HomeMy WebLinkAbout21-1429 r D ,•t•
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City Of ZephyrhillS PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001429-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/27/2021
Permit Type: Building General (Residential)
Property Number Street Address
15 26 210190 00000 0330 4718 Silver Circle
Owner Information Permit Information Contractor Information
Name: HENRY PETERS Permit Type:Building General(Residential) Contractor: STAY COOL AIR
Class of Work:HVAC Changeout CONDITIONIN AND HEATING
Address: 4718 Silver Cir Building Valuation:$0.00
ZEPHYRHILLS,FL 33541 Electrical Valuation:$500.25
Phone: (813)403-9083 Mechanical Valuation:$7,500.00
Plumbing Valuation:$0.00
Total Valuation:$8,000.25
Total Fees:$122.50
Amount Paid:$122.50
Date Paid:1/27/2021 11:27:11AM
Project Description
A/C CHANGE OUT 3.5 TON W/ELECTRIC
Application Fees
Electrical Permit Fee $45.00 Mechanical Permit Fee $77.50
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
Fj � COATRACTOR SIGNATURE PE IT OFFICE
E MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fox-813-780-0021 /V Ll
Building Department (Pif 4-41-9
Date Aecelved Phone Contact for Permitting
stall-11,111111 1 0 N F I F 1941,44146aamen..0 -M"--
Owner's Name t N Owner Phone Number
Owner's Address ful Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
Nqo OU0g7aBo
SUBDIVISION (Aft, PARCEL ID# - - o7-
(OBTAINED FR15M PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL
DESCRIPTION OF WORK OL&-a-5 -ffio
"P
BUILDING SIZE SO FOOTAGW05 HEIGHT Wtmao
4.r�L L-L-L
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL IS &0_0 Iq AMP SERVICE Q PROGRESS ENERGY 0 W.R.I-C.
=PLUMBING 1$ -1
=MECHANICAL $7CF) 0 U.� VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY F OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN L_XLN J
Address License# F 7
ELECTRICIAN COMPANY Van
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address #
PLUMBER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN YIN
Address License#F_ 771
MECHANICAL COMPANY
SIGNATUR REGISTERED N FEE CURREN ' N-Y/N
Address sna54i�, _ owe- License#nq(W13 _M I
OTHER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN Y i N
Address -1 License# I
a 19.19,12.1 11 a 1 9 1 a 1,111 1 a I a 9 11114 ff.11,1111119-9 a
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now construction,
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsftrge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I clumpster.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.(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 Service Upgrades A/C Fences(PlottSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
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 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 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 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'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 what actions 1
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'%r 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 OBTAI ANCING,CONSULT
)SITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Subscript and sworn to o rimed)before m thi �
by c n•4 t72L by 7Y7/Lr/c{A-3.I't��.T-r,
Who istare personally known to me or hasthave produced Who istare ersonally known to me or hasthave produced
as identification. fit('LL-7_L4(NIJ� as identification.
Notary Public � �"� Notary Public
r'
Commission No. `7 ame of Notary typed,printed or stamped
•tea Notary Public State of Florida
` ROBERTO A VELA
c� + My Commission GG 072620
NEE
te of Florida of A� Expires 02/13/2021
ELAGG 072620
21
INSTR#2021012424 OR BK 10261 PG 3064 Page 1 of 1
01/21/2021 09:07 AM Rcpt:2251093 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit Number
Parcel ID Number
NOTICE OF COMMENCEMENT
State of Florida
County of
w
THE UNDERSIGNED�by gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the following information is provi in this NDTICE OFCOMMENCE
1.Description of property(f al descrfpdon):
a)Street(job)Address: U
2.General description of improvements: 17
3.Owner information or Lesse Info ation f the Lessee contracted for a improve I
a)Name and address: �� Its
b)Name and address of fee simple titleholder(if different than Owner listed above)
c)Interest in property:0 W_W
4-Contractor Information �1
a)Name and address R 4 C 1
b)Telephone No.: ; F8x o.:(optional)
5-Surety(if applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.:
c)Amount of Bond:
6.Lender
a)Name and address:
b)Telephone No.: _
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.:(optional)
8.a)In addition to himself or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner.
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date is spec ed' , 20
i WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
{ CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR {
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON
i THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
LATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. __
Under pe ally of perjury,I declare' at I have read regoing notice of commencement and that the facts stated therein are true to the best of my
kn Wed e and beli
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( 1
Terrell Lee Clark
Electrical Contractor
1
4495 4911 St. N #3037
St. Petersburg FI 33709
1-21-2021
To Whom It May Concern:
This letter is to authorize EmilyAuders to complete the licensing process for Terrell Lee Clark,
Electrical Contractor in Zephyrhills Florida. Also permission for the following people to pull
permits for Terrell Lee Clark Electrical Contractor.
Robert Ballard
EmilyAuders
Thank You
Terrell Lee Clark
Notary
Date d 2-c)2-1
SeMEE
te of Florida
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