HomeMy WebLinkAbout17-18981'I • 'T ' ` CITY OF ZEPHYRHILLS
�' 5335-8TH STREEf
' (813)780-0020 18981
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18981 Adclress: 37506 SERENITY AVE ,
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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-1740
Improv. Cost: 3,295.00 OWNER INFORMATION
Date Issued: 10/25/2017 Name: STOCK LARY KENNETH & DEENA LOUIS
Total Fees: 55.00 Address: 6512 NORTHWEST DR
Amount Paid: 55.00 FERNDALE WA 98248-9456
Date Paid: 10/25/2017 Phone: 360-303-0427
Work Desc: A/C CHANGEOUT 3 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
DUCTSIN LATEp
FINAL � f
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 twrice 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.
- d �
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOYICE REQUIRED
PROTECT CARD FROM WEATHER
o�yfo�-uU�U City of Zephyrhiils Permit Appiication Fax-813-780-8d21 ,
. � `^ , � Butlding Departrnent -
Qate Rgcsived phone Contact for Permlttin J ��� - ���
Owner's Name V���. Ownsr Phorta Numbar �cc��"' ���" �j�c
Owner's Address '��l`� ��'��� ��'a /NA'�� � Owner Phone Nurrtber � �
Fee Simple Titleholder Name � � Owner Phana Finmber � �
Fee Slmpla 7ltleholder Address
J08ADdRESS ����� �'I"���11 � L�-� I.OT# ���1
SUBDIVIStON 1f L�t����� � PAt2CEL ID# �U✓ O"'l� ���GS �� ��!"
—l�— (OBTAIN�D FROM PROPERTY TAX NOTlCE)
WORK PROPOSEQ , e NEW CONSTR� ADD/ALT C� SIGN 0 [� DEMOLISH
INSTALI. REF'AIR
PROPOSED-USE [� SFR [,�] COMM � OTHER
TYPE QF CQNSTRUCTlQN [� BLOCK ' [� FRAME [� STEE� Q
UESCRIpTION QF WORK /�G�S �' Cj C11�'N G��D-w- j � O �a1J � T!�`�f
BUf�DfNG SlZE ��� 5Q FOOTAGE�� HEIGHT ��
QBUILDING �� VAL,UATIOIN OF i'C11'AL CQNSTRt.1GT�ON
[�ELEC7RICAL �� AMP SERVlGE Q PROGRESS ENERGY Q W.R.E.C.
[�PLUMBING �� �
MECHANtCAI. $ '� VALUATION OF MECHAN�CAL INSTALLATION.
��R5 �.
�]GAS [� ROOFING .Q SPECtALTY � OTHER
FINlSHED FLOQR ELEVAT{ONS ��� FLOOD ZONE AREA [�YES NtJ
BUILDER COMPANY
SIGNATURE REGiST'ERED Y t PI FEE GURREA Y!i�!
Address Llcense# �` I
ELECTRICiAN GQMPANY
SIGNATURE � REGlSTERED Y t N FEE Ct1RREh Y/Z3
pddrp� tfcense# � I
� PWMBER " � � COMPANY
i SIGNATURE � REGl�TERED Y/ N FEE GURREA � Y!N
I (�� �]
I Address i,tcense# [ t
MECHANtGAC ��.�7'��z'\ ��,Y�fA�,'rt.�h-"' COMPANY '��I�FR�S cs�o-,9'/1��. ,L,^Pqg•¢"�"f�.�.L/1�G.,,
SttiA1ATURE � REGISTERED Y/ N . FEE CURREt+ Y/�N
Address "<._.� � f/ �� l.icanse# I�"�? ���7-O � �I
i
pT}{�R ,COMPANY I
SfiCNATURE REGISTERED Y/ N-. FEE CURRE� Y/N
Address Ltcense# �i �
I
� RESlDENTIAi: Athach(2).FIot.Plans;(2}se#s.of�E3uii8i`ng`Pfans;(1)sat af-Etiergy}Foims;R-O-1N Permi#for new cans.truction,
Minimum:ten;(10):wocking days:after submitfial date, Required onsite,Cons`tructiomPians;Stormwater plans w/S�It Fence instat�ed,
�; Sanitary FacRities:&-'I:,dumpster�Site Work,Permit for subdivislohsflarge projects �
I, COMMERCIAL Attach(3)complete sats of Building Plans ptus a Life Safety Rage;(1)set af Energy Forms.R-O-W Permit for new construction.
Minimum ten(18}working days after submittal date. Required onslte,Construction Plans,Stormwater Plans wJ Silt Fence installed,
Sanitary Pacilities&1 dumpster.Site Wark Permit for ai�new�projects.All commerclal requlrements must meet campliance
SIGN PERMi7 Ai.tach"(2)sets of Engineered�:Ptans. -
•*•'PROPERTY SURVEY requlred for a1t NEW construction. • � �
Dlrections:
� Ffll out applicadon completely.
', Owner 8 Cantractor slgn back of applfcatlon,natarized
If over a2500,a Notice of Commencement ts required. {AIG upgradss aver$75Q0�
� " Agent(tor ttte cantractor)or"Pawer of Attomey(for the owner)wouid be someone with na#arized letter from awner authorizing same
..:...�.,�.f
� OVER tHE COUN7ER PERAAITTING_„ :. (F.ront of.Applicattot�Onlyy� . � { . ,� , ,i .
Reroots if shingles Sewer's Secvice Upgrades A/C. ' Fepces{PlaUSurveylFootage) � �. . . . .
, - , - , .�� .. ., _ -�
Drivewaya-Not over Counter if.on public roadways..needs R�W', � '� . , `
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NOTICE OF DEED RES'�RIGYIONS: The undersigned understands-;.th�t�thl�;.p�emit.may.be,subJect to"deed"„restrictions"
which may be�more.resti:ictive:.t#�e�n County��regulat(ons. �The undersignedas�umes-respon"sibiltty�for'compiiance viritfi any
applicable deed restrictions. . ,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPORl�I�ILITIE�: If-the owner h�s �hlred a c�ntractar or
cmntracto�to undertake work, they may be.°requlce.d�to be-�Ilcensed in accordance.w(th state.and•local.regulations. If the
contractor ts not licensed as requlred=by law, bottr the owner �nd cont�actor�may be clted for a-misd�meanor violatlon
under state law. If the owner or Entended�contractor ere;unsertaln as to what Iicensing.require�nents may�:apply��for•�the
intended work, they are advised to contact the Pasco County�uilding lnspection Divislon—Licensing Sectton at 727-847-
8009. Furth�rmore, if the owrner tias hlred � conVactor o� contractors. he Is advised to have the e:ontractor(s), s(gn
portfons of the "contractor Block° of thls appllcation for which they will be responsibie. . If you, as.#he owrier'sign'�as the
contractor, that may be an Indication Qhat�he ts not.properly Ilcensed and�(s not entitled to permitting privileges in Pasco
County.
TRAldSPORTATION.IMPAGTIUTILITIES�OMPAC�'AND RE30UItCE RECOVERY�FEES: The�undersigned understands
th�t Transportation Impace Fees and.Recourse Recove.ry.Fees may��apply:40:tf�e construct(on of n�w buildings� change•of
use in existing bulldings, or:expartsi�n�rof��ezisti�i,g.�buildfngs, �s speclfled.in Pasco County Ord(nance number 89-07 and
90-07, as amended. 7he undersigned also understands, that�-such fees�•:as,may�b�•.due;;wIIF�tie identi�ied at the�fime`�of-
permitting. It is further understood that Transportatlon Impact Fees an�=Reaource.Recovery�Fees,must be p�id prlor to
rece�ving a "certificate.of occup�ncy" or flnal�power.rele�se. :If��Ehe projbct.do�s not-involve�.a certificate of occupancy o��
flnal power release, the fees onust be paid prior to permit issuance. Fulthermore;ff:Pascro C.ounty Water/Sewer (mpact
fees are due,.th�y_�nust be=pald.prior to permit-lssuance-in accordance with appllcabie Pasco'.Countjr�rdinances. •
CONSTRUCTIOR! LIEN"I.AW(Chepter 713� Flmrtda�Qatwtes��amended): !f valuatlon of work is$2,500.00�or more, I
certify that I, the. applicant, have-been .provi.ded with a copy of the�"Florida Constructlon L(en Lawr—Homeowner's
Protectfon Gulde" prepared by the Fio�ida Department�of Agric.ulture and ConsutnerAffairs. If the applicant is sorneone
other than the"owner", I certif�r that I�h�ve.obtalned�a�'copy.of.the_above.described docur�ent=and.promis�in,good faikh to
deliver it to the',ownec"�.prior torcommencement:
CONTRACTOR'S/OWNER'S IAFFIDAVIT: I.certify..th:�t�all..th�;lnformation In thi� applfcatlon is accurate�nd that all work
will'be done in comp0lance with all.applicable laws regulating constructlon, zoning and land development. Application is
hereby made to obta(n .a .permit to :do_work.,and installatlon as indicated: `I certify that no work or Installation has
commenced pr(or to issuance of a permit and that.all work will be pertormed�to meet standards of all laws regula�ing-
construction, County and City codes, zoning regulatians, and land development regulatlor�s-(n the jurisd(ctlon.- I aiso
certify that I u�derstand that the regulat6ons of other government agencies m�y�apply�to the intended work, and that it is
my responsibilily fo identify.wh�t.ac4lons I must take:to be,in:.c.on�pltance: �uch agencles include but-are.not limited to:
- Department of E�lvironmental�Protection-Cypr�ss.�Beyheads, Wetland Areas and Environmentally Sensitive
Lands,VilaterNUastewater Treatment.
- Southwest Florida Water llAanagement .District Wells, Cypr�ss.��Bay.heads; Wetland Areas� Altering
Watercourses.
- Army Corps of Engineers�Seawalls, Docks, Navigable W�terways.
- Department of Health�'� ReY�abiNtative ServlceslEnvironmental Health Uhit-Wells, Wastewater Tr�atment,
Septic Tanks. �
- US Environmentai Protectlon Agency-Asbestos abatem�nt.
- Fede�l Avlatlon.Authority-Runways.
I und�rstand that the following:restrlctions app0y to the use of flll:•
- Use of flll Is not allowed in Flood Zone"V"unless�xpressly permitted.
- If the fill material is to be used. In �Flood Zon� "A", it. Is understood that a drainage plan addr�sstng a
"compensating volume" will be submitt�d at t�me of p�rmifttng which is prepared by a professfonal engineer
Ilcensed by�he�tate of Florida.
- If the fill material Is to be used In Flood Zone °A" In�connect(on�with�a �permitted building using stem wall
construcQion, I certiry that flil�:�aall=b.e used only.to.flll the area w(thin the stem�wall.
- If fill material is to be used in any area, I �certffy that .use. of such flll will not adversely affect adjacent
propertles. if use of flll is faund to adv�reeEy:�ffect ad)acent�pcoperties, the owner may be clted for v(ofating
the condltions of the building:permit Issued under the attached�ermit application, for:lots less than.one (1)
acre whtch are elevated�by flll, �ct engineered dralnage plan is required. -
If I am th�AGENT FOR THE OWNER, I�promise in good faith to inform the owner of-the permitting conditions set forth in
thi� affidavtt�prior to commencirrg construction. I understarad thet�a-s�parate permit may be required for electrical work,
-�. ,r•.
plumbing, signs, wells,.pools;. alr conditioning, .gats, or othec Install�tlons not•speciflcally included-in.the applicatlon. .A
permit Issued shall be const�ed to be a�Iicense to�.proceed�nrith the work and not as.authoNty to,violate,.cancel, alter, or
set aside any provistons of the technical cod�s; nor shall Issuance�og a.permit.peevent the Bulld(rig OfFictal from thereafter �
requlring�correction af errors leo�plans�, consttuction or vlolatlons of any codes. Every piermlt Qssued shall become invalid
unless the work authonzed by such permit:�s.commenced�within sfx months of�permit Issuance� or If work authorized by
the permit is suspended or.abandoned�for.a:pertod of six���)monttis.after the tlme the�work�{s commenced. An extenslon
may be requested, In writing, from the Building,Offlcial for a per(od:�not to exceed-ninety(90) days a�d will demonstrate
justifi�ble cause for.the extension. If work ceases.for ninety.(90)cons.ecutive days,.-th�Job�Ps considered aba�doned.
WAitMING TO O{lVPIER: YOUR..FAILWRE�T�.,R�EC.ORQ A.NOTIGE OF-COMIIAEi�CEN1EMT Ma4Y�RESULT IN YOUR
PAYING TWIGE,FOR�IMPROVEMENTS TO YOUR�PROPERTY. IF°YO.U{IN�END�°TO�i0BTA1N��FIPFAI�EING;'C.ONSULT
WIT U D AP1 A• O N OR�t � C� � fs':� OU '. ° �C "O �� ��_'
FLORI�A JURA'� . 7.03) � _ . . �
OWNEPt Oft AQEN � COWYRACTO G�� �
$ubscxibed and swo (or_�iflr�ned)_b fore me thls S� sa�lbed ar.d'�° �to(ot a;"��d`� efio�r�i e tiiig- - - "
1 a-a s��J �o �- 11 r 5e�;o rr /�,2.'S:i'T . �S�y►��-
Who Islare p rsonally kno to.me or has/have produced Who.is/are p.e n�lly kno •to me or hasJhave produced •
aa Identlficatlon. as Idendflca0on.
Notery Public �-� No�ary Public
Co ission No-` Commisslon�No.
'_��Y PU��:=: Notary Pu61(c-State of florida ;,.o���p��,: SYLVIA A.CAMPBELL
;r, .�: Nota Publit-State of Florida
Name oI Notary type p ��anPo� m.Expires Jul 19,2021 Name of Notery typed,p U� Rfped Commission�GG 112939
��'•;FOFF��•' 8ondedthroughNationalNotaryAssn. �i oP: MyComm.ExpIrE5JU119,2Q21
'•"�OFF��Q.`'�
Bonded through National Notary Assn.
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�� �i` '� PROPA`I�I'E GAS • � �!I��;���
� � AND AIG �Nc. �intenance tJrder
�aGe�988 S'i 3�7S2�5O 1
Sales, Service & installations W�1RK ORDER#/SERVICEI�AN 8i773 OCT
4441 Allen Rd. • Zephyrhills, FL 33541 b�TElT I ME TAKEN i�/�31 f 7 ��:34
TAKEN SY KIM 0c�
NOTES. 3�ATElTIME �ROMISEI7 • .
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UALLEYDALE MHP GATE CODE: S�SE
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� Fl�TERS x x Changed Monthly I I
FtLTERS x x Changed Manthly � �
, „� ;, ��._ , ,,.n7t- �
� ❑ REGULAR . ❑WARRANTY ^`';,�, ��
�•'"i•5Fc_w �� Y ....[.r;rs �.9�rv;s. ,., .,y. �.a� � 1`'a- .:,�, t rt
,r,,��°z;When here" � "" When Away �T-Stat�°` ❑ MAINTENANCE CONTRACT ►4y,q�NTENRAlCE
���>,�:;�;*�.�;,�. _ .:., -<u:; .:::��,_, ��*��r�f .,::,� ... �
;,a_. � -;;��.= •..- : .:. r:��:..,.,.�r,<�:::,:.�..�-,. _,.. PRICE i
LiMiTED WARRANTY: Ail materia4s,parts and equipmenf are warranted by the manufaduters' ,,��'��,*:»;•. r Y='(�� 4-�y�;�����r
ar suppliers'written warranry only.All labor performed by the above named company is warcanted for ' �'"'�`'�"'�'�"�' �"`"""`"'�'"�'�`�'`�`�`'`` '`''"���"�'
30 days or as othenvise indicated in writing,The above named company makes no other warrant�es, ❑CASH 0 CK# TOTAL i
express or implied,and+ts agents or technicians are not authorized to make any such wartanties on MATERIALS i
behali of above named company, ❑DEBI'F E.�CRE�}IT O OTFiEft MAIN3ENANCE �
PROG. 'W/ C �
1 have authority to orOer tt�e wo'ic o�ned abpve wMch has be¢n satisfactotity mmp7ated.t 8gree that S�Vtet _, �
retelna tiUe to equipmenVmatodals tumished un61 finel peyment Is made.It payment is not mede as agroed, CI..AIM� �
selter can remova saitl eqvfAmenVmateriais at Seper's axpansa.My damagg resuiqng trom said removai shatt. ,
not bo Me responsiEility of Seller.NET 30 DAYS.A 1 1l2%SERVICE CFWRGE WILL BE AODEp MONTHLY 70 pATE CQMPLETED '
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