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Home My WebLink About20-341 City of Zephyrhills PERMITNUMBER 5335 Eighth Street Zephyrhills, FL 33542 BGR-000341-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 07/06/2020 Permit Type: Building General (Residential) Property Number Street Address 03 26 21 0150 00000 0150 6730 North Lake Drive Owner Information Permit Information Contractor Information Name: DANIEL&COURTNEY BURGESS Permit Type:Building General(Residential) Contractor: BAHR'S PROPANE GAS & Class of Work:HVAC Changeout A/C, INC. Address: 6730 Northlake Dr Building Valuation:$0.00 r ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00 Phone: (813)862-8997 Mechanical Valuation:$4,995.00 Plumbing Valuation:$0.00 Total Valuation:$4,995.00 Total Fees:$64.98 Amount Paid:$64.98 Date Paid:7/6/2020 2:21:41 PM jProject Description I A/C CHANGE OUT 2.5 TON jApplication Fees Mechanical Permit Fee $64.98 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 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. coley' r-TOR SIGNATURE PE IT OFFICEC) PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-78M21 Building Department Date Received Phone Contact for Permitting owner s Name owner Phone Number Owner's &Lakr-hr Owner Phone Number F Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address I JOB ADDRESS U-7-36 P6t-q*71akb LOT# SUBDIVISION [Si I ve-r UEQ �-5 7 PARCEL IDOW-�Pt#_C?1—0150-0000-0-O/6V (OBTAINED FROM PROPERTYTAX NOTICE) WORK PROPOSED NEW CONME!r ADDIALT SIGN DEMOLISH P INSTALL REPAIR PROPOSED USE Q SFR 0 COMM OTHER TYPE OF CONSTRUCTION Q BLOCK 71 FRAME L,J STEEL DESCRIPTION OF WORK &I Ale-CbqMc CO-, CDMppn"s,Q---5-4oA4 V/P BUILDING SIZE E=!! SQ FOOTAGEc� HEIGHT . .EB . . . . . . . . . . . . . . . . . . . . . . . . . . .UILDING IS VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE PROGRESSENERGY W.R.E.C. =T-LUMBING is CE'MECHANICAL 1$Lf/H'5',rn VALUATION OF MECHANICAL INSTALLATION =c,fks Q ROOFING r7 SPECIALTY = OTHER FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 444-" BUILDER COMPANY SIGNATUR" REGISTERED I YIN FEE CUNiFA Address 7 License#F- ELECTRICIAN COMPANY $IGNATURIE REGISTERED Y/N FEE CURREP, Address License# PLUMBER COMPANY SIGNATURE REGISTERED I YIN FEE CURREN LILN J Address 7 License#F- 7 MECHANICAL COMPANY fie_ SIGNATUA-- REGISTERED I YJ N I FEE CURREN Llaj Address S I M;34 I License#lapcoq� I OTHER COMPANY F SIGNATURE: REGISTERED Y/ N FEE CURREN LILN 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 ton(10)working days after Submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of SWIcting Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction- Minimum ten(10)worldrig days after submittal date. Required Waite,Gonstruttlon Plans,Stormwater Plans wl Sift Fence installed, Sanitary Facilities&I dumpster.Site Welk Permit for all now Projects.All commercial requirements must meet compliance SIGN PEWIT Attach(2)sets of Engineered Plans, PROPERTY SURVEY required for all NEW construction. igi=ts: Fill ow application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) Agent(for ft contractor)or Power of Attamey(for the owner)would be someone with notarlZed letter from Owner authorizing same OVER THE COUNTER PERMITTING (copy ofcon" required) Rerods if sningles Sevmrs Serv)ca 'F6nC",lPIOt/SUrvey1FOOtaQe) Drivft,ayr,Not over counter if on public roadways:needs ;tr 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 contractors) 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 IMPACTIUTILITIES 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 913-07, 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—Homeowners 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'SIOWNER'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, Weiland 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 W-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 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,after,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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMNCEMENT. FLORIDA JURAT(F.S. 1�43) OWNE OR T_-�MAJ�� co CTOR ri A iroldJoLgiffirmed)b6forie a_lwi 'I d nd 0 r affi��y y AA Whlb isbre personally known to me or ha have i a produced is re ersonall no dWe or has/hpe produced Jam Iderkfication. 'STIdentilication. Notary Public 1-- —Notary Public W>L- AL4 Commission No. rI Commission No. Nam g I`)tVNed,""FlqAWfdJ86trI6"a 11 fida Tammle MR affi I my COMMIllw"coati H 13 01§24§ ...... ...... .... sn Expir6s 09/10/2029 a 114 PROPANE GAS Serviice.� 0arderjrPro osal ANP AIC Itvc. � '1988 8''I'3-47 8Z5013 'Y17ICe SALES •'SERVICE•:REPAIR•INSTALLATION WORK 444'1 Allen'Rd. •Zephyrhills, FL 33541 GR1�[�R##/SERV ICEh1AN 11�#S� '1' JUL D(.')I'1-/T:C ME TAKI.-N 06/13/'r'0 09 u 40 PAY ONLINE @-www.bahrspropanegasandac.com DATEI/ SM 'I I `' DATE/TIME F'ROM:[SF,:D NOTES: A C:,`U S L Tr0 M E:R#I:�' oc A T 10N FIG 27-1PHON (}9 p (^t1'"I0I\IE2# 81.3_862""5042 C RC3UTE/SEQ :JIJL33:::42 BURGESS, DAN I E L' - BURGESS, DAN I EL 6730 NORTHLAKF DR 6'730 NORTHLAKE DR SILVER OAKS ZEPHYRHILLS FL 33542 ZEPHYRHII...I_S F=1_33542 ;RT RFII EM HP RPKA-024,JAZ/5 44IYIIIZI9i:8373 . 5T RHEEM HP RPKA--042 JnZ/53-`1'7M17+/tS 70,-./I- JP-ISTA I R S UNIT BL OW I NGz WARM A I R 1 „is= gvtn, ''`•` - C`":� 9 S:>-Y.- 'S ��R,'I ES. NIT'PRLCE: �AMOU ":QTY ' aM,l ERIAL &. E .V C N ' :.DESCFZII?fION>.OF'WQF2!! 't. •t ::ir r,c,;i''; S Q .✓�„ - r`•.-'•t • �� A� x . c - I I I I 8 ' zx J Z _ntioOc� =sue .° o ev G I I I I t i �. f /_r A1,00 �-7vT,3�reiir.':- �;r�3''�":G''m�5a'S y:r:, y<=e _ .• =::.k;i,•_.rit•P>r�.ti:3':^:u'-f:iiT��.+t.3.F:;y:�'.1�� P. 4 f.y VF� :�t_+1,'� C"t• 1',>'�;,;5 c,.,(r•s' I ;77 ?,�:.Hr•~.`'',.�,>,�. �.)% � .RE_C.UII�JM�NDATIO�JS��=�s;-°:.:�,r°'az�•�::;�.;;�::,;: /^- t /� � // _l, :AA� :;�yi1. ,_ :••L;.=./•:- __%S, n, K';�a:.';L;ti'ay `%�i� - _�+'.`ih.'�..: 4. 4/f.'.' � �I �V�W �O I r tn-`:u3-=f Pressures Lo HI r;T-'Stat.6 e e =��-ter . ;..:;:r ;»,:r_:-,�,�;,•.III�;,�,.., III 0+�.. ';r,.::"-.}�.n: �.�s:,_r' -_ .$:�•.. .r.a._a._�fi; $fllas�s.' r..l;.`'}r�; I M � � i' .'T� V fYf" - `:Y... - :.�::'.ex \i,f7''::.�:.:,v:.r.:._::.-.,f ..'�iz...:'i�'•"'�:4..n..... ' FILTERS x x Changed Monthly I I FILTERS x x Changed Monthly I I r ' f�i•:.Fri;'�t•'`i,4.�49'k.v..._.:+,.^i-.'Y%.'�il:'n`'.i:�:�,�ii•'v:.r..-:. ® REGULAR O WARRANTY' TM4 <:Tt}TP; `SIItUItv}AFt`1 %w'.,- - - I?ehur►5idistat'.Settigs+When here"_ON"'When Away 0° ={T Stat CI MAINTENANCE CONTRACT ,�., , a SERVICE' I i tMtTEO.WARRANTY:Ali-materials;pars and equipment are CALL warran#ed 6y the manufacturers' E n =',(y'El F10[7:OF-PAYIUIEN. j°" "" or suppliers"written warranty only.All labor performed by the above named company is warranted for 30 days or as otherwise indicated In writing.The above named company makes no other,warranties, .LI CASH ❑CK# TOTAL I express or implied,and its agents.or technicians are not authorized to make any such'warran#ies on MATERIALS I behalf of above named company, ❑DEBIT O CREDIT ❑OTHER MAINTENANCE I I have authority to order the work outlined above which has been sagsfactodly completed.I agree that•Seller, PROG. W I C raisins the to equipmentimaterials furnished until final payment_Is;made..lr payment Is not made as agreed. CLAIM#' seller can remove said equipmenNmateriais 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 i ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS-' DATE CbMPLETED '— •"'---f I TECH: // TAX "t/C "Ydu ' CUSTOMER'SIGNATURE DATE TOTAL I