HomeMy WebLinkAbout18-19764 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19764
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19764 Address: 6401 WOODRUFF ST
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: ZEPHYR PARK
Est. Value: Parcel Number: 02-26-21-0060-O0000-0130
Improv. Cost: 3,495.00 OWNER INFORMATION
Date Issued: 6/05/2018 Name: HILTON RENTAL ENTERPRISES LLC
Total Fees: 60.00 Address: 6415 16TH ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-1675
Date Paid: 6/05/2018 Phone: 813-782-1349
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
Inspections a uired
DUCTS INSTALLED
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 SIGNATURE PERMIT OFFIgOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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81s-78D-O 20 City of Zephyrhills Permit Application Fax-813.78M21
Building Department
Date Reamed . /. Phone cardact Far F . -. ( 3) 7t3'a - 6 40/3
Owners Name 1 / N RQV7!H'1 SI-War. r�11S►06 owner Phan Number
owners Address l (� /� T✓ST Owner Phone
Fee Simple Titleholder Name I owner Phone Number
Fee Simple Titleholder Address t! r
JOBADDRESS
SUBDIVISION �' PARCEL ID6 rCP O�l Q�bD l�L�f:;CAtJ dl�
JOSIAIxED FROM PROPERTT TAX NOTICE)
WORK PROPOSED NEW CDNSTR ADD/ALT SIGN DEMOLISH .
e INSTALL K. REPAIR
PROPOSED USE = SFR Q COMM OTHER I.
TYPE of CowTRutiTidN = BLOCK p' FRAME STEEL =
DESCRIPTION OF WORK. IA95, C `LhA-N t em4toms^j i"5 ..2 T��
BUILDING SIZE t 771 SQ FOOTAGE NMGHT
=BUILDING $ � VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL {S AMP SERVICE Q PROGRESS ENERGY = W.R.E.C.
=PLUMBING S
C�.
bIECHANICAL. $ VALUATION OF MECHANICAL INSTALLATION
=CAS = ROOFING Q SPECIALTY = OTHER,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO '
BUILDER (r COMPANY .
SIGNATURE ( REGISTERED Y/N FEE CURREN. LV.Lj.
Address License#�.
ELECTRICIAN �. COMPANY
SIGNATURE' REGISTERED I Y/N FEE cuRREr, Y 1 N
Address License#.i —
PLUMBER COMPANY. `
SIGNATURE REGISTERED I YIN FEE CURREB I Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE t Y� -
REGISTERED YIN FEE cURREn I Y/N
Address l 1 2-- license#
OTHER COMPANY
SIGNATURE REGISTERED! I Y/N FEE CURREA_77
Address License#-�— !�
I ! ! 1 ! ! 1 ! ! ! ! lIIJ'1111'.1lIf111l11'1. 1111.1111l111'Illllllllllll=111111111111
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)woridng days after submital date. Repaired onsite,Construction Plans,St6n* ter Plans w/Silt Fence installed,
Sanitary Facilities&1 durnpster,Sits Work Permit for subdivisionsnam.pralects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of.Energy Forms.R-O-W Permit for'new construction.
Minimum ten(10)woridng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.All commercial requtrements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
-PROPERTY SURVEY required for all NEW,construction,
Directlons.
Fill out application completely:
Owner li Contractor sign back of application,notarized {
N over M0,a NoffceOf Ccnrtrreneement IS Yegtrf . (A/C upgrades over$-INO)
Agent(for the contractor)or Power•of Attomay(I-the Owner)would be someone with notarized letter from owner authorizing'same
OVER THE COUNTER PEW4rMNG � . (copy of contract required)
Reroofs If shtttgles "Sewers- Service Upgrades. 'Fences(Ftot/Survey/Foctage)
Driveways-Not over Counter if on public roadways..naeds 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 witA 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 fora 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 pennft 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—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'SIOWNEWS 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,Weiland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Marfagement 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"kr 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"All 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 ANA-fTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F'S"7.03)_
OWNER OR AGEN CONTRACTOR
Subspntiyand s,!!� (or affirmed bef"this SubscrNd and sw to(or affirmed)be a'�;A6r
b P 1! , �s
-� v 15&r1er [�=�z 1A by —^e C_ Mt
Who Ware me or hasthave produced 7Vho Til-are orally know to me or hasihave produced
as identification. as identification.
c No Public
Caron lop of V_1A A.CAMPBELL Ili :)TLV1t%
Commission 1.1001y""C's Notary public-State of Florida
9" Col
Notary u is-
A\�.' commissionliGG1,1,
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romimmionlIGG112939 1.V�� r%rP*re;
A 9,2021
Name jNytoFCL� rint%q e6AKWes Jul 19,2021 Name of Nota lid FAR
J'k. ry
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ganded through National NotaryAssir. ,
/b =
P PROPANE GAS �
IIAAND ANE A Service Order/Proposal
Am, �988 813-782-5013 Invoice
Sales' Service & Installations WORK ORDER#/SERVICEMAN 861E8 EOC 4441 Allen Rd. • Zephyrhills, FL 33541 - _ DATE:/TIME TAKEN 04/02/18 15:45TAKEN BY K.B. 02
DOTES: DATE/TIME PROMISED
_ CUSTOMER#/LOCATION 08510
PHONE# 813-782-1349
ROUTE/SEQ EOC
HILTON, BOBBY HILTON-RENTAL, BOBBY
6415 16TH ST 6401 WOODRUFF ST
ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL33542
GIBSON
GS3BA024KA, GSA020405181
TNT: LAURI DOWNS 813-862-8388
UNIT FROZE UP
I DESCRIPTION.OF,WORK QTY MATERIALS.&,SERVICES UNIT PRICE . ,AMOUNT
06
UnJ S/ ti d�t, 161 I
I I
I I
I I
a- I
70 zg 6u . 0
l I
RECOMMENDATIONS . I I
6'n9 Maihtenarice:Recomrbe,hded by All Equipment Man f ^ ..act*s, I l
6- - Pressures Lo HI T-Stat I l
,REFRIGERANT R-I"7GLBS. $per lbs. I I
^ FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY TOTAL SUMMARY
pDourrlidisfat Settings: When here"ON -When Away k0 ,-T-Stat 80° ❑ MAINTENANCE CONTRACT
C'= - ' SERVICE I
IMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF P MENT CALL I
r suppliers written warranty only.All labor performed by the above named company is warranted for // '''' TOTAL
D days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# �"Ce MATERIALS J
xPress or implied,and its agents or technicians are not authorized to make any such warranties on
ehalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller
PROG. W f C
stains title to equipment/materials furnished until final payment is made.If payment is not made as agreed, CLAIM#
;ller can remove said equipmentimaterials at Seller's expense.Any damage resulting from said removal shall
ct be the responsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO l I
LL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETE
TECH: 1 _4�Vff1 TAX I
USTOMER SIGNATURE DATE ✓1C'�U//G!L ✓au TOTAL C 0 I