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Home My WebLink About19-21035 813-780-0= City of Zephyrhills Permit Application Fax-813-78D-W21 BuNng DeWtment Date Received 5411,4? .. . . . . . . . . . . P . . . . 1-11 4299 . 49454 .4- Ownees Name, &,4, C"nw .Pt, Numb. 1/9 W g- - owners Address '5*7,4t6tQ Cs 717 &e- Owner Phone Number Fee Simple Titleholder Nam F- owner Phone,Number F Fee Simple TWWW"Address JOB ADDRESS UN6-0 AbriioN,577771 LOT PARCEI.SUBDIVOICIN F 9f 0?6 Al b/W 0-0440 18'90 (OITTAKED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW awsTRr4-;;r' ADOfALT F--1 SIGN DEMOLISH R INSTALL Q REPAIR PROPOSED USE Q Sm Q COMM OTHER I TYPE OF cousTwanoN BLOCK FRAME Q STEEL DESCRIPTI-ON OF WORK e- zaf .9,Jr TvAi BUILDING SIZE SO FOOTAGE F----] HEIGHT r—JBUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING is [MECHANICAL 1$ / VALUATION OF MECHANICAL INSTALLATION r—JC-AS r7 ROOFING r7 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 . . . . . . . . . . BUILDER COMPANY = SIGNATURE REGISTERED I YIN ME CURRa LILN J Md,. License#F ELECTRICIAN 1 COMPANY SIGNATURE 11 REGISTERED I YIN FEE CURRM LILNJ Address License# PLUMBER COMPANY = SHMUM 1lli REGtsTt3RED YIN FEE CURL LiANJ Add. License#r MECHANICAL ~ fr COMPANY 9=04OWN—A219 SIGNATURE REGISTERED I YIN FEE CURREN I YIN Address License# OTHER COMPANY F SIGNATURE REGISTERED I Y1 N FEE CURREN L_XLN J Address License#F- RESIDENTIAL Attach(2)Plot Plans;(2)sets of BulWing Plans;(1)set of Energy Forms;R-O-W Peffrdt for row construction. Wimum ton(10)waft days after submittal date. Requited onsifte,Constniction Plans,Stoirrmster Plans vd Sm Fence Installed, Swiftry F=Mws&I dwnpstar Site Work Permit for subtfivisionsilarge projects COMMERCIAL Adach(2)cornpieta soft of BmWing Plans WASS a Life Seely POW,(1)set of Energy Forms.R-OmW Permit for now oonstructimm Minimum ten(1o)womng days aft"submittal data. Required OrtSibD Construction Purrs:SWmwoatw Plays wi Silt Fence ins led, Sanitary Fatties a I dumpster.Site Work Permit for efl new Projects.All commercial requiremarru;must MGM WmPWwxe SIGN PERMIT Attach(2)sets of Engineared!Ram ""PROPERTY SURVEY required for all NEW 6xistruction. .6464464 - Dhvcdwts, Fill W application completely. Owner&Contractor sign back of application,notartmd. If over SM,a Notice ofCommenc-MIrd Is-qub'A (AlCuparades over 1117500) 'Agent:(for the contractor)or Power of Aftomey(for ft owner)would be someone with notarized letter from owner autliotting Sams OVER THE COUNTER PERMITTING (copy of conbact-phW) Raroofis if shingles Sewers Sarvwa UpWades AIC, Fences 0*WSurveyfFootage) odvewayz44ot mw Counter If on public madways-reeds 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. JIF 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 CONTRACTOWSIOWNEWS AFFIDAVIT: -1 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,Water/Wastewater Treatment - Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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 fallowing 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 W, 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 W 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 Odor 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 anycodes. 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 YQMBXOTICE OF COMIM&KGEMENT. FLOPJDA JURAT(F.S.Q 17. OWNER CONTRACTOR- ;%t§f7A�Gr:N-- 8 b 3M rmed)bofio gn a ho islare 0 onally to me or hardhave produced Who Ware rsonally kno to me or hadhave produced as Identification. as identification. ey-tary Public Notary Public mission No. XY ELL Isslon No. SYLVIA A.CAMPBELL a f Florida '2 9:3 Na a of Notary Wed. 'ti rn 9 Name of Notary e Commission#GG 112939 pit Commission 19 My Comm,Expires Jul 19,2021 • ,0 k 2021 through National NotaryAssn. it "auy 's aq my comm.Expires Jul 19,2021 A Bonded aFF; Bonded through National Notary Assn. _4111111 Is PROPANE SAS ` AND AIC trtc. Maintenance Invoice W,,K ORbER#JS Rk)ICEMIAN, :fr-a8')8ro CaF=1R 813-782-5013 DATE/T I ME TAKEN 01;22/19 12 m 16 Sales, Service &Installations TAKEN BY O , . 4441 Allen Rd. • Zephyrhills, FL 3354't DATE/TIME �tROMI,CUSTOMEP.#/LOCATION 122B4 PHONE# 81 3`"788.-'8348 H . . NOTES: PHONEE- 81,,--.4.69--1 174 C ROUTE/SEA! APR FOSTER, LEIDA 7<: FOSTER„ LEIDA 37450 GILL AVE 374-50 GILL AVE GRAND HORIZONS ZEPH"YRHILLS FL 3.3541 ZEi=HYRHILLS FL-3 541 14N N MAI I NT CK .... a...- .....r• .S .�. l..µ.•.. -. �3-.:.:.n. - 'ry.fib.•- ii.'::. .'I':'�--� - - ,�,A'� jt�'c 4 w✓'3r.F.<`w.v,esf.-:S"i"w'w ��+N„IS'rGL-- a.�'1�,�}�^ ::6'M.w.ii-"ww Y..!MYVRM' �•'/.{L.�i'�Q."-�E. �. .7M� .K.�`i� +p�•►+w. Ply E,SrY� ' x t I 3, ECIC:LIS f , CP I s -`Lo HI- Eva{`Coil ^Cleaned Gorid Cod YCleaned Lt p f t Pies uses . P,.. LS� Cond,Fan Blwr Camp Heat Strip Gapaa#ors Cond.Fan Biwr. Comp f t Primary/Condition_,j3 Cleaned Secondary[CondiGon jK.t Cleaned T�St�t-� 3ype +Beit�Ty�e '.F` ?`}`�4;:n)ip}::''yi:"' _ .r:4.._ •ia'ti!!''y.Y'.. ita'-1_�is _ - _ - :.t... - �..x <ct`d' i:At1` `+ii irisiit�RAaiifac#u s"rs:: :tirinuat-l�lafnten�rice,�l2ec`arrrtii�e» e 6y:-<y�9 ;R., ��'l�.�i! U ' t / - :t'.0 ^ia �f!', `^�"'x`, ;i�:u.< y`;Y:_c(s:-3•: l�:pp•:.n.*�,!` cif rv�._'t`y�i._i I `a hh ,�i3• 1 REFRlGERANTR ,. 'LBe:;:�,; 'z;�'a-i;:{'T:z.? ''�P��165r "s.*. f '1 �- I FILTERS x x Changed Monthly I 1 FILTERS x x Changed Monthly i t TATAL,SUMMRI';, f ❑ REGULAR ❑WARRANTY - ;Delujiiiiii stat.'settings=t When here"OfV"F When Away i T Stat ® MAINTENANCE CONTRACT MAINTENANCE t LIMITED WARRANTY:Alf materials,parts and equipment warranted by the manufacturers' _ - `'"?ME7 Ft " a ;;ti,; =LLr PRICE i or suppliers'written warranty only.Al Labor performed by the above named company is warranted foi ODF i?RMEA(T_ x4. = 30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL t express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE t I have author"to oMer the work Outlined above which has been satisfactorily completed.I agree that Seller PROG. W/ C t to. Otle re equipmanVmaledais famished until final payment is matle.If payment is not made as agreed, �iLAIM# , I salter can remove said equipmentle ateriais at Sellers expense.Any damage resulting from'sald removal shalt ..r not be the responsibility of Seiler.NET 30 DAYS,A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO '�r00 ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED �v � J _ Jt _SIG f- TAX TECH: _�- �/ i r} fY1 // I CUST MER NATURE fY/ATE eJ� oze TOTAL L JY�/I Y r- f. F i t •i DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING DUCT SYSTEM FLORIDA ENERGEY CONSERVATION CODE (FBC ENERGY, SECTION 403)TO BE LEFT ONSITE AND PICKED UP BY INSPECTOR Owner: Permit#: Site Address: u C-7 i// Ale- Contractor s sI�✓ C � License#: y! (%D �j 9 4v Final Inspection Date: I certify that I have installed new or modified the existing duct work associated with the HVAC system, referenced by the permit listed above and found it complies with the requirements FBC Energy Code, Section 403.3.Where modified,the existing ducts have been sealed using reinforced mastic or code- approved equivalent. Ducts are located within conditioned space (Section 403.3)System was tested as per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403.2 and FBC Mechanical chapter 6. i Name of License Holder(print or type) Signature of License Holder