HomeMy WebLinkAbout18-20154 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20154
BUILDING PERMIT
PERMIT.INFORMATION LOCATION-INFORMATION
Permit Number: 20154 Address: 5748 APOLLO 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: TREE LANE VILLAGE
Est. Value: Parcel Number: 10-26-21-0000-00100-0000
Improv. Cost: 4,225.00 OWNER INFORMATION
Date Issued: 8/24/2018 Name: TREE LANE LTD
Total Fees: 65.00 Address: 10912 N 56TH ST
Amount Paid: 65.00 TEMPLE TERRACE FL 33617-3004
Date Paid: 8/24/2018 Phone: 813-782-2717
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
Ins ection 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.
CONTRA TO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-OOM City of Zophyrhifls Permit Application Fax-813-780-0021
agent
Daft Rd..d F Pf..cmdiopemaiing .1( 911
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owners Nwne Pho
ne one Number
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a Jy gr�P,4- owner Ph.Number F--
Owner's Address '04
Fee Simple Titleholder Nam I Owner Phone Number
Fee Simple TMdwkkr Address JOB
9 ADDRESS 16-73f6' PPa& Or, LOT 0
SUBDIVISION PARCELMI/10 P16 AM)A
(0EfrA9IEDFR=r`R0PE"y TAX MnKM1
WORK PROPOSED NEW CONSTRY,ADDIALT SIGN DEMOLISH
P INSTALL REPAIR
PROPOSED USE Q SFR = COMM OTHER
TYPE OF comsrRuanoN Q BLOCK 0 FRAME STEEL
Du At AM
DESCRIfrr,ON OF WORK Res, ff/C eb��-
BUILDING SIZE SO FOOTAGE,= HEIGHT
$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL j$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=rLumsiNG $
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[2161 24-011)
ECHANICAL VALUATION OF MECHANICAL INSTALLATION
CAB ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY F
SIONATURF REGISTERED I YIN FEE CURREh LILN J
Address License#F--
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED I YIN FEE CURREN I YIN I
Address I License#
PLUMBER COMPANY =
SIGNATURE REGISTERED I YfN FEE CURREK I YIN I
Add. u..#
MECHANICAL COMPANY 9-M /--14,0)9A k 67 9
SIGNATURE REGISTERED I YIN FEECURREJ, I YIN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREh LILN_j
Address U—#F—
RESIDENTIAL Aftech(2).Plot Pleas;(2)sets of BWWv Piew,(1)set of Energy Foraw,R-O-W Permit for now construeltion,
Minimum ton(10)woroft days aft submiftal date. Required onsite,Cot Pion Plans,Starmwater Firms vi/SIR Fence installed,
Sanitary Fadlifies&I dumpster:Site Work Permit for subdivisionsilarge projects
COMMERCIAL Aftch(2)complete sets of Buftng'"plus a Lft Safety Page;(1)set of Energy Forma R-0-W Peffrd for now oonsbuction.
Urftuin Lan(10)%WwV days aftwaftn*Wdate. Requiredortsits Construction Pfans,SwernwitterPlans wl Silt Fence installed,.
SIGN PERMIT Attach(i)sets of Engineered Plim.
—PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . .
FiII-out application completely.-.,,
owner&Contractor sign baf*'ofapphp�afim n6ibriied,
If over$2500,a Nod=ofCornmencerneId Is required. (AIC upgrades over$7500)
Agent contractor).or Povesi ofA#Dmey(for theowner)would be Someone with notarmed letter from owner authorizingsame OVER THE COUNTER PERMrrT1NGmofs if (oopy ofoonbadrequired)
Re shingles Sewers.- Servioit I.Wradw-A/C Fences(PbUSurvey/Footage)
Driveways Not over Couritei If on public roidwaifs-needs ROW
I
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 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 mustbe paid prior to permit issuance in accordance With applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes-,astamended): If valuation of work is$2,500.00 or more,I
certify that 1, 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 AFFIDAvrr: Ccertify 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 odes, 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,Welland 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 requestedi 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
WITRYOUR LENDER-OR AN ATTOR EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F. . 1 . 3
OWNER OR AGENT CONTRACTOR
s Seri d acid s� rTed befo e 0 sBnE� 'b d w oratfinned ie a this
z3'Y ¢,
Who is/ rsonaily kno to me or hasllrave produced Who isle r ersonally known t me or has/have produced
--As identification. as identification.
' V�4�Zt Notary Public , Notary Public
irgLNsriomNoMCc mission o.
SYLVIAA.CAMPBELL SYLVIA A.CAMPBELL
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of�ry ptr]fy Nama of No yr —
•_ Commission q GG 112939 = • Commission#GG 112939
MY CO
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u� r My Comm.Expires Jul 19,2021
liondedlhioughNationalNotaryAssn. EofF�
Banded lhiough National Notary Assn.
P Franklin
PROPANE GAS
AND A/C INC. Service Order/P OpOS�
rfKce 1988 813=782.5013 Invoice
Sales, Service & Installations WORK ORDER#/SERVICEMAN 90081 COM
DATE/TIME TAKEN 08/21/18 08:51
4441 Allen Rd. • Zephyrhills, FL 33541 _TAKEN BY SARAH 05
NOTES: DATE/TIME PROMISED
CUSTOMER#/LOCATION 20451
M!it +n-e-"e m k!P • 4;1fi PHONE# 813-782-2717 0
Try i \ COM
L -TI
TREE LANE VILLAGE TREE LANE VILLAGE RENTAL
10912. 5ETH ST 5750 APOLLO ST
TEMPLE TERRACE FL 33E17 ZEPHYRHILLS FL33542
3 )Lwi -!!�le
ESTIMATE TO REPLACE A/C
:t�W':::�.Yfc���u.v���eE.-F.{„1..?..
3775 I W
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450 :00
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AP.6H <.:. rc...-.•Kv� ?:'=rT:`r .4,.2anF� x�"�.+���3r �-o.i ,Ss:p ,"t,Y: ��fai
FILTERS x x Changed Monthly I I
.� FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY W" ,
hen here �.When Away T--Slat ❑ MAINTENANCE CONTRACT
>. SERVICE
r:4
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' CALL I
or suppliers'Written warranty only.All labor performed by the above.named company is warranted for ` = ��`' vR "Oft ~K
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 have authority to order the work outiindd above which has been satisfactorily completed.I agree that Seller PROG. W I C
retains title to equipment/materials furnished until final payment is made.If payment Is not made as agreed, CLAIM#
seller can remove said equipment/materials at Seller's
expense.Any damage resulting from said removal shag
not be the responsibility o1 Seger.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: V/�,I TAX
CUSTOMER SIGNATURE DATE �, ✓ou TOTAL 3 1,0 h 00