HomeMy WebLinkAbout17-18918 CITY OF ZEPHYRHILLS
�� � 5335-8TH STREET
(813)780-0020 18918
BUILDING PERMIT
- P�RMIT INFORMATION LOCATION INFORMATION
Permit Number: 18918 Address: 6462 BRENTWOOD DR
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: BRENTWOOD FIRST ADDITION
Est. Value: Parcel Number: 04-26-21-0030-OOD00-0080
Improv. Cost: 5,199.00 OWNER INFORMATION
Date Issued: 10/11/2017 Name: SHELDON ROBERT
Total Fees: 65.00 Address: 6462 BRENTWOOD DR
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/11/2017 Phone: (813)779-9687
Work Desc: A/C CHANGEOUT 2.5 TONS
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
� �
�
� Ins ections Re uired
DU TS INSTALLED �
DUCTSINSULATEP
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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. �
NO OCCUPANCY BEFORE C.O.
�� ^ �
NTRACTOR IGNATURE PERMIT OFFI R
PE�tMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
���-,�w���� City of Zephyrhills Permit Application Fax-813-780-0021
Buiiding Department ,
Date Recelved Phone Contact for P�rmittin �` �U � — ��/
Owner's Name ��,E7 � p� D� Owner Phone Number ��� d �/ / '� /�� �
Owner's Addreas GP�!� OS �'eI��L[��0� .�/2� 3�$ Owner Phone I�umber I
I
Fee Slmple Tltleholder Mame Avuner Phone Number �
Fee Simple Titleholder Address
j
JOB ADDRE3S (P�(�o�- p� � LOT# �
SUBDIVISION / L'e�" �j I
� ��S PARCEL Id# O� �� oC� ���� ����D � � �
(OBTAINED FROM PROPERTYTdX NOTICE) �
WORK PROPOSE,D NEw CONSTR • ADD/ALT Q SIGN Q Q DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CON3TRUCTION Q BLOCK " Q FRAME � STEEL Q
DESCRIP'PION OF WORK ��5� �C �/�"'v�yq-�� '" � �a ��/� � (� O r ;
�
BUILDING SIZE SQ FOOTAGE�� HEIGHT
QBUILDIfVG $ VALUATIOM OF TOTAL CONSTRUCTION
QELECTRICAL $ ` AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ -
QflflECHANICAL $ " VALUATION OF MECHANICAL INSTALLATION. �
o?��19'� oD � ,
QGAS Q ROOFING Q SPECIALTY �] OTHER �
FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I
_ ' �
BUILDER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ,
Addr�s$ License#
ELECTRICIAPI COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURREP Y/N
Addr�ss License#
PLUMBER COMPARfY i
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHAIdICAL /� �- = COMPANY �v/�//Q S 9-/✓� �'�'�/�-�/1�°L
SIGNATURE U� REGISTERED Y./ N FEE CURRE� Y/N
Addreas License# �i�-�� ������
OTHER � ,COMPANY
SiGNATURE REGISTERED Y/ M . FEE CURRE� Y/N
I
Addre�s License# �
RESIDENTIAL_ �Athach' 2.Plot Plans; 2 sef§.of�Buiidin'`Plans; 1 set of Ene Forms;R-O-W Permlt for new construction,
� ) � ) 9 � ) r9Y`,
Mfnimum:ten,(�10):working;days.after.submittal date. RequireiJ on,site,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FacUfti,es.&:_1;.dumpster-3(te Wor1c;P.ermit for subdiVislonsAarge projects
COMMERCIAL Attach(3)complete sefs of Buildfng Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for neuv canstruction. --- --
, _ Minimum.ten(10)working days after submitNal date. Required onsite,ConstrucUan Plans,Stortnwater Plans w/Silt Fence installed,
San(tary Facilides&1 dumpster.Site Work Pertnit for all new projects.Ali commerclal requlrements must meet compliance
SIGN PERMIT Attach(2)sets of Erigineered�Plans:
""PROPERTY SURVEY required for all NEW construcUon.
Dlractions: •
Fill out applicadon completely.
Owner&Contractor sign back of appl(catlon,notarized
If over g2500,a Notice of Commencement t�requlred. (�UC upgrades over sT500)
" Agent(for the contractor)or Power of Attomey�(for the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMITTING (Front of Application Only) -...... . -••,___ -..-_ ,,,_. � _L. �
Reroofs if shtngles Sewers "` Seioiaa•Upgrades�A/�...�,.,,���e�(Plot/Survey/Footage) •' . ' . ,
Driveways-Not over Counter if on public roadinrays:.needsROW,, � ; . -
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�d�`1�+�E QF DEE�R��Y1�1C�'I��i�: The u�det�ig�ed under�tand�°=.th�t:ttals.p�rmlt.may,b�,,subJe��to"deed"re�trf�tlon�"
which may�be<more:re�t�tct(ve.th��Cour�ty<�r�g�alatCons: �The�underaigned�'sissurr'ies'�es�orasibillty for"cci�riplian�e veiQM any
appllcable'deed eestri�tlons. .
4fN1.tCE�l3ED CO�i�'RACTt�R� d0.ND CONTiR�►C'TUR R�S4�ON�1�{L6�E�: If the �wn�r fi�� hir�d a �ar�trac��r or
cor►tractvrs to a�ndertake work, th�y rraay be;cequiced.�t�a-:b�.:Mt�ensed In accordanc�.wlth state.and•local regulati¢�ns. If the
c�ntr�ct�r ts not ticensed-as�raq�Ored'-by I�w, bo�#he ouvn�r�nd con�ractor°niay #e°cl#ed-for a�mi�t�ermear�or v�miation
und�r state iaw. If the owner or Intended.�_contractor �r�.uneertaln as to what Ilce�rs�ing.r�equlrements m�y.-apply,�'or the
intended woPk,th�y are advls�d t�coret�ct the P'asco Got�rat�t Sulliding`In�pecttain Dlvlslan—Ldcenstng Sectton�t 727-847-
5�08. Furthermore, if the c+wneP t�a� htPed � core�rac#or c�r contractors, he is acivised #o have the cantractor(sD, sign
portic►ns af 4he �contPactor BlockW af thfs appllc��lon far whl�h 4hey wiEl be.re�ponstble.. If.you, as.the owri�c sign��is'th�
�ortt�ac��r, that�m�y be ar� indicatlan th�#�h� i� e�ot.prop�rly licens�d and��ls c�e�#entit��d #o p�rri�itting p�hrl3eges tn PascQ
Cowr�ty.
'Ti�#td�P�ItTA7lON�IMPAC�'P4DYY�:�'Q'mES�lNlPA�Y'A�1b RE�0�9RC��E�O�'ERY��EES; The�nd�s�9gned under�4�nds
tha�'Pran�por�atlon �mpact�ees and.Reca��rse Recove�gr.F�es r�ay�:�pply tc�ttae construc�ion of�ew buliding���ch�r+�e°of
use in �xisting buildings, or e�xp�rosi�n�of-��eulskir�,g<buililings, as spectfl�d.In Pasco Caunty Ordir�ance raumber 89-07 and
90-43T, as amended. The �nde�l�ned �Iso.�nder�#a�ds; thai�:�such�ees,�:�s�may:be�due;�will:r6e Ider�4lEied at Qhe time°of
perrnitti�g. It Is fu�tFier understood that Transportatian Impao�'Fees �nd�Resowrc� Recovery{Fees mus# be paid pP9ar ta
ee�elvirag a°ce�Ebficate of occupa��y°' or�inai powe.r..releas�. :4��the projc�ct;.d�� n�t fnvoiv�a.cer4i�c�te of acca�par�cy or
final power ret��s�;-the fees rnusQ be pattl prior#o perm6t issuance. FulGthermare;1f Pasco �ounty VV�ter/Sew►�r Irrtnpact
fees are due,.they�rrwst be..pald.pN�c�to p�rmiE•i�suance�ln accoed�,nr.��rlth�applloabl�Pasao'.C�unty ordinances. �
C�Bd�TRUGTI�IN�.lEP!�1�it{Gli��ptee 71�� �In+rlil����ta�t+��;�rs asr��n+���1�: If v��t�atlor�of work is 52,500.00�or mare, i
cerkify that I, Qhe ap�licant, h�v�.been provtded v�tith � copy of th� wFlorida Canstruction Li�n L�v�►—Harneov�ner's
Protectton Guide" pe�p�red by�t� Fiotida �ep�rQt4tent of Agri�uEture �nd +Con�t�tr�er A�atrs. If#he �pp�ica�tQ Is svrraeone
�ther than#he"owner", I certify that i h�v�,o�itailn�d�a copy;oP.the-�bmve..�tescri�edd�curi�ent=and.ptomise in,good f�i�h to
del6ver it ta th�"own��'�prior�to:covnpn�ncernen�:'
C�N�CT�iR'S/O�NER��AF�I�AYIT: 9.c�rt�ty,..that>a11.th���ir�fc�ran�ti�►r�:ic�thl�appitc�tEan is accu��e$nd that ali work
will'b� done in campliarrce wlQh all �ppltcabl� laws regul�ting co�strucQlan, zoning and:�land developm�nt. Appitcat9on is
�ereby enade ta obtaln .a permit 4a-do.war�.,.a�ed I�staHaticen �� ind[��t�d: '# ce�ttfy that no work�e�r Ins#altatton 9�as
�omrnenced pri�r to Issuan�e of a, permlt and that.all work will be perfarmed to rro�aet st�ndards of a�ll laws regulating�
constr�ctlon, County �nd City c�d�s+ zoning regulatl�ns, a�nd land development regalattans�in Qhe �urlsdic�lon. i alsc�
���tify�ha�t 1 ur�derstand that fhe regu6�tlons of�Qher g�vernm�nt�agencies may�appiy�f�the int��ded v�rork, and tha# it is
my r�sponsibility to ident(fy�wh�t,a�tB�ns I mu�t tak�.M be,In;.au�pl0ance: S.uch�gencie�Include bw�are.not Iimiked ta:
- Departrn�n� af �t�vir�e�rm�ntal�F�ro#ectlon•"CYP�e�s.�ayhe�d�, lNe�lend Are�� and Envlrorarrnentally S�n�3tive
Lands,iNat�rMlast�w�t�sr T'�atment.
- Svuthw�st Fl�r�da 1(��ter �!lanagement: .QisU1�4-We!!s, C%YRr�ss.'.`Bayheads; Wetl�nd A���, AI#�r3ng
Wa#er�ouPses.
- Army Corps of EPtgine�rs-Se�w�lls, Dock�, ll�avigable V1laterw��s.
- �epartcnent of Health�& Ret��t�ltlta4�ve Secvi�eslEnvitonmee��a1 Heal#h 1�ln��Vells� 1lVaste�vu�ter-Treatnnent,
3ep41�Tanics. _
- US E�v�ro�►me�t�0�r�teoti�n Ager�cy Asb�stos�bat�menQ.
- Federal Aviation.Authoriiy-Ru�wr�yse
I understand tha�the falOowing.�restrl�4ions apply to dhe use of flll:•
- Use of�ill is not aolowed in Flood�ane��1"unless expre�sly per�itted.
- If the fill �naterial is t� bs used.l�.�Flood Zoneo. "A", It. is uraderstood that a dr�ine�g� �la� address(ng a
"compe��a�in�vol�rrpe"wilt be subml�ted at�ime o�:permi�irtg t�hich 1� ptepa�ed by � profess�anat �n�Eneer
licer�sed by�he Sta4e of'Florld�:
- 9f 4h� fill matertal ts to.be used 6n Fiood Zon� "A" tn!�onn�clion�with�a p�rmitted ba�ilding �sing �4errt wrall
� constt�c#Dan, E c�r#iiy th�t�Il:w�ll�b�t�sed o�ly.#o fi�tl tFr�are�wlthin the�stetm�w�9{.
- If fi10 m�teri�l Is 4o be used in any area, I cer#Ifyr that us�. of such fll9 w�ill not advers�0y affect adjacent
�ropertfes. If u�e of f��13s fo�etd to �dvers��y:�ff�ct adJs+�nt�p�opertl���.#h�owtnee may be ci#ed f�r vio9�ting
the conditions of the buiiding:p�rmit Issued uroder the �t��ched permit applicatlan, far lots less than or�e� (1)
acrs uvhtch are ele�ated�by�4!!,��engln�ered dr�lnage pia�fs required.
if 6 am the mGEMT FOi�TH��WFOER, I;prorvtiae In gcaod fat#h to infarm tlhe owner of-#he p�rtnittir�g conditdons se�foa#h in
this affid�vtk'prior to camrraeractng �ons�ru�tlon. I und�r�taeod thet�a�separat� permit rr�ay be requlred for�le�trical uvork.
ptu�nbing, signs, w�11s�.poa�s; alr c�ndltic►�I�g,.g�s��or �tt�ee insfa@I�tians no�.sp���fEcally Onciuded-�n.�tte applicatian. .A
permlt Ossued shall be cmns4nued#o be a�If�ensd�o praceed with !he wor�and not as.authority to.violate, cancei, altea�, or
set a�slde acty pro�tis[�n�of 4h$fiechnqc�!ct9de§; r�o�shall lssuancs�of a�ert�tt prevent th��uildlrig�iclal from therea�ker
requ0r€ng a corra�tion af errors ir�ptans; construc�ion or vialaQions of any cod�s. Every-p�ermit Ossued sfiail become inwalld
unl�ss 4he work authortzed by such permlt:ls.cocr�menced�wlthln sGc mgn4h� of�permik Issuance. a�r if vvork.,authmrized by
�he per�it is�uspe�d�d ar.aband�n�d-for a:�erlad of�I�{8}un�t�t�s.�ftec t�e#Ime#he'wo�Oc is cammec�ced. Ar�e3c#en�ian
may be requested, in w�lting, from th��Building,Clfflcial for a p�riod.not ta exc�ed nir�ty(90) d�ys and-wrill demon�Qrate
justifiable cause for.the exten�#on: ��tRiO!}t C88lSSS:fQf/tlPi@�f,tgQ}C�ftS.�G�lt�Y@�8jt&,.-the job��s consfder�d aba�doned.
VNARNBNG TO CM1RIfdIE�t: YCM�J�._FAILUR��TO..REC.C1�iD A.RDOTIGE���� COBI�MEMCE19AfEMT III�Y I�E�UI:T IN�Y�►UR
PA1t[NC TWfCE��O��1�lPRt3V�114A�M�'S T�YEiUR:P#tt3iP�1t'i�. 11�°lf�}.�1;1�'�`EWD`Tt�O�TAiN�=�IN�►fi�Ct�+IG;�CONSl9�.T
{NIT A l�°�'° R! , �RE+ CO �. �:; , � C , ° . E
fLt7�4�h�JilF�tit fF,�i. 'f�.03j - - --- - ��� - _.� .� - � ' -. - -
OWN�R OPf AC3EN'� � GO�ITI'�ACTQ
Subscdbed and swom to( r rm d)befor�m thl� Subscrlbed and' �QQ(at afl}mted)' for�eti�'fttl�
la-r�-r�r ;��� �. rn r�,��- - - � tnt �
Who is/ar on nnv�db.m�or.hasJh�a�produced Who is/are . onel � me or has/�ha�ve�produced
as Id�ntl�cetlpn, as ldentlflcallon.
? �
t���rC�� ° v _
Notary Publtc -- Notary Publlc
Co Is�lon Na: �� Co isslon•No.
,.,.;��rpU`�, SYCVIAA.CAMPBELt.
sa°. ;'o`: NotaryPublic-Stateo►Flarida SYLV�AA.CAMPBELL
Name oI Notary QT sta s�on Name aP Notery 4ype �a �
�� 9�;: My Comm.Expires 1ui 14,2021 = * *.; Commission#GG t 12939
'�`�,°FftO¢�`' gondedthraughNakionalNolaryAssn. �s� e� MyComm.Expires1a119�20�1
��, HandedthroughNationalNotacyAssn.
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w,���:�.:,�; ,:� •
-` � � � ' � PROPANE GAS Service Order-/Proposal
AND AIC �rvc.
` ��ce�988 8 i 3-782-50 i 3 Invoice
i3riit�'; .�Ji�f.)c�..�'��i�,�'�i:.�i�,t).�'�h1!�•`� �r.,�.L'71'=; �{."�i
Sales, Service & Installations P.1 f Ft � -�r,t�: +�c{`t�=�t, '1-�'=!`�.�,f =� ��'A-=.
444,1.Allen:=Rd�. � Zephyr_hills,:_F.L 33541 _ _ �;�`���`� =��` ,="�'�"' ���'
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- � - - . ` 1�.TION':;O�1NOR.�:-`.�'�''=,-":..--"- -- `= Q�1�Y.:�_= .=MATERIAL:S�&'=SERVICES .:':� � � IJNIT-PRICE• � AMOUNT� .'
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��l RECOMMENDA '--f � I
- TIONS-: ' -
- - - � - - fl� sc.�t b�` i �� i�
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Annual Maintenance Recommended by�All:fquipment�Nlanufactv�ers.- .= pressures Lo HI T-Stat i �
- �. .. , _ �.:...,��,..: -
• - �� .REFRIGERANT.R-'-: - -LBS. ==%$:per,lbs. � - � �
. - -, .I' '�. I
FILTERS x x Changed Monthly I �I
FILTERS x x Changed Monthly I - �I
❑ REGULAR ❑WARRANTY `TOT%AL.SUMMARY = �� .
Dek�umidistaY$eftings:,'When here"O�N";.,When Away 6�;.T Stat 80°: ❑ MAINTENANCE CONTRACT SERVICE � i
- ,<,: �
LIMITED WARRANTY: All mateiials,parts and equipment are warranted by the manufacturers' �"_ � -NIETHOD"OF PAYMENT� - CALL i
or suppliers'written warranty only.All labor performed by the above named company is warranted for ''� � ' -
30 days or as otherwise indicated in wdfing.The above named wmpany makes no other warranties, ❑CASH ❑CK# MATERIALS C�"� ��t� i�'f
express or implied,and its agents or techoicians are not authorized to make any such warranties on ��°;
behalfofabovenamedcompany. ❑DEBIT REDI OTHER MAINTENANCE �
I have authority lo order the work outlineU ebova which has been satistactonly completed.I agree thal Seller
PROG. W/ C �
retains tille lo equipmenUmatenals fumisl:ed until fin�l�payment is made.If payment is not made as agreed, CLAIM# �
seller can remove said equipmenV terials at Seller's expense.Any damage resulting frorrt said remwal shall � � r�ry,
not be the responsibihry ot Seller. T 30 UAYS.A 1 112%SERVICE CHARGE W BE ADDED MONTHLY TO ,�����.,,5 •�-' ��/�y,� � v"(,/
ALL UNPAID BALA OVER DAYS.:"!O REFU s DATE CO P D �` �
TECH: � T'� � l. �j �
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CUST G RE DATE ✓ Q�LG TOTAL , "�j�,v3�'r I jj�