HomeMy WebLinkAbout20-22587 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22587
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22587 Address: 4951 LAKESIDE 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: WINTERS
Est. Value: Parcel Number: 14-26-21-0000-00200-0000
Improv. Cost: 3,995.00 OWNER INFORMATION
Date Issued: 3/05/2020 Name: WINTERS MOBILE HOME PARK
Total Fees: 60.00 Address: 38022 WINTER DR
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-5544
Date Paid: 3/05/2020 Phone: 813-701-1015
Work Desc: A/C CHANGE 3 TON PKG
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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DUCTS INSTALLED Inspect! 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.
r
NTRACT R IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8,13-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 121, 00
owneesN... tr6 M 4AOwnerZ O NI.1.,9 P h9.a.a N
um b-er ro-1 3
Ownees'Address 13 Ova \/V 11 O ICA- D Y owner Phone Number
Fee Simple Titleholder Name I t Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS La-Aeside, or LOT#
SUBDIVISION i r*crs M P I PARCELID#1/`0 -)0 D/ 0000 00a00 0006
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW CDNSTRZ/ ADDIALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE Q SFR COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL r 777-1
DESCRIPTION OF WORK • I-E &a 0- 4)U--k commQ-1h 8TO
ou Ww-
BUILDING SIZE SO FOOTAGE HEIGHT
-ff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BU1LDJNG 1$ 1 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL is —1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=FLUMBING 1$ 7
02KVECHANICAL 1'39q5, VALUATION OF MECHANICAL INSTALLATION 7
=C".Jks = ROOFING Q SPECIALTY = OTHER p' '5-11
FINISHED;-LOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURA REGISTERED I YIN FEE CURREI,
Address I License#F— 7
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED I Y/N I FEE cuRREt, I Y/N 1
Address I License#
PLUMBER COMPANY =
SIGNATURE REGISTERED I YIN FEE CURREK I YIN
Address I License#
MECHANICAL COMPANY lbahP;�
SIGNATUR.2 .41 REGISTERED I YIN FA CURREN LILIN J
Address License#M-0-Qq.au-y
REGISTERED Y/ N FEE CURREK
OTHER COMPANY
SIGNATURE License#
Address
RESIDENrAL 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/Sift Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsilarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life safety page;(1)set of Energy Forms.R-O-W Permit for now construction.
Minimum ten(10)worldng days after submittal date. Required onsite,construction Plans,stormwater Plan,wl Sift 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.
. . . . . . . . . . . . . . . . . . .
F911 our application completely.
Owner&Contractor sign back of application,notarized
If over$250*0,'a Notice of Commencement is required. (A/C upgrades over$75110)
Agent(for the contractor)or Paver of Attorney(for the Gwner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if s-singles 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 property 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 Reco6rse 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, I
- 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-Run.ways.
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 llcense 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 permli 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 COM ENCEMENT.
FLORIDA JURAT(F.S.11 3
OWNER OR AGENT CONTRACTOR
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VWo is are knqo to melor has/have produced Whois/j rkers nown to me dr has/have produced
as identification. as identification,
�N""Public Notary Public
mission Co' ission No.
SYLVIA A.CAMPBELL
Name Of Note ype ,printed or--lamBIEVIA A,CAMPBELL Name of Notary typed,prin -State of Florida
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F.1,
b 0 Floridatary Public
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Notary Public-State of DFIorlda Commission#GG 112939
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Commission GG 11112939
M J�l 9,2021
u My Comm.Expires Jul 19,2021
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Bonded 11wough National NotaryAssn.
My comm.Expires Jul 19,2021
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Frankifti
s) Service Order/Proposal
Af4D A/C INC.
DAP..-W1f1Q-Q I
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WORK O"°=R#/SERVICEMAN 104993 EMA
Sales, SerVice & Installations
DATE/TIME TAKEN 02/12/20 10: 12
4441 Allen Rd. ° ZBDhV[hiUS. FL 33541 BY TAMMIE 07
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NDTES� ,� ^ DApF-/TIME PROMISED
CUGTOMER#/LQCATION AC4141
PHONE# 813-701-1015
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CITY OF ZEPHYRHILLS j
sacs-aTll SffcEer 22587
- tuti)zao-mzo I
BUILDING PERMIT
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PERMIT INFi7RHjA_TION� � -_LOC.,--L..
Permit Number. 22587 --'. 'fidetinss;d951 LAKE'SiDE DR
PormitType' MECHANICAL ZEPHYRHILLS,FL. Book„
Class of Work: A/C CHANGEOUT Township, Range` section:Book:
Proposed act: NOT APPLICABLE Lot(s): Block: DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
Square Feet Subdivision: WINTERS
Est.Value: Parcel Nurnbor: 14-28-21-0040-t}-- -4000 DUCT SYSTEM
Improv.Cost: 3,995.00 __OWNSR INFORMLTIC?N
Date Issued: 3r45f2020 -.. Namo: WINI ERS WE ILE HOME BAR FLORIDA ENERGEY CONS@R+lATIOfJ CODE F
Total Fees: %00 Address: 38022 WINTER DR I ( 8C ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
Amount Paid: ZEPHYRHILLS,FL 33542-5544 i
6).00 U OR
Date Paid: 3/05/2020 Phone: 813-701_-1015 __-__... -- - — Owne 1� P
_ Work Desci itiC CH7UJf^,E 3 TON PKG - f- --..-v_.__. .G._-- _. .
L - _ CONTRAC70R 5}- --'- _TI .__.._.. r _ j�
- 1
( .AP!?LjCATION FEES-----°'<04.4fl Permit�. ?�i C''J _
BAHR'S PF20PAhiE 3A5 8 A C.INC. .__.._.. .. VC CHAFIGEOtfT 1 , r" I
j Site Address �t _'! l,r/pC``t�lG�{ br
}
Contractor: e - C'TnC�
' I Licensers:
Final inspection Date:
UOCTs H%TAiiE7_...._.__�_-
ducts tti;;uteo_.y_,=__ I certify that I have installed nets or modified the existing duct work associated with the HVAC System
FI,Vn_ +
referenced b the I y permit(fisted above and found it complies with the requirements FBC Energy Code, '
Section 401.3.Where modified,the existing ducts have been sealed using reinforced mastiod?code-
. I .. _. _ _.-------.-.-_. ....__._._
RE7NSPECTIO N-FEESc(cJ Wlth respect to Reinspection fees will comply with Plartda Statute 553.80(2j(c)tlYe 1 approved equivalent. Dugs are located within conditioned space(Section 403.3)System was tested as
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 relnspection. per FBC cnzr Code,Section d0 3.2.I.All new duct work is to comply with FBC Energy 403.2 and FBt
fJgirCE::n addition to the requirements of lhi;permit,there maybe additional restrictions applicable to this property that McChanica I Chapter 6.
•r may be found!n the pubic recordi of tim's county,aril there may be additional permits required from other governmental
entities such as water managemani,state agendes or federal result entice. 1,
es — - -- —
"YYarn[ng to owner, Your failure to record a notice of commencement may rull t In your paying twice for i
improvements to your property If You intend to obtain financing,consult with your lender or on attorney i
before recording your notice of commencement" !
Compfete Plans,Specifications Must Accompany Appllcation.Aft viatli shed be ptiformzd In accarifance viitif '
City Codes and Ordinances,NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY 6EFORE C.O. - - —.._`;
C?NTRACTOR SIGNATURE PER OFFt R - Name of License Holder(print or type) Signature of License Holder
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION-8 HOUR NOTICE REQUIRED
m i
PROTECT CARD FROM WEATHER j I
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