HomeMy WebLinkAbout18-19376 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19376
' " BUILDING PERMIT
�� �- - = PERMIT INFORM�4TION - � � LOCATION INFORMATION �
Permit Number: 19376 Address: 37539 LANDIS AVE LOT 76
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: Parcel Number: 34-25-21-0090-00000-0760
Improv. Cost: 5,125.00 OWNER INFORMATION
Date Issued: 2/26/2018 Name: SLOWIK, RAYMOND & ELAINREV TRST
Total Fees: 70.00 Address: 37539 LANDIS AVE
Amount Paid: 70.00 PHYRHILLS, FL. 33541
Date Paid: 2/26/2018 Phone: � Q
Work Desc: A/C CHANGEOUT 4 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
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Ins ections Re red
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 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.
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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
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I 813780-0020 Ci#y of Zephyfiills Permi#Application Fax-8�3'�80-tl�2� ,
BuiEd'ing nepartment
Gabe Receired Phorte CoeNact for Permitti�x9 ( D��) ��2— ��'L J
Owrter"s Name ��°9 i.' /Y]L31^1 Owner Phane Number G?l�"' ����id
6�raers Address
1 ✓ f��� �f}/1��) ....�� �� Owner Phane Number �!�
� Fee SfmpSe 7ctlehoiderllame � � Owrter Phone Number � �
Fee Slmple Titleholder Address
JOB ADt]RESS G., l� rJ�' I'� l't 10 �LOT# E�
, � 5����s�� I� �� p„���� 3� �5 a �9� aza�v �
(OHTA(NED FROM PROPERTY TAX NOTICEj
WORN PROPOSED e NEW c.oNmi� ADDlALT � SIGN Q Q DEMOLISH
IhtSTALL REPAIR
PROPOSED USE [� SFR Q COMM � OTHER
TYPE QF CONSTRUCTION [� BLOCK Q FRAME �] STEEL Q
DESCF21PTiON OF WORK GJS� G� P�G+LL D7�I `��IZ BlVC?/�
BtfiLD1NG SlZE �� SQ FOOTAGE HEIGHT C��
QBUILDING �o� YALUATl4NOF70TA�CQNSTRUCTlON
' QELEC7WCAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QPLUMBING �� � �
[YSECNANtCAL $ �* J wf 1.,-� L} V1tt.UAT10N QF MECHANIGAL fNSTALLATfOid ��
.,� I IX �.l
i QGAS Q ROOFlNG Q SPECIAI.TY� OTHER
FINtSHED FLOOR E!�/Al'iONS �� FLOOD ZONE AREA QYES NO
BUILflER � � COMPANY �
SIGNATURE � ��isr�tm Y/ N FEE CURRE� Y/N
Address License#i �
EIECSRlCiAt+i � � COMPANY � �
SIGNATURE rx�ai5lERm Y/N �cuaREn Y/N
, Addtess LicBnse#�! �
PWMBER � COMpANY ,�_�
SlGNA711RE � � RE6lS�zm Y/N �E cUAREn�_Y/N
pddress � License# ��
MECHAN[C �" 1�n„�p a COMPAH'l I.t1/7�TG S G`DJ���� ` 1�-�� �'�—1 V�
SIGNATURE �"1VOf�/�'""C� REQIS7ERED Y J N r�e cuRREn Y I N
naa� � �/ � �l�it�6 u�r,�n C��'�'.���'��
oniEa � � COMPANY � I
SiGNATURE REGISTERm Y/ N �cuRREn Y/N
pddress License#�_ �
111111111111 / 1111111 / 1111111111tllllllllllllllllllllllllllllllt1111
RESTDEfiiTtlW Attach{Z)Plot Pians;(2}sets af BuiEding Ptans;{1}se#of Eneigy Forms;R-O-W Pemrit for new consirudsan,
N6nimum ten(10)worldng days after submittal date. Required onsite.Construction Plans,Stortnwater Plans wi Siit Fence instaited,
Sanitary Faciiitias&1 dumpster,Site Work Permi[for sutrdrvisions/large projects
C4MMERGIAL Attach{2)compiete set�of Bu"s�ng Plans ptus a Life Safety Page;{7)set of Energy Forms.R-(7-W Persnft for new construction.
M'smmum fen(10}xvridng days after submittal date. Req�ired�site.Consfttictian Pians,Stormwater Plans w1 Siii Fence instalted,
Sanitery Fadl'�ies 81 dumpster.Site Work Permft for all new projects.All commeraal requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Ptans.
""PROPERiY SURYEY tequired for ail NEW corssWdion.
� � • � • • � Y + � � f � � • � f � • � M t � e • • � � • • � � � t � � � � • e � � i..i l-Li__� e �
Directions:
FII out application completely.
t)wner 8 Cotitraacior sign back af agp(icadfon.notat¢¢ed
tf over"i2S1YQ,a�NaYice bf Canmencement.is required. (AIC upgrades over 57508j ,
" Ager�tt(for the�corrttactor)'or Power of Attamey(fbt tlie owner)would ba someone with notarized lettel'from owner authorizing same �� '�'
OVER TtiE COUti7�R PERMtTiiNG {exipy af.amtrad required} '
ReroMs iLshingles S�wers Service Upgrades A/C Fences(PtoUSurvey/Footage)
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Driveways-Not over Caunter if an putrlic toadways..needs ROW �
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NOTICE OF DEED RES7RtCTiONS: The undersigned understands that fhis permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibiliry for compliance with any s
appiicebie deed restrictions.
UNLICEIYSED CONi'RACTORB AND COiVTRACTOl2 RESRONS(BILiT1ES: If fhe ownet has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, 6ath the owner and contractar may tae cited for a misdemeanor violation
under state law. (f the owner or intended contractor are uncertain as to what licensing requirements may apply for fhe
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8008. Furthermars, if the owner has hired a contractor or cantractors, he is advised to have the contractor(s) sign
partions of the°cantractor Block"af fhis application for which they will be responsible. If yau,as the owner sign as the
contractar,that may be an indication that he is not properly licensed and is not entiUed to permitting privileges in Pasco
Caunty.
TRANSPORTAT[ON tMF"ACTIUTILtTIES IMPACT AND l2ESOURCE RECOVERY FEES: The undersigned understands
that Transportatian Impact Fees and Recourse Recovery Fees may apply to the canstruction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-47,as amended. The undersigned also unders#ands,that such fees,as may be due,wiil t�e ident�ed 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 involve a certificate of occupancy or
final power release,the fees must be paid prior ta permit issuance. Furthesmare,if Pasco Gaunty WaterlSewer tmpact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN L.AW(Chapter 713,Florida Statutes,as amended): If valuation af work is$2,500.00 or more,I
certify that (, the applicant, have been pravided with a copy of the "Florida Construction Lien Law—Homeawner's
Protection Guide"prepared by the Florida Department of Agricuiture and Consumer Affairs. If the appiicant is someone
ather than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"awne�'priar to commencement
CONTRACTOR"S/OINNER'S AFFIDAVIT: 1 certify that ali the information in ffiis applicatian is accurate and that all 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 instalfatian as Indicated. i certify that no work or insta(lation has
commenced prior to issuance of a permit and tfiat aIt work wili be pertormed to meet standards of all laws regutafing
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that i understand that the regu}ations af other government agenciss may apply to the intended work,and fhat it is
my responsibitity to identify what actions I must take to be in compliance. Such agencies include but are nat limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatertVYastewater Treatment.
- Southwest Fiorida Water Management District-We((s, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Carps af Engineers-Saawa!!s,Docks,Navigabls WaEervvays.
- Departmertt ot F[ealth & Rehabilitative ServiceslEnvitonmenta! Heaith Unit-Welis, Was#ewater Treatment,
Septic Tanks. `
- U3 Environmenta!Fratection Agency-Asbestos abatemeni.
- Fedeca{Aviation Aufhority-Runways.
I understand thak#he following restrictions apply to the use of fill: �
- Use af fill is not a!lowed in Flood Zone"V"unless expressly permitted.
- !f the fiIi material is to 6e used in Flood Zane "A", if is understood that a drainage plan addeessing 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 matetial is ta be usad in Flaod Zone"A" in connectian w3th a permitted bu3lding easing stem wa[{
construction,I certify that fill will be used only 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 will not adversely affect adjacent
properties. If use of�II is found to adversely affecf adjacent prape�ies,Ehe owr�er may be cited for vialating
the conditions of the building permit issued under the attached permit appiication,for lots Iess than one (1}
, acre which are elevated by fill,an engineered drainage plan is required.
If 1 am the AGENT F4R THE OWNER,1 promise in good fai#h ta infarm the owner of the permitting conditions set farth in
this affidavit prior to commencing consUvction. 1 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 au#hority to vioiafe,cance{,alter,ar
set aside any provisions af the technicaf codes,nor shall issoance of a permit prevent the Building Official ftom theteafter
i requiring a correction of errors in plans,canstruction or violations of any codes. Every permit issued.shall become invalid
un{sss the work autharized by such perrnit is commenced within s�x months af permit issuance,or if wark authorized by
the permit is suspended or abandoned for a period of six(6}months after#he time#he work is commenced. An extensia�
may be requested, in wri#ing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. !f work ceases for ninety(84)consecufive days,the job 9s considered abandoned.
i WARNING TO OWNER: YOUR FAILURE TO RECORD A NQTICE OF COMMENCEMENT MAY RESULT IN YOUR
r PAYtNG IWICE FOR tMPROVEMENTS TO Y011R PROPERTY. !F YOU INTEND TO OBTAIN FINANCING,CONSULT
� WtTH YOUI2 LENDER OR AN ATfORNEY BEFORE RECORDIEIG YOUR NOTIGE OF COIUiNiENCEMENT.
I FLORIDAJURAT(F.$.117.03) � � �4'
� OWNER OR AGENT ���9HTRACTOR
f Subscrihed,a d swom to(or rmed}before me his Subscribed d s ko{or aflirmed}befar me this
-a? �G--/�by ' PiYI�l' n"1�J`P�/'! �
� Who islare p na ly know to me or has/have produced Who is/ ! personally kn to me or has/have produced
as identi@calion. f as identiflcation.
/
`./��� �N+ota Putr1Ec �'L`"`�-''� Notary Putalic
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C o r�,q... „��� PAA,IDRFI 1 mission Na.
:�s.�4�Y PUf�(); Notary Pubi+c-State of florida ;�;t�"'°�e;�;. •
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Name [ el�print OTt@t Name of Notary typed, An _a Comiriis5iott#GG t 12939
:;�rq� o�d;: My Comm.Expires Jul 19,2021 • `;N� o�:` My Comm.Expires Jul 19,2021
.,°Ff�,.�•"� lbndedihroughNalionalNotaryAssn. '•,;�qxfLo?,+
� ,,, $o�ded2hroughNation�INataryAssn.
•
-� s � ' PROPANE GAS Service Order/Proposal
� AND AIC irvc.
�i�ce�988`� g i 3.7g2.5p 13 Invoice
WORN. QRDER#/SERVICEMAN 84884 NRS
Sales, Service & Installations DATE/TIME TAKEN �+���1�18 1�:49
4441 Allen Rd. • Zephyrhills, FL 33541 TA�.EN aY SARAH �5
DATE/TIME pROMISED • .
NOTES: ` ___ CUSTOMER#/LOCATION 1�634
��S r��X �a� /�� ��Jy�-� �HOfVE,# 81�-715-f��AO
- CO�ITACT ANOTHER C0.
ROUTE/SEG! IVRS-NEW-
SLOW I F'., RAY SLOW I�:, - RAY
�7539 LANDIS AVE "'""37'S3� LAhl�IS AVE ,
� GRAND HORIZQNS
ZEF�HYRHILLS FL ._,3541 ZEPHYRHILLS FL33541
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NO f�OWER TO A/C f�_��� ��
�':;;'_ " . ' DESCRIBTIONOFWORK , = QTY. ° ,MATERIAl:S.8��SERVICES'' , ' � � '` UNIT;FRICE v=AMOUNT:+.'�r
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-_. , - RECOMMENDATIQNS ;_ � ' � ' . � �
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.Annual;Maintenanee�Recommended'by AlI Equipment Manufacturers._ , � �
HI T-Stat i
, ;- i i
� . �. REERIGERANF.R-. '�, " _LBS. - .- ,$.pe�dbs.. � `':Ir,�. . I
FILTERS x x Changed Monthly I I
• FILTERS x x Changed Monthly I I
� � � -�OTAL SUMMARY _
❑ REGULAR ❑WARRANTY . , .
�Dehumidistat Settings When here"ON", When"Away 0° T-�tat 80°, ❑ M�INTENANCE CONTRACT SERVICE^M i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' �, - METFIOD�OF PAYNIEN`f CALL i
or suppliers'written warranty only.All labor performed by the above named company is warranted for ' " s
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CAS H ❑CK# TOTAL i
� express or implied,and its agents or technicians are not authorized to make any such warranUes on MATERIALS i
behalf of above named company. ❑'DEBIT O CREDIT ❑OTHER MAINTENANCE �
I have aulhority lo order the work outlined above which has been satislactorily completed.I�agree Ihal Seller � PROG. W I C 1
retains tille to equipmenVmaterials fumished until final payment is made.II Oayment is not matle as ay¢ed, CLAIM# . �
seller can remove said equipmenVmalerials at Seller's expense.My damage resultingirom said removal shall_ � ` i� �` �,\
ALL UNPAID BALANCES OVERr30 DAYS.NOYREFUNDS/SERVICE CHARGE WILL BE ADDEQ MONTHLY TO„DATE COMPLET�D V w
. F TECH: T� i
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CUSTOMERSIGNATURE oA7E � TOTAL �