HomeMy WebLinkAbout21-1337 City of Ze h y rhiilS PERMIT NUMBER
Y p Y
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001337-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/12/2021
Permit Type: Building General (Residential)
Property Number Street Address
03 26 21 0180 00000 0740 6837 North Lake Drive
Owner Information Permit Information Contractor Information
Name: ELIZABETH GREGG Permit Type:Building General(Residential) Contractor: BAHR'S PROPANE GAS &
Class of Work:HVAC Changeout A/C, INC.
Address: 6837 Northlake Dr Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0:00
Phone: Mechanical Valuation:$6,850.00
Plumbing Valuation:$0.00
Total Valuation:$6,850.00
Total Fees:$74.25 Amount Paid:$74.25 �24 2A
Date Paid:1/12/2021 11:02:57AM I
Project Description
A/C CHANGE OUT 3.5 TON HP
Application Fees
Mechanical Permit Fee $74.25
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 bel additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
I .
"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 ofcommencement."
Complete Plans,Specifications add fee Must Accompany 1 pplication.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRAC R SIGNATURE j , PE IT OFFICE
i -
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-813-7e0.0021
Building Department
`Date Received Phone Contact for Permitting ( 13 , p a -5 01
owners Name Gr E I i Z A bei Owner Phone Number �ro_,
Owners Address W M Norlh Dr Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address JOB ADDRESS 1)f t,.
LOT# /�
SUBDIVISION �J PARCEL ID# o 3-QW.a -01 0 -0O O'V
(OSTAJNED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW COf LSTR ADDlALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION QQQ GG BLOCK = FRAME = STEEL ^_
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING s VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=FLUMBING s
MECHANICAL s VALUATION OF MECHANICAL INSTALLATION /
=CAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURi_ REGISTERED Y/ N FEE CURREK Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 11 Y/ N I FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED 11 Y/ N FEE CURREN I TIN
Address License#
MECHANICAL COMPANY r Go 5 e- c
SIGNATURE REGISTERED : Y/ N I FEd CURREI, I Y/N
Address l license#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREt Y/N
Address License#
111111111111111111111111111111111111111111111111111111111111,1111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary.Facilities&1 dumpster,Site Work Permit for subdivisionsnarge projects
COMMERCIAL, Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Consbuction Plans,Stornwater Plans vi!Silt Fence installed,
Sanitary Facilities&1 dumpster.Site,Work Permit forall new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
-PROPERTY SURVEY required for all NEW construction.
Directions-
Fill ou:application completely.
Owner&Contractor'sign back of application,notarized •. i". ' - ;..,
If over$2500,a Notice of Commencement 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)
Reroofs if shingles Sewers- Service.Upgrades.AlC-..,sFences(PloUSurvey/Footage).,. ...
Driveways-Not over Counter'if on publigroadways..needs•Row. ;~;
r:
•- .. .jN. ..` .. .. -. ,. "". 1.
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 Y
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they maybe required to be licensed in accordance.with state and local.regGlations. 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 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 IMPACT/UTILITIES,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 off 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 issua�ce. 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 7i13,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I,-the.applicant, have been I provided with a copy of.the "Florida Construction Lien Law—Homeowners
Protectior Gclide"prepared by'the Florida Department bf.Agriculture and Constimer.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/Elnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. i
- 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"Aj 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 iristallations 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 technicalcodes,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 wor"k 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 COM NCEMENT.
FLORIDA JURAT(F.S. )
OWNER OR AGENT 'i%� CONTRACTOR
bs rib d a d swo n (or firmed befor n e this yy u d and savor D or a rmed) fi r a this
1��bY lOiRre
by
Wh Ware perso own to me o slhave produced W o personally known to me or ash ve produced
as identification. s identification.
otary Public ",(710Aotary Public
Commission No. comma s!on No.
Na Name of
"^ Notary Public Stet of Fluildsa +s Notary Public:Slag of FWOA
Tammie M Rogera I Tammie M Ropem
My Commission GG 913244 My Commission®A 91300
OF Expires 09/15/2023 alp Expires 0911 6/2 0 2 3
I - -
PROPANE GAS) Service Order/Pro 113322EVECIZIEW
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AND A/C INC.
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° ~' ~-� - --- --- -- WORK ORDER#/SERVICEMAN 114696 EOC
SALES ° GERVCE " RE�UR ^ |N5T�LLAJ|ON
� DATE/TIME TAKEN 12/27/20 1101
4441 /U!enRd ^ZaohvrhiUa. FL83541� ' ' TAKEN Y K. B. 04
DATE/T ME PROMISED
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~~ CUST M R#/LOCATION 07027
NOTES: ��
��^�� �- PHONE# 813-782-673N
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CONTACT GREGG
ROUTE/SEQ EOC24x24x1
MAP / ATTIC
GREGG, ELIZABETH GREGG, ELIZABETH
6837 NORTHLAKE DR / 6837 NORTHLAKE DR
"SILVER OAKS"
ZEPHYRHILLS FL 33542 ZEPHYRHILLS FL33542
/ 3. 5T TEMP SPLT HP
| NFCX48000C2, 1012270585
| INST:02/28/02
' 1 C1-1042AKA1, L0117811189
NOT HEATING WELL ENOUG� /
/
T.
FILTERS X x Changed Monthly
MA
i6istat S eftjnqs:.�When here 'When Away ffl!$, T —0 Q MAIN
SERVICE
WAITED WARRANTY- All materials,parts and equipment are warranted by the manufacturers' METHOD OF'PAYMENT: CALL
or supplilirs'written warranty only.All labor performed by the above named company is warranted for
3D days or as otherwise indicated in writing.The above named company makes no other warranties, CICASH �1 CK# TOTAL
express oirimplied,and its agents or technicians are not authorized to make any such warranties on MATERIALS
behalf of above named company, Ll DEBIT CREDIT Q 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 equipmentimaterials furnished until final payment is made.If payment is not made as agreed, CLAIM#
seller can remove said equipmentmiaterials at Seller's expense.Any damage resulting from said removal$hall
not be the,resporisibility of Seller.NET 30 DAY&A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPA 0 BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TAX
CUSTOMER SIGNAWRE DATE TOTAL
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