HomeMy WebLinkAbout21-3190City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003190-2021
Issue Date: 11/12/2021
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.
C441TRACTOR SIGNATURE PE IT OFFICEU
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021 3j9c?
-ZAIV
I � Phone Contact forerin Piffin �cl
Ow Owner Phone Number ner's Name
Owner's Address Owmir Phone Number
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Fee Simple TWItholder Name Owner Ph .. N.Ir
Fee Simple Titleholder Address
JORADDRESS I LOT V I I
(OBTAINED FROM PROPERTY TAX NOnCE),
WORK PROPOSED W C kNSTR
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PROPOSED USE SFR COMM
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-ri'PE OF CQW3. 1=7-
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DESCRIPTION OF WORK 1 41 r f;io U c'( 01,Yxi,
SIGN DEMOLISH
OTHER
WUIL-ftU.N— L T L --rL-j
bQt-UU§A0IzL_______j HEIGH 1 J �
-DING VALUATION OF TOTAL CONSTRUCTION
r__IPLUMBING
MECHANICAL
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AIMP SFRNWIF F--1 PRW4RF--, FNFR6Y r—t W'R F'(11
VALUATION OF MECHANICAL INSTALLATION
L GAS 1� ROORNG L'
--j L--j _J Sr` EGiALTY = 0 �INER
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CL�=2121!4 AREA- 7-7vgR
BWLDF.R I COMPANY t
---7Y 1 i�E CU7uRENy i �!
Address License #
ELECTRICIAN COMPANY
,SIGNATURE 1 REGISTERED 1 YtN 1 FEE CURREN I YiN I
A-dd-'eSS
PLUMBER COMPANY
SIGNATURE RCGISTERED L7=Y I =w— —a---C R E 8=Yl n
Address License #
e
1 COMPANY fI)l I 7fl (L-,
MECKANICAL
SIGNATURE REGISTERED
I
SIGNATURE REGISTERED I Y �/N I Fi-E-C17R-RR. ---Lr22f4D-
Address License
RESIDENTIAL All -?ph (2) Piel Pfons; (2) r ,e 9 of BviWing Plans; (}) set of Eder cons ki
gy Forrng,; R-" Permit for new toic },eton,
Winirnum ten f tfu working, days after submittal date. Reouired oniate, Constructiun Plans, Stormwater Ptanswl Siff Fence- installed,
Sankary Facilities & I curupsus, Site W". Perurm' for subeA onsioutia pr
visk COMMERCIAL Attach (2) complete sets of Bulding Plans plus a Ufa Safety Pap; (1) set of Energy Forms. R-O-W Permit for new construction,
Minimum ten (10) warming days after submittal date. Required onsite, Construction Plans, Stoun.water Plans w/ Sflk Fence installed,
slnitn�R. 4!tm: 11 dumpnicr- StL kN!k parmit fll ncw pmjnctc'Av' cernmam!a", faqulmft nnMPl"----D
ARON PIF941T aoz#+ 1?) eat s,4 P"-'i'w—d P4-
-PROPERTY SURVEY required for all NEW construction,
--VIV-1-1-
I
afroctJons:
Flit out application cornpletely.
Owner � Contractor sign back of application. notarized
-etkii'Umaw
At (far the camera
let) or Fi9wor of Attorney (far luo mvnar) wriplif it Int someone vvith nbtpriz latter It n r uthod I m its
-Ru'' , pi geme @- z s@ a
CNIER TillE CzOLWrTER Pr-RV--.TTM cmy �Yf cc;"Itta--1 F-s'
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways-" over Counter if - pu 'c -needs ROW Atill mzWways
813-780-0020 City of Zeighyrhills Permit Application Fax-813-78"021
Building Department
3*I07MR, OF.. RF%TRTCTt0NR:-M. nf ri�cfiris permit atay hA SO"or". '4Ariff mAMnAinils" whirli nlqv lin ninin mRtriotivr,
than County regulations. Thee undersigned assurries, responsibility for comphance, win any appucabie deed resinctrorm
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIUTIES: 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 ficensed as required by law, both the owner and
'OM-r- May he Him k, "iniptinn t_-der state rctv If ff- iM-dmo rorttrarlor - nnrTr"i MS t, mh -ents
may apply for the Intrindrite work, they am advised to contact the Pasco County Buildina inspection Division-Licansins Section at 727-847- 8609.
Funfitimtot, It the painer hag hi A contractor of gpittrapt h e is gilvis It th 'iQ _0 to have the 9W (e) sign got pre of #
Qqk, 9 -r#d contractor a, . f In!
for which, th-ev witt be ffyou- as the z,:Nher sign as the contra-dion that may be or-., in0catton that he is net proeey fIOE�nsodd and is
notonfillorl to pon-afrOng privileiges 'n Fasi;o Gounly,
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovent Fees may apply to the construction of now buildings, change of use in existing buildings. or
ResRe��ery
Fees must be paid prior to receiving a "certificate of occupancy' or finial power release. If the project do" not Involve a ceffificate of occupancy or final
po�tw ths ft�n.- �i "o osid my to psrrrr'* i�+=.m%-".,,:a lse-,C a,. Atom..: ,tea R-S a lwy Most l-s pvd V-,`;`
to Forest issuance in accordance wah applicable Pasco County crainances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended); If valuation of work is $2,500.UO or more, I cortify that 1, the applicant,
have been provided with a copy of the `Florida Construction Lien Law-Homeownees Protection Guide' prepared by the Florida Department of
2nd cnnaunmr AfN!rz, "cle 'in a!
mr;! c3r!!fy!hnt! havn nMn!n0d a mpy of flint =hcva
CON TRACTOR'SICANNER'S AFFIDAVIT: I cartfly that all the Information in this application is accurate and that all work will he done in compliance with
indicated. I ceruty met no work or Installation has carnmenced prior to issuance of a permit and that ad work wit be partitioned to meet standaras, at 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 1
Must b*e in ho in qgoildasilldude hurt 'Aro Bent limitod trr
Department of E-ArOnmenba! iseta cuof,,Cyp�ress Bayh--2u % WeLlaart Are es and E-vire-nme-f-ally Qeeris+tiive
Lands, Water/Weetewater Trealmant.
f ov-I-
souif3wic'sm Rnlfa VVauif vdan-agemeni Bay�aadl-�, Weg8flid Afea-��, WIN9
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
beffilic I attics.
US l a it ill Porlyreffer, Apency-Asbipsice, abate rmtnC
Federal Aviation Authcblty-Runways.
I understand that the following restrictions apply to Me use of fill:
Use of fill is not allowed in Flood Zone 'V' unless expressly permitted.
if "fes 1flif trititieri al is to be useci in ROL-10 Zone "A", it its Imiderstood I that a 6 1 rot I riage plan ad I d I fessing a
carnpansating volume" will be submitted at time of permitting which is prepared by a professional engineer
by #�-; 134 �� Gf Flzan
If the fill material is to be used in Flood one '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 well.
If fill fruiterisil is to he usishl in env area. I nerfiliv that lisp of minh fill will not adver-tAiv affect saticent
prope't6m; If r ma, of fill l fm ind in adVAMAIV Affaint arfipr^ant nrnruartiAa, thA nuanar rnav ha nitAd fnr virtlatinn
the oppoiticuls of the Wilding pffirru! issued PPOT 14 ptloadoyl Lx�rrh# PDOWIlon'' for 1945 !@§* than nine (1)
acm vvhich am" ate --ated by W, an Grumeered dMina-u-C, ppfaill P9 rFKjUR`4d-
If I art, the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permthing conditions W forth in this as davit prior to
commencing construction, 1 understand that a separate pernift may be required for electrical work, Plumbing, signs, wells, pools, air conditioning, gas, or
other installations not specifically included. in the application. A panatt issued shall be construed ',a be a license to proceed nifth the work and not as
V a --- ' 1�
al, , ar nor - 1�� .: tG� gu=cg Ou -,,om
trairearterrequiring a correction marries in ptans, construction orvtotaterns of any comes. Every permit ersueo snan siecome invana unless it* w=
ardhoreunt by such permit Is orimarenced within s4x months of pernie Issuance, or It work authorized by thir parmit is suspended or abandoned for to
p4m#a ri" n->ofums AngF r I mi trmiv mis wrxiA in,:-neou. An �I i 0 i " r, a V b 4 r 4 � r, 41� 14 c, -it w-, 1 j frml i o , --dl ng 0,0 i r- i i i i io� 4 p 4 F i t_S f,. tj n,
excood ninety 1 90) days and utill demonstrate jostifiable cmumi for the exturision. If work wasut; for nirkuy (90) consecutive days, the job 1:1,ronsidcoul
abandoned,
Notary Public
Cnminission No, Q ? Z
of as
io o" ify typed, print or stampa No,, IoN a or ty'
Notary Public
Commission No, C 17)17+61
-W
Nome of Notary typed, printed or stamped
Absol, de ir Stis mis in
q�VK 37325 Kossik Rd
Zephyrhills, FL 33541
John & Denise Steele
5033 9th St
Zephyrhills, FL 33542
(813) 863-8236
ionn(a)steetesinter- rsllc�com
10
INVOICE
z;r-KVICE DAI—E
iNVOlf-17 DAT F
DUE
AMOUNTDUE
CONTACT US
(813) 779-0101
st veng gets oldair,00m
#195598
Nov 09, 20-21
upon receipt
Service completed by- fames Begin,(3-ireg
Weatherspoon, Phil Coleman
INVOICE
As low as $211.79/mo* fN!jAt!ry
Pay over time with is tack
Services qty unit price amount
New install — *** Fl, pace finance***** 1.0 $6,495.00 $6,495.00
Cl, i'ea4— - - - - - - - 4
In k" y n
liostallo a 0j.5 tcn Heat Pump"Bryant syst '#KW ii fiaii9mg i
needed. Rodent proof line cover,
Custom Services - Permitting 1.0 $175,00 $175.00
County/Cl.ity comes and inspects the install. They note if there are any issues and approve of the
work when the work meets all inspection criteria,
*A A ;i, + be
'-spo'n3i"10 for Only mccl-an"Cal �work that is perf r—med
rl;a 14k i-kf; .19 #V# it tki 41 i;af tv f$1 fit it I ui L 14it to � to U.
Materials
Custom Services - Custom Job
A A
*armaflex (I - titan7/8, 5-pvc 3/4, 3-copper 7/8)
+ ;
--w
*safety switches
* i
bAlab
*anchor kit
I S-of 1 llieakei qual-t: L" I all fldilule CHU
*6" silver flex 10'
*mastic
qty unit price amount
*Viermostat (Heat Pump)
*,Cit,,, Permit
Total $6o670.00
Thanks for your husinesg
Absolute Air Systems Inc. CAC1813789 http-://www,aetooldaircom