HomeMy WebLinkAbout20-22599 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22599
BUILDING PERMIT /
ERMIT INFORMATION LOCATION INFORMATION'" } "
Permit Number: 22599 Address: 6151 12TH 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: 02-26-21-0080-00200-0020
Improv. Cost: 7,390.00 OWNER INFORMATION j,_
Date Issued: 3/11/2020 Name: FIRST CHURCH OF NAZARENE
Total Fees: 80.00 Address: 6151 12TH ST
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/11/2020 Phone: (813)782-7032
Work Desc: A/C CHANGE OUT 7.5 TON SPLIT
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 80.00
r
D CTS 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
CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
PPP'
8,13-780-0023 City of Zephyrhills Permit Application Fax-813-78M21
Building Department
date Received Phone Contact for Permitting
9 9 1
Owners Name Dre?e,':,j�jCOwrter Phone Number
Owner's Address 15/ owner Ph..Number F
Fee Simple Tiffettolder Name owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS W1 LOT 5/ / P I
SUBDIVISION PARCEL!D#RDR-� I—4 —
Enid (.lIIA.90 FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW C01% ADDIAL T SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE SPR = COMM OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = -77
DESCRIPILON OF WORK FCem—m m 0 7-EfeN
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C.
=F'LUMBING 1$
C26CHANICAL 1$-13qo , VALUATION OF MECHANICAL INSTALLATION
CU I
ROOFING r7 SPECIALTY = OTHER
FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
mo-164-41-11.
BUILDER COMPANY
SIGNATURA REGISTERED I YIN FEE GURRa
Address I License
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED I Y/ N I FEE CURRE!,
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURRM LtLN
Address License#
MECHANICAL COMPANY
SIGNATUP1 REGISTERED I YIN I F2E CURREN I YIN
Address 7—h/1/'5FL3;:Eq/ License#
COMPANY
OTHER REGISTERED I YIN FEE CURRFA LIL N
SIGNATURE _j
Address' License#F
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans,
PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . . .
.clft6
s:
Fill our application completely.
Owner&Contractor sign back of application,notarized
If aver MOO,a Notice of Commencement Is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy Of contract required)
Reroofs if$7%ingles Sewers , Service Upgrades A/C Fences(Plot/SurveyiFootage)
Drivoways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned 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 the 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 he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES 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 1, 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
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 AFFIDAVIT: I certify that ail 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. 1 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/WastewaterTreatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental 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 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 wail.
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:21111EY BEFORE RECORDING YOUR N TiCE O CO ENCEMENT.
FLORIDA JURAT(F.S.117 3)O`W�NER OR AGENT/ ✓�i CONTRACTOR
Sc�sgrr je and sworn r affr ed a rem ttis Subsed and swo (or efor a this
s'L_"
y
Who is ersonalt n to me or ha!have produced Who is/a persona y know to me o hasf aveproduced--
as identification. as identification.
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/ otary Public . Notary Public
ommissio N C mission No.
SYLVIAA.CAMPBEL <rYp� SYLVIA A.CAMPBELL
Name of No ry t+G o o
} • = Commission#GG 112934 Name of Notary typ OR ;t1pe
Commission#GG 112939
=s* o�; MY Comm.ExpiresJU119,2021 :N�" o�? My Comm.Expires Jul19,2021
.•.��FOpOF F4 `••
Bonded through National Notary Assn. Bonded through National Notary Assn.
PROPOSAL
P PROPANE GAS
AND A/C iNc.
��rce�988 813-782-5013
4441 Allen Road—Zephyrhills,FL 33541
Ph:813-782-5013 Fax:813-783-1374
E-mail: bahrs.offlce i0amnabay.rr.com
Proposal Submitted To: Church of the Date: January 29, 2020
Nazarene
E-mail: pastomickdeford@ail.com Phone: 813 782-7032
Name: Church of the Nazarene Job Name:Nazarene
Street: 6151 12th St City, State&Zip: Ze h rhills, FL 33542
We hereby submit specifications and estimates for:
• Bahr's will install one 7.5 Ton Daikin heat pump, with no auxiliary heat strip
• Move air handler approximately 1 foot East, and rehang new hanging kit
• New supply &return plenums with fire shield
• Reconnect fire stat
• Move existing copper, and flush lines
• Flush drains and install new emergency drain pan
• Connect to existing thermostat if possible. If not, Bahr's will supply a wi-fi thermostat
* Unit comes with a 1 year labor and 5 year parts warranty
* Price includes city permit
Total: ................................................................. $79390.00
All material is guaranteed to be as specified. All work to be completed in a workman like manner according to
standard practices.Any alteration or deviation from above specifications involving extra costs,will be executed only
upon written orders, and will become an extra charge over and above the estimate. All agreements are contingent
upon strikes,accidents,or delays beyond our control.This proposal is subject to acceptance within days and
is void thereafter at the option of the undersigned.
Authorized Signature xewa f"
Acceptance of Proposal
The above prices,specifications,and conditions are hereby accepted.You are authorized to do the work as specified.
Payments will be made as outlined above.
ACCEPTED: Signature Date:
S S/KB