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Home My WebLink About18-20140 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20140 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20140 Address: 5244 BRUNSWICK ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 10-26-21-0010-09300-0000 Improv. Cost: 4,877.00 OWNER INFORMATION Date Issued: 8/23/2018 Name: SHADY REST MHP LLC HOMME PAUL Total Fees: 60.00 Address: 5244 BRUNSWICK ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/23/2018 Phone: 863-279-9523 Work Desc: A/C CHANGE OUT 2 TON PKG CONTRACTOR(S) APPLICATION FEES AND SERVICES A/C CHANGEOUT 60.00 Fv DUCTS INSTALLED Ins pectio s Required DUCTSINSULATED FINAL I f 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. C'dNtRACTOR SIGNATURE PERMIT OFFIC%R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � ► s - �. - 00z't 813-780-0020 City of Zephyrhills Permit Application FOX-813-780-0021 Building Department I I DPte I Phoiie.COMa PermlWn / t/7 _ Y 2�/ S .A ncl Owners Naealdei Omer Phone NumberrYJ !/ Owners Adq *'�'4a (�C' &-r Owner Phone Number Fee Simpleame Owner Phone Number Fee Simpleddress JOB ADDRESS k r LOT# SUBDIVISION PARCEL ID# In ^2- -2- Q LID- MP8 Z00 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEWCANSTR® ADD/ALT = SIGN 0 DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM = OTHER TYPE OF CONSTRUC 1ON f BLOCK Q FRAME = STEEL = DESCRIPTION OF WC IRK C <e 01-M0 I k-':�'e If- Sc BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRIC $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING a 2 G MECHANIC kL $ 111 VALUATION OF MECHANICAL INSTALLATION (/ =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR EL EEVATIONS FLOOD ZONE AREA =YES NO f BUILDER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREK YIN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEE CURRE, Y/N Address tense# PLUMBER COMPANY SIGNATURE REGISTERED N FEECURRET-- Y/N Address License# Jam'°-�1�` S MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREr Y/N Address 70/O J9 Ci 'f— License#re / OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CU. Y/N Address Cleanse# 1111"111-11-1 U-r1111-IT1-1-11-1-117 VI1"1-1"T'711'll-Il FIll 1 Il 1-1-14 I'll T71-1'1 IT'11-17 1I-I-T11711"'i' RESIDENTIAL A tech(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, -- -------- !�`--- Inlmum ten(10)working dey`s a ell r submittal date.—Re`qulred orreite—Constiu6tlan Plans,Startnwater Pierre w/'Sik'Fenee Installed;' - ' ' - -- --- Itary Facilities&1 dumpster,Site Work Permit for subdMslonsAarge projects COMMERCIAL (3)complete sets of Building Plena plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. Inimum ten(10)worldng days after submftW date. Required omsite,Construction Plans,Stomlwater Plans w/Silt Fence installed, itary Facilities&1 dumpster.She Work Permit for all now projects.All commercial requirements must meet compliance SIGN PERMIT h eh(2)sets of Engineered Plans. ROPERTY SURVEY required for all NEW construction. .ill II . . iti1 • 11 ' • IJIII . . . . . . ' LIItil1 • 111 Directions: FlII out applicati n completely. Owner&Conft ctor sign back of application,notarized Hover$2500, Notice of Commencement Is required. WC upgrades over$7600) Agent(for the tractor)or Power of Attorney(for the owner)would be someone with notarized letter from Owner authorwng same. OVER THE COUNT PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-NO 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 dead 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 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 became 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 OBTA N FINANCING,CONSULT ,01s,°from WITH YOUR LENDER OR AN ATTORNEY BEFORE RE ORDI G YOUR N TI OF COMMENCEMENT. - - FLORIDAJURAT'(F.S.-117:03).�-----------------------• - -- - ----- - ------ ----- - ro co` OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this S bscdb d pnd m to(or a-f rmed)be me` a c g o by 1 1 t by Who is/are personally known to me or has/have produced Who istare personally known to me or has/have produced R z as identification. as Identification. m il < _� •rn �— Q) 7 Notary Public to Notary Public No� �?�- L7 Commission No. Commission No.�2lT ov a09 A Vv, O T F Li o 0 co M. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped '' iu r I i AND Service A regimen 813-445-4818 DATE;_1_I'• INVOICE u 9 727-495-7474 me: A4747 Tecn Na ' � s" e' 352 458-4181 � W O k: s" s explained: 863-226.5588 EQUIPMENT DATA GON011ION`--i i5=bs,;4 e s www.andsarvices.com Make Model Serial Age Cond OCUnern Men,nar - - +'�I.MMe•fr.etc t eontact@andsomicea.com AMU O'$ree w e purchas •t,,,� _ _ uc•.�es•s csc.�uem ecwver ODeekte parftcipallon `•�' '�� - \4%L i�� ' rvtr CU Customer's Initials:_ I nave dlscus-.ed And Serwoes-Srt tii> .K`. �•�^t Stale.FL Zip- PCK �. h lt:e rvetcmar I have gaen a copy of lea It- - 2 -C:k�ttn pr AA v rK is complete and is In �.��:y`�: - .(-6drllh�Te� CeIVFax: k L-. ..1 � _• 1E+:' 31stiCii $�'..-.... - Hl :r t, And Serves sianda ds - gh Low Actual Max. v;�rtr anst�o and m comoharrce =-- - Before - 13Work Complete Technician's After Signature: .- 1 a,�.SUpefVfiOt .241.Up rl'J YYork Incomplete 0RAN{) OSIC OHP ❑VERT ❑HOR12 TONS -' •• ^` ,• INDOOR"AlR QUALITY,: », - Ak Hander riOk ❑Gat �•.. .>. >r _ nbwer%v,_j wok L,Duu 70 ptiki { Evaporator Cal �Ot "Gnt OOrnret 04l Over;and VeNc 00k C)DrN t fak�4 �,/ PAYMENT OPTIONS .; „ - ":,��,-'-•-::' _. .>'�w'•Y r f:_: f:'J t• ❑Cash ❑Ctndc Y . - ❑VISA O MC ❑AmEx l7 _ .z,/yC.f.(';. - .r ., Name on Card. +Card Nei, CV2 code: Expkalion ' m" 7T Signature: F� -<!-�., ._ ',•. sN,:b�•j—1 w—iledliei�FY—ft,+wv mmCMl* rwMtM AIi K7ei'�- _ _ mMW Wlanel ma OW�.pM1eY1: i . ;..yyir -.:. _ -- - - male t aqM•IN1 e.�t IW o.".0 uN a..4.a a he AaN iako t ;ken ve +, -M!•'M,-ee��. Flak, ' iw•aari.ei f '- _-STANDARD vs SERVICE/�t41FiEMHNT' $ '• -,s', - :' itAMinit :awe `•aa eea i•$: SERVICE At3RIt* wkrpt !; '.r ae d rq+k'er+r�•-r.r�� .. na.n aw weaMYwap; -