HomeMy WebLinkAbout17-18984 CITY OF ZEPHYRHILLS
_ � 5335-8TH STREEi'
(813)780-0020 18984
BUILDING PERMIT
� PERMIT-INFORMATION � -- � � �LOCATION INFORMATION
Permit Number: 18984 Address: 6141 RIDGEWAY DR LOT 73
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: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-0730
Improv. Cost: 3,359.00 OWNER INFORMATION
Date Issued: 10/25/2017 Name: GALE THOMAS J &TERESIA D
Total Fees: 55.00 Address: 6141 RIDGEWAY DR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-7924
Date Paid: 10/25/2017 Phone: 813-377-5899
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
DUCTS INSULAT
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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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f=
C NTRAC R IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o�r�au-vUtv Gity of Zephyrhills Permit Application F�X a�a-7eaoo2�
. Buiiding Departrnent
," - '._,
Bate Recetved ' Phone Contact for Permlttin �` — �d j
C}wner's Name �, �1" ¢�Il�n? Ownar Phone Number �f���l�Voy� .l
Owner's Address / �GF� � �/�, Owner Phone Number � � �
Fee Simple Titteholder Name Owner Phone Number � ��
Fee Simpte 7itteholder Address
JOB ADDRESS J J'Gl t�y� LOT# L�
� SUBDIVISION � h - i. 'P PARCEL ID# �� " �?l�- �/-D/�4��D40 D���`J
(OBTAINEp FROM PROPERTY TAX NOTICE}
WORK PRQPOSED ` e NEW CONSTR� ADD/ALT [�� SIGN [� Q DEMOUSH
tNSTALI REPAIR
PROPBSED>USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUC170N Q 9LOCK " Q FRAME � STEEL [�]
nescR�pnoN o�wo��c ��'So G C r�N e-��.�- 3 � ��t �-G !��rrp�ttle �
BUILDING 81ZE �� � SQ FOOTAGE FlEIGFlT . ,,,_,__,_�
QBUILDING �� VALUATlON`dF TC?TA�G(?NSTRUGTION
� QELECTRICAL �^-� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
[�P�UMSING �� -
� C�MECHANtCAI $ �� �� VA�UATION OF MECHANiCAL iNSTAILATION
�
{�c�s [� Roo�ir�� p sP�c�as�r �] a�rH�R
FINISH�D FLOOR ELEVATIONS „1_�� FLG10D ZONE AREA QYES NO
BUILDER COMPANY
SEGNATURE REGISTERED Y/ N FEE CURRET Y/N
Address I:tcense# �— �
ELECTRICIAN COMPANY
SIGNA�1'URE ,,_., � REGIS7EREd Y/ N FEE CURRE� Y/N
Address ���nsg� �— � �
PLUMBER COMPANY
StGNATURE �G�S.7EttEo Y t RI FEE CURRER Y/iV
Address Ucense# ( ��
MECHANICAt ���� ~ CqMPANY �'�5 Y�PRI�[-��-.�'t�G--'' �/y Gi
51GNATURE RE�ISTEREd Y t N F�E Cutt�E Y/N
Address ��'� �l��=N � Ltcanse# (i�l�"�T`��"ej�c'� f
OTNER ,CQMPANIY
SIGNATURE REGisTERED Y 1 N . FEE CURREa Y/R1
Address License# � �1
RESIDENTIA!'. Attach(2).Rlat Pians;(2)sets af�8iiildiitg'Plans;(1}set of-Energy�Fartns;R-O-W Permit far naw aonshuction,
Mlnimum_ten°(•10j.warktngEdays.after submlttal date. Requtrei!onsite,ConstivaBon�Plans;Stannwater Pians w/Slit Fence instalted,
Sanitary Fac�litl�es:&:1,dumpster,Site Work;Permit forsubdivislonsAarge projects
G4MMERCiAL Attach{3)camplete sets of Briitiiing P1ans ptus a Life Safety Page;(i)set of Energy Forms.R-o-W Permit for new construction.
Minimum ten(10)working days after submlttal date. Required ansfte,ConsWciton Ptans,S#ormwater Plans wt 3itt Fence instalted,
Sanitary Facllides&1 dumpster.Site Work Permit for ail new�proJects.All commerctal requlrements must meet compltance
SlGN PERMIT Attacti"(2)sgts of Engineered<Pians.
'•'•PRQPERTY SURIlEY requUed for all NEW cans#ruc8on. .
alrectlons: - �
FIII out applicaUon contpietety.
Owner&Cantractar sign back of appitcatlqn,notarized
ff aver�2580,a Notice of Commencement is requlred. (AIC upgrades over 57500)
" Agent(far the contraetor)o�Pawer of Attomey(for the owner)wouid be someone wllh notarized letter from awner authorizing;same P ,
_ .,_ ... .�.>..._ . _..._._.. _ . _
C3VER THE COUNTER PERMiTTiN6�^�• �•=-(Front of Appilca8an Only) � - � �� - . .
Reroofs if shingtes Sewers=' Setvice Upgrades AtC �Fences(PloflSurveylFootage} , ' � -
Driveways-Not over Gounter tf on public roadways..needs ROW � ' '
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NO'�iCE OF DEED REST�ICTIONS: 'The undersigned undergt�nds�:.th�t-thl�:.p�rre�it.may.be.subject to"deed"restrictions"
which may be�more'-restcictive�th��County�r+�gulatCons: �The unde�slgned'a�sumes�resp�nsltilitty for`compllance�rith any
applicable deed resf�ictions. -
UNLICENSED COPITRACTORS _AND CONTR�ICTOR RESPONSIBILI'fIES: If-the ovdner ha� hired a contractor or
contractors to undertake work, they may b�;requlred�.to-:be;licensed In accordance.with state.and�local regulations. If�the�
contractor t� not Ifcensed as requlced by law, both the owner and�cont��ator�inay be-cited�for a�misd�meanor violatlon
under state law. If the owner or Intended=con�raetor�are uncertain as to w►hat Itcansing.require�nents mayf::app(y.���for�the
intended work, th�y are advised to contact the Pasco County Building Inspect(on Divislon—Llcensing Sectton at 727-847-
8009. Furthermore, tf the owner has hired a cont�actor o� contractors, he (s advised to have the contractor(s), sign
portlons of the "contractor Block" of this application for which they will be responsible. If..you, as.#he owner'sign`�a's the
contractor, that�may be an indication that�Fie is not.properly Iicensed and�is not entlti�d to permitting privil�ges in Pasco
County.
TRAN�PORTATION-IMPACTIlITIL:1�'IES��MPAC7 AWb RESO�RCE RL�OVERY FEES: 1'h�undersigned understands
that'Pr�nsportatlon Impact Fees and.Reco.urse 6tecove.ry.Fees may�:apply:40�the consQruction of new bulldtngs, change of
use in existing buildings, oe�expansi�nf of��ezisti�i,g`,buildings, as speclfled.in Pasco County Ordinance number 89-07 and
90-07, as amended. The. undersigned also:understands, that_such fees�:as,may�be�due,�will:�tie identified at the=time°of.
permitt(ng. It Is further understood that Tra�sport�tlon impact Fees and,Resource Recovery;Fees must be pald pr(or to
receEving a "certiflcate of occupancy" or flnal powec:release. :If the.project..does not involve�a.certificate of occupancy or�
flnal power release, the fees mu�t be pald prior to perrroit Issuance. Ft�kthermore;�if:Pasco County Water/Sewer Impact
f�es a�e due,.they�must be-pald.,prior to permiE-lssuance°In accordance with�applicable Pasco'.County orc�inances. � '
CONSTRUCTIOPi L1E�d�LAIIV(Ch��Eer 713� �lorlda Sta@ut�s�a�amended): Yf valuadon of work is$2,500.00 or more, I
certiPy that I, the applicant, have-been provided with_ a copy of the �Florida Constructlon Lien Law—aiomeowner's ,
Protection Gu(de" prepared by the Flo�ida Department of Agric.ulture and ConsumerAffairs. If the applicant is someone '�
other than the"ow�er", I certify,that I�have.obtalned a'copy.of.the:above.described tlocutnent-and.p.r.omis�in,good falth to
deliver it to the°.owner"�p�ioc:Qo-commencement: ' ,
CON'PRACTOR'S/01NNER'S AFFIDAVIT: I.certt�y.that�01:the:Inf.ormatidn In•thi� appltcatlon is accurat�and that all work
will'be done in compliance with all.applicable lawrs regulating constructlon, zoning �nd land development.. Applicatlon is
hereby made to obtatn .a permit Co do_wor�k_,.and installation as IndlCated: 'I ce�tify that no work-or Installatton has
commenced prior to issuance of a permit and that.all work will be pertormed�to meet standards of all laws regulating-
construction, County and City codes, zoning regulations, and land development regulatlons-(n the jurisdfction. 1 also �
certify that I u�derst�nd that the �egulat(ons of other government agencles may�apply�to the intended work, and that it is ;
my responsibility to ident(fy�what.actions I must take.to be,in:.compliarrce: Such agencies.include but-are.nof IIrv�Oted to:
- Department of Ertv(ronmentai�Protection-Cypress.Bayhead�, Wetland Areas and Environmentally Sensitive
Lands, WaterNNastewater Treatment.
- SouthwesQ Florida Water Management .District-Weils, Cypress.���ay_heads; Wetland Areas, Altering
Wat�rcourses.
- Army Corps of Engineers-Seawalls, Docks, Navigatile Waterways. �
- Department of liealth'� Rehabllitative Senrices/Environmenfal Neaith U'trit-Wells, Wastewater�Treatment,
Septic Ta��Cs. .
- US Environmental Protectlon Agency-Asbestos�batement. �
Federal Avlatlon_Authorlty-Runways.
I understand that the following restrictlons apply to#he use of flll:•
� - Use of flll is not allowed in Flood.Zone"V"unless expressly permitted. � �
� - If the flll materfal i� to be used: In.�Flood 2one. "A", it. Is understaod that a drainage plan_addresstng a
°compensat(ng volume" wrill be submitted at#ime of pemnitt(ng vuhich fs prepared by a professfonal englneer
Ifcensed by the State of`Flo�ida.
' - If the fill materlal is to be used (n Flood �one "A" Irr connection�with:a �ermitted building using stem wrall
' constructlon, I certify that fUl:tidll=bs used only.4o#111 the ar�a wlthin�the�stem Mrali.
' - If flll material is ta be used in any area, I �certify that .use. of such flli will not adversely affect adJacent
p�operties. Ef use of flll is found�to advecsely:�ff�ct ad)�Eent�properties,.the owner may be cited for violating
the conditDons of the building:permit issued under the.attach�d permit epplication, for lots less than one (1)
acr�which are�levated by flll, a�engineered drainage plan Is required. . �
If I am the AGENT FAR THE OWNER, I,�promise In good faith to Inform the owner of�the permitting cor�dit(ons set forth In
this affidavtt�prior to commencing construction. 'i undersfand thet,a<separate permit Pnay be requtred for elect�ic�l work,
plumbtng, signs, welis, pools;, air condltioning,.gas, or otMer install�t(ons no�,spec�ically Included-tn.fhe application. .A
permil Issued shall be consteued to be a Iicense to��proceed with the work and not as.authority to,violate,cancel, alter, or
set aside any provBstons of the technical caodes;�nor shall issuance�of a.permit pcevent the Bulldirig O#�ict�l from thereafter
requiring a conectton af enors in plans, construc#lon or vlolations of any codes. Every permlt issued shall become inval(d
unless the work authorized by such perm(t.�ls-commenced•withfn sfx months of�permlt lasuance, or if work authorized by
the permit!s susp�nded or.abandoned�for a:period of six�6)rnontiis.ait�r the tirne the�wo�k�is commenced. An extension
may be requested, In writing, ftom the Butlding,Offlcial for a perlod.not to exceed nineiy(90) days a�d-will demonstrate
)ustifi�ble cause for.the extension� If work cea�es.for ninety(90)cons.ecutive:day.s,..th�Job�is considered aba�doned.
WARNING TO OWNER: YOUR..FAILURE�TO„REC.ORD A MOTIGE�OF•COMMEi�CEMENtT�MAY RESULT IN YOUIt
PAYING TWICE.I�OR IMPROVEMEN.TS TO YOUR�.PROPER7Y. IF�YO.U�IN�gEND:�T�'i0BTA1N�=FIPFAt�E1NG;'CONSULT
WITH YAUR L�ND�R�OR�liV A'�TORNEY�BEFORE�RECO�IN�:�1�0UR�1�I�TiC�`OF`COMI111ENC�Ef4yENT'
FLORIpA JURA'�(F. . . .03} ` �' ' �._ � - �
�
OWNER OR AOENT ��- COiVYF�flCTO ���� �
Su�scrlbed and s (or affi ed) etor me this Subs�bed end'swo � (ot afflrmed)�befo �me thi�
/ �S-� � r �sC� lo -�si7 ,2 G f�►Eg�,,.t��.�-
Who isfare arsonally known to me or hasihave produced Udho.is/are p. , onally kno •to me or haslhav�•produced •
ae IdentlBcatlpn. es IdentlBcaUon.
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Notary Publlc , YVofary Publlc
Com sslon No:�' CVI VIA A.CAMPRELL _ C misslon No. I
;�a�'. ,�= Notary Public-State of Florida .•'t�`'°�" • '
_. '�'•` ission q GG 112939 =?°. :�`: 'Notary Public-5tate nf Florida
Name oT Nolary typed, q, � p�Comm.Exptres Jul 19,2021 Name of Molery typed, i� r � omm.Ex Ires Jul 19,20�t
.,,OFFI,,. BondedthroughNadonalNotaryAssn, y p
''.;�oF,F�:;�''� gondcdthroUghNellenelNotefyAssn,
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.a � � PRopANE G,�s Maintena�ce��Order �
� � AND AIC 1Nc.
' �a�e�988 '��8�3=78�-50 i 3
Sales, Service &;Installations ��o�-;;; �������,�s�:���:����;�G�.t �- ���,�,� ;�r-�
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❑ REGULA .,.�.: .z;,�;�;� � - � r%
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` � '��When here�When Away��T Stat� ❑ MAINTENANCE CONTRACT
{J.. . '2it:; 75':.F�J 5;f9F=.�;.5 t�^�'y,4i ,t,s.,•3 CE �
�,�,�.:,1_�R:�;.x�,.Y:n:.,.tr•5,�-,a,�;.���-..�,�,�:�,:�..,���.�.k PRICE i
LIMITED WARRANTY: All materials,parts and equipment are wartanted by fhe manuFadurers' ���a��rt�J,. M`,Y�ti�-L^�:y-•_--�M�:N,���:
or suppliers'written wartanty oNy.All labor performed by the above named company is wartanted for =��°�^���}���� ��� '���
30 days or as othervaise indicated in writing.The above named company makes no other warranties, ASH ❑ �' OTAL i
exp�ess or impiied,and its agents or technicians are not authoraed to make any such wart�anties on ERIALS i
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6ehalfofabovenamedcompany. �, ❑DEBIT CREDIT ❑OTHER MAINTENANCE �
i ne�re awroMy m oraer ma�wrk o�,m�aa eeove wni�n nas e�o r,�n5r�may�omPiaeed.i a�mae saner • PROG. W/ C
fatains tltla to equipmenVmaterials fumished u�l final payment Is made.If paymant is not mede as agreed, CLAIM#) i � i
selier een remwe said equipmeMfineterials at Saflers e�ense.My Aamage resul6ng hortP salE remordl shell J
ALL�NP,41 BALAN ES OVER 30 DAYS.V REFUN 5�SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLE'���•*�I � !�� I��
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CUSTOMER SIGNATURE � DA7E ��`E%W/GJL �a.cc TOTAL /�'�� 'fic�
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