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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 ` � PROPANE GAS Service OrderZProposal ��' ��� ��, -� ��/�xw`,'`°^ �������r����9������( AND A/C INC. ���������� 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� i �'\ ��p /` �� L ' CUSTOMER#/LOCATION 03421 NOTES'� ( ` ' PHONE# 570—�83-535� C '� ROUTE/SEQ DEC16x20x1 » | ` \ 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