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Home My WebLink About17-19050 , CITY OF ZEPHYRHILLS f'"� .,. . 5335-8TH STREET (813)780-0020 190 BUILDING PEotMIT � �� -PERMIT INFORMATION � ` ' � LOCATION INFORMATION Permit Number: 19050 Address: 5119 2ND ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15900-0030 Improv. Cost: 5,995.00 OWNER INFORMATION Date Issued: 11/14/2017 Name: POE WILLIAM &ANNA Total Fees: 65.00 Address: 5119 2ND ST Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/14/2017 Phone: (813)713-0655 Work Desc: A/C CHANGE OUT 4 TON PKG CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 ��/� Y � ��,� 2 � 3 I� � � '�`� Ins ections Re uired DUCTS INSTALLED DUCTSINSULATED FINAL r C�r�' ��`� �� 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 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 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. b ��-�� ONTRACTO SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ��-,o�-��=� City of Zephyrhi!!s Permit Application Fax-813-�saooz� ' � ' Building bepartment - Date Raceived Phone CanWct for Permlltln �`� ��-- �� /� �(/ ~ `'� Q Sff�"' t��a�' 10� Owner's Name �� ' v[✓d L j �'`✓�� Owner Phone Number Owner's Address .:1/1� �� Owner Phone Number �� M1 � Fee Slmple Titleholder Name � �' Owner Phone Number � � Fee Simple Titleholder Address JOB ADbRESS �l� �� «'S¢ �� L.OT# � suaoiv�s�o� � � PARCEL ID# � � —��.' �1"l.�P>�1.� � �D� �`� {OHTAINED FROM PRQPERTY TAX NdTiCE) WORK PROpOSED NEw CONSTR ADQlALT � SIGN Q Q QEMOItSH � e INSTAL.L REPAIR PROPOSED�USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCT10N Q BLOCK " Q FRAME C] STEEL Q DESCRIPTit3N OF WBRK �r �� 0" � �D?t� � /-i L �rl�77�7 11�/1l BU!!.DlNG SlZE � _� SQ FOOTAGE NElGNT �� QBUILDING $ —'---—� VAI.UAT10idFOF`�i'O'fAl.CONSTRt►CTION [�ELECTRICAL ($ -� AMP SERVICE [� PROGRESS ENERGY [� W.R.E,C. ��_ [�PLUMBING ($� � �.— QMECHANICAI $ �q�� VALUATION OF MECHANICAL INSTA4LATION r QGAS Q ROOFING [� SPECtALTY Q OTHER FiNISHEd FLOOR ELEVATIONS C�� FLOOD ZONE AREA QYES NQ BUILDER COMPANY SIGNATURE REGfSTERED Y/ N FEE CURRE� Y/N Address License# � � ELECTRICIAN COMPANY StGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Address Llcense# ( � PWMBER � COMPANY SIGNATURE � REGISTERBD Y/ (V FEE GURRE� Y/N Address Llcense# � �� MECHANiGAL �� `�"� ` • COMPANY �r��6 /�i Y9-Jll��-�-��jq�$91--•yG°---=TiIIG: SEGNATURE L�^�/J'�� REGtSTERED Y J N FEECURRER Y J N Address ��l �"� � � License# (�°"�r`'�-� ��7 6 �� O'fNER ,Ct.�MPANY SIGNATURE ,_,__,,_,, tt�GistEREo Y I N . FEE CURR6R Y!i+t Address Ucense# �_, � RESlDEN1'IAL' �Attach(2}.Ftof Plans;(2)sets of�Buitd(ng"Pians;{1}set of-Energy�Forms;R-q-W PermiE far new aonstruction, MlNmum_ten�(-1Q}working$tlays after,:sabmtftal date. Requireil onsite,Constiucflon Pians;Stormwater Pians w!Stit Fence insta4led, Santtary EalciifUes:&.1:.dumpster,-3tte WorkPermiffior subdivisionsflarge�proJects COMMERCiAt„ Attach(3)aomplete sets`of Bu{tding Plans{itas a Life$afeiy Page;(1)set of Energy Forms.R-O-W Permlt far new«ansUvcUon. MEnimum ten{1Q)workfng day5 after submftta4 date. Reqaired onslte,ConstrucHon Pians,8tormwatsr Plans w!Si(t Fence instalied, Sanitary Facili8es&1 dumpster.Site Work Pennit for all new�proJects;AU t�mmerclal requlrernents must meet compltance SiGN PERMtT Attach"(2}sets of EngineeredcPlans: ""PROPERTY SUR1tEY required far ali NEW constructlon. D)rectians: FtN aut applica�on ccmptetely. Owner 8 Contractor sign back af appttcadon,notarized If over 52500,a Notice of Commencement Is requlred. (A!C upgrades over:6T5Q0) `• Agent(for#he contractor)or Power..o,f�Attomey.(fQK the�o�ner)would b�e s�omeone with notarized lette�from,.awner.authodiing,same;,_„;.. , ; .. f � - OVER THE COUNTER PERMITTING � (Front of Appllca8on QNy) ' : -. ' � ° Reroafs if shingies Sewers Service Upg'radas A�C' Fences(PIatJSurvaylFootage} _ � ' Drivewaytt-Not over Counter if an public roadways..needs'ROW -- ' , ... ` .. -,..--:,.� -. ..,. _-,,. , �. ,. ,- ..a _.. , . , , . . . , .. � . f `�,,� �` r '`j - ` v .• NOTICE OF DEED RESTRICTIONS: The undersigned undergtands:•:th�t;thl��.p�rmlf,may.be..subJect to"deed"re5trictions° �,;..: ,... which may be=more°resti:icthre-th��County'.regulatCons:��The�underslgned�assumes=�esponsitillity for"compllance witFi�any appllcable deed rest�ictlons. • UNLICERISED CONTRACTORS AND CON�'RACTOR RESPONSIBIL�TIES: -If-fhe owner has��hired a'.contractar or contractors to undertake work, they may be;r,e�qulre.d.,to..�be;licensed In_accordance.with state.and•local regulations. �If�the• � contractor ts not Iicensed as requlred`by law, both�the owner and conUactor-�inay��be-�c(ted-for a�mi§demeanor violation under state law. If the owner or Intended�;contracton�ere;;uncertaln as to what Ilcensing.requirements;mayt;.apply.�::�or�the intended wrork, they are advised to contact the Pasco County Bullding lnspectlon Divlslon—Llc:ensing Section at 727-847- 8009. Furthermore, if the owner has�hlred a contractor or contractors, he ls advlsed to have the contractor(s), sign portions of the "contractor Block" of thla application for whlch they will be tesponslbie. If you�.as.the owner"'sfgn��s tlie contractor, lhat tnay be an Indication that�he-is noY.properly Iicensed and�is not entiNed to permitting privileges In Pasco County. ' TRANSPORTATION:IMPACT/UTII:ITIES��rMPAC7 ANb RESOU1tCE RECOVERY�FEES: The�undersigned understands that Transportatio� linpact Fees�and.Recourse Recove.ry.Fees may.��pply�tv�t�e construction of new bulidings��change of` use in existing buildings, or:expansio�Yof��existi�i,g:abuildings, as speclfled.in Pasco County Ordinance number 89-OT and 90-07� as amended., The undersigned also.understanda, that:�such fees��.:as�tnay�be�:�due;:will:-tie identtfied at the,time°of� I permilting. It Is furtlier understood that Transportation Impaot Fees and�Resource Recovsry�Fees.must be paid prior to rece4ving a °certificate.of-�ocxupancy" or�flnal�power..Release. :if�the.proJ�ct.does.not involve,.a-.certificate of occupancy.or- flnal power release, .the.fees mu�t be paid prtor to permft Issuance. Fu�thermore;�if:Pasco County�IMatedSewer��impact fees are due,.they�.must be=pald.,pnior to permit-lssyance°In accord"ance wlth�appllcabte Pasco�.County ordinances. - CONSTRUCTION'LIEN LAW(C6�p4er T13� FloNds 3tatutes�a�arnende�): If valuatlon of work is$2,500.00�or more� I certify that I, the .applicant, have.been provided. with a copy of the� °Florida-Constructton� Lien Lav�—Homeowner's Protection Gutde° prepared by the Flo�ida Depa�tment�of Agriculture and Consumer�Affairs. if the applicant is someor�e other than the"owner", I certify�that I�h�ve.obtained;a�copy,of:the:abave.descrlbed�locu�ent�and.p.r.omisein,good fatth to deliver It to the"owner."•-pdor�to-cornmencement." � , • ' , COfdTRACTOR'SlOWNER'S AFFIDAVIT: I.ce�i�y.:.that�all.the•,Information:ir�thia appltcation ts accurate and that all work will'be done in compliance with all appltcable lavirs regulating constructlon, zoning and�land�development. Applicatlon is hereby made to obtatn .a permit,to :do_work;.,and installation as indicafed:•� :I cenity that no work-or instailatton has commenced prior 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 regulatians, and land development cegulatlons�ln the jurtsdtction. I also certify that I unde�stand that the regulatlons of other�government agencies may�appiy�to the intended worlc, and that it is my responsibility to identify.what,actions I must�teke:to be4ln:.corrlpliance S.uch agencles.include but-aro.not itmited to: - Department of Et�v(ronmental�Protectton=Cypress.Bayhead�, Wedand Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management .I�istrict Wells, Cypress.'�Bay�eads; Wetland Areas, Altering Watercourses. _ - Army Corps of Engineers-Seawalls, Docks, IVavtgable Watervvays. - Department of Health�'8 RehablNtative Setvices/Envtronmen#al Health Unit Well.s� Wastewater Treatment, Septtc Tanks. � . - US Environmental Protection Agency-Asbestos abatement. " - Federel Avlatlon_AutboMty-.Runways. I understand that the following r�strlctlons apply 4o the use of flll:• - � Use offill Is not allowed in Flood Zone"V"unless expressly permitted. - - If the flll materiai is to�b.e used:�In.�Flood Zone. "A", it Is understood that a drainage plan�addresstng a "compensating volume" will be submitted at#ime of-permi[ting which ts prepared by a professfonal engineer Ifcensed by the�tate of Flo�lda. � � - If th� flll material is to ba used in Flood Zone 'A° in�connec�fon�with:a �ermttted building using stem wall � construction, i ce�ify that fUl:wall:b.e�used only.to flll the a�ea within�the�stem�wall. - - If flll materlal Is to be used In any area� I �certify that .use. of such flll will �ot adversely affect adJacent p�operties. If use of flll is found to advereely:�ifect adJacent•�pc�perties,.the owner may be clted for violating the condl#Ions of the b�ilding:permlt Issued under the at�ached permit application� for:lots less than.one (1) acre which are elevated�by fllt; an englneered dralnage plan is required. •� If(am the AGENT FOR THE OWNER, I;.promiae In good fa(!h to inform the•owner of the permitting condit(ons set forth In this affidavit�prior to commeacing construction. 1 understand thata�separate permit may be requlred for electricel work, �. .�n...,., plumbtng, signs, welis� pools;. alr condittoning,.gas, or other install'�ttons not�spec�flcally included�in.the appBcation. .A perm(t Issued shall be consttued to be a'license�to��proceed with ttie work and not as.authortty to.vlolate��cancel, alter, or set aside any provistons of the technical.c�des;�nor shall Issuance�of a.permit.prevent the Bulldirig O#�ictal from�thereafter � requiring a conection af ercors In.plans, constructlon or violations of any codes. Every permtt issued shall become invalid unless the work authorized.by such permtt�is.cornmenced•withfn sfx months of�permit Issuance� or if work authorized by the perm(t is suspended�or.aba�doned�for a;period of�six�6)�montfis.after the tl�e the wo�k�is commen�ed.=An extenslon may be requested, In w�ting,.from the Building,Offlcial for a period:not to exceed ninety(90) days a�d-will demonstrate justifiable cause for.�the extension. If work ceas�ss:for ninety(90)cons.ecutive day.sr..the job�is.constdered aba�doned. WARIVING TO OWNEItc�YOUR..FAILURE-�TO.;It�E.C.06c� A:MOTIC��OF-COklNl�t�CEMEN�-IIRAY 63ESUL�'�-!lV-YO!!!t— PAYING 7WICE�1=0R�IMPROVEMEWTS�TiJ X�OUR:PIt�RERTY. IF�YO.U{IN'FEND'TD'OBTAIN��FIN�AI�EING;'C.ONSULT WITH YOURlENDER:OR Af�ATTORNEI��SEFOREkRE�OR�11M��YOUR'NOTIG�:C)F=COMNIENCENfENT: FLORIDA JURA�•(F.S, 3) � " � ' �• � OWNER OR AGENT CONTRACTO Subscrlb d artd ewom or a(fl ed)beto me fhla ' S sc b and' r�(of a rm �before me'ttil� v�b l5'�Q:{� - . �'Y1 � �"1 5-F�'► o Islare rsonally known me or has/have produced Who.s/are rsonellyknown tc me orfiaslhave�produced • � � ae Identlflcetlpn. as IdendRcaOon. i — i Notery Publlc . � Nofary Publlc CO ISSI011 ^^� .YLVIAA.CAMPBELL Co slonN .••�"'Y'P;;''••. SYLVIAA.CAMPBELL •—^'••'-�}e`�_/f_"... _ ::o��'•; Notary Public-5tate o F�on a :2��.o: = + • •` Commission#GG 112939 = '' '•= Commission q GG 112939 : . Name of Nofa �� e ' Name oi Nola .�FF`;°.•`� BondedlhroughNationalNotaryAssn. ,,,, on ro�j tionalNotaryAssn. I � M r �� • ��'I'i�� l � PROPAI�IE GAS MaintenanGe Order +a : . ��.�c xN�. �i�t�e�988 8'�3-'?�82Mv4'�3 Sales, ServiCe & Insta!la�ions WflRK ORDER#ISERVICEMAN �• 8i774 'NRS 4449 A!!en �id. • Ze r yrhit(s, FL 3354't pATElT I ME TAKE1� t�f��f�.� s 3:�.3 TAKEN�- gY FE. B. �1� NOTES: ��'T'� D ��''S �7ATE t T I ME F�R�M I SED r�, GU��C�tER#�LOCRT I Q�!- I F,016 RHQhlE# 813-78�--41�1 �EpN"F�C�' WK 588-�f i5 EXT i R�UTE/SEQ f� •7 h1RS3354� � �j.. /7 €�CiE, ANNA .. . � F"OE, Aht�lA 5119 2MU �T 5i19 21VD ST ZEP!-lYRHILLS FL 3354� - ZEPHYRHILLS FL33542 - �T RHEEM Ct]NL} & A/H ATTIC ._ . R€�#€A-��SJf�2, E,�1 P3iYf�50I f 2�5'�4 RBHA-i?JOFNFL#AI, M�5�1�I11571 I�lST: #�7f�'4t�f E�T. QI!�.=-#UE��.:Al:�:=;��T>k... ,�.::..,.:- � � T4n� G ' - ��,, � 1 z � � 1�'s� rr�, • � � , � t � � �- � � Lo HI ` . ❑Cle2ned ❑Cleaned � � Cond.Fan,_,._ Blwr Comp Heat Strip � { . i i Ca�d.Fan Blwr Comp � i i i PrimarylCondi�on ❑aeanea SecondarylCondition_0 c�eerrea i � i , �e i f i '' i i i i i i i • - i FILTERS x x Changed Monthty I I FILTERS x x Ghanged Mo�Nh4y � � ❑ REGULAR ❑WARRANTY When here W'hen Away T-Stat ❑ MqINTENANCE CONTRACT ��E � LiMiTED WARRANTY: All rnaterials,parts snd equipment are wartanted by the manutadurers' PRICE i or supptiers'vrritten warraniy onry.AI!tabor perFomred by the above named cotnpany is xrarcanted for TOTAL 30 days or as otherwise 3ndi�ed fn:vriting.The above named company makes no olher warcanties, O CASH ❑CK# MATERlALS � express or implied,and its agents on c�hniaans are not authorized to make arry such warranties on � betratrof ebrnre namea�y. ❑DEBlT ❑GREDIT C}OTHER MAttNTENANCE � t ltava sutlsari(y ta ader the wmfc auG�nei eDove whldt has Lean satlsfaQorGY onmpbled.t 6g�ee U�at$eUet PROG. W I C � reffiIns tlUe m aqulpmenUmalecteta fum4+hed unei fiaN payment is made.If payment ia not made as egread, Cj.A(M# aeller ean remOva eaid aQulpmettMmaWl:ls at SeVer's azDa�.�Y demn8e rew+ltl�9 f'rom said removel eheU � rot be tha responaiD�ity of Satiec NEf 3C�AYS.A 1 1t29b SERVtCE CWiRCaE WIt1 BE ADDED MONSH�Y TO DA'i'E COMPLETED ' ALL UNPAID BAIANCES OVER 30 DAYS.NO REFUNDB • TECH: T� i i cusron�x sic�arur� � na� �t"E/G►/rLfc �oZc TOT ��► .