HomeMy WebLinkAbout19-21990 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21990
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21990 Address: 37136 NEUKOM AVE LT 302
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0180-00000-3020
Improv. Cost: 4,744.00 OWNER INFORMATION
Date Issued: 10/30/2019 Name: PETRIE JOYCE TRUST
Total Fees: 65.00 Address: 37136 NEUKOM AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33541
Date Paid: 10/30/2019 Phone: 813-788-3678
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
C/
DUCTS 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.
C: r�z�' �� &-, k'4 f-f�
ONTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
813-7804)020 City Of Zeptiyrhills Penr►it Application Faz-813-780-0021
e` Date Reoaived PFa w caKaetioi Ping 'J tQ�. ` �l
owner's Name: �' (, , .:1' r�J Owner r
Owner's Address 07/3& A, l�y�7yS�] Owns Phone Mixulbw
'
Fee Sbapre T[1.1011 er Name Owner Prone Nwig"
Fee Simple'rdWwldcr Addnss
.FOB ADDRESS eiL+ I:oT.B:
SUBDIVISION , rFN�tf�'�Zo1 aARI asp aJ D SD 1,1DD00 .�olJ
(OHTANW F WU PROPERTY W HOTfCE)
WORK PROPOSED e NEW CDNSM ADDIALT �� SIGN [_ Q DEMOLISH
INSTALL REPAIR
PROPOSED USE [_ - SFR M COMM ' .0 OTHER
TYPE OF CONSTRUCTION Q BLOCK - [] FRAME . Q. STEEL Q .�-�+
DESCRIPWON OF WORK Cr�a "+ ��. nb. T G� Al
BUILDING SRE SQ FOOTAGEIiEiGITT C
Q BUILDING VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ —�' AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QFLUMBtNG (S
"ME ICAL VALUATION OF MECHANICAL INSTALLATION
ACAS r77 ROOFING Q SPECIALTY r7 OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA AYES _ NO
BUILDER COMPANY
SIGNATURE I IEW"I'RID I Y I N FEE CURRET Y I N
Adams, License#L
ELECTRICIAN COMPANY
SIGNATURE im-CI MED I YIN FEECURREN Y 1 N
Address License# 1
PLUMBER COMPANY
SIGNATURE REGISTERED I YIN FEE CUMM LILN
Address License#.1 ,
MECHANICAL' COMPANY
SI AA1UFi>: REG,s +En Yt N. FEEcut a I N
Address ]bat5rv . use# �a ,39 - i
OTHER COMPANY ..
SIGNATURE T777 REGISTERED I Y 1 N Fee CU(ar M LyjN
—' —�
Address. License#1 1
I I I ICI 11'1,1-1 kii•I I'llI.1..LI I I I I I J1I.111'111111,111'1111,1111 I'1111 11111'I-1'11111111
RESIDENTIAL Attach(2)Ploi Plars;,(2j sets of Buildng Piars;,(1)set cf.Energy Fcims:R-i7-W W Permit fei now ooristrudiOn. :-
Minimttnt tart(10)wodmtg days after sribmitlei date:Rei god Cnsit%Comtruction PlatTs,-Stomrwzitea Plans vd S1t,Fence installed.
Sanitary Faa7tHes&i dumpsfer:Site Work Permit for subTwWorsflarpe prrrieets - -- -
COMMERWAL AMoh(2)complete sets of Bump Piers plus a We Soft Page;(1)sat of Energy Forms.R-D-W Permit for new construction.
Nfatirntart tan(10}wuidny'tleys alter sob 1.dale.F2ggldred.aslo.CJorsttlretion PLans,SWnwater Plats wt Sitt Fence installed,
Sw taty Facilities 81 dumpster.Site Wark Parnit for all new pmoctL All commercial tequiremerrts must meet camptianca.
SIGN PERMIT Attach(2)sets of Enprieened Rms.:..
—PROPERTY SURVEY required for all NEW construction.
Dbsogorrs:.
Fill out application complefeiy.
Owner&Contradar sign baok.of appkalion,notarized
If over tr?WW,a Notice of is regtftd. (AlC upg over$75W)
Agent(tor the carnet)cr Power ofAttomey(for the owner}would be someone with notarized tatee rfrom owner aulftorizing same
OVER YW COUNTER PERMIT ING ..(oDpy of aattrad i WhW)-
Reraoi's if stdngtr3s Severs , Service LWadas'AfC Faeces(PloVStavey/Footape)
Ddvewsys-W over Gaunter if on public roadways,.r>eeds.ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may W subject to"deed"restrictions"
which:may be more restrictive than County regulations. The;undersigned assumes responsibility for compliance with any b
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 fora 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'Fiired 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 property 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 i
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'AFflDAVIT: I certify that all't ie-infonnation in this application inaccurate 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,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.
1 understand that the following-restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless.expressiy 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 setforth in
this affidavit prior to commencing'construction. I understand that a separate permit maybe 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.cif 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 Ahe 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(96)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 PROP.•ERTY. IF YOU_INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI G Y �R NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNERORAGENT - _ CONTRALTO -
Subscribed and sworn to(or affirmed)before me this bed a or affirm ) me this
by - P,
Who islare personally known to me or has/have produced Who naily known m or has/have'produced
as Wantification. as identification. '
Notary Public Notary Public
Commission No. missbn No.
1
IA A.CAMPBELL
Name of Notary typed,printed or stamped •Name of Notary. ;b star }y public-5tate o 0
Commission#GG 112939
My Comm.Expires jul 19,2021
y!t,„i,<<;•' Bon hNationalNolaryAssn.
' ANDPANE GAS)
IC NC:
, Service Order/Proposal
I
�tce �988 8 i 3-782-5013 Invoice
-WORK QRnER*-/SERVI:CFEMAN 1t�E:GI•6B MAR
Sales, Service & Installations DATE/71"I:.11E TAKEN 10/EI9/1:') 08.01
4441 Allen°Rd. • Zephyrhills, FL 33541E�;EN::RY h:�:M 1?l:�
NOTES: ; DATE./TIME PROMISED
CUST.01YIERNULOCAT I O.N 27026
1:1H0NE:1111--
PHONE2;11: KATHY
CONTACT KATHY CERRI:NA
ROUTE/SEQ MAR20x25x 1
P1:7TR1.E, JOYCE 1='CTRIE, JOYCE
2=983 SHATTUCKMILL-E RD 37136 NEUKOM AVE:
GRAND I-IOR I ZONS
SAO I NAW MI 4860,.:,. Z-E PlgRYl-i:L LLS FI_33541
GPC 1;',w•E:HF::1 ADD 0 9030469W AMANA
INSTALLED BY "L_ILL_EY AIR"
CN . 5/21/E009
NOTHING RUNS G/ Y1 ca
•'DESCRIPTION OF:':W.,ORK'=- - _ -
QTY MATERIALS:&SERULCES:<<- :;UNIT:P.RICE `` -MOUNT, .'
I I
6 LA, I 1
I - I
a •V �nf5 cr3�. I
10 I I
I I
C,[S
��.RECO'MEND_ATLONS��;;: - \IjI I
I I
AnnualMaintenanceRecgmmer%ded,by;All°Egyipment ManufacEurers.=r;_'
Pressures Lo HI T Slat I I
•�,/ §REF`RIGERANT>R-'
1 FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY `;TOTAI;SUMMARY,
rgDel'umidiEat'Settrgs :When here'ON' cWhen Away 60°'0;:,T-Stat 80°a ❑ MAINTENANCE CONTRACT
_ SERVICE i
LIMITED.WARRANTY: All materials,parts and equipment are warranted by the manufacturers'''- - `ETYiO `O rP.YMENT ` =` " `4' CALL I
or suppliers'written warranty only.All labor performed by the above named company is warranted for
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# i TOTAL I
MATERIALS
express or implied,and its agents or technicians are not authorized to make any such warranties on I
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE r
I have aulhoiily to order the work outlined above which has been satisfactorily completed.I agree that Seller
PROG. W/ C
retains title to equipmenUmaterials furnished until final payment is made.If payment Is not made as agreed, CLAIM#
seller can remove said,equipmenihmatedels at Seller's expense.Any damage resulting from said removal shall - �•
not be the responsibility 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: tC TAX
G— I
CUSTOMER SIGNATURE DATE TOTAL
✓/G� ✓ou '..1.
y/1
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
UP BY INSPECTOR
Owner:
J
Permit#: j /�V
Site Address: / &- 1V�L-1 t�i'ri �1�iP
Contractor: f914l 2 S PI Vl P �
License#: �•� G `��
Final Inspection Date: r
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