HomeMy WebLinkAbout17-18487 CITY OF ZEPHYRHILLS
5335-8TN STREEi' ��
, . . , (813}780-0020 9 8 81
BUILDING PERMIT
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` PERMIT INFORMATION � � � LOCATION INFORMATION '
Permit Number: 18487 Address: 5330 4TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
. Glass of Work: A!C CHANGEOUT Township: Range. Book.
Proposed Use: SINGLE FAMILY RES(DENTIAL Lot(s): Block: Section:
Square Fe�t: Subdivision: CITY OF ZEPHYRHILLS
Es#. Vatue: Parcel Number: 11-26-21-0010-09700-0115
Improv. Cost: 11,698.00 OWNER INFORMATION
Date lssued: 511612017 Name: JOHNS, VIVlAN M.
Total Fees: 95.00 Address: 5330 4TH ST
Amount Paid: 95.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/16/2017 Phone: 813)782-8060
Work Desc: A/C CHANGE OUT 2 TC?N 14 SEER W/ DUCT
- CONTRACTOR S APPLICATtt�N FEES
COMFORT TECH HOLDINGS INC A/C CHANGEOUT 95.00
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• (ns ections Re uired. •
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 amounfi of the fee imposed for the initial inspectior�or
first reinspection,whichever is greater,far 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 additionai permits required from other governmentai
entities such as water management, state agencies or federal agencies.
"Warning to awner: Yaur failure to record a notice of commencement rrtay resuEt in your paying twice for
improvements ta your property. Tf you intend to obtain financing,consult with your lender or an attorney
befare recording your notice of commencement."
Camplete Plans,Specifications Must Accompany Application.All wark shall be perfarmed in accordance with
Ci Codes and Qrdinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CO C SI NATURE PERMIT OFFI R
PERMIT EXPIRE5 IN 6 M4NTHS 1NITH4UT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PRt}TECT CARD FROM 1NEATHER
ea�-�saoozo City of Zephyrhi!!s Permit Applieafian FaX-s1�-�ao-oa21
Building Department
.. . .
Date Received Phone GontactforPermittlng_f�'i'i"'o �
"r-�"I7-1�Tf 1 , ',I�:���:
Owner's Name n Owner Phone Num6er O� ''� "��/
Owner's Address � �� 7 Qwner phane Num6er r` �
Fee Slmpta Tftlehalder Nama C `'` � Owner Fhone Number
Fee Slmple TlUeholder Address �"
J08 ADDRES5 5 33a � r�+��,S � L4T# �
SUBDIVISION � � PARCELID# ���' 'Z�" O �
(OBTAINED FROM PROPERTY7AX NOT�CEj
WORK PRpPOSED e NEW CONSTR 8 ADDIALT � S[GN � Q DEMO�lSH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF COPlSTRllGTldF3 Q BI.00K Q FRAME � STEEI Q
DESCRIP710N OF WORK �G 1
BUILDING SIZE ��� SQ FQOTAGE�� HEIGMT [_�
QBUILDlNG �� VALUAT(4N OF TOTAL CONSTRUCTION
�ELEC7RICAL �� AMP SERVICE � PROGRE5S ENERGY [^] W.R.E.C.
�UMBING ($ —� �
MECHANICAL $~`�Q (y VALUATION OF MEGHANICAL INSTALI.ATION � / � V �
E 4 l
QGAS Q ROOFING Q 3PECIA�TY 0 OT!-IER
FINISHED FLOOR ELEVATIONS �� FLObD ZQNE AREA �YES NO
HUILDER � � COMPANY �— '�
SIGNATURE REGtSTEfiED Y 1 N FeE CURRE� Y t N
Address L.icense#i i! �
ELECTRICIAN ^� COMPANY ^�
SIGNA7URE ���sTE�o Y t N Fes cuwz�n Y i N
Addrass License# �i �
PLUMBER � � COMPANY �
SIGNATURE �a�sTE�o Y i N �Ee cuwxen Y!N
Address i� License# �— �
MECHANICAL / _ COM�ANY ��,Q�"T�-K')�""� �(��r)���_��
StGkA7URE i�•�"'`'`'' REGISTERED Y 1 N FEE CURFiEN Y J N
Address '/�t License# {�
OTHER � CpMPANY �
SIGNATURE RE�isr�o Y 1 N FEE cuttr�N Y!N
Address License# �— �
1 ! l111111111 ! ! I { iil ! ! IlI / It1iII ( ttl / I / I ! ! l11 / 1 / III1Ilit / I ! lltltllil
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Permit for new constructlon,
Minlmum ten{10)working days after submittat date. Required onsife,CanstrucGon Plans,Stormwater P(ans w/Sitt Fence instafled,
Sanitary Facilities$1 dumpster;Site Work PermiC for subdivisionsAarge proJects
C4MMSRGIAL Attach j2)complete se#s af 8uilding Pta�s ptus a life Safety Page;(1}set af Energy Forms.R-O-W Pertnit for new construciion.
Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwatar Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for aIt new projects.AIt commerciat requirements must meet compliance
SIGN PERMfI' Attach{2)sets of Engineered Plans.
""PROPER7Y SURVEY required for alI NEYV construction.
Directions:• •
Filt out application completely.
Owner 8 ConVactor sign back of application,natarized
tf over�2500,a Notice of Commencement!s raquEred. (AtC npgrades over 57500}
•' Agent(for the contractar)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same
OVER THE COUN7ER PERMffTING (copy of contract required)
i2eroofs if shfngtes 5ewars Senrlce Upgrades AtC Fences(PloUSurvey7Foatage}
Drtveways-tUot aver Counter if an publio roadways..�ceeds 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 I
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation I
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 i
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the i
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 II
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
certity that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
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. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed 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
I Lands,Water/WastewaterTreatment.
- 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, 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 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 A'fTORNEY BEFORE RECORDING YOUR NOTICE OF C ENCEMENT.
FLORIDA JURAT(F.S.117.03) �
OWNER OR AGENT CONTRACTOR r`�""'"
Subscribed and swom to(or affirmedj before me this Sub c'b and sworr�-ep(or affi ed)befo e this
b y � n ( .1�✓t 5.�1� '�'{y�G�Lt-�""
Who is/are pers nally known to me or has/have produced �+-�4Y q /ar perso a�lly Vy�o gtp��pe�9[has/have duced
as identification. ��2��)�n(7 ( 1�/CStT C) as identification.
Notary Public ��� � Notaey#�b �—�
Commission Na. Commission No. � b/
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Name of Notary typed,printed or stamped Name of o ,print d
;�: 'K: MY COMMISSION#GG073617
'•,",�oF�;d;�' EXPIRES February 15,2021
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NE.)TIC� UF COIYI.M�NCEMENT � �- - -- ----�-
Repb:1863730 Ree: 10.00
' D5: 0.00 IT: 0.00
.�;r,,.,�N� 05/16/2017 M. F. , Dpt,y Clerk
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=r�U�`iDBRSIG?�£D�t�seby,�ves notice thet improvemenu will be made to ceri:iin re,a] property,and in zccord�ncc with.Sc.��ion
??3.13 ofthc Florida Staivtes,the following informarion is provided in this NOTICE�F COM11�'ENCEMENT.
l�escriprion of property(Ie;a!deser8ptio�: - 6'-� t`'"� '-" Q l OO— �
a) Sircet(jab) Addnss: c- ` e � -C __.._...
2.Gcnc;11 description of improvemc;nu: • -'-"`�
3.lhkz�•r Ir.i'orn�ation n f . �. e � ---_-_-_.._.
a)N�rnc and:,ddress: v� ��Q!�( �U +�/S � �'}"l, �,,�_�anl, ����,,;11�J�
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b h�sm�;uzd addrrss of fee siinplC�iCleholder•(if other than owner) GYY�(� G� �' �`���_�zz�(-�
c) L-:'�.:>rest iii property ' - - �� �
actor Iniormation ' -• --•--
a)N<.me and addn:ss: OM F��t-�- T�P C�Y1 �Ll Z 1 I � i�c,1�h ��f ll� �YY1/.�gi �L ����
b)Telephone No.• ��]'��o JI.��— . -
...5�:r::t�y,Inform�Lion Fax No. (Op[.) �.,�. T----•
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�)Nasuc and address: °
o)Amount ofBond: ---'-
c)Telephone No_:_ Fa;No. (Opt.) � �
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a)?�'amc and address: .
Phon;;No. �
%. id:;n;ity of�erson�v[thin ihc Star,c:of filorida desienax�.d by owner upa;�w[�om noiices o;other documents msy bc:scrvee:
a)N<une:uid addrGss:
b)Tcicohon�No.: Fax No. (�pt) ------•
u 3n �dciiuon to triraseif ownc�desi�ates the following person to receive z copy of the Lienor's Notic:;s providexi in 5c.;uon
:?3.�3C1)Cb),Florida staiuus:
• a)N�ne and address:
b)Telenbonc No.: Fax 1vo. (Opt.) �._
9•r-��t�on ci3t�oflvoaca of Commencement(the espiration date is one yesr from the date of re�ordiat� ❑ntess u difierecr Jsic
is specified;: . , - ,
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W 3F.?`TLNG'TO OWIYER: ANY PA.1'MI.'riTS MADE IiY'£FiE OWNER AFI�+R Z'.H�7E�iI'lI'�fiTION OF TFiE NUTICL•' Or': o��
CO?vLn�]VCEME�'T ARE CONSID�;�?ED 71VIpROPER PAl'1VIENTS YJ'_ND�1Z CHAPTER 7I3,pAR�'I,SECTION 7I3_1�, �o�y
k'LOkID�STATUTES,ANll Cr1.1d RESULT IlrT YOUR PA.YING T4YICE FOR INIPROVEM�NTS TO YOUR PROP�R':�'.� �i o
;�NOTIC�;OF COIYlIY.1=NGTMENTIY.�UST BE RECO$b.ED.AIYD PO,STL+�D ON TF�C,JO]3 SI?'E P,ETFO�+ T�FIF:ST' �.�.m
LnsP�Crlci�l. �yoU rn^r�,ND TO OBTAI�;F�iANCL�iG, CONSULT YOUR L�NDER OR���:�TTORNE�Y'BEFOR�; '�`'�
�ONIZVf�N�WG WOP.K OR R�CORDTIYG YOUR NOTICE OF COMN�NC�M�;N'I', (���
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�Y�c fnr�going instrument w�s acknowiedged before n�e this�day of �0 (7:b;���j��_,_ �'-'3
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OR �
V�r�ic•arion pursu•:u�t to Section 9?.535, Florida 5ranises.lindcr penaliies of oarjur}•, I declru�thmC I havc rwd r1z�for��oin�::rul t}�;u
^� ='�ct:s-cli�=d in it arc true m thc bcst of my Irnowledga and�belief, .
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Comfort Tech Holdings, Inc.
4211 E. Busch Blvd, Tampa FL 33617
Office; 813-388-6145 Fax; 813-528-8694
CAC: 18184737
Contractor Authorization Form
State License No: CAC1818437
Print Qualifier's Name: Christine Jagat
Business Name_Comfort Tech Holdings Inc
*THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED AUTHORIZATION*
1 authorize the following individuals to sign for and obtain permits:
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Signature of Qualifier: � �--z— Date: J` � �2
State of Florida -' '
Sworn to and subscribed before this day
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Notary Public State of Florida
My commision expires: ��/�l
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=': ': MY COMMISSION#GG07361� .
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"•-','�oF�;a;�'� EXPIRES FebRlary 15,2021