HomeMy WebLinkAbout19-21280 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21280
BUILDING PERMIT
PERMIT INFORMATION-. - LOCATION INFORMATION
Permit Number: 21280 Address: 5745 YORKSHIRE 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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0820
Improv. Cost: 5,354.00 OWNER.INFORMATION
Date Issued: 5/21/2019 Name: CLONTZ, ROBERT
Total Fees: 70.00 Address: 5745 YORKSHIRE DR.
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/21/2019 Phone: 703-943-8172
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR(S) APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
G
;tins ections Re' uired
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.
CONTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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NOTICE.OF.DF�D RESTRICTIONS: Tfie undersigned undersfaocis that this pemut may be subjecttb"de6d'4eWcffonsr
which may be moire restrictive than Counly'regulations The undersigned assumes responsfliilrl}r for compitartoa;with_any ,:
applicabieliea -Testr�ts:;
UNUCENSEi)'CONTRACTORS AND.C.;ONTRAC3QR RESPONSiBit.iTIES: N the.otNrrer has htred`a contractor or
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contrac#ars xo.urntertaiCe Woek;..they tray be iequirieit#o be;ticense#I it,aixadance with,state•-and-localanegulatlons if the
contractor is:not ilcersed as required by law,:both the owner and contractor may be cifeiiWfor a misdemea`nor,violation
order s#ate;law::l ute:o+nrrser.of intended i +trsi "are uecertain_as#t;what licensing reguITrn6rits_:may_appty`f6i
intended work,they are advised to contact the.Pasco County Burtcling Inspection Division=l-loansmg Section atr727-847-
8009: Furtherrn6rw:if,-the owner t>as'turesi a.contractor ar•contractors,-he-is advised to-have the-,*traGb *t ;sign•
portions'ofthe'"contractor Blix:k of this appllc Ww,for whichr they uirli!be:r esponsible:-If--you,.as:the owner sign as the
contractor,;that,may b_..,_.,e a. n indication that he is not property licensed and is not entitled to permtting.,priv eAes.in Pasco
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IMMSPORTATION;IMPACtA)TILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersignedunderstands...,,;
that Transponatlon Impact Fees and Recoutss.Recovery Fear may apply'#u the constniction:.of.newbuvoings,i tange of
use in existing buBclings,Or expansion of existing buildings,as appalled Iri.Pasoo County Ordinance,ntunber 8ti-97 and "
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gD-07,'as amended.;:=The"un ieisigiied �undemtands,Itfist.MIi. fees,as`may1-be_due:_W be:Identified at the tirne'of"
permitting.,At is,furtiiar understood that Trai,nsporWon-impact Fees.and Resou",Reravery Fees;must ba past prior to. .
receiving a"Certificate.of-occupsnC�'br fine!power release 0 the protect does nokiiivdive a aertilicete of nr yr or
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final—power—release;the;fees must be paid pdtor.,to permit:issuaroa,_,Furthermore,`ff Pasco County Watiosswer impact.
fees swdue;,they,:must,be,pond-prior to hermit issuance in atxrordan v+ith tpplicable`l Courtly
CONSTRUCTION:UE[Y:LAW.(Chapter:.Z93,Ftaridai i taeiites,as arirendetl): if vatiiati6n of.woi c is$Z500.00-or marseI ;
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certdy:thatwl, the appfir�rtt, haVe..been pravldad-with"a'r-copy-of tho"Flatida Ctmstrttctian:l ten Law-Momeownees
Protection.Gulde"..prepared by the,Fforida,P@parlment cf Agiicuiture-and Consumer Affairs.,if ttie' PPlicsrt is someone.:n:c,
other than the"owner",1`+9*11hat1 have obtained a copy of itie-above described docxririeM'and prarrtise in good faith to
deliver it to the"owner'prior aommencerrisrrt :,:.x :•
CONTRACTOR'.SIOWNER'S;14FF7DAVR: tcartify:that art Nie information in.#his applii tior►.,ia;aci i►afiif_antl_;tiiat.all;work,
will be.done in compliance with a!f applicsbfe,taws,regutaiing,.consirursion;zoning and tnd'devetopmenL-Application is
hereby made to obtain a permit to do work and=:lrrstallattori as iridicafed.i.irtifyr tfrat;no,uvork or instaiiatior has.-
commenced prior,to issuance,of:a-,permit and that all word will:.be..performed Lth-meet s�aidaids Of.all tews;mgutating
construction,,66unty and:City codes,'zortltig regulations, anti rand'dsveicpmant reguistions iri the jurisdi thin I:also
certify that i understand that the regulations of ether govemrnent agenaes may apply lochs, rtterided work,and that it is
my responsibility to identify Co=MPliance. Such agencies include riot are nct_ffmitsd.tu:-
Department of Environmental Protection-Cypress Sayheads,Weti-and-Anaas;ancl Environmentally Sensitive
Lands,Water/Wastewater:Treatment: - .•,:>:, '. ;;,.°
Southwest Florida Water Managerfterit :District-Wells, Cypress ,Weads.'..Wetland As�eas, Ai
Watercourses.
Army Corps of Enoineem-SamAWls;-Docks,Na4tible'Waterways.;:.__
- Department of Health 8r Re i"lilltatfve ServfceiVEnvitbnmentai'kealth Unit Wells, Wastewater-Trw*nent;::
Septic Tanks. .
;.USErivlrorlinentei. rotection Agency-Asbestds%abateirrenl . '"
Federaf Aviation Auttrority-Runways.
l understand that the fbilowing,restrictionst eppiy_to-the us6 of fill..
rise of fiihis not atfowed In Hoed Z "v-unioss.expressly_Permitted:
If the Oii-materiaf:ls•to-:be.used in Flood Zone 'A°; it is understood that a drainage-plan addressing a
-"ebiirpensatino'.votume=,.wio'be.submftted.;at time of permit#tng-Alcft:.is.pretrared:bX:.e.prnf sfionai enbfirear
licensed by:the State of Florida: :
ff'the fits°material Is m,be used.in Flood Zone_:4'" n,connection with a permitted building using stertr}:wali:,}
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oonstnictiaii�f-aert►ry that fill vinll b;9 used attly to fiii'the.areswithin•ttr+ stem:wail:, _:::
- . if f l materiel is,to=be.used tify:in any area, I cer that use of such fill-wi8 riot adversely atiect adjacent
properties If use of fill is found th adversely atfbili adjacent-Properties;:the;owner:n y_be;dW far vlolatirig
the conditions of the building permit Issued underthe attached Perna application..I&lots.less than one-.(1)
acre wftich are elevatedlby fill;ariAetigirieered;drali ge plan is required.
if l:am the-AGENT'FOWTHE OWNER;I°promise to-mod faith t.inf fmii the o`wns'r,of"tha perfrifttirig.conditioris saf;foitli in
this-affidavit.prior.to-commencing arnstriiction. t understand ft ;a..separate.per;n rray,be required for-sfectrical,.worlc.
plumbing.signs."uvells�"'pirots,'afr'conditioning,gas;or.other Installations-not`sPeciticaltyiitdudad tit 1fie:-apPiiCBtlotr. A
pennitAssued shall be.construed to be a.license to proceed:with:the•work and not as authority to violate,cancel}alter,or.;r
setaside an _provisions of the teotinica!Codes;;nor shall issuance'of.a permit,prevent the Suliding Offldal fro
y th thereafter;,;
requiring a correction'af errors`ln plans,construction or viola ofany'codes`"Every"permft'issued:sheRbec�me invalid
urdess_,the-work authorized by:.euch•.pemrit is commenced"within.six.rrror>ths of 4rermityissuance,or iF work authorze�d•by
the permit is suspended arabarrdoned for a pariad4if;six(6)months aft�r"the time#Rework fs commenced:`An extension
may be requested,,in-writing,from-the Building.O ficiai for a.'psriod not to exceed ninety(i38)days and wiiii demonstrates
justifiable cause-for the extension: If work ceases for ninetji(90)"ccnsectXVe„days;the jab is considered
WARNING.T4.OWHER:, YOUR;FAILURE T RECORD A:NOTICE.OF:COMMENCE#AENT„MAY RESULT IN Y6UR
PAYING TWIdE#ditliiP4;OVEMFjCM O QUR,PROPEItTY:.iF lftlU,INTEND 717.GBTAtII•FI,Nf1[dCIN, CONStJf.7.::
YO D N= 7'i0 fEF tiE t3rY C} CE OF'CO EtYlEIIT.
'F10R1DA'JURAT.(F:S.1
OWNER OR AGFNT.�' !•"-'�.':'CONTFIACT ,• _
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Who_W_ to�smhaaftum produced wrwielare tAmeer,selheueproauceti_a."
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Nota7Pubiic ...�_
mmission No. is6ton No
Name of Nstery pad,P tt� a * Nam o!N =re
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O1ftlAL
SYLVIA A.CAMPBELLNtltaty Publlorida
Notary Public-Stat'of
Florida x ,: Commiss939
.�+ Commission#GGi12939 My Comm. ,2021
My Comm.Expires lul 19,2021.. 'R?rnF F ''� owded throuary Assn
tionded through tiational Notary Assn.
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PROPANE GAS
Semice Order/proposal
AND A/C INC.
WORK ORDER#/SERVICEMAN 97538 MAY
��8les !�8R�08 �� �OG�@��8�OOS
' DATE/TIME TAKEN 05/17/19 12:41
1 Allen Rd. - Zephyrhills, FL 33541 TAKEN BY KIM 03
NOTE�S�
DATE/TIME PROMISED
CUSTOMER#/LOCAT IO N C6 9
PHONE244: MR CARO:
PHONE344: _ 813-602-8117 C
CONTACT �� �u/ BRTH-IN-LAW: MR C
� ' �^
ROUTE/SEQ `~ J' MAY33542
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CLONTZ, .ROBERT CLONTZ, ROBERT
5745 YORKSHIRE DR 5745 YORKSHIRE DR
WEDGEWOOD
ZEPHYRHILLS FL 33542 ZEPHYRHILLS F11-33542
3T TEMP HP
NCH5536VKB1/L943125597
EST I lyl A T E
Pressures Lo HI T
FILTERS x x Changed Monthly
FILTERS x x Changed Monthly
0 REGULAR 'C)WARRANTY
hen here When Away T-Stat L) MAINTENANCE CONTRACT
SERVICE
CALL
LIMITED WARRANTY: All materials,pads and equipment are warranted by the manufact
or suppliers'wriften warranty only.All labor performed by the above named company is warranted for T
TOTAL
30 days or as otherwise indicated in writing.The above named company makes no other warranties, L)CASH E)CK# MATERIALS
express or implied,and its agents or technicians are not authorized to make any such warranties on
behalf of above named company. (J DEBIT 0 CREDIT U OTHER MAINTENANCE
I have authority to order th.a work outlined above which has been satisfactorily completed.I agree that Seller PROG. W / C
retains tit!I to equipment/materials furnished until final payment is made.If payment Is not made as agreed, CLAIM#
Seller can remove said equipment/mat data at Seller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.NET130 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID 13ALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: TAX
CUSTOMER SIGNATURE DATE "Y61a TOTAL
e
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
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UP BY INSPECTOR
Owner: � Z 7y-!5,2P_7—
Permit#: � 8®
Site Address: .S GHQ .
Contractor: /� Q�S prz�--PAlve 1"�46 ��C ��'e,
License#:
Final Inspection Date:
I certify that 1 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 EBC Energy code,section 403.3.2.1..All new duct work is to comply with FBC Energy 403.2 and FBC
Mechanical chapter 6.
ev//l IJ6-hl-7
Name of License Holder(print or type) Signature of License Holder