HomeMy WebLinkAbout19-21034 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 210 4
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21034 Address: 37526 GILL AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s):276 Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2760
Improv. Cost: 5,791.00 OWNER INFORMATION
Date Issued: 3/28/2019 Name: APJOHN, CHARLES L
Total Fees: 70.00 Address: 37526 GILL AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/28/2019 Phone: (813)788-8348
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
Fipa
� 1
Ins ections Required
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.
l &-, �5
ONTRAC IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-002D City of Zephyrhills Permit Application Fax-813-780-0021
BuMng Departnient
Date Re=hVd Phone concha!fOrP017111111ing F
ME371
_A? 0
owners NNW Owner Phony Handier
ftl?left ��1;2460 .0-7 j// Own"Phone Nuntber
Fee Sluiple IfIlleholder Nam F- i �J, Owner Phone Nona.
Fee Simple TilleftoklerAddress
JOB ADDRESS eq;lldve LOTS
SUBDIVISION PARCEL tw[
(GEMADIED FROM PROPERTY TAX ROME)
WORK PROPOSED NEW QDNSTR ADDIALT SIGN 0 Q DEMOLISH
R INSTALL REPAIR
PROPOSED USE M SFR Q COMM Q OTHER I
TYPE OF consyRucriom r7 BLOCK Q FRAME STEEL Q ----7
DESCRIPrZN OF WORK IR&SAle
BUILDING SUE C Sit FOOrrACEF-----] HEIGHT
QSUILDING. . . . . .$ VALUATION OF TOTAL CONSTRUCTION .. . . . . . . .
=ELWMCAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING IS
llMECHANICAL is VALUATION OF MECHANICAL INSTALLATION
MCAS r7 ROOFING M SPECIALTY= OTHER
FINISHED I-1OOR ELEVATIONS FLOOD ZONE AREA AYES NO
. . . . . . . . . . . . . . . .. . . . . . . . . . . .
BUILDER COMPANY
SIGNATURE r REGISTERED I YIN I FEECUPREN LtLN J
Add,. I #
ELECTRICIAN COMPANY
SIGNATURE 1 REGISTERED I YIN FEE CURRM L.XLN J
Address License
PLUMBER COMPANY
SIGNATURE REGISTERED I YIN FEECURREN
Address License#F-
1A -1^vo,,q1Va6 JhYe:ry
MECHANICAL COMPANY
SIGNATURE 4 REGISTERED I YIN FEE CURM I YIN I
Address i license#1 MW4�s
OWFA COMPANY = I
SIGNATURE REGISTERED I YIN FEE CURFM
Address Licansalit
RESIDENTIAL Attach(2)Plot Plans;(2)sets ol'Bulkling Plans*,(1)set of Energy Famis;R-O-W Pond for now construction,
Minimum ten(10)%aldrigdays alter subinittal date. Rwp*W onsite.Construction Plans,StoirmaterPlanswi SRFenca installed,
Sanitary Faciliff"81&w%pdar SAO We*Pandit for wbffivmionsflarye projects
COMMERCIAL Attach(2)complete sets of BudelIM Plans plus a Life Safely Page;(1)set of Energy Fornis,R-O-W Permit for newconsiTuChOn.
Winturn ton(10)working days after submittal data Required ortsite,Construction Plans.Stommalar Plans wl Sat Fence installed,
Sariltivy Facilities&I durripster.Site Wak Pond for all now piciects.All conunotial raWaiments must numit compliance
SIGN PERMIT Attach(2)sets of Bigineered Pam
PROPERTY SURVEY required for all NEW 6onstruction.
. . . . . . . . . .
Fill out applicaliori cornPletelY.
Owner&Contractor sign back of al*ficafion,notarized,
If over$2500,a Notice of Conanancament Is required. (AIC upgrades over$71XID)
Agent(for the contrac"or Pam of Aftmay(for the owner)would be someone with notarized letter from amer auftftM Sam
OVER THE COUNTER PERMITTING (copy of covered required)
Rermft if shingles Sewers- Servicit Upgrades.AIC Foxes(PlotiSurvey/Footalle)
Driveways Not over CvwTW If on public 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. Jf 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 ficensing'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 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
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—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'SIOWNER'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, Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Sayheads, 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 'K, 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"K in connection with a permitted building using stem wait
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(F.S.
OWNER OR
V
d4�ONTRACTOR
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vKo istare keig me or hasthave produced 10 Ware !��0n to me or has/hwe produced
as identification. as identification.
7r4a Notary Public
mrrilssion No Imisssion No. SYLVIA A.CAMPBELL
SYLVIA A.CAMPBELL Not,,yP I!c-SI'atecilibrilla
Noma of o PA
Name of Notary typed,
mm,Expires Jul 19,2021
Commission#GG 112939 M�E�'
1�80
1111 MyComm.ExpI(e5JU11%202I Bonded through National
Banded through Natilnl Notary ASSM
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Sales, Service &.-lnstalCations WORK nRDER#/SER1f,10ENiAN �`a`-.t�f ���
4441 Alien Rd. ° ZepiiyrhiI s., FL 3354;��°� ��i ir�T ��tE TA#t�N �%�E���� ��'° ��`
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F'{iC�NE # 813--•395-42 15 C
ROUTE/SEQ
APJ0HN9 :CHARLEL AP,30HN, CHARL.E S
375P6 .6,ILL AVE 37526 GILL AVE
GRAND HORIZONS
ZEPHYRHILt__a FL 33541 ZEPHYRHTLI._S FL3;3541
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P..iessures LD HI Evap Coil Cleaned,Gbnd Coil Cleaned I I
AitspS= ; .Cond.Fan Blwr Comp Heat Stdp ` (f
Capacrtors Cond.Fan Blwr Comp I&AfA JU121, I I
t}rainl err%E Primary/c6ndition Zueaned Secondary/Condition^VCleaned /A4ACAI I
7,Stafk;= Type Beit:lype '�
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=Jnn of 111aiitfeiancsl?ecoit iiende't(%b4tfV ur riient=tiianufacturs- }
=.�rv?-�. °�:-r.:r••l,. ..x: w„-. Y_ .�/.,,P.,:.�;,.4_ f MA _ t I t,�•�
• :i..' _ "�:-;. ,x.�. - '.!:�:=.+" ass_ — 'c:ir�` r'�::�,a:.";;I::'_..;r„ I
FILTERS x x Changed Monthly I 1
FILTERS x x Changed Monthly I _
❑ REGULAR ❑WARRANTY ;`7'. ``-"` z ww; z_ x; :''z :
:a:
'i,h wiri clistat Settings i When here;" °a When Away`6 °'',#T--Stet t}°' MAINTENANCE CONTRACT t am•` -_ ❑ MTN C R
_ _ _ _ MAINTENANCE
LIMITED WARRANTY: All materials arts and equipment are wa n warranted b ` r'f°" = PRICE I
.prra t by ��� ', „lUIETFt(J[7 jOF�I?AXNtEN`�'x�';�w.��= -
or suppliers'written warranty only.All labor performed by the above named company is warranted for �~' �"�"-t-'z'•"'°'-''�""''°''~�'"°°j' TOTAL
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# i
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS
❑DEBIT ❑GREDIT ❑OTHER �PROG.
NANCE I
behalf of above named company. i
I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller W/C
retains title to equipment/materials famished until final payment Is made.If payment is not made as agreed, CLAIM#
seller can remove said equipmentImatedals at Seller's expense.Any damage resulting from.said removal shall f f
not be the responsibility of SeIIer.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL 9E ADDED MONTHLY TO
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS - DATE COMPLETED_
TECH: / �1 ' TAX
CUSTOMER SIGNATURE '"' � DATE � pu TOTAL