HomeMy WebLinkAbout19-21468 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21468
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21468 Address: 5306 18TH 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: 11-26-21-0010-17700-0210
Improv. Cost: 4,580.00 OWNER INFORMATION
Date Issued: 7/09/2019 Name: GORE, LOUISE ANN
Total Fees: 65.00 Address: 5306 18TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/09/2019 Phone: (352)999-1837
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 65.00
C
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.
ONTRA R 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
t Building Department
Date Received Phone Contact for Permitting.
/..
Owner's Name :< r 2 ' Owner.Phone.Number . `� -"� ' G-C 3� .
6
Owner's Address S Owner,"Phone Number.. ,�� �� •,
Owner-Phone,Number;
JOB ADDRESS �./ �/!/Z LOT#
SUBDIVISION �.: :PARCEL ID#. ...
(OBTAINED FROM PROPERTY TAX-NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN. : 0 0 DEMQLISH"
e INSTALL e. REPAIR
PROPOSED USE 0 'SFR [_ -Comm �. .OTHER
TYPE OF CONSTRUCTION 0 BLOCK' [�' 'FRAME STEEL
DESCRIPTION,OF WORK
BUILDING-SIZE I So FOOTAGE • HEIGHT
=BUILDING VALUATION OF T.OTAL.CQNSTRUCTION
=ELECTRICAL AMP„SERVICE DU,KE:ENERGY
=PLUMBING
=MECHANICAL $ C D VALUATION OF MECHANICAL INSTALLATION."
c
=GAS Q ROOFING Q• SPECIALTY C� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE�AREA -.DYES NO..
BUILDER COMPANY
SIGNATURE REGISTERED I Y/,.N ' FEE CURREN
Address License#
ELECTRICIAN' COMPANY.
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License
PLUMBER COMPANY
SIGNATURE, REGISTERED Y/`N' FEE CURREN = Y'/'N -
Address License# F7 I
MECHANICAL . COMPANY ILc �9^
SIGNATURE REGISTERED Y/IN FEE CURREN .. iY/N
Address License# I.. / s"T
i -
OTHER COMPANY -
SIGNATURE REGISTERED. Y,N: FEE CURREN
Address License#
RESIDENTIAL Attach':(2)-Plo'VP6ris;.(2)sets of-1Building,Plans;:(1)set of:Energy,Forms;--R-O�W,Permit:for-new-copstruc6gn..
Minimum ten(10)working days after submittal'date. Required'onsite;ConsttUdt o'n'Plans;•Stormwater•Plans w/-,Silt-Fenc616stalled,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivislons/large projects
COMMERCIAL Attach(2)complete sets-of Building Plans plus a L-ife!Safety,Page;(1)set of Energy Farms.R-O-W Permit for new construction.
Minimum ten(10)morkingrdays•after submittal:iiate.•Required�onsite,Construction P_Ians;.:Stomlwater:Plans w/Silt.Fence installed,
Sanitary Facilities&i dumpster.Site Work Permit for all.new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Enginee46Plans.
""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 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.Upgraces.&C . Fences(Plot/Survey/Footage) '
eds ROW
Driveways-Not over Counter;if on•public,roadways..ne
NOTICE QF.QEEDAESTRICTIONS: The undersigned understands that this permit may be subject to"deed°testricrons"
which may be more restrictive-than County regulations. The undersigned assumesresponsibilityfor:compliance with any
applicabte,d.eed.restrictions...
UNLICENSED CONTRACTORS:AND CONTRACTOR=RESPONSIBILITIES: if`the-oiiviier hat'�hired*�a-contractor:or
contractors-te,undertake work,:,they may,be-required-to be licensed.in.accordance.with state and local regulations..,4f.the
contractor is'not licensed as required byiaw,,both the owner-and contractor`-may-be-cited-for-amisdemeanor violation
under-state•,law. If-the.owner..or.intended contractor pare 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 Transpditatlon-Impact_Fees,'snd-Recourse:Recovery Fees may.-apply to--the.-construction.of new buildings, charige 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,:#hat'-subh.;fees, as maybe due, will be identified atthe:time.of
permitting. it is,further understood that..Transpoitation.Impact Fees and Resource Recovery Fees must be paid-prior to
receiving a "certificate of occupancy" orfinal power release. If the.,project does.not:involve a certificate of occupancy:.-or..
final power release,.,the fees must be,pald prior to permit issuance. Furthermore,if.Pasco County Water/Sewer Impact
fees:pre.due,-they must•be_paid.prior to.permit-issuance.in accordance:.with applicable Pasco County ordinances. ,
CONSTRUCTION..'UEN LAW,(Chapter713, Florida Statutes,a%,amended):, If valuation of work'•is$2;500.00 or more'1 "
certify"that 1; 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-l-have obtained.a copy of the:above..de'scribed document and prom ise'in:good'faith to
deliver it to the"owner"prior to commencement.,,-
CONTRACTOWS10WNEWS.AFFIDAVIT::..I,certify_that all.the,�information in'.this'application-i.s Accurate.and.that4al[work
will be done in compliance with all applicable.laws regulating construction, zoning.and'land.development:' Applicationis
hereby made to obtain a permit to do'work`°and"instailation,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 Citycodes,'zoning regulations, and land deve'Iopment regulations in:the jurisdiction: : I;also
certify that I understand that the regulations of other government agencies may--apply to the intended work, and thatit is
my responsibility to identify what actions I must take to be incompliance. 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 Service's/EnvironmentaF Health Unit-Wells, Wastewater. Treatment;
Septic Tanks.
US`Environm'entai�ProtectionAgency=Asbestos abatement.
Federal Aviation Authority-Runways.
I understand-that,the following.restrictlons apply to the use of fill:
Use.offill is-not allowed lh'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"`W,111 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-usingstem.1wall.
construction,'1 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-1 -ts"less ihan one (1)
acre which,ar:.e elevated.,by fiili an,.engineered drainage plan is required.
If l.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; poolsi--alrconditioning,�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 proyisions 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,perinit'issued'shaN-.become invalid
unless-the work.authorized by,.sucK: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 iscommenced; -An extension
may .in.-writing,-from the Building Official fora)period not to exceed ninety(90) days and will demonstrate
justifiable cause for"ihe-extensi6m Ifwork;cedse's for ninety(90):consecutive days,the job is_considered abandoned.
WARNINO.-TO,OWNER: -YOUR FAILURE.TO RECORD A-NQTICE.OF.COMMENCEMENT-:MAY RESULT IN YOUR
__PAYING-T{N[CE=EOR'IMPR4VEM�NTS TQ_Yt UR_PROPERTY.` tF-YOU=INTEND TO':OBTAIN-FINANCING,CQNSUi T
WITH-YO.UR_LENDER`OR'AN ATTORNEY-BEFORE RECORDING YOURNOTICE'OF'CO NCEMENT:
FLORIDA JURAT(F.S:'117. '
OWN ER;OR'AGENT CONTRAC.TO.
Subse'ribed'and"swo ;a eforeme'this Subscilbed•and,swor a e ore:m me'this
b" 7 b
Who is/are personally no to me or hasthave produced Who is! re pens naily ,(o:me,orhhas/havaproduced
as identification. ��_ ! 9- s identification:
Notary Public Notery•P..ublic_
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary'typedi`printed-orstampe
p:;�w•. CARLOSMALDONADO
t ;Commission#GG 346275
Expires June 18,2023
BondedThru Troy Fain insurance8oA�8ST014"
q? 5,,, ,,- K, .insey 'entrai
Heat:& Air=Conditioning,anc.
P.O. Box 2209
Zephyrhills, Florida 33539-2209
(813) 782-2300 CA-CO58626
p5{ DATEOFORDER
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NAME ' 'DATE PROMISED
ADDRESS 0ARTMENT —
lf7
1 CITY
a
MAKE MODEL SERIAL NO.
❑ ESTIMATE.
NATURE OF ❑ CASH
SERVICE
REQUEST ���iiT"' ❑ CHARGE
QUAN, PART NO. DESCRIPTION PRICE AMOUNT
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1 I
I
j
fj
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SERVICE PERFORMED TOTMATEAL IAL I"
j TECHNICAL l
SERVICE TIME
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A charge of 1.5116 will be made on all unpaid balances after 3Qdays,which is an annual percentage rate TAX l
j of t B%applied to past due balances.Customer is liable for any charges incurred in collecting this bill.
DATE COMPLETED CA$n ON CORKLETION TOTAL.
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TECHNICIAN CUSTOMER'S SIGNATURE