HomeMy WebLinkAbout14-15786 ,
; CITY OF ZE HYRHILLS
a' S335-8T STREET
(sis)�s -oozo 15786 ,�
BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15786 Address: 4645 AIRPORT 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: 13-26-21-0080-00000-0020
Improv. Cost: 18,000.00 OWNER INFORMATION
� Date Issued: 11/17/2014 Name: ZEPHYR PALMS EVENT CTR
Total Fees: 125.00 Address: 4645 AIRPORT RD
Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/17/2014 Phone: (813)780-8180
Work Desc: INSTALL (2) 7.5 TON HEAT PUMP
I' CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C, . C CHANGE UT 125.00
�
- Ins ections e uired
DUCTS INSTALLED
DUCTSINSULAT
FINAL
REINSPECTION FEES: Reinspection fees will comply wit Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following rea ons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not ade when inspections called d) work not ready for
inspection when called e) permit not posted on job ite fl plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there ay be additional restrictions applicable to this property that
' may be found in the public records of this county, and there ay be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of ommencement may result in your paying twice for
improvements to your properly. If you intend to obta n financing,consult with your lender or an attorney
before recording your no ice of commencement."
� Complete Plans,Specifications Must Accompany Applic tion.All work shall be pertormed in accordance with
City Codes and Ordinances. N OCCUPANCY BEFO C.O.
� C TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS W THOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 OUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
i
� i
PRO OSAL
� � � PROPANE GAS
� AND AlC iHC.
�7ce �988 813-782-5013
4441 Allen Ro�d— ephyrhills, FL 33541
Ph: 813-782-5013 Fax: 813-783-1374
E-triall: bahrs.offi e .tam aba .rr.com
Proposal Submitted To: Date:
AMVETS Posti 550 November 6, 2014
Name: Phone:
Barbara 813-780-8180
Street: City:
4645 Airport Rd Zephyrhills
State & Zip:
FL 33542
We hereby submib specifications and estimates for:
1-7.ST Dailken heat pump A/C, with 15kW uxiliary heat. Unit will be a commercial rooftop
model. Pmce includes city permits, notice f commencement, crane service, and a 3-phase
electrical b x for each unit. ��p
�
i� � 3
1 unit onl ...........................$9,885.00 �i � y�
y�.......................................
2 units instialled at the same time........... ...........................$18,485.00 Z�
*Units com�e with a 1 year labor warranty
*Units come with a 5 year parts and compre sor warranty
Al( material is guaranteed to be as specified. All work to be completed in a workman like manner according to
standard practices: Any altercation or deviation from a ove specifications involving extra costs, will be executed
only upon writteri orders, and will become an extra harge over and above the estimate. All 'agreements are
contingent upon strikes, accidents, or delays beyond o r control. This proposal is subject to acceptance within
days and is void thereafter at the option of the u ersigne
Authorized Signature �
Acce tanc of Pro osal
The above prices,specifications,and conditions are hereb accepted. You are authorized to do the work as specified.
Payments will be made as outlined above.
ACCEPTED: Signature � // � 'l/���
Date: � �� �J P �f y Signature
SH
813-780-0020 City of Zephyrhills P rmit Application Fax-813-780-0021
Building Dep rtment
' �z° oi
Date Received Phone Contact for Pe itting gf3 —
Owner's Name '�/ � TS pS T s✓�� Owner Phone Number ��J — �g b� �� �
Owner's Address /Yj 2. �G�T � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK K� I� Z- CO �2C<i! G /`y :0 T �J�LI S
BUILDING SIZE SQ FOOTAGE� HEIGHT
OBUILDING $ VALUATION OF T TAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.�
QPLUMBING $
QMECHANICAL $ � VALUATION OF M GHANICAL INSTALLATION
�8 (700
QGAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO
BUILDER COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPA Y � �
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address � License#
PLUMBER COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address Ltcense#
MECHANICAL COMPA �AH2 r S �jLo iv L G,Q,S .e
SIGNATURE ` � REGISTER D Y/ N F CURRE� Y/N
Address License# �Go ����
OTHER COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new constructlon,
Minimum ten(10)working days after submittal date. Require onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivi IonsAarge prajects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms..R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all ne projects.Ali commercial r�quirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•'""PROPERTY SURVEY required for all NEW construcUon.
Directlons:
Fill out applicatlon completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades ver 57500)
'• Agent(for the contractor)or Power of Attomey(for the owner)would be so eone wlth notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo urvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
�
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 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 IMPAC'T 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 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. 1 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. ( 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, WateNWastewater 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 Flealth 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 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 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_fo�.the_extension._If_�n►ork_ce.ases.f.or ninety_(90)_consecutive days, the job is considered abandoned.__ ____
WARIVING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOl1R
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COMMENCEMENT.
FlORIDAJURAT(F.S. 11 j-- - - - — --- - --- --- �---- --- -�--`- -
OWtdER OR AGEIdT � CONTRACTOR
Subscribed and swom to(or affr ed)before me this Subscrlbed and sworn to ffirmed)before me this
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 IdentlflcaUon. as iden8ficatlon.
Notary Public Notary Public
Commisslon No. Commission No.
Name of Notary typed,pr(nted or stamped Name of Notary typed,printed or stamped
Legal Desc iption
, , 13-26-21-0080-0 000-0040
� � Assessed in Section 13,Townshi 26 South, Range 21 East
of Pasco Count , Florida
A PORTION OF NW1/4 DESC AS COM AT NW COR OF SEC TH N89DEG 54' 39"E 1339.57 Ff TH
SOODEG 07' 19"W 1367.32 Ff TH N89DEG 52'41"W 5.39 FT FOR POB THSOODEG 43'25"W
4Z6.02 FT TH S20DEG 40'41"W 71.94 Ff TH S22DE 37'19"W 50.22 FT TH S48DEG 44'S8"W
173.15 Ff TH NOODEG 43'40"E 106.59 FT THNISDE O1'19"E 125.60 FT TH N01DEG 22'19"E
135.30 FT TH NORTH 290.97 FT TH S89DEG 52'41" 143.13 FT TO POB SUBJECT TO BLANKET
EASEMENTPER OR 3921 PG 700 OR 8432 PG 1492
� NOTICE OF`COMME CEMENT � I IIIII I�fII IIIII IIIII IIIII I�IlI II�I�I�III I�I�I IIII IIlI
2014181993
Permit No.
Property Identification No. { �� ��E' -�� � �v O� �� bDD �`�'q'�
THE UNDERSIGNED hereby gives notice thaf improvements will be ma to certain real ro �
p perty,and in accordance with Section
713.13 ofthe Florida Statutes,the following information is provided in thi NOTICE OF COMMENCEMENT
1.Description of property(legal descriptian:) J ee O D'i= Gt- P�
a Street Address: i r^ �T C'_' � 'i�l S - 5 _ '
)
2.General description of improvements: ? _ c� . C' Rd,f� f-o • D �f S
3.Owner Information
a)Name�and address: ���5' ��s �Jr 0�r`�.O!'t�Q. .�I�f C / /�F�.�.�5�/�
b)Name and address of fee simple titleholder(if other than owne) i ti 6iLT � �y��"
c)Interest in property ' ' � �
• 4,eontractor Information ro /�� C -�� ;� ��je1� �z�j/�llS c /"L..
�
a)Name and address:�/��-fe S � ANe �r�
b)TelephoneNo. / � 2- bl� FaxNo.(Opt.) ! 7 - 3 ��5'�"�
5.Surery Information � : -�3 / �
a)Name and address: �L� �Ll!"'e� � � �� 3R r'L(�L. .LL L�1��
b)Amount of Bond: 6 r3 o OL�� � �--� �
w
c)Telephone No. - Fax No.(Opt.) - J
6.Lender �
�
a)Name and address: �
• Phone No. - L E �"
7 Identity of person within the State of Florida designated by owner upo whom notices or other documents may be served: y► � N
a)Name and address: � v °�'�"
b)Telepfione tJo.. Fax No.(Opt.) � �' w O�
8.In addition to himself,owner designates the following person to receiv a copy of the Lienor's Notice as provided in Section a 0� � �
713 13(1)(b),Florida Statutes: � ��p " G.
a)Name and address: �� , ��
b)Telephone No. Fax No.(Opt.) � .. � a ��
9 Expiration date of Notice of Commencement(the expiration date is on year from the date o recording unless a different date is �F- C a Ea�r
~ �� °0111
Specified): � a��
"N�
WARNiNG TO OWNER: ANY PAYMENTS MADE BY THE b ER AFTER THE EXPIRATIOIV OF THE IVOTICE OF a' E" 'w�
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMEN S UNDER CHAPTER 713,PART I,SECTiON 713.13, ��m� ,o�Y
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING �CE FOR IMPROVEMENTS TO YOUR PROPERTY. ��� ��m
A NOTICE OF COMMENCEMENT MUST BE RECORDED AN POSTED ON THE JOB SITE BEFORE THE FIRST ••�t� r
FiNANCING,CO SULT YOUR LENDER OR AN ATTORNEY BEFORE a ., � ���O
C(ZMiNFrNCING�Q�R��ING UR NOTICE OF OMMENCEMENT. V N� a.�
. 1ra`'°ue•. �C
;>° `��= I�otary Public- State o1 Florida � � �
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u @A p�ornm Expires Jul 19,2017 v
%s, �:� Commission #FF 034230 Signatu ofOwncorOwner's uthorizedOfficer/DirectodPartner/Manager
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��"'%�';�����'� bonaed Through National Natary Assn: h.z�.� /� . or�/e �
PrintNa e
The foregoing instrument was acknowledged before me this �� da of 77 6!/ ,20�by �Kk�!'Gi. � �84���
as ��r G�i' (type of authority,e.g.officer,mutee,attomey
in fact)for � , e�fi"��C"$O (name of pa 'on behalf of whom i trument ecuted).
Personally Known�,OR Produced Identification_ No Signature � •--�/�����' �
Type of Identification Produced Name(print) ��/JL1/A" �t��
Verification pursuant to Section 92.525,Florida Statutes.Under penalt es o�rjury,I declaze that 1 have read the foregoing and that
the facu stated in it are true to the best of my knowledge and bel ief.
! �'-�/�--:
`Signat of Natural Person Signing Above
FORMSMOC,rvsd7007 ,