HomeMy WebLinkAbout15-15927 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
� • ��sis)�s��oo20 159
B ILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15927 Address: 6648 JUNIPER CT
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: 02-26-21-0210-00000-1220
Improv. Cost: 3,795.00 OWNER INFORMATION -
Date Issued: 1/20/2015 Name: SULLIVAN, KATHLEEN
Total Fees: 55.00 Address: 6648 JUNIPER CT
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/20/2015 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON
- CO.NTRACTOR S APPLICATION FEES
BAHR'S PROPA E AS& C, . C CHA GEOU 55.00
i �- � C� -- � �
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In ections Re uired
DU TS INSTALLED
DUCTSINSULATED
FINAL � � 3['g �- (�-
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the fol owing reasons: 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.
NOnCE. In addition to the requirements of this pl rmit, there may be additional restrictions applicable to this properly that
may be found in the public records of this county and there may be additional permits required from other governmental
entities such as water anagement, 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 int nd to obtain financing,consult with your lender or an attorney
before record ng your notice of commencement."
Complete Plans,Specifications Must Accom any Application. All work shall be pertormed in accordance with
City Codes and Or inances. NO OCCUPANCY BEFO C.O.
,�
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ONTRAC OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
� PROTE CARD FROM WEATHER
s�s-�sa-aa�o �ity o�Zephyrhills Permit Application Fax-813-784-0029
Suitding Department
Date Received �e'.� �c�a� _ ,�G���
Pho e Contact for Permittin
Oevner's Name �!1�,t�'/t/� f3 �� ��j� pwner Phone�tumber �i��` �'���Ql"��.
O+,�ner's Address f0�7�.rJ�f�/ �f`2 (.,°ti' ���� Owner Phone idumber �� �
Fee 5imple Titleholder Name �� Owner Phone Rtumber �— �
Fee Simple Titleholder Address ' �
�
Jt38 ADDRESS tL`��t3 GLhIl r�' "� ��7/� ,� ,��'� LOT# �_��
_ _sueo�v�sto� _ __���' �Jcaav�� pattc���o# Do'� �.� Oa2/D d11G� !,�l�
- '�—.� �_rv - '(OBTAIPJED FRONi'PROPERTY TAX NOTICE) -� -- _ _._.__-
HNOl2lC PROPOSED New co►�srR ADD/ALT � SIGN [� � DEMOLISH
� (NSTALL ' REPAIR
PROPO�E[!USE Q SFR Q COMM [� OTHER
TYPE OF CONSTRUCTIOM Q B�OCK Q �FRAME � C� STEEL Q
DESCRtPTION OF WORK �� �°�'7�}'11��[►—t'.�1R-L✓ °' c� �LT 1V " � t.._ lS1V�'��5
�_ .,�._,.,_.
St71LD1N�StZE �i � SQ FOOTAGE�� HEIGN7
QBUILDING $ �! � VAl.ilATlON OP TOTAL CONSTRUCTl4N ' '
�]ELEC7RICAL ($ � AMP SERVICE 0 PROGRES�'ENERGY C] W.R.E.C.
�
QPLUMBING ��� P � ��
OMECHANICAL $ VALUATION OF MECHANICAL tNSTALIATION ���� "
���� �
QGAS Q ROOFING �J SPECIAL7Y �� OTHER
FIMISHED FLOOR ELEVATIONS ��.— � FLOOD ZONE AREA QYES NO
BUt�DER COMPARlY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address �icense# �_ � —�
IELECTf2tC1AM COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �Icense# �ii��`�
P�UMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �+ �r��
I�IECHAIVICAL ^ � COR�IPANY �+��H�S �/'D,-�A�/�I� ����� �I�'i
SIG(dATURE Q��' C�'j��"f? REGISTERED Y I N F6E CURRE� Y I N
Address ��"T� ��1�'1� P�G1''y ��7��15 ��• ticense# �`�D��Q/T� �
OTHER COMPANY
SIGNATURE � Rec�sreReo Y 1 tV FE6 CURREh Y/N
Address License# ��! ��
RESIDENTIAL Attach(2)PIot.Plans;(2)sets of Buildin Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer su mittal date. Requlred onsite,Cansttvctian Pians,Starmwater Plans wt Si(t Fence insta(led,
Sa�itary Facilitles&1 dumpster,Site W�ric Permft far subdivisions/large projects
COMtYlERC1AL Attach{3)complete sets of Building Plans plus a Life 3afety Page;(1)set of Energy Forms.R-Q-W Permit for new construction.
Minimum ten(10)working days after suamittal date. Required onsite,Construction Pians,Stormwater Pians wl Siit Fence instatfed,
Sanitary Facvlitles&1 dumpster.Site V�pric Permit for a!i new projects.Att commercla!requirements must meet compliance
S(GN PERMIT � Attach{2)sets of Engineered Plans.
'""*PROPERTY SURVEY required for III NEW constructton.
Qirections: "
Fill ouk application completely.
Owner&Con#ractor sigrt baok of apptication,notarize
3f over b2500,e Natice af Commencement is requi d. (A!C upgrades over 57500)
*• Agent(far the contractor)or Pawer of Atkomey{for th owner)would be someone with notarized letter ftom owner authorizing same
OVER THE COUNTER PEltMiTT!!�G {Front af Appli• tion OnIy1
Reroofs if shingles Sewers Service Upgrades i C- Fences(PIotlSurvey/Footage)
Driveways-Not aver Counter ff on pubiic roadways..n eds ROW
Y� � �
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 RESPONSI�ILiTIES: 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-
I 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 appiication 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 INiPAC7/UTILiTIES IMPIAGT AND RE�OURCE RECOVERY F@ES: 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 issua�ce., 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.
CONSTRUCTIOtV LIEN LAVII(ChapteP 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.
COfVTRACTOR'SIOVNIVER'S A►FFIDAVIT: 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, 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
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
P
roperties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
I the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
fill an en ineered draina e lan is re uired.
I acre which are elevated by , g 9 P q
If I am the AGENT FOR THE 01AfNER, 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
II 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
I 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 TIAIICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULl'
VIIITH YOUFt LENDEft OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Of� COIIAMENCENlENT.
FLORIDA JURAT(F.S. . 3) �.
OWIVER OR AGENT �'��� �?'�-n7'�/�CONTRACTOR ��"L-� ��u�
Subscribed and swom to( ffirmed)before me this Subscribed and sworn (or affirmed)before me this
by by
Who is/are personally known to me or haslhave produced Who Is/are personally known to me or has/have produced
as Identlfica6on. as identifica6on.
Notary Public Notary Public
Commisslon No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� jv� �`� �� ,� 7'" C� `T"
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� � � PROPANE GAS � � � �
� AND AIC �rvc. 'Ser�.�ice Order r� Osa� Air Conditioning 8 Heating
�irce �988 813-782-501
Sales, Service & I�stallations WORF; ORDER#/SERVICEh1AIV 56��3 ,JAN
4441 Allen Rd. • Zephyrhiils, FL 33541 DATE/T I ME TAKEN Q�1 I�DJ I 1 J ��:��
II NOTES• . TAI'.EIV RY SC Q�4
__ DATE�'TIME G'ROMIS�D ��IQ�JI�.J ��:0�
- CUST(]MER#/LOCATION 4EQ�77
, � ,, , F'HONE,# , � , �18-845-E9�� •
ROIJTE%SEG�• '' r JAN
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SULLIVAN� CATHERINE • � SULLIVAI�I� ^^'''-'�orh�� �
6E4B JU�I I PER CT � 6648 JUI�I�ER CT . �
. DRIFTWOOD •
ZEF�HYRHILLS - F'L 33�4� ZERHYRHTLLS ,� FL�,:,54c
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� ' � : DESGRIPTION.QF 1NORK , QTY. MATERIAL$&SERVICES , - a' UNIT PRICE. AMOUNT
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- � R�CQMMENDATIONS, _ I �^� �� ✓ I I
Mnual Ntaintenance Recommended by All EquipmentManufactu�ers: � �.
Pressures Lo HI T-StAt i - i
i i
,REFRIGERANT R- � ' LBS: . �. $per Ibs. , I I
FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
O REGULAR ❑WARRANTY � l"OTAL SUMMARY .
Dehurriidistaf Settings: When here"ON"�,. When Away 60° , T-Stat 8 ° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manutacture s' METFIOD OE PAYINENT;.- CALL i ,
or suppliers'written warzanty only.All labor performed by the above named company is warranted r . TOTAL i
30 days or as olherwise indicated in writing.The above named company makes no other warranti s, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties n
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
PROG. W I C �
I have authony to order I�e work outlined above which�as been satislactorily completetl.I agree Ihat Sel er ,
retains Ii11e lo eQUipmenUmaterials furnisheU until final payment is made.If payment is not made as agre 4 CLAIM# � �7 I
seller can remove said equipmenUmalerials at Seller s expense.Any damage resulting trom seid removal s II ('(/
not Ge Ihe responsibiliry of Seller.NET 30 DAYS.A 1 712%SERVICE CHARGE WILL BE ADDED MONTHLY O �,l �
ALLUNPAIDBALANCESOVER30DAYS.NOREFUNDS DATE COMPLETED V �
TECH. T� �
i
'CUSTOMERSIGNATURE DATE ✓IGCl//G/L ✓fiu TOTAL � �
I