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CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22020 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number:; 22020 Address: 5117 17TH ST 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.Valuer Parcel Number: 11-26-21-0010-20300-0080 Improv. Cost:l 3,895.00 OWNER INFORMATION Date Issued:! 11/05/2019 Name: R133 ACQUISITIONS LLC Total Fees: 60.00 I Address: 38070 DAUGHTERY RD Amount Paid-I /X� / 1��7' ZEPHYRHILLS, FL 33540-1375 Date Paid: 00 Phone: 813-788-2759 Work Desc: A/C CHANGE OUT 2 TON CONTRACTORS . APPLICATION FEES BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00 Cet I Ins ections Required DUCTS INSTALLED DUCTS INSULATW f FINAL J REINSPECTION FEES: (c)With respect to Rennspection 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 inithe 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. 6110ONTRACTONSIGNATURE PERMIT OFFItYR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-7W-0020 City Of ZFiElflo"t1IIS Penihk ApIIC3tlon Fax-913780-0021 . Bttlid'utg DeparmeM Date Received Own�"sNamre' R Owne'Ora nm Worm" p,, F7 -�., Fee SEmpie'f[NdMotder l�amc- .Otrrner i�wrte Nirri�ier F - '' - Fee Sinole 7ftlefi�l&r Address' .IOBADDREss PARCEL IDf ai / ©3a4 ODD' ._Wr� zAX WORIL PROPOSED e NEW CortsTR � ,omALT . C] SIGN DEMOLISH lNSTAtt oREPAIR PROPOSED USE Q SFR 0 COMM OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME =1 STEEL Q - DESCRIP`rM 00 WORK-[ 5, BUILIKNG saE ( 1 SQ FOOTAGE= HEIGHT - QBUILDING ' VALUATIONOF TOTAL CONSTRUCnON' =E'LECTRICAL I$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING 5 � MECHANICAL z°' VALUATION OF MECHANICAL INSTALLATION =CAS Q ROOFING Q SPECIALTY C� OTHER FINISHED i 0011 ELEVATIONS �� FLOOD ZONE AREA =YES NO BWLDER COMPANY SIGNATURE MGMYSeD. YIN FEE CURREI. Y I N Addtess Llaense# - ELECTRICIAN COMPANY S)NATURE REGISTERED I Y 1 N FEE CUMF1. Y I N Address L cwm#1777 PWMBER COMPANY SIGNATURE ttEGtsrERmI Y 1 N. FEE cuttne. Y/N- Add,ass y� MECHANICAL COMPANY jv�,1TJ#9`S QAA _0 SIGNATURE REGISfEM - _, Yl N. FEE_CU.RRB YlN Address !f Z I ✓� U qr,;e# vJ� OMER i COMPANY SIGNATURE REGISTERED F Yd N FEE CUfft Et - I • Addiess. License# 1 ��, �•� �.�.�.�,1.� l 1 1 1 1 1:ft,� �.1 1 1 1.1-� f i l l l,1 1 1'1 1 1 1 1 1'I I I 1 1 1 Ul 1 11 1 1 1 1 1 RESIDENTIAL Attach(2)FWb Plans;(2)sets of BWc1irg Puns:(1)set'at FJtcr}Br Farms;R-O-W P.. for new acrtstrudiottr-' � tuTnimum ten{10}vitiTklttg days alter si16mltlriai tiate;'itegitkad aTtsite,Ooirstrtii�aii Pians;`Stmltlwa#er Ptaris wJ St'It Fence irsstaiied, Sanitary FacWW s&1 dunapstw Site Work Pamdt for sab6vlmor laras projects CMQU RCIAI. Attardt(2)aarTtplata NO of Bi&f?p Flame ptua a We Barely Fmw,(1)mt of Enorpy Forms.R-O-W Permit for new=nsWLKr t. M6dmm tet(10)wat"*,"S ow. dMe.Required-WdW,Cahn Ptalm,SW mwxater PLans wl Sift Fm=kmNled, Sartlfary Facilities&1 d opsW Site Wort Pond For aD new prof eats.Aft ownmereia]ttlgUlr mw is mast most compikatce SIGN PERMIT Attach(2).sets of a4ftleered Pfau.'. "TROPSM SURVEY required for a9 NEW=mbuc ion. Dirmcdom FU out appiicaticm cornptetety. Owner&Contractor sit ba*of WMUcWm notarized tf over$2500,a NO**of Conanertean d 1=ragtited. (XC UP9rades Ova 4175M) •e. " Agent(for ttre corttr or Power ofAtlatriep(far the owner).w xk be someone wah notarized letterfrom owner aUtlto b"same OVER THE COUNTER PERMrrf NG_' (copy of regUbw` . Remals if sWngles: Sewers . Service Upgrades'A/C'- 'Fences(PiatiScutraylFootage) Dr"mys Not m Counter if art pulv'rc roadway..rids ROW i 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 haw,.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 hi a contractor or',contractors, he is advised to have_the-contractors) 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 e is not properly licensed and is not entitled to permitting,privileges in Pasco county. TRANSPORTATION JMPACTIUTILITIES II PACT 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 bepartment 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,ft to tire_"owner*prior to commencement CONTRACTOR'S/OWNER'S'AFFIDAVIT:I f certify that all theinformation in this application fs 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 sand 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. 1 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 ust take to be in compliance. Such agencies include but are not limited to: Department of Environmental rotection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Mlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Sea alas,Docks,"Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks.- - - I . . US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. 1.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 use -in Flood Zone"A in connection with a permitted building using stem wall' construction,I certify that fill will Ibe 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.piirmit 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 prom'lse in good faith to inform the owner of the permitting conditions setforth in thin 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•asfde 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_shali 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 alperiod 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 cases 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 YOU&NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNERORAGENT- - CONTRACT Subscribed and swornto(or affirmed)before me this I S — a to or etrmned) phis �� Y (J Who is/are personally known to me or haslhave produced Who i dre.personally known or trasJhave produced as Identification. as identification. ' c: Notary Public Public Commission No. issbn yP" mmary Public-State of Florida Name of Notary typed,printed or stamped Name of N Or � . � » starpegnission q G 5,�• oe= My Comm,Expires Jul 19,2021 Bonded through National Notary Assn. 4 MOIL, .li• CP, — bo t .ruFr a :rSe c +D D_AI 4 - :Invoce_1r�E 198g . :8'IA3 782; 5t i, _WC3RI OIAEFt:#'%`gEhtJTCEIAIV lwt8REN rvice ,Eristal�at�orkts= -DATEZTLME` `. Ai'E 1-4441:A1hah Rd. Zephyrhills; L'.33541::. . ._. TA�,EU,,.,5Y,.:, :::;.,.; KIM 03 TEl T I.ME' l�R�l�3ISED :QG�tT-ION;-:. : 29594 AHC I IE# 8'17, =27'59 0 TgILLUTE/SEG REN[NGHAM REALTY - I-DAUCHT•E-RY t.R;D::.:.:• .,. . F-:. �i:1;7 ;TT-H- P—TGHY' tF1T.LL s:_`_:r.FL ;:5:?54 ZEPHYRHILLS FL 3354' N W� L ION NEED U T INFO TENANTs CINDY 81 -44 — 1E3E GT,•.:;NbT >,.66h� T=�f'`I4T. r��,,�r� -" :ressuces;i,l.o._ :-:''.CHI : - `•'gg . .� ?;FILTERS.' -,x x Changed-Monthty rF1LTERS. x xC�>FtEGU1AR' G:�;V+tfiF2RANTtY= mac- - _ .1'.T=Stet; a; ,,,C]:MAINTENANCEcCONTRACT':•'-,;' _s:CED`.WARRANIT Aitrnatedalsi.parts anegoipment ale wa ranted;by the ianufactarei�pp ,-'( y, ; Rgar performed by ikaeave named company is warranted for "'° _' `` "4 ' soras;otfiertiyke:Indicated.in.v{iiVrig:The"atiove:named;com an makesriaotfierwarraritles;f' : '.. TOTAL. Y,' p,,,Y:.,,,;-:,, - O=CAuM' .'[],CK#• '::°tV1ATERIHI:S - t: ss orimpll00 anrl,fts agents or•teahniaans are not,utAorized;to•make any sucfi.warranVes onti Iofabovanamsdtwmpany 0•DEBIT,OCftEDIT O;OTMER MAINTENANCE ,authodty,to order the vrork ou0fnad;above,whlch•has;beansa0sfadodty,'eompieled.;l:agreaahal 3 titie:to:-aquipmanUmaterlals;fumistuid.uap3=Onal.payraenf?ts•made;;It;Payment:rs:nat mada,,a`s agreed t CI:AIM•# - - �- cen.tsmoys•saltl,eCuipmehVmater(ats.at�Sei3er's�expedsa.;Any;dz�age.r4suittn _saFd;re�Oval�sttiaii:', - the,raegonaibpityol&eller.;NET30DAY$Al S12°6SERVICE;CHARGE,WIL 0g'iromE�A PED•MONTtILYTOf NPAIDSA,MCESOYER30DAYSiNOREFUNDS '-. -•F DATE COMPLET[k) _ l ECH: TAX- ! -- - 4 `.Dil'M�'OMER StGNATURt,