HomeMy WebLinkAbout17-18723 CITY OF ZEPHYRHILLS
„ ,, 5335-8TH STREET ''
(s13)78o-oozo 1.8723
BUILDING PERMIT �
� PERMIT INFORMATION LOCATION.INFORMATION
Permit Number: 18723 Address: 38426 COTTONWOOD PL
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-021B-OOJ00-0050
Improv. Cost: 6,099.00 OWNER INFORMATION
Date Issued: 8/04/2017 Name: JETER KENNETH
Total Fees: 70.00 Address: 38426 COTTONWOOD PLACE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/04/2017 Phone: 813-782-7816
Work Desc: A/C CHANGE OUT 2TON
CONTRACTOR S APPLICATION FEES -
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
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Ins ions Re uired
D CTS INSTALLED
DUCTSINSULA D
FINAL `^ �
REINSPECT�ON 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 properly 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 SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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e�sasaoozo City af Zephyrhills Permit Application Fax 813-780-Op21
Buitding Department
Da4e Recelved g�� �g� ��
,: Phane�Cantactfor°Perniittin `
' Ownsr'$Name f�A�1/U��/�} �./�C�le Owner Phone Numtaer ��3" !�� /
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' Owner's Address 3 t�7c��p. dN d �"�� Owner Phbne Number -� �
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Fee Slmple Titleholder`Name � � Oxiner Phone Num6er � �
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Fee Simple Tltleholder Addre�s
�oe�,���5� 3g a �� da� � �oT# ��.�
sueofvis�aN ��ood t�i�t1 0 5 ��ce�.io� ��� a'� �1 la,�l� ,Dl��G� d�j�Z9
, (OBTAINEp FROM.PROPER7'Y,TAX NdTICE)
WORK PROPOSED : NEW'CONSTR � ADDlA�T � S1GN o. � o � DEMOLISH '
�e= INSTALL � REPAIR � ' ,
PROPQSEQ;USE Q $FR Q COMM - Q •C}THER . ` ' ,
TYPE OF CONSTRUC'1'ION - Q� BLOCK " Q FRAME C� �STEEL Q -
DE3CRIPTION OF WORK' n �G�'.S� �G G �br.�-'� � U"f -o �N� � T'Qn/�
�UILDING SiZE � � �"SQ�FOOTAGE � _,HEFGHT }���
QSU{l.D1NG , �� VALUATiORl�`(.iF'TOl'A�'C�NSTRUCl'ION ' L
QELECTRiGAL , ' �$'�, AMP BERVICE Q PROC�RESS ENfRGY W.R.E:C. ,
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QPLUMBIitilG �I___ � 1 , ,
OMECNi4NtCRL $ VALUATION O�:MECNANlCA�1NSTA3.LATlON
.. �l���o _�t� . . -
[�GAS Q RQOFfNG Q SPECiALTY' � OTHER � -
FIIVISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [�YES. ,NO .
81i1�DER COMPANY. ' `
SIGNATURH REGISTERED Y/ N ��e cuR�n ' Y/N"
Address � * Licanse# I �
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ElECTE2lCIAN; ' COMPANY � ' °
SIGNATURE w' REGISI'ERED Y/ N �Ee c0�n'�'' �`�Y/N
Address - , . .; License#-:� . � �
� P�UMBER ' C�MPANY . � ,� -
�� SIGNATURE' ' "' � , ,REGISTERED Y./-N,a ;; .�FEE CURRE� '" Y-L N. ' , '
Addre�s . ,.License,:# i�. , - .. -�- ,
r�Fc�n��c,�: - � � .��Ze�.o�c�t. � co�p�r. �h��,S �f�rnP���5�"�f �.�G
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SIGNATURE � REGI57ERED , Y,/ N . , � FEE CURRED Y/'N
Addres�. - �� f G�r1�- - �' v�, _ . License#`�1�� 7.c'��"7r� . 1
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oTtiert ; _ . . � ';coM�a�nr ` ' � .
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$1GNATURE' .� � ' '� � ' ° ' ` ' � REGISTEREo � ' Y/ N:.:: `�FEE CURR�� Y/N
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RESIDENTIAL� � �Attaich"{2}„P..tot;Pians;n:(2�`sets=cf'BulidingTRlaiis;`{1}`setof=Energji+Foims;�Ft�W'Piamiitfar'csev+rconstructloii, � ` . .
w ,�.s=�:Minimumtten+(1,0);wqrking�:days;atter„submlttai date,�:;Required onsite;':Constiuctlon:�Plans;Stormwater'Plans w%811t Fenr,e installed,
��`Y��'�Santtary FacillUes�&��1,�du,m,pste_r,-Stte•Worlc�Rertnit tur;subiitvislonsllarge'=prnjects-�; : " ' '� � "'" ;�• �.'-
COMMERCIA� Attach{3)�c�oi'tmpteteTse#s`of Bulld(ng Plaiis�plus a'Life Safety Page;�(1j set of Energy Fortns.it-O-W Petmtt far new cosishuction.
Mintmum ten(10)waricing days after submlttai date. Required onsite,ConstrucUan Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all new,:proJects._All commercial requlrements.must meet compllance"-�
i SIGN PERMIT Attacti'(2}sets of EnglneetedrPlans.,.;:: :--� •.. <. . � - ' .
""PROPERTY SURVEY required,for all_NE4Y construcUon..
Directlons: . , , �. � .
Ffll out applicaUon completely.
Owner 8 Contractor slgn back of appltcatlon,notar�ad
If av�r�2500�a Notice of Cammencement ts required. (A!C upgrades over�7900)
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'" Agent(for the contractor)or Power of Attoriiey(for tFie owner)would be someone with notarized letter from owner authorizing same
, OVER i'HE CCFUNTER PERM17'i1NG... ,. -(Etant�of�APPIlcation-Only�).r- - r, ` ' -- -_ _ .- _. � .� < <_ _�
Reroofs if shtngles Sewers 3ervice Upgrades A/C "' Fences(Plot/Survey/Footage) ., � , � �
.. _ .� . �... _ . � :. * Y
� Driveways-Rtot over Counter tf an pubtic roaduisys..nead"s ROtiY : , � '
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NOTICE OF DEED RESTRICTIONS: The undersigned undergtands�;th�t,thl�;p�rmif�,maybeasub)ect.to.;"deed"restrictions"..,�., ...,.....,�
which may:tie=more'r.estFictive-th��Countq�ic+egulatCons:'The�:u�decslgned°assumes°'respon"sibil(ty"for"compliance vi!itFi"any��- ' � '"�'
appllcable deed�rest�ictions. � ,-_.,.,, ,;:rv. , • . ., --- --
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UNLICENSED• CONTRACTORS.AND CONTRACTOR RESPONSIBILI�IES: -1f�the�owner=has-�hlred �a�"cont�actor or
contractors to undertake work, they may;b;e,�re�qu1�ed.�to._betlicensed:in_accordance.with state.and.:local:regulations:.°If=the�� �' ��
contractor t§�not l(censed=as'requlred�tiy law, tioth�the owner and�contractor��may�be�°cited�for��'ml�demeanor violatton
under state law. If the owner or Intended;�conha�tor:ere,,uncertaln as to what Itcensing.requirements;may��eppiy���for:tlie•-• �
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Intended�work;they are advised fo coritact fFie.Pasco County Buildfng,inspectlon_Divlslon.-l.tcensing Section at 727-847-
8009. Furttiermore, (f the ovimer has-Filred a conUactor v�contractors� he ts advised to have �the contractor(s),tisign
portions of the:"contractor Block" of this.application_for,which they will.:be-tes�.onslble: If:.you,:as-.the oiivne�`'stgn'�as'�the ' `�" a
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cont�actor; that may�be an indication that`iie`°is not:properiy Ilcensed�ancl�'is not entitled'to permitting privlleges In Pasco
County.'' _ ,.. ._ �:,.;�.� ,., . ��
TRANSPORTA710N-_IMPie►CTIUTILITIES`IMPAC't�ANb�RESOU�tCE RECO�IERY�FEES:��The undersigned�understands
that Transportation Impact Fees and.Reco.urse Recovery.Fees may�apply:to�tf�e construction of new.buildings��change��of����`�==� �
use in existing buiidings,-or_expar�si�n��of:ezlsti�i�g'+fiuildings,'as speclfled.in Pasco County Ordinance number 89-07 and„
90-07, as amended.,..;Th� undersigned also:uRderstands; ttiait�such fe.es;=as�may:`be��due;:�wlli�tie tdentified at the;time�of-�� �v'��� ;�`
permitting. It is fuitfier understood that Tra�isportatlon ImpacC Fees and'°Resource Recovery�Fees..must be paid prior to
rece�ving a 'certiflcate.=of-occupancy"��or flnal��powe,r-�,Gelease:.�:if�the.project�:,does;not Involve��a=.certificafe of occupancy-o�����-����"�`�"�
flnal power release;�#h'e,fees-mu�t�tie paid�,pr�or to.permit Issuance. Ft��tk�ermore;'ff.Pasco-.County�Water/Sewe�rlmpact �, �����°;-�
fees are due,.they,Mmust.be=paid;.prior:#o.permlE-lss�ance��in..accordance wltF�:appllcable Pasco�.Countji�ordtnances. •
CONSTRUCTION'GEN�LAW'(Ciiapte�718� Flor�da§tatutea�as amended): If valuadon of work is$2,500.00:or=more,.l , =�;;�:
certify that I� �he.�,applicant;: have�been providetl �with a=copy-oi the�"Florida� Constructlon� Lien :Law—Homeowner's
Protectfon Guide" prepared by'ttie FloFida Department�of Agric.ulture and Consum�r.:Affairs. If the applicant is someone� ,. _.
other than the"owner", I certifji;:that.:l;have:;optain�d�a`copy.of.the:abova.des.crlbed iiocurr�ent�and.promise�.in;good':faith�to •
deltver it to.tfie<'ownec"=piior�toycomniencement:'�� ' - , ._ ' , . �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify:,that=:all.th�.,inf.ormation:in�thl�appllcation is accurate.and that all work
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will'be done in compliance with all.appltcable laws regula8ng constructlon, zoning and_,land�development. Appltcation,is
hereby made to obtain .a.permit,�to�do.3:woric:;and=Insfellation as indi�afed:�:.�-:I. certify"that no work'�or Installatton has �
commenced prio� to Issuance of a perriiit`"and that`.all�work will be performed�to meet standards of all laws �egulating-
construction, County and City codes, zoning regulations, and land development tegt�latlons'in the Jurisdictlon.- (�.also _.
certify that I understand.that the regulations of other government agencies may�apply to the intended work, and that it is
my responsibility to identify•what,actions I must-take,to be.;in:.compllance;..S.uch.,agencles�include but�are.not Ilmited to:..,� �
- Depa�tment of Er�vironmentai'='Protection=Gyip�ess.'Beyhead§,�WeNand Areas and Env(ronmentally Sensltive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management`:.Dtstdct-Welis;` ,Cypress.c BayMeads;- Wetland' Areas, Altering
Watercourses. , � ,, ., � �
- Army Corps of Engtneer§=Seawalls,'Docks, Navigatile Waterways. .
- Department. of.Health:,;,B;.ReY�abllltative.�.Senitces/Envitonmenfal, F�ealth Unit-Wells� Wastewater�Treatment,
S'epticTanks:. � .. .� , . . .�
- US Environmental�Protection Agency-Asbestos abatement:..�
- Federal Avlativn.AuthoNty=Runways:�-, �� o .
1 understand.that.the,folloinrin'g:restcictlons apply to the use of flIL•�
- Use of flll is not allowed In;Flood,�Zone"V"unless expressly permitted,. _
- If the�-�11 mate�laf�ts 'to'b.e used:'�In �Flood Zone. "A", �tt. is understood�that a drainage plan addressing a
"compensating volume" will be submitted at�ime of<permifting wh(ch is prepared by a profess(onal engineer
Iicensed by`�he�State of:Flo�ida. -� : �- �
- If th� flll material��.is to be used In Flood �one 'A" in�connectlon�wlth�a��ermitted buiiding using stem wall
construction, I certify th,at fill:wall=be-used only.to.fill the area within�the:stem�wall: -
- If flll material is-to be used-in any area; I �ce�tify that .use. of'such�flll will not adversely affect adjacent
properties. If use of flll is found.to adversely:affect ad)aEenf��properties,.the owner may be cited for ariolating
the condifions of the building;perrriit issued�under the'�at�aafied_�iermit:�ppllcatlon, for;lots:less than.one (1)
� acre whicfi are elevafed'by flll, acr engineersd dralnage plan is required.
If I am the AGENT FOR TH@-OWNER;,I;promise in good faith to Inform the°owner:of�the permitting condft�ons set forth In
this a(fidavtt'prior to"commencing construction.. �f understand that�a-separete permtt may be requtred for elecMcal work,
plumbtng,_signs� welis,.,pools;,air_conditioning,-.gas�or.ottjer. Install�tfons noE,spec�ically included-in.the application. .A
permit Issued shall be constnied to'be�a�Itcense`to'proceed wlth'tFie work and�not-as:autho�ily�to.vlolate;'cancel. alter, or
set aside any"'provisions of the tecFinical codes;�nor shall issuance�of a.permtt.pcevent the Bulidirig O�ficial from thereafter �
requiring a,correction af errors:in,�plans; constriictlon.orviolations of-any codes.�.Every��p�ermit�[ssued shall�become•invalid
unless the work authorizad.by such permtt.ls-cor�menced•within st�c,,m.onths of�permlt Issuance, or If wo�k authorized by
the permit is suspended�or-.abandoned.Efora:period,of�six�(8)�montFis:afterthe.tirne the�work�is commenced. An extenslon
may be requested�_In writing,.from.tlie'Building.Officlal for a perlod::not to exceed��ninety(90)��days a�d will demonstrate�
• JustNiable'cause for.�the extension�. If work ceases.for ninety.(90)cons.ecutive:day.s...th�)ob�is considered aba�doned.
WARNING TO OWN@R: YOUR-�AILURE,TO.,REC;O�tD-,A�,MOTICE.OF:�COMMEMCEMEMT:NWY�RESULT IN °YOUR
PAYING TWI.CE:.FORiM,PRO.VEMENTS_TO.:YOUR:•:P1tOPER-TY:��IF°YO.U;IN�'E�ID:TQ�nBTAIN�FINAR�EING;�ON9ULT
WITH YOUR L,6NDER�.OR At�ATPOR�EY�F�'��iR��R�IN�:�YOUR'�TIC�f�F=���1ff111�ENC�fE�1T'--=�-- -- -
FLORIDAJURA��(F:S:t17.03} - - � •� ��
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OWNER OR AOENT - CbNTRAGTO �
Subsaribed and sarom or aflirtned)before me fhls Suhs e ' nd' �lo(or afflrmed)� efore me�thf&
- b I fY ^/ U •
Wfiolsfa onalt kn me.orhas/haveproduced , Who.ls/are . onallyknown•to e•orhaslhave-produced •
as Id"entl8wtlqn. as Identlfi�aUon. '
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Notary Publlc . w ��� Notary Publlc
Commisslon N ` C Isslon.No.
, t�;�'P��..,, SYLVIAA.CAMPBE , ,,. .
;•}' �`'o': NotaryPublic-StateofFlorida ;,00��ava"��.,; SYLVIAA.CAMPBELL
Name ot Notary ' e�or��P Name of Notery type p stam
'�� My Comm. xpires Jul 19,2021 mission k GG 112939
���o�F�cf�°'' `'" o?? MyComm.ExpiresJu119,2021
Bonded through NaUonal Notary Assn. '•'4�oF F��:�•
Nonded Ihrough National NotaryAssa
� V�.t.`l • ���� lJ � � �
s � � PROPANE GAS Service Orc�'er/Proposal
�y � AND AIC itvc.
��ce�9�8 813-782-50 i 3 Invoice
Sales, Service & Installations . G���!��t� .��,I.�:F��� ��--,��''.'�;{'���`F;t� ��,�"�,��:��'� H'f�-��
4441 Allen Rd. • Zephyrhills, FL 33541 ='�; ���• ��i''i� -��``�-��a �!�1,'i%�i;17 ���:,;,;-�}
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NOTES: �,�I/�� rn; n C��—,�C� i���:1_I.': � ; f i+!1•=' �'�'��?t*I I`-'(= , �
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.DESCRIPTION AF WORK _Q�F1�. MATERIALS'$�SERVIGES .' . ,'` :UNIT:PRICE`=_.�AMOUt�lfi:_:
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- ' ' - REC,OMMENDATIONS � �
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Annual.Mairjtenance�Recommended"6y All;Equipment:Manufacturers. � �
Pressures Lo HI T-Stat i i
.4•._ - �- - , .._ _ _.. _ . •.::. -.,.�;:_ - ._;r::r:-, i
• - , REFRIGERANT.-R;,, . 'LB§. $:P,erltis..=,-_' . I`''" I
� FILTERS x �x Changed Monthly I I
FILTERS x x Changed Monthly � �
' ' ' ❑ REGULAR 01NARRANTY �. � `74TALSUh�1N1ARX",.' ,
Defiuriiidistat Setfings: When here"O�I'';. When Away 6�:T-Stat 80°; ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' .� -• =.METHOD•OF PAYMENT " _ CALL i
or suppliers'wriHen warranty only.All labor performed by the above named company is warranted for • � TOTAL i
30 days or as othenvise indirated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are nol authorized to make any such warranties on
behalf of above named company. ❑DEBI� C7-CREDIT ❑OTHER' MAINTENAN�E �
I have authoriry to o�der lhe work outlined above which has'been salisfa�torily wmpletetl.I agree lhat Seller
•PROG. W �C �
retains litle to equipmenUmaterials furnished until final payment Is matle.If payment is not made as agreetl, CLAIM#. � ' � �
seller can remove said equlpmenVmaterials at Seller.'s expense.Any tlamage resulting from saitl removal shall � .1
not be the responsibility of Selter.NET 30 DAYS.A 1 12%SERVICE CHARGE WILL BE ADDEO MONTHLY TO � `
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNOS DATE COMPLETED
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TECH: • T i
CUSTOMERSIGNATURE DATE ✓1!i(.!//(?fi ✓ou TOTAL
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