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Home My WebLink About17-18318 � � CITY OF ZEPHYRHILLS �{/ � 5335-8TH STREET �/� f/�� (813)780-0020 ��LG�� 18318 � � BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18318 Address: 39687 MEADOWOOD LP 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: MEADOWOOD ESTATES , Est. Value: � ��- Parcel Number: 13-26-21-0140-00000-0480 Improv. Cost: 500.00 OWNER INFORMATION Date Issued: 4/03/2017 Name: PELL, DAVID Total Fees: 40.00 Address: 39687 MEADOWOOD LP Amount Paid: 40.00 ZEPHYRHILLS FL 33542-6 Date Paid: 4/03/2017 Phone: (813)843-1905 Work Desc: A/C CHANGE OUT 3 TON . _ CONTRACTOR S APPLICATION FEE$ ELECTRIC TODAY INC. A/C CHANGEOUT 40.0 W � . �! V ��`��g?v � ' � � � � ��r� p��-��.,�.�( Ins ections Re uired ' -(!-�? ae �3��^ D CTS INSTALLED DUCTS INSU �'E FINAL f -� 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 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 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 recprding your notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with I Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. E % 1 _ �� CO RA TOR S NATURE . PERMIT OFFI R P RMI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � � aisaaaoozo City of Zephyrhills Permit Applicatl0fl _ Fax-813-780- 21 Building Department �� '�� Date Recefved � �1� _ Z/,4/ T�r Phone ContactforPertnitt' g Owners Name 9"r'^L� D �/+ Owner Phone Number ' v Y� �[0 Owner's Address � tl� Gn o V�r��U Z-� ner Phone Number I Fee Simple Tideholder Name Owner Phone Number Fee Simple Tideholder Address ��d c��l JOB ADDRESS � `��+ 7 1-��G�KJ(iu�' W� LOT# � SUBDIVISION ��C/C W O PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW cON57R e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK 1�� V \ BUILDING SIZE SQ FOOTAGE� HEIGHT � Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ /'��`�`�j, ,`6J a v d ECHANICAL $ QDO` VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO i 911i171110 161iea � ee ii11P16i1 BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y I N FEE CURRE� Y/N Address ti License# MECHANICAL COMPANY U I� — �9�1 � '� �� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address License# I111111111111111111111111111111111111111111111111111111111111111111 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,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)camplete sets of Building Plans plus a L'rfe Safery Page;(1)set of Energy Fortns.R-O-W Permit for new construdion. Minimum len(10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Siit Fence installed, Sanitary Facilities&7 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance ' SIGN PERMIT Attach(2)sets of Engineered Plans. � ""PROPER7Y SURVEY required for all NEW construdion. Directions:• Fill out application completely. Owner 8 ConVactor sign back of application,notarized If over Sz500,a Notice of Commencement is required. (A/C upgrades aver$7500) " Agent(for the contrador)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'rf shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW l ` 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 WateNSewer 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 alI 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 responsibiliry 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-Seawalis,Docks,Navigable Waterways. - Department of Health & Rehabiiitative 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 aliowed 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. I 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. g '��.w..N%. ��` °�: 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 'a�i,�0�� WITH YOUR LENDER OR AN ATTQRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. � ''��,,,,! �'��, FLORIDA JURAT(F.S.117.03) � � �1 N OWNER OR AGEN CONTRACTOR �/'1-AJLV'L� �Q`� Z-Z{ .n � = bscribed and sw t o affirtne ) ore this 1 I^ Subscribed and sworn to(or affirmed)before me this o � � r �'��by l e-f ! by n m � � oj,s/�re e ona k as ave produced Who is/are personally known to me or has/have produced Z (p � C. tification. as identifica6on. o L � C � �' o � �/ �('� 2 pCj Z W ` C-1 L Notary Public Notary Public � v -Tj� � Cammission No. Commission No. 3 O � N . -+ � m Name of Nota ed,p�nted o sta e Name of Notary ryped,printed or stamped � Z �/ i* �,� v ��//� � � Synchro�y ��k �� I�p � � �� 48531 Paym�n� P��es�ed a� C�mp�et�on �WC�, Synchrony Bank a a 3 � Q 9 9 / ' / i�i � �3 � 7 ��D�a �a�.a�� '� � � i5 � 3 � 4 � 8 � � � 2 � � � � �� il � �`� i`� i� � / � ACCOUNT NUMBER MERCHANT NUMBER Y�via� �e CL �l e��r��G �ecl�.L! BUYER NAME MERCHANT NAME/MERCHANT ADDRESS �romotional Offers -See reverse side for additional details -APR refers to Annual Percentaqe Rate ❑600 Reduced 9.99%APR and fixed monthly payments equal to 1.25% of promo purchase amount- Until Paid in Full �04 Reduced 7.99%APR and fixed monthly payments equal to 2.00% of promo purchase amount- Until Paid in Full ❑602 Reduced 5.99%APR and fixed monthly payments equal to 3.00% of promo purchase amount- Until Paid in Full ❑605 No Monthly Interest if Paid in Full within 18 Months (Deferred Interest)�U•�J% APR ❑ Check if Variable—If No Monthly Interest Charges will be assessed if the promotional purchase balance is paid in full within the promo variable,APR varies period.If the promo purchase balance is not paid in full by the end of the promo period,interest will be imposed from �+✓�th the market the date of purchase at the APR inserted immediately above.Fixed monthly payments are required equal to 2.50% based on the Prime of the highest balance applicable to this promo purchase,rounded to the next highest whole dollar,until paid in full. Rate. � �Buyer(s) Initial: I have reviewed and selected the promotional option that meets my needs. DESCRIPTION + Q BATH REFACEIWALK IN TUBS �HVAC O PLUMBING O SPA � Q ELECTRIC O INSULATION O ROOFING O W�NDOWS/DOORS O GENERATOR O KITCHEN REFACE O SIDING O OTHER Q GUTTER SYSTEM O PAVERS/LANDSCAPING O SOLAR Brand/ � � �/ a� r ys.�,- SALE PRICE Description �v ��{��I I I I I I I I ' Nlodel#/ I I � I��Iv I� I•I��_1 Description I I I I I I I I I I I I I I I I Brand/ Description I I I I I I I I I I I I I I I I Model#/ I I I I I I•l I I I Description I I I I I I I I I I I I I I I I This form is for final payment and cannot be processed until the c � �j contract between the Buyer and Merchant has been completed. TOTAL PRICE I 4-7 I� I � I� I•I" I —I I�I �I � i I� I�I TOTAL PAYMENTS I I I I I I•W AUTH. CODE AMOUNT I I �Q �t� � 0 �.I� i v� I I�I / � / D j � FINANCED DATE OF SALE I acknowledge receipt of a completed copy of this Sales Slip and have reviewed and understand the promotional terms that will apply to this purchase. I authorize the amount shown to be charged to my credit card account shown above and agree that the purchase will be governed by the terms of the Synchrony Bank Credit Card Agreement. If this was an in-home sales transaction, I acknowledge that I have been provided by the Merchant with both the oral and written notice of my right, as a Buyer, to cancel this transaction (if applicable). S nchrony Bank assesses a one-time $29 Activation Fee under the Credit Card Agreement at the time the first Y purchase posts to the account. Any additional surcharges or fees charged by the merchant in connection with applying for or using the Credit Card are prohibited. �l % _ �%� 48531 i' "'"" �i� � � � � � d� r ', �, (BUYER SIGNATURE) (B ER SIGNATURE) 202-343-00(04/2016)HI-B 19672 �°i.6iE_af�,i:s`�'��'3e��.e�'��'e"`<.3y'•?E�