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HomeMy WebLinkAbout18-20198 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20198 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20198 Address: 5028 18TH ST 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: 11-26-21-0010-21500-0230 Improv. Cost: 8,470.00 OWNER.INFORMATION Date Issued: 8/31/2018 Name: VEVE OLEMI GALVEZ Total Fees: 85.00 Address: 5028 18TH STREET Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/31/2018 Phone: (813)735-2249 Work Desc: A/C CHANGE OUT 3TON CONTRACTOR(S) APPLICATION FEES UNIQUE SERVICES A/C CHANGEOUT 85.00 , DUCTS INST-A-1-11EED Ins pectio s Required DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspectio'n fees will comply with Florida Statute 553.80(i)-(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. CONTP6kdto SIGNATURE PERMIT OFFIVR PE MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780.0020 City of Zephyrhills Permit Application Fax-813.780.0021 i Building Department Date Received Phone Contact for Permittingg — I f t 1 1 r 1 r III l l Owner's Name ,� C.7� Owner Phone Number I Owner's Address 29!l Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS Om LOT# �/'� SUBDIVISION PARCELID# IY-2�' Q 0—g,2}6 0— O ��// (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTRf j ADDIALT = SIGN = = DEMOLISH INSTALL n REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME 1 I STEEL p= DESCRIPTION OF WORK IC o BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ MECHANICAL $Q VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED YIN FEE CURREN Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y'/N Address I License#�� PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Limi Address License# MECHANICAL b COMPANY Nus SIGNATURE t REGISTERED / W FEE CURREN I �YT/N Address I5 VI License# or5� OTHER COMPANY SIGNATURE REGISTERED I YIN FEE CURREN Y/N Address License# rrtrrrerrrrrrrlrrrrrlrlrrrrrlrlrllllrrrrlrllrrrrtrrrrrrrrrrlrtrltrr RESIDENTIAL Attach(2)Plat Plans:(2)sets of Building Plans:(1)set of Energy Forms:R-O-W Permit for new construction, Minimum ten(10)working days alter submittal date. Required onsile.Construction Plans,Stonnwaler Plans wl Sill Fence installed, Sanitary Facilities tt,1 dumpster:Site Work Permit for subdivisions/large projects COMMERCIAL. Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)Sol of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsile,Construction Plans.Slormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. —PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing some OVER THE COUNTER PERMITTING (copy of contract required) Retools it shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Foolage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed andbsworn to(or affirmed)before me this Subscribed and b o a or alfirmedi 5 re me his Who Were personally known to me or haslhave produced Who islare personally known to me or haslhave produced as identification. as identification. Notary Public 2�MC�- ge Notary Public Commission No. ommission No. 93 Name of Notary typed,printed or stamped I I".SAZFINO tW..4-1 LISAZAFFINO ; '''; (U COMMISSION#GO 221• , Q� tNY COMMISSION#GG221881 :•• '•: 5 . EXPIRES:June 5,2022 - EXPIRES:June ,aF f; Bonded Thru Notary Public Underwriter; "��°oF!�'':'Bid Thru NoM�Y Public Un 2018148924 Permit No. Parcel ID No 11-26-21-0010-21500-0230 _— !NOTICE OF COMMENCEMENT Rept:1986932 Ree: 10.00 DS: 0.00 IT: 0.00 Stale of County of 08/31/2018 K. M. , Dpty Clerk 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. 11-26-21-0010-21500-0230 PAULA S.0'NEIL,Ph.D.PRSC0 CLERK & COMPTROLLER Street Address: 5028 18th St 33542 08/31/2018 02.04 m 1 Of 1 2. General Description of Improvement AC Changeout _ OR BK 978 PG 3214 3. Owner Information or Lessee information ifthe Lessee contracted for the improvement: VEVE OLEMI GALVEZ Name rt12A 1RTH RT 7PPHYRHII I R F1 Address City State Interest in Property: Name of Fee Simple Titleholder. (If different from Owner listed above) Address City State 4. Contractor. Dennis Zacek Name 4515 19th St Ct E Bradenton FL Address City State Contractor's Telephone No.: 941-377-0153 5. Surety: _ Name Address City State Amount of Bond: $ Telephone No.: 6. Lender. 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: Name Address City Stale Telephone Number of Designated Person: B. In addition to himself,the owner designates 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 dale 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): 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 I. 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.OB 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 COUNTY OF PASCO Signature of Owne. it Lessee,or Owners or Lessee's Authorized Offi cer/Dimcior/Partner/Marra ger Signatory s Tille..112-fuce The foregoing instrument was acknowledged before me this May of 044u.�-1,201(J,by�e1' i(9J kIYeZ as (type of authority,e.g.,officer,trustee,attorney in fact)for (name arty±on behalf of h m instrument was executed). Personally Known❑OR Produc Id tificabon 5? y Notary Signature u Type of Identification Produced 7o 33 m7%rne(Print) SQ USAZiffINO W COMMISSION#GG-221881 E)(pIR�E,S::..June 5,2022 �FaF Fti�p Bonded TIVU Notmy P�Uttlletwrbm wpdatalbcs/noticecommericemen[pc053048 STATE OF FLORIDA, COUNTY OF PASCO THIS!S TO CERTIFY THAT THE FOREGOING IS TRUE AND CORRECT COPY OF THE DOCUMENT . .. ON FILE OR OF PUBLIC RECORD ►N THIS OFFICE WITNESS MY HAND AND OFFICIAL,tSEAL THIS �� ��'�:• »r` � � DAY 0 A4vt 2 (DI K �� •�° o>�` PAULA S. O' 1 = COMPTROLLER BY DEPUTY CLERK t lomr. 8`77�24 ,COftomer Name toorine 'Wi as&Olem'j dalvez :F 02a"T t t'i h tt ei�m rhijis,FL:,8;�S 4 2 M �fz� F, ' 3354Z24 4 Oty/statel-zip" Pho.ne'-UumOeT 8 1 37 6723,. '71 Eff T. -Retail: Utility'Rebates: M.ario"fet Rebate.: - Derails," D Amount l7ue: $8 076 4�V A-- 6p IWAl ICING • :, Firiandhb 5 YbArs Fq Est,First Mon: 7 Written custo'mer' Wll! A(W`CZIM5 'W§TOUCTION DEFECT Ake $t) 07"HE NOTIGF.AN17' U t-' ffL6Rl D' d s41icit I at'Qn!Ae,',aft6f w4b nonmantth good ter seivkes,you may-cancel i'Ws-a9 re(dT �x 0'rqY01t4wrl go,n fo4he.selfer-imperson�'byfi�f'�.gfam'-ofby. Ael 4t,,yo:u dQ,notvvant the,goods,PrYSgjV Op_piu�r _d0ji-4.04 P-Pstmar'kedbe 6re,midtilghto t h6third U06et§&�,afte r tyou s; nihl agreginent...I 'Ydui I( ;ca 1ticgl §ee ny! g s e -idel ereof"f6r 'n exp'an" 't s'hl'd'6-W .�eethe,�, ygrs s i I abolwo -60t.si'6 this home- )ao' C t Q rp AP 0 tqictyotlr° legal rights;p):tIlls mortgage h' W acknovvledbgiil�airny tmg:or."511y-and)n wiltkqf an( :wrqp gr the Widirk:subject Of ferms,and cortdi iorrsst t fartll rari tfie reverse side heresifi"Pj— CUitomer`s DA.t.4 j Date o4.1.8,17 W7 -0';'' iih -CA-1C,1400)§ 1-250555 CP 1258445 -tit 6+1,R',&eiduiif6fi.�fl.M263 is U,E�i ........... Date:'8/17/18 City of ZephyrhIIIs: I, Dennis Zacek, Mechanical C or for American Residential Services of Florida, Inc dba Unique Services.,give permission o Tim Thompso Bobby Hill, Chris Kurutz, Anthony Pusateri, Morgan Garrigus and Lisa Zaffino ective 0 —9/30/18 to record my state contractor license #CMC1250555, create passwords,obtain permits and file notice of commencements on my behalf. If you have any questions or need additional information, please call 941-377-0153. American Residential Services of Florida, Inc dba Unique Services Dennis Zacek Mechanical Contractor Date:8/17/18 State of Florida County of—L-I k"Ittu Affirmed and subscribed before me this day of kO V 20 By Dennis Zacek,who is personally known to me. LISAZAFFINO MY COMMISSION#GG 221881 EXPIRES:June 5,2022 Signature of Nota ublic,State of Florida soam�,NoyP.,eikus Print,Type or Stamp Name of Notary 4515 19th Street Ct. E., Bradenton, FL 34203 P:941-377-0153 F:941-378-1387 wwww.uniqueservices.com HVAC: CMC1250555 Electrical: EC13002942 Plumbing:CFC1429592 FLORIDA ENERGY CONSERVATION CODE Mandatory Duct inspection Certification for HVAC change-out For use when part of the duct and/or HVAC system has been replaced(Section 101.4.7.1.1 &FS 553.912) Owner: Courtney Was&Olemi Galvez Contractor Name: Dennis Zacek Street Address: 5028 18th St Jurisdiction: City of Zephyrhills City: Zephyrhills Permit No: Zip: 33542-2152 Final inspection Date: I certify that I have inspected the duct work associated with the HVAC unit referenced by the permit listed above and found it complies with the requirements of Section 101.4.7.1.1 as indicated below: Where needed, the existing ducts have been sealed using reinforced mastic or code-approved ❑ equivalent. ❑ Ducts are located within conditioned space. (Section 101.4.7.1.1 exception 1) ❑The joints or seams are already sealed with fabric and mastic (Section 101.4.7.1.1 exception 2) stem was tested (see below) and repairs were made as necessary-- (Section 101.4.7.1.1 exception 3) 1 Signature Field: Date: 1 Printed Name: Contractor License#: C M C 1250555 1 certify I have tested the replaced air distribution system(s) reference by the permit listed above at a pressure differential of 25 Pascals (0.10 in.w.c.). Signature Field: Date: Printed Name: Form revision date:March 18,2011 1258445