HomeMy WebLinkAbout19-20711 CITY OF ZEPHYRHILLS j
5335-8TH STREET
(813)780-0020 120711
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION '
Permit Number: 20711 Address: 4738 LAKESIDE 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: WINTERS
Est. Value: Parcel Number: 14-26-21-0000-00200-0000
Improv. Cost: 3,575.00 OWNER INFORMATION
Date Issued: 1/23/2019 Name: WINTERS MHP -WILLIAMS GUY
Total Fees: 60.00 Address: 38022 WINTER DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542-5544
Date Paid: 1/23/2019 Phone:
Work Desc: A/C CHANGE OUT 3 TON PKG
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
Ins 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 SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
t Fax-813.780.0021
S13780.ODW Covif Zq)hyrhills Permit Application,.
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SIGNATURB'`"': �S"'�-'=L ,_.'-:'i z „•REGIS,fEAED;r . Y/- - y FEECURRR�-t :..YIN.
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SINATURE .:. REci%® -.::- Yd'N=: F�Cura�^ Y:/Nc
�_Addtess ' .:.�;�-,:�+'•:::-:., ,<,::_--. :�. -- -- - - License# -
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RESIDEtYTtAL Attach(?)f?bl,Ptans(2)aata cF i3idtdnO Plans_(t)set of Eneipy Farms.R O W,Permd for now ooratrudion
Nfmimi8n.ten(10)vm,d 1 d3p"s er U&N-al data-,Required a vowe.0or ouchon Plans St mwidw P-lans_w!SNt Fence installed,r.
Spry FneWsUm 81 dmwston Site Work Firm.orb Pr0lods -
CCrlGIERCIAL - /lt"(2).oamp stets d Bultirep Plans ptus a Lffa, Papa;(1)sot- Enar�.Fom�s.'R-aW Pemift for new wre�tfom -
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" -'lfnirtuin"4an(7 w41ar�.dajrs,dllar rr 1e:'Requ�+aildtsm.Oofrseuction?lanss'Stomnv,,Rini;wl,8ilt'FeticeinsWled;
4" � - Stptitary Ea�iea 8-1 dririrp`s�i:�IlYoik Peptrt/oratl new.gojecl,-AO comrit�ciai,�equranients mast riteef"conipfiatiee'�;�' '- .--
:S"PERMR Attach(2)sNr aT ETpnaaOd t?laris _ _-- _ <r: - -
"PROPERIYSUAI%EY,tequiedtural`NPVIf�rrr- '
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d,CcgatiwMart isiir�-=(AlC uppndes over i7500)
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PV..4 d,A(tctrtey.\for Ora Qlmer)wdYd be.satnaone wdh naf�md latter-from owner a same:: a:';_-.:.i :a(fa ttia:COntlBCtOr).W
OVERTHE•COUNTS_RPFRUIT,iH�KG_.__a.(�PYd:t�nCact.'ra9ru?ed)
- sfnn�es - _ SeivkeUp9rodes;A/C%.:;Fetiges(PIaUStavaY/FoofaOa) _ -,.':"i -- .- =. ,. -.
'Dftm ways) otrer•,coun erif an pub6a roadwasameds ROW - - '
NOTICE OF-DEED.RESTRICTIONS; The undersigned understands that this permit may be sutiJect to'de ed'jrestrictions'
which-may be more resiricuve than County regulations.,The undersigned`assuriies i+esponsit iliiy fo'r"comI#'- e;,with an
appjicabiedeed-restrictions:
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UNLICENSED.CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:-'If the-owne�'hasY-hired`a'contractor'or `
contiactors-.to:uridertelie wotic;:ttiey may be`required to be licensed in accordance.with'state.and,locat.reguiationst_=1f they v:
contractor is not licensed as required.by,law,,both the owner and contractor maybe cited`for fora violation.
under=state"taw:._Ifaherowner;o['inteniteil`conraiao`i.`are unc.ertai n•as to wha,.t_a.i- e_n.,s.i.n. 1 uirements,ma)00Ply
for the===I intended wok they are advised to contact.the.PascoCount.__-_._-_._y Building Inspection Diinsiori=Licensing Section at 727447-
8009.'-Furthermore;if-the-owner'tias hired'a°contractor or,•contractors,-.he:is.advised. d_have the~aohtracbor(s)'sign ..':.
porfions of fhe'coi;traddr Block'of'this`appiitation forwhich•theywillbe responsible:41'.you;as the owner sign as the .
contractor„that-may,be aq jpol atlon that he`is not property licensed andts not entitled to permitting privileges.In:Pasco
county.w .. _.M,
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TRANSPOitTAT10NAMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY_FEES:.The undersigned understands`..
thafTranspodation Impact Feesand Recourse=RecovWFees'may apply ao:the."construction of-now buildings;change of
use in,-existing;buildings,orexpanston of existing buildings,.as specified in Pasco County Ordinance number 89-07 and
90-07,as amended.i 'The undersigned also understands,°ttiaf sued fees,as°may be,due;will-be-iderriftd.atthe time1of-`=`_
permitting.;`:It.is�further understood-that-Transportation-Impact Fees.and Resource Recovery.Fees must be paid prior to
receiving a"certificate of oixupancy-orfinal power release. -If-the project_;does`n'otrnvolve aEcerrtifificate'of-oaclipancy'ofa
final`power'release;=the•fees-miW-be Old prior to perm(t•:'issuanoe.-'Furthermore,`ff Pasco Gounty,Water/Sewer-Impact.
feesare due=-they;must be-paid prior to:permifissuancein atx�rdance with applicable" co_County ordinances:'`> --
CONSTRUC, LJE 4.LA{IV,(Chapter-7.13,-Florida Statutes,",brhbnded):v If-valuation of g orii is$2 500.00 or more;_I,.,-.;
certify that 1; fire applicant, have bbeen-provided'witfi"a copy'of'the""Florida''Construction"Lien'Law=Homeowners
ProtectionGuide°:prepared:by.the.Florida,Departmentof.Agoculture and Consumer•Affairs_ If.ttie applicant,is,someone
=
.other than the"owner',,l ce •y- -thafl have obtained a copy,of the above described document.and promise•in,good faith'to
deli
CONTRACTORSOWNER SAFFIDAVIT." ce_•', that'all=ihe irrformation•in-thi , O
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rtlfy, s aPPlication;is;accurate and;that;all;wprk .,,;.
will be done.in compliance with all applicable laws,regulating:construction,zoning ah'd-land•devblopment _Application is
hereby made to obtain a permit to do work and installation"as indicated.,, I certify that no iw:irk-or ini llationshas.
commenced prior to issuance of;a;.permit andAhat.all work will,be,pertonned.to,meet-starfdaids of all-laws regulating
construction, Ci irrity.and City ctides, Toning°regulations; arid`i"development regulations lh;the jurisdiction�3 I.also
certify that I.understand that the regulations of other government agencies mayrapplywtb,the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies ncludebut are not:limited to: ;
Department of Environmental Protection-Cypress Bayheads,Wetland:Areas.and;Environmentally Sensitive.
Lands,WaterMastewater Treatment.-•: .�. - -
- Southwest.Florida Water. Management:District Wells, Cypress„-tayheads, Wetland `Ar'eas,' Altering
Watercourses.,
Army Corps of Engineers-Seawalls,Docks;Navigable Waterways: - -
Department of Health $`Rehabil'itative Services/EnGironmental Hearth Unit-WQIIs, Wastewatee,Treatment;.;-_
- ,..._...US Envirorimentaf,Pnotection Agency=Asbesto's bb tement '
Federal Aviation Authority-Runways.
l understand'that the following;resttictions apply:to•the use,aPfili ' A f
- Use`of.fiil;is'not.allowed in Fiood`Zone N"unless,expressly Permitted.:.-.-
If the fill material_is;to,,be-used In Flood Zone"A", R is understood that a drainage plan-addressing a
iximpensating volume=-will be:submitted at time,of-perrnitting:which-.is prepared-by-a professional engineer
licensed by the State of Florida.
"lf'ttie,fill=material'is;to_he'used;,in,Flood Zone;"A,'in connection with a permitted building using stern.wall=`
_.construction,-1 certify that fill will-be used only`to fillitlie:area:withirrthe stem_wall.x:.._'_- ;
-, Jf fit, rial is to be.-used in any area, I certify that use of such fill-will not adversely affe
mate ct adjacent
"proper8es if-'use of fill-,is found to-adversely affe'ctadjacent"properties;,the-ownermay•be cited for''viotafing .
the conditions of the building.permit issued uhder4the attached.permit application,for lots less than one,(1)
acre whiett are elevated liy fill;an gnglneered'drafriage plan is required.
-If I am tfie AGENT FOR HE-OWNER;I promise in good faith,toinfom ti4' eF of1twpennitting conditions set forth In `
this,affidavit,prior to_commencing'construction. 1 understand„that a separate,permit may be required forelecUicaLwork.
plumbing, signs;wells 'pool§ air conditioning,-gas;or other installations',not,specificallyinduded irF-tFie':application. A
permit-issued.shall;be.construed,to_be..a license to-proceed wiftthe work and not as authority to violate;candel,alter,;or•,._
set aside any„provisions of the tkc vial codes;,nor shali'issuance of a:permit-prevent the Building Official from ttiereatter;
requiring a corection.of errors in plans;construction or violations of any codes:"Eve y,perrnit issued'shali'tiecome invalid
unless:the.work!authorized..by-such permit is commenced.within six_months:of:permit.issuance,or rf work authorized:,by
the:permit is suspended or abandoned for a--`n ,of six(6)-months after'tiie time the work`is commenced: An extension
may be requested;in:writing;;from;the•Building-Official fob 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-OWNERV YOUR FAILURE,TO.,RECORD A,NOTICE.OF COMMENCEMENT•MAY-RESULT'IN YOUR
WI HNYOUR LENDER.OR AN ATTORNSE1f BEFORE.RECORDING Y_ _ 'NOTICE OF=COMMENCING CONSULT
•YOUR'PROPERTY..IF,YOU•INTEND TO-OBTAIN FI
C ENT.
FLORIDA JURAT
OWNER;OR AGENT •. - ;COHiR/\CTOR '- `-' ---
yS�b hed 1. r ellimred) tt� ri'tl and'" o(off afrirmed)be[ meth °„ ' "•
Wh is/ald.persorsalty to me or hasthave produced who is/ rally kn t:m me or haslhave Picducad
as identification. - es iderSti fication:
olary Public r - Notary P.ubGc
fssion No. miaslan No. -
3'o�PS`Ypoq� Public-StateofElo_rida, -
Nar&of Noiad,printed ;Name of Notary, peQprpmi55ion p GG.112
N� .Notary Public- �ateofFlorida
�" • Commission is GG 112939 `:�:. oe My Comm.Expires Jul 19,2021
°Yr My Comm,Expires Jul 19,2021 9�OFF��er..: Bor ded itirough tVeti6nal Notary
9 oe,c ilk
'•:FOFF�,,.• Bonded through National Notary Assn.
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(PROPANE GAS •
AND A/C �rtc. Service Order/Propose
�iitce 19M 85 3-782.5013 Invoice
WORE; QRDER4W/SERVICEMAN 93981 JUN
Sales, Service & Installations . DATE/TIME TAVEN 01/21 /19 0 7 H !C-
4441 Allen Rd. Zephyrhills, FL 33541 TAKEN BY K. B. 0
NOTES: DATE/TIME PROMISED
CUSTOMER#/LOCATION 4E022
�o OUTE/OEGl JUN
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W I LL I AMS, ' CATHY �u FZ
AN WILL If AMS 3 CATHY
73�i LAKESIDE DR
LAKESIDE D4 '
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/ t/5�!�7 "WIN'CERS fblfrlPt'
ZEPHYRHII—LS F'i_ 33542 ZERHYRHILLa 1=1__3354
LT PMG UNIT
PACO?GH 1021 A a WDNM0+c Q,050
HOLE IN CO.IL:.
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3275 I I
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Pressures_LO :: Ht " .T-Stat
NI L i e COVAw+evt t, (. I ,.,
Ae o ClA1n5 T U cf FILTERS x x ChangedMonttily I 1
FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY
en here-AMWhen Away T-Stat ❑ MAINTENANCE CONTRACT SERVICE 1
LIMITED WARRANTY::.All materials,parts and equipment are warranted by the firs ulaplitArs' CALL I
or suppliers'written wairanty01y.'AII labor performed by the above named company is warranted for TOTAL I
30 days or as otherwise i(tdic0d in writing.The above named Company makes other warranties, 0 CASH ❑CK#
express or implied,and its agents or techniaans are not authorized to make any such warranties on MATERIALS
behalf of above named oompaii}e. ❑DEBIT. ElMAINTENA
CREDIT 0 OTHER MAINTENANCE
.4-- - I
I'have auttiodty tg ordef the work outlined above which has been satisfactorily completed.I agree that sailer PROG. W/ C
retains equfpmenlhtlatertals hmished unfit final payment Is made.B payment is not made as agreed; CLAIM#
setler saw wornerplmawiafs-at.Sellers expense.Any damage amine from saw removat shau
not bathe resp&u:tbft.of Selfer.NETS DAYS A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO i
ALLUNPwoBALANCEsOVER30DAv--PlrM iEFUNos DATE COMPLETED
TECH: TAX
61/CUSTOMER Sicm-ruRE. DATE f �au. 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: l�-��;s Shirhk Eye,ye+i-
Permit#: �� 1
Site Address:_ 5,Q q'i Par key'
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Contractor:"�' PrU ►'►if, GC'S it -6 C ShC
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.
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Name of License Holder(print or type) Signature of License Holder