HomeMy WebLinkAbout19-22199 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22199
BUILDING PERMIT
:PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22199 Address: 4712 CHARTER ST
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: EDGEWOOD
Est. Value: Parcel Number: 14-26-21-0270-00000-0390
Improv. Cost: 3,750.00 _ OWNER INFORMATION
Date Issued: 12/27/2019 Name: SMITH, ANTHONY D & PATRICIA L
Total Fees: 60.00 Address: 5700 PROFIT TRL
Amount Paid: 60.00 VERMONTVILLE, MI 49096-9792
Date Paid: 12/27/2019 Phone: (517)231-9108
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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7
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.
I C,/
q�ACONTRA,ql,,T� URER SIGNAT PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78O aM City of ZephyrhiUs;Permit Application Fac 813 ooz+
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WORKPROPDwSED. .r1EwmwsrR ADWAL7 .Q _SIGN DEMOLISH
INsrau: : - REPAIR .
PROPOSED USE: Cl. -SFR.: .^ ... o R
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DELECTwcaL s AIYPsERViCE [Q PROGRE&S ING It
MECHANICAL i CC� VALUATION 0I MECHANICAL WTA"rON
QeAS I_._1 RooFm 0 sPEciALry p oTHER
FINISHED FLOOR ELEVATIONS � FLOOD)ZONE AREA AYES _ NO
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BUILDER CDMPAtIY
SIGNATURE I YIN iffCURa�.. Y/N
Addrem - 'Lloense#
B.ECTRidAN - f�1AaPANY � f � ,
ITl'J N -FEECOV EA YIN
pddras LicensePLUMBER .#'. '-
COMPANY �.
SN3NATURE aEas'ratID Y/N_ FEECuNqlf!�. I YIN
SIGNATURa tvtssatID YL. YIN
Addtasg :1.� - w .Licervse
07HER CiM1PANY
SIGNATURE' I� YIN: 'FEES Uumi
'Address. - � Litkerse#
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RE 1I)EN tAL.
' aa�►:c?1.aloca�;,f�s�a ;.t+rsa�'ar�arranteow�tar�:r�woor►�wa�on:-;:. . ~. ,;.
linksir+'i�t1a)wokigdaysaRerst�r�tlaFdatia:�E;Sgvi�edansite.: Plans:��army�ari? wf;ultFerlce.6sslaae4. =
Swdwy Fae+lities A t dt 42str Oita work Perniitfior su66vbiar'IEaroe waimds .:. -
eaaYm-w. Nt"o t� k 0"sm or Esubmw risen pkrs■um ca.r a r+)m.e et Ersar r. .R-O-w a rredt ter naw oorstructk e.
h�i.���'�(10fvagrsa�lrrakaariwnr.a.Ira,,Nirquiredaheas..Car�k�3wr1?tfr�.SPansaysUtF.no.Iknc�uw. ,
FadWfipaBl AkatkpsleiSSailvariH'nrikfa[raB.iiaiipojeca.tUtmksriare3ritre�riniar�s"mtr�reiptmmpia�ice.: .. .
SUMPERMIT Atladi(2)svats,d,•ErpiiNSPad1?dsts.'.:.. ::..:::-, ..
""PROPERrYt{SURVEI(•.tmgk*Edtbraa NEW oorrsinxtion
DinkeUrnkx
FHf out appintivxr otxrtpietety.
Owner ii Cor'vtracttar vs�r tagc.ar appgcrttiat,.rtp�r€tad
M~fi M,a HoUn of Coesrteiaanma is iagnYed. (Are apgndw over s7sM
" Agent{feeUse -a PCwerdAlSnrrrey(forG3eatiter}xotfdt�e'sges ottewiihn tosindtetter:€rarnownersutttakOtgsatto
oVERTHE PEIMUrnIM '.(oapydccrdRctregukgM:...
RerodsHshGtpbs' .,.Sowera SarWaail adms,NC F0—,(PWAtwW/FodW)
Dd vowrp-Not over Coaster it on pui k ma&mr,i..s i ds ROW
NOTICE OF DEED•RESTRICTIONS:-The"undersigned understands that this permit maybe subject to°deed"restrictions"
which':may be,moT restrictive than Co u ity'regulations. The.undersigned assumes responsibility for(ibmpliance with any
appiicat)te`deed`restrictiorts:. . ..;...,. . . _ . ;• �
UNLICENSED CONTRACTORS'ANt3„ ONTRACTOR.RESPONSIBILITIES if the owner has hired a�contractor or
contractors to undo f6ke Work,they ma)flbe iequiri l to be licensed•iri accordance with•state.and'local.regulations.-if-the
contractor is not licensed as required by taw,:both the owner and contractor may be Cited for a misdemeanor violation
under state law.'If the olamer or°intended Contractor are uncertain as to,whet licensing requirements may apply for they .
intended work,they are advised to contact the Pas County:Building Inspection Division—Licensing Section.at 727-847-
8009, .Furtlmennore, if the_owner has;hired 8co contiaotar or:c ontractbrs, he is advised to have,-the contractor(s)-sign. -
portions of the"contnic for Block'of this application farwhich-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.permltting privileges in Pasco
County,
TRANSPORTATION71MPACTAMLtT SS iMPACTAND RESOURCE RECOVERY FEES: The undersigned understands .
that Transportation Impact Fees and Recourse Reo6v6rj Fees may apply tq tho'construction of new buildings.Change of.
use in existing buildings;or expansion ofiexisting buildings,as.speafiad In Pasco County Ordinance number.89-47:and
90-07,as amended. The=undersigned'also.iinderstands,,#W-such fees,as maybe 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_proj6d does not Involve a certificate of oddiipancy or
final power release,the fees-must-be.pa erior.ta-perrnit•lssuance. -Furthermore,If Pasco County WatedSewer Impact
fees;are-due,they must W paid prior to pe tt Issuance:in,accordance with applicable.Pasty County ordinances.'$,
CONSTRUCtON-L1EN,LAW'(Chapter 7_3,Rorida Statutes,aslai ended): If valuation of work is$2,5W.00 or more,I
certify that 1, the applicant, have been provided with a copy of the"Ilorida 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 drat I have lobtained a copy of the above described document and promise in good faith to
deliver lt,to the,°ownsr".pft-to commencement.
CONTRACTOR'SiOWNER'S AFADAVrr: f_cer.fyvW aii'the1n1brmation in this application:ls:accurata and-that artwork
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 ujork snit! installation as Indicated. I certify that nos work or installation has.
commenced prior to,issuance-of.a permit'and that'all work will be perforrned to meet staridatiis,of ail laws regulating
construction, County and City codes, zon�ng regulations, and land development regulations in'the jurisdiction.- I also,
certify that I understand that the regulation, of other goverment agencies may applyto the intended work,and that it is
my responsibility to identify what actions i roust take to be in compliance. Such agendas include but are not limited to:
Dapartment of Environmental Protection Cypress Sayheads,Wetland Areas and,Environmentally Sensitive
Lands,Water/Wastewater Treatment
- Southwest Florida Water Management District-Wells, Cypress Bayheeds, Wetland Areas, Altering'
Watercourses.
Army Corps of Engin I Is,Dodos,Navigable.Waterways.
Department of Health &&Rehabilitative Servibet Envimnmental Health Unit-Walls, Wastewater Treatment,
Septic:Tanks. ::...:
-US Environmental Protection`A§dncy-Asbestos abatemerrt '
Federal Aviation Authority-Runways.
I understand that the foilowing'restrictions apply tothee use of till`
Use of fill is hot allowed in Flood Zane`%r unless.expressiy'petmitted.
- if the..fd1_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.-fitumateriai_is to be used in Flood Zone WIn connection with a permitted building using stem wall'.--.-.
construction,i'certify that fill wilt,be used only to_fi11 the area within the stem wall.
If'fill matariat.is_to,:be used iri any area, I certify that use of such fill,will not,adversely.affect adjacent
properties. If use of Ali is found to adversely afied adjacent properties,the owner maybe cited for violating
the conditions of the_building.p,milt.Wired urider-the..attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered dralriage.plao is required.
If I:am the AGENT FOR THE OWNER,.I promise in good faith torinfornithe owner of the•permitting conditions set forth in,
this-a#fidevit prior to COMMencirig:construction. I understand-thal 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 oonstrued to be a l6nse.to,proceed with'.the work and not as authority to violate,cancel,,alter,or
set aside any pmvislons of the:tachr"codas;nor shall issuance of a.pemiitprevent the Bullding-Oflicist from thereafter
requiring a correction of errors in plans,.construction or violations of any codes*. Every permit issued.shafl become invalid
unless the work=authoiized,by such permit commenced�within•six months of permit issuance;-or if work authorized.by
the permit is suspended or.abandoned for alperfod of`six(6)months after the time the'work is commenced: An extens'son
may be requests 1n writing,from the Biding ofildai for"a period not to exceed ninety(90)days and Will demonstrate.
justifiable cause for the extenslon. If work c lases for ninety.(90)'Consecutive days,the job is considered abandoned.
WARNING TO OWNIE `YOUR FAILUREfTO RECORD'A NOTiCE-.OF COMMENCEMENT MAY:RESULT IN YOUR :
PAYING TWICE FOR IMPROVEMENTS.TO YOUR PROPERTY,IF YOU.iNTEND TO OBTAIN MNANCING,CONSULT=
WITH YOUR LENDER AN ATT EY i3EF RE CORDING VOOWNoirliin O&COMMENCEMENT.
FLORiPA,rURAT(F s,t .03).
OWNER'QRAGENT- .: CONTRACT0R,. _
7�and ' to{8raflirm )t rr�e a Su and' for ed ethis,
�q�b�. Ua�I .d :�44 by � P!>I Who iarartAusonMy far tam r hasThave pmdurdd who i are. ,anaAy im ri+e or produced
�-----, m IdaMif�wrion,,' identiik�tlon...
�—! otary i to Notary 0u*Wio
Commission No. No.
turn&A rAMPRFLL
iVame of N t! °(y iic-State of Florida ' Name of Notary` $,tamped,
+ Notary Public-state of Florida
* '_ Commission#GG 112939 + 2+
• ,+ ;=i Commission#GG 112939
My Comm.Expires lul 19,2021 + r; My Comm.Expires Jul 19,2021
BandedthroughNatianalwory"Assn.
''a fioxm� SandedihroughNationa!NotaryAssn,
V ,
AND.AIC iiMc. Service. Order/Proposal '
813.732.5013
Invoice,
Sales, Service & Installations WORK ORDER#/SERVICEMAN 103848 DEC
4441 Allen Rd. Ze h chills, FL 33541 DATE/TIME TAKEN 12124/19 10 n c8
P Y TAKEN BY TAMMIE 01
NOTES:
DA:T.E/TIME:•:f�:RC#h1I; ED. ,1: 4
CUSTOMERS#/LOCATION! AC3215
PHONE,#. 51 7-231-`3108 C
ROUTE/SEQ DEC .
SMIjH9 TONY And PATRICIA SMITH, TONY and PATRICIA
-4712 CHARTER.. 'ST 4.71E CHARTER ST
EDGEWOOD
ZEPHYRHILLS FI_ 33542 ZEPHYRHILLS . . FL3354E
ESTIMATE FOR NEW -UNIT ,
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Iocle fax 1�>e\ 7e • ek J14L,
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•.F- -:.i�'ii- ;,:R"k„ �7'.i n4.lr �:}?:i i!:5�:nt��f'~i,' �t'�t -
Arintal:Maintenance ReirgindedbyAllui1' e11tMan`ufa'ct[iCers <:;<''R F I I.
_;_ a=_ ,•�t„r_;,�„ :.Q.._.I�J?!,:--. ,1.:; Pressures Lo HI T-Stat
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a`C-J+G--'�' �(k,'.�ivx,� i'hf? �?- }F<ry".r r•'�r � �Gi a?K�,f:::ti Sr.%IV:v,-
FILTERS x x Changed Monthly
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FILTERS x x Changed Monthly I I
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❑ REGULAR ❑'WARRANTY a, rrs, AR�
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°DeiiGml Est Settings"13Mhen here°OTN� i When Away 80° ' T-Stat 80° ❑ MAINTENANCE CONTRACT rt
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LIMITED WARRANTY: All materials arts and equipment are warranted b the manufacturers' 4 ' r' Yx CALL I
Py t- YM�ETG�,O.D.Q ? YIf71 (�tTr„Tfs xb
or suppliers'written warranty only.All labor performed by the above named company is warranted for "~':'R f a
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL I
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS I
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
Ihave auth order the work outlined above which has satisfactorily completed.I agfee that Seller. '�
PROG. W / C
retains DI to... m t/maledals furnished until final paym nl is ade..ff payment Is not made as agreed, CLAM#
seller ca remove Id equipmenlmaledals at Seller' expen e.An damage resulting from said removal shall �i-• ,
ALL U AIDE nsi ICES OVER.NET 30.DO a FUN SJ S RVIC CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED
TECH: TAX
C STOMER SIGNATURE - DATE - ✓'� ✓ 4 TOTAL �