HomeMy WebLinkAbout11-12236 � CITY OF ZEPHYRHILLS
5335 - STH STREET
(si3)�so-oozo 12236
BUILDING PERMIT
Permit #:12236 Issued: 8/12/2011 Address: 6424 SILVER OAKS DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 4,928.00 Total Fees: 60.00 Subdivision: SILVER OAKS
Amount Paid: 60.00 Date Paid: 7/15/2013 Parcel Number: 03-26-21-0120-00000-0221
Name: BAHR'S ROPANE GAS & A/C, INC. Name: HENDERSON, CHARLES
Addr: 4441 ALLEN RD. Address: 6424 SILVER OAKS DR
ZEPHYRHILLS, FL 33541 ZEPHYRHILLS, FL. 33542
Phone: (813)782-5013 Lic: Phone:
Work Desc: A/C CHANGE OUT
A/C CHANGEOUT 60.00
DUCTS INSTALLED
DUCTSINS LATED
FINAL � 22-/I ,
� �
�
�
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site fl plans not at job site g) work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
�
CONT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER '
8?3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Departmenl
Date Received phone Contact for Permittln -
Owner's Name (J �•^�O 2 o Owner Phone Number �l —/�J� '�-���
Owner's Address (l f Z � V£. ��1 � Owner Phone Number �
Fee Simple Tltleholder Name � Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS LOT # L�
SUBDIVISION , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADDIALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION _-- _
QELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
���-��
QPLUMBING $
l�MECHANICAL $���� VALUATION OF MECHANICAL INSTALLA N _
OGAS Q ROOFING Q SPECIALTY Q OTHER /� �/ �T ��`�
C
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �-NO--
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License # �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N
Address License # r
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Llcense # �
MECHANICAL � COMPANY ��r/�Z f O �v G,d� �
SIGNATURE REGISTERED Y/ N FEE RRE� Y/ N
Address `��t/ � Z� c� �-�,$ Llcense# C G, �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Llcense #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Constructlon Pians, Stormwater Plans wl Silt Fence installed,
Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new consUucGon.
Minimum ten (10) working days after submittal date. Required onsite, Construcdon Plans, Stormwater Plans w! Silt Fence installed,
Sanitary Facflitfes & 1 dumpster. Site Work Permit for all new projects. All commerdal requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
`"**PROPERTY SURVEY requlred for all NEW construcUon.
T����������r��������i
.+.�u���.u� �.,.� i au.0 i= � r
D�recLons.
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
If ove� s2500, a Notice of Commencement is required. (A/C upgrades over 57500)
'* Agent (for the conVactor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applica8on Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PlobSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTtCE 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 certiPcate 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 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.
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
Watercou�ses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depa�tment of Health 8 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 wfll 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 wfth 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 O�cial from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shalt 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 TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OYVNER OR AGENT CONTRACTOR
Subscribed and swom to (or aflirmed) before me this Subscribed and bwom to (or afflrmed) before me this
by y
Who is/are personally known to me or has/have produced Who islare personally known to me or haslhave produced
as identlftcatlon. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped
�' ' ' �i °� °r
PROPANE GAS Maintenance Order
� AND AIC irvc. usrs u�o usn �NO usra:
��rce 1988 ., 813.7g,2.5013
, WORK ORDER#/SERVICEMAN 3193c JUL
Sales, Service & Installations DATEiTIME TAKEN �7i�5/11 .�7:4�
4441 Allen Rd. • Zephyrhilis, FL 33541 TAKEN sY AsH � 1
DATE,�IME PROMISED
NOTES• CUSTOMER#fLOCATION t�BE�E
PHONE# - , 81,?,-783-8�87
ROUTE/SEQ JUL
.
HENDERSON, CHUCK � HENDERSON, CHUCK
�4�4 SILVER OAKS DR �4�4 SILVER OAKS DR
ZEPHYRHILLS FL �354^c ZEF�HYRHILLS FL.?�,354
A/C NOT COOLING
-----------------
Lo — Fil -- O Zfaned
� 4 �-/-
, c. Cond. Fan Blwr Comp Heat Strip
' Cond Fan Blwr Comp �
7 � S � �� Primary/Condition 0 Cleaned SecondarylCondition ❑ Cieaned
Type ❑ Replaced Type
��`�_ � �
.+2 REFRIGERANT R- LBS
I �
FILTERS = x Changed Monthly �� �
FILTERS x x Changed �vtonthly i I
3 �l ���� �� � ' �y��
£,2,,� , T � � ; ,
i. , ,
3 cc� - lo �c.� � ;
� � ,
, � �
i �,� �
❑ REGULAR ❑ WARRANTY
When here When Away T-Stat, ❑ MAINTENANCE CONTRACT
LIMITED WARRANTY• NI materials, parts and equipment are warranted by the manufacturers TOTAL i
orsuppliers'writtenwartantyonly.Alllaborperfortnedbytheabovenamedcompanyiswarrantedfor � `"�" II ; '',�, MATERIALS i
30 days or as otherwise indicated in writing. The above named company makes no other warranties, ❑ CASH ❑ CK # MAINTENANCE �
express or implied, and its agents or technicians are not authorized to make any such warr�nties on PROG. -10% �
behalfofabovenamedcompany 0 DEBIT ❑ CREDIT ❑ OTHER
I Aave euthoriry to ortler Me work ouUineC above w�ic� hec Oaen sahs�actortly complele0 I agree Iha[ Seller TOTAL I
rotains tille to eQuipmenUmatenalc furnisheA unlil hnal paymenl is made II payment is not maee aa agreee, LABOR I
seller can remove salE equipmenVmalerials et Se11eYS expense, Any Gamaye reeuNmg Irom saiq removal shell DATE COMPLETED �
no1 be t�e reaponsibility ol Seller NET 30 �AYS. A 1 1/29i SERVICE CHARGE WIIL BE ADDED MONTHLY TO MA�INTENANCE
ALLlJNPAID BALANCES OVER 3 DAYS NO REFUNOS PRICE �
1 TECH TAX ���
CUSTOMER ATURE I DATE ✓1!'� �J TOTAL yq � OQ