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HomeMy WebLinkAbout18-20301 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20301 BUILDING PERMIT PERMIT INFORMATION - . LOCATION INFORMATION - Permit Number: 20301 Address: 6023 16TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOTAPPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: PARK HILL Est. Value: Parcel Number: 02-26-21-0180-00000-0020 Improv. Cost: 6,995.00 OWNER INFORMATION Date Issued: 9/28/2018 Name: KUFFER, WILLIAM & JANET Total Fees: 75.00 Address: 6023 16TH ST Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/28/2018 Phone: (813)788-0945 Work Desc: A/C CHANGE OUT 4 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00 �i Ins ections 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. 6e ONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a137so.oazo City of Zephyfiill s'.Permit-Application Fax-813TW-OD21 Data Rece ma�Rii PhoneCadadiorPr r9 : r�: � �_ ���� • f2 /t�//. oiroe:Phai`sNumber �I�—�a® 77: oenrer'sAddtess Dog.Ownees 0wrer-PhOWNira er Fee s owner PNorM'Iirun6er, Fee SUr*ik dkhdd-Aad�egs =. Lon "ADDRESSA'!p- SUBOMSION PA1RCFl1DE /�Q OaDCi�"_Da -pROgO�D ' MalYGD16SA ADDiALT ';C�_ 31GN 0�. Q:. ��'. , :e•: IN5T1U1 . REPAIR -_ PROPOSED USE - [].; '. SFR :Q•' .CONM OTHER. 7YPE OF;COiiSTRtlCTK7N_ ; ' DEsc lsoN wotac. . .:.' 17 e-ou:. .: wm w�J T i�l IMAM . BUILDING S� sa FOOTALGE.. - HE OW . VALU{1TiON,OF-TOiALCON$'iR ,ON Aw sE.NICE 0 PROGRESS ENERGY...Q YY.RE.C. . QFLUMbING LJ ECHANICAL S��_f t��'• q VALUATION.OF mEcHANICAL.INSTALLATION• 0� 0 ROOFING Q SPECIALTY Q OTHER FINISHED.F100R ELEVATIONS ROOD ZONE AREA AYES NO' BWr M COMPANY .. . SIGNATURE tZFGI57<32ED- Y/N FEE CUMMA Addtoss #: .. Fq .7 IC)AN �Y SIGNATURE REGWraiF'D. Yl N Fi�cutaii�,_. Y/N: Address License : PLUMBER COMPANY . SIGNATURE ,FWMTEAED I. Yl N F�CUFUM.'. .'Y/N Addissy MECHANICAL COMPANY SIGNATURE (- .+ Yl-N. F�cxwAm .. Y-LLLLN Address T� - / 'A�/J- OTHER` COMPANY SIGNATURE YIN. FEECUMB -'YIN. Addra� umm# .1 1 1 L U-1.1 CLI^r1'1=7 1.1`1'I I:LI`I t 1f ti:l i14 14-1.1 1.11 1.1 1 11.1'.1 1"1 1 11 4-1.1 1 LL11 Ia1 1:11 1 1 RESIDENTIAL Alt Pbt'Plans;(2)sees"cFBvg?I�[!s_(1)se<ofE!!e!�rFomis;R�A1.P�eetoittorn�+rour�strixdon- IAe�iirmt�i(9D)'r�eil dapalt rsixn dote:Racpueda[aita DasQtidian-Plans StartMiaberP sMd.SittFenoe_iRUalled. sardi�y FaaGdes31'rlsripr;6er Saewalr Periiigfix. projects COMMHRCIAL .Alttaeit(2)',mnpNfe 50tr;d BriiNn➢;F frs pi�se tlle.SaftW PuM(1)'po of E—W Farirr R GW Permit fcr new mrtstru_dian. NFIYItrER�Ir(10)A6011YidiySS3ub117 Bela:`. 6d�f1LSaB.CO!!SU_IICbOn:�finS,:S (ntMOL01'Pt8115.W/$1S.F8tlW i[mf8lled,.- S.ftyF=M;;. _HuppoYsA ;1RfCtk em�itfoFaliwev**trkA1'mraineraatlegte�ma�smustmaa; S"PERMI�.. Attadi{Z)ta�t#,£t�pi[seiadPlaps:'.::.. PROPEf1Taf,SE1RVE1!<iequiedu q NEVY.COF�i�r.: - F9'o�a appNcatbn eamplabfsly: ON4�er 8�`.GOR[ s�tl6adcdjippiCdtiDn;ioWdaed. Mo;Yer i21iQgr a NOtice a(ttamm�w�rsgt �:yr�ades ores i7500) . Avant((ar q�mr�a�.or Fdwer�'ALbrneY{forftreoyrs�)would be.sornaone wdti nofai¢ed letterSmm oxrt�er atcUronmrg same +_ - - ., OVER TILE COUNTER PER11117Ud6. (coPY� ie4uaad) RBrooN$S S@MtYS =;'.'S611! 0 5../VC,'. F8i1C@5(PIOV51dV6y/F001 9) Qrhmvta s-Wow Counterifod-oubIC.fO�.IlB6dS ROW - _ . NOTICE.OF DEED•RESTRICTIONS:_The undersigned understands.that this permit may be-subject to"deed;.restrictions" which;rr►ay,be-more restrictive than',Gouiity regutations;::The undersigned.assirmes:respoosl6itityCf6r compliance:with any. .. appltcabie:deed reWdo_r UNUCENSEO CONTRACTORS-AND CONTRACTOR,,RESPONSIBiLI'FIES: .If'the owner has hired'a:contractor-or cor>ikib'rs fd diidertalk w6k:they-nlay:be required to be:ficensed•in:accordance.with;state:and-local.regulations: if-the- contrador-is not licensed-as.required'iby;,, ,both- owner:and contractor hiay.tie;'cited`foc a:miadetneanor violation under state law If'the'owner,or lntetrded contractor are=uncertain.as tb what;tioensing requirements may:apply for'the. intended.work;theyam advisedto copractthe_Pasco.County.Buildfng.Inspection'Division-Licensing Sectiori:at 727-847- 8009 Furthermore;if=tti8'_nwner;'has;hired.:a contractor,orcontractors,'he:is-advisedto.have°the:contractor(s)_sigo portions of the,-contractor'l§I6X:of fds:application_forwhich.:they will responsible::H:you;•as the-owner•sign:as the coniractor;.4hat rsraybe an indication that-he Is notproperi Alcensed:aitd.is.not,entrfled:-to-permitting:privilegesJn:Pasco. County. TAAAsPORTATION;IMPACTlt MIT iES.IMPACTAND.RESOURCE RECOVERY:FEBti: Tha-undersigned understands that-Transportation Impacf Fees andl2eoour3e.Recovery Fees:mey apply:to rile oonstitictlon.of;new.tiuildings;change.of_ . use'in existing'buildings;,.ar.expansion,of-pApting,_buildings;as specified°in Pasco.t ountyi Ordinance:nunitier89-07:.and.. 90-07. as-amended .Tfre undersigned.also uiidetstands;thatsudt:fees;as maybe;due,wnil',tie identified at the,time of perrrrrtting:,_It is`_ftuthec:understood;that TransporMon:.Impact.Fees-and Resour6d kecoriery Fees"rhust.be.paid-prior to receivrng:a'cercate of occupancyr"orfinat.power...release.`if-the project does not.inVclve a certificaWof occup.`ancyi or final`powerrelease;_rite,t'ees.;must be:od-prior:-to piffn t_M6in6e:._Ourthbimore,-N Pi3i o,Co City-Wat4i/Sewerlmi act fees are due;,they must be paid prior to permit issuance m;acCordarroe-with appirixble Pasco County ordinances C.OI�ISTRUCTION-LIE[Y LAW(Chapter 7t3,Adiidi Statutes;.as amended):1f valuation of vrorKis$2;500 00 or more;I.: cerbf -that i;,'the`applicant;:ha:e'.been.,provided with..a copy.of:the."Floiida'•t',ortstiuction:.Lien_Law--Homeowner's , Protection;-Guide"prepared.by:the:Fiorida Department of i4grioulture..:and,Consumer.Affaiis:,',if�&applubarrt�rs.'someone. other.than-the'ownei'_f certify-ih;:,l have'obtalned a copy.of the;above de scribed'dorxrment and prorntst::ir'i good faith.to - deliveratto�tha'own4rx:0orto:commen.,oeinent: _ CQN`fi:6 7' R`SIOWN9* ,AFFI"VR: I certify that:aN the'infoirnation in thissppGcattonis;8ccurate and:that all-,woric will be.done inci�mptiance with all,applirable laws°regulating;donstiuction,zoning arid,land;development. Application'is . hereby Made to;obtain a peripit bo do work:and:•mstaliation as-fndicated. i.certify.that,no,.wark or installation has commenced priorto=issuance;of'a.penn[t-and ttlat 611 work anll,:tie;performed,to.meet staniiards of all laws regulating construction; County and City.codes, zoning:regulations,,and-land,'development regulations in..the jurisdiction.` I also• certify that l understand that the regulations of.othher goverment agencies,may_applytii"intended work;.and that it is my responsibility to identify'whai actions!',i ui t:take to be:tnoompltance..Suctiagendes.mdude:6ut are.not liniiiW to: Departrnerrt.of•Environmental-ProteotiorrCypress Bayheads;:Wetiand_Arees and'Environmentaity_.Sensitive. Lands.WatedWastewaterTr iatment': Southwest"Florida Water...Manasement .District Welis, Cypress'Bayheads,.:Wetland Areas, Altering. Watercourses. Army Coips of Engineers-Seawalls,Docks;Navigable Waterways. Department of Health.& Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment;. $eptic;Tarrks. .. US Environmental Protection Agency-Asbestos,abatement. ` Federal.Aviation.Authority-Runways. 1-understand4ttt-tire fgllpwing;vtttrictions.applyto the'use•offill: Use:offill ig:notallowed in Flood Zone"N'unlessexpresslyperrhitted.. if the fill;materiai_:is to:be-used in Tlood Zone A it is understood that a-drainage plan addressing a "cortipensadrig.:voluriie'win be:sutimitted:at time of permitting which is prepared by a-professional engineer . licensed•by tha:State of:Florida._ . - If the fill_rnaterial is rose used'in:Flood Zone'!X-In connection with.a permitted.building.using:.stein..wMI.-,,... oonstriictia,;:i:certify thatfillwill betised.only::to.fill:the,araswithin the•stem.walL If fill-material,is to.-be-ttsed:in any.area, 1 certify.that,use.of such fill-:will_not:adversely affect adjacent properties: if. use of-finis found.to':.adveisely affect adjacentpropertt ;mile avuner maybe cited for violating the conditions.of_the.butlding:permit issued;under•,-ttie attached pennit application,for lots-less.than one.(1): acre whI6.:are,.etevated:byflll;an:engineered.dralnaga plan is:required.... If I.am.the AGENTFOR`:GEIE OWNER;:I:promise in good ftiitti;to:inforrri the otniner;of tht3-parmittirig:conditions set forth in ttds affida"prior-.to;oommencing'construetioh.. 1,understand that a:sepatate::peirnit maybe reguired,for,eiectrtcel work; plumbing;signs,_wells;pools;air condidontng;gas,-or`other installations not specifically Included;in;the application. A pennitissued.shall-be construed to be a,licer"to proceed.With-:the work-and not as authority to violate,:cancel,:after,or set aside any provlslonS of the tec 6icat:codes;nor shall Issuarice.of.a permit prevent the Building•Official from thereafter. requiring;a,correction of errors in plans;constniction or violations.of any.nodes: Every permit issued-shall-.become invalid unless the work authorized.:by sueh'pennitis commenced within six months of permit-issuance;or if:work authorised by the permit is:susperlded orabandoned for a,period of six(8):rnonths`after ttietime the work is commenced. An extension. may tie.requested,,irt.writing;;from.fhe Building:OffiCcial foc a:peitod not to exceed nineiy_(90)_days.and will demonstrate-. justifiable.'eause-for the extension. If work ceases.for ninety(90)consecutive days,the job is considered abandoned.. WARNING TM OWNER:.YOUR,FAILURE•TO=RECORD-A;NOTICE::OF.COMMENCEMENT-MAY RES.ULT.IN"YOUR :.. PAYING TVYICE FOR:IMPROVt kENTS TO:YOUR•PROPF.RTY:<IF.YOU INTEND;TOOBTAIN;F.INANCING;.CONSULT,:_ WIhH=YOUR-LEN ERfl =AN' BEFORE:RECOR UR NOTICE:©Ef o MENCEMENT: FLORIDA'JURAT'(F.l3.' 7.03)r: :,� ,,_.. :._,,::,,;.... OWNFJ2 0R AGENT; 'CONiRACT sworn mtiad) Yrie s (or. ad p thi / who 9 personalty to meochaalhaveproduced- Who islaragersonaNy-imo me:or, eproduced;......-_-. as iiJerdificedon. as tdarititkatian. Notary Public Nofery Pub1lc N mmission No: 'SYLVIA A:CAMPBELL S LVIAA.CAMPBELL ;Pa�p�''•; to Yao�Pebltte<Statera a Name of Notarywro r Commission GG 112939 . = Commission#GG 112439 • d= My Comm,Expires Jul19;2021 ;"�' ' My Comm.ExpiresJul 19,2021 8bnddtdlhtcughNationalNotaryAssn 't°FK�° Bonded through National NotaryAssn. P PROPANE OAS ANDAIC INC. Service Order/Proposal ._ :,.. :_• -; ,_ .: 8 i 3-'782-50_1 3 Invoice_ WORE: ORDER#/SERVICEMAN 91071 SEP Sales, Service & Installations DATE/TIDE TAKEN 09/25/18 11 :45 4441-Allen Rd. •.Zephyrhills, FL 33541 TAKEN BY KIM 00 ' DATE/TIME PROMISED NOTES: CUSTOMER#/LOCATION 11417 PHONE# 814-520-7702 C ROUTE/SEQ SEP KUFFER, JAN KUFFER, JAN 60E3 16TH ST 5023 16TH ST ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL3354E NEW CUSTOMER ESTIMATE CALLED IN BY BRUCE. la BROWN7.S HEATI`NC' :: '%rc:= D,ESCRII?T1t}N t3E4Yd<)FtK;. '. M.:',` �x QTY - MATERIALS&SERVICES r..y #lNEI PRICE' AlVfi6tJW_"1_ ------------------------ ---------------- — — .. — --------- __,J— /Vlfr it r I I 4/ I I r � I P a�1'P'fCX�r �ld� :REccinnMENDA lOids.= I �Anstual Matritenance Recomt»ended 6y A4t Equipment Manufaci['ecs.�,��: I I f Pressures Lo HI T Stat PCB;M t I faC� -,1. �,.J-, r`).4� :.SF,.'. :�v•I^:Y: v�.`:.•:r" �•yi:.i:..-i i'.C�I%�..zM. I FILTERS x x Changed Monthly I I FILTERS x x Changed Monthly ❑ REGULAR ❑WARRANTY yT fAL xSUMMi41 t`(z °`r : Defiutildstat SetEln S When here N;;f ° 'f a'= g: g When Away.;�T Stat 8t1. CO MAINTENANCE CONTRACT SERVICE^? LIMITED WARRANTY-,All materials;parts and equipment are warranted by the manufacturers' ,, ?;`' METHOD�FFiPAYMENT `l;; '°§:^ CALL I 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, ,❑CASH ❑CK# TOTAL I express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS_ I behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE I I I have authority to order the work outlined above which has been satisfactorily.completed.I agree that Setter PROG. W/ C retains title to equipmentimaterials famished until final payment is made.If payment is,not made as agreed. CLAIM# salter can remove said of Seller. NETed DAY Seller's expense.Any damage resulting from said removal shall" not be the responsibility of Seller.NET 30 DAYS.A 1 1129>SERVICE CHARGE WILL.BE ADDED MONTHLY TO ALL UNPAID BALANCES OVER 3e DAYS.NO REFUNDS - DATE COMPLETEDIf - TECH: . TAX CUSTOMER'SIGNATURE DATE 1��-�✓au .TOTAL .!