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Home My WebLink About19-21576 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21576 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21576 Address: 37530 COREY LEWIS AVE LOT 214 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s):214 Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0170-00000-2140 Improv. Cost: 6,285.00 OWNER INFORMATION Date Issued: 7/29/2019 Name: LEITZKE, JAMES & JUDITH Total Fees: 75.00 Address: 37530 COREY LEWIS AVE Amount Paid: 75.00 ZEPHYRHILLS, FL. 335421 Date Paid: 7/29/2019 Phone: 813-778-4546 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR(S) APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 75.00 .rr-AA Inspectio s Required NSTALLED- DUCTS INSULAVM- f.. FINAL REINSPECTION FEES: (c)With respect to Reinspecti-oLn 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. �AONTRAMRSIGNATURE PERMIT OFFICZR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 40F -0020 Fax-813-780-0021 813-780 City Of Zephyrhills Permit Application Building Department Data Received Phone Contact for Permitting ( 913) -r-r-r-r-lr-r-rT- Ownees Maine, Owner Phone Number Owner's Address :3 7,5 SO &AisAk Owner Phone Number Fee Simple Titleholder Name I I owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# SUBDIVISION ir�t 741J4 PARCELID#13# R57 100060 1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONST,ff'ADO/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR 0. COMM OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL DESCRIPT.ON OF WORK Wes ,91-0 i7*m-1 BUILDING SIZE SQ FOOTAGE HEIGHT . . . . . . . . . . . . . . . . UILDING 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL S AMP SERVICE = PROGRESSENERGY Q W.R.E.C. =11UMB G 1$ UM r!P�M�ECHBANICAL I$ a,?,J 5,-!W-----'I VALUATION OF MECHANICAL INSTALLATION =o.As Q ROOFING SPECIALTY = OTHER FINISHED i-LOOR ELEVATIONS FLOOD ZONE AREA =YES NO 4.14 . . . BUILDER COMPANY SIGNATUR- REGISTERED I Y1 N FEE CURREK Address License#r ELECTRICIAN COMPANY . = I SIGNATURE REGISTERED I YIN FEE CURREI, Addrvas License# PLUMBER COMPANY I SIGNATURE REGISTERED I Y/ N FEE CURREI, L_XLN_j Addre-?.,s License#F Y VL)91e-—Mlt* REGISTERED I YIN FEE CURRE?, I YIN MECHANICAL COMPANY SIGNATUR- Address 7 707�;-o )U License#I dhal"o OTHER COMPANY SIGNATURE REGISTERED I Y1 N FEE CURREIN Address License#F— 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,Stomirwater Plans wl Silt Fence installed, Sanitary Facilities&I dumpster,Site Work Permit for subdivisionstlarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life sajatY page;(1)set of Energy Forms.R-0-W Permit for now construction. Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, Sanitary Facililtiiiis&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance SIGN PERPTIT Attach(2)sets of Engineered Plans. -PROPERTY SURVEY required for all NEW construction. Fill ou.application completely. Owner &Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7600) Agent(far the contractor)or Power. Attorney of Alto-rn (for the Owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING. "('copy of'80. Reroofs if mingles Sewers,,:,.,,- Service Upgrades.A/C Fences(Plot/Surveyll'ootage)l Driver.,ays- Not over Counter if on public roAdways..raeds 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 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 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 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 -K 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 lessthan 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 unles:3 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 Q5 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CQMME�N FLORIDA JURAT(�F.S. 7.03)_ CEMENT. T OWNER OR AGENT CONTRACT �� S3 sorted and�swornt r affirmed)befoL me is Subscribed and rn orafflrrn;5d)bJfore me this W t# 4e �L M a �el 4 I sort rsonally kn n to me or fiasthave to,,as identification. as men Who islare Orsonally!kn�dn to me or has produced- as identification. ��Notary Public Notary Public 4C. sL...n No. d or sta E Name of NotaName of No f�htary rpq6%WJ#,d,pr stampe8YLVIA A.CANIF51:1.1. 'to of Florida 9k _t' Notary Public-State of Florida Notary Public-State of Florida 9 !:G2 3 Commission#GG 112939 9 Commission#GG 112939's Jul 1 9,2021] �T MY Comm.Expires Jul 19,2021 �3F." My Comm.Expires Jul 19,2021 Bonded through National NotafyAssn. Bonded through National Notary Assn. klin Franklin k: Gs er]PROPANE de /Prtrc. uc rAND"C al S�19M 8113-782-50t Invoice. Sales, Service &.Ins WORK WORD. ORDER#/SERVICEMAN 9950E JUN 4441 Allen Rd..•:Zephyrhills, FL 33$4"1 DATE/TIME TAKEN 07/15/13 1`0 34 TAKEN BY KIM 03 NOTES: _ DATE/TIME PROMISED CUSTOMER#/LOCATION 16553 PHONE# 813-778-4546 C ROUTE/SEQ JUN LEITZKE, JAMES & JUDY , LEITZKE, .JAMES & ;JUDY ,7530 CORY LEWIS 37530 CORY LEWIS ''GRAND HORIZONS" ZEPHYRHILLS FL 33541 . ZEPHYRHILLS FL33541 M# RSNJ—A038JK000 S# 7212F36051005 1 ESTIMATE _ a ToA ----------------------- - --- uL------ ---1- --- --- ,-- --- - — GYM 1 ,l I I I I I I a /O6a r- TAXQ ' SSyS''4c� I I I 014 ML I go off " :co � p I I Pressures_ Lo Hb- -TStat- i I FILTERS: x N x Changed Monthly I I FILTERS x x Changed Monthly REGULAR D;WARRANTY Sam- hen hee6, When Av ay, T=Stat 0, MAINTENANCE CONTRACT SERVICE LIMITEDWARRAN!Y;;All:materials,-parts.and equipmentarewarrapteittiythemantifactureis':. CALL I or suppliers'written warranty.only.All labor performed by the above,named tDInpany Is warranted for; - 30 days eras othetwise,indicated in writing..The.above named company.makes no other warranties, 0,CASH 0.CK# TOTAL I express or implied,and its agents octechnicians are_not authorized to make.any such warranties on MATERIALS• I behalf of above named company. ❑DEBIT ❑CREDIT C3 OTHER MAINTENANCE i . I have authority to,order the.work outl'ured,above,which has hsen satisfabtorly,domplsted.l agree that Seler - '_ . - `PROD: W/ C retains title to equipmepUmaterials fumished until final.payinent is made.;lf payment is.not matle as agreed, CLAIM#. - selier can remove sold.squipmentirww fats 4Seller's expense.Any damage resulting.from said,removal-shall rot be the responsihW'ty of Seller.NET 30 DAYS.All I&Y SERVICE CHARGE WILL BE ADDED MONTHLY TO ' I ALL UNPAID BALANC ye OVER 30 DAYS.NO REFUNDS DATE COMPLETED TECH:. TAX l ,.CUSTOMER SIGNATURE pATE. ✓' ✓4CG TOTAL G 4 �i Y e c� 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: e Lz f�G Permit#: �/�-;76 Site Address: 375 30 dRxo-v z6wi6— 48 Contractor: License#: �s 39 -274� Final Inspection Date:_ � L �! 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. _ T. h.=: Name of License Holder(print or type) Signature of License Holder