HomeMy WebLinkAbout17-18924 i
CITY OF ZEPHYRHILLS ',
5335-8TH STREET '
� (8�3)780-0020 18924
BUILDING PERMIT ,
�I - - � PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18924 Address: 5139 2ND 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: 11-26-21-0010-12800-0070
� Improv. Cost: 5,795.00 OWNER INFORMATION
Date Issued: 10/12/2017 Name: DOUGLAS DONNA
Total Fees: 65.00 Address: 5139 2ND ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/12/2017 Phone: 813-610-8920
Work Desc: A/C CHANGEOUT 3.5 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
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Ins ections Re uired '
DUCTS INS ALLED
DUCTSINSULATED i
FINAL �,
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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 properly. 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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CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o��-�o�-���� City of Zephyrhiils Permit Application Fax813-T80-0021
Building Department
Date Recelved Phone Contact for Perm4ttin �� � ��� — �a�7
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Owner's Plame (� �Jd N��, Gwner Phone Number ���`r���"' �ocCJ. I
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Owner's Address ��� a� ���-�^ ��� 2. Owner Phone Number, � �
f�e Simpte'ritiehalder Name � � Owner Phone Number � � !
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Fee Stmpte Tltiehotder Address ',
JOB ADDFYESS .�I�� c�'�� ��• LOT# C�� ,
suso�v�s�o� �� � � pa�c���� ��1 0�� �-t L�G���9 l��QG� 1�0��
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PR4POSED , e �Ew coNsra�ADDlA�T � SiGN Q � DEMOLISH .
�NSTALL REPAiR
PROPOSED�USE Q SFR [] COMM Q OTNER
TYPE OF CONSTRUCTtON Q BLCICK ' [� FRAME �. STEEL Q
DESGRIP'�{ON OF WORFC �E '•�'�' � � � G��6A� E'�D7.Q.-� GF pT7'Y1 �NC.��S -�7 fv�, TOI�
BUtLD1TdG SlZE � � 3Q FOOTAGE HEtGFIT ���� !
QBUlLQlNG �� VAI.UATtt�N'OF 70TAL{�7NST`12UCT10IV ;
QELECTRIGAL ($ ^�_—� AMP SERViCE Q PRO�RESS ENERGY Q W.R.E.C.
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QPLUMBING �>� - �
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATlON. �
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QGAS [� ROQFING Q SPECIALTY � OTHER
FI{VISHED FIOOFt ELEVATIOElS �� � FLOQD ZC1NE AREA QYES NO
BUlLDER GOMPANY �
S1Gt�lATl1T2E REGISTERED Y J R) FEE CURRER Y/N
Addrass L.icense# � � '
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ELECTRI�IAN COMPI0.NY �
StGNATIIR� � REGiSTERED Y! N FEE CuttRE� Y/N
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Addrass Llc�rsse# ( �
PLUMBER � � GOMPANY
SEGNATURE R��tStEREa Y t Pi FEE CURREP Y J N
Addre�s License# � �
t�ecH�wica.. � �j�`'� conn�,a�nr �+h�i��S r�o �}�/� L�5'�- e �'��
S1t31dATURE �� ��` ' i�~'1�.� REGI5TERED Y 1 N . �E cuRREt+ Y!tU
Addteas ��!'� � �l �'�J license# t��ITC�u �� I���
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OTHER ,COMPANY �
StGNATURE REG�ST�R� Y! N,. F�E GURREt� Y 1 N I
Address� Ucense# ,
RESIDENTIAL •Attach(2),Plot Plans;.(2)sets of�Building`Plans;(1)'set of-EnergysForins;R-0-W P.errrilt for new conshuction,
_ _ Mlnlmum�ten�{-1..0}wraricing;days<after,.sub�islttal date. F2eqitl�onsite,ConstrucEion Flans;8tormwater Plans w!Sllt Fence installed,
Sanitary Fadlides:&,1�.dumpste_r,-Slte`Work::P,ermit for subdivision§Aarge projects
COMMEFtCI�AI. Attach(3)complete sets of 9u11ding Plans plus a Ufe Safety Page;,(1)set of Energy Forms.R-O-W Permit for neW oonstruction.
Minimum#en{10)working days after submlttal date. Required ansite,Canstruction Plans,Stormwater Plans w!Silt Fence lnstallad,
Sanitary Fac111Hes&1 dumpster.Site Work Permft far all new�projects.All commerctal requlrements must.meet compllance
SIGN PERIIAIT Attach"(2)sets of Engineered�Plans.. -
'***PROPERTY SURVEY requlred fior all NEVI+cons#tuc�tEon. +
Dlrectlons: �
Fi4i au#applica�on completely.
Owner 8 Ca�tractar slgn back of applfcadon,notarized
If cver�28Q0.a Notics of Commencement Is required. (A!C upgrade�over ffi7500)
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Agent(for the contractor}ar Power of Attomey{for the owner)would be someone with notarized letter from�owrier autliorizYng'saine --=° �
DVER THE COUNTER RERMITfI[dG� ' �(Fr"ont of Appllcation C�nly)��f . ,,� ,� .�-��� �. ,' -
Reroofs if shingles Sewers, Service Upgrades AtC' Fences(PtcsUSurveylFoatage} ; �- -�� . .�. �.� , , ``� .
Drlveways-Not over Counter If on putillc4►oadways..needs ROW� ; , " '-'' ' ,.�� ' ,_
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NOTICE QF DEED REST.RICTI�NS: The understg�ed under�tands�;th�t#his;��rmit.may,ae,sub�ect to,"deed",resUl�t#ons"
which may-be-more�rest�:tctive�th��County'�r+�gulatfons;'The�underslgned�assu�i�s=�espronsitititty-:for�compiiance'uviCfi�any '
appilcabte deed rest�iction�. . � �
UNLICENSED CONTRACTORS AND CCINTRAC'i'OR�RESPOt�tSlBILITIE�S: ff the owner`has�hlred a .can#cactar or
cont�actors ta undertake work, they may.be,�r,e�qulre,d.�to.�be,llcensed In accardance.writh state�.and•local regulatlons. �If�the�
contractor !s na# l�censed as requlred�by law� batlt tha owrier and contfactorjiriay�be-�ctted�€or a�misdemesnar ul�la#ion
under state law. If the awner ar Intended=co,n.tra�tor,�are uncertain es to what Iirensing.requtrements.m�y�•apply�ior the
Intended wark, they are advlsed to contact the Pa�sco Caunty 8ullding lnspectlon D(vlslon—Licensi�g Sectton at 727-847-
8009. Fu�thermore, if the owner fias hlteci s contractor or contractors� he is advised to have the cantractar�s�, stgn
portions of the "contrectar Block� of this epplicatlon for whlch they wfll be tesponsibie.� If.yau� as.the owner'sign'�ei§'the
contractor, tha#�nay be an indlca#lon that�he-is not properiy Ilcensed and ls nat en�tled to per►niktfng privifeges in Pasca
County. '
TRANSPORTATION_IMPACT/UTlLITIES�IMPAC'�ANC1�ESOURCE RECOVERY�FEES:�7he underslgned undersQands
that T�anspartatifln Impact Fees�and.Reccurse Ret:ove.ry.Fees m�y:�apply.ta:the canstructton of new bulldings.�change=of
use in existing buildings, o��expar�si�n>of�existi�%g'<6uiltlings, as spectfled.in Pasco County O�dinance number 89-OJ��nd
90-oT, as amended. ..'Ghe undecsigned alsa.understa�ds; thaiE�such fees,-sas,�may.be�.due;:w111,}be Identifled at fhe�ttme°o#=
permikking. It is furtlier unders#ood that Tre�spottation Impact Feea an��Resource RecovsrywFees mus# be pald prior to
rece�ving a"cerE�tcate af�occupa�cy"or#Inal�.pawer�etease. :If�the project�.does not�inva�lveaa;cett�ficate af occupanay..or� .
finai pawer release; #he faes mra�t be paid prlor to permit Issuance. F�xthermore;if:.Pascro County 1iVaterlSewer innpact
fees are due�.they.must be-pald prior to permit-Issuance•In accordance with�applicable Pasco'.Gounty�ordinances. �
CONSTRtICT10N�C1EN�A1t4/�Cl�epf�r 7'13,EloNct��t�tutes,��mendec�}: �valua�on of war9c is�2,5QO.00�or more� !
certify that I, #he .applicant, have�been provided. with a copy of�the "Flo�ida• ConstnacGan Lien .Lav�r---Homeovir�er's
Protectton Culde" prepared by the Fio�da Depa�tment�of Agricufture and Consumer�Ai�atrs. !f the epplicant Is sameone
other than the"owner", I certtfy�that t;have.abtainedya�copy,of..the:abova.descrlbed doaument-and.pxomtse.in,gaod.fai�h to
deliver It to the'owne�':.prlor�to-cornmencement:'
Ct?NTRAGTOR'S/+DWNER•8 AFfIQAYIT: l ceitity;tEiat-alt.th��lnfarmation;i��this appltaatlon is accurste and that ail work
will'be done in campliance with all.applicable laws regulating constn.tctlon, zoning and land°develapment, Application is
hereby made to obtain.a permit .ta do_woii�;:and instatiatlon as indt�atecF..� �� certify that no wark or Installat#o� has
commenced prlor #o issuance of�a permiC and that.atl work wiit be pertormed to meet standards of aU laws regula�ing-
constructton, County and Clty codes, zoning regulattans, and land development regulations-!n the jurisdtctlon. ! al'so
certify that I unde�stand that the regulatlons af other gavernment agencles may�apply�#o the intended wark, and that i#is
my responsibility to identify•whe#.actions I must�take:to bedn:.aampliance. Such agencles include but�are.not Ilmited tc�:
- Department of Ertivironmental�Protectton-Gypress.�Bayhead�, 1t�e�and Areas and Envlronmentat4y Sen:�ttive
l.ands,Weter/Wastewater Treatment.
- Southwest Flarida W�ter Management .C�is#rlct Wells� Cypress.��Beyheads; Wetland Areas, Alt�ring
Watercourses.
- Army Corps of En�lneers-Seawalls, Dacks� Navlgable Waterways.
- Depa�kment of Health��� Rel�ab113tative SenricesJEnvironmental He�lt� 11n1t Well.s,-VtFastewater-Treatrnent,
Se�tic Tanks. � ,
- US Environmentai PratecUon Agency Asbes#os abatement.
- Federal Aviatton_Authority Runways.
I understand that the follriwing,rest�IcNons apply to the use of flll:•
- Use of ftlf Is not a#lawed in Flood:Zone'V"unEess expressly permltt�d.
- If the flll mate�fal is to be used: In.�flood Zone. "A°, tk is understood that a drainage plan addressing a
°cornpe�sating volume"wiil be subr�ttted at�ime of:permlfting wh�ch ts pt�e�pared by a professionaE engl�eer
Ifcensed by#he State of`Flarida: .
- If ih� tlll materlal !s to be used tn Flaod �one "A" In>connec�ion�with�a��ermitted bufiding usfng stem wall
� canstruction, l certify th.at f�l:w�ll.be used oniy.to.fill the area wltFrin�the�stem>wa11.
- If ftll material Is ta be used in any area, I certify that .use. af such flll will r�ot adversely affect adJacent
properties. 1�use o#fiil is foc�nd to adverse�y:�#fect adja�erat prope�tles,.ti�e owner may be cEted for uiai��ting
the candlllons of the building:permit Issued�under tha attached�ermit appt(catlan, fo�:lots less than.onE� (1)
acre which are elevated�by flll;��t englneered dralnage plan!s required. .
If i am the AGENT�OR THE-t�WNER, I,promise tn gaad faith#o infotm the awner of�the permltting condi#tons sef farth fn
this affidavit`prior to commeracing constructlon. I understand thata�separete permit may be requtred for electricaf vwork. .
plumbing. slgns, wells,.poots, atr condl#ioning,.gats, ��r ot�er install�tians noE,spec�Ea�aily included�1n tFte application. .A
permit issued shall be canshued to be a�Iicense to�-proceed wlth ffie work and not as.authoNty to.violate�.aancel� alter, or
set aside any provistons of the#echnlcal c+ndes;�nor shall tssuance�ot'a.permit.pcevent the 8ulldirig Cxficta!irom thererafter
requiring a correction nf errors in plans; consUuotian or violations of�ny codes. Every p'srmit issued�shall become inWaiid
unlesa the work authorized.by such permlt:�s-cornmenced�within sGc months of permlt Issuance, or if work authorized by
#he petmit Is suspended�or.sbar�do�ed-for a�:perlad of s�C�{�}montF�s.after t,�e tlr�e#he�wortk ds cammenced. An�x#en�sion
may be �equested, In writing, ftom the�Building,Offlclal for a perlod�not to exceed-n(nety�(90) days a�d=will demonstrate
justt�able cause for.�the e�enston: If work ceas�s�for ninety.(90)cons.ecutive:days,..the�ab�is constdered aba�doned.
WARNING TO OWNERc YOUR..FAILIJRE�TO..R�E.C.O[tD A..MOTIGE�:OF�COMMEMCEMENT.MAY�RESUlT_IN_YCIUR __
PAYING TW10E Ft)R IMP1tQVEMEttil�'S�T�i Y�U�,PRCC�P�I�TI�o- 1�°:X�.�d�Q��'E�1'3�4Tt�A�tiBT�IM�=�i1+tAfiI�IN�;�QNSGII.T
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FLORIpR.fURA'��{F.S;1l7, � �- .. _ . �
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OWN�R OR AOEN7 CONTRACTO .� y i
Subscribed and sw+om tc{o Nirtned bgfore me thls Subscrtbed and' (ot a�l e j�b�fore nie'@il§ i
t�- � t��2.y� •by � ��rr�tr- ;
Who Is/are rsonally knovm to. or haslhave Prqduced Who.is/ere p. nellykn �ta me:or hes/heve•produced • �
as Identl8catl4n. es IdenBftcaqon. '
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Com slon . �` .••,,,Yp�,.,, SYLVIAA.CAMPBELL C mUsslonNa.
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= • tammission#GG 112939 ;•`'ts�`Y"U'••'.
�., Z�2� ;:°, ;�`; Notary Attblit-State of Flotfdd
Name ol No �ed� ��;onalNotarynssa Neme of Notery typed, -
•�,,,,„,,,�•� :, omm.Expires Jul 19,2021
'"`•�;°;,�;t��', BarrdedthmnqhNetEonalNataryAssn.
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: Sales, Service & Installations �':��� '�s��,�" "��':�t�� ����;.-�.►. `�.-� +?�U:=��
4441 Allen Rd. • Zephyrhills, FL 33541 ° ������"� �s`' ��° �'. 4'`'�'
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❑ REGULAR ❑WARRANTY '>��K`�'�� ;"�7'�TR#riSt1MMA�Yr�:<;;;;�::yw,s;;
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yDQ#i�rijidi§fatS,etfirt S:�;When here"f�N";;;When Awa � ° �!T-Stat$�°s, ❑ MAINTENANCE CONTRACT
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LIMITED WARRANTY: NI materiais, arts and e ui menl are warranted b�the manufacturers' `"__-= � `"�"`'� "���" �' �"� �� `y�'`��` y`��''`x° ` CALL i
P Q P Y _::i�METHQ 'O_�PAYfVt_ T's�.°:�;;r,`;,�;.,';
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or supplisrs'wntten warranty only.NI labor performed by the ebove named company is warranted for '•"=��" - ""`r�"" ' � � TOTAL i
30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CAS H ❑CK:# MATERIALS i
e�ress or implied,and its agents or techniaans are not authonzed fo make any such wartanhes on ��
Dehaltotabove named company. ❑DEBIT ❑CREDI�D OTHER 4 k o MAINTENANCE �
1 havo aulhwity to ofdor the work outLnod above whkh has beon saUsfa�todly compbtod.I egree that Seller
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rotolns Wo to eQuipmenUmaterinla fumisheU untl�Zinnl payment is maCe.If pryment le nol mudo ae agrood, (���M#
eWbr can rortwvo suid uqWpmonUmakdals at Saller's expemsa.My domago msulting from aeh removal ehall 'f•� �
ALLbUNPA10 BAV�N'CES O ER 30 DAYS.NOyREFUN05�SEFNICE CHARC�E Wil�BE ADDED MONTHLY TO DATE COMPLETED �� d� � ��G
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CUSTOMER SIGNATURE DATE ✓{LCl/I7�`E% ���-CG TOTAL I