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Home My WebLink About18-19520 CITY OF ZEPHYRHILLS 5335-8TH STREET ` (813)780-0020 19520 BUILDING PERMIT PERMIT INFORMATION- LOCATION•INFORMATION Permit Number: 19520 Address: 3840 LAUREL VALLEY BLVD LT 42 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. MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0000-00100-0090 Improv. Cost: 3,350.00 OWNER INFORMATION Date Issued: 4/04/20.18 Name: NHCFL-115LLC Total Fees: 60.00 Address: 6991 E. CAMELBACK RD Amount Paid: 60.00 SCOTTSDALE, AZ. 85251 Date Paid: 4/04/2018 Phone: (813)783-3477 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00 DUCTS INSTALLED Ins ections Reh`6kia ; 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. CONTRACTOR SIG ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fox-813-780-0021 Building Department f Date Received Phone Contact,for Permitting owner's Name G /15. LL c Owner Ph..Numb., Ownees Address Owner Phone Number Fee Simple Titleholder Name owner Phone Number Fee Simple Titleholder Address JOB ADDRESS Lo_are_1 V14- Za- LOT# SUBDIVISION 17921"k ir C. 5 1 PARCEI 01)06 Q0166669,61 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR�r ADDIALT SIGN 0DEMOLISH R INSTALL REPAIR PROPOSED USE Q SFR = COMM OTHER TYPE OF CONSTRUCTION Q BLOCK = FRAME = STEEL DESCRIPTION OF WORK P&,r, AN ole—P a 0-7V g2,PAJ a-A)_r a7�� 7_0 AJ P/441 BUILDING SIZE SQ FOOTAGE HEIGHT' . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'E1BUILDIN`G' ' ' " r I VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. =PLUMBING $ CONECHANICAL /1 .5,-6,47 VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING r7 SPECIALTY= OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . . . . . . . . . . . . . . . . . . . . . . . . . BUILDER COMPANY SIGNATURE REGISTERED I YIN FEE CURREN UINIJ Address I License 9 ELECTRICIAN COMPANY = SIGNATURE REGISTERED I YIN FEE CURREI, LY�_N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I YIN FEE CURREI, Y/N Address License# MECHANICAL COMPANY IA619-hhle-v �*S SIGNATURE REGISTERED I YIN FEE CURREN YIN Address )9//&AJ ZWIMS, License#v4do it—g-1 OTHER COMPANY F_ L�_N SIGNATURE REGISTERED YIN FEECURREK Address I License# 1111111111111111IIIIIIIIIIIIIIIIIIIIIIIItllilllllllllllllllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms-,R-O-W Permit for new construction, Minimum ten(10)worldng days after submittal date. Required Onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, Sanitary Facilities&I dumpster.Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. Minimum ten(10)wor"days after submittal date. Required onsite.Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...Dittig: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for Die owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Remols if shingles ' Sewers I Service Upgrades.A/C Fences(PlottSurvey/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" s 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 IMPACT/UTILITIES 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. 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, 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"W 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,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. a5ft S.117.0�? v NTRACTORn to(o ffi ed)before (ss� S bs n) and sw to(or affirmed)befor me kno to me or has/have produced ho ie p onally know o me or has/have produced as identification. as identification. Notary Public 41 �` 1� � Notary Public ommi sio N Commission No. SYLVIA A.CAMPBELLY P�,,, SYLVIA A.CAMPBELL fin Name D! �ipnf to d Name of Notary typ .P.s rt�pe Commission#GG 112939 � ° •= Commisron k GG 112931 y'• 5 ♦ c • �o�= My Comm.Expires Jul 19,2021 My Comm.Expires Jul 19,2021 o •a2oKF�°,• Bonded through National Notary Assn. '••;Mov F�.,,, Bonded lhrough National Notary Assn. ' AEZNAND A/CINC. Service Gide' r/Proposal / ROPAN ^ Y � �� _� �I�0 � m��_ , �� - � ' [ ' �x�om'~�= ' ��.��^�8��~%�%�.~= �s��e�z�z� ` ~ WORK ORDER#/SERVICEMAN 86139 MAR � Sales, gerVc8 & Installations DATE/TIME TAKEN ' 6�4/O3/18 07:57 ' ��441 Allen Rd.° ��8Dhy[hills. ��[ 33541 TAKEN BY KIM - 00 DATE/TIME PROMISED N(T7E8' ` ` ' �USTOMER#/LOCAT%ON N3522 > PHONE 574-360-5W8� � ROUTE/SEQ MAR12x20 . . i - ' ' ,BAIN JAMES BAIN' JAMES i 3840 LAURB- VALLE�' BLVD 3840 LAUREL 'L VA8EY BLVD � ` ` | LOT #42 MAJESTI[� OAKS LOT #42 � ZEPHYRHILLS FL 33542 ^ ZEPHYRHILLS F1-33542 � AMERICAN STANDARD ' TCCO24F100BO/35121PL2H HT STRP: NO NUMBERS 8KW [ ' ` | HAS DE-HUMIDISTAT i ESTIMATE � CAIL,II FILTERS x x Changed Monthly FILTERS X x Changed Monthly 'When here Ld&!,`,'When Away jT-Stat h6o J MAINTENANCE CONTRACT SERVICE CALL LIMITED WARRANTY. Airmateriais,parts and equipment are warranted by the manufacturers` or suppliers'wriften warranty only.AJI 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,- LICASH L]CK# MATERIAL express or implied,and its agents or technicians are not authorized to make any such warranties;on S behalf of above named company. DEBIT U CREDIT E10THER MAINTENANCE I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller retains fille to equipment/materials fumlshed unfil final payment is made:If payment Is not made'4s'agreed, CLAIM# seller can remove said equi.pment/materials at Saltines expense.My damaqe.resultfn4frorn saldrreav,,,J'Shalj� not be the responstoffity of Seger.NET 30 DAYS.A 1 101.SERVICE CHARGE WILL SEADDED MONTHLYTO ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED TECH: TAX /, — (CUST M&VNATURE DATE TOTAL | ! 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