HomeMy WebLinkAbout17-18620 CITY OF ZEPHYRHILLS
� - " 5335-8TH STREET
(813)780-0020 18620��
BUILDING PERMIT ��'"r
- PERMIT INFORMATION � � - LOCATION 1NFORMATION �
Permit Number: 18620 Address: 38425 EVERGREEN VILLAG 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: 3,195.00 OWNER INFORMATION � �i
Date Issued: 6/29/2017 Name: Z HILLS LTD C/O A& M PROPERTIES �
Total Fees: 55.00 Address: PO BOX 5252 I
Amount Paid: 55.00 LAKELAND FL 33807-5252 �
Date Paid: 6/29/2017 Phone: 813-782-2740
Work Desc: A/C CHANGE OUT 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
DUCTS INSTALLED
DUCTSINSU TED
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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NTRACTOR S NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTI4N
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FROM WEATHER
a��-�+ao-oozo City of Zephyrhills Permit Application Fax 813asaoa2�
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' „ Buftding Deparbrtent _ ,
Date Received gf ���_ ���..
� Fhone Contact far�Permtttin
Owner's Name ,�—�7l�� `�T�' ' Owner Phone Num6er 4 ��� /��`� �7�
Owner's Address � � �a��o�.-. /�/i�' � , Owner Phone Number � �
� '
� Fee Simple Tltleholder.Name � � � Owner Phane Number � �
Fee Simple Titleholder Address
�, J08 ACIDRESS �Gl 74�� v�`��'"!"' `��`� !/ G' �. �� � � LOT# �__�
i SilBDIVISiON � PARCEL ID# �� �4�,. ���� ���'� ����
� . , (OBTAINEO FROM PROPERTI!TAX NOTICE)
WORK F�ROPC}SER _.NEW'CONSTR . ADDIA�T [� 81GN Q Q DEMQI.tSH
�•�e, INSTALL � REPAIR - '
PROPiUSEDiUSE � Q SFR- Q CAMM C,� C?THER
TYPE OF CONSTRUC'170N •� Q�' � BLOCK " Q FRANIE � ,STEEL �Q
pE3CRiPT10N OF WORK � ��� a �f� �¢�"f} e ` `jZC-� � �� v/V�'/V/'� +rx ��
BtlILDING Sl2E"�� �'SQ FOOTAGE ' . ,HEIGHT;�����
QBU{t.DtNG $ ' � � . �
��� VAIUATtOtd'.OF`l'OT'Al COFISTRUCI'IOiU
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� QELECTRICA4. �$ ��� ' � AMP SERVICE Q 'PRCOGRESS ENERGY Q W:R.E.C.
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'� QPLUMBING .$ `
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�, C]MECNANtCAL � j� 1�P Q VALUATION OFi MEGNRNiCAI.INSTALIATEQN
li QGA3 Q ROQFING .Q SPECiAi.TY � OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD xQNE AREA QYES. NO
; -
1 8U1E.DkR CQ14�I�A�+lY - .
� SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
i
I� Address ` - Ltcense#'� �
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� E�ECTE2lGIM1: _ , -=GOMPANY' � - ` � -
I $IGNATUFZE � REGISTERED Y/ N FEE'CURREM'' ` "Y/N
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Addre�'s � � _, Ucanset#.,$ , . : �
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RLUMBER ' � COMP1}?�!Y �- _ ,- .
� SIGNA7URE' � � " ' , .REGI3T,ERED Y,./•N. : �,_rFEE CURRE� , '� Y_•/N: �' '
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AddreSS ' LtCe11S8#�t. .. .. •:- , : w�.
MECHANICAI:� ` -` - � �,p�,eJL , . COMPIWY S t'4���1J{�: `t--�/ �Nc
StGNATURE� '`^G�� � REGIS7ERED.,, Y.:/ N. , FEE CURRE�. X./•N -
Addre�s'':. ;'��'�}'j !`7"�l'e11� � ' Licpnss#���`��-� �����
OTHER .` _ , ' - . ' `;CQNIPANY
SIGNATURE'� �:% ' � � -• �' ��' ' ' " � �'REGISTERED Y/ N,.- FEE CURRE� . Y 7 N.
Addre� � `ri:� _ - �.Y« . , �`} �k �tC;e�tt89#'� � � ��
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RESIDEN'iEAt;,"� =Attacti"�{2).Ptot�.Plan`s;,(2}sets:of�8utttling;Ptaits;�{1)sef of�Energy�Foiins;.R=0-W'Pernslf tar new constcucti,on, •.� � .�
,,;,��:Mintmum;ten�(�1.0)*workingydays:a#ter„submitfal date::Requl�ed onsite;:Constiucdon Pians;'$tortnwater`pians�wi SIk�Fence inst�lied,
�� Sanita''ryFaciltUes;&:;1:dumpste,r,�Site•Worlc;Pertnit#qr;subdivlsionsnargepraJects -__';,_- }� � ` � `
COMMEitC1AL Aftach{3)`C;omplete sets'of'Butldi'sg Plaiis�ptus�a'I.tfe S'af�s#y'Page;{1}set of Energy Forms.R-t}-W Pennl#for new canstru�an. -
Minimum ten(10)working deys after submltMal dake. Requtred onsite,CanstrucHon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Pertnit for all new.proJ�icts..All commercial requlrements_must meet campllance
SlGNPERMIT AttacFi{2)"setsof'Engiiieet�iii4Plans.,�-.•,•:��� .���,:__-.-� . ' . -
"""PROPERTY SURVE1f required for all NE_.W aanstruction.. _ . .
Dlrei:tions: . �:. , .
Ffll out applicadon completely.
Owner&Contractar sign back of appl[catlon,notarized '
If aver�40,a NoNce of Corr�mencement ia requ�rad. (AlC upgrades over;67500) •.
'* Agent'(for the ainbractor)�'o�Pou�er,�f qtt'ariiey„(fo�tFie ovuner)�would be'someone with-notarized letter from,ow�er,autl�orizing,sar�e�.
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K3VER'THE GQUNTER PBRMiTTtNE#-.._-- .(Fr`ont�af-Appllcation°Only)-- M,.��..�"�tt '; ,.:„ �.. ;^��?�Y� , "t , �
Reroofsifshingles Sewers ServiceUpgrades,A/C �, ,.,Fen�s(PI,oUS�rvey/Footage) �' .�.,.��,' .� .'�'� � -���" •«;o�: � ` �_ �"
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}{1 !.,: ,."-iz'��`, I.-�' � ,�P". - ... . , ..;t:�•�tF�', .. :F '".x
brivswaya-Not cver CouMer if an publ}a roadwajis..rieeds ROW;; ��?3;,r�1. '� 'fE� i�"' . ., , r�:j . �%,f,`,' ''�
.� � ':.q:.si.Y3.-•�1'91�k�ti cC�... �i�...:.�'',�,,^` �r 4A�».�»n.;..;.,�;^.`.��._,......... . . '+_ ..uµ ',c�—�t.� t5
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NOTICE OF DEED RESTFtICTIOMS: The u�ders�igned,undergtands�;th�tithis.°p�rmif:may.Qbe:subJect�to;"deed".restric#lons",�.�.�..;',�_',��,.
which may�tie<more�-resuactive=tha��CounEy�Yragulatlons.�The undersigned assumes'r'esponsibillty'.forNcoriipliance°with"�any"" '� '��'"`�
appllcable.deed resMctions. - : � � ' ;�- �;.� ,- � • -.
�;.-,w.... ,;-- . �. ; �., ,__..,. .. _ :_. :,
UMLICENSED•CONTIiACTORS :AND CONTRACTOR RESPONSI�ICITIES:� =°If-the��oiivner has�'�hired'°a�`aontractor or
contractors to undertake work, they may.be�r.equlred�to.:be::ICcensed�ln.accordance.with-state�.and�local regulations.:�:if the'•�-��� - _°
-. � ....:,::.�.,�....:-..._....._
contractor t§=not Iicensed as�re�qulred`tiy law,:both�the owner,and"conti�actor=�may��be�'cited�.for°a?misdemeanor vtola8on
under state law. If the owner or Intended,;�contractor:,iar.'e,;uncertaln as to what'Iicensing:require�nents;�may�epplyr:falr�=tfie">�����i:����
_. ,. ., , . .. . ._.. . . _ ,
intended"work, tNey are advised"to coritact the�Pasco:County:Bullding;;lnspectton DIvlslort,-Ltcensing Sectlon at 727-847-
8009. FurtFiermore, If the owner"has'hired a contracfor'or contractors, he is advised to have�the contractor(s);.sign., �
portions of the "contractor Block".of this�applicatlon..for whlch.they wIIL bewtesp.onslble:-...If:you,-as;the owrier�'slgn�as"the`""" '� �
contractor, tfiat tnay be an indication that'Fie�is not properiy'Iicensed-and"is-not entftied to perrriitting�priulleges In Pasco _
County. � - ._ � . .__.�.,. . .. �� .:;,_
TRANSPORTATION;IMP�►CTIUTILITIES�rMPAC'�At�b ttESOUItCE RECOVERY�FEES:�-The unde�signed�understands
that Trensportation Impact Fee��and.Reccuree f3ecoVe.ry:Fees may�:apply�to�tf�e;construction:,of.new.buildings;�change�of��` ` -•� '�
use In existing buildings, or,:expar�siom��of+ezistin,g'�buildings, as specffied.in Pasco County O�dinance number 89-07 and.
90-07, as amended.,;<.The undetsigned also;urtderstands, th:at`-such fees,�as�may;be��due;;wiil;be identifled at the��time=�of�}:� ,�>'-�' ,''
permitting. It Is fu'rtFier understood that Transportatlon Impact Fees an.�'�Resource:.Recovsry"Fees..must be paid prior to
receiv(ng-a."certificate:of occupancy" or�flnal-�.power;release. :I��the.project�.:does�.not involve:a�certificate of occupancy�o���h==�`���� �'
� , ,
final power_release;:th.e=,fees_mu�t;be�pald`;prlor to.,pecmit Issuance. F��thermoce;if:Pasco;:C,ounty`�INater/Sewec+;impact : .:�--�°r�
fees are due,.they,.must.be:pald:p�lor t.o,_permit�:issuance=ln.accord"ance witti;�applicable Pasco'.County�ortlinances. •
CONSTRUCTION�LIEN',LAW'(CliapteP 713� Florlds Statut���aa asn0nded): tf valuation of work is$2,500.00�or:more,-;I��-:. :�;.�
certify that I, the applicant;-have,.been .provlded��wtth=a=copy cf.the��"Florida�°Constructton� Lien :Law�—Homeowner's
Protection Gu(de" prepared by tFie Florida Department�of Agric.ultnre and Consumet;Affairs. If the appllcant Is someone;.: - _
other than the°owner", 1 certifj►�;.that.l.h�ve:;obtainedra�=copy,of:the;abaye.described;docu�ent;and;proric�ise:(n,good;faith#o. . � �,.,
deliver It to ttie`.ownec`:p�ioc'to�commencement:"' , , .. . , , - �. - - �-� . ---
CONlTRACTOR'SlOWNER'S AFFIDAVIT: I.certfty.�,tt.iat=ail�,the�inf.ormation:;in�thi� applicatlon is accurate.and that all work �
�,�"
uvill'be done in compliance wtth all.appilcable�laws regulating construction� zontng and�,land�development. Appltcation is
hereby made to obtain..a permit;-to:;do,:uvork,,,and Instellatlon as indi�afed:>-.-�I� ceit�ji that no work 4or installatton Fias�
commenced p�io� to Issuance of'a permifiand that.all work will be performed�to meet.standards-of all laws regulaking-
construction, County and City codes, zoning regulations, and land development cegulatlons�tn the jurisdiction.- 1:also. _
certify that I uaderstand that the regulatlons of othe�government agencies may�apply,�to the..intended work, and that it is
my responsibillty to identify•what,act(ons I must�take:to,be.in:.compllar�ce,,S.uch.agencies,include�but��are.not Iimtted to: �- --
- Department of Et�vironmentai�'Protectton=Cypress.'Bayhead�, V11eNand Areas and Environmentaliy Sensittve
Lands,WatedWastewater Treahnent. '
- Southwest Florida Water Management .Distr(ct Welis, Cypress.r+Bay.heads, Wetland Areas� Altering
Watercourses. - • .
- Army Corps of Engineers�Seawalls, Docks, tVavigatile Waterways.
- Department of_,Health:'8. Rehabllitative�,ServiceslEnvitonmental. Health Unit-Wells, Wastewater3 Treatment, �
Septic Tanks._ `�_ � ' ` � �� - �
- US Environmental Protection Agency-Asbestos abatement. � y
Federal Avlatlon;Authorlty:Runways: "
I understand.that the..following;:restcictions apply`to the use of flll:•
- Use of flll Is not allodnred in:Flood:Zone"V"unless expressly permitted.
- If the fill matehaF is to� b.e used:�In :Flood•Zone. "A", it is understood that a drainage plan addressing a
°compensating volume" will be submitted at�ime of�permifting which (s prepared by a professlonal engineer
Iicensed by'the State�of�Florida: ' � ' ,. , _ '
- , If ih� flll materlal�is-to be.used in Flood Zone 'A" ins connec�ton�with�a��permitted building using stem wali
constructton, i ce�ify that flll�:vidll-b.e�used only.to flll the area wlthin�the�stem wall: _ �
- If flli materlal Is-to be used ln anj► a�ea; I �certify that .use. of such flll wlll not adve�sely affect adJacent
properties. If use of fill is found to adversely:�ffect adJacent�pra�pertles�,the owner may be cited for violating '
the conditlons..of the bi�lldtng>permit Is"sued�under the.�attached�ermit �pplicatlon, for lotsy.less�than:`one (1)
acre which ere elevated�6y flll.a�r englneetsd dralnage plan is required.
If I am the AGENT FOR-THE OWNER; I;.promise in good_fa[th to inform the owner of�the permitttng conditlons set forth in
this affidavit�prior to commer�oing construction. "I,understand thet a-aeparate permlt may be requlred for electMcal work, . �
r, -s•.
plumbing, signs, wells�.,pools; alr condttioning,.g�s,-or.,othec install�ttons noE,spec�ically included�in.the appiication. .A
permit issued shall be conshued to b'e�a°Ilaense`�to}proceed with tNe wo�k and not-as:authoNty�:to:violate,.:cancel, alter, or
set aside any provtstons ofthe t�chnical aodes;•nor shall Issuance�of a.permtt.prevent th�Bulldtrig Otiictal from thereafter �
requlrin.g a correction nt ercors in�plans; constructlon oc violations of�any codes. .Every�p�enriit-Issued"shall�become invalid
unless the work aufhortzed.by suah permlt:�s-cotnmenced�with(n sfX�months of�permit Issuance, or If work authorized by
the pernnit is suspended�or;aba�doned;for:a:period;of�six��)montFis.efter the time the�work�ts corrimenaed. An extenslon
may be requested�.ln wrltirtg;LLfrom,th'e�Building,Official for � pertod.�not-to exceed-ninety�(90)=days and-will demonstrate
, justifiable cause for.�the extenslon�. (f work ceases,for ninety.(90)cons.ecutive�days...th�Job�is.considered abandoned.
INARNING TO OWNER: YOUR �AILWRE:.TO.,.R�C.ORD;A:;MOTICE OF:��COMMENCEME(�tT:MAY�RESULT IN YOUR
PAYING TWICE:FOR IMPROVEMENTS T�;Y-OUR�:PItOPERTY:���IF�YO.U�II�F�ErID�'TO�:CIBTAIN�FI�tAt�E1NG;�C.ON3ULT
WIT U . D O AN ATTO N .. ORL� ECOR� G:� OU�' , �� "O '. `� . E � �
.... . , :-�.;�- .- - . - ....; .
- -FLORIDA-JIIRAT.�(F. 1.7.A3QF___.�- _ � ' . -- - - •- � -�. - —� . -- --- - ,
OWNER OR AOEPIT COMTRAGTO �
Subsc�ed a d svwm .(or afNrmed)b fore me fhls Su scrib and'swom or afflrtned)� me'ttii�. I
� / .b .. ' m� /S��`
WF�o Is/are ersonally kn e.or has/have produced VVho.ls/are onallyknown• me or haalhave�produced • �
as Identlflcatlori, as Idendflcation.
`�-`�— - Notary Public _ ' Notary Public
C Iss Comr�isst
���`o,`nro��••,� • ���ayn��,,� .
;a°; ;`�•; Notaty Public-State oi Florida ��r04y <<�-, Notary Public-State of Florida'
Name of a 'p 9�' � Neme of N "
=;9, �a:' Commission#Ff 034230 ;;� op� Commissi n#FF 03a230
��'�°��������� Bonded Thraugh Natianal Notary Assn. :;;oFF�°:�
�,,,,�. Bonded Through National Notary Assn. �
,_ �
�� � ' � PROPANE GAS • �
� AND AIC �Nc. Service Order/Proposal
. �i��e �988 g i 3.7g2�5p�,3 . Invoice ��-- � /
`
Sales, Service�installations ���'� �DRDER#lSER4ICEh1Ahl 7���Q�� �!
'4441 Allen Rd. • Zephyrhilis, FL 33541 DATE/TII�E TAt�.EN r�E�26i�7 �e:�E
NOTES: CSS x I, � (��� I l'AKEN BY JM �3
DATE/"fIME F'ROMISED �E,/cE,/17 ��:OQ�
A�(�� a� +(�j 1� � CUST(]MER#/LOCAT I ON �14��
PHOIVE# � •813-78�-2740 O
PHOIVE�# ' ' 813=479-33��
CO�ITACT MGR: SHARO�!
ROUTE/SEQ JUN
A ft M pR(]PERTIES EVERGREEN VILLAGE APTS ,'
I�. O. BOX 330 � 3842� EVERGREEN VILLAGE DR ,
ARl" #c
LAKELAND FL ,=,38Q1c: ZEF'HYRHILLS FL3354�
- � NEEA UNIT INFO
• lVe�l�Dco�3� .
N . _ .:. � _ _ . , . . ._ . . . . . '
`��'''"� :��-�'���"'.�: `=;:=DESCRIFTION=OF,WORK '�;� .. - ' ' QTY;'';' ,� MATERIALS 8�SERVICES ':• , �. �., UNIT PRICE �AMOUNT �
T'r'D-/1 F�►� � i
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' ':RECOMMENDATIONS: _- ' ,� � ' � '
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.._,:';,... .:,,;°":;:-�_::,,,.:_.`.;�_.�:.,: ::":"...::'..,"�,�. ".,,:,::, i i
ArinuafsMairitenance'_Recommentled by�All Eq�iprrient Manuf�#ur,ers:` '
- ,:,. ,;,,>.._„�, ,• , Pressures Lo HI T-Stat i �
-- - � _ , .. � , t
• REFR�GERANT R- ' , LBS. 5 peclbs. ' � - �
' � w • FILTERS x x Changed Monihly i I
: � FILTERS x x � Changed Monthly �' �
❑ REGULAR ❑WARRANTY TOTAL SUMINARY ;-
....,.., . ...,.:.,� ... , . ,.
,. ,.,,
;;Dahumidistat'Setting§',;When here"ON"�-When Away 60 y,�T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: ,All materials,parts and equipment are warranted by the manufacturers' " - � ,.METf-IQD OF PAYMENT _ � CALL i
or suppliers'written warranty only.All labo�performed by the above named company is warranted for � TOTAL i
30 days or as othenvise indicated in wriGng.The above 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 warranties on ,
behaifofabovenamedwmpany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
PROG. W / C
i
I pave aulhoriry to order the work oWined above which has baen salisfactorily wmpleted.I agree that Seller ,
retains tille to eqWpmenUmaterials(umished until final paymenl is made.If payment is not made as agreed, CLAIM# �
seller can remove said equipmenVmaterials at Seller's expense.My damage resulting from said removal shall
not be Ihe responslbiliry of Sellec NET 30 DAYS.A 1 tl2%SERVICE CHARGE WILL BE ADDED MONTHLY TO �
ALLUNPAIDBAL'ANCESOVER30DAYS.NOREFUNDS DATE COMPLETED
, TECH: � i
�yur�n,�C -`J'aiG I
CUSTOMER S GNATURE DATE TOTAL �