HomeMy WebLinkAbout21-1317 City of Zephyrhills IIIIIIIIIIIIgEgmHT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001317-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/06/2021
Permit Type: Building General (Residential)
Prop�eyrty Number Street Address
24 26 21 0030 00000 1460 3814 Lacoste Street
Owner Iff f5r—Mat ig�nIIIIIIIIIIPermit Information Contractor Information
Name: NHC-FL115 LLC Permit Type:Building General(Residential) Contractor: BAHR'S PROPANE GAS&
Class of Work:HVAC Changeout A/C, INC.
Address: Attn:Tax Dept Nhc-FI115 Llc 27777 Building Valuation:$0.00
Franklin Rd STE 200 Electrical Valuation:$0.00
Phone: SOUTHFIELD,MI 48034-8205 Mechanical Valuation:$4,287.00
Plumbing Valuation:$0.00 X0
Total Valuation:$4,287.00
Total Fees:$61.44
Amount Paid:$61.44
Date Paid:1/6/2021 10:53:40AM
Pr6oject Description
A/C CHANGE OUT 2.5 TON
Application Fees
Mechanical Permit Fee $61.44
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.
L &,- y1aL*y9r1
TRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
81'-4780-0020 City of ZophBuildingythillsDe Permit Application
partment
Date Received Phone Contact for Pem"nitting 13 )79a -5
-r-y-r-r-r -to-q 3-5
owners Name At#e -IFL LL owner Phone Number
6
ownees-jAwddressal-7-17 Fjvokfio 12 0 Sfe-AQQ Owner Phone Number
Fed Simple Titleholder Name own.Phone Number
Fee Simple ndeholder Address
JOB ADDRESS 3'bJ4_LACC6fIf_1 :5+ J LOT
SUBDIVIS101"! lffi4esdic, Oaks- PARCEL ID# 'P I-Do go-0 0 000-14_&Q__J
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CDNSTR ADDIALT SIGN DEMOLISH
P INSTALL 9 REPAIR
PROPOSED USE M SFR r7 COMM OTHER
TYPE OF comsTRucnoN = BLOCK FRAME STEEL
DESCRIPTION OF WORK Res F-aual A/d d-hanlea-L-P, I eo ::.n tj
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL Is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING is
an-V,'ECHANICAL VALUATION OF MECHANICAL INSTALLATION
ROOFING = SPECIALTY = OTHER
FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY
SIGNATUR4 F REGISTERED I YIN FEE CURREN L_LLN J
Address License
ELECTRICIAN COMPANY I
SIGNATURE REGISTERED I YIN FEE CURREN
Address License
PLUMBER COMPANY
SIGNATURE REGISTERED I YIN FEE CURRET,
Address License#
MECHANICAL COMPANY R:6: "o ne &asit
Z 4 n
SIGNATUR.. REGISTERED I Y/ N FEE MRREh I Y/N
Address 4 l4qlAlk�n f?d- Zhi/16 39�9M License#1tA_?q0_t4-?Q'49
OTHER COMPANY I
SIGNATURE REGISTERED I YIN FEE CURREN LY-0-i
Addrel;s' License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms*,R-O-W Permit for now Construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed,
Sanitary Facilities&I dumpster:Site Work Permit for sUbdivisions/large 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 constr�,don.
Minimum ten(10)working days after submittal data_ Required onsite,Construction plans,Stomiwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new Projects.All oommer.cial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . .
al
Fill ou:application completely.
Owner&Contractor sign back of application,notarized
If over$2600,a Notice of Commencement Is required. (A/C upgrades over$TWO)
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)
Rerces if sningles Sewers Service Upgrades AIC Fences(plottsurvey/Footagg)
DrivewaYs-Not-6ver(36iinier If 6h public roadways:meeds 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 v*lolation
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—LicensingSection 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 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
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 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, Weiland 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 W, 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 W 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,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 INT D TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICROF COMMENCEMENT.
FLORIDA JURAT(F.S. 7.
01
OW :ER OR AGEN IF c CTO
s ri sworn 0 a d)b me Al cri nd sw n th
by 7o by
1.1 re rsonally no n to me or h a/av p u 2d ho I are mon Ify nown o me or hasl eve produced
as idantl on.
lub�ft Add +Public
.mNli.r,No. Commission No. �
Nam f o ty e ino or Name of Notary typed,Printed or stamped
0,40 Notary Public State of Fiborids
Tamn'lle M Rogers
My Commil"lon GG 913245 OWN Notary Public Stab o Flom
N0 E res 0911512023 I
Tamrnle M Rogers
MY COmml"ion GG 013245
Expires 09/15=23
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PROPANE GAS
Service OrderZProposal
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GALES ~ SERVICE ^ REPAIR ^ INSTALLATION
WORK URDER#/SERVICEMAN 113686 DEC
4441 Allen Rd "�ephvrhi|hs FL,p ' ' ' DATE/TIME 1t /11 /20 09�47
r` ' TAKEN BY TAYLOR N4
PAY ONLINE ^~�www.babrspropamegesandac'oom
DATE/TIME PROMISED 1 1/13/20 08:06�
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��p /` �� L ' CUSTOMER#/LOCATION 03421
NOTES'� ( ` '
PHONE# 570—�83-535� C
'� ROUTE/SEQ DEC16x20x1
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\ CHAPPELL, WILLIAM CHAPPELL, WILLIAM
' 3814LACASTE ST 3814 LACOSTE ST
MAJESTIC OAKS LOT #149
ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL33542
2. 5T MILLER PKG
P�RD—�30K, P3F0802032�99
' 10KH:H3HK010H 01� W80249554+1
ID. 3/14/2008
� ESTIMATE FOR NEW UNIT & EXTENDING A/C TO FL ROOM. SERVICE
DESCRIPTION 0
UNIT PRICE, AMOUNT ,
Ak
FILTERS X X Changed Monthly
FILTERS X X Changed Monthly
REGULAR El WARRANTY TOTAL SUMMARY
/ Ll MAINTENANCE CONTRACT
LIMITED WARRANTY. All materials,parts and equipment are warranted by th;;anufact�F.;, .METHOD OF PAYMENT CALL
or supplierV wriften 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, Q CASH L3 CK# TOTAL
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS
behalf of above named company. LJ DEBIT 0 CREDIT LI OTHER MAINTENANCE
I have authority to order the work outlined above which has been satisfactorily completed,I agree that Seller PROG. W / C
retains title to equipment/materials furnished until final payment is made.If payment is not made as agreed, CLAIM4
salter can remove said equipmentirnatorials at Any damage resulting from said removal shall
not be the responsiblityff SeVer.NET 31)DAY 1 11-1.tiIRVICE CHARGE WILL BE ADDED MONTHLY TO 0 t,00—
PAI ;F
ALL UN D BALAN7 OVE 'o DAYS.N EF DATE COMPLETE�
—7rTOTAL
CUSTOMER SIGNATURE DATE