HomeMy WebLinkAbout19-21114 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21114
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21114 ' Address: 3842 QUAKER RIDGE ST LT 130
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: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0030-00000-1210
Improv. Cost: 4,287.00 OWNER INFORMATION
Date Issued: 4/12/2019 Name: NHC-F115 LLC ATTN TAX DEPT
Total Fees: 65.00 Address: 27777 FRANKLIN RD STE 200
Amount Paid: 65.00 SOUTHFIELD, MI 48034-8205
Date Paid: 4/12/2019 Phone: 813-713-3142
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
1
<<Ins ections_Re uired.
DUCTS INSTALLED
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.
r
CONTRACTOP, SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s r,,
813-780.OW My of Zephyrhills Permit Application Fax-813-78o-0021
aul�ng n�nt p s�
Date Received
Plmrr.Ccullafor
Ownees HarowGp ,L, yr 1 �-G'- a, t.�- . 3 3/ �nv� 1 j
owneftAddresslaT2 2'.� AN O.i.Pi.lbargm ?�onrN li
fte SIR*riUNwtdl msm OwnerPlm tbw&w
Fee S"ft 71ticheldwAddnen
JOBAD1RESS �-- ---� % `D7' Ind uoT# .
SUBWVIS.oll tt f#ie5�i`o l�C� 4 PastcE� o� 1 Goa 310 IM4000 AW101
>k�T'AHED latOM PitOP6RYTAX{NICE) ,
WORK PROPOSED - e ►mow kxxN , ADO/ALT . p SIGN [Q p DEMOLISH
INSTAL. REPAIR
PROPOSED USE. Q SFR 0 COMM r—j OTHER
TYPE OF CoWnWiCTICH Q BLOCK Q FRAME
y_ � STEEL Q
DESCRI"AXI OF WORK G C P.�iH7VO "� I 711 A� d T l�f
BU UMUG Scm I SQ FOOTAGE HMO"
QBUILDING r.�y� VALUATfONOFTCTALCONSTRUCTION
QELECTRICAL 5 AMP SERVICE r—j PROGRESS ENERGY C] W.RE.C.
QF'LUMBING Is —�
[—Il1IECHANICA $ VALUAT)ON OF AIECHANICAL INSTALLATION
71
mcws M ROOFING Q SPECIALTY [—j OTHER
FINISHED FLOOR ELEVATIONS ( FLOOD ZONE AREA AYES NO
BUILDER COMPANY
SIGNATURE I iMEWSTERW I YIN I FEE cu� Y t N
Address License#1
(
�
SUMTELECTRICIAN ( I REGISTERS)
URE t iiii REGt5rr3tED I Y/N FEE cu>tRi3. LXLN
Address (� U...
PLUtIIBER ! COMPANY
SIGNATURE I YIN FEM CURMh YIN
Address Lie (
License#I
�cMECHANIC-AL
SIGNATURE ' tiECtiSfERED Y� FEECt7RiEn� LILN
Addfass ^7 Allm License# / �D
OTHER CWPANY !�
SIGNATURS It£emimm I Y/ N FEE WNW, Y l N
Add,. License#�--
I lot of tlitllll1llt1.1/ 111 /l/! Il11lliltllillltlll Is sit 11 If 11111111111
RESWENTtAL A»ach(2)Plot Plans;(2)sets of Bullft Piers;(1)set of EnoW Forms:R-O-W P.n dt for row construction.
Whinttun ten(10)xnr(s q days aifer WAOUtta)dde. Raqu'uW crstm,Oarsbuction Plans.SWawater Plans w/Silt Form irk,
San twy FACHMM 3 1 durnpstar,Ska work Permit for=*&vWwnWtarye pnvacts )
OOARMERCIAL ACach(2),- "It'e Daft of BuUdbW Plans ptu.a Life a4dWy Payee(1)aet of ErwW Forms.R-O-w Permit for naw wort.
Knunrsn'ten(10)vwtlanp days a1Wr su nIft l deft Rw;*Qd o llft C)nslnxWn Koo,Swmtw.tm'Plans w/SUt Fence insWed,
Sanitary Fad 81 dur*t.t Stt.Work Parrot for al new projects.All carmen iai rem inust meet comPtlarm '
SKIN PERMIT AUsch(2)sets of Engineered PWns.
—PROPERTY SURVEY regiered-lorall NEW fir.
Oitrctlorrs: ,
Fill ow application completely.
Owner S Corttlactor sW hack of applrcort,noWdxad .
R ow$2M.a Natlos of Conunm mwd W ro*dr.d. PVC upgrades ow$75W)
Agent(forttre=WacW)or Power of AtODtresy(for the owner)would fm someorta with nOmm.d(attar from owner aU wian0 same
OVER THE COUNTER PERIIITTW.0 (copy of cantr6di ro4�d)'
Romois if shingles S.wws SWWW Upgrades A(C Foxes FmVSurveyWvotay.)
Odveways-Not over Counter if as public roadways-needs ROW
NOTICE OF DEED RESTRICTIONS:,The undersigned understands that this penttft maybe subject to"deed";restrictions°
which may be more restrictive than County regulations. The-undersigned assumes responsibility for compliance with aiy
appiicabiedeed restrictions.
UNLICENSED CONTRACTORS AND,CONTRACTOR'RESPONSIBILITIES:- If the owner has hired a contractor or
contractor's tD undertake work;they may be required to be licensed in accordance with state and,local-regulations:'lf 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 ate advised to contact the Pasco County Building inspection bivision—Licensing Section at 727-U7-
8009. Furthermore,,if,the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor 81ock"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 property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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
9M7,as amended.' The undersigned.alsd'understands,that such fees,as,may be due,will be Identified at the time of
permitting. It is further understood that.Transportatiori 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 certiificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furtherrhore,if Pasco County WatedSewer•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 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 fs'sorrteone
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'SIOWNER'S AFFIDAVIT: I certify thatall the information in this application is accurate and that all work..
will be done in compliance with all applicable laves regulating construction,zoning and land development Application is
hereby made to obtain a permit to do work and installation as indicated.I 1 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 f 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,WaterMastewater Treatment.
Southwest Florida Water Management Disttfct Welts, Cypress ,Bayheads, Wetland Areas, Altering
Watercourses.
Army Carps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & Rehabilitative SerAces/Environmentat Health Unit-Wells, Wastewater Treatment,
Septic Tanks..
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the fallowing'restrial ons apply to the use offill;
e ,
Us 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 volurrie'will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida:
- If the fili'materiai,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:permift 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 conditiors set forth in
this affidavit prior to commencing construction. I understand that a separate permit may 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 alloanse to proceed:with the work and not as authority to violate,cancel,after,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*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 ATToR N BE O CO DING -kan E OFCOMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT -CONTRACTO � �
Subscribed and sworn to(or affirmed)
before me this S d or atrirmeaj b re mg
Who isfare personally known to me or haslhave produced is/ere ly kno me or hasrhave produced
as,identification. as identification. '
Notary Public Notary Public,
Commission No r
issbn No.
Name or Notary typed,prinked or stamped Name of N ry, or
oar u tic-state of Florida
' + = Commission t GG 112939
Q' My Comrn.Expires Jul 19,2021
'�;F9n Bonded throughNationalNOWYAssn.
�. PkOPANE GAS
Frhkfirlit
•
AND A/C �rvc. Maintenance Inyok' e
&1�u, 1988 813-782-5013 WORK 0RDER#:/SERt)z(:►:MAN '-.-1,4 27 2 EMR
Sales, Service & Installations DATE/TIME TA[.;EN Qr,2/01/19 10 y tM
4441 Allen Rd. . Zephyrhills, FL 33541 TAKEN BY 1 �� +�4
� L � � DA Er I ME -IRIDM ISED
CUST['3M1 /I-Oq9NOTES:
r,
C7t4 "11j 03622
li f=HONE;# tB13--71 -3142 C ,
PHONE*'1* 1�1 731 --GB03 C.
`'nROOTE,,`3V-Q EH R1.6isc 5x 2
y
WEEKLE Y, ERN I E and DONNA WF E-KLEY, ERN I E and DON11A
384�.' QUAKER RIDGE ST 38,42 QUAKER RIDGE ST
LOT �;�(�1-30 1 1�1�1q�3F{GTy iC OAK%5 LOT Mkt 13171
I.C"�Ft�-IT rYt�l.`,-t.-s F .3--,,'.)'"t'2 .'ZEP_P�-1`( RHILLS FL33542
2. 3T MILLE_R P "%G x. ._'i/ 18 /i.tft.}. r
qP,51-RD_.03 11ZI ,��,))��{Pt5�p"�lppi<!"Stq.�y,';4?t0627
.L t!+/�� n�I•,J I�j15 .11�C1--'1G'.i.6?� Irf!�:Jf�i«rl 3't's:t t.l..t..4
irsf`R+Z+1+
MA f NENANCE MiE.Cf-'s TOLD HER LAY 12.IZ10
r
WORK: ,- r S' PRIEMRVICE AUNTOF QT .MTERALT .:.
ni
1,41
V ,
CHEC,fCL1 T;::: n I I
P[es§urea' Lo HI Evap': Cal Cleaned,Cond.C611 CYCleaned ) 0-6 L l
Amps' Cond.Fan Blwr Comp Heat Strip 10 nh /" I I
Capacitors Cond.Fan Blwr Corjtp �}Nth
Drain"Pan Primary/Condition acleaned Secondary/Condition Cleaned (� �+t � ?{,/ I I
Type Belt 7ypt 1 Sj Ilk f,; I '
RECOMMENDATIQNS: = I ,/ 'u
AWN r t A U
Annual;Maintenance.RecommendedaiyAll EquipmerifManufaoturcrs: t
Q�
FILTERS x x Changed Monthly I I
/ ��l�A /( �✓�/v� ~( t y t FILTERS x x Changed Monthly I I
AIAI!( Gt f�'ry t r o %- (' ifT%1a` ❑ REGULAR C]WARRANTY
= TOTAL$UMfvIARl'
'Dehtimid'istat?Settirigs:; When here", � en Away �T-Stat ko'; ❑ MAINTENANCE CONTRACT
3 MAINTENANCE
LIMITED WARRANTY: NI materials, arts and equipment are warranted b the manufacturers' "^ PRICE I
Py -s:,:,3:; `METHOD'Ot PAYMENT
or suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK#
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS ,
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller
PROG. W IfC
retains title to equipment/materials furnished until final payment Is made.If payment is not made as agreed, (;LAIM#
seller canthe remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall (j/ //�1 (� I I�✓
not beALf U PAID BALANCES OVER 30 DAYS.NO FUNDS SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED
/ 1
TECH: P)A !n TAX
C'1 OMER SIGNATURE ,! DATE �/1`%W/(�!'F� ✓occ TOTAL 1�� ,.V/ (l l!