HomeMy WebLinkAbout19-21181 CITY OF ZEPHYRHILLS i
5335-8TH STREET I
(813)780-0020 21 81
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21181 Address: 37512 NEUKOM AVE LOT 29
Permit Type: MECHANICAL ZEPHYRHILLS, FL. ,
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s):29 & 30 Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0290
Improv. Cost: 4,744.00 -,,OWNER INFORMATION
Date Issued: 5/02/2019 Name: LINDER, MARA
Total Fees: 65.00 Address: 37512 NEUKOM AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542
Date Paid: 5/02/2019 Phone: (813)782-5013
Work Desc: A/C CHANGEOUT 4 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
Ins ections Re uired:
DUCTS N TA LED
DUCTS INSI T
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.
r r
CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7W4M City of Ze0hoills P innit Application Fax-813 7sauo2l'
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VALUATION!OFTf)TAL CONSTRUCTION"'
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btECFlANICAL S VALUATION OF MECHANICAL INSTALLATION .-
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FINISHED FLOOR ELEVATIONS , :,FLOOD ZOPIE AREA C3M NO
FRlILDER SKMIURE —_- COMPANY NELUI�tET Y! ��
ELECTRICIAN ^' ;..: COMPANY.
SIGNATURE .REMSTERM I Y!N FEE Cutate.',. YLN s
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MEcliali al`` COMPANY
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SIGNATURE, iiEoisr i�Eo.•. t FEecu; n�Y`!N�
,Address �- ,t.fCer}se
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RESIDERnA4 Attxli(2)Plot Plans,(2)sets d, Pia ;(1)set Enaryy Forms;R(J W Pennfit_iq'new ciQti .
ljhl"ssnnm ten{10}yigkirr{I days aftm'subtnitlai date:Required ati*ata.'C�nslnidiote.Plans,Shmowater Ptatrs wt Stit Persia instefled;;
aw"wy Feamm a 1 dunp ,,S&Waft Pam*few siiidivj ppjircts
OOMMU RC L Auaoh'(2)compleWsds otBuBdba Plans On a Lifs SdeW Pape:(1)set a(E[i w Forms.R-O-W Pamit for r-%y o-nstnrct!—..
Nlsutium ten:(1�),!sgtiaill days.aAw afbmi date Reqtruad arPite C� tsl Puns smrtnwa FRans_w/'Sut Fonoe+rriited,.
Sarltasjr F 6.1 dus ar !Node Pairri!C;i k't iv Oidds.AU wffi ial rierRiU�ards`must inset coinjrGar e
SiOM PERMIT /1llaCF1"(2)6Bl6.Qf E11I�CtOd 1?Ia1�C,;;>,.i -
""PROPiYSIVEY tequiied laaN.NEW f.
QiraWotfs:
R1 out application aompAately.
Ownei6'Corlbactoi-sigfba*,d_aWG l,, .- - '-
a ovfrr i?tf00,a tlotke of is fe**4fi (AIC,tggrades aver i75(10)
"- Ag�d"(far ttte oonbaf'10f}Of Paner•of AC�rey{fortbe�f)ritlutd be SOtneOne!wdtt nelartmd(�ftOm oxmet'antiswizing same .
OVER THE.(SOUMI'ER PERIIPnwa,_",__(cOpypfjwb3d nwhw)-
Rerobfstfshmples Sews' ' Seniicaa'UpyradeswcC :`Fences'(PiotlSo+veY/Faofsge)
'W~Ws-Not ove Courtbfr if on ptibrm wedways..needs ROW
NOTICE OF DEED RESTRICTIONS:,The:undersigned understands that this permit May subject to"deed"restrictions"
which may be more restrictive than Countyregulations.:The undersigned_assumes responsibility for cx}nipt ance with any ,
applicable.deed.restrictions.<-
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITtESi- If the owner'irai hired a contactor or +
coritiactors_to undertake work;'they may be required to be licensed in accordance with state.and.-local al 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-applyfor'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;6"d"a contractor or-contractors, he-is advised.to have the oontrdctor'(s) sign
portions of the"contractor Block"of this applicatlon-tcr which'th'ey
will-be-responsibie:-If-you,as the owner sign as the
contractor,that,may be an indication that he is not properly licensed and Is not entitled to permitting--.privileges.ln Pasco
County: . _ .... _...
TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands. ,
that Transpoitation impact Faea'arid-Recourse-Recovery Fees may apply to the construction:ofnew buildings,change of
use In exissting buildings,or expansion of existing buildings,.as sPecified,in Pasco County Ordinance number 89-07 and
90-07;'as`amended:•,Ttie'iiniiersigned afso'understands,that su-oh,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 pa prior to, .
receiving a"c ertlficate of occupancy"'br'flnai power release If the praject'does ripCinvotve a certificate of occupancy Or'` ''
final power release,the fees must-be paid prior to permit4ssuance. Furthermore.if'Pasco County WaterlSewer Impact.
fees`are;d '_ue,thaymust be,paid prior to.pennit Issuance in,acordance with applicable'Pasco County ardinanbes `°=" ''
CONSTRUCTION LIEN.LAW.(Chapter-T13,Florlda Statutes,as arnendeef):,.If valuation of work is$2,500.0&oc more;is:s
certily thaf 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 Agricu)tuM and Consurner Affairs. !f fire appiicant•is someone., .
other than the"owner'",I;certify.that-1 have obtained a copy of the above described document and-promise In good faith to
deliver it to the"owner"prior to commencernent r
CONTRACTOWSJOWNER'S-AFFIDAVIT:- l carthy.that-allithe information in this application is-aacurate and'that_ali.work
will be done in compliance with all applicable laws regulating,-construction,zoning and land-development Appiit:ation is
hereby made to obtain a permit to do woik`and installation as'indicated. I e ' that no work or installation has
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commenced Ddorto Issuance.of a.perrrit and that all work will,be:pnformed-to meet standards of all laws,regulating
construction, County and City bodes,ioning1regulations, and-land development regulations In the jurisdiction: I=also
ce ' that I understand that the rtlty regulations of other goverment agencies may,apply to the intended work,and that it is
my responsibility to identify what actions I must take to c be in compliance. Such agencies indude'but are not-limlted,to: ,
- Department of Environmental Protection-Cypress Bayheads,Wetland Areas.and Environmentally Sensitive
Lands,WateriWastewaterTreatment _
- 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/Environmenfal Health Unit-Wells, Wastewater-.Treatment;:':
Septic Tanks.,
_0 Enviroriime66 Protection Ago -f-!L�bastos'aba#einenf: _ -
Federal Aviation Authority-Runways.
i understand that the€ollcwing restrictions apply to the use'of fill:
- Use o€-fill'.is,not allowed in Flood'Zone"V"unless;expressiy permitted,,
If the fill material is to.-be.used in Flood Zone A", it is understood that a drainage plan addressing a
"coinperisating vbtuine:wiil.be_submkted,at bhie-of permifting-.which-is,prepared by a,professional engineer
licensed by the State of Florida.
"`if,the fill'materialJs to be-used,In,Flood'Zone,A",in connection with a permitted building using stem wail
coastsiictiosi;I-certifyy that fill will'be'used only to filiahe.areamithin.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. tfivas 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 whlco are 1elevated-by fill,'an'engineered drainage plan is required.
if I,am the AGENT'FOR THE-OWNER;I promise in good faith to•infor"e owner'df-the permitting conditions set`forth in'
this_affidavit-prior.to,commencing-construction. f understand.tt►aL a separate,pemzit may be required.for-electrical,work,
Plumbing*,`signs,wells,pods,airconditioning,gas,or other installations"not-specfically included tn`-the application. A
permit-issued shall be,.construed--to be,a ficense,to-proceed,wittrthe work and notes authority to violate,cancei,;aiter,.ar_.,-
set aside any provisions of the•t&hnical codes;,nor shall issuance-of a permit,prevent the Building Official from thereafter:
requiring a cornection of errors in plans,construction or viol bons of any'codes:"Every permit issued:shali became invalid
unless_the work authorized by-such'permit is commenced within.six months of-permit.issuance;,or if work,Authorlzed.by
the permit is suspended or abandoned fora perlod of six(8)months after the time the Work is'ddrhmenced.'°An extension
maybe requested,-in,wridng;from the Building-Official for a'peirttad not to exceed ninety(90)days and wiii'demonstrate
justifiable.cause for the extension. If work-ceases for ninety(90)consecutive,days,the-lob is considered abandoned: '�
WARNING,T0 OWNER:.,YOUR FAILURE TO RECORD A NOTICE-:OF COMMENCEMENT-:MAY RESULT IN YOUR
PAYING TWICE FOR•IMOROVVEMENTS TO YOUR PROPERTY:-IF YOU INTEND;TO'OBTAIN FINANCING,`CONSULT-
WITH•YOUR.LENDER OFt AN ATTORNEY BEFORE-RECORDING YOUR NOTICE OFCOMMENCEMENT.
FLORIDA JURAT(F.S.117.03) 1
OWNER OR AGENT CONTRACTO
Subscribed acid swan to(of before me this Subscribed d, rim 1 (or affirmed) afo a this
by. �- L' /3Z44 e"",
Who isyare personalty known to me or hawhave produced Who isle. .., rsonslly renown to a of has/have produced'
as identification. as idantilledden. '
Notary Public ry/ fie,'`-�` ;. -Notary,P_ublic
Commission No. fission No. .
Name of Notary typed,Printed or stamped Name of Notary typed,pri or
t'dry pi SYLVIA A.CAMi'HELL' ' '
:" Notary Public-5tateot Eiorida
1 .• CommissicnflGG n2939
it Mytomm,Eapiresltdi9,202i
Banded through NationalNelinyAvL -
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PROPANF- GAS ) Service Order/Provosal
AND A/C INC. j - Invoice
_ _ _
2-5013
` WORK ORDER#/SERV` CEMAN 96935 JUL
����eG. ��8rViC8 �� \Ost8\l8ƒiOOs 0 DATE/TIME TAKEN - 04/29/ 19 12:57
V 4441 TAKEN BY K I M 03
NOT ' DATE/TlME PROMISED 04/30/19 08:00
EG�
' ` CUSTOMER#/LOC--
�ATION 19449
Pon
PH8NE# 813-783-1708 H
PHONE2# 336-602-3074 C
ROUTE/SEQ JUL2NX25X1
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' C/IEMICKE, JOE � ' DIEMfCKE, JOE
37512 NEUKOM AVE / 37512 NEUKOM AVE ,6je4)
� - BRAND HORIZON
'
ZEPHYRHILLS FL 33541 ZEPHYRHILLS FL33541 -
PCA48CO2E, 0407668085
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� ESTIMATE ...`^�"~. La V-I U(4
IT
RECOMMENDATIONS
Pressures Lo HI T
FILTERS A x Changed Monthly
FILTERS x x Changed Monthly
REGULAR 0 WARRANTY .-:'.-TOT�L�SUMMARY-
lstat'Settings:,%When herd"ON", When Away 60%;
MAINTENANCE CONTRACT
SERVICE
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' CALL
METHOD'&PAYMENT-':
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, CICASH C)CK,# TOTAL
express or implied,and its agents or technicians are not authorized to make any such warranties on - MATERIALS
behalf of above named company. Q DEBIT Q CREDIT Q OTHER_ MAINTENANCE
I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller PROG. W / C
retains title to equipment/materials furnished until final payment is made.It payment is not made as agreed, CLAIM#
seller can remove said equipment/materials,at Seller's expense.Any damage resulfing from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO 5
ALL UNPAID BALANCES OVER 30 DAYS,NO REFUNDS DATE COMPLETED
TECH: TAX
(CUSTOMER NATURE DATE TOTAL
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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: C M e
Permit#:
Site Address: 7.J
Contractor:
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 , {
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Name of License Holdert,(print or type) Signature of License Holder'
?, Ala ,•C�-: