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Home My WebLink About15-15900 \ ' f � � C!. OF ��PHYRHILLS � } 5335-8TH STREET (si3)�so-oa2o 5900 B ILDING PERMIT � PERMIT INFORMATION I LOCATION INFORMATION Permit Number: 15900 Address: 3831 LAUREL VALLEY BLVD LT 31 Permit Type: MECHANICAL I Townshi ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT p: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est.Value: I Parcel Number: 24-26-21-0000-00100-0090 Improv. Cost: 2,895.00 1 OWNER INFORMATION Date Issued: 1/08/2015 Name: NHC-FL115 LLC Total Fees: 50.00 Address: 6991 E CAMELBACK RD STE B310 Amount Paid: 50.00 SCOTTSDALE AZ 85251-2493 Date Paid: 1/08/2015 Phone: 813-782-7010 Work Desc: A/C CHANGE OUT 2.5 TON � CONTRACTOR S i APPLICATION FEES BAHR'S PROPANE GAS& C,INC. C CHANGEOU 50.00 ! � I - �,,,_ - �� ; �� In ections Re uired DU TS INSTA ED � DUCTSINSULATED FINAL t - �C( � L� 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 fo lowing Ireasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corr ctions not made when inspections called d)work not ready for inspection when called e) permit not po ted on�job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this ermit, there may be additional restrictions applicable to this property that may be found in the public records of this coun , and there may be additional permits required from other governmental i entities such as water anagement, state agencies or federal agencies. "Warning to owner: Your failure to recor a notice of commencement may result in your paying twice for improvements to your property. If you in end to obtain financing,consult with your lender or an attorney before recor ing your notice of commencement." � Complete Plans,Specifications Must Acco pany Application.All work shall be pertormed in accordance with , City Codes and O dinances. NO OCCUPANCY BEFO C.O. , I ' j � I NTRACTOR IG ATURE � PERMIT OFFI R PERMIT EXPIRES IIV 6 ONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPE ION� - 8 HOUR NOTICE REQUIRED PROT CT CARD FROM WEATHER � i 813-780-0020 City of Z phyrhilis Permit Application Fax-813-780-0021 , ;;,f � Building Department Date Received Q Phone ontact gor Permitting UL.� Z�o� -- �� ' Own�r's R1ame G/ � r b � �`� ��"" Ovuner Phone V�uresber . . -r c � v---- Ouvner's�ddress � /•�/ � ° ��!'��r �. � � Oven�r Phone Pdumber Fee Si�ple Titleholder�dame ; Ovuraer Phone Wummer Fee Simple Titleholder Address I �o��►o��ss � g�/ �!�'�°l �-1 �Iuc� � f1 �Ii`4S � �o�r# �l su��i�isio� ��►RC��.io# a_� c��P � O1�00 ('d./�D �� (OBTAItdED FROM PROPERTY TAX fdOTICE) WORIY 6'ROPOSED NEW CONSTR ADD/ALT 0 SIGN Q � DEMOLISH INSTALL REPAIR �ROPOSED U�E SFR Q COMM � OTHER �V��COMSTRIDCTIOfd Q BLOCK Q FRAME 0 STEEL Q D��C�I�TIOM OF!RlOR{S �� --°' D� ' v 2 , OUILDIV�G 51ZE S(d FOOTAG � HEIGF9T OBUILDING $ V LUATIONI OF TOTAL CONSTRUCTION �ELECTRICAL $ A P SERVICE 0 PROGRESS EfVERGY Q W.R.E.C. �PLUMBING $ OMECHANICAL $ V LUATION OF MECHANICAL INSTALLATION � '�� _�$�j3,Gf � � QGAS Q ROOFING Q SPECIALTY � OTHER � � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �v�� BUIL.DER COflflPAPlY SIGR�ATURE REIGISTERED Y/ N FEE CURRE� Y/M �address � License# I �L�C�'6tICIAf� CORAPAfdY SIGVN�4TU12E REGISTERED Y/ N FEE CURRE� Y/N �,ddPess I License# I �LUflflBER COIlAPAR1Y SIG�'ATURE REGISTERED Y/ N FEE CURRE� Y/N �ddress I License# ��ctaa��ic�� , � cl��,r�v H��f S �r�AR��2 SIGWP,TU�2E � REGISTERED Y I N FEE CURRE� Y/N e�ddress � License# (�7"� ��7' I pT�p�� CORAPr4MY SIGft1�4TURE REGISTERED Y/ N FEE CURRE� Y/N B�ddress I License# R�SIDERITIAL. Attach(2)Plot Plans;(2)sets of Building P ans;(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-Facil;t!as-�1 dumpster;-Site Work P-ermit_for�subdivisions/large.projects____` _ COfHi�fiERCIAL Attach(3)complete sets of Building Plans lus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after subm ttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Wor Permit for all new projects.All commercial requirements must meet compliance S9Gh��ERMIT Attach(2)sets ot Engineered Plans. OAMwPROPERTY SURVEY required for all EW construction. �irections: � Fill out application completely. Owmer&Contractor sign back of application,notarized If over�2500,�fdotice of Commencement is required (AIG upgrades over$7500) "° Agent(for the contractor)or Power of Attomey(for the o er)would be someone with notarized letter from owmer authorizing same ONER YHE COUfdTER PERIIAITTIMG (Front of Applicati n Only) I Reroofs if shingles Sewers Seroice Upgrades A/C Fences(PIoUSurvey/Footage) Drivevuays-fVot over Counter if on public roadways..need ROW r e, *,�e�� . � - � NOTIC@ O� DEED 92ESYRICYIOW�: 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. _ Uf�ILVC�NSED COPI'TRACTO�S �►WD GOPITRACTOR �ESPOiVSI�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 �nrhat 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 I,icensed and is not entitled to permitting privileges in Pasco County. 1"ftANS�OR�'ATIOtN Iii�P�iCY/U`�ILITIE� IwflPAC�°AiVD �ESOUI2CE R�COVERY FE�S: The undersigned understands that Transportation Impact Fees and FZecourse 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. CONS'TRUCTIO�1 LI�iV LAlW(C�iapteP��3, FlaPid��ta�ute�, as amendedJ: 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.l have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. � CO�fTRACTOR'S/OWIW�I�'S AFFVDNI/IY: 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, WaterNVastewater Treatment. - Southwest Florida VVater fi/lanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of EngineeFS-Seawalls, Docks, Navigable Waterways. - Department of Health � Rehabilitative Services/Environmental Fiealth Uriit-VVells, Wastewater 7'reatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. � - Federal Aviation Authority-Run�nrays. 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 wrall 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 THfE 01filRlElt, 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 �uilding Official from thereafter requiring a correction of errors in plans, construotion 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 v�rork 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 �uilding 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. , WAitF11PJG TO OWPIER: YOIJR f�AILURE YO �ECORD A RIOYICE OF COPtflflflENC�NV�WT f�AY RESULY IRI YOUR ��YIP1G'TIAIICE FOR IHHPROVEfl�I�WTS TO YOYJF�PROPE�YI(._ I�YOU Ifi111TEND_TO�0�7AIP1 FINA�CING, CONSl1LY WIIYIi YOl1R LENDEFt OR AN AYTOIRiVfEI��fEI�OR� fi��CO�fDIN(9 Y �WOTiCfE OF C�HAiil9EHICE@fi�P�T. -- _ _ FLORIDA JURAT(F.S. 117.03) _ . .. OWIdER OP2 AGENT CONTFt�►CTOR Subscribed and sworn to(or affirmed)before me this Subscribed and s o to(or a irmed)before me this by b Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced as Ident(fication. 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 i i _ � v , v . _ _ i ;- � �� 1. , � ' PROPfi.NE GA • : . s • S�r��ce �}rcler Pro os�l . � � AN]� !�f G INC. i Air Condifioning&Neafrng �itce 1988 8`[�-782-5�� ° °' 4n�[:�If"ti; C°�F'ii.��:F��i- ''c=�E:F=:'JT['E�h`�E=1��.i ':=S_`r-'�=�°i�t� fi�ift� 1,,. I..r._. r_�.. r r_. �, Sales, Servsce & frsstallations .r.�� r.� : � r r��_ �rf�H��:,�a r��. ;�?�� i.� :�_��,M�F1 4441 A!!en Rd. • Zephyrhills, FL.. 33541 ��r;'„�_.r�.� ��.� ��-aF��=��..� �'�� , L:�F�I`i:�`._l":f't�1F: i''f�f.i�i T��t�t'f -�''��,y �r�;1. '�i7?�,-':l� t�'�!.?;�� 1�?(y/r.- NOTES'_�p�� t7 , (::t��`C!�i�iE=:F�i�,'l_.C:tCra's I��h�, i�,�'.y.�� 'i�i�.3fi�li�:�t 1.31�,._..�l��--._'1'��5:l.4'i ��i 1!'�> '��:=�5 i�f��.,�--��'i!F'iFiE.f�•1'�. �'�:t`-.al•-1S�;RJIJi•�,. f='Cll__H�t I:�:l'`��!-I��f=�i�11`u, r'r i2. i:�{ .w,f`;_"'_�'t. i l-l�.�r;t_�_. �.s�-t?...�.�� r �;i, 't`^�_i y °;2i.=• �, �. �-,3.�i°��.}_ ':ati�t,.�_�..��Y �I._'�.�.? Iv1f�i_��:�`_3�i .�� l.J�=f�''`:� -�=�k!�.�'! St�:'i„t{_.1�'fflt"t.�E.._1__�_ t'i_ ._ _�`J'�t•t.� .C_�:".�"��"i S E"�f'i.#.�...4__._ i"�._.._�.�'!'��-� i�. ^� 4 L�a �+�' �� , - ��,i?(a4�..',1{11" ;�w�.'1i%,1�1�:` 1 I?I,�il;1`'��jl;�l . �.4.�i:.lx.l„ > .0 t')tl �.�'i:�:'�:. ._./.-M4�jric . i•_=.`-_;T i��i�' ;•1 L:GJ f a•'C.,,, l•!f-�i'�.1°I"'�; i�1��X 7"i"� ° � .. .. DF5CRIP710N OF WORK w Q'C'Y.) 1 X MATERIA�.S&SERVICES ,_ r �' UMT FFtIGE :�AMOUNT , ,._. �. - � , . _. ._� . _. :�.._.�.. -._�..� _._._.__� - .._....• __. .... ! _ - � i'�•_ . � . _._ __.__.__G_..._. .__._..____�.___._ �C: _�-;. _. _. ...I�._. {�.�._ ..�� .. ..... _... v'..._ —� C�r� � c" O�t � (»J I �I v � . l t Co � �` <. � � , �� c, r c � � c�,�, ; � � f e� ,, -� � � � � , � 1 nA �Ca C �' 'S� t�� Q ��,j _ _ . � `��1� t i i i �K r1 ��L t��^�" �� t Q'1G� , , . I } i � i � _ ' , I . � i . 4. +' RECONlMENDA�IONS ,. � Annual Maintenance Recommended by All Equipment Manufactur s. � � � I Pressures l.o HI T-Stat i t " - • -_ t � Zi t {.t J> /� `�f � L t� . . I �'RE�RIGERANT R- .:�.,.. LBS'.�� $Per lbs. ; ' I,. I f t • FtLTERS x x '' ' Changed Monthly I I .✓1.�1�� . }�� FILTERS �f x x � Cha�ged Monthly � � �' t� .ICI., REGULAR ❑WARRANTY' ' - � TS�TAL SUMMARY C}ehumidistat Settings; When nere"OtV", When Away 60°n; T-S at 80° �❑ MAINTENANCE CONTRACT SERVIGE i L3MITED WARRANTY� A(I materiais,parts and equipment are ivarra�tted by the manu acturers' ,METHOD OF PAYMENT ' CALL i or suppliers'written warranty only.All labor performed by the above named company is war nted for I� 30 days or as otherw+se indirated in writing.The above named company makes no other w rranties, ❑ICASH �CK# TOTAL i express or implied,and iks agents or technicians are nol authorized to make any such war nties on MATERiAIS � behalf af above named company. 0 DEBIT ❑CREDIT ❑OT}tER MAINTEiVANCE � PROG. W! C � I have authofiry tP ortler lhe work outtined above which has been sallsi8ctori{y compteted.V agree hai Seiter ( _ � retains title ro equipmenUmaterials Wrnished u I fnal paymgN is made.I(payment is not made s egreed, GLAIM# I�� 8eiler can remove said e mpmentjmaieriats a iter's expense.Any damage tesut[�ng from said re ovai shali 1 - � npt be Ihe responsib'� nf e .NE D A 1 1!2%S WC�CHARGE WILL BE ADDED MO THLV TO a i TE CdMPLETED ALL t7NPAiC1 BAU C O R R . ` EFUND� � —"""—""".—"""—"" I - �� r� � TECH. 7AX � �• , 1 ��G .��Lt r C TOMER SI AT �� pATE U TOTAL �a ( � 3