HomeMy WebLinkAbout17-18816 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
7 . (813)780-0020 8816
BUILDING PERMIT
PERMIT INFORMATION - �- LOCATION INFORMATIO ��
Permit Number: 18816 Address: 6032 18TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-03300-0010
Improv. Cost: 3,195.00 OWNER INFORMATION
Date Issued: 8/28/2017 Name: PARKHILL TERRACE LLC
Total Fees: 55.00 Address: 500 S FLORIDA AVE STE 700
Amount Paid: 55.00 LAKELAND FL 33801-5270
Date Paid: 8/28/2017 Phone: 352-257-0032
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
,
�
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULATED " /�
FINAL ' �
REINSPECTION 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 re�nspection,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 b.e 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.
IVO OCCUPANCY BEFORE C.O.
/ � '� 1,�..��c�v4— �� I
�I ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ,
PROTECT CARD FROM WEATHER
s��aeo-oo�o City of Zephyrhills Permit Application Fax-813-78p-Q021
,. � ' Buiidir�g Depariment _
- .,
Date Raceived „; phoee�Coiitact forvPermittin � � �7�ea� – �� ��
� �
Owner's Name � r4/2k'/�1 L.G. f� �e �� �, Owner Phone Number ��r�– a��f�D�
Owner's Address �� � �`L�I`��Gt. 1/� �� Owner Phone Number � �-
Fee Simple 7)t1eHolder.Name �� ` C -'�x`��'"����' Owiner Phone Number `� �
r' -
Fee Slmple Tltleholder Address
JOB ADDRESS ��,�C I�� .,,Z/ � �� � �R/� J7�/LL Ie/� '�$LOT# ��^„�,
suaoivisiaH , � _ . � � paRc�c�.ia� �� � 07/ �f�Dd G��3l�t� t�d��'S
„ , (OBTAINED ER4M PROPERTY.•TAX NOTICE)
WORK PRQPt}SED NEW CONSTR . ADDlA1:T � StGN� Q ' � _Q DEMQC:ISH
�e; INSTALI. • REPAIR � - '
PROPOSED>t3SE � Q SFR Q COMM � � OTHEF2 ' ' ,
TYPE OF CDNSTRUCTION Q ° BLOCK " [� �RAME .� ,C� STEEL '[�
-� �ese: � ,_
DESCRIPTION OF WORK � Gr Ga V)A/v @– LL G� t,7Y� l»/�/�j"`S � %d/�
:. , . . . _ ..
BtJItD1i�1G SiZE �'� . �`SQ FQOTAGE � , „HEIGFIT�;���_�. .
0 �. .. ...... . _ '., -'
BUt1.DING , $
111_ � VALtlATION�OF�TOTACCONSTRUCTION
, J
QEE.ECTRIGAL , $ AMP SERVIGE 'Q PRfJGRESS Eh1ERGY Q W;R.E.C. .�
. � � " -
OPLUM8IN{3� -.'� � .
,
[,�]MECHANtCAL $ p
J � ' VRLUATION OF,MEGHANfCA�INSTAILA'fIQN
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QGAS [� ROOFING .Q SPECIAI:TY.C� OTNER . • �
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES. NO
BUIl.DEtt C4MPAl4IY` .
S1GN�ATURE REGISTEREp Y/ N FEE CURRE� Y'/N�'
Addres� , ., Llcense#��— ��
E�ECTIttC1AN: . :�COMPAFlY " , "
SIGNATURE }' REGISTERED Y/ N FEE CUF2RE�-> � '�Y CN
Address - . � , , . 'License#,l - �
PLUM�EI2 ` Ct?MPANY . . , £ - -
SIGNATURE' ` ' , .REGISTEREp Y../:.N:� .;;,. ,.;FEE CURREA '. Y./N —. .
Address � . , ,:llc�nse.# �. -�.,, ,
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MECHAI�IlCA#: t1��rn� ` . CQM.P.Al+IY _.f��}1Q� , 1UUf�1tJ,�'�j5�t-� �� _-111G ..
SiGNATURE `' �� 'v�'�"� REGISTERED Y,/ N . , �,FEE CURRE� Y,/^N . • , �
Addre�s�' '7�'�}�}' G - �`�–� J ��. . � ..License# ���!��./.TCS � ,
�T�tEEt ' - "' - " - .. , .1; � ��'� �. � - �-� �� . ,�:: �. , ` ,
.s COMPANY _
SIGNATURE �,- " �� �`-' ' ' _ � �' � ' REGIST'ERED' - ' Y/ Nr: FeE cu�t�n Y/N. _
_ f.. � .. . ,-_.. u.
Addre� ,.,�_ -. . . ' � - �� � 3�
Llceii'se#
ttESlDEMTIAL,,� -. Attacti'(2},Ptot;Pians�.:(2)seis=of;Bulidingxt?ta'ris;{1)set af=Eiiergj+>Foi�s,°-}2�4VII Fer`rr`iit fcir'riew consWcttoii, " ` ' ,
- -Minimum ten.1,0.�workin "da s"�
r a �p � (_ )M , gy ys?_a�ter,:�submlttai`tlate.uRequlred onslte;<Consfnictlon.'Plans;�Stormwater Plans�w/SIIt Fence�installed,
^L �4 .; �Sanitary Facilttl,es+&,1,durnpsterySite�Wor4c.:P,_ermitfor�subdivisions/large>project"s�v,__::':;• , ' . .=` ; �
COMMERCtAL Attach(3)°aoinptet`e-setstof`Bu1181rig Plans�ptus a C.Efe Safeiy Page;(1 j set of Energy Forms.R O-W Petmtt tor new c8nstsuctlan.
Minimum ten(10)woricing days after submittal date. Required ansite,Ccnstructian Plans,Stormwrater Plans w/Silt Fence installed,
_.--~' Sanitary FaciliUas&1 dumpster.Site Work Permit for aU�ew:projecfs:_All commercial requlrements.must meet compllance`
StGN PERMIT Attacti"{2}sets of Englnee[ed„Plaris.::.�..,;_..- .. ;, , ._ . � � ,
"""PROPERTY SURVEY reyuired for all IVEW canstruction. -
Dlrectlons: ,__. _ , , � .
Ffll out applicatlon completely.
Owner&Contractur sign back of applfcaUon,natarized
If aver�2500.a NoticQ af Commencemant is requlred. {AtC upgradss over 37500)
" Agent(for the contractor)'"or"Power of Attomey(far Uie'owne�)would be�someone with�notarized letter from owner•autho�izing same_
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DVER 7HE Ct,'�UNi'ER PE[tMITTiNG�-. -�_ :(Ftont�af-APP11ca�fan.Qnly,}...� � ` �- . ' „
Reroofs if shfngles Sewers. Service Upgrades A/C .Fences(Plot/Survey/Foatage) " , � _ ' ' � ' ,
, . .,,:, . _.
Drlveways-Not over Counter tf an putitic roadovays,..needs ROW - _ ' ' ' ',' . ;Y ` ;r= < ..
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NOTiCE OF DEED.RESTRICTION�: The under�tgneQ;under�tands;#h�t;#hi��p�rmlt�.may.be,subject ato.gdeed"r:�strictloiisA�_, . .
Y t b R c. ,L+ t�'_ 5_�..«. �s x (fs ' _.,....
which may�;tiexm`ote�-res#Fictivewthai���Counfyua��egrilattons..�The;underslgnetl assurries��esponsibillty=far`coFn'pllance with any��"�`A Y
appllcable deed=restricttons. �� :.-:�.s.� -, �. : .. :, :. � _. ., .'. .- ,_.
UN1.tCENSED�YGONTRACTORS:AND CC►NTRACTOR RESPONSIBiLIT1ES: -�ff=the��owner has"�fiireil��a��contractor or
contractors to undertake work, they r�nay:b,e;.re�qu;lire,dcto;be�licensed�ln:�accordancs.with state.and,local_regulatlons:��.If-the-� •
contractor-'ts�not:ticerise�l��as�requlred:Atiy larw� bat#r the o�nmer arid��coiiti�actoT�may�beiKclted�fot°aAmisifameancir v€ol�Non
under state law. If the awner or Intended,;,con�ractor,�;ar"e�uncettain as to what Ilrenstng.requirements;may�°apply�:fior�tFie'�_� � � i-�'
,. . „�..... ,.
fntended iivorkF tfiey_are advls�tl to coritact.ttie Pasca Coutity,Building;;lr�spectlon�D{vlslo;na-l:Icens(ng Sectian at 727-847-
8008. FurtFiermare, it the vwner'tias"�tiired a con�acfor'fir cantractors� he ts advised to have<the car�tractor(s),,stgn; r
portians of the�,"contcacto� Black" of this,_applicatlon_for_which-they will:.be..re.s�onslbie.V If=you��as::#he oViiner�stgn�`as�the" "l �
cantractot; lhat�may:Eie an liidica#ion th�t`liia`Is'iriot"p�operly lic�risad ancl�'Is�'riof`erifitled fo perniitti'�ig prhilleges In Pas,co
County. � � • � �,�::,:...,:{ -. :t :.
. . .� ,�. ... _..
_ � :: . .. �
TRANSPORTATIQN�IMPI4CTtUTIL1�TlES�!'MPAC"t�ANC�-RESOURCE RECQVERY�FEES:�Tha�underslgned unders#ands
#hatTranspartation impacf Fees:and,Recaurse Recovery_Fees may�:appty�to�thewconstruction.of new_b.uildings,_�change��of��� `�=��� �'w`
use In existing bulldings,�or_expansi�n��of.�ei�isti�i�g.��buildings; as specifled.in Pasco County Ordinance number 89-U7 ands
90-U7. as amended,,>.,The undecstgned atso:.wnderstands, ttiat��such#ees;-as��tnajt:;�e�-due;:zw11l;.be�denti#Eed at fhe%#imeR�af`F; .��.``''
permitting. It Is fu'rther understood that Trai�sportation Impact`Fees ancl�Resource.:.Recovsry�Fees;mu'st be paid prior to
receEv[ng•a.°aerfiElcate.=of�ocs�parycy"�or��inai�-power;�elease:�':1�`the.pro�ec#..does;itot Inv+aive<a�:cert�ticate af occupan��ot_:;���"•;,,:,
. . .�. ,: ...
finai power�release;_the�,f,ees,mu�t'be"paid",pr7or ta,permtt lssugnce. Fy�#hermare;�lf:Pasco;,�County�WaterlSewe�•.Impact� �:;-::°�
.,,. , .� t ,
fees are duef:lhey must:be�pald:,prlo.r.;to_permit�lssuance=�n.accordance witti�:applicabte Pasco..CQunty�ordlnances. -
CONSTRUCTlaN�llEN`l:AW(Ci��pter 713,ElorCda Statut���as amendee!): if vatuallon of work is$2�500.00;or•mare�,.i�= �, . :>�1
certify fhat-I, -�he�appiicant,-have:been provided �withw a-=copy of�-the°�"Florida� �onstructlan� Llen.:Law—Homeowner's
Protectian Gutde° prepared by.�ttie Flo�da Qeparfinent:of Agr{cuEture and Consum�r�AfFa1r$. If the applfcan# ts someo�e� ,. �.�--.;;
other than#he"owner"� I certify that,.:i.ha�e.aptainedt`a�copy.of..the:abova.described'tloauri�ent;and.ptomis+�`.in;good;fa(th•to � � . .
deliver!t to:the;;"owtier":.p'rior.-�to>commeiicement:� - - : _ . _v..: . . . . y _
CONTRACTOR'SJGWNER'S AFFIDAVIT: I.ce�kKy;ftia#-all.the��,iriformationrin�thi�appltcation is accurate and tha#ali wark
will'be done in compliance with all.applicable laws regulating constructlon� zonin�and��land development. Application„is
hereby made to obtaln..a.permit�.to;:do:worlc,�ertd:lrist�ll��on as tndit�ted�y�.:'1 cert�y"t that no wotk�or instal4a#ton tias�
cammenced prio� to issuance of'a permif'and #haf`.aU work wili be pertarmed�to meet.standards-of-.all laws regulaxing-
construc#Eon, Gounty and Clty codes, zonMg regulatianst and land devetopment r.egtslatlons�ln the Jurisdtctlon.- l::at'so. �
certify that I ur�derstand that the regutatlons of other gavernment agencles may�apply�to the.lntended work, and that it is
my responsibllity to iden#Ify.what.act(ons I must-t�ke,to be,ln:.am�p(lance;yp_5uch:ageracles Inctude but�are.nat Ifmlted to; , =
- Department of�Et�vlronmental-�Protection=Cypiess.'BayFiead�, WeHand Areas snd Envtronmenta8y Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Flar�da Wa#er Man�gerti�erit-;::l�istrlct:Welts,,,�CYPress.�.Bayheads;� We#land' Areas, Altertttg
Watercourses. -� � �
- Army Gorps vf Engineers�=Seawalls,'Docks,Navigable Waterways.
- Depar#ment of,;Heaith;;,8�fi Ret�abltitafiye.,,Setvices/Envitonmental<.,He�tth-Uitit Wetis� 1Nastewater�Traatrr�erit, �
Septic Tanks:..�. �..�.,..� ��_. � �.. ' : � - - .
- US Envlronm�ntal Pro#ection Ager�cy Asbestos abatemen#;..-.
Federal-Avlatlon:Authority,�Runways: , � � ,
t unders#and.that_the.fotlowing::restrlotions appfy'to the use af fllf:•
- Use af�fill is not a8owed in^Flood,;Zane"V"unless expressiy permitted.
- If the flU�,inate�laF=is fo"b.e used:.'in�:Flood �one. "A°� tt Is,understoad�that a drainage plan addresstng a
°compens�#ing valume"will be submt#ted at time of�permitting.whlch is prepared by a professtonal engineer
Iicensed by`#he�tate of;FMoctda: . ��, °-
- !f the fll!�materlal-Is:to be used in Flood �one 'A" in�connec�ion�wt#h:a�permltted buitding e�sing stem waiE,
� conatructlon, i c�rtlfy that fUl:ti►111.•b.e�used only.to.flll the-area withtn�the�stem�wall: � ,
- if fll! materia! Is�to be used in any area, I ce�tlfy that .use. af`such^flll�wlll not adversely affect ad}acent
properties. If.use of fili is foc�nd.Eo adversely:�ffect adJa�enf=prcper#ies�.the awner may be clted for vfiolating,'
the conditions�of the buildtng.perrriit�Js"sued'�under the-�ttacfied�ermit�application;for..lots�:less-than�one (1)
�' aare vMrhtcti"are elevated�kiy.�l1,a�t engtneereci drainage pian ts requlred,
If I am the AGENT FOR THE-OVIINER;.I;promise in..goo.d fatth to infarm the owner of•the permitting conditlo�s set forth In
this affidavit°prtor Eo comineiicing constructtan. I understand thet a�separ+�te pennft may be requir.ed tor efectrlcal�work,
– �� �
plumbing,�.signs, wetis�,pools;. alr.condlticning,..ga;s�:ar ath�i Instai��it1`ons na�.spec�fcatly included�tre.the appiication. .A ;
permit Issued shall be construed to be�a�Iicense�to�proceed wlth thie work,and�not-as:authoHty:to:vlolate;-cancel� alter, or
set astde any provisions ofttie.#echi�Ecal codes;�nar shall tssuance�of a.permft.pr.event the Buildirig CMftcial from thereaf#er..
requiring a,aarrectlon af errors:in:plans; constructian or vlolations of-any codes.- Every�permit�-Mssued sfiall 6ecorrie�invalid
unless the�nrork au#horiierl.by such permit:�is-commenced�w.tthin�t�c.;cnonths of permlt issuance� or If wrork authorized by
#he permit is suspendad.qr-abandoned�for.a;period�of-si�.{�B)montiig.after the tim�the�work�is commen�ed. An exten�ion-
may be r�quested,,ln wrlting,~wf`rom tti��Bullding.Officfal for a p�riod.�not:to-exceed'�ninety-(90)"days a�d--wlll demonstrate
�ust�iabte'cause for.�the extenslon.._If work ceas+es.for nlr�efy{90}cans.ecutive:day.s,..fhe Jab�is.constdered aba�doned.
wARNlNG TO OWNER; YOURr�AIl.t�RE.;TO.,R�.CO�tQ.A�MOTlCE�:OF.�COMMEMCEME�lT:MAYV RESt:lLT IN�YC1UR
PAYING'M►iCE:,FOR:�IMPROVEMEN�'S�TO;YOUR�.PRCiPERT,If:�1��YOU�iNTE�13�:TQ�:xiBTA1N��FINANE'�NG;'C.ONSULT
1MlT U � . D �1ld� '�'T�'! N , A. �+�-E+�0 �;' A�1 '' �: :;� • ..r •,:� � E ' �•-_��___._ - - _.�- -�- --
F�ORIDA dUliA'�;{F. . 1 Z.03} - t _ ., ._� . ...,,.� - _ _,.,.. _� ..
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� OWNER OR/►OENT-� � � CONTRACTO �
�b bsd and swo (or a rm } fa me thls Sub bed'and' to{a�afflan�d 6' t+�me tliig '
a�l �. �+s��r �1 . ,e- -t-. vh c
� Who Is/are e►sonally knrnm .me_or;haslhave.produced Who Is/are onally�Coovm: me.or Fiasthave�produceii ,
' ss Iden��ca8on. as idenBBca�on.
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No�ary Pubila . - NotarK PubDc
C4 SI�R N0: «����� SYLvtd A CAMPBEIt; C01ti. SIOA.IdO,
�''� �'�+'z, NotaryPublic-5tateofFlorida ������������ SYLVIAA.CAMPBELC
► «.� ' ion q GG 112939 �`'���N'Y��'.''•; ' -State of Flarida
(Yartre af Natary typ , ,fSt8�pS8dm.Expwres u : fllattt8 Of Notary type d s, m mission�GG t 12934
�a„�,*„�;,�A'� UondedthroughNaticmatHotatyAssn, U• ,�pY� MyComm.Expire57u119,202i
���nawW;•��� yondedthroughNationalNolaryAssn.
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�� � �� � ' PRC�PANE GAS • � ���
� AND AIC �Nc. Service �,lyderlFro�►osal
�i�ce-�988 8�3�7$2�5fl�3 , �riVOIlC�
• WOF2FG OR�ER#/SERVICEMA�I 8►�143 AUG
Sales, Servi�Ce & Installations L3�iTEITIME TAI:EI� +�8t�4t17 i�: l i
4441 Allen Rd. • Zephyrhills, FL 33541 TAN.�N �Y � �IM �+�
l3RTEfTTME PROMISED
OT�S. �.r���- �ij �►rr��r � CUSTOMER#/LOCATI01�1 @1440
RHQNE# 35�—�5�—tZi�3� G
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A & M F�ROPERTIES ` RAFtKHILL TERRACE Al�TS � �7�
PO BOX 3�,4� 6�3c 1E3TH 5T �.�
_AKELt�ND FL 3�8�8^c ZEF'HYRNILLS FL,.��354c . �
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�=;''�Y~�.-�F,, :=DESCRtPTIO1V'0��1Nt3Ri(� ° ' - :CiTY. , t..tviATERIALS'&SERViCES ; � � UN1T PR(CE. '=..AM()UNT
4' " .i41�: _ ._ _ _ - ' _ ' " _ _
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;, ' -- ' - .REG.OMMENDATIONS • _ , • - - £/l/N•�J^- , f ��p �Op
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iivat�Mainteryarice`tZett�mmended by:A€I�Equipmept'Manufactu .:, - •� pressures Lo I T-3tat � �
�.
, RANT R=- ' LBS. , , �, $per Ihs.' . ,�... I
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, ! ' FJL7ERS x x Changed Monthly I I
' ` FILTERS x x ,Changed Monthty � w � �
i O F2EGt1LAR C!WARRANTY T()TAS�-SUMMAf21'"' '
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... ..... ... ...... . Y_4.Le,Y;T-Stat„-,.� , . . . - ,
3liurfnicJistaY`,Settings'�When here"?�t ";,When Awa 6 ° $Q°: 0 MAINTENANCE CONTRACT SERVICE i
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ttTED WARE2ANTY: A0 materia(s,parts and equipment are warraoted by ihe manufaciuters' ;'"��`;,� ' MEMt7[}=0E i?AY(utENT CAL� �
ippiiers'written warranty oniy.Ni labor pedormed by the above named company is warranted for ```"'�`•` ' � � '
ays ar as othenvise indicated in wriUng.The above named company makes no other wartanUes, ❑�ASH ❑CK# TOTAL i
ess or imptied,and its agents or technicians a�e�ot authorized to make any such warranties oo MATERIALS �
�f ofabove named company. ❑DEBIT 0 CREDIT 0 OTHER MAINTENANCE j
PROG. W / C �
re authority to orderlhe work outlined abpve which has been SaUsfactorily completed.I agree lhal Seller �
ns tiUe lo equipmenllmateriais tumished u�tii finai paymant is made.if peyment is not made as agree4 (�,,(��fll�# ' !
r can ramove said equipmanVmaterials at Se9er's expense.My damage resolting fmm said removat shalt -
e ihe responsibitiry ot Sellec NET 30 DAYS.A 1 1f2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
;1NPAI0 BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED �,._,
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