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Home My WebLink About19-21595 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21595 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21595 Address: 4830 17TH ST 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: 14-26-21-0010-02200-0110 Improv. Cost: 5,127.00 OWNER INFORMATION Date Issued: 7/31/2019 Name: FERGUSON PHYLLIS Total Fees: 70.00 Address: 4830 17TH ST Amount Paid: 70.00 ZEPHYRHILLS FL 33542-6024 Date Paid: 7/31/2019 Phone: 352-807-2292 Work Desc: A/C CHANGE OUT 3.5 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00 Atl 0 W Ins ections Required D CTSIN TALLED DUCTS INSULATED FINAL REINSPECTION FEES: (c)With respect to Rennspection 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. 44-1 6/CONTRA6T6R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s Is 7aaoo2o City of Zephyrhills Permit Application Fes-e13-780-0021 Building Department (� ` -Da_'m Received Phone Corrtaci for Pemtiffin - T"tT- y / 1'T Tr'7TT7T 2 .+a owner's,Id sme /'C' J'D �• �-6�1�$ Owner Phone Number �Y Owner's Address ! Owner Photo Number Tdteholder Nacre owner Phone Number Foe Simple Fee Stmpte Titleholder Address JOB ADDRESS ?j / LOTS#j SUBDIVISION . �r —� PARCEL ID# t^'/OOs"L/ (OSTA1NED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEINCONSTR ADD/ALT [_] _- SIGN DEMOLISH. INSTALL REPAIR PROPOSED USE _ SFR Q 'COMM OTHER TYPE OF CONSTRUCTION 0 BLOCK. = FRAME STEEL OESCRIPT.ON OF WORK. G�—+C G� r D7YJ D G�IIF� I a Tr" BUILDING SIZE ^� SQ FOOTAGE HEIGHT a =BUILDING �� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL (S � AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING ($ - �{ M'.ECHANICAL S�� DJ VALUATION OF MECHANICAL INSTALLATION =C'•.4S 0 ROOFING SPECIALTY L,J OTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO �i�L.Fib.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BUILDER COMPANY SIGNATURE REGISTERED I YIN FEE CURREP, Address License# I ELECTRICIAN � � COMPANY SIGNATURE REGISTERED I Y! N I FEE CURREI, I Y/N Address License# I PLUMBER COMPANY REGIST ERED TERED � FEE CURREI, LKLN Address Q License# MECHANIC AL COMPANY T_ --r- SIGNATUR- REGISTERED Y/ N FEE/ -J / CUR��REN II �YY I//N// Address /!�� License OTHER COMPANY SIGNATURE REGISTERED I YIN FEECtlRREA Y!N Addre-m License#( I ltillilitlll,iI11114-1; 'il'f[ 1'1111111l1lI11111111 1 11 -11111111111ItI111 . 111 RESIDENT.-AL Attach(2)Plot Plans;(2)sets.of Building Plans;(1)set of Energy Forms;,R-O-W Permit for new construction. Minimum tan(10)wonting days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdiAsions/large projects C0MM8RClAL Attach(2)aOrnptetwbels of 6uitding Plans plus a Lite Safety Page;(I)set of Energy Forms,R-O-W Pormit for now construction. Minimum ten(10)woridng days after submittal date; Required onsite,Construction Plans,Stamwater Plans wt Silt Fence installed, Sanitary Facilities&1 dumpster. mit Site,Work.Per for all new projects.All commercial requirements must meet compliance SIGN PERF}R' AttaC6(2)sets of Engineered Plans. —PROPERTY SURVEY required for all NEW construction. Oiredtons: Fill au.application completely. Owner&Contractor sign back of application,notarized If over$2600,a Notice of Commencement is required. (A/C.upgrades over S75D0) Agent(for the contractor)_or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING ...' (copy of contract required) = Reroofs if sningles. Sewers Service Upgrades;A!C' Fences(PkitlSurvey/Footage) . Driveways-Nat over Counter if on public roadways-needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this,permit may be subject to"dead'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'SIOWNER'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 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. - US Environmental Protection AgencyLAsbestos 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 W, 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 includect 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF PMMENCEMENT. FLORIDA JURAT(RS,417.03) OWNER OR AGENT CONTRACTO ut ibed and s*pMo,affirmVefo S bs ad and a to(or affirmed)b ore Who is to me or hasthave produced Who Were p rsonalf wn to me or bas/have produced _as identification. as identification. �N.Iwy Public Notary Public sbs W 4cLd and sv 'o'o'af'_e' is/., wally w.1.me 4. mi>sion�N. Commission No. Na ad or s' Name of Notary type SYLV "AWO,00� SyoVIhh.CPMPBELL IXmpeVMPBELL -StatecifFloricla Notary Public Notary Public-state of floll a GG 11293 021 Commission Commission; rn Expires Jul 19,202 of my Comm.Expires Jul 19,2021 my r.0 > Notaiyik \, gioral t4olary gondedthT u lionrld through NaliOndl V .'. A_ A Franklin PROPANE GAS . =s AN® mac INC. Service Order/Proposal `; Invoice. �S%ace�988 813-782�50'1=3 ® c�F}�.. tRD . 9: E!��]:.CEt�EF1N `39t aF'R " Sales, Service & Installations. ,ATE/T IVE "FAKEt,,! 07/01 ,1.� 10,�,?11 4441 Allen Ind. •(ZJephyrhills, FL 33541 AKEN BY NOTES: 1 �� I DATE/TIME PROMISED . " ( 1 E I1,! " f i I�"TO !s R� ,'!.._t7 .R r I ON 12I64 i c.c. R0u,rEri S)E0. APR- ww "in P ITT r ,°i' FERGUSON, PHYLLIS FERGUSON, PHYLLIS ,eG301 1.%1-H ST 4830 1 1 H Eil- ZEPHYRrHIL_!,_S F'._ 33542 7EPHYRHIL.LS !'=L3335'•cr 19 r3 RHEE!�1 .rTl?i`d S!C SPIT TT I 1111;IJ GNt1F' ESTIMATE'.3/2018--CUST READY TO PROCEED— NEED UPDATED EST IMATE _ INCLIUD 111113 - �>"s�+ � 1�P1�Y: _ '.;G�,:a�.�gy trs �„xk t.:•r.:,.0•s";e,..,,. ti�_ -+e-vasesc.�i=�wc'+;. '• y.. �r -�:�.s--.sa a A..y .Tl.. �.G t+'�=, i. �fho .iy yam..�-.N•�Y4'$�:l"r':�r..°`Til- Y -F�-x•''3,•?'hi .,. ,+.YF,3•,cM1 .#., i2 .3 x " ,.`�F: ... '✓;'•. ','P.:Y�`..4.,. smV.:; -�.:h�n >.rt4:� L 3.u.i:...i-Y.'t` 4s:t1P?$�.��v;^,.r,e«x'.'�•..�'{: l nY I _ IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ' � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII I d r /' ' � r ' 1904192M C In +6 ' .RE EOM ItENOAT1:Ot`Skv ! . M"'`-.�'4 5`'d'w3�M -' ,r:4.;�:_.:tks i.•',-� - - - - � - AnrtU E. Ink enanee4Recomrriended Y„Att°t=quipment t a �.. �„„��e..�:?�:K��<�;,�.r ,.;� -- a.3, F�. Pressures Lo HI T-Stat (.. � / •� -' - FTttGERANr R- F.BS. $Fer lhs� .+v �t -- i _ FILTERS x. x Changed Monthly ..4 1 I FILTERS z x Changed Monthly - AL S'MMAR`. •- - �0'REGULAR • ❑WARRANTY �° TQT. arm DehutnrdlstattSetting"s:�When here When Away¢Q°($;`T-Stat ❑ MAINTENANCE CONTRACT w a�,> .. SERVICE' I. LIMITED WARRANTY: NI materials,parts and equipment are warranted by the manufacturers' _ - :- CALL l or suppliers'written warranty only.All labor performed by the above named company is warranted for: TOTAL I 30 days or as otherwise indicated in writing.The above named company makes no other warranties; ❑GASH; ❑.CK#" MATERIALS I express or implied,and its agents or technicians are not authorized to make any such warranties on behalf of above named company. ❑DEBIT""I CREDIT ❑OTHER MAINTENANCE I have authority,to order the work outlined above which has been satisfactorily completed.I agree that Seller '��:_��_`��;-" PROG. W/ C retains title to equlpmenUmatedals furnished untll.final payment is made.it payment Is not made as agreed, CLAIM - seller can remove said eq m nUmatedais at Seller's expense.Any damage resuhing m said removal studl •,;„- _not be the responsibility ➢r.NET 30 DAYS. 1 1 %SERVICE CHARGE WILL B ADDE MONTHLY TO ''-•' .O'- _ I ALL UNPAID O 30 ADS dR � DATE COMPLETED - - f TECH: TAX TOTAL CUSTOMERSIGNATURE' OAT ✓�C �G E I y. ! 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: Ph ' 13 ttf- Permit#: 15`I5 Site Address: 6,50 6TY 1 Contractor:- hrs Pra-_nne, Gas �P Rlc Tnc, License#: Final Inspection Date: zf9 49 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