HomeMy WebLinkAbout18-19410 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19410
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19410 Address: 7405 APPLEGATE 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: ALPHA VILLAGE
Est. Value: Parcel Number:
Improv. Cost: 6,199.00 OWNER INFORMATION
Date Issued: 3/08/2018 Name: NADING DAVID R & BETH A
Total Fees: 75.00 Address: PO BOX 267
Amount Paid: 75.00 STRAWBERRY POINT IA 52076-0267
Date Paid: 3/08/2018 Phone:
Work Desc: A/C CHANGEOUT 2 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00
r r ri
. 2
Inspection ired
DUCTS INSTAL ED
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
/1 C
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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'813-78040020 City of Zephythills Permit Application Fax-813a80-0021
Building Department /�j
Data Received Phone Corot tot PermiUing ar/3 707a— D G S7
Ownber 8/3-� 7��403 owes ire er Phone Numb
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Owner's Address r(J J�lG�iC �tf+/, f!Rtt�d6lY Y Owner Phone Number
Fee Simple Titleholder Na ne r Owner Phone Number 1
Fee Simper Tifteholder Address
JOBADDRESS 7 05 e Zie LJOT#
SUBDIVISION PAacE6 iD/ �5 p25 rX J dDS d4&�o /
(OSTAMED FROM PROPERTYTAx No"M '
WORK PROPOSED NEW c0N5TR ADDIALT r__J SIGN M C] DEMOLISH
e INSTALL REPAIR
PROPOSED USE C] SFR: Q COMM C] OTHER
TYPE OF CONSTRUCTION Q BLOCK = - FRAME [,_] . STEEL 0 -.I—— --
DESCPJFnON OF WORK Fa ?ant i/A GhRry a o dt t 02 Cow» d ut1&'
BUILDING SIZE r SQFOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL S -AMP SERVICE = PROGRESS ENERGY W.RE.C.
=PL.UMBING ($
=MECHANICAL $ `e 1pl� VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY 1 ��
SIGNATURE (1 REoasrEREn Y/N FEE CURREK I Y/N
Address .Ucense#
ELECTRICIAN COMPANY
SIGNATURE „��11 REGISTERED YIN FEE CURREn Y!N
Address ! Licenses
PLUMBER .COMPANY
SIGNATURE' REGISTERED I YIN FEECURREn Y/N
Address Ucense#F_
MECHANICALJ'� COMPANY
SIGNATURE t�G sl�X.e�� ' REGISTERED YIN FEE W RRB A Y 1 N
Address (7��'7'I /7/ICiV'1 . ✓�''T/ Liose# C�tt%o 3 9
OTHER ! COMPANY
SIGNATURE t REGISTERED I YIN FEE CURREII LXLN
Address iuow"#E_
Ill'Ilt111-11 h ull-It-1111111111111tit.til11111I / II1t111111111111111111111
RESiDi� I_ Attach(2)Plot Plans;(2)'sets of Building Plans;(1)set of Energy Fomrs;R-O-W Permit for now construction,
Minimum ten(10)working days after submittal date-Requred onsite.Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pernit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets,o(Bkdkfmg Plans phs a Life Safety Page;(1)set of Energy Forms.R O-W Permit for new construction.
Minimum ten(10)worldrg days after submittal date.-Required onsite,Construction Plans,Storrw+ater Plans w/Sift Fence installed.
Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.All Commercial ioquimments must meet Compliance
SIGN PERmrr Attach(2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
Dlrcciions:+
Fill out application completely.
Owner&Contractor sign back of application,notarized
B over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)-
Agent(for the contractor)or Power of Atton ey(for the owner)world be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING loopy of Contract required)
Reroofs If shingles Sewers Service Upgrades-AIC Fences(Piot/SurveylFootaga)
Driveways•Ngt 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 be 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 IMPACTIUTIUTIES 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 1, 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 fifth 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 la"ws 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. I 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, Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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'%r 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, I 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,after,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 LENDEROR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.11 )3) 1. (_�
OWNER OR AGENT /4�67 CONTRACTOR�
Sub 'bed d swop affirmed)before this S9bscribpPdand n to for affirmed)before me this
2- b eh F,- L ft)I se4l cr
Who Is/are pErsonally known a or hasthave produced Who is/are I;,lars6n-ally knogn to me or hasthave produced
--As identification. as identification.
Notary Public l Notary Public
mission
ission No. Co scion No A A.CAMPBELL
A ............ qYlVIAA,LAMVbtLL ly"?
Name Ion a pUff—y—blie sweaWeFida
(%6t�q�state Name of Notary
commission 9 GG 11
2939 Commission
Comm.Expires Jul 19,2021
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My Comm.Expires Jul 19,2021
NotaryAssn,
'y ss". Handal through National Notary Assn,
ationalNotarYA55n.
f tiov.ded ihiough National Notaryksn
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P PROPANE GAS Service Order/Proposa
AND A/CIN.C.
-813-782-5013 Invoice
WORK ORDEWSERVICEMAN 85263 SEA
Sa es, Service & Installations DATE/TIME TAKEN 03/05/18 11 :29
4441 Allen Rd. ® Zephyrhills, FL 33541 TAKEN BY KM 00
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NOTES: DATEMME PROMISED
16601 90 P CUSTOMER#/LOCATION 12093
PHONE# 813-788-5038 H-
PHONE2# 563-929-6601 C
ROUTE/SEQ SEP33540
NADING, DAVID NADING, DAVID
7405 APPLEGATE DR 7405 APPLEGATE DR
ALPHA VILLAGE
ZEPHYRHILLS FL 33540 ZEPHYRHILLS FL33540
2 TON TEMPSTAR HP, 1992
ESTIMATE
0--FWORK -MATERAL RV�'
CRI , -UNIT PRICE U
!ON
-----------------------------------------------------------------------L-------I---
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HP
P9 Avid r90 0
"R COMMENDATIONS ENDATI
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lknnuafm'ain4i� ilceReco njehd, Uy,M,-Equii)inerit'Ma'nuf�iL-,tuters..,.,,
lPressures Lo_HI-T-Stat
REFRIGERANT lbs.
Is6i a &qol . �: -1 -
16? 11 1-- 1 -1 11 per
I I I -T—
FILTERS x x Changed Monthly
FILTERS x X Changed Monthly
L1
. 0
S�UM REGULAR CJ TA WARRANTY MARY,
:.',When here When Away Dehlurnidi�q 90 ! y 6!�-,-JT-Stat LJ MAINTENANCE CONTRACT
SERVICE
IMITED WARRANTY- All materials,parts and equipment are warranted by the manufacturers' "ETI46b' CALL
_0F
suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL
days or as otherwise indicated in writing.The above named company makes no other warranties, C)CASH LJCK#
(press or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS
,half of above named company. Q DEBIT CI CREDIT LIOTHER MAINTENANCE
nave authority to order the work outlined above which has been satisfactorily completed.I agree that Seller PROG. W If C
tams title to equipment/matorials furnished until final payment Is made.If payment Is not made as agreed, CLAIM#
der can remove said equipmentfinaterials at Sellers expense.Any damage resulting from said removal shall
it be the responsibility of Seller.NET 30 DAYS.A 1 1/21/6 SERVICE CHARGE WILL BE ADDED MONTHLY TO
-L DATE COMPLETED UNPAID BALANCES OVER 30 DAYS.NO REFUNDS
TECH: TAX
)STOMER SIGNATURE DATE Awac TOTAL il- P01 t M