HomeMy WebLinkAbout17-18667 � CITY OF ZEPHYRHILLS
5335-8TH STREET
� ' (813)780-0020 18667
, BUILDING PERMIT
- PERMIT INFORMATION � � � LOCATION INFORMATION
Permit Number: 18667 Address: 5055 1ST ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Biock: Section: ,
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0010-12800-0080
Improv. Cost: 4,795.00 OWNER INFORMATION
Date Issued: 7/17/2017 Name: PATEL HEMANG & KRUTIKA
Total Fees: 60.00 Address: PO BOX 2935
Amount Paid: 60.00 ZEPHYRHILLS, FL 33539-2935
Date Paid: 7/17/2017 Phone: 813-546-3050
Work Desc: A/C CHANGE OUT 3 TON
� CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
,
Ins ections Re uired
DUCTS INSTALLED �
DUCTSINSULAT
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
- � 4
NTRACTOR S GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. - �,�-r�o-vozo Gi#y of Zephyrhlls Permit Application Fax s�a-7saaaz� , ,I
Building Departrnent . '� �
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Date Recelved _ .. phone>Gontact for Parmtttln - ��3 �c��'— �Q� �
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Owner'a Name �T"�L�'�» Owner Phone Number ol�-��(�"' �0�� �
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Fee Simpte Titteholder Narne �^ � Owne�Phons Namb�r i � �
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, (OB,7AINED FROM PROPERTY TAX HOTICEj �
WORK PFtOPOSED ,:NEW CONSTR' RDD/ALT �Q` SIGN' Q Q - DEMOltSN i
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PROPOSEDFUSE � :Q SFR. � GOMM Q �OTMER " �
TYPE OF COPlS'fRUG'IiOtd Q� ' BLOCK " Q FRAiME � �STEEI"' `Q �
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MECNANICAL ' �..--� � � , COMP.AMY _ ��'�� � �/'V� �'%� � -
SlC3NATURE ' 1���� s�GisT�i�a., Y.l N ,- �E=GU�En., . Y.I IV .
Addre�s '7"'7� /'7! � � � � License# ����'T�-�1�' -�–�
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SlGNAT1JRE" , .. ' , . ` , . ., � FEEGISTEREQ' Y l.E� _ . _��ctirt�t�s� Y 7 N.
Address •�� .t; _ , ' ' License# � �
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RESIDENTIAIi;���:�;•Atta�cii"(�'I�Plot`,Plaris;;(2)set`s"':afiBullding�'Plans;`(�1)'setof�Energy'Fartn's;:R-O=VV"Pemiif for new conshucdan, '
Minimumiten�{1�}wor�i� '_ '�.{ � ,���_� �.,, ..,, ��
,:;j:�;�,:..�_�n: . . ,.`;,, ya,. ,g5days�after;;sutiintEkai�d'ate:��Req"u[r`etlons{te,�:Con�ti`iic�on�Plans;•�Stormwater`PlanswlSf{#�Fenceinstailea,
� SanitaryFacilitles�&�1�dumpster•�Site��Work:;Pem�it#oc�.sutidiyislonsAaige=pr!ujscts::���'=;;��� , . � � '
COMMERCIAL Attach 3�oom�lete"sets�of"Buildfn"°Plans''"lus a'GfeyS'afe Pa e; 1 set of Ene Forms.R-O-W Permit for new construction.
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�1t11t11tltUtit�8fl�'I O�WOPIdRQ da}t�8ft8t SUali11�8I d8t@. Required anslte,Cons#cuctian Plans,Stonnwater Pians wl Siit Fencs tnstatied,
Sanitary FadilUes&1 dumpster.Site Work Permit far ali new,-proJ�cts:Ali commercial requinements,must_meet compliance �
31GNPERMl7 AttacYi'(2jsetsof�Engineered�Plans:U�:-;-�:-,� ,� , ..- � � �
•�::PROPERTY SURVEY required for ail,NEW conshucticn.. . •
Dlrectlon�: - � - , , __ � . �
Fili out aPpilcatioa cotnpletely.
Owner&Cantractor sign back of applicatlon,notarized � '
If ovar 52500.a Notice,of Commencement Is requlred. (AIC upgrade�c over$7500) •
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'* l�gent(for the contractar)os Pawer`of`Aittomey(for ttie cwner}would tse someone with notarized letter from ovmer authoriztng same
DVER THE COUNTER:PERMITfING•-- �.- (Front of•AppllceBon�Only)-� � �
Reroofs tf shingles Sewers Service Upgrades AlC Fences{PtattSurveylFootage} .
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Drivawayte-NotoverCounter'If'on'public:ia`adways:needs�ROW ��,_ -• ': u ,`"' _ �' ""
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�tC1TfGE QF DEEQ RE�TRtCT10�08: The. �td -�;�?�
u erslgned c�nder�tands�th�tt�tl�ls�p�t�it�maywbe:subjectwto'deed"�I�esf�icttot�s"�,,.., ..
, _ ,...�..r.:....,,._._ ...:_, .;;._ • . . -. . t ti� ,.._ .,t�,.�,�,s•��=,:, t�.�. �� u ,�. a� _ ..
which mayrtie°n�oreur�`st�xctive�=tli��'Ccunt�l=+regr�latton's:�'T�ie�`und�i�ign�e:d•r�`s'"sumes�r�i�p�in�lbiitty:tor co'rl�`pliance wltli`any
applicable des��restrictbns. ...�. ...- ... � . _ . ,_....,.. . •: .:�� . �. , �
UNl.ICENS'ED CONTRAGTt'3RS :ANO CON�RACTt)R�RESPONSt�ICIfi1�S:+ -tf�the�..awner�hes��.Eiired���":contr�ct�c or
contractors to undertake work, they may�be.�,r�qulr$dwto>.�be�llcensed In:_acc�rdance.with,;state�:a�d;�loc�I;regulatL4�ns::{�IfYthe��ti� � =-'°
e�ntr�ctor- 1� not�iicensed=as�-requlred'tiy�a�iv� botti�=#he owner�r��contr�i+�#cir-��mey�be�clted�fw��a'°�°rt�ils�temeanor vEoletion
under state law. if the owner or Intended;.;c.�ntractorUare:.uncertaln'as to what'Ilcenaing:requirements�zmay�s1ppty��for�the�� ���•� :���:�
intended worlc�they are advCsed to coritact the.Pasco:County Bullding:Jn�p�ctl�iii�DW�slon,-�t.lc;ensing Sectlon at 727-847-
8009. Furttiermore, If the awner fi�s'hlred a con�c#or o� cariUactors� he is advlsed to hava �#he contr�ctat(sj .sign,. . .
Iication..fo.r.:whioh_the �, �<,-;����,,_.,.�,,�5� , .� .;.-
portians of�the "contractor Block" c►f.tMla..r�p►P y vvlll..be�:y.r,e�po�sible.-.,.If.= au;.as,:the ai'�ivne� sign'�as the'`` -° '
contrac#or, tha#•may be an tndic�tion tha#�he'ls niot:�rope�y`ilcensei,f�ani�"ls�riot etiti�ed'to perniltting�prlulleg��in #�as�
Counly. � . ;rv..,_;:- ::. . :�.::w.
TRANSP�RTAT�ON-IMPACTlUTlLlTI@S;INIPAG't��ANl���S�OURCE RECOVERY�FEES: The�underslgned uiiderstands
thatTrensportation Impact Fees�and.R�ourse.Recavery.Fees may�;sppty!�to�tf�e;constcuc�on�af newbc�ildings��change�af�`=�" ``"'`� '
use in exieHng bulldings, or��ei�parisi�irttof�}e�ii�ti�%g��b�ilidtngs� as specifled.(n P�sco Caunty O�dinance number 89-07 and
90-07, as amende.d;�,;�lte understgned also.�n�ersta�ds, t1�a�E.�suoh fee��4��s sma�,lie��d�e;;>xnt111;�be IdentlEted a#thes�tim�riifr.� �.�° '
permitting. It Is further understood that Tre�rsp'a�tation lmpa�t'Fees and���Resource:;Reco�sry�Fees�„must be p�ld prlo�to
receFving�a."ce��fcat�.of occupa�ay'"-orfiftnat��pawer:�et�aass: :!�°the.proj�ct;;does;rto�ir�volve�a~csrt�lcete of cccupanc��a�°g=�'°�'�=", :
f6nal power reiease;>,tt�e-fees m��t�tie patd,p`rior to.per.mit iss�ance: Fc��#�ermote;-if.Pasc�€���Counfy�tNateNSewer..�.tmpact . • ����:�•-�
fees e�e due�.they:.must.be;peid:�p�or to.p..ermit�;l�syanee,�n..a�cocdance wltfi:appllcabl�a.Pasco��.County�ordlnances. •
CONSTRt1CTtON'C1EN'LAVI►(Chapt�i T13t i�lor�da 5't�tut���a�s�m�nd+�d): If valua�on of work Is�2�500.00��or-�mot��..1� -
cerlify that I� �he: applicent;, h�ve.been pro�ided wlth a=copy of�>the°�"Florid��°Can�tructic�� Lien :Law—Homeowne�'s
Proteatto� Guide"prepared by:ttie Fioi�da Dep��tfine�t'.of Agricuitt�re and Go�sum�er:Af[afcs. 1#tha appltcan#is sameone. :�, -� Y
other than#he"owner"� 1 certily�,�at,t�h�ve,obtatned�aA�°c'opy,of:the�abpve.�descrl��ed�tfocu�ent�and,p,roml�e,t�,good;;;faith.to .
deliver it#o,tMe"own�r."�.`pfior toncomrr�encemen#:' � �. �• • -
CONTRACTOR'�IOWNER'8 AFPIDAVlT: i.cettli�r:::t�i�at>s11..th�,lnforrnatltm�:��•tht�appl6ca�on is ar.c�rate,and that aN work
will'be done in aompl(ance wtth all.appllcable laws regulating con$tructlan, zoning and��land°develapment. Applicatlan is
heroby made ta ob�in .s.permft=,to:do.t���and :1hsEaliatlon as Ind��ete�c�;.=-..��1�c:e�l;ifyi tha# no work=°or tns�flatton ttas
commenced p�lor to issuance oF a permlE""and #hat�.all work wlll be perfar�ned�to meet.standards�of all laws regulating�
construcdon, Coanty and CiRy codes, zoning regulatians, and tand devetepment r.egulaUons�in the-jurtsdlotton.- !�also-
certiiy that 1 uc�derstand that the regulations of ather gavernment a�enctes may�appiy�#o the irrtended wark, and that it is
my responsibility to identify•whet.actians 1 must•t�ke.:M be,in.,complia�cs,: Such:a�encle�_Includ�bu�•�are.not Iimfted!a: �
- Dep�irtmen# of Et�vlconmenta3�R�itect#on=Cypr�as�Bayhead�; ti�fe�end Areas and Ernrlronmentaily Sensitive
Lands,WatedW��tewater Treatment. �
�_
- Southwest Flor#da Ws�ter tVl�n�gement .:l�lsb�tot VYells, Cy�ress• BaY.�eads;, Wetland� Areas, Altering
Watercvurses. .
- Army Corps of Englneers-Seawalis,Docks�Navigable Waterways.
• Depar�m�nt of..Health'&. Ret�abllita#i�r�.:S.er;vtceslEnvironmen#�1 Ne�lt�i L1in�-Well.s,�1ti�astewater r Trea#merrt, .
S�ptic Tanks:. � - .
- US Envlronmental ProtecUon Agency Asbestas aba#eme.nE._. _
Federal Avlation:Aui�ior,iiy.=itunways.
I understand that the:follow►ang;:restrictibns apply'to the use of flll:•
- Use a€#itl ls not allowecl 3n:'Flood{�Tone"V"uNess expressiy permitted.
- If the fill material is #o b.e used>,ln..Flood Zone. "A", It Is underst6od #hat a draina�e plan addresstng a
"compa�sating voiume"wIB be submitted at#ime of�pers�ttting wMch i� prep�red by a professfanal engineer
ilcenaed by#he State of>�iotida. � . ',
- if ih� flll material�is'to.be used In Flood Zone "A° tn�conne�#I�n�wlth:a �ermlt#ed bu!lding using stem walf
� . constructlon� i certifiy that�11:�1l=b.e used only.to fill the area witil�n�#he�s#em wa11. ,
- If flll materlal is to be used in .any area, i �certlfjr t#rat .usa of`such flll wlll r�at adversely affect adJacent..
properties: If use of till ls founc4.to advers�Fyr._r�#fect adjacer�t`�pr�per#ie��.the owner may be clted for uia�ating
Ihe condiltans..,of the b�tldtng;permit:Is'sued:under the.�at�ached.�ermit apptfcatMan, far�:lots•less.than one (1)
acre whicfi ere elevated�6y tJlt,��t englneer�ed drainage pian is r�qulr•ed. ;
tf i am the AGENT.FOR.THE OWNER; i;.p'romise tr�goad faith to Inform the owner af�#he pecmitting conditions-set forth in
this aHidavit prlo�to comrnencin8 construcNon.•'I un�ei�tancY thet a separate permit may be required.for elect�lcal�.wark,
plumbing,..signs, well�, pool��,slr.condffior�ngr�.g�ts,:,ar o#t�e'r. install�ttons n��.spec�icsatly Included-in.#Fie�applicatlon. .A
perm(t issued sh�ll be canstcued to�ie`a�llaiense�ko;praceed wlth tiie yiiork and not•as:�authoNiy,to,vtol�te��cancel, alter, or
seE aslde any provisl�ns of ihe.tectinlcal.codss;:nor shall lssuence�af a.permlt.pcevent the Bulfditig t?#flciat from thereafter �
� �-- ;_
regu3rtng a cor�ection af ecrors.ir��pt�ans;-canstructian.or viotattons of�any cod�s. �very�.permi#�issued siiall became invaild
unlesa the work authorized�by such permlt>is.co�nmenced�wlthtn st�c,m.onth� of�permit issuance� ar tf wark autho�ized by
the petrrt�t-Is suspende�f��or.�b�do�ted-f,or.�;pettodr�of�s�C:#�)inon#iis s�t�r th�:tirr�e�#he�work��s commencod. An extensian
may be requested, fn w�iting,�;hom #Iie:Bulidtng,afficial for a peNod�not•-to exc;eed°Pnir�ty(94)�d'ays and�-wlll�derinonstrate
�ustlflable.cause for:lhe extension: if w�rk ceas�e�.for nlnety.t90}cons.ecuEfve�day�s...t�e�ob�ls.consldered aba�doned. -
WARNING TO CIWWER: YO�UR..�AIL.IJRE<,T�J.,:R�C4RQ.�4,>,�0710E:QF:�COMMEMCEMEM7:M'AY�RESUlT`IN�`YOUR
PAYING TWiCE;;FQR-1MP�tC3V':EMEI�'S-.T�l�:Y;diJi.�P.,#�PER'IY:=;1�=:YOUx11�"�E�t}'�TQ-��iB�T'/�tiN��FM1At��tNG;°CONSUl.T
tT �► IJ !x+, �i -G.�3 ,pl,i '. i-: �• , .
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OWNER OR NOENT- _����� �I.! 'r�i_�-.._ CbM'RACT4 � .
bscdbed and swom M( afflnned)be or�me thls Subscrl6ed and' �b�(ot afflmte 'b' me't1it�.
'�r7'�`r l�.�1 1--. =`71l5't.�-r�'r' - '"_. �t .• . (. �
Vlfio Is/a ers�y known .meor�ha�lhave.produc�sl • Who.lel� tsapelly�Cno. n�e:.orhaelhave-produced •
as lilentlwi�tlpn. as Identlflca@an.
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Notary Ptabite . Natary Publlc
Co mis�lon Na.� � r�Isalon�Na�
(dame aC Notary " ar at�lf4yibd CA BHIi. Name af Notery lyped, ntgd��r�yamped
:�:�**� �a, NataryPublit-5tateafPlcrEd� , ; �w� Pa ••, SYLVIAR.CAMPBELt
,' tOmmissian N GG 112439 �_�"`�+ Natary Public—State of Flor'sda
�• ' . a Commission�GG 112939
�����: MyCamm,Expireslui19,2021 '�;^., �:' MyComm�Expire�1u119.2tlzt
'q»„utx �9ilil�1Mt01ight3a1i0trdlNCtatyAfs�1. ,'••%:�oFf„�', HW1d4dthttlUgffN�ll6haSNMaryAsSH:
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AND AIC �Nc. Service Order/Proposal
�i��e�988 8�3-782•50 i 3 Invoice r
WORK ORDER'#/SERVICEMAN 781c4 CMA
Sales,�Service & Installations DATElT i ME TAKEIV �61�3�17 �7:�7
4441 Allen Rd. • Ze h rhills, FL 33541 TAKEN sY K. g. ��
p y DATE/TIME F'ROMiSED
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OTES: � � ` �=: � ��`t � ��.- -�' ;;;, CUSTDMER#/.LOCATIQN 3U�Qt5
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COLDWELL BAhlI',ER ASSOC. RATEL — RENITAL • -
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ZERHYRHILLS FL 33�4� ZEPHYRHILLS FL.?,�54�
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�TED WARRANTY: NI materials arts and��ui�ment are warranted b�Vthe manufacturers' � -- �t'N-'`-`_'"�''� - I
LIMI ,p �q P v :''y ='_'i�=���i�F;METHQD,QFsFAY11i1Ef�fT� �-c�,;,s.r;:=,
�r suppliers'written wartanty only.All labor performed by the above named ampany is warranted for ��E�``•+�`F'''�'.=��`�.""`�.`'`':�""".`�• "�"' ''���::"°"`''-'
30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i
=.xpress or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
�ehalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
I have authority lo order Ne work ouUined above which has been sadsfactorily completed.I agree that Seller • PR�G. W � C
retains title to equipmenUmaterials fumished until final payment is made.If payment is not made as agfeed, CLAIM# I
seller ran remove said equlpmenUmaterials at Seliers e�ense.My damage resulting from said removal shall.
not be the responsibiliry ot Seller.NET 30 DAYS.A 1 72%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED I
ALL UNPAID BALANCES OVER 30 DAVS.NO REFUNDS �
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CUSTOMER SIGNANRE "' DATE TOTAL, �