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HomeMy WebLinkAbout17-18710 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-Oo2o 1$710 BUILDING PERMIT PERMIT INFORMATION � - LOCATION INFORMATION - Permit Nurrtber: 187'I0 Address: 4923 'E9TH ST � ��-`" Permit Type: MECHANICAL ZEPHYRHIL,LS, FL. Ciass of Work: A!G CHANGEOUT Tawnship: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Btock: Section: Square Feet: Subdivision: MOORES FlRST ADDITION Est. Value: Parcel Number: 14-26-21-0010-00200-0060 Imprav. Cost: 3,495.00 OWNER INFORMATICIN Date Issued: 810112017 Name: HILTON RENTA� ENTERPRISES LL.0 Tatal Fees: 55.00 Address: 6415 16TH ST Amount Paid: 55.00 ZEPNYRNILLS, FL. 33542 Date Paid: 8/01/2017 Phone: (813 783-4409 Work Desc: A!G CHANGE OUT 2 TON CONTRACTOR S APPLtCATION FEES BAHR'S PROPANE GAS &A/ , WG. A/C CHANGEOUT 55.q0 � , Ins ections Re uired D CTS�IP-$ ALL DUCTS INSUTATE � FINAL r �'"' REINSPECTZON FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca!government sha11 impose a fee of foar times the amounfi of the fee imposed for the initial inspe+ctian ar first reinspection,whichever is greater,far each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additionaf restrictions applicable to this property fihat may be faund in the public recards of fihis county, and there may 6e additianal permits required from other governmenta{ entities such as water management, state agencies or federal agencies. "1Narning to owner: Your failure ta record a notice af commencerrtent may result in yaar paying twice for impravements to your property. If you intend to obtain financing,consult wifih your lender or an a#torney before recording yaur notice af commencement." Complete Plans,Specificatians Must Accompany Applicafiion.All wark shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BE�ORE C.O. NO OCCUPANCY BEFORE C.O. - �. CONTRAC OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MUNTHS WITHflUT APPROVED INSPECTIflN CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PR4TECT CARD FROM WEATHER �, _ _ a_,��-�so-oo�o City of Zephyrhilis Permit Application Fax-813-780-0021 8uilding Department . Dats Eteaelved �(3 ?�,�,_ `j�y l � ; �Phone�Contact�far�Permittin ' � •�T� Owner's Name l! �L°��� � ,Pt S Owner Phone Nnmber ���� Owner's Address [�? �� � � �7� �'/�IL ���+�7� Owner Phone Number � � Fee Slmple Tltleholder.Name I � � Owner Phane Nuinber � � J . , � Fee Simple Tltleholder Addresa ! � Jd8 AbDRESS ����/ / %+'� C�?�. ��/ll.�$ LOT# C� �', St1BDIVtS10N ' �� PARCELtD# �� �� ��, p��'� ���� ��'� , (OBTAINED FR4M PROPERTY,TAX NOTICE) WORK FROPOSED NEW CONSfR ADDIAi..T �,� SIGN Q �Q pENtQLISH e. INSTALL � REPAIR PROPQSED=USE Q SFR Q 'COMM � C,� �OTHER , . TYPE OF CONSTRUCTION -[� BLO'CK ' [� FRAME � � 'STEEL Q _ {� DESGRiPT10N OF WORK � E'S r �� J�'N '�'� lG� ��17Y1 D � � V'�� BUI�DlNG BtZE �� �-SQ`FQOTAGE � � ,HEt,GHT .��� QBUtt,DING �„ � � . ... _: . ..3.� , .._ >, „ . . VAlUAT10t�t.t1F`TOTAL�CONSTf2UCT10N � QE�EGTRiGAI � � AMP SEE�VICE �Q PRt?GRESS ENERGY Q W:R.E:C. ,� „ , _ QPLUMBtNt3 =' t� � , - QMECNANIGAL $ ���/.r? � VALUATlON OF MECfiANICAI INSTALLATEt?N . � C, �j���. , . . _ QGAS Q R�OFING [� SPEGlALTI � OTHER� • FIfVISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA �]YES. NO ..,, BUIl.DER COMPANY ' SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N�. Address � , License#"� � ELECTEi1C1AN� - �GONIPANY ` - . , SIGNATURE � REGI37ERED Y/ N FEE CURREK�' -Y/N � Address - � _ , t .'llcense#.�, � P�UCYIBER ` �I C{,1MRANY ' • �H -� SIGNA7URE` ' ,.REGIST.ERED. Y./-..N, :rFEECURRE� � Y-/N; '� ` Addres8 ;LiC@ASB,.# � " + -, �,4'. ,:, MECHANIGAl:" ` ' - COIMPAN1l ✓J`.����5 ,P�'l:,t�=�'C�t"t�"v�`'� d/�G� SIGNATURE t'�� ' ' �"� ' REGI3TERED , Y,/ N ,� : ,FEE CURRE�, Y/-N = , . � Address:� ���`f"C l�it} `� Il�G,�j �`�� : �cense# �t�+n4.tf�'��-S� �� ' � OTHER '.. _ _ - _ , � ,. �;GOMPANY - � , . . , .� _ -�.. ,�; .. � - ^7 . � . StGNA7URE �R �ERED� Y . _ � EGIST / N.. FEE CURRE� Y/N Addre�s ,, s' _ '?* � � ' l.lcense#�(" �`'�1 . . i,. .. .. `ti_.r.�:;' 1^,: d:.�...�_.n�.;�. .<< • ' , RESIQENTIAi:�;• :Attacti"(2).P-.fot�Pians;_(2)sets�of'Bulfd€ng}Plans;'(�1)set of Energy?Fomts.;.R=O=W�Peririi't fo�new tzanstrtiction,., .. n. -_.. : ��. ;.., .. .- . �... ,. ,, .,_ ;;�Minimumtterr(�1,0)2wo.rking;days;after,:submitta{�date.=>Required onsite;.Can"stiuction-Rlans;•Stormwater Plans w/SfIYFence instalied, i ""'� �SanftaryFadllUes,8��lp,durnpster-Site�Wprk:PermittorsubiliVisionsAarge.proJecM''::..�� ' ` � ° �` ' • COMMERCIAt. Attach(3}�compieta sefs`of 8uiiding'Pians plus a�Life'Saifety Page;{1)set of Energy Farms.R-O-W Permt#far new constructian.� - Minimum ten(10)working days after submtttai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, � -- Sanitary Fadlides 8 1 dumpster.Site War1c Permit for ail new:proJects:.All commerctal requlrements.must meet complience' '� � $!GN PERMl1' Attach'{2)sefs of`Englneer.ed;Plans.t, � - � . � ""PROPERTY SURVEY requ(red for ail NE4'V aanstrucUon... - Directions: ° , , ' ' Ffll out applicaUon completely. Owner&Contractor stgn back of appllcadon,notarized If over�500,a Notice af Cammencemen#i�requi�ad. {A!C upgrades aver;7500) ,,.•,r,.,,.,:, `" Agent(fpr the contractor)'ar`Power of Attbmey�(fo�tlie owner)would beMsomeone with�notarized letter from owner authorizing same , OVER THE COUN'fER PERMI'iTiNG -- -{Front of�APPtica�an Only) ' ,� - .. ..:. ,...- ,. .. ., .�,.;,,.R�..�. Reroofs if shingles Sewers Service�,UPgrades A%C`�""F`�nces(PIoUSunrey/Faotage) • , ., , � Drlvewaya-Nat over Countar tf on pubiia roaduuays.,needs ROW � • � ' � ' . • ` , � „ � - . -.. ...:_; , .. ., .. . . .- - � � �' ' �1 / F� � � � NOTICE OF DEED RESTRICTIONS: The undersigned�undergtands�;th�t;this:.p�rmif�:may.be,sub)ect to.;"deed",restrictlons° � � ":�,��_ which rr�ay�be<mbre°res�rictive=th�c�County=�reg�ilatCons.��TFie�ui�derslgnea`as'sumes�resp�nsibiltty���for`coinpilance=with�any `- M appiicable deed�restrictions. ;.. :,,.,, ,. :,. - _ ., . - � - - .- UNLICENSED• CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: �aif the�owner-has�'�hlret! �a"contractor or contractors to unde�take work, they may:b,e;re�qulred.=to.;be;licensed�.ln;accordance.with state.and.�local regulations: .If�the� � � � contractor�ts-notlicensec! as�re�qulred.`tiy law� tiotFt the owner and�cont�actorimay be��ciEed-for°a�misdemeanorviolation under state law. If the owner or Intended;°,con�ra�tor;are,;_uncertain.as to what Iicen�ing.requirements:may:appty�>for^tFie'� � ��" Intended woHc, tNey a�e;advised fo corifact tli�e:Pasco County Bullding`Inspection�Div:islon--l.icensing�Section at 72T-847- 8009. FurtFiermore, if the ovimer has'hlred a coritractor or contractors. he is advlsed to have the contractor(s),,sign _ . portions of the:."contractor Block" of thls_application.�for:whlch.they,.will.be�re.s�onslbie: If you;>as:.the.owner`stgn`'asitfie-` � contractor;�that�may be an indication that`Fie�is noY:prope�ly Ilcensed.and`is�not entitied to penriitti'ng prii�ileges in Pasco County. • r._<:: . _ TRANSP.ARTATION:IMPie►CTIIJTILITIES�rMPAC'�ANb�RESOURCE RECOVERY FEES: �The undersigned understands thatTransportation Impact Fees�and.Reco.uree Recove.ry_.Fees may�;applyuto�the construction_of new.buildings��change�of'� '����� ���� use In existing buildings,-or._ezpansi�n�of�ezisti�;g'�liuildings; a§ specifled.in Pasco County Ordinance number 89-07 and, 90-07, as amended.,�,;The und,erstgned also:un:derstands, ttiait�such fees;,;as,�may:be�.due;,wlll=�be.tdentffied at the�time�of•�� - � permitting. It Is furilier understood that Transportation Impact Fees and'�Resource.;Rec`overyiFees:must be paid prior to receEving-a 'certiflcate-of-occupancy"-or�flnal��powerrelease: :If�the.proJ�ct�:.does:not.Involveoa�.certfficate of occupancy=or����'��-=� �' final power._release;-lhea;fees-must:`be"patd�;p�lor to;permft Issuance. F��thermore,'�if:Pascv,�County'Water/Sewec��impact � :: .-. fees are due�they must..be:paid:.prior to,permit_�Iss,uance�in_accordance wltF��:appllcable Pas'co'•County�o�dinances. • CONSTRUCTION"LIEN�LAW"(Ciiapter 713� Florlda Statutea�as amendad): If valuallon of work is$2�500.0_O.;or more� I� >��: certify that-I, the.,appllcant;T have=been provided��with- a copy-•of the•�"Flo�ida Constnactlon:_Llen�Lav�—Homeowner's Protection Guide" prepared by�ttie"Flo�ida Department�of Agric.ulture and Consumer;Aftairs. If the appltcant is someone- • � .. other than the"ow�er", I certify.that,l,h�ve.optained�a�eopy.of.the,abova.descNbed�focu�ent�and.promisein,goo�d:.faith to - _. deliver it to-the:'owner"•:p�ioc:M�commencement:�'�� ' ` . - � , , � CONTRACTOR'S/OWNER'S AF�IDAVIT: I.certity:�ttiat;all�,the�information>:In�this applicatlon is accurate.and that all�nrork will'be done in compliance with all appHcable laws regulating constructlon, zontng and��land deyelopment. Application_is hereby made to obtain .a pecmit,;to,;do.;work;;rand;insfallation as indl�afed:�:...l• certify that no work`or Installatton Fias commenced pfior to issuance of'a pernilt`"and that:all�work w(II be performed�to meet standards-of all laws regulating- construction, County and City codes, zoning regulatians, and land development regulatlons�in the jurisdtction.. (�:al'so� _ , certify that I understand that the regulations of other government agencies may�apply�to the Intended work� and that it(s my responsiblliiy to Identlfy•what,act(ons I must�take:M.be_dn:.c�rrlpllanca.,S.uch.agencles Indude but-are.not Ilmited to: : - - Depaitmeni of E�lvironmentaf>�Protecfion'-Cypress.`Bayh'ead�;�Wetlend Areag and Ernlronmentally Sensitive Lands,WatedWastewater Treatment. - Southwest Florida Water Management=::I�istrict:Welis;' -Cypress.�Bay�eads; VVetland Areas� Altering Watercourses. . - - � - - � - Army Corps of Engtneers=Seawalls;Docks, Navigabie Waterways. - Department of,.Health::;8,,Ret�abllltative,,�er,v(ces/Environmental=.Heafth Unit-Well.s, Wastewater�Treatment, ' � Septic Tanks._,._.. �..` � � --, _ - US Environmental Protection Agency-Asbestos abatemen� Federal Avlattvn:Authori.ty=Runways: • � � . I understand.that the.following�restrictions apply to the use of flIL•• - Use of fill is not allov++ed in!Flood;Zone"V"unless expressly permitted. - if the=�fllf"materlal'-is �to�b.e used:`In :Flood Zone. "A", if. is understood�that a dratnage plan addressing a "compe�sating volume"will be submitted at time of�permifting which ts prepared by a professlonal engineer Iicensed by'the_State of;Flofida: =. .� - If th� flli materlal�is to:be used tn Flood Zone "A" in�connectlon�wlth�a ��erm(tted building using stem wall � construction, I cert(fy that fill�:w�ll=b.e used only.to.flll the area within the�stem=wall: . • - if flll material Is�to be used in any area; I �ceitify that .usa of�euch�flll will not adversely affect adjacent properties. If use of flll is found,to adversely,:�ffect adjaEenf-properties,.the owner may be clted for ariolating, - the condi#ions�.of the buildtng=:permit.Issued�under the attacfiedypermit appllcation;for:lots�less;than.one (1) � acre wFiicfi are elevated`by flll,a�r engineered drainage plan Is required. • !f I am the.AGENT.FOR THE OWNER;,I;.promise in good faith to inform the owner of�the permitting condftlons set forth in this affidavtt prior to commencing construcUon. �I understand thet�a�separate permit may be requtred for eleatricai�work, plumbing,.signs, wells,.,pools;, alr.condlttoning,.gas�`,or otMer. Install�tlons not�speciflc�lly included�tn.the application. .A permit Issued 5hail be constiued to'be�a�Itcense�:to�proceed with tFie work and_not�as:authoNty..:to:violate;:cancel. alter, or set aside any provistons of the technical.codes;�nor shall issuance�of a.pe�mlt.prevent the Bulidirig Official from thereafter requlring a.cor�ection a�f ercors-ln plans; construction.orvlolations of any codes. .Every�.pennit=lssued=shall�become invalid unless the work authorized by such permit:�ls.commenced•within sGc..m.onths of permit Issuance� or if work authorized by the permit is suspended or:.abandoned-for,:a:period of�six f8)�moniFis,.aRer the time the�wowk�is commenced. An extension may be requested, in writing,f�om,ttie.�8ullding.Officlal�for a petlod:�not to-exceetl-ninety�(90)�days a�d�-wlll'demonstrate justifiabte'cause for.�the extenslon�. If work ceases.for ninety(90)cons.ecutive:day.s...th�)ob�is.considered abandoned. VIIARNING TO OWIVER: YOUR...FAILWRE�TCI.,.R�EC.ORD A::,MOTICE:OF:�COMMEMCEMEMT�MAY�=RESUlT IN YOUR PAYING TWICE;FOR:IMPROVEMENTS�TO,YOUR::PROPER7Y:���IF°.YO.U;IN�'FEND'�T�`�OBTAIN��FIN�APIE?NG;'CONSULT WIT U . D O AN�ATTO OR��, ECORFI f�� OU '. , ;C 'O �= °„ � E � �N • �� _ FLORI�AJURA��(F.S:t1 . � `": , . . - � - , � . , ..�_ .. , .. _ �!lViKEP.��-.'�'��.°C�T -- - - - - u�2i--CONTRACTO - -- - - --_ . S scrlb nd swom to aflirtne )be �e thla Su crlb and' io(ot afflrtne )befo 'me thig �i-P bY �e � �c 1 � -i-� .b ... � �� �ii3e�er' Who Islare e onaliy kn to.me or;haslhave.Produced Who.is/are p.e___,nellykno me-or he�/have�produced • as IdenBflcatlon.' ` � as IdentlRcaUon. - ' � ` ° y . Notery Public -- Notary Publlc Com slon No: Co aslon.No. ��•;;P�•.,, SYLVIAA.CAMPBELL ""� SYL�IAA.CAMPBELL ���iPU�. Name o► ta,� p„ omm�ss�o tz939 Name of Notary typed ' - ;•. _ "•; Commission N GG 112939 =•;� � �o�: My Comm.Expires 1u�19,2021 '�' " I'•�OFF��.• dondedlhroughNalionalNotaryAssn� ';;�� ,�o`: MyComm,Expires1u119,2021 •••�o;,f„°,•• donded through National NotaryAssn. � , ^ - ,^ . . _.�k f S � ���� � � � ' PROPANE GAS Service Order/Proposal . AND AIC �Nc. � � S�rc�.�988 8 i 3-782-50 i 3 , Invoice ' � WQRK ORDER#/SERVICEfYtAN 7�1E�^c EMA Sales, Senr,ice & Installations pA�'E/TIME TAN.EN �7l�E�17 07;4� 4441 Allen Rd. • Zephyrhilis, FL 33541 TAKEN� BY �. g• �'� ' - DATE/TIME F'ROMISED OTES: CUSTOME R#/LOCAT I ON �d8583 F�HONE# 81,_,-783-44�J� � ROUTE/SEG? EMA . • ' � � � � 7 ��- �/LLS :� �} . . y .�r:.:. . . . . . 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Y•",:F,�'�f_:,:`,yxYGi+.ck"`a.ir'7_.�.r.s:r;'�y',d.'..;i.�;.`- '�'n1'_'�;'r�' -.""4v�:�i..a5 � � , fi'lT1iYd,��l�Ni�T���:��[�'�I��At�N�d,t��"�,c�-._.�.:;.. .,_ . � I , : x.,...,�r, „ �Y•-£= �,{.��. _ �ws,.;,..... �srt:T -=;��• Pressures Lo HI T-Stat ..�. ,_ � Y:;�, _;A. -,.k. -- . . .:%C',�1:. `. �.. .—;Y,�.r.r _ -�.,..�..•i",�. .__ _. '1.::-....: �:,., -. ".�..:.��.'i. � _"..... .. . ... ..,... .. _. .�=; :f2EFRIG�Ri4NT'YR- -;LflS.�_ _ - ':S:Pg[(bs:': _ '""' , � _� 'j;�,:;;;. • ' '"yU'"� ';-.z.rl�„- " _ ' '' - '' " " � ' • � w • FILTERS x x Changed Monthly � � " . ' FILTERS x x � Changed Monthly � � � _ .._..--5.v'.• _- < �r;,::. >.s�e�s�`'M1;;,� ❑ 'REGULAR ❑WARRANTY '��=SUM�,,,'�`jx,,��'����::, ,'�if4�;��:�� . F" .. �.._'.. . _ - r-"m.+..Mj•�'�yu�M•��.Y , �'�:�:.,���,;._,,,�..w , :1"�'�'::.�..v,'.„..�-. "�`�" � j1 xt' � '�;When here° " When Awa bF� T-Stat� ❑ MAINTENANCE CONTRACT �"`.���::�9�i�tt�1�5.�: �� Y�si;�, .,;e- _ SERVICE � IMfTED WARRANTY: All materiais,parts and equipment are wartanted by the manufadurers', =�' - -�j�j��'Fj(�p`:�jF �� - CALL i ;�, :. . ., - C i�AYM�NT:''::... •suppliers'written wartanty only.NI labor pedormed by the above named company is warranted for 'T'� `�''`' • . � TOTAL i )days or as othenvise indicated in wridng.Thaabove named company makes no otherwarranGes, ❑CASH ❑CK# MATERIALS i �ress or implied,and iitss agents or techniaans are not autharized to make any such warran6es on i :halfoFabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i have aufhority to ordar the work autlined abwe which has been satlsfactorily compieted.I agree Ihal Seller PROG. W I C Aains title to eQuipmenVmalerials Iumiahed untll final payment is made.If payment is not made es agreed. CIAIM# I 91er ean'emwe said equlpmeMlmaterials at SeOer's expense.My damage resuhing from said rertroval shall _ ri De the respalslbilHy of Selier.NET 30 DAYS.A 1 1f2No SERVICE CHN2GE WILL BE ADDED MONTHLY TO DATE COMPLETED I LL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS I TECH: T� � • i ��� �o�cG � . USTOMERSIGW�TURE pq7E TOTAL �