�1NL.IC�tdSED CANTI3AC1'ORS �;ND CONTi�ds►C'FOR RESPONSI�ILI41l�S: °If-the �wner�has-`hiced �a contractor or
contractors io undertake work, they may,b,e:r�quired�:to..be-:licens�d In accordance.writh �tate.and:local_regulatlons: If�the � ��
contractor is not l(censed as required`by laH►, botFi the oevner and-cont�actor-m�y be��c(ted for�a•misdemeanor violatlon
und�r state law. If the owner or intended,contr�ctor,;are,�uncertaln as to what Iicensing.requlrements;may apply:for the • �
intended work, they are advised to coritact tfie�Pasco County Bullding�Inspection D(vlslora—Licensing�Sectton at 727-84T-
- -
8009. FurtFiermore, If the owmer�Fias hired-a conlracto� or contractors, he Is advised to have the contracto�(s); sign
po�tions of the "con4racto� Block" of..this application for,which.they, will„be-..r.esponsible.- If you,.as:#he ovimer sign as the ^ ��
contractor, that may be an indication that'he ts not properly Iicens�d and`�!s not entitled"to permitting pr6vlleges in Pasco ,
CounQy. ' `'`
°t'�1f��PARTAT'IOW-.IMPIQ,CTIUTILITIES�IMPI�C�'�ANb ltE30lJI�CE RECAVEI�Y FEES:� l'he undersigned�understands
that Transportatfon Impact F�es�nd.Fteco.urse R�covery:Fees may��apply�tv�Qhe_con�truction_of new bulldings,schange�of`� -
use in existing bulldi�gs, or_expansi�n��of�ezistin�g'�buildings, as specified.ln Pasco County Ordinance number 89-07 and
90-07, as amended., The undersigned also;understands, that such fees,;,as�may:�be:<due;,.wlll:be (dentified at the.tiPrie`of• ��
permitting. It Is furtFier understood that Transport�tlon Impac[�Fees an.d'�Fiesource Recovery°�Fees.must be paid prior to
receiving a.'certffic�te of occupancy" or flnal-pow�c�rele�se. :If�the proj�ct:does�not:involve:a:certificate of o�cupancy�o� '_ -
flnal povver releas�,the.fees mu�t be paid,pclor to.permit Issuanc�. Fu�hermore�if Pasco,:.C.ounty`11Vater/Sewer�;lmpact - ,.
fees�re due,.they must be pald.prior to permit-issua+nce`In.accordance wlth applfcabte:Pasco�County ordinances. •
CAN�TRIIJCTION�1:1�IV-LAVIP(GFeapter 713s FIOP1d�$te�tUk����amend�d': If valuadon o#work is�2,500.00.or more;.f :.
certify that I, the -applicant, hav�-been provi.ded wtth a copy-of.the "Florida°Constnaction� Lien .Law�Homeowne�'s
Protection Guide" prepared by the Florida DepartmenQ�of Agrlc.ulture and ConsumerAffairs. If the appl(cant is someone
other ihan the'owner", I c�rtify that I have.obtaine�`a�copy,of.the:above..desceibed tlocui�ent�and.promise�In,good faith,to ,
deliver It to.the.`ownec".prioc::to�commencemerit: ' ' � � ,
�ONTRI�CTOR'S/OWNER'�AFPIDAVIT: I.ceiti�j+.tti�tall:th�,informatign.ln•thi��pplicatlon is accurate and that all work
will'be done in compliance wi4h all applicabte laws regulating constructlon, zoning and��land'�development. Appltcatlon is
hereby made to obtain .a permit;to do. work�,and�Inst�ll�tlora �s Ir�dicafed:.� .`I certify that no work or Inst�llatton has
commenced pr(or to Issuance of'a permif and that.all work wili be pertormed to meet.standards-�of �II laws �egulating�
constructlon, County and C1ty codes, zoning regulations, and land development regulations•tn the :jurisdlctlon.� I also
certlfy that I understand that the regulatlons of other gov�rnment agencies m�y�apply;to the int�nded work, and that it fs
my responsibility to identify�what.act(ons I must t�ke to be�in:.corrlpllance;.,�uch agencles�includ�but are.not Iimited to:
- Departrtoent of Environmental Prot�ction=Cypress. Bayfiead�,�WeHand Areas and Environmentally Sensitive
Lands,WaterlWasteu�ater Treatment.
- Southwest Florida VUater Management� .DBstrict-Welis, Cypress.���ayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Se�walls,�Dock�, Navigable Watervuays.
- Department of Health:'& Rehabllltat�re.Seovices/Environmenfal Health Unit-Wells, Wastewater Trea4rment,
Se�tic Tanks:. _
- US Environmental Protection Agency-e4sbestos aba#ement.
- Federal Aviatton_Aut�orlty-�tunways.
I understand.that the follov�ing.:restrictions apply to the use of flll:�
- Use of�ill is not allowed in Flood;Zone"V"unless expressly permitted.
- If the fill m�terial is to be used. In.�Flood Zone. "A", It. is understood that � drainage plan addressing a
"compensating volume" will be suba�itted at time of permitting which Is prepared by a professional eng(neer
Iicensed by the State of Florida.
- If ih� �BI material fs to be used In Flood Zone "A" Ihs connec�fon�with�a permitted building using stem wall
construct(on., I certify that flll�:wall=b.e.used only.to.fill the area within the�stem�vvail. -
- If flll material is to be used in any area, I certify tfiat .use. of such flll wiil not adversely affect adJacent
propertles. If use of flll is fonnd to adversely,��fect adJaEent properti�s,.the owner may be cited for violating
the conditions of the b�ilding�,permtt Issued under the.attached:permit appllcation, for.lots-.less than one (1)
acre which are elevated�by f111; aet engtneered drainage plan is required. .
If 9 am th�AGEN7'FOR TIiE 01MNER; I,;proanis�in good faith to inform the owner of the permit�ing conditlons set forth In
this affidavlt�pr(or to commencing construction. I understand thet a�separate permft may be requlred for elecMcal work,
plumbing, signs, wells,.pools; alr conditloning,.gas, ar othec instali�tions nol.spec(fically Ineluded�in:the application. .A
permiE Issued shall be constcued to be a�I(cense to_proce�d with'the�rtiork and not�as,�uthor(ty to,violate,cancel, aiter, or
set aside any provisions of the technlcal.codes; nor shall issuance�of a.perrnit.prevent the Bulid6rig Offictalfrom thereafter
requiring�correction nf errors in•plans; constructlon or iriolat(ons of��ny codes. Every permlt Issued shall become invalid
unless the vvork authorized by such permit.ls.co�menced•withtn sfX cro.onQhs of permit E�suance. or if work authorized by
the permit is suspended or.abandoned-for.a:pertod ofsix�(6)montf�s.�fter the ti�e the�wotk is commenced. An extenslo�
may be requested, fn writing, from tNe��uilding,Offlci�l for a per(od-not-to exceed ninety�(90) days and-will demonstrate
justitiable cause ior.the extensioro�. If work cease�.for ninety.(g0)consecutive day.s,..th�job�Bs considered a,bandon�d. '
VdA1tt�IIVG YO OIIVMER: YOU�..FAILURE.T�..REC.ORD A.NOTIGE OF�CAMNlENC�MEMT.NFAY RESULT IN YOUR
Pr�YING TWICE:FOR�IIIA�OVEIdIEM�S TO YOU�;PR�PERTY: �IF�YO.�1�SIdTE�lD�T����TAIN�FItV�A1��1NG;�CANSUI�.T
WIT U D O AN A'TTO NEY� �ORE�i. E�OR� G�� AU ' �� �'O �� �•' � E E � T� �
__ FLORIbA JURA'�•(F.S. .03)_ ._, �- � ' ^ ' � - -
01RItdER OR AOENT . CONTRACTO
Subs�bed and sarom r aHirtned)befor me thls Subscribed�and' -to(ow afflrm re,�ne ttits.
b �.�-►.n C, rn i s en j' - �-� '-' �� ,
Who Isfar ersonally known .me or has/have produced Who.ls/a ersonaily knowrt me or heslh�ve produced
as Identlwcetlon. as Idendflcadon.
� �
tdotery Publlc _ Nofary Publlc
Commis Co asion.No.
`�����y p���� SYLVIA A.CAMPBELL ����aV P���� SYWIA A.CAMPBELL
`.41J� f!Blii _ `�•O1P !/g��•'
, y�� Mame of Nolary type �d
Name of a�� S Jul 19,2017 ��omm.Expires Jul 19,2017
%�, �:� Commission#�FF 034230 �; �:� Commission�Ff 034230
�'��°������ Bonded Through National Notary Assn. �'��°������� Bonded Throuph National Notary Assn.
, , �? ��• i_�.
� 1 `/' ` � `� ���
� AND AIC�c� Service �rderlPro�osal
S%r 1`� 8 8�3-�82�50 i 3 Invoice ;
' � ' ?l;;ti='i-: ij:'dj7 k;:i:;'_.a�'.�3`.<<;�C:';�•�i'� '�':�.L'�1�.}�� _.v�i.. I
Safe�, Service & instailations ' -.�-�3:. �-,.4�;r-. _-�,. �:_�� ,���_ r,_::r�;. . :s.._ . �M, �
4441 Ailen Rd. • Zephyrhifls, FL 33541 �_�:�<��: :{;� �=t:: .. ���._;
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" ' - � - RECOMMENDhTlQNS � �
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:�Cn�i�ai:.Maiiiteriance.Recamrnended by Ali�fqu3pti�ent-Manufacturers. ' � �
- Pressures Lo H( TStaf � j
• r i
� REFRIGERANT R- LBS. $per(bs. I i
FIL7ERS x x Changed Manthly I I
F(LTERS x x Changed Monthfy � �
� ❑ REGULAR 0 WARRANTY _ Tt}TA#..S17MMARY
� ;`:t�ehurriidisfafiSe#tings:`When here Qly"; When Away 0° ,.'T-Stat$0'; ❑ MAINTENANCE CONTRACT SERVICE i
' LIMITED WARRAN'fY: All materials,parts and equipment are warranted by the manufacturers' � METHOD OF PAYMENT CALC s
or suppliers'wriften wartanty oniy.NI Iabor perFortned by tfie above named cnmpany is warranted for TOTAL i
30 days or as othecwise indcated in writing.The above namsd company makes no other wamanues, ❑CASH ❑CK# 4t►ATERlALS �
e�ress or implied,and its agents or technicians are not authorized to make any such warranties on
6etraifofa�aveaamedcompany. , C�DEB(T 0 GRED(T 0 OT}iEFt MAlNTENANGE �
PROG. W I C �
t have authcrity to order the work autlirted abave which has bean saUsfactorily rAmpleted.1 agree that Seller ,
retains U�a to equipmenVmateriais tumisnnd untti fina�payment ts mede.�i payment ts not made as agreed, C�){�# �
s�Nler esn remove seid equipmenVmaferials at Seller's expense.My damage resulting from said remavsl shall
ALL U PAID B LANCES OVER 30 AYS.NOYR FUN S�SERVICE CHARGE W7LL 8E ADDE4 MONTHLY TO DATE COMPLETED '
TECH: s.'i�.z.tv ' TAX �
i
CUSTOMERSIGNATURE DA7E e/�2T�%/'(ilfi �a.0 TOTAL �