HomeMy WebLinkAbout17-19051 � . CITY OF ZEPHYRHILLS
5335 -8TH.STREET '
(813)780-0020 1905
; BUILDING PERMIT
� - PERMIT INFORMATION - � LOCATION INFORMATION -
Permit Number: 19051 Address: 5546 24TH 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: HAZEL HEIGHTS
Est. Value: Parcel Number: 12-26-21-0070-00000-0170
Improv. Cost: 3,300.00 OWNER INFORMATION
Date Issued: 11/14/2017 Name: ALLEGOOD, DAVID & MICHELLE
Total Fees: 55.00 Address: 5546 24TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/14/2017 Phone: (813)453-6857
Work Desc: A/C CHANGE OUT 2 TON PKG
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL i
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 property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifcations 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.
�
.
CONTRACTO SIGNATURE PERMIT OFFI R �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ''
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
��r,����� City of Zephyrhills Permit Application Fax-813-780-0021
` • Building Department .
Y � (��
Data Racalved � Phone Contact for Permittin �� ��� ����
Owner's Name `� d7� /, Owner Phone Number UL�� ��` w�'!
Owner's Address /- � /�J�'� �/� ���j� Owner Phone Number � �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �
JOB ADDRESS �� � p2.� ,� �/Jr/ t! �, ������- LOT# �
SUBDIVISION � PARCEL ID# �� �.���`�'/.� �� ��/�
. . (OBTAINED FRCM`PROPERTYTAX NOTICE) - " �
WORK PROPOSED , B NEW CONSTR _ADD/ALT Q SIGN Q Q DEMOLISH
� INSTALL REPAIR
PROPOSED�USE Q SFR �] COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME [� STEEL Q
DESCRIPTION OF WORK ��r �� _lf � p- Q '� � �� �� �/(�
BUILDING SIZE SQ FOOTAGE HEIGHT
OBUILDING � VALUATION`OF TOTAL CONSTRUCTION
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
QMECHANICAL $ ���� VALUATION OF MECHANICAL INSTALLATION.
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Lfcense#
ELECTRICiAN COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Addres� License# -
PLUMBER COMPANY
SIGNATURE REGIS.TERED Y/ N FEE CURREK Y/N
Address .License#
� � �/
MECHANICAL �J��' � � COAAPANY �✓7Q s' �/II�L��""%��V�J ;
SIGNATURE ���1 �%�l �✓J��L� REGISTERED Y./ N FEE CURRE� Y/N
Addreas '�'�"t l 1`�/ �� License# �� ��'�l���� ;<.
OTHER ,COMPI4Nlf
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach"(2)Plot Plans;(2),sefs.of�Bullding`Plans;(1)"set of Energy�Forrns;R-O-W.PerrnlE for new construction,
Mlnimum:ten°(10):v±rorking;days-after submittal date. Requlred onsite,ConstnicdomPlans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilltles;&�1:;dumpste_r,Site•Work�Permit forsubdiv.isionsAarge projects
COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
- Sanitary Facilities&�1 dumpster.Site Work Pertnit for all new projects.All commercial requlrements must meet compllance
SIGN PERMIT Attach(2)'sets of Engineered�Plans. � -
"••PROPERTY SURVEY required for all NEW construc8on.
Dlrectlons: ' � , .. _.
FIII out applicatlon completely.'' _ �=�
Owner 8 Contractor sign back of appltcaUon,notarized '
If over�2500,a Notice of Commencement is required. (AIC upgrades over�7500) �
" AgeM(for the contra'ctor)or'Power of Attomey'(for,the owner)would be someone with notarized letter from_owner authorizing same,
a<..�>,.-.,......-..,,:,._.ia_<G+>-. . . �.. y._,,....., .._ ..,... -- - '�- - - ,
DVER THE COUNTER PERMIT;TING _..;(Front of.,Application Only)' i, - . � .. ;
Reroofs if shingles Sewers� , ,Service Up,grades A/C � `:Fences(PIoUSurvey/Footage) ,
Driveways-Not over Counfer ff an public roadways:.needs ROW 'I � ' •
�:x_�,�,.._�'� � ,r z�.-�.. -_ .-.� . _ ` : .. ._ .. k. ... . ., -, : . �
R
f�
_:�_'"'_.._.,_."'_.�:.___.:.._».......,__..._..___.._..._.:I:_'�:..�.._..,...,_'_.__,-_.:...._.�'�Fs..___..�._..._�.____,..,..r.__..ti.'_.+._r-_..._--,...,.c.�...._o. .�,..._.._
��,(`.
� _ ____ ___
NO'�iCE O�DEED REST.RICT���S: The underslgned und�r�tands���th�t-thi�hp��mit.maybe�sub�eG�ta"deed"restrlc#ians°
which may-be-mot��res�"r.icttve=tha�t Gounly.�regulattons: 'The ur�de�signed-assum�s�responsi611tty�far�compitarice�rilh any
appNaable deed resQ�ictlans. . �
URIliCEPISED CANTRl�CT�RS �lt�t3 CCtNTRA�CTOR RESPONSI�lLI`9'��5: tfi-the owner has�hlr�d a��antr�c#�r or
contractors ta undertake work, they may b.e;r,�quir:ed.�to..be;itcensed In accr�rdance.with stat�.and•local regulatlons. �if the
c�ntractor ts not IEcensed_as requlced'by law� �otEr the owner ae�d cont�ator�rr�ay b��cited for a�misdemeanor ulotaflon
under stat� law. If the awn�r or intended�,contra�tor are,uneertaln as to what Ncensing.requirements;may.>apply�.�for�the
intended work, they are advlsed to contact the F�asco County 8u!lding Inspection Dlvislon—Ltcensfng$ectton at 727-847-
8009. Furthermore, tf the owner has hlred a cont��ctor or contractors, he is advised to have the cantractor(s) slgn
portions of the "contractor Block° of this �pplicatlon for which they will be ,responsible.• If.yau, as.#he o+nrrier"sign�a§ the
conttactor, that may be an Indica#�on that�he-is n�t.grvperly lic�nsecl a�d°�Is not entltied to perrniktin�.privileges in Pasco
County.
�'RANSPORTATlt�td_IMPACT/l!TlI�ITlES��NlPA�7=A1�6-RE�OU�tCE RECOVEt2Y�FEE3. Th�underslgned understands
that T�ansporkefi�n Irnpact Fees and.Reco.urs�Recmde.ry.Fees may>apply�#a�the construc#ion of neav bulidings, change•of�
use in existing bulldings, or:expansl�n>of-�eiiistin�g,'�6uildirags, as speclfl�d.in Pascq County Ordinanc� number 89-07 and
90-07� as amended. The underslgned a��o�unders#ands, th�ft�uch fe�s*�:as;tnay�be_dtte,:wlll�n6e 1den�#ted at the�time°of
permitting. It is further understaod that Tra�sporQatbn Impaat Fees and=Fiesource Recouery9Fees must be pald priar to
receivt�g�"cert�icate.of occupa�cy" or ilnal�p�wer:re4eas�. :If Ehe.prv�ect_does.not Irnolve<a-csrtiticate of occupancy or=
final power release; ihe fees mu�t be paid prior ta permit issuanc�. �t��therrr9are;�if Pasco Counfy�1NateriSewer�impact
fees are due,.they.must be-pald.pnior�o p�rmit-lssuence�in accardance with�appllaable Pasco'.County ordinances. �
C06dSTRUCTI�N!:Q#�id t.�ltlf(Cfie�pt�r 7'03, ��os�da Sfiatcat���a��ttm�ndet�): If valuat6�r�o#'wortc is$2,500.00�ar more. 1
certify that I, #he �pplicant, have-be�n pravided with a aapy of the "Flor6da Construction Llen Lau�---Homeowner's
Protectfon Gufde" prepared by the Fioiida Department of Agric�lt�re and Consum�rAfF�irs, if the appttcant is sorayeone
other than the°owner", 1 oertify,that t h�ve.abtai��adE�a'copy,of.the:above..describeddocument�and.promise�in,gaod.faithto
deliver ft to the'.owne�'•prio��#o�cornmencement:` �
CQNTRAGT{}R'SJt}WNER'�AFflDAYiT: 1.ce�t�'jr=that alt the�.6�ormatlon I�thi��pplicat[on is accurate and that a!i wnrk
will�be done in compliance with a91 applieable laws regulating constructlon, zoning and�land�develapment. Applicatlon is
hereby made to ob#ain .a permit ta do. work;�,and instaEla#lon as tndl�sted:• :1 ce�ti�y that no wark�or 3nstailatlon has
commenced prior to issuance of a permit and that.all work wiii be perfarmed�to meet standards of all laws regula�ing�
construction, Caunty and Ctty codes, zo►�ing regu9atl�ns, and land development regulatlons-in the Jurtsdlctton. i al'so
c�rtify that 1 undersfand that the regulaftons of�ther government agencies may•appiy�to the intended work, an�that it is
my responsibili�r ta identify•wh�t.actions I rrwst take:M be,in:.cartlpllance: �;uch agencie�6nclud�but are,not Ifmlted to:
- �epartmenf of Er�vironmental�Protecttcn-Cypress�.��ayhead�� 1t�et0and Area� and Envlronmentally Sens6t#ve
l.ands,WaterNVas#ewater Treatment.
- Sauthwrest Florlda Water Management� .Ristrlct Wells, Cypress.l�Bay_heads; Wetland Areas, Alt�ring
Watercourses.
- Army�orps af Engineers-Seawalls, �ocks� Navigable Waterways. �
- Department of Hea4th��& Ret�abllttative Servlce�lE�tvironmental He�lth 11h1t�lVell.s, Wastewater�Treatment,
Septla Tanks. � ,
- US Environmentai Pratectlon Agency Asbe�tos aba#ement. -
- Federal Aviattvn_Auihority-Runways.
I understand that the foliawing:restricttons apply to the u�se of flll:•
- Use of fild is not allowecf 3n Fload Zor�e"V"unEess exprassiy permitted.
- If the fiil materlal is to b.e used. In �Flood Zone. "A", (t is unders#6od that a drainage pla�n addr�ssing a
"compensaEtng volume"wiii be submitted at time v�f permittfng whlch is prepared by a profe�sfanai englneer
llcensed by#he State of`F�orlda: �
- If ihe fIA materlal is to.be used In Flood �one "A" In�aonnec�ion�vdith�a ��ermitted building aasing�stem uvall
� construction, I cerfiiy that�II�.v+��li-b.e�sed onCy.to fill the area within the�stem vvatl. ___
- If fill material is ta be used In-any area, I �certify that .use of such flll will not adversely affect ad)acent
progat#ies. #f use af fil) ls f�nr�d to adversely:�ffect ad�a�n#-prc�pe�ties, the owner may be ci4ed fa�r vla�ating
the conditions of the building:permit Issued under tha ak�ached p�rmit applicatian, for.lots less than.on� (1)
acr�whfch are elevated�by illl,�n englneer�ed dralnage plan Is��qulred.
If t am the AGENT FOR TM�CIYVNER, I�promise In goad faith#o isfiarrrt#he ownet af•the permitttng canditions sef forth tn
this affidavit`prt�r#o commer�cing ca�nstructlon. I underst�nd theta•separate permit may be requtred for electrical vvork,
plumbir�g, signs, wells, poals; alr canditlonln9,.9a�s� or ot�ec In�#alt�t�ons noE�spec�l�ily Indu�isd�in.tF�e appilcation. .A
permit Issued shall be consteued to be a�Iicense ke� proceed with the work and not as.�u#hoNty to.vlalate,.�ancel, alt�r, or
sek asid�any provisi�n�of tl�e#echt�lca!ctades; nor shall issuan�e�of a.permtt.prevent the�ulldtrig 0�1clal from thereafter
requirin.g a correc�ion�errors fn plans, consti�netian or vtoiadtons of any codes. �very-pt�rmi#issuad shall became invaiid
unless the work a�uthorized by such permit:�ls-commenced•within sUc month� of permit Issuan�e, or if wr�rk_autharized by
#he permit is suspended��r.a6andoned�for a:periad of s�c{E3}�ontF�s.after the#Ime the wo�k 9s cammerecad. An ex#en�0on
may be requested, In writing, ftom the Building,Official for a perlod-�not to exceed nlnety(9q) days and will derr�onstrate
justtfiabfe cause for�She e�enslon; tf work cea�s�es:for nlnety.(90)r.ons.ecutive day.s...th��ob�is-cons{deted aba�done�.
WARNING TO OWIdER: YDUR.FAILURE�TQ..�E�E.C.O�tD A.MOTIGE OF�COMMEMCEMENY�MAY RESULT IN YCCyUR
PAYIRI{9 YWICE��C1R I�iI1P�ROVEMEI�lTS?t).YQUi�:PR£�PEF�TY. I��Y�.U�1M'�EE�i1ZD'hTQ"�iB�",I�IiN��FIN�►N�1NG,'CCliE1SL1lT
WIT U D A TTLl N � C1. E��.� CO d f�� OU ' � `O .�� �°' � E �E
FI�RIDA JURA�{F.S:1_ 43)__ - `` - — . �`
OWNEit OR OEN7l �- .GQ.�..�..� COPITItACTC# �72-e—
Si bsr�,rlbed+��m M r aNirmed �r e this S scrl ed'a (ot��ed)� ra me tP�P�s
'� � ��It.���'���v� �t���
Wlio Is are �sanally knovm t e or has�have produced Who.is/a�per8onallykno • 1ne or hasJhave�produced •
as�dentlHcatlpn. as Identlftca8on.
�
,
' �'-� hlotary Publta . /��v Nofary Publlc
Com 15510fI N0" ••�"""'�-•. A A.CADpPBELL , CORIRi18910�N0. ..����^��., MPBEII .
.r°„�,�:� Notary Pu6lic-State of fkorida ;2�* ;�°; Natary Pubtic-State afFtarida
- ' ' - CommissionkGGii2939 = •�� .e
ommission#GG 112439
Neme ot Nof2ry oN'�fa111p�tlPires u 19, Neme ot Notery typed, phe�Xomm.Expires u ,
„°xFt.•�•'` NandedthroughHationalNotaryAssn. '•.:FaFft°,.�'
, gonded4tlroughNatiflnaiNoiaryAssn.
� . -='� }`�':;,;:.
x, - •�:,�-<<- ; .r.b4:;.:.. :i..�9 �'�'' f1�I��
. .. ,.` �,�a� -�:�::�,,.;:;,�.::,;:
. : :: �r,-;.i �• L�i�..�:1.i�lL�
, �, .,. VM� ,
<�1'y'�� ;�.�, �;�,� t� - PROP��`E GA5 •
�� .;rt.: �� :�:, �..��� Ser.vice Order/Proposa�
..;�.' ��`:_ A�D�:�'� �rtc.
-:.� . ,�r�; .. .__... _....1_. . .. .
"8 i 3�7s2��5o�3 Inv��ce
, `- _""� �. WaRK ORD�ER#fSERVFCE�tAh! ?99�4 RUG
��'� Sa1es, Service & instatlations UATEfT IME TAKEN �i8/i 7!i 7 �9:4�
��``��4'� A(len Rd. • Z�phyirhiils,�FL 33541 TAE�Elv S� sH r�5
DATE/T I�IE Rl20M I�ED
NOTES: CUSTOMER#lLdC�TION �1437`
. R0�3TEf SE�,? AU.�.�
��3�'���`G����'�
ALLEGOC3D, I?AtJ I D ALLEGOOD, DAU I D
554E C4TH �T 554E ;�4TH ST
ZERNYRHILLS � FL �354� ZEPHYRHILLS FL��54�
. . :��"�`�"���?'��"'
;�r - . _ - ;�,f; �,...� ..�.. =�u.;�
;; :,' F,�-' ��;,:.
_....����i---...___�,,,.�..__...f.__.._---,.,._...��_ .�_��..._�_�_....�..._.�_...�__�,— ---t-- ----t--
_ 2 Ta� i°.��,� � � i
�,o r � �
� ,
, ,S' � , �
� �
• � - �! Q r+� �. E �
' , �
� ,
� � �
_ < <
�
� �
N� s' y i i
f.;�;� s.' �',��'��.. •r� ;,a9r... ��, a�i�`�'r'�3•� �-,�',�,' .
.��a.' .ar� I I
.3'�s. ty�Ic� w..� . Ly ,N .� . .
�' � �
z�>,� :-:•:��� ::.4.�.���k;�<.�_ ��h, - �: r�' Pressures Lo HI T-Sfat i �
. . . j'" x;�' � ����.� .-"ws.�,� t-':ss;. �irt:"�'�'�' �'�' ?'"�^���� �
:<�!„ ;.'»: ,�''�k'- s.�rr��. �,�,��'�„�-.''r.,�,�x . '=�:� �`�r`,,.� I
+�.��:' -��......r��ir,.n..a�t�.=.'""..rs`���.•a�:r•-'i.�''S�.-'�
PILTEFtS x x Changed'Monthly I I
FtL7ERS x x Ghanged Mont�ty � �
�7i4;��t •• a. ^�i^:ii " b �t'x�,
❑ REGULAR ❑WARRANTY �� �y,- �:'�`"r
,ak���
..;.�f �� -,.T"r�' � a.'��`;y,
:.pr-wy,t�'u -=e3'c:: _ - arut:� " .i,r; a. :;.�'�i�' .,. -
�;VVhen here�� : ;�When Away = T-Stat ` ❑ MAINTENANCE CONTF2ACT
.:�; �,..�: SEFtViCE i
t1MlTED WARRANT"Y: All materials�Parts and equipment are warranted by the manufadurers' • �� „� . '�" - � . � '��,�"�r� CALL �
or su piiers'written wartan o�i.Al(tabor. ',' ��'' ,.�w.., . . :5-=�F.--��� - ���;v��
p ty y performed by the above named campany is warcanted for TOTAL i
30 days or as othen»se indicated in wsiting.The atrave named campany makes no other wartanties, ❑GASH ❑CI(#
express or impiied,and its agents or techniaans are not authorized M make any such warranties on (4tSATEF2(AI..S �
behaSt af abova named company 0 DEBIT 0 CFtEDtT C3 OTFtEFt MAli+lTENAPlCE �
PROG. W ! C �
. !heve auUsarity b order Ne wark outliasd�a6cva whlch-has be�n saUsfaetotlly complei80.!eg�ee fhat Seller i
'etains tltle W equlpmunNmatarieis fumtshed untll flnHl'payment ts rtwde.it paymeM is rtot made as agreed, C�N(#
seller can remove said�aqulpmenUmatarlals et Seller's expanse.My damago resultlng Nom sek ramwal rhall �
rroi be the respons�➢liyoi Seltar.NEi 30 DAYS.A 1 1/2%SERVICE CW�RGE Wilt BE A4DED MONTHLY TO � i
ALI.UNPAID BILLMICES OVER 30 pAY3.NO REFUNDS DA7E MPLETE . �
� TECH: - . TAX �'��^�;����Gf
Ct1STOMER StCaMA7URE aArE �yow TOTAL �QD
...�w