HomeMy WebLinkAbout19-21698 _ CITY OF ZEPHYRHILLS y-
:( 5335-8TH STREET
(813)780-0020 2 98
BUILDING PERMIT
PERMIT INFORMATION LOCATION:INFORMATION
Permit Number: 21698 Address: 7232 OMEGA CT
Permit Type: MECHANICAL ZEPHYRHILLS, FL. f
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0710
Improv. Cost: 5,545.00 "OWNER INFORMATION.
Date Issued: 9/03/2019 Name: MOYER, DONNA& DAVID
Total Fees: 70.00 Address: 7232 OMEGA CT
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/03/2019 Phone: 813-727-6381
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR•S APPLICATION FEES.
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
P'
Ins ections Required .
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
i3
813.780-0020 City Of Zephyrhills Permit Application FMC-813a8a0021
Building Department
Date Received Phone Ccrdaetfor ��✓ p— '�l✓Owners Name {}
Q / �NStfi� Owner P Ntonber O 13 - J�(
OwneesAddress 6t? own"PhowNumbar-
Fee Simple 710d alder Haire. Owner Phone Nlmiber
Fee Simple Titleholder Advdress �s
JOB ADDRESS `o- r�t7' +G+P r ,nh;l- Ay 1AT#
SUBDIVISION [--F "� PARCEL IDY * rsL? 0'�1 G/V 4 714
(MANW FROM PR FMM TAX MOTIM
WORK PROPOSED NEW COMM K ADDIALT �} SIGN [� [� DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF CONSTRUCTION = BLOCK
L
�[� FRAME�7 = STEE
DESCRIPTION OF(WORRKK d (� f�/V P�"LPL ' 7 O /
BUILDING SIZE i SQFOOTAGE HEIGHT
"BUILDING VALUATION OFTOTAL CONSTRUCTION
=ELECTRICAL (S— AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING Is
MECHANICAL $ W -5': VALUATION OF MECHANICAL INSTALLATION
=CAS 0 ROOFING IQ SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO
BUILDER L COMPANY
SIGNATURE RMC-18M R0 I Y 1 N FEE CURREA /Y!N
Address Licenses
ELEt�SIGNATURE REMSTa ED I YIN FEE CUM Y N
Address License# !�
PLUMBER COMPANY
SIGNATURE REGISTERED I Y f N FEE CuRREn I Y/N
Address —111�111-111+1—._—T.� LCer.#!
MECHANICAL w COMPANY
SIGNATURE REGISiMRED I YIN IEEE CuMn,�A,.,Y t N
Address 'T"TI l 11J/l license# �/T�+r/ �
OTHER COMPANY
SIGNATURE REGMTEFtED I YIN FEE CURRO, Y t N
Address Li-4
1III i1111i1 toile 11-11.11.11,17I1,111111iiiilillil-illClihi1111111 I'll 1P111
RESIDDI TiAL Attach(2)Plot Ptak:(2)sets of Bmidmg Pura:(1)set of Energy Forfns;,R-O-W Pont for rliu construction..
KnImum ten 00)worft days aftitr submttla)date Required bnsite.Construcbon Mans;Starmwater Plans w1 Silt Fence installed,
Sanitary Fa0dw&1 OmV star;Site Wait Permit for subdivmWollarge majeds
COMMERCIAL Attach(2)complete safs•of Building Plans On•1113 Safety Papa;(1)set of Emergy Forms R-O-W Permit for new ao vAruction_
Onsnum ben(10)woad days af6w mibmittai data Required amsim,CaWmadon Ptans,81amnvater Putts wl aft Fence installai,
Sodary Fau fps&f dur ..Site Work Permit for 88 new projects.AN commensal requirarnarmts must inert compiianee
SIGN PEWX Attach(2)sets of B*mmd Hans.
""PROPERTY SURVEY mqured for all NEW consirixton.
. . . . . .
Grfreet7ons:
Fill out appucatioa compiatelIt.
Owner&Contractor sign back cf application,noWtwd
If over$2500,a NoSaa of Commencement Is ratted. (AX upgrades over 67MO)
Agerd(far ttie contractor)or Power of Atforriey(for the amw)woWd be sometime wflh notwm)d Iatfer from owner authotiang same
OVER THE COUNTER PE1i211TTING' (copy of b6>,r required)
Reroofs if sWmales Sewers ,Service Upgrades AfC'.- Ferxes(PIot/Sruvey/Ftmtage)
Driveways-NOt arer Counter if at public raadways.aisefs ROW
r
w'
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 lie 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 contractors)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,ifPasco 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$2,5D0.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Constriction 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 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. 1 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 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"%r 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 fora period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official fora 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 YOU&NOTICE OF C MMENCEMENT.
FLORIDA JURAT(F.S.117.03) _
OWNER OR AGENT- CONTRACTOR
Subscribed andswom to.(or affirmed)before me this offirmeed-) reds is Q
Who is/ personally known to me or hasftve produced W `islare rsonally known me or has(have produced
as identification. - as identification:
Notary Public Notary Public
Commission No. +.m!.I.n No.
Name of Notary typed,printed or stamped Name of No IA A.CAMPBELL
t ?_ �`"�otjryPublic=Stateo or
•:�" •= Commission#GG 112939
;uyr aes My Comm.Expires.lul19,2021
''9�OF F�.\'' Bonded through National Notary Assn
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�ie�rvice Or: er Pronasa
�iac��988 .,.. Invoice_
$1 w782M5013
WORK ORDER##/SERVICEMAN 100820 JUL
Sales, Service chi'Installations DATE/TIME -TAKEN 08/;.'B/19 14`.33
4441 Alien Rd:• Zephyrhilis, FL 33541 TAKEN BY N.a B_ � t
DATE/TIME PROM-ISED
TOTES: GUSTOMER#/L.00ATION 40169
PHONE#k 813-727-6381 C
8.13-7E7--67E7 C
. R0U7`El8EG! �� JUL
MOYERS, DAVID MOYERSq DA.VID
7232 OMEGA CT - 72.:2 OMEGA CT
ZEPHYRHILLS Fig. ;33 4 t ZEPHYRHTLL.S
NEW CUSTOMER NEED INFO
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FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly r t
❑ REGULAR ❑WARRANTY F
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mod" . 2..SLY1�p
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eta a ''Whett;heie « . When Away T-State p° - []; MAINTENANCE CONTRACT
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LIMITED WARRRi4NiY:'Alfrtiakedats;Farts avid equiptnetit'ais'warranted tiq the';ina�ufacturats'' > " ,��p y'" CALL t
or suppliers'wditen warranty only.NI laborparformed by.ihe abdve reviled campatiy.fs warranted for " .a
30 days or as otherwise indicated in writing.The above named oornpany maltes.no.other-warranties, ❑CASH O:CK# TOTAL 1
express or implied,and its agents or techrildang are not authorized to make any such warranties on - MATERIALS t
behalf of above named company. O DEBIT 0 CREDIT 0 OTHER MAINTENANCE r
t have authority to order the work-outlined above which has hewn Wars"
osiiy Completed.t agree that Seller
PROG. W / C r
retains title to equipment/materials furnished until final payment is made.If payment Is not made as agreed, CLAIM#
seller Can remove said equipmenirmatertals at Seller's expense.Any damage resuiitn9 tram said"removal shall
not be the re nsibli of Seller.NET 30 DAYS.A 1 1/2 HALL UNPAID SALANICES OVER 30 AYS.NO REFUNDS°SERVICE CHARGE WILL aE ADDED'MONTHLY TO DATE COMPLETED t
TECH: TAX
CUSTOMERSIGNATURE` DATE - ✓ ✓ou TOTAL t