HomeMy WebLinkAbout17-18640 CITY OF ZEPHYRHILLS
5335-8TH STREEf
� ' (813)780-OOzo 186 0'`�J
BUILDING PERMIT j�
-PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: 18640 Address: 37141 FOXRUN PL
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0480
Improv. Cost: 5,374.00 OWNER INFORMATION
Date Issued: 7/07/2017 Name: POST JASON MICHAEL
Total Fees: 65.00 Address: 37141 FOXRUN PL �
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 "�
Date Paid: 7/07/2017 Phone: 727-255-4420
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
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In ctions Re uired
DUCTS IN TALLED
DUCTSINS 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.
..
��i��iGA-�ic��
CONTRACTOR 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 Zephyrhilis Permit Application Fax-813-780•002�
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Building Department
Date Recelved . : Phone�Contact forPermittin ` �J ��� — ����
Owner's Name i �67 / ,��� / Owner Phone Number �/'`��d' �
Owner's Address , ���/ /a�/� � � Owner Phone Number
' - ,
Fee Simpte Tltleholder.Name Owner Phone Number
Fee Stmple Titleholder Addresa
JOB ADDRESS � /�� ��x�^G(.� L, LOT# �
SUBDIVISION /!��/e ��KS PARCEL ID# G/J �� �f � ��' ���
, (OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN' Q Q DEMOLISH
;e, INSTALL � ..REPAIR -
PROPOSED,USE , • -� Q SFR Q 'COMM Q OTHER �
TYPE OF CONSTRUCTION - Q� �'BLOCK " Q FRAME ° � STEEL Q
DE�CRIPTION OF WORK' F /\L�S� � C �jQ-/�f !��'�j(,(� � �.'YllYI � G/�'�. � �/�
BUILDING SIZE - ' SQ FOOTAGE ' , ,HEIGHT �.
QBUILDING $ VALUATION�OF TOTAL CONSTRUCTION � " '
QELECTRICAL $ ' AMP SERVICE Q �PROGRESS ENERGY Q W.R.E.C.
OPL•UMBING '$ -
QMECHANIGAL $ ' VALUATION OF MECHANICAL INSTALI:ATION
_ ��� . � ..
QG�4S Q ROOFING .Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO
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BUILDER COINP"14NY�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ' Lfcense•# �
ELECTRICIAN� ,,. �, � � :?COMPANY -
SIGNATURE �` REGISTERED Y/ N FEE CURRE� � • ��Y/N'
,;, . _ , - - . ' . - .
Address � � .�� License#=.°�
PLUMBER ' ' COMP,ANY_, �� � '
SIGNATURE '� ' ' � ;. REGISTERED� : Y,L•N.. :: ••FEE Ct1RRE� ' Y•/N �
Address � License.# • �
MECHANICAI:" 9I�/`��p a , �A . C.OMP�ANY �s �' ���`t$��� ,
SIGNATURE - �K'+���"C wL.� _ `' REGISTERED � � Y../ N ,FeE CuwtEn- . . Y,/�N � ,
Addre�s~��-� I l� ' � �/f/LL�.S . , License# .�Yo �3 L. �
OTHER , . , ' - : ` , �. ";COMPANY
SIGNATURE •� 4=�'`'�•'z' � � ' �'' ' ' ' ' �"REGiSTEitE�` Y/ N;,- -:FEECURRE� Y/N
Aeldr�ss� . �>. .. �{ /- . "` - Gcense#`' ' � , .
,..,; .. . �., ti,:-,.•.::.> �. � -
RESIDENTIAL?;� �Attacti;(2).PIot�P,lans;:,(2)'sets::of�BulldfngiPlan`s;'(1)setofEnergy�Form's;`�R=O=W<Permitfornew=conshucUon, " ".
;;:Minlmum�Ften�(1.0)�working�days;akerrsubmltfaf date:',R'equlred onslfe;'Con`stiiicdon Plans;Stortnwater Plans w/Sllt'Fence installed,
__. � ��-�;�Sani'EarjiFaclltUes,;8�R1.dumpster�.Slte�_Work,�Permitforsubdivislons/large_pro]ebts;�.__,' :• . ' � �
COMMERCIAL � Attach(3)complete sefs of Building Plans plusta Ll'fe'Sefety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construcUon.
Minimum ten(10)working days'after submittal date. Requtred onslte,ConstrucHon Plans,Stormwater Plans w/Sflt Fence Installed,
SanlNary FaclliUes 8 1 dumpster.Slte Work Permlt for all newtproject's:,All commerclal requlrements:must meet compllance
SIGN PERMIT Attacfi"(2)`sefs of�Engineered�Flans::: r , �
<< . � •.
""PROPERTY SURVEY requlred for all NEW,conshucUon. .
Dlrectlons: • �• . ' �.� � _ - '
FIII out appllcaUon wmpletely.
Owner&Contractor slgn back of appNcatlon,notarized � '
If over 52500,a Notice.of Commencement Is requlred. (A/C upgrades over 57500) ����;,�,.;.,�-:�,,,�,�,.;�„„��,,,,��;r�;_.:_..•;:.,:,
:., ��...;
" Agent(for the�contraotor)'or'Power of Attomey(fo�tlie.owner would be soineone with notarized lette�from ow�ier authoHitng`same -• ��• ;;
lADau"T.�`�.'�'.y�`:�kt�.f2''w+fi°�^_^�'w1e'-Jr:�° ��iiii,l:)�:i a4�:.i� � i�it. . , _- `
DVER THE COUNTER,P�RMITT((��;`�-. �(Front;of-AppllcaUomONy) � � � � ,t:� �,> �,� .�- , . •`, j' I
Reroofs If shingles Sewers -i�-,�;ti�e`r'vice'Upgr'ac�es A/G-% �''�Fences(Plot/Survey/Footage) '; ,,:�{,r.;; ; , , ''- !; _
f_L;Y�:+�i .:�� „< < ,-'. :.�_. s,.: . -- _. .
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Drlvewaya-Not over Gounter if on public roadways..needs ROW�:' �' �;>��: ,. � - -_ - . _ ___ _ .
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NO°�"1���F DEEl�RE�TR��TIAN�: T1ie u�nder.stgned.u�derstands°;th�t:4hts,Pprm�t,:may.be:sub�ect to�deed"restr8ct6oe�s", '._ .
,.....
which may.°be.=more r.estcictiv�+�than'Gounty,regulatfons: 'The`�undei`slgn�d�'�ssume�-�esponaiblitty far`cornpqanc�-witii"any
applEcabPe.ifeed restrlc4ions. , ,..,r� -. ' . < � , . .
UNLIC�NSED GONTit�ICTORS .AND COM'fRACTGR RE�PONSt�ItiTil�S: ff-the owner has fiired a�`c�ntrac#or or
contractors to unde�#ake work, they may:be�c�qui�ed.:ta.-be::licensed in.accordance.with;�tat�.and�loca,p,regulatlons. .�If�the��
caa�tractor Is not li�ensed as required`6y lar�r, both #he owner and:contractor rriay be-cifed�for a�mis�emeanor vialatton
under state law, If the oavner or Intend�tl=�contra�ton,ar��uroce�taln �s ta vnrhat'Itcensing.reguirements,.'may�:apply�or..tfie
fnt�nded wark,they are advised t�contact t�ie�'�sco�County Built3fng'le�spectfon Dlvision--l:icensfng S�ctian�t 727-847-
So09. Fu�Fiem�mre, if the owrner Fias�hl�ed�a cantracfmr iir confractors, he ts �iivls�d to have the canfractor(s),sign,'
portions of the "contractor Bloak" of thls�appll_catlon_for w+hich.they will be tesp.onsible.� If.yau,-as:#he owher`"sign�as fhe
cont�actoa�, that may be an Indicati�n that he 6s �o#.properi}r licen�ed antl`.ls no�entitled tb pecrrt6tting privlleges In Pasco
County. � `' � -
T�td�PQRTe�1`I�NiiNIR�iGT/l!�'1#�ITI�S�IM���'���I�RES�U���RE��VERY�E�S.� The under�lgried ianderstands
that'Pranspo�t�tian fmpact Fee�s and.Recou��Recovery_Fe�s m�y�apply�.tc:the constnic�ian_of nev�►_buildings,.�change of '� �
use !►a existing buqdingst or�expan�ls�n��•of�eiilsting.,�Wldings, �� specifled.(n Pasco Caunty Clydin�nce number 89-OT and
So-O7. �s �m$�aea.,-The undecs�gn�d alsa:understands, that`such fee�,;as�may_be�.due;;�,wifi tbe tdenttfled a#fhe tiivie�of'"� "
perrnitting. It is further under�stood that T�a�spor4ation Impact Fees and�`Re�ource:Reco�ery�Fees.must be paid prior to
rece�ving� °cert�fcate.o#�o�cupancy"or flnal-�powe,r-.r.elease: :4�fhe.pro��ct.does.not involve?�=.cert�lcate o#occupancy o� -, '
final powec relea�e,�the fees.mu�t be pai8,pclor#o,pecmit i�suance. F�r•thermore;if l�asca County�`1Nater/Sewer;lrr9pact
fees are due,.they.must be=paid..prlmr#a.permli�issuarice��n.�ccardance wltt��appflca6le P�sco'Gouoaty ocdlnances. -
C�N�TRtICTfQ��O t9�R1�LAV{�'��Oi��at�r 713,FAa�rt�a�it�tut�����rei�et+��d): if valuatian of wor�t is$2,500.00..or tr�ore,.l ..
certi�jr that I, �he applicant; have been provided �wi#h a copy of the��"Flor(da Constructlon Llen Lav�r—Hameowner's
Pro#ection Guide" prepared by tFie Flo�da D�pa�tment�of Ag�i�uEttare and Co�su�caer Affairs. If the appttcant is so�neone
other than the"owner", I cer#ify,that I h�ve.ab.tained�a copy.of.the:�bove..descelbed�docui�ent=and.promis�:fn:good`faith,to .
deliver iQ to the,"awn��'�piioc to•co�urnence�t�r�f." ' -
COMTRAGTOR'SI�WN�tt'S AFF11��4Vi1: I.certify.�:that,all�_th�;lnf.ormatlon..ln�this appllcatlon is accurate and that all work
wiA'be done in compliance with all applteable laavs regulati�rg constructian� zoning and land°develqpment. AppHcatian !s
h�reby made ta obtaln .a.permit..fa da worlc;and=instaEia#ian as Indi�Eed:��- 1 ce�tiijr that no wark=°or Instatiation fia5
commenced p�ior to Issuance of'a perrinit`"and 4hat.ap work will be perf�rmed to me�t standards of �11 laws regulating�
constructlon, Count� and City codes, z�ntng regulations, and land deuebpment regal�t€ons in the�urfsdtctl�n. t ai'so
cerkify th�# I u�derstand that the regulatior�s of other gav�rnment agenc(es may�apply�#o the lntended work, and that it is
my r�sponslblliEy to identify�wrhat.actians!must t�ke:t�be,ln>c.ort�pllance, S,uch agencfes tnclude but are.no#limltec!tc�:
- Departmen# of E�vironmentah�Protection-�►pr'�'s"s.'Bayt�`ead�, Wetlar�d Are�s �r�d Environrreentalty Sensitive
Lands,WaterNVastev�a#er Treatment.
- S��thv�st Fforida ��#er �l9anagement:�:D#str�at Welts, Cypress.��Bay.heads; lNetland Areas� APtering
Watercourses. -
- Army Carps ofi Engine�t�s-Seaws�ils,D�cks,Navlgabte Wateruvays.
- Department of .Health::& Ret�abilitative ServiceslEnvit�nmenf�l Heatth Unit 1N�elis, Wastewater 1"reatment,
Sep#ic Tanlcs.. .
- US Environrnental Protectlon Agency-Asbestos abatement.
- Fede�al Avlatlon.Authority=Runways.
0 understand that th�following.�restrfctions apply'to the use o�fl!h•
- Use af flii is not ailowed in.Flood Zone"V*unless expressly p�rmitted.
- If the flli� mateNal is ta be used. Itt �Flood Zone. "A", It_ is understood that a dralnage plan addressing a
�compensaEing volume"will be subtr�itted at time of�.permiftins vv�ich is prepared by � professiona) engineer
Ilcensed by the St�Ce of�'lorida. � ,
- If th� �ill mater{al�is t� be �sed 1n Ft�od Zone °A° In�conn�ction-wlth�a {��rmlQted buiEding using stem waiE
� constructfon, i certify th.at fill�:v�IlO:b.e�used only.to.flll the area wlthin�the�stem wall.
- !f fl!I m�terlai Is to be used !n s�ny area, 1 �cettify that .use. of suah ti!! wiil not adverse6y affect �d�acent
properties. If u§e of filt ls found to adversely:�ffect adjacent properties,.the owner may be clted for vlo�ating
the condi#lons o#the building;permit Issued�under the.aktached,permit appqcatlon, for lots�less�than one (1)
acr$which are elevated�by flll,art englneered dralnage pfan Is arequired. .
If I am the AGENT FOR TFI� OIMN�R, I;promise In good faith to Infarm the owner of the permitting condi#ions set forth tn
this affidavlt�prlor M �ommencln�cs�ra�t�ucttan. "1 un�e�taeed #hat a�separate permit may 6e requtred for eleat�lcal work,
piumbing,_signs, welis,.pools; alr conditioning, .gas,-or oth�r Instali�flons raat spec�flcaliy lncluded�in.tP�e application. .A
permit issued shall be canshued to be a�Iicense'#o�-praceed with the v�iork and not�as.eutho�Ity to,viol�te��cancel, alter, or
set aside eny pr��3sions of#h�technt�al ct�des;�nor shalt I�suance�of a.permi#.pcev�nt fh��ultdirig�ficd�l f�m th�reaffer
requlrOng�correction af ercors.in.plans, cansfructian or vlolati�ns of-any codes. Every�permtt issued sfiall become invalid
�niess the work authorized by such permlt:�is-�ommen�ed�withle� st�t,months of permit fssuar�ce, ar if work authorized by
the permit is suspended or.abandoned-for:e periad ofi�s�C(8)montiis.after the time the�work is commenced. An extenslon
may be requested, In writing, from the Building,Offlcf�! for a peNod.not to exceed-nln��r(90)ilays a�d�wltl demonstrate
j�s#�tabfe cause for the extenslort. If wark ceas+a�.for niriety{�t}}cans.ecutive days�.#t�e jab�is considered aba�doned.
U4lARNIN� TQ Qt�V�1fR: ��UR fA1L.t,IRE�T�,RE�A�D,A N47`IGE�:@1F:•��MMENC�MEt�tT.[i�AY RESUI:T IN YAUR
P�4YIMG TWICE.�'t7R IMPROV�INEN.TS TC1 YOI�R PR1aPERTY. 1�=YO.�rIN�'fEN�`T��A�TI�IN��PINAt��1NG;�CONSULY
�4/IT E. D Pt OR.�►N��'#`TI� Ii! •� � S�R�, ,,c��D3�b�;, .O£3E�' � ��� �� ' �••' �`E � '�".�__- -- - --
�FLORIDA dURA'�{F.S:i.1TA8 - � . . _
�/ r ` .- �
OWN�R OR AO�NT �`"' ---��"�'�L-�L CQN1'RAGTA
S sai ed and ssnrom ta or rrr�ed}before m�thfi� Su sc ed and's to(af afflrm �fore me#1ii�
medy�
- l- se.r��Y i7 ;by�"���� I�'�-fs�i,�,r
Who Isfa ~personally knovm to. e or haslhave produced Who.ls(�re�. rsonally knoum�fC►l�ie or has�hav.e�prads�ced �
as Ide�t�fica�an. as tdenNficatton.
' �
�i' II� . Notary Public
,.,,����,,, �
��PpY PUy�i�
Commissle Rtii�' %'=. Notarv Public-SEate of Florida C mtsslon.No,
:.; ;•: M}•.Comm Expires Jui 1 , ` a�P ' • .
w O�P 4�;i��
=�+ "e= on #FF 034230 -°r+ •�; Notary Public-Stafe of Flprida
�a��°r� �Y ° ��,4�'d�93E�+94lationai Notary Assa. Narae of hlotary typ ,~ t � }S �m.Expires Jut 19,2017
"�i ='+r °"° Commission #FF 034230
�''°���ap�`.
. Bonded Through National Notary Assn_
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� � � `/ �gJ •
� � - � PROPANE GAS
� Atvo AIC �Nc. Service Order/ roposal
Invoice
�iir�e �988 813-782-50'i3 ���1;.;F; rf�l;�fz�a:��,EK�:��c�r�H�� �������', _Tl��_
�xi�,�c'�",'"('TME 1-f�;;�� �,h�,��.�c; i-� � ch:��.
�Sales, Service & Installations ,� �_��,�..w� ��,. ' };�.�� ,y,�
4441 Allen.Rd. • Zephyrhills, FL 33541 r��„�,__� -i-:��,,}: ;�,�;�i-,�T 4��:_Y�
NOTES• ' :��r /�,`�'•'••-,c.., r'.+'3'T�Jf�1cF:ai� 'l. ��[�F=ll"T f��l`.I I.r�����_;
;�}-�,��- _ , . ._
r'i-i[)��'�;E=�i�k i�_:�r-� �_��;—�r�����1 �_..
�.� 1:�� '7�,7.:?G.� �;i��_1"�f=,':�[.=G! J�i_�C.
F=���,i, �tA��t�ra • � � �-vr_:�T. !nr:i:�i�± �
�,�:i.��� rr�xr«i�� ��i.. �� �,�r�.�, � F'C:iXRI_�t+! �-�i.
�iTL_!:E:k (7(�{';::1 '
ZE;F='HYRI-i��.._i_S !`t. .?._����+c: �,��F�{��,(�?1�{Ii._1.._� �::1.._;'�:�::�-o-�. .
� r,lE:k,i :`l.f'=�'Ti'J►t1�F2 �
G'i1'T T C�If=�TF��
"- ' - �: .DESCRIFTION�OF WORK' � � QTY., MATERIALS&SERVICES UNIT PRICE AMOUNT
, •.
.__._..___.____.__.__..__.___._.-•---._.._.._ ___.,__._ .�.---- -._. ._ _ ._. ...__. _. .� . . :._. .__...-, t-.r--_--�-,_ �. .• ----.._;__._ _ .. ____ ._. _..-•---- ---
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' _ , , 'RECOMMENDATIONS� ,. � � ��,,� ' � i
;': ;...:., .:-• . , i ..- ^
Annual:Maintenance Recommended 6y All`Equipment.Manufa�urers�;, pressures Lo M T-Stat � � N c,i�
.,....
� " • � i i
, , REFRIGERANT R- �LBS. �$per Ibs. �- I
� . ^
, � , FILTERS x x Changed Monthly I I
' - � FILTERS x x Changed Monthly �y �
, � REGULAR ❑WARRANTY TOTAL'SUMMARY _ �
6 ° T-Stat 80°
`Defiurriidistat Settings: When here"ON", When Away�, _ ❑ MAINTENANCE CONTRACT
SERVICE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by lhe manufacturers' METHOD OF PAYMENT CALL i
or suppliers'written warranty only.All labor performed by the above named company is warranted for . - TOTAL i
�30 days or as othenvise indicated in writing:She 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 warranlies on i
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
I have authonty lo order the work oullined above which has heen sa�isfactorily completetl.I agree that Seller P.ROG. W I C
reta(ns[itle lo equipmenVmaterials fumished until final paymenl is made.If payment is not made as agreed, CLAIM# � i ��
seller can remove said equipmenUmaferials al Seller's expense.My damage resulting from said removal shall ,M � , ,^
nol be the responsibility of Seller.NET 30 DAYS.A 1 1l2%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED �'�"�
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS
TECH: T'� � �
CUSTOMER SIONATURE DATE �/�Z�(//G!( U✓(f�CG TOTAL �3�� � �