HomeMy WebLinkAbout20-22315 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22315
BUILDING PERMIT
PERMIT INFORMATION 'LOCATION"INFORMATION-
Permit Number: 22315 Address: 38448 COTTONWOOD PL
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0210-00000-1100
Improv. Cost: 5,495.00 OWNER INFORMATION =g =
Date Issued: 1/16/2020 Name: POTOCKI, EDWARD & JOSEPHINE&WIL
Total Fees: 70.00 Address: 38448 COTTONWOOD PL
Amount Paid: 70.00 ZEPHYRHILLS, FL 33542-6616
Date Paid: 1/16/2020 Phone: 813-862-3540
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S -APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
DUCTS INSTALLED Ins ections Required
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.
CONTRAQOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7'eoQM City of Zeptiyrhills;Permit Application Fbx-8i3-7W=1
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RESID@!T(AL. A*di'R).P1ntPl�ns:'(1�;etsatBuidrgPlar .t1)'setaf,Energ1!FoitFtc�wPemutfunswoonstruction
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""PROP�Rr`/is(iRVEY•.iegiiedlCa4M NE cmishwiiat. .. -
oteetrMorr� -
Fitt out appkation Fy.
Owner&C6rtwWd9rihadt.doppi vft%note►iaed
it ow$25W.a Ndke of Coeettraioreiw t M n**vd. QW gWades ow $75W)
" Agent(ro'Uta )-P—ol At-W{ta the natacimd letter fmm owtlerwWwdit ssnte. _
OVERTHSCOtN TERPEtO MMKI (oopydeardrec Maquired). ..
Rwoofs ifshbOw -'Sowerei , Sere'Loat)pgadar A(C'•_;:r:.Fg (PbVStevay/FooFape)
Drt ew•ays-M oust'Counter i!an pubCtc foadnvys..reeds Row
NOTICE OF DEED•RESTRiCTIONS: TheF undersigned understands that this permit may be subject to"deed"restrictions"
which:may be more restrictive titan County'regulations, The undersigned assumes responsibility for compliance%WM any ,r
appl ic ibW dedd,re,strictions:
UNLICENSED,CONTRACTORS AND,CON 1 RACTOIt RESPONSIBILrhES:• If the owner has hired a'contractor or
contractors-to undertake work,they may tie required m be liciinsediiii deo.rdance with.state and local regulations.�ff 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.Iwhat licensing requirements may apply for the
intended.work,they are advised to contact the Pasco County.Building Inspection Division—Licensing Section at W2 047-
8009. Furthermore, if thw owner has;hired a contractor or,contractors, he is advised to have the contractor(s) sign
portions of the`contractor Bloch of this application for whlcirthey will be responsible. If you,,as the owner sign as the
contia9W,1 that may be an indication that,he is,not properly licensed
t,ounty. and is not entitled to.permitiing privileges in Pastor
TRANSPORTATiON'IMPACTAUTIL TiES IMPACT AND-RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Faes 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 89417;and
90607,as amended. The-.'undersigned also:u-inders-tands,that such fees,as may be due;will be idertified at the time of
permitting. dfis 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 Me,project does'not.iniiolve a certificate of o6Wpancy or
final power release,the fees'mrrst.be pald.prior to.permft-Issuance. .Furthemiore,if Pasco Cotirtty Water/Sewer Impact.,.
fees,are due,they crust be paid prior to permit issuance.in,accordance with applicable.Pasco County ordinances.
CONSTRUCTION LIENA AW'(Chaptern7lS,F7orlda Statutes,as amended): If valuation of work is$2,50D.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 lt,to.the"owner"prior m to comencement_
CONTRACTOR'SIOWNEWS IT:AFFIDAV Joe* let-all the,infomration in this application is:aixrrrate 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 end installation as indlcated. 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. 1 also
certify that 1 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:
Deparment of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,Water/WasWm ter Treatment'
Southwest Florida Water Management -District-Wells, Cypress Bayheads; Welland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & RehabOitative Services/Env)ronmental Health Unit-Wells. Wastewater:Treatment,.
Septic Tanks.,
-US Environmental Protection'Ageri*Asbestos abatement
Federal Aviation Authority-Runways.
l understand 4iat the fotlaw►ing-is UMedons.apply to the use bf fill:
Use of fill is not allowed In Flood Zone'W unless.expressly pegnitted. _
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.Materlid:ii to tie used in Flood Zone A°i6 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_tn,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 adjaceriE'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)
acne-whkdi-are elevated byfill,'an engineered drainage plan is required.
If I,am the AGENT FOR THE-OWNER;-I promise in good faith 6-irrform the owner of the permitting conditions set forth in
this-atfidavft prior to commencing:construction. I understand-that a separate permit maybe required for electrical work,
plumbing,signs,wells, pools,air conditioning;gas,or other Installations not spedfrcally included in the application. A
permit issued shall tie construed to be a license.to proceed wifh:the work and not as authority to violate,cancel,after,or '
set aside any provisions of fhe technical codes,nor shall Issuance of a.per prevent Me-Building from thereafter
requiring,a correction of errors In plans,.construction It or violations of any codes. Every permft issued.shall become invalid
unie 'thsse work:aut ioriied•by such permit is.commenced within.six months of permit issuance;or If work authorized by
the permit is suspended-or abandoned fora period of'six(6)months after the time the work Is commenced. An extension
may be requested;in writing;from the Building Official for 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. W YOU.INTEND TO OBTAIN FINANCING,;CONSULT
WITH YOUR LENDER ORAN ATTORNEYE RECOR
BEFORDING YOUR OTiCE OF M ENCEMENT.
FLORIDA JURAT(F.S 7 7. or
OWNERORAGENT CONTRACTO
to(Or allirmed) me this and r(or xronr a this
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WFois! tom produced Wbo m'maor produced•., :.
as Neon._'.. as identmflcation. '
Notary Public Gz?�`� t✓ Notary Public
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WORK ORDER,#/SERVICEMAN 104072 MAY
:ales; 'Service & lnstallationS DATE/TIME TAKEN 01/06/2 O9u 37
44.41:Alleh'Rd ,,,"Z phyrh:ills -'FL. 33541' TAKEN BY Er�A� OF,
DA"fE/TIME PROM11SED +
NOTES:;_ •l.P.��{xrlc .._,.3_n.gl'Yt_... ,;,•C7)t' =_ QLISTQ.h'IER#/L:C} AT I QN
RAUTE/SEQ MAY,
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PO. OCKT, EDWARD and ,JOSEPHINF PD"fOCKI, EDWARD: and JOSEPHINt
38448. COTTatiwoa.Q,--.PL 3844a- COTTONWOOD PLACE
DRIFTWOOD .
'ZE1::i11`-RH T LLs``.;.<_ FL: .3354iR ZEOHYRH I LL.S FL33542
NUTON,E
AH: 84VMX36K-85 B4D1010(802024
CDC FT4HE—O36K/FTD. 0O7- (7rZ 0O
TDo 11/8/2010, 2ND OWNER
ESTIMATE
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y to- ::sL. •:;<, f.`�rE:4i"r 5 f fid +d,:�s, 3S.t: ...• -'^3`� `;:Y,*x
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FILTERS x x Changed'Monthly I i
FILTERS x x Changed Monthly t i
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❑.REGULAR 0 WARRANTY 2 ° ,5 +d f�ARALAWN.f 009",'7t;.•,'°y' .
y i::
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ybei rriicllst`tsett}n99i''When hereWhen Away 6'?,,.T Stat0° 'MAINTENANCE CONTRACT
'�.�.,.�'� SERVICE I
LIMITED'•WARRANTY: All materials,parts and etjuipmeot are warranted by the manufacture .r r irk_ E J Opr .. Y`: +R G CALL' l
T' 'M ! R.'.:4''.:.a-"ems?n.'.HI':•...�Y�>~-1'lh'@ '::>S�L
or sappiiars'written warranty only.All tabor performed by ttse-above Harried carnpany is warranted for "-"°"'- -`-w° ^^- �•�•_-*� TOTAL I _
30 days or.as otherwise indicated in writing,The above named company makes no other warranties, ❑,CASH ❑CK# MATERIALS I
express or.implied;and its agents or technicians are not authorized to make any such warranties on
behalf of;bova named.company.
❑DEBIT CO CREDIT I]OTHER MAINTENANCE'
I have authority;to oMer the work outlined above which has been satisfactorily-completed,I area That Seller
FROG, .W! C r
•retains ti0e3o,ea5lpmenUmateriais famish
ad until final payment is made.If payment Is not made as agreed. CLAIM#
seller cam 'equlpmenUmaterials at Seller's expense.Any damage resulting from said re iomoJe�seldmoval shall. w
not-be�lha�respansibility'o!Set3er.NET 30 DAYS.A 1 12%SERVICE CHARGE WILL SE ADDED MONTHLY TO t
'.ALL
UNPAID BALANCES OVER 30 DAYS.NO,REFUNDS DATE'COMPLETED.
TAX
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USTOMER'SIGNATURE DATE _ t4LG ��'"+�~�' -'-. I'•