HomeMy WebLinkAbout17-18598 CITY OF ZEPHYRHILLS —�-
'' '�Y 5335-8TH STREET
(813)780-0020 598
BUILDING PERMIT
� �- PERMIT INFORMATION � � LOCATION INFORMATION -
Permit Number: 18598 Address: 37541 LAUREL HAMMOCK DR
Permit Type: MECHANICAL - � ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book: '
Proposecf Use: NOT APPLICABLE Lot(s): Biock: Section: �
Square Feet: Subdivision: OAK RUN �
Est. Value: Parcel Number: 34-25-21-0100-00000-0240 '
Improv. Cost: 6,399.00 OWNER INFORMATION
Date Issued: 6/22/2017 Name: SODERSTROM, EARL & MARIE
Total Fees: 70.00 Address: 37541 LAUREL HAMMOCK
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33541 �
Date Paid: 6/22/2017 Phone: (813)779-4053
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
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Ins ections Re uired
DUCTSINSTALLED
DUCTS IN� T �
FINAL �
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REINSPECTlON 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 properly 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. �
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ONTRACTOR SIGNATURE PERMIT OFFI R ,
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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$�aa$o-oa2o ` � City of Zephyrhil(s Permit Application Fau-813-780-0021 �
�, { Building Department �'' �,11�,��/�(, fJJ� �p����..f`��„ p/��
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Date Received g � `'� ��� ��� �
Phone Cantact for Perm�ttin
Owner's Name � S � /4jQ/� Owner Phone Number . f�rT�� C? �o�� i
Owner's Address ��� � ��Y� �� Owner Phone Number � �
Fee Simple 7itieholder Name �� � Owner Phane Number �— �
Fee Simple Titleholder Address
JOBADDRESS ���� I �--�/''� f'1�I,�L� f 4P LOT# ��
SUBDtVIS10N �,�"(�J1f � PARCEL ID# ���� �! 41�t.'C� G/��G.� �o��"'�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROf'QSED e NEW CONSTR� ADDIA�I' [� StGN � Q DEMO�ISH !
INSTALL REPAIR '
PROPOSED USE Q SFR Q COMM [� QTHER �
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TYPE'OF CONSTRUCTION C] BI.00K - Q FRAME �] STEEL Q �
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DESCi21PTION OF WORfC s5 �C� Ck.�A1V E"DLpi C� �1T7r1 a/y�`�� � y d1V i
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BUlCDiNG SIZE SQ FOOTAGE HEIGHT �
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Ogu��'Q��� �— � VAIUATtON OF TOl'AL GONSTRUCTtON �
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�ELECTftIGAL r> � AMP SERVICE Q PROGF2ESS ENEFtGY Q 1N.Ft.E.C. �
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QPLUMBtNG $
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QNIECHANICAL $ J �,r���� VALUATIQN OF MEGttANlCAL INSTALLATION
��(� ��.�
QGAS Q l2QQFING Q SPECIA�TY � 4THER
FINISHED FLOOR ELEVATICINS �� FLOOD ZONE AREA QYES NO
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Stlll.DER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i
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Address License# � —��
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ELECTRtC1AN COM PANY
SIGNATURE REGISTEREb Y/ N FEE CURRE� Y/N
� Address Cicense.# �- - I
PLUMBER.: CONtPANY
SIGNATURE REGISTERED Y�/ 'N FEE CURRE� � Y/N
Address " License# � � I
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, NIECNANICAl. ' `�- � ,. CflMPANY lT7�5�/"� I�/U� �/C=�-�VGi 1
SIGNATURE REGISTERED • , Y/ N ` FEE CURRE� Y/N ;
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� "l l/eit� � � � ��9�����
Adii�ess ` License.#-. �
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.QTHER�� '' . . COMPANY �
SIGNATURE��: � � REGISTERED ;Y/.N ,. FEE CURRE�' .. Y.../N j
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' Address • ~ License# �
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� RES4DENTlAt,. - ;Atfactif{2}:Plaf Plans;(2)"setsof�Biiitc]ing�Plans;{1}se#o#'fne�gy Forriis;R=0-W Perinit for new�consfruction,. !
� , , , � .Minimum:ten.(10).working;days after°submitta6date. Requir'ecJ'onsite;Construction Plans,Stormwater Plans w/Silt Fence installed, i
� � } Sanitary„Facilitiess&�.1,ndumpster;Site.Wotk Permtt for'subdivisians/large projects . � , i
;,-:.GOMMERC{AL Attach�.{2j cosnptete sets of 8ui1c1ing Planstplus a�ife Safety Page;{1}set of Energy Farms.R-O-W Permit for new construction. j
- � - � Minimum ten(10)working days after submittal date. Required ansite,Canstruction Plans,Stormwater Plans w/Siit Fence�installed, ; '
Sanitary Faeilities&1 dumpster.Site Work Permit fo%a!I new proJects.A!1 commercia!requirements must meet comptiar►ce � �
- :SfGN PERMtT AitacFi�(2}`se#s of;Engineered Plans. . ' �
'***PROPERTY SURVEY required for all NEW construckian. . ,
�.',�Di�ections: � .�;,�� ,
- Fill out application completely. �
Owner&Contraator s�gn:back af appf9cation,notarized �
tf over$2500;a NoEice of Commencement.is required. (AIC upgrades over$7500} �
*' Agent(for`'tfi'e�cbnt�actor)'orPower of:Atto'rriey..:(for�the,�awrt'er�,�lnrQ€�td{�e�omeane with notarized letter from owner authorizin sa e � '
� ��.,r:.r ''� urx3uw-�S-�+K�',k�✓�m=x'Ass''+�n2c��::Fa�.s:'aa+�+�a.g'.'�'.ar,'� I
OVER THE COUPiTER-P,ERMITT7NG- `'�`�(caPY of`contrac�,.re(�ui�ed)`;.':<. i �" �;�.a�-�,�;�z a.t,r,,;.�0'? ;,.",i;`�, �3+
,. i,� , �, T.. h.��,�;�'e,�i� � CE ,.: ' :� .. �i
. Re�oofs if shingles Sewers Servi�e`Upgratles AIC, ,fa�.��ce�E ot/Survey/Footage) � ��. � •,�.�;:.'� ;tC!.��: r=r',;"��;<'� �- i
, �. �.t:. . . , r^.+,:8,!vi:1 a ��1•,. � it;i�� SJ:T1£;" ` �;�-�i`-� :.,'
., r: •' .;'1a'� .: _'F, �`�� fi,''�:: 'fj..t ..r :t -� �a,.,� , . ',z '
� 3 ]i;; iitc '. . - _sj. �j:i,= + �
Driveways-Not over Counter if on pu6iic roadwa�r's.�needs RO,Wz�;,;; 4� � n;_,t,s;r;?� r. .,,���:�.r����� .-'��=`��" I
'i .. ..^` ' s , �.,�ir�� .iGC.. LS:; �
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u. - . ,.i�:"-ti'y�,.z.�.id§.:'�ri"° „� "�`." �.. 'e" ���' ' (
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NC3TtCE OF DEED RESTRtCTtG1NS: The undersigned understands.that this,permit may be subject ta"deed" restrictians"„,'�
which may,;be,more restricti�e,than County regulations. The:undersigned--asstames�responsibili#`y�for camplian`ce with�arty' '`
applicable deed restrictions. << � '
UNLICENSEQ-CONTRACTORS AND CON7RACTOR RESP4NSIBILtT1ES: !f ttie owrier has-hirec!'a�contractor or
contractors to undertake work, they may be re,quired ta be licensed in accordance with state and�local regulations. -If the.�«
cantrac#or is not licensed as required kiy law, both�the owner and°contractar-may�be cited�for.a misdemeanor violation
under s#ate law. if the owner or intended cantractor are uncertain as to what licensing requirements.�may.apply for-.tFie. "
intended wock; #hey_are advised#o contact the Pasco County Building tnspection Division=Licensing Section a#727-847-
80Q9. -Furtherrriare, if the owner has hired a contractor or contrac#ars, he is advised to .have the cc�ntractac(s};sign,: ` '
portions of the "contractor Block" of this application for which they,will be responsible. If you, as��ftie'owrier�'sign as ttie .
contractoc, that may be an indication that he is not properly licensed and is not�entitled�to permitting privileges in Pasco
Caunty. _ _ � � �
TRANSPORTATION IMPACT/UTIUTIES IMPACT AND RESOURCE RECOVERY FEES:�The undersigned understands �
that Transpartation tmpact Fees and Recourse Recovery Fees may-apply ta the constructian of new_builtlings, cliange"afi`�=F �,
use in existing buildings, or expansion of existing buildings, as spec'�f'ied in Pasco Count}r C?rdinance number$9-07 and
90-07, as amended. The undersigned also understands, that such fees, as�may�b.e.due, will be 'tdentifed at?the#iriie-of�
permitting. it is further understood tha#Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate af occupancy" or final power release. if the.praject daes nat involve a certificate of occupancy ar�- �
final pawer release, the fees must be paid prior to permit issuance.� Furthermare, if Pasco County Water/Sewer rlmpact
fees are due,#hey must be paid ptior ta permit issuance in accardance writh applicable Pasco County ordinances. �
CONSTRUCTlON UEN LAW(Ghapter 713, Plarida Statates,as amended}: tf vaivation of work is$2,500.00.,or mace, 1._,.
certify that I, the applicant,��have been provided with a copy. of .the "Florida Gonstruction Lien Law=Homeowner'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 described document and promise in,good faitfi to
deliver.it ta the"owner"prior to commencement. -
C�NTRACTOR'SlOWNER'S AFFtDAVIT: i certify.fhat ail the infarmation in this application is accurate and`that al1 work
will be clone in campliance writh all applicable laws regulating construction, zaning and land-development. Applicafion is
hereby made to obtain a perrr�it to do work and ins#allation as indicated. E certify that no work ar installaficin has
commenced prior to issuance of a permit and that all work wil! be performed to meet standards of all laws regula#ing
construc#ion, County and Cify codes, zoning regulations, and land development regulations in the jurisdictian. I �also
certify that i understand that the regula#ions of other government agencies may appiy to the intended work, and that it is
my responsibifity to identify wha#actions t must take to be in campiiance. Such agencies inctude but are not limited to: •
- Department of Enviranmental Protectian-Cypress Bayheads, Wetland Areas and EnviranmentaBy Sensitive
Lands,WaterMlastewate�Treatmen#. -
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigab(e Watenivays.
- DeparEment of Health & Rehabilitative ServiceslEnviranmental .Health Unit Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Pratectian Agency-Asbestos abatement.
- Federal Aviation Autharity-Runways.
I understand thafi the follawing restric#ions apply ta the use af fill:
- Use of fitt is not ailawed in Flood Zane 4V"uniess expressiy permitted.
- lf #he fiN materia! is ta be used in Flood Zone "A", it is understaod that a drainage ptan addressing a
"campensating volume" will be submitted at time of permitting which is prepared by a professional eng'rneer "
licensed by tne State of Florida.
- If the fill material is to be used in Flood Zone "A° in connec#ion with a permitted building using stem walf
consfruction, I certify#ha#fill will be used anly to fill the area within the stem wall.
- If fill material is ta be used in any area, I certify fhat use af such�fill will not adversely affect adjacent
properties. If use af fil! is found to adversely affect adjacent properties, the owner may be cited for vialating
the condif9ons of the building permit issued under the attached permit appiication, far lots less than one (9}
acre which are elevated by flll, an engineered drainage plan is required. �
If I am the AGENT F4R THE OWNER, I promise in good faith to inform the owner of the permitting canditions set farth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for elec#rica! work, �
plumbing, signs, wells, paats, air conditioning, gas, or.other insta(lations not specifically included in the applicatian. A
permit issued shafl be canstrued to be a ficense to.proceed with the wark and nat as authorify to violate, cancel, alter, or
set aside any provisions of the technical codes, nar shalf issuance af a permit prevent the Building t3fficial froi`n thereaf#er
requiring a correction of e�rors in plans, canstruction or v�olations of any codes. Every permit issueti shat! become invalid
uNess the work authorized by such permit is commenced within six months of permit issuance, or if work autharized by
the permi#is suspended or abandoned far a periodrof six(6) manths after the time the work is commenced. An extension
may be requested, in wri#ing, from the Buildirig Official for a period.not to exceed•ninety (90) days and will demonstrate
justifable cause for the extension. If wark ceases#or ninet}r(90)consecutive days,the jab is considered abandoned.
WARNING TO OWNER: YOUR FAILURE T� RECORD A NOTICE QF COMMENCEMENT MAY RESUl.T IN YOUR
PAYING TWICE FQR IMPROVEMENTS TO YOUR PROPERTY. IF YOU,lNTEND�TO OBTAlN�FINANCING,CONSULT
WiTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR�NOTICE OF MMENCEMENT.
FLQFtlDA JURAT(F.S. .03) ,, � ____�_ J
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__. ______�— ___ _ -- - - �-y��� - - ..�
OWTIER OR AGENT ..- ��LP� CONTRAC70R /.�'.rl� ,P/�,,.�
Sabsc'ped nd swarr� or a#fitme be re me this Subscribed and n t (or affirtned} efore me this
��// �.. L. /Yl t s�.t'i�P" �02//,_,� / r
Who is/are ersonally known to mt�or has/have produced � Who is/are p nally known to or has/have produced
as identifica�on. as identificatlan.
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Notary Public , Natary Pubfic
C� E v� Commissi t� •"1O""ra SYLVtA A.CAMPBECL �
,�1"""'� YLVIA A.CAMP9ELL :a�' 2+•; Notary PuDlic-State ot Florida
PR`'pue�•
:�?°. .`�: Notar Pubiic-State f •: M Comm.Ex ires Jul 19, 2017
Name o _ _ pt}�pF��gr�Ut i 9,2d77 t�ame of R! � �inte�ORt�s9�FF Q34230
�j,. p�;^ Commission#Ff 03423Q �kru+,++"�� 8onded lhtough Nationaf Notary Assa.
'�°�����'�� Bonded Through National Noiary Assn. ,
I w �iy� � _i y,�. A/ ! ./� /,i.,f/�� m u
U`✓4� f- V lL r � II�
� s' � � PROPANE GAS r���.�,ic�(�rder Pro osal
(� AHD AIC ,Mc.
� S��e 1988 . 8 i 3-782-5o i� : Invaice �
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�ales,..Service & Installations �����.r._�� �i-.i.� ��: � . r..� . . � � '
•�.. F 'yt". _r�;r.•... ' I:n�, j , �•.'.•�-, : �;,.�-
4441 Allen Rd. • Zephyrhi!!s, FL 33541 �}���F-f'� r:'��' � ° �`, �i:"�`
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�' REGOMMENDRTIONS . �J � �I
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Annva)Nta'srifienah¢e Recomsnended by Atl Equipmenfi Maitu,. ' rers: � � �
- Pressures Lo HI T-Stat � �
. � i�
- • � � REFR�GERANT R- LBS. $per Ibs. � �(
.. .� FILTERS x x Changed Monthly I I�
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FI�TERS x x � Changed Monthly
� ❑ REGULAR ❑WARRANTY TOTA�Siti�+4MAR1'
'DehumidlstatSe�tings:.`When here"11�1�"�;,When Away 6�, T-Stat 3�0° ❑ MAINTENANCE CONTRACT SERVICE � �
L!M{TED WARRAN7Y: All matedals,parts a�d equipment are warranted by the manufacmrers' '`METHOD OF.PAYMENT CALL r �
or suppliers'written warranty on�y.HII lab6r perfortned by the above named company is warranted for TOTAL i
3a days or as othertrise indicated in writing.3he above named compaoy makes no other warrarrties, ❑�ASH 0 GK# t+rtATEi2}ALS �
express or implied,and its agents or technicians are not authorized to make any such warranties on , i
behaif of above named eompany. 0 DESIT CJ GRED(1" 0 t}TF{ER MAINTENANGE i
i have authoriry to onlec tbe wark oudined abova wh'a-h has been satisfactority compieted.1 agree that 9elter • r PRQG. W I C'
retains uNe ro equipmentlmetedals fumishetl unUl final payment is made.II payment is not made as aqreed, (',��M# I
seller can remqve said equipmenVmatarials at Seiler's ezpensa,My damage resutting fram said rgmoval shall
not be Ne respopsibllity of Sellec NET�i0 DAYS.A 1 72%SERVICE CHARGE WILL BE ADDEO MONTtiIY TO � '
ALLUNPAIDBAIANCESOVER30DAl5.NOREFUNDS DATE COMPLETED --i--
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� /r._.. 1l C�r! ! ��i t�tl�� TECH: U �'AX i
l�.,r�.� ��f TQTAL ,� j� ;��