HomeMy WebLinkAbout18-20236 CITY OF ZEPHYRHILLS
5335-8TH STREET /J
(813)780-0020 20 36
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20236 Address: 39113 11TH AVE
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: COLONY HEIGHTS
Est. Value: Parcel Number: 12-26-21-0260-00700-0530
Improv. Cost: 5,595.00 OWNER INFORMATION
Date Issued: 9/17/2018 Name: COFFLAND JAMES
Total Fees: 70.00 Address: 39113 11TH AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/17/2018 Phone: (813)788-0346
Work Desc: A/C CHANGE OUT 3 TON PKG
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
Ins ectio Re 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 OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
518.7 City of.Zephy*,ms.Permit-Application. Fax-M-TMoo21
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BUILDER C"PANY
SIGNATURET 1MGMTERED.. YIN FEE CUaRtn Y/N'
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SIG�MATURB 'REWIERM• Y/.N FEECURREA.: -•'Y/N
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RESiO�irIAL: Attar�f C1).Pbt Piers;{2)se>s pfBiM�deg ,(1}sekal Er�t.Forms:fit=O�W Ptm�itfarmw oonstructfon.
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I�uiedatEs L+ansttr�aea:Plara,,: swr�P�ssrd,s�ltFe�ce icEstaeUed,
SaNtary Fad d rduiipsmr St6a_w«k P�a3t for sutiidrvrvisiorrllarpa projects - _ ..•
COrRMAL A=Ch p,):aemptete set d Bsirprg;Ppns pktra LYe i�afety Pape;.(1)sst of Ene!pY Fw—R-O-,W P—ntt•tor new cambuctktL
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PloiY+K�Qr B_Natl�-4f:Ci9Yl�IfC.M7�A�is't�Qf�lQ.::.(�CIQ�WI�•�'/$Op} - .
Agent(ta►.iha aordta or)._ar Paw®r: AGo�ney:(far fli®axiier�wotrdbe.sonieone vatti rntulaDd letW Um mnter auatorlang same
OYERTHE COttI!I1ERrP�tT1UlG'.:'''i(CoPY� t � ::•': - .
Rerocfs dshitlgies- -_-Sewers •,,,Sr3nrlce tS,:AtC;c:.-.,Fences(FlgtlStaveylFo�ga}`' -
'OrhP8lAlatfSrNOt'OVeC;CENHitltBrrft.Oli pub6Cfts:dlBBf�S,t .-• - .,
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NOTICE-.OF DEED RESTRICTIONS::The:,undersigned understands=that this permit may be:subject to.'dead".restrictions"
which rnay,be more restrictive than County regulations.::The undersigned.assumes.respohsibility:for compliance"with any.
applicable'deed restnctions:' - •.. - : : - .- ,, _' -
UNLIGENSED,CONTiACTORS.AND:CONTRACTOR'RESPONSIBILITIES:' If the owner has Fluid a Contractor_or
contractors to'undeitakeworK they may tie required to be,licensed,irraccordanca-wit h,;state:and-,local regulations. 'If;the:.
contrador.is no#Incensed as.required by"iaw,;both;the owner:and contractor'may be':eded:for'a';misdemeanor violation:
under state-law:""if the�owner-or-irstended,corttraotor:are-uncertain-as to"what lkensingrequirements-rriay-;appty:for'the.•
intended.work;they:are,advisk.to"c"ct,the0'asco_Court y,.Builtlmg 16ipo tion:D'ivision Lensing Section aC 727-847=
8009 Furttiennore;.if the':owner.hasfilied a.contractor.or`contractors;he.'-is advised have the:;contr>3ctor(s)::sign
Portia. the"contrartorBlods'of this:application forch;theg vvill be responsible:: If.You,as-the-owner sign as the
contractor;that-may be an-indication.that_he is not prop ady.11censed:and Is not,entided:.to.permitting:privileges.in_Pasco .
County:. ,
T"WiN PORTATION;IMPACT/UTiL-MES.IMPACTAND,:RESOURCE'RECOYERY';FEES: The undeirsigried;understands
that.Transportatton lmpacf Fees and Rer ourse`Recovery';Fees may apply.to'the.constiucdort-ofnew,buildings change of: .
us6In existing'buitdirigs;:ar'expansion:ot existing.buildings;as specified'"in.Pasco.County'Ordlriance.number:89-07':-and:.,,.
90-07 as.amended=:The undt tslgned also urideiswrids,that`such;fees;as may-be;due,woil'-be:identtfied at the,time of_ -
perfnitting: It s furtherunderstood-that-Tr�ansporfiftri:.lmpagt Fees:and Resource Recovery,Fees:must be paid prior.to
reo-a a;°certificate of,6ccupancyr'on nal power.release: Ifthe'prnject does not invoive.a:certificate of occupancy-or -
fina1`power;release,.:the fees.must:be;paid priorto permit.issuanoe: :Furthermore,'if Pasco'Ca inty Water/Sewer Impact_
fees:are due;they must paid pnor to permit"issuance rn;accordancewith applicable Pasco County ordinances:;. -
CO STRUCTION UEN' A1K Cha , '
N-, ( -pte f T13,'Florida Statutes;,as,amended):,�tf valuation of:work is$2;5d0.OD;.or more,l='
certify-that l;,'the-applicant;:have'beeir:pr. ided-:witti',a copy of:the °Florida=Constiuiiion:Lien'Law=Homeowner's
Protection:-Guide.-prep&W by;the:Flonda-Department of Agriculture:and Consumer:Affairs;':lf.t&..applicant,is:someone.
other than tti"e"owner";'I"certify:i-,at-1 bave obtained a copy.of the:above described doarmentand'prdMise iri goo ii3mi.to
deliver,It 64te°owner.':pHot:to-commeneement: . ." _ _• '
.CONTRACTOR`S/QWNER'S AFFlDAvrr:: f certify that:all:il5e iirfoir i do in:tliis`.appP. on_is 8ccurate.and that ap-.work '
will be done in compitance:with alh applicable laws regulating construction,zoning and:land developrrient. Application is'
hehaby made to:obtain a periplt-to do:work•and:-Installation.as-indicated:'`-I certify.that:no.work"or installation has
commenCed'priortp',issuance-:'ofa_permit-and:ttiat-all'work willtie';performed.to.meet:standards:of ail-laws regulating .
construction; County and City.codes,"zontrig regulations, and land.'developpient,regulabons.irt the jurisdiction. I also
car*that 1 understand,thatthe regulations of other government agencies_may apply.to the intended work;"and that it is
myresponsibiltty to.identify-;what actions i must take to be in compliance: Such;agendes ihdude:but are.n6.t limited to:. .
- Department-.of'•F vironmentat-Protection=Cypress Bayheads;Wsttand:Areas and-Environmental�'Sensitive
Lands,'.Water/Wastewater Treatment:
Southwest'Florida'Water..Management District=Wells, Cypress Bayliss. :Wetland Areas, Altering.
1lVatercourses. _
Army Corps:ofEngineers-Seawalls,Docks Navigable Waterways.
Department:of.Health.8 Rehabilitative Services/ErivironmeMAI.Health Unit Wells, Wastewater Treatment,
$epik,Tanks. ..
Us"Environmental Protection"Agency Asbestos,abatement.
Federaf Aviiition Authority-t2unways.
I understand that ttib following ier;Mbdoits:apply to:the use of fill:
Use of114 ispot allowed in Flood Zone°V°unless expressly permitted.
If the fill,materiel=:is to:be used.Irr.Flood Zone °A°; if is"understood that a:drainage plan addressing a
'cornpensating`.vo time';wlil be--submitted at time'of pemtitting,which is"prepared,by :prollaosiohai engineer.
licensed_by ihe'State of;ho'dda..
- If thefril_materiatis-to`be,used,;in.Flood Zone'A"in"connection with,a permitted building.uslog,stein wall:;;_.`
constnictiori;I:certrTy that"fill�oll be:used.only:to.fill;the area writltin the-ster r:14l::
If fill.material,is to be:used:in any-.area, l certify-.that,use.of.such fill`-uurll_rrot:adversely,affect adjacent-
. -.
properties: if.use of-fill"is:found to'adversely affect adjacent"pibpertie5;itre owner niay'be cifietl"for violating
the conditions-oftthe;buil1.ding-, - ntt issued-'undef_thii attached permit application,for lots less.than one.(1):
acre ale—'
le by.#H,an:engineeredcdrainaga-plan'is required:. "
If I:am the AGENT.FOR THE 01NNER;:I'promise.in good faltlaoiiforrri the owner:of"the:pennitting:conditions set forth'in
this affidasrit:prior.to,cammehririg`coisstruction., I understand-that a_sepatate"pernilUmay be required.for eteotrical;work;
piumbirig signs;wells; pools;air conditioning;"gas;:or other'tristailationsnot'speotfioaNy-induded_in;the application. A
permit-issued.shall:be consfrued:to be'a lioersse.to proceed-with fhe wft 2-nd not as authority to violste,-can6el,;alter,or
setastdeany'provision$of.�Fre::te.n,lcai:r:odes riorshah.issuance.of;a'pennit�pietienttheBuilding•Officialfromthereafter
requiring,a con�on of errors in plans,-,constnrctionorviolations of-any., Every permk issued:shail.becom's invalid
unless the work autho'Hzed:by-such=permit ls'commenced.ivithin six months of permit.issuairtxj,or.(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 autlding;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 1s considered abandoned..
WARNING TO:OWNER: YOUR FAILURE TO'RECORD:A,NOTICE:.OF COMMENCEMENT MAY,RESULT',IN'YOUR
PAYING T idE FOR kPROVEMENTS:TO�YOUR�PROPERTY:: _YOD.�NTEND;TO'OBTAIN;FINANCING;.CONSULT:-
WiTWYOUR`I:ENDER4I AN`lr*M 13E*FORit.RECORDI 6..YOUR' ftE.EIIi<C-OMNiENCEMENT.
FLORIDAJURAT'(F.S:417:0)
OwNEROR,AGEN. /� CONTfr%5CT Lrez-0 —f '
ubsco6e ` ritl o(or trued ion ealifs u" arrdsVVor (on rim thi =,
b .+J f
AN
ho,-er re neon I wn to me or fiaslhave produced Vftisr " ,perso tome or e,produced=
. ; .- .. .. : aeidentificaHon. - as ide'ritlfication..""
- Notary Public _ _ Pirbllc `
mrsslon No. " `tii �Po'•. LVIA A.CAMPBELL,
m SY.....
tr• . .�: -oary u ic- aeo .on a
I VIA A.CAMPBELL
• •. •.
N" ° pt }rl9rifp9l�ieofflorida., NemeorN DpiF@BifiRRAExpires1u119,2021
(•, �.•_. Commission#GG 112939 tsondedt6ughNeuonalNotaryAssa,-
s� My Comm.Expires Jul 19,2021. _
••••;EaFF��,.••' aandedthrcughNatiunalNuteryAssa - -
e� �-C 02 mau
PROPANE GAS �_SAND ANC A Service Order/Proposal Invoice
J/KGP�7I88 8 i 3-782.50 i 3
WORK ORDERd#i SERV IC:EMRN 90727 NO%J
Sales, Service & Installations DATE/TIME TAKEN Q19/12/18 15 a 1.E•
4441 Allen Rd. • Zephyrhills, FL 33541 TAKEN BY K I M 01-71
NOTES: '4 � 0. DA{TE/TIME, PROMISED 09l13/18 08;,►�0
CUSTOMER#/LOCATION ,30112
PtHONE# 513-78yy8--03
P4F H
HONE�# 813-7 8-3542 C
ROUTE/SEQ NOV
�D, Jay MAP ,A H ATTIC
C'GF FLAND, J I M COFF LAND J I"+i
-:394-1.13 11 T H AVE', 391132 11TH AVE
`:'kEP'HYRHILL.S FL ,3.35,2 ZEP'HYRHILLS FL33542
FRIGIDAIRE
AH r R3BM030KAB, B3DO501 1 O 1.E,7
CD-. FT 3DA030KA, FTA050800 1.45
ESTIMATE. ALSO WANTS A/H RE-LOCATED OUT OF THE ATTIC
A ` Cox+ S 4, ��T � S' '1�Pr%t 6 /< /4 d
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A t4 5 4Agg q W,4-.h C1n C ICU !L i A (".
�f oLe A t v c to de0l. 3 To c k ,rN 6 .Tftr% I _ I
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Pressures Lo HI T-Stat I S CO
a/ FILTERS x x Changed Monthly I I
FILTERS X x Changed Monthly
❑ REGULAR ❑WARRANTY
"When here When Away T Stat ❑ MAINTENANCE CONTkACT SERVICE I
LIMITED WARRANTY, Ali materials,parts and equipment are warranted by the manufacturers' CALL I
or suppliers written warranty orgy.All labor performed by the above named company is warranted for TOTAL
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS I
express or implied,and its agents or technicians are not auttrgrilL�'to make any such warranties on
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work autllned above which has been satisfactorily completed.I agree that Seller
PROG. W/ C
retains title to equipmentimalerials furnished until final payment Is made.If payment is not made as agreed, CLAIM# -
sew can remove said equlpmenvinet pals at Sellers expense.Any damage resulting from said removal shan
not be me responsibility of Seller.NET 30 DAYS-A 1 17P%SERVIC E WILL BE ADDED MONTHLY TO
ALL UNPAID CES�OVER 30 DAYS.NO REPIJND '••-�•^^'-"'-'DATE COMPLETED
F TECH: TAX i
G- I
TOMER SIGNATURE .... DATE &4e �om TOTAL I