HomeMy WebLinkAbout18-19251 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19251
' � BUILDING PERMIT
PERMIT INFORMATION LOCATIOiV INFORMATION
P�rmit Number: 19251 Address: 38219 EUCALYPTUS DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 4,995.00 OWNER INFORMATION
Date Issued: 1/31/2018 Name: KING FRANCIS ACEL & DEBRA IRENE
Total Fees: 65.00 Address: 38219 EUCALYPTUS DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-6646
Date Paid: 1/31/2018 Phone: 906-440-2133
Work Desc: A/C CHANGE OUT 2 1/2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
:
Ins ections Re uired
DUCTS INSTALLED
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 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. j
NO OCCUPANCY BEFORE C.O. !
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
, PROTECT CARD FROM WEATHER
� ' , ANDPAICG cS Service Order/Proposai � � �
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�i��e�988 g 13.7'g2,.�p�3 Invoice
WORK ORDER#/SERVICEMAN 84�6� FEP
Sales, Service & Installations DATE�T i ME TAFSEhI �d i i�1 f 18 i�:54
4441 Allen Rd. • Zephyrhills, FL 33541 TAKEN RY ,�� �3
DATE/TIME RROMISED 01/31/18 ��:��
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KING, FRANCI.S F:If�G, FRANCTS
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❑ REGULAR ❑WARRANTY �:'-:�`' - ;=TOTAL�SU�tViMAF.iY:�= _- -
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LIMITED WARRANTY: All materials,parts and equipment are warranted by the inanufacturers' - _✓� �'" -- --_= CALL i
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or suppliers'written warranty only.All labor perfortned by the above named company is warranted for '4'''`"r`"`�`"^"" "°,� :�;."`" ', ';:�'=' =
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
behaifofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authonty to order the wark oWined above which has been satisfactorily compieted.I egree ihat Seller
PROG. W I C �
retains title to equipmentlmateriais t�mished untll final payment is made.If payment is not made es egreed, CLAIM# �
sel�er can remove said equipmenUmaterials at Seller's expense.My damage resulHng from said removal shall
nALL U PAID BALAN ES OVER 30 DAYS.NOYR FUN Sp SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED I
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CUSTOMERSIGNATURE DATE ✓1�iU//Glfi ✓Q�LG
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8t&780-0020 Cit�r of ZephyfiiAs Perm�Application
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RESIDEh1TW. ACach(2)Pbt Plans:(2)sets of Buld'm9 Plan�:(1)set oP Ener9Y Fonns:R-O-W Fennii for reew��
Mfinimmn ten(10)wotidn9 days a�subrtridal date. ReQuited onsite•C�P�.�'Ptars w/Silt F�Instailed.
Sanitary Faeifides&1 d�anp�ef Site Watt Pertnit fof 5u�dvWOr�sllar�Pro1�
COMSAERCIAL ACad1(2)compte�sets o!B�cid�Plans P�a Life SetalY Page:(7)set of Errer9f�Forms.R�W P�mit fot rrew�on.
M6nimum ten(10)wakin9 days a�s���'��onsite.Ccr�uGion Plans�S'Dortm+?ter P�ans w/.btilt Fenca it�lled.
Sanimry Facii'dfes_81 d�uaP�.SGe Wak Permit tor e�new Pojeds.All commeraal�iremetrts must meet�iaz+ce ,
SIGN PERMR Attadi CLI se�of��.
"'°PROPERf1'SURVEY reQuued for all NEW conshucilon.
Direetia�s:
FlII out applicatlon cwmPietelY.
Omter&Conh'ador sign badc of appfit�lon�.notar¢ed over 57500)
- H wrer i2500�a Notiee ot Coenrtier�ment is required• W��PO��
" Agent(for the cartrader)w Pow�ot AtEomeY(far the owrier)wadd be someone with notar'¢ed latter trmn owner autfia+mn9 same
OVER THE COUNiER PERMITTiNG ��DY ot oonh'ad req�d►¢d) ,
RerooFs ff shin9les Se�s Servlce Up9tades A/C Fertces(PIoU3urveY/Foota90)
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NOT[GE OF DEED RESTRICTIONS: The undersigned unde�stands thaf 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 restrictions. � � • �
UNLtCENSED CONTRACTORS AiVD CONi'RACTOR RESPONSlBiLIT1ES: tf the owner has hi�ed a confractor or
contractors to undertake work,they may be rc:quired to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractar may be cited for a misdemeanor violation
under state law. 1f the owner or icrtended coritractor are uncerfain as to what licensing requirerrtents may apply#or the _
iMended work,they are advised to contact th�Pasca County Building Inspectio�Divisfon—Licensing Section at 727-847-
8009. Furthermore, lf the owner has hired a contractor or contractars, he is advlsed fo have the contractor{s) sign
port3ons o#the"contrador Btock"of th�s application for wt�ich they will be responsible. If yau,as#he awner sEgn as the
coMractor,that may be an indication that he is not properly Ilcensed and is not entftled to permitting privileges in Pasco
Count�.
7'[tA►NSPO[2TATION INlPACTlUTILITtE31MPACT AND RESOURCE REG4YERY FEES: The undarsigned understands
that Transparta6on impact Fess and Recourse Recavery fees may apply to the const►uction of new buildings,change of
use in existing buildings, or expansian of existing buiidings,as specified in Pasco Caunty Ordinance number 89-07 and
90-0?,as amended. The undersigned atso understands,that snch fees,as may be due,witt be'�cier�#ified at the time af
permitEing. tt is further understood thet Transportatian Impact Fees and f2esource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the praject daes not involve a certificate of occupancy ar
finai power release,the fees must be pafd prtor ta petmit issuattce. Furihermare,#Pasca Courtty WatertSewer Ir»pack
fees are due,they must be paid prior to permit issuance in accardance with applicabie Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuadon of wark is$2,500.00 or more,l
certit'y that i, the applicant, have been provided wiUz a copy of the "Florida Construction LPen Lau�Homeowner's
Protec6on Guide"prepared by fhe Ftorida Deparfinent of Agricu(ture and Consumer Affairs. tf the appticant Is someane
other than the"owner",I certify that I have obtained a capy of the abave described document and promise in good faith to
deliver it to ttze"owner"prior to commencemeni
COIVTRACTOR'SrOWNER'S AFFtDAVIT: i certify that att the infarmaGon in this apptice�on is accurate and that att work
will be done in compliance with all applicable laws regulating canstruction,zaning and land development Application is
hereby made tn obtain a permit to do work and insta!lation as indicated, [ ceriify that no work qr iRstaElaBon has �
comsnenced prior ta issuance of a permit and Ehaf att work wlil be performed to meet sfandards of ait taws regutating
construction, Gounty and City codes, zoning regulatlons, and land development regulations in the jurisdicUon. 1 also
certify that!understand that the regulations af other govemment agencies may apply to the infended work,and that'st is
my responsibitity to identify what actions 1 mus#take ta be 3n compliance. Such agendes inclade bu#ate not lrmited to:
- Departrnent of Environmental Protecdon-Cypress Bayheads, Wetland Areas and Environmentally Sensikive
Lands,WateNWastewater Treatment.
- Snuthwest Flortda Water Management Disttic#-We11s, Cypress Bayheads, WeUand Areas, Alteting
_ Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigabie Waterways.
- Department of Health & Rehabilitative Se:vicestEnvironmenfat Neaith Unit WeIJs, Wastewater Treatment,
Septic Tanks. ' •
- US Environmental Protection Agency-Asbestos abatemen�.
- Federat Avia#ion Auttiority-Runways.
i understand that the following rsstrictions appty to the use of fi(i:
- Use of fill is not allowed in Flood Zone N"unless eicpressly permitted.
- !f the fit! materiai is ta be.used in Flood Zone A", it is understoad that a drainage plan addressing a
"campensating vofume"wiil be submitted at flme of permitting which is prepared by a professional engineer
. ticensed by the State of Flarida.
- tf the fill materia! ls to be used in Flaod Zane"A"in connectian with a petmiifed buitding us€ng stem wett
constructlon,t certify that�ti wit!be used onty#a fiti the area within the stem wall.
- If fill material is ta be used in any area, I certify that use of such fill will not adversely affect adjace�tt ,
properties. tf use of fill is found to adversety aftect adjacerrt properties,the awner may be cited for violafing
the conditians of the bu!lding petmt#issued under#he affached permit applicafion,for lots less tFtan one(1}
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,l promise in good faith to inform the owner of the permitting conditions set forth in
this affrdavit prior to commencing�nstruction. !understand that a separate permit may be required for electrical work,
plumbing, signs, welis, poois, air conditioning,gas,or other instailatians not specifically induded 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 asfde any provistons of the techn�cat c�des,nar shail issuance of a permii prevent the Buitding Off3c�a!from thereaRer
requinng a correction of errors in pians,constructlon or violaHons of any oodes. Every permit issued.shall become invalid
unless the work authonzed by such permit is commenced withtn six manths of permit issuance,or if work authorized by
the permit is suspended or abandonetl for a periaf of six(6}months after fhe time the wark is commenced. An extensia»
may be requested,in writing,from the Bulding Officiei for a period not to exceed ninety(90)days and wiit demonstrate
justifiable cause for the extension. if work ceases for ntnety(90)consecutive days,the jab is considered abandoned.
WARNiNG TO OWNER: Y011R FAtLURE TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING T1MCE FOR IMPROVEMENTS TO Y47UR PRQPERTY. IF YOU INTEND TO 46TAIN FINANCING,CONSULT
WlTH YOUR LENDER C?R AN ATTORNEY�EFORE REGORDING N077GE OF C MENGEMENT.
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OWNER OR AGENT ,�,N,.L.v/wGCONTRAGTO G�"�Z� ��,�L_/
S_gb���. ,� r affimse )b ce me his � Sy 'bEd d � o or affrt[t d)�f th�s r;,.
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Who is/are rsaneily known to e or has/have produced Who is/ rsonall me or has/have produced
as identification. as ider�tiflcatian.
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