HomeMy WebLinkAbout17-18989 - CITY OF ZEPHYRHILLS
' S335-8TH STREET
(813)780-0020 �8989
BUILDING PERiVIIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18989 Address: 5929 17TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):7-9 & S 1/ Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-04200--007
Improv. Cost: 5,675.00 OWNER INFORMATION
Date Issued: 10/26/2017 Name: SLOAN BEVERLY
Total Fees: 65.00 Address: 5929 17TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/26/2017 Phone: 813-361-0334
Work Desc: A/C CHANGE OUT 3.5 TON
' CONTRACTOR S APPLICATION FEES
� BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
/ � -.
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I Ins ections Re uired
DUCTSINSTALLED �
DUCTSINSULATED
FINAL
C(;�'Z?
REINSPECTION FEES: (c) ith 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
ONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
���-,a��« City of Zephyrhilis Permit Applicatian Fax-813-�saoo2�
� . Buiiding Department
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� Date Recetved Phone Contact for Permlttln I 'O c� – �
' Owner's Name _ G.�� Owaer Phane Number "�,��,�,,�
�OL �
Owner's Address � /� ��e Owner Ptione Number
Fee Simpfe Tittehotder Name r � Owner Phone Number � �
Fee Simpte 7fttehotder Addresa
.lOB ADDRESS � I �b � I.OT# �.�
SUBDIVISION �— � PARCEL ID# OS �! � U ���7�
(OBTAINED FROM PROPERTY 7AX N4TiCE}
WORK PROp08ED , e NEW CONSTR�ADp/AI,.7 Q SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR [� COMM [,� OTHER
TYPE OF CC►NSTRUCT10At Q BLQCK " Q FRAME �,� STEEL Q
DESCRIPTtON!OF WQRIC s� �G� E`�l5 u� L'�377� d �o��
BUII.DING SIZE �� � $Q FOOTAGE HEIGH7 �_�
OBU������"' $ , � VALUATIO(+lFQF`'TOTAI.CONS�'RUCTIOSV
.�,J
QEL.ECTRICAL �_-���`� AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C.
[�PLUMBING �y� - '
�ECHANICAi. $ �- �� VALUA'FtOM1!OF MECHANICAL INSTALI.ATiON
�� ��, �
CJGAS Q ROOFiNG .Q SPECIALTY � dTHER
FtN18FiED FI.OQR ELEVATIONS (��—� FLOOD ZQNE AREA [�YES N4
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BUILDER COMPANY
StGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address �(��g�# �~ �
ELECTRICiAN __`a� COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense# � i��
PLUMBER COMPANY
SIGNATURE � REt3�sTE�ED Y t N FEE CURRE� Y/N
Address License# � ��
8lGNATURE G�Gyu� l�,r„�-..`. CtiMPANY �2 5 /' f�e ' ��G ��C�
MEGMANICAL �,,, a
-'' REGISTERED Y 1 (�1 FEE�CURRER Y/'N
Add�ess � . '" License# I�-'I��'������
OTHER COMPANY
SIGNATURE _,._, I�GlSTER�o Y/ N . FEE CURRER Y!N
Addreas License# � ��
EtESlDENTIRl: Attach(2)..Plaf Plans;(2)sets of<8uilclieg`Plans;(1)set of Eoergy�Foims;R fi}-W Permit far naw construc�on,
Minlmum:ten•(10);working;days.after submitta!dete. Requlreii onsite,Construc!!on Plans;Siormwater Pians wi Slit Fence Instaifed,
Sanifary FactllUes,&-1:,dumpste_r.�Site Work:Rermit#or subdivisiqnsflarge prnJects
COMMERGIAL Attach{3}eamplete sets of Bulti3fiig 1'lans plus a life Safety Page;(1)set of Energy Fortns.R-O-W Permit for neW constructian.
Mlnimum ten(10)working days after submltta{date. Requ#red onsfte,ConsUuction Pians,Starmwater Plans w!Siit Fence lnstalled,
8anitary FaciliNes&1 dumpster.Site Work Permit far all n�w projects.All commerolal requlrements must meet campllance
31GN FERMIT Attadfi(2)sets af Engineered<Plans. .
""••PROPERTY SURVEY requlred fur all NSW oanstrucUon.
Dltectlans: -
F[U out applicallon complekely.
Owner&Ctmtractor slgn back of applfcaUon,ncatarized
1f over E25Q0,a Notica of Commencement is required. (AIC upgrades over$7500)
" Agent(far the conUactar}or Pou+ret of Attomey(for the owner)would be sameone wtth notarized letter from owner authorizing same
OVER THE COUNTER PERM17TiNG. ,,.(Front.of AppllceBon Only) ., � Y �� ' ' � -' ,
Reroofs If shingles Sewers Servica tJpgrade& A7G� Fences'{PtottSurveylFootage} x -
Drivsways-Not over Caunter(f on publlc rosdways..needs l20W �• , � '
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NOTICE OF DEED RESTRICTIONS: The unders(gned unde�tands;th�t=itiis^p�r:mif.may be,subJect,to.°deed"restrictlons"
which may.be-more:resti:ictive-tPa��County�risgr�latCons:�The underslgned�assur'ries'�esponsitilltty'for`compliance witFi any
applicable deed-restrictlons. . �
UNLICENSED• CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner h�s•�hired � contractor or
contractors to unde�take work, they may be:r.e�qulred.�to.;be.;ltcensed In accordance.with state.and•local regulations. =1#�the�
contractor is not Itcensed as required:by law, both the owner and contiactor{may be�clted-for a�misdemeanor violatlon
under state law. If the owner or Intended.�;contra�tor,�are;uncertaln es to what Iicenatng.requirements may�:epplyr�for�the
intended work, they are advised to contact the Pasco County Bullding"Inspectlon Dhrlslon—L•icensing Sectton at 727-847-
8009. Furthermore, If the owner has hlred a conUactor o� contractors, he Is advlsed to have the contractor(s) sign
portfons of the "contractor Block' of this appllcatlon for:which they will.be.responsible., If.you� as.fhe ownerr'sign''a§the ;
contractor� that�may be an Indtcation that�he ts not.properly Iicensed and�is not enti8ed to pennitting,prlvlleges in Pasco
County.
TRANSPORTAT101�-IMPACTIUTILI'TIES��rMRAC7�ANb RES�IDRCE RECOYERY�FEES:�The undersigned understands , �
that Transportation Impact Fees:and.Reco.urse Ftecovery.Fees rrn�y��appiy:to:the constructlon of new buildings,:change�of
use in existing buildings, or�expar�sibn�fof-�ezieti�i,g:,6uildings, as speclfled.in Pasco County Ordinance number 89-07 and
90-07, as amended.,, The undersigned aiso;understa�ds, thait��such fees�-;as,may�be�.due;,will<,be identtfled at the��time°of� �
permitting. It is further understaod that Transpo�tatton Impacf Fees and�Resource Recovery�Fees must be paid prior to
rece4ving a "certiflcate of�occupaFlcy" or flnal�power:release. :If the project..does.not tnvolve:a=.certificate of occupancy.or� -
flnal power release; the fees mu�t�be paid pelor to permit issuance. Ft��tk�ermore;ff:Pasco County��lNater/Sewer�impact
fees are due�.they�.must be=pald.,prior to.permit�>Iss�ance°in accordance witff�appllcable�Pasco'.County ortlinances. •
CONSTRUC�'ION_LIEN�LAW(Chapfer 713� �IoNda Statut�s��amerrded): If valuatlon of work is$2,500.00:or more, I�
certify that I, the applic�nt, have.been provided with_ a copy of the "Florlda��Constructton� Lien .Lau�—Homeowner's
Protection Guide" prepared bythe Flo�ida Department of Agric.ulture and ConsumerAffairs. if the applicant is someone
other than the"owner", I certihr,.that I�have.obtained�al'eopy.of.the�abave.descrltiedtlocun�ent-and.promisein,good faith.to .
deliver It to:the�'ownec"•-pdoc�to�cotnmencement: ' •
CONTRACTOR'S/OWNER'8 AFFIDAVIT: 1.cectify,�.tiist ail.the:;lnf�rmati�n.ln•thi� appiicatlon is accurate.and that ail work
will'be done in compliance with all.applicable laws regulating constructlon, zontng and�land�development. Applicatlon is
hereby made to obtain .a permit.to do_work.;and installation as indtceted:�� °I certffy that no work�or Installation has
commenced prior to issuance of a permit and that.all work will be pertormed�to meet standards of all laws �egulating-
construction, County and City codes� zoning regulatians, and land development regalatlons-tn the jurisdictton. I also
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it (s
my responsibllily to identi(y•what.acttons I must•take:to be,in:.corilpliar�cs. S.uch agencles Include but-are.not Iimited to:
. - Department of E�lvironmentai�Protection-Gypress.�Bayhead�, Wetland Areas and Envlronmentaliy Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management: .District-Wells, Cypress.'�Bay�eads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, IVavigable Waterways.
- Department of Health�'8 ReF�abllitative ServtceslEnvironmental Healtt� Unit Well.s, Wastewater Treatment,
Septic Tantcs. � _
- US Environmental Protection Agency-Asbestos abatement.
Federal Avlattvn_Authority-Runways.
I understand that the following.rest�ictions apply to the use of flll:•
- Use of fill Is not allowed in Flood.:Zone"V"unless expressly permitted.
- If the flll materlal is to b.e used: in.�Flood Zone. "A", It� is understood that a d�ainage plan addresstng a
"compensattng volume"will be submitted at�ime of�permffting which Is prepared by a professfonal engineer
Ilcensed by the State of'Florida:
- If ih� flll materlal Is to:be used In Flood Zone "A" In�connec�ion�with�a�permltted buflding using stem wall
� constructton, i certiry that fUl:wJll:b.e used only.to flll the area within�the�stem•wall. •
- If fill mate�lat ts to be used In any area� I �certifjr that .use. of such flil will not adversely affect adJacent
properties. If use of flll is found�to adverseEy:�ffect adJacent•�pc�perties,.the owner may be cited for violating
the cond�ions of the building:permit issued under the at�ached permit appllcation� for:lots less than.one (1)
acre which are elevated�by fllt;�n engineered dralnage plan is requlred.
If 1 am the AGENT FOR TH�01MNER, I,..promise In good f.atth to laforr�#he owner of the perrriitting conditlons set forth in
this affidavit'prior to commencing constructlon. I understand that a-separate permit may be requlred for elecMcal'work,
-.,. ,�•-
plumbtng, signs, wells, pools;. alr condtttoning, .gas� or other install�ttons not.spec�ically included�in.the application. .A
permit Issued shail be construed to be a'Iicense�to�proceed with the work and not as.a�ethoNty to,vlolate,cancel, alter, or
set aside any provlsions of the.technOcal codes;�nor shall Issuance�of a.permit.pcevent the Bulldirig O#ficial from thereafter
requiring a correction af eRors In�plans, construction or vlolations of any codes. Every permit Issued shall become invalid
unless the work authorized.by such permit:�is.commenced•wlthin sUc months of�pemnit issuance. or if work authorized by
the pe�mtt is suspended or.abar�doned�for.a�:period of six(8)montNs.after the time the�work�is commenced. �1n extenslon
may be requested, in writing,.from�the�Building,Offlcial for a perlod.not to exceed ninety(90) days and will demonstrate
justifiable cause for.�the extens(on�. If work ceases:for ninety.(90)cons.ecutive:day:s...the Job�ls considered aba�doned.
WARNING TO OWNER: YOUR..FAILURE•TO..R�EC.QttD A MOTIGE:OF�COMMEMCEMENT=14RAY�RESULT�IN YOUR
PAYING TWICE:FOR IMPROVEMEN'�S�Tfl.YOUi�:�.PRL�PER7'�Y.�I��YO.UaI�I'FEKID�T��i0BTA1N��FINAt�EfNG;'CONSULT
WITH YOUR LENDER:QR AI1�A�TORNEY��FOR��I�E�OR�i1Mf�Y0UR'(VOTI�F`.OF=CdMI1�lEN��El4lENT:
FLORIDA JURA'��(F:S:117 Q3 •� . � - . . .
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OWNER OR AOENT `� �`-P � -- �- CONTRACTO — - -- - - -- - - - --- — -- --
Subscxlbed and swam to(o rtned)before m this Subecribed and'swom= (ot afflrmed)'before me'tfil�
lb-�.C.-I� b `' J2� � Vai f�
Who Is/are rsonalty known me or haslhave prpduced Who.ls/a ersonallyknown• me or heslhave•produced •
as IdentlBcetlpn. _ as Identlfication.
, � Notery Publlc . ` � Notary Public
Com slon No: Comr� slon•No.
',�o�ra��., . B'@� , ����, ,
; „ .�; Notary Public-State of Fiorida ,�,.4�y p�'� SYLVIA A.CAMPBELL
:o �.``: - ta e of Florida
Name ot Notary typed,p , . o. �y Comm.Expires 1ul t 9,2ozt Name of Notary typ = � �lHrt[pld�ission#GG 112939
'�•�oFF�°��� BondedlhroughNatianalNotaryAssn. `•'�r o';: MyCOmm,ExpitesJu119,2021
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�'••;�;'FF�°e'•'' BondedthroughNalionalNotaryAssn.
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'� „��� �-� � � ' ' r PROPANE GAS Service Order/Proposa� �
� - AND AIC tNc. �
S�Ge�g88 8r13-782-5013 Invoice �
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� Sales, �ervice & Installations � ,_,_ _ ��� `'k� '`- - �'F "�.
4441 Allen Rd. • Ze.phyrhills, FL 33541 - r��=-� �_. r:����;�. � ������� ..^��, ��c;� , �;� �-�� ;.��_,
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; NOTES: - �
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� " _ � - DESCRIPTION OF WORK - .• � (1TY. MATERIALS 8�SERVICES ' UNIT FRICE AMOUNT
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. -.REG MENDAT�IONS ' � " � �a i i
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t , ;.•,.: • .,-.�• ' /'� 1 . _ ' � ., , .
,Annual,Mai tenan e ReFqmm nded by All'�guipmen Ma. _ct�;�s.,: ': • � `"
-�-�•-•"-� � Pressures Lo ' HI T-StaY" � i � i
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, �-- ---'-� � �i � REFRIGERANTR- .C�S. � $p r•Ibs. '
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FILTERS x x Changed Monthly I I
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\� . � i FILTERS x x Changed Monthly
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I ❑ REGULAR ❑WARRANTY TOTAL' SUIVIMARY' �
Dehumidi tat Settings:�;When here'°ON", When Away 6�, T-Stat$0° I ❑ MAINTENANCE CONTRACT SERVICE �
LIMITED WH RRANTY: All materials,parts and equipment are warranted by the manufacfurers' `�= METHOD OF PAYMENT CALL i
or suppliers'writtemwarreaty-e�{y.All laboc.performed by.11ae abov@ named company is warranted for � TOTAL i
• 30 days or as othenvise indicated in wrifing.The above named company makes no�otherwartanties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warran6es on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authonty lo artlerthe work oullined above which has been satisfactorily completetl.I agree lhat Seller
PROG. W I C �
retains tille lo equlpmenUmaterlals furnished until final paymenl is made.If paymenl is not made as agreed, CLAIM# �
seller can remove said equipmentlmalenals at Seller's expense.Any Camage resulting from said removal shall G���
not be the responsibility of Seller.NET 30 DAYS.A 1 1f2%SERVICE CHARGE WILL BE ADDED MONTHLY TO ^� r, --�'�I
ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED
TECH: T� �
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CUSTOMERSIGNATURE DATE ✓r�A//�iJL ✓au TOTAL I