HomeMy WebLinkAbout18-19499 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19499,/
BUILDING PERMIT
PERMIT INFORMATION ' LOCATION INFORMATION
Permit Number: 19499 Address: 39050 6TH AVE
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: 12-26-21-0030-00100-0300
Improv. Cost: 5,775.00 OWNER INFORMATION
Date Issued: 3/29/2018 Name: TRUAX,, SUSAN
Total Fees: 70.00 Address: 39050 6TH AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/29/2018 Phone: (813)695-6112
Work Desc: A/C CHANGE OUT 2 TON & COVERING DUCT WORK
CONTRACTOR(S) APPLICATION FEES
AIR 4 U AIR CONDITION AND HEATIN A/C CHANGEOUT 70.00
DUCTS INSTALLED Ins pectio s Required
DUCTS INSU TFQ.FINAL 5. T lu-
REINSPECTION FEES: (c)With respect to Reinspectlon 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 OFFIVR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
01a-1uu-uuzu uty oT Gepnyrnins Permit Application rax o ia-rou-uuc 1
Building Department -
Date Received ;.Phone Contact for Permitting'
uSA `i
Owner's Name /v A Owner Phone Number
Owner's Address 3, Owner Phone Number
Fee SimplerTitleholder Name - Owner Phone Number'
Fee SimplelTitlehoider Address
hl
JOB ADDRESS j C� v LOT#
SUBDIVISION PARCEL ID#.
i
(OBTAINED FROM PROPERTY,TAX NOTICE) .
WORK PROPOSED B NEW CONSTR'B ADD/ALT . 0 SIGN 0 0 DEMOLISH
INSTALL :REPAIR
PROPOSED;USE = SFR 0 COMM = OTHER
TYPE`OF CONSTRUCTION = BLOCK • 0. 'FRAME = STEEL Q.
DESCRIPTION'Of WORK �/C if tvlo GG17 2 lGJ'V
i
BUIL DIN G:SIZE SQ FOOTAGE HEIGHT •.
=B,'UILDING $ VALUATION'OF TOTAL CONSTRUCTION
d
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
I
=PLUMBING $
i w
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS 0, ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i
BUILDER COMPANY
SIGNATURE REGISTERED Y-/ N FEE CURREN
Address License;# I
I -
•_.'.ELECTRICI,AN COMPANY
SIGNATURIE REGISTERED Y/ N FEE>CURREA
Address - License# ;
-PLUMBER' 'COMPANY_: .
-SIGNATURE ` REGISTERED . Y./'N FEE CURREN
Address. license#; ;..:
--:MECHANICAI: COMPANY_ �7/I� �/ C!�fi2 eldp)))rlewpyG 1�/rm-mvd,[Jv
SIGNATURE" REGISTERED Y/ N FEE,CURREM
Address+r> ;�y Sa.'13/I/1Gf 6 064JAr 9ZVP#gees L`icense.#
OTHER;.`:' ....,,: COMPANY
°SIGNATUEtEu.`;'>i REGISTERED Y/:N FEE CURREN Y/N
Address ; s: - ,: g} L License'#
•.,G, �. -:ram.' •�.� �. - 'i 4- ''i£ini
�-! PRESIDENTIAL Attach: 2`=Plot`PIans t'2?sets of Buildiri 'rF?lans; 1' set of Ener -Fomis;R=;0-1N Permit fornew.constivction,
(2), O 9 � ) 9Y, .
•„Minimum�ten 10,;woikiri"`'ila" aftet;'sutiri littaldate::Re'uiied onsite'Construction'Plans,: Grmwator Plans w/Silt Fence installed;
Sanitary Facilitiesr&r1;.dumpst�r;:SitejWorkiPermit:for>�sUbdivisi6n6/large projects'
_'°a>;COMMERCIAL Attaati(2)corriplete°s'ets of`[3uild'ing Plans"plus a Life Pa,age;(1)set of Energy Forms.R-O-W Permit for new construction.
w Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto mwater Plans-w/Silt Fence.installed,_
epr Sanitary Facilities&1 dumpster...Site Work Permit for•all,new projects.All commercial requirements must meet compliance
"SI:GN.PERAAIT 'Attach"=(�)sets;of�EngineeredtPlans t.:, .. _
****PROPERTY SURVEY required for.all.NEW construction:.
Fi11', ut application completely.`LL
O.wne�&.Contractor sign:back of application,notarized
`If over$2500;.a Notice.of;Commencement Is required. (A/C upgrades over$7500)
i9 eat for the confraoto� or Rower.of Attome 'f6 'th owner would-1 a someone with notarized letter from owner authorizing same
-9 ( ) Y( ) 9
i`=iiOV.ER':THE 000NTE_RwPERMITIING: ._. eopy.of.contract:required)
RerQofs`if.shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
;Driveways-Not^over Counter if on public'roadways':rieeds`ROVN
NOTICE'OF DEED:RESTRICTIONS: The undersigned,understands that thi permit ma to;",deedh.restriction's"<zlii
which may.be:`rr ore::restricflve°tiio i County.:reguiat€ores: Ttie.undersigne�d assuri es°respons�b€tity fior compliance witFf
applic"abledeed restrictions:
UNLICENSED:GONTRAC1 ORS''AtYD CONTRACTOR RESPONSIBILITIES`if`fhe^-owner°;lion lilted a rttractor ;or
contractors to undertake work;they:r ay;be:requred-.10 be{licensed:in decordance;with;.state:and'aocai,;regalatians,::=lfathe <.
contractor is riof licensed-as':regifrred'"!by-law; both:the owner-and"coritractor'may be°cited=#or a mis,emeanorvlolatron-_.
under state law. If the owner.or intended:contractor,are uncertain as.to what.licensing requirementsapply.xfor ft a
:._
intended work .they.are advised-to contact the Pasco_Count y'i3uiltlingarispectioii°D€v€s€on�--Licensing;Seetionat 727-847 F
a.
8009: Furthermore; 'if fhe owner-has '-a�contractor or contractors, he is advised to;,have the:.contractor(s,}:;sign,:.,.;;.:
portions of the. "contractor-Block":of this application for which,theywiil.be.responsible. if,.you;-.ag"'tJ s=:tl e`'1`=
contractor, that maybe an indication that he is not praperly'licensed antl is not eri#ltlel to permitting privilegePasc s_nw ,
County. -"' ',: .
TRANSPORTATION'IMPACT/.UTILITIES IMPACT AND RESOURCE RECOVERY-FEES:"The undersigned understands .:,
that Transportation Impact Fees and.Recourse Recovery Fees`may:appty tothe.constructton,of.new;buildings,:cFiange of
use in existing buildings,:or�expansion '"<exi tI' buildings, as specified in Pasco County Ordinance number-89"07:and:
90-07, as amended. The-undersigned;also understands, that such;:fees, as;maylse.due;wilFbe;.identified°'atstl eztime�of`=,_'i"`, 0
permitting. it is further-understood that Transportation'lmpact-Fees'and Resource=Recovery.Fees•must be paid pi 6r-16'
receiving a:. certificate:of occupancy or final power release. -If the.projeet.does not 'rnvoive a celtiflcate of occupancy
final-power release;ahe fees•rriust be;paI prior to.permit'issuance... ate
Furthermore,-if-Pasco.County Wr)S.ewer+lmpaet .
fees are due;:they_must;be-paid,prior to permit'issuance-inaccordance witKapplicabie.Pasco'County ordinances.
CONSTRUCTlbN LIEN-CAW(Chapter 7l3,Florida-Statutes,as amended): if valuation of work is$2,50;O:OC.or..:rnore;<:a�>;-'
certify. that 'I, the-applicant, -have been.,.provided with 'a .copy of.,the "Florida Construction'Lien :Law—.Homeowner's '
Protection Guide" prepared-by the Fbrlda Department of Agriculture and Consumer.Affairs. If the applicant`is;someone.:: .
other than the"owner", i certify that L.have'obtainetl a copy of the.abov6-descri6ed`document and:promts61n,good°:faith-;to:....,:
deliver'it;to'the:_owner'priorao-corr€mencement:
CONTRACTOR'S%OWNER'S AFFIDAVIT:: certify:that'ali:the informmation in this application is accurate and'that aliwork
will be done in compliance with all applioable'laws regulating construction, zoning-and land-deveiopment. Application-is
hereby made to.obtain,a, permit:..to=;do:,,WOrk-and- installation -as"indicated, 1 certify that no `work or-anstaliationl"has
commenced prior to Issuance of'a permit andthat 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. l also f:;
F.
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is y;
my responsibility to identify what actions I must,take to be in compliance.'Such agencies includebut are npt]imited;tW
Department of Envirorirnehtal`Protection-Cypress Bayheads, 'Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management District Wells,- Cypress- .Ba heads, Wetland Areas, Altering
`?}9 Y Y 9 A;
Watercourses.
Army Corps of Engineers=Seawalls, Docks', Navigable Waterways.
Department of,Health,4..Rehabilitative. ServiceslEnvironmental,:Health ,Unit Wells, Wastewater:Treatment,
Septic=Tanks.. ..
US Environmental Protection Agency-Asbestos.abatement.
Federal:Aviation:Authority-Runinrays..
1 understand thatthe:foHowing restrictions apply to the use of fill:
Use of fill Is not;allowed 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.theState•of Florida.
if the fill-material is.to be used'in Flood Zone "A" in connection with a permitted building using stem wall
construction', 1..certifythat fill Will be used only to fill the area within the-stem wall. ...
if fiA 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 dU'the.':bdilding;peemit:issued antler the ached permit 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 'a,promise in.good faith to Inform the owner of-the permitting conditions set forth in
this affidavit prior,to'co mmenchq'coiistructton. .1understand that a.,separate permit may be required for electrical.work,.
plumbing, signs, welts,:pools,_.atr,-conditionin , gas, or oft er'irtstallations not specifically included in the application. A.,. =
permit issued shall`be?construed to'ae ail cense'_to.proceed iniith the•work,and not as authority-t6-Vi61atb,.cancel,-alter f 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.ierrors-in�ptans; construction or,violations- of any''codes. --Every permit Issued shall-become invalid f;i
unless the work authorized by such permit is commenced within,.six'months of permit issuance, or if work authorized 1by-
the permit is'suspended::oc abandoned'fora: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 demonstr to
justifiable cause for.the extensian..•If work,ceases for ninety(90)consecutive days,the job is considered abandoned. ,
WARNING TQ OWNER:_ YOUR:FAILURE--TO.,RECORD.A NOTiCE.OF C.QMIViENCEMENT MAY'RESULT IN YOUR
:...
PAYING,TWICE'FOR;iNIpRC1UEMENTS TO.YOUR:PRQPERTY.,.IF.YQU INTEND,=TO°OBTAIN`FINANCING;;CONSULT
WITH YOURIENDER OR AN A'[TORNEY B'EFORE'•`RECORDING YOUR-'NOTICE�OF,'COMMENCEMENT:
FLORIDA JURAT(F.S.91.7.03)- _ 't
OWNER OR AGENT — -- - CONTRACTOR f — --
Subscribed and sworn to(or affirmed).before me this Subscribed qd swom o(or affirmed)b�.me this
by �-f 15 by: 1/ l//"J✓ L� /4werz,-
Who Is/are personally known to me or haslhave produced Who r�.personalty known to me or has/have produced-
as identification. i 1r t�cc t~s.� as identification.
Notary' Public Notary Public
Commission No. Comm€ssi n
JACgUELINE BOG
Name of Notary typed,printed or stamped Name of Notary
w ffoyoffiNg
fi fb0422
ecember 12 2018- TAru Troy Fain Insuranta�a365dtt29
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5450 Bruce B. Downs Blvd, #205
Wesley Chapel, FL 33543
CAC 1815273
�13� 573��925
03/29/2018
Air 4 U Air Conditioning and Heating Inc. Authorizes
the following individuals to sign for or pick up permits
on its behalf.
Steven Tu u re
Jim Daley
Sam Daley
Thank you,
Hussnain Zaidi
Notary Public
State of Florida
Steven Tu u re President My Commission Expires 07/16/2021
Com ission No. GC.3 124766