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HomeMy WebLinkAbout18-19500 i o k5 - lau - 001,t 813-780-0020 City of Zephyrhills PelTnit Application Fax-8137804)021 Building Department ' Date Received ��-- p Phone Corrtact for PsrmHtln i p 2 r Ownsrs Name ZC"(L0 W oacs Owner Phone Number 6 '3 3 7F Ownsds AddressrNone �yt LJ t'R- C Owner Phone Number Fee Simple Titleh Owner Phone Number Fee Simple Tlfioh JOB ADDRESS C- Ja3 �� t' R 1 LOT# SUBDMSION We o,O� PARCEL ID# �®-UP-2(- O(2©-CCVZ D— 01 O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSfR 8 ADD/ALT 0 SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USELPX = SFR = COMM = OTHER TYPE OF'CONSTRQ^^ BLSOCKK Q FRAME = STEEL = DESCRIPTION OFfTP 1 ;O� 3 �J N Sw 'L- L—�P BUILDING SIZE SO FOOTAGE HEIGHT =BUILDING S VALUATION OF TOTAL CONSTRUCTION =ELECTRICftL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ ®MECHANIC $ G VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR EL ATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/N FEE CURREn Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEE CURRH LILN Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN LILN Address �(License "�# MECHANICAL COMPANY /Tt�D ale RA/l Ce S SIGNATURE REGISTERED I Y/N FEE CURREI, Address C)to 0 Coe*Z­ 4re License# ' C_18 (("R l OTHER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREn I Y/N Address License# 1 1'1 1-1 1 1 i f' 1 17T f l I'1"1 17 1T77'TTT7 i7 VIA i i l 7 17 f 1"17"1"7 TTI-1"I 1-1 1 I7 1`i7TTl i RESIDENTIAL A ach(2)Plot Plans;(2)sets of Building Plana;(1)set of Energy Forms;R-O-W Permit for new construction, — —_---- '— -IV Inlmum-ten-(10)woridng days*eftersubmittel date-Required onske,-Constructon Plans,-Stormwater Plans W SIft-Fence Installed,------- itery Facilities&1 dump3ter,Site Work Permit for subdlvislons/large projects COMMERCIAL (3)complete seta of Building Plana plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new consructon. in lmum ten(10)vwddng days after submittal date. Required onsite,Construction Plans,Stornwater Plana w/Sift Fence installed, its Facilities ti 1 dumpster.Site Wait Pertnitfor all new projects.All commercial requirements must meat complianceSIGN PERMR oh(2)sets of Engineered Plans. PROPERTY SURVEY required for all NEW construction. Directions: Fill out applica completely. Owner&Con ctor sign back of application,notarized Hover$2500, Notice of Commencement Is required. (A/C upgrades over 57500) Agent(for the tractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COU R PERMITTING (Front of Application Only) Remofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-No over Counter if on public roadways-needs ROW i 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 IMPACTIUTILITIES 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 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"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 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 �'O�•O°0 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICIE OF COMMENCEMENT. m M —X-"` -0.— --- - - - ----FLORIDA JURAT --(F:S.-117:03) ------- -------- --- ----- m — n� d' OWNER OR AGENT CONTRACTOR m < Subscribed and swam to(or affirmed)before me this Subscribed and m to(or affirmed be me this .Cn by by YYl A rPTK a cN°,cu Who Is/are personally known to me or has/have produced Who Is/are personalty known to me or has/have produced N 0 y to as Identification. as identification. N a ) m G C. T Notary Public Notary Public m °I Commission No. Commission No. GG��Z 3 w Vy-\x!� \( Name of Notary typed,printed or stamped Name of Notary fted,printed or stamped � I I Tel:813-445-4818 6458 Te1:727-495-7474 PROPOSAL Te l:352458-4181 n Tel:863-226-5588 www.andservices.com arcenelnenlde Pwmmne slefvlfaf �,� conta m efoandserviees.eo 1 Installation Date:�/ /�� GC 181fia146O1R .EGIJ00891 Customer name: Date:99 l6 _O Street address of job location:., (a tW ,,r City:1 FL Zip:3 A Primary phone: I .,qo�1 Other phone: Email: L - 2S Factory-matched Heat Pump System ❑Factory-matched Air Conditioning System ❑Factory-matched Gas Furnace System ❑" Optimum#"__ " ElPremium# 24 eluxe# ❑ Ecoriomy ;V Upto20SEER Up to 16 SEER 'V Upto 14 SEER 13 SEER IV 10 Year,All Part. 10 Year All Part. 10 Year All Part 10 Year All Part Warranty V,Compressor Life Time warranty ✓ 10 Year Compressor Warranty 10 Year Compressor Warranty IV 5 Year Compressor warranty • •• •• • ❑Rolobrush duct cleaning_Supply& Returns l Whole'Hous'e;Bi6logic3 Uy Sterilization System Stg. ❑ Wfil House Biologic3 Electronic Filtrations System INSIDE •UR HOME OUTSIDE YOUR • Ef Replacement Add-on Air Conditioning/ at/Both eplacemlent " Add-on Air Conditioning/Heat/Both' ��it Handler/Fumace ❑ Vertical �r zontal �/{-feat Pump ❑Air Conditioner ❑ Package Unit I� New-DigitalShennostat Non-Program. ❑ Program. L� ns SEER BTUH ❑ .New Digttal'Programmable,Therm. with'Humidity Control ;/Model ❑ Relocate from to L4'Hurricane Pad ❑Plastic Pad ❑ ❑ Relocate from to ❑ New ANU Stand:❑ Metal❑ Custom ❑ New safety disconnect switch ❑ Filtration: ❑"Perrrisrient Washable Filter❑ Grille_ ❑ New 100%copper,dehydrated refrigerant piping ❑ New safety disconnect switch ❑ Surge Protection ❑ dully insulated suction piping El New wire from breaker panel to equipment New water fight electrical whip ❑'VenUFlue': ,❑ Comp-fete new. ❑Use existing ❑ DUCT SYS TEM INCLUDED IN EVERY INSTALLATION - ❑'Engineered duct system for' ' - tons vents ✓ All labor ' ❑ Economy ❑ Anti-Microbial $ ✓ Obtaining permits(where required) ❑ NON-FIBERGLASS-100%Rust Resistant Galvanized Sheet ✓ New A/C circuit protection Brand= Metal Duct Syitem.Energy Saving Insulation Included. Existing size is: / Change to: /` ❑ Rooms requiring additional airflow: ✓ Heating and Cooling routine maintenance for years ❑ New supply vent to: ✓ Check entire system for safety and efficiency ❑ New return vent to: ✓ Shoe covers,mats and drop cloths to be used as necessary ❑ ✓ Remove existing equipment from premises Mastic and seal all leaking joints ✓ Clean up ❑ Duct Sanitizing TOTAL • • • 24-Hour Fix It or Hotel Guarantee:Unlike most companies,we are a service company.We have a staff of qualified service technicians that are there to serve you in the unlikely event your system has a problem.So our guarantee to you is that when we arrive,we guarantee that we will have your system up and running within 24 hours of our arrival or we will put you up in the local Embassy Suites for the night. • Best Value Guarantee:Anyone can make something cheaper by cutting comers and pricing it for less.So,it's Important to know what is and is not Included in any heating and cooling system you choose for your home.Our Best Value Guarantee is our promise to you that you cannot find a comparable installation for less...or we'll pay you a$50.00 bonus over the difference.All we ask is that it be a'published apples-to-apples" comparison,within 14 days of purchase,and have the same written installation specifications as AS. • Installation Workmanship Guarantee: Our installation technicians are the best in skill,attitude and workmanship.They'll care for your home and complete the job with speed and precision.They wear floor savers,clean up when they are finished and take personal responsibility for -„your satisfaction.They will not smoke or swear in your home and they are polite and courteous.If,when they have finished in your home,they have not performed in accordance with these high standards,we'll refund whatever amount of the purchase price you feel to be fair.All we ask is that our office be notified of any level of dissatisfaction before the technicians leave the home so that any Issues can be addressed accordingly. • -Exclusive"No Lemons"Guarantee:If the Compressor(the heart of your system)in your Air Conditioner fails during the first five years of ownership we will remove the entire outside unit,rather than the component,and install a completely new one,if you've ever bought a'lemon' before,you truly appreciate our commitment to your long-term satisfaction. • No Mold Guarantee:We are so confident in the Blologic3 UV Sterilization&Electronic filtration systems ability lo,keep your system clean that we guarantee with proper annual maintenance your system will be mold free for life or we will perform any necessary cleaning to the air handler to remedy,the problem at our-expense..,, - - -- I YOUR • , Total Investment $ `�41L 0, Rebates$ (-) Service Repair Refund$ 6 Net Total Investment After All Discounts Including Power Company&Manufacturer rebates$ This High Efficiency Home Comfort System is available with 100%bank financing with no money down for$ per month (with approved cramp. AS Representative Date of proposal 3_/ 2--*r di- custom, er agrees to pm,1d.free ouesa to the work arcs.M a safe working environment.The above prices,sped rut—,terms,and ce�tions are satislodol,and hereby agreed to In full I give dration to order aforementioned work.You are auftmed b do the work as specified.Payment will be made as outlined.I und-laM unit you are not rasporeible for amain or delays beyond your fo rum!,Owner agrees to tarry adequate fire,slmm,and other necessary Insurance.All of our—komWork Is covered by Wodanan's compensation and aTwo Minion General Llabnity, Irtsumr,ce.11 mllectlon is necessary,buyer g to pay all cetieftion cosU end IMeresl. 9 (� Date: Customer Approval i - 91g95 AM Services^• i 2018052449 Permit No. Parcel ID No y-21,9 I d(2-0 3 C c NOTICE OF COMMENCEMENT State of 1 1 O L,(4—A County Of toil S C Q THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following Information is provided in this Notice of Commencement: 1. Description of Property: Parcel Identification No. 10.2..6-2.1 ^��"� ZJ� ��y V Lg o - Street Address: v 1 a J �e� pp C ��-tz1 p,a Ln,�L L$ F L 2. General Description of Improvement lg C LAl fw e2 Rept:1944095 Ret:: 10.00 DS: 0.00 IT: 0.00 I 3. Owner Information or Lessee information ff the Lessee contracted for the Improvement: 03/29/2018 K. K. , Dpty Clerk J We Z-. S - Sci a 2 (J r"a 0 Y p Address City I State pp eS , Interest in Property. G1't,.,C-� f� PAULA S.0'NE IL,Ph.D.PASCO CLERK & COMPTROLLER Name of Fee Simple Tdleholder. ( ) 03/OR9BK01 016 Ern PG 1 _1_ ff different from Owner listed above 7 2 Address �17 S- __ _LGe- � City State 4. Contractor. .S-Xx � SO 1 O No Co,kf Z 1 2>�?A Address City State Contractor's Telephone No.: 5. Surety: NJ A Name Address city Stale Amount of Bond: $ Telephone No.: 6. Lender: I A r Name Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: �1Q Name Address Clty State Telephone Number of Deslgnated Person: 8. In addition to himself,the owner deslgnates R of_ to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. .9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one year from the date of recording unless a different date is specified): I'll 1+°K-C-j-} a'� 3-0)Ci WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. / STATE OF FLORIDA (I! �' COUNTY OF PASCO � Signature of Owner or Lessee,Yr Owner's or Lessee's Authorized Officer/Director/PArtner/Manager Slgnatorys TrOe/Office ( t The foregoing instrument was acknowledged before me this day of #3 C-C I'1 20I 3 by F T P— 1 as 1 J'r]L.k'— (type of authority,e:g.,officer,trustee,attorney in fact)for E-14AA e (n(a"mye}off party on be alf �m-ip'sl ment was executed). Personally Known❑OR Produced(dent ficationA' Notary Signature_ ! t l li e� Type of Identification Produced F-L-Q L— Name(Print) LA i124 S 1 (_r/14-X- o' v Peon Not Public State of Florida 'MMMyy ary V StewartGq 9jxo 1 o Expires 07116/2020 002083 wpdata/bcs/noticecommencemenl_pcO53048' ,+