HomeMy WebLinkAbout18-20284 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 0284
BUILDING PERMIT
-PERMIT INFORMATION : _ LOCATION.INFORMATION =
Permit Number: 20284 Address: 6125 9TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0160-00200-0090
Improv. Cost: 5,195.00 OWNER INFORMATION
Date Issued: 9/25/2018 Name: TEBO JACOB A& LESLIE C
Total Fees: 70.00 Address: 6125 9TH ST
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-3517
Date Paid: 9/25/2018 Phone: 231-420-1340
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
1
J
DUCTS INSTALLED Ins ections.Re uired
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.
CONT TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Permit bCation Fax-m-78DW21
81&78G4)= City of e
Date mod. Plione:Cpdsotior
C
e�.� OrrtwPltoneN4urt6er'i
V9
��Owneftl
Otwnef:Addre rs OraeerT+Itone Ntrmi>
Fee ,Rid,omer,Ytne:. .. OwrmPUonaiiantier..
Fee simple lilleholder Addn
1
WADOPI
Ze phi.
PARCEL . _... ...'- ...,
�/ DL D DD oD G
ro
WORKPROPOoo.
AIR: 9U /ALT =p: slc , p.:_ _.; .°-, gino►�sH-
:. :- INSTN7.!: ..' ':':;REPAIR
PROP06EDUSE :OTHER.
TYPE OF;COIIBTRUCTION- Bf OCK:'=;_, FRAME
DESCRIPCYOItOF
WORK::;;-.: _ GSa.
BUILDING SOS SQ FOOTAGE_. . HEIGHT.
BL�ILOING S ";,;- .; VlILUATIONOF:TTALOONSTRtUC71ON
0.
=ELECTRICAL S. .. AMP.SERVlM Q RROC�IiESBENERGY. Q W.R.E.C. .
=PLUMBING S,
MECHANICAL S.�r/ d VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING' Q SPECIALTY= OTHER
FINISHED i100R ELEVATIONS FLOOD ZONE AREA =YES NO .: .
BWLDER COMPANY
SIiiNAtt1RE W.WrEm. . -Y/N.. nm cumin .-Y/N
Address License#
ELEInac Nl CAMPANY
SIGNATURE Y/N �yut+nN1:.- YIN.
Address, Licerm#
PLUMBER. COMPANY
SIGNATURE REGMERED -Y/N RiGfMBr.. YIN
Address ##--- -
MECH�Cp4 ..` COMPANY
SIGNATURE. ���
.: REWSTEREDY/N -PEkQ0t �-: Y/N .
LIB#. AGO
OTHER' ': . COMPAN1f
SiGNATURI's YI•N.' TEECL e:, . •Y/N
Address License#"
T,1 LI'F:17:'=1 1F-1'/.1,.1.1'II t:i 1.1:1'u".111w 1�1.11 1 1 1 1:1 1./•1- a l l 1"I:I I I L I1 1.1 1 1:1'1 1"1
RESWBMAI. AtIpdt(2):Pbt-Pints;t� 0. (1) .Eriarpy.Fe iZ-0aN.Paririi{-tornewoa[�strir n'.
1�'ntarant�n�tll�:uthrlvnQ daltsaRer�sl�tnHtal date.:Requied4t�e.'ticirhudiar Plans.SloimwgEer Flares w/,Stlt Feno®ud.
! FaoTti�S t dutiiRicier:t'ade_Wadr Petiir3 for suNt6risicns✓larpe projects
lOIB/ERCrAI. ,.A1ladr(2)"mnpNl�SetSdBta fg'[?fa .pYssCife.SeYelyPapa:-t1)sidatEnergy.Forrm.; RAWPemritfornawcarKtndSon.
Win tali(9Q)MVliuWft%i**: dMe,.Requr taisie.OonsUiMxion:Pfs s.Smrm+r sr i?Ians.x9 Stet Felice k ised...
y;Fai :6!_duieF wgic[ tiiEio►m_iie�r viojects-a oonimersial:telr«iietiis:u+i/stmeei
SRGN PEWT . At scbh. :t*0.
PROPER YSUFiVEYtegl�tldlwlamNEWconsouctiat.: -
Oinrdioit�• - - - -
Owner&Conbadnrsigntiadretappical on notarized.
ttbrr�r•S?AGQ;.ra:NotkyoE 'Nswquirrd. tl1lCi�prades_owS750tn -
Agent"ftim ito�drac .a Poaer of AUDlney troSll o et)wcWdte scrritione wiM nW imd.Net�®rSF«n owrar auUt4tIDrtg s�na
ovii# COUAITEti PQatt18i6 :-; (aopyol ea[drac3 iegrrired)
Nteroolsifshotgles '"_'aewers ,;88rvk�t?pgridwss,:A/C;•'_ FerxastPlof/�arsylFootage)
Direr Coratter itort public readvrays�:neerls Row- .
NOTICE OF DEED_RESTRICTIONS::The,undersigned understands=that this permit may be subject to"deed"reStiicctions"
whicti maybe more sestrictibe than County regulations.:-7he undersigned.assumes:responsibiltty,foc compliance:with any. ._
applicable_deed restrjctions;-
UNLICENSED-.-COW6RACTORS,AND.CONTRACTOR'RESPONSIBILITIES:•_If the.,owner has Brier!°a--contractor nor
contractors`to'undertakework;they-may be:required to beJld nsed•imaccmrdance with-state'-end local r uiations. ifAhe
contractor fs not licensed-as.r�equired:,by;law, both:the owner:and contractortnay be cfted.for a;:misdemeanpr violation
understate law If the'oWrieror irrtendeit corrtraator are=uncertain as to:uvhat;liiensing nequirenients may:apply for the
intended work;'they,,are advised to contact the;l?asc j County.Building:Inspection:Divrsion—L rcensing Section:at 727-847-
80o9 Fyrthennore;`if.the``owrier has,hired i contractor br cantiactors.he.:.is advised to:have the.:contractdr(sj;sign
poriions.,of the"contr idt&Blodi of tills=application forwhich.they vAli be responsible.; ff;you;as the owneraign as:the
contractor;:that:may be an-indication ttiat"he-ts.notproperiylicensed:and.is.not,entitled:.to.pem'iitting privileges:in_Pasco.
County:. . .
:-..
TRAIISPOR'rATION;I.MPACTIUTIL—tES,IMPACTAND:RESOURCE:RECOVERY-FEES: The undersigned understands-. .
that.Transportation ImpactFees and ftecounse:Rebovery:Fees nay.apply to theLcofistr ictloh,-,new butidings;Ch-
o
ange.of:
use.in existing:buifdings,;cr'expansion,ofexiitingbuildings;:As.spec�fied in Pasco,County Ordirrantxt:nrinber 89-t17.and..,
90-07 as4in6ded `Tlte undersigned;alsa rrndeistartdS. thatsuch;fees;,as maybe:due,will=be iderititied at the,time of
ranspor4ftri.i
pe
rmitting:>,Itis'fiirfher-..understood:that F mpact_Fees:and Resoure�Recoyery.fees must.be,paid:prior to
receiving.::a.'cerhficate:gf ocaipancjr`orfinaF power..release. Ifttie:project;d0, notinvolve:a:cettificate`of ocaipgncy or
final power release;the fees:.tnust:lie paid.priarto permit-issriances::Fun�iermore;if Pasco County WaterLSewer Impact
to are due,they must be pail(prior to.permit issuance in accordance with applicable Pasco Ccunty-ordinances..- `
CONSTRtICTiON.L:lEN LAWM(Chaptar.713.Florida S s;:as WFiended), if vatuation of wi)i is s2:5p0.00-dr more,I
cerfiTy'.that I;..'the applicant;:have.bdie..:provided'with::.a copy bf:the "F1orida:Constnicdon Lien I avi liomeownees
Protection:Guide'prdoriii by;the:Florida:Depeftentof Agriculture_and,Consumer.Affairs:,- If-theapplicant`is:someone-
other than-the"owner*;I.bettifytliat t have_obtsined a copy.of the above`described dorsimentand.promise:in good fafth.to-
dettver.it to•the"oviner°:pr)or to.com[nBroerttent
CO'N7<'RAC'TOR`.S/OiWi*S,'iOR'O 41lW,:i Cei*that M ilia in 6'rm-i tion in,this:applic�at' and•'that`0111,work
Will be done in compliance with all appligable>laws regulating caristruction,zoning and.land;development Applir�tfon is
hereby made to;bbtaln;a permit-to-do work=and.:fnstallafiod as-indicated. 'I.certify:that.no,.work or_installatlon has
commenced prioi to issuance of--:.permit-and:tttaf oil:work will be: rad performed to.meet standas;off all:laws regulating .
construction; County;and CifY.codes; Toning regulations, and 1and=daveelopment regulations in:the.jurisdiction:: I:also
certify that"I understand that the regulations.of other govemment agendes may apply.to the intended work;"and that it is
my responsibility to idernify:what actions l must.take:to be:iabompllarice. Sucbtagencles include.but are.notlimited to:.
- Department of>Envininmental-Protection-Cypress Beyheads,Madand;Areas and,Environmentally Sensitive.
Lands,.WaterNVastewater Treatment:::.
Southwest:`Florida :Water.Management District=Wells, Cypress Bayheads, Wetland Areas, .Altering.
Waterraurses. .. - -
- Army Corps of Engineers-Seawalls;Docks,Navigable Waterways,
- Department.of Health.& Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment;
Septic;Tanks. .
US Envlronmental Protection Agency-Asbestos abatement
Federal.Aviation.Authority-Runways.
l understand that ttie folli w g:rest'fctions:apply to the use otfill:
Use ofAl is Wallowed in Flood Zane"kr unless expressly permitted.
If the fill,material;is to:be used`fn:Flood Zone, A°; ibis understood,that a.drainage plan addressing a
"Compeiisotind'voluiho"wiU;be.:sub,mitted at time•of permitting whiidt is prepared.tiy a.professional'engineer.
licensed,by the'State_of Florida.
If the material,:is-to:bo=68ed1h'-F1ood Zone.'A'°in connection with.a.pennitted:butiding:using�stem wall:;,:.
constniction;Lim' ffydrat be fillwill ;used.onlytofill;the-arepwfthin.the�stem:wall :
If fill-rnaterial.is to-be.used in any:area,-1 oartffy_.that.use.of'such fill`will_not adversely affect adjacent
properties: 'if use of-fill;is loiind to:adversely:affect adjacent propert",-Ahe owner maybe cttied for violating
the conditions.:of_tlie.:buildfrlg.pennit:issued unddt the attached permit application,for lots less than-one.(1):
acre wh[ch'are,eieirated:6y fi0,:an engineered drainage plan Is required.
If 1.am.the AGENT:FOR"THE OWNER;I promise fo good fa)tti>toinform the owtrer:of the:permitting:conditions set forth in
this affidavitptior.to;comgrencing'oonstrustioh., I understand:that a:separate pertnii may be.required foe electrical-work,-
plumbiri signs wells;pools;air conditioning;gas,or other installations not specifically lncluded in the application. A
permit issued shall be construed to be;a:ltcefm.to proceed:with the work and not as authority to ufolato,oantx3t,alter,or
set aside any provlslons'of ttre`technlcal:codes;ridr shaiPtssuance.of a permit prevent the Buiding Official from thereattec.
requiring;a;_conection of,errors fn.plans,:.construction orvfolations.ofany:oodes::.Every permit-fssued.shall-.become invalid
unless thework authorized:by-such-permit is commenoed:wfthin six months of permit:issuaiice,-or.if:work autho'rfzed'by
the pormit'is suspended or abandoned for a:period of.six(8).months after the tinie'the-work is commenced: An extension
may tie requested;:in.vyriting;;from.the.Buiiding Officialfora'.peiiod.not to.exceed.ninety-(90).days.artd will demonstrate.
justifiable-cause tor'the'extension. Ifwork ceases for ninety(90)consecutive days,the:job is,cpnsldered:abandoned:. .
WARNING TO:OWNER :YOUR FAIL.URE_.TO:RECORD.-A,.NOTICE:.OF COMMENCEMENT',MAY;RESULT.LN-YOUR
PAYING:TINICE FOR IMfr?ROVEMLSiyT_S:TOICUR-PROPERTY;` -YOU INTEND TO-:OBTAIN,FINANCING;CONSULT..
WITHSY.OUR`LENDEtt,EI ANL'A : jX;BEL0RE =NOTICE:OF" MMLeNCC-MENT:
FLORIDA JURAT' S:117A
)
OWNERORAGENT:: CONTRACT /
bsciibed. swAlat6 'efi methis'-' b§cnlii3d 'nd: lo(6rafirrn2d. ie. is
elf � - rs
ho;dare rsarrelly Wfoivn ortraNhave produced fa/e[e,. Jy- ,to.mer hasllittve pCoduce6:•-:.:_.
. :- - - . ; a9 identification, - ':- .aas identification.
Nctery Public. N'otery Public
Commfeslon No. mission.No:
SYLVIAA.CAMPBELL-�.'
or�r� Sr @l�lorida Name:ofNotary prr t. otary u lc-
♦�i o .
' • Commissions GG 112939 = • a • Commission N GG 112939 _
• ,• oe MyComm.ExpiresJul19,2021 _
My Comm.Expires Jul 19,2021" `; ;
9�oFF`°p' BondedlhraughNaGonalNotaryAssn. OFFS,.• yondedthroughNalional Notary Assn.
'
PROPANE GAS) Service Order/Proposal
AND A/C INC.
��y��7���` - ��� ��� I������i����
. _ - _ - _-- - - - _
' i
� Sales, Service �� Installations '
4441 Allen' Rd. ° Zephyrhills, FIL 33541 WORK ORDER#/SERVICEMAN 909412 SEP
" DATE/TIME TAKEN 09/2N/18 W8: 15
NDTES
� '
. ' TAKEN BY SC 0IZI
� . DATE/TIME PROMI��ED 09/20/l8 N8:00
CUSTOMER#/LOCATION 06W�2
231 420 134@ C
_ _
--- -- -- - -
ROUTE SEC! _ �N ` J SEP
r^
TEDO, JACOB and LESLIE TEEM, JACOB and 7-ESLIE
6125 91-11 ST 6125 9TH ST
�
� ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL33542
` AH: E8P240GA2, A040385671 `
CIUNJ
It
e.
Pressures Lo HI T
Lit
TY
hen here When Away T-Stat 0 MAINTENANCE CONTRACT
SERVICE
CALL
LIMITED WARRANTY. All materials,parts and equipment are warranted by the manufacturers'
or suppliers'written warranty only.All labor performed by the above named company is warranted for
30 days or as otherwise indicated in writing.The above named company makes no other warranties, E]CASH El CK# TOTAL
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS
behalf of above named company. I
El DEBIT El CREDIT Ll OTHER MAINTENANCE
I have authority to order the work outined above which has been satisfactorily completed.I agree that Sailer PROG. W I C
Zn title to equipment/materials ftimished until final payment Is made.If payment is not made as agreed. CLAIM#
seller can remove said equipmentimaterials at Seller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: TAX
Ala" 0kam, TOTAL
CUSTOMER SIGNATURE DATE r
'
r
`
`
l
�
�` .
`
�
�
�
`
'
'
|
�
�
\
�
�
�
`
'
'
"
�
`
`
`
/
�
�