HomeMy WebLinkAbout19-21596 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21596
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: 21596 Address: 6729 DAIRY RD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: DUPLEX Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-02600-0020
Improv. Cost: 3,595.00 OWNER INFORMATION
Date Issued: 7/31/2019 Name: KTR INVESTMENTS GROUP LLC
Total Fees: 60.00 Address: 11248 MANSKER RD
Amount Paid: 60.00 DADE CITY, FL 33525-8506
Date Paid: 7/31/2019 Phone: 813-892-1310
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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V
DUCTS INSTALLED Ins ections Re uired
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.
C�A-�- z�� c
&-, ?�
�,bNTRAC O SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8*13-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received LPh ct for Permitting 1( ?/-1) -79'P-- 5_043
== 1.1-.Z1C1-1=-t-
Owner's Name Ing7 owner Phone Nu
mber
Owner's Address
Owner Phone Number
Fee Simple Titleholder Name I owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS Fb---7�79_ zww LOT#
SUBDIVISION PARCEL IDJAaAcl IP/ X0 4,240 "41
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
P INSTALL KREPAIR
PROPOSED USE = SFR = COMM L OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME U STEEL
DESCRIPT.ON OF WORK I Xbs- Ale- 6wmL/ -zV&ZOAii,, c-2 &x�nn�v
BUILDING SIZE I I SQ FOOTAGE[:= HEIGHT [_=
... . . . . . . . . . . . I . . . . . . . .. . . . . . . . . . . . .
=BUILDING Is VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL I S AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=FLUMBING is
M_W.ECHANICAL IS VALUATION OF MECHANICAL INSTALLATION
=C."As ROOFING r7 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURe REGISTERED I YIN FEE CURREN LILN J
Address I License#
LECTRICON COMPANYI=
IGNATURld REGISTERED I Y/ N FEE CURRE11
Address F I License# F_
PLUMBER COMPANY =
SIGNATURE I REGISTERED I Y/ N FEE CURREN LU N J
Addre-as License#
MECHANIC AL COMPANY 116AW
SIGNATUREREGISTERED I Y/ N FEE CURREh I Y/N
Address -Z-W,1165 License#
OTHER COMPANY =
SIGNATURE REGISTERED I Y1 N FEE CURREK
Addre-;s License
RESIDENTtAl. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Permit for new construction.
Minimum tan(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisionstlarge 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.Storrawater Plans wl Silt Fen,,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.
4
Directions:looNs . sessawma . . u . wosmal . saNnoosams . sommossa . . . . . . 1 11 . . . . . . .
'1
Fill ou application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7600)
Agent(for the contractor)or Powero"t Attorney`(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING, (copy of 6ontr$tt required)
Reroofs if s:tingles Sewers, SeMce Upgrades A/C
Fences(Plot/Survey/Footage)
Driveways-Not over Counter I I'on public road"ys.'.needs ROW
Mom,
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this.permit maybe 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 40
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 Bayheads, Welland 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
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 BEFORERECORDING-YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) lzo
OWNER OR AGENT CONTRACTO n'4"R77:1
fore' In' 'd
8 bsSribed and swon�Maffirmed)by ris d
'14 Subscribed a to or affirmed) fo th
is
Who i ersonall nown to me or has/have produced
Who w7e*Personally KVwn to me or has/have produced 7 &
asidenfification. as identification.
Notary Public Z ' Notary Public
Commision No, ComVission No. AF,
VIA A. If swik A.CAMPBELL
Nam f i pri Name of Notary type E? dipedNotafy PUbhC—
Commission#GG 112939 . .t
Commission#GG 112939
m.
My C, m.E)(pires jul 19,2021 119,2021
%TFMy Lamm.Expires Ju
yAssn.
OF 01 dthto National Notary Assn. Bonded through National Notar
Bondedthto
PROPANE GAS Franklin
AND AIC �rvC. Service Order/Proposal
S�r�e�988 813-782-5013 Invoice
WORN. ORDER#/SERVICEMAN 99888 EMA
Sales, Service°&.Installations• DATE/TIME TAKEN 07/29/19 07 e 59
4441'Allen'Rd: i2ephyrhills, FL 33541' - TAKEN BY K I M 03
DATE/TIME PROMISED
NOTES: -MO. 0GJrA`40-417n C ;USTOMER#/LOCATION 18330
PHONE# 813- 89E-9.3 3.0
CONTACT KELLY RYMAN
ROUTE/SEQ EMA-NEW--
RYMAN RENTAL RYMAN RENTAL
E938 OAK CREST WAY 67E9 DAIRY RD
ZEPHYRH'ILLS FL '3354 '' ZEPHYRHILLS FL33542
TEN: AMBER 813-778-3188
INSTALL 5/01/05
CDo CKL30-IL, 0511107695
AH-N "•ARUF03E00A1, 050760188
ESTIMATE
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• -'rt�:��rREFRIGERANT�R^,��`�s��'� �:LBSr'
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t FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY t""=r4 ';=' OTAL SfUM�vIAj . __
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. .�"1 _ ....�''ji�'Xz.`��x.:"•-_.�-
,x0el uinidrstatxSett� gs; When here. ;When Away 60°' T-Stat ❑ MAINTENANCE CONTRACT
SERVICE
:: < :.:,.-.:,v- CALL LIMITED WARRANTY: NI materials,parts and equipment warranted by the manufacturers'`'-�° :�,<'ii%`��"i � "#`'�t�,-•�` '�`'''
rr;�N]l=3TfQQ�O;F?PAYM�I�T;�t�:s..�='�o:.:s" I
or suppliers'written warranty only.All labor performed by the abovenamed 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 satisfactorily complelad.'I agree that Seller
PROG, W / C
retains fitie to equipment/materials fumished until final payment is made.If payment is not made as agreed, CLAIM# I .
seller can remove said equipment/materials atzSeller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.-NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE-ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: TAX
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CUSTOMER SIGNATURE DATE" ✓� ✓ou TOTAL �51� I
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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
�j UP BY INSPECTOR
Owner: f �E h V62"I n cr*:s
Permit#:
Site Address: I -1 D2 1''la !�
Contractor:"Bahr�s Pr0p3ne' Ga'3 &61 G.Tnc
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
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