HomeMy WebLinkAbout17-18633 CITY OF ZEPHYRHILLS
5335-8TH STREET
� ` (813)780-0020 18633
BUILDING PERMIT
- •- - PERMIT INFORMATION -� � LOCATION INFORMATION
Permit Number: 18633 Address: 4600 BLOSSOM BLVD
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: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-017D-00400-OOCO
Improv. Cost: 3,680.00 � OWNER INFORMATION
Date Issued: 7/05/2017 Name: SQUIERS ILENE
Total Fees: 55.00 Address: 4600 BLOSSOM BLVD
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-5664
Date Paid: 7/05/2017 Phone:
Work Desc: A/C CHANGE OUT 2 TON SPLIT SYSTEM
CONTRACTOR S APPLICATION FEES
PATTIE ELEC. & REFRIGERATION A/C CHANGEOUT 55.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULATED
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 properly. 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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� NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Bnliding Department .
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Date Recelved _ :�;p�ane�Gantaet for�P�rmtttin :� � - '
Owner'a Name � G�; 1' --`���l��� ' , Owner•Phane Number _�
Owner's Addreas ° �. �Own�"r Phone Number� �� ��
Fee Simpls Tltleholder-Name �� �� 0wrner Phane Numtier "•�� � � �
Fee Stmple Titl�holder Address
�oa aoaR�ss ��v�b �10�56/'Yt ,�I t> �or� ��
suso:v���aw � � PaRc��.i� I�d2�";�-�f—b1�d-C2��G� —I�O o�
� f- " . ., (OBTAINED:F.ROM PROPERTYTAX NOTICE)
WORK PROPOS�D �.�NEW CONSTR ' � � ADDIAL�'1' �� 31G(V` .`Q. =:Q DEMOI:ISii
�. ���,� INSTAI:L. 8� ..:. R�PAIR -s. - <
FROPOSED?U5� , ,y _[�• SFR= � 'GOM{UI ` [� w OTFiER '� , - ' `
TYPB OF CONSTRUGTION Q� ' BLOCK " Q 'FF2AME "C� ,STEEC' �[� �
8E3CRIiiTiOT!OF WORK. .� �� o��Oo"1 �.�� S vr'=�T�;� l�'/5'P��' ��'l�i� U�
BUI�DIN�:SIZE`'�� �'St�AFOOT�GE�: .�HEIGFiT ,C�� � ,
QBUtCDt1VG $ VAt.UAT103V�t�F't'OTAL:C0151S1RtlC'flOid x, " ` :
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Q��EGTRICAl. � � � AMP SEl3ViCE Q �PROGF2ESS EtVEFtGY Q W:R.E.C.
OPLUMBING;-- $ - --
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�CHi4NIGAL � $ VAl.ClATtON OF MECMANtCAI IIVS?ACtATtOld �� � /�
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� [�GAS , �] ROOF{N.G Q SPECIAL.'(Y [,-� QTHER� �
I FINISHED FLOOR ELEVATIONS �----^� FLOOD ZQNE AREA [�YE�. NO . � ,
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�UE�DER C�l1APANY, ,. , -
SIGNATUItE REGISTERED Y/ N 'FEE CURRE� ° Y/N�` -"
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SIGNATURE' - " � � ' _ �,� RECa1S.TERED, Y./.N�• _ aFEE GURRE�,� �Y./N` _ °
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SIGMATURE> • U `GJ��`Q''(%�L�C`C '� V� Q�� "''�. ` REGI3TERED ,. Y.,/ N FeeCURREn. Y./N ,
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Addre� .t`x�,,;•:��. "^�°�_ ��-� -`_�° ,;��, - �:s ,.� �; , llceiiise#`t� ��
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�RESIDENTIAL*s�;;�',Attacti;(2}µP2ot:Platis;::(Z}"set`s`<of�8ui'!'ding}PE�ns;`(.1)'setiof'�rt'ecgyr��ormsi=R'�0=t+lt�Peirnitf6rriswc6nstritctlon, , ; . _
�n�-;fru 3�Minlmump;tenc(,1A);�v,vorlting�daji$s�fte�usutir".in��fa1'date��'equlred a"nsite;;Co'nstiu�don'Plansr'Stomiiwrate�`Pians-w%SIIt�Fence instalied,�
" 'Sanitary'Fscil(pes:&f1:,dumpsternSlte�alV.arkrPertnitfcr�.sU�idivi�lonsAarge;pruJe."ct"s;�:,• ':�A � f" � . .�%�'. , %� ° � '
`GORRMERCIl4t. Attach�(3}�corriplete sets�of Btiltdin�Plans�plus aMt;lfe Safi�iy�Page{'1}set of Energy Fricros.R O-W Pesmtt for newr cansUvcSon. �
Mlntmum ten(10)woricing days af#er submittal date. Required onsite,CansUucUan Plans,Stormwater Plans w/Sift Fence instslled,
Sanitary FaclliUes 8�1 dumpster.$ite Wark Pertrrit for all new<prttjects::All commercial Cequir.ements.must meet compliance '' �
„�SIGN>PER[Y!!T Attadi{2�:sefs af"Eiigi�eefed;;Plajns:��=�:��:�µ'r.��;;.;:F •�-..,; ,. � - .
� � . "*"PROPERTY SURVEY reguireci for all NEW cqnstrucd'a.n.,.,_. _ -. -�• -
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FIII out epplicatlon completely.
Glwner&Contractar sign back cf appltcatlon,notadzed �
tf ovsr$Z500.a.Notice.of.Comnnencement 1s required, {A1C u�tgrad�s ovar�7500) _
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�e- � �:.;�;`iM�" yi:il��'
AgenC(for the oantracto"r)'iir`Power'of Attom`ey(fii�tFie dwner)'would tie someone with notarized letter fiam owner authorizing same
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:DVER''t'iiE COUN.T,ER;PERN11TfCNti--.._._;�,.(Front af Appllcatlon-Oniy},-._�...-�
Reroofsif shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Foatage) _
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Drivsw�ys-Not over Caunter if on pubtic roaduvays::need"s fiOW`
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tdOT10E OF DEED RES`TRlCTIONS: Th�ur�decsigned,under•.gtand§;th�t:thia:p�rm,Ot.,may.be;subJ�ct to".d�ed.".,.,nrestrlctlons".,';,�:...,, _,,;;
wrhich may b��inore�.restFlctive4th��t Cou�ty��eg�latCons:'�The undecslgri�d �ssuriies'fresptinsitiill��.for"compllance�with�any '
appUcable deed restrictions. �"�• ' •� "
UNLIGENSED=CONTRACTORS AND CON�RACTOR�RESt90NSI�ILITIES: �=1f�the�~own�r�has"'hir�'d �a"'cdritr�ctor or
contractors to und�rtake work, they may;be�r�qulr�ed�.to<be;ltcensed,ln_;accordance.with state�.�nd.,local regulatlons:�-1f the� � � -
cont�actor=ts not�itcensed as reyulred=tiy I�nr� both•the owner �nd contracto��may be�clted=for�a�misdemeanor violatton
under st�te law. If the owner or intended;,contcactor:are,�uncertaln a� to whaC Iicenstng.requlrements,Pnay::epply�for:�the�-�����- = �
Intended wiork, they are addiseei to conf�ct th�,Pasco.County Buildi�ig'lra�pection�Dh+islon--l:(censing 8ectton at?27-�47-
8009. FunFiermore, If the ovmer'fias"Filr�d a cont�actor o� contractors, he ds advised to h�ve:the con#ractor(s), sign , _,
portions of the°contrector Block" vf.thl���ppllc�tlon_f.or which.they wlll..b�-.rasponglble.-�If.-.you,�as-:fhe owner aign�'as°the" '
contractor, that tnay be an indication that'he is�not.properly�licensed'ae�rl��i'"s�nof entitied�fo perinitting privileges in Pasco_,. ,
County. • , . .•:._ „
`��lARlSPORT/�TION.IMPi4CY/UTIUTOES�IMPAC'���ANb°�tE�OUItC@ REC011ERY�FEE3: Th�unders9gned�und�rstands
th�t Tr�r�sp���El�n �m��ct F�as�es��.Rec�+.���.l���b��r.Fe�s_r���:.���ly�,:+,��t6��;����tntctd��;of n�v�mEs.Lllding�,-ch�a��c'��''= - -----
us� in existine buildings, o�,ezpansla��of��ezlstiri,g:�,bulldings, �s sp�c�iad.in Pascq County Ordinance number 88-07.and:
90-07, as amended:.:,_The. undersigned also>urtd�rstands, that"such fees;-,as�rnay;_�e:due;,wtll::be IdeMigi�d at the<�time�of�� - = -
permitting. It Is iu"rtfier understood that Transpo�tation Impacf'Fees an��Resoucce;,Recodery�Fees.must be paid pr(or to
receEving-�:"cerfificate:-of occupancy" orfln�l�.power:celease: :I��the.proj�ck.does�:not involve:a.:certfficafe of occupancy.:o�-�� =- � �
flnal power release;.the,fees_mu�t�tie`"paid,prior to:pecm(t issuanc�. Ft��thermo're;�If.Pasco�County"11Va4er/Sewer_-:impact � -� ��
� fees�re due,,they must.be-pald;priorto,.p_ermit�:lssuance:'In�accordance-with:appllcatile.Pasco�:County>ordin�nces. • �
CONSTRUCTION�CIEN'Ld�W°(Cii�pter 713� FIoNd��tatut�s�as amend�d): Ifiv�luatlon of work is�2,500.00vor more;-1�� °,. . ��,
certify that I, 4he: applicant; hade�b�en pror►ld�d��with a copy-vf�4h���"Florida��Construction:=Llen .Lav�—Homeowner's
Protection Guide" prepared by the Flo�lda Depertmen,t of Agricultur� �nd Consumer�_AfPairs. 9f,the-applicant Is;someone
oth�r ihan the mowner", I cert(fy`,-that.i..hav.e.obtalned-a�copy,of:thei�b�v�:��scrlb:ed��iocu�ent;�,and.;promise,in,gQod�.faith•.ko
�eliver it to'the:`owne�`prior4'to.•cornmenaement:'' � " � "' , � � ,
CONTRACTOR'SlOWNEtt'8 AFFIDAVIT: I.ce.ctity�:th�et��il..th�.lnform�tion<in�thl.s.�pplicatlon is accu�te�nd that all work
w►ill'be done 6n compifance with �11 applicabie laws r�gul�ting consQrsactlon, zoning and land':development. Appllcation is
hereby made b obta(n .a permit�,to ;do_.;wock�,and,Ihstall�tlon a� indlc�fed:�:-�-:1 certffy that no wark=or in�tallat{on fias
commenced p�lor 4o Issuance of a permiE�'aiid th�t:all work �rlll be p�rformed�to meet.standards•of al9 laws regula�ing�
constructlon, County and City codes, zoning regulatiQns, and land developmen! regulations�tn the jurlsdtctlon:- 1-=�Iso
certlfy th�t I u�derstand that th� r�gul�tlons of other government agencies may�apply�to the.inQ�nded work, and that ft is
my respon�ibility to Identify•wrhat.act(ons I must,take:to,be,ln..compilance,;Such.agencles:include'but=are.not Ilmlted to:
- Department of Ehvironmental'�Prot�cfion=Cypress.'�ayheads; Wefland Areas and Environmentally Sensitive
Lands, WaterlW�9tewater Treatment.
- Southwest Flortda WateP Manag�ment: .District-VV�lIs;' Cypress.� �ay..heads�, 41Vetland Aeeas, Altering
Wat�rcourses. , •
- Arrtay Corps of EngEneers-S�awalis, Docks, N�vigabl�VV�geeways.
- Department of .Flealth:'.&.:Rehabllitative�Senrices/Environm�nt�l ,Heatth�Unit-Well.s;� lNastev�rater.7re�tment,
Septfc Tanks.. . - ,
- US Environment�l Protectlon Agency-Asbestos abatement..
FederaF Avlatton;Autho�ty-Runways:�
I und�rstand that the.foilowing:restristlons apply�fo the use of flll:�
- Use of fill is not allowed in.Flood;Zone"V"un0ess expressiy permitted.
- If Qhe flll mate�lal Is to b.e used_:in.�flood Zone. mA", It Is understood that a drainage plan addressing a
"compensating volume" will b� submitted at time ofi,perpn6fting which (s prepared by a profies�(onal engineer
Iicensed by the State of flotida. - - � ,
- If ih� fill°materlal�is to be�used In Flood �one 'A� in�c�nnect6on�with�a ���rmit�ed building using st�m wall
� construction, f certify,th.at�ll�:vuill:b.e•used only.t�.f111 the ar���within�the�steFn��li. _
- If �111 materlal 9s�to be used in any area; I ce�ify 4hat .u��. of"such fill wEll r�ot add�rs�ly �ffect ad)acent
pcmperties. Ef us� of flll is found:to �dvetsely.�ffect adJ�Eent��prdpertie�,.the owner�ay be cited for vio�ating
the condl#ions.of�the building;permit Issu�d under the atEached_�rmit..applicatlon,�for:loQs.less�than.one (1)
acre wfiich ere elevated�by flll,,a�t engine�red drainag�plan is r�quired. ,
If I am the.AGENT FQR THE�OWNER, It.promise in good falth to inform the owner of•the permitttng conditfons set forth In
this affidavitjpr(or to commeracing constructlon. I understand thet a;separete permit may be required for elecMcal'work,
plumbing,..signs, wells,.pools;, alr conditioning,-.gas, .or ott��c Install�ttons noE�spec�ically included-in the�application. .A
permfE Issued shall be constcued to be'a�license'�to proceed wlth�th�;work�nd:not-�s..authortty:to:violate,.c�ncel, alter, or .
��t aslde_any"provis(ons of 4he.technical,caodes;�nor shall lssuance�of a.p�rmit.pcev�nt the Bulldirig O�ficl�l from thereafter �
requlrin.g a conection nf errors-in;plans;-constivction._or vlola4lons of�any codes. .Every��p�ermtt�-�ssued"shail�become invalid
unless the work author(zed.by such permlt:�t�-commenced�w►tthin.�fX:ee�.or,�ths of pertrnit Issuance, or IPwork authorfzed by
the permit is suspended=or;abandoned;�for.a�,period.of�isr�(B)�inoM(is':aft�r`th�time the�work��s commenced. An extension
ma be r�quested�,in wri#Ing;:�f�om.'the.Bullding Officl�!for a pertod.�not�to exceed'�ntnety�(90)�days �nd-witl�deononstrate
Y
' justlfiable cause for.the exten�lon. !f work c�ase�,for nin�ty.(90)cons.�cutive day.sr..th\job�ls consldered aba�doned.
I�IARNING TO OVNMER: YOUR;�AILWRE,,.TQ,:REC,O:RD;A:.MOTI�iE�OF.ACOMMENCEMEI�T MAv-_RES[tLT_IN`YOUR
PNYING 1WI.C,E;FOR;IIIAPitOVEMEN�'S�T��YO.Ui�:P�ROPERTY:��:I��:VO.U�IN��EMD?�TO��OBTAIN��INi��1EtWG;'C.ONSULT
WIT D AIV- Tf0 �1 • OR��., �: G;; :pV ; :. ,;� ;+ : :- � - T. .,�
FLORIDAJURA'f.(F:S:1:1T:03} � . • " ' , .
OYVWER OR AOENT . CONTRACTO - _
Subscrlbed and�wom ta(or atflrtned)before me thls Sub�crlbed'and' m�to( � Irm� ' re me' t�
by �', � ..: .... , ,.
Wiio Islare person�lly known to.me.or h�s/have produr.�d Who.ls/ar eraonelly kn •tai;me;,or haslhave•producetJ • . '
ae Id'entlflc�tlpri." ' .i' es Identlflcatlon. �
Notery Publlc _ � �C� Idotary Public
Commisslon No:'� Comr� si No. � �
� � o�;ss'ei;a�.,, JACQUELINE BOGES '
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fVame ot Notary typed,printed or stamped Name of Notary typ ,�a 'ar���ec�mbar 12,701�
; "%;;od�°��� NontlodThruT�oyFainlnour�noeA0tl�89�1019
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Pattie Electric & Air Conditioning
„ . y 39111 Paftie Road
Zephyrhills, FL 33540 �
813-782-3319' ' ' � � �
sales@pattieelectric.com
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Summa , Tech� StarE• " .
�WorkOrder _�w_�......�Date T __.._.�......_.�.!Y'__ _....._ --__.. - __....End: ___...��,�._._.___�_.�_._�..�_..._._._
1976-101 6/28/2017 INSTALLATION DAVID N 02:00 PM 03.00 PM
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;Bill To: �- , ....._._._.�..- t y k �ob Name: , � �
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_���_.__.._,�....,_ ,...._.... . .,_ m__�m. .____�.:._ ___. _�.��......,..�__M..�._ .._ ._..___._._
Ilene Squiers Ilene Squiers
4600 Blossom Blvd 4600 Blossom Blvd
Zephyrhills, FL 33542 Zephyrhills, FL 33542
813-788-4154 813-788-4154
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> 6/28/2017 WED 2:23 PM> 2 �� �,y��,�,� Sp�+ 4-S.�S$-t�V✓1 �
Replace 2.Q ton split system unit per quote $3,680.00
First floor condo, coil must go in attic. �y SPRY ��� �U�,�'�'
Price is Per Stated Quote 1.0
Necessary permit 1.0
par��e�t� �5- 2ca - z ► - oi-� L7 - oo�.{oo - ooG �
Sctu i�Y S Z I�e,v�2. E-.
All material is guaranteed to be as specified. All work tb be completed in a professional manner according to standard practices. Any alteration or
� deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection,including attorney's fees.
Signature Date
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