HomeMy WebLinkAbout17-18722 CITY OF ZEPHYRHILLS
5335-8TN STREEt'
� (8].3)780-0020 18722
v 1
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18722 Address: 53'f 6 11 TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, Fl..
C1ass of Work. A/C CHANGEOUT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Btock: Section: �
Square Feet: Subdivision: CITY OF ZEPHYRHILLS �
Est.Value: Parcel Number: 11-26-21-0100-17100-0100
Imprav. Cost: Sc`�'�� OWNER INFORMATION
Date Issued: 8104I2017 Name: SAINT J�SEPH CATHflLIC CHURCH
Tatal Fees: 65.00 Address: 5316 11TH ST
Amount Paid: 65.4Q ZEPHYRNILLS, FL. 33542
Date Paid: 8/04/2017 Phane: (813 782-2813
Work Desc: A!C CHANGE OUT 5 TUN SPL(T HEAT PUMR OFFlCE
CONTRACTOR S APPLICAT1CiN FEES
BAHR'S PROPANE GAS &A/ , INC. A/C CHANGEOUT 65.00
r �
,
Ins ec ans Re uired
D TS I TALL�D
Dl1CTS INSULATE
FINAL � -�
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Flarida Statute 553.80(2)(c)the
local government shait impase a fee of fiour times the amount of the fee imposed for the initial inspection ar
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additianal restrictions applicable to this property that
may be found in the public records of this county, and there may be additianal permits required from other gavernmenta(
entities such as water management, state agencies or federal agencies.
"Warning ta awner: Your failure to recard a noti+ce of commencement may result in yaar paying twice far
impravements to your property. If you intend to abtain financing,consult with yaur lender or an attorney
before recording your notice of cammencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertarmed in accordance wi#h
G Codes and Ordinances. NO OCCUPANGY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�.-.,. ,
t��rw�- lt.�.-
CONTRAC O SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHCIUT APPRt�VED INSPECTIBN
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR{)TECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Butiding Depadtnent -
Date Etecelved + - ,: PhanejGontact far Rermtttln 8+�„� ��. — �d l
l�wner's Name �� �'f�✓ �!. �e Owner Phane Number �`3 b �P o� "��.�.
Owner's Address ��� 7��� �/ �'C� ��, ' Ownar Plione Number
Fee Simple Tltleholder.Name � Owner Phane Number �� �
r . .
Fee Simple Titleholder Addresa Li �� _
JOB ADDI2ESS ���fo ll�`''� �.`�", � � e�`h�l �� �, ����f o� LOT# �_,��
sueo�visioN ����b���'i������ PARCEL ID# 1 ��r �1 .G'>�11y 1�CdC3 dIGSl3
(OBTAINEO FROM PROPERTY TAX NOTICE) �
WORK RROPQSED � NEW'CONSTR ADD/AlT � S1GN` Q. = Q ' DEMO�ISH
� -e. INSTALL REPAIR �A
PROPOSED:USE �� Q SFR Q COMM �� �C?THER � '
TYPE OF CON$TRUCTION Q- BI,OCK " '�] FRAME .� [� STEEL [;�
, � . �qf�
pESCRiPTION OF WQRK` N ��?OG�G� 9� t�° •��N�I � Ll� �" ut" i � G''0"/�
Bi11LD1NG SlZE �� ( S4 FCOTAGE E.��: : ' .,.HEIGHT ���r�
, . .
�s�«���� • �- � VALUATION�C)F TOl'AL CONSTRUC'i'ION
L_
�ELECTRIGAL. � � AMP BERVICE `Q PRtOGRESS EMERGY Q . W:R.E:C. ,�
QPLUMBiNG' f�� ` � - •
QMECHANtCA! $ �-y VRLUATION OF,MECHANIGAI.INS'fAi.LATIC?N
' ���"_►.1�.. - - - . �
QGAS Q ROQFING ,Q SPECIAR.TY � t)THEFt � `
FINISHED FLOOR ELEVATIQNS r�� FI.00D ZONE AREA QYES. NO .
L �
eu��a�� cot��a�r;. - - . _ �
SIGNATURE REGISTERED Y/ N 'FEE CURRE� Y/N'
Addre�s � License�#��� �
E�.ECTRlCIAi�1 COMP{WY ` - , � -
SiGNATURE '' REGISTERED Y J N FEE:CURRE�� '`Y/N
Address - , � . .. . license#:� . , . �
P�UMBER'' , GOMPANY - - . ;3 -
SIGNATURE' ` � REGISTERED. Y./.•N,� •.FEE CURREP Y/N. ,
Address License.# r.. _ , � �, �: ,
I' MECHbNtCAt:" - � , COMP.ANY �`3-�fR�. ftnl�.{��t5����1�
SIGNATURE ' �'��`�' � REGISTERED Y,/ N .FEE CURRE� Y/�N ,
r , . ., . . . . .
•.
�
,
,.,,..,
-
. .�. _ .y���t - I�n� � ; �h�1ls 3� - , .. . � ��������� .
Addre�s£ -- ' License# � . , .
OTFI�R �� � ';GOMPEWY �4 _� ,
SIGNATURE � - � " � � - ,rtEGISTEREo' � , " Y/ N:,.. FEE CURRE� Y/N
�ddress� . " .. ,, ' . ,� . . .` � . ., - . - Licetise#�.� � - �,�< .
, . .�<,.�.,,: �; >.�� �, �
RESlDEN�9A1;,;�: •Attsctit(2)uptof:Plans;.(2}sefs=of+B�a1k11ng�Ptans;`(1}_set,af:EriergyrForir�s:=�R=O=W'Perrril#for'newconsWction. ; " ' .
p;, Minimumrten_(;1,0);uuqriiingydays�efter'�subinlftal'date:�:Required onsite,pG�"nsUucNon�Plans,�Stormwate�"Plan's w7 SOt Fence installed,
r Sanitary Facilftl,esf&�:_1.,dumpster�5lte;Work,Permitforsubdivisions/large�;proje.ck`s: �<,` :- __ ' ` � '* �"
CQMMERCtAt. Attach{3}-oomPiete sets�of Buli�lag Plans'plus a Life Safetp Page;{f}set of Energy Forms.R-O-W Permtt fac new constcuctton.
Minfmum ten(10)worktng days ai#er submithal date. Requlred onsite,CanstrucNon Plans,Stortnwater Pla�s w/811t Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permik for all newproJects:°All commercial requirements.must meet comppanee ` � "
SI�H P�RMfT AttacFi"(2)§efs of Eng,i`neer.edrPlaiis.,,. ;-:= u _- � � ' ' � �
, •••"PROPERTY SURVEY requireci for all NEV1l oon,s.trucGan._ _ • _.
!}Eiactlons: � ._ - � - . , _ .
Fill out applicatlon completely.
Owner&CcmtracMr sign back of applEcatlon,notadzad .
!f ovar b2500,a Notice af Commencement Is required. {AtC tspgrades ovar ST580)
-'"�.,,;;.
�.,� �>
MY1 . � •� �» - '
Agent(for the contr`actor)or"Pouver of Aktomey�(fti��tFie owner)would be someone with notarized letter from owner autho�izing.same
. . ..
OVER TNE CCtUNTER.FERMITTIEtG.. - tFront af Applica#ton On{y) "' -
Reroofs if shtngles Sewers -'•� Servic�i Upgrade"s A/G���-= Fences(PlodSurvey/Footage) ` - � � • � '
Drlveways-Not over Counter if on'pubtic'roadurays..iieei!`s ROW • �
, . . . .. .`f'
. , '� r
NOTiCE O�DEED RESTRICTIQNS: The aqderslgtxed;under�tands=;th�t<�hlg:�p�rmif;may:be,subJec�.to."deed",restrlctioiis"_.. ..__, .:�
. ., a _ ..... _..,.
which may:be>more`.r.est�rictive'�thain Caunfy�i�egrilatCons. �The'und`ecslgned°�assumes�°'resp'onsftiiltty'far`coinpllance witFi any� '
applica6le-deed-�estrlctions. � .. ` �
UNUCENSED�`CONTRACTORS �AND CONTRACTOR R@SPONSIB1LITtES: �•If tlie-�orivner�has�°hired��a"conMactor or
oont►aotors#a undertake work,.they m�ay.be.ice�quic�e,d�tto::be>Itcensed ln_accordance.with state.and:lacal,�regulatlons:<-1f�the�� �� � -
contractor:"i"s-nbt��llcenseil-as requlred.'6y taw, bo#h�the owner arid:=con#ractoT=may�be°°clted~for•a•misdemeanor vtolation
under state law. If the owner ar Intended;�contra�tor;are,:uncertaln as to what Ilcenaing:requlrements�;may�apply>�for.`tFie'��•� =�- �
tntended�vtrork, #Fiejr are"�itiviseii to coritact:ttile�Pasca Caunty,BuiEcling,'inspeict#on,Dtv�sfon--L•icenstng Seatian at 727-847-
8008. FurtfiieTmore, if the oviirier has�htred�a�canUactor�or contractors� he ts advtsed to have the cantract�rr(s}, slgn.
porttans of the,�contractar.Block° vf,thls,_appllcatlon.-for,whlch.they.w1D>.be..r.es�anslble.� _If�you;=as:.#he oiivner'st�n�'as�lhe �' � �
ca�ttraatot; #hat�may Ese an Indlcatlon that`iie=ls"not proper3y licensed`and"ls�no#'eritit�ea to�parrnittl'ng p�iiilleges In Pasca
County. ` • z, _,��;
TRANSPORTATICIN-•EMPACTItlTiLIT1ES�11I1R14G'C�ANb itE�OU�tCE RECi�VERY�FEES;Tha underslghed�iiitders#ands
that Transportatlon Impact f�s�and.Reco.urse_Recovery:Fees may<<apply.#a�t�e�:construction�af new�buildings,F.change'of"��`-`�'� '�
use In existing bulldings,�or�expanst�n��cf��exlsti��'aliu!ldings. as spealfled.ln Pasco County Ordtnance number 89-07 and,
90-U7, as amended.�.;The undersigned aiso:understands; thait:such fees,�;�is��may.'°be�=due;�.witi�6e ident�ied at the;'time5{af�: .;:,;:���~ .`
permilting. It Is ftir'tfie�understood that Tr�i�sportatlon Impact"Fees and�Resou�ce.Reco�ery�Fees...mu'st be pald prlor to
'. �ece�vtng a"cerf#tcate.of-accupancy"�ar f�nal��pawe,r.�,�elease.- :I���the,proj�ct,:daes;not Mvolve,�a�certiEicate of occupancy�or��:�;-. °
y .._
..., P , � _,, hermore�=1f:.Pasco;County..Water/Sewer��lmpact . �,,�:-.
flnal power-releas�,e;. the�.fees mu�t"tie� �aid ip�ior#o;permit Issuance. Ft��#
fees are due,_they:must:be:pald:pri�r to,permlttlss,u��ce:ln.accord"ance wlth:appl3cabte�Pasco':Caun�r�orclinances. -
� CON3TRUCTION LiEN"tAW�(Ctiapter 718�Ffor�aia Statutes,as at�ended): tf vatua�on of work ls$2,50d.00tor more,-1 . ,.
aertify that I� the.•appllcant,�have-:been provlded wtth�-a=copy�of��the°�"�locida� Constructlon.-:Llen :L"'av�--Homeowner's
Protectton Gu1de" prepared by�t�ie'Flor�da D`eparf�menf af Ag�lc.ult�re and Cansumer,:AfFairs. If ths appllcant ts someane .
otherthanth�"owner", I.certifji,.that_I�have:aptalned`'a�copy;of..the:above:rfes.c�lbeddocu�ent�and;p,rn,misi�uln,gaod:falth�to :
I delhrer it to.�tiie`::owne�':pirlor,to%coitiriieRcemerit:' � � ,. � � :
CONTRACTOR'SlOWNER'S aFFIDAViT: i.ce�ti[j►::;ttiatsall.the,lnformatton:ln�thl�appllcatlan Is accurate and that atl wark
will'be done in compllance wl#h all.appllcable'laws regulating constructlon, zoning and��land�development. Appltcatlan Is
hereby rnade. #a obtain .a permit��to:rdo.�work:;,and instaEtatian as Indl�ated:�� �:1. certify that no work�or installation has
commenced p�lo�to I"ssuance of'a permlf�and� that.all�work wlll be performed�to meet-standards of all laws regula�ing-_
constructian, Gounty at�d City codes, zoning regulatiQns� and land developmettt teg�slaUons�tn the Jurisdlction.- 1 a1'so� _
certlfy that I uaderstand that the regulatlons of olher�government agencles may apply�ta the.Intended work� and that it is
my responslblfity to(den#Ify�what.acUons#must�Eeke,to be�ln:.corrl�}lance..;Such ageno#es inctude but�are.not Itmfted ta:.,� -
- Depa"rtment of E�vironmentaf�Protection=CyPress:'Bayhead�,�We�and Area�s and Environmentally Sensitive
Lands,WateNWas#ewater Treatment. ,�
- Southwest Ftor�da WaEer Managerrment:�}3sUlct:Wells; �Cypress. 8ay.heads;- Vtfet#and� Areas, Alterit'tg
Watercourses. � ` ' �
- Army Corps of Engineers�Seawalis�Docics�Navlgable 1Naterways,
- Deparkment of:Health;;,8,.Ret�abltitative,,Servtces/Envitonmental�F�ealth U�rit WeQs� Wasteukater Treatment;
Septla Tanks:. '._ � . � ..� -- , .
- US Environmentel Protectian Agency-Asbestos abatemen�: . � -
Federal�Avletion:Authorlty-Runways:� � �
1 undetstand.that.the.follciwing.restrtctlons aipply to the use of fltl:•
- Use af fill ls not allowed ln'Flood;.Z„o,ne"V"unless expressly per7mltted.
- If the-�flll` materlal Is �to be usetl:In.:Flood Zone. "A"� It. Is unders#ood��that a dralnage plan addressing a
°compensating volume*wiil be submitted at�#me of:permitting wfiich is prepared by a profes�iona) engineer
Ilcensed by`the_State of-Flotlda: � - `
, - 1#th� flll materlal-ls to-be�used In Ftoad �one 'A" in�cnnnectton�wit3i�a��ermitted balfiding using stem walt
� ' conattuctton, I cer�fy that flll.w�ll.be used only.to:flll the area wtthln�the�stem-�walL- •
�� - !f flll materlal�ls�to be used !n any area� 1 �aecttfy that .use af�such^fltl�will not adversely atfect adjacent
' properties: if use�of fill ls found to adversety:�ffect adjacent��prc�pertles,,the owner may be cited for vioraking
' the condl#tons_of the bi�lltllrig:permlt Issued�under the'attaafied�permlt applicatlan� for.:lats:less.than.one (1)
; � acre wfiici�are elevated�by fl1#;an engineer�ed dratnage p�an is required. . • .
If I am the.A�ENT FOR,THE 4VIINER, I,.promise In good fatth to Infarm the ownec of the permltting condftlons set forth In
� this affida�it`pilor to commer�cfng.constructfon. �I understand thata-s�pa�ate permit may be requtred#or etect�{ca!work,
plumbing,_.signs, weils��poots;;a1r conditioning�:g�s,.or.otMe� tnstali�itions not,spec�icatly inclu�ed�in.the application. .A
permlt Issued shall be constcued to�b'e�a'Ilcense'�to�proceed with the work and not�as:authoNty.=to._vlotate�'cancel� alter, or
set aside er�y provislons af�the technlcal.r�des;�nor shalt tssuance�of a.pe'tmit.pceven#ftte 8alldlrig t�fftctat from thereafter
requtring a.ca�ectlon af errors In.plans; cons#ructlan,or vlolaUons of�any codes:� �very{�p�ermlt=l,ssued sliaD becotne�invalid
� unless the work authorized.by such permit:�fs-commenced�wtthin s[�c.mon#hs of permlt lssuance, ar if work authorized by
the permit is suspended•or.abandonecl,for:a:perlod;of�sUr:(�)mnnffis:after the;tlme the�work��ls commen�ed. An extenston
may be reguested� tn writ(ng,.irom_ttie.�Bullding,Offlclal for a peNod��not.to exceed nindty'(90)�days e�d�wl!!demonstrate
just�iable"cause fior:the extensiar�. If work ceas�s.for ninefy{90)cans.ecutive:day:s,..the Job�is considered aba�doned.
WARNtNG TQ QWNER; YOUl�..FA11.lJRE,TQ..R�FCQEtD.A;.1�O;T�GE:QF:�COMMEMCEME[a�TT:1V�AY�RESUtT IN�YC►UR
PAYING TWICE;FOR,IMPRO.V�AAENTS�7fl:�YOUR:.PRC�PER-TY:>I��.YO.U;1�1'�E�D�TQ�'C�BTAtN�'PINAIe1EfNG;'CONSIILT_ _ _
WlTH_. _ A1 - � ��► =Add��'t'[a W f3�Et - � G�� �74J .. , .;� .� ..�. ; , , . E___.-- . .
..
F�OR10A JIJR11�"{F.S: .Q3} ✓ �. . .` , � - . �- -�.
_ , �
� qWNER OR AOENT � �Du�/ri�' . �^2, COMTRAGTO ,
��/`! a bswom or si��j�tefore�'e thl� Sy��s ��aruf' ta{ot afflmsedpb re me tM�
`� �Yl t�� .b - � G.- �:(SP�i�'`''
Who Is/are rsonally knawn .me.or,has/have,produced Whals/are .e onally�ci�own, rrte-or tiaslhave�produced �
as Iden$Ri�B+pri. ° ` as idontlflcatton.
� �� .
Notery Publlc Nofary Publlc
C4 ss4on No: —s,�t�� mlaslon.No. .
•sn`,`�Y���.ff NotaryPublic-StateofFlorida
w VIA A.CAMPBELL
Nams ol Nolary a.t�'S .�pires lui t 9,2029 N�r�te of Notary kyped,p t{{�#' " ed�otary Public-5tate of Flori a
•.,,� o?;�• * •; Cammission#GG11z939
� OFF�,, yondedlhroughNalionalNotaryAssn. •+ ,
��� ,N��OFFs°P�e� Honded hcaughNationaUNoaryAszsn.
'�I, " � � ' PROPANE GAS Service Order/Pro osal �
� . � AND AIC ttvc. . n
�7ee �988 813-782-5013 Invoice
IdORF`.. ORDER#1SERVICEMA�1 7���:4 CJhI
SaleS, Se�vice & Installations , pATE,jT:[I'�IE TAKEN �7!c�117 �9 0 14
' 4441 Allen.Rd. • Zephyrhills, FL 33541 TAt�.Er� BY �,, g. �;�
� � DATE/TII�E F�ROMISED
, NOTES: CUSTOMER#/LDCATION 193�'�
' F'HO�IE# 81�-78c—`813 0
' PHQNE�# 81�—788-1�3f� F
RHO�IE3# - �• � 81�—�F�4—,��14
� CONTACT M I I',E GO Z I NA
� RDUTE/SEC�? CJIV
ST JOSEF'H GATHOLIC CHURGH " 5T JOSEF�H CHURGH "OF�FI�CE" '�°s.�
5316 11TH ST 5316 11TH ST � ,
ZEF'HYRHILLS FL 3?,�4` ZEF'HYRHILLS FL33�4� � '
�T DA:[IiEN HEAT F'�JI�F' -��`�%9/13##
- . AH: A RUFE,�D 14AP, 1�:,�4;='c8`4�
. rD a Dc 13SA�6►�._,AA9 13�81�317�
CO�IF'RESSOR PURNOLJT / UI�!I T 1�1ATCHES UF� W I TH � TO(V DA I li I�I SYSTEh1
. y�. :,;�h ..�.� .�,.� ... .. .
..:. ,..� ,., ,..�. ., .... _ . .
.,...�.. ,.:. f�,::.�e .f;,.:--�,° .; - , _.r _ . _
�" ' `�'�� . .D�SERIPTION'`.QF�1N , � %�:MATERIALS&SERVIGES - ' " NIT PRICE' `AMOUN'f"-
<;� _ �(2RK'�:` - ' �TM - �
- - � _
` i i
iQ� 2 S' a.✓ .0 .' .' ' S� �
3 �,q'�s� .�r fF u �
- . � �
� � � �
' / h . :� .t/. T" j � G� '
�
� v ,. � ;,, � �
� � urTo i✓ v.v, '' ' . '
� �
'I • ' - ' � �
� �
� �
�
- . � �
- � .'„��"` - `.1:;`. �RECOMMEfVD�;1TIONS' . ; . i i
- - . . , .. i i
A►tnual Maintenance;Recommended by;All<Eguipment=Manufa ' ' '
- - •r.�f . .- ��^ ' Pressures Lo Ht T-Stat i i
.. .... .. _ ...
�.:REFRIGER.4NTR--� LBSi ,.,,�;. .$Perlbs.� � � " I
• �. ' . � I I
� • �
FILTERS x x Changed Monthly I I
, � ' FILTERS x x � Changed Monthly � �
/i
O REGULAR ❑WARRANTY TOTAL:°SUMMARY'; _� •.: -
=�DehurriidisfaY$ettings:.;When here"ON",�;When Away�,,rT-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' ' ,_ �METHOD"OF PAY(V1ENT'��- -. " 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 indirated in writing.7he above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and ils agents or technicians are not authorized to make any such warranties on
P Y ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
behalf of above named com an.
I have aulhon�y to order[he work auUined a6ove which has been sa6sfactonly completed.I agree that Seller -
PROG. W I C �
reteins tiGe lo equlpmenVmaterials fumished until final paymenl is made.If payment is not made as agreed, CLAIM# �
seller can remove said equipmenUmaterials at Sellers expense.My damage resulting from said removal shall
nol be Rte responsibiliry o(Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE AD�ED MONTHLY TO I
ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED
TECH T� �
, i
CUSTOMERSIGNATURE DATE �11G��1/G/L ✓ou TOTAL � �(/�/ .