HomeMy WebLinkAbout18-19613 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19613
BUILDING PERMIT
PERMIT INFORMATION. - LOCATION INFORMATION
Permit Number: 19613 Address: 5648 12TH ST
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: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 11-26-21-0010-08400-0150
Improv. Cost: 4,449.00 OWNER INFORMATION
Date Issued: 4/25/2018 Name: SLOAN, MARLA
Total Fees: 65.00 Address: 5648 12TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/25/2018 Phone: (813)788-6146
Work Desc: A/C CHANGEOUT 2.5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
n
I � I
Ck*
Ins ectionA . fired
DUCTS INSTALLED
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.
bv�
CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
elsaeo-0020 City of Zephyfiills Permit Applieation Fax-813-7904 1
Builtfi�9 Department
Data Received Pie Contact for P.4ting33
Owners Name 1 r%A L j� hJ Ownor Phone Number
Ownersaddress Owner Phone Number
Fee Sinipte Titleholder Name _ owner.Phone Number
Fee Simple Titleholder Address
JOBADDRESS .�a =_y/ems L.OT#
SUBDNIS10 ` .: PARCE4IDi
• . . _ .. -. (Da'r�WED FROM PROPOMTAX NOTICE) j
WORK PROPOSED NEW CONSTR ADD/ALT° [�, SIGN Q
= DEMOLISH I
e INSTALL:,., REPAIR....
PROPOSED USE SFR 0 COMM. '- OTHER- .
TYPE OF CONSTRUCTION. �] BLOCK
DEscrairTiom oP WORK !3 C�?gN per� -caGLJ777 tN/pnITS 5?"
BUILDING SIZE .Sq FOOTAGE HEIGHT
=BUILDING $ VALUAT19NOFTOTALCONMUCTION. I
=ELECTRICAL "` S AMP SERVICE _ PROGRESS ENERGY Q W.R:E.C. I
=PLUMBING.. . $ f
MECHANICAL $ y 'TI r�r� VALUATION)OF MECHANICAL.INSTALLATION }
^
=GAS ROOFING Q SPECIALTY 1..� OTHER.:..
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO i
i
I
BUILDER COMPANY
SIGNATURE REGISTERED Y/N. —FFE CURRU Y/N
i
Addressr77777 License it
ELECTRtCM COMPANY
SIGNATURE REGISTERED I YIN FEE Ctffi E Y I N
Address r.. Lcerrse#�!
I
PLUMBER COMPANY I
SIGNATURE REG1sTeRW. I Y/ N FEE CURREn- Y/N
Address License
MECHANICAL qq� 6OM0AkY
SIGNATURE f�W(/�' REGitTEAW Y/N.: FEE CURREA Y/N
I
AkkIrcss e 2 IALe 3M License
OTHER " COMPANY � l
SIGNATURE REGISTERED I Y! /N FEE CUftRET- Y/NJ
Address License# I
rrr`� � � rr.rrrr<rLi � rairr.rrrr:u-rr•rrr,rr.rr.r•rrrrr,r.rir,r;r-�r�:r �,rr.i<:.Trfrr:r.rrrrr,rrrr
RESIDENTIAL Attach(2)Plot Flans;,(2)sets of hiding Plans;(1)set of Energy farms;R 0 W-Permit for new ainshtrotion I
Minimum ten(10)working days' sutmrittai date.'Required'onsite.ConsWotiar Plans;StoritTwater Plans w/Sift Fence installed;
Sanitary Faatuies,&1 dumpster site Work Permit for sutcrmsionsllarge projects f
COMMERCIAL Attach(2)carnplate sets of Buikl'mg Plans.plus a'Life Safety Page:(1)set or Energy Forms.R-O-W Permit for new construction.
Katimum tan('10) days ate sub mittai data. Required araft.Construction Plans,Stonnwater Prams wl Silt Fence installed. .
Sanitary Facilities&1 dumpster.Site.Work Permit for all now projects.All commercial requirements must meet compliance
SIGN PEiNAR' Attach(2)sets of Engiireeted Plans. _
—PROPERTY SURVEY required.for.all NEW construction._
OlrecUens:. i
i
Fill out application completely.
Omer&Contractor sign bad(of application,notarized
If over$2500,a Nonce of Commncdnmd is req.lmd..(A/C upg,A.over$7WO) -
" Agent(for the=Wades)or Power of Attorney(far the ovmer)would be someone with notarized letter from owner authorizing same'
OVER THE COUNTER PERMITTING (copyof,conttactrequired)..
Reroafs if shingles Sewers SeMce i$grades"A/C' Fences(Plot/SurveylFootage) .
Orivewrays-Not over Counter if on public roadways»creeds ROW
! j
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 IMPACTJUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
thatTransportation 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 8EI-07 and
90-07,as amended. The undersigned-also,understands,that such fees,as may be due,will be identified at the time of I
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 •I
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 d 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'SIOWNERIS AFFIDAVIT: 4 certify that all the Information in this application is accurate and that all work i 1 i
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, Weiland 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 ServicestEnvironmental 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"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.' jl
If I am the AGENT FOR.THE OWNER,I promise in good'faith to Inform the owner,of the permitting Conditions set forth in i II
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.
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 fora 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.117
OWNER6RAGENT— CONTRACTOR
U scribed anbsworrLIo(or$Ififirmed)Lelcre IN Me or affirmed)r3fox�e this
154"Ut
Who islare onally krioA to me or has/have produced Who We personal] own to me or hastnave produced
as identification,
as identification.
Notary Public Notary Public
Sus 'be nd or -!ed!)!to Me or
Who is/ 4n.B ..2n
U
mission No.
SYLVIA A.C y �YL A A.CA17ML
State of FloridabIlic-State of Florida
y POO,, -State of Florlda Notary Pu
,Wa - e pn 9
Na �fAMKG 112939 Name of Notary typ p"t p Commission#GG 112939
jr� itain ad Comm'J 1 9 .1 , 'I
19
Expires Jul 19,2021
N ,ir, My Comm.Expires Jul 19,2021
p
it Mycomm
a h g, at'nna tary �,r.
.0 Narional Notary Assn., ,�y ssl
W Bonded through National!Nolary Assn.Bonded through
PROPANE`GAs Service Order/Proj�osal
AND AlC mc.
&i of 1988 813-782-5013
Invoice
Sales, Service Installations
IfsORk 0 R D E Ra#i S E R V J.CE IYIi-)N 8E.el E Jr4
4441 Allen Rd. • Ze h rhills, FL 33541 DAT/ 1 I ME l�' "=r`' l?ItF i;-_ ,i 1.8 0 r a I.8
DOTES: DATCE. T i iE=. N_rOfM SED
C.::LKS 1-0 YIERid:;:`..CICAT I(JN ; 91
81.: -7t38- r,7 4C I-i
rr
�r �t11. e,✓L,/ RC7t.1EE:, E,`:iF E_:TNA:'F1 CL_IDS"--1'
SWAN, 1111ARLr1 `_LLlhtt�l, IYiAr'i_.fi
R
5648 12'. PI L 1- '-5'64- 1J.21TH ST
7..EPHYRHILLS FL =5<<i? 7E-P �Y'RH1L.__C' i=!_,.'_3 i4•
rt,`E!a DA;';;<,Fdc:'Aa 0305).35082
I . SG�r. �.S.� I.LI I, C) ;� I-L C.'i - RHF'30A2AV 03021 4.31. 16
NOT -COOLING `.1..
TS-c
hIIATERIALS SER
? 1%ICES° -
-�:_� - UIVrf;Pk1C�_ OUNT`°;
I
• I I
I l
, I l
I I
" :v 1
oA
I l
I
IQp
Ip
4nn6lfMalntltacLte:Reiim tidedi AIL ijiJt~menMan :>Ers' ::i - l i
Pressures Lo HI- T-Stat
;REFRIGERANT $`Perabs:_ ` 1
• _ FILTERS x •-x Changed Monthly I I
FILTERS x x Changed Monthly
❑ -REGULAR WARRANTY
= . `'TOTAL'-<SUMMARY
';
DeFita[YiL.diSfa'•58'-"j `i�When here"y N�`'.When Awa
_9 �: ❑ MAINTENANCECONTRACT SERVICE I ^
JMITED WARRANTY: All materials,parts and'equipment are warranted by the manufacturers' :;= jyjETHOD'OF'PAYNf ENT_ . `. CALL
r suppliers'written warranty only.All labor performed by the above named company-is warranted for ''' '
0 days or as otherwise indicated in writing.The above named company makes no other warranties; O CASH ❑CK# TOTAL I
xpressor impfled,and its agents or technicians are not authorized to make any such warranties on = MATERIALS I
ehalfof above namedcompany. ❑DEBIT:❑;CREDIT;❑OTHER MAINTENANCE'
i
have authority to order the work outlined above.which-has been satisfactorily completed..[agrawthal:Seller PROG.- _W/.0
mains Eft to equipmentlmatedals fumished until final payrrim'is made.if payment is not made-es agreed, CLAIM# -
eeer can remove said equipmerd/materials at Seller's expense froin.Anjdamage resulbng. said removal shall _
of be tiw responsibility of Seger.NET 30'DAYS.A 1 12%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
LL UNPAID BALANCES OVER 30 oars.NO REFUNDS - DATE COMPLETED - -
TECH:- TAX
TOTAL USTO NA RSIG RE - - DATE v�c'�//�V ✓occ .
CITY OF " NOTICE "
/ / BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
PERMITS,
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
s O-Fsc lip UtIAC
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR L