HomeMy WebLinkAbout20-179 ' D
City Of Zephyrf1ilis PERMIT_-NUMBER
..
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000179-2020
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 05/29/2020
Permit Type: Building General (Residential)
Property Number Street Address
14 26 21 0010 02500 0070 38957 C Ave
Owner Information Permit Information Contractor Information r
Name: JAMCYN REAL ESTATE LLC Permit Type:Building General(Residential) Contractor: PROTEK PROPERTY
Class of Work:HVAC Changeout SOLUTIONS INC
Address: Po Box 1015 Building Valuation:$0.00
DADE CITY,FL 33526 Electrical Valuation:$0.00
Phone: Mechanical Valuation:$5,994.00
Plumbing Valuation:$0.00
Total Valuation:$5,994.00 q 9a
Total Fees:$69.97 ,
Amount Paid:$69.97 �V
Date Paid:5/29/2020 2:59:53PM
Project Description
A/C CHANGE OUT 1.5 TON
Application Fees
Mechanical Permit Fee $69.97
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 subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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.
e
CONTRACT s NATURE PE IT OFFICE
PERMIT E NATURE
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
Date Received Q S_ 12q C 2 phone Contact for Permitting 8131
Owner's Name- GYA) �CxI LC C- '+ Owner Phone Number: • r �� "�U�6
Owner's Address ,'Ol 4" f a 1 bo de c �Z� Owner-P,hone:Number••
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address nn,, ..
JOB ADDRESS q S C Rv h L L L 5"Y 2 LOT# C�
SUBDIVISION-. F 7 PARCEL.ID# l - 26- Z -00\O - D�5 G'd as'1.0-
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK,PROPOSED ,e -NEW:CONSTR R ADD/ALT = SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q.: COMM Q OTHER.
TYPE OF CONSTRUCTION.- 0 BLOCK Q- FRAME _ STEEL =
DESCRIPTION•OF WORK
BUILDING SIZE I SQ FOOTAGE HEIGHT
=BUILDING`• $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q. W.R.E.C.
=PLUMBING
MECHANICAL $� '1 t� VALUATION OF MECHANICAL INSTALLATION I
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS ` 'FLOOD'ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE -REGISTERED Y/:N: FEE CURREN Y/.N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Lyl N
Address License#
-PLUMBER COMPANY'
-'SIGNATURE REGISTERED Y/'N FEE CURREI,
Address License#
MECHANICAL COMPANY �Y6 �L \� C t _So lu f f�'S' I►1
SIGNATURE PAS' REGISTERED, Y"/ N FEE CURREK Y/N
Address. Z.1C,21 W FJJ �(A. lZ v �,LvC(,i cWvc �(�L 360 ? License# C Rc, ZO t l
OTHER- COMPANY.
SIGNATURE REGISTERED Y/ N FEE.CURREN Y/N
Address License#•
RESIDENTIAL Attach(2)Plot Plans;:(2),sets of Building Plans;.(l)set of Energy:Forms;R- WO- .Perm it for new construction,
Minimum ten(10)working days'after submittal•date."Required onsite;Construction Plans,IStormwater Plans w/Silt Fence-installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete set§of Building Plans,plus,a Life•Safety 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;Stormwatee Plans.w/Silt 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.
""PROPERlY.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 M 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
PP p7p,
XE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" r strictions"
.,rich.maybe more restrictive`than County regulations. The undersigned assumes responsibility for compliance'with nny
applicable deed restrictions.
UNLICENSED7'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 bylaw, both the owner and contractor maybe cited for a misdemeanor violation
under:;state.law. Ifthe owner.orAntended contractorare 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 z 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; l
certify that.l;"the.applicanti 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 theapplicant 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 itto 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.
Army Corps of Engineers-Seawalls,.Docks, Navigable Waterways.
Department of Health A. Rehabilitative Services/Environmental:Health Unit-Wells; Wastewater Treatment,
Septic Tanks.
=US•Envir.onmental-Protection Agency-Asbestos abatement.
Federal AviationAuthority=Runways.
I understand that thefollowing.re.strictions apply to the use of fill:
Use offill is not.allowed'irl Flood;Zone.":V"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 1by,the State-of Florida.
If,,the.fill material-is_to:be .used'in Flood Zone''K in connection with a permitted building using stem wall
construction;:lcertify: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.,.1f 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 whichAre=.elevated,byfill;an engineered drainage plan is required.
If I am.the:AGENT.FOR:-THE OWNER, l promise in.good faith to inform the owner-of the permitting conditions set forth in
this affidavit prior 1to commencing construction. I understand.:that a separate,permit may.be requiredr for electrical work,.
plumbing;signs,-we11s, pools,-air,conditioning, gas, or.other'installations not specifically included in the application. A
permit issue—shalhbe-construed to be a license to proceed with the,work and not as authority to violate, cancel, alter, or
set asiderany.provisions lof 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 issuedshall'become invalid
unless the.work;authorized by.such permit is commenced within six months of permit issuance; or if work authorized-by
the perrnit is-suspended or abandoned'for a period of six:(6) months after-the time the work is commenced. An extension
may be.requested, in.-
n writing, from the Building Official,for a-periodnot to exceed ninety(90).days and,will demonstrate
justifiable cause for the_extension:'�,lf work ceases for ninety(90)consecutive days,the job is consideredr abandoned.
WARNING•TO OWNER: YOUW FAILURE:TO RECORD A NOTICE OF-COMMENCEMENT,MAY,RESULT IN YOUR
-PAYING`TWtwaE_FOR'IMP_ROVEIVIENT_S TO YOUR PROPERTY: IF YOU INTEND�TO:-OBTAIN FINANCING, CONSULT
WITH YOURIENDER-OR AN°A7TORNEY-BEFORE'REGORDING•YOUR.N 10E`OF COMMENCEMENT. _-
FLORMA JURAT-(F:S.117.03)
OWNER OR'AGENT CONTRACT,O
Subscribed and swom to.(o -affinned)before me this Subscribed and swom to' or affinned)'before.me this
by Z.I-Za by.
Who Is/are personally known to me or has/have produced Who is/ar ersonally kng"to me orhasthave produced,
as identification. f_r R�s. 1AQe A__ Q -as identification.
Notary Public Notary Public
Commission No. Com Is ' n mcouELINE 8 S
Commission#GG 27
nonpmber 2022
Name of Notary typed,printed or stamped Name of Not �i' gfi,�ta!>spmdhsurance eoa
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