HomeMy WebLinkAbout14-15712 ! ,
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, CITY OF ZE HYRHILLS
5335-8 STREET
�sis)� 0-0020 157 2
BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15712 Address: 38409 COTTONWOOD PL
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-021B-OOF00-0040
Improv. Cost: 3,295.00 OWNER INFORMATION
Date Issued: 10/10/2014 Name: HARRIS PAUL & REBECCA
Total Fees: 55.00 Address: 10228 DUSTY HILL LOOP
Amount Paid: 55.00 DADE CITY FL 33525-0989
Date Paid: 10/10/2014 Phone: �'�3 � �3 g � � ��Ff ° 7`��' - Fs C b b
Work Desc: A/C CHANGE OUT 2.5 TON cc�i KrK
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C, INC. C CHANGEOUT 55.00
i
Ins ection Re uired
DUCTS INSTALLED
DUCTS INS �.AT�D
FINAL 0
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 fi) 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 t, state agencies or federal agencies.
"Warning to owner: 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 n tice of commencement."
Complete Plans,Specifications Must Accompany Appl cation.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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813-780-0020 City.of Zephyr0�i Is Permit Application Fax-813-780-0021
F Buildin Department
�
Date Pteceived Phone Contact f r Permitting O �� /((� -- (�`
Owner's Idame J` , /� / Owner Phone idumber
Owner's Address ���((� ��5'j�� l l Owner Phone fdumber
Fee Simple Titlehoider Mame Owner Phone Number
Fee Simple Titlehoider Address
JOB ADDRESS �� 7-v D�"�G � d J �� • LOT# �
SU�DINISION �/'!� Lt�D� PARCE ID#
(OBTAINED FROM PROPERTY TAX IdOTICE)
W062K PROPOSED e NEW CONSTR ADD/AL 0 SIGN Q � DEMOLISH
INSTALL REPAIR
' PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF COMSTRUCTIOfd Q BLOCK Q FRAME 0 STEEL �
DESCEtIPTION OF WORK �'t �C C C o .+- 2�S`— 'T� a�+
BUILDING SIZE SQ FOOYAGE HEIGHT
�BUILDING $ VALUATION F TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVI Q PROGRESS ENERGY Q W.R.E.C.
QPLUM NG $ ��;�
MECHANICAL $ VALUATION F MECHANICAL INSTALLATION " �
3�g�, ov
�GAS Q ROOFING Q SPECIA TY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
BUILDER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/M
,4ddress License#
ELECTRICIAN CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLUIlABER CO PAidY
SIGtdATU62E REGI TERED Y/ N FEE CURRE� Y/N
.4ddress License#
SIGN TURE L � �� REOGI PT RED "`�If�i�-N /,DJOF�URR� � Y/N���
Address L°� /L�� 2�1�� � License# ��� �3� �"
OTHER CO PAtdY
SIGIdATURE REG TERED Y/ N FEE CURRE� Y/N
Address License#
RESID�EMTIAI. Attach(2)Piot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities 8�1 dumpster;Site Work Permit for s bdivisions/large projects
COMMERCI�IL Attach(3)complete sets of Building Plans plus a Life S ety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submfttal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permft for al new projects.All commercial requirements must meet compliance
SIGId PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construc ion.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commence,ment is.[equifed•,.-(!�UC,upgr des over�7500) '°~��-
"" Agent(for the contracto�)or Power of:i4ttomey(for the ovvper)would b someone with notarized lettel from owner.authorizing'same: j -
OVER THE COUNTER PERIJAITTING ,, (Front of�Application Only) ' : � __. _ j
Reroofs if shingles Sewers� Service Upgrades A/C , 'Fences PIoUSurvey/Footage) ;,,_. ' � � _ ' ;'
_..T...:.:.. ..... �..-.. , ,x.,,... ... ..� ,,t - � .... .._,..._.. . , .,.._. .� ,.._�._. ..h_�:
Deiveways-Not over Counter if on public roadways..needs ROW
,
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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 Counry 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 LIEfV LAIfV(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 prornise in good faith to
deliver it to the°owner" prior to commencement.
CONTRACTOR'S/OInINER'S AFFIDAVIT: I ce�tify 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"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" wrill 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 flll 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 7'HE O{IVNER, 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-'TallllCE FORIMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTIs►IN FINAIVCING, CONSl1LT
WITH YOUR LENDER OFt AN�►�ORNEY �EFORE RECORDING YOIJR NOYI E OF`COfi�7iifi�r�CEiJiENi'.---- - ^--
FLORIDA JURAT(F.S.117 f
OWNER OR AGENT i �/ COMTRACTOR
Subscrtbed and sworn to(or affi d)before me this Subscrlbed and swom to(or affirmed)before me this
by bY
Who Islare pe onally own to me or has/have produced Who Is/are nally know o me or haslhave produced
as IdenGfication. as identification.
..B 0 '
.�: � F 37 ry PUbIiC . ��: E' Notary PUbIiC
. . � . .
r';; Expires June 29,201B =�'° '_
•'o:•` g��ThruTroyF�inlnsuranc�8W3B5a018 %°�• �a: Expires June 29,Z��B
Commiss Commissi n o. �• r
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Name of Notary typed,printed or stamped Name o Notary typed,printed or stamped
' � � � PROPANE GAS ' ' ' •
° ervice Order Pro o§al
� AND AlC ►ntc. Air Conditioning&Heatinc
��ce �988� 8�3-782-5013 '
,.-.r.�i r.t�1�:�� C' _�C
Sales, Service & Installations -�#�SEFtVICEMAhI �4��7 REN
4441 Allen Rd. • Zephyrhills, FL 33541 �►�TE/TIt�'IE rr-��-:�� j.�;i�;•�:� �;04.�.
TAI'.EN P',� K, P. �.�Z�
NOTES: �JA"fE/TIr�IE F'ROM?SFD
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�ONTACT TEhIANT: CHARLOTTE
R�]LiTF_/SE� RE�I-rL1R-
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M�RRIS, ��AIJI_. HARRIS -� REI�TAL_, F�AUI_
1��_�:8 UUST`f N I LL L.F� �,2�4�� COTTDhIWQOD F�L
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DAI3E CITY FL :�=���� ZEF'HYRHILLS FL-��354;='
TF�NANT o F�EDRQ 81.�-78L-3E��9
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CU a �4FH�`4J�Es�y 47�17948�3�=
I NSTGLL NEI� UI�I T T
' DESCRIPTION OF WORK Q . . MATERIALS&SERVICES UNIT PRICE AMOUNT
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, RECOMMENDATIONS " i i
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Annual-Maintenance Recommended by•All Equipment Manufacturers. � �
Pressures Lo HI T-Stat i
i
� i i
REFRIGERANT R-,_ CBS. $per Ibs.,' . - � �
FILTERS x x Changed Monthly I I
' FIITERS x x Changed Monthly � �
REGULAR ❑WARRANTY TOl'AL SUMMARY �
Dehumidistat.Settings: When here"ON"; When Away 60%, T-Stat 80° MAINTEiVANCE CONTRACT SERVICE � i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' � - CALL i
,. METHOD`OF PAYMENT � �-
or suppliers'written warranty only.All labor performed by the above named company is wananted for -
30 days or as othenvise indicated in writing.The above named company makes no o�her warranties, ❑ ASH ❑CK# TOTAL i
express or implied,and its agents or technicians are not authorized to make any such warzanties on MATERIALS i
behalfofabovenamedcompany. • _ ❑ EBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authonry to order the work oullined above which has been satisfactonly completed.I agree Ihat Seller
PROG. W/ C �
retains litle fo equlpmenUmaterials furnished unlil final paymenl is matle.I(payment is nol made as agreed, (� �M# �
selier c�an remove saiC equipmenUmatenals al Sellers expense.Any damage resulOng(rom said removal s�all
not he the responsibiliry o!Seller.NET 30 DAYS.A 7 tY1%SERVICE CHARGE WILL BE ADDED MON7HLY TO �
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DA E COMPLETED
TE H• TAX �
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CUSTOMERSIGNATURE DATE " ✓/GU/J�G/L ✓o-ca TOTAL �Z���
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