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Home My WebLink About21-3063City of Zephyrhills 5335 Eighth Street Zephyrhills, FIL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-003063-'2021 Issue Date: 10/22/2021 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. z7WffTT-r iTciy ions a I ccumparjj' Awlica Mrm accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. 1A CCN7AACTOR SIGNATURE PE IT OFFICE 7-,ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I City Of zephyrhilis Permit Application Fax-813-780-0021 815-780-OD20 Building Department IN is DESCRIPT,ON OF WORK - -I- - , I - , , , - — BUILDING SIZE $0 FOOTAGE HEIGHT =BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL S AMP SERVICE PROGRESS ENERGY W.R.E,C. � =FL MBING V VALUATION OF MECHANICAL INSTALLATION CHANICAL ROOFING = SPECIALTY = OTHER tj FINISHED -LOOR ELEVATIONS E= FLOOD ZONE AREA =YES NO BUILDER COMPANY Y1 N FEE CURREN IN SIGNATUR4 REGISTERED License # Address COMPANY ELECtCTRIM SIGNATURE REGISTERED License # Address COMPANY PLUMBER REGISTERED SIGNATURE License # Addre5s COMPANY MECHANIC AL REGISTERED Y/ N FE CURREN YIN SIGNATUIR Address Ll (0) -7- License # OTHER REGISTERED YIN FEE CURREN YIN SIGNATURE REGISTERED License # Addreis a I If I I I RESIDENT AL Attach (2) Plot Ptairis; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum tan (10) working days after submittal date. Required onsite, construction Plans, stomilwater Plans wl Sift Fence installed. Sanitary Facilities & I dumpster, Site Work Permit for subdivisions/large projects �y F—�. R-o-vv P.—it for new construction - COMMERCIAL Stomwater Plans wl Sift Fence installed, requirements must meet compliance SIGN PERMIT . . . EmEff= 0 lirecti'mm: 1re"ta": Fill ou application completely. Owner & Contractor sign back of application, notarized If over $2501), a Nafice of CoalffrAmIcOfflant Is required. (AIC upgrades over $7500) Agent (for the contractor) Of power of Ation-tay (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Rerool's if s-dingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public I roadways. ri,eeds 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 1 41 a an ocal regulations. If the 01, ............ Court TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands alis 11 111,00IL-1 1116-1 dell eri 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 comag" to issuance of a e6r I and 9 frctj—d A' ATJ7176 16711 Rot meof-TV9.1 K-, -dl flit 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/Environmental Health Unit -Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency -Asbestos abatement. - Federal Aviation Authorily-Runways. I understand that the following restrictions apply to the use of fill; Use of fill is not allowed in Flood Zone 'V' unless expressly permitted. If the fill material is to be used in Flood Zone "A', it is understood that a drainage plan addressing a 11 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 ermitfin conditions set forth in AN11111 96100ma QW; I-LORIDA JURAT (FS, 117,03) CONTPACTO I I , -_ 7 OWNER OR AGENT /Srn Subscribed and sworn to (or affirmed) before me this sworn I by Y Who Ware personally known to me or has/have produced person I k WD V produced as identification, 71-152-t as me or his/ r Vntification. Notary Public Notary Public Commission No Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped .00 jo lg%�, NlMrY PWAC State of Floiride Twnmle M Rogers MY COMM400(1 QG 013245 Expirea 09/15/2023 — 8�/ A/C Inc. �� 83255 4441AJ�nRuad ZephyrhU�F�r�a 33541Vn�ed Job82&62O2 PROP �� naz�s Estimate �� e��/19/202z AND �� ^�� ^ � (813)782-5013 Customer PO Billing Address Job Address xun*xuuuxE R|CHARDDUKE-SLEEPY 3g819Lansing Avenue HOLLOW Zephyrhills, FL 33542 USA 38619 Lansing Avenue Z,ephyrhills, FL 33542 USA Estimate Details X re" 2.5 Ton Franklin Pkg HP with 5 kw Aux Heat: Relocate unit to back of home with new cluctwork and extend power and thermostat wires Tash# Description Quantity Your Price Your Total PKGHP14 Franklin 2.5Ton 16Seer Heat Pump Deluxe: 1.00 $6.750.00 $6.750.00 Franklin 2.5Ton 16Seer Heat Pump Deluxe ^Average savings of4O%oncooling cost ~Average savings of2O%onheating cost ~Single stage cooling ^Pru8ramab|cthermostat ~Pad *Model #GPH183OH41 1Uyear parts warranty 1Oyear compressor warranty 1Dyear labor warranty P1 Residentia|Permit-PackageUnit 1.00 $100.00 $100I0 Residential Permit- Package Unit 1 �;, oll I Thank you for choosing Bahr's Propane Gas & A/C Inc. THIS 0AN ESTIMATE, NOT A CONTRACT FOR SERVICES. The summary aboveifurnished Gas &A/C Inc. as a good faith 10/19/2021