HomeMy WebLinkAbout17-19178 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19178
' � BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19178 Address: 37518 NEUKOM AVE �
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: Parcei Number: 34-25-21-0090-00000-0280
Improv. Cost: 3,761.00 OWNER INFORMATION
Date Issued: 1/08/2018 Name: NETTERVILLE JOHN R
Total Fees: 60.00 Address: 37518 NEUKOM AVE
Amount Paid: 60.00 ZEPHYRHILLS FL 33541-7697
Date Paid: 1/08/2018 Phone: 610-781-9505
Work Desc: A/C CHANGEOUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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Ins ections Re uired
D CTS I TALLED
DUCTSINSULATED
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 properly. 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.
e �
ONTRACT R NATURE PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o,a-,�-�,�,�v Gity of Zephyrhills Permit Application ��X-s�a•780-0021
Building bepartment _
Date Reaslved Phone•ConWct for Permittin � �I � �O d` – �� J �
O�nrner's Name �:.�j"' � �'. LS Owaer Phone Namber � td'� !" �v���.�
Owner's Address � �. ld�i Owner Phone Number � ��
Fee Simpte Tittehotdsr Name �i � Owne�r Phone Flumber �— �
Fee Simpte'flttefiolder Address
JOS ADDRESS � � L► U�. LOT# C_'�
�
sugo�vissaN �-�R� vr�zor� � pa�c�r.i� �� o`�',� �1 �l�qlS Dl3�d d��'d
(OBTAINED FRON!PROPERTY TAX NOTlCE)
WORK PRdPOSED , e NEW CONSTR� ADD/ALT [� SIGN [,�� Q DEMqLISH
INSTALL REPAIFt
PROPOSED•U86 Q SFR Q COMM � OTHER
TYPE OP CONSTRUCTION Q BLOCIC ' Q FRAME [,� STEEL Q
pE�CRIPTiON QF WQRK ��--°S,� �G �' R'N �"G�2.L- f �° ltflG � �� !l'� �.
BUILDING 81tE �� � S4 FOOTAGE f r1 HElGH'� �_�
QBUILUING �-'--� yAR.UATtON�OF'TO'i'Ai.CONS'f RClGTION
QEL.EGTRICAL $ ��i�—� AMP SERVICE Q PROGRESS ENERGY C] W.R.E.G.
��
QPWMBiNG � � '
QMECHANICAI $ —� �� j� VALISATtON OF MECH/WICAL INSTAI.LATtON
,. !o
QGAS Q ROOFii�lC, Q SPEGIALTY � OTHER
FINt$NED FLOOR ELEVATtONS �� FLOOD ZONE AREA QYES NO
BUILDER CdMpANY'
StGNAi'URE REGISTERED Y 1 N FEE CURREh Y/N
Address ���g,�# �— �� I
EIECTRICI�N COMPANY
S1GfltATURE _i � REGISTERED Y! N FEE CURRE� Y/N
' Address k.lcense# L �
PLUMBER �� CQMPANY
SRGNATURE REGlSTEREO Y/ N �E CI9RRE� Y/FI
Addre�s Ucense# � - " � �
�
MECHANICAL � °��r��,��ri.-q�.� COMPANIf �i2{S !'�i9/lfG�� 7`��-��IG�
SIGNATURE REGISTEREO Y! N FEE CURRER Y!•i�
Address �17'�'iy�'� 6lt,.°I�/ ��/�/L.L $ License# (:-a'T�v����25 �
OTHER COMPANY
SIGNATIIRE REGlS7'EREO Y I l�l �EE CURRER Y 1 N
Addres� License# �— ��
i RESIDENTIAL• Attach(2),.Piof Plans;(2}sefs of=8u11dFng`Plans;(1}'set af-Eiiergy�Fomis;R=0-W Permit for new conshuction,
Mintmum�.ken�(1Q)-working;days.after subri►lttal date. Recjuireii ansfte,Construc8an-Plans,Stormwatef Pians wt Sfit Fence Installed,
Sanitary Facllides;&:1,,dumpster_Sfte�Work�Permit tor subdiVislonsAa►ge proJects
COMMERCIA[. Attach{3}complete sets of Buitding Plans ptus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new constructton.
Minimum tan{1Q)working dayrs after submlttal date. Requlred oaslte,Constructton Plans,Stormwater Plans w!Sfiit Fence i�stalted,
Sanitary FaciliUes&1 dumpster.Site Work Permit for all new proJects.All commercfal requlrements must meat comp!lance
31GN PERMIT Attach"(2)sets a#Engineered.Plans.
«"••PRQPERIY SURVEY requlred for ail NEW cansttuction. . _ - . ,
Directlons:
Filt aut appllca8on compiete{y.
Owner 8 Contractor slgn back of applicatlan,notarized
tf over a2S00,a Notice of Commencement is requlred. (AIC upgrades over$T5d0)
'* Agent(for the contractar)or"Pawer of Attomey'(for the owner)would be someone with notarized letter fwm owner authorizing same
dVER THE COUNTER PERMITTING . .(Front ofApplicaBon Only) , ' � � "� � , � � � -' � '�
Reroofs if shingies Seurers.` _Servlce tlpgrades A/C , Fertces{P1otlSurveylFootage}
Driveways-Not over Caunter if on public roadways..needs R01N �
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NOTICE OF DEED R�3'PROCTION3: The u�dersigned under�tands��.th�t.th9���p�rmit.may.be,subJect to"deed"restric2lons" `
which may be=more:rest"r:ictiv�-�th��County��re8ulatCons: �The underslgn�d�'�ssum�s''resp�nsfblliQy�for`co�pllanc�with any
applicable deed rest�ictions. , �
i1NLICEfVSED CONTRACTORS AND CONTRACTOR RESPONSIBOl�IT1ES: If the owner has•�hired a contractor or
contractors to undertake work, they may be:r,equlred::to.be;licensed In �ccordance.wtth state.and•local r�gulations. If the
contractor is not Iicensed as requlred=by law, both the owmer and conVactor��may be��cited for a-misd�meanor violation
under state law. IF the owrner or Intend�d>conuactor;�are„uncertaln as to what Iicerastng.requlrements rs�ay�.apply ior�the
intended work, they are advised to contact the Pasco County Building Inspection Divlslon--Licensing 3ection at 727-847-
8009. Fu�thermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s), sign
portions of the "contractor Block� of this applicatlon for vuhich they wiil be responsible. If.you, as.the owner��sign as the
contractor, that inay be an indicatfon that�he is not.properly Ilcens�d and Os not entitled to permitting privileges In Pasco
County.
TRAN�PORTA410N:IMPACTIUTILITIES�IMPAC7 AWD RESOU�3CE IdECOVERY•FEES: The und�rsi�ned understands
that Transportatfon Empact Fees and.Reco.ut�e Recove.ry.Fees may'�apply:to�tF�e constructlon of new bulldings,�change°of
use in existing bulldings, or:expansic�n>of��existin,g'�buildings, as speclfl�d.in Pasco County Ordinance number 89-07 and
90-07, as amended._The undersigned also understands, that:such fees,:as,�rriay�be�due„will��be Identi�ed at the�time°of�
permitttng. It is furtlier understood that Tra�sportatlon Impact Fees a�nd�Resource R�co�ery�'Fees.must be paid prfor to
rece�ving � "certiflcate.of�occupa�cy" or flnal�powec•,release. :If�Ehe.project�.does not involve;a.certificate of occupancy, o�
fln�l power releas�, the fees mu�t be paid pctor to permit issuance. F��thermore;if Pasco Countg►�,111�ater/Sewer Impact
fees are due,.they�must be-pald..pr:lor to permlt-lssuance=�n accordance with��pplicabte Pasco'.County ordinances. •
CONSTRUCTION LG�RJ L�YY(Ctiapter 713, fFl�rlda 3t�tutes�as am�nde�): ff valuatlon of work is 52,500.00•or more, I
certify that I, �he. applicant, have.been provided wfth a copy of the�"Florida Constntctton Llen Law=Homeowner's
Protection.Guide" prepared by the FloNda Departmenf of Agric.ulture and ConsumerAffairs. If the applicant Is someor�e
other than the"owner", I certify that I�h�ve,obtained-a'copy,of.the:above.rlescribed�docurr�ent=and.proml�ein,good faith to
deliver it to the"ownec"-pdon�to-cornmencement: ' ' ,
COtdTRACTOR'S10WtdER'S AF�'IDAVIY: I.ceMify,that-all th��;inf.orrv�ation (n this applicallon is accurate and that all work
will'be done in compliance with all.appl(cable laws regulating constructlon, zontng and land development. Applicatlon (s
hereby made to obtain .a .permit to do_wor'k;.and Installation as (ndicafed:� 'I cectffy that no work-oP Installation has
commenced pr(or to Issuance of a permit and that.all work will be pertorm�d to meet standards of all laws regulating-
conshuction, County and City codes, zoning regulatiQns, and land development regulattons in the jur(sdtctton. I al'so
certify th�t I understand that the regulations of other�government agencles may�apply�to the intended work, and that it is
my responsibility to identify•what,act(ons I must t�ke:M be�in:.compllanca. Such agencies lnclude but are.a�ot Ilmited to:
- Departrnent of E�vlronmental�Protect(on-Cypress. Bayhead�, WeNand Areas and Envlronmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management .DisUict Welis, Cypress.��Bay.heads; Wetland Areas, Altering
Watercourses.
- F+rmy Corps of Engineers-Seawalis, Docks, Navtgable Watervuays.
- Department of Health�'� Rei�abllitative Senr6ces/Environrtaenfal Health Unit Well.s� Wasteuuarater Treatment,
Septic Tanks. .
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Avfatlon_Authority-Runways.
I understand that the follow�ng:restrlcttons apply to the use of flll:�
- Use of fill Is not a0lowed in Flood Zone"V"unless expressly permitted.
- If the flll mat�rial is to b.e used: In �Flood Zone. "A�, it. is understood that a drainage pl�ri addresstng a
�compensating volum�p will be submitted at#ime of p�mnfttfng which is prepared by a pro��ssfonal engir�eer
Ifcensed by�he State of'Florlda: -
- If the flll material Is to be used in Flood �one °A" in�connect(on�with:a �ermltted buflding using stem wall
� construction, I certify that flll:�rall:b.e used only.to fill the area w(thln�the�stem•wali.
- if fill material is to be used ln any area, I certify that .u�e. of such flll w►ill not adversely affec4 ad)acent
propertles. If use of flll is found to adverseay:�f�ect ad)acent��pcoperties,.the owner may b� cited for viofating
the condl#lons of the building.permit Issu�d under the attached�ermit applicatlon, for:lots less than.one (1)
acre which are elevated�by flll,a�t engineered drainage plan Is required. •
If I am the AGENT FOR THE OWNER, I,�promise in good faith to inform the owner of•the permitting con�itfons set forth in
this affidavit�prior to commer�cing constructlon. I underat�nd that a-separate permit may be requlred for electrical work,
plumbing, signs, wells,.pools,. alr conditioning, .gas, or other instali�tions not,spec�ically lncluded�in.th� application. .A
permit lssued shall be construed to be a�flcense to�proceed�nrith tFie work and not as.authoNh+ to,violateo cancel, alte�, or ,
set aside any provisions of the technical codes;�nor shall issuance�of a.permQt prevent the Bulldirig O#�ictal from thereafter
requiring�correction af enors in plans, construction or vlolatlons of any codes. Every permlt Issued shall become invalid
unless the work aulhorized.by such permtt.�s-commenced�withln sfx months of permit issuance� or If work authorized by
the permft is suspended or.abandoned�for a;period of�six f6)mont�s.after the tirne the�work ts commenc�d, An extension
may be requested, tn writing, from the BuIlding,Official for a period-not to exceed ninety�(90) days a�d�wili demonstrate
justf�able cause for:the exten�lon�. If work ceases,for nfnety.(90)cons.ecutive:days�..the)ob�is conside�ed aba�doned.
VVAItNING TO OWPIEIt: YOUR..FAILURE�TO„REC.ORD A NOTIG@ ���COMMEMCEMENT--MAY�RESULT IN 1(OUR
PAYING TWICE,FOR IMPRO`Vp',EMEMTS�TO.YOUR�:PROP�yERT�QqY. �IFt�YOp.U��IN�'�EN�Dq��TO°�nB7•'•AIN��FIN�ArR��1tdG;'CONSULT
_-1�� Y _ ' � . AI�' � I� � �. �s'��V' 'Y V'� �V J = :Y. �'O .,' . � E 'G .. .
- FLORIDA JURA�(F.S.1.17 � � � � S
OWNER OR AOEPIT a'� COPJTRACTO i
�`�Su cri and awom M(or ed)before me fhl Subscrib end'swa (of afflrmed��befo 'me Uiifi
by �S—�/�A C�' -�� � r Q�
Who Isfare p nally knovm me or haslh�ve produced Who.(s/a personallykno •to me or hes/hav��produced •
as Identlficatl4n. as IdentlBcaUon.
` Notary Public . ��-� Notary Public
Co Isslon No:` Commisslon.No.
�P(� ,,.`otpR�PU�,,, SYLVIAA.CAMPBELL
=e�;'� ,��': Notary Public-State of Florida
•_. .�= Notar Public-Sta
Name of Notary typed, n 'mp Neme of Idotery typed,pr1 r ped Commission�GG t 12939
:9 �o�: y Comm.Expires Jul 19,2021 ='"� oe= My Comm.Expires Jul 19,2021
'••,�OFf,��•` NondedlhroughNalionalNotaryAssn. �°9�oFF�°P•,�
��„� QondedthroughNationalNotaryAssn.
- �'1��,�.� ��,1�.�,�'I �'�`,��
� .`t � � � ANDpAICG cs • •
Service Order/Proposal
' S�ceti�988 813-782•5013 � Invoice
� i r [� '���.� a 4 _ f� , r� � � �_��C-r7 - - C_
Sal.es Service & Installations '��'��' ������� ��`"�i:' �.�`E''�'�� .��--�.�_ _,�,=�
' f}�;rl �l "1l�IC.r".. ; i-��"'��:.i�! �.i.::• .lk'.!�.4. � .:j7° �=i
4441 Allen Rd. • Zephyrhills, FL 33541 -;-��F.r=;,� L;•Y� ::. ��� ,����,
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� ❑ REGULAR ❑WARRANTY • "`��'��`���::TOTAtSUMMARY,';� .-_ -
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`;DeiiuFnidis,ta�;Settir'igs:�:,When here"ON'"�sWhen Away��,?'f-Stat�°" ❑ MAINTENANCE CONTRACT
I - _ • ;� - SERVICE� i
-- - -� - - - �a�-:�- ;:;r,`.;.- - - = _ _ ' CALL
�LIMITED WARRANTY:.All materials,parts and�equipment are warranted bythe manuhacturers' -:T�'"� crMET'HOD:OF�PAYMENT'`"��`<v;r-= �
or suppliers'written wartanty anly.All labor perfortned by the above named company is warranted far '�T'�°�-�'_�"~�'��-`-'�~""�` `=�'' "��'�'"� ""' -
30 days or as otherwise indicated ln writing.The above named company makes no other warranties, ❑CASH CK# ,.�C:�Cv f��.,�� J TOTAL i
express or implied,and its agents or technicians are not authorized to make any such warranBes on ,
MATERIALS i
behalf of ab ve named wm an.
___—•' i
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P Y
❑DEBIT ❑CREDIT ❑OTH�R"
MAINTENANCE
I have aulhoriry M order the work ouUined ebove whlch hes been satisfaetorily completed.I agree that Seller
PROG. W I C �
retains tltle ta aquipmenVmaterials fumished until final.payment Is made.If payment Is not made as egreed, CLAIM# �
seller ran remove said equlpmanUmaterials at Seller's expense.My damage resulting from sald removal shall
not be the responsibifiry nf Seller.NEf 30�AYS.A 1 1!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO �
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS � DATE COMPLETEDj�_���
1 �
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