HomeMy WebLinkAbout17-18818 CITY OF ZEPHYRHILLS
� � 5335-8TH STREET
(�x3)7so-oozo 1$
BUiLDING PERMIT
PERMIT INFORM�►TION '' �= "� - --LOCATION INFORMATION -
Permit Number: 18818 Address: 39318 GREENMEADC}W DR APT 13
Permit Type: MECHANICAL � ZEPHYRHILLS, F'L.
Ciass of Work: A/C CHANGEQUT Township. Range: Boak:
Propased Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ClTY OF ZEPNYRHlLLS
Est. Value: Parcel Number: 13-26-21-0070-09100-0010
Imprav. Cost: 3,200.Op - OWNER INFORMATION
� Date Isstaed: 8129120"17 Name: KINSMAN PR{JPERTIES �LC
Tatal Fees: 55.00 Address: 36145 CHANCEY RD
Amaunt Paid: 55.00 ZEPHYRHILLS FL 335�'1-4705
Date Paid: 8/29/2017 Phone: 352-424-1841
Work Desc: A/C CHANGE OUT 2 T(?N
CONTRACTOR S . APPLICATIl�N FEES
BAHR'S PROPANE GAS &AIC, lNC. A/C CHANGEOUT 55.00
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Ins ections Re uired
D TS I ALL
DUCTS INSUTATED
FINAL
REINSPECTTON FEES: (c)With respect ta Reinspection fees will comply with Florida Statufie 553.80 (2)(c)the
loca! government sha11 impose a fee of four tirnes fihe amoant of the fee imposed for the initial inspection or
first reinspection,whichever is greater,far 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 recards of this caunty, and there may be additionai permits required from other governmental
entities such as water management, sfiate agencies or federal agencies.
"Warning fio awner: Your failure to record a natice af cammencement may resuit in your paying twice for
improvements to your property. If you intend to obtain financing,consult wi#h yaur lender or an attorney
before recording yaar natice of commencement."
Complete Plans,Specifications Must Accompany Application.All wark shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
r C.
L��rr�-
NTRACTOR SIGNATURE PERMIT UFFI R
PERMIT EXPIRES IN fi MC?NTHS WITHCIUT APPR4VED INSPECTION
CALL FOR TNSPECTION - 8 HOUR NOTICE REQUIRED
PR{)TECT CARD FROM WEATHER
�,�-�a�-�,utv City of Zephyrhilfs Permit Applica#ion FaX s�saeaoa2�
4 ,_ , � Building Deparkment
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Data Received ph��.�ontact for Permlt![n 1 ��� - ��1�,�1
Owner's Name 1�s�/``�� I`/` �=�-Gt� l�� Owner Pfione Number :.+c�'" ��T"' �Z"
Owner's Address L�� ���e �"-�'• ��rf�S Owner Phone Number � �
Fge Sfmp}e Tlttehaider Narrse � � Qwner Phone Number � �
Fee Simpte Tittehoider Address
JOB ADDRESS � ���� k�r'�I��� � � a ���!`3 R.OT# ��
SUBDiVISiON �77�E�Yl1`14��l�:�ilt/ �.S PARCEL ID# � d'!.�' �G �/!J G//!� �`�
(OBTAINED FR4M PROPERTY 7AX NQTlCE)
WORK PROPOSED NEW CONSTR ADD/A�T �� SiGN Q Q DEMOLISH
\ e INSTA�.I REPAtft
PRQPOSED�USE Q SFR Q COMM' � OTHER
TYPE OF CONS"tRUC'I10N Q Bi.00EC ' Q FRAMH � STEEL Q
DEBCRIPTION OF WORK °'C�• �Gf �/`/`�"/1J ,L aGGG p�. G��"� D�G/J�j � �D/f
�UlL.DING 8lZE ����� SQ FOOTAGE�_`� HEIGHT C`_.
_,,_,„�
QBUII,DING �� VALUATION OF 70TAL CONSTRUCTION
QELECTRICAL ($ i�� AMP SERVICE Q PRt?GRESS ENERGY [� W.R.E.C.
��_
QPLUMBING �� '
QIVlECHANtCRL �^� VALUATIQN OF MECHANICA�INSTALLA710N
�d.oe,�.
QGAS Q ROQFItVG [� SPECIAITY �� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
.�__,� -
BUILDER COMPANY
SIGNATUR� REGfBTEREQ Y J N FEE CURREi� Y I id
Address L1Cense# � ���
ELECTRtCIAN GOMPANY
SIGNA7URE � " REGlSTERED Y J N �E@ CURRE� Y/N
Address License# � �
PLUMBER COMPANY
SiGFtATiJFtE � REGlSTERED Y/ N FEE GURREI� Y i N
Address license# � �
MECHANICAL COMPANY f�f�� 1}i/1�.L��"�G�i c�L°i
SiGNATURE � r � �����?C�� REGISTERED Y/ IV FEE CURRE� Y/-N
Address '��" /�"y/Grv � G.��ll � ��5'�/ Licensa# ���,��df�~�
OTHER � � .COMPANY - .
SIGNATURE , REGISTERED Y/ N FEE CURREA Y/N
,_,_.,__.__,_.,_,_,_,�,
Address Lfcense# �` � �
R�SIREMTIAL. Attach(2).Ptot Plans;(2}sets of�Buitdi'ng��Pians;(1)sef of-Energy�Fortq's;R-O-W Permlt for new canstruction,
Minfmum:ten(10)warking;days.after,.submittai date. Requlrei!onsite,Construction-Flans;Stormwater Plans w/SUt Fence installed,
_.- _ __Sanftary Fadi{des.&:1;.dumpster,�Site�Work;Permit#orsubdivisionsAarge projects � _
C04NMERC{AL, Rttach{3)camptete sets�-af Buitdtng Plans�pius a Life Safeiy Page;(1)-set of Ertergy�orms:R=O=YV-Pe�rr�t for nsrd c�ns+����on:_�__�M_�`._��_�
Minimum ten(10)war4cing days after submittai date. RequUed onsite,Construc8on Plans,Stormwater Plans'w!SUt Fenca lnstall+ed,
Sanitary Facifities&1 dumqster.Site Work Pertnit for all new projects:All commercial requlrements must meet compllance
SIGA!PERMIT Attach'(2)sets of Engtneered�:Ptans. -
""PROPERTY SURVEY required for at)NEW constructlon.
�`>
Qirections:
Filt out appticaiion completety.
Owner�Contractor sign back of applicatlan,natarized
ff over�2800,a Notice of Commencement is requtred. (A!G upgrades over;7500) �
" Agent(for the cantra�tbr}or Powet of Attomey'(far the owner}wautd be someone wittf notarized tetter fram owner authorizing same '
DYER THE COUNTER PERM(TTING (Front of Application Only)
Reroofs if shingles Sewers� " `" Servloe'Llpgrades"A/C '"'1=erices(Piot/SurveylFaotage)
, . . .,....._.�.-....- ... _.: ..,_ ,�,..�..�,..�:
Drlveways-Not over Counter ff on putilic roadways..�eeds ROW , -' •� . ;`
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NOTICE OF DEED 9tES'PRICTIO�1�: Th�undecsigned undergtandsi.th�t:this:p�rmit.may.be.:subject to"deed"restrictions"
which may-be<more.rest�ictive-�4h��t�County�r�egr�latCons. �The undersign�d-'assuriies responsfblltty for�coinpliance'witfi any
appHcable d�ed resttictions. •
UfVLICENSED CONTRACTORS AND CONTR�ICTOR RESPONSI�OLITI�S: if the owner has �hired a contractor or
contractors to undertake work, they may be::ce�qui,r:ed•�to:be;ltcensed In �ccordance.with state.and�local regulatlons. if�the •
contractor (s not I(censed as� requlred-by law, both the owner and cont�actor�may be-clted for a�misdemeanor violallon
under state taw. If the owrner or Intended�contractor ere uncertaln a� to what Iicensing.requirements may.•:apply:ior�the
intended work, they are advised to cont�ct the Pasco Count�+�ullding Inspection Divislon--Licensing Section at 727-847-
8009. Fu�th�rmore, tf the owner has hired a contractor or contractors, he Is advised to have the contractor(s), slgn
portlons of the "contractor Block° of this application for which they wiit be r.e�ponslble. If.you, as.fhe owneP slgn`as the
contractor, that may be an indication that�he 9s not�.properiy Iicensed and�is not entitl�d to perri�itting privileges in Pasco
County.
TRANSPORTATION-IMPACTIUTILSTIES IMPACT A�lb Ri�SO�RC@ REC011ERY FEES: Th�undersigned understands
4hat Transportation Impact Fees and.Recourse Recov�.ry.Fees may:�apply to�the constructPon of new bulldtngs, change of
use in existing buildings, or expansion>of��existin,g',6uildings, as speclfled.in Pascv County Ordinance number 89-07 and
90-07, as amended. 'Phe underslgned �Iso�understands, that�such fees�;as,may_be•due,�wrill,:be identlfled at the�time�of
permitting. It Is further und�rstood thet Transpor�ation Impact Fees an.d�Resource Recove�ji�Fees mu�4 be paid prior to
receiving a "certific�te of occupancy" or fln�l power�.rel�ase. :If��the proj�ct•._does.not involv��a�certificate of occupancy or
final power release; the fees must be paid pelor to.per�it Issuance. F��thermor�;if Pasco.Couraty lNater/Sewer:Impact
fees a�e due,.they�_must be�paid.prdor to permlt•Iss4ance-in accordance writh��ppllcable Pasco�.County ordinances. -
CONSTRUCTION�LI@N LAW(Chapter 713� FlorJcJffi�t�tutes��am�nded): If valuaHon of work is$2,500.00�or more, I
certify that I, the applicant, have.been provided with a copy of the "Florida- Construc�ton� Lien Law�Homeowner's
Protection Guide" prepared by fhe Florida Departme�t of Agr(c.ulture and Consumer Affairs. If the applicant Is someone
other than the"owrne�', I certify that I�have.obtained'a�copy,of.the��bove.described�docu�ent=and.p.r.omisein,good faith to
deliver it to the`ownec"�prioc:to�cornmencement. '
CON'P6tACTOR'S/O'�YNER'�AFFIDAVIT: 1.certliy.that aII theJnformation:in�this appllcatlon is accurate and that all work
will�be done in complfance with all applicable laws regul�ting construction, zoning and�land�development. Application is
hereby made to obtain .a permiQ to do. work.,..and Installation a� indlcefed: °I ce�tffy th�t no work>or Installatton has
commenced prior to issuance of a permit and that.all work will be pertormed�to me�t standards of all laws regulating-
construction, County and City codes, zoning regula8ons, and land deveEopment regulations-in the Jurisdtction. I ai'so
certify that I uaderstand that the r�gulations of other government agencles may�apply�to the intended work, and that it is
my responsibility to identify•uvhat,ac4ions I must take:Qo be,ln..conlpilanr.e. S.uch agencies Include but�are not Iimited to:
- Department of Ertv(ronmental'Protection-Cypress.�Bayhead�, Wetland Areas and Environenentally Sensitive
Lands,UVateNWastew�ter Treatment.
- Southwest Florida iNa,te� Management D6strlct-Wells, Cypress.' Bayheads; Wetland Are�s, Altering
Watercour��s.
- Army Corps of Engineers-Seawalls, Docks, IVavigatile Waterways.
- Department of Health'& Rehabllitative Senrice�/Environmenfal Health Unit Well.s,.Wastewater=Treatment,
Septic�'anks. � _
- US Envirorrmentai F'rotection Ag�ncy-Asbe�tos abatement.
- Fedetal Aviatlon_Authority-f�unways.
I unders@and that the following:restricfions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"Vp unless expressly permitted:
- If the fiil material Is to b� used. In �Flood Zone. "A", tE. I� understood that a drainage plan adde�ssfng a
"compensating volume" will be submitted at#ime of�permitting whlch (s prepared by a prof�ss(onal �ngineer
Iicensed�by the State of'Florida: �
- If the fill material is�to be used In Flood Zone °A" (rr connec�(on�with:a permitted building using stem wafl
� construction, I cert6ry that fill<�rall=be used only.to.ffll the are�writhln the�stem•wali.
- If flli material !s to be used In any area, I �certlfy that .usa of such flil will not adversely affect adjacent
propertles. if use of ffll is found to advers�ly:�ffecf adJa�nt�properties,.the owroer may be cited for violating
the condi#ions of the building,permit Issued under the attached�ermit applicatlon, for lots less than one (1)
acre wrhich are elevated�by flll,�n engineered dr�0nage plan is required. .
!f I am the AGENT FOR THE OYVIVEIt, I,�promise In good f.aith to inform the owner of�the permitting conditlons set forth fn
thls affdd�vit�prior to c�mmencing constructlon. I unde�tand th�t a„aeparefe permlt may be requtred for �lect�ical work,
plumbing, signs, wells, pools;. alr condltioning,.gas, or other Install�tions not.speciflcally included�in the application. .A
permit issued shall be constcued to be a Iicense to p�oceed with the�n►ork and not as authoNty to,violate,�cancel, alter, or
set aside any provlsions of the technical codes;�nor shall issuance�of a.permEt.pcevent the Bulldirig O�fic(al from thereaf4er
requfring a correctfon af ercors in plans, const�ctlon or vlolattons of�ny codes. Every permit issued shall becume invalid
unless the work author(zed by such permit��is-commenced•withlra sfac m.onths of�permlt Issuance. or if wiork authorized by
the permit is suspended�or.aba�doned�for:a�:perfod of six�8)monfNs.aft�r the time the�wopk ts commenced. /An extension
may be requesfed, In writing, from the Building,Offlcial for � period.not to exceed ninety(90) days and will demonstrate
justlfiable cause for the extenslon. If work ceases.for ninety.(90)cons.ecutive day.s...the)ob�is.conslder�d aba�doned.
IM�1atNINIC TO OWIdER: YAUR.FAILUttE•TO.,R�EC.ORD A:MOTIGE�:AF,COMMEMCEAAEPtT IIIFis►Y�RESULT IN 1fOUR
PAYING TWICE.FOR IMPROV@MEPt'�3 TO YOUR��:PRC�iPER-7Y. I��1fO.UaIN�END��TO=+OBTASN��FIPFAR�EfIdG;�CONSfl1LT
WIT U D PI - O N �� �R��P�E��'�� �� ��i � � , C =0 .,' :•, E �E � T.
FLORIDA JUPtA�, . . 17.03j �— �
-- - � �
Od1iNER OPt AOEN COPITRACTO
S�bscribed and swom (ar at�Rned e re me fhis S s bed and' m to(of aRirmedpbetote me ttits
30-l? b rn �v �f>-/' � y " G
Who Is/are onally kno to.me ar haslhave produced Who Is/are p.a ellyacno •to me or has/have�produced
as Identlflcatlpn. � es IdenBflcaOon.
; � � _
.
Notery Publlc Nofary Publlc
Co I�slon No-: C Isslon�No.
;,.ti�;;'P�. SYLVIAA.CAMPBELL
o Bt,"
Name oi Nota " Y i}yhted or s Name of Noiery type ,g�� R famp mission�GG 112939
?:°� .o; Notary u lic-5tate of Florida :N„ op;� My Comm.Expires Jul 19,2021
:.;�' •: Commission q GG 112939 ',+
���,FOfFI�'` gtindedlhroughNaiionalNotaryAssn.
:;� o';: MyComm.Expires)u114,2021
•••%`.�,oFF�°;�' BondedlhroughNationalNotaryAssn.
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s � � � F � PROPANE GAS Service Order%Proposal �
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Sales, Service & Installations � �r,-E-�-;-��;�:-� ��r;��;�:f,i c.,,� ';:.�%� - ;r,�=,:��c�
4441 Allen Rd. • Zephyrhills, FL 33541 -<<:r<<:���: r�.�� ; r�l�-! ���
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:a�; DESCR{PTION OF WQRK',;.�;,-,,.;:,-;.:-�, �,�QTY�,,�:'�.��MA7ERlALS�8�SERVIGES � _ ; UNITPRICE:���AMOUNT:'._
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<"'�=�:r.� _ °r�_ -:RECOMMENDAT�ONS�;:�'��.:.;;:�.`.:.:;::.';::r�;::;�::�:;"'r;: i i
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Annual Nlaintenance Recommended,_by Atl Eqpipment:�9aaufacturers : pressures Lo HI T-Stat i i
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- rREFRIGERdNT,t��;:,- _ .�CBS:: - �$i erltis�`=; - -
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� , FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY � - - :`TOl'AL�SU.MMARY=n�r - -_ .
-_- - :<;_�;:_�;:.;:.;":;;:>::.:;.�.�.... -
- _ . , ��•-� - - -= -- - -
'Dehuinidistat SettiLigs:,�,When here.".ON",=rWhen Away�;��T-Stat80°;. ❑ MAINTENANCE CONTRACT_. �
_ _r,-- ,.,__ :�.;-_- - - SERVICE � i
LIMITED• ARRAN7'Y: All materi�ls arts and�e'ui ment are warranted b the�manufacturers'� "� -'"':-` `� - CALL i
�/ � �P 4 P Y ``.-`.,"`i::... :METHOD'OF::PAYIVIE�3'.:'-=�;�;"'�:;-
or suppliers�w�ittef�wazranty only.All labor perfortned by the above named company is warranted for ��'' ��- " '••, ;,"'`" ,'_ __` ' '�`^•'' -
30 days oi�as otl�e`�nvis,ihtlicated in writlng.The ahove:named company makes no other warranties, ❑CASH ❑CK# ' TOTAL i
expre"s§or�r�iplied,+an�its agents ortechnicians are not authorized to make any such warranties on MATERIALS i �
behalfof.atioKe`�1`ai�edwmpany. ❑DEBIT ❑CREDIT ❑OTHER �'�MAINI'�NANCE �
. : -. PROG: W/ C �
I ha4e authority tao er tAa work outlined abovew�hich has been satlsfactorily wmpleted.I agree that Seiler
retains title to equipment/matenals fumishetl until finTpayment Is made.If payment is not made as agreed, CLAIM# � �
seller can remove said equipmendmatedals at Sellar's expense.Any damage resulting front said removal shell X �q , �
not be the responsibility o(Seller.NET 30 DAYS.A 1 12%SERVICE CHARGE WILL BE ADDED MONTHLY TO { �} L � �
, ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMRLETED�
�r. TECH: '��'��'�v . ._. TAX i
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CUSTOMERSIGNATURE DATE ✓1L%W/Gl(i ✓ou , TOTAL ��I vV