HomeMy WebLinkAbout20-261 City of Zephyrhilis `PERMITNUMBER- ;
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000261-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 06/16/2020
Permit Type: Building General (Residential)
Property'Nurnber. Street Address
1126 21 0010 15800 0160 5122 2Nd Street
Owner Information Permit Information dontractorlinformation
Name: NELLIE GODWIN Permit Type:Building General(Residential) Contractor: BAHR'S PROPANE GAS&
Class of Work:HVAC Changeout A/C, INC.
Address: 5122 2Nd St Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)997-6262 Mechanical Valuation:$3,991.00 . 1 , 0
Plumbing Valuation:$0.00
Total Valuation:$3,991.00
Total Fees:$59.96
Amount Paid:$59.96
Date Paid:6/16/2020 3:32:30PM
1Project Description V
A/C CHANGE OUT 3 TON PKG
jApplication Fees
Mechanical Permit Fee $59.96
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 653.80(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 subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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.
41A AA�,to�
C2X9ACTOR SIGNATURE PE IT OFFICE()
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Pemilling 1(0/,3)
1 11-111 agog
Owner's Na-m ll"eliel M Owner Phone Number
Owner's AddressM f5ny Mq t5qrcl/8,�AAma,,Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I
JOB ADDRESS Q 31-d LOT#alib 5t %hi 115 EL 3---354D.-
SUMMSION PARCELID#1
(OWMNED FROM PROPERTYTAX NOTICE)
WORK PROPOSED Q NEW CONSTR I Vf ADDIALT SIGN Q Q DEMOLISH
INSTALL QQ REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME LQ STEEL
1-71—.—
DESCRIPT.ON OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UILDING IS
VALUATION OF TOTAL CONSTRUCTION
=FLECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=F'LUMI3ING Is
00 Mr-,ECHANICAL S VALUATION OF MECHANICAL INSTALLATION
=c,AS = ROOFING r7 SPECIALTY = OTHER
FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURa REGISTERED I YIN FEE CURREK L_LLN J
Address I License
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED I Y/ N I FEE CURREN
Address I License*F
PLUMBER COMPANY =
SIGNATURE REGISTERED I YIN FEE CURREK
Address I License#I
MECHANICAL COMPANY JW02;ft
SIGNATUR S REGISTERED I Y/N PEE CURREN I YIN
Address )5 JVL License#
OTHER I COMPANY 1
SIGNATURE REGISTERED I YIN FEE CURREK
Address' License#
RESIDENTAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new construction.
Minimum ten Ito)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed,
Sanitary Facilities&I dumpster:Site Work Permit for subdivisionstlarge 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 onflifte.construction Plane,Stwmwater Plans wl SIR Fence Installed,
Sanitary Fadfitips&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet Compliance
SIGN PERMIT Attach(2)sets of Engineered Plans,
—PROPERTY SURVEY required for all NEW construction.
i.
. . . . . . . . . . . . . . . . . . . .
Fill ow application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice ofCommerrearnard 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)
Retools if sningles SaversI Service,Upgrades A/C Fences(PlottSurvey/Footage)'
Driveways-Not over Counter It 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. It the
contractor is not licensed as required by law, both the owner and contractor may be cited for a`misdemeanor violation
under state taw. 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 iMPACTNTILITIES 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 793,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 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 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/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 & Rehabilitative 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 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,1 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 LENDS OR AN ATTORNEQY BEFORE RECORDING YOUR NOTICE OFCOMMIENCEMENT.
FLORIDA JURAT(F.S.11
OWNER OR AGENT CONTRACTOR
ubs Abed n I Y t o ffirrn }t�e a n, tttts Sub G ibe nd bworn or affi ed re m�j is
Who iWare pe Wally know to me r has/havee produced �WJho istare pers at no to me or hajifthavejproduced -
as identification. as identification.
S )
Notary Public i' Notary Public
Go nn Na_ _. �. Comm Lion No.
r me PBELL
Name o +otti'F' CAMe � CAMPBELL
. SYLV .
•�{T? �l�'rd ` Name of Notary typ pSirt} a pe
* •= Commiss+on I GG 112939 a° , latary Public-State a Florida
r,• oQ My Comm.Expires Jul 19,202t ,+•"�* Commission#GG 112939
ul 21
Uonded through National Notary Assn. :a�• pT; MyComm.ExpireslINota
4FoFF�4`` Bonded throughNationalNotaryAssn,
` PROPANE GA. Service Franklin
:d AN-D A/C INC.
913-'?'�32-�013 Invoice
SALES •SERVICE -'REPAIR• INSTALLATION WORN. ORDERS#/aE:RV I CEMAN 108779 JAN
4441 Allen Rd. •Zephyrhills, FL33541 -DATE/TIME TAKEN 06/09/20 11. a 50
PAY ONLINE @ www.bahrspropanegasandac:com TAKEN BY TAMM I E 07
rr DATE/TIME. PROMISED 06/10/20 10:00
�R� 1 Y�►� CUSTOMERI#/LOCATION 07347
NOTES: Llti r ], PHONE:Ik# 813--997-G262 H
a �rii d A PHONE2 # DAUGHTER
PHONE 3#k 813 997•--4 11...1 I
CONTACT POSTCARD
ROUTE/SEQ JANNIEW
GODWINg NELLIE Ms GODWIN, NELL
C/O KATHY RIPLEY 0122 END ST
PIP BOX 386
SARDIS GA 301t'56 ZEPHYRHILLS FL33 a4•E:
3T. MILLER PKG HP *IDo 1/09/10
5KW o H3HK005H-01 H/O908S7361-I-1
STD WARRANTY
TSTAT WONT COME ON-- C►JRRENTLY VACANT-. CALL SISTER CHERYL TO MEET YOU THERE.
loom y��a N Kkid :a t ar#Mz ®RR
14 Sco-vi,.-� I t
-'o "r,1' 1 kt rz k V\elj �)U C P I I
I l
u.r; , Sig} I
I � w J% LA
CO 7'u L%A.% tU,0,—J 1 1'Yt1R t rl l ty I !
i !
L`J �./l.'VA t T r S 1 ! t
''Oren
Oren M Pressures LD H! T Stat I i
4'`�,.'."'''s•�yi,4y,,'�;.a,=it`.Y✓='rcrd ;-r?:a,ri
CFt2/1NT 43r=Ax:Lz'I Ks1Z
s 9`...t� ,:X.- ..4...•-.'ti":`r i 2Y as. 35..: .'r,`,-',E; _.v'�i+ �.`.tYi,•' 3+x=r.?:
m> J, �" FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
D REGULAR Q WARRANTY
IN,Y� ��` .; g.
u,(p sit$ dgS` /Vhen:here,_f.N;.',,When Away OP T-Stat f# 0 MAINT:ENANCE.CONTRACT SERVICE
� � '...n ;7r, r CALL
1:lMITED=WARRAWTY. Attmatarials,parts-and equipinerttore viarranted'by.ihemanufablurars'=: z�;;�, ;t;�t"y(ET;�Qjj�{j�:`,``�gj+���"��y��F�� ,�
orsupptiers'wthten warrantyonty.All Tabor performed by above named company is warranted tor: " „s•��._.-_x .* wit. ` '~""
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH 0 CK# TOTAL I
express or implied,and its agents or technicians are not authorized to make any such warrant es on'
MATERIALS l
behalf of above named company. 0-DEBIT 0 CREDIT ❑OTHER MAINTENANCE I
i
I have authority-to order the work oudined above which has been satisfactorilyPROG. W/ C
satisfactorily completed.I agree that Seller i
retains iftle to a qulpmenllmaterials furnished until final payment is made,If payment is not made as agreed, CLAIM# I
sager can remove said equipmentimaterials at Seller's expense.Any damage resulting from said removet shag
not be the responsibility of Seiler.NET 30 DAYS.A 1 1121%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE C¢MPLETED •°°-• i
TECH:J TAX
CUSTOMER SIGNATURE DATE TOTAL 1