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Home My WebLink About18-20064 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20064 BUILDING PERMIT PERMIT INFORMATION .LOCATION INFORMATION Permit Number: 20064 Address: 37539 MARTINDALE 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: VALLEYDALE RO ASSOCIATION Est. Value: Parcel Number: 03-26-21-0170-00000-1550 Improv. Cost: 4,890.00 OWNER INFORMATION Date Issued: 8/06/2018 Name: SHIPPEE MILDRED R Total Fees: 65.00 Address: 37539 MARTINDALE AVE Amount Paid: 65.00 ZEPHYRHILLS FL 33542-1885 Date Paid: 8/06/2018 Phone: Work Desc: A/C CHANGE OUT 2.5TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 ' Ins ections Required. DUCTS INSTALLED DUCTSINSULA D 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 OFFItYR PERMIT. EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER SIX780-OD20 City of Zephyrhills Permit Application FaX-813-78D-0021 80ft Department Date Received -now Contact for Peffnfflmg 1( 760,a 111195651 21 . 1a . . . . . . . Ovaler's Nano D Phone Pho Number Owner's AtIftow z?AY I Owner Phom Nut 1w Fee Simple TdIabower Name Owner phone Number Fee Sim*Titleholder Address .WWDRESS 137J6-62 Mtyewily P747e— Me- LOT# Of ' SUBDIVISION F pA.Cmw,[, .1b �T 01 7 0 (OSTARM FROM PROPERTY TAX NOTICE) won PROPOSED NEWCDNSrF,5 ADDIALT SIGN DEMOUSH R INSTALL REPAIR PROPOSED USE = SFR = COMM OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME Q STEEL 71 1 DESCRIFrr-ON OF WORK Res. #17e- Al Zod MOM BUILDING SIZE SQ FOOTAGE HEIGHT LiBUILDING. . . . . .$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. =PLUMBING 1$ 2ZJ;MECHANICAL is 814:)r4o VALUATION OF MECHANICAL INSTALLA71ON =CM = ROOFING r7 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILJOER COMPANY SIGNATURE REGMTERED I YIN FEE CURREh I YIN Address I Licansait 7 ELECTRICIAN —IICOMPANY = I SIGNATURE I REGISTERED I YIN FEE CURREN Address I License# PLUMBER COMPANY = SIGNATURE l REG I Yf N PEE r-uR— LILN.J Address —1 ucBnas# MECHANICAL COMPANY SIGNATURS RECASTERED I YIN Fmcufdu]' YIN Add. If& W License#Fja/-90-0 OTHER COMPANY = SIONATURPS REWSTERED I YIN FEE CURREN Y I N Address u.* RESIDENTIAL Attach(2)Plot Plans;(2)sets d Sm"Plans;(1)set of Energy Forms;R-O-W Permit for now construction, WIMLUn ten L(JO)wor"days after submittal date. RequhW ensue,Construction Plarm Stontruvater Plans w/Sift Fence instated, Sanitary Facilities&I dumpstw.Site Work Permit for subclivisionstlarge projects COMMERMAL Attach(2)complete sets of stdidting:Pbans PW a Ufa Surety Paw;(1)set of EnerW Formr.R-O-W Permit for new consbuction. W—ton(10)waftV days alter-Whittal date Re7xfW onsita.Oonstruction Plasm SWmwrftr Plum wl Silt Fence in$tE11eKL Sanitary-FaciTAIesA 1 durrmster.Sb Wak Perot Wall now projects.AN cornmeidel requirements must meet=*Wrw SIGN PERMIT Attach(2)sets of Enpmmd Plans. PROPERTY SURVEY mqtdred for afl NEW construction. . . . .. . . . Nam FBI Ow application completety. Owner&Contractor sign back of awficatim notarmad If over$2SCO,a Notice a!"Compencement is reqrdrerll. (AlC upgrades aver S75N) Agent(for the contractor)or Power of Aftney(for the OwRw)would be someone with notartzW lefterfrom owrw authortnng same OVER THE COUNTER PERMITTING' (copy of contract required) Remofs if shingles Sevmrs service L4)grades AIC Fences(Pk*Survey/Footage) Drlvewajfs;-Not overfCouinter doiin'piubk rdadwvys:.heeds ROW 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 arty 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 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 ofriew 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$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide prepared by the.Flodda Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as Indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will.be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health.$ Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the fallowing 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 Zane "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 IMPROVEMENTS70 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.117.03)' _ OWNER OR AGENT '-'. 07Ee �*NTRACTOR b�cn and sworn to( 'affirmed) re me this Sy�symb end syw affirmed)ha�ore this (o—i f� r"� /X "by 7'd► 1✓YI L (_ i Vl Who is/ar me or hasJhave produced Who is/are gp _ to me or hasthave produced as identification. as identification. s c Notary Public Notary Public in mmission No. • 'c-State of Florida .�";;'P'�. SYLVIA A.CAMPBELL Name of tinted OaWoMilin#GG 112939 Name of Notary typ tary u - r r ov My Comm.Expires Jul 19,2021 • • Commission#GG 112939 ,'. oF FS?;•'� Bonded through National Notary Assn. N r ors My Comm.Expires 1u119,2021 OF F` ,. Bonded through National Notary Assn. A P. PROPANE GAS Service Order/Proposal AND A/C INC. Invoice Yi�ce, 813-782-5013` L-JORK 8915-'1- JU+.1 Sales, Service & Installations -./ TIME_ TAKEN 07/18 '18 4441 Allen Rd. - Zephyrhills, FL 33541 f.--!V,F.,--.N E.""i K. EA. 010 NOTES: R14, L10CA-i —26-.7 J- 7 67-- e z- e4v MAP P.."H- IFICIt L -L- V AM 44 d I Od 551) q1 3 - 77?-1f Y66 --f All P`�E-, I A R,V E-" r)c I M I LDRED HARVEY and MILDIRED 3*75-,I M'PRTINEALE 7 1: MfRT`NDr)L.E P VE VALAEYIDALE t4H *GATE* #3,06,- 7 ' IR!4 -754 ( 7 -, � F -3 I.-FPP� 1;.: E 31:- i:' 4 EfFfTr' tell 3T P!'%A 4. 1-0122`822732 U by I T !-OW 0 N FREID] ,,! UNIT PRICE AMOL RIALSASERVICES- PESCRIPTIO"F 114 2 zz_ 7- W 7 6 j Z-ele-y�, 4 RECOMMENDATIONS Anfival lillainbenarw e Recorninen d�y All diiictu Pressures L de -Equili Kim rers. 0—HI T-Stat REFRIGERANT R-: $per lbs. 42 FILTERS X X Changed Monthly FILTERS X X Changed Monthly K,,.- REGULAR Q WARRANTY .TOTAL SUMALAM behy distaf.Sdtfings: When here'ON", When AwayM' , t W Z1 MAINTENANCE CONTRACT Mi J-Sta SERVICE LIMITED WARRANTY. All materials,pars and equipment are warranted by the manufactures' METHOD&,PAYMENT. CALL or suppliers'written warranty only.All tabor 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, ZICASH JCK# TOTAL MATERIALS express or implied,and its agents or technicians are not authorized to make any such warranties on behalf of above named company. U DEBIT Ll CREDIT-LJ OTHER MAINTENANCE I have authority to order the work outlined above which has lb—swislactonly completed.I agree that Seiler PROG. IN I C retains title to equipmentimalerials fumrshed until final payment*made.If payment is not made as agreed, CLAIM# seller ran remove said equipmenbrmateriais at Setter's expense.Any damage resu"from said removal shell not be the responsibility of Seiler.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 444 4 CUSTOMER SIGNATURE DATE TOTAL