HomeMy WebLinkAbout19-21279 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21279
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21279 Address: 37438 GILL AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s):191 Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0140-00000-1910
Improv. Cost: 5,691.00 - OWNER INFORMATION
Date Issued: 5/21/2019 Name: NEWLAND, GEORGE & MURIEL
Total Fees: 70.00 Address: 37438 GILL AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/21/2019 Phone:
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
C�
DUCTS INSTALLED Ins ectio uired -
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.
40IN4TRAC O SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s 4137804)020 City of Zephythiils Permit_Application.. Fax-813.78"021
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RESIDENTW. AtkaCh(2)Pbt Pt ;(2)sets oLBuildeig Plans:(1)set'ot F.neryp Forms:R O W Penivt t�
tllnimtun tEti(10}wotluig days attar s ,tlaln Req red ae ite,tbnslnulipty Pia siamster Plans w!Silk Fence ft Uied,,
s.rorry Fqe a 1 sikb WoMe aomeit.tor sil6divWo a projects
' N ' Ivmdt(2}oorripMte rsts.d 8t�ldrrg Penns Pies a t3fe Sah3Y. ➢e:L1?set of Enerpy Forms.R-0-W Permit Tar new won.,
Meunun tex�'(10)wo�laty-days'dMarsukrttal daa Req�drad ansite Car�an,Pl�ns .$tOflflWatal PW45 MY Siff Fence insfelled;--
Sarr[tay Faoifbs d f.drrnpstec Sit9 Watk Perrrut Sct aY n®w projeals.ASS cariirrterdat requlretiwais.inrrst itieat txr6pGanrs'• '." '
SWIM
"PROPEIZTYBURYEYrequoedtoraEt.NEWcatsn.' -
Dlreetlotes: .
F!I atu appkgon cmpletsiy
owner ai'Cm s r�c7c dappG ion"c end.. -._:.... ."
t!over sm,aNatice al ttt Mc iequk d..(AIC uppredes pvw.$7500)
"Agent{(ef tltB a�tracxor}or Fower.aFAttomel+{fafltM oy+ifar}.sieutd be Same0n8 Wdh troiet6sd I from ow�tar anthanarg same
`DYER[lIE:CQtArtMERPEJiYt77iNt:_.;_ .,.(copya[c¢Ttact.eequlred)--r_.,.,,.. -
Rerw?fsifstbrvs,, Senors'::,;,:..6erylraaUpgades AIC=>> Fer�es'(PletlSarveylFoofape) :. :,
Drtwways_w'aver counter if on P"A roadwrys..needs ROW .
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NOTiCE,OF.DEED RESTRICTIONS: The:undersigned understands that.this permit may bt?subject to"deed"restrictioss"
which may be more restrictive than Countyreguladons. The undersigned assumes responsibility for c6moliance with,any-,
applicablwifeed restrictions.:.-. LITI; r::.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIES:' If the owner has hired a contractor or '
contidetorsto undertake;work,Ahey may''be required tb be iicensedJn accordance-withstate;and local-regulations;11'the=`
contractor is not licensed as required bylaw, both the owner and contractor maybe cited for a misdemeanor violation
under,state-law. tf'the'ownar or intended contractor,are uncertain as to what licensing requirements may.apply forr e•=
intended work,they are advised to contact the.Pasco County Building inspection Division-Licensing Section-at 727-847-•
8069: Furthermore,-if the owner has-Hired'a contractor or contractors, he-is advised-to-have the'eontr'actdi(s) sign
portions of the"contractor Block of this application-for which they-will be responsibla. -if-you,as the owner sign as the
contractor,that maybe an,lndication that he Is not properly licensed and is not entitled to permitting poi leges.ln Pasco., ,
County:' .._..
TRANSPORTATION,IMPACTiUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands .
that Transportation lmpact-Fees'ana•Rec6urse;Reooxi6r.Fees may apply is the cdnstrucdon.of new!buiidings,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'urideisigned.also: it"'fees,sfees,as'may-ber 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"orfinal'power release. If the project�does not:•invoive a certificate of$ccupancy
final power release,-the fees must-.be paid prior.to permit:issuiii6o' Furthenr"lore,if Pasco County Water/Sewer impact
fees'are,due;.theymust be paid-prior to permit issuance in accordance with appiicable-Pasco County ordmancei='
.CONSTRUCTION-LIEN LAW(Chapter.713;Florida Statutes,as ari iendad):=If valuation of yyoik is$2,506.00:or mare„l,
certlfq that'-1: the applicaht;,have tieen provided^w[W'a' copy-of'the'"Florida Construction,Lien Law—Homeowner's .
Protection Guide"prepared.by.the-Florida Department 0 Agriculture and Consumer Affairs.-If ttie 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'.S/OWNER`S AFFIDAVR:1 certify.thahal[Fthe information in this application isacciirate and;that,alizworlc:- _
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 uiroik 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, Cduhty and City cotim'zaning`regulations, and-land development regulations in*,the jurisdiction: i also
certify that i understand that the to 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 Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewalter Treatment-
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 Servioss/Environmenthi Health Unit-Wills, Wastewater-,Treatment;:.
Septic Tanks.
-. .. ".US'Envirorirrientaf Protection Agency=Asbestos=abatement. `-
Federal Aviation Authority-Runways.
I understand that the following:restrictions•applyto the-use:offiil ;
Use of fill'is-not allowed in Fldod-Zane'nr unless expressly.permitted.
If the fill material iscoi sa .to be,used in Flood Zone "A, It is understood that a drainage plan addressing•a
" npehting'vblume"will.be..submitted at time-of permitting which.,,is-preparol,by a-Professiohal engineer
licensed by the State of Florida.
"If'the fill'materiaLls.to,be-used-in Flood,Zone.*,in.connection with a permitted building using stein wall ,
construction,1-certify that fill will be used only to fill.the area within the-stem wal►.1-1:-
-, -_- if,fill material is to!be used in any area, I certify that use of such fill will not adversely affect adjacent
properties: if use-,of fill,is found to,adversely affect"adj6cent-proper6es;:th e.ownermay.be:cited for violating
the conditions of the building.permit issued under the attached permit application,for lots less then one.(1)
acre which are elevated by fill,An engineered,drainage plan is required.
if Lam the AGENT FOR'TNE-OWNER;I promise in.good faith to-inform-the owned of•the permitting conditions set forth in
this,affidavit-prior to.commencing construction. f understand,that a separate-perrrtit may be required for etectricat,work,
plumbing,signs,v+rells, poo!§;air conditioning,gas;or othar installations-not'sparrficaIt inducted iri tfie application.: A
permit.issued shall.be-.construed_to be•a.iicer"to proceed:wilth=the work and not as authority to violate,cancei,:after,,or
set aside any provisions of th®technical codes;'nor shall issuance of a permit-prevent the Suiiding Official from thereatter --
requiring a correction of errors in plans,construction or violations'of any'codes:"Every permit lssued.shall become invalid
unless...-the-work-authorized by,such•Permit is commenced'.within.six.months.of.permit.issuance,Pr if work authorized.by
the permit is suspended or abandoned for a,peciod&:six(6)months aftertfie 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-tor the extension: 'If work ceases for ninety(90)consecutlye days;'the.-job is e,onsidered.abandoned.-
WARNING.;TO'OWNER:,`YOUR:FAIL :A LURE TO RECORD COMMENCEMENTMAY RESULT IN YOUR
PAYING TWICE FOR`iMPROVEMENTfs TO,YOUR PROPERTY,.IF'YOU'.INTENO:TO OBTAIN FINANCING;CONSULT
WITH YOUR,-ENDS R•AN ATTORNEYS EFORE-RECORDING R NOTICE OF COMMENCEMENT. "-'"
FLOPMA JURAT(F.S. 7.0
dWNF.R OR AGENT CON?RACTO
Subscribed and swore fo mi68}bgraro ' thia Su ' 'tied nit or affirm me i
_44 5 t _ Y 'dJd_J✓',
Who Israre orally Imo to me or turslhasre produced w are Haft tome or'lsaslhave pcodrioed '
as identification. as identification:
Notary Public ' NotaryP_ublic...
mmrssion No. tssion No. '
fig
Nam o o -Namaofdied
SYL%A A.CAMPBELL .r`_ otary u is=5tate of Flo l&
,�T�µY r„ i. . • Commission a GG 112939
� ' Notary Public-State of Florida My Comm.Expires 1uI 19,2021
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+ •= Commission t GG 112939 '. OF 4 Bonded Through National Notary Assn.
+,[UIIQI, �Ys My Comm,Expires Jul)9,2021
'unr0 Bonded through National Notary Assn.
'
AS Maintenance Invoice
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"�/�»� ,~,� -` �������v���»~�������
� WOW ORDER4- /SERVICEM.1211-11 9 G 074 APR
Sales, ��8R�C8 /� �OSt8�L�fO� `
'�u //o DATE/TIME TAKEN 04/03/19 10:28
4441 /Q| �1 ��� e hV[h|U FL 335 1 TAKEN BY K I M 03
DATE/TIMEPRQMI�E `.05� 1
NOTEG CUSTOMER#/L 1410�9
PHONE# 4 8L3-778-2734 C
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ROUTE/SEQ �_ »�4y APR
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NEWLAND, GEORGE NEWLAND~ GEORGE
37438 GILL AVE 37438 GILL AVE
"GRAND HORIZON'S"
ZEPHYRHILLS FL 33541 ZEPHYRHILLS : FL33541
4T AMANA PKG AC
PCA48CO2En 0302124198
10KW HEAT '
.
MAINTENANCE CHECK "
RIPTION OF W - AMOUNT
Vew
Amps- Cond.Fan 131wr Comp Heat Strip
Capacitors Cond,Fan Blwr Comp LA
tA
Drain Pan�j Primary/Condition_,;a Cleaned S condary/Condition Cleaned I.,,, Q-7 IV-Pg- L I
t-stat.' Type I Pei
lBel'Ty
RECOMMENDATIONS
Annual Maintenance Recommended by All Equipmeni"M6nufaciurers.
It
.Dehumidi:sIa't'Seftings: When here"ON",When Away 60%, T-Stat 80o Q MAINTENANCE CONTRACT
MAINTENANCE
LIMITED WARRANTY: Ail materials,parts and equipment are warranted by the manufactuFers -METHOD'OF,*PAYMENT. PRICE
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, CASH C)CK
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS
behalf of above named company. LJ DEBIT E)CREDIT U OTHER MAINTENANCE
I have authority to order the vork outlined above whichhas been satisfactorily completed.I agree that Seller FROG. W / C
retains title to equi pment/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
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATECOMPLETED S
-CUSTOMER SIGNATUR�4-- TOTAL
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I5: 6
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 0NSITE AND PICKED
aUP BY INSPECTOR
Owner: ��° C�1_ �Lnn
Permit#: 'c;-/ a-
Site Address: 3- �38 &N ke,
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.
er
vin eah
Name of License Holder(print or type) Signature of License Holder
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