HomeMy WebLinkAbout14-15589 CITY OF ZE HYRHILLS �
5335-8TH STREET
. �' (813)78 -0020 �.-1 89
r BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15589 Address: 6921 STEPHENS PATH
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: STEPHENS GLEN PHASE TWO
Est. Value: Parcel Number: 03-26-21-0160-00000-0520
Improv. Cost: 4,570.00 OWNER INFORMATION
Date Issued: 8/21/2014 Name: DIMARTINO FAMILY TRUST THE
Total Fees: 60.00 Address: 6921 STEPHENS PATH
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-0657
Date Paid: 8/21/2014 Phone:
Work Desc: A/C CHANGE OUT 3 1/2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C, INC. C CHANGEOUT 60.00
,��`V ,�
.� ��
��
01, ��,�
�
Ins ection Re uired
DUCTS NSTALLED
DUCTSINS LATED
FINAL 1 (
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re sons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this properly that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
"Warning to owrner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing, consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
.
�
ONTRACTOR SIGNATURE � PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR � FROM WEATHER
813-780-0020 City of Zephyrhill I Permit Application Fax-813-780-0021
Bullding epartment
Date Rec�ved Phone Contact for ermitting --
I Owner's Name �l��/Q�� /� /L /e/� OvHner Phone Number
O
Owner's Address �L�/�� ���� Owner Phone Number
Fee Simple Titleholder Name �� Owner Phone Number
I
Fee Simple Titleholder Address
JOB ADDRESS ��o�-� o��e 7 eJV�' �"�TH LOT# �
SUBDIVISION � PARCEL i # �� �� �� ���� �u� ���
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR�ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK � � d7/� O7�Z�� '�/�IG��, � CdrYY) 6�1I�V�rj � �
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION O TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
S�g
QMECHANICAL $ ,/5��' � VALUATION O MECHANICAL INSTALLATIOfV �( '
�`
OGAS Q ROOFING Q SPECIAL Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
BUILDER COM ANY
SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COM ANY
SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COM ANY
SIGNATURE REGIS ERED Y! N FEE CURRE� Y/N
Address License#
MECHAPIICAL — ��� COM ANY /�f�i�S � A-/1�2C�7�5 � G'�/�/ C
SIGNATURE �— REGISI ERED Y/ N FEE CURRE� Y/N
Address License# �1�� ����
OTHER COM ANY
SIGNATURE REGI RED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL 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. Req ired onsite,Construction Pians,Stormwater Plans w/Siit Fence installed,
Sanitary Faciflties 8 1 dumpster;Site Work Permlt for su divisions/large proJects
COAAMERCIAL Attach(3)complete sets of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater-Plans wl Silt Fence installed,
Sanitary Facilities 8�1 dumpster.Site Work Permit for all�ew proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW constructi n.
Directlons:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement Is required. (A/C upgra es over�T500) ; ' '-"" : -�"" ���°'° ��� � ^���°�
" Agent(for the conVactor)'b�Poiiver of Attomeq-,(for the.owner)would be someone with notarized letter from,owner au4horizing:same ;,� •" r
OdER THE COUNTER PEftMITTING •�`::(Fronf of'Applic�tipn�Orily) ' '' � - ' �� ° • -��'�'
Reroofs ff shingles Seinrers � Service'Upg�ades`A/C._�-; Fences( IoUSurveylFootage) ,_... .._._._ .�,,,,, ,;,;, ,, ;,;, �;,. _F �,r.�,�„y
, , - . . �
Drivewa s-Not over Coun�er i1�on��ublic roadwa�s..needs ROW
Y
P Y
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictic�ns"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTFt�►CTORS �►ND CONT�ICTOR RESPORISI�ILIYIES: 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 IMPAC'T/UTILITIES IMPAC'P 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.
COIVSTFZIJCTION LIEN LAlnl(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 i� 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 issyance 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"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
ficensed 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 Buildirig 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 wock 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-OWNEIZ: YOURFAILURE TO R�CORD_A N0710E OF COMMENCEnIIENT MAY RESULT IN YOUI2 _
PAYING YIIIfICE FOR InIIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT141N FINANCING, CONSUL.Y
INITH YOIJR LENDER OR AN�►TTORNEY BEFORE RECORDING YOUR NOYICE OF COMIIAENCEMEPIT.
, FLORIDA JURAT(F . 3) A
OWNER OR AGENT ONTRACTOR
Subscribed and swom t r affirmed)before me this Subscr(bed and swom to(or affirmed)before me this
by bY
Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Identlficabon. as idendfication.
,,,�,,,,
::�*��., JOEL E.BACON
;�� ':= Commission#FF 137073 No ry Public �����--., Notary Public
•h� �� Expires June 29,2�18 - :� o ission#FF 137073
Commis O (lJ;,.`�'�, Bonded TtoyFainlnsurance800-385•7019 L'Ofll Ission N . ��
n �R;;�°p�`` TIwTr Fainlnsieancegpp3g5.70f9
L
Name of N ry typed,printed or stamped Name of o ry typed,printed or stamped
�I ' , � . . . � ..
� ROPANE GAS S rvice Order Pro osal
� � AND AIC INC. Air Conditioning&Heating ;
�'i�rce �988 813-782-5013 _ ,.,. - �,� � ; �
4�� f� i_(F�'j) .I_i f���1�_�_i�1`r-:i�'�, ��i_F�j,_ � I-i�.
:� �E_.r� :E:�
�� �-- --• �1 I:,1!?,; 4^F:,, .
- r�t��� r . �� �,�� K� r�a�.:E=r�� � �i=;- 1 a. : ��.�:
Sales, Service & Installations � , L,,.
4441 Allen Rd. • Zephyrhills, FL 33541 �F�`��=��' Tf r ���Y���� 4���
(7�:1 �i;� l"7��'1r" F?s2�..'�C1I��=f)
,...�T �_y��-••rr�l'�1c�P��!'� ��ii'�';i:�(lltf I'I�ti.l�.l%"i
.vltS. E-�{-i�.7P•I�'-� t;;�'?-- �'P_,(�; - '+r'��:.�, �.-7
� ;'(1��1 1 i-1C�� �'C)�a rl hl(iLt
�ril i-�'t: "-;i°�-1 i�fS�;;i, _f_'� ��_.
�Y�E-1 ' -'H i'�: i-iF��SFiC'�_ ._ .
r -r � r1�a�iT(��r� ��«�.._����-1� I:1�:{_: , y`�� " j'i�:.��i � �I����,:� �..��-��_.��1��� i��-�f:_
r,'}r � .. . , � �}''.'3t-�i :.� l E�t'�{'��1�.��� (i�,•,� I �.'�
,�'-i'F!!i-i�i d�� i'F-i"T i-� _.
-- �j{�I. '•��-.i t (��-4 i''-n
�•. r-�;.i� � _ �_� _;r_��'� .
i - ^c': '-� .��:�°I' !' I^� i.l I_ -- �-
�����; -r�;r:--�-= r�._ =� ._�'F�__ --
:_.,, .-�T '-;}fi=:E lfl i-If.,
�-�v� �- _ _ y !-{�.i, ;�;[jrjl,%'{J.".i. � ;_I'-.1;;�1�,
,�.c. I��i_ �_'i:J � f�•I. i
' ,k' -
i I.` � ti.'�,-� '1 �,:. t a . �
("[�; �;�i r._.i[! '}1 .J i'1.(,� E�W4'� .%i�i�4�4'i.`��,�-i�ti 4.;+`
;•I ;='t,�i� ^, n•�C(_'.,(-1.�._� �f-ti:_!-ai3 �
`r,_---F- f`�;C=O.�, l.._ :l__' .
� DESCRIPTION OF WORK QTY. MATERIALS&SERVICES UNIT PRICE AMOUNT
�
� _... _. _
. _ .� _._. _..____ _ _.. .- �---._ ., ..__._- -- -- •-
__ _ _�_._. ._ ., �. .. �_ _. ._r. _ .
--•- ,. .� _... . ._.-�___ .. ._._..�._._�_.._...--- °. ° ,
, _ . _. ._ ._._
y � � --- ,
! �,� ' � i �
� /Z O �
/ � 4 j, � � �
( '- -. • � �
i��� y � }- -� . 7a s' , �
- , �
� �
;-�. . � • �/ 7 ��f. � ��'`"
� ��, ��
✓ 4, f �y • l �'y°
�� � � �.✓,� � � f!
i �t ^7 " � � i
:� � -� - � r�-, , �
, • ' p' i 7- r i �
o.n �.l n .. .. � �
i I • �
' L — �
, / � I
1 �g
� RECOMM ONS � 9 � — c�S � i
- i i
i:.�r:ual Maintenance Recommended by All Equipment Manufacturers. ressures Lo HI T-Stat � �
� i i
REFRIGERANT R- LBS. $per Ibs. � I
i -_
FILTERS x x Changed Monthly I I
t
1
i i i
FILTERS x x Changed Monthly
' I] REGULAR ❑WARRANTY TOTAL SUMMARY
' ' CV-.^.umidistat Settings: When here"ON", When Away 60%, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
' CALL i
!L;.S!fTED WARRANTY All materials.parts and equipment are warranted by ihe manufaclurers' METHOD OF�AYMENT
�-:;,�:_�_: ,,--en warranty only.All labor performed by the above named company is warranted fot TOTAL i
.__�_.__ �s�:�env�;e Ind�caled in wriling.The above named company makes no olher warranties, ❑C SH ❑CK# MATERIALS i
!e:—;=: -,oi�ed and ns agents or technicians are not authonzed to make any such warranties on � i
�-.r��=_•a-c,e named company. ❑D BIT ❑CREDIT ❑OTHER MAINTENANCE i
- PROG. W ! C
- ..-- -ree•;.`.e�.vork outlined above which has been salislactorily completed I agree Ihat Seller
_- -- - _�one��ma�enais lumishetl untd fnal payment is made.II paymenl is not matle as agreed, C�Q� # �
�i✓ _^_-�sac�cu�vmenUmatenais at Seller s expense.Any damage resalting from said removal shall � '� ��
�;.o�Seller.NET 30 DAY�$rT 1 7/2%SER�/ICE CHARGE WILL BE ADDED MONTHLV TO DAT COMPLETED
' - =^a.CECOVER300AYS NO�REFUNDS ,
-' - I
�1y ` -� /^ Fl , ' _=�--� /l f.,'� TEC TAX �
� /\/"��-fi�L/'�! JT ti / � / � ,%�!/ '/7_/�_` `�'�Y �/� / �� TOTAL ���1 V�
� __ .r...��kH�URE / DATE ✓7GCr�I�LJL G�LG