HomeMy WebLinkAbout17-18668 - CITY OF ZEPHYRHILLS
�� �i 5335-8TH STREET
(813)780-0020 18668
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18668 Address: 6207 AGATE ST (HANSON)
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: OAKSIDE MHP
Est. Value: Parcel Number: 02-26-21-0020-00300-0010
Improv. Cost: 3,359:00 OWNER INFORMATION
Date Issued: 7/17/2017 Name: SNOKE JEAN S TRUST &DIETERICH PA
Total Fees: 55.00 Address: 2168 WATERSIDE DR
Amount Paid: 55.00 CLEARWATER, FL 33764-6659
, Date Paid: 7/17/2017 Phone: 813-715-2127
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
�
Ins ections Re uired
' D CTSINSTALLED
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 pertormed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� �
ONTRACTOR S GNATURE PERMIT OFFI R
PERMIT EXPIRES_IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
n,r'�u-°°1° City of Zephyrhills Perr�iit Application Fax-813-780-0021 ��
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, Bullding Department . i
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Date RecAived .: Phone-ContactforPerm(ttin ��� �� – ��L �
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Owner'a Name � �, OvKner Phone NN�r� �'!.� �lS �/ �
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Owner's Address A"T��� ��� l.sl^C, /eQ/�ul� Owner Phone Number�
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Fee Simpls Tltleholder Name •Owner Phone Number '
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Fee Slmple Titleholder Address �
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JOB ADDRESS � J./ � LOT# C� `°
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SUBDIVISION (./ SG� ��• , PARCEL ID# ��� a� �� L/D�� �D�D� OD/�
� (OBTAINED FROM PROPERTY,TIU(NOTICE) `
WORK PROPOSED �..NEW CONSTR ADD/ALT • Q� SIGN` Q Q DEMOLISH °
, ,8. INSTALL REPAIR �
PROPOSEDtUSE � :Q SFR. Q COMM Q OTHER - " `
TYPE OF CONSTRUCTION = Q� BLOCK " Q FRAME �� STEEL �Q i
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DESCRIPTION OF WORK ,, 1'�� �� G� A"N G��l.S�vT" 1 �d�'YJ' B�IP�/J'� � %'pN y
BUILDING"SIZE "SQ FOOTAGE ' HEIGHT�, '�
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QBUILDING $ VALUATION.`OF 7'OTAL CONSTRUCTION, �
QEIECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ;
OPLUMBING , $ - j
OMECHANICAL $ �s�-��/ �� , VALUATION OF MECHANICAL INSTALLATION ;
�J '
QGAS Q ROOFING Q SPECIALTY � OTHER i
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO ��
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BUILDER CAMPANY' - •
SIGNATURE REGISTERED Y/ N -'�E cuRREn ' Y/N
. , - ' ;
Address ' � Ucense# '
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ELECTRICIAN , • " _COMPANY � '
SIGNATURE � REGISTERED Y I N FEE CURRE� '' ' =�Y/N
Address , ,. License#. - � � ,
PLUMBER ` COMP,ANY ,
SIGNATURE' ,. REGISTERED. Y./:N: : -, FEE CURRE� Y-/N �
Address ,.Ucense;# �
.. ; � � ` �= /� -� ��G�
MECHANICAL: ' ��,� COMPANY, j ��. C<TJ45
SIt3NATURE - ' REGISTERED, Y./ N FEE CURRE� � Y L=N
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Addresa•" -7-�� I�G�l� — � License# C��"3��d .. -
OTHER " , .� • � .COIyAPANY; � �.; . .
SIGNATURE =''" � .• "�- - ° ` ' ` REGISTERED'' '- Y I'N".; " _FEE CURRE� Y I N.
Addre� ,:; ' - � - � � License# '
�RESIDENTIAI;:•�:: ;Attach`°(2)„Plot<P,lans;_(2)setsioff9uil'ding�Plan§;�(1)setof.Ene�gy�Foiins;R-0=VV,Perrr%Itfornewconslru�Uon, ' ,
,,.,.,,��w �M :.,...:..
. �Minimum�,.ten�(41A):worlcing;;days;aite�;subfn�ftal tlate�:Requirsd onsite,:�Ccnsiiuction�PlansrStortnwater Plans�w/SIIt Fence Installed,
`�����Sanifery�FaclllUesr&�1;dumpster,�;Site�4Vork�Pertnitfot;suBdivisionsAarge proJects�z, - _ �
COMMERCIAI. Attech 3`eorii lete'set`s'`of�B'uildin�"'Plans°"lus'a'Life$�afe Pa e; 1 set of Ene �Forms.R-O-W Permit for new canstrucdon.
� ) P 9 P tY 9 � ) � r9Y
Minimum ten(10)working days after submltNal date. Required onsite,Construcdon Plans,Stormwater Plans w/Sflt Fence tnstalled,
- - - - SanlQary Facilides 81 dumpster.Site Work Pertnit for all new:prcjecfs:.All commercial requlrements,must meet compllance �
SIGN PERMIT AttacFi"(2)"sets of�Engineered-Plan�:;: ..•._',�`, ,�i", ` - �
•"'PROPERTY SURVEY reguired for all IVEW oonstrucUon..
_ _ .-- �.. --
DI�ecHons: r .� � ' � ,
FIII out applicaUon campletely.
Owner 8 Contractor sign back of applfcadon,notarized '
If over a2500,a Notice of Commencement Is requlred. (A!C upgrades ov�r ST500)
� '�: `�t:�t::::`
" qgent(for the contractor)'or'Powet of Attomey(fo�ttie owner)woul'd be someone with notarized letter from owner authorizing same
DVER THE COUNTER:PERMITTING- -.•(Front of-ApplicaUon-Only)�- �• •
Reroofs if shtngles Sewers Servlca Upg"rades�i4/C••�=�••Fences(PIoUSurvey/Footage)
__.. ._.. � �_, _ .. . , ' .. ,_. . _ , _..-.- .. .., .,,:..� ,.
Drlvewaya-Not over Counter if on putilic roadways:.needs ROW` , . . :�
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C'�.w��C-�..y�._.....ra.....�n......e..e-...�..a..�_».�,�._...�,_�...,..� _ _____....a.....e .�a..ara.�a..� _ _ _ _— _ _— _d
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td�DT10E OF
DEED RESTRICTIONS: The un�.e�rslgned,under�tandss�th�t�#hi��p��rnit�-:may.be,subje�,to"a�aa"rrestrtctlons°:.�.,. _ r:,
which mayrbeamoreyres#ir�ati�e�tha�t�Caunfy,re�titaftans:���TFie�undefsigne.d��ssumes='fie`spo�nsihllit�=:for"comp�lanc�with'any�:
applicabte deed:eestticttons. ,W � ...z, �:, � . _ . . . :�,:,;� . :_=;
UNl.IGENSED°�CON'TRAGTORS �AND CON�'RAC'�C?R•i3E9PCENSIB1Ce`�I��S:- �!f�Nse�owner trasz�htced�"a�.�r�tr�ctor ar
cont�actors to undertake work, they rnay�,be�!requlr,�d.+to::be�.,.ltcensed:in.accctardance.with.state�.and;ta�:al;re�ul�tla��s:.��lfnthe'�• �"' ������
contractar la-not ltcensed�-as�-requlred,tiy law�.:batff�the owner and�conUactor��may�be�°clted�for a mTs'demeanar vlotallon
under �tate law. if the owrner or irrtende.d;�contra�tortt ar.e_;;uncertaln as.to what licensin,g.,requiremerrts:imay�:;e�ppiy�;�for�lthe=�-������ �����
tntended worTc,they are adviseii to coritact tFie_Pasco CountY Butldfrtg'�I.nspec#foii D�rtstotr-E:tcensing 5ection et 727-847-
Spp9. Furtltermore, If the ov�rner'tias"hl�id'a .cotitiract6r or cotttractors, he!s ativlsed ta have�the contractor{s)..,slgn,^_ ,:,.. ,r ;
portions af the�"cvntractor 61ock".of:thls�applicatlon..for_whlch.they.v�rill..be.�:e�pansl6le.�.�:lf you;:as�:#F�e owner`�sign'�as'fii�i " ,
cantractar, that��may`be an lndlcatlon that-he 1s not properly ilcense�"anii`ls`not ehti��d to pemiltting privlieges 1n Pasco _. ,, .
. 4 ,,.�. .. _
Caunty. ��
TRANSPOItTAT1t3NrlMPACTitkT!!1'�lE��rMPAC�A{��!-�ES�tl1tCE RECt}VEt2�F•�EES:�'��he°undersigned�u�derstands
thatTrartsportattat►Impact�Pees.and.Recoucse Recovery.�ees may>;apply�#��t�e:tronstrvctto��af new,�bultdtngs;�chan�e��of`�=-.``�:;• �
use in exisNn�buAdings� ar,expar�st�i�r�of�ezTsiti�i�r5uqdtbg�� as speciBed.I►� Pasco County Ordinancs number 89-U7 and.
90-07, as amended.,�.;T;he unde�signed also�underst�nds, ttiat:•such'fees;�,as�majr tie°fdue;,:vuili=�.be.ideetffted at the'��time;-of�'� ���a�` �'
pe�mitting. It is tu�ttier unders#cod that Tre�sp�o�tatlon impact"Fees and�f2eeour.ce:sReco�sry�Fees,.mus#be paid priar to
rece�ving-a:"certiticate:of acc�pancy"��or�finai�powsr:�,r,eiease: :If ths.projeck.�oes�not invotve�a;�cert�icate of accupan�y'.,�o'r��:'L�=�.,�;'�`-.
�n$1 pawer�Tetsase,.the.fees=mt��t:tie"paid;pctor#a:,per,tnit IsslJartce. F,��tkiermore;•I#.Pasc�,County.'INatert3ewer,,impact _�"�.,�, .
fe�s are due;,theywmust.be:pald:prlor to,.permit;IssU�qce.�n..aEcorili�nce w�t!'r.:appltcatile:Pasco':Gounijr�otilinances. �
CONSTRUCTION"LIEN'�LAVIf�(Cliepter 715� Elor�da 3tatute��as amended�: (�valua�on af woek Is$2t500.QQ.;ar more,.!� � -�F
certify that I, �he: applicant;-have�been provlded:�with-a-copy of���the �"F.lorida•-�anstructibn� Lien.:�avw—Homeawner's �
Protaction Gufide" prepared by ttie Flo�da departmenf�of Ag�icult�re and Co�s.um�r,;Af.fairs. if the appllcant Is someone-� .
ather than the"awrter", i cert ;.th�t l-h�rre�.�bt�;ine:�`�a�c'o af:#he=abpve::�escrii�ed��acument;and;,ramise.i�;good;�aith,to -
�Y :,_ ., . PY:. . p
delive�4t to.th�."owrier."-piioc<=#o�cromme�cemerit:�. . ' . `
CQNTRACTOR'S/OWNER'S AFFlDAYIT: 1.ce'r.tf[y:tf��t=�il<<th�,ln1'.arrnatlon:9�°thl#appltcetton Is accurate.�nd that all work
will'be done in compliance wl#h all.appUcable 1`a`ws regulating construc8on, z�n(ng and��land�dsvelopment. Appllcatlan is
hereby made to obtain .a.permit;,fo:do-worka,and�:Ihatatfatlon as indl�afedr-�:.�i�certify that no wark�or Installatlon tias
commenced prior M issuance of a permif"antl that�.all work w1(t be petformed to meet standerds�-of all laws regula�ing�
const�uctton� County and City codes� zoning regulatians, and land devai�pment cegulatto�s in tfie�Jurisdiction:- i�at'so
cert#�r khat ( uc�derstand that the regulatlons of other�goverrtment egenr�es may�apply�#a#he Mfended wark, and fhat it is
my responsiblllty to lden#ify�what.acUons I must�take::ta be,ln�cx�mp!lai�ce_S,uch,.agencfes�ln�lude but�are.not ttmited to:
- Department of Environmental-�I�otectton-Cypress�B�tjrhead�, We'Nand Mreas and Envirortmenkally Sensitive
Lands�WatedWastewater Treatment. �
- Sauthwest Florida Water Management�.:Dtstri+ctVtleils; Cypres.s•A+Bayheads;- Wetiand Areas� Altering
watercourses. . -
- Army Corps af�ngineers-Seawa#!s�Dack�,Navlgatile Waterways.
- Depantment of.Health�;:&, Rettabllltative�.SetviceslEnYtronmerit�l Neallb U�tlt-We!l.s;�Vlfestewater�Tteatrnent,
Septic Tanks:. � .
- US Environmentat Protectlon Agency-Asbestos abatement...
Fedenai Av3a�on.Au#hor3.ty,.-,ftunuvays.-
I understand that the-fotlowing:restri�t�ons appfy�to the use of fllt:
- Use o#`flU!s not allawed in;FlooddZone"V"unless expressly per�itked.
- if the fill mateHal-is �to-b.e used;,'In.:Flood Zone. "A", tt� is understood that a drainage plan addresstng a
°compensating volume"wiii be submitted at#ime of,per�mitting whlch is prepared by a prafessional engineer
ifcensed by#he�tate�c�fftortda: � ,
- !f th� t]A materiat•is`to be used In Ftoad Zone 'A" Ins connec�lon�vuitM�a permitted bnilding using stem waN
� construation� !cecttfy that�ll.w�ll:ba.used only.to..f111 the aree wfthir�-#ha�ste�t�nraii. _
- If flll material is t6 be used �in.any area� ( ceKtfy t#�at .usa of�such fll! wA! no# adversely affect ad�acent
properties. 1f use of flll lei found to adverseE�r.�ffect adJa�enfi�pra�pertles�.the owner may be'clted for vlolating,
#he cond�ians...af the building;permit lssued�under tha at�ached.�ermit eppttcatlon� far:lots�less than.one (1)
�are which are elevatad�tiy flll,��t engtneer•ed drainage pian 1�requtred.
!f!am!he AGENT�OR.THE CtWNElt; l�.promt�e!n,goad falth#o Ic�#orm�the oum�r of°the permltttng c�ndi#fions�set farth fn
this aHidavtt`prlor to comme►�cing coiistructlon. �1 untlerst�nd that a�separa�e pann!!may be requfred for etectrti:al�.work,
piumbing, signs,-wells�.pools;. alr conditioning,.ga�sr.-.ar athe� ins#allaittons noE.spec�leally Ir�cluded�in.the appllcation. .A
permit tssued shail be constr.ued to fiie��a'liconse�to�pr�crceed writh tFfe work and not�as.authoMty:to,vlolate��aancel� al�er, or
set aslde arty provislons ofi tFte.technfical.codes, nar shali issuance�at'a.permit.pr.event the 8uildirig CMictal�from thereafter
reqatring a cor�ectlon nf errors ln��pls�s;-constfaction orvlolations of-�ny codes. �very:p�ermit-l.ssued=shall-become invalid
uMess the work suthaNzed�by suah per�lt:�s-commenced•wlthtn s�Gc months of�permit Issuance, or If work authorized by
the permit is suspended>or,abac�doned-for.:a;period}of�six<{�)�montfis.afte�the�#Ime the�wro�k•l�corrimenced. An extenslan
may be roquested� in writtng,.�from the:�8uilding,Official for a perlod.�not�:to excreed�nlriety(90)�days and�-will demonstrate
)usti�abte cause for.�the e�ension�. if work ceas�es:for nine#y.{90j cans.ecutive�d�y.�,.#he1)ob�is consldered abandoned.
WARNING TQ QWNER; YQUR.,�AILURE<:TCl,:R�C:4?ttQ,A,I�OxlGE�:O�t��QMMEMCEMENT-�MAY�=RESULT�IN�YOUR �
pAY1NG"1'WICE::FQR IMPRQV.EMEN;-fi��.Tfl�Y�??UR�F�PEt�TY.°�l��:YO.U;1�'�E�llT�T�Q���?BTA1N�RlM�Ap�tNG;�CQNSUl.T
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4WNER OR AGEFIT ��' . � C�NTRAGTO , ;�X�/!�� ` � .
3uba«ib and to ii( ed befare me lhls S�ibsaibed' ' �to{ot sflinn b tne'ttii�
�an-i�l ��� �. � �'�t i.sen�' � - rn� �� : r��t '
Wiio ls/a persanally known. .me.or,haafiav�.produced o,le/a eraon M.me,or.#�eelhever�produced �
aa fderiUftcaBpri." � as ldsntlRcatian.
< -:��y `-�-Q�°�' Notary Public . c � � Nat�ry PublRc
misslon No:� Can�i�sion.No.
.•``p(iVP�j••.,, SYLViAA.CAMPBEIi.
N8rt1@ ot NDtOty lyped tl,,4� por,s mP YtViA A.CAMpBftL �ame ai Nolaty typed,p i,a � �ommission�GG 112939
_� �`�` o�'` M Comm.Ex Ires 1uf 19,2421
. .�: NotaryPublic-StateafFiorfde �;� Y p
.'*�*•� Comm155(onAGG112939 �''�tl�F��'� BondedthroughNatlonelNotaryAssn.
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. ';�'�b�F��ot.` MyComm,Fxpfres1u119,2D2t � - �
'� �������" Bondcdlhf0u hNAfltinelNoteryAssn, ,
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• �� � � � PROPANE GAS .�
� ,�[vq AIC �rvc.. Maintenance Order Air C nditio•ng 8 Heating
�Si�r�e �988�� 813-782-5013_ ` -
Sales, Service � Installations 4'�����1` C�����;�`�r'�RVz�E.-(+�Ear� ,F�Tr���� _r�i��ti
'= �Fa-r�i�r z Ni� �-►aE:.�:��a �r��,�:;i;�t r i�.�,��
4441 Allen Rd. • Zephyrhills, FL 33541 ;-�������� �Ec�; �``/ �.;z� ,��,
NOTE : �-�-� ��• Ur�Tf�•i'1�I1t1� F'FtUh1 T��EiJ V`��-� �i/ �.c'.!i.�r �!i :t�iZ�
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6�;2�yr F1v�1TE: �'f' . f��c:k.`�7 f�?C;F'-ITE �";' •
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",�F;i`�,� ''- - - :,:DESCRIPTION:OF VVORK - -- - - - QTY. „ , MATERIALS&$ERV�CES UNIT PRIGE AMOIJNT
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- _ . CHEGK LIST:: . G J v„+- '�,<< �.. ��� �
�F�essures Lo HI E"vap.G := eaned Cond Coil leaned � �
- Qmps�`4,•; Cond.Fan Comp �� Heat Str � (�t,N1� �°l��
Capacit�rs Cond.Fan Blw� i Comp� �� � f� �
-:-..;:-._• i i
Drain�Ban'� Primary/C d'ItiOn - Cleaned S darylCondition ,eaned i i '
.T.=$tat="_;,'. T � � � s- �
� TyPe t.. P f i
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= � `r�RECO,M ENDATIONS � _ i � i
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:`Anrival;fliJai�tenanceRecommended�6yAlI.;Equipmeh6M,anLfacturers. i i
� - �. i
. � , ' 'REFRIGERANT R- LBS. � $per Ibs." _� �
FILTERS 1 x x C an d nt y I I
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� FILTERS x x Changed Monthly � �
❑ REGULAR 0 WARRANTY - � TOTALSUMMARY -� _ '
Deh,umidistat�Settings:, When here"ON",When Away 60%, T-Stat 80° ❑ MAINTENANCE CONTRACT MAINTENANCE
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF P,AYMENT PRICE i
or suppliers'written warranty only.All labw performed by the above named company is warranted for TOTAL
30 days or as otherwise indirated in writing.The above named company makes no other warranties, ❑CASH ❑CK# �
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
t have authority In order Ihe work outlinetl above which has been satisfactorily compleled.I egree ihal Seller -
PROG. W / C �
retains title to equipmenUmalerials furnished unhl final paymenl is made II payment is nol made as agreed, CLAIM# �
seller can remove said equipmenVmaterials at Seller's expense.Any damage�esulting from said removal shall
not be Ihe responsibility of Seller.NET 30 DAYS.A 7 1l296 SERVICE CHARGE WILL BE ADOED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED �
•1 • � ) J TECH � �
``����;c,�''f{i-c_.x. ,';� ��;�%:;,,_'' 4;r1 �— ) L"/ � / / -
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