HomeMy WebLinkAbout18-20423 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (813)780-0020 20423
BUILDING PERMIT
PERMIT-INFORMATION-. ;LOCATION INFORMATION
Permit Number: 20423 Address: 6925 OAKCREST WAY
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: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0150
Improv. Cost: 5,295.00 OWNER INFORMATION
Date Issued: 11/02/2018 Name: CLAVERIA, EMILIE & REUEL
Total Fees: 70.00 Address: 6925 OAKCREST WAY
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-1695
Date Paid: 11/02/2018 Phone: 813-782-8502
Work Desc: A/C CHANGE OUT 3.5 TON SPLIT
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
Ins ections Required
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.
A/44 &-, 4��
CONT R SIGNATURE PERMIT OFFICVR
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
_ 813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021
Building Department
Data Received Phone Contact for Permitting
-m-rr p rr�
Owner's Name ��1�/� f r r,. Owner Phone Number
Owners Address 6 0 f`C Owner Phone Number
Fee Simple Titleholder Name Gamer Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ✓ �u C ) �f LOT# ��
SUBDIVISION l�1 6 r S PARCEL IDf1 ® 0 &02 da oc 01"7 O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK i
itr R
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING is
1ECHANICAL $ _ VALUATION OF MECHANICAL INSTALLATION
a
=cvks = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATUR'_ REGISTERED Y/ N FEE CURREK Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE F REGISTERED I Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY r S R- /
® n& 6a5*1
SIGNATUR.'SE 9 7�` REGISTERED Y/ N FEE CURREt. Y/N
Address lqq`I Z 4 1 J License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N
Addre,s License#
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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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
• PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same i,
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if s`ringles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage)
Driveways-Not over Counter if on public roadways-needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" r
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with 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 for a 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 permit 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 I, 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'S/OWNER'S 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
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:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management 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"V"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 "A" 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 7.03 -I �
OWNER OR AGEN /I+�CONTRACTO ( ✓
Subscribe nd swor o(,91firmecitbefWdi this
Subscribe rid swo tq or of me fore m ;iD._q
Who is' personally kno n to me o s/have produced Who i fare personalll own to me or h /have produced
as identification. 4::�a
as identification.
4 NotaryPublic Notary Public
Cc Commission No.
�o10v ni % a�y�p�. SYLVIA A CAMPBUL
o`s NotaryPublic-State of Florida19 HP
Na at Q,prin[g6Wistbn Name of Notary 9Win ..amp mission#GG 112939
1•, r oe= My Comm.Expires Jul 19,2021 •Uonded through National Notary Assn. My CommExpires1u119,2021tioFF� Bonded through National Notary Assn.
PROPANE GAS Franklin
AND AIC-INc. ) .Service OrderTroposal
' ��rce=fnQv ---813-782-5O i 3. Invoice'
Sales, Service & Installations WORE: ORDER##/SERVICEMAN 9199E MAY .
4441 Allen Rd. - Zephyrhills, FL 33541 DATE/TIME TAKEN - 10/29/18 07_: 5
I TAKEN BY SID 04
NOTES: r T CHd ���K� DATE/TIME PROMISED 10,/Z V0/t8 08e1010
C USTOME:R#/i-0CAT I ON AC.3996
PHONEff . 813- 78_-850c H
PHONEE:## 813-385-- 691 C
ROUTE/SEC! MAY
MAP AH/GARAGE
CLA1 JE RIA, EMILIE and ,REUE:L_ CLAVERIA, EMILIE and REUEL
6925 OAK ERECT WAY E925 OAl; CREST WAY
OAK CREST EST
ZEPIF11,.YRH!LI_cE EL. 313'54; ?EPHYRHILLS EL3 354;2
3. 5T TEMP H/P
L=AN NOT TURNING. IS A NURSE, NEEDS BETWEEAI 8 AND 9-.,30 AM, - SLEEPS DURING REST 0.F
p:Y _ DESCRIPTION OF WORK _ QTY. MATERIALS SERVICES" :,UNIT PRICE :.'AMOUNT
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RECOMMENDATIONS
o e_C"
Annual Maintertance Recommended by All Equipment Manufacturers, I I
Pressures Lo HI TStat I I
REFRIGERANT R- LBS,_ _ S per lbs.,
Y FILTERS x x Changed Monthly I I
FILTERS x z Changed Monthly I I
❑ REGULAR ❑WARRANTY TOTAL.SUMMARY:
Dehum id!stat Settings: When here'ON".,:When Away¢Qy,.T-Stat$Q° ❑ MAINTENANCE CONTRACT SERVICE
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL I
or suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL I
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ElCASH. ❑CK# MATERIALS I
express or Implied,and Its agents or technicians are not authorized to make any such warranfies on
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work outlined atwve WhIC1 has been setlsfacionly completed.I agree that Seller
PROG. W 1 C
relalns fill e to equipmenVmalerleli furnished ungl final payment Is made.If payment Is not made as agreed, CLAIM#
wow mn mmwe Bald equlpmaN/malerlals at Sabers expense.Any damage resulting from said removal shall
=1 be the respmulbOHy of Seller.NET 30 DAYS.A 1 12%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL LINPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
/ TECH: TAX
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