HomeMy WebLinkAbout20-22485 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22485 ,
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22485 Address: 39022 1 STAVE
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: 12-26-21-0000-04800-0000
Improv. Cost: 7,400.00 OWNER INFORMATION
Date Issued: 2/18/2020 Name: TUSCANO CARL F JR & BETH E
Total Fees: 80.00 Address: 39022 1 STAVE
Amount Paid: 80.00 ZEPHYRHILLS, FL 33542-5205
Date Paid: 2/18/2020 Phone: (813)215-0810
Work Desc: A/C CHANGE OUT 4 TON
-CONTRACTORS - APPLICATION FEES
MCWILLIAM AND SON INC A/C CHANGEOUT 80.00
DUCTSINSTALLED 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.
CONTRACTOR SIGNATURE PERMIT OFFIgZR
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
Building Department t�
Date Received Phone Contact for Permitting d
[a l a i 1.1[ 1 1 1 1 I nn
Owner's Name 2 Owner Phone Number ^f7(«
Owner's Address 3 O Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
�fLJ JOB ADDRESS % ^ LOT#
SUBDIVISION PARCEL ID# J^CA
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED n NEW CONSTR e ADD/ALT 0 SIGN Q DEMOLISH
Jf�� INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK c= FRAME = STEEL =
DESCRIPTION OF WORK J J S
BUILDING SIZE SQ FOOTAGE= HEIGHT
ccccccc ccc cccc ccccccz cc nc-ccccccccc rccTcc cc rcccccx-rcc ccrcccccc cccc cz�
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
Vy MECHANICAL $ 0$ VALUATION OF MECHANICAL INSTALLATION �?/T
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
--- - - --- ----- - ---- - - -
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
MECHANICAL rZ� COMPANY
SIGNATURE , REGISTERED Y/N FEE URREN Y11/ 1
Address License# l `
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
11 1 1 [:1 1.1, 1 1'1[_['.1 [I,['1 [' 1 1 1 11 ['.I L 1 i 1 111 1.1 [ I [1.1 1 1.1 14 1 1 1 1 1 1 1 1 I I l I l I.1 1 1.11 i
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&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely 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 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.(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 Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-B13-780-0021
Building Department
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 slate 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/WastewaterTreatment.
- 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�yJlATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
OWNER OAG FLORIDA R RAT AGENT CONTRACTOR(F.S.117.03'/) (f v 1/li `^
OWNE
Subscribed and s rp tto(or armed efore me this Subscribed and swory9.(to jor affirmed)before meJhi
byl>r�IDe l���YwNas by Leslib�r /y1GW�L�i 6,waS
Who is/are rsonall knovin to me or has/have produced Who Ware—o ,Spp Iwewn to me or has/have produced
as identification. as identification.
Notary Public Notary Public
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My Comm.ExciresJul 15.2023 '•��or�� ' My Comm.Expires Jul 15Bonded through Nationa:Notary Assn. Bonded through National Nota
Make Checks Payable to
MCWILLIAMS AND SON, INC.
-. 6211 SPRINGER DR. • PORT RICHEY, FL 34668
MC"% -)' lhams (7271862-7002 ❑REFRIGERATION
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Heating,Air.Conditioning&Electrical ❑CASH ❑CHECK Q CHARGE
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•SERVICE ALL MAKES•RESIDENTIAL&COMMERCIAL Trans.#
NAME i Date
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ADDRESS Customer's P.O.❑
(3 /SrAL* Job
CITY,STATE,ZIP Email
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QUAN. MATERIALS PRICE QUAN. MATERIALS PRICE
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PAYMENT DUE IN FULL UPON COMPLETION OF WORK,UNLESS EXTENDED TERMS ARE MUTUALLY AGREED UPON BEFORE WORK MECHANIC
COMMENCES.ANY AND ALL NEW EQUIPMENT NOT PAID FOR REMAINS THE PROPERTY OF MCWILLIAMS&SON,INC.UNTIL FULLY PAID
FOR.ANY BALANCE OF PAYMENT NOT RECEIVED WITHIN 30 DAYS FROM DATE OF COMPLETION WILL BE ASSESSED AN ADDITIONAL
4.57.iNTERESTPER MONTH ON THE BALANCE UNTIL FULLY PAID.MCWILuAMS AND SON,INC.SHALL BE ENTITLED TO RECOVER FROM HELPER
PURCHASER ALL COSTS,INCLUDING ALLATIORNEY S FEES,FOR COLLECTION OFANY SUMS REMAINING UNPAID.MCWILLIAMS&SON,
INC SHALLNOTBE OBLIGATEDTO PERFORM ANYWARRANTY REPAIRS UNTIL INVOICE IS PAID IN FULL TOTAL
D Cs'-'hereby acknowledge that 1 am authorized to sig above or work and do hereby agree to the terms stated above in this contract 1 i.F /i C '
SIGNATURE'(l hereby acknowledge
the satisfactory completion of the above ft.✓�
described work.)
j Service Mechanic
WORK
RECOMMENDATIONS:
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DUCT CERTIFICATION FOR.INS TALLATION OF N_EW.DUCT WORK.OR MODIFICATION.OF THE EXISTING
DUCT-SYSTEM'
FLORIDA ENERGEY CONSERVATION CODE(FBC.ENERGY,SECTION 403}TO BE LEFT C?NSITE AND PICKED
UP BY INSPECTOR
Owner: �j.� Q�,3 G a�► �,
Permit
Site Address: .( .; Ile den vi:l��G�s rr� S
Contractor:
License#:
".:Final Inspection pate;,
a d Z per'
1 certify,that l have installed.new.or.modified't. existing"duct work associated-With
referencedaiy the permit listed.above.and found it complies with the requirements FBC'Energy Code-.:
Section 403.3.Where modified,the existing ducts have.been seated using reinforced.rhastic 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 ductwork Is to comply with:FBC Energy 4032 and FBC
Mechanical chapter 6.
Name of License Holder(print or type) Signature of license Holder