HomeMy WebLinkAbout19-21774 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21774
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21774 Address: 3818 ROYAL TROON WAY LT 27
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: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 4,345.00 OWNER INFORMATION
Date Issued: 9/18/2019 Name: NHC-F1115 LLC-
Total Fees: 65.00 Address: 6991 E. CAMELBACK
Amount Paid: 65.00 SCOTTSDALE, AZ. 85251
Date Paid: 9/18/2019 Phone: 609-351-9252
Work Desc: A/C CHANGE OUT 3 TON PKG
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
r
A
Ins ections Required
DUCTS INSTALLED
DUCTS INSULATED
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.
N
CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7804)D20 City Of Zephyrhills Permit Application Fax-813-78a-0021
Bulling Deparliner t �J J
�?Data Received Phone eartactfor Permitting
awrors Nacre ,` L 1—L OwnerPhoneKunik er'
ownersAddress 7 * Gl k In - Sisal ownerPhoeeNurnber-- `.
Fee SlrWe TdWwIdw Nano. F Owner Phone Number
Fee Simple Titleholder Amps -�
JOB ADDRESS 3-S1 r q!3 Q 1 1 Q6/��� ( LOT#
SUBDIVISION 1"+Cly f 'IC,caPARCEL ID# c�Gr '"0010 -(lV
(OWA94EO FROM PROPEMY'TAXIO=M
WORK PROPOSED e wwt wwtfy— ADDIALT p SIGN = [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR p COMM p OTHER
'TYPE OF CONSTRUCTION p BLOCK /z p FRAME p .STEEL
DESCRIPEON OF WORK (✓ ) t- I i
BUILDING SIZE �� SQ FOOTAGE HEIGIfT
=BUILDING —�� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL ((3—— AMP SERVICE p PROGRESS ENERGY p W.R.E.C.
=PLUMBING �(5 —
[ MECHANICAL (S^ J1/)�I VALUATION OF MECHANICAL INSTALLATION-3!!t:-'
=GAS = ROOFING 0 SPECIALTY= OTHER
FINISHED FLOOR ELEVATION$ FLOODZONEAREA =YES NO
BUILDER COMPANY
SIGNATURS REGISMW. I Y/ N I FEE CUWZK
Address License#i - t
ELECTRICIAN COMPANY
SIGNATURE REGMTEPW I YIN FEECURREA Y N
Address License#
PLUMBER COMPANY
SIGNATURE ! REGISTERED I Y/N FEE CURRET Y!N
Address License#I
MECHANICAL
.Uf COMPANY
SIGNATURE
REGISTERED I YIN FEEL RRE. I YIN
Address .- 1� License# D
OTHER COMREGIM ANY
SIGNATURE �", REGISTER@ I Y/N FEECURRET`
Address License#�—
1 i l l l l l l 11'1'1 1 1 1 1 1 1-1 Li 1.1 1 17 1.1 1 1 1 i.i 1 i,l I,i l i i i i Li i i i-!,i„1't 1 1 1 1 1 1 1 11 l i 1 / 1 1
RESIDENTIAL Attach,(2)Plot Plans,(2)sets of Bu Wv Plans:(1)set of Energy Fomrs:.R-0-W Permit for n6w coiWftw ion:
Minimum ten(10)wori ft days after subindiat date. RegL*W 6mita Consbuction Puns StornwaW Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Stte Work Pemdt for wibe vlsiornflarge projects ..
COMMERCIAL Attach(2)complete sets of BUiktlng Plans plus a Ufa Safety?ape,(1)set of Energy Forms R-O-W Permit for naw corstructm
Minimum tea(10)worKng days after submlW date. RewdW or>sira CattstrtretiwrP ;Stiarnwatet Plans w/Gut Fence Intuited,-
Sarfi a FaaTities&1 dw9stec Sft Work Permit for all new projects.All owner"mgLftinems must meet aonphance
SIGN PERMIT Alacth(2)sets of Er neared Plans.
""PROPER'TY SURVEY requhid for all NEW won.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
DlreWons:
FBI out application completely.
owner&Contractor sign back of application,rind
U,over$2500;a Noliee of li�requred. (AfC upgrades over$75m)
Agent(for the cattractM or Pourer of Attomay(for.the ovrter)would be saneane with nctwtzed letter from o wner autitoriang same
OVER THE COUNTER PEREIrt m6 {wpy of contract required)
Reraofslfshingles Sewers.' ,SeaviceUPgr S:'A/C- ' Farxzs(PkiVS—ylFootage)
Df(uie',vays-t over Counter if on public feadways.:nse&Rf}iN
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 Bloch of this application for which they wilf 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 IMPACTIUTILITIES 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 I, the applicant, have been provided with a copy of the "Florida Construction 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. 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 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,WaterfWastewater 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, 1 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.shail 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 COMMENCEMENT.
FLORIDA JURAT(F.S.1 7.
1
OWNER OR AGENT U f -y�l /� cONTRACTO dl X
S bed ag sworn onr ffinn �) met is and swo (or rm d)
y_ NJ
Who islaMQR ovally known`tt me or hasthave produced Who is/a personal)r n to me dr hasthave produced
as identification. as identification.
ola N (��'� —'
_ ry Public Notary Public
mmission o. mission No.
SYLVIA A.CAMPBELL P"&.':, Notar Public-State of Florida
Nam of ; ed,prhtpPs ISip e o 0 Name of Notary
" ' •= Commission N GG 112939 p ; mped Commission q
' %s,• dG My Comm.Expires Jul19,2021
MyComm.ExpiresJu119,2021
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...... „`°°`' Bonded through NationalNolaryAssn. Sao BaadedthmughNationalNotaryYssn.
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. Se " ice Order/ProtjosAl
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��— ' —�� WORK ORDE MAN 101�65 EMA
� DATE/T-�ME TAKEN 09/12/19 15: 15
5affes |�8R�O8 /� |0GtaU8�OOS
� '` TAKEN ~ TAM 07
4441 ��l8���d. ° ZGphV[hillS' FL 33541 DATE/T �
CUSTOMER#/LOCATION 03663
NOTES'
� PHONE 609-351-925� C
� �PH0NE2# 607-377-1864 C
ROUTE/SEQ EMA—CUR
MAP 10YR P+L WAR#M100735/i,
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CMHNEY, pl8{E & MOLLY � -SCHMIDT, RAYMOND (REGISTERED)
3818 TOYAL TROON WAY 3818 ROYAL_ TR[]ON '�4AY
` � MAJESTICOA' S #027
ZEPHYRHILLS FL 33542 ZEPHYRHILLS F1-3,3542
'
3T }4ILLER 15SR PKG *7/19/10*
P5RF—X36K, 1--,5F100600520
02�1
UNIT STRUGGLING TO KEEP UP" ADDED REFRIG & LEAK SEALER I.-AST YE�
rO �SEE
IF UNIT HAS ANOTHER LEAK OR WOULD LIKE AN ESTIMATE FOR NEW UNIT POSSIBLY.
` ' ~
AMID
k.
Alc
Pressures Lo_HI_T-Stat
FILTERS x x Changed Monthly
FILTERS x X Changed Monthly
OT
El REGULAR 0 WARRANTY
SERVICE
11-111Y�TED WARRANTY. All materials,parts and equipment are warranted by the manufacturers CALL
or suppliers'wrilten warranty only..4JI labor performed by the above named company is warranted for TOTAL
30 days or as otherwise indicated in writing.The above named company makes no other watranties, Q.CASH UCK#
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS
behalf of above named comp any. El DEBIT 0 CREDIT C3 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 equipment/materials furnished until 171nal payment Is made,If payment Is not made as agreed, CLAIM#
seller can remove said equipmenl/materials at Seller's expense.Any damage resulting frorn said removal shall
not be the fesp�nslbflity 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
TECH: TAX cJ0.
TOTAL :6
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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
jj. UP BY INSPECTOR
Owner: /�l17(-: iQ115 ,C.LC�
Permit#: ZW 7 / Y
Site Address: 3�1 fJ P'QY0,1 l roon Way
r �
Contractor: ?JO-h�5 Prpne C�)W ! (2, -r►)G
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