HomeMy WebLinkAbout17-18712 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 �87
BUILDING PERMIT
I PERMIT INFORMATION =� -- - LOCATION INFORMATION
Permit Number: 18712 � Address: 37531 NEUKOM AVE LOT 143
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090=00000-1430
Improv. Cost: 3,663.00 OWNER INFORMATION.
Date Issued: 8/01/2017 Name: SARVER WILLIAM J SR&VIRGINIA
Total Fees: 55.00 Address: 37531 NEUKOM AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33541
Date Paid: 8/01/2017 Phone: 813-395-5799
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES,
' BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
�n ,
Ins ecti s Re uired � -
DUCTSINSTALLED
DUCTSINSULATED
FINAL �
REINSPECTION PEES: (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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�. �
CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8��-�a�Q�a City of Zephyrhills Permit Application Fax 813-78p-Q021
;. , :. ..� 8uilding Department
Date Received phane-Contact for Perni[ttin � t3 t � �() � – a�'3� ��s
Owner's Name v��vc.f� Lild�6 �"'� Owner Pbone Number ��� ��e7" �/
Owner's Address � � G'J'7"Y) J�, dwner Phone Number � �-
Fee Simple Tltleholder Name � �� Owiner Phone Number � �
Fee 3lmple Tltlehalder Addresa
J08 ADDitES3 � J�-/ �li(r 1�PY7 L�C..� LOT# ��
9UBD1ViS10N � � PAf2CEL tD# �-�T �f� �1 �f� ��� 1�j�'��
, , (OBTAINED F,ROM PROPERTY TAX HOTICE)
WQRK FROPOSEO NEW CONStR ADDlA�T � StGN C]. �0 DEM�LISH
�e, INSTALL ;� REPAIR ~ . '
PROP03ED,tt$E Q S�R Q COMM • � OTNER - ` ' '
TYPE OF CONSTRUCTION -, Q- BLOCK " Q FRAME L� STEEC 'Q
DESCRiPTION dF WORK � �� �/� E" D�7.L ' �G�.o'7"» G►/�eiL! �7' / O/�
StlI�DING SIZE �— �"$Q�FOOTAGE ' , � ,.HEIGHT -���
QSUILDiNCa , �� VA�.tJATlOAI:"OF�TGl1'AL`C�i�STRlJCT10T�t ry '
QE�EGTRIGAC • � —� AMP SERViCE Q =PRtOGRESB EhtERGY [� V1t.R.E:C. .� .
QPLUMBlNG~ � � `
�ECHANIGAL• r$ �^�i 6�, V,41_UATION QFa MECHANICAI lNSTALLATlOIY
L��� � �' ' � _
Q�$ [� ROOPtNG [[�] SPECIAITY C� OTHER -
FINISHED FLOOR ELEVATIQNS �� FLOOD ZONE AREA QYES .NO �
BUI�DER COMPJINY� � , '
SIGNATURE REGISTEREp Y/ PV FEE CURRE� Y/'N
���$� - . �License'# � �
ELEGTRtClAN; ' CCIMPANY • . _ .� .
SIGNATURE �' REGISTERED Y/ N FEE.CURRE�;� '-Y/N -
Addrass . . 4 , .License�#:� �
PLUMBER ' COMP,ANY . � �. � �
StGNATURE' '�` � , .REGISTERED- Y,/•..N,� :; -,.;FEECURREA '" Y.:/N.,° - ��
Address .., Liaense#'�`� •. . :���. .
MECMANICAL` •' . . � ' ~ `� 'p'
SIGNATUi2E ,, fi��/l�ZL. COMFANY '�%'�I��� AJ,v�' �- G ��
, REGISTERED , _ Y./ N . , , .FEE CURRE� . Y/N ' ,
Address',"' 'G f"G�.'`�l`f� t �-�tll5 ,�. ���� ` ` .Ucense#���� �'c3�',��� �
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OTNER � � . , �; � , . , , ,
StGNATURE .. _- , . , , , ,�COMPANY -
.;,, .,. , .. �, ., ,, ,. . �
, . .
" '`REGISTERED�" ' Y/'N,..- �'FEE CURFtE� Y/N.
Addre�s, , . . ' license# �� - � ��.
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REStD8NT1AL.,? _ ;Attach�(2j.,Plot:-P,lans;.(2)sets=of:Bultding`Ptans;{.1}sef af=EnargyrfFarrrts;:R-0=W`Peiin,it f6r new constcuctton,:, ``
,� ,;>Minimum�tten;(1,0);waricing;days:atter;submlttal dete:?R`equtred onsife;:Constrtictlon�PlansrStormwater'Plansw/Stlt'Fence'iristalleiJ,
��.'�, Sanifary Facilttl,es;8�;1�;dumpster-SIte�Wor„ic,Permitfor subilfVi5lonsAarge'�projects,., ._:.:�:, .� ' �� .. ' � " _
GOMMERC6At. Rttach{3)LLcompi'ete sets'of 8u1td#og Plans ptus a life'Safety Page;{1}set of Energy Forms.R-O-W Permtt for new caostructlon.•
Minimum ten(10)working days'after submittal date. Requlred ansite,Canstruction�Plans,Stomrwater Plans w/Silt Fenc:e installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all new;proJects:.All cemmercial requlrements.must meet compllance
SlGN PERMlT Attach{2)sets cfEiig3neeied;Plans:;�.:.,.,::-- _ , ;� F _ _ .
"*'PROPERTY SURVEY required,for all,NE4v canstrucdon. .
Dlrecttons: ° _ .. _ � �.
�iil out applicatlon completely.
Owner&Contractar sign back of appl(catlon,nata�ized
If over�2500,a No#ice of Cammencement is requlrad. {AtC upgrades aver�'t500)
'" Agent(for the aintractor)or"Power'of Atkomey'(fa�#Fie owner)would be�someone with�notarized letter from owner autho�izing same
OVE{2 TtiE COUNTER.P.ERMFfI'1��`'_�"-j�_{Frontof Appllcation flnty}. �. ' � �r�_., _�.. . _.�, . ... .. . _.�...,._, ,.
Reroofs If shingles Sewers � ;Servlce,Upgrades;A/C �` Fences"(PlodSurvey/Footage) � ' .� , . "
. .- ; � . . � , . _ , ... , . ., ,. , - . . ..
Drlveways-Not over Counter�f on publtc�roaduiays;.nsed's ROW;`' , � , �� ,,., _ , , �
�r�, r �'Y ,., , .,. _ .._ �.1 ,.� .- .. V ' .. -_. ,. -� •i�
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NOTiCE OF DEED RESTRICTIONS: The undecsigned,under�tands�;th�t_this;:p�cmif.maytbe•subJect.toy"aeea".restrictlons", '_��;+�.;_
which may�tie�more'.r.est�Ictive=th�n County-'r+egulatfons:�The.underslgned"assumes°'�e§ponslbtltty'fo�compilance Vi►ith=any^�' � '`"
applicable deed=restrictions. ` ,..� ,._ � . : : °. _ .- -� • � � -
UNLICENSED�CONTRACTORS .AND CONTRACTOR RE�PONSIBILITIES: �If-°the owner�hasr�htred��a�contractar or
contractors to undertake work, they may;be;re�quice,d.�to.;be;licensed:ln accordance,with state�.and;local:regulations.:��Ifi`the� • �-
contractor�ts=not�Itcensed��as�requlred'`tiy law, bottr the owner and��cont�aator�may�be�clted�for��aAmtsdemeanor vlolaHon
under state Iaw. If the owner or Intended,�contractor=are�;uncertaln as to what iicenstng;requirements�mayp�appiy nfor�tiae� • • � " `
>,.. .��.�..,;. , . .._....
...
intended work, tNey are ad"vi§eii to coritact the-.Pasco County Bullding;Inspectlon Dhrlslon--l:icensing Section at T27-847-
8009. FurtFiennore, If the owrier has hired�a �conUacio� or contractors. he is advtsed to have �the contractor(s),.sign_ ,
- . � ._.L ..�...,•`,'-, _ .
portions of the�"contractor Block" of,this�application_for�which.they,wilt..be..res�onsible: .If-you; as.:the owne�°'sfgn-`a§,the`` "
cont�actor; that�may`be an indication that�tie'is not�:properly Iicensed and"is not entitled to�perniitH"ng�priiiileges In Pasco
County. { � . ' . .. , �� -. �.�� � .
TRANSPORTATION.IMPACT/UTILITIE$��IMPAC7�ANb RE�OURCE RECOVERY�FEES:�The undersigned�understands
that Transportation Impact Fees�and.Reco.utse Recove.ry.Fees may.�:apply.;ta tf�e,'cons�vction;of new.bulldings��change'of>7�`-'"� `w
use in existing buildings, or._expanst�n�of�+ezistin�:�buildings, as specffied.in Pasco County O�dinance number 89-07 and..
90-07, as amended:��,�he undersigned aiso,urtderstands, tFi.ait`�such fees,�;as�tnay�_tie�_due;,will;$be.tdentified at the��timedof��� -� � °
permitting. It Is iurtlie�underst6od that Transportatlon Impacf'Fees and'�Resoucce:,Reco�e'•'ry'=Fees.must be paid prfor to
receFving a 'cerfiflcate.=of-occupancy"�or flnal•�power;,release: :If'the.project�.does�:not:involve:a�certfftcate of occupanay�-o��="��'=������'�'�`
flnal power-release;=the:fees mti�t�be"patd-p�lor,to..permR issuan�ce. F��thermore;-ff:Pascro��.County�lNater/Sewer.:lmpact � ���,•°�
fees are due,,they_�muat be=paid:prior to..permit:issuance=ln.accordance with:applfcabte�Pasco�.County�ordinances. �
CONSTRUCTION"L'IEN'LAW�(Chapter 713� FIo�1da Statwtea�as amendedy: If valuation of work is$2�500.00;or more,..l�� � - �_�
certify that,I, #he�applicant,:-have..been .provided �with-,a=copy�of the "Flo�ida� Constn�ctton� Llen.:Lav�—Homeowner's
Protection Guide° prepared by,�tFie Flo�ida Department�of Agric.ulture and Consumer�Affairs. If the applicant is someone• . = ; _
_ .
.;
other than the"our�e�", I certKyhthat:l-have,optained>a`copy,of..the:above..des.crlbed tiocui�ent:and;promise�;in;good::faith.to � ..
deliver ft to.the,:'owne�'�p�io���to�commencem"ent:'� �- � � . ' � ` � , . _ -
CONTRACTOR'S/OWNER'S AFPIDAVIT: I.certi[y;xthat>:all,.the,information In-thi� application is accurate.and that all work
wltl'be done in compliance with all.applicable`laws regulating constructlon, zoning and��land�development. Application,is
hereby made to obtain..a.permit;�to::do;.�w�rk:,and:installation as tndl�efed:�::.�°i certffy that no work�or tnstallatton tias
commenced prio� to I'ssuance of a permif and thaf.all work will be pertormed�to meet.standards-of all laws regulating-
construction, County and City codes� zoning regulatians, and land development cegulatlons•tn the jurisdlctlon.. 1�=a1'so _
certify that I understand that the regulations of other government a8encies may�apply�to the intended work, and that it is
my responsibiNty to identify�what.acttons 1 must�teke,;to,be�in:c�mpl,lancs,f,Such.agencles include but-are.not Ifmited to: , �
- Depaitment of E�1v(ronmental��Protectton=Cypress.`Beyhead§; 1IVeN�and Areas and Environmentaily Senstttve
Lands,WaterJWastewater Treatment.
- Southwest Florlda Water Management�::I�Istrict-Wells;''-Cypress.� Bay�eads;� Wetland Areas, Altering
Watercourses. �, - , � -
- Army Corps of Engineers=Seawalls,`Docks, Navigable Waterways.
- Department. of.-Health:::8;ReMabilitafive,.Services/Envitonmental:.Health U�it Wells, Wastewater�Treatment, '
Septic Tanks...".."_' ._ ' ..' �_ � �_ ' _. . , � ;
- US Environmental Protection Agency-Asbestos abatement:_ �
Federal Avlattvn:Authorify=Runways.
I understand,that.the following.�restcl'ctlons apply`to the use of flll:•
- Use of fili is not allowed in�Flood<Zone"V"unless expressly permitted.
- If the==fllf mate�lal�-is �to"b.e usecl_�In :Flood Zone. "A", It is understood-that a drainage plan addresstng a
°compensating volume" will be submitted at time of�:permifting which ts prepared by a professional engineer
Iicensed by�he,�State of,Flo�ida: � �= � -
- If the flll material.is to:be us_ed tn Flood Zone 'A" im connec�ion�wlth�a��ermitted building using stem wali
� construction, I certify,that flll:�rill�be�used only.to fill the area within�the�stem�walt.
- If flll mate�lal is�to �be used in any area, I �cettify that .use. of;such^flll wlll not adversely afiect adJacent �"
properties. If use of fill is.found to adversely,�ffect adJaEent��pr�pertfes,.the owner may be cited for violating, =%
the conditions_of the building�;permit•Issued-under ihe-attached permit-application�.for:lots��less�than.-�one (1) : '
� acre whicfi are eleirated�by fill,a�engineer�ed dralnage plan Is required. • -� •� �
If I am the AGENT FOR-THE OIMNER,,I�.promise In good faith to Inform the owner of�-the permitttng condft�ons set forth in
this aifidavit�prior to aommencing constructlon. I"understand that a-aeparate perntlt may be required for eleat�ical work,
4r y......kT^....
plumbing,signs, welis,„pools;_ alr.conditioning,.gas, .or othec install�ttons not,spec�ically included-tn.the application. .A .
permit Issued shail be construed to'be�a�Iicense'to�proceed with ttie work and not:as:authority�to.:ulolate;�'cancel� alter, or
set aslde any�prov(sions of tlie techn(cal.codes;�nor shall issuance�of a.permtt.prevent the Bulldirig�icial from thereafter
requiring a correction af enors in:plans; consUuction,or vlolaUons of-any codes. Every-�p�ermit=�lssued stiall�become-invalid
unless the work authortzed�by such permit:is.commenced•within sGc months of�pennit Issuance� or if work authorized by
the permit is suspended.or:abandoned;for-a:period,of�six;(6)montfis,.aRer the tirne the�wo�k�is commenced. An extenston
may be requested, In wr(tirig;;,from.tfie'Buliding,Official for a period.not.to exceed`ninety-(90)�days a�d will demonstrate
)ustifiable'cause for.�the extension�. If wotk ceases.for ninety.(90)cons.ecutive:days...the Job�is consldered aba�doned.
WARNING TO OWNER: YOUR;.FAILWRE,Tl1.,.REC.OttD;.A.,I�OTIGE�.OF.�COMMEMCEMEMT=MAY=RESULT IN YOUR
PAYING TWICE;.FOR:IMPF,tOVEMENTS:TO.�YOUR;PR�PERTY:-IF°YO.U;INTEK�DSt��-�O�TA1N•�FIN1�wG�NG;�ONSULT ___ �_
� WITH ---V -- D---O. AN� TTO N OR��,�ECO fsi; OU � -,-.;�--,p�_., .,.;. � T: -
FLORIDA JURA�<(F:S:1.1 3} � - ti .. ' � , . ., ,
• , _ � � .
OWNER OR AOENT -- �� CONTRACTO
Subs«ibed and swom to r afflrtned)before e this S��rip 'and' m to(ot affl p efore me�tFiig ,
- _7� / /7 �byr�(%�Q, s �i� . .. - S C�!-'
Who isl pa�sonally known .me or;has/have.produced Who.ls/are . rsonallyknown e,or has/have�produced •
as Id'entlflcatlon. ' � � ` � as IdendficaUon.
� . �
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,���w Notary Public . �""� Nohary Publlc
.
Com C Ission No.
'YP' SYWIAA,CAMPBELL ;i"�,rpU;c+`; NotaryPublic-5tateofFlorida
�a°�� U��`: Nota Public-StateofFlorida + .
Name o I� e�,prif�ari�i�p�2B39 Name of Notary �� ,ExpiresJul 19,�o�t
=� o�: MyCamm.6cpires1u119,2021 �"'••�OFf�„�`'�,
•''FoF�'�;''' BondedlhroughNa6onalNotaryAssn HondedthroughNationalNotaryl�ssn. �
�b� li^ I ��.�i�,L/�!�l�'•"/,.,..�•_: .��._�::.. '�-a:���,��, `-j •
/'��I/���r,��,f:-- �; - , _ -- . :r _._�, :- .
�- �� " � PROPANE GAS Service Order/Proposal �
AND AIC �Nc.
�Si'�r�e �988 8�3-782-50 i 3 ., Invoice
' z��RN.. �r�nt�F��%�E:R�}�!;C�1�1A1`.! ��,��� r��.�c,
Sales, Service & Installations ,r�,��-E: -�r�;���: 7����.�:.;� � �+��:� y i - � r �c�:��F�
4441 Allen„�d. • Zephyrhills, FL 33541 `��f'�F�! �'�� ���h�?�-� ti���
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, . , ",. `'RECOMMENDATIONS �...���. � �� i u�
Aiuitu�l��la,intenance;Recominended 6y AII.:Equipment Mandfa rs.;,,.; . � � I�
• - ��� _ Pressures Lo HI T-Stat i i
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. � .REFRIGERANT.R- LBS. S per Ibs. � �
. � • . �
FILTERS z x Changed Monthly I I
" • ' FILTERS x x , Changed Monthly � � I
❑ �REGULAR ❑WARRANTY TOTAL•".SUNIN1ARl' -;.-
Defiumidistat:Setfing�;�When here"ON"; When Away 6�, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
IMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD O.F PAYMENT CALL i
suppliers'wrilten warranty only.All labor performed by the above named company is warranted for TOTAL i
)days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CAS H ❑CK# MATERIALS i
cpress or impiied,and its agents or technicians are not authorized to make any such warranties on
;halfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
�ave authoriry to order Iha work oWined above which has been satls(actorily wmpletetl.I agree that Seller
PROG. W 1 C �
tains tlUe to equipmenUmaterials fumished untii final payment is made.If payment is not made as agreetl, CLAIM# i
dler can remove said aquipmenUmatenals at Seller's expense.Any damage rasulting from said removal shall �
rt be the responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO
.L UNPAID BAL4NCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
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JSTOMER SIGIJA7URE �ATE ✓�� �a'LG TOTAL ...���� � W
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