HomeMy WebLinkAbout18-20477 CITY OF ZEPHYRHILLS
5335-8TH STREET /
(813)780-0020 2047
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20477 Address: 39508 9TH 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: 12-26-21-0300-00000-0270
Improv. Cost: 5,539.00 OWNER INFORMATION
Date Issued: 11/16/2018 Name: BAILEY GREGG F &LIZZY SHIRLEY
Total Fees: 70.00 Address: 39508 9TH AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-4721
Date Paid: 11/16/2018 Phone: (813)779-0178
Work Desc: A/C CHANGE OUT 3 TON PK UNIT
CONTRACTORS APPLICATION FEES
AND SERVICES A/C CHANGEOUT 70.00
Gc,
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSLIn D i
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 properly 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.
4Nt4RA6CTOR-61GNATURE PERMIT OFFICgR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78D-OM City of Zephyrhilis Permit Application Fax-8113-780W
Building Department
C6b RwAI;"d Phone Contact for PermhUno qo,?. - 9111k;t
. . . 11,1155 . . SIN51940I . .
Own es Name r P, Owner ishorroNumber M' - 3 7 75-
owners Addros&18ci'�Slcl 2 Q AVA Owner Phone Numbs,
Fee Simple Tfflaholdo Name Owner Phone Number
Fee Simple T11111aholdelAddress
JOB ADDRESS %41- ?Fve- LOT#
SUBDIVISION PARCELID*F__
(OBTAINED FROM PROPERTYTAX NOME)
WORK PROPOSED NEW CONSTR MI-C ADD)ALT SIGN DEMOLISH
INSTALL F-1 REPAIR
PROPOSED USE ❑ SFR ❑ COMM OTHER I
TYPE OF CONSTRU ON ❑ BLOCK ❑ FRAME STEEL 0
DESCRIPTION OF HWRK A C d4 iitk>7 e a,,+ 3 7_Z k) ) (St'e4f_ S Ic PX_q-, u Li .,r
BUILDING SIZE 80 FOOTAGE HEIGHT
. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
MBUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRI AMP SERVICE PROGRESS ENERGY W.R.E.C.
a C $
=PLUMBING 1$
MECHANIC 1$'55 Z9 ff VALUATION OF MECHANICAL INSTALLATION
=GAS ❑ ROOFING ❑ SPECIALTY = OTHER
FINISHED FLOOR EIATIONS I FLOOD ZONE AREA =YES NO
a., W
BUILDER COMPANY
SIGNATURE REGISTERED I YIN FEE CURREIN LILN J
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I YIN FEE WARS LyjN J
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREIN
Address U.0
MECHANICAL COMPANY
SIGNATURE REGISTERED I YIN FEE CURREK I Y/N
Address tC) 0 CC) f, 4e— _J License#1 w?R71
OTHER COMPANY f_ I
SIGNATURE REGISTERED I Y/N FEE CURREK LtLN J
Address Licensa#
117111-9 1_111 1-11 F FTI']--I*Tll Fill 11 11-y'll I-Ti
Riiswzilsimi. q�ivoh(2)Plotplai (2)sift of Building Plans;(1)set of Energy Forms;R-O-W Permit for now construction,
InImum
Itiary Facilities A I dumpoter;Site Work permit for subdW10mullarge pmlects
COMMERCIAL (3)complete sets of Building Plana plus a Life go"Page,(1)sat of Energy Forms.R-O-W Permit for new construction.
InImuen ton(10)wonting days after submittal dote. Required onsilte.Construction Plans,Stormwater Plamw/SUI Fence Installed,
itafy Facilities 81 durnpstsr.Ski Work Permit for oil new projects.All commercial"irements must meet compliance
SIGN PERMIT (2)sets of Engineered Plans.
ROPERTY SURVEY required for all NEW construction.
.. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E pllcad�n complarloly,.
ctor sign back of application,notarized
c:�61110, NotlesofCommencomordisrequired. (NC upgrades aver$7500)
Agent(forthe tractor)or Power of Afforney(for the owner)would be someone with notarized letterfrom owner authorizing same
OVER THE CO R PERMITTING (Front of Application Only)
q. Service Upgrades A/C Fences(Plot/Sunray/Footage)
Rerooft N shingles Sewers
Driveways o over Counter If an 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 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 govemment 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%r 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 OBTAJN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YQUR NOTICIE OF COMMENCEMENT.
- F10RIDA'JUR�4T(F:S:117.03)-----------------•----'•- -- -- ------ -
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and m to(or affirmed)be rn this
by by rr_NV04e-K
Who is/are personalty known to me or hasmave produced Who is/are personally known to me or hasihave produced
as Identification. as identification.
Notary Public N
2 otary Public
�^
Commission No. Commission No. � OQ-i�0 g 3
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
nRas�' o^ Notary Public State of Florida C
Mary V Stewart
� ! My Commission GG 002083
ko Ft� Expires 07/16,12020
1, 'PROPOSAL _ ,, 0-el:941312-
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,Air cdnamonlne Pmmmng ElocWeai 'conta-inandseMces.com
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Customer name:• Date:
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Street address of job location: I"' •L '-•City: /�/ ,, FL Ip:
Primary phone: '7-Iq 0118 other phone: Email:
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✓ Obtaining permits(where required)
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TOTAL • •
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YOUR •
-Total Investment $ / (-) Rebates$ (-) Service Repair Refund$
Net Total Investment After All Discounts Including Power Company&Manufacturer rebates$ ��`(, v V
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This High Efficiency Home Comfort System is available with 100%bank financing with no money down for$ per month
twnn approvM aea;q.
AS Representative n �4 Date of proposal /a I Z Af
Customer 89rees to provide free aaesa N Sire work Brea eM a Bale workirq emirenmerd.Tire eEove prires,6pedfieations,terms.and coBoru ere setislaGory ant hereby agreed to in full.
19rva aNlndmaon to other eforememion 1 work You are euthorimd ro do eas work ea epedfied Paymera vM ba made as—road.I underalaM out you ere-1 respmalble for everts or delays
bey,M your mmml.Owner sgreoa to mrry adequate fire,stone,ant other receassry Isuance.All of ow warkelaMark is mvered by Wo WmWs Compe—flon ant a Two 101d5m Gerreml UabSty
Ireurerroe.If-collection Is neassery,buy(pm o pay all action c M interest
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Customer Aal/ , fa/ Date:�l%
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