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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