HomeMy WebLinkAbout18-19731 CITY OF ZEPHYRHILLS
_ 5335—8TH STREET
(813)780-0020 19731
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19731 Address: 38642 4TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-18100-0180
Improv. Cost: 3,500.00 OWNER INFORMATION
Date Issued: 5/24/2018 Name: DIOCESE OF ST PETERSBURG PARKES
Total Fees: 60.00 Address: PO BOX 40200
Amount Paid: 60.00 ST PETERSBURG FL 33743-0200
Date Paid: 5/24/2018 Phone: 813-454-3514
Work Desc: A/C CHANGE OUT 1.5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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DUCTS INSTALLED Ins ections Required
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.
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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NOTICE OF DEED RESTRICTIONS: The undersigned undersliands that this permit may be subject to`deed",restrictions"
which may 4e iriora itasVlcdve than County regulations. The undersigned assumes i'asponslbillty kfoomplier"with.any
applicable load restrictions..
UNLICENSEb CONTRACTORS AND CONTIM6TOR.11iE3PONS1i3iU7iiES: if the owner hi es-hiittd'a contrao6or or
c4nlraetOrs in.undertake wcrricr they may ba teequired to be ficensed.in.axordanca with state and local.regulations, If the'-
-may be acted for a misdemeanor violation
under state law.. !f fie owner.or tntettded cortfractor are uncxettain as to what licensing requmsments.may apply for the
itttarided work;they eta advised m canted the Pasco Comity Budding inspection Division=ticettstng Section at 727-847
8009. Furthermore,if ownar.ttas.!tired a contracdrir or contr ors,he is advised to have the conttactor(e):sign
portions of the_'mritracta�8iock'of this applicxt6on for which they vulll be.responslble..If.you;as the owner sign as the
cottiracbar,first tray be an tndlc Orr that he[s not prrxparty lir�nsed and Ls not entitled to,po mitting.privileges,in Pasco
Courtly. _
TRANSPORTATION IMPAC17iTILff1ES IMPACT ANO RESOURCE RECOVERY FEES:The underaigned understands
that Transportation impact Fees and Rocoures Racovary Fees may apply to the construction of new buiidmgs,dtang 4
use in eAvIing buildings,or expansion ar mxisting bulldings,,as specifiedIn Fasoo f:outtty Ordinance itrrmber SM7 and
W-O?,as amended.. The undersigned also understands,that such fees,as maybe duo,will be idetrffiad at thte gme-of
parmiuing. it is further undert3tpod that 1*Wpor1aftn.impact Fees end-Resource Recovery must be paid prior to
receiving a"cerfificxrto of ocarpaW or ArrN'power release.'if the;pmjaet does not involve a certificate of ocoupsrrcy at
final power release,rite fees must be paid prior to permit Issuance. Furthermore,if Pasco County WaterlSewor impact
fees are due,they must be paid prior to.pamiit issuance in accordance with.applicable Pasoo County ordinances.' .
CONSTRUCTION'L IEN LAW(Chapfia�71�otSda'Statcttes;ast amrettiied): tf vattratlon of work is$2,500.00 or more,is
carttfy+that i; the appiioairt, have bn rBw--fiomeovutter's
Pr+dt 1 0 Qtide prepared by the Fiapplicant Is someone
other than the btKner,t.oejtifyttnat I havetnrad a copy bftheabpve des+:riti®si docxiinient and promise in good faith to
dslim It to the"owner"Prior to cDin n ncemsrit
CONTRACTOR 5lOYMNER'S AFFIDAVIT:.1 Certify that aU:tlTe inroiittation to ihls.appiicatiod is aotitrate and.that sii.wbrk will be done in compliance with all applicable laws regulating construction,zoning and land dovatopment Application is
hereby made to obtain a permit to do work and installatiion'as indicatad. I certify that no work or tt35tallation has
Commenced prior to javilance of a permit and rant as work wall bo performed to meet standards of all laws regulating
construction, Goi ft and'Clty codes,zoning regulations,and land development reguia5oni in the jurisdiction:;I.also
certify gist I understand that the regulations of othor goaammant agencies inay_apply to tha Intended work,and that it is
my#Vsponsibiilty to identify what adi ins f must take to be in compliance, such agendas include but are not tlmhod W.
- Department of Emilronmantai Protection-Gypiress$wyheads,Welland Areas.and Errvinortmentally Sensfive
Lands,WaterlWastawater Treatment..:.
Southwest Florida Water Manegament Distric.tVeaa, Cypiew Bayheads, 'yyetrand Arias. Altering
Watarctrursas.
Army Corps of Engineers-Seawalls:Doctt,Nairilliable,Waterways.
Department or Health & Refiabilbtive,Senilces►Erwironmentaf Health Unit Wells,=Wastaweler Treatment
Septlolanks.
US Ernvironinental Protection Agency-Apbodos'abatement
Federal Aviation Authority-Runways:.
I understand.thatthe Blowing restrictions apply to the use of ftlk
rise of f+ii is not att6wed in Ficidd Zone`V"unk.ss expremly permitted.
- if ibe till malarial Is to be used In Flood Zane A', it is understand that's drainage plan addressing a
'eOmpensafing volume"win be submitted at time of parmitting•whlch is prepared iDY a protessional'engirrear
licensed by the Slate of Florida.
if the fill material is to be used in Flood Zone'A''in connection with a permitted building using stem.wall.'
construction,!csr ft that fill Will be rr<sed only to 111 he area within the stam-vrall. .
- if 61 material is to be used in any area, t cxrttify that use Of such fill will not adversely,affect adjacent'
properties, tf.use of fits is found to adversely affair adjacent properties,the owner may be cited far violating
the conditions of the building permit issued under fire attached permit applit'A5on,for Iota leas than ono(1)
ria acre which a alevated byfifl,an engineer3ed:d_roinage plan is required.
It I am the AGENT FOR THE QWNER,t,promise in good faint to inforrn-the owner Of Iha permitting conditions sat intro in
this affidavit prior to commencing construction. I understand that a separsl i Perms may be required for'atachfcal.work.
plumbing,Vgns;wells,pools;air oomdkioning,gas;or ogler instQaatians not specitically itmduded iii iris rtppliCattofi. A
permit issued shall be construed to be a license to proceed.with,tha work and not as authortty to violate,cancel,alEsr,or:
set'aside any ptovisroho of gie.fsdrtrica!cones;not shell issuance of a permit prevent the euitding Official fromtKeiei2ild
requiring a correction of a mm.in plans,coitsiiuctian or violations of any oodes.•Every Point ts'sued.sttaii became Invattd
unless the wu*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 aflsr the rime time work is=nnw66&An extension
may be requested,in writing,from the Building oirc ial for,s patiod not to exceed ninety(90)days and will demonstrate,
justifiable cxause for tha axt3artsioni If work creases for ninety(90)consecutive days.the job is considered abandoned.:
WAI%NiNG TO OWNER: YOUR FAILURE TO REGORU A NOT_WE.OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR iMPROVEMENTS TO YOUR PROPERTY: IF YOU INTEND TO'OBTAIN FINANtClKG-CONSULT
+}yf yoUg LeNnER oR Am&TrORtfEY'6MM RECORDINQ YONMCE OF isTENCEME
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SYLViAA.CAMPBELL . : _ NotaryPublic=StateofFlorida
•: = Commission#GG 112939
Notary Public-State of Florida My Comm.Expires Jut 19,2021
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Franklin
PROPANE GAS
F' AND A/C INC. Service Order/Proposal
Yl rce 1988 813-782-50.13 Invoice
1. WORK ORDER#/SERVICEMAN 87045 CSE
Sales, Service & Installations D(�VE/TIME TAXEN 05/07/1 e 09.3e
4441 Allen Rd. ,-`Ze.phyrhilis, FL 33541 TAKEN BY KM 00
DATE/TIME PROMISED
NOTES: � +�.�, Aar. In�tS , 1J tw�'� CUSTOMER#/LOCATIbN 19744 /1
FIHONE# 813-454-3514 C
CONTACT MIKE KOZINA
ROUTE/SEQ CSE
ST JOSEPH CATHOLIC CHURCH ST JOSEPH 4*RECTORY**
5316 11TH ST � 4TH AVE — "RECTORY"
**A/C UNIT #1**5240 10TH ST
ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL33542
COLD. , 34500 :1 E,488, 38TG018300
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Pressures La H1 T-Stat I
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FILTERS x x Changed Monthly 1 I
FILTERS x x Changed MonthlyXl
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Q REGULAR ❑WARRANTY _`:> n ` 1
,� .xrx: � ,Ky I ...y yr:sr•,� .wrv,�Y�;.+�`i:t' J;4T-:may`.n '^ c:f„�.:�.•.��.:.i�
,tttrii ?Settttt hen here
hen Away ,g� �T Stat °'% ID MAINTENANCE CONTRACT
SERVICE
`4 C I
LIMITED WARRANTY: All materials,parts and equipment ;? `. ' ': ` M '` :`r;. ''" e CALL i
n e warranted by the manufacturers` ;: (�Di3FtYi(A72>, 1
or suppliers'written warranty only.All labor performed by the above named company is warranted for
9 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
Y ❑DEBIT ❑CREDIT Q OTHER MAINTENANCE
behalf of above named company, I
I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller PROG. W I C
retains title to equipmantimatedats furnished until final payment is made,If payment is not made as agreedo CLAIM#
seller can remove sold equipmentimatedals at Seller's expense.Any damage resulting from said removal shall
net be the responsibility of Seller,NET 30 DAYS.A t it2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: TAX I
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DATE �� osc TOTAL