HomeMy WebLinkAbout19-21072 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21072
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21072 Address: 6038 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: 4/05/2019 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: 4/05/2019 Phone: 352-257-0032
Work Desc: A/C CHANGE OUT 2 TON SPLIT
CONTRACTORS APPLICATION FEES
BAHR'S paw A/C CHANGEOUT 60.00
DUCTS INSTALLED Ins ections Required
DUCTS INSULATED
FINAL
REINSPEC71ON 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.
I ) 6w-- O�
1iv� �LGLI�
CONTRA&tOR SIGNATURE PERMIT OFFItYR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s1�Teo ao2o City of 2ephyrhills Permit Application Fax-81a-�eG4)021
.. _ Bul7dirts
Dale Reeelved Pimna corded a r t J 7005 ' 5,01 a
DtanaYS Name N/J Ol"m Piano Number
Ownew+sAddrass�b4 �dri tom'- STD'1l�1S aCwnarPNttxf.fltnnita� � '
Fee 56npiQ TiUahoidv Ntsrts, Owner Pboee NrnWW
Fee SW*e TlUdtoldw Address
JOBADDRESS 02.9 Aq-W,11;errz a Ail x LOTS . U�
SUBDIVISION I ----� PARCELILIL P a ' -M /
LoOrAasas Fleets e�topsTry raft r�?�t
WORK PROPOSED NEW amm AWALT p SIGN 0 = DEMOLISH
e INSTALL REPAIR
PROPOSES USE p SFR :. p COMM p OTHER
TYPE OF CONSTRuc'M p BLOCK p FRAME p STEEL [].
DESCNBPr.'ON0FWrfORK Pi , G'Dm 0111eAJTa r ?'a
BUILDING SIZE SQ FOOTAGE mMoW
=BUILDING �� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL S ANPSERVICE Q PROGRESS ENERGY C] W.R.E.C.
=PLut1MING
MCIECHANiCAL 5 � 6 VALUATION OF MECHANICAL INSTALLATION 4r
ACAS p ROOFING p SPECIALTY[= oTHER
FINISHED FLOOR EUWATtONB FLOOD ZONE AREA AYES NO
viu.M F—
SIGNATURE REMMUD I YIN FEE CURREK t
Adder License# -----�
SIGN T UREE I COMPANY
SIGNATURE REGISTERED I YIN FEE CI1nREK Y I N
Address Lioenso#�—
PLUMBER COMPANY
SIGNATURE III REoaMEn I YIN FEE CUMM Y t N
Address Licens9#
MECHADUCAL lll�A��— �l COMPANY
SIGNATURE It 7 RE13lSIHtED YIN FEECURRET Y/jN`
Address `T 1 G/V /r. �SS� License#
OTHER COMPANY t
SIGNATURE REGISTERED I YIN FEE CURREN Y 1
Address License#r
Ifiiltlltl/,t11 / ! lililtllt/ tlillll.ttllIt111111lt11111111111111111111
RESIDENTIAL Attach(2)Plot Plats;(2)sets of t3tu5ft Puns;(1)set of Energy Fom ,R G W Pwn-jt for now cwmvudion,
Wmum ten(10)vmdd lg d$ys'afier submft dais. Pa*dmdwsPACmWjcftPiamStmmwetarPkm%id8ftForimir4WIed,
SwA y FreWSM a i disrpiftr,SAb Work Pamut for props
COWARIB CtAL Attach(2)ownpieft sots or8uitlnp Flam phis a We Safety P"o.(1)Set ar rzrmw Forms.R-O-W Pormit for rwwmnshttcbom
Nfatkman ten(10)wodc ;days aRarst l dace. Rs*mmd attsila,Construction Plain,Smawater Plans vd Silt Forte irstouk4
Sanitary Facftw A 1 dmVster.Site Work Permit for d new projects.All oomuMcI tl regoiismerds must most comphance
SIGN PERMIT Attach(2)sels of 6gnaered iclulS.
***PROPERTY SUt�LtfiY teQttlw tor'W NEW 6m,mM ctn.
LKpeetiwts:
Fin out appoca5on colnpietsly.
Owner&CmIractor sW badr of egVkaborl,rwtuuaed
Notes$2500,a N*Ckn of.Cca ntmxmrmd IS nqukod. 0f C tqw-ades oval S75W)
*` Agent(for the—bactor)or Power of Aft-W(forNts—mr)Would be someone with rl Wnmd Wm from omler authotirlflg Same
OVER THE COUNTER PERMITTING, (oopy of oonbad requited)
RwaofalfsWrargfes Sattwra .,.: S-1-.Upgrades A/C, Fertces(T?bt/Sur WXootmW)
Drhmways-Not over Counter if on pubfio roadways.:rieeds ROW
- � a
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this perk*may be subject to"deed"restrictions"
which maybe,more-Bab dive 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.Af 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 contraetor(s) sign
portions of the'contractor Block'of this application for which they will be responsible. if you,as the owner sigmas the
contractor,that may be an Indication-that he Is not pmparty licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION-IMPACTIUTILRIES 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!fasoo County Ordinance number 89-07 and
9D-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. Furthennore,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'SIOWNER'S AFFIDAVIT: i certify thataii the information in this application is accurate and that all work
will be done in compliance with all applicable Jews regulating construction,zoning and land development Application is
hereby made to obtain a permit to do work and installation as indicated. i i certify that no work or installation has
commenced prior to Issuance of a permit and that ail 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. 1 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 Protectlon-Cypress Bayheads,Wetiand Areas and Environmentally Sensitive
Lands,Water/WastewaterTreatment
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health 8r Rehabilitative Services/Erivironmental Health Unit Welis, Wastewater Treatrnent,
Septic Tanks..
US Environmental Protection AgancyFAsbestos 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 Zane"V"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 fili'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, t 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 far 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 proceedmith the work and not as,authority to violate,cancel,after,or-
set aside any provisions of the technical odes,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.shail become invalid
unless the work authorized by such permit is commenced within sic 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 I 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.117.03) �}} .�
OWNER OR AGENT CONTRALTO L.t- bg �
Subscribed andbswom to(or affirmed)before me this S b nd m to or a�� ) re mR ih� ,
Who iatare personally imov✓n to me or heclFtave produced -is! rsonaily Icrm to me or haslhave produced'
as Identification. es Identification.
t
Notary Public Notary Public.
Commission No. lesion No.
.�YP.. SYL
ate of Flor'ula
Name of Notary typed,printed or stamped Name of Notary
Commission#GG 112939
Mycomm,Expires Jul t4,202t
` ovrtLP' BandedthroughtiationalNotaryAssrL
PROPANE GAS Service Ordel Franklin
s
AND AJ,C INC
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813-782-5013 Invoice
Sales, Service & Installations WORK .ORDER#/SERVICEMAN 96041 APR
4441 Allen Rd. • Zephyrhills, FL.33541 DATE/TIME TAKEN 41 1/ i 6:46 .
TAKEN BY K I M 03
NOTES: DATE/TIME PROMISED n
: CUSTOMER#'/LOCATION 01529
PHONE# 352-257-0032 C
-CONTACT; J I M
ROUTEYSEQ APR
A & M: PROPERTIES PARKHILL TERRACE APTS
: PO BOX 330 6038 PARKHILL TERR DR ;
LAKELAND FL 338021.. ZEPHYRHILS FL3354E
COND FAN MTR NOT. RUNNTNG'
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FILTERS x x Changed Monthly 1 I
S, FILTERS x x Changed Monthly I
REQ�ULAR- - ❑WARRANTY -
,—^,L�+;rtz?`r,tS t "3. e.: i=rT%=','`w"„�`�' ,�y �ds`~��a,�.�. •�r�r�Y:�ssr�i
Me s hiSettitigS•L hen here°lJt� ;When Away °(g'zT Stat Sb} ❑ MAINTENANCE CONTRACT SERVICE
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LIMITED WARRANTY: All materials, a ul a r;"`"', ;t"
t 's ._ NIETHC?t�(11`I?A`(iIENJ';'v sue' CALL
P 9 P n arts and me t are wrrantedbythemanufacturers'
nrsuppliers'written warranty only.All labor performed by the above named company is warranted for
30 days or as otherwise indicated in writing.The above named company makes no other warranties, 0 CASE} ❑CK# TOTAL I
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS I
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE I
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I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller PROD, W I C, fill
retains 0do to equipmentli aterials furnished until final payment is made.If payment is not made as agreed, CLAIM#
'seller cast remove said equipmentlimaterials at Setter's expense.Any damage resulting from said removal shall I
not be the responsibility.of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO _ {
+ :ALL uNPAIDeALANCES OVER 30 DAYS,NOREFUNDS DATE COMPLETED
s TECH: TAX
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,CUSTOpAER.StC7NATURE; .. DATE, TO ,• t
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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:
Permit#:
Site Address: u09 Pew II re.rrow be
Contractor-&�) �) Pro �'1 �� c T-o
License#:_N��"`1i
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.
I •
Name of License Holder(print or type) Signature of License Holder