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Home My WebLink About22-5202Uli �yo e p y IF 1 s 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 z' 01, BGR-00 22 Issue Date: 11/14/2022 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. 111111IM11111, I 1 11 11: 1 1 11 1!111�11111 1 0 0 O]fl ity"tWw'-di I MWIIIIT WXcaf - 7 - ' . V . I'l - accordance with City Codes and Ordinances. NO OCC PANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. JA CO NRA OR SIGNATURE PE IT OFFICEt) PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INSTR#2022241835ORBK10722 PG1 399 Page 1 of 1 11/1412022 01:48 PM Rcpt: 2523121 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller 12 10110 MW MJ �# �ZJT' otz "o. I=— �UIRTT (T "�j i�TFJ Cut I [�[ All LA ftfje� I,, I �4Z[N LA J1 IN �0 A) Nam and address: LA ti vrv--a-)ir b) Name and address of fee simple titleholder (if other than owner) 11ftest in property a) Name and address: Arch 'D 7_L0)rUAyN/61S1 ft 3515H.'l b) Telephone No.: Fax No. (Opt) 3.Surety In lion a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt) 6,Lender a) Name and address: Phone NO. 7. Identity of person within the State of Florida dedpated by owner upon whom notices or —other documentsmaybe served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.1a addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(bl Florida Statutes: a) Name and address: b) Telephone No.: ` Fax No, (Opt) 9.Expiration date of Notice of Commencement (tht _expiration date isoneyear from the date of recording unless a different daft is specified), i "1 61,161P f f, I." WN "i 1.0 4 I= i Am"i as QA agg v �y 4#.11 wi al a. a. J' COMNIENCING WORK OR RECORDING YOUR NOTICE OF COMMNCEMENT. STA,TEOFFWRMA cot"N OF PAISCO slo� of Own" or ad b f. me this day of_jal o�% by ager Personally Known _ OR Produced Identification4— Notary Signature Y hdv Type of Identification Produced (print) RM Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are wn to the beg of my knowledge and belief Sw8ft" OfNau" rusm 51W%M9 P100" jlr..L ql=C,ommUisEsLioINn E# BOLES OGG2E7$ -aAvExpires December 1Z ., P.t,�eWThm Troy Fain rasa W2W j0 19 a 0 E 0 I s,i 3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department M owner Phone Number owner phone Number owner Phone Number Fee Simple Titleholder Address EE?�� LOT # JOB ADDRESS 7 _, 000, id PARCELID# -OU —0 E SUBDIVISION (OBTAINED PRAM PRQPERTY TAX NQTiCE} WORK PROPOSED El NEW CONSTR INSTALL ADDIALT REPAIR SIGN DEMOLISH PROPOSED USE 0 SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL BUILDING SIZE f SQFOOTAGE I HEIGHT L ----------- J ........... =BUILDING VALUATION OF TOTAL CONSTRUCTION = E LECTRICAL AMP SERVICE PROGRESSENERGY 0 W,R.E.C. =I LUMBING 11 V ECHANICAL _ VALUATION 0 MECHANICAL INSTALLATION 11;6166 1 =cAs ROOFING SPECIALTY = OTHER FINISHED -LOOK ELEVATIONS FLOOD ZONE AREA ®YES NO BUILDER COMPANY EQ�.. SIGNATURI- REGISTERED Y1 N CURREN YfN Address License# ELECTRICtNN COMPANY SIGNATURE REGISTERED LIL N _J FEE CURREN YIN F Addre as License # PLUMBER COMPANY SIGNATURE REGISTERED Y1 N FEE CURREN Addre-2,.s P:; License# MECHANICAL COMPANY li�Y/ N �FCECURIREN LZI N SIGNATUR REGISTERED Address License # OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y 1114 Addre -is License # 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, Stormwater Plans wl Silt 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 construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & I clumpster. Site Work Permit for all new projects. Ail 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 over $2500, a Notice of Commencement is required. (AtC 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 sAngles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways..needs 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 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 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, 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 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 "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 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 INTEND T9 OBTAffi-WANCING, CONSULT FLORIDA JURAT OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this — — by Whois'are personally known to me or has/have produced as identification. Notary Public Commission No. Name of Notary typed, printed or stamped Subscribed and sworn t6 (or affirmed) h§We me this by Who is/are personally known to me or has/have produced as identification. Commission Name of Notary typed, printed or stamped Public VA- I V " I I, \.,) I 1,145 C) vto /I Bahr's Propane Gas & A/C Inc. Estimate 22131959 4441 Allen Road, Zephyrhills, Florida 33541 United Project 22146817 PROPANE GAS States Estimate Date 11/10/2022 AND A/C INC. (813) 782-5013 Customer PO do Billing Address * Job Address +r-6 LARRY T*EtTT- Ye RR Y-T AtT Nuo, 5113 21st Street 5113 21st Street LA FL 33542 USA UL` Zephyrhills, FL 33542 USA Estimate Details 3ton heat pump : Rebuild stand Cut metal sheet work Pad and anchors Digital thermostat Flush drain line Flush copper line Task # Description Quantity Your Price Your Total CHP4 3 Ton Champion 14 Seer Heat Pump Split System: 1.00 $6,495,00 $6,495.00 TH4B3521H/AE36BBE21 AHRI: 202093358 • Average annual savings of 20% on cooling costs • Average annual savings of 10% on heating costs • Single Stage Cooling • Electric Auxiliary Heater • Digital Thermostat • Hurricane Pad/Anchor kit • Copper/Drain Flush • Float Switch • 10 Year Parts Warranty • 10 Year Compressor Warranty AH:47.5Tx17.5Wx21.5D CU: 39.5Tx35.3Wx32D COUPI $100 off New Unit Coupon: 1.00 $-200.00 $-200.00 $100 off New Unit Coupon addl Additional install materials: 1.00 $800.00 $800.00 Additional materials required for install. Could be but not limited to: • Plywood • Build stand • Cut metal sheet board • Add 2 inches for drain line P2 Residential Permit- Split System: 1.00 $150.00 $150.00 Residential Permit- Split System 01101901 407C: 1.00 $95.00 $95 , 00 407C 00500501 Leak search -complete system: 1.00 $260.80 $260.80 Leak search -complete system Sub -Total $7,600.80 Tax $0.00 Total $7,600.80 Thank you for choosing Bahr's Propane Gas & A/C Inc THIS IS AN ESTIMATE, NOT A CONTRACT FOR SERVICES. The summary above is furnished by Bahr's Propane Gas & A/C Inc. as a good faith estimate of work to be performed at the location described above and is based on our evaluation and does not include material price increases or additional labor and materials which may be required should unforeseen problems arise after the work has started. I understand that the final cost of the work may differ from the estimate, perhaps materially. THIS IS NOT A GUARANTEE OF THE FINAL PRICE OF WORK TO BE PERFORMED. I agree and authorize the work as summarized on these estimated terms, and I agree to pay the full amount for all work performed. C1A-�pwM"If- U