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Home My WebLink About18-20421 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20421 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20421 Address: 38651 TARR DR LOT 20 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: COUNTRY OAKS Est. Value: Parcel Number: 35-25-21-0010-11500-0100 Improv. Cost: 5,500.00 OWNER INFORMATION Date Issued: 11/01/2018 Name: REBENSKY, TAMERA Total Fees: 70.00 Address: 38651 TARR DR LOT 20 Amount Paid: 70.00 ZEPHYRHILLS FL 33542 Date Paid: 11/01/2018 Phone: Work Desc: A/C CHANGE OUT 2.5 TON CONTRACTORS APPLICATION FEES WIDEMAN AIR SERVICES HEATING& CO A/C CHANGEOUT 70.00 I V� DUCTS INSTALLED Ins ections Required DUCTSINSULATED FINAL 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 inspgction 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. CONT CTOR SIGNATURE PERMIT OFFICOR 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 Building Department Wi Date Received `` \ Phone Contact for Permitting 13 t 5 _ � 6s Owner's Name �'f�C1 �rG� �W(c �,� �e�je Owner Phone Number Owner's Address 3 4�O 5 ��f 2 k Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple,TitleholderAdddrresss JOB ADDRESS LOT# old SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q` Q DEMOLISH B INSTALL e REPAIR PROPOSED USE Q SFR 0 COMM 0 OTHER TYPE OF CONSTRUCTION De BLOCK Q FRAME 0 'STEEL Q ��++ r DESCRIPTION OF WORK <( �r \' `an d`c �Y��$ . C. . �bvtdedt.ser 2 D!'a4v BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION OrELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. Q?P,LUMBING $ FZJ'MEdHANICAL $ VALUATION OF MECHANICAL INSTALLATION I ='GAS Q ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO Nei I. BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N , Address License ELECTRICIAN , COMPANY SIGNATURE REGISTERED Y7-N FEE CURREN Y/N I: Address License# PLUMBER COMPANY, SIGNATURE REGISTERED- Y./ N FEE'CURREN Address' License.# , MECHANICAL COMPANY ' UQf1LAll I`� �S SIGNATURE- 'REGISTERED N FEE CURRE,C` • -Y/N Address . 755C.- License# . OTHER::.. COMPANY _ SIGNATURE. REGISTERED Y/ N -FEECURREN.. Y/N Address License# ....RESIDENTIAL Attach:(2)Plot,Plans;•'(2).sets.of Building Plans;.(1,)set of Energy-Forms;R=_O;W.Permif fo�.new.constructioh— Minimum ten`(1l))-working days after subrr►ittal'dat'--Required'onsite,Construction Plans;Stormwatee 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 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 all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach`(2)sets:of,Engineered'Plans. ""PROP.ERTY.SURVEY required for all,_NEW.construction. Dlrect(ons: 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,(for the contractor)-or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER,THE.000NTER 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 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;.whey mayte-required to be licensed in-accordance With.state-and:`IocalYr•egulatioris.' �Ifthe 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'contractorare.uncertain as.to"what-licensing requirements:may.appfy�or: he' intended work,.they are advised to contact-the Pasco County"Build'rig Inspecfion D'ivis'ion—Licensing Section at 727-847- 8009. Furthermore, -if the owner has�hired�a' - ntractor or contractors,. he.is--advised..to..have the cont�actor(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-l-also-understands, that such fees, as maybe 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 occupancyor 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, a6-amende4,,_If valuation of work.is$2,500.00 or-morel 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 allj 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. 1,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,WaterMastewater:Treatment. j 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.Environme ifal Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. understand that:the"followingrestrictions-apply.to the use of fill: Use.of.fll'is.not,alloviied 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. j 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 6A Subscribed and sworn to(or affirmed)before me this Subscribed and swore to( rmeed�)before me thi by i l�(�l @i by rJ5 clt r1' 1•� a&KAI\ Who Is/are personally known to me or has/have produced Wh Is/Ire personally known to me or has/have produced as identification. as identification.. Notary Public Notary Public Commission No. Cc mi ion Name of Notary typed,printed or stamped Name of No Commission 'BOG FF 0 •a Expires December 12,018 P,,t; Bondod Tluu;y Troy Fain Inwronco 8M385.1019 DATE ORDERED ORDER TAKEN BY SOLD TO P ONE NO. CUSTOMER ORDER It �- yy90 .JOB LOCATION JOB PHONE STARTING DATE TERMS 1 MATERIAL + i DESCRIPTION OF i' s y I MISCELLANEOUS CHARGES TOTAL MISCELLANEOUS TOTAL MATERIALS TOTAL LABOR WORK ORDERED TOTAL LABOR DATE ORDERED TOTAL MATERIALS DATE COMPLETED TOTAL MISCELLANEOUS CUSTOMER SUBTOTAL APPROVAL SIGNATURE TAX AUTHORIZED SIGNATURE GRAND TOTAL f� O A-2817-3817 I T 3866 10-11