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HomeMy WebLinkAbout17-18515 i CITY OF ZEPFiYRHILLS 5335-8TH STREET ' ' "' (813)780-0020 18515 �; BUILDING PERMIT PERMIT INFORMATION - � LOCATION INFORMATION Permit Number: 18515 � Address: 6151 12TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. , ; - Class of Work: A/C CHANGEOUT Township: Range: Book: �J Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0080-00200-0020 Improv. Cost: 7,095.00 OWNER INFORMATION � Date Issued: 5/24/2017 Name: FIRST CHURCH OF NAZARENE ; Total Fees: 75.00 Address: 6151 12TH ST Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/24/2017 Phone: (813)782-7032 Work Desc: (2)A/C CHANGE OUT-(1) 3 TON & (1) 3.5 TON SPLIT SYSTEM CONTRACTOR S " APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00 � , , 1/� � � . ; , � Ins ections Re uired D CTSINSTALLED DUCTSINSULATED FINAL S� �7� 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 I first reinspection,whichever is greater,for each such subsequent reinspection. j 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 I 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. i 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�a-�eaoozo City af Zephyrhills Permit Application Fax 813-780-0021 �' Bu[iding Depariment � y . Date Recelved p�,qne=Cantact,for�PermtttFn � t� l � �d ,� — .�� �� ' � Owner"s Name G� t�' ��P.� L`L�.GLr�'.OII e- Owner Phone Number �l3 � ��'c�'�i3 Owner's Address � 1�,� ��e ���L� Owner PhoneNumber � 4� Fee Simple Tltleholder Name �^ ,� Owner Phone Number �� � � Fee Simple Tltleholder Addresa — 3 '�""Dn/ 1" ���7'd/�,� JOB ADDRESS �� D(I��' /� l�� c�- 6�� Gp ��0'7Y/ Lf/VP�t}C� LOT# �� ' su�o�visio� �_ � PARCELID# L�� �� a� ���� a��� Dt�al� , - , (OBTAINHD FROM,PROPERTXTAX NOTICE) � WORK PROPOSED �.,NEW CONSTR ADDIA�T �,,� StGN 'Q Q pEMOLISH _e. INSTALL REPAIR PROP05Ei3:tlSE Q SFEt Q GOMM� - Q OTHEi2 TYPE OF CONSTRUCTION Q BLOCK " Q FRAME � STEEL' Q ' L . { DfSCRIPTION OF WORK- � I, BUILDlt�lG SiZE r� � SQ FOOTAGE�_� , ,HEtGHT��C`-� � � � �����d���' , �-� VALUATION±Gf`F't'O`TAL CONSTRtJG`i'ION � QEl•.ECTRICAL $ AMP SERVICE Q PRO�F2ESS ENEFtGY Q W.R.�.C. � �� OPLUMSlNG � . � I � � I [„�MECHANtGAL r$ � YALUATlQN OF;MECHANICAl.tRlSTALLATlQN ' L__�:! , L� ' QGAS Q ROOPING Q SPECfALTY, � t)THEI2 � FINISHED FLOOR ELEVATIONS � �—� FLOOD 20NE AREA [�]YES ;NO ; � 1 � B41t�DER COMPANY•� ` � SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N ; Addrs�s Cicense# � " ' � ELECTRICIAN=. �COMPANY " _ , ' SIGNATURE � REGISTERED Y/ N FEE CURRE��' - Y/N � Addre�s � . , License# .� � , PLUMBER ` GOMRANY - • I $IGNA7URE" � ` `�' ` REGI$TERED Y./ N, : EEE CURRE�� ' Y•/N. - � I . i /�lCldreBS LIC@(1S8�# ��cHnr�rc,a�:� . � coM�ivrir. ,��r4''5 , Q 11-1���,��'�" �v��� � SIGNATURE� s REGIS7ERED,, Y/ N . , : FEE CURRE� Y/�=N Address`>`° 7��'� �1 � 2" 1L1� " � � License#+ ��f�� 7`"J�-��� OTHER „ ��,,�, . . ` ';COMPAPlY: . SIGNATURE �` �` . � � �' � ' " REGISTERED" Y/ N,.. � �e cuR►tEn Y/N , ,4+ddre� , _ - +�; t� � , Lioense#�� � -. �... ... - . _.. ,. ., F:;_.:,.. ., °. <- " CtEStDEN't1AL`•.'`,. Atkatch={2}„Pl�it�Platis;._(2}sets�:.af:Buil�ii�g�Plaiis;'{-1}set of Erierg}i�Faiins;R=O=W Peiirilf#oi new constrtaction, . . �;: 4�,�,;,Minimum,t�n_(:1,0j„working;days aiter:submiEtal'date.::Required onslte,,ConstrucHon=Flans;Stormwater''Plans w%S(It'Fence installed, � -SaniteryTFacilities:&�1;dumpster-Slte�Work}Permit.#ors,ubdivislonsAargeprojeqts, ,. ` � � ' ; COMMEE2Ci�t,. Attach{3}•compl'ete sefs'of'Bultding Ptaiis ptas a t.ife Saf�tfy Page;�(1}set af Energy�Forms.Ft L?-W Permit for new consUvctton. , - � Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stortnwater Plans w/Silt Fence Insta�lled, Sanitary Facilitles&1 dumpster.Slte Work Pertnit for all new:projects..All commercial requlrements must meet compltance SIGN PERMIT AttacF��{2)set�of�ngineer,ed�P_.laiss.. � ..��- - -° � �_ - " � •`"•PROPERTY SURVEY required for al,l NEW canstructian. Dtrectians: ., . . . . , Fill out applicadon completely. . � Owner&Contractor stgn back of applicatton,notarized ' i if ovee 5�500,a Nattce of Commencement la required. {AIC upgrades over:67500} i . .� ;:,�,,�:,.,. °' Agent(for the cantractor)'or"Powe�of;Attomey�(for,the�owner),would,be someone with notadzed letter from owner authorizing same I OVER THE COUNTER PERMlT°fiNG� -- fFmnt o�i�(�Tlic`�tion Ont�{1 , - ._��.<., =_,:'v.�:x����.�..=.t»�.:�.�.�;�,.z�:y��1r: \ �'Yr 71��`'�i„r�i��:� ii, 3 Y •1��•. fiiti�iJ9? .' �ey(1 1'' Reroofsifsfiingles Sewers Seniice'Upgrades�`A/G� ..:�`�Fences;(PIot�SUrvey/Footage) `� .. ;•; ,� ,,.;,, • ';a�:;�='�� x� , - , .s bl�3i 9tr�. 7 iti �f.iti5i ) ' 7� _ �'� ,�.' ,�._ .2 ;.;=cy .T������ `�iF„ "'(` :$ y ' I �y; r ' `crith+'^,9•` •1 �- -' ..._ _... ... � t`. ,. a *°' �i� v t'e3...�=� it�. .,t'�,.� .ti3":,: �t�e� -`9js1 a =;': . Drivewaya-i3ot over Counter if on putiflc`roadwrays::needs�ROW'` - �.,.�• �` , -.,, `3'•��:�•- ,��' � ' � , i.$,i��v' ty� Q f!�.; :�! ?^ fNJ;Fr:+p��� ��� .,1a+%..�:�':'.` � '�.u�;' , . . . . ,;t,.��: i. , ` ' � . -- - , _. . .. r �ry.�_ _-, '17[''.;';�('�.f1�'��i;�i'j...,,;�,�.' .r.�::.'. ��"'•r:�n�'� z-� ` ., v=x�v,;,+..�'�T>'.;+,>�.'-.� .Si? , `�tq3.�:,�' f ,er�`}"t� � � , , ��_ � ` ' � J . � NOTICE OF DEED It@STRICTIOTdS: The.undecsignedundergtands��th�t;this;.p�rmit�.may.be�subJect,to,"deed"r.estrictlons°=��=V '��,.:. which may�be=more��r.esttictiveath��`Cour�ty�{�egulations:�The`:underslgned�assumes'�esponsitiiltty"'for'compllancewitFi�any� :�.::.��:-�,,..; applicable:deed=rest�ictions. _.,.� �: :.M: - � � � ,, . . � ..:; �. � UNLICENSED��CONTRACTORS AND CONTRACTOR RESPONSI�ILITIES: ��•if=ttie�ovmer�has"hired��a�"'contractor or contractors to undertake work,-they may�:be�r.e�quir:,ed�to.-be:licensed In accordance:with state.and�local regulations_:�-1f.�the����� � � - contractor ts-not i(censed=as� requUed"tiy law,_:tiottrthe,ovmer and`conVactor,may��be��clted��for��a-�misdemeanor violation under state law. If the owner or Inte'nde.d�:contr,actor;are..uncertaln as.to,what_Iic�nsing.requiremenfs'may��applyf��for�the,�����--�.'�°' - intended work, they are'ad'vl"s"ed�to contact ttie Pasco County„Bullding'Inspectlon_DIvlslon-Licensing Section at 727-847- � 8008. FurtFiermore, tf the owner�fias hlred�a corit�aotor�o�contractors, he Is advised to have the contractor(s),�sign,;, ,� I portions of the "contracto�_Block"_.of this applicatlon for.whlch.they will.be:responsible:-. If:=you,�-as-:#he owner'stgni"as�tlie ' � � , . _. _. ._: ._.,_.... cont�actor� that may�be an indication that`he�Is noY.properly Iicensed�anticis not entitled to perrriitting privileges In Pasco County. ' �. ; :� �:._; . � . . _ TR�11dSPORTATION.:IIIIfPACTIUTIUTIES�rMPAC7�ANb�tESOUItCE RECOVERY FEES:�The undersigned"understands . � that Transportatlon Impact Fees and.Reco.urse.Recove.ry.Fees rriay�:apply�,to�tf�e,construction,of new,.bulldings�?change'of`�� k'�'::''`- use In exis8ng buildings, or::expansld�rYof;ezistin,g;�buildings,��as specffied.in Pasco County Ordlnance number 89-07 and . ...__ 90-07, as amended.w�he undersigned also;understands; ttiait�such fees;°<as��may�:be:=due;:wlll��be ldentffied at the��time�of'���� ��"�'`� � permitting. It Is iu"rtlier understood that Transportatlon Impact'Fees an.��Resourae�Recovery�'Fees.must be pald prior to - , receiving a 'certificate of�occupancy"or flnal��power.release. :If the.proJect,does;:not involve,a;:certfficafe of occupancy��or`-�_�`�'��-��'":� ; flnal power release; the�fees-.mu�t tie patd;pelor to_permit issuan`ce. Fu�tk�ermore;�If:Pascv;Count�+"Water/SewecF<Impact: :.. . - fees are due,.they_must:be.pald.;pNor to..permftrlssuaoce.in�accordance witli�applicable��Pasco'Countji�otdinances. • CONSTRUCTION`LIEN�LAW'(Cliapter 713� ElorJda Statute�� as amended): If valuadon of work is$2,500.00,or more,.i =�: �;c. certify that 1, the. applicant,-have_been_provided:-with-�a�copy-of�the�"Florida��Constructton� Llen':Lavu�—Homeowner's Protection Guide" prepared by the Florida Departme�C of Agriculture and Consumer;Affairs. If the applicant Is someone ,_ , _. ,�.,.: other than the°owner", I certif'y,:that):h�ve;o�tained�arcopy.of.the;above.,rfescrlbed,docuti�entand.,p;tor�ise�ln;good<faith to. ,.. delive�it to.:the:`ownec"::pi�io��:to�coinmencement.' � '" '� ' ` . � .- . � CONTRACTOR'S/OWNER'S AFFIDAVIT: I.c,e�t(ty:;tti;at�all:th�,inform�tion-,in-thi� applfcatlon is accurate.and that all work will'be done in compliance with all.applicabie laws regul'ating constructlon, zoning and�•land�deyelopment.:Application is hereby made to obtain_:a permit-,to;:do=work.�;and�Ifistallation as ind(cafed:�•-��I_ certify"that no work':or installation lias - commenced p�tor to Issuance of'.a permit"and that�.all work will be pertormed�to meet standards-of.all laws regulating-_ _ construction, County and City codes� zoning regulatiQns, and land development regulattons'In the jurisdiction:> 1 ai'so certify that I understand that the regulations of other government agencies may�apply�to_the_Intended.work, and that it is my responsibility to identify.what.acttons I must�take:to be,in:.compltance, S,uch:agencles include-but�•are.not Iimited to: - - Department of Erlvironmental��Protection=Cypress.'Bayhead�; WeNand Areas and Env(ronmentally Sensitive ' Lands,WaterMlastewater Treatment. - Southwest Florida Water Management: :DtstMct-Wells,' Cypress.� Bayheads, Wetland Areas, Alte�ng . Watercourses. .. , - - - Army Corps of Engineers-Seawalls, Docks� Navigabie Waterways. - Department,of.Health;'.8 ReY�abllitative .Services/Envitonmen#al-Health Unit-Well.s, WasteHtater}Treatment, � Septic Tanks:.__` � ' � � -- - US Environmental�Protection Agency-Asbestos abatement. - - Federal Av.latlon.Authority=Runways.� . - I understand that the.foilowtng..rest�ictlons apply�to tiie use of flll: - Use of flll Is not allowed'in;Flood;Zone"V"unless expressly permitted. - if the�filf rtiaterfal� is to� b.e used.�`In��Flood-Zone. "A", t� Is understood that a drainage plan -addre�sing a °compensating volume" will be submi.tted at 8me of,permitt)ng which is prepared by a professional engineer � � Ilcensed by ttie��tate of flo�tda: � " - - _ - • - If ih� flll-material�is to be used:(n Flood Zone °A" in�connection�with:a�permitted building usfng stem wall _ construction, I certify,th.at fiil:will:b.e used only.to.fill the area within the�stem�wall: - If fill material Is�to tie used in any area; I� certify that .use. of such flll will not adversely affect�adJacent propertles. If use of flll is found to adversely:�ffect adJaEent��pr�perties,.the owner may be clted for violating � the condltions_.of the'building`:permit is"sued'=under the�attacFied:permit appllcation,-for.;lots�.less°.than°one (1) acre wHicfi are elevated�by flll,arr•engineered drainage plan is required. If I am the AGENT FOR THE 01MNER, I;.promise in_good_fatth to inform the owner of the perrriltting conditlons set forth in this aifidav(t�prior to�commer�cing construction. �I understand that a-separate permtt may be required for electrical work, plumbing,:signs, welis,.pools;. air condttioning,{.gas,:;or othe� Instell�tlons not.spec�ically included�tn.the application. .A permit issued shall be construed to�be a�licensei to proceed with ttie work and not as:authority:to:'vlolate;�`cancel, alter, or set aside any provisions ofithe.tecFinical.codes;�nor shall issuance�of a.permit.pcevent the�ulidirig Of�iclal irom thereafter � requirin.g a correction af errors in;-plans", constructlon ocviolattons of-any codes. Every•permtt=lssued shell�beaome invalid unless the work auihorized.by such permit:�s_commenced•within sf�c m.onths of permit issuance� or If work authorized by the permit is suspended�or,.abandoned•for-a:period of:�six(8)�months.after the tirne the�work�s commenced: An extension . . may be requested, In writing,::f�om fNe Building.Offlcial for a period not to.exceed�ninety�(90)�days a�d will demonstrate justifiable cause for:the extension�. If work ceases:for ninety.(90)cons.ecutive:days�..the job�is.considered aba�doned. • lNARfVING TO OWNER: YOUR.FAILURE�TO..R�EC.ORD.A..,NOTICE OF:�COMMEi�CEMENT.:MAY�RESUlT IN YOUR PAYING TWICE�FOR IMPROVEMENTS�.TO:YOUI�::PRt�PERTY:��IF°.YO.tIaIN'FE�ID'�TO�'i0BTA1N�FINAI�EING;'C.ONSULT WIT D �O AN��1 ORNEI� FORE�,� - '; . ` : :1' `,.` - ,BE . REC�R�IM�:Y�UR NOTICF.UF C�MlII�ENCEf1�11ENT' FLORIDA JURA�(F:$_ . 03 � -- "� . ` � ~ ' ,.•: _ . . -- _ - � - -- -` - - ----- - ---� - - ----'-,-- -- r.- - - — OWNER OR A08NT : �- CONTRACTO �Yri� � SLJpscrl ed and swom o aHirmed befo me this Su s and' m to(ot afll ed efore me'ttilk �-Z -i �. � lS�nQY' �� - e � /,��ii.�r Who Is/are p rsonally known .me or has/have produced Who.is/a p.ersonallyknown� :me or tieslhave•produced aa IdenBflcatlon: as Idendflcatlon. I � � ' . Notary Publlc . Notary Publlc Comm � ortlmiss n� p����„ CAMP6ELL �,,••'�P,,,� SYLVIAA.CAMPBELL o~�p �;% ,�.o.►s� �e�.,, ;r o- Notary Public.-State of Florida I 'da . = 017 Name `,p���������g,pp�7 Name of .� n =:� �o�= Commission#FF 034230 •,;,� oP,•� �����R�FF 034230 ��OFF���•' ''��°����`�� Bonded Through National Notary Assn. �����.� Bonded Through National Notary Assn. _ _ . , - - - -:.;�:. ���:,�:.���, - _- = -- a� - � - . - . .- ... . ,� _ ' `�.,. .''_ ..4,4, _. _ -. • , �� �� ' . PROPAI�IE GAS S'ervice��Orde�Proposal �' A1�ID AIC ►Hc. ���e�988 813-782�5013 Invoice WORK ORDER#/SERVIGEMAt�I 7E6E7 CJN Sales, Service & Installations � DATE/TI�IE TAKE�i ��/�1/17 1 i :�0 � 4441 Allen Rd. • Zephyrhills, FL 33541 TAKEN BY Krm �� ,.;,.�-_ . �,;:.,�:.��_>��=;�:,��;�t�=:;�-.,, DATE/TIME F�ROMISED ��/�Z+�/17 �$:��D �'�� ������=''�"��f.�'x����� CUSTOt�ER#/LOCAT T ON AC4437 NOTE �' ' b'� �., -� ,��; PHOh1E# 8'13-78c-7�3� � L� <"° ��:�-��`'-�:'� - RHONE�# �I I CFi -:=�� �:-_��-�<.�. >. GHOIVE�# ���;1;�,:4`��4.?��:���'`��',>6:::�. �.:,y:...-.n_�-�: a::a:;:��...�_::� GONTAGT �'ASTOR GARY LARSO _ ROUTE/SEQ CJ1V ' CHURCH OF THE NAZAREhIE CHURCH OF THE hIAZAREI�E �� E,1�1 12TH ST 6151 1cTH ST ZE�'HYRFtILLS FL 3��4� ZEF'HYRHILLS FL3354� � 30 5 TEMF�STAR TCA4�4cAKA 1, LOQ�17��2�� I ESTIMATE TO RERLACE 'UNITS -_ - _ �,�: - ,:�<,.,. ,o: .,,.,. x�,•. t::x=' - �-,�: _ ' .,�:.- - v�,: - - .o�. -s.�:` _C>.. 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Pressures Lo HI T-Stat i i I _- - -',;ti=�^:r. - --- _ :�2;:1,:�.;_��.�=tc:.::.: � , _ -_ 7.,. -` - --..- -- '<.:-�? :�,? - e`kEERIGER,4N7,� �f LBS:, - �e�:lbs":=;� _ - �`r"'- ':-�i`:'^'�r=�'�P, - - s.l+'��'- I I t:C i.J� 9 �u �:rx�:; _ - - -_�F,.��. - -_ _ -` -' _ -_ _ _ _- `- - , .�. , [� � w� Mf�, pS �� K FILTERS x 'Fx Changed Monthly `I I I 1 t 4y+..�, I I I FILTERS x x Changed Month y . - - -- .3-_ ❑ REGULAR ❑WARRANTY --- �'�TQI'AG:SUMMARY=;;'.aw;.•{.;-,�� -- - -_ : .�;,,:.�,,,;-_.._ - _ �:s''`=.;°::;.<,: . .. ...._,.y.�r.: -F. _....:-'r.':S��ij;{.:f.t " ,"1.3��:�'='�:f, �;.: _ _ _ _ _ ��°eE�uiiiiiiis�at'Settings�:;;;When here"ON"�;yWhen Away 66°o�';T-Stat,�0°: ❑ MAINTENANCE CONTRACT `'SERVICEF i' !"^.in-�;i=:F,`.i"E;;;�ts�:;k.:..°.i::.:;.;��.....: �=h;,�::-„ - ,.,ca:'1:�. - - , ,�<...4:,,.,>t-:,_.:;.���_-,.,:�,,., CALL i LIMITED`WARRANIY: All materials,parts and equipment are wartanted by the manufacturers' ���rR;?;`;::`::;�^.;�IjET£{QD:;OFPAYMEIVT°�;=;';=;':`�,_� or suppliers'Written warranty only.All labor periortned by the above named company is warranted for �'�°'�`""'` ':`-�"•-`�.`=``: ' - TOTAL t ' 30 days or as othervvise indicated in writing.The ab"ove named'company makes no other warranties, ❑CASH ❑CK# MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warranGes on ., behalf,of•above named�company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � � � PROG. W 1 C � � I have authoriry to order lhe work outlined above which has been satisfactoniy compleled.I agree lhat Seller retains title lo equipmenVmaterlals fumished unlil final payment_is made.If payment fs not made as egreed, CLAIM# � seller can remove said equipmenVmaterials at Seller's expense.My damage resul6ng from said removal shall nol be the respansl6ili(y of Sellec NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO � ALL UNPFJD BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED TECH: T� i C/—����� � ' CUSTOMERSIGNATURE � '-' DATE J1!%W/UJL �au TOTAL � I 1