HomeMy WebLinkAbout18-19401 CITY OF ZEPHYRHILLS
,i 5335-8TH STREET
(813)780-0020 19401
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19401 Address: 38540 REMORA 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: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-00000-0870
Improv. Cost: 3,350.00 OWNER INFORMATION
Date Issued: 3/05/2018 Name: SHAW LIVING TRUST SHAW JACK S TR
Total Fees: 60.00 Address: 329 WILSON ST
Amount Paid: 60.00 BLOSSBURG PA 16912-1013
Date Paid: 3/05/2018 Phone:
Work Desc: A/C CHANGEOUT 3 TON
CONTRACTORS APPLICATION FEES.
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
DUCTS INSTALLED Ins ections Required
DUCTS INSULATED
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ONTRACTOR SIGNATURE PERMIT OFFICVR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
u 813-780-0020 City of Zephyrhills Permit Application Fax-813aeo-ooze
Building Department .
Date Received Phone contact for Peirce ing ( ?-A �,el u
owners Name �+ /sL� r2G f owner Phone Numtier D T M/
79
wrrers o Address cl� t3 o r t v owner .Phone Number
Fee simple rMeholder Name F oenrer Phone Number
Fee simple Titleholder Address
JOBADDRESS � emorFJ vc Ve&iov llello;57 =0 �t�s�
SUBDIVISION PARCEL lD/ l/ / o '0Q4ev 10*71/
. ,�,/ IOaTARrED FROM pftOPERTY TAX NOTICE)
WORK PROPOSED e NEW CDNSM f ADDIALT SIGN 0 Q DEMOLISH
INSTALL t1a`'!I REPAIR
PROPOSED USE 0 SFR' p COMM p OTHER
TYPE OF CONSTRUCTION p BLOCK �)p FRAME J p STEEL- p
DESCRIPTION Of(WO�RK S, G l.t, ifif —1044' :8 7"OA!)%e n/r0 r
BUILDING SIZE (. SQ FOOTAGE�] HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL L(S— AMP SERVICE p PROGRESS ENERGY p W.R.E.C.
=PLUMBING $ ----�—�I
=MECHANICAL $ , C'� VALUATION OF MECHANICAL.INSTALLATION
J c
=GAS ROOFING M SPECIALTY.= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y!N FEE CURM Y/N
Address License#
COMPANYELECTRICIAN l
SIGNATURE REGISTERED YIN FEE CURREn
Address License#
PLUMBER
SIGNATURE F— REGISISTERED t YIN FEECURItIa Y!N
Address 11ni. License#
1
MECHANICAL
SIGNATURE "-" '�� P ` L�/,i�" REGISTERED 6KED AY7 5 110 CURRFJ/V e-6K'-''r''T 11a"`•"�"0
Address 'T ! /`� �d L �iGs Ucense# YIN
1t�gZ'Gi�
OTHER F-- COMPANY
SIGNATURE 1111 REGISTERED I YIN FESCURREfi LYIN
i
Address ! License#F— �- �
a
1 ! 1'litilltilll /'lt:It•1>ii'L!'tt111ilil11/ 11l1111! lllt ! l / 111111t111111111
RESIDENflAL Attach(2)Plot Plans;(2)fsets of Buikfmg Plans;(1)set of Energy Fomm;.R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomrvvater Plans w/Sift Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pernik for subd mionsliarge projects
COMMERCIAL Attach(2)complete sets'of Building Plans plus a Life Safety Page;(1)set of Energy Fortts.R-O•W Permit for new consbtrctionn.
Minimum ten(10)working days after submittal date. Required onnsite,Construction Pia_rs,Stommater Plans w/Silt Fence installed,
Sanitary Facilrbas&1 dumpster.Site Work Pemilt for all new projects.All commercial requirements must meet cornpronoe
SIGN PERMIT Attach(2)sets_of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
Direcffars:
F0 Gut application completely.
Owner&Contractor sign bade of application,nofanzed
It over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
Agent(for fhe contractor)or Power of Af ney(far the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades-A/C - Fences(Piot/Survey/Footage)
Driveways-Not over Counter if on public roadways-needs 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 restrictions..
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may tie required to be licensed in accordance with state and local 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 contractors, 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
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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 buildings,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 involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County,Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance 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 applicant, have been,provided with a copy of the "Florida Construction.Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department 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"owner"prior to commencement
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application 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 Installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1.also
certify that I understand that the regulations of other government 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 agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"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 with a permitted building using stem wall
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, 1 certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an 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 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 shall issuance of a permit prevent the Building 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 permit is commenced within six months of permit issuance,or if work authorized by
the permit 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. .
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.
FLORIDA JURAT(F.S 11
OWNER ORAGENT i �LG,m,e�a�r�t,�h., CONTRACTOR i 27.LA� h�
Su sc'bed d swam t (or affirmed) fore me Is Subscribed and sty rIl jg or affirmed) efor me this
by �n.f � Who rrn e y�iisp.,
Who is/are pers axy known o me or has/have produced is/ere rsonally n to me or has/have produced
as identification. as identification.
c �_ o ry Public �� Notary Public
Coml4sslon No. Commission No.
=B,,nded
LL
FM _ typed, Name of Notapublic-State of Florida
rYNotary Public-State of Florida Y mmission k GG 112939
Commission#GG 112939My Comm,Expires Jul 19,2011 mm.Expires Jul 19,2021BondedthraughNAtI"I NotaryM", throughNatlenalNotaryAssn.
Ivoti'l(
CT-r�tPROPANE AS Service Order/ProposalwQAND A/C�c
Y,oe 1o99 813-782-5013 Invoice
o"011011IN1 ni
i,!HDR.F. .,95142 MRS
Sales, Service & Installations f)q'j-'L-_ -- t1ir" , ,.�Fl
I i :'<<t r; 1 o27
4441 Allen Rd. - Zephyrhills, FL 33541 05
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.,,DESCRIPTION OF WORK MATERIALS&SERVICES
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RECPMMENDATIONS—,
"Xlin dal"M6intenairce Recommended by AII'Eqyipment,Manufacturers..
Pressures Lq_'" HI T-Stat A
REFRIGERANT 11V LBS. S=r I
FILTERS x x Changed Monthly
0' %f FILTERS x. x Changed Monthly
S
REGULAR Q WARRANTY SUMMARY
Dehumidistat Settings: When here"ON", When Away 609/.,j-Stat 80- U MAINTENANCE CONTRACT
j SERVICE
LIMITED WARRANTY: All materials,pals and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL
or suppliers'written warranty only.All labor performed by the above namo company is warranted for TOTAL
30 days or as otherwise indicated in writing.The above named company makes no other warranties, 0-CASH C3 CK# TOTAL
express or implied,and its agents or technicians are not authorized to make any such warranties,on
behalf of above named company. J DEBIT ❑CREDIT'.J OTHER MAINTENANCE
I have authority to Order the work outlined above which has been satisfactorily completed.I agree that Seller PROGW I C
retains title to equlpment/materials furnished until final payment is made.If payment is not made as agreed; CLAIM#
seller can remove said equipment materials at Seller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED 1�A
TECH: TAX -4
TOTALI-,
;��Tc_,-ER SIGNATURE DATE.