HomeMy WebLinkAbout19-21394 CITY OF ZEPHYRHILLS
5335-8TH STREET 21394
(813)780-0020
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21394 Address: 7235 APPLEGATE DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0080
Improv. Cost: 7,965.00 OWNER INFORMATION
Date Issued: 6/19/2019 Name: ROLDAN ANTONIO & JULIA
Total Fees: 125.00 Address: 7235 APPLEGATE DR
Amount Paid: 125.00 ZEPHYRHILLS, FL. 33540-1030
Date Paid: 6/19/2019 Phone: (773)497-6488
Work Desc: A/C CHANGE OUT 3 TON W/ELECTRIC
CONTRACTOR(S) APPLICATION FEES
AMERICAN RESIDENTIAL SERVICES OF A/C CHANGEOUT 80.00
ARS RESCUE ROOTER ELECTRICAL FEE 45.00
DOCT 3 INSTALIns pectio s Reguired
DUCTSINS E
FINAL T/T
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute SS3-80 (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 OFFIC%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 f
Building Department e
Date Received i I G Phone Contact for Permitting
Owners Name � �1 wnr P
Gk Oehone Number LA
—7 8
Owners Address I"m Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
—d-7dress
JOB ADDRESS I R LOT#
SUBDIVISION I I C PARCEL ID# ��'�� .l✓ 00000—lJ�,
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE Q---,-SFR = COMM = OTHER
TYPE OF CONSTRUCTION EE�J' BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK C-1 U g G r^1 _ V`) _ SC
BUILDING SIZE I I SO FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ftn-ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
� (�
�fuIECHANICAL $. VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
1 { IIIIIIIIIIIIIII - - - - - - I IItiii..i
BUILDER COMPANY _
SIGNATURE REGISTERED N f FEE tURREr
Address License# [
ELECTRICIAN COMPANY I APS
SIGNATURE �1 REGISTERED / N FEE CURREN Y/N c
Address yy EX #A Licens t e# Ci
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N
Address / (License# 1
MECHANICAL `j ®� �_� COMPANY tT 1 KQ� �LQ I—Q.Y
SIGNATURE ° �a7 sil�V� IQI- EGISTERED Y/ N FEE CURREN I Y/N
Address a License#
OTHER COMPANY
SIGNATURE REGISTERED Y A N FEE CURREN Y/N
Address I License#
111111111111111111111-1.111111111111111111111t11111111111111111111111
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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All 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 Attomey(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/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
J.
r
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 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"W 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)
P
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn lo`( affirme be ore Me this
by b
Who is/are personally known to me or has/have produced Who is/a e s n to me or has/have ProdabeT
as identification. as identification.
Notary Public p Notary Public
Commission No. Commission No. EE9� t D 9
4--ly 1.0, S
Name of Notary typed,printed or stamped Name of Notary typed,printed or sfamped Yv KA'IE KRIPS
MY COMMISSION#FF929795
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20 1118111i1 145473 11111111111111111111111111111111111111111111111
-Rcpt:1985761 Rec: 10.00
Permit Number DS 0.00 IT: 0.00
Parcel ID Number -- 08/28/2018 K. K.
�'��"�-�C7U�-000�-C�Qgd Dpty Clerk
PAULA S.0'NEIL,Ph.D.PASCO CLERK & COMPTROLLER`
NOTICE OF COMMENCEMENT 08/28/2018 10:06am 1 of 1
State of Florida Seo OR BK 9778 PG 3926
County of PinellaseVh THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the
THE UNDERSIGNED hereby gaives notice
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(legal description):
a)Street(job)Address: -4a35__ fie.-go,-
2.General description of improvements: qc j o (j
3,Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address: A�nn�tr�►o_P,��c�tna35-fl �
Pp�tG��-e 1�r_ Z! r�1[ll�_ � 3._S�fG
b)Name and address f fee simple titleholder(if differeht-than Owner listed above)
c)Interest in property: OW.9lt,tr. -- -- --- - Cz
-
4.Contractor Information �/ Q/�Gr n- ��i11 a
a)Name and address: A83 Vkw1� Rao -er/33T0 N.Sehtrer��Eie A+d Jf_� xrS bvq;-- -_33-4*j
b)Telephone No.: -4a.�,7q4+-4 Fax No.:(optional)-ia'}�581 -3058
5.Surety(if applicable,a copy or the paymen bond is attached)
a)Name and address: { JA_ -
b)Telephone No.:
c)Amount of Bond: $ 1
6.Lender r
a)Name and address: J-
b)Telephone No.:
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:
a)Name and address: fjlk
b)Telephone No.: Fax No.: (optional)
8.a.ln addition to himself or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b)Phone Number of Person or entity designated by Owner:
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date is specified): 20
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.
U-n-Je------- ---- --- - ---------- ' --------- - - -------------- --
ndrpenalty of pe' - eclare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
kn e and be'
to a o�e or ess e,or wner s or Lessee's(Authorized Officer/Director/Partner/Manager) Pn r - e and Provide Signatory's Title/Office)
The foregoing instrument was acknowledged before me this Zl day of 20 g
--- --------- ----- ------------- --
by �(1�'pr� C) ��(1 as f�QX (ty f authority,e.g.officer,trustee,attorney in fact)
for as
(Name of Person) (type of authority,...e.g.officer,trustee,attorney in fact)
for (name of party on behalf of whom instrument was executed).
Personally Known ❑ Produced ID ❑
Type of ID Notary Sign _
Print name KATIE KRIPS --
=.A,� -_ 927V9b
MY COMMISSION#FF2019
00 V 17� EXPIRES October 21,
I I�IoricliNotnvS:+r�cu u�m
Z --jz-py-\,*-/
Contractor's Authorization Letter
I, license holder for P RS P DS :1�
authorize the following people to apply/sign for permits under my
license number Please allow ONLY the person(s) listed below to sign.This
letter supersedes all others.
Contractor's Signature 1
Contractor's Printed Name Orl Fy 1 c k: `-
STATE OF FLORIDA COUNTY OF PINELLAS The foregoing instrument was acknowledged before me this
c,_day of BQY I' 20 by Fy I C who is personally
known to me or has produced as identification.
Y"E:>( HECTOR PAMOS
�?'{1 ,
MY COMMISSION 4 FF 221955
EXPIRES:April 19,2U19
GondedihruNotaryPub5cUndenOters
— 4— —
NOTARY PUBLIC
Contractor's Authorization Letter
I, -e-Y1�l► SCQ��`'� ----, license holder forC�S
ti--�,✓ . authorize the following people to apply/sign for permits under my
license numberC-�_12-L4 t-1�. Please allow ONLY the person(s) listed below to sign.This
letter supersedes all others.
Contractor's Signature j
Contractor's Printed Name -fl►'1►
STATE OF FLORIDA COUNTY OF PINELLAS The foregoing instrument was acknowledged before me this
_day of ap. -I 1 .20 lol by 1 X1Y11 S 7-GtCSL, who is personally
known to me or has produced as identification.
IF11"ECTOR RAMOS
MY CN#FF 221955
€I ;_
r.�" Pa,' EXpril i9 2019
gC;; Bonded Pu6!c Underwriters
NOTARY PUBLIC
gyp,
t
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA I NERG,EY CONSERVATION CODE(FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY(INSPECTOR
Permit# 2r '�G�1
Site'Address:
Contractor:. � ���- -�- J '
License#:
Final Inspection Date: a46—
BI
1 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.Ali new duct work is to comply.with FBC Energy 403.2 and FBC
Mechanical chapter 6.
Blame of License Holder(print or type) Signature of License Holder