HomeMy WebLinkAbout19-21142 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21142
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21142 Address: 39128 OLD MILL LANE
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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0370
Improv. Cost: 5,590.00 OWNER INFORMATION.
Date Issued: 4/22/2019 Name: HAMILTON MARK ERIC & DIANA LEIGH
Total Fees: 70.00 Address: 39128 OLD MILL LM
Amount Paid: 70.00 ZEPHYRILLS FL 33542-8200
Date Paid: 4/22/2019 Phone: 813715-4707
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
Ins ections Required
DUCTS INSTALLED
DUCTS INSULATE
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 TRACTO SI RE PERMIT OFFI69R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
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NOTICE OF DEED RESTRICTIONS:'The undersigned understands that this pemttt may be subject to°deed"restrictions"
which may be More?restrictive than County'reguiations. 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 toaat regulations. .if the
contractor is not licensed,as required by.law,both the owner and contractor may be cited fora 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 lnepection'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 Inipact 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 undersignedelso understands,that such fees,as may be due,will,be identified at the time of
permitting. it is further understood that.Transportatiori 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'somsoae
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'SIOWNEWS AFFIDAVIT: 1 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
commented 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 Ind ude but are not limited to:
- Department of Environmental Protection Cypress Sayheads,Weiland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment
- Southwest Florida Water Management District-Wells,, Cypress Bayheads, Wettand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Dodos,Navigable Waterways.
- Department of Health A Rehabilitative Servioes/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks..
- US Environmental Protection Agency-Asbestos abatement
Federal Aviation Authortty-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 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 fiii'material is to be used in Flood Zone"/i in-connection with a permitted building using stem wail
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, 1 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;pemtit Issued under the attached permit application,for lots less than one(1)
acre which,are elevated by fill,an engineered drainage piamis 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 aftidavit•prior to commending 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,after,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 ATTORN BEFORE RECORDING Y N TICS OF COMM N EMENT.
FLORkDA JURAT(F.S.117.03)
OWNER OR At3EN7 COgTRACTO
subscribed and sworn to(or affirmed)before me this S trscxitied d m ar aftirme ) rem is
by
Who isfare personally known to me or hasthave produced Who Word- luto 'me or haslhave produced-
as,Identifrcation. as idendficallon.
Notary Public t t Notary Public.
Commission No. salon No.
S'tLUtA A.CAMPBELL
Name of Notary typed,printed or stamped .Name of Notary typed, i,,,, Notary Pu iC- e
Commission ii GG 112939
+ t e
Comm. pires Jul 19,2021
BondedihroughNationaiNotarymsn.
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PROPANE GAS y �J ! 7� , �y
AMID A/C ANC. i
Service Order/Proposal
5 � 1988 Invoice
_
813-782-5013
Sales, Service & Installations WORK ORnERO/SE:RVICEMAN S091419 JUN
4441 Allen Rd. • Zephyrhills, FL 33541 DATE/T I r,'E r-gKEN 09/19/18 09 o 16
TAKEN BY i'.. B. I?"IE
NOTES: DATE/TINE PROMISED
CUSTOME::R#%I..OG('IT i otq 35073
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39128 OLD MILL LN 39 128 OLD MILL L;'*,x
t G:ClhfYRHILLS FL 33542 ZEF'r-','YRۥ(It_LS FL33542
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rREF.IGERA(dl: ^°,x `saaLSS .. r,' t,r$:pe7ltis ti `" y
m 'yt''J _sz.r•4.a s Ffi ',^ .,t..�'-7ti't✓f I
FILTERS x x Changed Monthly I I
? FILTERS x x Changed Monthly t t
❑ REGULAR ❑WARRANTY T67 AI`SLt AMAr�fi
_,.,.;:-:. �waa..::. -
I) humidPsta S ttCriys: When here Ct V When Away r[° T-Stat 80-. ❑ MAINTENANCE CONTRACT SERVICE
LIMITED WARRANTY. All materials, arts and equipment are warranted b the manufacturers' '` '"` `` ::y '"�0 4`Y'" °''`' 'i r° CALL I
P e4 P Y CtilE3 HC?:Ql=yP .. N+Tr
or suppliers'written warranty only.All labor performed by the above named company is warranted for ��'°r'' '�� `
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑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 have authority to order the work outlined above which has been sadsfactoNy completed.I agree that Seller '
PROG. W rr C i
rate[-this to equipment/materials furnished until final payment is made.If payment is not made as agreed, CLAIM#
seller can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED '5/ .
` TECH: f �/f TAX
CUSTOMER SIGNATURE DATE ✓� ✓o'G TOTA �"-
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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
f / '
Owner: �/'r1/ 1�a� �'J7A�,� f �i 19N1-9
Permit#: /l �-
Site Address: 9)o?S
Contractor: C��111!!�
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.
r
Name of License Holder(print or type) Signature of License Holder
CITY OF " NOTICE / / BUILDING
ZEPHYRHIL:LS DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT - OVE
ADDRESS ATE PERMIT,f,
�30 l2e OLD gt4r� Z_r PLP
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE-MADE-CALL__
cover or cause to be covered,any part of the work with flooring,lath,earth 780_0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve /�
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI.
INSPECTOR