HomeMy WebLinkAbout17-18591 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18591
i .9
BUILDING PERMIT
�- PERII111T INFORMATION -- LOCATION INFORMATION
Permit Number: 18591 Address: 6403 WOODRUFF ST
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: 02-26-21-0060-O0000-0130
Improv. Cost: 3,295.00 OWNER INFORMATION
Date Issued: 6/20/2017 Name: HILTON RENTAL ENTERPRISES LLC
Total Fees: 55.00 Address: 6415 16TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/20/2017 Phone:
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
��
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSU�I�ED
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.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
/
s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
` Building Department
Date Received Phone Contact for Permitting ' �(� � �
Owner's Name /�T�O� � (�� /y Owner Phone Number [��J — /6 �"��7.� �
Owner's Address �``��� !�j � o ���/ Owrner Phone Number
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��v� D ��LL �', �/�/1l� LOT# �
SUBDIVISION PARCELID# �� �� �/ � a��� D/��
__ � (OBTAINEDFROMPROPERTYTAXNOTICE)
WORK PROPOSED NEw CONSTR " ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTROCTIOId Q BLOCK • Q FRAME 0 STEEL Q
DESCRIPTION OF WORK ��s C G A .—Qu � C ,�j$ � ✓
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
_ ���",b
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY -
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
, =ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address L'icense# ' �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� ' Y/N
Address. . " License#
' MECHANICAL ` '_ e �'` COMPANY Q�.'���,Q'','�`� AN�C� �' �G� -�/V� II
SIGNATURE' �— M i/��� REGISTERED �/ Y/.N FEE CURRE� � Y/N
Address �� � �L0/� �£, �` /s S ��, License# 9� �3 ���
OTHER "'- COMPANY
SIGNATURE., '� REGISTERED ,•Y/ N .,. FEE CURRE�' , Y/N
Address� ' - License#
' RESIDENTIAL'�_ Attach�(2):Plot Plans;(2)=sets•of'Building-Plans;�(1)'set of�Energy Forms;R;O-W Permit for new construction,
, „ Minimum.:tem(�10)'working'.days after submittal date. Required�onsite,'Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanita,ry,;Facilities.&�1��_dumpster Site Work'Perriiit for.`sutidivisions/large projects ' - ,
,--'CDMMERCIAL- Attach.(2)�complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit fo�•all new projects.All commercial requirements must meet compiiance '
.SIGN PERMIT Attach(2)se'ts of'EngineerecJ Plans.
� "'*PROPERTY SURVEY requir,ed focall.NEW construction.
' Directions:- ,.
- Fill out application completely.
�Owner&Contractor sign back of application,notarized
If over$2500;a Notice of Commg�rn�ce,ment is required. (AIC upgredes over$7500)
.. '.�. • 1' "'"�s..t"d�w,er�e.;_t��_.�t•�_.:> . ..i��,9'1�n.w�rr�i—��'�^..+ei+8,u�'vs.;ic.a,'F,`.�.�...:hr�a"
Agent(fo�`th'e•contractor)-or Power�of Attomey,(fo�the oy�n�pv�'oul��sA,�{�„�with notarized letter�om owrieY,9uthorizing+same �
,,:,�,,., ,,
Et.r..,_ ,., , f•�i;�r�ii3.,
,.'OVER THE COUNTER PERMI7'TING ��, (cbpy-ofcontract;requlr,.ed) ;_,��;.r,_� � ��, :, ��'�' �'
Reroofs if shingles Sewers �eivice�IJpgrades;:A/C,- Fence�s(FIoUS�y/Footage) � '�' `' �`" ;
t{ ��'�r.•.'� :i�
_, .g �);:1�{•�'." l.7 �t'.:r��; :rr�i•Y � '�w ri�,i � ',:., � .
T ��.( p'
Driveways-Not over Counter if on�ubli�`Poadways::needs-ROW.; �-� ;��, �� }�_.,� `` " .•�•' ��
"�e.'�°�°•".t,r�,�+•lz_>r.s� !iL�:a,;.,...'.t,,.• � _ �#}�.,'y,�'"t�`�':"�;`�VlS.�.�v. _, :� ' a-a. �},
(rax .... . '" ' z.y�,.re;�L'.J �7'm'ii?+`y
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Nt3TICE t3F DEED RESTRtCTtONS: The undersigned understands that this,permit may be.subject_to�"deed" restrictions"�� ;t
which may be more�r,estcicti�re:than County regnlations. The undersigned assumes�esponsibility�fo�compiiance`with any ���
applicable deed restrictions. � � . . .
UNLaCENSED COfdTRACTORS AND CI�NTRAGTOR RESPQNSfBGLITlES: If the ownec�-has .hired a contractor or
cantractors�to undertake work, they may be required ta be�licensed in accordance with state and loca! rsgulations.- If'.#he:��
contractor_is not licensed�as required by`law, bot}i the owner and:contractar maq�be�citecl�'for�a misdemeanar violation
under state law. If the owner or intended cantractor are uncertain as to what ticensing requirements rnay.apply for the:-
intended work, they are advised ta aontact the Pasco County Building Inspection-Divisibn=Licensing Section at 727-847-
8009. Furthermore, if the owner has hired�a corttractar or contracfars, he�is advised ta �have the contractoc(s} sign
portions of the "contractor Block" of this application for which they wN! be responsible. !f yau, as`tFie awner sign as=fhe ' ";
cantractoc, that may be an indication that he�is not properly (icensed,and is not entitled��to permit#ing�privilsges in Pasco , ;
Caunty. . ' `
TRANSPORTATiON iMPACTlUTlI.IT1ES tMPACT AND RESOURCE RECOVERY FEES:�-The undersigned understands .
tha#Transportatian Impact Fees and Recourse Recovery Fees may.apply ta the construc#ian of new buildings, cFiange of �' ,
use in existing buildings, or expansion of existing buildings, as specified in Pasco County t?rdinance number$9-47 and -
90-07, as amended. The undersigned also understands,:that such,fees, as may be.due, will 6e identxfed at.the�tiriie•of � �
permitting. It is further understood that Transportation Impact Fees and Resource Reeouery Fees must be paid prior to '
receiving a "certifica#e o#accupancy" or final power release. If#he praject daes not involve a certificate of occupancyor � �
finaf power release, the fees must be paid prior ta permit issuance. Furthermare, if Pasco Gounty W.ater/Sewer•Impacf -
fees are due,#hey must be paid priar#o permit issuance in accordance with appticable_Pasco Coun#y ordinances.�
CQNSTRUGTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500,00 or more, ( ,.,
certify that I, the applicant, have been�provided with a copy of the "Florida Construction Lien Law—Flomeawner's
Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
other than the"owner�, I certify that I have obtained a copy of the above descri6ed'document and promise-in.good faith to
deliver it ta#he uowner"priar ta commencement.
CONTRACTOR'S/OWNER'S APFIDAVIT: 1 cerkify.thaf ail the information in this application is accurate and that alt"work
will be done in cc�mpliance wi#h a!! applicable laws regulating construction, zoning and iand development. Appiication is
hereby made to obtain a permit to do work and insta!lation as indicated. ! certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construc#ion, Counfy and City codes, zoning regulations, and land development regulations in the jurisdiction. I alsa
certify that 1 understand that the regulations of other gavernmen#agencies may apply to the intended work, and that it is
my resportsibility to identify what actions 1 must take to be in corripliance. Such agencies indude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, VUetiand Areas and Enviranmentally Sensitive
Lands,WaterNVastew�te�Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Carps af Engineers-Seawails, Docks, Navigab(e Waterways.
- Department of Heaith & Rehabilitative Services/Environmentai Heaith Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environrnental Pratection Agency-Asbestas abatement.
- Federal Aviation Authoriry-Runways.
I understand that the follawing rest�icfions apply to the use of fill:
- Use of fill is nat allowed in Flood Zone"V"un(ess expressly permitted.
- !f_the fi!! material is to be used in Flood Zane "A", it is understood that a drainage�p(an addressing a
"cornpensating volume" will be submitted at time o# permitting which is prepared by a prafessional engineer "
licensed by the Sta#e of Florida.
- If the fill material is to be used in Flood Zane "A° in connec#ion with a permitted building using stem watl
consfruction, t certify that fill wil� be used only to fill the area within the stem wall.
- If fill material is to �be used in any area,, I certify that use of such�fill will not adversely affect adjacent
properties. If use of�I! is found to adversely affect adjacent properties, the owner may be cited for vialating.
the conditions of the building permit issued under the attached permit application, for lats less than one (1) ^
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to infarm the owner of the permit#ing conditions set forth in
#his affidavit pcior to commencing construction. 1 understand that a separate permit may be required fw elec#rica! wark,
plumbing, signs, we11s, pools, air conditioning, gas, or�other ins#allations not specifically included i� the application. A
permit issued shati be canstrued ta be a license to proceed with the work and nat as authority to viatate, cancel, alter, or
set aside any provisions of the technical codes, nor shaft issaance of a permit prevent fhe Buitding tJificial from thereafter
requiring a carrection of errors in plans, construction or violations of any codes. Every permit issued shali become invalid
unless the work authorized by such permit is commenced within six months of permit �ssuance, ar if work authorized by
the permif is suspended or abandaned far a period..of six(6) months after the time the work is commenced. An extensian
may be requested, in writing, from the Buiiding Official for a period not to exceed-ninety (90) days and will demonstrate
justifiable cause far the extensian. tf wark ceases far ninety{90}consecutive days,the job is considered abandoned. •
WARNING TO OWNER: YOUR FAILURE TQ RECORD A NOTlCE OF GOMMENCEMENT MAY RESU[.T !N YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOUaINTEND.-TO QBTA#N FINANClNG,CC?NSU�T
WtTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF`CCIMMENCEMENT. �
�-__`�CC3RS6AJC}f�T'(F:S- _:03}---�----- -- � - — - _ _ _ — _-
OWNER OR AGENT CONTRAC70R
Subscribed and swom or affitmed)befo me this Subscribed end swam r affirmed)before me this
(r/ --� �. L /h� Pl � -t S
Who isJar ersanally own to me r has/Mave produced ' Who is/ar personally known to m or has/have produced
as iden6fication: as identificatian.
"'� �Y P�b��� Natary Pubtic
SYLVIA A.CAMPBELL � Y4p p,CAMPBEL
m issiort Not'•. • ' mi oi Ftosida
: . � :o,���e''�'�i,..w �
, _ , �:.'•� I;r,; ��.•= Expites Jui 19,2417 :_« .:MY�amm.Expires Jut 19,2Qt
30
Nam � � ' � �{�ed p(ir�tecl oi''s am e iV � e
'•.,;o����;,� g�,���, „ ,,;� 'va���na�NotaryAssn. ��ryAssn.
��°�F;;�,,;°'���9os�ded�Through�
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. � � �,' e�► � � � .
PROPANE GAS Service Order/Pro osal
� ' AND AIG �rvc. - p
�Si�r���988 813•782-50 i 3 _ Invoice
, �IORK .ORDER#/SERVICEMAN 7739B OCT
Sales, Service & Installations pA��/TIME TAKEN � ���3�/17 �7:4�
�, 4441 Allen I�d. • Zephyrhills, FL 33541 TAKKEN• av K. a. ��
NOTES:
� S� �_ 1 � a'� ` CUSTOMER#/LOCATION 08894
�-r �.�-_��r,��� (� PHONE# S 13-78�-134� H
Q � r ROUTE/SEQ OCT
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HILTON ENTERpRISES HILTOIV - RENTAL
6415 16TH ST 64�3 WOODRUFF ST ,
ZEf�HYRHILLS FL 3��4�C - ZEP'HYRI-IILLS FL3��4� '
TENANT: GORDON SASER 7a8-3738
_ , AH: GB3aVfD24KAB, GBD�50415094
, CD: ASC�24A2Ci, L991439384
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❑ REGULAR ❑WARRANTY - -.;:'i'O�Pii;$tJMMaRI'
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_ � '�,�i����q,"t�i3�s;o;;When here�F;;When Away�;;;T-Stat$,�, ❑ MAINTENANCE CONTRACT SERVICE ., i
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LIMITED WARRANTY: All materials, arts and uipment are warranted b the manufacturers' ':',l,`� ;_�� CALL i
P e4 Y _ Nfi�i`tiQA:�OE�F?AYtvIEt�7'_ -'�
a suppliers'wriften warranty only.All labor performed by the above named company is wartanted for �'��'' '- � ' " • TOTAL i
l6 days or as othenvise indicated in writing.The above named company makes no otherwartanties, ❑CASH ❑CK# MATERIALS i
d�ress or implied,and its agents or technicians are not authorized to make any such wartanties on ..i
�ehalf of above named company. � ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
i hava authoriy ro order Ihe work oWlned above w�IcA has been satisfaetorily compleled.I agree that Seller PROG. W I C
�ain3 tltle to equipmentlmateriais lumished unlfl final payment is made.I(payment is not made as agreed, (;��M# ' �-s�.-:.-�-'"" ""j.;,,� -
DD"_..r=,
m0er ran ramove sald�equipmenVmateriais at Seller's expense.My damage resutting hom said removal shall � --, �"�,:_�_� r rt
�ol Dn Ihe responsibllRy o1 Seller.NET 30 DAYS.A 1 12°h SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COM PLETED �'�"'aZ±��/� f'' ���/ ,T ``.��T�my"�•���'�Y�'^t,n.
Yi UNPAID BALANCES OVER 30 DAYS.NO REFUNDS
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XISTOMER SIGNI�TURE DATE TOTAL �