HomeMy WebLinkAbout19-21208 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21208 Address: 38319 EUCALYPTUS 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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0240-00000-0160
Improv. Cost: 5,245.00 OWNER INFORMATION
Date Issued: 5/14/2019 Name: BERNOSKY, ROSE & GERALD
Total Fees: 70.00 Address: 38319 EUCALYPTUS DR
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/14/2019 Phone: (813)715-6215
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
/I
i
Ins ections Required
DUCTS INSTALLED
DUCTSINSULATED
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.
ONTRAC O SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
81378o-062o City of Zephyrhills Permit Application Fax&i3 780-0OZt
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l SiDEN17A1:' Altaph.t2)Plot OMM'(2)sets d.BiSJdiry Pteris:(t)seYd Energy Fo�rra;:R OaAI Fenrut foi riew construchion. '''
Minimum t aii`(i0)woridnH days sd 'suMriGal'date:=Requbed crrsite;°Cb�PiawStw�Finns wl silt Fence msta
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s—ftwy FaoLHae S dun BUD S6 watt Pmmik for sr�rpe prp)pcts
rAI. Atmd:,{2)acrr Ott sots,d BvldriQ Plnrs PIM a L98 SOW Page:(1)set of EnOW Foff=:ROAN Pwn*fa:now ao on.
, "'ra�!ri.��e�;(�9)!tiaion�I amysaR!!suemtttr'asts.Reauir+ed«gym.cr,c�on PfaRs.swmnrmel`'r�ans w�sai Fero ins��ea,. :,
Senitay Feplties 3-t Wadi Pemdt fore8 new picjee .Aii riot regtrrtunents'Mud meet compliance
SON PEiiMil Attech(2} t6 of 6gfireerad
'^!'PROPERLY
Dinctlons: .
Fill bu#Mocation c-Mlete—
Ownerd Car*a&msi
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ovwS25W,s,Mallarorcaeemu R'ls
nglirsd, '(AIC ipprades ova'S7500)
eyw"�lM YM�ww.uOYW1)�(rM11J1 Y!Aft.W 1.y.-Y!O [) RNICt YEA{( aT anli]QllLing Same.::.n i�5ei4�..;>' .
OVERTI�COiArIERPERMll1TAIG. {ooDYdcon>Fadlaqua8d):. . ......:. .
Reroofs dslwrgles':•' Sewers_`'. '';Services U'pgadQs'-A/C�-• ��Fances'i?1WStayeylFootapef _. _ - .._ '•:?..:�:
flTtvsways t�bt av�Cauitei if at pub&a raavnys:rieed,ROW
~ NOTICE OF.DEED RESTRICTIONS: The undersigned understands that.this permit maybe.subject to"deed"restrictions!
.:
which may be more restrictive than County'regulations..The undersigned assumes responsibility for compifance:y",.any.,_.,
appiicabie.deedrestrictions.•r. ,.. ::..•..;.:.:.: . ,._:,...._.
UNLICENSED CONTRACTORS AND CONTRACTOR RF.SFONStt3iLITlES:. If the owner has hired a contiactor or '
eoniractorliAo undertakemork;.they'may be iequired'to be-iidensed-in accordance with-state.•and'•local-*orations;t'If the'
_ _
contractor is not licensed as required,by,law,both the owner and contractor may be cited-fora misdemeanor violation
under:statwlaw::_:if.the:owner_or Intended contractor are uitcertain-:as_to what licensing requiramants.maY aPFiy far the '`
intended work,they are advised to contact the Pasco County Building Inspection'Division—Licensing Section at 7274147-
8W9. Furthermore;if the owner hasfiired`a contractor or--contractors, he-is advised to:have the 6ontra6tor(s)'sigh
portions of the"contractor BloX of this application for which they witl-be•responsible;-If-you,as the owner sign as the
contractor,that.may_be an indication that he is not property 1lcensed and is not entitled to permitting pritrileges in Rasta. ..,,
County:
TRANSPORTATION:IMPACT/UTILITIES IMPACT AND RESOURCE RECQ.VERY FEES: The undersigned understands;.,
_. . ..
that Transportation•impact Fees and•Recocirse Recovery.Fees may apply to'the donstruction.of.new'buildings,change of
use,in existing buildings,or,expansion of existing buildings,as.specified,to Pasco County Ordinance number 89-07 and. ;
90-07;as amended:=..This Undersigned:also:undersMnds;'that sticti fees,as�may'be"due,"will•be'Identiied at the°time of"F
permitting.,•It is further understood that Transportation-Impact Fees.and Resource-.Recovery.Fees must be paid prior to. _
receiving a"certificate of occupancy"orfinal'power release. if the project'does not;invoive a certificate of occiipancy-or'-
final power-release;the-fees must-be paid pdorto permit.lssuatice.,•Furthermore,k Prim County Water/Sewer Impact.
fees are,due;:they-must be paid-prior to,permit issUance,,in accordance with,applicabie Pasco County ordinances:
CONSTRUCTION-LIEWLAW(Chapter.718.Florida Statutes,as arheniled):;•If valuation of iii irl is$2,500.00 or more.11
titji r>-
cer that-i,- e a thpplicant;`have-b`een'provided-with"'a':copy of the'"Florida°Construction Lien Law•=iiomeownees
Protection.Guide'prepared-by._tite:Florida-Depa_tment of Agriculture,and Consumer_Affairs. if_the'applicant•is someone.,
other than the"owner",1 tcertify that'l have obtained a copy-of the above described document anal prorriise in good faith to
deliver it to the"owner"prior to commencement-,, ,
CONTRACTOR'S/OWNEWS AFFIDA*fi-1:certify.that-ali,the'information in.this application isacciirate and;that.ali<work,.. ;
will be done in compliance with all applicable.laws regulating,construction,zoning and larid'developmant Application is
hereby made to obtain a permit to do work and instaliation`as indicated.'.i.certify that no work or Installation has
commenced prier to issuance,of a permit and all work will.be_performed-to meet standards of all laws regulating
construction, County and City`codes,zoning regulations, and-land development regulations inthe Jurisdiction: halso
certify that t understand that the regulations of other government agencies may.appiyto#Me intended work,and that it is
my responsibility to identify what actions i must take to be in compliance. Such agencies inciude'but are not IIMited•to::
- Department of Environmental Protection-Cypress Sayheads,Wetland-Areas and Environmentally Sensitive
Lands,Water/Wastewater-Treatment
Southwest Florida Water Management-D.Istrict Wells, Cypress, Sayheads,.,Wetland Areas, i0.ltering
Watercourses.
Army Corps of Engineers-Seawalls,Docks:Navigable Waterways.
Department of Health & Rehabilitative Services/F-ivironinenfal )ie_it h Unit Wells, Wastewater:Treatment;
P
Se tic Tanks..
-US Environmental.P._'rotectlon AgencjwAslestos`abatemant:
Federal AvMon.Authority-Runways.
l understand that the fottowing;restrictions apply__to the�usa;of fill:
Use of.fillas:not allowed in Floodzone'nr unless eicptessly permitted-. :-
If the fill material is to be,used in Flood Zone "A", it is understood that a driatnage plan addressing a .
"coritodrftNtig'voluinif wii,.be.submitted„at time-of permitting:which,is.prepared:,bY.a.professional enginear
licensed by the State of Florida.
- if`tha fill"material<ls to-be-used in,Flood,Zone'A".in connection with a permitted building using stem wall—
constructlon,-I certify that fill wili'be'used only to fiit:the.area;within the,stem•wall -
If,fil1 material Is to'be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. tf use of fill=is found to adversely atfeat adjacent{iroperties,: a 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,cirri the AGENT°FOR-THE•OWNER;1 promise in.good faith te•In brm the owMer:of the permittng conditions set`foitii in
this-affidavit prior.to.commencing construction. 1 understand that a•sep?!NW.permit•may be required for electrical.work,
plumbing, signs, wells;`pools,air conditioning,gas;or.other installations�not-specificallyinciudedin=the-application. A
perrnit.issued shall be.consfruedto be a licanse to proceed.wlt .the work and-not as authority to violate,cancel,;alter,,or•,.,
sat aside any provisions of ttie'tecitnical codes,,,nor shall issuance of a petmtt prevent,the Building Official from thereafter.; -
requiring acorrection of errors in plans,construction or violations of any codes.- permit fssued.shaII:become inVaiid
unless_the.work authorized bysuch'Fermit is commenced wtthin.six,months of.permit:issuance,or,if_work authorized,by
the permit is suspended or abandoned for a period of;six(6)months after tfiet3me`ttie'work is rommdhced.-An extension
maybe requested,,in•wrtdng,,from,the.Building-Official fora period not to exceed ninety(90)days and will;demonstrate,,..
justifiable,cause-for the-exteoslort: If work-ceases for ninety(90}.66nseic utiye days;the job is considered abandoned:-:-,.
WARNING,TO..'OWNER::YOUR FAILURE TO RECORD'A,NOTICE:OPCOMMENCEMENT-MAY-RESULT IN YOUR
PAYING TWICE FOR;IMPROVEMENTs,TO.YOUR PROPERTY:_IF:You INTEND,_TO OBTAIN FINANCING;CONSULT
WfTN,YOUR.LENDE RAN ATTOR EY.BEFORE-RECORDiNG YOUR NOTICE OF COW EN
F1 ORIOAJURAT(F.S.1 n
OWNERORAGENT y�W�'' cglh[ ACTO
Sub cubed ndtix' rialfirrried}tieioramath s bait hd'3=260'{oraffinn
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who islamigirsorally Ina n to me or hasihave produced Who islare y Imo me or hasJhave produced-'
A i _as Identification. " " '','r` as idantficadon. ...
Notary Public `.K�` <`'..'�"::. � Notary Public
.•,4mmission No. Iasion No.
A.CAMPBELL SYLVIA A.CAMPBELL
�.
Na of j=WnpT%%?p np+�t6te o oil Name of Notary typed tied. otary a tG- Mateo For a
2 Commissionii GG 1111Z021 ' Commission GG 112939 My Comm.Expires Jul 19, Q, M Comma Expires Jul 19,2021
�soreti�p' Bondedlhroughiiafiona"otaryAssn.
pFOF,�° Banded through National Notary Assn.
A W , PROPANk 6AS ! •
t if - =.Malntenance Invoice
`ANID A/C INC.
« cflitce 19M 813-782-80 ::'
y;... Sales, Service & installations.J .. `- i;ORV, ORDE O/SER ICE MN 961.52 111fil- '
.4441 Allen Rd. • ZephyrtiiNs, FL 33541 f,.l' ., Fl.tf]L. `ef;�tEN 04Z 05/i"' 1:..f-1
NOTES: Ds TE/i IMt PROMISED FF cl Iizir'J'a €is 0.o ..
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EUCALYPTUS36319 f8 ��19 ELF.. AL Yt T1 t._s DR
DRIFTWOOD
2"EfaH`rPti`f-1Ti_L.8 FL. 33542 ;7EP1- YRH1L_L.a E'i_:1'13`-a42
MAINTENANCE I si ff:tda4�, - REC? tTS N S C;K 1, t
°: t DESGRIPTIONpF NiQFtK,; : -• QTY - . MATERIALS&SERVICES;. .':' t7NIT`PRICE ,AMOUNT
as
�'o✓.
_ -
n t t ( 1 f
Pressures. La HI Evap:pol "O Cleaned Cond.Co' 0 Cleaned
Amps Cond.Fan Blwr Camp Heat Strip
Capaeltors Cond.Fan Blwr Comp
Drain Parr Plimary/Cond€bon ❑Cleaned Secondary/Condition_0 Cleaned Ir I
TSfat :".;. Type Be1f type
,RECQMMENDATION$':;>.;
:. - „ ,,,`.: '. _. .'`:� -.rh:-r�Y;l�:���s;",;,;r;;:.s,,'.:r:'-;c4�.:�.�.;:''i••,,s.�:ru;.�;:'�:."-.}�:•� F �I I
:, ual.Meinfenance Recomrrrer decl"hyAll_Equipriieiri Man rfacfirreis. : — t dZ� t�U I,
t.; �r l l.j C
.r<. c.r• .. ..- _ REFRiGERANTd. ,.: :...., ....... '...�
1 I
FILTERS x x Changed Monthly I
FILTERS x x Changed Monthly I 1
0 REGULAR 0 WARRANTY r:'I`OTAt'St1MMARY
De#ittmidistafSettings: When here.°ON"",;WhenAway'.BO° ;"T-Stat6t C1 MAINTENANCE CONTRACT MAINTENANCE
LIMITED WARRANTY: All materials, arts and equipment are warranted b"the manufacturers' PRICE I
Py METHOD::OF`PAYAtMENT,. ;
or suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL
30 days or as otherwise indicated in writing.The above named company,makes no other warranties, 0 CASH 0 CK# 1
express or implied,and its agents or technicians are not authorized to'make any such warranties on MATERIALS
behalf of above named company. - 0 DEBIT 0 CREDIT ❑OTHER MAINTENANCE I
I have authority to order the work outlined above which has been satisfactorily completed.I agree-that Seller PROG. W/ C
E '
retains title to equipmenVmaterials 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 respo AiliV(y of Seller.NET,30 DAYS.A t t 2°5 SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID 6A�A 6S OVER 30 DAYS.NO REKFID)S DATE COMPLETED 'Iso Lev,0'0 rl
v 1
r. TECH: �L L TAX
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CUSTOM ER SIGNATURE f DATE gLLC/xz Jozc TOTAL rs�,
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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: &JeN6T /�`S05c G
Permit#:
Site Address:
Contractor:
t
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.
Name of License Holder(print or type) Signature of License Holder
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