HomeMy WebLinkAbout19-21037 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 /1037
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21037 Address: 6057 PARKHILL TERRACE 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: PARK HILL TERRACE
Est. Value: Parcel Number: 02-26-21-0000-03300-0010
Improv. Cost: 3,395.00 OWNER INFORMATION
Date Issued: 3/29/2019 Name: PARKHILL TERRACE LLC
Total Fees: 60.00 Address: 500 S FLORIDA AVE STE 700
Amount Paid: 60.00 LAKELAND FL 33801-5270
Date Paid: 3/29/2019 Phone: (352)257-0032
Work Desc: A/C CHANGE OUT 2 TON SPLIT
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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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.
04xfi-
K-fFkA&OIYS1dMkTURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813,-780-OM City of Zephyrhills Permit Application -Fax-813-78D-0021
Data PccehVd Phone cpTmcc for57 13 1 19D.
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. . . . . . . . .F3Ga-Q57.
ll"011'smarne 1=hd1-T(fM 0-G C--1 Owner Number
Florida ftwe 5h,700 . I
Fee Simple 7ftleboldw NNW Ovam Phorie Number
Fee Simple MUeh~Address
J013 ADDRESS 16057 Parkh;jj-Fc-rr bQ, MT r-� .
SUBDIVISION 112a r PARcEL,D#jQoe1-5R0—c9,(t—00X-05 W- 0-601P
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK,PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE Q SFR COW OTHER I
TYPE OF cowRucmom = BLOCK FRAME STEEL ] I I
DESCRIPRON OF WORK g7gual,416 j Q-TO/V Vll�
BUILDING SIZE SQ FOOTAGE HOO14T
. . . . . . . . . . . . .. . . . . . . . . . . . . ... . .. * . . . . . . . . . . . * . . . . . . . . . . . . . . . .=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 5 AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUAMING Is
Mn'h; 'HANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=CM r—j ROOFING p SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE FWGtSTERED I YIN I FEE CURREK LyL N
Address I License#
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED I YIN FEE CURREI, LjLN J
Address F- Uoertsed
PLUMBER COMPANY
SIGNATURE 1 REGISTERED I YIN FEE CURREN
Address —1 Lice—it F—
MECHANWAL COMPANY -aLLI;ffimm C-askme-Zhic-1
SIGNATURE REGISTERED I YIN VEEMiRim I YIN
Address If 4 0-1 License#
OTHER COMPANY
SIGNATURE REGISTERED I YIN FEE CURREN
Address License#
RESIDENTIAL Attach(2)Plot Plaw,(2)sets of Willing Pis—,(1)set of Energy Fww,R-O-W Permit for new construction,
WhIlmum ton(10)working days Idler subs"date. Repaired onsits,Construclim Plans,StormwIlIter Plans w/SIft Form Installed,
Send Facilities S,I dwTq3stw,Site Work Permit for subdiviskmWlarga,projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety
Page,(1)set of Energy Forms,R-O-W Permit for ow construction.
Minimum ton(10)working days Mar submittal date. Required onsIts.Construction Plans,Stormwater Plans w/Sul Fence installed,
Sanitary Facifibes&1 clumpster.Site Work Permit for all row projects.All commercial nxpirements must most compliance
SIGN PERMIT Attach(2)sift of Engineered Films.
—PROPERTY SURVEY required for all NEW ocristruction.
. . . . . . . . . . . . . .
Fill our application completely.
Owner&Contractor sign back of application,notarbIed.
N over SM,a Notice of Commencemort Is required. (AIC;upgrades over$7500)
Agent(for the cort-cto).or Power ofAttomay(far the owner)would be someone with notarized letter from owner auttioruting same
OVER THE COUNTER PERMITTING (copy of embed required)
Remoft if shingles Sewers Swvlw Upgrades A/C Fences(PlotfSurvey/Footage)
Driveways-Not over Counter if on"to madways-nee ds 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 property 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. Furthen-norb,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'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, Wetland 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 "A7, 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 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.shalf 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 NOTIICE.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.11 3)
OWNER OR AGEN
CONTRACTOR
8 bsc6r! andby -t6(0 affirm d) me this bs L
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Who Ware nallykno,mi tome4hasthaveproduced II
Who ist ZT22LIly kno-wh to me or hfthave produced
as identification. ---AS identification.
NM.-Public Notary Public
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"Fu is-State of Florida Wdq Public State of Florida
Name V!;—!@r i n te c�wffe R 1 2 9 J 9 pril
Name of Notary typed, ted r Offi0i0lon#GG 112939
MyComm,Expires Jul 19
My Comm,Expires Jul 19,2021
il My Offlif,Expires Jul 19,2021
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UoiidQd through National NotarvAssrh llbiti!W thf8tigh 1,16tional Notary Assn,
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Franklin
PROPANE GAB Service Order/Pro osal
AND A/C INC. n
cfl�ce 1988 813-782.5013 Invoice
Sales;.Service & Installations •WORK ORDER#/SERV ICEMAN 95443 SEP,
DATE/TIME TAKEN .08/11/19 11 : 12
4441_ Allen Rd. • Zephyrhills, FL 33541 TAKEN BY KIM 03
NOTES: 4KT DATE/TIME PROMISED
CUSTOMER#/LOCATION 01445
firkA& '( PHON.E# 352-257-0032 C
CONTACT JI.M
ROUTE/SEQ SEP
A & M PROPERTIES PARKHILL TERRACE ARTS
PO BOX 330 6057 P,ARKHILL TERRACE DR
LAKELAND FL 33802 ZEPHYRHILLS FL33542
GOODMAN
CD:GSX130241DA/1210546695
44C 4Oq Lf4A /4460tt33
RUNS, NOT COOLING
ERVIC MATERIALS''&'-S � - ��:U.N,��PRGE->>.A OUiiIT�r•:
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n1U��: �Jt�en�nce°Recotitm tided:(iy'R1F:Equiprrtent.Manufacture'rs-
Pressures Lo HI T-Stat
°REF,RIGERANT.R LBS:,:, `:'•s' "'?'-§Per?lis '=i ``:^'s;i::.
t'z tit'
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\ FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
TOTAL SUIVi i4� !� =
❑ REGULAR ❑WARRANTYM. '• ;-
DehUiid�att5$ttirig"s_ When here 901V"" ;When Away 60° T-Stat 80 ❑ -MAINTENANCE CONTRACT
SERVICE
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' ►`r1ETHOD`,QE.PAYMENT_ °, ' `'•-`• CALL
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. I ❑DEBIT ❑CREDIT IWOTHER 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 equlpmentlmatedals furnished until final payment Is made.If payment is not made as agreed. CLAIM#
seller can remove said equipmenUmatedals at Seller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 It2%SERVICE CHARGE WILL BE ADDED MONTHLY TO �'1y
TALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE CO PLETE l
TE TAX I
G/— ///vc� TOTAL
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CUSTOMER SIGNATURE DATE ✓ ✓o
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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: �%/��//�� /�re2i�Gp L L C
Permit#: c Z
Site Address: -0,5-/ /-?yew/;zee, -Zyt
Contractor: &I-bleS PI-44Wllfe,
License#: �
Final Inspection Date:
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.
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Name of License Holder(print or type) Signature of License Holder