HomeMy WebLinkAbout20-22321 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22321
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22321 Address: 6626 FOUNDERS 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: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 03-26-21-0010-04300-0010
Improv. Cost: 4,995.00 1 OWNER INFORMATION
Date Issued: 1/21/2020 Name: BURGESS WILLIAM A&AMBER
Total Fees: 65.00 Address: 6626 FOUNDERS ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542-1827
Date Paid: 1/21/2020 Phone: (813)713-6064
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 1 65.00
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DUCTS INSTALLED Ins ections Required
DUCTS INSULATED
FINAL
REINSPECTION FEES: (c)With respect to Rennspection 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.
CONTRACTOK SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s:�Teo na2a City of Zephyrhilfs Permit Application Fmc$13-780-0021
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�MECHAWICAL a VALUATION OF MECKWCAL INSTALLATION
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES
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carrr�caM. Au+rwr(�o,onq�Na�,a1 Bony,PWmz pMaa a 4Yw�iqr F?ay�(1)mi o/Enopy Forma.Ft-CS-W PNfNt for rwworxstrudWn.
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Sarikay Fao'Nas'8'!tli�npit�.S(h/Ntiftit irSbttiiitfd it�f.rivar projects.AY c+aniieretat n�freeei+its tritest meet's :> � '
's"pERiIrt Atlach123 ,pE�pilreetedi at!s:.:_ —,.,:. i......
• ""PROPERiYi3tlRVEY•re4iiedffora6NEWo6ifsauction. _ _
DinMetfores:-
FUI oet eppGcaGarraanpiat#y.
Owner 8 Ccrthactorsior hack of eppiicatim nolaxrsd.
.Mover$"am a Matlee of Gaecenic Mont h:r**v (At gvrsdw am$7MM
" "Agent(fort s cwftcW orPbw ctAttunay{lortheouner)i►OWbesaiimnsvthnawindMwfranomwmthotigr>as�rse
OVER TM,COUMTER PERWrIOM . . .(copy of cm*gd rogL*ed): .
Reraafs If shingles 8awera SerWoa. (pi�vw/Foo�e)•LJppadns'A/C^. :Fences -
Ddvearnys4iotaver'CounterHeapL"omadnoys.iie RDW "
NOTICE OF DEED RESTRIC710NS: The undersigned understands that this permit may be subject to°deed°restrictions"
which may.be more restrictive than County regulations: Themridersigned assumes responsibility for compliance with any
applicable'd restrictions:
UNLICENSED CONTRACTORS AND CONTRACTOR RE&ONSIBiLITIES:- If the owner has hired a contractor or
contractors-to underiake'work,they may be required to be licensed•ri accordance with state.and local.regulations.-ifthe
contractor is not iscemsed as nequrred.-by law,:both.the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or.intended cogb$cfo'r ere 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 contnui'tor or:contractors, he is advised to"lhave_the contra otor{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 pd sobs In Pasco
County.
TRANSP.ORTATIDWIMPACTAITILITIES iMMPACT AND-RESOURCE RECOVERY FEES: The undersigned understands . .
that Transportation Impact Pees and Recourse Recovery Fees may apply to the'construction of new buildings,change of.
use in existing buildings;or expansion.of existing,buildings,es.spec i ied In Pasco County Ordinance number 89-07:and
90-07,as amended. The cri ed-aisa:urhiterstands,.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 o6Wpancy or
final_ppwer release,the fees must be paid.pOor tD.parmit-issuanca. Furthemsorb if Pasco County WaWrfSewer impact... . .
fees;ar a due,they must W paid prior to permit is�ance:in.accordance with applicable.Paso_o C6u*ordinances.:.
CONSTRUCTICIN LIEN LAW(Chapter T13,Ftoitola Statues,as amended): If valuation of work is$2,500.06 or more,1
certify that 1, the applicant, have been provided with a copy,of the 'Ftorida Construction Lien Law•=Homeowner's
Protection Guider-prepared by :a the Department of Aildculturend Consumer Affairs. If the applicant is someone
other then 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"awne'prior#o'corrtrrhencemeid.. ... a..: . _
CONTR/ICTOR'S10WNER'S AFFIDAVIT: 1 certify-that ail theInformation in this application.is:accurats 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 arid instai►ation es Indicated. t-certify that no,worts or installetion has.
commenced:prior to,issuar ice-ef:a permit and,fthat all work will be performed to meet standards,of all laws regulating
construction, County and City codes,ironing 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 identity what actions 1 must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads,Welland Areas and.Environmentally Sensitive .
Lands,'Water/Washmatei Treatment
- Southwest Florida Water Management -District-Wells, Cypress; Weeds, Wetland Areas, Altering
Watercourses.
Army Corps of Engineem-Seawalls,Docks,Navigable,Waterways.
Department of Health $ RahabititaWe Servii seEnvinmmental Health Unit-Wills, Wastewater Treatment,-
Septio-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'W unless.expressy permitted.
- If the.-fill material is to be..used in Flood Zone A°, it Is understood.that a dralnage plan addressing a
"compensating votcime`will be submitted at time of"permitting which is prepared by a professional engineer
licensed.by the State of Florida
-. . if ttie.filt.rrraterta{is to be used In.Floc!Zone.X.in'connection with a permitted building using stem wall
construction,]certify that fill will be used only to fill the area within the stem wail.
If fill materialAs-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 adjetoerit properties,the owner may.be died for violating
the conditions of the buiiding.par ri t,Issued under the-attached permit application,for lots less than one(9) - -.
acre"which-are elevated by fiti,'an engineered dralnege plan Is.required.
If I aril 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. 1 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 this technical codes,'nor shall Issuance of a permit prevent.the Building:Official from thaceafter
requiring a correction of errors in plans,.construction or violations of any codes: Every permit issued.shaft become invalid
unlesslthe work•authdrited•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 reques#ed.;tn writing;from the Building Official fore period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for nineM1y.(90j"consecutive days,the job is considered abandoned.
WARNINCx TO OWNER:-'YOUR FAILURE TO.RECORD'A NOTICE-OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTSTO:YOUR PROPERTY.,IF.YOU-IN TEND TO OBTAIN FINANCING;CONSULT'
WITH YOUR .DER OR" ATT B ORB CO ! iM YOUR' TIC OFCOMMENCEME
FLOMDA JAWAT(F.S ii ):
0"kRORAo coKrruicr Lit- "
Su and: of fli"ed i u end swium or arirmed) me this
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Who" are y known to me or Naaftwis produced islare. y rssown to me or produced -
_-/ aside
Notary Public - Notary Public
mmisston Na. Commission Na,
Name of N o-�Y Pal i� - Name of Nary. SYLVIA A.CAMPj1d
�,.�qY PU•.,
SYLVlA A.CAMPBELL ;o Note Public-State��`n; Notary Public-State of Florida �2: � : Commission#GG 1' Commission#GG 112939 : Q My Comm:Expires Jui� My Comm.Expires Jul 19,2021. oe r.,h• fp •`' aF ily,, lrondedthtoutgh N6ttonai
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S�6e-79M 81.3 2 5Q 3 invoke
WORN ORDER#/SERVICE'MAN. . 97740 AUG
SaleS,.Service & Installations DATE/TIME TAKEN i 05/E:3/19 15 n 5S
4441 Allen Rd-. - Zephyrhills, FL•33,541 TAKEN- .BY ! SC. 04
DATE/TIME PROMISED 05/2.3-/19 00u00
NOTES:
_ CUSTOMER#/LOCA-TION 1 OEM t33
PHONE# 813�-713-8064
�ROtI"fE/SE'G? AUGI-IOTA 8/2/04
2 h'AP E 'A/H';. ATTICC& CLOSET'
1U_FtCESS BILL BURGESS;}- BI-LL
04 FbUNDERS` ST - 6626 -FOUNDERS ST
WEST UNIT4*UPSTRS A/H**
ZIKPHYRH I LLS FL 33 542 ZEPHYRH I LL 7, FI-33542
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Pteissures-.Lo HI 3-S_tat
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FILTERS x x Changed Monthly I I
FILTERS x x Changed,Monthly S t
�h�3ti.4 i%. I'a7m•it-h;1 :t M Cr=i� -f'1•'i�,e�
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- __ ❑ REGULAR ❑WARRANTY
�t] 3lsfa Ssf i i s'Wheri here 9 f 'When Away 9 T.Stat p/�° ❑ :MAINTENANCE CONTRACT
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liM1TED Wi4RltAlVT`l; Al!materials,pads and equipmagt are warranted by the maoutacturers' ,���� s.,w:�IyIE (�(��,(}���i,yM��1T£�`F�'��A�',w -
:or supplters'written'.warrbnty only.All fabor,performed by the above named company iswarranted-for ^� YT'- �'•` u ,�
30 days:or as otherwise Indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL i
express orimplied,�arid its agents or technicians are not authorized to make any such warranties on MATERIALS I
behalf:ofat>avatiamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE t
PROG. W 1-C I
I have atithodly to order the-work outlined above which has been satisfactorily completed.I agree that Seller _
reteloa title to,equipmontlmstadais furnished until final payment is made.If payment is not made as agreed, CLAIM# I
�setler'can iomove'saki'.equ_ipmentimateriais at Seller's expense.Any damage resuiung from said removal shalt - -
'not`bs tka,responsibility oUSetlag-NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO '
'ALL UNPAID BALANCES'OVr=kao DAYS.NO REFUNDS DATE COMPLETED I �•.�,"
TECH: .. TAX .
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••CUSTOMER SIGNATURE_ -" DATE ✓ ✓tom 1 TOTAL
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