HomeMy WebLinkAbout17-18969 , � CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18969
BUILDIPIG PERMIT
PERMIT INFORMATION� - - ' - LOCATION INFORMATION
Permit Number: 18969 Address: 37777 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
i C
Ins ections Re uired -
DUCTS INSTALLED
DUCTS INSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply writh 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 cominencement."
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.
ONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Q��-ra�►��u City of Zephyrhills Permit Application Fax-813-�eaoa2�
_ -� Building Department
Date RecBtved Phone Ganka�t far Perm{tt9n / ��� — �a��
Owner's Name �d�� f1 LZ � t✓' t3wnar Phone idumber �f�" ��� r�7^�
Owner's Address �p/� �a' ��� �� ��7 Owner Phone Number �� �
Fee Simple'Eftleholder Narree Owner phone Nnmber �— �
Fee Simpie Titieholder Addresa
JOB ADDRESS ✓�7 il� (/f�K /'S G�J �k i LOT# �,_,,,�
SUBDIViS10N L°I��C�LLJ�I ��.� PARCEL lD# �� �� 0�1 G�C�L�Gf ���DQ �I L D�
(OBTAINED FROM PROPERTYTAX HOTlGE}
WORK PRQPOSEQ � e NEW COfdSTR� ADD/A�T Q SiGiV Q Q DEMOLiSH
INSTALL REPAiR
PROPOSED�USE Q SFR Q COMM Q OTHER
TYPE QF CONSTR!lG7iON �] BLOCIC ' Q FRAME � STEEL Q
DESCRIPTION OF WORIC R�o �/ 'C% ,�i/7 iF}'/1I �--C1 GP�`�`i G ?U�lv�s a� �DAJ � !`��
BUt�DlNG SIZE ���� SQ FAOTAGE�� HEIGHT ���
QBUILDING �� VALUATIQN`OF'TOTAL CONS1`RUCTION
QELECTRICAI � —� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBiNG ($_� -
L
[�ECHAN{CAL $ ���� �� VALUATION OF MECHANICAL INSTALLATION
� � .. , ..
QGAS Q ROOFING Q SPECtALTY � OTHER � �
FINISHED F�OOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO
BUIL.DER COMPANY'
SIGNATURE REGiSTEREQ Y! tV FEE CURRET Y/N
Ilddress Ltcense# r� :�
ELECTRICIAN . COMPANY
SIGNATURE w" REGtSTERED Y I N FEE CURREh - ' Y/N
Addre�s License# � �` � �
PLUMBER GOIVIPANY
SiGNATURE REGl3TERED Y! N FEE CURRE� Y!N
Address License# ( i��
MECHANICAL � � ll�'?�'� COMPANY f}R S�h'NE'-C� y'"�e T��
SIGNATURE �� REGISTERED Y 1 N ; t�E cu�t�R Y i N , �
Address ''y'��I �1�� i.icense# �����9''�v �
OTHER ,COMPANY
SiGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address license# � i^��
RESlREP!'FIA{. Attach(2).Ptoi Plans;(2)sefs.of�Buit�ing F'tans;(i)'sef of-Energy�Fortns;R-O W Perinit far new construction,
Minimum�ten(10).working;days-after.,submittal date. i2equlrecl onsite,Construcflon Plans;Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes:&.1,,dumpster�Sfte�Work:P.ertnit tor subdivisions/large projects
COMMERCIAL Attach(3}camplete sef`s of 8uilding Plans ptus a ufe S�afety Page;(1j set of Energy Forms.R-O-W Permtt for new construeUon.
Minimum ten(1d)working days after submittai date. Requlred onsite,Construction Plans,Stormwater Plans w/SIlk Fence installed,
Sanitary Facitities&i dumpster.S(te Work Permit for all new=proJects.All commercial requlrements must meet compllanes
StGN�ERMIT Attach(2)sets of Engineered:,Plans.
•'"'PROPERTY SURVEY required for all NEW consUvctlon, �
Dtrections:
Fiil out applica8on completely.
Owner&Contractor sign back of applicatlon,noNa�lzed
If over�ZSOQ,a Notice of Commencement Is requlred. (A!C upgrades aver�7500)
" Agent(for the contractar}or"Powar of Attomey�(for the owner)wauld be someone with notarized tetter from owner authorizing same -
dVER THE COUNTER PERMITTING .,.(Front of,AppltcaUg,n�nly�,�, �u� � .,
Reroofs lf shingles Sewers� Service Upgrades A!C F.,en�es{Plot/SurveylFootags) � , ' ' .
. � i
Drlveways-Not over Counter[f nn publio roaduvay�..needs�:ROW w , ; ;
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NOTiCE OF DEED RESTRICT10�iS: The unde�igned u�der�tands�;thf�t:thl�°P�mit.m�y,bs.subjecfi to"deed"_restrictions"
which may.be�more�resttictive�thel�County�°r+eg�latCans:-The�untlerslgned�assumes responsitiil(tyr�for`campllani:e virilfi any
appllcable deed restt�ctians. �
LINtiC�NSED CONTRAGTORS AND CONTRACTOR RESPt�NS18t�:iTiES: -f€-tfie awner has��hired�a.:contractor or
contractors to undertake work, they may be;r,e�qulr.e,d�to::be.,licensed In accordance.with state.and•Iocal.regulaHons. -1f the� �
cantractor is nat Itcensed as requlred=by Isw, bottt#he owner and contraatarfmay #e-=ctted�for a�misdemeanor vto4atian
under state law. If the owner ar intended�:cont,;ractocere;uncertaln as to what ilcensing.requirements�.;may�apply��for�the � �
intended work,they are advlsed#o contacE ttie Pasco Courtty Bulfd(ng'Inspect4on Dlvlslon--Llcensing Seckicn at 727-847-
8009. Furthermore, if the owner has filred a conkracto� ot cantractors. he is advtsed ta have the contractor(s),.sign
partions of the "contrector Block" of thle application for whlch they wlll.be r��po�slble.� If.you, as.the owrie�"sign'�as�tlie
contractor, that�ay be an indtcation that�he�is not.proparly Ilcensed and ls no#entlNed to pertriitting privlleges.ln Pasco
Caunty.
TRANSPORTATIOM:IMPACTlUTlL1TtES-CMPAC'�ANb�tiESAU�iCE RECOVERY�FEES: The underslgned understands
that Transporta#bn impact Fees and.Reco.urse ReaaVe.ry.Fees may�•appty�to�the canstruction of new buiidfngs�•ohange°cif'
use in existing buildings, ar expansion�of-�existi�i,g:�buildings, as speclfled.in Pascv County Ordinance number 89-07 and
9p-OT� as amended. '�he undersigned also_understands; fhat�such fees�;as?�tnay�b��-dae;�w�11�=be tdenti�ed.at the�time°of•
permitting. It Is furttier understood that Tra�sportatian Impact Fees and Resoucce RecavsrylFees.Must be paid prior ta
�ece�ving a'ce�fiflcate of-occupa�tcy"or flrt�t power.:celease. :Ifi�Ehe.pro�ect..does nat-involve=:a�.certt#tcate af occupancy.�oir: -
finai power release; the.fees mu�t be patd pcior to permft Issuance. Ft�kthermore;If:.Pasco C.aunty�1Nater/Sewer:Impact
fees are due,they must be-pald.,prior to permit�lsst�ance=tn accordance witti�applicabte Pasco��Caunty o�dinances. •
CONSTRUCTIt?N t,IEN�LAW(Cfiapter 713� FlaNda Statate��as amencfedj: if vatua�on of wotk is$2,50QAO�or more, 4
certify that I, #he.-applicant, have�been provided wlth a copy vf the�"Flarida Canstruct(on Lien Law--Homeawner's
Protectton Gu1de" prepared by the Floslda DeparEment"af Agr3autt�re and Gonsumer�Affalrs. 1#the applicant Is somenne -
other than the°owne�', I certify that I�h�ve.obta)ned`a�sopy;of:the:abQve.rfeser�bed�locun�ent-and.p.r.amis�in,good:falth to ,
deliver It to lhe.`owner•.prior�to•commencement:' � � ,
GCiNTRACTtaR'Si+DWNER'S AF�iDAYiT: 1.ce.r.tify#hat ail the,information In�this appiicatton is accurate.and that ali w�rk
will'be done in compliance wlth all.applicable laws regulating constructlon� zpning and land devefopment.;:Applicatlon Is
hereby made to obtaln.a.perm#t:.to do wo�lc�and 1nst�llatlon as Indt�eted:� -:1 cert�fy that no work-ar Instaltatton has
cammenced p�(or ta Issuance of a permit and that.all work will be performed�to meet stand�rrds af all laws regulating-
canstructlon, Goun#y and City codes, �oning regulatEans, and tand development r.egulattons�tn the Jurlsdtctlon. 1 al'so
certify that 1 uade�s#and that the regulattons af othe�government agencies may�apply�to the intended work,and#hat it 1s
my respansibllity to Identlfy�what,�ctlons I must�take to be5ln�corr�pliance: S.uch agencles include but-are.not Ilmlted to:
- Department of Et�vtronmental�PmtectiortiCypress.8ayhead�, We�and �reas.and Ernrironmen#atly Sensitive
Lands,WateNWastewater Treatment.
- Southwest Ftor�da Water Management� .Ols#rlct Wells� CYPress.� 8ay�eads; Wetlar�d Areas* Alte��g
Watercaurses.
- Army Corps of Engineers-Seawalls,Docks,Navtgatile Waterways. -
- Department af Heaith�`� Ret�abilitative ServicesJEnr+ironmenfal-Flealth Unit WeIls�-Vitastsv�tater;�Treatment,
Septic Tanks. , -
- US Environmental Protectlon Agency Asbestos abateme.nt.
Federal Avtet[an.Aulhorlty�ftunways. �
1 understand that ttte follawing.resUictlons apply to the use of flll:
- tlse of�!f is not aliowed 3n.Flood Zane"V"unless expressty permitted.
- If khe fill materlal is to be used. In.:Flood Zone. "A", It is understood that a drainage plan addresstng a
"campensating volume"will be subr�i#ted at#irr�e of:permitting wlilch ts prep�red by a professional engineer
Ilcensed by the�tate of`FloNda: ,
- If the fl!1 materfa!-!s to be used in Flood �one "A" In>cannection�wlth:a��ermltted building us{ng stem wall
' canstruction, i aertify,that tiil•:uuill=6e used onty.#o f��t the area within�the�stem�wati.
- If flll materlal is to be used In any erea� I .certify that .use. of such flll wlll not adversely affect ad)acent
ptopertles. If use of fi111s fottnd ta adversely:�f�ect ad�a�ent pmpertles�.the owner may be cited for vEo�ating
the condi#ions of the building.permit issued�under the at�ached permit application, for.lots less than.one (1)
aare whlch ere etevated�by f�it,a�t ertgineered dralnage ptan!s required. �
tf i am the AGENT FOR THE�OVYNER, i;promtse In good faith ta taforrn the owner of•the perrriltting condittons set forth In
this aiftdavtt'prlor to commer�cing constructlon. I understand thata�separete permlt may be requlred for electrical work,
.,. .r.�
plumbing� signs� wetis�.poats;. air candi#ionln8�.9as� �or oti�er ins#atl�tEons not.spec�#tcalljt 1n�lu�ieci-In.#he appltcation. .A
permit issued shail be constcued to be a�license to��proceed wltb tFie work and not�as.authoriiy ta.violate,�cancel, alte�, or .
set aside a�y provlslon�of the#echnlcal cad�s;�nor shati lssusnce�af a.permlt.pcevent the.Bu4ldtrig O#�#alai irom�thereafter
requtring a co�rectian af errors In pians, construction or vialattons of any codes. �very permit Cssued shafl tiecome invalid
unless the wo�k authorized.by such permit:�s.commence�•withln six m�onths of�permlt lssuance, or if work authorixed by
the permit is suspended�or.abar�doned�for a:perlod of�si�c�{8)mortitiis.after the#ime the�wot'k��s commen�ed. An-e�ctensian
may be requested, In writing,.from the Building,Officlal far a period:not to exceed�Nnety�(90) days a�d wili demonstrate
��asti�able c;ause for.�the extenslot� If wotk ceas+as:for nlnety.(90}cans.ecutive:days,..th�job��s constdered aba�doned.
WARNlNG TQ OWNEl�; YOUi�..FAILURE.TO..R�.CORD A.[�C?TIGE�:OF�COMMEMCEME�tT:MAY•RESUkT IN�YOUR
PAYtNG'iWtCE-FCiR:iMPROVEMENTS�TO.YE3UR.PRt#PERTY. IF�Yt3.U=IN'.€E1;IDkTf?Ci8TA1N�f1N�►I�E�1VG;�Ct3NSU1.T
WIT U D N � O O.�Y, O �.; ,<V �. : . , � , . .. : , .
��.oR�oA,�u�,a��{�. as> � . `- _ . . . . _
�OWNER OR AO@NT - -" - - � _��- �GONTR�CTO � — - --- ���+�%��5+�:�.•�,___ _
Subs�bed a � ��� {'�C S��s�Y Su�bs�cxlbed a : y t affltm�)'b� re Se'ttil� �
b
o Isla, p . �me.or has/have produced Who.ts/ re ersonally •to me or haslhave�produced •
as Rdenqflca8qn. as ldenbBcaUon.
��\�
Notary Pubtic . ' :''��''�--� Nafaty PublEc
Commiss on No�~ Cc elon.No.
SY�r��'��� . , „• SYLVIA A.CANIPBELL
:`�04�Y,Pu�%'= NotaryPublic-Stateof�lorida ,,••`t*ai p�q��•.,,
.o. Natar Public-StateofFlorida
tVame of�tataty typed, t�m "' -
Ex ireslu4 59,ZQ2� Name ot Notery typed, p8dommissfah H GG 112439
,,� + :_ �yCamm. P MyComm.Expires1u119,2021
��.�OFFI��, gondedlh�ou9hNaiionatNotatyAssn. '�s,�tEOpp4�'
�, „�� Uanded through Natiawl NotaryAssn, i
, � - v�� �v ov � f�. r� , ,
� � � PROPANE GAS ��
� AND AIC [rtc. Maintenance Order
�nce 1988 � �� ���"$'I�.'�$��,w5013 �ORK ORDER#ISERV iCEMAN 81E77 ORP
Sales, Service & Installations - �TElT�� TAK�N i 0/i 8/17 09: 13
�TAKEN BY JM 03
4441 Allen Rd. • Zephyrhills, FL.33541 . �- DAT�/Ti�lE P�tOMISED 10/ie/17 ��:�D�
� CUSTC#Mff��tiOCAT I ON �D2936
NOTES: ` RHOI�� � 813-788-�759 0
� ' . RHOi4��.-,.,.�: FAX-783-8489
, Pi-IONE3# 813-713-3974 C
� • CDIVTACT . W.I LL S I NGHAM
• ' ROUTE/SEQ ORP
B I NGHAM REALTY I NC ; -� . :H I N�HAM ftEflLTY I iVC .
.3�7� .DAI:UGHTERY RD� � � �•� � • 37777� OAK RUN C I R
ZEPHYRHILLS • FL 3354E ZERHYRHILLS FL33541 '
•�:-��. :.����-�.�,�,��.,�.•..: � WILL MAFNT MAN 813-713-�694 �
. !�� . . .. ..t' , .N��l. �� ..Cn�. :. .:_.i " r
TEI�: MR OBERHOUSE 813-�+69-1969
_ AHx SMF24F0�A, �2i01�B��8
� CD: RCB24B�D, 0208125441
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• � FILTERS x x Changed Monthly I �
,' FILTERS x x Changed Monthly �i �
O REGULAR ❑WARRANTY
When here When Away T-Stat ❑ MAINTENANCE CONTRACT MAINTENANCE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by fhe manufach�rer's' � PRICE � i
or suppliers'wriBen wamanty only.All labar perfortned by the above named company is wartanted for TOTAL i
30 days or as othenvise indicated in writingr:fhe above named company makes no other wartanties, ❑CASH ❑CK# MATERIALS i
express or implied,and iL5 agenfs or tec#uiiaans are not authorized to make any such wartan6es an �
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
I lieva eNAotlry tc ordar the wwk outlined ebove which has bean satlsfacrorily completeE.I ap�ee thet Seller PROG. W I C
ietilna tltle to eqWpmenflmaterlels fumish�until Mei paymant Is made.If payment is not made as egreed, (�,��(1/�# I
ae0er can remove said eQuipmentfineUAels et SeOers azpense.My damape resuftlrq Uom seld removal nhall�
not be tlm rospona@➢iry of SeOec NET 30 MYS.A 1 12%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED '
ALL UNPAID BALMJCES OVER 30 DAY5.1:0 REFUN0.S �
TECH: T� y�G �.al
CUSTOMERSIGNATLRE DATE ✓�� ✓� TOTA� 3a�S � W