HomeMy WebLinkAbout18-19595 CITY OF ZEPHYRHILLS
5335-8TH STREET
r (813)780-0020 19595
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION t'
Permit Number: 19595 Address: 37538 COREY LEWIS AVE LOT 215
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2150
Improv. Cost: 4,650.00 OWNER INFORMATION
Date Issued: 4/23/2018 Name: LOY COLLINS FAMILY TRUST COLLINS
Total Fees: 65.00 Address: 4731 FREDERICK AVE
Amount Paid: 65.00 SHADY SIDE MD 20764-9601
Date Paid: 4/23/2018 Phone: 813-355-3972
Work Desc: A/C CHANGE OUT 5 TON PKG
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00.
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s .l
813-78O.- o City of Zephyrhills Permit Application Fax-818-780-0021
Building Department !
•
D.40Received Phone Cont3ct for Permitting Ij
owrhen's Name !l<NS V AJ�4 l owner P!lrahe TTtnrtber
Owner's Address ' Owner Phone Number- 1 .
Fee Simpbe Tdteholder Nariie'" Owner Phase Number j
Fee simple rdiehomer Address
JOB ADDRESS /6- Gl " Oe_vI.�L.S' ° ��. LOT#' I
SUBDMSI0W'
rg ri2Q. PAtGE1.I1i, 4` a5"a2/ d`t?D 410406 p?1t)
(OSTAtNEB_PROM PROPFRT M UOTICQ
WORKPROPOSE.D NEWCONsfR '. MALT SIGN ::.0. _- DEMOLISH k
INSTALL,,:.: REPAIR:,_.,,
PROPOSED USE ' 0
SFR' ' " �]' °COMM '" �._. OTHER
BLOCK FRAME..;. STEEL
.TYPE OF CONSTRUCTION. [_ . . . .. [� _ � cQt�'I'
DESCRIPT60N OF WORK l�c�S." �C e-'C7 �.: T�JN'T Yi C J-60
BUILDING SIZE �� SQ FOOTAGE HEIGHT" i
=BUILDING-,-- = S VALUATION OF TOTALCONSMUCTEON. -
i I
QELECTF2ICAL AMP SERVICE PROGRESS ENERGY" 0 W.R.E.C.
=PLUMBING
MECHANICAL $ /_�-^s��. VALUATION OF MECHANICAL INSTALtATfON i
=GAS ROOFING C{ SPECIALTY[= OTHER.:.. l
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER -- .-------° COMPANY -
SIGNATURE r YIN, FEE CURREP Lj/N
Address License it
ELECTRICIAN COMPANY i
SIGNATURE REGISTERED I Y/N FEE WRREn LILN
Address Cicero_e#.I ^---�
PLUMBER COMPANY: J
SIGNATURE - SEGISTERED- Y/N'. FEE cufu r I Y'/N
Address License#1
MECHANICAL . " �- ` ,�,� COINPAN1f : 14/�/25
SitiNATURE . :._ REGISTERED .. Y 1:N.r -FEE CURRM I YIN
Address
OTHER SIGNATUR i
E REGISTERED- Y 1 N FEE CURREA Y/N
'Address - Ucense#
T I Cull 1 I furvicul'11'/-1 vil 1 11',1'f 1:11.1.t fJ 11"11.1 A 1.111.:;.1;I:11=1.1 111-1 1 �.� �:Ii-i 1 1 1 1 1 1 1"f
RESIDENTIAL Att@ich(2)Plot Plans,"(2).sits of Buildurg Plans:•(1)set of.Energy Farm;R-O-W Permit for.i ew cons"!:#on,
Mnrmum ton(f0)working'days`after submW dater Required onsite,Constiu8tiorrPlaris:Stormweter Plans 4 Silt Fence installed:
Sanitary Facilities&.1 dumpstef;Site Work Permit for subdivWnnslfarge projects
COMMERCIAL Attach(2)complete sets of Building plans plus a Safety Page;(T)set of Energy Forms R-O-W Permit for new construction.
MmimrmT ten"(SO)wvtldrip days"attersubrrhitta!date.Requited arisite,Coon PWm,Stamwwater Plans w/Sift Fence installed,
Sanitary Facilities&f dumpster.Site Work Permit for all now projects.All commercial requirements must meet'conipuance
SIGN PERMIT Attach(2)Sets'of Engir"red Pram.., ' � -. ' i
—PROPERTY SURVEY required for all NEW Construction.- .
Dued(ons: '• j
RII out application completely.
Owner&,Coritradgt,".badt of application,notarized i
ii over$2 i00,a Noti%e cf Coahimencesnerrt is•reriuhed. (AIC upgrades over$7500)
;Agent(far,fhe ccribactor);or Paver of Aftarne}i(fcrtlhe owner)would be Someone with notarized letter from owner audwxi2mg same
OVER THE COUNTER PERMITTING (Wpy_oF"ixhrrbact required)-- .
R."if shingles',. . Sewers. Service Upgrades.A/C -Fences(PIcVSurveylFogtage)'
'Driveways-Not over Counter if on public roadways:heeds ROW
._ .
or
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" y,
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 Ahe owner has Wred a-contractor or
contractors to underiake'work,they maybarequired,to be licensed in accordance with state and local regulations.,,lf the
contractor is not licensed as required by law;both the owner and contractor may 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 f
portions of the"contractor Block"of this.application for.which they will be responsible:.-If you;as the owner'sign es'the I#
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. 1
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands i
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 understarids,.that such fees,as may be.due,will be.identified at the time of. ti
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 hoes not involve a certificate of occupancy or. 43
final power release,.the fees must be paid prior to permit Issuance: Furthermore;if Pasco County Water/Sewer Impact I
fees are due,they must be paid'.prior to permit issuance in accordance with applicable Pasco County ordinances.;
CONSTRUCT€ON 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 i
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 gobd'faith to €
deliver it to the"owner"prior to commencement
CONTRACTOR'S/OWNER'S AFFIDAVIT:.-l certify that all-the information in.ttiis,application is accurate and that`all work
will be done in compliance with all applicable laws regulating construction,zoning and Nand development Apjailcation is-
hereby made to obtain a permit to do work and €nstallation 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., V also
certify that I understand that the regulations of other government agencies may apply.to the intended work,and that it is s
my responsibility to identify what actions 1 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,WaterJWastewaterTreatment. i
- Southwest Florida Water Manageritent District-Wells, Cypress Bayheads, Weiland Areas, Altering I
Watercourses. 1
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.'
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- 'US-Environmental Protect€on•Agency--Asbestos abatement. j
- 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 td,fiil the area within the stem,wall. j
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 3
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 fa€th to inform the-ownerof the permitting conditions set forthi in
this affidavit prior to commencing construction. 1 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 permitilisued.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 i l
justifiable cause forthe 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 ATTdRNg BEFORE RECORDING NOTiCE�01o=M CEMENT.ti
FLORIDA JURAT( S.11 .03)
OWNER OR AGENT Ci6ii
'U �
_S scd ed a swQ to r affi ed)be a th' affi be reC.o islare rsona y kn tame or has/have produced known tome or haslhave produced
as identification. as identification.
!Notary Public Notary Public.
-- 1
mission No. t _IWI ' n No. .
,•P�'pu SYLVIA
t �' of Florida ;
Name of Notary e¢rnt@j or stampe Name of Notary typed,p t, d
'* "'o; Notary Public-State of Florida Commission ii GG 112939
• * = Commission GG 112939 `:s." op My Comm.Expires Jul 19,2021 f!
?";' My Comm.Expires Jul19,2021 ".'FOFFo?. 8ondedthtcughNationaiNotaryAssn. ? i
tCFT „ Hondedthrough National NotaryAssn.
i
P
PROPANE GAS Frankfiri-i
AND A/C INC. Service Order�Proposal
-
c f1ff e,e,1988 813-782-5Oi3- - Invoice
Sales, Service & Installations WORK ORDER#/SERVICEMAN 86530 MAR
ATE/TIME TAKEN D 04/17/18 09:35
4441 Allen Rd. - Zephyrhills, FL 33541 TAKEN BY KIM 00
NOTES: DATE/TIME PROMISED
CUSTOMER#/LOCATION 30067
PHONE# 813-355-3972 H
PHONE2* 443-326-1707 C
-ROUTE/SEQ MAR
COLLINS, DON COLLINS, DON
37538 COREY LEWIS AVE 37538 COREY LEWIS AVE
GRAND HORIZONS
ZEPHYRHILLS FL 33541 -ZEPHYRHILLS FL33542
RHEEM- R22
RSNJA060JKOOOI 7215F200606480
EST-IMATE'!
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" -Pressures Lo HI T-Stat
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'REFRIGERAN,TR- . LOS perlbs.
FILTERS X x Changed Monthly
FILTERS x x Changed Monthly
Q REGULAR Q WARRANTY
;When here.QM,-,,When Away 7"" -stat MAINTENANCE CONTRACT
SERVICE
LIMITED WARRANTY* All materials,pads and equipment are warranted by the manufacturers' M-ETkOD,-Oiz, CALL
;,MENT
L or suppliers'wriften warranty only.All labor performed by the above named company is warranted for 111 TOTAL
30 days or as otherwise indicated in writing.The above named company makes no other warranties, 0 CASH 13 CK# MATERIALS
ellpress or implied,and its agents or technicians are not authorized to make any such warranties on
behalf of above named company. L)DEBIT LJ CREDIT CIOTHER MAINTENANCE
I have authority to order the work outlined above which has boon satisfactorily completed.I agrewthat Seller PROG. W/ C
retain,five to equipmenttmatedals furnished until final payment Is made,It payment is not made as agreed, CLAIM#
saltercan remove sold equipment/materials at Sellers expense.Any damage resulting from said removal shall
nALL UNPAID BA the respo LnsibiANCES OVERlity of Seller.NET DAYS.30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO, DATE COMPLETED
30 NO REFUND$
TECH: TAX
CUSTOMER SIGNATURE DATE gk_wa lkaa TOTAL