HomeMy WebLinkAbout17-18750 CITY OF ZEPHYRHILLS
5335-8TH STREET
. (813)780-0020 1875
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18750 Address: 5714 19TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-07800-0090
Improv. Cost: 11,560.00 OWNER INFORMATION
Date Issued: 8/14/2017 Name: KINGERY, KARL & FAY
Total Fees: 95.00 Address: 5714 19TH ST
Amount Paid: 95.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/14/2017 Phone:
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
AMERICAN RESIDENTIAL SERVICES OF A/C CHANGEOUT 95.00
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Ins ections Re uired
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.
_l
CON CT R GNA U PERMIT OFFI R
PE MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ei�-�aaoozo City of Zephyrhills Permit Application Fa��813-780-0021
, ' � Bud�ing Departmenl
Oate Retelved
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Ownar's Namn Ownor Phono Nwnher
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Ownor'a Addrasa � Owaer Phano Numbe�
Fea Simpl�Titloholder Namo Ownar Pfwne Number
Fee Slmpin TiltahaJdar Addreaa
JOB ADQRE55 ���'� 1�i LOTp ��
SUBUfVISION PARCEL I�p 1,`
WORKPROPOSEO e N£W[ONSiHe AO��ALT �SIGN�D�P�PERTI'T���DEMOlISH
INSTAI� REPAIR
PROPOSED USE � SFR O COMM Q OTHER
1YPE OF CONSiRUCTiON Q BLOCK Q FRAME Q g?EE� Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FODTAGE� HEIGHT
- " �Q6UtL01NG�J.-��_$ -- VALUATIDNDFTOTALGOt�15TR19C710N ~_.�w,�_.�__. --.--- — -_ - -
�ELEGTR1CAl S AMP SERVlCE Q PROGRESS ENERGY Q W_R.E.0
QPLUMBING 5
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�MECHANICAL TIOfVOFMECHANiCAl.INSTAUATS�k �' ���
�•�r � J
QGAS Q ROOFING Q SPECIAI.TY Q OTHEit
FINISHEp FLOOR EI.�VATIONS � FLOOD 20NE AREA QYES NO
BUILDER COMPANY
SIGNATURE HL�SY_pE0 Y!N FEEcurtFt&, YIN
Addross
License tl
EIECTRICIAN COMPANY '
SIGNASU3tE IiCc:tP'HEb V f N FEE CUAAEt, Y/N
Address Ucerue#
PLUM9ER ��p�
SIGNATURE RGfIIfeEaL� Y/N FEECuqqFJ, Y/N
Add�ess "ertse it
MECHAMICAL COMPANY �
SIGNATURE R6rd�TEREa Y! � Y/
Address Lkense tt � � �
OTNER �/J�� �
COMPANY �
SIGNdTURE R:r.�StEr�_ Y/ N FEEa.wa� Y!k
AddIQS9
Ucense e
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RESIDEN7IAL Attach(2j Plol Plaru;{2J gels d 8uild,.�g P�ans;{lp sel af EnCrgy Fortns;R-0•W Pertmt tanew pnstruciion,
Minlmum ten(10)working days afler submitlei datg, Requtred ons�le.Consituc�ian Pfaru.Slormwaler plans w'5�71 F�nce insla0ed,
Saoilary Fedlities d 1 dumpster:Site Work Perm:l for suhd��:r.::n:flarge proJec(s
COb1AlERC1AL Aftach(2)compte;e sels ol 8ui'ding plans plus a Life Sa(ery Page;(t�set of Enengy Fortns.R-0•W?umit!or new c�sWdien.
Minimum ten�10)wo�king dayn aker submltlal dale. Required ensite,Construqian Plaru,Stormwaler Plans w.'Sitt Fmca fnsta6ed.
Sanitary Fac�ilies 6 1 dumpster.Slte Work Pumit for al�ne+r projects/W commerdal requiremer:ts must meat com�fance
51GP7 PHRMIT Attadt(2)sels ot Em�ineered Poans.
""PROPERTY SURVEY iequired tor alt NEW consWe!'an.
OlreeUons:
FUI wt appliCation complelely.
Om�vB Contrador sign hack of ap�'icet on,notarized
H over f2500,a Noefco al Commencem�nt Is raquired. (A!C upg►ades aver f75Q0�
" Agen!{for Ihe conlraqor}or Pawer of Atfomey{{or tha owner)would Ge someana wlth notarizad letter irom amer euthoriring same
OVER THE CUUNTER PERFA1T71NG (copy oF canlraq reqWred)
Raroofs il shingles Sewer� Service Upgrades NC Fences(PIoUSurveylFootage)
DrWaways•Not over Counter if on pubtie roadways,.needs ROW
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• MOTiGE OF OEED RESTRICTiQNS• The undersigned understands Ihat this permit rnay be subject to`deed're:sirktions'
which may be more restr�tfve than Couniy�egulatfons. The unders�gr�ed asstrmes responsibiiity tar comp(�ance daith any �
applicable deed restrlctlons,
UFtLtCENSED CON'iRACTORS ANO GONTRACTOR RESPOhfStHtLITtES: if the owner has 6�red a roMractar or
coniractors!o undertake work,they may be required ta be licensed In aGcordance with stais and las�t regu}aiions. ii the
contraclor Is nol Iicensed as required 6y law, both the owner and contractnr may be ciled for a misdemeanar vfolatian
under state 1aw, if ihe owner or intendeci contractar are uncertaln as to what licensing requlrements may appty For the
intended wq�lc,ihey ate advised to contact the Pasw Coualy Bui�ding Inspecll�n DivisiotN.lcensing Secllon ai 727•8A7-
80p9, Furihermore, i(the owner bas hired a contracior or contractors, he is advised to have the contraGtor(s) sign
portions of 1he"cantractor Block'a[this appiicatlQn tor which ihey arif4 be responsi6le, it yau,as ihe owner sign as the
conlrector,lhat may 6e an indfcation that he is nat properiy I1Censed and is nol entiUed to permitting privilege5ln PasCo
County.
TRANSPORTATION IMPACT1U71L[TIES IMPACT aND R850URGE RECOVERY FEES: The undersigned understands
ihat Transportaiion tmpact Fees and Recourse Recovery Fees may appty to the canstrucilon of new bu(Id:ngs,change of
use!n existing buildings:ar expansion of e�isting baildings,as specified�n Pasca Couniy Ordfnarue number 89-07 arsd
90-07,as amended. The undersigned alsa underslands,lhat su�h fees,as may be due,will be idenGf,ed al the kime of
permitting !t is further understood tl�at l'tanspartation Impaci Fees and Rssource f2ecovery Fees must be paid prior to
receiving a"certifirate ot occupancy"or final power refeaSe. It the project does no!involve�certificate af occupancy or
3inat power retease,the fees must be paid prior to permit issuance. Furth�rmore,if Pasco Caunty WaterfSewer Impacl
tees are dus.they must be paid priar to permii issuance in accardance with appffcabfe Pasco Goanty ordinances�
CON57RUCTION LIEN I.AWf(Chapter 713,Ftorida Statutes,es amendad): If vafuation of wor4c is 52,504.00 or more,1
cerliEy that i, the applicant, have been provided with a copy a#ihe `�iorida Canstruction Lien law--Homeowner's
Pmtection Guide prepared by ttte Florid�Qeparime�t af Agriculture and Consumer Affairs. if the sppticant is saneone
other than ihe'pwne�',I ceAify thal t have obta'ned a copy oi lhe above described dacument and promise in good fallh lo
deliver fl to the bwnet'pdor to cammencement.
CONTRACT'OR'51qWtdE�2'S A�FIDAVIT. I certily fhat all lhe inlormation in this applicalion is accurate and that al!work
un'SI be done in camptEance with aN a�pticabie iaws regnlating constnsci'on;zoning and tand development.�Applicalion Is-� -�
hereby made !p obtain a permH lo do woric and 3nsta!l�tlan as indicated. 1 certity that nfl work or inslal2aGon t�as
commenced prior to issuance o1 a permil and that a11 work will be pertormed to rneet sfandards of alf laws regula4ng
canstntciion, CounFy and G3ty codes,zonfng regutations, arsd tand devetopmeni regulationS in the jurisdiciian. 1 aSSo
ceMify that I understand that lhe�egulations of other govemment agencias may apply to the intended wotk,and tha!it is
my responsibttity to identity wfiat actions I musl iake to be in compiiance, 5uch agencies indude but are no1 limited fo:
- Oepartment o[Environmsnts!Proiec4ian-Cypress�ayheads,Wetland Areas and Envirnnmentaiiy Sensitive
Lands,WaterM/asiewater Treatmer�.
- 5outhvrest Florida Water Management Disirict-Welis, Gypress 8ayheads, Weliand Areas, Aitering
Watercourses.
- fvmy Corps of Engineers-Seawatis.Dncks,Navigabte WaterwayS.
- Deparimeni oi Neaiih & Rehabiliiative 8ervicestEnvironrrseryta! Heaith Unit-Weits, Wastewaier Treatrrsent,
Seplic Tanks-
- US Ersvirorarsentat Proteation Agerzy-Asbestos abatemen#.
- Federat Aviation Autho�tyRunways.
i undersiand that the�oiiowing resiriciians appiy to ihe use at iil;
- Use of fl!1 is not alEawed in Flaod Zone"V uniess ex{messiy petmitted.
- If ihe 6:1 m�terial is to be used In Flood Zone "A', it is understaad Iha4 a drainage plan addre55tnq a
'comp�sat'sng vo(ume'wiii be subrnitted at tirne ot permitting wfiich is prepared by a pratessional engineer
(icensed by tha Siate ot Flvrida.
- li ihe fi.l matedat is to be used in Flaod�one'A'in connection wilh a permitled building using stern wall
construc6on,!cerilty thai 6S1 witl be useri oniy!o fiil the area within fhe siem waii-
- Cf fill maleriai fs lo be used in any area, I certify thal use ot suct�fiil wii! not adversely a[fecl ad}'acent
pmperties. if nse ot fit�is iound to adversety affect adjaceni pmtserties,tha owner may be cited iar violating
the conditlons at!he buitding parmit issued under the attached permit applicaGcn,for iois less ihan ane(1)
acre whrch 8ie elevated by fill,an engineered drainage pian is required.
If i am ihe AGEMT FOR'FElE OV+iNER,i promise in good(aith to lntoms ths awner af the perrrtitting conditions se#forth in
this a�davit priar to cornmencing construction_ I t+nderstand lhal a separale permit may be requ'.red!or eleclrical wark,
plumbing, signs,weSis, paflis,air conditioning,gas,ot oiher insiattations nat spec�icaily induded in ihe appticalian_ A
perm'st issued shall�e construed to t�e a@lcense lo praceed with the work and rsot as auihnrity t�s viotate,cancei,aiter,or
sel aside any provisions o(the technical codes,nor sha!1 issuance af a permil prevent the Building Official from thereaiter
requiriag a correctfan ot errars�rz p'ans,canstsuctlan or violations at arry codes. �very perm�t issued shail become invalid
uniess the wortc aulhorized by such permit is comrnenced w3thfn six months of persnit issuance,or it work autho�ized hy
the permit is suspended or abandoned for a periad af s�x(6j months a(ter ihe tirne the work is commenced. An extensian
tn�y tre request�d,fn writing,from ihe Bulidtng QHicial for a�teriod not to exce�d nitiety(9D}days and w�t demonsttata
juslifiable cause for lhe exiensbn, Iiwork ceases for ninety(90�cansecuUve days,the job is considered abandoned.
WARNING TO OWN4i: YOUR FAIWRE 70 RECClRO A AIQTICE OF CQAilMENCEMENT M�Y EtESULT IN YOl1R
PAYIFiG TWiCE FOR iMPROVElNENTS TO YOUR P OPERTY. 1F YOU INTEPJD TO OBTAIIV FINANCING,COIdSUL.T
WlTH YO R L� R A ATT N�Y S F2 RE� F2Dtdt Y E2 R2 T} E F MEF�t El�SE
�aRion�uru�s{Fw i� � y
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6WNER AGENT_ CONiRACTOR
Subs � and s to �.- .. , efars me t.�s Sutascribe4 nnd swan to{or atfitmed}aeiere me this
4y ey
Who lalarn petso�aAy kncvm!a me ot hasfiave pmduced Who is:az�Petsanaily Eu:Wm to me�haSthave pmtfuctd
as idmtifiCatipn, aa identificaflon,
1:;tary P�bfic Notary Puhlic
Cammis5iqri Na. CommisSlOn No
Name ot Notary typed,prfnled Or atamped Nama at Notary typed,pr'nted ar stamped
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07/�6l2017 J. G. , Qpt�y Clerk
PermitNumber a���� ARULR S_Q'h1P1L,Ph_Q PASCO CLfRK & COMPTRdLLE,
Key Num�er . � � 07I26J2017 02:5 m i af i '
NOTIlC� ft3F COMtiHENCEM�NT o� �K � 'r3�� �� �r7�� _�
5tate ot Florida • ; . . s, _ , , _ , . � _ � . , �t�
THE tlNC}ERStGNED hereby g'ives natice that Improvemenis wili be mada to ceriain rea1 property,and In accardance with Section 713.of the
Flurida Siatutes,the taUave[ng infamation is p ' � ,�n thts NQi1C 0 COMMENCENlENi.
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1.Descripiion af property(te,gat descri on�: ' -
� a}5�et�jab}Address: ��- ���� � 0 L� �
2.Ger�eral descriptian of impravements:
3.OramerEnfarmatiot�or L znEarmatian iithe conuacte rthe'mp �nG., ��.r..,�_
a)Name and address: '�'�� �.r�•
b}Nama and addrsss at fee s�mpls " holder �fereat Ih Owr►er Gstad above}
c}In#ere�f in propeity: OWNER � - _
4.Contractor Mfomration
a}Name and address: ARS RESCUE ROO"iER 3340 N 3CHERER DR ABB.57 PETERSBURG ��33798
by Tetephone Na.: 727-497-4973 � Fax No,;(apHonat� 727-581-3Q58
S.Surety(d app6cable,a ccpy af the payinent bond€s attached)
a�Name and address: N/A �
b)Telephone Nc..
c)Amaun#o(8and: �
6.Lender
a}Name and address: NIA
b}Tetephone Na.:
i.Persnns t�tilhin the Smte of florida de.signated by Ownec upan wham noticces or nther documenls may be senred as provtded 6y Seclian
793.13(1}(aj 7.,Flonda Staiutes:
a)Name�rd address: NIA
a}Tetephona No.: Fax Na�(opUanal)
8.a.tn additinn to himseH or herself.Owner designates N/A of
ta receive a copy af ihe Liennr's Naticce as provided in Sedian 713.13(1}(b),Flarida 3#atutes. -
b}Phone Number af Persan o�entity designated by Owner. N/A
8.E�ep'rration dat�af notice af c�rnmencement(iha e�iration date may not 6e 6sfore the cannple6an afi eonstructioa and fina! payment ta th�
cantractar,but v�li 6e 1 ear trom the date af cecordin untess a diRerent da#e is s ec'�"ied: ,2Q
WARNlNG TQ 0lNN�R:ANY PAYMENT5 iVlAi3E BY THE OW�tER RFTER�"HE EXPiRATtON OF Ti�lE NO710E QF COMMENCEMF.t�]'ARE
I CONSIAEFtEO IMPROPER PAYMENiS UtiI�ER CHAP'TER 713.PART I.SECTlON 713.13,fl.ORJOA STATtTTES,AHD CAN RES1lLT tN YOUR
I PAYIi�G TWlCE FQR IMMti"ROV�M€NTS TO YOUR PRt?FE.�2TY.A N0710E OF CQMMENCEMENT MtJ5T 8E REGQ�tOED AND POSTED ON -
� i`tiE,tOB SfTE BEFORE TH� FlRST�NSPECTION.!F YOU lWT�NQ TO 4BTA4t� FlNANCING,,CONSi,lIT WtTH YOUR LENDER 4R AH
� ATTORi�lfY BE�QRE COMN�NCIN6 WORK OR RECORDlNG YOi1R NOiiCE OF COMMENCEDAENT. ._
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t5igrrature ar , s wlessee's{Auiho�ed OHioe e�iManager} ' "{ t acnaane Pmvide�gnat�y'sT�tetti�Ce}
Stata af ,_..,,, Coanty af ,�,�„�,,_�
The afing ins me n�wiedged before me Urts � day of �-,��_ ,20 �,
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by as
� (Tisrna o Persan) ItYPe af authartly�...e.g.oAiwr,trusiee,sttomay!n fact)
for fname o(party oat bet�alf at whom inshument was execs�ted).
Persanafly Known ❑ Producsd ID
,� Type o�!p Notary Signatu
'�] Pm�t name
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TRU�A�DR 0�PUBLI RECORD li�T4i�S OFFICE � ��
t3t�F►LE fl � OFF C4ALS�P�l�4S� .� " t,�
W���Ss M�'NAND f� j , 2�-- � :. �, �
DAY flF� K&C4 '1P'tROL1.ER � t7
PAUtA S.O`�tEtL,CL 't�► . ''��. i�:�'- ..,,C
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