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Home My WebLink About17-18128 CITY OF ZEPHYRHILLS �: .�� 5335-8TH STREET ; (813)780-0020 18128 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18128 Address: 37772 ALISSA DRIVE 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: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-0170-01200-OOCO Improv. Cost: 5,479.00 OWNER INFORMATION Date Issued: 2/08/2017 Name: CUMMINGS MELISSA J Total Fees: 65.00 Address: 37772 ALISSA DR Amount Paid: 65.00 ZEPHYRHILLS FL 33542-5672 Date Paid: 2/08/2017 Phone: 813-783-7821 Work Desc: A/C CHANGE OUT 2 TON CONTRACTOR S APPLICATION FEES. US AIR CONDITIONING & HEATING A/C CHANGEOUT 65.00 (n , � �-� "1 Ins ections Re red DUCTS 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. , CONT OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 , � Building Department Date Recelved Phone Contact for Permitting �r�t7 � Owners Name / Owner Phone Number - 3--r� - �a 1 Owner's Address � r ' �1� �, Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ( ( . LOT# � SUBDIVISION � PARCEL IO# - "� �"(��7�"C7/G�O6—C�C�+� (OBTAINED FROM PROPERTY TAX NOTIC� \ WORK PROPOSED e NEw CONSTR� ADD/ALT � SIGN � Q DEMOLISH � INSTALL REPAIR � PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK � /L S" /QL o� l � . I I D K I BUILDING SIZE SQ FOOTAGE� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ �MECHANICAL $ � � VALUATION OF MECHANICAL INSTALLATION QGAS 0 ROOFING Q SPECIALTY 0 OTHER , FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL _ � COMPANY �`�5. �� pn��OY�\n SIGNATURE REGISTERED Y N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address L(cense# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Ariach(2)sets of Engineered Plans. "'•PROPERTY SURVEY required for all NEW construction. Dlrections:• Fill out application completely. Owner 8 Contractor sign back of application,notarized If over$2500,a Notfce of Commencement 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) Reroots if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) � N. ' NOTiCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject fo"deed"restric#ions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicabie deed rest�ictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: tf the owner has hEred a contracfor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractar is not licensed as required by law, both the owner a�d contractar may be cited far a misdemeanor viofation under state (aw. If the owner or intended contractor are uncertain as to what licensing requiremenfs may apply for the intended work,they are advised to cantact the Pasca County Building Inspection Division—Licensing Section at 727-847- 8009. Furknermore, if the owner has hired a contractor or contractors, he is advised to have fhe contractor(s} sign portians of the°contractor Block"of this appiication for which they wiil be responsible. if you, as the awner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled ta permitking privileges in Pasco Gaunty. TRANSPORTATtON IMPACT/UTILITIES tMPAC7 AND RESOURCE RECOVERY FEES: The undersigned undersfands that Transportation Impact Fees and Recourse Recovery Fees may apply to the canstruction of new buildings,change af use in existing buildings, or axpansion af existirrg buildings, as specified in Pasco County 4rdinance numbec 89-07 and 90-07, as amended. 7he undersigned also understands, that such fees, as may be due,wiil 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"cer#ificate of occupancy"or fina!power release. If the praject daes not involve a cert9ficate af occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer lmpact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTE2UCTlON LIEN LAW�Ghapter 713,Florida 8tatutes,as amended): lf va3uation of work is$2,504.00 or more,1 certify that I, the applicant, have been provided with a copy af the "'Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Fiorida pepartment of Agriculture and Consumer Affairs. If the applicant is someone ather than fhe"owner",1 certify tha#1 have obtained e copy af the above desoribed documant and pramise in gaad faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the infarmation in this application is accurate and that all work witl be done in compliance with ail applicable taws regulating canstruc#ion,zoning and land development. Rpplication is hereby made to obtain a permit to do work and installation as indicated. � certify that no work ar instaliation has commenced prior to issuance of a permit and that all work will be performed ta meet standards of all laws regulating construction, County and City codes, zaning regulations, and land development regulatians in the jurisdiction. 1 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 actians!must take to be in compliance. Such agencies include but are not limited to: - Department af Environmental Pratectian-Gypress Bayheads, YVetiand Areas and Environmentally Sensitive Lands,Water/Wastewater Trea#ment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of 8ngineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehebilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Sepfic Tanks. - US Enviranmental Protection Agency-Asbestos abatement. - Federa!Aviation Authority-Runways. 1 understand that the following resfrictions apply fo the use of fll: - lJse of fill is not allowed in Flood Zone"V"unless expressly permitted, - IP the fil! material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"wil{ be submitted at tirne of permitting which is prepared by a professional engineer licensed by the State of Florida. - if the fi!! materiai is to be used in Road Zone "A" in connection with a permitted building using stem wall canstrucfion, I certify that fill wi11 be used only to fi11 the area within the stem wati. - 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 fi!!is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of fhe building permit issued under the attached perm�t appiicatian,for lots less than ane (1} acre which are elevated by fill,an engineered drainage plan is required, if!am the AGENT FQR TNE OWNER, i pramise in gaod faith to infvrm the owner of the permitting conditions set forth in this affidavit prior to commencing constructian. i understand that a separate permit may be raquired 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 teohnical eodes, nar sha((issuance of a permit prevent the Building Official from thereaffer requiring a carrection of errars in plans,construction or violations of any codes. Every permit issued shall become invalid ;,�1��.1•"N•., A�� untess the work autharized by such permit is commenced within six months of permit issuance,or if work authorized by bc �_ the permit is suspended or abandoned for a period of six(6)monfhs after the time the wark is commenced. An extension �:?oqo„,�';� may be requested, in writing, from the Building Official for a period not to exceed ninety (90)days and will demonstrate �"''�%��rt"''� justifsabie cause for the extension. lf wark ceases for ninety{9Q)consecutive days,the jab is considersd abandoned. o � �� WAF2NING TO OWNER: YOUR FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR ��"o p <^o r'� PAYING TWiCE FOi21MPRQVEMENTS TO YOUR PROPERTY. !F YOU INTENL?TO OBTAlN FlNANClHG,CQNSUL.T Z�� o .. cn z �"�;v� WITH YOUR LENd R A TTORHEY BEFORE RECORDIi3G YOUR N07tCE OF COMM6NCEMENT. �y�a o,w�� FLORIDA JURA7(F. .1 .0 ) �� ?y �� F p�a OWNER OR AGENT f CQNTRAGTOR � � 4t�Q �- q�¢ � s e d s n to r ffirmec his s ed nd s n r a d)befo this �� 2 f!J ••o fD 4 J u�i�� bY by �`+� �-=cr,� Who i�sonatiy k n to hasJhave produced Who islare pe so y n to me or h s(h e produced � a ��X� as ide ' atio�. i entification. �u.:r m � ;��."•`?bo�'� otary Pubiic Notary Pubiio �:'�`�.'�s'=;�!. i:�„ '�`� G mission No. C ission No. i � �--:'; ;� i �.�� : �.�-��,`��9�-t�3 rc�� ..�r►��►��----`�� ' ��. � Name pf Notary typed,printed or stamped Name of—PNotary ty ed,pri e ar stampedT ._; „, �i�� AIR C�NDITION[M� & HEATIK� I A�fre� Cox, authorize my �usir�ess p�r�ner J�ffrey Allow�y tc� sign for � �ny p�rmit in ar�y rnur�icipa6it4r in my abs�nce. �`� � �� "----�y �P.�,;f7:,,°;,.r`y �' j � �' �r �' ,t'' _. `� %_��'.. f _r �� .r.�'�-=' - �� .:,�.—�-�' /' Alrred Cox f � � Sw�rn �nd s�bscribe� E��c�re on �his day by I��fred Cox wha is person�lly �nown to me. � / � � �ic---�—a Notar�r Pu��ic '��` � .�.:y;,.w cr�isnt�ATt.fiCC,Tfc � ��;?��,,d�n 4:� '�4'f S.CSyl'.tlu3f.'1�;a�t��Gi1 � '�r,r?_S�:�f E3'•k1�iES:,:ugust.�s.C717 . Y GursedTiril-:INS'+�•L'u:U''t5�ai.c:: �,1��,J•.,, �� w v�+=.+c.c.�+�e"'�rm�+'T U.S. Air Conditioning & Heating 5827 13th Avenue New Port Richey, FL. 34652 (727) 846-8818 License # CAC056871 ,i i€. �;� ,. � !t ;1� , -_ . ��i � o �,ij AI� CON�I�°IONIA�G , �� TI�G ,�� ,. � � _�._�� ;�j�� Authorization Letter , �' ,'i.. �, , contractor license number ('(q nS „�-1 ( , ,�; � gIereby auth�m�-i�e �ne following to act as my agents in obtaining permits in r:� � t�.1 ��ny� � �� _ !I�,�4� � ,I i� ��I,,'� �i�,�� `.� � ;i� ,. ��. ;,;E -,��: .;I'f !j Agent'� I�tame's Driver License Nuflnber'� i'.� . �i� . �. �;�. . �� 'This author��ation is to remain in effect indefinitely, unless cancele�i by me in ,�� . ,�'{ writing. � :;�! , � ,. : ; ., �a � - ' � � ,;, ct 's �flgna�ure '�I$ �� S�vorn to aa��fl �ubsca-ibed to before me this day of�, 20� , <<,s ; ;4,,k �y �e,�� j�, who is pe nally kn wn to me or has produced :;Ij, � as identification and who did (did �o ake an '�? O��h. '!',��' - 'j; . �� - '�:;� N�tary ublic • I�:,�. � My commission ex�ires �� - �,,'� , {��;, f iF :; ' ; IU.S. Air Co��gtioning , ?'; 5827 13th Av��aaae ,,�ti'•"•r"kB�� CRISTINATURCOTTE ;;�� W �OI't �1C��g', FL� 34E)SZ °*� ._ MYCOMMISSION#FF027671 ='�' �o; EXPIRES:August 3,2017 � '%:;j��°:�` Bonded Thru Notary Public Underwriters i i.I,f �'I� ,. i�'Iv L i� �',I( iy I. i'iP I� ; 'i �� t �� ^. r