The URL can be used to link to this page

Home My WebLink About18-20199 z E13-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received �� phone Contact for Permittingg — I t r r I r l I l l l l Owner's Name 'I Owner Phone Number Owners Address �01FVWW1V Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# SUBDIVISION lslL PARCEL ID#141 (d TAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR_ ADIVALT L.J SIGN = = DEMOLISH B INSTALL REPAIR PROPOSED USE = SFR 0 COMM OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL Q DESCRIPTION OF WORK c Oka 3` g it W BUILDING SIZE SCI FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ EgRECHANICAL $ 0 0 0 VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY u OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/N FEE CURREII LXLN i Address License 0 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y! N FEE CURREA Y/N Address License# MECHANICAL b Jd��Q„ COMPANY SIGNATURE �G 75' REGISTERED /N FEE CU(RREN Address (V ;&W License# f I OTHER COMPANY SIGNATURE REGISTERED I YIN FEE CURREN Y I N Address License# r`iirrrrrrrrrrlrrrrrrrrlrrrtrllltlrrtrrrrrrlrrrrtrrrrrrrrrrrrrtrrrrl RESIDENTIAL Attach(2)Plot Plans:(2)sets of Building Plans:(1)set of Energy Forms:R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsile.Construction Plans,Stormwater Plans w/Slt Fence installed, Sanitary Facilities&1 dumpster:Site Work Permit for subdivisions/barge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsile,Construction Plans.Slormwater Plans wl Silt Fence installed, Saritary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered(Marls. ""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. (AIC upgrades over$7500) Agent(car the contractor)or Power of Attorney(for the owner)would be someone with notarized leper from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Retools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not 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 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners 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'SIOWNER'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, Weiland Areas and Environmentally Sensitive Lands,WaterlWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland 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 till 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 provislons 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 13B41414A Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affinnedrbefore me tgis by by tern-%r S GiCP 1< Who Were personally known to me or has/have produced Who isfare personally known to me or hasihave produced as identification, )as identification. Notary Public '24# - Notto Publc Commission No. nj S O Nome of Notary typed,printed or stamped N a f Notary typed,printed or stem trprvtc; LISAZAFFINO MY COMMISSION#GG 221881 :a: o EXPIRES:June 5,2022 Bonded Tfw Notary Public Underwriters Illillllllllllllllllllllllllllllllllllllllllflllllllllllllll 2018148923 Permit No: Tax Folio No: 0?7-2k0"a�'`��a�� ytJ1`/-rVDV NOTICE OF COMMENCEMENT State of Florida County o 41-" 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 the Notice of Commencement. 1. Descri lion of pro a (legal description of prope and street address a '�hc arUe S i P R I� a(� 1a-49 LDT l 3C� 2. General des lion of improvement: V1Q1'1de O!>'f y 3. Owner information(Name address,interest in property,and name and address of fee simple titleholder other — -- than e Karen VGle k- /(��✓i erO Rept:1986932 Ree: 10.00 6�3C 6 �i�ilFi +c-I or—7eF— -i��1 lr I`i d�S' 1 D5: 0.00 IT: 0.00 4. Co tractor Fiiformation:.(Name aqd dQress,phone number fax r): 08/31/2018 K. M. , Dpty Clerk `I ,F c EL, 3q2CS: 5. Surety(Name and address,amount of bond,phone number,fax number): IF APPLICABLE: PAULA S.0'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER 6. Lender(Name and address,phone number,fax number): IF APPLICABLE: 08/31/2018 02:04 m 1 of 1 OR BK 978 f PG 3213 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a),7.,Florida Statutes: (Name and address,phone number,fax number): 8. In addition to himself, Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b)Florida Statutes. (Name and address,phone number,fax number).Any other persons owning property other than those noted above. i 9. Expiration date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is specified). i 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 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 penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signa ure of Owner or Owner's Authorized Officer/Director Partner/Manager � The foregoing instrument was acknowledged beforg me this 2g"'day of A 1,(9Q;+- 20100 by.Karen "Sett-1C as 1%,Nekr for who is personally known to me or produced tL17L: Z;iSn;atuwe We ' cation d who did take an oath. ;of Notary Pu '-State of Florida ;ot�Y P ' ANTHONY JOSEPH PUSATERI _?• Notary Public-State of Florida 4`. Commission N GG 207852 Verification Pursuant to Section 92.525,Florida Statutes of °` My Comm.Expires Aug 12,2022 Bonded through National Notary Assn. STAVE OF FLORIDA,COUMTY OF PASCO THIS IS)'O CERTIFY THAT THE FOREGOING IS A 0�'y, TRUE AND CORRECT COPY OF THE DOCUMENT AD ON FILE OR,OF-PUBLIC RECORD IN THIS OFFICE WITNESS IAY HAND AND OFFICIALS L THIS ' uc; V ---�7-� -DAY OF 2 " .x f: . PAULA S. O NEI L R OMPTRO LER t �'i 2 BY DEPUTY CLERK fl UNIQUE AIR _ Installation Contract 877-247-7365 INSTALLATION ADDRESS BILLING ADDRESS Customer Name Harold and Karen Back Harold and Karen Back Address 6301 Brentwood Dr 6301 Brentwood Dr City/State/Zip Zephyrhills, FL 33542-0618 Zephyrhills, FL 33542-0618 Phone Number 8133613099 8133613099 E-mail Address kback68@yahoo.com iLNV ES'MENT Retail: $15,852 Utility Rebates: ($0) Manufacturer Rebate: ($0) Discounts: ($5 272) Amount Due: $10,580 Payment'Details ! Cash Discount: ($580) Deposit . Cash Due: $10,000 --EBalance'aae(Check),. $10,000 Written customer authorization will be obtained before beginning any unforeseen additional or extended work. ANY CALIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES.BUYER'S RIGHTTO CANCEL:This is a home solicitation sale,and if you do not want the goods or services,you may cancel this agreement by providing written notice to the seller in person,by telegram,or by mail.This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement.If you cancel this agreement,the seller may not keep all or part of any cash down payment.See the reverse side hereof for an explanation of this right.Notice To Owner:a.)Do not sign this home improvement contract in blank.b.)You are entitled to a copy of the contract at the time you sign.Keep it to protect your i legal rights,c.)This home improvement contract may contain a mortgage or otherwise create a lien on your property that could be foreclosed on if you do not pay.Be sure you understand all provisions of the contract before you sign.I acknowledge that my right to cancel has been explained to me orally and in writing,and without waiving my right to cancel,I authorize the performance of the work,subject to all terms and conditions set forth on the reverse side hereof,plus any taxes upon completion. Customer Signature CA Signature Customer Name Karen Back CA Name Josh Watson Date 08/21/18 Date 08/21/18 041317 License numbers: C_WC 12505551 CFC 1429592 1 EC 13002942 SO# 1264258 451519th Street(mil E, Bradenton, FL 34203 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) 1 Owner: Harold and Karen Back Contractor Name: Dennis Zacek Street Address: 6301 Brentwood Dr Jurisdiction: City: Zephyrhills Permit No: Zip: 33542-0618 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: El 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) System was tested (see below) and repairs were made as necessary -- (Section 101.4.7.1.1 exception 3) Signature Field: Date: ",Z] Printed Name: Contractor License#: C M C 1250555 I I 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 1264258