HomeMy WebLinkAbout20-22803 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22803
BUILDING PERMIT
#�. P..ERMIT INFORMATION LOCATION"INFORMATION =
Permit Number: 22803 Address: 39102 5TH AVE
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: ZEPHYR HEIGHTS
Est.Value: Parcel Number: 12-26-21-0030-00300-0060
Improv. Cost: 5,500.00 "OWNER INFORMATION'_-
Date Issued: 5/29/2020 Name: AMG 360 LLC
Total Fees: 70.00 Address: 5148 SUMMER HILL DR
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/29/2020 Phone: (813)453-3394
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTORS
w . -APPLICATION`FEES uV ,,
WIDEMAN AIR SERVICES HEATING& CO A/C CHANGEOUT 70.00
� 1
Inspections Re uired
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 OCCUPANCY BEFORE C.O.
CONTRA TOR SIGNATURE PERMIT OFFI R
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
Q Building Department
Date Recel`ved ,5` Z I—��L v Phone Contact for Permittin
g 4l 3 ,� q'S'- l:�
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Owner's:Name C ',/--�LA� C�►� VA, w oneo Number
Owner's Address 3 V l Z - V 1. OW14, Owner•P..hone.Number
Fee Simple Titleholder-Name Owner Phone Number-
Fee Simple Titleholder Address
JOB ADDRESS . J LOT#
SUBDIVISION. PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORKPROPOSED NEW CONSTR ADD/ALT 0- SIGN • _ = DEMOLISH
INSTALLB REPAIR
PROPOSED USE 0 SFR 0 = COMM = OTHER
TYPE OF CONSTRUCTION, 0 BLOCK 0 FRAME = STEEL _
DESCRIPTIOWOF WORK Ci 2-
BUILDING SIZE I SO FOOTAGE= HEIGHT
=BIJII DING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ b4?_p�-@ C ► . 2eP��r��Us
[MECHANICAL Is d U VALUATION OF MECHANICAL INSTALLATION -
55
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED'FLOOR ELEVATIONS FLOOD-ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/:N FEE CURREN Y/>N '
Address License#
ELECTRICIAN COMPANY
SIGNATURd I Y/ N FEE CURREN LYL N_j
Address License#
PLUMBER COMPANY .
-'SIGNATURE REGISTERED 1, Y'/'N FEE CURREN Y/N
Address =W1
License# `V,MECHANICAL COMPANY hn�r Y' y
SIGNATURE REGISTERED' Y/`N FEE CURREN Y/N
Address el(p For+ �— - License#
OTHER ' COMPANY
SIGNATURE REGISTERED Y/ N FEEICURREN
Address L-icense,#
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 Plansm/.Slit Fence,installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life-Safety Page;(:1)set of Energy Forms.R-O-W Permit for new constructiom
Minimum ten(10),w6rking days after submittal date. Required onsite,Construction Plans;StormwateuPlansm/Silt Fence Installed,
Sanitary Facilities&11 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets•of•Englneered Plans.
****PROPERTY SURVEY,requlred for all NEW construction.'.
--------------
`Directlons:
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 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.,;,,.:...,Servige';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 maybe subject to"deed" restrictions"
which may,.be more restrictive than County regulations. The undersigned assumes responsibility for compliarrce,with any
applicabledeed 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, theyare.advised t6,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 IMPACTIUTILITIES IMPACT AND:RESOURCE RECOVERY FEES:The undersigned understands
that Transportation:UriPact Fees'and.Recourse•Recovery,Fees may -Wthe construction of-new buildings;change of
use in existing buildings, or expansion of existing;buildings, as,specifed in Pasco County Ordinance number 89-07 and
90-07; as amended—The undersigned.also. understands,.that,such fees, as maybe 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,:thefees must-be paid priorto permit issuance. Furthermore, if. Pasco County Water/Sewer Impact
fees.are.due;they;mustbepaid prior to.permit issuance in-accordance with-.applicable Pasco County ordinances.'
CONSTRUCTION.CIEN`tAW_•(Chap.ter 713 Florida Statutes.,;as amended):. If;valuation.of work-is$2,500-.00•or.more; I
certify that Ij� 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 thanthe"owner"; I certify that I'-have obtairied a copy of the above described document and promise in good faith to
deliver it:to the"owner-'prior to commencement..
CONTRACTOR'SIOWNER'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 whatactions 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,WaterMastewater Treatment..
Southwest Florida 'Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps•of Engineers-Seawalls, Docks,Navigable Waterways.
Department of Health A Rehabilitative Services/Environmental :Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental'-Protection.Agency-Asbestos abatement.
Federal kviation'Authority=Runways.
understand.that the following.restrictions.apply to the use of fill:
Us'e of.:fill..is not`alloWed.-in'Flood;Zone:"V"unless expressly permitted.
If'thefill -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 bythe State of Florida.
If,the, material-is to:.be used'in Flood Zone "A°.:in connection with a permitted building using stem wall
construction".;l certify thatfill will be used only to fill the=area within'the stem wall._
If-fill:-material is to be used in any area, 1 certify that use of such fill. will not adversely affect adjacent
pro perties,',lf 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-priorto-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-bezconstrued to be a.Iicense 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
maybe:requested, in writing, from the Building Official for a'-period'not to exceed ninety (90) days,-and will demonstrate
justifiable cause forthe 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-. IPYOU.:INTEND TO.:OBTAIN FINANCING-,CONSULT
WITH YO.URiLENDER OR'AN-ATTORNEY BEFORE RECORDING YOUR NOTICE`OF"COMMENCEMENT:
FLORIDA`JURAT(F.S'117.03)'' '
OWNER OR"AGENT CONTRACTOR EP—"_/
I --1
Subscribed=add sworn to(or-affirmed)before me this Subscribed and sworn to(or affirmed)be ore_me this
by 5y—�—by.
Who Is/are personally known to me or has/have produced o Is/are personally J�nown to me or has/have produced
as identification. U S C�I C-e h .as Identification.
Notary Public Notary Public
Commission No. Commission No. 1 Q
Name of Notary typed,printed or stamped Name of Notary typed,p' tedor-stamiged
CARLOSMALDONADO
w; Commission#GG 346275
Po: Expires June 18,2023
••'•:,df F'�:.•' Bonded Thru Troy Fain Insurance 800.3W7019
HouseCall Pro 3: 53 PM
To: Widemanairservices@outloo!<. ... >
Response on estimate #292 . for
customer Magdiel
Guilartegamez - - Estimate
approved
You got a response from Magdiel
Guilartegamez on estimate #292:
Estimate: Install
Amount: $5,500.00
Status: ESTIMATE APPROVED