HomeMy WebLinkAbout18-20063 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20063
BUILDING PERMIT
PERMIT INFORMATION--- W LOCATION INFORMATION
Permit Number: 20063 Address: 36018 SHADY BLUFF LP LOT 19
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVERADO
Est. Value: Parcel Number: 04-26-21-0060-00300-0190
Improv. Cost: 7,299.00 OWNER INFORMATION i ia&7voAj STEV
Date Issued: 8/06/2018 Name: —..W zGEA;Tn A`_ r`On;D" 66G
moivT�✓oLA �8
Total Fees: 80.00 Address: 6522 GUNN HWY
Amount Paid: 80.00 TAMPA, FL. 33625
Date Paid: 8/06/2018 Phone: (813)886-2433
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 80.00
[c)
DUCTS INSTALLED Ins ections Required
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.
�2Urn-Q
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-W21
Boil ins Department
Date Received phona conted for Pennitfing
owner's Name owner Phone IlAunber
owneft'Addressl5k)JITti Sh 1.4 hd� LoAo o—Phone Number F
Fee Simple rifthaida Neale owner phone Number
Fee Simple TMd~Address F-- -
JOB ADDRESS I 52 elff IdAv L0.0-P LOT 0
SUBDIVISION F— PARCELW#1 (06TARM FROIII PROPERTY TAXROTIM
WORKIPROPOSED taWCDWRED ADDlALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE SFR = COMM OTHER I
TYPE OF CONSTRUCTION Q BLOCK = FRAME MM F-
DESCRIFWN OF WORK
BUILDING SCM SQFOGTAGje HEIGHT
. . . . . . . . . .
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL rS AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
a!�MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=CM r7 ROOFING M SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY
SMNATURF I REGwrERED I YIN FEE CURREN LLLN
U. _j
Address , #
ELECTRICIAN COMPANY
SIGNATURE REGISTEREO I YIN FEE WFIRB LILN J
Address License#
PLUMBER COMPANY
SIGNATURE REOrSrFREO YIN FEE GUNUM
Address U.#
MECHANICALiZ� COMPANY 14ye
SIGNATURE REGISTERED I YIN FEE CUFJIEI+ L_XLN J
Address A-IleA) Rd.Z— License#
OTHER COMPANY
SIGNATURE REOWERED I Y/N FEE CUMM, I Y/N
Address F— Ucense#I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of 8000 Plans;(1)set of Energy Forms;R-O-W Permit for now construction.
Nftmum ten(10)working dap after subinflik!date. Required onsits.Construction Parts,Stormoater Plans wl SM Fence installed,
Sanitary Facilities&1 dwrnpster Site Work Permit for subdvWomftrge pr*cts
COMMERCIAL. Attach(2)complete sets of Builcling-Plans phis a Life Safety Page;(1)set of Energy,Forms.R.O W Permit for now construction.
Mi—tan(10)worlang days afterstibmittel date. Required ornift CaWitiction Plans.Stormwalar Plans w/Slit Fence installed,
Sanitary Facilities&I clumpster.Site Walk Pennit for'all now projects.Ail commerdal jecitarements must meet compriance
SIGN PERMIT Attach(2)sets of En ',wred Pla
ns.
arta.
—PROPERTY SURVEY required-torah NEW construction.
I a a a a a s & a m a . ...,... . . . . ... II ., 11 a a v a a , 2 2
c W!ox wr. .-a
Dir
Fill out application completely.
Owner&Contractor sign back of application,notarized
flow$200,a Notice ofCommenctsnent is required. (NC upgrades over$7500)
Agent(f-the contractor)or P-91'Attorney(for the Owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERWMNG (copy of pantrad rewred)
Remofs if shingles Sewers ServiosUpgrades-AIC, Fences(Flot/Suiveyfficotage)
Driveways-Not over Counter If on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictiols"
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 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.
r 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
9D-07,as amended. The s 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 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, Wetiand 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"kr 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 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 ATTORNE BE ORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F. 117. ) _ ..
OWNER OR AGENT CTOR
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Who is/are pers pally kno me or hasthave produced Who is/are pally no to me or hasthave produced
as identification. as identification.
otary Public Notary Public
Commission No. Co fission No.
BELL
tA-d.Prirg li(K Name of Notary d'' br sta
r ar, a , �g a y Public-state of Florida
0�0� Notary Public—State of Florida : ±._ Commission I GG 112939
Commission il GG 112920p21 t o� My Comm.Expires Jul 19,2021
nay Comm.Expires Jul
�oFF° uondedthrough National Nota
otaryAssn. ,�OFf, Bonded through National Notary Assn.
Franklin
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PROPANE GAs9 Service Order/Pro osaI
AND Af C INC.
�iKce 119 8 i 3.782-50 13 Invoice
;i :WORE, ORDER#/SERVICEMAN 89437 E,;N
Sales, Service & Installations DATE/TIME TAKEN 07/30/18 0'j:35
4441 Allen Rd. ephyrhills, FL 33541 4. TAKEN"-BY KM 1Z10
NOTES: �� DATE/TIME PROMISED
r �' CUSTOMER#/L0CA1-ION 07371
66 --0 P40360 I`911) PHONE#
PHONE2# —813-841-7230
FIHONE3# 813 779-01026
CONTACT INLAW; P'AUL. GAGNO
__.. ROUTE/SE0 EJW
�. `IT(,�,�5 I� MAPAiI-I- GARAGE
►3AGNON, STEVEN GAGNON, . STEVEN
3601E SHADY BLUFF LOOP ., 6018 SHADY BLUFF LOOP
SILVERADO RANCH
ZEPHYRHILLS' FL 33541 ZEPHYRHILLS FI_33541
AMANA: ASPF426016BA,
SER# 0806280E
I PARTS K LAB0 EXP: 7/16/13
ESTIMATE"
DESCRIPTION.OF WORK`', ":.r" QTY. :` •:' MATERIALS&SERVICES: f- UNIT:PRICE -.AMOUNT:Y.
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LIZf ECOMMENDATI�NS
i4nnual Matntenar ce RecoiYimended by All Equipment Manufal tx�rers "`
Pressures Lo HI T-Stat
fiEFRIGfiRANTR-,:•c"
$,perltis,';, i I
�4elcyyl - -
FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY :TOTAL SUMMARY., .,``-,
DeFiutni8istatSettings"jWhen here yON";;;When Away§Q'/Q,`T-Stat$Q°' ❑ MAINTENANCE CONTRACT
' - L :- SERVICE I
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF,PAYMENT .,; CALL I
or suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL I 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS I express or implied,and its agents or technicians are not authorized to make any such warranties on
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 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 equipmenUmaterials at Seller's expense.Any damage resulting from said removal shall
not be the 'Mlity of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO .� 1
ALL UNP CES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
I C' TECH: TAX
C E ATURE G, TOTAL DATE ✓� ✓acc I
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DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE (FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner: �� /U��•
Permit#:
Site Address: 3fvb/� ��j• di//�J�LLtL�oG
Contractor: l�I��S/ C CCy11��
License#:
Final Inspection Date: r \ J
I certify that I have installed new or modified the existing duct work associated with the HVAC system
referenced by the permit listed above and found it complies with the requirements FBC Energy Code,
Section 403.3.Where modified,the existing ducts have been sealed using reinforced mastic or code-
approved equivalent. Ducts are located within conditioned space (Section 403.3)System was tested as
per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403.2 and FBC
Mechanical chapter 6.
t
Name of License Holder(print or type) Signature of License Holder