HomeMy WebLinkAbout17-18624 li
CITY OF ZEPHYRHILLS
5335-8TH STREET
•- - '� (813)780-0020 18624
Bl1ILDING PERMIT -
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�• PERMIT INFORMATION ' LOCATION INFORMATION }"'` -
Permit Number: 18624 Address: 5946 9TH 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: 11-26-21-0010-00600-011A
Improv. Cost: 3,395.00 OWNER INFORMATION
Date Issued: 6/29/2017 Name: QUENNEVILLE MARC &ANITA
Total Fees: 55.00 Address: 5946 9TH ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-3530
Date Paid: 6/29/2017 Phone: 813-355-6880
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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I Ins ections Re uired
DUCTS IN TALLED �
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DUCTSINSULATED
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 I
may be found in the public records of this county, and there may be additional permits required from other governmental 'I
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." i
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with '
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
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NO OCCUPANCY BEFORE C.O. j
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C TRACTO 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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813-780-0020 City af Zephyrhills Permit�Application Fax-813-780-0021
� � � BuHding Qepafinent _
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Date Recelved �.�Phone Contaat far�Permt#Nn " g� �' �tT c�— ���
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Owner's Name GGL,.°.�J��UG� P e Owner Phone Numbar ��— �J`'`3� ��� �
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Owner's Address �� � J� � /G1.5 Owner Phone Number �
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Fee 5lmple TI#Ieholder Name � • � Owrier Phane Number � � �
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Fee Simple Tltleholder Address �
� J08 ADDRESS �� � ��� ��Sr ����� LOT# �� .
suso�vissor� , � � ��cF�.ia# 1�" �lo - �1~' � � 1����GS z�ll� ',
. (OBTAINED FROM PROPERFYTAX.NOTICE)
WORlf FROPOSED. _NEw CONSTR ADDtA�T [� StGN Q• Q DEMOI.ISH
- e. iNSTALI. �REPiAIR ' _
PRflPQSEDtIlSE , � Q SFR Q 'COMM [� �OTHER • �
TYPE OF CON3TRUC'fION Q� ��'BLOCK " [� FRAME � C� STEEL' Q
DESCRtPTIt�N OF WORK' �, q ��� � ��Y4- 1h'�V��'/l�`�7�J �
d�ES 6 �G G'�OGG'� a�
BUFCDtNGSIZE' �� �"SQ FOOTAGE��� .,HEIGHT��-� 'I
�8���'����' �W� VALUA710N:"<)F`TOTA�:CONSl`Rt'1C'f'ION~ ' � . .
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QEl.ECiRiCAi. � � AMP SERVICE Q PROGRESS ENEf2GY Q W.R.E.C. �r �
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MEGHANICAL $ VALqATtON OF;MECHANICAi.INSTA�LATlQ1V / I
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�c,As � r�ooFir�a _p sF�c��.�nr [� o�He� - I
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO
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BUILDER COMPANY� � � .
SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N '
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Addre�s • Llcense# � I
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E�EC't'EtlCIAt�lf : � � . COMPAHY •- ` . I
SIGNATURE '� REGISTERED Y/ N FEE CURREk°� �Y/N' �
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Addre�s ` . . .. Ucense:# r— �� • � `�
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PCUMBER" � . . COMP:,ANY - �, , , . I
SIGNATURE` '' ' , � REGISTERED„ Y L•N --,FEE CURRE� ' Y/N: •'
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SIGNATURE � ��� Mr�����h—'� f . REGISTERED.,� . Y:/ N �,FEECURREP Y.,/�PI �
Addre�s� . =;�'�J� ! +`�%t� Z`"l7/��+ .. � - , Licensa# �t-3t7'.C✓� T�.�,� -
I OTHER -� . -. _. �. „ .:>COMP��NY.'
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� SIGNATURE� �,,..: ,... ,, h .::�,-..��- ,� •-• : : � � �
REGISTERED Y/ N... FEE CURRE� , Y/(11�
Addcess': . - .. �,�. , ... , , . . ��' � _ � . . •=,,�_- � � _ • License#�'� '� � _ ;
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RE31DEN71Ai:�:_;`Aftaoli;(2},Ptat;Flaris;.(2)'s'ets=o�=Bu1lding�Flan"s;(1)'set oF Energy>Foiin§;,RA�WMPer`rrilE far new canstntctton, , _
�-r-; ,,�. Mlnimum•�ten�(10).working�;dajrs'after;subrriiftai date.';Requiretl onsite;�ConstiucBon=Rlans,Stormwater pians�w!Stit Fence instailed,
._...-.,:�.... . .
Sanitary Facpftles:&�1;,dumpster-:Slte_Work�Permit for suddivislons/large:pro]ects_;_-'.;�- - ' � ��• -
COMMERCiAl. Attac�{3)`cbinptetei`sets+of�Builditig P1ans pliis a.Ufe Safety Page;('i}set af Energy Farms.R-O-W Pennit for nerv consttuc�on. °�
Mintmum ten(10)working days after submittal date. Requlred onsite,Canstrucdan Plans,Stortnwater Plans w/Silt Fence lnstalled, ,
Sanitary Facilifies&1 dumpster.Site Wo�lt Permit for all new�projeots:All commercial requlrements.must meet compllance-' ' �
SIGN PERNII7 Attac,�{2)sets�of'Engineer,eduPians:;��>-:�~ . - r _ , ` -
'••"PROPERTY 5UR1/EY reyulred.for all NEW canstrucUon., . •
Directlon�: _. . , ., _ -� , .. �
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Fill out applicaUon complekely. �
Owner&ConhacMr stgn back of appltcatlon,nptarized '
If aver 52500,a Natice;of Cammencement is reqaired. {AtC upgrsdes ovar 57500}
..y�,i'sri�:;`.ciS ��r.�:�c�.':�.. � ,��
`" A(]enf for the contrabtor1'or PQwer o�Attomey(fb�ttie,owner woultl be someone with notarized Ietter from owner autlioriiifig�same�=<�����,>-�-.��,,�,.,.,���:.,_ .,,
'V � /� J4.3S�p•.2i.M.�J..<u.YfY___.'..`Y+2(.�lu_ >. .�-�1.;,.n,..'."". .. Y' . 'i.,.�� �.� � _
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OVER TME COUNi`ER PERMITTi�lG.-_.r;�:Fribiit of-' licatlan�On1 :. . . - - ,:- �:
�t APP Y)`�_-....,.> ��'. ._ . .;;�csa`-�+<<: , ,
Reroofs if shingles Sewers L �!Seivice,Upgrades��A/.C�'����' Fences(P,lof/Survey/Footage) Y� � � « ,, �� '° �' -
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Drtveways-Not over Gaunter if an public'raadways::need"s�ROW���.; 4` : , ' - , ,
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NOTICE OF DEED RE;fTRICTION�: The u�dersigned:undergtands�eth�t.lhi�,°p�rmlt�,may,be:subJect.to,_°deedF,restrictlons";.::�,_4 :}.ya
which may�be�more�.rest�ictive`=th��County�-reg�ilations.��The unde�signed`assumes'resp�insibiltty�"for`corripllance'.witFi��any `
applicable.deed r�s4�ictlons. -.,: >.�.::,�,,,� .., >- �. .,. _.,.,-. , __...__�.�;. < �°.=�,_ .- - .-
UNLICENSED•-CONTRACTORS :AND CONTRAC'FOR RESPONSIBICITIES: -�If�thewowner-has��hired'�a�contractor or
contractors to undertake work, they may;be�r.equiced_to.:�be Itcensed-In.accordance.with_state.and�local,regulations:�°If}the��� - :� '�
contractor'is not.itcensed�as�re�qulred`tiy law,:both the owner and=conuactortmay`be�clted'for�a��misdemeanor violatton
under state Iaw. If the ovnner or Intended;°;co,n#ractor.ere:,uncertaln as to.what`Itcensing:,requirements,=may.>apply,��for�-tfie`- :r� ����_'���-
intended work, they are ad`vtsed"to contact`the.Pasco:County.Bultding;'Inspectton.Dliilslon-Ltcensing Sectton at 727-847-
�._w.,_ ._�.�_
8009. FurtFiemnore, if the owner"'Fias"hired a cont�acto� or contrectors� he is advised to have the contractor(s),,sign. ,., , �
portions of the "contractc� Block°.of this�,appifcation.for which.they,will b.esr,esponsible.• If.-.you;:-as-#he owner stgn'�as the'" `� �� �
. . ,. .�_.,_ .____�_,
contractor, that tnay be an indication that"`he"is not�properly Ilcen�ed-and=ls�not entitled to perniitti'ng peivileges in Pasco
County. ' _.._>3 ;,.s�,: .;;.,.� :.
TRANSPORTATlON=1MPACTIU.TII.ITIES-IMPAC'�ANb°RESOUItCE RECOVERY�FEES:`The�unde�signed understands
' that Transportation Impact Fees�and.Reco.urse Recovery_Fees may:;apply�to�tf�e�constructlon�of new�b..uiidtngs�°change��of��f�'��=��� '��
use In exisNng bulldings;�or.�ezpar�sian��of ezisti�i�g`�buildings, as specffied.in Pasco County O�dinance number 89-07 and=
90-07, as amended.�,,The und�reigned aiso;urtderstands, ttiat"such fees;-;as��may_�e=due;;will:�tie tdentified at the-�time�of"�` �'
permitting. It Is fu'rthe�understood that Tran§p�ortation Impact"Fees and;Resource.'.Recovery=Fees..must be pald prior to
� receiving a_'certificate:=of occupa�cy" or�flnal��powe,r;;,release:; :If�the.project::does�:not involve:a�.certfficafe of occupancy�'o�:=�'�°�=����;'�'
final power-release;.the;fees mu�t,tie'paid tp'r'lor to..permit Issuance. Fti�#hermore;�if:Pasco�C.ounty"INatedSewer�lmpact .<�::t<<•,��•
,:.,.. ��
fees are due,.they must,be;,pald:.p�lor to,�permit.:lssuance�in.accordance witli::appllcable�,Pasco�-•County=�ortlinances. •
, CONSTRUCTION�LIEN�LAIN'(�liapter T13� Florltla 3tatutes�as am�nded): ifi valuadon of work is$2,500.00:.or=•more,.:l-• ;� =�.;.�
certify tFiat I� the �applicant�A have�been ,provi.ded �wtth--a•-copy- of the "Florida-Constnictton� Lien .Lav�Homeowner's
Protection Guide" prepared bythe Floiida DepartmenC of Agric.ulture and Consumer;.Rifaira, if the applicant is someone::., , _.
�-r;
other than the`owner", I cert(fy.that l<h�ve;:o.b.tained�a�copy.of the;above..rJesc.rl�ed�docuri�ent;and:,p.r.omi�e;:.in,good':faith�to . � . �:,�
deliver It to:the.:"owner"'.pdor�tokcornmencementc`` � ' � " � � - -
COMTRACTOR'SIOWNER'S AFFIDAVIT: I.certify,�:tti:at.all:th��lnf.ormation::ln-thl�appllcation is accurate and that all work
will'b'e done in com ilance with all.a Iicable laws re ulatin construction, zonin and�land�deyelo ment. A ticatlon. ls
hereby made .to obtain .a permit�,topdo.,work:-,and-lnstatlatlon as indlcated:�.;���I� certify that no w k=:or Instal tion fias �
commenced prior to I'ssuance of a permit``and that.all work wiil be pertormed�to meet standards-of all laws regulating-
constructlon, County and City codes, zoning regulations, and land development regulations�in the Jurtsdict(on:= '( al'so= ..
certify that I understand that the regulatlons of othe�government agencies may�apply�to..the.Intended.v►+ork, and that it (s
my respons(biHty to ident(fy.what,act(ons I must�take:to,bedn�camplla�ce...S.uch:agencles�include but��are.not limited to: _
- Department of Environmental>�Proteotion-Cypress'Bayh'ead'�,�VUedand Areas and Environmentally Sensitive
Lands,WatedWast�water Treahnent.
- Southwest Florida VUater Management:_:DisUict_Wells, Cypress.r Bay.heads;� Wetland Areas, Altering
Watercourses. •
- Army Corps of Engineers-Seawalls, Docks, Navigatile Waterways.
- Department of.,Health;:.&. Rehabifltative;,ServiceslEnvitonmental-Heatth Unit-Well.s� Wastewaterd Tre�tment,
Septic Tanks:. . _ .. . " .. � -
- US Environmental Protection Agency-Asbestos abatement.
i - Federal Avlatton=Authocity=Runways: ,
I understand.that the.following.��estrictlons apply`to the use of flIL••
- Use of flll is not allowed in:.Flood_:Zone"V"unless expressly permitted.
- If the fill�material ts to be used:°�In.:Flood Zone. "A", It. is under"stood that a drainage plan addresstng a
"compensating volume"wlll be submitted at#ime of permitting which is prepared by a profess(onal englneer
Ilcensed�by�the StaCe of-,Floiida: - � - .
- If ih� flll materlal=is�to be used in Fiood Zone 'A" ins connec�ion�with:a��permitted building using stem wall
construction, I cerNfy.that flll:wall:be�used only.to flll the area within�the�stem wall:
- If fill materlal Is-to be used in any area; I �certif�r that .use of�such flll will not adversely affect adJacent
propertles, If use of flll is found to adversely:�ffect adJaEent��prdpertles�.the owner may be clted for viorating
the condilions:of the bi�ildtng:permit Issued=under the�attached permit applicatlon, for.lots.less°than:one (1)
acre whicfi are elevated��tiy flll,a�r engineer�ed dralnage plan is required.
If I am the.AGENT FOR THE OYVNER; It�romise in,good fatth to i�form the�owner of��the.permitting conditlons set forth in
this affidavit�pNor to commencing,construction. "I understand thet a:�separete, permlt may be required for elecMcal.work. � .
plumbing, signs, wells,,.pools;, alr conditioning,�.g�s� .or.other Instatl�tlons not.speclflcally included-in.the application. .A
permit Issued shall be construed to'be�a°Iicense'=to proceed wlth'tNe:work and not�as:authoNty:to:_violate;'cancel, alter, or
set aside any provisions of the techolaal.ciodes;�nor shall Issuance�of a.permit.ptevent the Bulldirig�#iictal from thereafter
.. ,_. ., .
requiring a correction nf ercors in�plans; constivction or violatlons of-any codes. .Every��permit=lssued sfiall become invalid
unless the work authorized.by such permlt�is-commenced•withln sfX,moMhs of�permlt Issuance. or If work authorized by
the pe�mtt is suspended�_or:abandoned;for-a:period;of�six;�8)�montiis:after the time the�work�s corrimenced. An extenslon
may be requested, In writing;�from.4He.Building.Officlal for a period.�not=to exceed�nlnety(90)�days and will�demonstrate
justifiable cause for.�the extens(on.. If work ceases:for nine#y.(90)cons,ecutive:days...th�)ob�is.cons(dered aba�doned.
WARNING TO OYVNER: YOUR�FAILI�RE•TQ.,.REC.ORD;A:AIOTIGE:OF��COMMEMCEMENT,MAY�RESULT�IN YOUR
PAYING TWICE;;FOR IMPROVEMEN.TS�.T�;_a(OUEt::PROPER7Y.=:I��:YO.EI�I�F'.FEND:�T�`OBTAIN•�FINiAI�E1NG;�C.ONSULT
WIT U � . D �O: AN�ATTO N �. OR����ECOR�1 G�� OU � . �G �"O F. : . . E �. . '.'
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OWNER OR AOENT �R�L C�NTRACTO
Syi� be andswo oraRirrqed ��e� s�. S�be bed'and's (otafflrmpd)/efo me,fFil� ,
6 L. / L
1Mlo Is/a personally knovm to. e or,has/have produced Who.ls/are p. o�allyknown• me or haslhave�produced • '
as Identlflcetlori. as Identlflcatlon.
, . �
tery Public ��� Notary Public,
Co s Y P �:'' SYLVIA A. MPBELL ComRlieslo o. ',����„
-,2o�a u���-, Notary Public- a
_ + = Ex ires Jul 19,2017 ;�°+; «*�; Notary Public-State oi Flarida li
Na ;o`�V a� ,��g1o�s�rfi Neme o1 N i�r '
°q ' ' �� �5 i��i� #FF 034230
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���%%;�;,;,`,°��` gonded Through National Notary Assn. ,,,,�,„ F�oP.•'
'r-������•` Bonded Through National Notary Assn.
� � � PROpA►Nt G • v" � �� �� •
�� � � AND AIC t�S Service Order/Proposal
S�Ge�9� 8�3-78,2•50 i 3 InvoiCe �
WORK OFtDER#/SERVIGEMAI� 78048 .. EAU
Sales, Service & Installations � DATE/TIME 'FAF�EN 06I�1I17 @7:32
4441 Alien Rd..,� Zephyrhills, FL 33541 � TAKEIU BY �c,a, �
DATElTI#�1� pROMISED �
NOTES: . - .... CUSTDMER#/LOCAT�ON 17@03 i
. .��NONE# 813-355-688� M �
�� � ' 813—?6�-5�79 �
ROIiTE/SEGl. �AU—CURRENT i
� - � � - , MAP A/H—�CLOSET I NS I DE HOME ,
' /tIDR7'I f �V�. �dl��✓D - i
QUENIVEVILLE, MARK t�UEIVNEVILLE, MAi�K — RENTAL �
5941 9TH ST r— 5946 9TH ST �
._ �
�EPHYRHILLS FL 3354C ZEpHYRHiLLS FL33�4E
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hen here nA�i�aa�; ' �T Stat� � p:�;{�{,N;�ENANCE CONTRACT �
..�u.��.:s :a.�= SERV:I�P i
t71VlITED WARRANTY:`IUI rmaterials;paAs'and a�uipment are wartanted by the manufacturers' . �.�.,..�_ --"�:^:.", � ,_:°�:..-: ' :�/�LL i
x suppliers'xrtitten wamanty only.All labor perfortned by the above named company is wartanted for �'�:�'�-= � ' '� • �����_.� ".��"`'`�'••`
� 30 days ar as otherwise indipted'm writlng.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i`
�ress or implled,and its agents or tech�idans are not authorized to make any such warranties on MATERIALS i
�etiatfofabovenamedcompany. ❑DEBIT 0 CREDIT ❑OTHER MAINTENANCE �
'have authorily lo order fhe wwk outl'med above which has been saVsfadarily compieted.I agree Nat Setler ' ' PROG. W I C � ',
�esains title to equipmenUmateriats fumisAed unUl finai paymeM is made.If paymentJs not made es agreed, CLAIM#' �
s�a ran remrne sald eqWpmeM/materlals at Sallar's e�ense.My damage resuPong fiom said removal shaV .
ALL UNPAID 8lLLANCE OVE1R 30 DA S N6 REFUN S%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED �
TAX �
TECH: i
�/ i
:USTOA¢R SIGNATURE .pp� ��� yau TOTAL �