HomeMy WebLinkAbout18-19811 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020
BUILDING PERMIT
PERMIT INFORMATION LOCATION.INFORMATION
Permit Number: 19811 Address: 38428 COTTONWOOD PL
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-02113-00J00-0060
Improv. Cost: 5,595.00 OWNER INFORMATION
Date Issued: 6/18/2018 Name: TOWNSEND-NANCY
Total Fees: 70.00 Address: 38428 COTTONWOOD PL
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-6616
Date Paid: 6/18/2018 Phone: 813-602-3140
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
n
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DUCTS I STALLED 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.
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
sty 7s4002o City of ZephyfiiNs Permit Application Fauo-staaso oazt .
Btukfng DepattrTtent
cam Rama -.. .. .• _ .
Phone Cortbletfar
Owneft Now Gil" C�n1' - 'Ownor Fi�arTe ibanber;.
Ownet!'SAd*M --5t or r rriuiint >[�":--';.- • ,.^`� '. f .
Fee s6nplc T[(Ipliotda tiEviie i : owner,;"Nina:
Fee shnple rdww w Addr ss "
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SIGN QEMOIJSH
YyORKPRCPOSER. .: . :, : ::. , ;'.tiEwCOt(S[R _A[MJIN.T Q:_;: - .. ..~_..;.;C�_ :." -:..: C�" "-"-..
iNSTA►l,.; -- '',. REPAiR,
PROPOSED USE [ .'_.'$FR'` "":`'Q''. CONLN= '.:.C�:.°:fJTHER• ..
TYPE. C'Offb"(RUCTTON. .Q BLOCK.' .�`'"'`FfZANIE^. :' STEEL -
DF3cRr of WdW, `wr
S WING SIZE ._ .sa FooTac HE off"
YALUATiON OE-TOTAL CflNsrRucnoN'
[-JELECTF2SOAL' S' :. AMP"SERVICE Q :..:PROGRESS ENERGY 0 W.RE.C. i
=PLUMBING (~
MECHANICAL S VALUATION OF MECHANICAL INSTALLATION i
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0 ROOFING 0 r. :.SPECIALTY Q,•„OTkiER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES. NO
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EUILOER COWANY::.
SttiNATURE• WGisTEREn I Y l N. M CMIE1` Y/N
Address ticeitse#177
ELECipICiAH COMPAN1f �_� i
SIGNATURE l.:REGlSTSlW_,: Y/N- EEECitRRE?, 'YtN
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SIGNATURE .:.REct(SfER® ` "Y L N. FEr CUR ta." Y/N"
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COMP
SIC�tiATURE Rec;is Tim.•' - --Yt=N
Willi =COMPANY
SIGNATURE tzE : Y!N:' -:.FEECUAFiFA Y1N
Address' °.: Llcerse# - �^
f i 1f Hi tl 1 f.Isi;tFl,i'1.1'!;•1'I la'.1:1!'h•�il:�la.L'1;=1.1`a.I L.Iy1l..L1..1,1-Ir1�i<I;I,�;.l-_1_./_1-!a I_I,,I;L!-i'f'!`!„1"I I i /JI` !
RESaDEHT1Ai. i d,tZi «) s of Berns Pins;tt)setoff Erierpyr Forms R O 1N,Pesrtdt for neiv constr+id i,"
Ninnaimi ten(ft)}woamtg days alter sitbmltla!dais: Req�ed'ansite;OOnstototion Plans;SEainv+atarPtaT>s w/SIIfFericeinstalled„--
Samiffiry Facititlas 8't Sits Work Permit�3�VZSIpiSlfa!!�a poJects - � .
COIIMERCWL /lttadt(2) sus d•6t(Idktp.4?14tspkis•atifaSeflYPaee;(9}setofEmwFams.`R�WPermitfewnewconstruction.
M�fi1an ten t18}wuridnp""hays sttersubgittml date.Rest�ed_ar:slta,C,a�hiTctlort Firs,Stortrntia�r'Fr4ans w!Silt Fi�ice,Insmled,'
Sar+il y:Factstiis.8"].rat r:etaWorkPWffdI*-.alnSWpojects.A0'aomtr :must meetaxnpliance.
SKIN PERUff Attach(2)sets of EripiTaeTed Pfae: :. ..
" PROPEFnYSURVEYregt6edtocailNEWmnoucon; _
OEraetiorts: ,
FRI'out.appkatione mpteteiy...
Chviier&Cwbactor sign bads of applt�tian,m t dzod
IT Omes$25K a Noose of CoriTrrrttpnwd ts..agWnd.(AIC uP4!ades Over$75tt0) _
Agent(far,the OonhaoWrj'or POwr of Attorney(font Owner)would be someone with notarizad latter from amer aut wddM same
OVER THECOUNTER-PERMfIIHIt3 (capy.ofconhitt1requke ._..._
Remafs'dshmgles =' "Savrers: 'Fet>ces-(PWVSWvey/FootaW)
Driveways Not ova Cotlntar if on WWic►oadrv*s.:ioads 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 1
applicable deed restrictions.
UNLICENSED-CONITRACTORS AND CONTRACTOFt REAPONSiBILiTIES: .If'the owner has_hired-a contractor or
contractors to undertake work,they maybe required to be licensed in accordance with state and focal regulations.,if:the'
contractor is not licensed as required ny law, both the owner and contractor may be,cited.for a misdemeanor violation I
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'Buildinginspecilon Division--Licensing Seatiori et 727-847- i
8009. Furthermore, if the owner has'hired a contractor or contractors, he is advised'to have the.contractor(s),sign j
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 property licensed and is not entitled to permitting privileges in Pasco
County.' i
TRANSPORTATION IMPACTIUTiLITIES-IMPACT AND RESOURCE RECOVERY"FEES: Ttie 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'certifcate oft occupancy'.or final power release: If the projeet.does not involve a certificate of occupancy or.
final power release,the fees must be-paid prior to permit Issuarice. Furthermore,-if Pasoo County Water/Sewer,impact i
fees are due,they must be paid,prior to permit issuance in accordance with'appiicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.Ot1.or more,-1.
certify that 1; the applicant; have been"provided-with'.A copy' of-the "Florida Construction Lien Law—Homeowners "
Protection Guide"prepared by the Florida'Department of Agriculture and Consumer Affairs. If the applicant is,someone
other than the"owner^,t certify that-I have obtained-6 copy of the above described document and promise:in'gogd.faith to,
deliver it to the"owner'prior to commencement• .
CONTRACTOR'SfOWNEWS:AFFIDAVIT: t certify that all the Information in this:application is accurate and-that all work .
will tie done in-dorfiptlance with ail applicable•taws•regulating construction,,zoning and iarid;development Applicatio_.
hereby made to obtain a permit to do:works and installation as indicated. 1 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 I
construction, County and City codes, zoning regulations, and,landdevelopment regulations li'the jurisdiction.: Lalso j
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: f- Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,WaterNVastewater Treatment.
- Southwest Florida Water Management :District Wells, Cypress Bayheads, Wettand -Areas, Altering (!
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. '
Department of Health & Rehabilitative SeniiceslEnvironmental Health Unit We.11s, Wastewater Treatment, j
Septic Tanks.
- US Environmental Protection-Agency-Asbestos abatement.. .
Federial Aviation AUffio' =Runty
I understand that the following restrictions applyto the use of fill:
Use of fill Is-not allowed in Flood.Zone"W unless ex
presstjr permitted. {
If the fill material'is to be used in Flood Zone•A", It is understood that-a'drainage plan addressing a j
"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;1 certify that fill will be used only to-fill the area,within the stem wall. f
If fill material-Is to'be used--in any area, 1 certify that use of such fill will not adversely affect adjacent' l
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.draina9e plan is required.
If i am the AGENT:FOR THE OWNER,"1,promise:in good•faittt to inrm fo the'owner of the permitting Conditions set'forih-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 violatei 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 orviolstions"of any codes. Every perTr4'issued.shall become invalid-,
unless the work authorized'by such permit is commenced within six months of permit issuance,"or'if work authorized'by 1
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 forthe extension. If work ceeses1br 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: ;iFYOU INTEND TO"OBTAIN FINANCING;CONSULT
WITH YOUR LEND EROR AN ATTORNEY BEFORE`RECO DfNG YOUR-N CE,OF C MMENCEMENT.
FLORIDAJURAT(F.S. 3)
OWNERoRAGENT "CONTRACTOR-
V.
S)1 and s+vom to need) re e this -S tied'asNi to(orerm�pbafore me this =
Who isle m ty to me or ttas(have produced" Who ism- mannerly awn:to me or haslhave produced
as tdontdication. as iderdiiication:... -
i
otary Public , Notary Public
mmNo �+ mission No.
MPBELL SYLVIAA.CRMPBELL
�'LUiA A.CA
Name of No = s Yotj@(gpubliC-State of Fromfd Name of Notary typed, d .Notary Pub
+ *• Commission tY GG 112939 Commission g GG 112939
Ae? My Comm.Expires 1ui 19,2021 '" c 'M Comm.Expires Jul m 9,2D21, i
m Y
a�LOFr�°o`` Bonded thtough National Not8TYAssn. q�oFF�o " g�ded60UIJhNationalNntacyAssn,
.� ,r - �I •� �� �. � III
PROPANE GAS
` AND AIIC intC. Service Order/P'ro�rosal
813-782-50'13 WORK ORDEInvo€€ CEMAN 88123 JUN
Sales, Service & fnsta{lotions DATE/TIME TAKEN 06/13/18 09:22
TAKEN BY SC 00
4441 Allen Rd. f Zephyrhills, FL 33541 DATE/TIME PROMISED 06/13/18 00:00
NOTES: CUSTOMER#/LOCATION E0439
PHONE# 813-602-3140 C
ROUTE/SEQ JUN
MAP A/H ATTIC
TOWNSEND, NANCY TOWNS,END, NANCY
384E8 COTTONWOOD PL 38428 COTTONWOOD PL
DRIFTWOOD
ZEPHYRHILLS FL 3354E ZEPHYRHILLS FL3354E
NEW CUSTOMER **NEED INFO**
UNIT WON' T SHUT OFF. SEE ATTACHED
:....
:..:.,DES !'7 'N OF; •:.":_ , ,: QTY hIIATER1kLS.:&SERviCES s '`" UNITPRi.CE; AMCOUNT+-
CRP
iC3 WORK
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4 Spar ., . 4 i2 ea la
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'.;i' �"�';tY�;,:i�fx.,,::m�,:.•.p,,f>. , .,,r,:,•,_•;,;,.:' :��a�€=;"#°`" �'.-�a:�rr;.s :�-,•:. t I
0.rititiai NlalntenancerRecomrrtepded by Al1Equiprnent MantafatctrerS r,
Pressures Lo H! T-Scat r t
ibs:e� '$:,:'•;`i•I:;'..,
FILTERS x x Changed Monthly I l
FILTERS x x Changed Monthly
fO REGULAR ❑WARRANTY TC3 AL:SttMMARl'; 4w"
De Slat,' ettings:,'When here SON", When Away 0° T-Stat,•Q (� MAINTENANCE CONTRACT
., - r� ,' r ;- I..• SERVICE I
•.y,s r-••-,,: - - a;,w'-,^uq+•>.:y.�. .... �y; ,.tMiTED WARRANTY: AIi materials,parts and equipment are warranted by the manufacturers' `���; �;�:;,,f;METHOD.O�+PAYMENTA���=�'->�:n r M`a CALL
suppliers'written warranty,only.All labor performed by the above'named company is warranted for r ;<,,•,
a days or as otherwise indicated in.wri6ng•The above named company makes no other warranties, EI CASH IJ CK# TOT I
ipress or implied,and its agents or technicians are not authorized to make any such warranties on 'MATERIALS
l
ftfof above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE' i
I
save authority to order the work outlined above which has been satisfactorily completed.1 agree that Seller PROG. W k C
taws title to equipmenUmaterialsdumished until final payment is made.If payment is not made as agreed, CLAIM# r
for can remove said equipmentlmatedals at Seller's expense.Any damage resulting from said removal shall
itbe the responsibility of Seller.NET 30 DAYS.A t V2 f SERVICE CHARGE WILL BE ADDED MONTHLY TO "�r ' �
.L UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: TA
ISTOMER SIGNATURE DATE �'`^w� o�c TOTAL66/�?