HomeMy WebLinkAbout17-19164 _ � CITY OF ZEPHYRHILLS
` 5335-8TH STREEC
(s��)7so-oo20 19164
BUILDING PERMIT
�-- PERMIT INFORMATION � � � LOCATION'INFORMATION � -
Permit Number: 19164 Address: 6253 HUNTINGTQN DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ctass of Work. A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER QAKS
Est.Value: Parcet Number: 03-26-21-0120-00000-1340
Improv. Cost: 6,995.00 � OWNER INFORMATION
Date Issued: 110312018 Name: HEIM, RQBERT& CARLEEN
Tatal Fees: 70.00 Address: 6253 HUNTINGTON DR
Amaunt Paid: 70.40 ZEPNYRNILLS, FL, 33542
Date Paid: 1/03/2018 Phone: (813 715-0130
Work Desc: A!C CHANGEOUT 5T(JN
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GA� &A/ , WC. A/C CHANCEOUT 70.00
�� ?
��
� �
� Ins ections ir
D TS IN TALL
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Flarida Statute 553.80 (2)(c)fihe
locai government shali impose a fee of faur times the amaunt af the fee impased for the initial inspection or
first reinspection,whichever is grea#er,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may 6e found in the public recards of this eounty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warrting to awner: Yaur failure to recard a natice of commencement may result in your paying twice for
improvements to your property. If yau intend to obtain financing,consult with yaur lender or an attorney
before recording your natice of commencement."
Complete Plans, Specificatians Must Accompany Application. All work shall be performed in accordance with
Ca Cocles and Ordinances. NO OCCUPANCY BEFORE C.O.
NQ OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRE5 IN 6 MCiNTHS 1NITHOUT APPRt�VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRtJTECT CARD FROM WEATHER
�
a��..ouUU�U City o#Zephyrhilis Permit App3icativn Fax 813-7eaoo2�
s
Butlding Department .
Date Received � Pbone ConWct for Permlttin / �l? c� - �✓�L�
Owner's Name �l ta.�f� � Owner Phone Number ���" � � p��
Owner's Address JJ�� ��/� CN wy`�� dwrter Phone Number �- K �
Fse Slmple 71t1ehalder.Name � � Uwner Rhane Number r� �
Fee Sfmpte Tftiehoicler Addresa
.lOB ADDRESS ��� ,h1�r�►,J �i �/? ��It��I,�,gKS �.oT# ��
SUBDiViS10N ��`��''R ��� PARCELID# �� a�4° �! �j�� lJ���� !- � �
(OBTAINEq FROM PRpPERTY7AXNOTICE)
WORK PRQPOSED NEW CONSTR ADDiALT [� StGN [� [� DEMOLISN
, e INSTAIL � REPAlR
PROPOSED U$E Q SFR Q COMM �] QTHER
TYPE QF Ct1N8TRUCTlON Q BCQCK " [� FRAME [� STEEL Q
DESCRIP110N OF WORK ���.� �"/� �h n�1� e- � r� �''� l�/!fG% J
BUILRlNG SlZE �!� SQ fOOTAGE HEIGHT ���
QBUILDING � � VALUATiON`O�TOTAL CONSTROCTION
QELECTRICAL (�$ ��� AMP SERVICE Q PROGRESB ENERGY Q W.R.E.C.
���
QPLUMBtNG ($>-^-�� - �
�
QMECHANtCAL $ ���y��-. �� VALUATION OF MECHANICAL INS?ALLATION
_7
QGAS Q RAOFING_ � SPEGtALT1f � OTHER
FWISHED FLOOR ELEVATIONS FLOOD ZONE AREA ' QYES iV0
��� -
9UILDER COMPANY
SIGNATURE REG(STERED Y t N FEE GURREt� Y/N
Adclress � � License# � ��
ELECTRICIAN � COMPANY
SIGNATURE � REGISTERED Y! N FEE CtlRREF Y I TI
Address License# � � �
PLUMBER COMPANY
StGNATURE RECilSTERED Y/ N FEE GURREP Y/N
Address License# � � � �
StG ATURE �-� ��
/J� �� ) � COMPANY �J��2.$ h�Ne L�T�'���/ �'G'
�'"t'U� ( i.� REGISTERED Y/ N . FEE GURREf� Y/N
Address License# ���D ������
t�TNER COMPANY
Si,�'sN�47URE REGISTERED Y/ N . FEE CURRE� Y/N
Address License# � �
RESIpEN'FIAL' Athach(2}Ptot Rlans;(2)sets of�Buildi'ng Pians;(1}sat afiEnergy=Forms;R-@1-W Permit for new aonstruction,
Minimum�.ten•(10}working;days-after„"submittai date. Requlre+d ansite,Construction�Plans,Stormwater'Pians w/Silt Fence installed,
3anitary FacBi�e.s.&1�.dumpsterSite Work�.Permit for,subidivisionsAarge-projects
CbMMERCiAL Attach(3)compteta sefs`of Buitilfing Pians pius a Life Safety Page;(1}set of Energy Forms.R-O-W Permit for new constcuctian.
Minimum ten(10}working days after submiital date. Required onsite,Construc8on Pians,Stormwater Plans w/Silk Fence Installed,
San{tary Facilities&1 dumps#er.Site Work Pemnit for a�l new projects.All commerclal requirements must meet compllance_
StGN PERMIT Attach"(2)sets of Engineered�Pians. -
""PROPERTY SURVEY.required for atl NEW construcUon.
Directions:
Fitl out appiicallon completely.
Owner&Condactor sign back af appltcaUon,notarized
if over y2S00,a Nottce of Commencement ts required. (A!C upgrades aver S750Q�
'• Agent(for the contcactor}or'Pbwer of Attamey'(for the owner)wauld be someone with notarized letter from owner authorizing same
.,,..tua.�•:>...�.�:,�..,.,....
OVERTHECOUNTERPERMITtING`..�_ '.(Front'ofAppllcaU6n•Only):., ,4�:������� �; `_�, --I .-. , ;:
Reroofs tt shingles Sewers. Servi�e Upgrada.s AJC .Fencas(Plof/Survey/Footage) . ,
Drlveways-Not over Counter If on public roadways..�eed's ROW - . -
_ ,- , _• �.. ,. . .. . _� ..,. _ ' '�"` "",�'.,.'"' ' _ . ..� . .. .-
a
r
. i
� 'r,
�,�1
--"----- '---'.__.._.._._�__c�.__� ,_-___. - '--==..�_�r..,.�_-'-'_- -.:_.r-�w..,...t._.a:.-...-� ,�-..-.,....,.....,.-,_,......»-,..._ _.
" E �
:.y �
r-
NOTICE OF DEEID RES'PRI�YIO�IS: The und�rsigned under�tands::th�t-4hi�:°.p�tmif.may.be.subJecfi to"deed"resVictions"
which may be=more-rest�Ictive.Qhar�County.regulatlons: 'The unde�signed�assumes�responsiblllty for`co�ipllance witF►any
applicable deed restcictlons.
UNLICEN3ED CONTRACTORS AND CONTRACTOR RESPONSI�ILITiES: If the owner has �hired � contractor or
contrac4ors to undertake work, they may b�;r,�quire.d•,to-:be,llc�nsed in accordance.with state.and�local regulatiores. If the
contractor ts not�Iicensed as requlced by I�w, botff the owner and conVactor�may�be��clted for a�misd�meanor vioiatton
under state law. if the owner or Intended.�,contractor ere„uncert�in as to what Ilcensing.requlrements may-apply��r�the
Intended ueork, they are advised to contact the Pasco County Bullding"Inspection Divislon—Licensing S�ctton at 727-847-
8009. Furthermore, tf the owner has hired a conVactor o� contractors, he ts advfsed to have the contractor(s), slgn
portions of the "contractor Block° of thls applicatlon for which they will be r.espon�lble. If..you, as.the owrier'sign�'as tlie
contractor, that�may be an indication that�Fie-i� not�.properly Iicensed �nd��➢� not entitled to p�rrnftting prhrileges In Pasco
County.
TitANSPORTATION-IMPACT/UTILETIES rMIPAC7 ANI�RES�UOtCE RECOVERY FEE3: T�he underslgn�d understands
4hat Trensportatioe� Innpact Fees�nd.Reco.urs� Recove.ry.Fees may�apply-to�the construction of newr bulldings��change�of
use in existing buildings, or expansibn>of��existin�g.';buildings, as speclfled.in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also undeest�nds; that:�such fees,�:a�,may�be_due,>�will,�be (denttfied at the�time°of
permitting. tt Is further understood that Transportation Impact Fees and�Resource Reco�sry=�Fees mu�t be paid prior to
recefvtng a �cerfiflcate of occupancy" or flnal power�.Felease. :If the.proj�ct.does not involve;a-certifioat� of occupancy or�
final power release, the fees mu�Q be paid pctor to permit issuance. Fu�thermore;�If Pascro County�1Nater/Sewer Impact
fees are due,.they�_must be-pald..pnior to permit•Issyance�in accordance with�appllcabie.Pasco'.County ord9nances. •
CA(��TRUCYION LI@N LAW(CFaapt�r 713� Florlda St��utea�as�r��nd�d�: Of v�luallon of work is$2,500.00:or more, I
certify that I, #he -applicant, h�ve.been provided with a copy of the �Florida ConstrrtAction� Lien Lav�—Homeowner's
Protection Guide" prepared by the Flo�ida Depa�tmenf of Agric.ultnre and Consumer�Affairs. If the applicant is sorraeone
other than the"owner", I certify�that I�have,obtained�a'copy.otthe:above..described docur►�ent=and.promise in,good falth_to
deliver it to the"owne�'�-prlor�to�cornmencement�' ' ,
CONTRACYOR'S10WNER'S AF�IDAVIT: I.certify..that�all.the�Informatlon In•thi� applicatlon is accurate and that all work
will�be done in compliance with all.applicable laws regulating constructlon. zoning and�land�development. Applicatlon is
hereby made to obtain .a permit Co do_work..and installatlon �s Indl�af�d:-� 'I certify that no work��oP Installatton has
commenced prior to issuance of a p�rmit and that.all work will be performed�to meet standards of asl laws regulating�
construct(on, County and City codes� zoning regulati�ns, and land development regulatlons-tn the juris.diction. I al'so
certify that I u�d�rstand that the regulat(ons of other government agencies may apply�to the intended wmrk, and that it is
my responsibility to Identify.what,act(ons I must take.to besin:.corrlpliancs: S.uch agencies Includ�but are.a�ot Ifmited to:
- Department of E�lvironmental-�Protection-Cypress.�6ayhead�, Wetland Areas and Environrraentally Sensitive
Lands,WaterMlastewater Tre�tment.
- Southwest Florida Water Management: .Distr(ct-Wells, Cypress.��Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Plavigable VNaterways. -
- Department of Hea9th & ReY��biBtative Servlc�slEnvironmenfal Health Unit-Wells, Wastev�ater=Treatrr9ent,
Septic Tanks. .
- dJS Environmental Protection Agency-Asbestos abatem�nt.
Federal Aviatlon-Authority=Runways. _
I understand that the followtng:restrlctions apply to the use of flll:•
- Use offili is not allowed in Fload Zone°Vp unless expressly permitt�d. -
- If the fiil material is to be used. in. Flood Zone. "A�, it. is understood that a dr�inage pl�n addressing a
°compensating volume" will be submitted at time of permitting which ts prepared by a professfonal engineer
Iicensed by the State of Florida:
- If ihe flll material is to.be used In Fiood Zone °A" (n�connec�ion�with�a ��erm(tted building using stem wall
� constructton., I certify that�Il:wall:b.e used only.to f�ll the area writhin�the ste�n Mrali.
- If fill materlal is to be used in any area, I �certify that .us�. of such flll will not adversely afiect adjacent
propertles. If use of flll is found to adversely:�ffect adJac�nt��pcoperties, the owner may b� clted for vlolating
the conditions of the b�ilding:permit Issued under the.attached permit application, for:lots I�ss than.one (1)
acre which are�levated by flll, a�t englneered dr�inage plan Is required. ,
If 9 am the/AGENT FOR THE OWPIER, I;promise In good faith to Inform the owner of the permitting conditions set forth in
thls affidavtt�prior to comrner�cing construction. E understend thet�a-,separate permit may be requlred for etectrical work,
plumbing, signs, wells,_pools;. afr conditioning, .gas, or other install�ttons noE.spec�fically included�in.the application. .A
permit Issued shall be construed to be a�Iicense to�proceed with the work and not as:authoHty to,vlola4e,.cancel, alter, or
set aside any provisions of the technical codes;�nor shall issuance�of a.permEt.prevent th�Bulldirig�iici�l from thereafter
requlrin.g a correction af eno�s in plans, consttuction or vlolatlons of any codes. Every perm(t Issued shall become invalid
unless the wrork authorized by such permit.ls-coPnmenced•uvitFrin sfac month� of permit Issuance, or if wo�k authorized by
the permit is suspand�d or.abandoned�for a�:period of six�f 8)montns.after the time the�work�fs commen�ed. Aro extension
may be requested, In wr(tir�g, from the Bullding,Official for � period not to exceed ninety(90) days ��d vvill demonstrate
justf�able cause fbr:the extenslon. If work ceases:for nine�y.(90)cons.ecutive:day.s�..th�Job�is considered�ba�doned.
WARNING TO OWNER: YOUR..FAILURE•TO.,RECORQ A.M071G�.OF COMMEMCEINEMT MAY�RE�UlT IN YOUR
PAYING TWICE�FOR IAAPROVEMENTS TO YOUR�.PROPERTY. IF�YOU{IN�'iEND�'T���OBTAIN��FIPFAWCMIG;�CONSULT
WIT D AN�ATTO ORE� C� � f�� Oli '� "O �� ��•' � E � �
FLORIDA JURA'�(F.S 1. 7.03) < < ' � � � .
c81kM�e�_l?d�3�l�Fk��' C�P9'6�A�f0
i�liY�.-�. � .+
-�Subs be�and awa . (or a�IRned) efore me thls Subscrl and'swom� t aRirtned)�before m ttiis
b +n�P L f1'll���2�" _ -1 '��b 5�-►�2P—
Who Isfare onaliy kno .me or ha�lhave produced o.is/are p. onallykno • me or hes/have•produced �
a�Identlflcatlqn. �s IdentlflcaUon.
�
�
� Nolary Publlc . � � . Notary Public
Comm slan No-` ��ppq�g��_ Com�i Ion.No.
;=�;�Ypu��; NotaryPuhlic-StateofFlorlda ;=o�""�P"��-; NotaryPublic-StateofFlorida
e : " • = 2939
Name ot Motary typed ' m��mm,Expfres 1ul 19,�oz1 Name of Notery typed, omm.Expires lul 19,zo��
�'••�OFF�„��`��� g�dedlhtOugNNednrlelNataryAssn. ��'�;FovF�,,,�•'� gbndedlhroughNaiionalNotaryAssn.
i"3_. - (�/,�l�tJ ��� � ,��'`,�1�A� ��,.�j/�
' ��� ' PRC�PAI�IE GAS g,��,�e tJrc�erlPro osal ���
� AND AIC iNc. �
�ac��988 s�3�7s2-5o i 3 � ��In�oice
Sales, Service & InstaElati,ons � '��a��; �-'�``�=�i1`:`:.���`.'�{r_:�`����r� ,4:3 ���`N. �!a���
j��-rr ��-zr��� , ..��,�r�, ; ,,; r�;,�-f ,.;., �,;-���_��
4441 Allen Rd. • Zephyrhills, FL 33541 r���,��t ��,,� ,.:,. ��,, �h,�
��5: ��i��� �. - i:.��yl� t_'i-�l�ini.{L�+;:--f
�:'JL:i�f�i:�f�'1�=���?�� . ����_:i-11��I.IJ(`•d �?��;[?��F'I
���� �
�.. 1�=�-{�.�t'��:�T �'i. .. 'l '� 'v�i� .�;���
a.��-a� a�d��a�6r,���_r� F�z��, rE�:--��:��� � , s����t"
- ��
I�T�, �.:fl�L..�CI�! • � !_I�I t=�. C:�'�;1.c�E���t
:�= I�ii.!P�!'i"r��t3T�'hd �?f� �,_`�� �-,Uh��';�T.i'�It;-f�i.-!t��.i 1��l�� (
• r�1�.4��.� 5.?(�� J •
�'a`��H:i!_!..;=; ��i. L�.��<:i.1 ��"',j..�,�'f�L{ I i_l_,":t !-�L..:;?�r+?.
.
i�iE'!�; C:i '!.E'�;� � t;C�"I- i._'r4_r"i` 1 r�l�Ci
. �
�on�._z•r�� ; ����.._i.. ��r rtiz�-
:' =::.%;�;;'�`�:�,t3ESGRiPTtt4t�7:OF WOf2EZ ' �~,�QTY°. , -MA�'ER2ALS&SERVtGES - UNtT'PR1GE" _ ANtOUNT
�..�.��;;, - - _ .
r t
__...__....._ _._.__---__......---...............,___.._. ._ ..........._..._..._. _._....._.. ._..... ... ...._.....___.........._........_..._.. ...._._................_._ ._._...-- -.._....---_ _.._. _.__.._ .
� i i
,,, ` t t �
� i i
� i i
� ' �
� t
• , � r �,,. � I
� � ✓
' . � � 1 I
� I I
t?��CJ�i�`+�- _ �� � � .
r � / � � � `-- ,
x oC7 i �
' i !
1 • t
�.. i" r,,,,^ �,
� � �
. G F ,/,.. "� � ~.,�
• ` " �R�COfYAM�1VDA71ONS�
�, , r - d; >. r�
.Y��`.;=;'=-�Fr.:c.::_:�„.. -�.:..` �:�.:- .:.:.- '. .. � .. ., _ . : ' � • � i i I
�t�Ntatt�teil��tt�E�4mracs�ritted�y AI1�Equipmer�Maiitif� re„�_ : , _
_ , �•.�, Pressures Lo NI ' T-Stat i �
. .. , . .. t i
. . . , -'_'REFRlGEKAN7•R- . LBS. $Par.lbs. t t
.� � FII.T�RS x x Changed Monthly I I
„ FILTERS x x Ck�a�ged Monthly � ," �
' ❑ REGULAR Cl WARRANTY TOTAL SUMMARY
�;::._...:-_ ..
umidistaf;Settii�gs:,,When here"(,N";;When Away F¢?�;;`T-Stat$Q°- 0. MAINTENANCE CONTRACT SERVICE i
ED WAi2RANTY: Alt materiais,parts and equipme�t are wamanted by the manu#acinrers' . ; MET'HOI}:QF pAYMENT- CALL. i
iiers'mitten warranty aniy.A!I labor performed by the 6bove named campany is warranted for ` � ' -
s or as othenvise indicated in wriGng.The above named company makes no other warcanties, ❑CASH ❑CK# MATERIALS i W
;or implied,and its agents or technicians are not auftsorized to make any such wartanties on
�fabovertamedcompany. 0 DEBlT ❑CRED(T C�4THEFt MA(NTENANCE �
PROG. W I C �
wlhodry la order tha work oWined ahove which has Deen safisfectorily compleled.I agree that Seller „ I
dtle to equipmenUmatadals tumished until final psyment is made.If payment is not made as agreed, CLAIM# {
m remove saki eqvipmenYmateriala at Seqer's axpense.Any damage resott(ng from said remoLa!shail ,? �� �'�
�AI BALANOES OVER 30 DA S.NOYR FUNp3�SERViCE CHARGE WIIL SE A06E0 MONTNLY TO DATE COMPLETED �
F
TEG'}"I: T� �
� �
� �� �/ i
- �,,,.,� _ �oA� � �.i�+'�/l2�G �Jo�LG TOTAL i