HomeMy WebLinkAbout17-18557 - - � CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18557
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18557 Address: 37624 NEUKOM AVE LOT 18
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0180
Improv. Cost: 4,654.00 OWNER INFORMATION
Date Issued: 6/07/2017 Name: MCMULLEN, JAMES &TERRIE
Total Fees: 60.00 Address: 37624 NEUKOM AVE LOT 18
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/07/2017 Phone: (813)788-9475
Work Desc: A/C CHANGE OUT 5 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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Ins ections Re uired
DU TS STALLED
DUCTSINSU TED
FINAL ���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
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.
, n ,
CONTRACTOR SIGNATURE PERMIT OFFI R "
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
y 813aso-oo2o City af Zephyrhills Permit Application FaX-813-780-0021
Buiiding Depacfinent _
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Date Recelyed Phone Contact�for Pernttttin � f}i�J ��;rL _ �(,�t,�
Owner's Name v GG- �"? Owner Phone Numher l �T/� ' '
Owner`s Address ,J o�. �/:�. O r7'7 /7�� Owner Phone Number .� � �
Fee 5lmple 7ltleholder Name Owner Phone Number
Fee Simpla Tltleholder Addresa .
J08 A[3DRESS � �� � j„�/�'�I �'�- LOT# �
sue�avistoN �t�� ttDr t�s� PARCEI.ID# `�� �� �1 "`��b 9� �C�,��Z� f l��
, (OBTIIINED FROM.PROPERTY TAX NOTICE)
WOitK PROPOSED � NEVv CONSTR ADDIALT � SIGN � Q DEMQLISH
INSTALL 8� REPAIR ~
PROPOSED>USE Q` SFR [� CQMM Q QTNER"
TYPE OF CONSTRUCI'ION ��' ��BLOCK ' [� FRAME � STEEL Q
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DESCitiPTtQN OF WORK' Il�S• r✓ � L'�-1 N e"L�L.�� � t�d77"7' d!'V�/V � /�/� �
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� BU1�DlNG SlZE �r � SQ�FOOTAGE HEI,GHT��C��
Og�»'����' � � VALUATIONFt1F TO'I'At.CON51`R11C'i'iON
QEL•ECTRICAI. �—� AMP SERVIC� Q PROGRESS ENE32GY Q W.R.E.C.
[�PLUMBING ;L. � '
QMECHANICAL $ VALUATION OF MECHANiCAt.INSTALIATlON
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�c�s 0 Roo�iN� _[� speclA�rr 0 o�t�Ea
FINISHED FLQOR ELEVATIQNS �� FLOOD ZQNE AREA QYES NO
BtlilDER COMPANY� "
SIGNNTURE REGISTERED Y/ N FEE CURRE� Y/N
Address Cicense# �—� �
E�ECTRICIAIV; . �COMPANY � �
SIGNATURE � REGISTERED Y/ N FEE'GURRE��' 'Y/N
Address ' � , Ucense# � �
; ..
PLUMBER ` , � COMPANY � �
SIGNATURE` �� , REGI37ERED Y./•N ,� FEE CURRE� .'' Yr/N •
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Address License# � � _ . �
. � �/gftl�'`S l' �3fV� S'4�'��' �
MECHlWtCAl: COMPANY
SIGNATURE � � REGI57ERED , Y./ N . FEE CURREA� Y/��N
'�'� -�7� I ��� �l7�IL1,5 ' License# +Q� �T
Aadre�s � j 1����'? 3 �r. i
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� t�THER ="` �}` - � . ';COMPAt�lY �
SIGNATURE ''w� . + � ` "3 " ^ "' ' � " �REGISTERED� Y/ N..� �FEE CURI2E� Y/N
Address - =r_� ' - - � ` ' �Ltcerise#�� �
RESEDENTtAi:;;, ;Attacti�(2}„Ptot�P.laiis;,(2}sets:of:Biilldlrig�F'lans,'{1}'se#af�E'n''ergy'�Foiins;-R-0={At�Peimitfornewconstructlon, ' - �
-�Minimum:ten,(:1.0)�worfcing;cfays;after;submiftal`date':Required onslte;;Constiuctlon`Plens;Stormwater'Plans w/SIIt Fence installed,
.,�,�:" .�:i Sanitary Fa.,ctllUes,:&;.1=,dumpster,Slte Wo,rk�Pemtlt for subdivisio�sAarge proJects:: =:;.-.;;- ' -
C014ftMERCiA1. Attach{3)�coinpl'ete'sets crf Biiii�ing Pians plas a l.Ife+SafeiEy Page;(1}set of Energy Fomis.R-t?-W Pescniit for ne+rv canstruc#lan.
Minimum ten(10)working days afker submittal date. Required onsite,Constructian Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster.Site Work Perm(t for all new proJects..All commeccfa!requlrements must meet campliance
SICah!PERMIT Att�acti(2�sets of Eiigineered;Plaris.;.--.,`;,:. - ,�.,
'•"•PROPERTY SURVEY repuired for,all NEW.constructlon..
Q(rectlons: -,.. ,.f.. . � ' ,
Fill out applicaUon completely. �
Owner&Contractor sign back of appiicatlon,notarized
� if cvar�250d,a Notice of Commencement 1�required. {AlC apgrades avar�T500) '
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Agent(far the contractor)or'Powe�of"Attotney(forytFie owmer)`would be someane with notarized letter frQm owner autho�izing same
.st� a�+. k,.1,:�:. - rs-��n.+dk3sxc!���ls���`f
� 4VER TtiE COUN'iER,PERMIT[,iFIG� (Ftiint�"of-,�'p,Pt�'t;atlo"n"��i{y):;: `" �.:,_�
' Reroofs lf shingles Sewers �15�ervice Upgrada� A/C ;;'?;Fehces��"lot/Survey/Footage) �_i��i=�•°F�:� ��is,f'i"r, ,,��":;`%�."�r. ,y.
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� Drivewaya-Not over Cou�iteriif,an'pubiic ro�duvajis::ne:.�e'tls,�RO,�f' .`�,' ;r �'' �`f;w�� �`i''t''t�'� '�t���� � .��
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NOTICE OF DEED 6tESTRICTIONS:. The undersigned�under�tand5�,th�t:thl�.�p�rmtt-.may:be.subJect to,s°deed"restrlctl.o.,ns°�,�;;';;,:,.�e,.
which may.be�more°rest�rictive-th��Couiitji regrilatCons:"'The�:underslgned�=assumes�re§ponsibiitty�for"compliance with any '-
applicable deed'restrictlons. ;..,>... :�. � -, � • .. . �. - .` � ` `.`
UNLICENSED�CONTRACTORS /lND .CON�RACTOR�RESPONSI�ILITIES: ��If=the�owner has-�hiretl�'a`contractor or
contractors to undertake work,.they may4be�r�qulred;�to:;be:_Ilcensed._In.;accortlance.with..state.and��localrr�gulatlons:�-lf the� ='� m����•=� .
contractor fs-not Itcensed=as� requlred.,-by lew, both�the owner and�contracto�-�may��be��clted for�a�misd.'emeanor violatton
under state law. If the owner or Intended�..contractor;;are.:uncertaln �s to what Ilcensing_requirements,�mayrapplyf��forYtiie�,= .,i ��---'
intended work,"they are'advised to contact:the�Pasco County,Building Inspeet(on.Dtvlslon-Licenstng Section at 727-847-
8009. Furthermore, �(f the owner'Has�Hired�a cont�acfo� or�coritractors, he Is advised to have '�the contractor(s);;sign,,,, �_ �
u p . __" : r�.r.." . .. .,.-. .•1. . , �� ':
ortions of the:_..contcactor._Block.�of.this_appllcation.for..which.the will..be:.:resp.onsible..-_If you,:as:the owner�sign`°as�tl�e" "� ''` �
P y � -� -
contractor, that tr�ay�be an indication that'he is noY':properly`1lcensed"antl��is'not entitled'to permitt(ng privlleges in Pasco. .;
County. ' < . ; �`�;=-�.;s'�, .; .,-, �°
TRANSPORTATIONIIMPACTIUTILITIES�IMPAC7 ANb ItE$OURCE RECOVE[tYfEES:��The undersigned understands .
that Transportetfon Impact Fees and.Reco.urse Recovery.Fees rtiey�:appiy=�to:tf�e';constructton;of new buildtngs,°change'of'i'�`��-� `'
use in existing bulldings,�oc,expansi�nrof,�ezfstin�g;:buildings, as specifled.in Pasco County Ordtnance number 89-07 and �
90-07, as amended..w�he undersigned also;understands, that�such fees�°:as�majr tie�:;due;:wili>.be identffied at the��>time�of��� �°-���°'�° ,
permitting. It is fu'rttier understood that Transportation Impacf�Fees and��Resource�Recovery�Fees,.must be pald prior to
receiving-a 'certtflcate of�occupancy" or flnal•power.,release:=:If-the.project::does�not:involvetia:certificate of occupancy.��or`;'��1=�=`�'�`` :
flnal power�release;_the.fees mu�t�be paid p�ior to;permft�Issuance. Fti�thermore;°if Pascv,;County0.Water/Sewer£;Impact� _ .
fees are due,.they_must be�pald�p�lor to.permiE�l§suaece�;in..accordance wltF��gpplfcatife:Pasca�-.County:o�dinances. • n I
CONSTRUCTION"LIEN'I.AW(Clieptir 713, Florlda Statutes� es ameroded):�'ff valuadon of work is$2,500:OO,ormore,��l� � ,n�„=
certify that I, #he :applicant;-have-been _provided�with�a copy�of::�the�"_Florida� Constructton� Llen�:Law=-Homeowner's
Protection Guide" prepared by, th'e Florida Deparfinent�of Agric.ulture and Consumer,.Affalrs. If the applicant is someone:,�._ � ,a-:_;
other than the"owner", I certify�that.l-.have.obtained}a���copy.of:the:above.:rfesc�ibed�:�locui�ent�and:,promi�e��.in;good',faith.to ...
deliver it�to.the'ownec"�p�1or to cornmencemerit:�" `� ' ` .. - - � - , �
CONTRACTOR'SlOWNER'S AFFIDAVIT: I.certify;rthat:all,:thealnformation::in-thi�_applicatlon is accurate.and that all work
will'be done in compliance wlth all.appltcable'lavirs regulating constructlon� zoning and��land'development. Applicatlon is
hereby made to obtain .a.permit;Co:do_:wor`k�;and�installation as Indl�afed:�.�I� certify"that no work�or Installatton has
, commenced prio� to i"ssuance of a�permit"and that'.all work will be pertormed to meet standards-of all laws regulating�
conshvction, County and City codes, zoning regulatians, and land development regalations'In the]urisdiction.= (�al'so _
certify that I understand that the regulations of other government agencies may�apply�to.the.intended.work, and that it (s
my responsfbility to identify.what.actlons I must�take.to be�in�corr�pliance:.Such.agencles include but�are.not limtted to: -
- Department of E�vironmental>Protection-Cypress.BayFiead�; VUetland Areas and �nvfronmentally Senstt(ve
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management�:Dtstr(ct Wells, Cypress.��Bay.heads;- Wetland Areas, Altering
Watercourses. -
- Army Corps of Engineers-Seawalls, Docks, Navigatile Waterways.
- Department of..Health�;.8 ReF�abilitative..Services/Environmental Heafth Unit-Wells, Wastewater=�Treatment, - �
Septic Tanks:. _ ' � - - -�
- US Envi�onmental Protectlon Agency-Asbestos abatement. - •
Federai:Avlatton.Autho�Ity�Runuvays. � -
I understand.that the.followin,g:restrlctions apply�to the use of fliL••
- Use of fill is not allowed`in•.Flood:Zone"V"unless expressly permitted. �
- If the :fill�mate�faf-is to `b.e used.:`In �Flood Zone. "A", (k is understood that a dratnage plan addressing a
°compensating volume" will be submitted at time of�permifting whlch Is prepared by a profess(onal engineer ��
Ilcensed by#he-State of'Flo�ida: � - - , �
- If ih�-flll-materlal°ts�to be used. In Flood Zone "A" (n�connection�with�a �permitted building using stem wall
constructton, l certify.that flll:wall:be�used only.to.till the:area wtthin�the�stem wall:
- If flll. material is to be used in any area; f�ce�tlfy that .usa of such flll wlll not adversely affect adjacent
propenies. If use of fill is found to adversely_,�ffect ad)aeent�propertles�.the owner may be cited foc violating
the condt#fons of the building'.permit is"sued--under tha at�ach�d__pecmit appllcatlon;°for:�lots�.less�than'one (1)
acre whicii are elevated�tiy flil.��t engineeted dralnage plan Is required. ,
If I am the AGENT FOR THE OIMNER,.14promise inngood fatth to inform the owner of�the permitting conditlons set forth in
this aifidavtt`prtor to'aommencing constructlon. �I underst�nd thet a=separate permit may be requlred for elect�lcal�work,
�,..,:-�
plumbing,_signs, welis,:pvols;. alr conditioning,.gas�.-or othec Installaitions not•specffiaally inclu�ded-in.the appiication. .A
permi!issued shall be construed to be a�Iicense�-to-proceed with ttie work and not�as:authoNty,to.vialate;�'cancel; alter, or
set aside any�provistons of the.techti(cal.,codes;�nor shall issuance�of a.permit.prevent the Bulidtrig Offictal from thereafter
' requirin.g a correction af errors in�.plans; construction.or vlolations of-any codes. Every,p�ermit=lssued sFiall�tiecome invalid
� unless the work authorized by such permlt>�Is.commenced•withln,sUt,m.onths of�permlt issuance, or If work authorized by
the permit is suspended�or:abandoned�for a:perlod of�six f6)�monfFis.after the tirne the�work��s commen�ed. An extension
may be requested, In writing,,from tHe Building,Otflcial for a period,not.to-exceed`ninety-(90)_days and-will demonstrate
justifiable cause for�the extenslon: If work ceases:for ninety.(90)cons.ecutive:days..th�job�is considered aba�doned.
. . , , , .. .. _
lNARMING TO OWNER: YOUIt.:FAILlJRE�TO..RE.C.ORD=A:_NOTIGE::OF�COMMENCEMENT,-MAY°RESUlT IN�YOUR
PAXING TWICE;FOR-IMPROVEMEN7'S-.TOriYO.UR:PROPER-7Y:-�I�°.YO.t1rIN�END�TO���OBTAIN•�FINAI�EING;'C.ONSULT
� WITH U D �O A ORNEI�� FO'RE� ECO �� ��� OU :' � �C �' �. : . . E ' . _ _
FLORIDA JURA'��(F.S� . .03) —-`;---— _.....— --_. _ ..,.,_ . . _-._... -
OWNER OR A(3ENT • CONTRACTO ^ �
S bs bed a bsvvom /�or afli�ed b i osr�m�tpls Subscribeti and' m,�o(or aflirm )�befote me�ffii� � ,
y -� - m� L.�tsQ:tiP�
Who Is/are ersonaliy kn me or,haslhave.produced VYho.is/are rsonally known�. nte or fiaslh�v,e produced .
as id'enBflc�aeon. ' as IdentlRcaOon.
/ ��� � . � .
Notery Public . Notary Public.
Commisslo �` Commisslon.No. . ''
' ��"�10���� SYlVIAA.CAMPBELL ,•at►�Rr��a4� VIAA.CAMPBEL'L �
i ��o�����oi': cr o% Notar P11b'
Name ol N Q�o��, xpires Jul 19,2017 Name of Notary ,� �d�QopRrd Expires Jui 19,2017
'g+� �' Commission�FF 034230 �'��'f�w�O�,, go��mrouyh Nahonel Nota23� ��
��'�°���"° Bonded Through National Notary assn. ►Y Ass�. '
� - _ - *`�i'r�- - ',X:,:.
.�". �;%m�3a'�.�^�':. �
� � = 'P��OPANE GAS Service Order/Proposal
� ,>t:--�;_ ���D AIC �Hc.
S�Ge�9�8 �y,.��'-, - Invoice
- - "�`t 3-782•50'I�3 '.
. Z r �-�r�;�r=r„;13' r'}:.C;(�1';'r_i.�.`:i 1 l"'r�.';4;� �'+'.s�,i
��S J F�=; _ r;.. . , �'!_ _� ._•�.. ��r„4 � _ _��-�
Sales, Service & Instailations � L��.�-r;=;-; �E:i� -;-,=���,_;.; :�r.,•t�:�. �;� ,�:� � -,_5
� 4441 �F�et�4�+�.•��PFYW�1i��FL��54.'�� ;�,�t:_r•: r��;� , ti�, ;a� ;_�,.�,
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NOTES: -
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:_��','�;�.�u�:..a�_:x�;.:":'a.c-='D.E$CRIPTfON�OF:WORK:-'�`� , " _ �>;:�=QT'` "` � MATERIALS:8�SERVICES>_;`,��_�;-_;,,� _-., . ':�:.UNIT�PRICE ;,AMOUNl'
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_ ' ' - '. :�RECOMMENDATIONS. ..'= " -- - - � � i
- . _ - - i i
Annual.Maintenance Recommend�ed_by�Alf;Equip'mentManufacturers..� ., � �
-•;f�:,; . - Pressures Lo HI T-Stat i i
- _ -- . , . _ ..-_.. _ _.i•:;:�=: - �
. . r REFRIGERANTR- ;. ; LBS. �-. � ,-,"�$"perltis..�.;��:_ _,-rl`=`:�;__'` I
, • FILTERS x x Changed Monthly I I
� FILTERS x x Changed Monthly
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i ❑ REGULAR ❑WARRANTY " " TOTAL•SUMMARY"- �
,..-.. _ � . , . .�,....�.. ..'"'" _ _
, _:Dehumidistat;Settings;i When here"ON";-When Away 60°a,,T-Stat 80°; ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: Ail materials,parts and equipment are warzanted by the manufacturers' .`-: ' �' �. "MET OF,�1C T� _ : CALL i
or suppliers'written warranty only.All labor performed by the above named companyls warranted for � - � -
, 30 days or as othenvise indicated in writing.The above named wmpany makes no other warranties, ❑CASH ` CK# � MATERIALS i �
, express or implied,and its agents or technicians are not authorized to make any such warranties on j
, behalfofabovenamedcompany. ❑DEBIT ❑CREDIT H MAINTENANCE � i
I have authanry to order the work outlined above which has been satisfadorily completed.I agree that Seller
PROG. W! C �
retains title lo equipmenVmaterials fumished until final payment is made.I(payment is not made as agreed, CLAIM#
seller can remove said equipmenUma!erials at Seller's expense.My damage resulting from uid removal shall � � - �y fq�. r �.
not be Ihe sponsibility of Seller.NET 30 DAYS.A 1'll2%SERVICE CHARGE wILL BE ADDED MONTHLY TO zj '� � ��,r� ��E� �t;�`'� q�% _
ALL UNPAI'�BALANCES OVER 30 DAYS.NO REFUNDS / —�} DATE C-OIM. PLETED . �
' ` r ;, j r ;'% f v j� �.`�-�r�. ,ti„1€ ,�,. �� 1-� I I
��k ,��,�'r'.�f /�t r �r/i' + ' i` /_`�,1� J., � � ' f TECH. i _ I
� 1f 4 ` CJ
/ a
`�� ,,,,,,/ ��J TOTAL �( � � �
CUSTOMER'SIGNATURE t' DATE �1!^fV/!?L ✓Q�I.I ( ��f�(`I'I' —_`�
l % .7 1
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