HomeMy WebLinkAbout19-21594 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21594
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21594 Address: 38319 14TH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-01500-0071
Improv. Cost: 18,500.00 OWNER INFORMATION
Date Issued: 7/31/2019 Name: DEAN, CAROLYN
Total Fees: 135.00 Address: 38319 14TH AVE
Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/31/2019 Phone:
Work Desc: A/C CHANGEOUT (1) 4 TON & (1) 2 TON
CONTRACTORS APPLICATION FEES
WIDEMAN AIR SERVICES HEATING& CO A/C CHANGEOUT 135.00
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 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.
1Q9_4 AJLA _,� &_ 0�
CONTRACTOR 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
e- I Building Department
Date Received 1 .Phone Contact for Permitting V
TTTTT= ....... ..... ...... .......
r Phone Number
Owner's Name 9� � iflioU wne
Owner's Address
Owner Phone Number
1 aN,�,t i
1-7 fAA1U_Y k I'l IS Owner Phone Number
JOB ADDRESS F 75'R 3 f I 0,V-e -Z_ uchillS ,EL 33512- 1 LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED n NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL
DESCRIPTION OF WORK [(2-) U, C C/V)CA,rta CA-k+ I4un
'J BUILDING SIZE SO FOOTAGE HEIGHT
Hiiiilliip '4 1,14 1 1
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING 1$
W MECHANICAL 1$ 5
0 a VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREh L_YLN J
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address r License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt, L_X
_L N_j
Address License# I I
MECHANICAL COMPANY wl ryxan AU- )--?,y V f6
SIGNATURE REGISTERED (Y) N FEE CURREN Y/N
Address License# 1(zty1/
y�OFJ
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F—
HHHH! !HHHHHHHH
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&I 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 wl 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 Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
'44 �11 I w w 111waff 111 1;t 1 1 1;1 1;1 i 1;1 1 1;1;i i
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 SeWets '-'Service Upgrades- Fences(Plot/Survey/Footage)
Driveways-Not over.Counter if'Oripu0l6
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:T17:03)-- -- -- - -—----- - __ -.
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Sub cribed and s or to(or affi e/d) r me this
by 7 I by V151 rr,"(. 1-e Ok/Y1O(`Pil Y��n-Gp,
Who is/are personally known to me or has/have produced WV( ar erggo��nallWnovKn to a or has/have produced
as identification. �V'l`I 1,1CP as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Nota P+�;
nmnati
CARLOS MALDONADO
t ` Commission#GG 346275
` .4 Expires June 18,2023
BondedThru Troy Fain lnsurance8W385.7019
INSTR#2019129122 OR BK 9948 PG 992 Page 1 of 1
07/31/2019 03:39 PM Rcpt:2077117 Rec: 10.00 DS:0.00 IT:0.00
( ` Nikki Alvarez-Sowles, Esq.,Pasco County Clerk&Comptroller,ad Interim
C p� NOTICE OF COMMENCEMENT
Pernik No.
Property Identification No. ,/ 2 �Q — V 1 — 0 1 �5-0 0 —0 D?
THE UNDERSIGNED hereby give informs you that the Improvement will be made to certain real property,and in accordance with
Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Descriptlon of property(le at do don.
a)Street Address: , FLz
2.0enual d " "Qn of oveme m:
! Z.
3.0wnet•Inforihdon _L 32
a)Name tmd address: d 'taJ Z l L
b)Name and address of simple ebolder(if other than owner)
c)hntemst in property
4.Conhactor Infomution
a)Name and address: Z-CLGIF Qkr •Le r,l0 0 �L,na t Y
b)Telephone No.: [` �) let C—:3 1�4!E-5 Fax No.(Opt.)
S.Su rety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
8.1n addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
e)Name and address•.
b)Telephone No.: L Fax No.(Opt.)
9.Exphadon date of Notice of Commencement(the expiration date Is one year from the date of recording unless a dill tent data is
specified):
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 IMPROVEMENT'S 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTIC MMENCEME
STATE OF FWRMA
COOIYI'Y OF PASCO
SIjnxum of or races Irector/P oMM
P Nude
The foreg k Ins ent was acknowledged before me this A L day of 20�,by
I Ih i G-e r (typo of a cer,trustee,attorney
in fact)for (same of party on behalf of whom
Personally Known_OR Produced Identification Notary Signature f1
Type of Identification Produced L Y-'1Jt'5IiUAT Name(print) X9S
Verification pursuant to Section 92.525,Florida Statutes.Under pe hies perj-y,I deeiere I have read the foregoing and that
the facts stated in it are true to the best of my Imowledge and belief
siouwm of swft
FanuasroejV.moor
""%;4�•.- CARLOS MALDONADO
Commission 4 GO 3462T6
_ Expires June 18 2023
BorrHd Thru Troy Fain Unuranu n00�3t1S I019
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT'rHE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND,AN OFF CIAL SEAL THIS
4"DAY OF 2_M
C C MPT
R4KMPTROLLER
BY DEPUTY CLERK
0
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATIONS CODE(FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
d
Owner: V')
Permit#: ' -l s Cl 1
Site Address:
Contractor: 1AJ &-e YYW,w A r
License#: c61 � b g
Final Inspection Date:
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