HomeMy WebLinkAbout18-19507 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19507
BUILDING PERMIT
u PERMIT INFORMATION LOCATION INFORMATION"
Permit Number: 19507 Address: 37331 GILL AVE LOT 172
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use:' MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0140-00000-1720
Improv. Cost: 4,306.00 OWNER INFORMATION
Date Issued: 4/02/2018 Name: COLE, REGINALD & RACHEL
Total Fees: 65.00 Address: 37331 GILL AVE LOT 172
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/02/2018 Phone:
Work Desc: A/C CHANGEOUT 4 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
1
DUCTS INSTALLED Ins ections Re uired
DUCTS INSULATED rM
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.
CONTRACTOR SI ATURE PERMIT OFFICOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813780.O= City of Zephyrhills Permit Application Fax-813-780-pU21
Building Department
Efate Received Phone C=W for Permitting S/,I 2f.V — Q
Phone Mmd;er's a .»� o Owner t)l 3' /
owners Address 7 ( l��T i// t/� Owner Phono Numb"
Fee Simple Tdte muter Name I — r-- Owner Phone Numbor
i
Fee Simple Titleholder Address
.IoB ADDRESS 373 3I i/ ve , /`F�n� Sri 2oI�1 LOT#
SUBDIVISION PARCit.Wx 3 �J � [//Z � 00000 f
. (OaTARED FRON PROPERTY TAX NOTICE)
WORK PROPOSER NEWrDNSTR ADDIALT SIGN 0 Q DEMOLISH
e INSTALL REPAIR
PROPOSED USE 0 SFR: p COMM OTHER
TYPE OF coNSTRucTIDN 0 BLOCK p FRAME �r] STEEL = 7777-1
DESCRIPTION OF(WO�RK e s y tn. C R N P_•-rj 7,*AJ Pk / Carom o "T
BUILDING SIZE 1 SQ FOOTAGE HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ --- AMP SERVICE p PROGRESSENERGY p W.R.E.C..ddd
=PLUMBING ($
MECHANICAL s VALUATION OF MECHANICAL INSTALLATION
�301�vv �0
=GAS p ROOFING = SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER 11 COMPANY (t��
SIGNATURE t REGISTERED I Y/N FEE CURREn
Address License#1
ELECTRICIAN COMPANY !�
SIGNATURE I REGISTERED � FEE cuRRi% Y 1 N
Address License#I !�
PLUMBER COMPANY I
SIGNATURE REGISTERED I Y/N FEE CURRaw Y!N
Address r License#1�—t
MECHANICAL // -� .J COMPANY 1 !'T�/�J/Y�'J"H,V�(•7j'�57r + �i
SIGNATURE REGisTERED Y/N FEE CURREt, Y 1 N�
Address tit T I elll 2—H�4.43 L CIM#16760/13 1?Zf
OTHER COMPANY
SIGNATURE REGISTERED I Y/N FEE CuRREA I Y/N
Address License#I
IIfiIIi / Iilliti' !itI1IJIIIIIIIIiliIIIIII k nititIitIIIIIIIIIIIIIIIIit
RESIDENTIAL Attach(2)Plot Plans;(2),sets of Building Plans;(1)set of Energy Fonns;.R-O-W Permit for new construction,
Minimum ten(10)wmWng clays alter submittal date. Required onsite,Construction Plans;Stor mvater Plans w/Sift Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of.Bulidng Plam plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)wwidng days after wbm!itel date. Required Cnsite,Construction Plans,Stocmwater Plays w/Silt Fence Installed,
Sanitary Foa dies&1 dumpster.Site Work Permit for all now projects.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Flans.
—PROPERTY SURVEY required for all NEW construction.
Dfreetlans:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/c upgrades over s75m)
Agent(for the contractor)or Power of Attorney,(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Copy of contract required)
Reroofs if shingles Sewers Sendoo Upgrades-A!C ' Fences(Ploysurvey/Footage)
D&eways-Not over Counter if on public roxWdys,areeds 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 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 ate 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—Homeowners
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-SIdWNER'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. I also
car*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'K 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 arn'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
rom the Building Official for a period not to exceed ninety(90)days and will demonstrate
th justifiable cause for e 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 YOM NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.>4-7f) _ — I
OWNER OR AGENT z;A 04W/LCONTRACTO�RAnl
b?1niberl-and sworn r a ad before d r�rl,
S b 'bed d to or affirmed)ba - this
5T Win e alp, C/1 C
X0 Islar rsonally Itho to me or has/have produced Who i.16 re on
ere o4 to me or h a sth ave produced
as identificatlo identification.
Notary Public otary Public
Commission No. 6mmission No. V
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
pe"-
V
A OPANE AS) -
Service Order/Proposal
ce�988 813-782-5013 Invoice
WORN. ORDER#/SERVICEMAN 85E48 MAR
Sales, Service & Installations DATE/TIME TAKEN 03/16/18 08:08
4441 Allen Rd. • Zephyrhills[, FL 33541 TAKEN BY KIM 00
NOTES: C?�c 1SLU CTL`4� DATE/TIME PROMISED
CUSTOMER#/LOCATION 30278
PHONE# 813-788-5065 H
ROUTS/SEQ. MAR
COLE, REGINALD COLE, REGINALD
37331 GILL AVE —3�3? GILL AVE
GRAND HORIZONS
ZEPHYRHILLS FL 33541 ZEPH,YRHILLS FL33541
PCC48CO2F, 050E784062 15KW
NO HEAT
T`( ,MATERIAL '&SERVICES:".`::%<`.
DESCRIPTION OF.:W,ORK,' Q ;:' S T f?RIGE ;.M,AMQt1NT.
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RE CO
MMENDATION
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Annual.Maintenance'Recomlifended,by Ali,Eq'uipITI t'Manufaeturers.,_.`,,; y
Pressures Lo HI T-Stat
REFRIGERANT R=
FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I
❑ REGULAR ❑WARRANTY `"TOTAL'SUMMARY
?Dehurnidistat•$etting§:::When here"ON", rWhen=Away 60° T Scat ❑ MAINTENANCE CONTRACT SERVICE l
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' PAYMENT> _ CALL I
or suppliers'written warranty only.All labor performed by the above named company is warranted for '' ' ' `;" " " "
30 days or as otherwise indicated in writing.The above named company makes no other warranties, Q CASH ❑CK# TOTAL I
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS I
behalf of above named company. ❑pEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work outlined above which has been satisfactorily completed.I agree That Seller
PROG. W I C
retains title to equipment/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.
Y SERVICE CHARGE WILL BEADDED MONTHLY TO
ALL U PAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED '
TECH' TAX '
� I
CUSTOMER SIGNATURE DATE , ✓� ✓oic TOTAL I