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Home My WebLink About18-19198 CITY OF ZEPHYRFi6LLS - � 5335-8TH STRtET � J (813)780-0020 � 19a $ BUILDING PERMIT � PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19198 Address: 37346 NEUKOM AVE LOT 42 Permit Type: MECHANICAL ZEPHYRHILLS, FL. ' Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s):42 Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0090-00000-0420 Improv. Cost: 5,625.00 OWNER INFORMATION Date Issued: 1/22/2018 Name: WURPTS DALE & MARY Total Fees: 70.00 Address: 512 CENTRAL AVE SW FRNT Amount Paid: 70.00 ORANGE CITY IA 51041-1903 Date Paid: 1/22/2018 Phone: 267-847-2876 Work Desc: A/C CHANGEOUT 4 TON CONTRACTOR S APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00 � � � �e��;� Ins ections Re uired D CTS INSTALLED DUCTS INSULAT - 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 properly 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 ' � . e��-�� City af Zephyfiills Permit Application �a�c�t�-7saoa2s ti B�ng D�artrnent DabeReoeived PhonaCadadtor Ol – �L�r OMrt�'s Flarne ��_� �� Owtn�'Ptlotfe[+hanbat o� �,,,,�,�,,,rr"/� , � Owe�er�s fiddres� L��Glc Oyrnes Plrone Ddmtbe�' � Fee Simpte TRSe1�Nalr�e ( —l---� Owner Phone N�tbe[ �' � � Fee Sirnpk litletroldei'Ad�s J08 ADDRFSS � /c! ��. G'��J.S LOT# �� suBonnstcr� ��C�� ori�o� Pa�.u* 3 �S--a�1��1�1�� D1.�40D D��D �,/' ��r�,�, � WORK PRCPOSED CI NEW CONSrR� ADD/AI.T [� SIGN [� [� DEMDt.tSH (� iNSTALL REF?AIR pROPpSED USE Q SFR Q COMON � OTHER TYPE QF COM&TRUCTlON Q BLOCIC � FRAME � S?EEL � DESCFUFf1QNOFWORK C: (i G�''l�fl-� "7 �D Gi1J��77 �.,'NT �e ZY� BUILQING S�E SR FOOTAGE HE13HT �� QBUlLD1NG � ��I VALUA710t�t QF TOTAL CQNSTRUCTlON J Q ELECTRlGii. �� AN�SFRYICE - Q PROGRESS EN�RGY p w.�.e.c. QPLUMBiNG r--� � pn�c,Nawcru. s �'�`��i� vn�.ux-noN o�n,�ct�u►r�ic�u.�r�s,s�ut�oH QGAS Q ROOFlNG Q SPECIAL7Y� OTNER , FINISHED PL.00R ElEVATlONS �"'� FCOOD ZQNE ARE/1 QYES NO �_« BUILDER �—! � �p/�,y � SIGNA'T�712E 1�3tb1'� Y t PI- PEE cuRREA Y t!V aaa� u��i 1 ElECTRtCUW � � C014PAMr � 3IGkA'RJR6 rsEGwT�Ea Y J N �W tu� Y 1 N Addrcss �#�� ' SIt�HATURE � � REti�it� Y 1 N FEE cU3iREA Y!ft � � � �.� ��. �.� I r�ecr�,uca. ` ��Yj�,2y.�,,f,,,, co�awr �'1-�R 55�r�Pi4i�lt� 1�-�� SIGNATURP ttr�� Y/�N �cula� Y/�N _ Addn:ss ! 7"� f/�.'l�,j - Lit�tfse# G.rT � � �'rMER � � CW�tPANY i � � � StGNA'TURE REotsT�D Y t.N F�e cU�B. Y f N ,� �#r � � � � � � � ice � i�� ir � ��t�� t �-r� t � � ��r �-Ye � r�i � � i � �i.�ti � � � � � ��_� i � � it � � i � � � � � � RESIDH�ffU1l. Attach(2j Ptah Plar�s:.(2)sels of Bwldfng Placs;(1)set o}Ertergy Fatns;RA�W Fermit for new�ion, MGnimurn ten(10)rwddn9 days a�r subnuttal deEe. Requrted oraiOe,C�ori Pians,Stormx+ater Ptazs w/Silt Fer�e insmued, SanitarY Fata5tles 81 dumPst�;Sita VYaic Pertnft fw sua�o�atga�eds C�A[RCtAL Aifach(2)campdete se�ef 8catd'osg Pkvs P�a E3fe SafetS+Pa9e;(1)set of Ettergy Fomts.R-O-W Permit for ieaw�_ NSn�rm ten tt0?u�arl�ss9 days�ter subsnit�t daie.�Reqt�sed a�ite.C�P1ans.Si�nm+ater Pler�s w/Sitt Ferke h�talled. i Sanitary Fap!'Nes&!durttPster 8ite Wotk Petmii for eU new projects.All awnmerp2l repuiremeMs must rtteef canpliat�e � StGN PEl�AII' Attach(2)ssts of Eng6�aereii Pfet�. . '""PROPERTY SURVEY raquued for ap NEW ppnshyc�ian. :_... . . . . .. . . ... . . . . . ... . . . . . . . . . . .. . . . . . . DEre�ehor�s: Fill out applit�tlan canpletely. Owner&Contradcr sign back of appficaHon,rtotat¢ed :•-tt over 32500�a NaSce oi.Conae�enceenenE bs�u�ad. i��.aver ST5ony ' "',� Agent(for tli9 cartradorj w PowBr of At�orney(fPfUlo oVmer)wouid De sartu:orle wifh nOt�t¢8d tetter frDm oNmet auCtoli�tg seme OVER 7FIE COUMER PERMITnNG (copy.af aorrtract reQulred)' Renoofs if shin9� Sewers Sarvit:e tlp�rades A!C Fe�es i��rtl3urveYJFoo�ge) : cr�ve�ys-r,�or over cwn�cer K on Rut�C roaaways..r�e�Row ' NOTICE OF DEED RESTRICTIONS: The�undersigned understands that this permit may be subject to"deed"restrictions" �" • which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any � applicable deed resfictions. UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractars ta undertake worii,they may be required to be licensed in accordance with state and locai regulations. .If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or wntractors, he is advised to have the contractor(s) sign , portions of the"contractor Block°of this application for which they will be responsible. If you,as the owner sign as the I contractor,that may be an indication that he is not properly licensed and is not entiUed to permitting privileges In Pasco ' County. ' TRAWSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buiidings,as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not invalve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthertnore, 'rf Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in axordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the appiicant, have been provided with a copy of the "Fiorida Construction Lien Law—Homeowners Protection Guide"prepared by the Florida Departrnent of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owne�'prior to commencement CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the informaUon in this application is accurate and that ali work will be done in compliance with all applicable laws regulating construction,zoning and land development Application is hereby made to obtain a permit to do work and installatlon as indicated. 1 certify that no work or installaUon has _commenced prior to issuance of a permit and that all work will be pertortned to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land developmeM regulations in the jurisdiction. I also ' certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agenaes indude but are not limited to: - Depariment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensfive Lands,WateNWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. - Department of Heaith 8 Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment, SepUc Tanks. ' - US Environmerrtal Protection Agency-Asbestos abatement - Federal Av(aGon Authority-Runways. I understand that the following restrictions apply to the use of fiil: - Use of fill is not allowed in Fiood Zone"1/"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone°A"in connection wifh a permitted building using stem wall construction,I certify that fill wiil be used oniy to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill wiii not adversely affect adjacent properties. If use of fill is found to adversely affect adjacertt properties,the owner may be cited for violating the conditions of the building pertnit issued under the attached permit application,for lots less than one(1) acre which are elevated by fiil,an engineered drafnage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the pertnitting conditions set forth in this affidavit prior to commencing construction. i understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shafl issuance of a permit prevent the Buildfng Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued.shall become invalid unless the work authorized by such pertnit is commenced within six months of permit issuance,or if work authorized by the pertnit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTOR EY BEFORE RECORDING Y NOTICE OF OMMEN EMENT. FLORIDA JURAT(F.S.117 � c_ OWNERORAGENT '�/'`�' CONTRACTO �ub ribed d swpm to(o affirtned)before m this Subscribe d m to(or affirtned)be re me this -��.0�/ �'Yl(SP�O_!� ��y�,r}{ �Q �P.�' ho is/ar�personally know me or haslhave produced Who islare rsonally known me or hasR�ave produced as identification. as identification. ! � - Notary Publie Notary Public mission No. Co ssion No. .••'4N,�P�',.,; SYLVIA A.CAMPBELL Name of Notary lyped,prin 3 Na c�,�. IH?��PA0 a�Rfub�R'"�te of Flodda _., •`_ Commission tl GG 112939 ;•: •`- Commission A GG 112939 U,9� �= My Comm.Expires Jul 19,2021 :,'"q oP° MyComm,ExpiresJu119��OZ� •"•.�OFF�°�� yandedth�oughNatianalNotaryAssn. �•�OFF��.•''� gondedthroughNatianalNotaryAssn IL �. � _ �� PROPANE GAS Service Order/Pro osal � � ' AND AIG �Nc. n "�7ce �988 g`I 3•7g2-5p i 3 I�1vOiCe -Sales, Service & Installations �'��'`' ��`�-'��`��:f'F�'j�'��`1 �:�;`'�� :.��' �3f=�TE:'-['T.I�i� 1 AI;Eis k.�i %��',`'�, �:i.; .�. 4441,All Rd • Zephyrhills, FL 33541 -i��F.{�";,a f:,.,.- kt-�t,j ��„�, NOTES: � � gy� �.�f�T(=i T:E t�1C" �-,;?JC�1 I�F__� ��f� �..°�F� iZ►t�.,��4�} �� Y t_.l;v�."fCit��F��.►_C1��-U��`?;r.�f�a �:_3;"-?F, ' 1=`i��l��?P�f l�� :,_ _ �s.7_ -,L,-� ,-, �.,r,r''_•i.� �,..� r�:., �� ,I � (� -� �... �a,� bo�� `t r-�c.rt,��r��:%�,�� . w�� .. a �-SUh:='1`Sg �?F;zNi'y E✓`��..�". (�1►_��'1_S� i'l�,.r`-�l�f �'e' :f:'.:��r, I'�{��J!-:�rTl (1VE; ' ;,:,'T�'t� l�;E1._I'r`�Iw s`�tiE �3��Rt�aD H�IF�?rp��, Z i F�'i-f`t i'��•-I T I_:_�� t-"f._. ;��;,`=,��:�. �C��'I�'r'Ft F-';:C�.._i..:.= ��i.._•r;'��y-:i. FIP�fAi�iA �'CF�'s•�liYt�h't,'E:y �c:7.G'.'.w�cFy�l.� _:':�,T'f.frii-�T� F�a� H�f-1`!' �'��I'�fi�' • ., .� .,a, ; ,:a , _. . .,. .. ,. , ., _.. _,._ .:': _.. . . . ,:- � :.,.. .. .. : �; ,- DESCRIPTION_Q.F,,�WORK -_ � ' _ _ ��`' QTY. ,"� MATERIi4LS&.SERVICES=`, �.`__ - :- t7MT FRICE �`AMOUNl' - - -c'y' _ � " e - � C�' 'n. �!.�fs� n r , cxti ' ,5��l �,. �"�;. �' ,�.• � .�� i i . h��, q,,�a , � �d re,� r�n� +� �d�� ,��, w��, k� - - - -- - -- - � � . G� � . , t�� Pw � •5't�"n�` � � J � � i�C- �ti.1 Ni,r,;�t3I� r� C �c i i �`:5�'°I�' 1��`: �f�, < <C4..� �r� � � C,c�IT11 Gr �a S l� C � � i . ,1 � / �v � c, � Ci q ( I �1 I I I � I I I '�,` I ` �� WL� � � I yW ID P I P(,�,�I ?� � - ' � � ` 'RECOMMENDATIONS' - ; i i _ -., _ - - _ � -- - i i Annual�Mainfenance Recommendeii by=AIL EquiprrienE Manufa'ctii?er§::.". pressures Lo HI T-Stat i i .. .. _. _ . . :. i i _ ': REFRIGERANT;R= -;:<LBS. : _- . 5 Pecibs: " , : _ . - . , . i!"" I FILTERS x x Changed Monthly I I FILTERS x x Changed Monthiy I I ❑ REGULAR ❑WARRANTY "�� -TOTAL SUMMARY ,_ -Dehuinidistat Se4tings: When here"ON";�,,�When Away 60°o;:,T-Stat 8�°; ❑ MAINTENANCE CONTRACT SERVICE ^, i + LIMITED WARRANTY: NI materials,parts and equipment are warranted by the manufacturers' : , - '-"PAETHOD OF�PAY.MENT �, - 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 indicated in writing.The above named company makes no other wananties, ❑CASH ❑CK# MATERIALS i express or implied,and its agents or technicians are not authorized to make any such warranties on behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � I have authoriry to order the work outlined above which has been satisiactorily compleled.I agree that Seller PROG. W/ C � retains tiUe to equipmenUmaterials fumished until final payment is made.If payment is not made as agreed, GLAIM# � seller can remove said equipmenVmaterials al Seller's expense.Any damage resulting from said removal shall not he the responsibitily of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE INILL BE ADDED MONTHLY TO I ALL^UNPAID BAL4NCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED , / 1 TECH: T� � � �/ /]/ ' C STOMERSIGNATURE / DATE V7GL!//GtL ✓ou TOTAL �/�I� I�