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Home My WebLink About16-16874 � CITY OF ZEPHYRHILLS ' 533� -8TH STREET (813)780-0020 16 4 BUILDING PERMIT PERMIT INFORMATION - LOCATION INFORMATION _ Permit Number: 16874 Address: 37824 15TH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: I Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: DOWNS ADDITION Est. Value: Parcel Number: 10-26-21-0600-00000-0130 Improv. Cost: 9,600.00 _ � OWNER INFORMATION Date Issued: 1/05/2016 Name: WORRELL JOSEPH Total Fees: 85.00 Address: 5335 BERNADETTE DR Amount Paid: 85.00 ZEPHYRHILLS FL 33541-9100 Date Paid: 1/05/2016 Phone: 813-312-7770 Work Desc: A/C CHANGE OUT 2 TON CONTRACTOR S APPLICATION FEES ', COOL TODAY A/C CHANGEOUT 85.00 �— � � � � ` �-- � � � � �J �^' � Ins ections Re uired - D CTS INSTAL ED DUCTSINSULA ED FINAL� - L -L� I I 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. ON RACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ----� ; s��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 , ' Building Department Date Received Phone ContactforPermltting — // � Owner's Name J�.S'�% � ��'Q/l I OwnerPhone Number ��-�i�"7�� 3�s�a y �s�,, Owner's Address � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Slmple Titleholder Address JOB ADDRESS �� -S ' � �'QP rh�I�5 FL 33Sy� LOT# /� SUBDIVISION PARCEL ID# �" 2CL�d� �� `�' I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER !7 -Q C� - �1ViS TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q I DESCRIPTION OF WORK G �',(��-�a Ton Len,nvx 5�-ra� �kCCp� �}�'�'��`fs�"E 5 I BUILDING SRE SQ FOOTAGE� HEIGHT � ' QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ I �� . l � � � ` ECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION I QGA5 Q ROOFING Q SPECIALTY � OTHER I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# MECHANICAL � ' COMPANY � ('�( £ (� SIGNATURE REGISTERED Y/ N FEE CUR Y/N Address ([J � , f 1... _ ( �z �TAi� License# C/tCO.J 5 j"J �� OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllltlllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 Facililies 8 1 dumpster;Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach(2)complete sets ot Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Pertnit for new construcGon. Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY requfred for all NEW constructlon. Directlons: Fill out appiication completely. Owner&Contractor sign back of application,notarized Ii over$2500,a Notice of Cammencement Is required. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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 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 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. Appiication 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 8� 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 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, welis, 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 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT. FLORIDA JURAT(F.S.117.03) / OWNER OR AGENT CONTRACTOR Subscribed and swom to(or aHirmed)before me this Subscribed and sworn to(o irme )bef r me this bY �07•/�—/S by kP�')/l��h �ai�e5 Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identifica6on. as identification. Notary Public Notary Public Commission No. Co ' n No. �Fa�o�/ 3 7 'J ��_I�1C.�— L . �L�/'��2.SP(1 Name of Notary typed,printed or stamped Name�,Jt Notary typed,printed or stamped a.� Re�ina L.Dreese� NOTARY PUBUC � 3Yy. � STATE OF FLORIDA �� . Camm#FF221378 E�tres 4N 7/2019 !I'lll'II'll I'lll II'll'llll II'll IIII'IIIII I'III I'lll IIII I'll Rept: 1735647 Rec: 10.00 DS: 0.00 IT: 0.00 . ' 20152028$8 � 12�21/2oi5 eRecording Permk No. Percel ID No L�� (��~F�Q'l��"'�� NOTICE OF COMMENCEMEN � _I,^ � State of ��1 l�n' County ot � THE UNDERSIGNED hereby gives notice thet improvement will be made to certein real property,and in accordance with Chapter 713,Florida Statutes, the tollowing fMo�mation is provided in this Notice of Commq ent• 1. �escription of Property: Parcel Identlfi tl n . ;��-��f'��--�.��+ �� SUeet Address:� L�� 2. General Description o}Improvement 1 /`' C`A.1c 1TC,� i 3. r I rmatlon or Les ee ir�ortnation H the L contrected for the improvement: � ' � •s�� e C�/� +� � V�i �� C� Stete Interest in Property: Name of Fee Simple Titleholder: (If diHerent 6om pwner!isted above) Address � � � City�£� �. Stale 4. Contracla: J6 /r1 " ' �n Na Address ty Sta� Cantrectofs Telephone No.. 5. Surety: Neme Address City State Amount af Bond: $ Telephone No.: 6. Lender. Name Address City State LendeYs Telephone No.: 7. Persona within the State of Fbrida designated by lhe owner upon whom noUces or other documents may be served as provided by Section 713.73(1xax7),Florida Statutes: Name Address City Stale Telephone Number of Designated Person: 8. In additian to himself,the owner designates of to receive a copy of the Lienors NoGce as provided in Section 713.13(1 xb),Florida Statutes. Telephone Number of Person w Entfly Designated by Owner. 9. Explration date of No6ce o(Commencement(the a�iratlan date may not be bafare the completion of construction and final payment to tha contractor,but wili be one year fram lhe date of recording unless a different date is specified): WARNING TO OWNER: ANY PqYMENTS MAD�BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE B�FORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WRH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of peryury,I declare that I have read the foregaing notice of commencement and el the facts stated therein are true to the best of my knowiedge and beilef. STATE OF FLORIDA �� c� /� COUNTY OF PASCO ��:� /� .y�..-`" "a�gnawoe�6f Ovmer ar Lessee,or Owners or Lessee's Authorized OfficeNDirectoNParMedManager Signetor�+s Trtle/Office The foregoing inslrument was acknowledged before me this�day of��;�DIS by �f�S E?i,.f�l �Q�('.�� ( as !�G�!�1 JZ.yr (type of authority,a.g.,ofticer,Wstee,attomey In fact)for on beha om ins mentxras executed). Peraonally Knoxm❑O�F produced IdentificaUon�— Notary Signature Type oi Identificatlon Produ��Y/�t3"/C� 'd%}/5��/;Zl�/�j Name(Print) e � c PAULA S.0'NEIL,Ph.D.PASCO CLERK 8�COMPTROLLER Repine L Droesen 12/21J2015 03:38 PM 1 of 1 �'' NOTARYPUBLIC �R B� 93� 1 PG 2743 '� STATE OF Fl.ORIDA . . Ca1Ni�FF221378 Expires 4H 7/2019 wpdale/bcslnoticecomm encement�c053048 ,CITY OF / / / / BUILDIN��-- - .� ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION . � � �� ;, � � • • • .�� , ADDRESS �� DATE PERMIT,f ' ��`� C%� '�'�'' 1 i � �1�' !(� �`7 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. ��-.. S'�.\ , ` 7�� i�..C�='� -�-�,{�` "J'�-.3�� ?�� _, ^ i ) , r, � n /' . �i�li LaL-- It is unlawful tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the wortc with flooring,lath,earth 780-0020 FOR RE-INSPECTION or other material,until the proper inspector has had ample time to approve the installation. �� OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR 9 �,a�=,