HomeMy WebLinkAbout19-21087 Y CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 2108'�
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21087 Address: 37519 NEUKOM AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-1410
Improv. Cost: 5,714.00 OWNER INFORMATION
Date Issued: 4/11/2019 Name: SMITH, ROBERT & NANCEY
Total Fees: 70.00 Address: 37519 NEUKOM AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/11/2019 Phone: (813)782-0123
Work Desc: A/C CHANGE OUT 5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
ell
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.
C CONTFt<dT6KSIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• T
813-780-OW City of Zephyrhills,Permit Application Fax-813-7 1
MMM DeparWwd
Date Reeefvad C Plnprle Cordao!for 6'/
Otirnmr:t�Gaae v3/I1! OwWPbwkrNlsnbaT
Owner's Address ff "t(-�-- 77) V Oainw ft"Miaow
Pee stele Tiflafroldrx Name I � owner afione Numbs' ! I
Pas smrpla•rmdholaei Address
.WBADDREss " LOTS.
SUBDIVISION �� off-/ PAr emm W6
(Ut)t'A1IG0 Rt0l1 TAX N07ICEI
WORK PROPOSED �] NEW C00M KADGF/ALT SIGN 0 Q D M USH
o �� RI�AIR
PROPOSED USE SFR Q COMM Q OTHER
TYPE OF CO OMUCrWN 0 _ BLACK Q FRAME STEEL , Q
DESCRIPTION OF WORK 1p,4!5"Faual 3 Z 197 V 6'�7� 67rO
BUILDING SIZ I SQ FOOTAGE�� HEIGHT
QBUILDING � VALUATION OFTOTAL CONSTRUCTION
]ELECTRICAL f5 ANPSERVICE Q PROGRESSENERGY W.RE.C.
QFLUMBING IS1.1-111-1`—�
CE(NIECRANICAL Is
y j VALUATION OF MECHANICAL INSTALLATION
r7cm 0 /ROOFING Q SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO
BUILDER COMPANY
SIGNATURE REMStz3 v I Y t N FEE CUMM Y t N
Addnass License#
ELEC COMPANY
T CM I _. REGISTERED FEE cUtzR>EP6 Y I N
Addrm Lioetse#E 1
PLUMBER 1 COMPANY
SGNATURE 1 REGIbTFRED YIN FEE CUMM Y t N
Address License#
ESIG A NIC I�wt ,--�f1�lLt�� COMPANY N FEE CURM I YIN
S �j� /I�eZ 8" 'r/I✓{
Addross T gAl LV�IJ '� � License#
OTHER COMPANY 1
SIGNATURE REWS ERW I Y t N FEE cUlaz� Y t N
Address License#
! ill /! El/ I ! t!! ! ! !ti ! ! tEltli!! ! ! t ! ! ! 1lEtiEllll / 11itl1li ! ! tl ! lE1 / lE11
RESIDW r M Attech(2)Plot Plans;(2)sets of BtJft Plow,(1)set of Energy Fames;R-O-W Per n t for now ecru.
Minimum ten(10)wadwV days alter SabmU date. Raquh®d.ansite Oaru r 1'tatts Stomtwster Pleas wt Stt Fence installed :
s.rirny F a 1 dumpdgr;Sfto Work Porrrrit for�dnr[siortstlarpe projads
COMMERCIAL Attach(2) soft of BuVk9W Pbrs Plus a We Safely Page.(t)set of Ertaryy Forms.R-O-W Permit for now aons tnicbon.
famman tan(10)wwW r4 days alter sutanMW date. Regained onsd%Consbuciar Piers.SpoMWater Plans vd SIR Fence installed,
Smeltery Fad A i dwvstw.Ode Work Pamol far at new projects.At commercial reglitwwf is must mast owrIpH"m ..
Sir PERMIT Attech(2)sets of FVnammd Pbm
—PROPERTY mqumW far all NEW corlsbelt�iors.
oir.�rra:
Fit out appocation completely.
Owner&Co*actor sign be*ofapptcmion,notarized
H aver$25W.a MGOM alr Goner It ls ngrdrmi (NC upgrades ewer'fr5W)
AgertY(fortlre cartr j a Paw r of Attoittay,(t(lf M!!?m)N+aYd be sarrtacr►e wigs notarmed IeCet ffom owner autltorianfl same
OVER THE COUNit>Z.PfJiklli rtI/G (mPY )
Reroafs if shUVW Sewers, Servico Uppradss:AtC r' Fences(PIaUStavay/Fc0t0W)
Driveways-W over Counter if on pubDo madways.lieed 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 elate and Iocal,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-low. If the-owner or intended contractor are uncertairi as to what licensing requirements may apply far the
intended work,they are advised,to contact the Pasco County Building inspection Division—Limensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is*advised to have the contractors) sign
portions of the'contractor 86W 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 u'ridersigned,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 bepald,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'l, 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'sorn-sone
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-
CONTRACTOWSIOWNERIS AFFIDAVIT, I certify that allthe 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 govemment 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,WaterNilastewater 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 ServicestErivironmental 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 offil:
Use of fill is not allowed in Flood Zone"W unless,expressly permitted.
If the fill material Is to be used In Flood Zone "K, It Is understood that a drainage plan addressing a
'comoensating'volurne?'will be submitted at time of permitting which Is prepared by a professional engineer
licensed by the State of Florida. stem wall
If the fili'material is to be used in Flood Zone"A"in connection with a permitted building using
construction,I certify that fill will be used only to fill the area within life stem wall.
If fill material Is to be used in any area, I ceffly that use of such fill Will not adversely affect adjacent
properties. If use of IIII 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 commandrig;construction. I understand that a separate permit maybe 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 proceedWfth the work and nett as authority to violate,cancel,biter,or
set aside any provisions of the technical codes,-nor shall Issuance of a permit prevent the Building Official from thereafter
requiring ai correction of errors In plans,construction or violations of any'Oodes. 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 lO&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 NOT!Ct�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 -CONTRACTOR,
Subscribed and mom to(or affirmed)before me fts a bed an -(or affirrned)be4ie me this
by 1 0, Z-
Who islare personally known to me or haWhave produced W-VW tw�nW6to'msorhasfhavoProduced
Ideracallon. es Identification.
Notary Public Notary P ublic
Commission No. mmission No_;�r- -J
SyL%AA,CAMFbt1piorida
-L
Name of Notary typed.printed or stamped Name of NoWjy typed,ptf
Commission#GG1l293
My Comm.E)(plljs jul 19,20
�OughNAIDM140t"YAM
liondedthl '131111
TV me .17(—_ : A
Service OrderProposal/
PROP; NENAS InvokeAND CC. D-5013
9GI84 JUN
WORK ORDER#/SERVICEMAN
DATE/TIME TAIKEN
04/0 8/19 0 7.
3541 TAKEN BY DB L713
DATE/TIME PROMISED
CUSTOMER*/t OCATION 19338
813-782-0123
PHONE#
P H 0 N Er-2# 813-469-5516
PHONE3# 440-2224-1464 IN
4
ROUTE'/SEO, JUN-CURRENT
MAP 5YR LBR WAR #34-511609
(813)782-5013 (352)567-7678
SM-ITH, ROBERT SMITH, ROBERT (BOB)
37519 NEUKOM AVE 37519 NEUKOM AVE
GRAND HORIZONS
ZEPHYRHILI-S FL. 33542 ZEPHYRj_jTjj_E:)
FI-33542
5T ANANA 14SR HP, *ID:8/01/09*
f)',rA +D' GPH1460HA.IAA, 0907099111.9
8KW: HKR-08A5 0900808915
i�CANL.& cc Vj 5YR LBR WAR EXP '7/29/14
AC NOT COOL-ING
i-. Vic
10 �J fo
Ljo A
P wj
fin
Pressures Lq---H]_T-Stat
7-C_
FILTERS x x Changed Monthly
lnnit +
FILTERS x x Changed Monthly
Ll REGULAR 0 WARRANTY
When here When Away T-Stat P20.,'.
W C3 MAINTENANCE CONTRACT
SERVICE
LIMITED WARRANTY:All materials,parts and equipment are warranted by the manufacturers CALL
or suppliers'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, EICASH El CK# TOTAL
MATERIALS
express or implied,and its agents or technicians are not authorized to make any such warranties on
behalf of above named company. U DEBIT C3 CREDIT LIOTHER MAINTENANCE
• I have authority to order the work outlined above which has been Satisfactorily completed.I agree that Seller PROG. IN/ C
=n title to Oulpmentfirraterials furnished unfit final pa!7 is mda.1.,.g1.P,,ymen,is not made as agreed, CLAIM
It ,tIAo, so.
r can remove said equipmentimatorals at Seller's expense. -9 from said removal shall
not beltha responsibility of Seller.NET 30 DAYS. 1ND2%_S ADDED MONTHLY To DATE COMPLETED /-r)ALL UNPAID 13ALANCES OVEP,�AYS.No R FU S fhVICE CHARGE WILL BE
TECH: TAX
CUSTOMER$ICsNATURE DATE TOTAL
ZEPHYRHILLS FIRE DEPARTMENT
38410 Pith Ave Zephyrhills, FL 33542
FIRE SERVICE USER FEES increase 1/1/2018
Occupancy No.:
Plan No.:— Contractor:
Business Name: J 0-mze- L-Oell-` Billing Address:
Business Address: O'd
Business Phone No.: -152--7-
e3- Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
Annual-
Education,healthcare,De
tention&Correctional Public
Assembly,Business, schools,
7 Storage,Mercantile and Churches
Site Plan N/C Industrial. no charge Sprinkler $50
Multi-Famlly/Commercial .03 sf - up to 800 sq ft $ 24.00 Standpipes $50
(Minimum Charge$24.00 801-1,500 sq ft $ 34.52 Fire Pump $50
Plan Revisions DBL 1,501-2,500 sq ft $ 60.02 Hoods $50
2,501-3,500 sq ft $ 90.02 Fire Alarm $50
SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $5D
0-25 Heads $50 5,501-7,500 sq ft $ .187.52 Natural Gas
.26plu&Heads $100 7,501-10,000 sq ft $ 262.52 Fuel Tanks- per tank $50
STANDPIPE,SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100
Per Riser $50 15,001-20,000 sq ft $ 525.02 Fire Works $500
FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation' $25
Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Bum(15# $100
FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Duct $50
0-25 Devices $50 60,001-80,000 sq ft $ 2,100.02 Place of Assembly $50 Annual
80,001-($2,100.02)per
26 plus Devices $100 ea add 1.000sq ft $ 0.06 Fire Protection $25
SUPPRESSION SYSTEMS (Business closed until Flammable Application $50 Annual
Wet $50 —violations corrected) Waste Tire Storage $50 Annual
Dry $50 SPRINKLER SYSTEMS Generator<KW $100
CO2 $50 Hydro Undergrounds $45 Generator>30 KW $100
Other $50 Hydrostatic Test $65 per system Blo-Hazard Waste $100 Annual
KITCHEN EXHAUST H*Acceptance Test $45 per system Fumigation Tenting $50
Hood/Ducts $50 Hydrant Flow $75 Torch PottApplled $50
OTHER Haz.Materials $50 Annual
LP Installation per tank $5 FIRE ALARM SYSTEM
Fuel Tank Installation $50- System Acceptance $50
(Per Tank) $50 Recall Acceptance $50
Natural Gas Installation' $50 OTHER
(Per System) . Fire Wall/Smoke Wall perwall
Spray Booth $50 LID
0 Gas per tank
LP
Gas per system
Tent I 0'x1 0'or greater $15 per tent
Fire Pump $45
Fire Suppression $30
System Acceptance
Exhaust HoodlDuct $30
Re-inspection DBL
(other than annual)
Inspection scheduled DBL
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle Acce $50
PLANS TOTAL INSPECTION TOTAL 1 F2:y 5Q PERMIT TOTAL2576F]
GRAND TOTAL
Comments:
Date: Inspector:
see back
nth
FALSE ALARM FEE
1st Alarm N/C
2nd Alarm N/C
3rd Alarm -N/C
4th Alarm $100
5th Alarm $150
6th Alarm $200
NON COMPLIANCE $150
Cont.'Annual Inspection Fires
$-11 Units price per unit $ 5.36
12-25 Units price per unit $ 4.82
26-50 Units price per unit $ 4.29
51-100 Units price per unit $ 3.15"
100 or more Units price per unit $ 2.68
Fire Safety re-inspection'types,
First Re-inspectioi N/C
Second re-inspect $75
Third re-inspectior $' '125.00
Inspectionscheduled but cancelled.-24-hrs' $ 50.00
i
i
TOTAL
AM