The URL can be used to link to this page

Home My WebLink About17-19115 CITY OF ZEPHYRHILLS � 5335-8TH STREET ` (813)780-0020 19115 BUILDING PERMIT � �� PERMIT INFORMATION-- � LOCATION INFORMATION - i Permit Number: 19115 Address: 37434 DERBYSHIRE DR 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-1110 Improv. Cost: 5,099.00 OWNER INFORMATION Date Issued: 12/08/2017 Name: PAGE, BRIAN Total Fees: 70.00 Address: 37434 DERBYSHIRE DR Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/08/2017 Phone: (813)780-9280 ' Work Desc: A/C CHANGEOUT 3.5 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00 � `� Ins ections Re uired DUCTS INSTALLED DUCTS INS LA 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 im rovements to our ro e . If ou intend to obtain financin consult with our lender or an attorne p Y p P �Y Y 9� Y Y 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. 4 CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ' Fax-813-780-0021 `'�f !�1 f o��-ltl�-�,�� City of Zephyrhills Pecmit Appiicatton / 8uitding Department Da#e Rscelved � Phone Cdntact for Pemllttln b/ � �b o�J - .l �� Owner's Name 1�'!V t�" e' Owner Phone Number O fJ�' / d� I�c�G�.� Owner's Addrsss �� 1�-'� � f r Uwner Phone Number � � Fee 8lmple Titleholder Name �� Owner Phane Number � � Fee Simple Titlaholder Address Jd8 ADDRESS � ��T �?t SO"7/I'� � LUT# C__� SUBDiMtStON ��"��Il.�/� PARCEL ID# !� �� `"'l GY� '�� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED „ e NEW CONSTR� ADQlRLT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED�USE [� SFR [� COMM Q OTHER TYPE OF CON87RUC770N �] BLQGK ' Q FRAME [�. STEEI C] RESCRIPTtON OF WORK ��5. "'I� L/ /'�'!iI ��-[a �i S +/o� o� Cd�"7 D/!,� BUILDING SlZE � � SQ FOOTAGE HEIGHT C�� OBUILDING �� VAi.UATiON OF TO'i'AL CONS'i'RtiCTION QELECTRIGAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ - �� C]MEGHRNICAI r$ ��)t�� VALItATiON OF MECHANICAL tNSTALLATiON ] L�..�� QGAS Q RQOPING [� SPECIALTY � QTHER FINISHED FLOOR ELEVATIONS C`�� FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTEREb Y! N FEE GURRER Y/1V Address license# i !� ELECTRICIAN � COMPANY - SiGNA7URE ,,,_,,_w �` REOIS7ERED Y 1 N ��cUR�� Y t N Address LEcense# i �� Pi.UMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address Ucense# � � �w�c�ar��c� � ` connPnr�7r A�f�i2� DpA�� .-�—r � SIGNATURE L��'-� REGIS7ERED Y/ N FEE CURREA Y/N Address � �� license# (LilJ�n��'�O � OTHER ,COMPANY SIGRiAT11RE REGISTERED Y/ N . FE6 cUrtrtEn Y/N Address —f—f_f f_f_f � License# � � RESIDEMTIAl: Attach{2).,Rlot;.Flans;(2)'sets of<Buililing�Plans;(1)set ofEnergy�Faiisf's;F2-t7=W Permlt far new construc�on, Minimum:ten�(10):warking;days.after submittai date. Requirei!onsite,Canstruc�on Plans;Stormwater'Plans w!Sift Fence instailed, Santtary Facf{I'�es.&:4;,dumpster�Slte•Work�P..ermit for,subdivisionsliarge projects GOMMERCIAL Attach(3}cocnpfete sets of BuliiS(ng Pians pias a t�fe Safety Page;(1}set af Energy Forms.R-O-W Permit for new construction. Minimum ten(10)workfng days after submithat date. Reqaired ansite,ConstrucNan Plans,Stormwater Plans w/Sflt Fence instalied, Sanitary FacHiUes&1 dumpster.Site Work Permit for ail new projects:All commercial requlrements must meet compllance SlGN PERMlT Attach"(2)sets af Enginaered-Plans. ""PROPERTY SURVEY required for ati NEW canstructlon. Directtons: ` Fiii ou#appEica�an campletely. , Owner B�,Contractor sign back af applica8on,notarized tf aver�2500,a Nottce of Commencement Is requlred. (J41C upgrades over 57500) "' Agent(far the contractor)ar Power of Rttamey�(for the awner)wauld be someone wlth nota�ized(ette�Erom awner aufharizing same -t. ._,.::....��..�...,�z,.... . _.. . �.._.�_,:,.. dVER TNE COUNTER PERMITTING" ��""�(FronYof Applicaddn Oiily) , - , , „ : Reroofs if shingtes Sewers ' Service'Upgrades ALC Fences(PioUSurveyJFaotage) . ' ' Driveways-Not over Counter if on pubiic roadways..needs ROW . . � , . . •:N.; ,,.,,, . �- • �- , . ,. . , s . . , - .- r , � `.f �I ._. ....:. .. . . ..............._.w._. �w._-:_.=__�-___.�.--.__�..:.._..._____-�_ _,�_.-_.. _,-__.._....._.... . idOTiCE OF D�ED RESTRICI'IOMS: The undersigned under�tand��:.th�t-thl�;p�cmif.may.be,subJect to"deed"restrictions" which m�y be�more=re�t�ictive.-th��County��regulatfons: �The undersignedassurries'�espan�itillttjr�for`compllance wilfi any applicable deed-restricttons. . • UNLICEMSED CONTRACTORS AND CONTIZACTOR RESPONSeBILOTiES: -!f the owner h�s �hired a contractar or contractors to undertake work, they may be;r.equire.d::to.,be�llcensed In accordance.with state.and•local regulatlons. If the � contractor Is not Iicensed_a� requlced=by law, both the owner and conVactor°may be-�cited for a�misdemeanor violation und�r state Iaw. If the owner or Intended contr;�ctor�ere,uncertaln as to what Ilcensing.requlreenents may.apply-��forthe Intended work, they are advised to contact the Pasco County Bulldfng'Inspection Divislore—!_icensing Sectton at 727-847- 8009. Furthermore, If the owner has hlred a contractor o� contractors, ha Is advised to have the contractor(s), sign portions of the "contrector Block° of thls application for whtch they wlll be re�ponslble. If you� as.#he oviiner"stgn°as the contracto�, that may be an indication that�he Is noY.properly Ilcensed and�ls not entiQl�d to perniitting priiiileges in Pasco i County. TRANSPORT/�TION..IMPAGT/UT10:1'�IES�OMPAC'�AN�I�E�OURCE RECOifERY FEE3: Th�underslgned under�tands 9haQ Transportatlon lenpact Fees and.Recoutse RecoVer.y.Fees may':apply�to�tMe con�tnictlon of new buildtngs,�change=of use in existing buildings, or:expansion>of-}ezisti�i�g`buildings, as speclfl�d.in Pasco County Ordinance number 89-07 and �, ' 90-07, as amended. The undersigned also:u�derstands, that:such fees,�as�may�be�due„wi11-b� (dent(fled at the�time�of. permitting. It Is iurther understood that Transportation Impact Fees and�Resowrce Reco�ery�Fees must be paid prior to receiving a "cerffficate of�occupancy" or flnal power�release. :If�the.proj�ct,.does.not involve:a-.certific�te of o�cupancy. or flnal power release, the fees mu�t be paid prlor do permit issuance. Ft��thermore;if:Pasco County 1Nater/Sewer Impact fees are due,.they.must be=pald.pr:lor to permit�-Issuance°in accordance with appllcabfe Pasco�County ordinances. � COIdSTRUCTiON 9:IER�"I.AW(Ch�pt�r 713� FEerlda�tatutea, �s acnende��: If valuatlon of work Is$2,500.00�or more, I certify that I, #he applicant, have.been provtded with a copy of the "Florida� Constructton Lien .Law—Homeowner's Protection Gu(de" prepared by the Flo�ida Department of Agric.ulture and ConsumerAffairs. If the applicant Is someone other than the"owner", I certify that I have.obtained�a�`copy.oP.#he:above:.rfescribed�docur�ent�and.p.r.omisein,good falth to deliver ft to the'.own�r"•.prior:to�cornmencement: ' . CONTRACTOR'SlOWNER'S AFFIDAVIT: I.certify:.that�all.the�.lnformatimn I�thls appllcatlon is accurate �nd that all work will�be done in compl(ance with all applicable laws regulating constructlon, zoning and:land�development. Application is hereby made to obta(n .a permit fo do_work.:and Installation as indicafed:�• 'I certffy that no work or installatton has commenced prior to issuance of a perm(t and that.all vuork will be peeformed to meet standards of all laws regulating� construction, County and City codes, zoning regulatians, and land development tegulations�ln the jurisdtction. I al'so certify that I u�derstand that the regulatlons of other government agencies may�apply to the lntended work, and that it is � my responsibility to identify•wrhat.actions I must•take:to bes9n:.corr�pliancs: S.uch agencies include but-are.not Iimtted to: - Department of Et�vironmentai�Protectibn=Gypr�ss.Bayhead�, VNeiland Areas and Environmentaily Sensitive Lands,�9Pater/Wastewrater Treatment. - Southwest Florida Water Manag�ment: .DBstrict-Wells, Cypress.� Bayheads; Wetland Areas� Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Idavigatile Watervuays. - D�partment of Health� 8 Rehabilitative Seevices/Environmental Health U�it Wells, Wastev�aater�Treatment, Septic Tanks. � _ - US Environmental Protection Agency-Asbestos abatenn�nt. - Federal Avlatlon.Authority-Runways. I understand that the following.restricNons apply to the use of flll:• - Use of fill is not allowed in Flood Zone"V"unless expressly permitt�d. - If the flll materlal is to be usetl. in �Flood Zone. "A", ft is urederstood that a drainage plan addressEng a °compensating volume"will be submitted at�ime of permftting which Is prepared by a profess(onal engineer Iicensed by the State qf Florida. - If ihe fill materlal is to be used in Flood �one °A" in�connection�wlth�a�permitted building using stem wafl � con�truction, i ce�tify that flll�:wlll�b.e used oniy.to.fill th�area withEn the�stem•wall. - � If fill materiai Is to be used in �ny area, E �certify that .use of such flll wlll no4 adversely affect adJacent prmpertfes. If use of flll Is found to adversely:�ffect adJacent�propertfes,.the owner may be cited for viofat(ng the condilions of the buiiding,permit Issued und�r the attached permit appticatlon, for:lots less than.one (1) acre which are elevated�by fllt, �rt engineered draln�ge plan Is required. If I am the�lGENT FOR TH�OYiINER, I,?promise in good faith to inform the owner of�the permitting conditfons set forth in this affidavtt�prior to eommer�eing eonst�uetion. I underst�nd that,a<separate perenit enay be requlred for electrie�l work, plumbing, signs, wells,.pools,. �Ir conditioning,.gas, or ott�er install�fions no�.speclflcally included-in.fhe application. .A permit Issued shall be constcued to be a�Iicense to proceed w6th the woek and not as:authoNty to,violaQe. cancel, alter, or set aside any provisions of the technical codes;�nor shall Issuance�of a.permlt.prevent the�ulldirig O#fictal from thereafter requfring�correction af enors in.plans, const'uctlon or violations of any codes. Every permit issued shall becom�invalid unless the work authorized by such permit:�is-commenced within stx m.onths of permit issuance, or if work authorized by the permit Is suspended or.aba�doned�for a:period of�six�(8)montF�s.after the tl►ne the wo�k�is commenced. An extension may be reque�ted, in wrlting, from the Building,Offlcial for a perlod.not to exceed nir�ety�(90)-days and will demonstrate justifiable cause for.�the extension. If work ceases.for ninety.(90)cons.ecutive days�..the)ob�is.considered aba�doned. WARNING TO OWNER: YOUR..FAILURE•TO..REC.ORD A.MOTIGE OF�COMMENCEMENT NFAY RESULT�IN YOUR PAYING TWICE.FOR IMPROVEM�BVTS�TO YOUE��PRL�PERTY.�IF°YO.U;IN'�END�T�'��TAIN�� iN�ANEING;�CONSULT WIT U D AN � O N �. FORE�. EC• �� Es':� OU �' • � � ` ` E �E � _- ---- - P�;P'r.i'vi�S°vt'�Fsi�r.�: .vor -- - � - - - - - - -._ OWNER OR AOENT � CONYI�ACTO �2�- � Subs _bed nd s or afli�ed before me this Subs b�d and' (or a(flrm�)'befol�e me'ftils � o'�-�/ by � ' � � VYho is/ar personally kn to.me or has/heve produced o.ls/are p rson� �to me or haslhave•produced • as Identlflcatlqn. es Identlflcation. � � . � � �� ' .�ti�-�'+�- �� . a�'`��`=�� Notery Public . ' � . Notary Public Co Isslon No: Com isslon No. 'r°�,PyPG,�:_ NotaryPublic-StateofFlorida '��, u:��': NotaryPublic-StateofFlorida Neme of Notary typ •. -st Neme of Notery Qyped,p�l � Sg�N Comm.Ex ues Jul 19,2021 ;,,� o�,,- �F�1,i @ .Expires Jul 19,�021 :;9��,��,: Y P •„OFFl-�. yondedthmughNationalNotaryAsm. BandedthmughNationalNotaryAssn. _ -� - . � � H � � ' � � PROPANE GAS Service Order�Proposal � � AND AIC irvc. Sa�e �988 8 i 3�782-50�3 � In�oice i.�i,�F: n��t F F;;, ,_.�.F��,�,.r_-t:.:�1��r.i ,�„_�7_-,- E��a� Sales, Servic.e & Installations i��;-i��_. -�-7r>>� ��-:=u �,�a �.,_� ��+ - � -�- �'��xn =� 4441 Allen Rd. • Zephyrhilis, FL 33541 ;-;-�t:.r t�., �:�, _�=;F�H�- �,�=, � I+' r r ''t `.d- f'r 'r'r=_'� >TES• � r" c..� ��4-� f !•_, i .�;•�(-: l=f��:) 1 i .��:J � . 1!> s'ri ,. _ ! � ' _� _ �`;I�; f l��`V�'}'?�if c �J�:;-1�� .C.;f�.. 1. :.�:��)F�, �_.��...1�:7f.i;: �� _ i _. ,'ti�%�- :��: _;vl F'lJ'..l �t:. -��E_G! ' f_-�i�" �;� �.:'`+�:' ]. . � � t�`i;=�. i, -I; �:�r-1�i�C;l: . M �� \` � �� ( I � � 1 P f-!r=,;-:, k',f'i��1=�h,� ' �-'F;t�[ , �'r• ! 1-i!',1 — -;i� T�C_L��f ,r+ f�t" r. i -. _.. ',r r�r} .- � � �r- r 1�+ :%`}._ 'r 1.!�.._l�)j� .)�i.�711:' Ll F .:� �^�•I�:�' I•C}'t c1�T �7��1; Y f I'. t��.-r�r.��E_��.,;�:;�?„ n�F:�r.E�.?P � L F.i-'�••i'�`i�',1'�r�..�.._�.'. ��-i ._i._��,:� _ ,v� �--'I`� . .'.I"I.0�_.f._'._ I� I. J_:._.`a.1"� 1'S1 I I'^'I;^rt� "f't� ' 'i" ``' �""' r.� rt��-r. � :�r . ). ! ._ _� I I_ 4 � � 1-If' w i�i'��f'�I ' i''.i�,�+�-rci�f� ��'Yi�_'':I�a�;til::� :i:��'�, ��L?I.� i :�1�_:�. . _r'�' F��'� � � - i�i� i 1 C f 1; �� ,.� t�'�.'�.';4h �I� =1• ' j::a�� -, ,_�i?i�,7;_�, �_,J) : 1 4'.�,'��'�4"�.= =�" j r'1�-,. .�:� t�' •� 1.�' '�= ' !�,1'!' F?,(=��1 4� „]��I�� r�1 I I��{1 r-� I.;i i-; I,�- I.�')r''��`'I,-I '. ��i 1"a f'.F.:""!._(?i_,�_. � f . �(- : F ._ ,. � i i� _, :�•- t: i-if�. - � DESCRIPTION OF WORK QTY. MATERIALS&SERVICES UNI'T PRICE AMOUNT - . . _ ... __ ..._.. ... . . - -.._ _.... . .__. _ . .._ ._........ .... .� - --...._... - -- -- ----�-- --�----..... ----- - - -•- --- i ... _. . . , . ._.. .. - -- - -- .._.._._. _ ` ' � / � �✓ �/��Q r�/,L l• ir/ �.i � I !✓ / I I � � .S �!�/Z !J/V. � � � � . 1 /D % �/�dC � r L�Y ��i/ I I . � � � .r- / � - �-._.,/� r_ ! � � G(i��f/ . �� R �E � � � . _ - � � . � ��t� -� r � ' � � � r � � � iG it�r i i �.��p �� ' -RECOMMENDATIONS ' � ��' ! - • • i i ` i i �I Maintenance Recommended by All Equipmeryt Manuf�cture�s. , • -� ,- Pressures Lo HI T-Stat i � i i . , REFRIGERANT R- LBS. $per Ibs. � � • __ F1LTERS x x Changed Monthly I i - : FILTERS x x •Changed Monthly � � �� ❑ REGULAR ❑WARRANTY TOTALSUMMARY �wmidistat Settings: When here"ON", When Away 6�, T-Stat 80° 0 MAINTENANCE CONTRACT SERVICE i 7TED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL i ypliers'written warranty only.All labor performed by the above named company is warranted for ays or as olhenvise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i �� ess or implied,and its agents or technicians are not authorized to make any such warranties on tfotabovenamedwmpany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � e aWanry lo order Ihe work ouUined ehove which has heen sa�is(aclorily completed.I agree Ihal Seller • PROG. W / C � �s Ctle lo equipmenVmaterials fumished unlil final payment is made.II payment is not made as agreetl, CLAIM# � can remove said equipmenVmaterials al Seller s expense.Any damage resulting from said removal shall e ihe responsibility af Seller.NET 30 DAVS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO � lJDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED � /�� ' � '�."� /�Z/f;/.� TECH T� i fJ ,�`` � � � / ,, 'o 0 �/y/��,,,/ ��J�, fOAIERSIGNATURE DATE ✓'�,v�v ✓(/�cc TOTAL ��