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Home My WebLink About19-21375 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21375 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21375 Address: 37604 COREY LEWIS AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0170-00000-2190 Improv. Cost: 5,865.00 OWNER INFORMATION Date Issued: 6/14/2019 Name: WILCOX, GARY& CAROL Total Fees: 70.00 Address: 37604 COREY LEWIS AVE Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/14/2019 Phone: (315)783-9741 Work Desc: A/C CHANGE OUT4 TON CONTRACTORS APPLICATION FEES; BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00 Ins ections Required. DU T N TA LED 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. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Recebvd Phone comas for 1(619) a a 1 4 a a a a a x a a omies Name AV 97 Ad owner Phone Number OwneftAddrvss1'3Z1k,6!t (jo??ev Owner Phone Number F Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 137 Zezv!6 1,60'V-9—at #ve- LJ0T# ,V SUSDWISIONI / n�i;/7v5 PARCEL losl* (0111TADIED FROM PROPERTY TAX NOTICE) WORK PROPOSED R 14EwcoNm ADDIALT SIGN DEMOLISH INSTALL REPAIR E PROPOSED USE Q SFR Q COMM OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL DESCRIPTION OF WORK r BUILDING SIZE SQ FOOTAGE HEIGHT . . . . . . . . . . . . . . . . . . . . . UILDING 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =rLUMBING is 021MECHANICALCi VALUATION OF MECHANICAL INSTALLATION tJ =C"Iks r7 Q ROOFING r7 spEctALry = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I YIN I FEE CURRFJ, Address License ELECTRICIAN COMPANY = SIGNATURE REGISTERED I YIN FEE CURRER% LXLN J Address —1 License 111 PLUMBER COMPANY = , SIGNATURE REGISTERED I Y/ N FEE CURREN Address License# NIECHANWAL COMPANY SIGNATURE REGI I YIN FEE CURREN I Y/N Address UWnSe# OTHER COMPANY = SIGNATURE REGISTERED I YIN FEE FURREK Address License#F- It 111111111111 Ill RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans.(1)set Of Energy Forms;R-O-W Permit for new construction, Minimum ton(10)woNng days after submittal date. Required onsile,Construction Plans,Stormwater Plans w/Slit Fence installed, Sanitary Facildles&I dumprter,Site Work Permit for subdivisions4arga projects COMMERCIAL Attach(2)complete sets,of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, Sarritary,Factittles&I dumpstec Site Work Permit for all new projects.All oernmercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered plans. *PROPERTY SURVEY required for all NEW construction. Dilvictions.. Fill out application completely. Owner&Contractor sign back of application,notarized It over V.500,a Notice ofCoMnwnM7MdfsMquirL-d. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the Omer)would be someone with notarized letter from owner authorizing Same OVER THE COUNTER PERMITTING (copy of contract required) Remolsifshingles . Sevmm_ Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways Not over Counter if on publiCroadwa.ys..needs ROW } NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" ,c which may be more restrictive than County regulations. 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 local 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 apply for 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 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 properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact 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 undersigned also understands,that such 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 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 I, 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 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 AFFIDAVIT: I certify that all the information in this application is accurate and that all worts 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 commenced 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 include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. 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/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. 1 - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-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 fill material is to be used in Flood Zone"A" in connection with a permitted building using stem wall 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, I 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 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 am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing 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,alter,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 ATT RNEY BEFORE RECORDING YOUR NOTICE OF Q OMMENCEMENT. FLORIDA JURAT(F.S.11 OWNERORAGENT /` CONTRACTORS t�?_(_-A �4'Li — Sybscri'bedd and sw to( ffinned)befo me this SUMd pd syJ n o(or affirmed)before Te t WWho is/are pe ovally krib n to me or hasihave produced Who is/are erson own to me or has/have produced as identification. as identification. ` Notary Public (= Notary Public 4CO—ission No. SY�VIA A,CAPARBELL Ission No. a°`�iv nU< Notary Public-State of Florida =PUb11L-5t8te0(Fl8r1d; PBELL Name of Notary type :'n gd_ @ad Commission 112939 Na of Notary typed,p n ' �` Notary My Comm.Expires Jul 19,2021 . G 112939Bonded through National Notary Assn. e; MyJul 19,2021 8onalNotaryAssn, i PROPANE GAS Jam- ( � ��' r� `AND A/C INC. Service Order/Proposal itce 1I88 8'I`3782-50 3 In WORK ORDER#/SERVICEMAN 98E5171 APR Sales, Service & Installations DATE%TIME 7-AKEN 06104119 13 a S4 4441 Allen- Rd. -'ZephvehA,' FL 33541 TAKEN BY K I M - 03 NOTES:- DATE/TIME PROMISED CUSTOMER#/L.00ATT,ON 4 1314-81. PHONE-4 31 C-78.3•-9741. C . �g( �.e e•r-e r 60�t PHONED# 315--..7'33-2526. C ROUTE/SEG. n( APR20x'2�5,k 1. r. 16,13 - 17 WILCOX, GARY WILCOX, GAR4' 'a I 3 ' K, 37604 COREY LEWIS AVE 3'7604 COREY LEWIS AVE GRAND HORIZONS ZEPHYRHILLS FL33542: . ZEPHYRHILLS Fi._3354E: PN,G UNIT, 15KW RSNJA048. K00, 7E 14F 1 Ek!216141.44 G' :RF=, CHECK PRESS BEFORE GUST LEAVES G/9/1.9 ::FDESGRIPTION30F WrtJ'RIC ;.w QTY MITERIALS'&'SERVICES.... UNI'T'RRICE. ° ...^.i•-•• :'1..:.is:.'i=- '.f--. •'d..:, .Gk i_ �t, Pr. r� L�)171� �tn11 e.> [� ( eT ` < Gt)r1� I ( IS10. C_ (.601)0c 4 'aC ItAL 0 s 59'!�-It" " /o 4L.: sty is s n /-r PK I I At- E- -'R COM E 'D.TION' ,s �Arini�alMail%tenarice:Recommendetl�6':$dIIE' u`�'rrfent•=Manufactiirers:�:~��: I I ;,;'__ - .y' q„lp•_ - _ Pressures Lo HI T Stat - w ,._._. ._. ..... . +, - ;%dt�-,-K.-'`"�''^ �s'.'. �,,:..:�;.''S�.. Wiz. `;'X:?'i;.a::=-�.`„ a.y' �.� =fr` ♦iJ r�- '....,�.,r;•�F�� ;F.�'�:;�'crza,�'+..;�3:rx :� �;fy _ L;t'��: •.Q �r -r g- _- --;�\::"; +,-a_.� ,.. ': :`;^�.5.'.:aS. ..C.{.e a:;:� - ":';:s•�uu__;.'w wil''�a - - - ..-r�';�ai '• n5 _' bY..z_ -- -:J"";.rt�'.:_7'fr� - n�,�_ €+:Y:ln G�,,/,C...<(J .'t-� /' / - rp �./ ^i" ,: .^tx' •`R? � ��?s� kS:t.'p.S: t•;:vi '_`:.. I 6(1 14 1 C. .c' I / aL �p•. :; k .�.Y.., N%--= .:,.k-Y �_t :` - - p,TO`fAL-SUMMARX- •�C S I��( , P' r f s GtnC/ < f w:_na; '�S`�;r., ":�;''i�h^a,i}�Z,: ->�t' '=x�`•. :"i�' { - n4ltti:� um disfaf-Settiri's:'When here�O�-. When Away - T-Stet- }+,�&.S�+'�s_?"•knuat„.:•icrc•ys4-,�•7„tr{,:,-ttr',-,:.(,,S,.`::.'t�`.�^'?�..,:t-,SN'};�ip:is.�.;t vcEi,.°r f✓,`,',tu.k..<.�.�ti�" 3VICE i- .,,:.',1,;--i;�Yi1 LIMITED WARRANTY All materials, arts and equipment are warranted b the • p y, manufacturETy. =k: .�;,�,.,;,.� �,;>v:'.��' X��„�`�:,_ _.�_...�;:_�r-,CALL f or suppliers',written warranty only.All labor performed by the above named company is warranted„ F'; a;'n r:tw 30 days ores otherwise indicated in writing.The above named company makes no other warranbt-1- "No, „. ;__x`__;�. ;y,;$-.<^ T s' :4, I express or implied,and its agents or technicians are not authorized to make any such warranties U',,N "Yk <� v ' y 't t DIALS I behalf of above named company. c - sir^ r * r NCE I have authority to order .;� ; r'•i�i',•`.T;y :L{r'.;e`,,;;�r`�;ke;g.:;• , .: e� rs.,l*;-n:`. ::c:- I y ode the work outlined above which has been satisfactorily completed.I agree that Sel{.,,., u ,,,;•v.,,,.,.^�� _ ;_,s ,,_,.., ;_�.r, ;:-,r=.u� Grp.=. aL�_'�*.+':;.a'h<.{V/ C retains till to equipment/materials furnished until nnal.paymenl is made.If payment is not made as agred�rr'y r{Y r - F� y ry - t Y seller can remove said equipmentimaterials at Sellers expense.Any damage resulting from said removal shL<0'� not be the responsibility of Seller.NET 30 DAYS.•A 1 112%SERVICE CHARGE''WILL BE ADDED MONTHLY T:,;: _:,k; ;r:_)%,"•,="y'•�,�,';;`.[,:;4`""`i"'°' ^'[':�y;•:;';';.'ws *i;r=s=`-; e=1;;5;;`:'`-;;�i I ALL UNP ID BALANCE$OVER 30 DAYS.NO REFUNDS17 ;:i::--:A;"`v=?,'',w_ i;.:. "'£� =is;' ,d;;_ •` " ' c`F`r..o;_e?'_.- _ N:Y„' _ ^'�}cis?'L+-_4T•`.-t\:�'.%z - =ti €.,: TAX cF, I CUSTOMER SIGNATUR DATE