HomeMy WebLinkAbout17-18926 CITY OF ZEPHYRHILLS
5335-8TH STREET
, ` '' (813)780-0020 � 18926
BUILDING PERMIT
- - - PERMIT INFORMATION = LOCATION INFORMATION
Permit'Number: 18926 Address: 4714 WISTERIA DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 3,795.00 OWNER INFORMATION
Date Issued: 10/12/2017 Name: COOKE ALLEN CLAYTON
Total Fees: 55.00 Address: 4714 WISTERIA DR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-5650
Date Paid: 10/12/2017 Phone: ��� 5�—
Work Desc: A/C CHANGEOUT 2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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ins ections Re uire
DUCTS INSTALLED
DUCTSINSULATED
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 property 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
, � � �
�
CONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Q��-rQ�-�,ut�, City of Zephyrhiils Permit Appl�cation Fax-813-784-Od21 �
8uliding Deparbr�ent •
Da�e Recelved Phone Can#act for Permtt#in �/� ��� – �� `�
Owner's Name ��LS Owner Phone Number g l� �' g J�' � �
Owner's Address T 71� ����G�1 ,({, �� Own�r Phone Number �— �
Fee Slmpie Tftieholder Name �_ � Owner Rhone Number � �
Fee Simple Tltiehotder Acldresa
JOB AGDRES8 � �'..>��--'J'�`!,� l��� LOT# �.�
SUBDIVISION �� � PARCEL ID# ,G� �. 0�1 �`CPU'" ���'�� �`���
(OBtAINED FROM PROPERTY TAX NOTICE)
WORK PROPdSED , e NEW CONSTR� ADU/ALT � SIGN Q Q DEMOLISH
lNSTALL REPAIR
PROPOSED=USE [� SFR Q CCiMM � OTtiER
TYPE OP COHSTRUCI'iON Q BR.OGft ' Q FRAME Q STEEL Q
DESCF2IPTIOPI OF WORK ��5, � � C �--Q � ._G`f.�7 c� ��
�UILDING S1ZE � � SQ FOOTAGE{�_ HEIGHT ��_�
0��=�'���'�' ��� VALUATION`OF'TOTAL CONSI'RUC710N
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QELECTR4GAl �� AMP SERVtCE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBlNG �� "
[�MECHANICAL $ ���}�� �� VALUAi'lON OF MECHANICAL IN3TALLATIQN
/
C]GAS Q ROOFING Q SPEClAL'!"Y Q t�THER
FINISHED FLOOR ELEVATIONS �� F�OOD ZOAIE AREA QYE3 NO
BUtLDER COMPANY
SIGNATURE REGIS7ERED Y I N �EE GURREA Y 1 N
Address License# I �
SLECTR(CfAN COMP��NY
SIGNA7UFlE �' ��fs'r��t�a Y t N F�curt�n Y t N
Address Ucense.# � �
PLUMBER � COMRl1t�lY
SIGNATURE REGISTERfiQ Y! N FeE cuatx�n Y t N
Address License# I �
'�j�tr�rnl��i �i��L9�.�n.e�, _ p
MECH��c�. �� con��,v�nr ' Fth�R S rcrp�'1 n(e�j-s '�- �`�� '�"� �
SIC3NATURE REGISTERED Y/ N FEE CURREt+ Y!N
Address 4���-r r��l� � License# ���b���T"� �
OTHER ,CQMPANY �
SIGNATURE REGISTERED Y/ N, FEE CURREA Y/N
Address 11 —.-- . I.icense# � - �
RESIDENTIAI: Attach(2).Plot Plans;(2j sets.of�Build!`ng`Pla�s�(1)sat of-Energy�Foims;R-0-W PercnlE for new construction,
Mlnlmum.ten(1,0)working;days:after,.submittal date. Requlreii onsite,Constivctlon Plans;Stortnwater Plans w/Slit Fence installed,
Sanifary Faciif#ies�&�1�,dumpster••Site Work�P..ermit for subdiVtstons�large projects
COMMERCIAl. Attsch(3)complete sefs of Building Plens plus a Life Safety Page;(1)sei af Energy Forms.R-Q-W Permit for new canstructian.
Minimum ten(10)working days after submittal date. Required onsite,ConsVucdon Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Faciii�es$1 d�mpster.Site Work Permit for all new projects.AO commercial requirements mustmeet campliance
SIGN PERMlT Attach{2)sets of Eagineered�Plans.
'•'•PROPERIY SURVEY required for all NEW construcUan.
Directlons: �
FIII out applicadon completely.
Owner 8 Contractor slgn back of appi(catlon,notarized
If ovar�2500,a Natics of Comme�cement[s required. {AtG upgrades over�750d)
" Agent(for the cantractoi)ar"Pdwer of Attomey(tor the owner)would be someone with nota�ized letter from owner aufhorizing same
QVER THE GOUNTEi2 PERMITftNG . (Front a#AppllcaUan Oniy} ... .. . . ... _ ,..._�.._... .� ..„<..�:....,e�
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Reroofs if shtngles Sewers �� Service llpgraides"NC" `""'�ences(PloUSurvey/Footage) � ;; • . " ��
Drlveways-Nat aver Counter if an,pubflc ioadways..neaiis ROVit ' � ' ,�
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N�MTiC���DEED R(��T��C1'9���: The und�rsigned und�r�taotds��th�t:�hls:p�rrnit.ma�y,be.subject tp"d�ed"restrOc.tians"
whi�h�n�y be=rtee�t�.�e�t'r.ictiv�-th��t G�unty��r�gr�iat6ans: 'The a�nder�lgr��d�-�asstimes-°r`�sponsibility for`c�¢ripiiarice r�rlth any
appltc�b9�de�d tes#�i�tic�ns. , : .
UN�.1�l�RlSED ��►MTRACT�RS AND G�N�'l�1�CTQR RE�i��N�IBIL!'�'�E�: !�-the �wr�r has hlred � co�tt�act�r or
contra�tors to und�rtake work, they rnay be;r,eq�irad•ato.�b�,ltcensed Ir�accord�nce.wlth sQate.and•loca! rggul�t(ons. �I�khe
�ontracta� ts not�lice�sed as� requleed by law, bAth the own�r and contractor�may be��clte�d-for a�rnlsderneanor vlola�lon
under s#�te iavd. if the owner or intend�d.contr,;actor are.�unc+�rta�in as to uvha# i�cens�ng.requirements�rmay�:appty��fa�r the
intended wark, 4hey�re advOs�d to cor�t�c#th�Pasco Cour�ty��3lding Ir�spec#iore Div_I�lon--t.E�censfreg�ection at 727-847-
8m09, �urthermoce, If �h� ow�er h�as hlred � c�ntractor o� c��tra�t�rs. h� !s �dvls�d to have th� c�ntrac�or(sj�, sign
porQions af tha °c�ntractvr �lock° of thl� appllcatlon for whtch t�eX wi91 be.respmnsltale.. Sf yau, ��:tbe own�r°sign"�is th�
contractor, that�m�y ba an indicatimn that�he 6s not.properly il��nsed and�is not en#itl�d ta pe�rrnitting privileges In F'ascc�
County.
'fl�Ald�R�RT�i'�lCPN=SMPA,��tlU�'l�:1TI�S�-lMl��1C'�d0.�]b�1�SC9��2CE FBECQVERY�IFEES: The und�rsEgn�d�nder�i�a�ods
tha4 Tr�nsporEation irropaat Fees�ar�d.Re�o.ur����c�v��y.Fes�m�}�'��pply�t��t�e con�tructton o#�ew b�fldEngs��ch�ng�of
use in existing bulld4ngs, or.expansion>of�e�i�ttiig.`:bwildings, �s speclfled.In Pasc� ��aan4y Ord9nanae number �9-0 i� and
90-07, as amend�d. 'fhe unde�rslgned aE�o�understands, thaa,such�ees��:as,�may:be�due;�wfll-�be (denkl�ie�d a�t ti�e�tirne�of�
permi��ing. it is furti�ier understood thaf Tra��sportatian Imp��# Fees and�R�source Recoeery�F�es must be paid prlo�fa
reaeiving s"cer��i�tr�.��'occupancy"or fina)�pawer�.r�lea�+�. :If�the.pr�j�tct..da�es.ram�inv�lve��a�.certififoate of occupancy, or
tin�l pawrer release, th�fee� mta�t be pald prlor t� perrrt�t i��uance. F��th�r�nore;�i#Pa,sco Co�anfy�it�terlSewer In�opact
fe�s are due�.th+�y:.mu�t be=pald.,prl�r to pe�mlt-Is�t�aitce�In ac�ordanc��vIt#���ppll�abte P��c��.Coue�ty ordlnances. •
CC9Rl�iTFlUCT10�1 l.9�N L.m4W��I���g���''!�s FOmrl�a�g�►But��o��m�r�����; If valuaa!nra+�t wrork is�2,500.00�c�r mo�e, !
certi6�r Qhat t, #he �ppticent, 6tav�a�been provlded with a �py of 4he "Florida Canstruc$la�n l.le�t Law—biomea�+�ner's
�cot�atian Guide� pr�pared by the Flo�ida i�epartmenf af�►grtcu0#ure and Con�umer�Affalrs. 9f the appticant is some�sne
a#her ihan th�"owtre�", �certi�gt th�t B�have,�b�aineii�atcoPY:of:#h�:above:.d�crlbed�docuei�ent�and.ptomiserin,good�ai�h�o
deliver It#o the"ownec"�,prior:totcorra�ericetrgent:'
��ItdT(&4CTOR'S/OW6dIER'�A��IDA!lIT: 1.ce�tl�y.:th:at.�il the,lnformatl��;l��thls�pp!!ca@ia��s accurate�nd that a!1 work
will'be d�ne 6n aomplianae w3th all a�pl(cable I�ws regul�ting constructlon� �oning �nd•land devela�pnte�t. ApplicaQ[on is
her�by cnade t� obtain .a permit .to do_wor�c,.and 1r�stail�tion a� Indt�et�d:� -°i certiry that n� wark�or In�teAati�n has
c�mmenced priar ta i�suan�e o� � permit snd ti��t.ait work will be pertormed t� meet standards of ail law� regut��ing-
c�nstr�actbn� G�ur�ky and City cod�s, a.on#rog r�g�olatiQns� an� i�nd dev�lapm�nt regtalat{o�s-In the �urisdic�ion. t aiso
cerkify th�t 1 �aderst�r�d that the regu@att+ans of o#Q�e�gouernm�nt�g�ncles m�Y��RPEY�to @h�3nter�d�d work, an�t�ax it Is
my respans6bility ko Id�sn#ify�what.�c4lons(must tak�.to b��ir�:.c�nl�!lanc�; S.uch agencles I�clud�b�Q-aP�.nat Ilmfted 4�:
- Department of lEnvlronmental�I�tec4lon=Cypress. 6ayh��d�, VNetl�nd Areas �nd f�nvl�nmentally S�na�itq�e
Lands,W�terlWas#�w�ater Tr�atrnent.
- Souf6�wes� Florida �V�t�r Managem�nt: .6�#strict�Ueil�, Cypr�ss.�+�ayh��ds; We#land Are��, Alt��ring
Vitatercota�ses,
- Army�oPps o€Engtn��rs�eawa!!s�Docks�Navlg�ble�W�terways.
- Dep�rtment �f He�IQh & ReMabliikative Servic�es/Lnvirgnme�f�l Heaith Unit YVell.�, Wastewater=Treat��ent,
Septic Tank�. � .
- US Er�vironanenta�I'ro4ec�ion�tgency-Asbesto��b��em�nt.
Fed�ral Auiet�onAa�ttbo�i#y-f�unw�ys.
!und�r�Qand that the�c�llowring:re�Urtctl�a��apply t�the u�e of flll:�
- Use o$fiiU!s not�Qowed in Flcsod Z��e"V"unless�xpr�ssEy pePrnitted.
- tf phe �tl materiai Is to be usetl. in :�Iood Zon�. "A", (t. is unde�stiaod that a d�ainage pl�n addr�s�EPag a
pcompens�ating v�lume°'w311 be s�binitted at#ime e�f,per�nitting uwhfich is pr�p�red by a �rofes�iona! engii�a�er
licensed by#he�t�te qf Fiorfda:
- !f the fill m�ter4al is ta b� used in Ftood Zor�e °A° i�o>connec�ion�wlth�� �eranitted buitding using stem �aH
' con�truct�on, i certify tt��k�!l�:wJll.be u��d�nly Q�f�P14he area wrlth8t�the�stem�wa!!.
- If flll mat�rial is to be u�ed in any area� I certify th�t use- of �uch flll will not advers�ly affect adJ��cent
prop�r#les. If u�e of fi91 ls fot�nd ta adverse4y:�ffect adJar„�nt�prop�rti�s�.th�►o�rner may be cig�d for viol���Ong
the condi#ions �f th� buitiling:p�mnit issued under�he at�ached p�rmit �ppticaQion, for:lots tess#han one� (1.j
acre whtch�re etevatad by fllE,�rt engir�eerecf dr�ir�age plar�is r�rquir�d. `
If!am tlte�►�EI�T Ft�R 7'NE�'I�RNE�t, l,��aromtse!�good fat4h#o infor�a the�wn�r of•th�permittln�co�ao119ions se�to�i:h in
�his afiidavit�pri�r to c�mmencing 000�stnactiaan. I �nde�ts�nd thata-s�parat� permit m�y be requlred for elecMca! wrork,
��. �� �
plurnbfng, signs, wells, pools; �ir condit(oning, .ga�s, or ather Install�tlons a�ol�sp�cfflcally �ncluded�in.t�e applica@ian. .A
permit issued shait be cmnstrued to b�a�licerase t+�proce�d with the work and not as authority to vioi�te;caneei, aiter, or
s���side arry ppav��ion�o��tie 4i�chnlc;�l cmd�s; nor shai�issua�oce�of a.perrv�it.prever��th���Ndirig t�{ci�i from there��iter
tea}ulrin�a cor�ection s�f error�!ra pla�s;const�u�tla�or vtolation��f any c�d�s. �very pennit�ssued shail become ir�v�alid
unles� the work authartzed by such permlt�s-coc�acr��nced•�rlthln si� t�an�hs o�perml6l�suereo�, or If v�rark auQhorlaecD by
fhe per�it is su�pended ar.abandon�d-for a period of si��fB)months.aftt�r the tirn�the work is cornmenced. An exten:�Ion
may b�a ceques#e�� in writing, from fhe 8uitding,Officlal for � pari�d.�not to ex�eed ninet�+�(90) days �nd wlit demonstirate
justifii�bfe�ause for.the extension�. tf work c�as�.for ninety.(�O)consecutive:d�ys..-the jsab:is con�fdered aba�doned.
1MAR6V!(�G TQ �1�PNl�R; Y�4��_.FA�9.URE.TO±,R�E.CO#t4�A��"CIGE:t?� �4�N16VlENCEl4�fE�tT-11�AY��dl���ti.T @N-Y�UR
�AYING"P9�ICE I�t9R�Nf�OYlEMERI�'S T�9 Yf�U�:P�R4PE8�`P�.�1lF�YA.��IN'��MD�TO!°��TAIN���IPtA1�ElPIG;'C�ANS�D�.T
Wli Bi D A �'1'O N �� OR��:- �_R� f�; OU :: : ::O .:• �,� � {� �
FLORIDA�dURl1'f(F.S:1.17.03} . ' �
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4lNNER OI�A(3EN7' ,�,_ iC6PITf�AC'�O - -- - _ - — - ., _.—- - -- ----
��bscxtbed a�d swom (or�i�rme }6 re me thfi� Subscrlb�d snd' (ot aflirmed��befon�me t#ils
-la-1 b y �,2- .b . i9 S �l'
iNho tslare rsanally kn to.me ar hasihave produced Who.is/� onaily kno •�ao me or ha�Jtaave•produced
as tderttl�caticn. �s tdenti�cattan.
� ` _
�- Idotery Public Not�ry Publlc
Cammis�len No: G ls�ton No,
,,o;��;'r'P��; SYLVIAA.tAMP8E1.! .=.`��YaU''., SYLVIAA.CAMPBElI
Wame o#Nata�ry typed, : t _mP mtssio❑#�G»2439 ��m'�°f�°���"���1 p :.,� - Commission#GG t 12939
�.'"� �= MyComm.ExpiresJu119,2021 3'"� MyComm.ExpiresJu119;2021
'"�,°Ffy°�'• gondedfhroughNationaiNoteryAssn. �'%E°�,f��
„ dondedthraughNationalNotaryAssn.
. _ ��� .
s � � PROPANE GAS Service Order/Pro osal
�� AND A1C t[vc. p
�i��e�988 813-782•5013 Invoice
Sales, Service & Installations � WQRK ORDER#/SERViCEMAN �• 8i�D85 � SER
• �ATE/TIME TAKEN �9/c7/17 Q�7:�7
4441 Alien. Rd. • Zephyrhilis, FL 33541 � T'AKEt� aY • N.. P. ��
NOTES: . DATE/TIME PROMISED
CUSTOMER#/LOCATION 3Q�33i
PHOIVE# 813-385-747`3 C
ROUTE/SE0 SEP
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COOKE, ALLEt� COOKE, ALLEN
4714 WISTERIA DR 4714 WISTERIA DR •
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ZEPHYRHILLS FL 33541 , ZEPHYRHILLS � FL33�4�. "
I�EW CLIENT NEED UNIT INFO
ST I L•L NOT COQL I NG / TH�E�RE MONDAY
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O�t/�r�f � ��n / '✓� h j t '=j .. ;13EFJi►C,EftAfsFT"12=: _ _ '..I�S: ' $.per;lbs., . .�' �
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. FILTERS x x Changed Monthly I I
. � FILTERS x x Changed Monthly I I
O REGULAR ❑WARRANTY ~ :� TQ'FR(:::�C11VI+MA'FtY:��::. '`~: -
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x:��i�tiCtt�iai5t8�'e�6'�qg�'-:When here�;;:When Away�Q°�, T-Stat$Cr°' ❑ MAINTENANCE CONTRACT
- ;,,..�,;; -.��;. _ < SERVICE i
LIMRED��WARRANTY:,All materials,parts and equipment are warranted by the manufactureis' �_;; ' �' ;(jj��'}:�pp�p�pj{y���T°- CALL i
or suppliers'written warranty only.NI labor performed by the above named company is warranted for `` � " TOTAL i
30 days or as othenvise indicated in wrifing,The above named company makes no other wartanties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authority to order the xrork oullined above wryirh has been sadsfactorily completed.I agree that Seller
PROG. W I C �
reteins Utle to equipmenVmaterials fumished until final payment is made.II paymen[is nnl matle as agreed, CLAIM# �
se0er ran rermve saitl.equipmenVmaterias at Seller's expense.My damage resul�ng from said removal shall
not be Ihe responslbllriy of Seliec NET 30 DAYS.A 1 12°h SERVICE CHARGE WILL BE ADDEO MONTFiLY TO �
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
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