HomeMy WebLinkAbout19-22032 CITY OF ZEPHYRHILLS /
5335-8TH STREET
(813)780-0020 2032
BUILDING PERMIT
PERMIT INFORMATION LOCATION'INFORMATION
Permit Number: 22032 Address: 37635 LILLY BEA AVE LOT 260
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2600
Improv. Cost: 6,135.00 OWNER INFORMATION ,
Date Issued: 11/12/2019 Name: OTTO, ROGER & PATRICIA
Total Fees: 75.00 Address: 37635 LILLY BEA AVE LOT 260
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/12/2019 Phone: 813-502-7952
Work Desc: A/C CHANGE OUT 5 TON PKG
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00
"�11,
Ins ections Required
DUCTS INSTALLED
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.
qA,r-� % &-, kt-e�
A�W�� -
CONTRACTOR SIGNATURE PERMIT OFFICOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-002D City of Zophoills Permit Application Fax-813-78M21
Building Department
IFCT3 aData Received Phone Confadfor Pen itti -
owner Name cr,*left 'cj'a L-7 I ' a 2 ' " a a 4 0 ' —i & Pori 1'319
OwneftAdIftesslEM56 Lilly q-,4ve--., owner Phone Number
Fee Simple Titleholder Mum Ovam Phone Numb"
Fee Simple Titleholder Address jj
JOB ADDRESS '8ca--AVL LOT#
SUBDWISION tira ri7�71 nd ffoPAMELWR4���-I- 0110-CO000-a(V20
(010110185 FROM PROPERTY TAX NOTICE(
WORK PROPOSED wNsng/ ADDIALT sSIGNDEMOLISH
R NEW INSTALL REPAIR
PROPOSED USE r1 SFR = COMM OTHER
TYPE OF CONSTRUCTION ' r7 BLOCK FRAME STEEL
DESCRIPTION OF WORK 120-, jr::7't 1 1 Ae AJ0,Cb"06V-+, &QQAQ2r--r71- SToWN
BUILDING SIZE SO FOOTAGE HEIGHT
EBUILDING. . . . .. .1$ VALUATION OFTOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C.
=rLUM13ING S
E1MECHANICAL VALUATION OF MECHANICAL INSTALLATION
r-70AS Q ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wil . . . . . . . .
BUILDER COMPANY
SIGNATURE . I I REGISTERED I YIN FEE CURREN LY l N
Address E— I License#
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED I YIN FEECURREN L:Y-�—N
Address License#
!PLUMBER COMPANY
SIGNATURE REGISTERED I YIN FEE CURREK LY/N
Address License#
MECHANICAL COMPANY r8ahrb ff0Q!QL
SIGNATURE REGISTERED I Y/N I FEE CURRa I YIN
Address J_LHL/1 Allen J�ed -717-j S.F(-] License 0JW'0 43q(M'
OTHER COMPANY F
SIGNATURE F REGISTERED I Y/ N FEECURREK I Y/N I
Address License#
IIIIIItlllltllltllllllllllllllllllllltlllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bdkft Plans;(1)set of Energy Forms;R-O-W Permit for new consbuction,
Minimum ten(10)worIft days after submittal date.'Required onsite,Construction Plans,Storruwater Plans Yd Silt Fence Installed,
Sanitary Facilities&I dumpster,Site We*Permit for subdivisionsliarge Projects
COMMERCIAL Attach(2)complete sets of Eluildl nq Plans plus a Lift Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction.
Minimum ten(110)working days after wAxnW data.ReWmd onsits,Construction Plans,Stormwater Plans w/Sift Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all now piviects.AD commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered plans.
*PROPERTY SURVEY required for all NEW construction.
Fill out application completely.
Owner:=.a=19n notarized
ifover cc,olCommencemerd is requited.,(A/C upgrades over$7=)
Agent(for the contractor)or Pow of Attorney(for the owner)would be someone with notanzed letter from owner authorizing same
OVER THE COUNTER Mrfihq. (copy of oDnbBd required)
Raroola if shingles Service Upgrades Afr- Fences(Plolf-Suivey/Footage)
DrIvewa"ot over Counter it an public roadways-needs ROW
NOTICE OF DEED RESTRICTIONS: The ulndersigned 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 fhe 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 tie is not properly licensed and is not entitled to permitting privileges in Pasco
County. j
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 ftnlal 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 I Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have Jobtained 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 permii 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 & Reitabilitative 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"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"will fie 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 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. 17, I, 1 wA
OWNER OR AGENT�� N��'�'•" CONTRACTORS ✓�''
� s bed d sw to( r nne be me this bs bed nd swo 0 or ffirrned a this
_fly r Jr ,9��p nf1lU
Who rslare pally known to has/have produced Who isla rson ly know o me or as/have produced
as identification. as identification.
t$ry Public ` ry Public
Co salon No. I Commission -L
"t'�P�� Notary Public-State of Florida
Na a! ed,print rn Name of No d �r stafigr99n55 0 2p21
Notary uhlic—ga�eofFlurid :N° a. MyCamm.Explres1ul19,
Commission#GG 112939 ° p'
r� oFF1 ` gondedthroughNationalNotaryAssn.
�; 7, My Comm.Expires Jul 19,ri01 i
v, y
atG f w;,
tnndpd IhtoughNatlonal Not r.;,1;
s PROPANE G,CS Service Order/Pro osal
AND A/C INC. n .
Ace 1988 813-782-5013
Invoice 4
Sales, Service & Installations ,WORK ORDER#/SERVICEMAN IL7.12 t17 JUN
DATE/TIME TAKEN 11/07/19 16e12
4441�iAllen Rd. • Zephyrhills, FL 33541 TAKEN BY KIM 03
NOTES: (� � i� DATE/TIME PROMISED 11/08/19 08a00
CUSFOIIER##/LOCATION 0741+4 „
CONTACT" POSTCARD
ROUTE/SEA! JUN
O-TT04 ROGER and PATRICIA OTTO, ROGER and PATRICIA
37635 I.-ILLY 8EA . 37635 L I LLY FLEA AVE
GRAND HORIZONS
ZEPHYRHILLS FI_ 33541 ZEPHYRHILLS FL33,341
M# RSNJ—AO6JK
S# 721 JF35051 c4`9
NOT MAINTAINING SET TEMP
-,.;.'DESCRIR.TLON OF WORK ...
C!TY MATERIALS'&.SERVICES UNIT,PRICE ;,..AMOUNT
P1-L I I
' ' �OV ei.,,J �•�l• t"rc7 I l er't M 6 5 r`t°t /' I I
_ C/ J J t cy' I I
RECQMMENDATIONS ' Aol;".,;," Pt,J S
-Annual Maintenance Recommended by,,All Equipment Manufacturers:
;a Pressures Lo HI T-Stat et ^^ I
P��n�� l v Y T i• I LI 1�(� 5�t � REFRIGERANT R $raper Ibs..,.
FILTERS x x Changed Monthly
I
FILTERS x x Changed Monthly
N'L( ❑ REGULAR El WARRANTY " ..TOTAL SUMMARY.
D,efiumidistat;$ettings: ;When here"ON"",;When Away 60°o,.1T-Stat- ❑ MAINTENANCE CONTRACT SERVICE
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' CALL I
-. `_:;.•:.� -:METHOD OF.,PAYMENT-:_::-;:` ;':.;;-..,.
or suppliers'written warranty only.All labor performed by the above named company is warranted for " TOTAL I
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS I
express or implied,and its agents or technicians are not authorized to make any such warranties on
behalf of above named"company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller
PROG. W / C
retains lide to equipment/materials furnished unlit final payment is made.If payment is not made as agreed, CLAIM#
seller can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
DATE COMPLETED ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS _
TECH: TAX I
CUSTOMER SIGNATURR DATE ✓� ✓t�.� TOTAL I
• e
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF'THL,:EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE (FBC ENERGY,,SECTION 403)TO BEILEFT OK ITE AND PICKED
UP BY INSPECTOR
Owner: RCS. + ':'+s
Permit#:
-Be
Site Address: ✓�� 5 L' Iy c Avo
Contractor: �hr-)-6 Bra is (5a5 -13ftC- Mqc.
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 5.
f
y;} Id,-
Name of license Holder(print ortype) Signature of License Holder