HomeMy WebLinkAbout18-20485 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20485
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20485 Address: 37752 NEUKOM AVE LOT 2
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0020
Improv. Cost: 5,575.00 OWNER INFORMATION
Date Issued: 11/20/2018 Name: PARKER, SUSAN
Total Fees: 70.00 Address: 37752 NEUKOM AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/20/2018 Phone: 813-783-3625
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
6 % A/C CHANGEOUT 70.00
DUCTS INSTALLED Ins ections Required
DUCTS INS y'[p
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.
f
&--
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-IBD-MO City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
PilupacgrqactforPMM 1(
Data Received
. . . . . . . . . .
Owners
Name .,� Owner Phone Number
Owneer.Add. NeUA-ZIA11 owner Phone Number
Fee Simple Titleholder Name F- Oviaw Phone Number
Fee Simple Titleholder Address
JOB ADDRESS UZZ-6a VR—UkZ)Z22 AA LOTf...........
SUBDIVISION PAMM MI 3+ 25 21 Pbql) O-M-10-6 10-Wl
(OBTAINED FRO.PROPERTY TAX NOTICE)
WORK PROPOSED NEW amm ADDIALT F---j SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE r--j SFR 0 COMM OTHER
Typs OF CONSTRUCTION M BLOCK FRAME STEEL
DESCRIPTION OF WORK 7-0A1
BUILDING SIZE SO FOOTAGE HEIC44T
. . . . . . . . . . . . . . . . . . .
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
=rLUMBING 1$
rMECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=C.',AS r7 ROOFING 71 SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE F REGISTERED I YIN FEE CURREK
Address F- License
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I YIN FEE CURRFj\ Ly�—N—
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I YfN FEE CURREN
Address License#
MECHANICAL 4� J�� COMPANY
SIGNATURE REGISTERED I YIN FEECURRa I YIN
Address fl�llv/ AWMA) License# &4eo T,?7
OTHER COMPANY = I I
SIGNATURE REGIsrERED Y/ N FEE cuRREK L_LLN J
Address ticense#F-
Illlltlllllllllllllllllllllllllllllllllllllllltllllllllllllitllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans.(1)set of Energy Forms-,R-O-W Permit for new construction,
Minimum ton(10)worldng days after submittal date. Required onsile,Construction Plans,Stormwater Plans w/Sift Fence Installed,
Sanitary Facilities&I dumpster Site Work Permit for subdivislonsilarge projects
COMMERCIAL Attach(2)complete setsof BuildIng Plans plus a Lift Safety Page:(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ton(10)wodft days after submittal date- Required onsite.C;onstructfon,Plans,StormwaterPlans wl Sift Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all now projects.Ail Commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . ..
Dfrocao.s.
Fill out application completely.
Owner&Contractor sign back of application,notartzed
Mover$200,a Notice,of Commencement Is required. LAIC 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 PERMITMNG (copy of contract required)
Raroofs if shi Sel�oars�,
ingles ServioebpgradesAIC " Fences(lloUSurvey/Footage)
Driveways-NOt inier Counter if on public madways-rieeds,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 CONTR kCTOR 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, b th the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contr ictor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the P isco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a ntractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this applica'on for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is i lot 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 Transpo tation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final po er 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 i uance 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 provid d with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Depa tment of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that 1 have obtair fed 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 car'fy that all the information in this application is accurate and that all work
Will be done in compliance with all applicable la s regulating construction,zoning and land development Application is
hereby made to obtain a permit to do work a d installation as Indicated. I certify that no work or installation has
commenced prior to issuance of a permit and tiat all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning re ulations, and land development regulations in the jurisdiction. I also
certify that 1 understand that the regulations of o her government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must ke to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment
- Southwest Florida Water ManagZks,
ment District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Navigable Waterways.
Department of Health & Rehabilitail a Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agenc-Asbestos abatement.
Federal Aviation Authority-Runways.)
understand that the following'restrictions apply tp the use of fill:
- Use of fill is not allowed in Flood Zonea"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 sub itted 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 u ed only to fill the area within the stem wall.
If fill material is to be used in an area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to versely 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 en lineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promis 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, f as, or other installations not specifically included in the application. A
permit issued shall be construed to be a license Ito 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,construc ion or violations of any codes. Every permit issued.shall become invalid
unless the work authorized by such permit is co menced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a perii d of six(6)months after the time the work is commenced. An extension
may be requested,in writing,from the Building I cial 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 YO JR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BE .ORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 03)
OWNER OR AGENT CONTRACTOR-
Subscribed a sw r affirmed efo me this - bscribed d sw affirmed be me this
by
Who is/�re personally n to me or hasrhave produced' Wh s/are personally�r pwa talkie or has/have produced
as identification. as identification.
a �
Notary Publ c Notary Public
mission No. mmission No.
MPBELL " p•,, SYLVIA A.CAMPBELL
qyi viA A.CAName N ' -P nt%ffr pd state of Florida Name of Notary typ d mp ary
• . .- • • •= Commission#GG 112939
Commission#GG 112939
• My Comm.Expires Jul 19,2021
�= My COMM.Expires Jul 19,2021 '-; • �o�;
8onded through National NolaryAsso.
. oFv�°.•`' BondedthroughNationalNotaryAssn.
P PROPAIk.'Gis
AMDAIG.=-c. Service Oider/Progosal
813-782-5O i 3 Invoice
Sales, Service & Installations WORK ORDER#/SERVICEMAN 92055 OCT
• DATE/TIME TAKEN 10/30/18 11 :53
4441 Allen Rd. • Zephyrhills, FL 33541 TAKEN BY KIM 00
ley, DATE/TIME PROMISED
NOTES: nisc— / [ 1 CUSTOMER#/LOCATION 19460
PHONE# 813-783-3E25 H
ROUTE/SEQ OCT33541
PARKER, SUSAN PARKER, SUSAN
37752 NEUKOM AVE 37752 NEUKOM AVE
GRAND HORIZONS
ZEPHYRHILLS FL 33541 ZEPHYRHILLS FL33541
ESTIMATE
DESCRIF710N:QF;WQRK �.;. _ .QTY.• MATE RI ALS;8�:SERVICES;r,.°;: ::.` UNIT:PRI.CE,=`'AMOUNT
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Annual'INainteialice`Recommended by`All?Eelit.Mariwfacturers
.: :.::::•. Pressures Lo HI T-Stat I vSj��51
REFRIGERANT,R- .113S.'•,,..: �'' .,_.._ $perabs,.j.
FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY TOTALSUMMARY. `--
„ .�•;.
Dehumidistat Settings ;When here"-- ".;'-When Away` ° ; T-Stat MAINTENANCE CONTRACT
w: SERVICE I
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' METHOD,OFrPAY.MENT...' r, = CALL I
or suppliers'written warranty only.All labor performed by the above named company is warranted for = TOTAL t 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK#_ 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 oufiined above which has been satisfactorily completed.I agree that Seller
PROG. W I C
retains title to equipment/materials furnished unfit final payment is made.If payment is not made as agreed, CLAIM#
seller can remove said equipmentfmaterials at Seder's expense.Any damage resutfing from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 1l2%SERVICE CHARGE WILL BE ADDED MONTHLY TO `` J�Np I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED �v' ZiCti 1 "'�r, a
TECH: TAX
/!,,,,,,,/ �,J/ I
CUSTOMER SIGNATURE PATE ✓1L�!//I?L ✓ou TOTAL 0�'