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HomeMy WebLinkAbout22-5365City of Zephyrhills 5! 5335 Eighth Street Zephyrhills, FIL 33542 BGR-005365-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 12/13/2022 I! 1 11 1 1 1 Will 1111!11 11 11 Jill I 231=�=Ili 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. CONJ�A OR SIGNATURE TINXII—Irm"31 PE IT OFFICE THOUT APPROVED INSPECTION 813-780-0020 Fax-813-780-0021 ar; rrr„ rrrr+a+rr ry rannr OWNFAMR4,r* lVEVY Cf4NSi"R ADDlALT INSTALL REPAIR SFR COMM OTTTJUMVM� . (O YAINED FRAM SIGN = DEMOLISH DESCRIP' ,ON OF WORK t / U/7 i-ifa s I I 3 a BUILDING SME SG FOOTAGE HEIGHT BUILDING IF VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C_ =FLUPABiNG h'ECHANICAI 5 VALUATION OF MECHANICAL INSTALLATION t' riS ROOFING SPECIALTY = OTHER FINISHED ELEVATIONS ®� FLOOD ZONE AREA =YES NO BUILDERE:=== COMPANY SIGNATi3R,= REGISTERED Address ELECTRICIANE:=== COMPANY SIGNATURE REGISTERED Addre 3s PLUMBER COMPANY SIGNATURE ( REGISTERED Addres MECHANIC AL. � COMP Y SIG TI�P'-. REGISTERED Address OTHER COMPANY SiGNATURri REGISTERED Addre>s License Ilift III#IfIfIII fill III III III 111IIIIIII111fill IIfIII 11III I]IIII IIfI 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 w/ Silt Fence installed. Sanitary Facilities & 1 dumoster; Site Mork Permit for subdivisions large projects COMMEl iAI Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forts. 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 & t dump ster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PE1IT Attach (2) sets of Engineered Plans. **'PROPERTY SURVEY required for all NEW construction. DireeEians: Fill ouapplication completely. 01 &'Contractor signback of application, notarized If over $2500, a Noitcaa Of COMmencernent is required. (AC upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be sorneane vrith notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if s ,ingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) License# Y J N EEE cuRREM1 Y f N License # Driveii over Counter If on public roadways -needs ROW am 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 BlocW' of this application for which they will be responsible. If you, as the owner sign as the entitled to tffnitinWrivileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersi ned understands eW holirlin•c nhnn A 0 • OWNER OR AGENT r- I Subscnbed and sworn to (or affirmed) before me this this by Who is are personally known to me or has/have producedhave produced as identification. as identification. Notary Pu:: kPit li Notary Public Comm!-,sion No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped States (813) 782-5013 Billing Address Taylor Travis 6549 FOXMOOR DR ZEPHYRHILLS, FL 33541 USA Description of Work 3 ton heat pump split system attic 5KW back up heat Task # Description P2 Residential Permit- Split System: Residential Permit- Split System HP 18 Franklin 3 Ton 16 Seer Heat Pump Deluxe Split System: *Average savings of 50% on cooling cost Average 20% on heating cost Single stage cooling Variable speed air handler Enhanced humidity control Touchscreen WIFI thermostat 10 year parts warranty 10 year compressor Warranty 10 year labor warranty GSZ160361B/AVPTC37C14A AH:53,5Tx21Wx21D CU: 40Tx35.5Wx35.5D 12345 Discount: Invoice Discount- Discount per K.B. Invoice 23111036 Invoice •. 12/12/2022 Completed • Customer PO Job Address Taylor Travis 6549 FOXMOOR ZEPHYRHILLS, FL 33542 USA • Your Price Your Total LOO •• $100m Sub -Total $6,595.00 Tax $0= Total Due $6,595.00 Balance Due $6,595.00 Thank you for choosing Bahr's Propane Gas & A/C Inc. This invoice is agreed and acknowledged. Payment is due upon receipt, A service fee will be charged for any returned checks, and a financing charge of 1% per month shall be applied for overdue amounts. I find and agree that all work performed by Bahr's Propane Gas & A/C Inc, has been completed in a satisfactory and workmanlike manner. I have been given the opportunity to address concerns and/or discrepancies in the work provided, and I either have no such concerns or have found no discrepancies or they have been addressed to my satisfaction. My signature here signifies my full and final acceptance of all work performed by the contractor, City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 BGR-005366-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 12/13/2022 REINSPECTION FEES: (c) With respect to Reinspoction 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. before recording your notice of commencement," accordance with City Codes and Ordinances, NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. PE IT OFFICE THOUT APPROVED INSPECTION HOUR NOTICE REQUIRED 813-730-0020 r City of Zephyrhills Permit Application Fax-313-730-0021 Building Department Date Received Phone Contact for Parralttln r� w" r`s Name Owner Phone Number �' ! Owner's Address °6,a ✓ Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 49 a r LOT SUBDIVISION e ®.� �� PARCEL ID# ' (OSTAJN D FROM PROPERTY T NOTlc ) WORD PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR Comm OTHER PE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE _ � HEIGHT =BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL a.. AMP SERVICE PROGRESS ENERGY W,R,E.C. PLUMBING $ w. MECHANICAL VALUATION OF MECHANICAL INSTALLATION SAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS � M � FLOOD ZONE AREA =YES NO MILDER COMPANY E ;;;;�FEE SIGNATURE REGISTERED GURREh Address License ELE'TRI COMPANY SIGNATURE REGISTERED EEE GURRE1 Y f N Address License PLUMBERE=== COMPANY SIGNATURE REGISTERED 4 1 N FEE CURREK Address License # _=. i t i t i NoticeFill out application completely. Owner & Contractor sign back of application, notarized If over $2600, a of Commencement Is required, (AfC 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 A/C Fences (Plot/Survey/Footage) NOTICE OF DEEDEST RICTI : The undersigned understands that this permit may be subject to"deed"restrictigns" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions, UNLICENSED CONTRACTORS AND D CONTRACTOR ESPO I :ILITI S: 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 (Chapter 713, Florida Statutes, as amended):ended): if valuation of work is$2,500.00 or more, I certify that I, 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, COT CT 'S€ N ' 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. m 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"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 "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'F 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 OTIC E OF COMMENCEMENT Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO UR PROPERTY. IF YOU U INTEND TOOBTAIN FINANCING, CONSULT IT _U L A A EF O I U T C E C T. FL RIE A Ju T(F, .917.03} OWNER OR AGENT_______________________ coNTRAcTOR_(_—/ 4it 'i2 Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before ire t a, by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identifi tion. as identifi tion. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped � V'-d'v x CAC059575 I EC13007703 3 DADE CITY, FL 33625 LL 3 @c{mail J HVAC �rorn PROPOSAL