HomeMy WebLinkAbout19-21778 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21778
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21778 Address: 6715 NORTHLAKE DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0150-00000-0100
Improv. Cost: 7,485.00 OWNER INFORMATION
Date Issued: 9/19/2019 Name: FLETCHER, ALLEN CHARLES & RONA
Total Fees: 80.00 Address: 6715 NORTHLAKE DR
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542-0645
Date Paid: 9/19/2019 Phone: 240-538-1533
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS & A/C, INC. A/C CHANGEOUT 80.00
\7
DUCT INSTALLED Ins ections Required
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.
CONTRAOT6RI SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
F 813-78D4 ti2a City of ZephyrhillS Permit Application Fax-813-7e0-oO21
Bung Department v¢
Date ReceNed Phone Condantfar P.-Mirsg
O.W.N. e2 1 eN Owner PRaone fwbmdw a yD 55 . 15
Owner's Address op-g -LRx e- Z>lq O,►,ner a e rimier -.�1
Fee S THleRwlder Marra. I Owner Piwne Ilu nwr
Fee Slmpte�Address -
JOB ADDRESS l�'`710� �RTff 1C� a l2r /�s LOTyO
SUBDIVISION j� xS� PARCELIDs 3 L// z9ge 40
�'� ///' io9TalQ(EiSfRCi�iPA0F6irYTAXN0710Ef
WORK PROPOSED e ww 1x1HsrR "A ALT Q SIGN 0 [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q Comm OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q c
DESCRIPTION OF WORK °�-✓. (i Jr' AN — o� G' / '� + `�
BUILDING SIZE �� SQFOOTAGEF HEIGHT
"BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL �1111�1(S� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QR"LUMSING
CZrME Is VALUATION OF MECHANICAL{NSTAI 1ATiON-
=CM Q ROOFING = SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO
BUILDER CQMPANY 1
SIGNATURE REGISTERED I YIN I FEE Cum Y t N
Address License# -
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURRM
Address Ucenso#1-
PLUMBER COMPANY
tSTETttD � ' FEE CURRE+.SIGNATURE REG
Address License#
MECHANICAL Ld� h.�.
SIGNATURE ter rr t~- t Y/N I, FEE C['BEN I N"}' 7�
Address.. h 1 ant 11 License#tt.%�/G L�7 t�
OTHER COMPANY
SIGNATURE REGISTERED I YIN FEEcuwjpII Y/N
Address License#F 1
11lIililil'I // lilllrlt./ 11l /!l1i / 111111-1.lIIl1 !!./ ! 1 ! ! 1-tlIlIIIIIIIIl1111
RESIDENTIAL Attach,(2)'Plot Pans;(2)sets of BWOV Plans;(1)set of Energy Fonns;R-O-W Permit far new cwistuction.
KTdmum ten(10)wcdit days attar submt W date.`Required onsiti'Cohstnicfion Plans,Stonrrwater Plans w/Silk Fence installed,
Sanitary Facilities&1 dumpster,Sda Work Permit for subdvisiotrsrlarge projects
COMMERCIAL AUSM(2)ownpals aat3 ar BWWbV Plana Life Safety Page;(1)set of r:"rwW Forma.R-O-W Permit for ma v cortstruction.
Ms nemm ten(10)waddng plus days after Mdxr&W date.Re*IkW orrsite,Owls n m Plans,Sbxmwater Plan w/Silt Fonts Irstslief,
Saralary F_ iWS&1 durpsGar.Site Work Permit for all new projects.All commercial requ rearms must meet comprance
SIGN PERMR Attach(2)sets of Erigrteered Plans.
—PROPERTY SURVEY required for NEW construction.
ak
FBI out application completely.
Owner&Contractor sigh back of application,notarized
lfoverl?WW.a Nag-of Cann neat is variked. (M upprad-aver$75W)
Agerd(tor Via w*actor)or Power of Attomey(forthe cww)world be someone with notarized letter from owner auffiorizing same
OVER THE COUNTER PERMITTING , (copy.of.00ntrai t requited)
Reroofs if shingles Sewers Servim Upgrades AfC ' Fences(PlabSurvey/Footage)
Driveways-Not over Carter if on public roadways..neods ROW
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
understate 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 UEN 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 1 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 ail 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 govemment 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,WaterM/astewater 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, 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.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 COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to.(or affirmed)before me this �pd or affirmed)b ` e this
b V
Who Ware personally known to me or has/have produced Who istare pe nally knowDid me or hasthave produced
as Identification. as identification.
c
Notary Public Notary Public
Commission No, is_sion No.
SYLVIA A.CAMPBELL
Name of Notary typed,printed or stamped Name of Not
ary typed, rill d
Commission u GG 112939
T° My Comm,explies Jul 19.2021
' or
f Bonded thioughNallunalNolatyAssn.
Me I
.
PROPANg GAS
Service OrderYrovosai
WORK ORDER#/SERVICEMAN k01329 JUL
` Sales, Service & IOGt�l���OOG �' DATE/TIME TAKEN 0��/16/19 07: 19
^ TAKEN BY K. B. 03
4441 ��l8OR��. ° ZeDhV[�i��8. F� ���41 ' . ^ ~
' DATE/TIME 'PROMISED
NOTES: CUSTOMER#/LOCATION 13978 `
� PHONE# 240-538-1533 C
' ROUTE/SEQ JUL
MAP A/HGARAGE
.
`
FLETCHER, ALLEN ^ ' FLETCHER, ALLEN
6715 NORTHLAKE DR 6715 NORTHLAKE DR
. & SILVER OAKS
ZEPHYRHILLS FL 33541 ZEPHYRHILLS FL33541
2010 RHEEM SPLIT SYSTEM
' `
�
NOT
/�COOLING / 813-838-7792
MOUN
Pressures LID HI T-Stat
FILTERS X X Changed Monthly
SERVICE
LIMITED WARRANTY: Ail materials,parts and equipment are warranted by the manufactuFe—rs' � -,-�'I :-
OD F�PAY
or suppliers'written warranty only.All labor performed by the above named company is warranted for ETH CALL ----
30 days or as otherwise indicated in writing.The above named company makes no other warranties, QCASH OCK# TOTAL
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS
behalf of above named company- L1 DEBIT El CREDIT 0 OTHER MAINTENANCE
ch has been satisfactodly completed.I agree that Seller PROG. W C
I have authority to order the work outlineiaboi!Za,pa an!is made.If payment Is not made as agreed, CLAIM#
seller can remove id equipmentim .1 an . y damage resulting from said removal shall:
not be the r i ility of Seller. AY A.1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO
TAX
DATE Wa TOTAL