HomeMy WebLinkAbout17-19162 CITY OF ZEPHYRHILLS
' S335-8TH STREET
(si3)7so-oozo 19162
BUILDING PERMIT
�� - PERNIiT'INFORMATION - ` � LOCATION INFORNii4TION
Permit Number: 19162 Address: 37552 NEW HORIZONS BLVD '
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0660
Improv. Cost: 3,951.00 OWNER INFORMATION
Date Issued: 1/03/2018 Name: OUTMAN ROBERT & DANA L
Total Fees: 60.00 Address: 9327 BAKER RD
Amount Paid: 60.00 GREENVILLE MI 48838-8729
Date Paid: 1/03/2018 Phone: 813-788-1513
Work Desc: A/C CHANGEOUT 2.5 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
��,
Ins ections Re uired
DUCTS INSTAL ED
DUCTS INS LAT
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
��r•��wU�� Gity of Zephyrhiils Permit Application FaX a�a-�saooz�
Buflding Depertment -
� • .
Date Recslvea! Phone Contact for Permittin O f� O – ��1�
Owner's Name j�,� 4 Own�r Pfion�Number �f3��o�"���
Owner's Address ,��� l'�l�1,111,�.� ��v . Ownar Phone Number �
Fee Simple Titlehotdsr Name ��`���� Owner Phone Numb�r �� �
Fee Stmpte T(tteholder Address
�os,a�oREss 5'r"a' �u� �ri zay�,� �1r� , �ot# ��
susQtvis:oN „�r'�- drE 2 r��tJ.S� PARCEF.ID�# J �� �/ �l��G�G�t'J�'4j,`J �l'o��
(OBTAlNEO FROM PROPERTY TAX NOTtCEj
WORK PRdPO$ED NEW CONSTR ADp/ALT [� SIGN [� [� QEMOLISH
, e_ INSTALL REPAIR �
PROPOSED�USE Q SFR Q COMM [,� 07HER
TYPE OF CONSTRUCTidN Q BLOCK " Q FRAME � STEEL Q
DESC121PTION OF WORK ��� � G� t�l7 �'~Lf LL- �/ „/�
BUILDING SIZE �� � SQ FOOTAGE NEIGHT . �
QBUILDING �� VALUATION`QF'TCt'i'AL CQNSTRUCTION
QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY [,,,] W.R.E.C.
�]PLUMBIFlG � � .
QMECHAM1tlCA�. $ VALUATION OF MECHANICAL INBTAI.LATION
' ������ �
i C]�as [� �ooF�ra��.p sP�ci,a�r�r � a��R
' FINtSFiED FLOOR ELEVATIONS �� � FLOOD ZONE AREA QYES NO
I
BUILDER COMPANY
SIGNATURE RECaiS7ERED Y/ N FEE CURRE� Y/N
Addres� Llcense# � � ^ �
ELECTRICIAN CQMPANY
SIGNATURE � REGISl'ERED Y/ N FEE GURRE� Y/N
Address Llcense# � �
PLUMBER CdMPANY
SIGNATtIRE REGtSTERED Y/ M FEE CURRER Y/IY
Address Ltcense# � ��
MECFiANICAt ` COMPANY �"�7�2..5 �J7V�'�.��'��`r'"G'' � -
SIGNATURE RE�IS�ERED Y1 N FEE CuttRE� Y J N
Address 7 7-T� /�� Ltcense# ( �'� ��T��'�da ��
OTHER ..COMPANY
SlGNATURE REGISTERED Y J N FEE CURRER Y!N
Address "" fw License# �— i�
.d�..
FtESlDENi'lAI: At#ach(2)..Rtaf=Plans;{2)set`s.offBuild(ng'Rlans;(i)'set af�Energy�Fonns;R-O.W Permit far new construc�on,
Mintmum.ten(1Q)�working;days:aftec.su6rtiitta!date. FZequlr"ei!onsite,Construction Plans;Starmwater Pians wt Siit Fence instaifed,
Sanitery Faciffdes:&:1,,dumpste_r,,Site•Work.P<ermlt for;subdiVi'slons/large proJects
COMMERGiA[. Attach{3)'cirmptete seM of Buitiitng Pians ptas a Life Safety Page;.(1)set of Energy Forms.R-O-W Permit for new construction.
MiNmum ten(�4)worfcing days atter submittai date. Required onslte,Cons#ruc8on Pians,StoRnwater Plans wJ Sift Fence tnstalted,
Sanitary Facilides&1 dumpster.Site WorK Pennit for all new�proJects:All commerclal requtrements.must meet compUance
SIGN PERMIT Attacfi"(2}sets af Engineered Plans. `
••"PRQPERTY SURVEY required For alt NEW constru�tlon.
Diractians:
FIII out applicatfon campletely.
Owner&Contractor sign back of applicallon,notadzed
tf aver�2500,a Natice of Commencement 1�requlred. (AfC upgrades over�7500)
•' Agent•(far#he contxactor)ar"Powe�of Attomey'(for the owner)would be someone with notarized letter frrom avvner authorizing same
OVER tHE COUNTER PERMiTTING�. - (Front of Appllaatlon.On►y)� ' � �- � , .
Reraofs!f shingles Sawers Senrica Upgrades AtC Fences(PiatlSurveylFootage} „ � '
� 4 � , , t
Drivew►ays-Not over Counter if on publlc roadways..needs ROV1/ ;
�
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NOTiCE OF DEED RESTRICTIOMS: The understgned undetstands�;th�t:thisRp�rmit:may_.be,,subject to."deed"resVlctlons"
which may°be-more=rest�ictive�Q#��n CountyA�egulatrons:'The�underslgned assumes=�espcSnsltiiltty-for"com'pliance'iniitN any
applicable deed restrictlons. . . � ,
UNLICENSED CONTRACTORS AND CONTRR/�ICTOR�RESPOWSI�ILI3'I�S: �f-tl�e owner-has��hired a conMactvr or
contractors to undertake work, they may bevr,e�qulr�d,�to.;be�licensed In acco�dance.with state.end�local.r�gulations. ,:Ifithe� �
cont�actor ts not Ilcensed as�requlred=tiy law, both the owner and conVactor�inay�be�clted for a�misdemeanor violatlon
under state law. If the owner or Intended..�contractor.are.;uncertaln �s to what Ilcensing.requlrements;may�:apply.��for�the
intended work, they are advised to contact the Pasco County Buiiding'Inspection Dlvislon—Llcensing Sectlon at 727-847-
8008. Furthermore, ff the owner has hired a conVactor oF contractors, he Is advised to have the contractor(s) sign
portions of the "contractor Block" of thia application for which they wlll.be.responslble., If.you, as.the oviine��'sign�as'the
contractor, that inay be�an Iridication that�fie-(s not.properly IOcensed and�is not entitled to permitting privileges In Pasco
County. `
TRANSPORTI4T10N�IMPACT/UT�ILITIES��IMRAC7 ANb�tESO�1RCE RECOVERY�FEES: The�underslgned understands
that Transportation Impact Fees:and.Recoutse Recove.ry.Fees may�apply<to�t�ie construction of new bulldings�=change•of
use in existing bulldings, or:expansi�nyof.�exlsti�i�.:6uildings, as specifled.ln Pasco County Ordinance number 89-07 and
90-07, as amended. Th� undersigned also:understands, that��such fees���as.may�be�due;,�wilk,be Identffled at the�time�of�=
permittfng. It is further understood that Transportation Impact Fees and�Resource Recovery�Fees must be paid prior to
receFving a."certfficate.of�occupancy"or flnal power Felease. :If the.proJect.does.not�Involve:a=.certifioate of occupancy_o�;
final power release; the fees mu�t be paid pebr to_permit issuance. Ft�lthermore;If:.Pasco.County iNater/Sewer��lmpact
fees are due�.they�.must be�paid..prior to permtt-Iss�ance�in accordance with�applicabfe Pasco�.County ordinances. •
COPISTRUCTION LIEN LAVI1(Ch�pter 713� �IoNel�S#�tutea��aunond�d): If valuadon of work is�2,500.00;or more, I
certify that I, the..applicant, have.been provided: with a copy of the�"Florida� Constructlon� Lten .Lav�—Homeowner's
Protection Gutde" prepared by the Flo�ida Depa�tment�of Agriculture and ConsumerAffairs. If the applicant is someone
other than the"owner", I certify that I�h�ve.ob,tatnedia�copy.of:the:abQva.descrlbed docuii�ent=and.pmmis�in,good faith to
deliver it tathe:"owner"�-pdor�:to�cornrnencementc" '
CONTRi1CTOR'S/OWNER'S AFFIDAVIT: I.ce'tlty,�t�iatall the��;inf.ormatiqn:�ln�this applicatlon is accurate�nd that all work
will'be done in compliance with all applicable laws regulating constructlon, zoning and:land�development. Applicatton fs
hereby made to obtain .a permit.Co :do_�work`.and in9tsllation as indlceted:-� :I certify that no work :or Installation has
commenced p�lor to fssuance of a permit and that.all work will be pertormed�to meet standards of all laws regulating-
canst�uctton, County and City codes, zoning regulatians, and land development regulations�in the jurtsdtction.- I al'so
certlfy that I u�derstand that the regulattons of other government agencies may�apply�to the intended work, and that it (s
my responsibiHty to identify�what.acttons I must take:to be,ln:.corr�pliance: S.uch agencies Include but-a�e.not limited to:
- Department of Environmental-�Protection-Cypress.�Bayhead�� Wetland Areas and Envlronmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management: .:I�istrict Wells, Cypress.� Beyheads; Wetland Areas� Altering �
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. �
- Department of Health 8 ReY�abllitative ServlceslEnvironmen#al Health Untt Welis� Wastewrater-Treatment,
Septic Tanks. � .
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Avlatlon-Aulhority-Runways.
I understand that the follouiiing:�restrictions apply to the use of flll:�
- Use of ftll Is not allowed in Flood�Zone"V"unless expressly permitted.
. - - If the flll mateNal Is to �b.e used:'In.:Flood Zone. "A°, tt is understood that a d�ainage pl�n addressing a
"compensating volume"avil) be submitted at time of pecr�itting which is prepared by a profess(onal engtneer
Iicensed by tMe State of'Florida: ,
- If the flll materlal-is to be used In Flood Zone °A" in>connec�ion�with�a permitted building using stem wall
� constructfon, i certiy that fUl�:w�ll=be used only.to flll the area within�the�stem wail.
- If flil materlal is to be used In any area� I �certify tfiat .use. of such flll will not adversely affect adJacent
propertles. If use of flll is found�to adversely�ffect adJacent�properties,.the owner may be cited for violating
the condi#(ons of the building:permit Issued�under the at�ached permit application� for lots less 1han.one (1)
acre which are elevated by flil;�rt engineer�ed dralnage plan is required. •
If 1 am the AGENT FOR THE OWNER; I,�promise In good f.alth to Inform the owner of-the permitting conditions set forth In �
this aifidavtt��rior to commer�cing constructlon. �I under�tand that�a-aeparate permtt may be requlred for electrical work,
;.:. ,��.
plumbing,,signs, welis,.pools;. air condttioning,.gas, ar other install�tlons not,spec�ically included-in the application. .A
permit Issued shail be constcued to be a�Itcense to proceed w(th the work and not as.authority to.vlolateo�cancel, aiter, or
set aside any provistons ofi ttie.technical cod�is;�nor shall issuance�of a.permtt.prevent th�Bulidirig O�flciel from,thereafter
requiring a correction af enors In.plans, construction or vlola8ons of any codes. Every p�ermit issued shall become invalid
unless the work authorized by such permit��ls�commenced�within sfx m.onths of�permit Issuance. or If work authorized by
the pe�mtt is suspended or.aba�doned•�for:a:period of six�(6)months.efter the tirne the�work�is commen�ed. An extension
may be requested� In w�iting;.from the Building.Offlcla) for a period-not to exeeed ntnety�(90) days a�d�will demonstrate
)ustifiable cause fo��the extenslon� If work ceas�s:for nineqr.(90)cons.ecutive day.s...the)ob�is considered aba�doned.
WARNING TO OWNER: YOUR.FAILURE•TQ.,REC.ORQ A..MOTIGE•OF°COMMEMCEMEMT•MAY�RESULT IN YOl1R
PAYIPIG TWICE�FOR�IMPROVEMENlT3�T�YOU�:PR�PER7Y.�1��YO.EI;IN�END�T�`iOBTA1N��F1NA1��1N�;�ONSULT
WIT . D � A - O �R�Y �� �1 fs' O '. : .` a� ��' � E
FLORIpA JURA�:(F. �.03} •- .`. . � _ r . �
_- --_--—=---��=- - _—=--- - __._____--- _- - - -----_- - - -- , -_ ----- - -
OWNER OR AOEN IL�-� ��'L CONTRACTO i
S bsaibed an svw t, or atflrmed before me this Subs b �nd' (ow a(flrmed)�b` re e ttiis
b S� Sp��n�T - � ir7� � (.s.. S�Qil�t��
� IMio is! re onally lcno M.me or has/have produced Who.l�/are p. .nelly �to me or haslheve�produced •
ae Identlncetl4n. _ as IdentlBcadon.
� -
L \!.� 4
Notery Publlc . Notary Public
Comm slon No: Comrt�ission•No. '
4„��,,,;� ,
t�q .o: Notary Public—State of Florida ;,�1Pav o'�•,,, SYLVIA A.CAMPBELL
: � � .'- GG 112939 �2, •o: Notary Public—State of Florida
Name oI Notary typ ; �tapgpoed�m.Expires 1ul t 9,2oz1 Name of Nolary typed, d �m� mm ss on
'''��;;FF"�•'� UondedthroughNetlonaiNdtaryAssn. %,;���F` y �11m,FJtpires1u119,2011
. �
Hnnded through National Natary Assn.
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� � PROPANE GAS • 0 '
� � AND AlC �Nc.- Servi�e Order/Proposal
���e �98� $�3.782.5p�3 Invoice ,
WORK ORDER#/SERVICEMAN 83275 JAN
, Sales, Service & Installations � _ � DATE/TIME TAF�.EN i�/`6/17 11 : 18
4441 Allen Rd. • Zephyrhills, FL 33541 TAKE�I gY t�,zt� �►�
I NOTES: �� � \� �C� � DATE/T I ME F'R[7M I SED ,
_ n ! (� ' CUSTOMER#/LOCATION 15Q��8 i
,C�1°�eC�Ck' C�.9 1:�--� l��W � F�HONE# 813-788-1�1?, H
. S I �� �S �� �� ROUTE/SEG!c� # JAN
-,� ` � � t T �'r ��/i�.L s'
�,�c� c.��e a.�- e�� �e -e Y
- �\ . ��"�'=��- ed�'� ao��a��d
OLJTMAN, ROP ' �1�" OUTMAN, BOB
- 37�5� NEW HORIZONS RLVD � �1 .=r�TJJ� NEW HORIZONS RLVD
. . � Q � GRA�ID HORIZONS
ZEPHYRHILLS FL 3354i: � � ZEF�HYRHILLS FL�3541
_ � '
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ESTIMATE ��� ��h�`��� C/G
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, � . DESCRIF�TION OF WORK QTY. MATERIALS&SERVICES ' UNIT PRICE AMOUN"
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� - ' RECOMMENDATIONS � �
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, � Annual Maintenance Recommended by�ll Equip ent`�lar��scturers. � �
i - � _ �. Pressures Lo HI T-Stat i i
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REFRIGERANT R- LBS. $per Ibs. I I
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, ✓ ._ . FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly „ I I
• ❑ REGULAR ❑WARRANTY TOTAL SUMMARY
DehumidistatrSetting§:.When here"ON", When Away 60° , T-�tat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL i
' or suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL I
30 days or as othenvise indirated•in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and ils agents or technicians are not authorized lo make any such warranties on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authoriry to order tha work outlined above which has been satisfaclorily completed.I agree that Seller
PROG. W I C �
retains lille to equipmenUmatenals tumished unlil fnal payment is made.If payment is not made as agreed, CLAIM# � �
seller can remove said equipmenUmaterials at Seller's expense.Any damaga resulling from said removal shall
not be lhe responsibiliry of Seller.NET 30 DAYS.A 1 1f2%SERVICE CHARGE WILL BE ADDE�MONTHLY TO I
ALLUNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: ��,y T� �
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CUSTOMERSIGNATURE DATE ZCr/I�L Q� TOTAL �