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Home My WebLink About18-19521 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19521 BUILDING PERMIT PERMIT-INFORMATION - - LOCATION INFORMATION Permit Number: 19521 Address: 39155 11 TH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0260-01600-1040 Improv. Cost: 5,049.00 OWNER INFORMATION Date Issued: 4/04/2018 Name: CROCIATA FRANCIS J &ANNA C Total Fees: 70.00 Address: 39155 11 TH AVE Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-4415 Date Paid: 4/04/2018 Phone: (813)469-5570 Work Desc: A/C CHANGE OUT 3 TON CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00 iL / �J Ins ctio R uired DUCTSI 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. CONTRACTOR 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-ate City of Zephyrhills Permit Application Fax-513.780-6021 Building Department 1 +�Data,Received Phone Corded for Permitting ! ) '7b'2 — o l ✓/ OWTIWS Name 6;19-7" . AM.Phone Number Owners Address owner Phone Number Fee Simple Titleholder Name i ^� Owner Phone Number 1 !� Fee Simple Titleholder Address /� JOB ADDRESS / /� ICJ/-4'J LOT# SUBDIVISION I PARGEI.IDi !G7 ;� a/Q L)! DD 1 (DETAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CDNSTR ADDIALT [_� SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE p SFR: [] COMM OTHER TYPE OF CONSTRUCTION p BLOCK p FRAME [_] STEEL. p DESCRIFnONOFWORK Rd.S, 4 id,bQLu e 09 3. TOn1 S /i' a7 62Z? e BUILDING SUE � � SO FOOTAGE�� HEIGHT pBUILD)NG 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL S +——� AMP SERVICE p PROGRESS ENERGY p W.R.E.C. =PLUMBING �($F—--� pM1ECHANICAL $ Ca��t p�(j VALUATION OF MECHANICAL INSTAt1ATION p� p, ROOFING p SPECIALTY p OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO BUILDER COMPANY SIGNATURE +� REGISTERED I YIN FEE CURREII Address Incense#F— ELECTRICIAN COMPANY I SIGNATURE REGISTERED I Y/N FEE CURREh DIN N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CURRER Y!N Address License# MECFUWICAL COMPANY Ie#P)e'S r0PRA1e fly C 'rr je SIGNATURE ,may .c �j REGismED Y/N FEE cURREr. .�YIN Address # l NJ/&A G�� j_fyf 3 5^Tl Ucense#�> +�/T✓`l TGl OTHERF COMPANY SIGNATURE REGISTERED YIN FEE CURREN Y I N Address License# 11111t111111-t1Pt11t1;1-1 /_t'1 / til1tt11111 / 111111111t1111111111111111111 RESIDID1TiAL Attach(2)Plot Plans;(2)sets of Bulldalg Plains;(1)Set of Energy Forms.R-O-W Permit for new construction, Minimum ten(10j ww1d;6'day.after submittal date_ Required onsite:Construction Plans,Stor mrrater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach(2)complete sets of Bolding Piers plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)worWg days after submittal date.;Required onsite,Construction Plans,Storrmrater Plans w/Sift Fence installed, Sanitary Facilities&1 dumpster Site Work Permit for all now projects.AA commercial requirements must meet COmPlianOS' SIGN PERMIT Attach(2)sets_of Engineered Plans. PROPERTY SURVEY required for all NEW construction. Difections:y Fill out application Completely. Owner&Contractor sign back of application,notarized Rover$25M,a Notice of Commencement is required. WC upgrades over$7500) Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from Owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Remofs H shingles Sewers Service Upgrades A/C - Fences(PloUSurvey/Footage) Driveways-Nat 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 restriction& UNLICENSED.CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If theowner has hired a contractor or contractors to undertake work,they may-be required to be licensed in accordance with state andlocal regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited fora 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 I nispection 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 maybe 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 WatedSewer Impact fees are due,they must be pald,pdor 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—Home'ownees 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 thei 'ow'fi;erg prior to commencement CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify-that all the information in this -application is,acc.urate and that all Work will be done in compliance with all applicable la s' i laws regulating construction,zoning and land development Application i 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,Welland Areas and Environmentally Sensitive Lands,WaterMastewater.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"V"unless expressly permitted. - If the fill material is to be used in Flood Zone W, 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 AGENT7011 THE OWNER,I promise in good faith to,inforin the owner of the permitting conditions set forth in this affidavit prior to commending 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.'s license to proceed.with. .the work and not as authority to violate,cancel,after,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 violeflont 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-LENDEROR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F. Q OWNER OR AGENT CONTRACTOR 7; Vs_%ted,?dswqq3 oraffirmed)befd methh; Su cribed affirmeVdbe ' ngs �nd swc It os by 19 .3—/ Who lslar�e pf..nally known to me or has/have produced Who istare ppfsonally knoW�to me or hasthave produced ------ as identification. as identification. Notary Public c6mml-iwa..o Com Ion No A 31-1—C-91MLL state of Florida NotarVI'Libik -__ 1, f - I *_ t Notary Public-State of Florida Name. ad Name of.Notary typed,pri Commission#GG 112939 myco plies Jul 19,2021 ;pV My Comm.Expires Jul 19,2021 OKr 60,dedthfouNationali'lotaAssn. Bonded through National NotaryAssn. � P1 . PROPANE GAS AND AIC �rvc. Service Order/Proposal • d S�►ce 1988 8'I3�782-5013 Invoice Sales, Service & Installations 867•080 AUG 4441.Allen Rd. • Zephyrhills, FL 33541 ` BY 00 .- TIME: TAB EN k�=+•;r 02/1 e 06.- P NOTES: VCJZ l� 0-J6 t (K�� C7A"I F ;' fJ.Tl�!L:_ F'iit:]Pl1:f.;:�ED S'x.�l. " PHONE- CO N AC-J _ I_-rjr!TRACT . =.l!l:'E:R1CIF? R 0 U'T I_/''_iE+,! AUG CRr(7IA)A FRANC 19 R C::ROCI.A-rra, FRANC:IS COLONIAL- HE]:E3,HT5 l.EPHY61"HII--I_.S 111.. _i., 1;Ac:. /_ice 'f !'rl-!II_!__ FI....3"-�I542 f%I.'r•A F,(--i:1. , 0 J. 9'i1��.•2 E:•c•c_ ADDl,_I5 FF2'-10N IIJ. ,R=P-UAR`71-../ hit7T:_I:�C)i7t.._1:1' G N 0 W ?.40 NDAY A M. _. .y, _e}a=i-<..3.'�:�tG(-i.�•irl'S'ia'2:.-": .4:.Yi. .t^-:L'.*t�„Y' __ ':4:. _ _ _ �G.�._ C< - �s- E,$GFtll? •(ON�) K'. C1_LT'P.,R_ .IiAOU R - �J . I I :_r,�e `�"•�'s�z�i,:�;';r;:}; ��^sue` �.�-..a�: :_;,. - - ;�..� -= - _ ,�:�=�:.< <,�`J y�^REe: .(rM/l :IVDAT�Of�S_•;�� ___ _ I I _ - "":-• .� '��._�-.1:..� 1`..tLe�'F�,Y Wit}._ -�.`... Y;{;"' - I I '4,,s r- t.5:in{'-'!✓;G�>�yfi��n y�`-'•i�,RiN"s;'.:SG:�t:,;- _ _�"r_i4•'-.`-t�'�^Y ___,.},,>.+�'-'-:::.�.�,:,'" I I `Ai�n.•, l;�±t�r�,�. �t�Il�eobmtnentledby,-A1C��iPr�ie?!f' �a - N :rs�;;=,` ` Pressures Lo• HI T Stat I I `REFRIGERAN N - 1 FILTERS x x Changed Monthly I I FILTERS x x L t1 Changed.Monthly I. 0_ ``,REGULAR ❑`WARRA'NTY -TO`€AL SUMMAt' s' _ ; �IVhen here p' "';When Away6Q'[Q:,T_-Stat Q°' -O'-"MAINTENANCE CONTRACT - r rrb.+. SERVICE LIMITED WARRANTY:.All materials,parts and equipment are warranted by the manufacturers" , F . CALLTR I or suppliers'written warranty only.All labor performed by the above riamed corrlpany is.warranted TOTAL I 30 days or as otherwise indicated in writing.The above nam co ed mpany makes no other warranties, 0 CASH ElCK# MATERIALS I express or implied,and its agents or technicians are not authorized to make any such warranties on behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE I have authority to order the work outlined above-which has been satisfactorily completed.I agree that Seller PROG. W I C retains title to equipment/materials furnished until final payment is made.If payment Is not made as,agreed,•CLAIM# seller can remove said equipment/materials at Sellers expense.Any Eamage resulting from said removal shall not be the rasponsi o S NET 30 DAYS.A 12%SERVICE CHARGE WILL-BE ADDED MONTHLY TO I ALL UNPAID CES K30 DAYS.NOR Nos DATE COMPLETED TECH: TAX CUSTOMER \ - DATE ✓'� ✓oa TO1 - Z +�