HomeMy WebLinkAbout14-15686 d` i I
CITY OF ZEPHYRHILLS �
r 5335-8TH STREET
(si3)�,so-oo20 . 15 86
BUILDIN�G PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15686 Address: 38040 DAUGHTERY RD
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: CITY OF ZEPHYRHILLS
° Est. Value: Parcel Number: 02-26-21-0010-00800-0012
Improv. Cost: 3,667.00 OWNER INFORMATION
Date Issued: 10/01/2014 Name: LAURE, FRANK
Total Fees: 55.00 Address: 38040 DAUGHTERY RD
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/01/2014 Phone: (813)788-0496
Work Desc: A/C CHANGE OUT 3 TON RHEEM
' CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C,INC. C CHANGEOUT 55.00
� Ins ection Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL ��-2� �-�
I�i lU 6�l—
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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 re�asons: 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 property 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�, state agencies or federal agencies.
"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 nbtice of commencement."
Complete Plans,Specifications Must Accompany Appl cation.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - � HOUR NOTICE REQUIRED
PROTECT CAR � FROM WEATHER �
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
�ate Fteceiaed ��3 ��7� - ����
Phone Contact fqr Permitting -
Or�rner°s fdame �/��� �/Pi�� Ourner Phone Mumber v��.J /��' d/. ��
�rnrner's Address Owmer Phone fdumber
Eee Sirnple Titleholder R1ame Owner Phone idumber
I
Fee Simple Titleholder Address
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JO�6►DDRESS �D D�!/ ��GLDI�lZ�/2V /�E7C, �////�C7 � ��4 . ���� LOY# �
sue�idisiob �eeRC��.io#D� �lc. �/__ d'D%� D�G� D�LvL -- -
(OBTAINED FROM PROPERTY TAX IdOTICE)
WOR6C PROPOSE� NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
B INSTALL RERAIR
�ROPOSED U5E Q SFR Q� COMM 0 OTHER
�PE OF COMSTRUCTIOfd Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTIOId OF WORK �,(,, � �,lV �— j�2� � rp � e�
�
BUIILDIfdG 51ZE SQ FOOTAGE� HEIGF9T
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0
OPLUMBING $ ,��
�
QMECHANICAL $ ���C7' �� VALUATION OF MECHANICAL INSTALLATIOtV � `�
/
QGAS Q ROOFING Q SPECI LTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES MO
BUILDER CO�kIIPARIY
SIGfd�eTURE REC�ISTERED Y/ N FEE CURRE� Y/IV
i
�4ddress I License#
EL.EC�'RICIAN CO�AlIPAtdY
SIGMEIYURE REGISTERED Y/ N FEE CURRE� Y/f�l
�
Alddress License#
PLURfl�ER CqMPAtdY
SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/N
�
Elddress I License#
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AfIECH411dICAl. ��� C IVIPAfdY Dgi�i� �l'l} F}- 2CS1`7'S
SIGtdATURE REGISTERED Y/ N F E CURRE� Y/IV
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Acldress ��'�� ��L' �•/ll�� 33 � License# �/Y�—U '�J�'J� `7�d
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o�H�r� c��nP�,r�v
SIGM9►TURE RE ISTERED Y/ N FEE CURRE� Y/N
�lddress License#
RESIDE�ITIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)seti of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. f�equired onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facllities 8�1 dumpster;Site Work Permit for Subdivisions/large projects
COMAAERCIAL Attach(3)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&1 dumpster.Site Work Permft for all new projects.All commercial requirements must meet compliance
SIGId PERINIIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construction.
Directlons:
Fill out application completely.
Ovmer 8 Contractor sign back of application,notarized
Ef over g2500,a Ido4ice of Commencement is required. (AIC upg�ades oeer;7500)
"" Agent(for the contractor)or Power of Attomey(for the owner)would�e someone with notarized letter from owner-authorizing•same �,,. ;
ONER THE COUNTER PERAAITTIMG (Front of Application Oniy) „ � � _ . . ' - '
Reroofs if shingles Sewers Service Upgrades A/C Fence (PIot/Survey/Footage) , � '
, - , , �
Drivevways-Not over Counter if on public roadways..needs ROW °� ° �" ' °" `"r""`"°T
NOTICE O� DE�D RE�TRIC7iON�: The undersigned understands that this permit may be subject to"deed" restrictions"'
which may be more restrictive than County regulatians. The undersigned assumes responsibitity for compliance v�rith any
applicable deed restrictions. . .
tJidL10ENSED CUNTF�ACT'OR� �1ND CC?NT��'TtOR ��SPOWal�!!.l'PlES: If the owner has hired a contracto� or
contractors to undertake work, fhey may be required to be iicensed in accordance with state and iocai regttlations. If fhe
contractor is not licensed as required by law, bath the owner and contr�ctor may be cited for a misdemeanor violation
under state iaw. if fhe ornrner ar intended contractor are ctncer#ain as to vuhat licensing requirements may appty for fhe
�� intended wark, they are advised to contac#the Pasco County �uilding Inspection Division--Licensing Section at 727-847-
80Q9. Fu�thermore, if the owner has hired a cantractor ar cantractors, he is advised to have the cantractor{s} sign
portions of the "contractor Block" of this appticakion for which they will be responsible. tf you, as the awner sign as the
contractor, that may be an indication that he is not praperly licensed,and'is nat entitled to permitting privileges in Pasco
County. `
TRNN�POFtTAI'ION IM1PIPACTIIJYll.l1"IES IM�ACY�NC1 RE�OLIItCE R�COVf�RY F�E�: 7he undersigned understands
that Transportation impact Fees and l��coucse f2ecavery Fees may apply#o the cortstructiott af new buitdings, change o#
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 aisa understands, that such fees, as may be due, wil! be identified at the time af
permitting. lt is further understood that Transportation Impact Fe�s and Resaurce Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. �If the p�oje�t does not involve a certificate of occupancy or
final power release, the fees must be paid priar to permit issuance. Furthermore, if Pasca County WaterlSewer Impac#
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTlQN LI�N l.�IYV(Chapt�r Y13, I�lo�idai 5t�tut��, a� amend�d): !f valuation of wark is$2,500.00 or more; !
certify fhat I, the applicant, have been provided with a copy of the °Florida Construction Lien Lavv—Hameowner's
Protectian Guide" prepared by the �lorida Departmenk of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", i certify that 1 have obtained a copy of the above described document and pro►nise in good faith to
deliver it to#he"owner"prior to commencement. _
CflNTRACTOR'81011VNER'S l�F�I1DAVIT: 1 certify that aSl the information in this applicatian is accurate and that a1i work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application�is
hereby made to abtain a permit to do warlc and installation as indicated. t certify that no work ar instalfation has
commenced priar to issuance of a permit and that ail work wiil be performed to meet standards of ali iaws regulating
construction, County and Ciky codes, zoning regulations, and fand development regulations in the jurisdiction. I also
certify that i unders#and that #he reguiatians of other governrnent agencies may apply ta the intended work, and fhat it is
my responsibility to identify what ackians I must take to be in compliance. Such agencies include but are not limited ta:
- Depa�tr�ent af-Env9ronmental Protection-Cypress 8ayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- 5authwest Florida Water Management District-Wells, Cypress Bayheads, Wet{and Areas, Altering
Watercourses.
� Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Nealth & Rehabilitative ServiceslEnvironrrlental F�ealth Unit-Vllells, Wastewater Treatment,
Septic Tanks.
- US Environmentai Pratection Agency-Asbestas abatement.
- Federal Aviation Authority-Runw�ays.
! understand that#he following restrictions apply to the use of fill:�
- Use of fill is not aliowed in Flood Zone°V"unless expressly permitted.
� If the fill material is ta be used in Fload Zone "A'", it is understood that a drainage plan addressing a
"compensating valume" vrril) be submitted at fime of permiffing which is prepared by a prafessiana) engineer
licensed by the State of Florida.
- If the filf material is to be used in Fiood Zone °A" in cannection with a permitted building using stem �nra#I
construction, I certify that fill will be used oniy to fill the area within the stem wall.
- !f fill mate�ial is to be used in a�y area, ! certify that use of such fil! will not adversely affect adjacent
properties. if use of fiil is faund ta adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for Iots less #han ane (1)
acr�which are elevatetf by fill, an engineered drainage plan is requlred.
If I am the�A,GENT FOR TH� 01fVfV�R, I promise in good faith to inform the owner of the permitting conditions set farth in
this affidavit prior ta commencing constructian. 1 understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other instaliafions not specifically included in the application. A
permit issued sha!! be construed to be a license �o proceed writh the work and not as autharity ta violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance cif a�perrnit prevent#he Building Officia!from thereafter
requiring a correction of errors in plans, construction or violetions af any codes. Every permit issued shalf become invalid
unless the work authorized by such permit is cornmenced within six manths af permlt issuance, or if work authorized by
the permit is suspended or abandoned for a periad of six(6) months aft�r the time the work is commenced. Nn extension
may be requested, in writing, fram the Building Official for a period not to exceed nineky {901 days and will demonstrate
justifiable cause for the extension. (f work ceases for ninety(90)consecu#ive days, th�job is considered abandoned.
{�IARNING 'TO OWN�R: YC9UR iFRILt1E2� TCi �Z�COR� �, N�T'1C� O� CCtNliUtENC�NI�NT IVIAY F2ESU�T IN'YQUR
PAYING TWICE FOR IIVIPROVEIVIEINTS'f0 Y011R�FtOPERYY. If�YOU IfVTEND TO OB1'AIfV FINA�ICING, CONSUL.T
V1t1TH YOUR �Ft Oft��I�►TTClR�ItEY BE�t3RE�2(ECfJRDINC YOUF2 NCl'TIGE C1F Ct31UIMENCE9VtENT.
FLORIDA JURA_(F,S. 17.03)n- _ �- , -- _. _ __ ._. _ - --
O{iVNEit OFt{lGEN7 ��-Q''C.GONTRACTOl�
Subscrlbed and sworn o(or affirmed)be ore me ihis Subscribed and sworn to(ar affirmed)before me tFiis
by by
Who istare parsonall � nown ta me or haslhave produced Wha Islare persanaNy known to me or haslhave praduced
as Identlfication. as identlfication.
..�...
- �� A��_.,,,,,_No ry Public Notary Public
�'� -��,f k'�'� Commission#FF 137073
Comm s ,��,',o.i�, ':: •rts�,.�ypgi��._,,,_, Commission INo.
'+.�,Ri�3.•� Bcu,.ywtnmrroyFainlneuma80D3&5�70tD
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Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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�it�e 9988 � 8�3-�'��•501� I
� ✓ WO K ORDER#�/SERVTCEMA�f ��87� EJI�
Sales, Service Installations DA E lT I ME TAN.Ehi r�9/i 6/14 i 4:35
4441 Allen_.Rd...ovZe h.,rhil,ls.,_FL.33541 TA ?E�I �Y SARAH ¢��
-- - P y r�/ DATE/TIME F'RQMTSED
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VOTES:���� ��7V=. - - CUST01�1�R#/LOCATZO�I ��1E4 /1
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F�N(��IE�# 81�-45�—��84 C
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/`'�0 � � — �F,��I,�.t�O3 1�J GOI�TACT DR. MARK E� FRANI'.
ROUTE/SEG! E,�N
THE F RAI�I'. CL I�I I C THE FRA�IK CL I I�I T C
OF CH I ROF�RACT T C #�EAST TEMF'Sl"AR Uhl T T #1�� .
38�4Q� DAUGHTERY RD �8►�4�► �AUGHTERY RD
ZEF'HYRHILLS FL 3�54� ZEF�HYRHILLS FL3�54•�
TEh1F�STAR S�LIT UI�IT9
CD o RAJ 1�A�►3E�C9 �9�3E i E���
A/Ha NEED MOD c2� SERIAL
NOT COOLINGo TSTAT SET AT 699 INSTDE TEM ' IS 77
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FILTERS x x Changed Monthly I � 1
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FI TERS x x Changed Monthly � �
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❑ EGULAR ❑WARRANTY _ '--_-�TQTAC�SUMMARY'_ __=�.'�`�
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RVICE •
LIMITED WARRANTY: All materials, arts and e ui ment are warranted b the manufacturers' -t': � � �'`�' -- CALL i
P Q P Y __- - _�METHOD;OF?;PAYMENI';`:�F�=_:;-
or suppliers'written warranty only.All labor performed by the above named company is warranted for �='�`''=�'���'�"�'"'"'` ''"�'`"�"'�`�"�"'`==�`="-'`�c ,
30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CAS ❑CK# TOTAL i
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
behalf of above named company. ❑DEB�T ❑CREDIT ❑OTHER MAINTENANCE �
I have authonty to order the work outlined above which has been satisfactorily compleled.I agree ihat Seller
PROG. W / C �
retains dtle to equipmenVmalerials fumished until final payment is made.If payment is not made as agreed. C��M � -
seller nn remove said equipmenUmaterials al Seller's expense.My damage resulting from said removal shall
not be Me responsibilily of Seller.NET 30 DAYS.A 1 1f2%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE OMPLETED I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS
TECH: T'� �
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CUSTOMERSIGNATURE DATE TOTAL �