HomeMy WebLinkAbout17-19122 CITY OF ZEPHYRHILLS
` ` 5335-8TH STREET
(813)780-0020 19122
BUILDING PERMIT
= PERMIT INFORMATION - - - �=� ��LOCATION INFORMATlON - -
Permit Number: 19122 Address: 37546 LILLY BEA AVE LOT 242
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s):242 Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2420
Improv. Cost: 5,300.00 OWNER INFORMATION
Date Issued: 12/15/2017 Name: HILLMAN DELBERT L & LINDA M
Total Fees: 70.00 Address: 1426 N AVE
Amount Paid: 70.00 STANLEY IA 50671-9544
Date Paid: 12/15/2017 Phone: 319-283-0505
Work Desc: A/C CHANGEOUT 3 TON
CONTRACTOR S APPLICATION FEES
CHRIS' A/C COMPANY A/C ANGEOUT 70.00
r ^
� l
Ins ections Re uired
DUCTS INSTA LED
DUCTS INSULATED__i���
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 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.
/� -- � �Gr�2l'�
CONTRACTOR SIG��� URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8��-780-0020 City of Zephyrhills Permit Appiica#ion Fax-813-780-Oq21
° " Bullding Department
Date Received , � ' �•f/`� � Phone�Contact�for Percn[ttia � � — ��
Owner's Name 4 " Ownar Phoae Nnm6er � �..��
Owner's Address ' ' /G �,t,. f Ownar Phone Number � �
Fee Slmple Titleholder Name � "Owner Phone Number � T �
Fee Slmple Titleholdar Address
JOB ACIDRE88 � /�/ /L Gcr LOT# ��
SUBDiVIS10N , *��� �,��zv �� PARCEL ID# �� � - (/ �� ��d�� c�7 �
� ' . (OBTAINED FROM PROPERTY,TAX NOTICE) -
WORK PROPOSED �.-NEW fi0N5TR ADDlAi.T � StGN Q ' Q pEMOLISH
iNSTALL REPAIR •• �
Pt20P05ED:USE . • � SFR� Q 'COIVIM' - � � OTFtER
TYPE OF CONSTRUCTION � Q�- ��BL.00K " C] FRNNE ["�� "STEEL Q -
pE3GR1PTION OF WORK � � � � ` �` �' G{� _
Btl1lDING"SIZE''� ��'Sq FOOTAGE[� . . :�HEIGH7'� -.
��u��'���� L , � VALUATION`OF�TOTAL"CONSTRUCTION � � ` `
QELECTRiCAL , .�� AMP SERVICE Q -PRQGRESS E�tERGY Q W.R.E.C:
[�Pi:UMB1NG �� .
MECNANIGAL $�r a VALUATtOi�t OF:MECHANtCAI.IP�I3TAL�ATION
�-- [��.��.
Oc,�s [� ROOFING .Q sPeci,�.rr; � t}TNER .
FINISHED FLOOR ELEVATIQNS ��� FLOOD zONE AREA QYES. ,NO
--BtJF�.E?EEt__.__._ _ __�____ =--__ - -- --
__ _ _____— . _ _ _�__ ._C43Mi'i+�4iY� ___. . ._ __ =_- -- - —.�- - ------
SIGNATURE REGISTERED _ Y/ N FEE CURRE� Y/N'
Address ' � Gcense# � �
EtECTRiC1AN- , .�COMPANY - � �
SIGNA7URE � REGIS7ERED Y/ N F�cuRRen 1' �'Y/N'
��, . .. (�� ,. -
Addra`ss y ` ' . � - ' , License-#�(� ' ; �
E��UMBER ' .. ' . ,� �COMPANY , . - , ,
S(GNA7URE� " K �REGIS.TERED - Y_/.N ',;FEE CURREA Y/N �-
Address , ; ;LicenSe:# r _ - �.� •
MECHANICAt:' ' � ' . COMPANY � .. . �� �
SIGNATURE - ' REGIS7ERED.� . N , � FEECURRE� � •%N
Addre�s'' G� : (f•' --1�'� �` ' , ' Ucense# �� �J o �,,,����
05HER '- . - -" � w. _ �� .� ., ,. _ '4'GOM�ANY ; ,
SIGNA7URE ;�..�.. . ,,. �y..,,�,.;,:. ,w :<. ;„ ., ,�; ;�: ...•',.RE pc,r .. �
�� � GI$7ERE Y/ N ., ' FEE CURF2E� Y/N
Ad+dress s ,,: ,� . - �` y r , � Licen e , .
, . .-.. . . - • s # I ' , _ �
"y'<-�.i,,�„ " �'";1,a�.,'er.�.. ..7. .
REStDEN�,::,; AttaeFr(2)„Plot%Rlaiisr;(2}sets=oF'Bulli11ng3 Plan's�(1}se#af'Energy=Faims;'R=Q=1+ff�Paririlt fbr new construction, . ,
- : ;�;:Minimum:ten°(•10):woricing?days�aiter;subtnittal tlate.°_Requlred onsite;C�n§tructlon Flans;'Stormwater°Plans�w/Sflt Fence Installed,
���Sanitary Faclllties;&;1e,dumpste_r,ASite`Wor1c:�Permit,for:subdivislonsllarge:;proJects.',,::=�.r_ ' n � '� °
COMMERCiAI. At#ach{3)coinplete sets-of�B'uitdliig Plans plus a.l:lfe�3af��tjr`Rage;�{'1}set af Eaergy Fomts.R-O-W Permit far.new consttucfion.
Minimum ten(10)working days�ai#er submittal date. Requlred onsite,Construction Plans,Stormwater Plans wr/Silt Fence installed,
Sanitary Faoilitles&1 dumpster.Site Work Permit for all new.proJecfs:All commercial requlrements.mus!meet compllance '
SIGN PERMlT AttaciF"(2}sefs-of Englneet;et,irPlaii's:;��;;:t� ':��, ,. �.,�.�:.- ,. - . ..
"•"PROPERTY SURVEY reyuired ier all NEW cons.tructlon.. _ . .
Dlrecttons: . ... � .. .. . �
� Fill out applicatlon completely.
Owner 8 ContracMr slgn back of appllcaBon,nobrized �
If cver�2a00,a Platice af'Commencement t�raquirad. (A/C tspgrades over$7500j ,
,_..:.r,::�;�-•;,:..- .
,... , . _ ., . _� _. �.
`" qgent(for the contraotor)'or'Powe'r'of Attoiney(fo`r tFie owner)would be someone with notarized letter from owner autho�izing same
OVERTHECt1U[�i'�ER.PERMIT1iNG-�- -=--,{Front-of-Appfilcatton'Only)- °•- - �"
Reroofs if shingles Sewers Service llpgrades'�A/C. .Fence§(PIoUSurvey/Footage)
- -. _. .�_. _. .._..___ .,_ . .�.�:_ , _ . - ' � � - ..f-_.
Drivewaya-Not aver Counter if on public roaduvays::rteeds ROW;`, ,�
�
-:r
_ . .
• � ..,_..,,..:�,;,�,.
NOTICE OF DEED itESTRICTIONS: The under.signed.undergtands�:th�#;�hls..p�rmlt pmay;be;subJect yto,_°deed"_restrictions"�..:_�� "4;;.��
which may 6e=more:r.est�ictive=th��County-regulatrons.��TFie�uriderglgned�-assume's�responsibilltji'.for.compllance=:with�any�' ".`�".
appqcable.deed resMctions. •., - �.. • . , .� �.., . ___. .
UNLICENSED CONTRACTORS AND CAN�RACTOR RESPONSIBICITIES: --1f�-tFie��ovmer�has��h(red��a�:corotractar or
contractors to undertake work, they may;be�r,equired>torbe.ltcensed:ln�.ac�rdance.with.state.and;localrregulatlons:��if=the� �� -� �"-'
contractor�Is not Iicensed-as•requlred'�tiy law, both-�the owner.and��contractor-��may�be�cited�for°�a`�misdemeanor violation
under state law. If the owner or Intended..;;contractor.are.uncertaln as to whaC Itcensing.VrequireRnents�may:apply���for:�tlie�.�� r��� �'
intended work, they are"advlsed to contact the.•Pasco County Building:�lnspectton_D(vlslonw-Ltcensing Section at 727-847-
8009. FurtFiermore, If the ovirrier`Fias"hired�a con�acfo� o� coritractors, he Is advlsed to have the contractor(s),;sign ,
portions of the°contractor_Block° of.this.appllcatlon.for.which_they will�be�r.esp.onsible.- :If:you,:as:the owner`s'ign�as�flie'"' ' � �
contractor, ihat�may�be an indication that'iie-ts�not prope�ly`Hcensed ancl`�is�not entiNed to pemiitting priitlleges In Pasco _, ,
County. _, _ ' . �,... . ,.,_ __ . : �<.._ ., :
, . _. . . _.. _ . .
TRANSPORTATION.:IMPACT/UTILITIES rMPAC'�AN�RESOUItCE RECOVERY�FEE3:°�The undersigned'understands
that�'ransportation Impact Fees and.Reco.urse Recove.ry_.Fees mey��apply;to�tf�e_construction.;of new bulldtngs�ichange��of=� ���' '��
use in existing buildings, or_,expar�sion{of::ezistin;g:ibuildings, as specffied.in Pasco County O�dinance number 89=07 and:
90-07, as amended.,-,�:he undersigned also;understands, ttiat:'such fees;.;as�may__�e�:due;�will-}be identtfied at the��time=of�=� �''� -�`
permitting. It Is fti"rtlier understcod that Transp�ortation Impact Fees and��Resoucce,:Reco�ery�Fees.must be pald prior to
receiv(ng-a_"certfficate..of occupancy"or flnal-�.power=�elease: :If�the.project�:.does�:not involvewa:�.certfficate of occupancy�or��=��-=��-=���'-�'
� flnal power_-release;:.the�;fees�mu�t"tie patd;prior to,pecmft Issuance. F��thetmore,��if Pascb,C;ounty'�Water/Sewer�;lmpact �,. .
. , .
.,�....
fees are due;.they�;mustbe-pald;pcior�o.permit��issuanee=in.accordance witfi:.appllcable.Pasco�,Coun .�or'tllnances. •
�+ �,
COMSTRUCTION�LIEN'LAIAt�(Cliapt��713� Florlda Statuteg,as amended): li valuatlon of work is$2,500.00;.or more,.i�• �: =;;��
certify that I,-the �applicant,•-have;been-provided��with-a-copy-of the•�`Florida� �onsttictton��Lien°Lav+F—Homeowner's
Protection Guide" prepared bythe"Flo�ida Department�of Agric.ulture and Consumer:Aifairs. If the appitcant is someone . � • :•
other than the`owner", I certifj%.that,l.have;.obtained°a�=copy;of:the:abave::d�scrlbed docuinent:and.p.r.omise;In,good:'faith.to. _ �„
deliver it to ttiee`ownec":p�ior�fo�coinmencemenE:`'' `�' ' ' '" ' ' � `� ` � ,- - "�� - • - -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ce'r:tiGy<.that;all,the,Information.Jn�this applicatlon is accurate and that all work
will'be done in comptiance with all.applicable laws regulating construction� zontng and��land�development. Appitcatlon,ls
hereby made to obtain .a.permit�_to�,do,work.,and installatlon as indlCefed:.-.�1 certity that no work=°or installatton fias
commenced p�lor to I'ssuance of'a permiE`"and thaf.all work will be pertormed�to meet.standards-of all laws regulating-
constructton, County and City codes, zoning regulatiQns, and land development regulatlons�tn the jurisd(ction:' (�-al'so _
certify that I understand that the regulattons of other government agencies may�apply;to the intended work, and that It is
'� my responsibility to identify.what.acttons I must take:M,be�in;corr�pliancs.,S,uch;agencle�include but-are.not Iimited to: z
- Department of Etivtronmental�<Protection=�Cyypress.`Bayh�ead�, 1Netland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment. � .
,.
- Southwest Florida Water Management: ::I�istcict-Wells; �Cypress. Bayheads; Wetland Areas, Altering
Watercourses. - �
- Army Corps of Englneers�Seawells,�Docks, Navigatile Waterways.
- Department of.Health,.;B,.Rehabilitative•.,ServlceslEnvtronmenfal Health Untt-Well.s� Wastewater�Treatment, �
Septio Tanks.._' ' .' ' ' _ � � - :
- l0�Environrnental Protection Agency-Asbestos abatement. - -
Federal Aviatlon.Aulhocity-Runways� ` �
, I understand.that the.followang,:restrictions apply`to the use of flIL••
- Use of flll Is not ailowed in;Flood,:Zone"V"unless expressly,permitted.
- If the'fill"mate�ial Is to"b.e used.�in.�Flood Zone. "A", (t. is understood that a drainage plan address(ng a
"compensating volume" will be submitted at#ime of�permitting wrhich is prepared by a professional engineer � �
Ilcensed by the�tate of�Flo�lda:� - - � .
- If ih� flll material is to be:used In Flood Zbne 'A" (n�connec�ion�with�a permitted building using stem wali
construct(on, I certify that fiil:�rJll:b.e used only.to.fill the area wlthin the�stem�wall: _ ' �
- If fill mate�lal-Is-to be used in any area; I certify that .use. of such`flll will not adve�sely affect adjacent
properties. If use of flll Is found�to advereeEy_:�ffect adJacent:prc�perties,.the owner may be clted for violating �
the condi#ions,of the buildtng'-.permit i§'sued-'under the at�ached�ermit appllcation,.for lots�.less,than.one (1)
acre whtcti are elevated�tiy fllt; a�engineersd drainage plan Is requlred.
i� If i am the AGENT FOR THE OWNER,.i;.pr`omise In good_faith to inform the owner of�the permitting condftlons set forth in
this affidavit�prior to commer�cing construcNon. I understand thet,�a�aeparate permit may be requlred for elecMcal�work.
plumbing,_signs� wells,.pools;. alr conditlontng,�.gas,-.nr otMer install�tions noE�spec�laally included-tn the application. .A ,
, permit Issued shall be construed to'be~a�Ncense'�to'proceed with tNe,inrork and-not�as.authoNty:to:violate,'.cancel; alter, or
set aside any'provistons of the.technical codes;�nar shall issuance�of a.permtt.prevent Qhe�ulldirig Oiticial from thereafter �
r, ., .
requlrin.g a correction o�f errors in�plans; con:sfruction.or violations of any codes. .Every��p�ermlt`Issued"shall become invalid
unless the work authortzed.by such permtt:is.coFnmenced•within sGc months of�permit issuance� or if work authorized by
the permit is suspended�or;abandoned-for:a�:period of�six�)months.after the time the�work�is cortimenced. An extension
may be requested, In writing�;fiom the.Building.Officfal for a period-not-.to exceed niriety�E90)�days and�-viiill'demonstrate
justMable'cause for:the extenslon�. If work ceas�s,for ninety.(90)cons.ecutive day.s...th�job�ts considered abandoned.
... .. „ . _ • . ,
WARNING TO OWNER: YOUR.FAILURE.�TQ,.R�ECORD,A:-(�OTIGE:OF:•COMMENCEMEI�FT:MAY=RESULT�IN YOUR
'� PAYING TWICE;FOR�IMPROVEMEN�'S.T�YOUR�.PRC�PERTY.=1�°:YO.U�IiV�'�END:T��OB�A�IN�FINApE1NG;�ON�ULT
� WIT Y D N�ATTO� N � �R�i,-ECOR�1 G� �OU � : � ;C ` -' �,� � - ,
.. ..._ _ . . ... ..
.. _,;... .. ..,
...
`— � . . -.� 3 -- ----- --_ ' - ------ - - - - - - - - - --- -- -_ — _ .,------- —-_.
3 _
OWNER OR AGEN . CbN7'RACTO �
Subscrlbed an b�wom to(or atNrmed)be o me this Subscrlbed and'swom�to(ot aflirmed)�befo me ttii�
Who is/are personaliy known to.me or;haslhave produced Who Is/are p.ersonally�cnown�to me�or has/have�produced �
as Identlfli�tlori: as Identlflcadon.
Notery Public _ � Notary Publlc �
Commisslon No:� Com slon No. ,,���.����., I
=•: i:- Commission#FF 150422
Name oI Notary typed,printed or stamped Name oi Notery typ d;•�► �or �
,,,,� y Fein Insweneo 800.385•7019
I
I
� ��o��� ��/e�c� ✓���� �D/
� J�����1� �y ,�
' ������9 ��
�,.� � � ���C
.__ � � O � P A 1e1 �
CAC0�75 /EC134107703 �1�OPOSAL
12232 HVYY 3A1 De4DE CF�I( (352�521-�97'l "MOYV PfZOVtDf6dG°°
�
DADE CI�Y,EL 33525 ZEPI�YRklI�LS{8�3)�79-9�'15 '"EI_ECTR{CAL SEttVICES" -
NAME: Delbert Hiilman Date: 12/12/17 sQur sYsrE�n ;� PKG UNR #tv�A
SUBDMSION: Grand Horizons HE,a�trnitP #li# srR.cooL #N/A
ADDRESS: 37546 Liliy Bea Ave 4 �'�'-�
cmr_ Ze,phyrhills FI Z1P CODE: 33541 ONDENSER: �
PHOHE: 319-283-0505 VdORK FR HANDLER: #(�//�
CELL: RENTER: EER RATING: �
E5T11VWtOR: Kameron RAND: #N/a1
' #[N/A
� PRo s000 n�Ew�nosrA7 � tNSTANT REBATE�: � �Q
07A�LESS l�B�e'fE � #Ii�/A
SEAL DUCTWORKTO CODE ONNACyE: �f� PARTS: #IV/A
_ REMOVE IXiSTFNG EQUIPMENT COMPRESSOR: #N/A C.A�OR #PI/A
$Z�SE##fO��FSG��it�T` -
� CONNECTED TO DCISTING Dl1CTS AND ELECTRIC NDENSER ��IV�iC�O3�GA�
' ANCNOR CONDENSER R HANDLER O
TAX,LABOR AND PERMIT �w�nNc: 14
SNROUD • R�tD: �MERlC�IN STAI�}kTacRD� "
.. ._. . , . , . .� e � �����.��
tNSI"ANT R�BATE: $ 950.00
OTAL LESS REB�TE � 4,G97.�2
on�N . 3 Q . �YFi -
; ' . - " e�ssott: 10 YR tABotZ: 1 YR
� ONDEPISER: � •
" �waND�z: - ..� " O '-\
FIRST MAINTE1dANCE CHECK FREE EER RATfNG: ��J
w�rfo: AME[2tCAN STA�tDA�
. O O a ' $ 6,5�3.59
_ INSTANT t�EBATE: $ 1,OOO.QO
1 HAVE THE AUTHORITY TO ORDER THE WORK OtiiLWED ABOVE f AGREE THAT S O'�AL LESS iZEBA'fE $ ��� ,
AINS T7TLE TO EQU(Pf�NT AND MATERIALS UNIb FINAL PAYN�NT iS MADE IF PAYM ONNRGE: 3 PARTS: 9 0 YR •
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUFPRAFNT AND MA7'ERIALS AT SSOR �I O YEZ R: �N�A
� EXPENSE ANY DAMAGE RESULTIkG FROM SASD REMOVAL SHALJ_NOT BE ~
RESPONSIBiLRY OF SELtER. LARRED WARRANTY:EQfJIPMENf�PAR75 AND
T�iWL HAS.WRlTTEN MANUFACTURER'S WARRANTY OMLY.
� i �AC)
����'`/
CUSTOMER SIGNA RE DATE:
_ �• i3937 � ,• /02 - / c� ' �� ,��st�--�; �o� '�����