HomeMy WebLinkAbout17-18968 CITY OF ZEPHYRHILLS
5335-8TH STREET
, (813)780-0020 18968
� BUILDING PERMIT
- � PERMIT INFORMATION � LOCATION INFORMATION �
Permit Number: 18968 Address: 37768 OAK RUN CIRCLE
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: OAK RUN
Est. Value: Parcel Number: 34-25-21-0000-00300-0100
Improv. Cost: 3,285.00 OWNER INFORMATION
Date Issued: 10/23/2017 Name: OAK RUN PROPERTIES INC
Total Fees: 55.00 Address: 38070 DAUGHTERY RD
Amount Paid: 55.00 ZEPHYRHILLS FL 33540-1375
Date Paid: 10/23/2017 Phone: 813-788-2759
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 uired
DUCTS INSTALLED
DUCTSINSULATE
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 I
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.
. `
CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o��-,����� Gity of Zephyrhills Permit Application FaX-s�a-zsaoo2�
Building Department �
- ':.,s .
Date Recaived;, " Phone Contact for Permittln �j J 7�� – �p 1�
Owner's Name �� �� � �=��1�5 Ownar Phone Number �f�"/�O" 7~J J
Qwner's Address �O Q�� �✓�� ���� ��'o Owner Phone Number � �
Fee Simple Titleholder Name Owrner Phone Number �—^ ��
Fee Simple 7ltleholder Addresa
JOB AdDRESS '���T�D �d4�14' �LLJ1I L�/ni . LOT# [�
su�o�v�syo� ��/� �u.�! ��� �aacE��o� � "�'��'- �r-��f.�D-- G'f.��D4 4�t��f
(QBTAINED FROM PROPERTY TAX NdSlCEj
WORK RROPOSED , e NEW CONSTR�ADQ/AI.T �,� SIGN Q CJ DEMOLISH
INSTALL REPAIR
PRQP05ED�lISE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCT10N Q BLOCK " Q FRAME �. STEEL Q
DESCRiPTtON t3F WORK �� R"�- ��7r��f e o�c-� ,� �om N�aU�v o� 7`�t1 �i� ��
BUILDING 51ZE � � SQ FOOTAGE C� HEIGH7 ���
QBUILDING ��—� VALUATION`OF 1'OTAL COPISTRUGTIOfV
�]ELECTRICAL �.�� AMP SERVICE Q PROGRESS ENERGY Q W.E�.E.C.
QPLUMBING � i�
MECHANtCAI $ `r.y p� 4w,, VALUATION OF MECHANICAL INSTALLATION
cJ Ort�O „CX✓ ..
QGAS [� ROOFiFtG Q SPECIALTf � CiTHER
FiNISH�D FLOOR ELEVATIONS ��� FLOOD ZQNE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address LEcense# � �
ELECTRICIAN COMPANY
SIGNATURE � REGISTERED Y/ N FEE GURF2E� Y/N
Adclress Liaense# � —..--.�
PLUMBER � � COMPANY
$RGidATIli2E REGIS.TERED Y/ N FEE CURRE� Y/N
Address I.icense# � ����
MECHANICAL �"�' caMpnNv �A,Hoe S �rsp�-nJ� �sf��,/�...�.��
SIGNATURE ���, r ��� REGtSI'ERED Y! iV FEE CURRET Y!'W
Address �}�� /'7f/G/l� /C�x� �'�ll� Licensa# �A"��'��'�� J
OTiiER ,COMPANY
SIfiaNATURE REG1S`fERED Y! N , F�e CURREt� Y J h1
Addreas License# � �
RESlDENTIAt Attach'(2)..PtoFRlans;(2)sets of�Buililing`Plans;(1)set of-Energy=Fortns;R-O•W Perinitfar new constructlon,
Minimum:ten�(1.0)working;days,after„subici{ttal date. ReqiafreiS onsfte,Constitic@on Plans;Stormwater Pians wl Silt fierrce Instaifed,
Sanitary FaclltNes:&:1:.dumpster_Site Wor1c�.Permit forsubdivislonsAarge proJects
COMMERCiAi. Attach(3)camptete sets af Suitding Plans plas a t3fe Saferty Page;(1)set of Energy Forms.R-O-W Permit for neui canstruction.
Minimum ten(10}wacking days after submittai date. Requirer!ansite,Constnac�an Plans,Stormwater Plans w!Silt Fence tnstalted,
Sanitary FaciliNes&1 dumpster.Stte Work Permit tor all new projects.All commerclal requlrements must meet compllance
StGN PERM{T Attach(2)sets of EngiaeeredcPlans. �
"'*PROFERTY SURVEY requiced far aii NEW cans#ructlon.
Directians:
F#li out appi9ca�on completely.
Owner 8 Gontractor slgn back of appltcatton,notaeized
If aver;2S00,a Notice of Commencement is requlred. (AIC upgrades over 57500) 7.,; ,,� .,�,
...,,. . � -
" Agent(for khe contractor)or Power of Attamey(for the owner)would be someone with notarized letter.from owner_autho�izing same
DVER THE COUNTER PERMITTING =•(Front of-Applibad'on'Onty)�� . � , ,
Reroofs if shtnglss Sewers Service'Upgrades A/C� �°"Fe'n"ces(Plot/Survey/Footage} - ' . ' _ •
Drivewaya-Nat over Counter If on.public:roadways..neecls ROW ';• ' ' , � ;
's +. _, ,.� ,, •�:{_ _ _ ' ..
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NOTICE OF DEED RESTRICTIONS: The u�dersigned understands;;th�t.thig��.p�rmlt.may be,,subJect to,."deed"restrictlons° .
which may be:more:resCr�ctive.-th��County►,`?regr�latCons:�The underslgned'�assumes��esp�in�itilltty�for"complia�roce witFi"any
applicable deed reshictions. . •
UNLICENSED CONTRACTORS AND CONTRAC�'OR RE�PONSIBILITIES: -If-the owner has �hired�a�contractor or
contractors to undertake work, they may be.:r,e�quiced.,to.:be_:Ilcensed In accordance.with state.and•local regulations. If the�
contractor fs not Iicensed as�requlred'tiy law, bottr the owner and�contractor�may�be�clted�for a=misdemeanor violatton
under state law. If the owner or Intended�,co,n..tra�,tor.•�are,;uncertaln as to what Ilcensing requirements;may.•apply�for�the
intended work,they are advised to contact'the Pasco County Bullding�lnspection Dhrislon—Ltcensing Section at 727-847-
8009. Furthermore, If the owner has hired�a conVactor or contractors. he ls advlsed to have the contractor(s){ sign
portions of the contractor Block' of thle application for which they will.be.responslble.,. If..you� as.#he oviiner'sign�as�the
cont�actor, that•may be an indication that fie-is not.properly Iicensed and�is not entitled to perri�itting privlleges In Pasco
County.
TRANSPORTATION-IMPACTIUTILITIES�IMPAC'�AN�RESOURCE RECOVERY FEE�: T#�e undersigned understands
that Transportation Impact Fees:and.Recourse Recove.ry.Fees may:apply�to�the construction of new bulldings�:change�of
use in existing buildings, or:expansidn�of�ezisti�i�`�6uildings, as speclfled.in P�sco County O�dinance number 89-07 and
90-07� as amended. The undersigned also:understands; that�snch fees��:as,�may:be•due;;wfll,:tie ldentified at the�timexof•
permitting. It Is iurtlier understood that Tran�portatlon Impact Fees andiResource Recovery�Fees must be pald prfor to
recewing a °certf�cate of�occupa�cy" or�flnaF.powec:Felease. :I��Ehe project:.does.not involve:a-.certfficate of occupancy or "
flnal power release;-the fees mu�t be paid.prtor to permft issuance. F��thermore;if Pasco�C.ounty-Water/Sewer�lmpact
fees are due,.they<tnust be=pald..prior to permit�-Issyance�in accordance with�applicabfe Pasco�.County o'rdinances. •
CONSTRUCTION LIEN�LAVii(Cliapter 773� �lortda Stat�te��as armended): If valuatlon of work Is$2,500.00:or more� I
certify that I, the applicsnt,. have�been .provlded with a copy of the��"Florida- ConstrucGon Llen .Law—Homeowner's
Protectio� Guide" prepared by the FloHda Department�of Agriculture and ConsumerAffairs. If the appllcant Is someone
other than the`owner", I certifjr�.that I�h�ve.obtained-a'copy.of:the:abava.des.crlbed�locu�ent-and.promise in,good.faith to
delive�It to.the'.owner":-prlor�to�cornmencement�s ' � .
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certlfy;.th�at all:th�,�inf.ormation Imthi�appllcation is accurate.and that all work
will'be done in compliance with all.applicable laws regulating construc8on, zoning and�land�development. Appticatlon is
hereby made to obtatn .a.permit Co do_woiic.,and tnstallation as Indicated:.� °I. certffy that no work�or Installatton has
commenced prtor to Issuance of a permit and that.all work will be pertormed�to meet standards of all laws regula�ing•
constructlon, County and City codes, zoning regulatiQns� and land development regt�lations�tn the jurisdiction. I al'so
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it Is
my responsibllity to ident(fy•what.actions i must•t�ke:to besin:.conlpllance: S.uch agencles.include but-are.not limited to:
- Department of Et1v(ronmental�'Protection=Gypress.�Bayhead9, Wetland Areas and Env(ronmentally Sensittve
Lands,WateNWastewater Treatment. A
- Southwest Florida Wate� Management .I�istrict-Wells, Cypress.y Bayheads; Wetland Areas, AlteNng
Watercourses.
- Army Corps of Engineers-Seawalls, Docks� Navigatile Waterways.
- Department of Health�'8 ReMabllitative ServicealEnvironmental Health Unit Well.s� Wastewater=Treatment,
Septic Tanks. � _
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Avlatton�Authorlty=Runways.
I understand that the following:restrlctions apply to the use of flll:�
- Use of flll Is not allowed tn Flood Zone"V"unless expressly permitted.
- If the flli material is to b.e used,.In.:Flood Zone. "A°, It is understood that a dralnage plan addresstng a
"compensating volume" wiil be submitted at#ime of-pern(diting which Is prepared by a professfonal engineer
Iicensed by the State of Florida: �
- If ihe fill material is to be used In Flood Zone�"A" in�connec�ion�with:a�permitted building using stem wall
� construction, I certiy that flll��iralt:b.e•used only.to.flll the area within�the�stem�uvali. :
- if flll material is to be used In any area� I �certify that .use of such flll will not adversely affect adJacent
p�opertles. If use of flll is found�to adversely.�ffect adJacent•�propertfes,.the owner may be cited for yiolating
the cond�tons of the b�ilding:permlt Issued under the at�ached permit eppl(cation� for.lots less than.one (1)
acre which are elevated�by flit; ��t engineer•ed dralnag�plan is requtred. .
If I am the AGENT FOR THE OWNER, Ispromise In good f.aith to Inform the�owner of•the perrtiitting conditlons set forth In
this affidavlt`prior to commer�cing constructlon. I undees4and that a�separate permit may be requlred for elect�ical�work,
plumbtng, signs, wells,.pools;. air conditloning�.gas, or othec install�ttons not.spec�laally included�in.the�application. .A
permit issued shall be conshved to be-a�Iicense to��proceed with the work and not as:authority to,vlolate��cancel, alte�, or
set aside any provlsions of the.technlcal-codes;�nar shall issuance�of a.permit.prevent the Bulldirig Offictal�from thereafter
requiring a correction af errors In.plans, consfn�ction or iriolaUons of any codes. �very p�ermit Issued shall become invalid
uniess the work authoNzed by such permit:�s-commenced•wlthin sfx months of�permlt issuance, or tf work authorized by
the pe�mtt is suspended or.aba�doned�for:a�:period of�six�(6)monti�s.after`the time the�work�ts commen�ed, An extenston
may be requested, In writing, from the�Building,Offlcial for a perlod:not to exceed�ninety�(90) days and-will demonstrate
�justifiable cause tor.�the extension�. If work ceas�es.for ninety.(90)cons.ecutive:day.s�..the job�is considered aba�doned.
WARNING TO OWNER: YOUR.:FAILURE•T�..R�E.C.ORQ A.MOTIGE:OF�COMMEi�CEMENT�NFAY RESULT IN-YOUR
PAYING TWICE;FOR IMPROVEMEI�I�'S�Tfl YOUR::PRI�PER-TY. IF�YO.U�IN�EWD�TO���BT/AIN��FINAf�E1NG;�CONSULT
WITH YOUR LENDER:pRAf_���TORNEY�EFD'R�kRE�OR�II�F��YOU�'NOTIC�"AF�=C�MI�IENC�E�IM�NT: -
FLORIDA JURA�(F.S:i ',� � � - � -
OWNER OR AdEN7 � G�Q CONTRACTO .
Subs bed and swotm to o Hirme�betor e thls sr�bed�nd' t a�irmedp�ifore e ttit�
Jv-�3- �,��n� I�l t��n�r s��/ y � s ���
Who Is/are pe sonal . to.me or haa/heve produced Who.le/are p onal k •to me orheslhave•produced •
ae Identlflcatlpn. _ as IdentlflcaUon.
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• � Notery Publlc . �""�-�'�-� � Notary Publlc
Commt l0�N0: IA A.CAMPBELL CO Ission�No.
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;_� .o; NotaryPublic–Stateo (or'35—
' •� •- Commfssion H GG 112939 :��1,1� �+�'; Notary Public–State of Florida
Name ot Nofary typ �farrtp,�mm. xp�re , Name of Notary typed,
'•••�o�f;°a'' oandedth�oughNeclonelNotaryAssn. P:P�Comm.ExpiresJu119,2021
�'••i�OFF��.•' �ondedthtoughNationalNotaryAssn.
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' � �► ' PROPANE GAS �aintenance Order �
d ' AND Af G iNc. -
. �i'�ree�988' �,..=�. 8 i�782�5►0�3 �
Sales, Service & lnstallations �.WflRK ORDER#tSERVICEMARI �i696 ORP
4441 AHen Rd: • Zephyrhills, FL �354") . '=�`pTElT I�iE TAKEN f 01 f 8l i? �4:5�
TAK�1� BY JM 03
NOTES: � DATE/TIME PR�MISED 10l28117 �10:0�
.,, Cl�TdMER#t�OGF��IQN � �D�'3�8
4�HONE# 813-788-G759 0
� PHDI+lE2# FAX-783-8489
. . � � PHOiVE3# ' 813-713-3974 C
CON�ACT WILL BINGHAM
ROUTElSEG� , ORP
H I NGHAM REA�TY I NC 8I NGHAIti1 REA�.TY I�IC
380'��D ITAIlGHTERY RU • - '• 37768 QA4S RUN C I R •
ZERNYRHILLS FL 33�4c ZEPHYRHILLS FL33541 '
• � •�� � - �� NEW CUST NEED #S
. TENANT: BREi�iDA 81�-810-4E,�6
� W I L.L MA I NT MAh! 813-?13-�6'94
TOt�#t� f'���7N�. Y�i�T�R����1�.t�J�#�71 i7; MflTT, F#2QZE-UR AGAIN RER TENANT,
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Cand.Fan Btwr Comp Heat St�p � �
Cond.Fan � � Bhvr Comp � i
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Primary/Condition ❑ct�an�a SecondarylCondition,.0 c���a i i
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FILTERS x x Changad Monthiy � i
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� � REGULAR CIWARRANTY
When here� When Away T Stat ❑ MRINTENANGE CONTRACT MAINTENANGE �
LtMiTED WARF2AN'TY:Af!materiais,parts and equlpment are warranted by the manufadurers' PRICE i
or suppliers'wiitten wamanty only.All labor perfortned by the above named companjr is wartanted for " °�'� ; �
itte 70TAL
3p days os as otharnise indicatad in wrifim�.The abave named company mskes rso otfter wa�ran6as, ❑�ASN ❑GK# �
, e�ress ur implied,and Ns agents ot technicians ane not eutlwrizad to make any such wartanHes on MATEF2IALS �
behaffofabovenamedcnmpany ❑DEB1T 0 CREDIT O OTHER MAINTEENAFiCE !
I hsve eutlwrliY to ader tlro wak outlMed ebove whkh hea been eatlsfadorify completed.{agrea ihet Se12ar FRQG. W! C �
refbloe tltle W equlpnenUmeledgls tumishod unN flnel payment is mede.If payment Is rat mede ea eg�eed, CLAIM# i
setfer ean renXrve add s9ulPmanYmateBsls at Sellere e�ense+.MY dema8s ro�38nS fiam aatE removaS ahal!
ALL UNPND BA��qYER 30 QAYS.NOYREFUNDS SERVICE CHARGE WILL BE ADQED MOHTIILY TO DATE COMPLETED t
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