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HomeMy WebLinkAbout18-19400 CITY OF ZEPHYRHILLS • 5335-8TH STREET (813)780-0020 19400 BUILDING PERMIT PERMIT INFORMATION - LOCATION INFORMATION Permit Number: 19400 Address: 37232 NEUKOM AVE LOT 210 Permit Type: MECHANICAL - ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0170-00000-2100 Improv. Cost: 3,961.00 OWNER INFORMATION Date Issued: 3/05/2018 Name: SZARWAK LIVING TRUST SZARWAK TH Total Fees: 60.00 Address: 37232 NEUKOM AVE Amount Paid: 60.00 ZEPHYRHILLS FL 33541-7707 Date Paid: 3/05/2018 Phone: 860-690-1857 Work Desc: A/C CHANGEOUT 3 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00 r DUCTS INSTALLED Ins ections Required DUCTSINSUL4TED , 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. CONTRACTOR SIGNATURE PERMIT OFFIg9R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-7801-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Corttaot for pennM%g . . . 11711M ownees Name LiN< v1194 Owner Phone Number Mrs- Owners Address 1 372*9,2 A1&,U1<4)rn_1118-1 Owner Phone Number Fee Simple Titleholder Name F_ Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3702 3 Neakbm j�4 GPI' , "�/Z LOT# r, SUBDIVISION PARCEL ID# R6' PA0,04) 714d F// (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSM ADDIALT SIGN DEMOLISH R INSTALL REPAIR PROPOSED USE = SFR Q COMM 'OTHER TYPE OF commucmON BLOCK 0 FRAME = STEEL DESCRIPTION OF WORK -P a-1 _q no,i eg,q 0,w vel v BUILDING SIZE SQ FOOTAGEF4'r� HEIGHT EBUILDING. . . . . 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING 1$ —1 =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS M ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS 1 7 FLOOD ZONE AREA =YES NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BUILDER COMPANY SIGNATURE REGISTERED I YIN FEE CURREI, LILN J Address I license#F_ , LECTRICIAN COMPANY = SIGNATURE REGISTERED I Y/ N FEE CURRM Address License#F_ PLUMBER COMPANY SIGNATURE REGISTERED I Y/ NI FEE CURREN Address F_ License 9 F MECHANICAL COMPANY g5N SIGNATURE REGISTERED Y/ N FEE CURREI, i�� Address —9//.Z.,5 License#Ft'-,q& OTHER COMPANY SIGNATURE REGISTERED YJ N FEE CURREK I Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllltltlltllt 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/Slit Fence installed, Sanitary Facilities&I dumpster,Site Work Permit for subdmsionsfiarge 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 construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&I dumpster.Site Work Permit for all new projects_All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. PROPERTY SURVEY required for all NEW construction. 4 • DI= Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required, (A/C upgrades over$7500) Agent'(for the contractor)or Power of Attorney(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(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs 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 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 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 certify that 1, 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. 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-Seawalls,Docks,Navigable Waterways. Department of Health & 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"W 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.Af.03) - /�...�J._n OWNER OR AGENT i i CONTRACTOR f/L bsc,be ndsavor to( r affirmed before me this S bscribe4.and srk n�(or affirmed)bef re me this WhryoduceWhore ersonally kno n to me or has/have produced ho is/are pe sonally know o me or has/have produced as iuen ficaGor. as identification. c V Notary Public Notary Public mmission No. Com fission No. m ef�ItR�fj{NIA(css@$f Florida Name of Nota edtopq p{�d or stamp€d'LVIA A.CAMPBELL �" Notary Public-State of Florida * ° •= Commission N GG 112939 ' y * •; ' • Commission N GG 112939 =• ° My Comm.Expires Jul 19,2021 =;N �Y My Comm,Expires Jul 19,2021 BandedthraughNationalNot—Assn. :,,� Uk, of FL„••' Bonded through Nallondl NolafyAssn. PROPANE GAS Service Order/Proposal AND A/C INC. • cfl�rx 1988 813-7782-50i3 wnv V -Invoice F)PR T il Sales, Service & Installations J.111 F A I'*E h 3- 1 jl� 4441 Allen Rd. - Zephyrhill T`FL 33541 R i�H 05 3I1 09. 0 NOTES:" 9 91 I-D S.. V 54c S TON UIRWAK, P)R W Pi I 7;­ _3 _;* '—'7'1:- 3 N_ 2 ELW�31`1 AYE 3 z F PIJ., FZ 1�T J_1 M'11ANIA 'D G C L4 ()I'W HEAT 0 5 0 CEP 91 19�_5_ E�3 tln TE TO R E.P I ACI',..--' UNY-F '021 1­ 11 V\ E :- X, ,DES RIPTIOROF-WdkK TY MATERIALS&SERVICES UN PR IC --AMOUNT, ` .......... ct A r j \Ie(, (A t V. -RECOMMENDATIONS ual MziI1A6a-nce'R­e'w_ m."t'ni"e�7 ri'ded by All Equipment Mjnuf�rtaqcill Pressures' Lo HI T-Stat REFRIGERANT ERANT R­-- LBS. $per lbs. FILTERS x x Changed Monthly FILTERS x X Changed Monthly REGULAR C3 WARRANTY TOTAL SUMMARY Ll MAINTENANCE CONTRACT 7p:_�When here"OW,;When Away 9M,T-Stat 80-1 SERVICE LIMITED WARRANTY. All materials,parts and equipment are warranted by the manufacturers' METHOD OF PAYMENT CALL of suppliers'written warranty only.All labor performed by the above named company is warranted for TOTAL 30 days or as otherwise indicated in writing.The above named company makes no other warranties, CICASH Q CK# MATERIALS e)(press or implied,and its agents or technicians are not authorized to make any such warranties on behalf of above named company. Ll DEBIT C1 CREDIT U OTHER MAINTENANCE I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller PROG. W I C .ains title to equ,pmenVmatedals furnished until final payment Is made.If payment Is not made as agreed, CLAIM# seller can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall hot be the ral responsibility of Seller.NET 30 DAYS.A t 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO V.)0 lity ALL UNPAID BALANCES OVER 30 DAYS.MCIREFUNDS DATE COMPLETED TECH: TAX 6 7 Aanlc TOTAL CtTOMERSIGNATU ATE F