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Home My WebLink About18-20370 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20370- BUILDING PERMIT y. d PERMIT INFORMATION. LOCATION INFORMATION Permit Number: 20370 Address: 5940 14TH 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: 11-26-21-0010-02000-0010 Improv. Cost: 2,500.00 OWNER INFORMATION Date Issued: 10/19/2018 Name: RICHARDS NICOLE M Total Fees: 55.00 Address: 5940 14TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542-4314 Date Paid: 10/19/2018 Phone: (813)991-0579 Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTORS APPLICATION FEES HOMEOWNER A/C CHANGEOUT 55.00 Ins ections Required DUCTS INSTALLED DUCTS I Stp TE FINAL I1 ) 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. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 c• Building Department Date Received Phone Contact for Permitting" — n Owner's Name t l i u— Owner Phone Number Owner's Address �`'"t I LI "E? t'1 h�� S ;3 ) �Owner Phone-Number Fee Simple Titleholder Nam® Owner Phone Number F I Fee Simple Titleholder Address ) 1 JOB ADDRESS Q' �-1 G/ c� �� C} LOT SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN [�;,. [ ] DEMOLISH i R INSTALL 8 REPAIR PROPOSED USE SFR COMM OTHER TYPE'OF CONSTRUCTION E:a BLOCK 0.. FRAME 0 STEEL [� DESCRIPTION OF WORK BUILDINGiSIZE ] SO FOOTAGE HEIGHT OBUII:DING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL ($ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. QPLUMBtNG MECHANICAL $ 1 VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER •0 0 FINISHED"FLOOR ELEVATIONS FLOOD ZONE AREA [ YES- NO S BUILDER t COMPANY SIGNATURE REGISTERED LIL N• FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N>- FEE CURREN Ly/N Address License# i • PLUMBER r COMPANY SIGNATURE REGISTERED L Y/ N FEE CURREN Address' . Lie ense#'I /j MECHANI,CAL...:' '� y,r-- COMPANY /1,Q 0 (.J ev Q, SIGNATURE; REGISTERED Y/ N FEE CURREP'" Y/N" k .Address License* 7 :. OTHER':.'i .;,,... . COMPANY` SIGNATURE -REGISTERED " Y/'N._. FEE CURREN• ,,'Address, License# RESIDENTIAL Attagti(2)Plo't'Plans;(2)'sets of Building'Plans;'(1)?setofEnergy Forms;R=.O=W Permitfor new construction, " Minimum ten:(1.0)working'dayiafker,submittal?date_.,Required ansite;Construction Plans,Stormwater-Plans.w/Silt Fence installed," Sanitary Facilities&1 dumpster;Site Work Permit The subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. -Minimum-ten(10)-worktng.,days after.submittal,date Required'onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities'6'1 dumpster.Site Work Permit for-'ail new projects.All commercial-requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. - - ****PROPERTY St1RVEY requlred`for;ati NEW construction. Directions: Fill out application completely. Owner-4,Contractor sign back of application,notarized If over$2500,a Notice-of Cbnirnencement is required. (A/C 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 PERMITTING (copy of contract required) Reroofs if shingles Sewers Service.Upgrades,A(g,: . .Fences(P•IOttSurvey/Footage) ? Driveways-Not over Counter if on public"roadways..needs"ROW iI 4✓Zip i • NOTICE OF DEED RESTRICTIONS:-The-undersigned understands that this permit may be.subject to" "'deed"restrictions which.maybe more-restrictive than.County reguiations. The undersigned,-assumes responsibility for compliance withvany applicable deed restrictio"ns. 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'fbe'the intended work, they are.advised to contact.the-.Pasco..County Building Inspection Division--Licensing.Section at 727-847- 8009. Furthermore,A:if.:the owner.has hired.a contractor or•contractors,.he-is-advised•to�have "the`contractor(sj `sign portions of the "contractor Block" of this application for which they will be responsible: 'if you;,as the owner sigmas the contractor, that may be an indication that he,is not properiy.iicensed and is not entitled to-permitting privileges:In,Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands r, that Transportation Impact Fees.and Recourse-Recovery-Fees may apply to1he construction of-new•buildings, change,of use in existing buildings, or expansion of-.existing_buildings,.�asspecified in Pasco County Ordinance number 89-07,and 90-07, as amended. The undersigned'also-understands, that such fees, as shay-be due, will be'identified at the time of permitting. itAs'further understood that.Transportation:Impact Fees.,and Resource,,Recoyery Fees must be paid prior.to receiving-a "certificate of occupancy" or final'power release. If the.project does not.;involye 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. CONSTRUCT-ION LiEN'-LAW(Chapter 718, Floilda.Statutes,as amended)~-If valuation of work is$4600 00 or�more, l` certify that I, the applicant, have been provided with la copy of the "Florida'Construction Lien Law—Homeow i er".s Protection Guide" prepared by the Florida.Department of Agriculture and Consumer-Affairs. -If the applicaht,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: l certify that all the inforination 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 regul .ting 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 Se,ices/Environmental Health Unit-Wells, Wastewater Treatment, - Septic-Tanks-.- US Environmental Protection Agency-Asbestos abatement. Federal.Aviation-Authority-Runways. I understand that the�following=resfrictions apply to the use of fill: - Use of fill]is'riot"allowed in Flood Zone W"unless expressly permitted. If the-fill material-:4 to-be,used in Flood 'Zone "A", it is understood that a drainage plan addressing a "compensating volumd"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 of4he,building permit issuedlunder 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 foirth 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 4 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,-"Jo_writing, from the Building Official for a..period not to exceed ninety(90)tdays and will demonstrate' "s{ 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 is PAYING-TWICE FOR;IMPROVEMENTS.TO YOUR PROPERTY._IF:YOU INTEND.T.O.OBTAIN,FINANCING,CONSULT R AN ATTORNEY BEFORE-RECORDING YOUR.NOTICE OF_COMMENCEMENT. WiTH YOUR LENDER O z FLORIDA JURAT(F.S.117 ) I -� OWNER OR AGENT ,, 01 ! ,-CONTRACTOR.-'Y Subscribed and sworn to(or affirmed)before me th s Subscribed and sw to,lyo,r affirmed) e�ore m, �Ftis by ,i"✓1 r Cd tf�rnrZr by�• I /r r GCI� -fG� �Z'•� Who-islar er�sonally known to me or has/have produced Who Is! a person Ily known tome or has/have produced f [ ,m IIf ka 0-SA— as identification. TI L WS(.ref g- as identification. 0 > _ V(,SRol- A-re— Notary Public n,� - Notary Public Co sslo l Cori is on N . .•':�"alp;.,, JACQUELINE 80GES Name of rfi5dfd0422 I Name of Kota tie BOGES xpires December 12,2018 mrssion#FF150422 B �,• ~:}.. ;.• Ai;.fk1`` ondad Th u Troy Fain lnsu ance 800 385-7019 Expires Bond Expires Dece liiber 12 2018 ad Thra&oy Fain Ins •;�; aranco 8Dp.385-tD19 • DISCLOSURE STATEMENT FOR OWNER n ` 1 CITY'^OF ZEPHYRHILLS BUILDING DEPARTMENT 1, I y � �tG"�, l ' �" \ have read and fully understand and agree to the provisions of this instrument- The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon - completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell -or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S SIGNATURES'" — V) DATE � t C),/ kV 1 ADDRESS �� lzT �Z C.`r 2 Z p/�L✓G��/�S �'C 3?1 `I.Z PHONE WITNESS PERMIT #