HomeMy WebLinkAbout19-21842 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21 22
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21842 Address: 5316 SATSUMA DR
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: 12-26-21-0040-00300-0120
Improv. Cost: 14,949.00 OWNER INFORMATION
Date Issued: 10/04/2019 Name: COTTY, LAURA
Total Fees: 115.00 Address: 5316 SATSUMA DR
Amount Paid: 115.00 ZEPHYRHILLS, FL 33542-4657
Date Paid: 10/04/2019 Phone: 813-312-9650
Work Desc: A/C CHANGE OUT 2 TON W/ DUCTWORK
CONTRACTORS APPLICATION FEES
ARS RESCUE ROOTER A/C CHANGEOUT 115.00
Ins ections Re uire
DUCTS INSTALLED
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 OCCHPANCY BEFORE C.O.
&—
C?YJACTOR/SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813ae0-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name Owner Phone Number — Ipt7
Owner's Address Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PARCEL ID# —M 3_06
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME \n= STEEL =
DESCRIPTION OF WORK b 'Z Y ° 1 SOj S �L
BUILDING SIZE SQ FOOTAGE I HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=J PLUMBING $
I /�IMECHANICAL $I VALUATION OF MECHANICAL INSTALLATION l I
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN LI.LN
Address License#
r
MECHANICAL COMPANY
SIGNATURE J.) - REGISTERED 10 N I FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I 1 1 1 1 1 1 1 1 1
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 dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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.
—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. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attomey(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 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,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"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)
P
OWNER OR AGENT CONTRACTOR
Subscribed and swum to(or affirmed)before me this Su cd e d sw or affirmed) re me t
by by
Who is/are personally known to me or has/have produced Wh is/ re personally known to me or has have pro uced
as identification. as identifi
Notary Public r� Notary Public
Commission No. Commission No. �-�
Name of Notarytyped,printed or stamped Name of;�Q��f��d, ri f e
tyP P P i. COMMISSION1� ueve�e`��o�
Jr 71 1F OG274434
EXPIRES: Nov. 5, 2022
�4 A. � Dwedea Thnm Aernn hinfan►
INSTR#2019092077 OR BK 9914 PG 3667 Page 1 &1
S/H 05/31/2019 01:43 PM Rcpt:2059531 Rec:10.00 DS:0.00 IT:0.00
PauCa S. O'Neil, Ph.D., Pasco County CCerk&ComptroCler
7 '
Pem0No. PeeellDNo G_Q)ly C1_QNb—WJW_0j&C)
NOTICE OF COMMENCEMENT
state ar rl(1&�A_n_ Coift of
THE UNDERSIGNED hereby gtm notice that Improvement will be made to certain red property,and In accordance with Chapter 713,Florida Stabntm
the fallowing Information Is provided In this Notice of Commencement
1. Description of Pmperry:Paroel Identifleation No.
Street Address: l F
z cement Desctpflon.Improvement
Wi J10 (_J1 jCT-lA1()W_
3. Owner Information or Lessee WornmNan If the Lessee contracted for the bopnoversmt
Lalwa- C�
Address S�, one (i�/• �I I'S side
Interest In Property.C'�e1113 a✓
_---- Name of Fee Sbnple Tille>adder
Of df wwd from Owner listed above)
Address City State
4. Contractor
4__ ar Suit-_ A49
Address (( II city State
Contredore Telephone No�a
S. SuraiY
Name
Address City State
Amount of Bond:S Telephone No.:
S. Lender.
Name
Address City State
Lendds Telephone No.:
7. Persons wfthm the Slate of Ronda desigruded by the owner upon whom.10 or ether documents may be served as provided by
Section 713.13(1)(e)(7),Florida Statutes:
Nam
Address City State
Telephone Number of Designated Person:
IL In addition to himself,the owner designates of_
to me"a ropy of the Lkmrs Notice as provided In Section 713.13(1)(b),Fbdda Statmdm
Telephone Number of Person or Entity Designated by Owner.
S. Expiration date of Nodes of Commencement(Ste e*md n data may not be before the completion of construction end final paymeatt to th
contractor,WWII boom yaarfnm the date of mecm iris unless a dlfetatrt date Is spadlled):
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 1. SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTIC9 OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WRH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under permit lie mry lddad—Bret I have read time foregoing notice of commencement and thatthe facts slated therein are true to time best
dmy STATE OF FLOF012A -
COUNTY OF PASCO
Sfdh2Wm of Owner or Lessee,or Owenefs or s AWhodmd
011lcer/Di ectorfilatnolMemger
-
The feeOdPPg Ins ardwea admoMledgq before me thb day of 20]R by V�I
a 6rac'ma>,rn of authority.ag..allicsrtwtee,.artomeyIn fact)for
(name obaly an of ant waseoecsfed).
Personally Known[3 M Peodueed IdadMradan WOO' Notay Sio nahra
Type of Idmd9lutlem Produced e(Pdm)
00, Notary Public State of Florida
Derek Chin-hack Khttw
lFx F.p 08
ees09f30/2022 4536
wpdamatMcecorrmren�WB a
w�
STATE OF'FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND ANP OFFICIAL SEAL THIS
�—DAY 0 2 Ingod-we7ru:r
PAULA S.U'NEIL, LER &CO PTROLL R a.
DEPUTY CLERKs
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. ., LGrr_ L*4+4
Permit#: 21 IS 2-
Site Address: 63 Ib &-+6um 'Dr, Zee Sl-ki I FI- 335q2
Contractor: AS 1�egcv2. Roo�,_r ID01n) 7ac-P—t�
License#: CAC-W-�916 3
Final Inspection Date: 1 ` Zml4
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 duds 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.
Deno" Zacek- &K
Name of license Holder(print or type) Signature of License Holder