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Home My WebLink About19-22062 CITY OF ZEPHYRHILLS 5335-'8TH STREET (813)780-0020 2206 BUILDING PERMIT ..,PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22062 Address: 37416 NEUKOM AVE 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: 34-25-21-0090-00000-0380 Improv. Cost: 4,745.00 OWNER INFORMATION Date Issued: 11/19/2019 Name: DALMAN, MITCHELL & BARBARA Total Fees: 65.00 Address: 6527 PLEASANT VALLEY DR SW Amount Paid: 65.00 BRYON CENTER, MI 49315-9049 Date Paid: 11/19/2019 Phone: 269-908-0238 Work Desc: A/C CHANGE OUT 3 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00 O► I � DUCTS INSTALLED Ins ections Required 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. 9t4- CONT TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER e+�7 0020 City of ZophyrhMs:Permit Application Fax-8+3-7104oz+ Dabe :.77 Phwfir 6oniaet77 fo% onneesAaaress VXI QAJ"�L Q1 Oiriie plwrrr}Nir er: , _ Fee SimpieTif�aid�rNerns-_ ,:.-_.. .. ��• :•. t/c? rAN SUBDIVISION- VIMPROPOSND. NmCDIrSiR ADWAL7 SIGN usH . -' .. 0 utALL'. REPAIR PROPOSED USE p. CONM. OTHER TYPE�Co1187RUC71CN" Q "..BI ACIG :"0;:.,FRA . : STEEL DESCWPWN of WOW BltiLDN6SIZE �� MFOOTAGE HEM pBurl Dlrl� s'. vAuu►3colY oE74TALCONsrriucnori =ELECTRICAL• S AWSERVICE Q PROGRESS ENERGY pPWMBING *. 1CHANICAL i VALL[KnOIOI'MECIIANIGUANSTALIATION peas p ROOFM 0 SPECIALTY p OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES , NO BURR= COMPANY SKir1AiURe F43USTHRED I,YIN MECUIeiBf. •:Y.1N Address wer.COMPANY E TRICtAN S(GNATURE' 1 REOD I rt- REtaltaTN- YtN �7 Address • F77 PLUMBER COMPANY SIGNATURE RLIGMI13M 'Y/N _Fmcxrma_ 'T-- .Address SIGNATURE 113k - YIN FEECOkii�3�'.- _YIN Address �!l�i�/ e... ;, r•15:� 5r{ Licene#, SIGNATURE Y/N Address: - License# 1'1 1 1 I J-1 USIA!L•1.1:1,..1:1.1 I'_m 14*1.$,11..1 1.1 1,1.1.1,1 1.1,1:1.1.,1,1 �-a'ia.l 1 1 1 1 1 14.1:11 1 1"1 1 1.1. RESIDENTI& Atwh'�(2).P1dt,Ptais;•(2)se crBu g.Plons:.e+JsetorEnerpyFame 124wPennittoraewwooit rt►dion:: 14inUrsten`f$ir(10)- dtg wmdaysa,BY date:Regir edacsita.Gbi i,l?'ia iis Ptensv.StltF.essce ed. G2nfty a+arr ayS"W=kPali!fc:u6d'nitstonWhrpopmjocis - - =- COMMERCIAL A 000(2)wn>tilata eM Of BUROW Pins pus a Ltra paUly PaWa:(1)sat cf EmW Forms.R-O-W Pwn%lt for nowoars6�n- etiiYriisittni,(1pJM�!!dnJrq�SafM►abniitir(.mb li ukWC*%St .ConebiictionPrir<a swmwwmreio m%WsatF«x.'k"Ae0. SxWbwyFadidas-6-1dwtl:'StWVftkPeitii-faraf:iietvWgecLs.Maairritxdaft ;iriuct'mee#' SIGN PEiisilT Attach121SW 0f E Gi W.PUM;... .:..::..:.:. ""PROPERTYSURVEY•.regiiad taaB NEW - DindJons:. FBi au applk�ton cmnp(ate(y. - - owner&.CorarwdDraigi�cU.a eppCrppion..notmd If owr 52800;a N�otio atCce�trs;atrhent is ir4utrad. CAAC aPOrades orar.i75oDj 1{geetitfGraie.�,�Po�rofAii�t�ey{frxl�t�gr}v�oi�dtiesiiepM+illtnatas�eat�rframawneraiafeo�ps�rrEr OVERTtrECOUNIER'pt3i1O711NG .(ccpy.ofaorp�idrarlitirad): . Rerods H stdnglas Saaers Sen9ar+.kJppadrs AIC:';; Ferices(Platt& vyTootWq) awewnys-No#ow cmftrHanpu ft madwvys..ree&ROW NOTICE OF DEED-RESTRICTIONS: Then undersigned'understands that this permit may be subject to"deed'restrictions` which.may be more restrictive than County regulations.. The.undersigned,cssumes responsibility for compliance with any" applidabte`deed rsstriefioris:- UNLICENSED CONTRAL"FORS AND CONTRA, CTOR RPONSIBILfhES:• If the owner has hired a contractor or contractors to undertake work,they may be requi ES red tii be licensed•iriaccordance with state.and loc al.regulations.-Ifthe 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 applyf&the intended-work,they are advised to contact the Pasco County:Building Inspection DWIion—Licensing Section at 727-847- 8009.. Furthermore, if the owner has.tilred a contracty or:contractors, he Is advised ttshave_ther con#iai or(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.parmitting privileges in Pasco County. TRANSPORTATIOWIMPACT MILITIES IMPACT AND.-RESOURCE RECOVERY FEES: The undersigned understands that Transportation ImpactFees'and Recourse Recovery Fees may apply to;the'constnuction of new buildings,change of. use in existing buildings,or expansion of existing buildings,as.speciflad In Pasco County Ordinance number 89-07;and 90-07,as amended. The urrdetsigrred•aisa'understands,.thatsuch fees,as maybe due,will be Identified at the time of permitting. Itis further understood that Transporteition.Impact Fees,and Resource Recovery Fees must be paid prior to receivinga"certificate of occu n or final pa cY' pce►m'release. ffthe-project does'nof.lnvolve a certificate of ocaipancy or final power release,the fees-must.be,pald.prior to permtt-Issuance. -Furthermore,If Pasco County WatedSewer Impact. fees;are due,"they must be paid prior to,permit issuance:in.accordance with applicable:,Pasco Gauntly ordinances: CONSTRUCTION,UEN,LAW(Chapter�713,Florida Stabiles,asamended): if valuatioh"of worK is$2,5W.i 0 or more,I certify that 1. the applicant, have bean provided with s copy of the "Florida Construction Lien Law—Hcmecrwner's Protection Guide"-prepared by'the.Fiorida Department of Agriculture:and Consumer Affairs.- If the applicant is someone other then 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 c ommencernaitt; CONTRAdTOk!1d 1YNER'S AFFIDAVIT: 16srtify'that aii'tho,information in this appiication'is-:i6 trrate and that ail work ' will be done in compliance with all applicable laws regul�atirig construction,zoning and land development Application is, hereby made to obtain a permit to do work and lns�pa#an as indicated. I certify that no work or installation has. commenc ed,prior to.issuance of a permit and that all work will be performed to meet standairds of all laws regulating construction, County and City codes,zoning regulations, and land development regulations In"the jurisdiction.- 1 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 agendas include but are rot 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 EngineersSeawalls,Dodos,Navigable.Waterways. - Department of Health & Rehabilitative ServiceslEnvir+rimental Health Unit-Wells, Wastewater Treatment,. Septic-Tanks. - US Environmental Ageincy-Asbea's"abatement Federal Aviation Authority-Runways. I understand that ttre following-restrictions apply to the use of fill: n . Use of Of is not ailowed'in Flood Zone`V"unless.expressiy,permitted. If the_fiil rrzaterisi.,ts tq be.used In Flood Zone "A, it is understood that a drainage plan addressing a "compensating volume`will be submitted at dme of permitting which is prepared by a_profasslonai engineer licensed-by the State of Florida. if the.fill:rrtaterial:Is to be used In flood Zone,A°-.16 connection with a permitted building using stern wall eoostruetlon,-tcertify that fill wild be used only to.fill the area within the stem wall. If Ydl 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 adjacerif properties,the owner maybe-cited for violating the conditions of the building.permit,Issued trader,the,attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I ant the AGENT FOR THE OWNER)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 consbued,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 Issusoca 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.sha8 become invalid Inure ss the vh ik authorized-b -such permit is commenced"within six months of.permit issuanoe';'ar if work authorized by y the permit is suspended or abandoned fora period of-six(6)months after the time the`work is corhmenc ed: An extension may be requested;;in writing;from the Building.Official for"a"period not to exceed ninety(90)days and will:demon strata justifiable cause for the extension. If work ceases for ninety.(96)'66nsecutive 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 WrM' OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMq.CEMpPL Fr_oRkDAauk:AT(F.s.T17.03): 09YNER¢R AGENT' do rri A fO Subscribed and.swom.to(or afrimted)betwo me this .. Suhsaumd end' to(or alarmed) this- by !{s who iatare Personafly known to me or twitu ve produced Who i.Nam to me or haVwe'pmduced .. as kfirmfilcogn.' as ild'{ammCadon. _. Notary Pubec Vc<r/l. Notary Publre : Commission No. Commission No. SYLVIA A.CAMPBELL Name of Notary typed,primed or stamped Name of Notery.typed,printed or 11 s n- Notary public= a e o Florida + commission#GG 112939 Comm,Expires Tut 19,202t . oFF Q.•'' BondedlhroughNalionalNolar Sr` PROPANE GAS ■2-COT117 n in AND A/C INC. Service Order/Proposal . : i�'e �988 3-7�2-5013 Invoice Sales, Service & Installations 6 4441 Allen Rd. • Zephyrhills, FL 33541 NOTES: /66;? u. 5'7Zi lVeLtke)m lqve Zvi A yl-h; 45- J� , DESCRIPTION OF WORK QTY. MATERIALS&SERVICES UNIT PRICE , 'AMOUNT 1&2 L11L �9k^i '9ZU-515�1? i ..RECOMMENDATIONS-, 0 I_ I I Annual Maintenance Recommended,by All Equipment Manufacturers. I I� Pressures Lo HI T-Stat I y I REFRIGERANT R- LBS. $per lbs. FILTERS x x Changed Monthly I I FILTERS x x Changed Monthly I I ❑ REGULAR ❑WARRANTY ;TOTAL SUMMARY Dehumidistat Settings: When here"ON"; ,When Away 60°/a;'T-Stat 800 ❑ MAINTENANCE CONTRACT SERVICE I LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL I or suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL I 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS I express or implied,and its agents or technicians are not authorized to make any such warranties on behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE I have,autho r$y,to,order` the work outlined above which has been satisfactorily completed.I agree that Seller PROG. W / C retains title to'�quipmenVmaterials furnished until final payment is made.If payment is not made as agreed, CLAIM# t .seller can remove;said equipmenVmatenals 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 f� TECH: TAX mxcG CUSTOMER SIGNATURE DATE ✓yGL Q-CG TOTAL I c FJ t 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: Permit#: Site Address: A,Ef Contractor: License#: Final Inspection Date: I certify that I have installed new or modified the existin ,duct work associated with the HVAC system referenced by the permit listed aboveand found itt,complie's with the requirements FBC Energy Code, Section 403.3.Where modified, e`existing dutts 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.Al{ new duct work is to comply with FBC Energy 4'12and FBC Mechanical chapter 6. 7 t Vin. �� Name of License Holder(print or type) Signature of License Holder