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Home My WebLink About15-16670 CITY OF ZEPHYRHILLS ,_. ; -� 5335-8TH STREEf �' (sis)�so-oozo 1 66 0 BUILDING PERMIT PERMIT INFORMATION . LOCATION INFORMATION Permit Number: 16670 Address: 37340 NEUKOM AVE LOT 43 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: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0090-00000-0430 Improv. Cost: 3,400.00 OWNER INFORMATION Date Issued: 10/14/2015 Name: SITZEMA ROGER A Total Fees: 55.00 Address: 37340 NEUKOM AVE Amount Paid: 55.00 ZEPHYRHILLS FL 33541-7695 Date Paid: 10/14/2015 Phone: (813)713-5074 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES O'DONOVAN'S C&HEATI A/C CHANGEOUT 55.00 L � � " S^� � �� Ins ections Re uired DUCT INSTALLED DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property 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 management, 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 notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. TOR IGNATURE PERMIT OFFI R PER N 6 MONTHS WIT 1`APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 0"DONOVAN'S AIR CONDITIONING & HEATING C0. N°_ O O O l3 8 -�, ~ � ZEPHYRHILLS NF L�33541 ��o��s/4� PH (813) ?82-4075 FAX (813) 779-0100 STATE LIC. # CAC054731 E-mail: timod36309@yahoo.com SUBMITTED TO PHO P � �j� DATE R , / '� O STREE � � J 8 NUMBER OR NA P O CITY { /' ATE Z�p � � JOB LOCATION s � � C A L MAIN CONTACT JOB PHONE OR E-MAIL WE RESPECTFUL'LY.SUBMITTHE�EULLOWING;SPECIFICATIONS AND.ESTIIIAATE:FOR: " - ° - ' � . ------ ---------- -— ---------- ----------------....._------------------------------ — ------------------ /� �' t r — .. _ ' 'v..__ '_—_---' '__--___"__�' V � L��- /_—��l1 lX ___�_— ._—_ _'�_" __'_._ ___ ______ - ----- -- -�i(-/-�,-G- - - -� - --- � ------- --- - - -- - ---- - , JQ---- - G -------------------------- ---_._.�_�-------_..._.-----------__------------ - . _._�_ __.____---.------ --- -------------- - � --------------- � . .�C-- - l �--��-�--^--�J�-�/�--- --�,/--��.-- � � � ----__-.__ _� _ -- -_ ----- --- ---- _--------------- --- - --------.___-__,___�� ---- — �' -- - — ----- --- �-- ----------------�-.-� -----------^��i� l �i - � ---��__a,. --�� ---�l�G / - - - ---- - � ._ S ------ -�� --------___-__�.�.f.!%''1_I�-----(�--f l�ry%t �__.�.�G�/� .-------------__ __------�/� ------------- � � � � � �� -------------- ------ --- --------� ---- �� 6� ------- __.___ __----------------- ---- -- -�_____ , . -- �-- -� - -- - �� ___..___.._____�-� _�-��___ _��______� _ _ __� _�_� __________ � � , � __________ ___________________._______________ ___ _____ ______ __ ____ __ __ __________ _______. � � "(o� - s�� Gc� � Wo r- ��. 11U��t��6��"�F6l��&6Sf�hVd�k,'CEF�l��.F��9�L�,�OR�iV�C06UiP��T�V�A OV�t�!QaCCOE3DA�1��Ff�@T�e�,�0lfE SP�CIFICATIOWS�O�T@1E S[J�V Ot�: DOLLARS($ ). PAYMEIVT TO BE MADEAS FOLLOWS: All maferial is guarantged ta be as specified.&II rvork 4o be completed in a workmanlike manner axording to standard practices.dny alteration or deviation from above specifications involving extra costs wiil be executed only upon qUTHORIZED SIGNATURE written orders and Evili become an etttra charge over and above the es4lmate. All agreements contingent upon strikes,acc(dents or delays beyond our ' FFER h�IAY BE WITHDRAWN control.Oraner to carry fire,tornado and other necessary insurance.Our IF NOT ACCEPTED WITHIIV workers are fully covered by l�orker's Compensation Insurance. DAYS. A The above prices,tspecifica4ions and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as out ined above. C C E � P T / / A N .C AUTHORIZ SIGNATURE DATEOFACCEPTANCE AUTHORIZED SIGNATURE E PRO-2 8�3-�so-ooza City af Zephyrhilis Permit Application Fax 813aso-aa�� --�, Building depaRment i. _ ' - Date Received Phoae Contact for Permlttin — Owner's Name ~ t �� ` � Owner Phane Number Owner's Address Q V C„0�'1 V Owner Phone Number � �� Fee Slmple Titleholder Name � � Owner Phona Number r � Fee Simple Titleholder Address ( JOB ADDRES$ �' �/' -- LOT# � � SUSD1VtSION �/ 4� PARCEL ID# � � �`�'�� 0 �} (OBTAINED FROM PROPERi'Y TAX NOTICE) WORK PROPOSED , e NEW CONSTR ADD/ALT Q SIGN Q [� DEMOLISH , INSTALL REPAIR � PROPOSED-t18f Q SFR � COMM [� t?SHEi2 TYPE OF CONSTRUCTION Q BLOCK ° Q FFCAME � STEEL Q DESCRIPTION OF WQRK � � e � BUILDING SiZE SQ FOOTAGE�� HEIGHt �� QBUII.DtNG �� VALUATION OF TOTAL CONBTRUCTION � QE�ECTRiGAI. �! AMP SERVtCE Q PROGRESS EFlERGY [� W.R.E.C. + QPLUMBIN{3 $ ��I D � fi'� [_��AECNANtCAI $ 7 y�� VA�.UATION OF MECHANtCA[.INSTAI.tATIt?N � J � QC�AS Q ROOF4NG Q SPECtAI.'1Y � OTHEFi � FINISHED FLOOR ELEVATIONS � FL.00D ZONE AREA [�YES NO BUI�DEtt COMPANY SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N Addre�s L(cense# �� ELECTRtC1AN GOMPANY SIGNATURE �' REGIS'I"ERED Y/ N FEE CURRE� Y/N Addres� License# � � PLUMBER COMPANY SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N Address license# � ` � ji OVfECHANICAl�. C� OMPANY . � C �U` I � SIGNATURE �EGIST�RED Y/ N FEE CURRE Y N Address �� / /�� License# � �i OTHER CBMPANY SIGNA7URE REGISTERED Y/ N , FEE CURRE� Y/N. Address License# � � � E2ESlDENTIAL•_, Attach{2}Plot Plans;{2)sets of Biillding°Plans;{1)sef af Energy�Form`s;R-0=W Permif for new constrvcttan, Minimum;ten(1.0)wrorking'days after_submittal dake. Required onsite,Construction Plans;�Stormwater Plans w/Silt Fence installed, ! Sanitary Facilides&:i.dumpster,Site Work�Permit for subdivislori'sAarge proJects � j COMMEFtCtAi. Attach(3)camplete sets of Buildirig`Plans plus a Cife Safety Page;{1}set of Energy Forms.R O•W Pennit far new conshuction. � Minimum,ten(10)warlcing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, ' Sanitary Facilitles&1 dumpstar.Site Work Permit for all new projects.�Atl commeraial requUements must meet complfance i S1GN PERMIT Attach{2}sets of Erigineered P1a�s. �� ! "•"PROPERTY SURVEY required for all NEW construcUan. � !}irectlons: I Fill out applicatlon completely. � Owner�Contractor sign back of appftcatton,natarizei! ' � tf aver 52500,a Notice of Commendement is cequired. (AIC upgrades over;7500) i , � . � " Agent{for ttie contractor)or Power..of Attomey(fa�the�own,er)wauld be someone with notarized letter from owner autho�izing same DVER THE COUNTER PERMI'i'TtNG (Front of-Applicatirin Oniy) ° �,' - Reroofs if shingles Sewers Service Upgrades A/,C.,,,.,a,Fences�(PIoUSurvey/Footage) , ,�a � ,� �� , � � • ., r..wJ•...� ..•.�...j'�-' .. �. 1; S' . `" . . '' Driveways-Not over Counter if on�public,rQ.adways..need,s;ROW�� . � � . .,, ��,` � .;� ` � , ` ' ' ��r� . , .ar;; - � ; - ,,,,., ..� ,... ,. ., . . _ ., - .�,,,.�. .. ..�_.. ._ M-.,.,..._<_..».:.-;,F��..=a • ' ; NOT9CE AF DEED RE3T121CTIONS: The undersign�d unders�ands�4h�t this.permit.maybe.subJect to"deed"restrictions" �, which may be�more r.estricttve than County�egulatlons. �Th�undersigned assurries responsibility for compliance with any applicable deed restrictions. IJNLICENSED CONTRACTORS AND CANTRACTOR RESPONSI�ILITIES: If the owner has hiced a contractor or contractors to undertake work, they may be:required�,to.be=llcensed In accordance.with state.and•locai regulations. If the contractor is not licensed as raqulred`by law, both the ovvner and contractor may be-cited for a mi�demeanor violat(on under state law. If the owner or Intended contractor are_wncertaln as to what Ilcensing.requirements may apply..-for�the intended uvork, they are advised to contact the Pasco County�ullding Inspectton Divislon—Licensing�ec4ion at 727-847- 8009. Furthermore, 9f the ovvner has hlred a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this appllcation for which �hey avill be .responsfble. If you,-as.the owner sign as the contractor, that may be an Endication that he 6s not.properly licensed and is not entitled to permitting privileges In Pasco County. TRa4NSPORYATION IMPi4CT/UT9LITIES�IMPACY AN�RES�URCE ItECOVERY�FEES: 'i'he undersigned undePStands that Transportetion Impact Fees �nd.Reco.ur�e Recoveryr.Fees may��ppiy�to the construction of new buildings, change of I use in existing buildings, or_expansion•of-�existiri,g�buildings, �s speclfled.in Paseo County Ordinance number 89-07 and 90-07, as amended. The understgned also understands, that such fees,-as�rnay be:due,:wiil_.be identified at the time of permitting. It is further understood 4hat Transportation Impact Fees and Resource Recov.ery Fees must be paid prior to rece�ving a �certificate of occupancy" or flnal power-release. :I�the project does not InvoBve a certiflcate of occupancy or final power rele�se; the fees must be paid prior to permit issuance. FurthermoPe;�if Pasco County-Water/Seuver lrrapact fees are due, Qhey��ust be pald prlor to permit-Issuance-in accordance with appllcable Pasco County ordinances. COMS�'RUCTION LOEN LA1fV(Chapter 713, �lorida Statutea�as am�nded): 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 Ftorida Departmenf oi Agric.ulture and ConsumerAffairs. If the applicant is sorroeone other than the"owner", I certify that I have�obtained a copy of the above..descrlbed docurnent and promise in,good faith to ' deliver it to.the"owne�"prior to�commencement: ' CONTFtACTOFt'S/AWNER'S AFFIDAVIT: I ceitify that all the,Information Omthl.s applicatlon is accurate and that all work w►itl be done in cornpltance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain .a permit to do work and Installation �s indicafed:. 'I ce�tifji"that no work or installatton has commenced prior to Issuance of a permit and that.all work will be pertormed to meet standards of ail laws regulating- construction, County and City codes, zoning regulatio.ns, and land development regulations�in the jurisdtctton. I also certify that I ur�derstand that the regulations of other governm�nt agenc(es may apply�to the intended work, and that it is my responsibility to identify�what:actions I must take.to be<In:.coarr�pliance. Such agencles irtclude.but are.not Iimited to: - Department of Er�vironmental�Protection-Cypres� Bayheads, 1lVetland Areas�and'�-Environmentaliy Sensitive Lands Water/Wastewater Treatment. � - Southwest Florida Water Management District-VVells, Cypress. Bay.heads; Wetland Areas, Altering I Watercvurses. - Army Corps of Engineers-Seawalls, Docks, IVavigable Waterways. ' - Department of Health & Rehabllitative Services/Environmenf�l Health U�it-UVell.s, WastewaQer Treatment, Septic Tanks. � - US Environmental Protectfon Agency-Asbestos abatement. - Federal Avfation Authortty-Runways. I understand that the following:restrictions apply to the use of fllO:� - Us�of fill is not allowed in Flood Zone"V"unless ex ressl ermitted. P YP - If the fill material is to be used. in Flood Zone "A", tt. is un�erstood that a drainage plan addresstng a "compensating volumep will b� subr�itted at time of permitting which is prepared by a professfonal engineer I, Iicensed by#he State of Florida. � - If the fill material is to be used (n Flood Zone °A" in�connection with.a�permitted building using stem wall construcQion, I certify that fill�.w111-be used only.to.�ill Qhe area wDthtn the�stem wail. - If flll material (s to be used In any area, I certifiy that .use. ofi such �ill will not adversely affect adjacent properties. If use of f611 is found to adversel .�ffect ad aeent ro erties the ow e Y ) p p ,. n r may be cited for vlolating ' the conditions of the building.permit issued under the attached permit applicatfon, for lots less than one (1) acre which are elevated by flil, an englneered drainage plan is r�qulred. . If I am the AGENT FOR YHE OWNER, I;�promise In good faith to inform the owner of the permitt(ng conditlons set forth in this affidavtt�prior to commencing construction. I understand that �:separate permlt may be requtred for electrical work, plumbing, signs, wells, pools, air conditioning, .gas, or other Installations not�specffically inciuded�in.the application. .A permit Issued shali be co�strued to be a Iicense to proceed writh the work and not as:�uthority to,violaQe,cancel, alter, or set aside any provisions af the techr�ical codes; nor shall issuance�of a.permit prevent the�ulldirig O#�icial from thereaffer requiring a correction o.f errors In-plans, constructlon or violations of any codes. Every permit Issued shall become invalid unless the work authorized.by such permft-•is-commenced wtthin six months of permit Issuance, or if work_authorized by the permit is suspended or.abandoned for a period of§ix f8)months.after.the time the�work ts commenced. An extenston _ma�_be.requested�_!n_writing,_fro�rr�,the Building,Offlc(al-for�-period-not-to-�xce�d nine�y(90) days and will-dermor�.strate - - justifiable cause for.the extension. If work ceases for ninaty(90)consecutiv�days,..the job is considered aba�doned. �VARNING TO OWNER: YOUR FAILURE�TO.R�C.QRD A tdOTIGE OF°COMMENCEMEPIT NFAY itESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PFtOP@RTY. IF°YO.U��IN�EIV•�` O�OBTAIN•FIPFAPIC G;�CONSl1LT 1MITH YDUR LE. DE Id O �1F�8 FORE�RECOR�D G_YOUR`� � C 'O '(iA E T� FLORIDA JURAT(F.S. 1 ,D3) . � __. OWNER OR A(iEN CONTT�iACTO Subscribed and svv to(or 6d befor me this Subscribed and swom-to(or a6fl �before me ttits ' by •bY Who Islare personally knowm to.me or haslhave produced Who Is/are personally knowm to me or has/have�produced as Identlflcatlon, as idendflcatlon. Notary Public _ Notary Pubitc Commisslon No. Commission No. ;,;:;�:�:°v�F; JOEL E.BACON • - F 137 73 Name of Notary type �I ': t��pp��une 29,2018 Name of Mota ' te -,'�„'pF�°p'�` Bondad Tlw Tray Fain Insurance 600385d019 �� ;•: ommission#FF 137073 ;,'• •o: Expires June 29,2018 ��;?;�;°P��, Bonded Thfu Troy Fein Insurence 800.385•7019 �'