HomeMy WebLinkAbout17-18768 ,. ,,, CITY OF ZEPHYRHILLS /
5335-8TH STREET
(813)780-0020 �1'8768
BUILDING PERMIT '�
PERMIT INFORMATION • LOCATION INFORMATION
Permit Number: 18768 Address: 37704 OAK RUN CIRCLE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Us�: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: OAK RUN
Est. Value: Parcel Number: 34-25-21-0000-00300-0100
Improv. Cost: 3,195.00 OWNER INFORMATION
Date Issued: 8/14/2017 Name: OAK RUN PROPERTIES INC
Total Fees: 55.00 Address: 38070 DAUGHTERY RD
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33540-1375
' Date Paid: 8/14/2017 Phone:
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTIOIV 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.
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ONTRACTOR SIGNATURE PERMIT OFFI R �,
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ''
PROTECT CARD FROM WEATHER
� "813-780-0020 $���
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City of Zephyrhilis Permit Application FaX s�aaaaoo2�
Buflding Departrnent .
, � , - . . � .,
Date Recelved ,� Phone>Contact for:Pernilttin b��J ��o� _ Sd�� �
Owner's Name � /�LLi v � o� i �/1�� Owner Phone Number V��°' 7o O '���
Owner's Address � b � � Owner Phone Number
Fee Simple Tltleholder Name ' Owner Phone Number '
Fee Simple Tltleholder Address _
JOB ADDRESS (/ � � LOT# �
SUBDIVISION " �"K /G/•�i� . PARCEL.ID# ��T �� o�� (�!��� D���� DI��
. (OBTAINEO F.ROM PROPERTY,TAX NOTICE) '
WORK PROPOSED NEW'CONSTR ADD/ALT Q SIGN` �Q � �Q� DEMOLISH
:B. INSTALL , REPAIR �� - �
PROPOSED:USE - Q SFR Q COMM Q �OTHER ' � '
TYPE OF CONSTRUCTION 0= BLOCK ' Q FRAME Q� STEEL Q
DESCRIP110N OF WORK' '
�- � ���i��0 �'= �.cr L� o'� ���- . a-�
BUILDING SIZE - • "SQ�FOOTAGE�_ ; , ,,HEIGHT�� _
,. -
QBUILDING , $ " � VALUATION�OF TOl'AL CONSTRUCl'ION -
QELECTRIGAL ,� $ - - AMP SERVICE 'Q PRO'GRESS ENERGY Q W:R.E:C. �
OPLUMBING� $ `
Q MECHANICAL •$ ���-' � ; VALUATION OF MECHANICAL INSTALLATION , ,
QGAS Q ROOFING .Q SPECIALTY, Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO
�, _ +
BUILDER COMPANY - ' �
SIGNATURE REGISTERED Y/ N FEECURRE� ' Y/'N��.,
Address � � L'tcense# '
ELECTRICIAN . : COMPANY' ` • `
SIGNATURE � REGISTERED Y f N FEE-CURRE�'' °'�Y/N ��
R: - ' • .
Addre�s , ,_.., License#•. �
PLUMBER ' COMP.APIY ,•a ' �
SIGNATURE' �' , .REGIS.TERED Y./--N�� :�.--•.FEE CURRE� Y./N � �
Address � License;# -
` , ,._ . _, ,.. : ..���..Z
MECHANICAL' ' . . COMPANY. , .�JP�N�-C��S � � . '
SIGNATURE � � ' � REGISTERED Y.,,/.N. : ..,- FEE CURREA� Y/�N � . � �
Address'�'�~=- 7 �� - 7 . � ��� �u . ..License#� . �-�✓ ���T .
OTHER ' _ , . .�COMPANY.. . .
SIGNATURE ` ' � � ' REGISTERED Y/ N.... � �.FEE CURRE� � Y/N .
Address - � � � �� �` ' License# ` ' -
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RESIDENTIAL,_:, :Attacfi'(2),;PIoti.P..lans;-�(2)sets:of:Buil'ding�Plan's;'(1)`setiof=Eriergy�Foims;R=0-1N�Perm,lffornewconstruction,_
- � :•Minimum,ten°(�1,0),working daysr.after:submittal'date.:��Required ons(te;:Constiuodon�Flans;`Stortnvirater"Plans�wfSilt Fence'installed,
1�� �Sanitary FaciltUes�&;1;dumpster S(te�Work��Pertnit#orsubdivislons/large:projects'w. .<.: - +,a � � `�'
COMMERCIAL Attach(3)�oomplete-se(s'ofBuilding Plans'plus a�Cife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. �� �
Minimum ten(10)worktng days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed, ,
Sanitary Facilides 8 1 dumpster.Site Work Permit for all new proJects..All commerGal requl[ements must meet compltance �
SIGN PERMIT Attacti"(2)"sets of Engineer,ed%Plans.,, � ,- -- � • ' ' ,
••••PROPERTY SURVEY required for all,NE�Y construcdon..
Dlrectlons: .. � . . � �
FIII out applicaUon completely.
Owner 8 Contractor sign back of appl(catlon,notarized
If over�Z500,a Plotice of Commencement is requlred. (AfC upgrades over s7500)
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" Agent(for the'contrac�or)or`P"ower of Attomey�(for tFie owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER P.ERMI'TTING - {Front of•AppllcaUon Only)-- � - • • -4- - � -_ - ,��• -
� Reroofs If shingles Sewers - Ser6ice Upgrades A/C• - -Fences(PIoUSurvey/Footage) � � � ,
'`,Drivewrays-Not over Counter;if an'public�roadways:.needs ROW . '
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NOTICE�E DEED RESTRICTlONS: The under.signed undergtands�;th�t�thlg�p�atmif:may.,be�subJect.to"deed"restrictlons° .._,,i_..,�;
whlch may�tie�more'�restrictive1th�c�Cauiify°�reg�ilaf(ons.'�'Ttie-underslgned�assumes=resp�insibility°�for`cbmpiiance wilh aany" ^'
appiicable deed rest�lctions. �::. =..,.-. ��:.: � � .. � _ - , _. . . '
UNLiCENSED•CClNTRACTORS aNh CONTRACTt3R RESPQNSI�1l:iTiES: ��ff°the��ovrmer hasy�hfred��a�carotractor or
contractars#o undertake work, thay mey:be=r,gquir�f�ta:be�,llcensed-!n accatdance.with state.and.local�regulatlon.s.:::If=the°-�= � °
contra�tor !s-nok�licensei! as'requlcetl':tiy law� both the owner.and'conf�acto�°may�be°�cifed for���mtsdemeanorviolatton
under state law, If the owner or intended,con,#ra�tor,are�uncertaln_as_ta wha# Ilcensing,-requlrements*may,.apply:��ir'�tlie�� �
intended�woNi, tNey are'advised fo contaot the Pasco Couniy„8uitiding,'inspectlon E3iv.tsion--ticensfng 3ection at 727-847-
8008. �urth+ermo�e, if the owrier tias tiirec� a �confractc►r or"contractots� 1ie is advlsed to have the canfractor{s),.sign.•., ,.; :, .
partlons of the.."coritractor Btock" of.this,_appll�a#ionrfac.whlch they wilt be..r.esponslbfe:.��,lf:-you�=as�:#he oinirier'stgn''a`sti`the'
contractor; that,may`be an indication tha�t`lie=ts �ot:p�roperly Ilcensed and`ls�nat eritiNed`to pettnitti'ng piriitlleges in Pasco
. �..�. ., ,
County. ' � � " � �
TRANSPORTA71C1N-1MPAGTIUTiU1�ES�iMPAC�ANb°�R�SOURCE RECAVERY�FEES: 'i'i�e undersigned understands _
that Transport�#icn Impact Fees and.Reco.ucse Recovery.Fees�may,;apply��#o�tfie_construction af new.buiidings,ychange'ii#= � ;=� �:
use in exi"sting bulldings,�or:expar�sltitr#aif=�exlstin�:�6uitdings��as specified.ln Pasco County Ordinance number 89-07 and:
90-07, as amended. '�;h� understgned also;understandat tki�t:'such teea;�;assmayA�e•:.due;rw!!1°-;be tdenllfled at the==#ime°of��;� °,�-,:°:
permltting. It!s fu'rttier understood that Trai�isp'ortatlon Impact'Fees and°R�source:RecoVery�Fees-.must be pald prior to
receEving a"cerfiflcate�of>occupancy"�or flnai�pawer:Gelease:� :1�-the.proj�ct:does:not�lnvolve�a�certfficate af occupancy�or��=���=� ` �'�
finai power. rete�se;,#he;fees mu�t"be`paid;pr�or to,permit tssuance. F�a�thermore;��tf Pasca:County�iNatedSewer�<.impact ��� -� �.
fees are due;tt�ey_mus$:be=palr�.,pt�or#o.permit�issuance=;in.accardancswitfi::appiicablia:Pasco':County��or+�inances. •
CaNSTRUCTlC?N".ClEN"l:AV1t{Chapter 713,Elor�iia Statutea�a�amended): if v�lua�on of work is$2�500.00;.or moce,..l°� 3�. >�.:,�t
certify ttiat _I� �he :�app!lcant�._havey:be.en� provl.detl��w1th--a=copY'of�#he "Florld�:.Ccinst�ttctlon� Llen":Law—Homeawner's
Protection Guide" prepared by�ttie Flo�ida Dep�rEmer�t�of Agriculture and Consum�r;Affairs. If the appllcant is someone. . : .
other than the"owner", I certifj►:that;l,h�ve.obtained�a�copy;of:the.abQve.des.cribed��fac'ui�ent:and,p.r.or�ise�.in,good�,faith,to ..
deliver it#o:tiie"owner"�:p�ior.to:�commencoment�:� - .` . : . � _ � . . . .
CQNTRACTOR'SlOYVNER'S A��IDAVIT: t.crartify:�that�ali,.th�,l�ormatit�n.in�thi�applicatian is accuirate.and tha#all work
wi!!'be done in compltance w�th aH.appltcable`laws regulating constn�ctton� zor►!ng and�land=develapment. Appltcation,is
hereby made to abtatn .a.pecrriit�;#o��do.warl�,<and;installatlon �s Indl�afed:�-s:f= ceKify that no work�or lnstaifatlon #ias�
commenced p�la� to issuance of'a perriiit"and that`.aU work wiA be performed�ta meet.sk�ndar�s o# all laws regula�ing-
conshuctlon, County and City codes, zaning regulatiQns, and land development regalatlans'�tn the jur(sdtction.• b=al'so. _
certify that i undersfand#hat the regulations of other government agencies may�apply�ta the lntended work, and that it (s
my responsibility#o Identify�wFta#.actions 1 must�take:to be�in:.campHar�ce..,.S.uch:agen,cies ino�ude but are.nat timifed to: � �� •
- Depactment of E�vironmentaM-�Protection-Gjrpress'Bayhead�;�1AfeNand Areas and Environmentaliy Sensitive
Lands,WatedVlfastewa#er Treatment.
- Southwest Florida Water Management<:�1lstrict�Wells;''Cypress.Y�B�y�teads;- Wetland Areas, Altering
Watercourses. - -• - �
- Army Corps of Engfneers=Seawatts,`'Docks, �Vavigable Waterways.
- Depa�ment of;Heaith,;,B;:Rehabifitafive,,SenitcesJ.ErnrJconmen#at=Health Ut�it Welts, Wastewater Trea#ment, •
Sepkic Tanks.�.. ' :_ '. ' . - , .
- US Environmental�Protectlon Agency-Asbestos abatament._
Federat Avlatton.Authorlty-Runways: � ,
i understand that the foltowing.�estrlctions appty'to the use of flll:
- Use af iiil is nii#aHawed in��Flood�2,o,ne"V"unless expressiy permitted. .
- !f the..flll�mate�lal=-is fo� be ase�ii:''In.:flood Zone. "A", �iE. is understood that a draEnage pl�an addressing a
"cornpensating volume" will be submltted at#ime of:permittir�g w�lch is prepared by a professiana! englneer �
Iicensed by�tFie-State�of Florida: ` -• . . .- -
- If ih� fill•materlal-.ls to be�used In Flood Zane 'A" ln�connectlon�wlth��a�permitted buAding using stem wall_
� canstructian� i certify,that fili:vulii.be�used on{y.to.ffil the area within the�stem�wall: .
- � if fllf materlal Is�to ba use� in any area, 1��certlfy that .use. of°such��Sl witl r�ot adverseiy afiect adjacent
prapertles. If use�of fill ls fount�.to.�dvers��y,�fFect adjac�ri#�prc�pertfes,.the awner may be citad far uia�ating,
the oondilio�s_o#!he b�ildlcig�permlt is"sued�u�der th�attached permlt�applicatlon� for:lots�.less than one (1}
� acre wMich are elevated�tiy f111,a�t engineered dralnage�pla�Is required.
ff I am the A6ENT FOR THE�.OWNER; I�.promise in good.falth to Inform#he ownec of�tha�permitting condftlons set farth in
this affidavit prfor to commer�cing construction. 'i understand that a�separate permtt may be requlred for eleaMaai work,
ti-�,.
plumbing�..sfgt�s, weils,„poots;_.afr._canditioNng�..9�s��or, oil�er. Instail�Elons nat�spec�icatly inciuder3-in.the�appiication. .A
permlt issusd shal! be consfi�ed to be�a�llcense'-to pi�iceed wlth th�e ework and not-as:se�thority.to v3olate;�'cancel, atter, or ,
set aside any�provislons af the.teohnical.c+odes;�nor shall Issuance�of a.permit.prevent the Buildirig C7#flcla!from thereafter
requiring a,correction af eRors tn:plans; canstructlon,oc violatlons of�any codes:� Every p�ernnit=lssued"stiall 6ecome invalid
unless the wcirk authorized by such permlt:�s-cafnmenced•wifhln sGc,months of pennit issuance� ar if work authorized by
the permit is suspended�or-.abandoned�:for a;perlod.of�s�C:fB}manti'is.sfter the#Im�the�war�rts commenced. An extension
may be req�ested� !n wrttliig,��from.tFie'.�Bullding.C3fflclal for a perlod-not..to exceed�ninety=(90)'�ays a�d-wiii demonstrate
Justi�able cause fo��the exfension�. If work ceas�s.for ninety.(�Oj cons.ecutive day�s...the job��s cor�stdeted aba�tdoned.
1NARNiNG TC! OWNER: YQU1��:FAILURE_T�..,R�EC.ORD.A:,M,I9TIGE OF:�COMMENCEMEMT;MAY�RESULT IN�Y�UR
PAYtNG TWtCE;FOR:1MPRt1VEMENTS�TO:Y�UR.:PRt�PERTY:-�-1F°YOU=t�'�EKID�TQ��BTAIN��FIRtAt�1�1NG;'CONSULT
WtT U D � A � Q QRE�1,� � �} ��� �U a . ,;C ,� r• „ � E � , -
FI.OF�IDA JLlRA�'•(F .- - 43} . ..- ., -�;-'.<. - _�. — — - — . __ _.
OWNERClRAtiEN �,- C'�"dJ'G���''"��"p�t�P� CONTRAGi' � ,
� 5ybsafbed andtVY��1, r aHirmed)before meu,la S�'bscrl ed'end' m to(or a�irme j�b�tote Rne ttit� �
2f -! '-1` ,y.--.3-� /?`1t��G�1�` �fy��! '— Yn�e •L.. -/.s�/��2
� Who lstare p onatly kn to.me or F�sthsue prad�ced Who.tsJare etsonatty kno me ar hasfiave�mduced, • -
as Identlflcetlpn.'" � ` as IdenUficaUcn.
,' � ,/ ' -
� �l . j Notery Pubtic . �� ' �it- �, �/ � Notarp Pubiic
Co Isslon o: ,,,_,,,,, Co Isslon No. - ,
.,�4"`�:,", SYLVIA A.CAMP6ELL
k4'•,, i . „""""',•, SYLVIA A.CAMPBELL
Name af No � pt Q,F ��GG 112939 Name of Notary typed,p ted' ' BtNotary Pub ic- tate o ai a
�o�:' My Gamm.Expites 3u119,2021 :•' '•= Cammisston#GG 112939
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.��O7;K�O"•'� Hondedthrou9hNatiortalNataryAssn �sr� MyComm.Expires1u119,2tl21
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0 REGULAR C7 WARRANTY ` � `'t'(�'�'�tL..Sl1Jl�i'i�R'fi.'I"�� =`;;'";:
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��y��j iHi�t��t�,�:,SWfien here'� �'wWhenAway�;,T-Stat� 0 MAINTENANCE CONTRACT
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_ �:�;��� . _ ,,:i : ....,,.<._...�: CALL i
�LlMITED WARRANi'Y: Nl materiais,Pazfs aod equipme�t are warranted by the manufacturers' �-:,:NMEf�#t�}'E}F:'P�"�tl'Q�f':�:,�;;;��V-f
, or suppliers'written warranty onty.A!i Iabor perfomred by tha above named company is warranted for - � � � =` ' - � 70TAL i
30 days or as otherv+ise indicated in wri6ng.The above named company makes no otherwamanties, ❑CASH ❑CK# MATERIALS i
ea�press or implied,a�d its agents or technicians are not authorized to make any such warranties on i
, hehalfofabovenamedcampany. C1 DEBIT ❑CF2EDiT C1 OTHER MAl1VTENAAlGE �
I have eulhority W oMer the watk ou0lnad above which has been satlstacrorily cpmplated.I agree Ihat Selier PROG. W 1 C
retains tlqe to equipmentlmetatlals tumlehed unW finel p�yment is made.If peymant is not made as agread, Q��M� - �
seiter can remWe seld equfpmenYmsterfats ai SelteYs olcpense.Any damage resu�Ing from sald removai shaU
noi ba tlze responstbAiry of Setter.NE7 30�AYS.A t 12%SERVtCE CWtRGE WILL 8E ADDED MONTFi�Y TO �
ALL UNPAID B/LLANCES OVER 30 DAYS.Np REFUNDS DATE COMPLETED
TECH: ��TAX y
. �- '
CUSTOM�2SIGNATURE DATE ✓1liW/[?[� ✓ar,c TOTAL �
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