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Home My WebLink About17-18917 CITY OF ZEPHYRHILLS , ' S335-8TH STREET � (813)780-0020 18917 BUILDING PERMIT - - PERMIT INFORMATION -=- � LOCATION INFORMATION Permit Number: 18917 Address: 5244 3RD 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: 11-26-21-0010-12500-0150 Improv. Cost: 7,322.00 OWNER INFORMATION Date Issued: 10/17/2017 Name: RIVERA PEDRO JR & DAWN Total Fees: 115.00 Address: 5244 3RD ST Amount Paid: 115.00 ZEPHRHILLS FL 33542 Date Paid: 10/17/2017 Phone: 813-995-4985 Work Desc: A/C CHANGE OUT 3.5 TON W/ ELECTRIC CONTRACTOR S APPLICATION FEES ACS HOME SERVICES A/C CHANGEOUT 75.00� ACS HOME SERVICES ELECTRICAL FEE 40.00 ,� \�G ��- l l 2� � Ins ections Re uired D CTS INSTALLED DUCTSINSULATED FINAL ... 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 pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ' NO OCCUPANCY BEFORE C.O. i � ONTRAC 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 i /- 7 Date Received O - Q'� � phone Contact for Permitting /� �� -� CJ� Owner's Name �C.�-1 � �/ � Owner Phone Number `�� 7 O,� Owners Address o� 3�� S+�e�.-� �e ��/ry/ Owner Phone Number Fee Simple Titleholder Name � �-T Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � S�'1 �1 � h rh`��.5 �L LOT# / � SUBDIVISION PARCELID# �f ��I' DD O � ��DU `��Sv (OBTAINED FROM PROPERTY TA%NOTIC� WORK PROPOSED � NEW CONSiR e ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK ��5 -�n 3 A�1�' 7 J�e.2 r!Q(�1�• I-t-�(�� p�� I BUILDING SIZE SQ FOOTAGE � /3l� HEIGHT � I Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ �/�+p p AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �MECHANICAL $ ��i O,�.;� VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO -- • s • ivo � � eea � otoo • o � iva • evoo �.a • • �.a • a.o �o.a BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N , Address /'1 License# � ELECTRICIAN COMPANY �S {�'1 Q. �p � �P f ISIGNATURE REGISTERED I N FEECURRE� N � � ^�+ I Address � 1/ Sr Se�J�c�5�" License# C 17�.��1 �7 s � ' � PLUMBER COMPANY iSIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � Address License# MECHANICAL COMPANY CS r� ��G�`�`J ' SIGNATURE REGISTERED N FEE CURRE� /N Address /.� � . ��'�' c,3��//�/� S�' License# � � �(� 6 v� 0 I OTHER COMPANY SIGNATURE REGISTERED Y I N FEE CURREA Y/N ; Address License# i IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllltlll RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, I Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, � Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects i COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construdion. Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpsler.Site Work Permit for all new projecls.All cammercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW consWction. Directions:• Fill out application completely. Owner&ConVactor sign back of applicadon,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) " Agent(for the conUactor)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(PIoUSurveylFootage) Driveways-Not aver 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. 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. 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 responsibility to identify what actions I must take to be in compliance. 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 ATTORNEY BEFORE RECORDING Y UR OTICE OF COMMENCEMENT. � � FLORIDA JURAT(F.S. 7.03) i OWNER OR AGENT � CONTRACTOR ''' ' Sub cribed and sw or before me this Subscrib d and wom or affirme�d �fore me this I' /b I by - C�O.-� �� I y ��SS�-�1/�Gl�I�.�. Who is/are personally kno n to me or has/have produced W o i are personally known to me or has/have produced i �� ' as identification. �� as identification. i � ' � � � � C/��CiN�[st�Jotary Public � Notary Public C mission No. 1 � (�� o �SS;o�No. �"a3 y3 �.� ' i I Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped I .�""""� JENNIFER F.MACCHIELLO i°,vP`;`��; Notary Publlc-State of Florida ,=ot�P"`'°�s��,, �ENNIFER F.MACCHIELLO . . ?.«`�#�'s_ Notary Public-State of Florida :•« .•= Commission#FF 234363 Commission#FF 234363 '.;�, po;� My Comm.Explres May 26,.2019 '�� t°�` Y m.Expires May 26,2p1g �'�0�n��`�� hFOFF��P� M Cam Bonded through Natlanal Nota�y Assn. '��"� Bonded through National Notary Assn. �� ' � � � � F-�OINSE �EF�VICES �� To Whom It May Concern: Please be advised that I,Jesse Jackson of ACS Home Services, Inc. #CAC1818754 do authorize ' the following person to purchase/pick up permits and sign on my behalf. Please update your records with the name provided below: � • Vanessa Smith I s�ear t he above statement is true and correct to the best of my knowledge. ;. � � -� 7� / � ff�a' S gnature Date ; J sse Jackson Affiant Name worn to and subsc ibed before me this�day of �� :��;e,� � l N tary Pu li .1i��u�a� ,�� vP •. JENNIFER F.MACCHIELLO :'?°• «��; Notary Public-State of Florida Personally Known: � ;'�•_ Commission#FF 234363 � '%�+ �� M Comm.Ex � ID Taken: .,,��o��„�,,• Y pires May 26,2ois , Bonded through National Notary Assn. ; ACS Home Services 0 CAC 1818754 1712 E Seward Street Tampa,FL 33604 0 813-618-5631 0 Office 855-773-7693 �