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Home My WebLink About18-19916 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19916 Address: 37600 LAUREL HAMMOCK DR 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 RUN Est. Value: Parcel Number: 34-25-21-0100-00000-0370 Improv. Cost: 4,895.00 OWNER INFORMATION Date Issued: 7/03/2018 Name: HORNAMAN JOAN Total Fees: 65.00 Address: PO BOX 2723 Amount Paid: 65.00 ZEPHYRHILLS FL 33539-2723 Date Paid: 7/03/2018 Phone: 813-788-2464 Work Desc: A/C CHANGE OUT 2 COMPONENTS 3 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 P,n4cp DUCTS INSTALLED Ins ections Required- DUCTS INSULA�ED�r[ 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 OFFIgOR PERMIT 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-813-780-0021 Building Department Date Received Phone Contact for Permitting Owners Name /�j ) Owner Phone Number Owners Address ✓ 00 J-a �•�,.,,o owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Tdleholder Address ) ,y��t /� ` JOB ADDRESSD,IL(�GI.rLL Gti//////�C QKK /a JJLOT# SUBDIVISION fill GUV PARCEL ID#J gR (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEw coNSTR ADDIALT = SIGN 0 Q DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK / e fAl BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ ro ; D� VALUATION OF MECHANICAL INSTALLATION =CAS =(j ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREn Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREA L Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREA Address License# MECHANICAL COMPANY 84S SIGNATURE /y REGISTERED Y/ N FEE CURREN I Y/N /1 Address 4 1 eAJ License#I enco q 15 T OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Address License# IIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,StGrmwater Plans w/Sift 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:I Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) •' Agent(for the contractor)or.Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades AIC " Fences(Plot/Survey/Footage) Driveways-Not over Couriter if onpublic roadways..needs 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 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners 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, Weiland 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 W, 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 W 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 .il 17.03) OWNER OR AGENT/MZ77L� A,&4� CONTRACTOR Subs c *b d i)awd swot (or affirmed)before me this s id smaIc,(or affirmed beige me this by Who islare pt�cnall knbyvn tE_me or has/have produced Oho�lslare P. onall k Tto me or has/have produced —as identification. as identification. 0 Notary Public cat,�7�I Notary Public V.19slon No. Curnission No. U CVIVlk A.CAMPBELL id -State of Florida 1 12939 1 19, 9,2021 iNary ss. Public -Sta D 'ion#GG 1,sJ, or a Name of tinted or — Florida 3] Name of Notary tWyp Notary bPiff �j i lot I da p 94otary Public-State of Florida Commission#GG 112939 Commission#GG 112939 2021 my Comm,Expires Jul 19,2021 Comm.Expires Jul 19,2021 h at_ MY tonal N A MV g N,tonal NotaryAssn. Bonded through National Notary Assn. Bonded through Nell i . l. , 0 xziet GAS ) OrdeP oPROPAN, salANDA/U .-c• Aaee,1988 8 i 3p7 8�•50 i - Invoice Sales, Service & Installations WORK ORDER#/SERV.ICEMAN 88631 MAY DATE/TIME TAKEN 06/28/18 07:37 4441 Allen Rd. • Zephyrhills, FL 33541 TAKEN BY K. B. 00 Xt gOTES: . C '�'c7 ►� DATE/TIME-PROMISED CUSTOMER#/LOCATION 5003c = • ��' �� 1 PIHONE# 813-788-2464 H -CONTACT R.REER OST CARD ROUTE/SE(2 MQ ,g4X 1 -7:S HORNAMAN, JOAN HORNAMAN, JOAN PO BOX` 2723 376e@- LAUREL HAMMOCK DR OAK. -RUN 437 ZEPHYRHILLS- FL 33539 ZEPHYRHILLS FL33541 3T TEMP COND AND A/H - TCHO32AKA2/L0230891442 NFCX360OC2/LO203061513 LEAK IN CEILING ! .ClB' MAINT -F-8-18 •4. =L7 S RI. T.T AL '.ICES �[1�t1..PRi= E .Atvl'. PTIt7t+t'OF.WORK�;'• f� S.&.SERV ,-'r' I . C. - Ot1t+iT°.- I - d� 1 ` t f! i I i - - i 1 1 1 macx,, �y �a".,:, . [ - RECMMIN`�i`!cTIt1V...,•r'.,': ;,;:'r- 6] I �'uai_�Mainteri'�`'1;,.�•.._, .;1.. . . •:;;,..': ..: : '=: `_•' -�4:;",�:µ,, .. atteO ReCoinfliend3;:1?yAilEcjuiptSii^Ci; atiel{aCturer5; ',.• Pressures Lo HI TStat l�fti�EEiA4V;iR= :�"S'.:; ..� .y�•.-.,..;, ';:> _ ''"' - r," FILTERS x x Changed Monthly I I FILTERS x x Changed Monthly._ I 1 - , ❑ REGULAR. O WARRANTY etritriitfst SefESngs.}When here LQi ',1Nhen Away�;T-Stat °a _❑. MAINTENANCE CONTRACT ::�,f SERVICE I .4d:r KITED WARRANTY. Ail materials,parts and equipment are warranted by the manufacturers =:; :ti;�'"= ��{pD tl�tF?Al PifENT, `<'? GALL i luppilers'written warranty only.All labor performed by the above named company is warranted for "?` -- Jays or as otherwise Indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL . I Tess or implied;and its agents or technicians are not authorized to make any such warranties on .MATERIALS i I alfiof above named company. ❑DEBIT ❑CREDIT El OTHER MAINTENANCE ! ve authority to order the work outlined above which has been sadsfectodiy comptated.I agree that Seller PROM, W/ C ins due to.equipmentlmatedals furnished until final payment Is made.If payment Is not made as agreed, CLAIM# x can remove sa'.d equtpmenttmatadals at Seller's expense.Any damage resulting from said removal shall - be the responsibility of Sefler.NET 30 DAYS.A 1 1f2%SERVICE CHARGE WILL BE ADDED MONTHLY TO - 1 UNPAID BALANCES OVER 30 DAYS.NO REFUNDS 'DATE.COMPLETED - TECH: TOTAL / TAX TOMER SIGNATURE .DATE e/ar,�