HomeMy WebLinkAbout17-18513 :- CITY OF ZEPHYRHILLS
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5335-8TH STREET
(813)780-0020 18513
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18513 Address: 38425 EVERGREEN VILLAGE DR UNIT�
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: 02-26-21-0010-05300-0020
Improv. Cost: 3,295.00 OWNER INFORMATION
Date Issued: 5/24/2017 Name: Z HILLS LTD C/O A & M PROPERTIES
Total Fees: 55.00 Address: PO BOX 5252
Amount Paid: 55.00 LAKELAND FL 33807-5252
Date Paid: 5/24/2017 Phone:
Work Desc: A/C CHANGEOUT 2 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 �
D CTS INSTALLED
DUCTSINSU�ED
FINAL_T�
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
'�-
CONTRACTOR SIGNATURE PERMIT OFFI R
PERN6IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
�ALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021
� ;;.-�� V Building Departrnent
Date Recelved � Phone�Contact for�Permittln � �J �O z — ��l
Owner's Name / . S LT� �`T/�[ !�/'D P�.77P� pNrner Phone Number 13— T�/ '"��0�
Owner's Address � ��/�- � o� [.�f{��Q i rL- Owner Phone'Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRESS �U ��Y � /�f�r' �L�e i�/f'������ LOT# �
SUBDIVISION �L��' /'BE/� �'LS. , PARCEL.ID# �� `^� a� ���� �S�Ov �Do�D
. (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ;. NEW CONSTR ADD/AW' Q SIGN �Q Q DEMOLISH
_ � B. INSTALL +REPi41R
PROPOSED;�U$E - Q SFR [� COMM Q OTHER �
TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME � STEEL Q
DESCRIPTION OF WORK• �i �L� � I�/�I �"B LB � �Q� �� �' o� TD/�
BUILDING SIZE - ` SQ�FOOTAGE� HEIGHT � .
QBUILDING $ VALUATION'OF TOl'AL CONSTRUCTION
QEL'ECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ , "
Q MECHANICAL $ ����, � VALUATIOIV OF;MECHANICAL INSTALLATION.
QGAS Q ROOFING :Q SPECIALTY, Q OTHER� -
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO
BUILDER COMPi4NY � ` '
SIGN�►TURH REGISTERED Y/ N FEE CURRE� Y/N .
Address Llcense#' •
ELECTRICIAN �COMPANY � � ' � �
SIGNATURE � REGISTERED Y/ N FEE CURRE��' '='Y/N '
Address � � ',. .. Ucense#_ • '
PLUfVIBER , . COMPANY ,s.
SIGNATURE" r�' . _REGISTERED Y.I.N� '�;FEECURRE� Y-/N -
Address �.Ltcense# � -
MECHANICAL .,-�,�, ���J COMPI4N1f,. !�'�!�/��S /' ����L' r��
SIGNA7URE REGISTERED., Y,/ N , FEe cuw2E� Y/•N
Address�'°'..-.��I�I ��� Z' i��5' �i�. � License# ����3� � .
OTHER - • � � ` ,COMPANY � , ., �
SIGNATURE�.-� `:. ,- � - ��,
� � ' REGISTERED` • Y/ N.., FEE CUR�� Y/N _
Address � ' � �License#' ' � ' �
,_.,.:. ,_ �
RESIDENTIAL'�; � ,Attacfi`(2),:PIot�Plans;.;(2)sets.of�Bullding;Plans;(1)set'"of-'Energy�Foiins;R=O=W�Permlf far new construction, � , `
��_Minimum�,ten_(:1,0)�working;d"ays.after�submiftal°date::<Requlred onsife;=Constiucd`on-Plans;Stonnwater'Plans w/SOCFence installed,
� '�����3anitary Facilitles:&;1,,•,dumpste,r,.Site Wor1c`Pennit for subdiyisionsAarge-proJects'.`,:�;,��•• ' ' - ' '
COMMERCIAL Attach(3)complete sets'�of�Bullding Plans�plus a Ufe�Safety Page;O set of Energy Forms.R-O-W Permit for new construcUon. _
Minimum ten(10)working days after submlttal date. Requlred onsite,ConsUucBon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliBes 8 1 dumpster.Site Work Permit for all new�projects..All commercial requirements must meet compliance '
SIGN PERNEIT Attacti(2)�s`ets ofEngineer,edrPlans.:, ..�:::��;._ ,, �. �'. , ,
""PROPERTY SURVEY required for.ali NEW construcUon.
Directions: - �- --•� '
Ftll out applicaHon completely.
Owner 8 Contractor slgn back of applfcaUon,notarized
If over 52500,a Notice of Commencement 1�requlred. (A!C upgrades over 57500) ,
�� "-:'.+C....��; . _
Agent(for the�contraotor)or'Powe�of Atfomey�(for tFie owner)would be someone with notarized letter from:owner.authorizing;,same,�;,L,,�,�,_�;���,� ,."_.. :_, ,
- �a� �r. :>_�i r�., , - �.7 . , .�,.r . , ., �.
OVER THE COUNTER.P_ERMIT:TING �.;;,1�(Front of i4pplicatiomOnly)°;';`�"'"���, ` ` ' � "". ' .' .'' , -�;;"_
Reroofs lf shingles Sewers�s ,;�„ ,.Se,ryicefUpgrades,NC Fences(PIoUSurvey/Footage) "` ' '' � s".?�' �'�''�'` ,, '='::' �''''`- " ;
` �� : „ �!,"j `;� �•,
_ ._...... `tr... ;,• ..., ',' ".: ' ' -� '�•1�'-'1. ; I". , •i.. ,���;��\� ::..;o�:1'i; . �c _ ' - _ '
�i �� '�" `' ' " = ` :'i) ,' ui:` � a i q. ,,ir3;;����:�i.;r ';�; -
Drivewaya-Not over Counter if o�i.public.r4,adways,.need's ROW�`�„�;', � i - ;I.s:,`;`,• ;%`• '
`� ...`� ,.. .,� ...'i�4';�tl;�JCJl� ,: , . .��c �'} . :;u`.a'ks."�,r:,.��-.,..�.�.;o�Y.�.;:lr„'+�.-.;�, .' �
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NO'nCE OF DEED RESTRICT10�iS:_ T�te u�decsigned:undec�tands�;tlt�tt:th€�.��rmiE,may.be�subJect.to°deed"restrlctEohs :�.,�_..�.�.;.,
�._ �.. ._,
which may��.tie:more.r.e'sttictive�-than'Courity���+egulatlons:��The.under'signed"assumeaeresp�nalbilltj%r'for'campllance with�'any�`""
appAcabte desd�t�es#rlct{ons. _._.:1, ,.:,. � ; • . � _ .� . >,° J .
UNLtCENSED'CONTRACTt'�RS;AND CONTRACTOR�RESPONSiBtC:iTtES: =-ff=the�owner�hasx�hired��a�contrac#cr or
contractorsto undertake work, they may�;b.e.:requlred�to;bewllcensgd in accordance.with•state.and�local.,regulatlons:��If=ttie�a��'� '
conteactor is not�licensed�as�requlte"ti=tiy law;:bot#i�the'awt�er an�i'°:coiitfactot�may�tae'�cltt�d�fdr �'mis�lemeanar utolatlon
under state law. If the owner or intended;,contractor�are;:uncertaln_es to what (Icen�Ing.reguire,Knents;`may�^applyr•for'the'� �=°�; �,���
iMended inrork,ttiey are�advlsed fo ccritact the Pasco.�ounty Bullaing;lnspectlairi..Dlvlsloii--t.icensfng Sectfon at 727-847- A
8009. Furtherinore, �if the owner�`t�as`filreii�ia con�ractof'or coritractors� he is adviseif to have�fhe cantractar(s)�sign,,,,. :.,;,q�,y,;;,
portions af the_"contractor Block" of..this_epplication,for whiah.-they,wlll..�be.tesponsible.-...if�you�:as-.#he owner stgn''as'the' -
� y . �. �_., -_.:._.,e,
contractart that�may..be an Mdic�fiiin that`FieTis iiot:properljr:llcensed�and°�IsTno#'eritftled to pem`tlt�l`ng pr6tii11eges tn Pasco
County. „ , '` - , 3� .::�<,.� . , ::.
TRANSPClRTATlON11MPACTlUT1�4TlES�1�lPAG'1=AMb RESOU�tCE RECOVERY�FEES:��Ths underslgned'i;inde�c#ands ..
that Transportatian impact Fees�and.Reco.urse.Recove.ry,Fess may':apply��.#o:the yconstruction,ofi new..bupdtngs�:?chan�e of�'��`�'-'���
use in existlng buildings,-o�:�expansl��rof��eziskin,g'�beiildings, as specifled.in Pz�sco�Caunty Ordinance number 89-Q7 and
9o-0T, as amended. ;'The undetslgned atsa:�nderstands, #tiat�such#ees;�:as=majr_�e;rd�e;;wlll:=be tdent�ted at fifeatime$of=��:-�=`°°';.r ;
ermittin It is furtFier understood that Trans"artatlan Impacf�Fees ancfiResource.'Recove"�' Fees,muat be aid rior to
P 9, P� �Y� p p -
rece�ring.a'ce�#ificate af occupanay"or�finaF�power--Felease.r:1�-the.proj�ct:;does�.rio�Mvolve:a::cert�icate af occupan'cy{or�"�`�-�-�;>�`: �
flnai powec release,tMe-fees�mus�k:be pald;p�1or to:permit ts�uance. Ft�ttk�ermore;��if Pasco,.C,ounty`Water/5ewer�;lmpact ��-���41�
fees are due�.they_musk be:.pald.prlorto.permitrlssuance=ln.accordancewitt�:appltcable:Pasco��County�o�tlinances. •
CONSTRUCTIC�N`CIEM"I.AVY''(Che��er 713�,Ftartda�tatutes�as am�nded): I#vatuatlon of work is�2,500.00.or more�.:i� ; ;=u�€:=
certify that I, �he. applicant;. have.�been_prov,l.ded:�with �a-copy-�of`�the �"Florida�°ConstrucNon� t:len �Larn�Homeowner's
Protectlor� G�ide" prepared by'tlie Fto�lda Departmenf of Agrtcultctre and Cansum�r�Affairs. If the appllcan#Is sameane� ,.. ,; :.�,
other than the owner", 1 certlfy-that,l�have-�:optalned�a-copy.nf.the:above.,described�'�docui�ent and;.pro,r�ise�:in,good.:faithto. _ :,;
deliver!t ta..the"owner."��prior to.commericemer"tt:' ..`,. .. _ -.. , .• y- ' - , , -
CL�NTRACTOR'S/OWNER'S AFFiDAViT: i.ce,�:�:tii,al.all�:th�;informattan:,in�thl�applicatton is accurat�,and that aii work
will'be done in compliance with all.appiicable`laws regulating construction� zqNng attd�-land�development. Appllca#!oR is,
hereby made to obtaln...a:petnt,�t:�to:.do.:wark:a;and}I�ista#lat#on as indtcefed:•:..:1 ceKinr�#hat no work�or tnstallation fias
commenced�p�iar to Issuance'of'a�permiif"and that`:all work wlll be perFarmed�to meet.st�ndaTds-of-all laws regulating�
constn�ction, County at�d City codes, zonfng r�gulatiQns� and iand development cegctlatlons�tn i3�e�jurisdtctton,_, ! al'so
certify that I understand that#he regulatlans of ather govemment agencles may�apply�to the,lntended.work, and that it is
my respansibility to Identt(y.what.actlons!must�teke:ta bstin:.corr�pllance; Such;agencles,lncluds-but�are.nat!Im!#ed!a � �
- Depa�tment of E�vironmentafi>�Protectton=Gypre`ss�B�yhead�; We�and Areas.and Environmentally Sensitive
Lands, Water/Vllastewater Treatment.
,_
- �outhwest �torld� Water Managetrtent :t�istrlct Wells� Cypress. 8ey.#�eads��- Vltetiand Areas, A##er�ng
Watercourses. � - , .
- Army Corps of Engineers-SeawaBs�Dacks, Navigatile Wateruvays, �
- Departmen# of.rHealti�'8 Rahabilitative..$ervices/Ernitonmental Health Unit Wells;-Wastev�rater;Treatment, �
Septic Tanks:..:."' . . . -
- US Env�conmentai Pro#ection Agency Asbestos abatement.:
Federat Av.latton:Authocity;-Runways. � �•
I understand thak the:folloviring.'Festrfctlons apply�ta the use of fllt; j
- Use of fitl is not albwed in;Ftoad;Zone"V"unless expressiy permltted.
- If the.:flll mate�lal-is to� b.e usedn�in.:Fload -Zone. "A°, Ik is understood that a dratnage plan addressing a
"compe�sating valume"w1116e subm#tted at#ime of:permttting wlilch ts prepated by a prafessional engineer ,
Iicensed by`the�State of Florlda:' " '�� � � _ . ��
- If th��filF-rttaEerlal°is�to.bs used In Flood Zone "A" in>connection�wlth:a permltted battding using stem ural!
construction, i certify that fili:�rlll�:b.e used only.to.fill the area within�tha�stem wall: ' �
- It fill material�is to 'be used in any area; 1 �aettity that .use. of such fIA wifl not adversely affect adjaae�t
propstties. If use of fil) is fonnd ta adverseyr.,�ffect ad)aEer�t�properties�.the owner may be cifed fiar vlorating,
the cond�tans_of the building':permit issued`under the attached_permit applicatian��far.:lots�less-.#han:one (1)
acre whlcli er.e elevated�5y�if!!,a�t.engtneeraad drs�tnage pian Is required. --
if i am the AGENT.F.,OR�THE OVIINER,.I�promise In_gaod falth to inform�the owner of�the permltting conditlons�set farth In
this affidavtt�prlor to cammencing cansttuctton. :I undersfand that�Yseparete permlt may be cequired tar electrica!work,
�.�.._..�.
plumbing,.signs, welis,;poots, alr conditlaning,-..g�s,,:or othar. insfall�tions nat•spec�icalty included•in the application. �A '
permit Issued shall be construed to be�a�Ilcenset to�-proceed with tF�e work and nat-as:authodty._to;vlola#e;�'cancel, alter� or
se#astde any provisEons of�the tec#�alcat-ct�des;�nor shall Issuance�of a.permit.pr.event th�Bulldlrig O#Ftcial frorn thereafter
requlring a correct(on af ercors,ln:plans; canstriiction.oc violations of�any codes. �very,p�ermlk�issued'sfialFbecome�invalid
unless !he work authorized.by such permlt:�is.commencedwithin sf�c.,months of�permtt lssuance, or tf work aathortzed by
the permit is.suspended or.sbar�doned-f.oraa:periad.:af�si��(8}�monffis:after;the,tlme the�work�is cori�men�ed. An extenslon
may be reques#ed,.in wriUng,�:from'tlie:Bulldtng,Officfal for a pertod�not.to.exceed'=nitiety-(90)�-days a�d wi!! demonstrate
�us#i#iable'cause for�the extenslo�: N'work ceases:for nine#y.{90}cons.ecutive�days,..the f ob,is.considet�ed aba�doned.
MIARNING TQ OWNER: YClU#�,FAIUIRE��TQ.,R�Ct��tD�A.bM4TIGE:OF.°COMMENCEMEMT.:MAY-tRESUlT IN YCt�UR '
PAYING TWiCE;FOR:IMPRQVEMENTS�,TU:YDui.��.PR't�3PERTY:�IF�Y�.U�IN�END�TQ��OBTAiN��FINAt��fNG;'CONSiULT
WIT A � I� �1RE4� °O G�' 0U ' �G E ..
_- = - - . . . �
-- FLORlDA JilFdA�={F.S�>t- t?3}=_---- --�--„�:T=:.��,�_: _-—--� - . - �- . - �_�...T�� — - --- ------�--— ---
OWNEtt OR Al�BNT . . :�"'�?��' CONTRACTC! � �
��safb�nd or af�r�ted}b�im�thls S�b�b�d and' m�{ot afl3 � efcorea ftee'##it�
V?l. -o.+�_�•� � ,�3'L.�f
Who Is/are rsonelly kn me or;haslhave produced Who.ls/a, ersonellyknown. e;orbaslhav,s•produ+ced �• .
� as td"enUftcatloe. as iden�flca#ton.
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�� Notary Pubilc . __ Nofary Public
Com ss q�� ` E Comr�l�slon- .
•tPRY AUB�i
:r°� `c+; NOtary Pubiic-5take o(Fiarida _,.�o`�"Y p`B<<;-; Notary Public-State ot Flarida
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Mam ,} � i�'i ��P�t3G230 IVame of Nata t�d 1� e
.��'%�O��Cb�`�, Bonded Throu h National Notar Assn. =:� o`: Commission#FF 03423�
"�` g y '�0;;:��, Bonded through National Notary Assn.
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. �aleS, ServiGe & (n$tall�tion� .�t�lT I M� TRK�tU - �5l i 8�i 7 �$:31
4�E44 Allen Rd. •�Zephyrhill�, FL 3�541 '��`•�'�: B� �- �xM ��
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Gt�NTACT SNARQN
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A & M PROF��RTI�u E4�ERGflEEN VILI�.f�GE pPT�
PO $L1X 5C�2 �$42� E�►�RGREEht VTE..LAGE I#R ' ,
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LAK�Lflhlq FL,, 338+�7 ' Z�ai-lYRHILL,.� FL.335�+� ''
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O �R��u��t Rwa��ar�'rY ;.;�; .:�`���.,���,`�� "��is
`�'Whep h�re•� .When Away�T-St�t$Sr'•�'; p MAINTE�1qNCE CON'1'RACT ���y�CE � �I
1M1iED WARkAN1Y_ AU mate�ts.Pans ar�d equiPment are wa�r�s#ad bythe manuiact�s* � ' r .��;�I�:it�F?'t3�#�'�'Y.1�?I�f+�=- GALL i
�P�'��a�t}'8NY•A?F�ST g�fommd bythE�Cove nsmed cornpa�sy�wm�anteG f03' �.. . . ' .. �
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