HomeMy WebLinkAbout19-21517 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21517
BUILDING PERMIT
"PERMIT*INFORMATION LOCATION.INFORMATION
Permit Number: 21517 Address: 6815 DAIRY RD
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: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 02-26-21-0280-00000-0010
Improv. Cost: 5,495.00 OWNER INFORMATION
Date Issued: 7/16/2019 Name: ZLD INC
Total Fees: 70.00 Address: 38148 KELLY LYNN CT
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-6647
Date Paid: 7/16/2019 Phone: 8139973381
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR(S) APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
Ins pecitions Required'
D TS IN TA
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.
CONTRACT SIGNATURE PERMIT OFFICZR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8".3-780-0020 City of Zephyrhills Permit Application Fax-sly-78MO21
Building Department
Date Received Phone contact for Permittin
fMt�2 orita t
--2 ✓ Owner Phone Number gl_q�
Owner's Naine Z i-J) -1wel
Owner Phone Number
Owner Address
r'U owner Phone Number
Fee Simple Titleholder Name Name
Fee Simple Titleholder Address
JOB ADDRESS 1110-916- Zw;ry LOT#
0 240
SUBDIVISION PARCELID#1 0��A 0?/ OL
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ffo*%DDIALT SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK L,Q FRAME Q STEEL
DESCRIPT,ONI OF WORK
I0 BUILDING SIZE FOOTAGE HEIGHT
. . . . . . . . . . . . . . . . . . . . . . .
UILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL Is AMP SERVICE Q PROGRESS E NERGY Q W.R.E.C.
=F'LUMBING is '2/1�(
[Ker.ECHANICAL IS.6-1-1 a6—✓ VALUATION OF MECHANICAL INSTALLATION JID
=C',A'S Q ROOFING Q SPECIALTY = OTHER
FINISHED�-LOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . .
BUILDER I COMPANY I
SIGNATURI- REGISTERED I YIN FEE CURREh
Address I License
ELECTRICi ON COMPANY =
SIGNATURE REGISTERED I YIN I FEE CURREI, YIN
Address License#
PLUMBER COMPANY =
SIGNATURE REGISTERED I YIN FEE CURREN
Addre,.is License#
MECHANICAL COMPANY
z _12e
SIGNATUP REGISTERED I Y/ N FEE CURREN I Y/N
Address ;Zz� License#
OTHER COMPANY =
SIGNATURE REGISTERED I Y/ N FEE CURREN L_KLN_j
Addre3s I License#
III I 1 11111 11 111 11 111 If 111 11111 111111 1 111 if III III III If If 111111 If 111 11111
RESIDENTAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Forms;RA-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed.
Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsilarge 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 ensue,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All Commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans,
*PROPERTY SURVEY required for all NEW construction.
.&Dir:gits
6:igan — vu — sou . . . . . . . . . softeavaigailiffasawas . . . . . . . . . . . . . . . . . . . .
Fill ou.application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500)
Agent,{for t'he.contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMi4flNG_- -(copy of contract required)
Reroofs if s-ingles Sewers Se rvI
'ce Upgrades A/C,, Fences(Plot(survey/Footage)
Orlvm-,ays-No't'av6r-Counter if•-on public roadwaYs.-n6eds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
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 work
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 Sayheads, 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.
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 W"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,after,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
unles,3 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 ATTOR Y BEFORE RECORDINCeMR NOTICE OF COMLOENCEMENT.
FLORIDA JURAr-(F.S.
OWNER ORXG—EN TRACT
,94scy2ed d rn (a rmed be e s bscribed A1�5t,
r tom to(or affirmeid)b fore me this
*bvp7dY�Affili ;� V V_qi4q, 1/�7 Is DA 0,-
- I
Who is,"are pKonal WW to me or has/have produced Whols/z�r na(Iy kn n to me or has/hava produced
--_--As Identification. as identification.
Notary Public
+C. mission No.L Co gission No.
Naht
Name of Notary P`!SYLVIA A.CAMPBELL
4Ir Notary Public-State of Florida ida is r I'#' 112939
I lot
GG 2939
mm 10 a,Jul 19,2021
93
Comm.Expires
2021
b
Notary pu lic-State of Flod
C)mmission 0 GG 112939
I Commission#GG 112939
My Comm.May., my omm.Expires Jul 19,2021 Expires Jul 19,
,�q �",;.1 N.ury M �y "n,
Bonded thtcush Nati'In3l Notary Assn' 0. Bonded thfough NatiOnal Notaty Assn,
low W
)f!if'N I"T cr1 is i ii
s PROPANE GAS'
Service order/Proposal
AND A/C INC.
c&rx 1988 813.782-5013 Invoice
Sales, Service & Installations. WORK- ORDER#/SERVICEMAN 98972 EJ'L
4441 Allen Ltd. • Zephyrhills, FL 33541 DATE/TIME TAKEN 06/2'6/1.9 1 6 o 2A.
TAKEN BY K r.M 03
NOTES-- D>=ATE/TIME PROMISED 06/2 7/19 08.00
CUSTOMER.#/LOCATION AC141 /02
3fid^ HQ PHONE# 813-788-2 1.C.5
FIHONE2# 813--713--0208 C
ROUTE/SEQ EJ'L
BAGGETT, J'UDD BAGGETT, J'UDD
581.5 DAIRY RD 6815 DAIRY RD
**NORTH UNIT**
ZEPHYRHILLS FL.. 33542 ZE}=HYRHILLS FL_3354;'...
OFFICE RHEEM
RPIAK-035,JA Z/65 10M 13OE 13GE7
AHII RBHCI7J'06NFD/TMO90E00977
UPF BO3E.JAS, 4390M 10915506
qOT COOLING
SC.I-T :O �..x• �.�Y ��� :E N •O-K� :=;x• A I_"L �R •S:'.' �IJN R 1C
r.V.a,> �..�,,..,,,,h•;.a':,sue..,.., .:,..,, ....�...;.,.. "•.y''s. ,r.
- __ __ .•,_�> ..as t•:�-:.,,_ ov:+
< e `t'P((��/
I I
I 1
N ,_j k I I
:`Y j:�_` �•4:4�.`�.:: _,•;1- `oy�.�.>:;e;:k;ti;' ___ .e ti."=l':_ �';4'.:'" L./ 3si r�;
-- __��;=f.,.�:�;�>r�er ,;zRE�.O' E" �zl,�"->•'S;��.::R_:;:=•r=�,°`�=f������;'r� I I
��.�i-:" '••`, e:{r.. ,.•I:S."f:.t.�...: 'w i'� .,iif:..:�„'�aJ .x✓.,.:.
_ t:.1���, v`yv'•�. - r;31:;}Y_ _ r5'+�7 An uzs
�'='.� `.� ..:.`L,,..,.'�,::1.,..aT• I 1 uatMairiEe, Bnce.RotriiTmeridedb`AIIEgulpm9nf.Manufactrers;a°,
ra, :r,, :• Y' $ , < -> Pressures Lo HI T•Stat I I
-
��G T a+s FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
H k.h b$xC— ❑ REGULAR ❑WARRANTY %'.+-, hT;n
OTAL
Deh.�rrt dLsta Set ings;'UVhen here ,." When Away t•��'��7T-Stat 1N MAINTENANCE CONTRACT M.<�>:� ,::,,.; ❑ NT SERVICE I
LIMITED WARRANTY: All materials arts and equipment are warranted ;r�
p a eq pm t eby the manufacturers' M1_��t METHQDSOFPY,'ENc'sxaFc>= CALL
or suppliers'written warranty only.All labor performed by the above named company is warranted for
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL I
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS I
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work outlined above which has been satisfactorilycompleted.I agree that Seller
PROG. W I C
retains tithe to equlpmentimaterials fumished 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 DATE COMPLETED I
` TECH; T' I
CUSTOMER SIGNATURE DATE 9XL! 1, ✓au I TOTAL 1
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:_ Z L �C
Permit#: o�16-//
Site Address: l /
Contractor: ��/fr'� / /I/�L'7 �C
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