HomeMy WebLinkAbout21-3020W
City of Zephyrhills
5335 Eighth Street{`;`
Zephyrhills, FL 33542 BGC-003020-2021
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/12/2021
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
111717ngmw Oinpany AP - ��t
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
I<S, I Lid 4p:� �"- .4 'q)aL4y*-r-
T'CONTRACTOR SIGNATURE PEIMIT OFFICEU
j
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
C'tf}+ Of Z8I7ITtJl$iitlS F'ern'iif Applica
tion Fax-81:3- f nu-uu<
8 s 3-780-0020 Building Department
Date Received Phone Contact for Perm"a"ri3
acO
ownerPhone Number
pees Name
rowner Phone Number
ownees Address
Name Ovvrro€ Phone Number
Fee simple Tied holder
Fee Simple T'riiehoidef AddresS
_
#
I
{ / 9
LOT
,fOB ADDRESS
S/
.- �
t% CSC ld
�"{rryq
PARCEL ID# 4.J ad `
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
El
CONSTR
ADDIALT
REPAIR
SIGN [� [�
DEMOLISH
PROPOSES USE
INSTALL
SFR GOMM L�
BLOCK FRAME
OTHER
STEEL
�— — —
�l
TYPE OF CONSTRUCTION
Fi
..p fi 8 .. as f _ .e. a✓"ia^r'.n 8 l� r.,d-- .. f ° 6 t I d d- B
1 a V art
BUILDING SIZE SQ FOOTAGE
HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRIGAL $
AMP SERVICE PROGRESS ENERGY = W.R.E.C.
IECHANICAL $ r VALUATION OF MECHANICAL INSTALLATION
LUMBING
C, 4S ROOFING ® SPECIALTY = OTHER
FINISHED -LOOR ELEVATIONS
FLOOD ZONE AREA =YES NO
m a e m _J .®..�., COMPANY _
BUILDER REGISTERED Y I N FEE CURREN Y / N
SIGNATUR.:
License #
Address
ELECTRIC! W COMPANY
REGISTERED Y i N FEE CURREN Y I N
SIGNATURE
License #
Addre s
COMPANY
LUMBER
PFEE CURRE� Y (N —l�
LUMBSIGNATtiRE REGISTERED YI N
License #
Address
COMPANY f r t o F ci li nit, S 4
MECHANK A REGISTERED Y/ N FEE CURREN YIN
SIGNATUP
[ i License #
Addre•>s P8
OTHER COMPANY Y / N FEE CURREN Y / N
SIGNATURE REGISTERED
License #
Addre ;s
K i l l # 1 1 1 1 1 1 1 1
RESIDENT AL 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, 5tormwater Plans w! Silt Fence installed.
Sanitary Facilities & 1 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 construction.
Minimum ten (10) working days after submittal date. Required onsite, Gonstnsction plans, stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 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.
Directions:
Fill ou application completely.
Owner & Contractor sign back of application, notarized
if ove, $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
th � �n same
— Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner au or izr g
OVER THE COUNTER PERMITTING (copy of contrail required).
Reroofs if s tingles Sewars ` Service Upgrades Alt Fences (PlotiSurvey/Footage)
Driveways -Nat over Counter If on public roadways .needs'ROW
NOTICE OF DEED STRICT
REIONS: The undersigned understands that this permit may be subject tcomps
restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. if the owner has hired a contractor or
UNLICENSED CONTRACTORS may
RESPONSIBILITIES: )Gal regulations. If the
ork, they may be required to be licensed in accordance with state and Ir
contractors to undertake w and contractor may be cited for a misdemeanor violation
contractor is not licensed as required by law, both the owner rtain as to what licensing requirements may apply for the
under state law. If the owner or intended contractor are unce
ised to contact the Pasco County Building insecon ivision—Licensingthe conSection at 727-84-
intended work, they are adv ntractors,phetiDid to is advsehave tractor(s) sig7n
8009. Furthermore, if the owner has hired a contractor or co 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. rs s
TRANSPORTATION IMPACT]UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unde tan
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
permitting
7as amended. The undersigned also understands, that such fees, as may be due, will be identified paid
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
that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
certify t Consumer Affairs. If the applicant is someone
Protection Guide" prepared by the Florida Department of Agriculture and Cons faith to
other than the "Owner", I certify that I have obtained a copy of the above described document and promise in good fa
deliver it to the "owner" prior to commencement.
R'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
CONTRACTOR`S/OWNE Ina and land development. Application is
le laws regulating construction, zoning work or installation has
will be, done in compliance with all applicable as indicated. I certify that no w
hereby made to obtain a permit to do work and installation of ail laws regulating
commenced prior to issuance of a permit and that all work will be performed to meet standards
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. Suchagencies include but are not limited to:
- Department of Environmental Protection -Cypress Bayheads, Welland 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 '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 "N' 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. djacent
If fill material is to be used in any area, I certify that use of such fill will not adversely affect a
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
unlesa 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 VeNaYOUlo INTEND TO OCOBTMMENCENCI
FINANCING, CONSULT
kirIffIrr- nF N—T,
OWNER OR AGENT- ad
* f nci sworn atffi r ad
Subscribed and sworn to (or affirmed) before me this at 1, _,y y__
by Jar ",It nwn 0 me or
Who is: personally known to me or has/have produced W i larq,2�� or
as identification,
Public
Commi-3sion No. Commission No.
Frondsi%"till of
Name of Notary typed, printed or stampedNameof t inStgte Tommie M RogeM
My Commisw" GG 913245
Expires 0911 S/2023
I
Bahr's Propane Gas & A/C Inc.
Estimate 7751415
4441 Allen Road, Zephyrhills, Florida 33541
PROPANE GAS States
United
Job
Estimate Date 9/30/2021
AND A/C INC. (813) 782-5013
Billing Address
Job Address
ZOLTON RETEY
CUTTIN UP FABRIC
37648 SKYRIDGE CIR
6308 GALL BLVD
DADE CITY, FL 33525. USA
ZEPHYRHILLS, FL 33542
Estimate Details
CUTTIN UP FABRIC UNIT: ESTIMATE TO REPLACE CURRENT UNIT
Task; Description .
Quantity
Your Price Your Total
HP3 Franklin 2.5 Ton 14 Seer Heat Pump Value:
1.00
$5,295.00 $5,295.00
Average savings of 20% on cooling cost
Average savings of 10% on heating cost
Single stage cooling
Digital thermostat
10 year parts warranty
10 year compressor Warranty
I year labor
GSZ140301K/ARUF31B14A
AH:53.5Tx17.5W,x21D
CU:29Tx29Wx29D
P5 Commercial Permit- Split System:
1.00
$125.00 $125.00
Commercial Permit- Split System
12345 Discount:
1.00
$-300.00 $-300.00
DISCOUNT PER K.B.
Z�M aii 0
I? I
I -MENER"I 0
Inn
Thank you for choosing Bahr's Propane Gas & A/C Inc.