HomeMy WebLinkAbout17-19180 " CITY OF ZEPHYRHILLS
5335-8TN STREE�
- �+ (813)7$0-0020 191$0
BUILDING PER�+9IT
PERMIT INFORMATIQN L.00/�TION INFORMATION
Permit Number: 19'[80 Address: 6352 BIRMINGHAM AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Boo[c:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Fe�#: Subdivision: SILVER QAKS VlL�AGE
Est. Vaiue: Parcel Number: 03-26-21-0200-00000-0480
Improv. Cast: 5,049.00 OWNER INFORMATION
Date lssued: 1108/2018 Name: PETERSC}N CAROL. F
Total Fees: 70.00 Address: 6352 BIRMINGHAM AVE
Amaunt Paid: 70.00 ZEPHYRNILLS FL 33542-4885
Date Paid: 1/08/2018 Phone:
Worlc Desc: A/C GHANGEOUT 2 TQN
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, lNC. A/C CNANCEOUT 70.00
IL
Ins ections Re uired
D T IN TAL
DUCTSINSULATED
FINAL���./�.-
REINSRECTION FEES: (c)Wifih respect ta Reinspection fees will comply with Florida Statufie 553.80 (2)(c)the
loca[governmenfi shal[ impose a fee of four fiimes the amaant af the fee impased 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 ta this property that
may be found in the public recards of this caunty, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to awner: Your failure to recard a notice af commencernent may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with yaur lender or an attorney
before recarding yoar natice of commencement."
Complete Plans, Specificatians Must Accompany Application.All work shall be perFormed in accordance with
C[ty Codes and Ordinances. NO QCCUPANCY BEFORE C.Q.
NQ OCCUPANCY BEFORE C.O.
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NTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MUNTHS WITHCIUT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRQTECT CARD FROM WEATHER
a��-rOW1U'LU City of Zephyrhiils Permit Application �`f 7 Fax-813asaoaz�
Building Department
Date Received--; '=' Phone Contact foe Perm{ttln C�� � �� — o/b�J
Uwner's Name ��l'��C7 Owner Phone Number �� � �l�'"'..7����
Owner's Address ��� / /ll� Qwner Phone Number �� n �
Fee S#mpte 7lttehotder Name Owner Pfione Number � ^�
Fee Simpie 7Ftiehotder Addresa
JOB ADDRESS �„J" CT lR- !V �� LOT# �_r�
SUBDIViS10iY �l�'� S66 U PARCE4.Ib# ' ��✓'c� c�� ��� ��t7a d�t3
(OBTAINED FROM PRQPERTY 7AX NOTlCE)
WORK PROp08ED , e NEW CONSTR� ADDJALT � SIGN Q Q DEMOLtSH
iNSTA1.L i2EPA1R
PROPOSED�U�E L] SFR Q COMM Q OTHER
'iYPE OF CONSTRUCTlON Q BLOCFC " Q PRAME [� STEEG Q
DESCRIP11dN OF WORK ��` �a- �� (i �~G�G� t�. �� d
BUILDING SIZE �� �� SQ FQOTAGE MEIGHT ���
C]BUILdING ��—� VALUA7tON OF�TOTaL GONSYRUCTION
QELECTRICAI. �� � AMP SER1/ICE C] PROGRESS ENERGY [� W.R.E.C.
QPLUMBING � — � _
QMECNANICAL $ �, ,,�a ` VALUATION OF MECHANICAL.INSTALLATION
� vl!
QGAS [� ROOfi1NG Q SPECIALTY � OTHER
FlNISHED F1.00ft ELEVAT{ON3 (�� FIOdD ZONE AREA QYES. NO
�.^,_,_.� -
BUlLDER COMPaNI!'
StGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address l.lcense# � ` �
ELEGTRICIAN � � COMPANY
SIGNATURE � REGISTERED Y! N FEE CURRE� Y/N
Address License# �� �
PLUMBER � COMPANY
SIGNATURE REGlSTERED Y t N FEE GURREA Y i N
Address i.icense# I �
,_, _,
SIGNATURE ��G�rX..t� `'"��(�3�'�� COMPANY �t�1�S� a4l1�� :t'"�..��i'lI�G'
REGISTERED Y/ N FEE GURRER` Y/N
Address l'�"j�/+1 ucense# ��������'���
,_.___
OTHER ,COMPANY
SfGNATi1RE ,,_,r„^,,_.^,,_,,"�T,� REGISTERED Y/ N . FEE CURREt� Y/N
Address License# � �
RESiDEtdT1AL Attac.t�(2)Piot�Fians;(2)sets.af>Building`Plans;(i)set of Eriergy�Foims;R-O-W Permlt for new construction,
Minimum.ten°(1.0)warking days;after„sabmifta)date.�Reqa�reid onsfte,Constirucdon Plans�Stormwater Plans w!Silk Fence installed,
Sani4ary Facititles:&;1.,dumpste_r.-�Site Work:Permit tor subdivislonsAarge proJects
CQMMERCiAL Attach(3)comptete sefs of Building Plans ptus a Llfe Safely Page;(1)set of Energy Fo►ms.Ft O-W Permit for new construction. �- -� - � "--"
Mintmum ten(10)worlcing days'after submlttal date. Required ansite,Construcflon Plans,Stormwater Plans w!Silt Fence installed,
Santtary FaciiiNes&1 dumpster.Sike Wark Permft for all new proJects.All commercial requlrements must meet comp!lance
SiGN PERMIT Attacfi(2)sets of Engineered:Pians. �
""PROPERTY SURVEY requtred for all NEW consttvcflon. ' - •�
Directions:
Ftl�out applica8on completely.
Owner&Contractor slgn back of appl[caflon,notarized
If aver S2S00,a Notice of Commencemenk is requlred. {AfC upgrades over 57540}_ �
" Agent{tor the contractar)or'Power of Attarrtey(for tite owner)woutd be someone with nota�ized letker from owner autriorizl'n'g same - � - �•� _
DVER THE COUNT6R PERMITTING , (Frr�nt�of AppllcaBon Only) _ ,. ' , ,.
Reroafs lf shingles Sewers Senrice Upgrades AlC� Fences(PlotlSurveylFoatagej . . , . , '
� Drivewaya-Not over Counter(f ompublio roadways..rteeds�RQW ' � '
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NQTICE OE DEED REST.RICTICINS: The uttder�lgaed t�ndet�tands;th�t;thts.:p�tmlt.may be:sub�ect to°deed"testrictlohs"
which may�be.more:r:esttdctfve-thaFl�ounty.:r��agr�latCons:`The�underslgned�`assuriies�'r'esp�nsltiillty�far"complianccei'wiifi�iny
applicabie deed resMctlons. •
UN!lCENSED CONTitACTORS AND Ct1N�RACTOR RESPONSIBiC1T1ES: If the awner has�•h3red s conhaatar or
contractors ta undertake work, they may bs:r,equired.�to:be•:Ilcensed in.accardance.with state.and•lacal regulatlans. �If•the�
con#ractor ts not ticensed �s requl�ed�tiy law, bath�the owner and�cor�t�ector..may.b�..clted�for a-misdemeanor vlatatton
under state law. If the awner ar Intended�co,n,,Ua�tor; a�e�;uncertatn as to what Ilcensing.requiremen#s;mayx:appty.�-�for�the
intended work�they are advlsed to coritact ttie Pasco County 8uliding�InspecUon Cihilslon—Ltr�nsing Section at 727-847-
8009. Furthermore� K the owmer has'hlr+er�1�a contrac#o� or coritractars. he ts aiivlsed�to have #he conUacMr{s), slgn
portions of the "cantractor Bloak° of ihis applicatlan for which they will be responsible.� If yau, as.the owner``sign''as'tlie ��
co�tractor, that�rnay be an indPcation that�Fie-is not prope�iy ticensed anc!�is not ent[�ed tb petrn#�ing pri�iieges in Pasca
County.
TRANSPORTATION.IMPACT1UTtlITIESd�MPAC"��ANO-RES�URCE RECOVERY�FEES:-T�he undersigned understands
that Transportatian impact Feas and.Reco.urse.Recave.ry.Fees msy':apply,>to�ti�e consfruction of new bultdtngs, change�of`
use In existing buildings, or,.expansi�n•rof��existin�g�buifdin�s� as specifled.in Pascq County Ordinance number 89-07 and
90-07, as amended. ;'G'!ie underslgned alsa understa�ds; t#�at:�suct�fees�•:as��may�be�.due,:EwiEl:=be Identified at thent�me.of;
permitting. It is furtlier understood that Tnaaspo�tation Impact Fees and°Resource Reco�eryMFees mus,t be pafd priar to
recewing a"cec�i�cate-of�occ�pa�cy"or flnal•pawer.:retease, :I���the pro��ct�..�ioes:not Involve<a-�.certiflca[e'af occupa�cy.or-
finai pawer release;.the fees mu�t�be paid petor to permit tss�rance. F��thermore;�if:.Pasco County iNater/5ewer�Impact
fees are due,.they.must be-pald-pNor to permitflss�ance=ln accordance with��applfaable Pasco'.Couniy ordinances. •
CQNSTRUCTiON CiEN"l.A1N(Gti�pter 713,Flor�da Statu#es�a�amended�: �f v�lua�or�c�t'work is$���OO.00:�or rnore, l
certify that I, the applicent, have.been provided. with a copy vf�the� `Flor(da� Cons#ructlon Llen law—Homeowner's
Protecttan Gulde" prepared by�tt�e Fio�da Department�of Agrlc.ulture and Consumer�AfFalrs. !f the appllcant Is sameone �
other than th�"owner", i certiry.that t;have.ob.tatineitl�a'copy,of..the�ab�ve.des,erlbed tiocur�ent�and.p,romise�tn,good,fatth.to
deliver It to.the:'owner�prlo�to�cornmencemenE:" � .
CQNTRACTOR'SlOWNER•S A�FIDAYIT: 1.ceitity;.that�.alt,the�.lr�form�tton,lflrthl�appltcatton#s accurate;�nd that ali wark
will'be done in compitance with all.applicable laws regulating construc8on, zon(ng and��land-devalopment. Applicatlon fs
hereby made to obtaln.a.perm�t .Eo do_�ot1c,.and instatlatlon as Indt�ated:• :1 cer.titjr that no work=ar Instaitatlon has
commenced prior to issuance of a permit and that.all work wiil be pertormed�to meet standards of all laws regutating�
constructlon, County and Ctty codes, zoning regulatiQns� and tand d�velopinent cegula�ons�in the Jurtsdiction. ! al'so
certify that 1 undersfand that the regulattons of otiter governmen#agencies may•apply��#a the intended wark, and that i#is
my responsibility to iden#ify.what.actlans I must taka:to b�,in:.carr►pliance: S.uch agencles include but are.not iimited to:
- Department af Etivlronmen#a1�Protectlon-Cypress.'Bayhead�� Vlfe�and Areas snd Environr�entatly Sensitive
L.ands,Water/Wastewater Treatment. �-
- Southwest Flarlda Water Management .C�1sWct We!!s� Cypress.Yy 8ayheads;- Wetland Areas, Altertng
Watercourses. "�-
- Army Corps of Engineers-Seawalls� Daaks, Navigable Waterways. _,
- Depactment of Heaith�& Ret�ab111Eative Ser+rEceslEnv�ronmeri#al�Nealth Unit Well.sr Vltastewater-Treatment,
Septic Tanks. � ,
- US Envlronmentai Protectlon Agency Asbestos abatement,
Federal Aviatton-Authortty-Runways. �
1 understand that the followlAg,restrictlons apply to the use of flll:• - �
- Use aftill is not allawed in.Flood Zane"V°unless expressly pern�ltt�d.
- If the �flll material is ta�be used: In.�Flood Zone. "A", It. is understood that a drainage pl�n addresstng a
"compe�sating voiume"wIH be submltted at Ume af.pert�ttt.�ag wlilch is prepared by a ptofessfonal engineer
Ilcensed by the State of'FioNda: ,
- !f ih� till material-is'to be used in Flood �one 'A" !n�connec�ion�with�a�permitted buHding using stem wall
� _ construction, l ce�tily that fill v�11i:b.e used onty.to fi11 the area wtthln�the�stem•wall:
- If flll mate�lal (s #a be used in any area, ( �certlfy that use of such flll wlll nat adversely atfeat adjacent
properties. IF use of fill ie fonnd to adverseEy=�#fect adja�ent prc�perttes�.the awner may be clted far vloCating
the condifions of the bi�ilding:permit Issued�under tha attached�ermit appllcatlan, for.lots less�than.one (1)
acre whlch are elevated•by f!!l�an englneer�ed dralnage plan!s requtred. . �
tf 1 am the AGENT FOR THE t1WNER, I;promi�e In goad faith to infarm the awner of�the permltting condltians set forth in
this affidavtt'prior ta� commencing constructlon. I underatand #hat a�separete permlt may be required for elecMcal work,
r:..�..
plumbing, signs, weilst.Aools;_alr condltlonEnB..9�ts, or ot�er: Install�tions nat.spec��tl�y inslu�ied•tn.th� appllcatian. .A
permit issued shall be canshued to be a'lice�nse to��proceed with the work and not�as:authority to violate,�aancel� alter, or
set aslde any provistans of the technlcal-c+ad�s;�nor sha{I lssuance�of a.germlt.pr.event the BuAdlrig C�#fi�i�!from thereafter �
�eq�irtng a ao�reettan nf errors in.pians, constructian or vlolations of any codes. �very p�rmit tssued shatF become invaiid
unless the work authorized.by such permtt:°Is-commenced•withln sUt months of�permit Issuance, or if wairk_authorized by
the pernttt is suspended�ar.abac�doned far.a;pertad af�s�C�{8}monfi�s.aftec the tlrr�e the�wot�lc��s commenced. An entenslon
may be requested� In writing, fram the Bulld#ng,Official for a period�not to exceed:ninety(90) days a�d�'will=demons#rate
�ust�iab#e cause tor:�the e�enslon: tf work ceas�s:far nineqr.�9Q}cons.�c�tive day.s,..the�f ob�is-c+�nsldeted akaador�ed.
WARNlNG TO OWNERs YOUR..�AILURE�TO.,R�EC.QRQ A.,MOTIGE:OF,�COMMENCEMEMT�MAY=RESULT IN YOUR
PAY[NG'TWtCE;FOR iMPRQYEMENTS�T�YQ�lR�:P�tt3PERTY. -1�°YO.U;It�'€�D`'TQ���O���iN�=F1NFA'�I�tNG;�l3NSUlT
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OWPIER OR At3ENT �''»�?- CONTRAGTO
Sub cxtb and swom M ar aflinn d)befor me thls ' Stibsq�be�and' �to(ot afllrmed��b�efote me�tfiis
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o Islare �sonally kn b.me or haslhav�produced Who.le/are p�rsonally ki�o ta me or tias/have•produced •
as Identlftcadpn. as Identlficatlon.
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�-- - Publlc . � tary Publtc
ti•� '�P'���,,; SYLVIA A�CAMPBELL ,..��iv p�'••,, SYLVIA A.CAMPBELL
Comm slon w�'�� Comr�IssionNo. ;� °%= lic-Stateofflorida
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:•; ;•� �Commission�GG 312939 €•� •= Cammission#GG t 12939
' ' oe: M Comm.Expires1u119,ZOZ1
�d8R180r�10 �� nQ�d��I�r�alNotaryAssn. N8ma0lNolelrytyped, Il� ,4(� IIIpIDdedthraughNationalNolaryAssn.
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� � ANDPAICG cs Service Ordex/Proposal
Sa��988 813-782-5o i 3 . . ." I'nvoice � �
Sales, Service & install�tions .wc1�?� n�uCFti.*%;c F,��i:c�r��'�v ;��:�;�? F'E�
4441 Allen Rd. • Zephyrhills, FL 33541 �F�fF:7]:�+E 'f���,.r.:.r� �ri ���?���!i�� �he a,���
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' � • ❑ REGULAR ❑WARRANTY � 'TOTAL.Sflltitir!t�iftY
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� �n,,;_ �:�W n here'�:'When Away�;y�T.Stat�°� ,❑ MAINTENANCE CONTRACT SERVICE �
�:;.�: �.�r':Gi . �..�,-_,. _.._.,.. :..,._�. _ CALL i
IMRED WARRANTY: All materials,parts and equipment are wartanted by the mam�Fadurars' ;r` '"•:��[;{pQ,pf:pq�idT
suppliers'wtitten wartanty anty.All labor perfortned by me above named company is�rarranted for ''' -� `� ` ' - TOTAL i
I days or es othernise indicated in writing.Theabove na�nBd company makes no other wartanties, ❑�ASH ❑CK# MATERIALS i
�xess or impGed,and its agents a techniaans are rro!authorized to make any such wartanbes on
,halfofabovenart�edcomparry. . ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
we eutlroAry to ad�r tla work autlined ebove whkh has besn satlsfactorily compbted.I�gree that$eller
PROG. W I C �
mkw title to epulpmenUttute�lale fumished unW final payment is made.tt peyment Is not mede aa agreeE. CLAIM# ., '�,pi o��
aar ea�,�anwva sew epwamenvrtumnsls nt sauer�s e�ense.Arty damage rosulti'ro rrom eau removal snen �
R be tlre respaWdlily of SeVm.NtT 30 DAYS.A 7 12%SERVICE CHARGE WILL BE ADDED MONTHLY TO �b� d(\�Clj S(G.; �
1UNPoU�BALMICESOVEF230DAYS.NQ. NDS DATE COMPLETED
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