HomeMy WebLinkAbout19-20920 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 2�0920
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20920 Address: 38525 REMORA AVE
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: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 0226210260000000770
Improv. Cost: 4,260.00 OWNER INFORMATION
Date Issued: 3/05/2019 Name: LOPER MARCO B & JANICE K
Total Fees: 65.00 Address: 12900 PINEWOOD ST
Amount Paid: 65.00 GOWEN MI 49326-9727
Date Paid: 3/05/2019 Phone: 8137152120
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES - -
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
Ins ections Required .
DUCTS INSTALLED
DUCTS INSULATED
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 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.
1 \
CON! . CTOR 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-W20 City of Zephyrhills Pdrmit Application Fax-813-78G-0021
BuNng Department
Date Received Phone Contact for permillim F 1,3
Owner.s -7
Name Owner Phone .... A
Owner's Add. BN�)W ..
l Ar Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Tideholder Address
JOB ADDRESS I ZIP 5-4;;��
SUBDIVISION PARCEL ilwa�
a0a
(06TAINED FROM PRDPSWTAX NOTICE)
WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE 0 SFR Q COW OTHER I
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL
DESCRIFr.'ON OF WORK Ald 0 Zd"AMW,-AJT 7AA/P&e
BUILDING SIZE L SQ FOOTAGE = HEIGHT
EBUILDING. . . . . .1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING is
=MECHANICAL S 2J.-I R VALUATION OF MECHANICAL INSTALLA71ON
r-10AS r7 ROOFING M SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I YIN FEE CURREK
Add. F U......r
ELECTRICIAN COMPANY =
SIGNATURE F REGISTERED I Y/N FEE CURRa
. Address F- I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I YIN FEE CURREN L.XLN J
Address Uoense#
MECHANICAL
SIGNATURE COMPANY 1&w�rp
cg�p^fel6
REGISTERED I YIN I FEE CURRB I -YIN
Address 1-10ense#
OTHER COMPANY =
SIGNATURE REGISTERED I Y/ N FEE CURREK I YIN
Address F License#
Illlltlilltllllllllltlllllllllllllllllllllllitllllllllllllitlllllli
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)worldng days after submittal date. Required onstis.Construction Plans,Stormwater Plans wl Sift Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionslarge projects
COMMERCIAL Attach(2)conripletq seta of Building Plans plus a Life,Safety Pap;(1)set of Energy Forms.R-O-W Permit for now construction.
Wmimum ten(10)working days alter wbmMW date. Required onsite,Construction Plans,Stornwater Plans wl Sift Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all now prclects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
-9 mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .
=.4.1,
Fill out application completely.
Owner&Contractor sign back of applicallm,notarized
.1f over VM,a Notice ofCcame4mew,mdlsmquued. (A/C upgrades overs75M
Agent(for the contractor)or'Power of Attorney(for,the owner)would be someone wit notarized letter from owner authorizing same
OVERTHE C OUNTER PERMITTING (copy of contract requ
ired)
Remofsif
shingles Sewers ServicaUpgrades-AIC' Fences(PIotfSwvey/FootsgS)
Driveways-Not over Counter if on public roidwsys.Aaeds 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 property 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 ropy 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: 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, 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"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 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
Subscribed and sworn to(or affirmed)before me this bscribed and or affirmed) efo me this
by _10—
Who is/are personally known to me or hasthave produced ho i are pars ally knov�n to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. mission No.
Name of Notary typed,printed or stamped Name of Notary type p''?* C'Pe$lotary Public-State of Florida
* `•= Commission#GG 112939
My Comm,Expires Jul 19,2021
.FoFF�°p•' Bonded through NationalNotaryMsn.
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LONER, MARCO and •JANIC:E LOPER, MAIRCO and J•ANICE
12900 PINEWCtOD' ST 39525 REMORA AVE: #77
SLEEPY HbLLOW ESTATES
GOWEN MI l 49326 ZEPHYRH I LI._S FL.38.542-:
3T MILL'ER ,12SR W/10KW HEAT
MAINTENANCE GHLCI.•
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FILTERS tz'.., x Changed Monthly I
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_ REGULAR .�O'WARRANTY :�"w... e...._..;..,�.
When here 'Wtien Avvay <T=Stat t GI IVIf111VTENANCE CONTRACT MAINTENANCE
PRICE i
t#MITEDWARRANTY. Ali rnateriats,parts andequipinent are wamantedbythe.maifufa�rers' '"
or suppliers'written warranty onty.AO laborperiomiad by the above named company is warranied for ` "'
30 days or as otherwise indicated in writilig:'fihe above named txxnpany makes no other wariaiitles, TOTAL
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express of implied,and its.agents or technicians are not authorized to make any such warranties on
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t have auth«iry to,order the work outlined-above which has been saastact;rilybd ni>tatea.I'agree that saner _ PROG. W/ G _
tatains tftla Nt.equilunenttmatedais fumtsited until finek payment rs-made:tr paymenhts-not made as agreed CL�tIM# - - •-�.:- I
ALL,UNPAIDBALANCESOVER30DAYS:NOREFUNDS' DATE COMPLETED . , 'r j
setter eanl6matib.seid eGuEpmenVmaterials at Setter's expense.Arry'damage�tesutt3ng rsom'said removal sttaii i
not be the responsibility or aegeu NEr 3o DAYS.A 1 1f2%SERVICE CHARGE WILL BE-AD DE4 MONhILY.TO
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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: 4 f,e
Permit
Site Address: �O P0—/n,.0/e,6L UC. gleE'
Contractor:
License#: y � 70
Gy
Final Inspection Date: Z f /
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.
Name of License Holder(print or type) Signature of License Holder