HomeMy WebLinkAbout17-18769 ' : CITY OF ZEPHYRHILLS
5335-8TN STREEf'
�$i�)�so-ao2o 18769
BUILDING PERMIT �,f`'�
PERMIT IN1=0RMATION ' - - LOCATION INFORMATION
Permi# Number: 18769 Address: T251 ASH�AND DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass of Work: A/G CNANGEQUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square F�et: Subdivision: ALPHA VILLAGE
Est. Vatue: Parcet Number: 35-25-21-0050-0000-0300
Improv. Cast: 5,495.00 OWNER INFORMATION
Da#e Issued: 811412017 Name: STONE, ANGE�A
Total Fees: 65.00 Address: 7251 ASHLAND DR
Arriount Paid: 65.00 ZEPHYRNILLS, FL 3542
Date Paid: 8/14/2017 Phane: 813-997-3688
Wark Desc: A!C CHANGE OUT 2.5 TON
CONTRACTOR S � APPLtCATttJN FEES
BAHR'S PROPANE GAS &AJC, INC. A/C CHANGEOUT 65.OQ
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Ins ections Re uired
D TS I ALL
DUCTS INSU � ED�,_�
FINAL �t
REINSPECTION FEES: (c)With respect to Reinspec�ion fees will comply with Florida Statute 553.80 (2)(c)the
locai government shail impase a fee af 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 additiana! restrictians applicable to this property fihat
may be found in the pub(ic recards af this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"1Narning ta owner: Your failure to record a natice of commencement may resuEt in yaur paying twice for
improvements ta your property. If you intend to abtain financing,consult with your lender or an attorney
befare recording yaur rtotice af commencement."
Complete Plans,Specifications Must Accompany Application.All wark shall be pertormed in accordance with
City Codes and Qrclinances. NU OCGUPANGY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� �.
t,���n-�. '�'��---�--
� GONTRAC OR �IGNATURE PERMIT C7FF1 R
G'� PERMIT EXPIRES IN f MflNTHS WITH{3UT APPRtaVED INSPECTION
CALL FOR TNSPECTION - 8 HOUR NOTICE REQUIRED
PRUTECT CARD FROM WEATHER
L t�13-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
-` " Building Department
Date Recelved ' ,: Phone-Contact for=Permlttin $/� /O� — �d�,� `
`1_
Owner's Name < �D/�� @ ef� � Owner Phone Number �l�'�/ ����0
Owner's Address ��� /I�� �//� , Owner Phone Number
Fee Simple Titleholder Name � . Owner Phone Number '�
Fee Simple Titleholder Address .
JOB ADDItESS /��/ �� �/�. LOT# �
SUBDIVISION /'7/ A �L� �S - p,qRCEL.ID# � o� �� �l �� � Qf,� D L/���-
, ' (OBTAINED F,ROM PROPERTY,TAX NOTICE) �
WORK PROPOSEp . NEW CONSTR ADD/ALT Q SIGN' Q �Q � DEMOL-ISH
re. �INSTALL REPAIR - - . �
PROPOSEDeU$E - • Q SFR Q COMAfl Q OTHER � • � " �
TYPE OF CONSTRUCTION Q ` BLOCK ' Q FRAME ' [_] 'STEEL 'Q
DESCRIPTION OF WORK,' '. i
��-. � � � �� �o� � a � �N� a,��- � � ,
BUILDING SIZE � � "SQ FOOTAGE��, HEIGHT �
QBUILDING . $ VALUATION��.����'.�� � . ._ �+ . �A '
. OF TOTAL"CONSTFtUCTION -
QELECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W:R.E:C. ,
OPLUMBING - ;$ ' _ �
QMECHANIGAL $ VALUATION OF,MECHANICAL INSTALLATION
�5�9.�'. �d ,.
Q�S _ Q ROOFING- ,Q SPECIALTY-�] OTHER � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO
" _ � ,�a:
BUILDER COMP'14NY` ' - - � `
SIGNATURE REGISTERED Y/ N FEE CURRE� '.Y/N�
Address - �License#" - '
",.. - • .
ELECTWCIAN; ,�COMPANY " �. _ �' .
SIGNATURE �' REGISTERED Y/ N Fee curutenr� ' ''`Y/N
,. - �
Addreas ' ' , _ .;: Lfcense#. � -
PLUMBER ' COMPANY . .. , ' ,
SIGPIATURE` - , .REGISTERED Y./-�N�'s :_��,�FEE CURREk ' Y./.N. �. '
Addre�s �_Llcense,.# ' ` -
- f; �
MECHANICAI:� ' 1 � / ` ,... , - ' n/tiIG � .
SIGNATURE ' � C.OMPANY /���J G�tS'�.,. L��=
REGISTERED ; Y,/.N. , ,_.;,�_FEE CURRE� . Y/fN. ,
Address` , f7��� /�/le/C� j�, `Z� / S�c��. - � ' . .License.# (��G`d�3�� - - _
. , • _ ;,,,;..
OTHER ° - . , . . ' � ';COMPANY ` '- ' � - , � -
SIGNATURE �, _ ,. , . , . . . . . , :i :: ..�..... :.: . , .
- REGISTERED ' � Y/ N:.< � ' FEE CURRE� Y/N. ,
Address - - � ' - - • License# _ . , - . ' '
� f�..��..� i :M1.i� :.r _n . . }$..,-.` .... {:':::1'tt=�c :--. y.�., �.;, � .� - � .[3:! ^^;;� '
RESIDENTIAL�,, : �Attach"(2)�Plot�Plans;::(2)`s'efs::of<Bullding�Plans;'(1)'set of�Energy�Fortn§;.R-0=WiPerrrilt for new constructl,on, _; � T �
- Y�;Minimum�tenF(-1�0);�working;days�after;submittal�dafe:'Required onsite;:Constrtiodon Plans;�Storrnweter Plans w/Sllt'Fence"installed,
� �Sanitary'FacillHesr&r;1,Ydumpster_Site,Work,Permit#or.subdivi5lons/large'_projects:=_:^�::.;;,= , ` ,., �� "
COMMERCIAL Attach(3)��complete sets"ofB'uilding Plans'plus a"�Ufe Safe4y Page;(1)set of Energy Fortns.R-O-W Permit for new construction. :
Minfmum ten(10)working days'after submittal date. Requ(red onsite,Construc8on Plans,Stortnwater Plans w/Silt Fence.installed,
Sanitary Facilides&1 dumpster.Site Work Permit for all new:proJects:.All commercial requi[ements.must meet compliance° �• -
SIGN PERMIT AttacFi"(2)`sets ofEnglneered�Plans.i,:;...----. � .;. � � ' -
, , .
""PROPERTY SURVEY regufred for ail NE4'V construcUon._� , -
- _ _ .... .
Directions: �� , -� � � --
Fiil out applicadon completely.
Owner 8 Contractor sign back of applicatlon,notarized
If over a2500.a Notice of Commencement is requfred. (AIC upgrades over 57500)
� ':��,�;•,,,
" Agent(for the ccnVactor)or Power of Attomey(for tFie owner)would�be someone with notarized letter irom owner authorizing same
DVERTHECOUNTERPERMITTING- - •(Frontof-Applicationflnly) � • � ' ` --°-� -'���� . =•._= -� .. . .
Reroofs if shingles Sewers, �y � Seniice Upgrades=AYC�••-.�s_Fences(Plot/Survey/Footage) ` � � � ,
Driveways-Not over Counter if�on'putilic roadways..needs ROW �' � , �. � ' "
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NQTICE OP DEED RESTRICI�ONS: TP�e underslgaect,under�tands=�tt��t,thl�°p�rml#�:may.be,subjecf to;"deed"*restrlctlonsR �.;:t:;t-�;,.
which may�,be�more���e's't�Ictive�th���Counly.`+regril`atforis:���TFie'uiiae�i��ea a9'sur�ie9��e�pcin9ltiil'ftji;far"complianae=with any` w `
appllcable deed restrtct{on�. �:.�.;.. ; �., w << : . • ,. _. _ .... . � . ..., .�
UNLiCENSED�'Ct�NTRACTORS AND CCtNTRACTOR�RESS�ON�#B1LiTiE�S: �•if�-the�overner'hasy�htred��a"conhactc�r or
contractors to undertake work, they maybe.;r�qu,Ir�e,d:.taqbe,:llcensed�In�accaPdance.with state.and�local.regulat[_o..ns:��If�the�� = ����''
contt�actor ts=nat�llcensed=as'requlred'tiy laui►� boih the owr�er arid conf�ctor°rrr�ay=.be::ai#ed�fora=�i»lsdemeanor vta#atian
under state law. If the owner ar In#ended;,�orntra!�tor,area.uncertaln as to wh�t Iicensing.requlrements:;may��-apply��j�for:�klie�--��=- �--''
, �....�,., ...,LL._ ��._�-.� .�
intended�w6rkF�tFiey are�advlseti fo caittact lFi�e.P�sco County�BuHdliig.'Inspectton Div{slor��,-l.icensing Sectian at 727-847-
�009. Furfhermore, if #he� owner ttias��iiired a'con�ac#tic oT'contractors, iie is advlsed to have the contractoKs),,_sign,. ,_
,�,.t,��.....,...t,,,., �
portians of the.,"contractor Blaak" of this,�application_foc.which�they:wil�..be,..re.s�ansible.• If yau;=as„!he oiiv'tier_slgn'�as"'the� ' ± �
_ _ �._-�.. r_.
cantractor; th$t�ma�y�Eie an indication thaf°he°is not`:prtrper�y 13cerised�and`�Is'�not entl�es�'ts�pertnitting pr�tirlleges In Pasc�
County. ' � ; cs°,:,...��Gr, � n:.,
TRptNSRORTAT10N;1MRACT/UTIL�'`l�lESsC1YlPAG't"�=r�Nb IfiLSl�URCE RECQYERY��PEES; The ua�derslghed"iirtders#ands _
that T�ansportation impact Fees and.Reco.utse.Recovery.Fees�m'�y;apply�to:the�construction:of new_buiidtngs�tchan�e�'of'��`"`��'i'� `'�
use In exisNng bulldings, or._exparisi�i�irof��xlstin�``,bulldings. as speatfled.in Pascca County Ordinanc� num6er 89-07 and�.
90-�7� as amended.t.;The undatsigned aisa;,understands, #tiait:�such fees;�as;�may::be=duei:�wilF�be Iderifi�ed a#the�time�a�r:: ti<<�'-..=<
permitting. It is fu'rttier unde�stvod that Trar�sportation Impecf�Fees and�Resoucce,iReco�eryxFees4must be pald priar to
receivfng�a'c:er#tficate.:of-occupat�cy"��ar°��fnal•�povuer;r,�lease:�--:I��th�.proJ�ct�doesf:rio�lnvofve�a�cert�icate of occupan�t'ort==:�"$.J.--.":,
final power release;�the°;fees�:mu�t�tie pai8':pclor#o.;permft issuence, F��tk�ermare;�.ff:.Pasco;,:I�ounty�lNater/Sew�r��lmpact - �.�. ..
fees are duet_they:.musk..be�pald::pilor:tc permit�lssuanca�:in_accordance wltt�:appltcatile Pasco�.County ordinances. �
CONSTRUCTION'CIIEd�`�:AW'�Cii�pter 713�Flor�da St�te�M ss am�ncfedj: If vatua�on of wortc is�2�500.00;ar.mor.e, i ;., ::-::t�
certiry tFiat I, -the •appllcant,:have,,been-providecl�•with-�a-capy-of. the��n�lorida� �onstructtan� Lterr`.-Law Homeowner's
Protectla� Gulde"prc�p�red by,'tF�e��lo�da Depet�#t�rae�t of Agrlcut#�re and Consumer,.:Affalrs. 1#the appticant is someone�_: -� - -:�
other-than the"owner", I certifjr��#hat,;l�h�ve.obtained{a�"-aapy;o#..the;aba�va:des.crlbed�tfocu�r+ent;:and.p�omise��.in,goad:,faith•to. --._
dsilver it ta�Elie"owiier.":p'rior:to�car�ftriencement:`, : �. , . � �_ _
CONTRACTOR'S/OWNER'8 AFFIDAViT: I.cert�jr�rttiat�:all:.the�informatitm:,in�thi�application ls accurate.�nd that ali work
wlll'be done in campliance with all appUcable laws regul�ting constructlon� zontng and��land�development. Appllcatian,is
hereby made #o obtain .a permif:�.#o::do..�worlc.jand;��;st����tion $s inar�tea_�:<.-1 ceitifyt that no work�or installation Fias
commenced pr(o�to Issuance of a�permif"and that.all�work will be pe�formed ta meet.standards-�of ail laws r�gulating-,
constructlon, Countyr a�d C�ty codes, zoning regula#ic�ns� and land devetopment regt�la�ons�tn"tt�e jurisdtc#ton:- t�:a#'so- _ �
certify that I u�derstand #hat the regulation� of okher government agencies may;apply-#o the lntended wark, and that it is
my responstbllity to fdentity�wh�t:aotlons f must°take:to be�ln:.a�rtlp!lance..,;�uclt.ageriales lnclude but=are.not tfmtted to.. •
- Department af E►�vironme�ntal`�Protectioii=Cjipfess°Bayttiead�;`Vitetland Areas and EnvironmentaNy Sensithre
Lands,WateNWast�awater Treatment. x �
- Southwest 'Ftor�da V1ta#er Management���:Dfs#rict-Welts; �Cypress. B�y.�eads;- Wettand Areas, Altering
Watercourses. . . -.. � , . . �. -
- l4rmy Corps af EngineersSeawalls�`Docks,Idavfgatite 4N�terwa�ys.
- Department.of_;Heatth;;,�.:ReF�abititafiye,Services/Enviconmenlal:�Fieatth Ui�it Well.s� Wastevu�ater�Trestment, �
Septic�Tanks:...` , , ,. _ , . . :
- U5 Envlronmental�Pro#ec#ion Agency-Asbestos abatemenf.
�Federal.Avlatlon;Authorl,ty=Runways.� ; . � -.
i understand that.the:toftowing:�restrlefloris appfy to the use o#flN:• �
- Use of�II is not allawed in�,Flood;2one"V"unless expcessty,.permltted,
- If the�fill�.materlal--is to'be used:'In.:Flood Zone. "A", It. Is under"stood�that-a drainage plan add�essing a
�compensating valume"will be submltted a#�irrie af-perm�#Ing w�teh is prepared by a praiessionai eng€neer � �
Ilcensed by the State of'F�o�lda: � � �� ' _ . .-
- If th� flll material�Is to be used tn Ftood �one 'A° In�connec�ion•w1#�i�a�eririltted bullding us�ng stem wali
� constcuction, I certify:that ftll.wlll.b.e-used only.to.flll the area wlthln�the stem.wall: - .
- If ftll materla! Is to��be used Itt any area; ( �aertlfy that .use. af°su�h�fll!�wll# not adversely affect adJacent
properties. If use of fiil is tound�to adverse�y:�ftect adjacent«pcoperties�.the awner may be ci#ed tor viota#ing
the candEtions_of..the bulldtng;permlt Is"sued'under the:��attached permltrapplicatlon;�for.:lots�:less_than.one (1)
' acr$wFiicfi ere elevated�byr flll,a�t,engEne�r�ed dralnag�plan Is r�qulred.
If I am.the AGENT EOR.THE 01MNER;.I�pmimise In,goorvd fatth to Infarm the owner:of�the�permltting condl�a�s set forth In
this a�fldavtt"prior fo coriinner�cing constr�ctlan. 'I uniler�tatod that�a�s+sparate,per�reit may be reqntred for elecMca#'work, , .
ptumbing,.,signs, welts�„paois,:alr candltioning,.ga:s, or..other. Instail�tlons not�spec�ic�lly inciuded�in.the application. •A
permit Issued shalf be construed to'be�a'license'•-#o��proceed wlth tFie iniork.and not��as:authorlty.#o:vlolate;'cancel, alter� or
set astde any"provisidns of ttie.techn#cal.codes;�nor shslt Issu�nce�of`a.permlt.p�avent th��ulldirig t�ciel from thereafter
requlring a correctton af,eRors�ln plans; cons#ructlan,orirlolatlons of-eny codes. .�very��pienr�lt��lssued�'sliall-'6ecoine•invaltd
un4ess the work aatharfaed_by such permlt:�ls-commenced•wlthln sf�c:months of pennit issuance, or tf work authorized by
the permit is suspended or;abar�doned�for:a�;peHoduof�s6c(8)�mnM�is'.efter the tirt�e the�watk�ls commenced. An extenslon
may be reguested� fn wrtting�:from.tli�e:Bullding,Offlclal f6r a perlod�not to exceed�ntriety��(90)°days and•-wilC'demonstrate
Jus#i�able"cause for�fhe extenslot�. If work ceas�s.for nine#y.�90}cons.�cutiv+�.days,..th�f ob:is consldered abac�doned.
11VARNiNG TQ OWNfR; YQUR-•�AIE.lJRE�TO�RECO�2D;A:,�ft?TIGE:OF.�CQMMEMCEIMEA�'t:MAY-RE�U�T!N YCtUR
PAYING TWICE::FCyR�iMPROVEMENTS•TCI;YOUR:�.PR�PER7':Y:���IF�YOU�1�1'�Eh1D:T0�'�JBT/�11N•`FiNt"IAP1E?NG;'C.QNSULT
WIT - �J - �I Ah��►� O N � FO.E�� - O �! G;: .OU ' ; ,a ..,. . :, . . E ,
FCORlDA JtlRR�'(F,S.1. ..�3) � ,� :�--.� - -.-�,-_�.,:___- ,_-_.:. - ._�r�:_;. -.,—�-_���r,: ::_:,�_�- .
QWNEtt OR AO�NT• CONTRACTO � �!/G�d�r.,G,�- -� -- - --- _- —
Su� bed and swom or a�i sd)be rqe me thls S scxlbed'srad'swa {ot ai�rmedp efore tiie#fii�.
3��i'7 b�� �►�►�e � YYl lg�h�e,� �yy i7 .:;�y�/+!m�. . /Y�rsei' �.�„
1Mio Isfare p�r�`onally kn to•me.or ha�/hade,produced. Who.ls/are pefisonallyknown• ttte�or Has/haver<produced •
as Iden��i�8o»;" ` as tdentlHcation.
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j,'��- `� '� otery Publlc . `f f� G�-�..� Notary Publ�
Com�ls lon tVa�: � Co . sion.No, . .
I ��"""" SYLVIAA.tAMPBELL
e,'1vKv Pu"'�., . . . .CAMPBE4L
4 Name at Natar3'tyA ; r� � ssston s GG 3��439 (datne of Notery typed ".n�Public-Sta#e o Ftari a
* ` ' ' " •` Commission N GG 112939
`�;N� My Comm.Expires 1u119,2021 ;.„ ;
'''••'.FoF���� yondedthroughNatlanolNaReryAesn, �t`"�,, o';� MyComm,Explres1u119,2021
-- k"��;;�f,°�`''� BandedthraughNallonelNotaryAssn. �
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rrr�iKi rrkc. (/o��// ( -o�i
..= , - ��;�30 �
Y •
� s � PROPANE GAS Service Order/Proposal
� A1�ID AIC �rvc. � -
�i��e�988 813•78.2�50�3 Invoice
Sales, S�rvice & Installations '�O�F� ORDER#/SE�VICEh1�1N ?9k4� VAC
�= DATE/TIh1E TAF'.E�I k'�7/`►��i-r 14:�:5
4441 Allen Rd. • Zephyrhills, FL 33541 TAN,�r+� gv sH ��
NOTES. QIU9��� . �S7'DNe ys� /lSdt�r' �AT�f1"It�IE F'R�lYIISED �7/c1/17 �Z+��►Z��
CUSTOMER#/LOCATI�i�! 1�$c►Z�
� �� F'Ht7NE# O 1•J�7 37�JE,88
RDUTE!SEG? VAC
. � ` MAF� � " -ATTIC A/I-i '
STONE, AI�G I E � ST�NE, A�IG I E
7c�1 ASHLAIVD DR 7��1 ASHLANU DR �
' ALF�HA V I LLAGE
� ZEGHYRHILL_S FI_ 3�54� ZEF�HYRHILLS �LJ-JvJY�l�� ,
CDe TWR►Z�3�C1��A`, J3'�c�7�E`�
EST I I�ATE �,,� 0 I I� I� a.�
_ ;.r:�.,.,. - _ :;� - - , _ - -
t .:�, �._...-,.;��:_..;,�., �. -:,:-..:r. _
�� •... .a�. " ' -�,,::- 4-TY � -MATERIALS 8� .VICES � UNIT PRIGE„�.`AMOUNT_-
,,,.. .,�: ;'DESCRIPTIO�f,QF�WORK=.= , , Q . - „ _
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. �.S Co .S D�✓ ,�9.v,LL.;� '
G✓ �� ♦� G�/ !/ � �
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N�cJ £ �' A,irr � �
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NG� Co� � ' '� � �
- - • ' •;RECQMMEN6ATIONS' - , ,} �, __ � �
�:i,<. � '� L �a � �
_�..:;;:. . .,:... .- , �
Annual�Maintenance�Recommended liy,All.Eq�ipmentMan,. ctuCe�S• ' pressures Lo 'HI T-Stat � �
- :.
- � � . - . ., _ i i
, . � 'REFRIGERANT R-: - ; LB$:}_ - S per.lbs." � �,. �
, � ~ ' FILTERS x x Changed Monthly I I
, � ' FILTERS x x Changed Monthly � �
� ❑ REGULAR ❑WARRANTY ' . .�_TOTAL'jSUMMARY , � �
' Deh;umidistat;Settings:';When here".�;.;When Away 6QfQ,7T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
�,
LIMITED WARRANTY: NI materials,parts and equipment are warranted by lhe manufactu�ers' '• � � ;.`ptjETHQD�OF PAYMENT�, � � 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 indicated in wri6ng.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warran6es on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have aulhority to order tha work oullined above whlch has been satislactorily compleled.I agree that Seller
PROG. W ! C �
�retains litle to equipmenVmaterials tumished untll final paymenl is made.If payment is not made as agreed, CLAIM# � -
seller can remove said equipmenUmaterials at Seller's expense.My damage resulting from sald removal shall �O� O y, �
nat be Ihe responsibility af Seller.NET 30 DAYS.A 1 12%SERVICE CHARGE WILL BE ADDED MONTHLY TO �r �' ���
ALL UNPAID BpLANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: ��` �
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CUSTOMEFtSIGNATURE DATE ✓1!%Cr/I�� ✓o�cc TOTAL ��sl�