HomeMy WebLinkAbout18-19537 l
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 X13
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION'
Permit Number: 19537 Address: 37815 SR 54 WEST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0010-12600-0020
Improv. Cost: 7,300.00 OWNER INFORMATION
Date Issued: 4/09/2018 Name: EVERS CINDY LAWSON & BURGES AMB
Total Fees: 80.00 Address: 34132 SAINT JOE RD
Amount Paid: 80.00 DADE CITY, FL. 33525-7846
Date Paid: 4/09/2018 Phone: (813)263-2366
Work Desc: A/C CHANGE OUT 5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 80.00
1
Inspections.Required
DUCTS INSTALLED
DUCTS INSULAT D
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 SIGNATURE 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 Fax-e13-780-W21
Bultoing Departrnent
Date Received Pharte for Permitting 79
fi a a - 0 t I
Owneft Name ma o ownerk2tronefumber a- /�d$3'
Oxrrrefs Adiiress Owner Phone Number 1 �'
Fee SimpleTdtehokler Name I Owner Phone Number' 1.
Fee Simple rmeholder Address i
JOB ADDRESS �ryy}' 7.h1�S t oT#'
SUBDIVISION: fJ NI{V a eTiF{P" PARCEL 1�
(asr wt£a FRW PWERrtuix NOTrcE)
WORK PROPOSED NEW cdo ADD/ALl [ -, SIGN_ -:Q Q. DEMC7iiSH
INSTALL.:• >' REPAIR.:. .
PROPOSED USE Q SFR' COMM [_] OTHER
TYPE OF CONSTRUCTION FRAME STEEL '0
DESCRiPTiON OF W�ORK�` " C '01Nec J GtC ct3DR dc'
BUILDING SITE"{ SQ FOOTAGE C� - HEIGHT .
OBUILDING, VALUATION OF;TOTAL CONSTRUCTION {
i
=ELECTRICAL' S AMP SERVICE .PROGRESS ENERGY W.R.E.C. ] i
y I
[PLUMBING
MEGHANlGAL S VALUATION,OF MECHANICAL INSTALLATION
�%o +
=GAS = - ROOFING 0. SPECIALTY OTHER...-
FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . .BUIL.D . . . . . . . . . . . .. . . . . .
(� I
SIGNAT
URE
i � COMPANY
SIGNA !
TURE 1 REGISTERED Y/N �E W RrtEn Y/N
Address LicenseELE
SIGNATURE
COMPANY I
SIGNATURE REGISTERED .. Y/N FEE WPM LyjN
Address License#
PLUMBER COMPANY
SIGNATURE - �. -.,ti rb1STERW I Y/N FEE CUTtR67 Y/N
Address , _� License#I I
MECHANICAL ` ,•,,O COMPANY " tJJZ'.� dPAt�JG(,�q g t e
SIGNATURE G �i//`� REGisTFRED �' 'Y./N,: FEE cuRREr, Y/N
Address 11�'e r/1u6: . Liaetrse#. Tl�E� 3 6
OTHER COMPANY i
SIGNATURE —�` '.� 'REGMTERrn I Y/N:- -.FMCURREr,
Addrriss' License# ---��
/ 1
RESIDENTIAL Attad%'(2)Wot Plans;.{2)"sets'oF Buiklang Plarns.{7)set of:Energy Farms;R O W Permit for new c insttuciioit ,
Minimum'on(10}working hays after submi#al date. Required oTtsfte,Cor>Structiofi Plans;Stotnrwater Piarns w/Sift Fence installed;.
Sanitary Facilities
&1 dtunpster Site Warir Pemtit far subdivrnsioTn Marge projects
COMMERCIAL Attactn(2}co:riptete sets of 8uitdtng Pians,ptus a L#e Safety Page:{t}set of E ttergy Forms.R O W Permit for new construction.
NSnimurri ten{SO)woilirry days aitersutxnrhai dais. Required ansite,Construction Plans:Stormwater Plans w/Silt Fence installed,
Sandely Facilities&t dumpster.Site.Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT- Attach(2)sets of Engineered Plans.- I
—PROPERTY SURVEY requusd for all NEW construction.. -
I
Dlreations:
FlII out application completely.
Owner&Contractor sign back of application,notarized
K over$25W,a Notice of Commetrcement is required. (AfC upgrades over t75W)
" -Agent(for the contrecior)'or'Pawer of Attorney(for the-owner)Would be someone with notarized.latter.froin,owner authorizing same
OVER THE COUNTER PERMITTING (copy.c rroTntract requiredj,-
Reroofs#shingles 'Seu®rs Sen4w Upgrades A/C Feriees(Plat/Survey/Footage)
Driveways-Not over Counter#on public ntadwdys..needs ROW
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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—Li6ensing 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law--Hdrneowner'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'SIOWNER'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 reguilafions 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/Environmentat 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"Xr 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.
FLORIDA JURAT(F.S.I F.V:�
OWNER OR AGENT 1 �— acnw CONTRACTOR
ft✓e) rld sworn too !firmed this s '
ernd
� ( _ m " 3ry
rr,L1Qffirmed)6ef b7feWs
Who is/are nalry known
me or has/have produced Who isiare plef9opally know p to me or has/have produced
as identification.
as identification.
tary Public Notary Public
Commission No.
P Name or Ntap ted or siffoL 5te of Florida]9
Notary Public-State of Florida fdry Public-State of Florida
Commlssion#GG112939
Commission#GG 112939
Ju 1 9 1
My Comm.Expires Jul 19,2021
My Comm.Expires Jul 19,2021
: IWdW through National Notary Mssn.
"�"rrr, Bonded through National"I'larY Assn
PROPANE=CAS •`
AND A,, �Nc:- Service Order/Pronosah
j77;RR^^// Invoice".
-5013
Sales:Service-&"Installations WORK ORDER#./SER.V ICEMAN, 8E302 CMR
DATEITIME• TAKEN 04/09/18 .09: .01
4441'Allen-Rd: •°Zephyrhills,.FL 33541= TAKEN- &Y ,- - .jm 03
NOTES:' ._ DATE/TIME PROMISED
-.CUSTOMER#/LOCATION--- 1E515
-PHONE#, 813-779-7000
PHONE2##. JOE
- PHONE-3# 3t2-521-0834
CONTACT- CINDY R JOE EVERS
ROUTE/SEQ-- CMR
PLANNED PETHOOD . . .PLANNED PETHOOD_
3781,5. SR 54. -: .. , 378.15.1 $R 54
ZEPHYRHILLS FL 33541 ZEPHYRHILLS FL33541
AT.. TEMP; PKG AC **3/21/14.**
PAJ348000KTPOA9 C134895903
- CPHEATERI29A00, V.135014228
S.TD WARR: 1YR LABOR 10YR PARTS
REPLACE 5 TON DAII°I'. A/C AND REPLACE DUCT-SYSTEM'..-
AT
DESCRIPTION OFWORK'': QTY :';' MERIALS&SERVICES UNIT PRICE. :"AMOUNT
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RECOMMENDATIONS.
AnnuaPMaintenance Recommended,by'AIl Equipment Manufacturels6, I I
r,.. ." :....;,•. - ,. ,, Pressures Lo_.. . HI T-Stat I
REFRIGERANT R= : , ,LBS -` per llis. . I I
FILTERS x x Changed Monthly. I' I
FILTERS x x Changed Monthly-
i
El REGULAR ❑WARRANTY .,,,rOTAL,SUMMARY,', -:;
Dehumidistat Settings::jWtien there-°ON"",.iWhen Away 6 T-Stat$Q ❑. MAINTENANCE,CONTRACT
!.. SERVICE=
,LIMITED WARRANTY:=All materials,parts'and equipment are warranted by.the manufacturers' ;';- `;.` CALL. r
METHOD OF`PAY'IIENT= -
or suppliers'written wafrranty.only:All laborperfornied bythe'above named company is.warranted for " " ` TOTAL
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30 days of as otherwise indicated in writing:Tlie above named'company makes no other warranties, ❑:CASH- ❑CK.#
express or implied;and its agents or technicians are not authorized to make any such warranties on MATERIALS I
behalf of above named company. ❑'.DEBIT ❑:CREDIT_❑:OTHER` MAINTENANCE" I.
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1 have-authority to order-the viork outlined'aboveivhich has been sallsfactorily completed.I agree that Seller PRCG. W T C
retains title'to
equipmenVmaterials-furnished until,final payment is made.If payment is:not made as agreed, CLAIM#.
'saller can remove'said'equipmenVmateriais at Seller's'expense:Auy fr damageaesulting bm seld'removal shall,
not be the responsibilit&f Seller.NET 30 DAYS:A 1112%SERVICE CHARGE WILL BE ADDED MONTHLY TO I.
.ALLUNPAID BALANCES OVER 30DAYS.NO REFUNDS DATE COMPLETED'
TECH: TAX I
/ 02/
CUSTOMER SIGNATURE DATE ✓ 10M TOTAL I