HomeMy WebLinkAbout20-22468 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22468
' BUILDING PERMIT
r: PERMIT INFORMATION :�:.'LOCATIO.N INFORMATION
Permit Number: 22468 Address: 38437 VENUS AVE
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: 02-26-21-0010-02100-0041
Improv. Cost: 5,555.00 OWNER INFORMATION _ _
Date Issued: 2/10/2020 Name: FORNEY, STEPHEN
Total Fees: 70.00 Address: 1207 EDGEWOOD RD
Amount Paid: 70.00 REDWOOD CITY, CA 94062-2728
Date Paid: 2/10/2020 Phone: 949-870-6084
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTORS APPLICATION'FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
n
Ins ections Required
DUCTS INSTALLED
DUCTS INSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute SS3.80 (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.
aaL7a�g�- 6w-, - .
CO RACTOR SI NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
7
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8+;-78DQ= City of Zeptiyfhiffe. emnit Application Fe�c a+��saayz+
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NOTICE OF DEEDAESTRICTIONS: Thwundersigned understands that this permit may be subject to"deed"restrictions"
which.may,be more restrictive than County regulations.- The undersigned assumes responsibllity for compliance with any
applicable=deed restrictions: - ,
UNLICENSED.,CONTRACTORS AND.CONTRACTOR RESPONSIBILITIES:• If the owner has hired a contractor or
contraators-to- ndertake worir,they may be required to be Ifaensed4h accordance with state.and local.regulations'-If the
contractor is not licensei
s required by law,:both.the owner and contractor may be cited for a misdemeanor violation
under state law. if the ded contractouUerntarits may apply for ttieintended.work,they are ised tq contact the Pasco County:'Building Inspection DivisiLicensing Section et 727-8478009. Furtherore, If
ownehashiresa cont , have_the contractors) sign:portionsof the"contractlock'of this application for which they will be responsible. If you,as the owner sign as the
contratxor,:_that may be an tndiration,that ha is not properly iloensed and is not entitled to.permitting,privilegesIn Pasco
County.
TRANSPORTATION`IMPACTIUTiL MES IMPACT AND RESOURCE RECOVERY FEES: The undersigned'understlinds . .
that Transportation Impact Fees and Reoourse Recovery Fees may apply to:the'ocnstruction of new buildings,change of
use in existing buildings,pro of existing buildings,as.spectfied in Pasco County Ordinance number 89-07:and
90-07,as amended. The undersigrred=Ws&.6detstands,thatsuch fees,as may be due,will be!dontfied at the time of
permitting. Itis further understood that Transportation Impact Fees.and Resource Recovery Fees must be paid prior to .
receiving a"certificate of occupanW or final power release If tie_project does not involve a certiflgte of o66bpancy or
final:power release,the fees-must be paid.pdor to:permit-issuance. Furthermore,if Pasco County Water/Sewer Impact.
fees;arr:due,they must the paid prior to.perrntt issuance.in,Acicordance with appiicable.Pasco County ordinances'.
CONSTRUCTION-LIEWLAW(Chapter713,Florida Statutes,as'amiended): If.valuation ofwork is$2,500.00 or more,li
certify that I, the applicant, have been piovided with a'copy of the'"Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the.Florida-Department of Agricuiture:and Consumer Affairs. If the applicant is someone
other than the eowner",I certify that I have obtained_a copy of the above described document and promise in good faith to
deliver,it to:the.°owner".priorto commencerriek.
CONTRiriCTOWSIOWNERrs AFFIDAVIT: I_certify that all'the•infonnation in this application is:addurate 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-certifythat 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 1 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/Wastewatei Treatment
- Southwest Florida Water Management Disbilct Wells, Cypress Bayheads, Wetiand Areas, Altering
Watercourses. I
Army Corps of Engineers-Seawalls,Dodos,Navigable Waterways. i
Department of Health $ Rehabilitative ServibmiEnvironmental Health'Unit-Wells, Wastewater Treatment;
-Septic:Tanks. .•,
u S Environmental
Probwtion'Agency-Asbestos abatement '
F Authordy-Runways.
I understand that the:following restrictions apply to the use off1l:
- Use of fill is not allowed in Flood Zorie`V"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'wlH be submitted at time'ofpernit,ing which is prepared by a professional engineer
licensed by the State of Florida
-. If the.fill'material is'to lie 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 wail.
- 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 adjacerit properties,the owner may.be cited for violating
the conditions of the building.permit,issued unterthe:attached permit application,for lots less than one 0)
acre-which are elevated by fill,'an engineered drii a' plan is required.
If I•ant the.AGENT FOR THE OWNER;-1•promise in good faith to'inforn 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 ognstrued 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 authorize'd.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 Buliding.Olficial foil,period not to exceed ninety(90)days and wili,demonstrate .
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. J.
WARNING'To OWNER: YOUR FAILURE TO RECORD A NOTICE-.OF COMMENCEMENT-MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTSTOYOUR PROPERTY,.;IF YOU.INTEND TO OBTAIN FINANCING;CONSULT
WITH YOUR LENDER OR AN T DITORNEY BEFORE RECORNG OUR NOTICE OF CO ENCEMENT.
ROMA JURAT(F.S.117.03) "
i
OWNER OR AGENT cc.* j
subscribed arhd.swom to.{orefimhed)berorO,me this . . S efirm, this:
by —
Who -
Who Ware personally renown to me or has/have produced isrF11, to"rife hatlhave'produced ParsonaflY -
as idsnacatton.'
Notary Public Notary o
Commission No. fission No.
r'otD"YPUa�ItNotary Public-St ateofFlorida.
Name of Notary typed.printed or stamped Name of Notary.typed. Commission
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My Comm,Expires Jul 19,2021
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. IfondedthroughNalionalNotaryAssn.-
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i y ' PROPANE GAs Service orde ovicosal Franklih
AND A/C INC. _
race AM 813-782-50 i 3 Invoice
WORE: ORDER#/SERVICEMAN 104876 DEC
Sales, Service:& Installations DATE/TIME TAKEN 2/07/E0 09a5i.
4441..Alien.Rd.:• ZephyrhiIIs;- FL 33541 TAKEN BY ,I M 03
40TES: a '�` `'. A° : DATE/TIME PROMISED. 2/10/20 08:00
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71 : . . ; ' as PHONE# 49-870-6084 C
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FORNEY,. VICTORIA FORNEY, VICTORIA
800 -PATROL. RD 38437 VENU•S AVE.
!JOODS I DE CA- 9406E Z EPHY RH I LL-S L33342
GOODMAN.
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STIMATE
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FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly
❑ REGULAR ❑ 't= uJlih. ;
WARRANTY
K�h'7�.' �� -C•— .. S''?±t Y'
6+eh (dis t a�ef4jCigsr When here }�" � When Away Q 1 T Stat r,, ❑ MAINTENANCE CONTRACT
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LIMITED"WARRANTY: All materials,parts and equipment are warranted by the_manufacturers' ' y�`s��'r''' :''� ' ""'�' " ''``= ' a "''. CALL
M tiOQF FFf E(.T ~.
a suppliers'written warranty only.All labor performed by the above named company is warranted
i0 days or as otherwise indicated in writing.The above named company makes no other warranties, El CASH ❑CK# TOTAL I
:xpress or implied,and its agents or technicians are not authorized to make any such warranties on ATERIALS I
lehalfof above named company. ❑.DEBIT ❑CREDIT ❑OTHER �AINTENANCE
have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller ' P OG. ,W / C
.stains title to equipmenUmatedals furnished until Rnal payment is made.If payment.ts not made as agreed, CLAIM#
teller can remove said equipmentlmafetials at
Seller's expense.Any damage resulting from said removal shall
lot be the responsibility of Seller.NET'30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO
4LL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: TAX
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:USTOMER SIGNATURE DATE ✓ C ✓tau TOTAL
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