HomeMy WebLinkAbout17-18512 CITY OF ZEPHYRHILLS ��
r
5335-8TH STREET
, y (813)780-0020 1851'2
BUILDING PERMIT .
PERMIT INFORMATION ° LOCATION INFORMATION
Permit Number: 18512 Address: 37613 LANDIS AVE �
Permit Type: MECHANICAL ZEPHYRHILLS, FL. I
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0830
Improv. Cost: 3,195.00 OWNER INFORMATION
Date Issued: 5/24/2017 Name: GOLDSTEIN EDWARD & EILEEN
Total Fees: 55.00 Address: 37613 LANDIS AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33541-9310
Date Paid: 5/24/2017 Phone: (813)322-3543
Work Desc: A/C CHANGEOUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
� a �
1 �
q
. � ��
;�
��:
�
Ins ections Re uired,
DUCTS INS ALLED
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
$�saeo-oozo City of Zephyrhills Permit Application Fax 813-780-0021
,;,,� -, . Building Department .
Date Receiveds _ - �,Phone Contact�forPermittin �_J • �d � _ �(��
Owner's Name C�z7� ' ' � /,l) Owner Phone Number ��� '�,���s��� •
Owner's Addrass � . � S Owner Phone Number •
Fee Simple Titleholder Name • Owner Phoee Number "
Fee Simple Titleholder Addresa
JOB ADDRESS ��(P I L�i/t� �f LOT# �
suBoivisio� rar . o���o P,��E��o# 3� a�' �` o.d � oao� . D83z�
, - (OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED _.NEW CONSTR ADD/ALT Q` SIGN' Q - Q DEMOLISH
�B. INSTALL REPAIR •
PROPOSED:-USE � Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION - Q�' BLOCK ' Q FRAME � � STEEL �Q
DESCRIPTION OF WORK • L°S �C o- �L"� � �p d/V��� J ���
BUILDING SIZE - SQ FOOTAGE�� ; ,HEIGHT �
QBUILDING $ VALUATION�OF'1'Ol'AL CONSTFtUCTION
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ '
QMECHANICAL $ �J Q�, - -1 VALOATION OF;MECHANICAL INSTALWTION
! (JU
QGAS Q ROOFING ;Q SPECIALTY Q_ OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY �
SIGNATURE REGISTERED Y/ N - FEE CURREA Y/N
Address License# ' �
ELECTRICIAN, � .�COMPANY - � � '
SIGNATURE ' REGISTERED Y/ N FEE�CURRE� � '�Y/N .
�,.. - - ., .
Addre's's � .- Ucense:# �
PLUMBER � , „ COMP,.ANY , � �
SIGNATURE " , .REGI�TERED Y./..N,.. ; �EEE CURRE� Y/N,
Address License,# � � - -
MECHANICAL: + ' � �e „ � � COMPANY ���S �/���C�"!�t'S�'" C-�CJ
SIGNATURE � Recis7ERe�,. Y./ N ,,�E Cu�tEn Y/��N -
Add�A88`'' ���1�'� i'III�' _ , �J��L;1.5 �j��� License# ��7��v � �
OTHER . °" . -. . � =;COMPAMY � ,. .
SIGNATURE -�-.:` . " ` � "` �` ' ' ' ` ' 'ReGisTEREo "' ' Y/ N_... � �e CUR�n Y/N
Addreas - - . ' - ~ - L`icerise# " �
�� .. _..«, " "'4 '.".' i I:.: .,:�.. �, .
RESIDENTIAL_�c�Attacfi'(2),:Plot%.P.lans;;.(2)§efs�-ofcBulldingiPlan§;'(1)set of En'ergy�Fortns;R=O=W Permit for'new.construcUon,
�_.Minimum�ten;(�1,0)tiworkingpdays,after„submittal'date.�:Requlred onsite;.Construction�Plans,Stormwater'Plans w/Sllt Fence installed, .
y�� �Sanite'ry,Facilltl,es;&,,1,,dumpster.�Site Worlc;Pertnit forsubdi�,sions/large pro]ects�_,_"...:_ , � '
COAAMERCIAL Attach(3)`complete sets ofBullding Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minlmum ten(10)working days after submittal date. Requlred onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects:.All commerGal requlrements,must meet compliance �
SIGN PERWIIT AttacFi(2)sets ofEngineered:Flans.::- :^r- �,. �:; � ' ' '
"••PROPERTY SURVEY required for,all NEW construcUon.
Dlrectlons: ' -
FIII out applicaUon completely.
Owner 8 Contractor sign back of appltcatlon,notarized
If over�2500,a Notice of Commencement is requlred. (A!C upgrades over$7500) �
'• Agent(for the contraoto�)or"Powe�of Attomey'(fo�=tFie�owner).vvo�ttlb�someone virith notarized letterf�p�owr�er authorizing same
' �_" '^l�.r r,Y,�:��(^ �>s✓.5...:,q:;�� :_s;`a.::i',. _ T _ � '
� ,,. ,t���.:J�,, ' �n:72:�..-:;�a r!? .-�_
DVER THE COUNTER,P_ERMITTING-,;���-.-(F[ontwof�4ppl'�,}t�on Qnly)�'� • �' � -- �-. � �r5 i��j�;;, ;;;;� '" '��
Reroofs ifshingles Sewers�� ,r;:�;Service.,Upgrades���/G� _,�;�+ance°s':(P(ot/Suroey/Footage) � _•�� ��., ._ .,,?�„�, ;,,, --_ °' �
. .... .,. ... _�r . :1(... : � 5.rl. ty nry.y �y� �r _ i i '.� i ;i .. 5 ' '� :i,'M �J, ,. -_
. :... `"i�'��; ;4(�li:�"'�'1!i i ^ �T.\`::4.'.,. � . • - .�1�',i`v ;C�� ,{'`',i-,`!,J '�y'
Drivewaya-Not over Counter,•if•on.public;roadvii��iys..needs ROV1/�=`',' �� �� .. ' ''
�rn I�r,- '° � t
_ . ,. v ..�. . � 'Jt':�i�l, � '' ,..� ��� !`i �t�`?;b9T��,` �
� -.i.Ye'�!.,i
rt� �.S)•' ��i�;f�'"AY.'�,'j�^,1�t.v�5.n.tilv' v.— -- .. , . _ . . �.. . '
�t'^,:p,M1,•. V ; . w . .vl,-� , w��!av^�.�A�,•
, �! ,n
k ... �r � a
' t ,.»I
,:. �� ,:.';?•'•v.}
. . . . - . ,. .':.,. ., ...._., .- �..- ,",-: .:-. r ..r ..`.,'.......�,�...,... a�`a.n,�:. ;•. . '�,�.�r .."",a. .., _�..::.:.�:. �^.a..:.,..�..�>�..__,..,....
NOTICE OF DEED RE�TRICTIQNS•. The unds�r.slgned under�Eands-ttt�t�.. s<:p��_:_t-may;bertsub eat.t�,deed.,resfrlctions..�
..._.::..a.,
which may:be<more'�restt(ctNe��th��County:r+eg�latrons. -The:under�lgned�-assumes-resp�nsiblllty for campilance with�any
appllcable�deed�restrlctlons. � .. , ,;_,:.� ::: .. - ' • ,, _ ... `,-:.- _� .- ,:.:"''��
UNLICENSED��ONTRAGTpRS -k1�D .CONTRACT�R R�$PBNgIBIC:ITiES:� �•ff��tiie�=awner has��hicetl��a"contractor or
contractors to undertake work, they may;be>re�qtrired<.to_=;be.11censed U.accordance.with,•state.and;�local regulatlons:��If the����' ;°=:•,
contractor is-no# 1lcensed.as'requlred�y law�-°tiotli�the awner arid-�cori#ractor=�iriay�be�ctted°for��a misdemesnor xlota�on
under state law, If the owner or Intended,=,contractor-are.,uncertaln as to what Iicensing.reguirements;�may��apply��for�-the'� �����t��`�'°° :
intended wark�tftey are advised to'co�itact;ttie_�Pasco-County Sullding'lnspectian„D(vlslon,-l.icensing Se�tion at 727-847- '
......�_ .....,__ __.. _ _._ .� .
8008. Furftiermore, if the awner'Fia`s�Fiired`a con`tiactoT cir contractors, he !s advised #o have the contractor(s),.sign, ,,;.�,,,::.. ..
; �- -,..u; -
porklons of the °contcactor..8lack".,af.thls,appllcation.for.,which.they:wlll.,.be::responsible:- If:.you,.�as�rthe owner stgn��"as`tiie" ' '
coniractort that�may_be an indicatian that:tie is not��rope�jr ifcensed�antlryls not�enti�ed"to perniltEing`pr�illeges In Pasca �
County. � � _ . , i =. .. _ _ , .
TRANSPfJRTATION:IMPACTlU71LITIES�IMPAG'�ANb RE�OUttGE RECOVERY•�EES;��The_undersigned"uttderstands
that Transpartation Impact Fees and.Reco.urse.Recove.ry.Fees may:appty,�tvt�e:constcuction.af newe.b,uitdings,�chan�e of���� `- - '��
use In exisNng buildings, or�expar�si��rrof��existi�iy:;bulldings, as sp�clfled.in P�sco Caunty Ordinance number 89-07 and
9o-C?7, as amended.µ.,The undersigned also;unders#aads, th2i��uch fees;�;,as�may��e4due;:witl.=be ldent�fed aE the�time�of'., .T-;-.�T� :
perrnitting. It is fiirtHer understood that Transpo�tatlon Impact"Fees anr#�Resnu�ce;:Recovery�'Fees:.m�ust be pald prlor to _
recelving a 'cerflflcate:of�o�;cupancy"-or flna�-:power.�elease:�°:I��the.pto��ct::does�:iiot lnvolve<a.certi�caCe of occupancysor�::'-;: ;:, ;�' :
final powec retease;:,the-.fees mu�t'.tie pal�.pclor to,petmit Issuan`ce. Fu�thermore;�lf Pasco�County�`�WaterlSewer•�Impact �� :;=�°��
fees are due,..they,must beApald.prlor�o.permit-lssuance�_inaaccord':a_nce wltti:��applicabl�:Pasco'.County�or�lnances. •
C{�NSTRUCTION'CIEN�LAW'�C1i�ipf�r 713.Elart�ta Statut+�s�aa amended): If valua�on of work is$2,500.OQ-cc�mare,-i w, ..��:
cerkify that _I, the :applicant, have�been provided��with a=copy ofi�the "Florida-��on�tnactlon� Lien:.Law=Hameowner's
Protectton Guide" prepared by ttie Fioi�da Department�o#Ag�icuEtt�re and Conspmer;A#fairs. If the appllcant Is sameone, �.. �,�� -;;
other than thQ"owner", I cert �-that I;have,otjtalned3a�copy.of,the above:�des.c�l�ed.iiocu�ent�and„promiseln,good:',faith�to x.�
�!.vn, ;. , ..
deliver It ta the'owne�"":p�ior'torcommencemenl:"� � � � � - .
CANTRACTOR'SlOWNER'S AFFIDAViT: 1.c,ertify;-.th�t:att.,tMe�,informati!an:;in�this appficatlon is accurate and that all work
will'be done in compliance wfth all.appllcable laws regulating constructian, zoning and�•land development. Appitcation is
hereby m�de to obtaln..a permit;,#or do,;work:.;and;iristslla#lan $s Indt�ated�...°I� ce�ti�jr�tFiat na wock Aor Ins#atlatton fias'
commenced priar to Issuance of a permlf�and #hat�.all work will be perfarmed�to meet skandards-of�ali laws regulating�
constructlon, County and City codes, zoning �egutattans, and land devetopme�t regalattons�in the jur�sdtctfon:� l,:al'so. _
cerEify that f understand that#he regutatlans of other government a�encles may�apply�to the intended.work, and that it is
my responsibility to identify.what.actt�ns I►nust�take:ta bedn:.c�antpllance:;Such.agencles lnclude bwt=ara.not Ilmited to: �
- Depar#ment af Er�vironmental��ProtectEon`=�Tess.�Bayhead�; WeNand Areas and Environmentaity Sensitive
Lands,WateNWastewater Treatment. -'
- 5outhuvest Ftorlda Water Management: :I�fstrlct=Wetls; {:Ypress.' Bay.�eads,� Vltefla�d Area�s, AlEering
Watercourses. - �
- Army Corps of Engineet�-Seawalls;Docks,Navlgable Waterways.
- Departrrrent af Health;�;�, Ret�abilitafive,SecvicesJEnvironmental Neaith Unit:Welis;=Wastewater��Treatment, � 7
Septic Tanks.._��,.� � �
- US Enviconmentai Protectlan Agency Asbestos abatement. �
Federai�Aviatton_Authorltyr.-Runways: � �
!understand.that the following:�rest�i�tlans apply'to the use of flll: "
- Use of fiti is not allowed in'F1oad�Zone tlV"uniess expressfiy permitted.
- If the =flU'materfal��is to•be used,'In :Fload Zone. "A", I� Is understood that a drainage plan addressing a
°compensattng volume"wlll be submltted a#time at�permlt#Ir:ig wiilcit ts prepared by a prafesslanal engineer
Iicensed�bythe�t�te of Flotida. - ' -� �
• If th� flll materlai�!s to.be us.ed fn Flood �one "A" in�connection�wtth�a��ermltted building using stem wat!
construction, i certify,that flN.�rJll-6.e used only.to#iil the area within the�ste�n�wall.
- If flll 'matet�al�is to be used In anjr area, I �cettlfy that .usa of`such flll wAI not adversely affeat�adjacent
proper#ies. If use of fl111s fvUnd.to�dvetseEy.�#feot adjacent`properties,.#h�owner may be cfted for vioCa�#tng
the condWons_of the buildtng,permit-Issued�under tFie�attacfied,.�ermit appl�Ca#lon,..far:lots��less�than.one (1)
acre wlitaFi'�re efevated�bji fllt,ar:t engineersd dralnage ptan is�qutred. .
If 1 am the AGENT:FOR THE 01MNER, I;.piromise In_goad faith to infarm the�owner of the petmitting condi#lo�s set forth In
this aftidavlt'prior to cori�mencing canstruotlon. f understaiid that a�separate permlt may be required for elect+�cal�work, .
�„ ,�:.. ,.
plumbing, signs, wells,.,poots;, alc condltioning,.ga�s,.�vr�att�er install�tions no�.spec�icatly inclu�ted•in.the apptication. .A ,
permit issued shall be constcued to lie�a'llcense��to=proceed wlth tFie v�rork and not as�authority��to,vlolate;.�cancel. alter, or
set aslde any�provisbns af ttie technlcat.codes; nor shall Issuance�af a.pertnit.pcevertt the Bulldlrig t3�talatfrorn therea�ter �
requlrin.g a correctton-af enors,in;plans, constructlon or.vlolations of-any codes.� �very��p�enn(t�l.ssued"sFiall�beaome�invalid
unless the work autho�ixed.by such permlt:ls-commenced�wl#h(n sGC.,months of pe�rnit issuance, or ff work authorized by
the permi#is suspended or.abactdoned.fo�:a:periad;of sim{�y�inonfFis:aRer ths time the�work�as commen�ed. An extension
may be requested, (n writing�_from tfie.�Bullding,Officlal for a period•not to exceed�-ninety�(90)days a�d-will demonstrate
�us#�iable cause for the ext�nsfo�: If work ceas�a�:for ntnety.(90}consecutive day.s._fhe�ab�is consldered abaadoned.
- —MIARNlNG-'t�-QWPlEI�:X04Jt�-FA1�.RJRE�'0.6tE.C��t���;,t�lt2TD+�E-:��;fC�MM�M�EMEN�.:l�AY RE�U!'�-I�YQ�t�R--
PAYING TWICE;IFOR�tMPROVEMENT;S�T0=Y0Ui�.:PR�PER'iY:-�IF�YO.U�I�ITE�D�TQ�!�DBTAIN�FIN�4pE1NG;'GONSULT
WtT D A O N FQR�}.�-ECO �1 �:; pV ' . �a :- °,. • E � ,� �
FLQRIDA Jt1RA�{F:S . .03}.. �� r" , - � , . - � • -- _ �
_ � . �.
OWNER OR pQEP1T ., • �+�ri�' CONTRACTA
Su6s ed nd awc�rt or a rmed)b e me lhls Su ;�sed' tid' �to tat�al�nn��b�tore tne ttifi�.
.� ���,�!—/��,�v,c��� �L.,/J2rs2„g�l'�
o Is/ar er�onally known .me or has/have produced _ Who.ls/a er�onally known• me;or haelhave-produced �
• as 18entlftca8on..- as idenl�lcatian.
f^,�.,��,,, Notery Public _ ` Notary Public
U
Gommi sl �` SYI,VIA A.CAMPBELL
ComnmissEan. �,•�:�Y p,•,,�
���.u�n,,, SY o%y
-��0'aY'°B�:% ar Public-State ot Florida .
`., 'e My Comm.Expires Jul 19,2017
fVame o :p�t�drorrsi6��f@F! Name af Note + •' or
;�, �,;: Commission#fF�84230 ''�FOF�`•�` 8onded Tfirough Nationai Notary Assn.
6onded Through National Nolary Assn.
,,,������
'':�oi;i�•.
I
r �, �
.�.�� w a a o�►. 4/s t k .�f ��2 ��.t t�
,
� � � � PROPANE GAS �
� � AND AIC �Nc. $��ice Order/Proposal
��rce�988 8'13-782-5013 � t•!���-: C�RI:�F��.—��.L—�:��r�r-�!� ����:��, r��•,� '
,
_�nF��r� -rr�����: -r�r��;�;� 4�_�,� ;.F,;��� ��,:��
Sales, Service & I�nstallations , T�tt�;�.;•! ��,�;� � ::��; ����:
4441 Allen-Rd. • Zephyrhills, FL 33541 -ui�trr_;� -r:tr�r_ i=�r.i�r�:rr,r_:�i� +�P�� u�� � a 7% t i !%���:k��:fi
- . [;i_j�,T I]I I�"�7i�1� �_OL N I�:I.r�i� :! ,''k��_.?
NOTES' �'I���.JI'�r;;� �� L _l _�.�/C!6�_ _'�.-1LI �
f�C��i_j �'E: 'SF.f,n h1f=r�
. ' ' `
G�l_D��1't=:fNy !�-L� , , C2C:I__��'1��=IC.I, EL`
�;?�.:,1.� �_.%�hII;IS i=111� ��%��J. _� L.f-1f�11:').� RV�
�F2�ahlD I-�0�:[ �Qhi� �I?�t��I7 i��ir�R:[ZOi��•��, ,
"I.EF'F-IYF2F-IT�.LS r=L. ._'..';��G���+ . - �LF�HrRFiT.L_L._� F!?�.�:4� '
. �
, �='a!?L'�--�;.�E��:. F�'��4'�'�i�17�7�1. 1f�1.
� E�TTr�tili-re ��•F�=-fl�1FE_N `�;tni,r,�trT" �t. 1 ii�:`:k�t�{.:{{r�yij?'r ,
�`�?pn �j?�,'.� ' _'{�ti''y°i.=' ,r.. ��
$��j$.;;,+:q�:��i�.�'�.i:7�'�it.m'f i�:r,.s''.:.�`s:•.t�'
. � DESCRIPTION OF WORK QTY. �MATERIALS&SERVICES UNIT PRICE� AMOUNT
a J I � ��J
��� L. s L��f/✓ �U / 1i�1 ,iT/��G- - � /TOf� � L/'l�.�l/'�/L �C � ..�1�:
U�v. i— l�' ,� . Il �G� /� �.p ;� � �
� ,� �,aG'�� �%yj�"/f��r_. �/�'y,���,� . ,�. �, � r�f/� � �
, • ,��� E r.�< /� T � T�J J� l!�� �•f';�f� �,,., p, s c�� ,�.,�,-c,r � �
� /v � z ,�? r �'I G�/ T,�.� Tr' // i i
� i i
i i
. • :. ' .? ' L�1 � 'op
, . .,� r���� j�/�� � � i C'-l1dU" ✓/ /Oti�� �.✓ i�?'� ���I
� /
� ,N rv ,�/�r �%", L v�;z _ fJ�, c�; �
� (��/ Cfe!'G/'� �Ly<''/ ��j�/C�.S i i
� "- 'RECOMMENDATIONS � �U U : � � J%Q� �
Annual Maintenance Recommended by AII.Equipment Manufa�urers. � �
_ � � Pressures Lo FII T-Stat i i
• i i
. . REFRIGERANT R- LBS. 5 per Ibs. I I
. R
• � . FILTERS x x Changed Monthly I� I
. ^
. � � FILTERS x x , ChangedMonthly ��c ..SU ✓' I
❑ REGULAR ❑WARRANTY TOTALSUMMARY
Dehumidistat Settings: .When here"ON", When Away 60° , T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL i
or suppliers'written warranty only.All labor performed by the above named company is warranted for � TOTAL i
30 days or as otherwise indicated in wriGng.'fhe above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or lechnicians are not authorized to make any such warranties on �
behalfofabovenamedwmpany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
I have authority to order Ihe work oullined above which has been satisfactorily compleled.I agree lhal Seller PROG. W I C
relains lille to equipmenUmaterials lurnished unlil fnal payment is made.If paymenl is nol made as agreed, CLAIM# r T.-- I (��
seller wn remove said equipmenUmaterials al Seller s expense.My damage resulting from said removal shall ' 7�f�� � %� I
nol be Ihe responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO rt j�
ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED
TECH T'� ` �
, , i
CUSTOMER SIGNATURE DATE ✓l�(X�1L ��Q�LG TOTAL �