HomeMy WebLinkAbout20-930 ED
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City of Ze h rhills
ty p yM PERMIT11 NUMBER
, • 5335 Eighth Street
Zephyrhills, FL 33542 BGR-000930-2020
Phone: (813)780-0020
Y Fax: (813)780-0021 Issue Date: 10/20/2020
Permit Type: Building General (Residential)
P.rope mbe Street Address
03 26 21 0170 00000 0590 6849 Orlo Drive
Owner Information ? :_ Permit Infmation, I Con tractor�lnfor_mation
Name: COPELAND ALICE B&COPELAND Permit Type:Building General(Residential) Contractor: RON IERNA'S HTG &
CHARLES D Class of Work:HVAC Changeout COOLING INC
Address: 6849 Orlo Dr Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (717)514-2271 Mechanical Valuation:$6,300.00
Plumbing Valuation:$0.00
Total Valuation:$6,300.00
Total Fees:$71.50
Amount Paid:$71.50
Date Paid:10/20/2020 12:10:39PM
Project Description
A/C CHANGE OUT 3.5 TON
Application Fees
Mechanical Permit Fee $71.50
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.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
19
813-780-0020 City of Zephyrhills Permit Appli 1►W813-780-0021
Building Department 11
Date Received jj Phone Contact for Permitting
Owner's Name - ! Owner Phone Number t g� i A/V*
Owner's Address t49 t7 q Owner Phone Number �f Y
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS .7 LOT#
SUBDIVISION PARCELID# •of '� '(/���' b
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR 8 ADDIALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL /Q f
DESCRIPTION OF WORK ollGt (/ t - J Ax
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1($ AMP SERVICE C] PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
XMECHANICAL 1$3 VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address License#
COMPANY
SIGNATURE REGISTERED I Y/ N FEECURREh Y 1 N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address p License#
MECHANICAL COMPANY
SIGNATURE / REGISTERED Y/ N FEE CURREN Y N
Address 1 License#
OTHER COMPANY = `
SIGNATURE REGISTERED Y/ N FEE CURREN Y!N
Address License#�� I
I111111111lItll [ ! [ flllt [ t [ tttt [ Lit / t1 / 1iI11lII / 1111 [ Ilil [ ItI [ [ I [ IIt
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/Slit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fors.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.
4q—'.'r.'r'�+ 4n * . . . . . . . .. . . . . , . . . 1 ..4. ..... 1 . . . . .-'mot Fi.4-
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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroafs If shingles 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"dead"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 properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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 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, Welland 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"V unless expressly permitted.
- If the fill material is to be used in Flood Zone "A7, 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 "N' 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
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICF—OF COMMENCEMENT.
RUS.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn r affl,
—by
Who Ware personally known to me or has/have produced Who isZm�-�ckno me or hasthave produced
as identification. as Identification.
—Notary Public <
Commission No Commission No, &G T? Public
51
Name of Notary typed,printed or stamped m y ry typed,prirWbKbt@k*yjdlUN
Notary Public-State of Florida
975326
Commission#GG
Apr
1 0
Expires A 1,2024
oFFv My Comm.Expires Apr
bonded through National Notary Assn,
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I
lerna's Heating,Cooling & Plumbing, Inc. Invoice 66728811
18843 US Hwy 41 N Invoice Date 10/15/2020
Lutz, FL 33549 Completed Date
813-948-6355 Technicians Andres M.
#CAC1813676/#CFC1429475
lffsl�rfKOi 0-6 G ff &-Wcmg G Rafael P.
Customer PO
Payment Term Due Upon Receipt
Billing Address Job Address
Charles Copeland Charles Copeland
6849 Orlo Drive 6849 Orlo Drive
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Description of Work
Thursday 10/15/20.Greensky 2521 12month no/no.
Task# Description Quantity Your Price Your Total
1569 3.5 TON SC PAC U NIT AMANA 1.00 $6,392.00 $6,392.00
GPC1442H41
AUXILIARY HEATER
HONEYWELL THERMOSTAT
Double wide duct change out
STDPMA1-FREE Standard PMA 1 Unit-Free with Install 1.00 $0.00 $0.00
Sub-Total $6,392.00
Tax $0.00
Total Due $6,392.00
Balance Due $6,392.00
IERNA Your Trust-IERNA Your Business!
I have the authority to order the above work and do so order as outlined above.It is agreed that the seller will retain title to any
equipment or material furnished until final&complete payment is made.And if settlement is not made as agreed,the seller shall have
the right to remove the same and the seller will be held harmless for any damages resulting from the removal thereof.Payments not
received within 10 days are subject to a service charge of 1.5%on unpaid balance.Returned checks subject to all applicable fees.
CANCELLATIONS:
DEPOSITS ARE NON-REFUNDABLE.All other Cancellations are subject to any permit fees incurred by said county.Applicable fees will
become the financial responsibility of purchaser and/or property owner.
Customers are responsible for registering their equipment within 90 days for applicable warranties.Please see warranty Terms and
Conditions
Above ordered work has been completed and I acknowledge receipt of my copy.
' pp PASCO COUNTY Receipt Date: 03/26/2021
DA SC BUILDING CONSTRUCTION SERVICES Receipt Number. 2031254
11 8731 Citizens Drive
COUNTY FLORIDA Suite 230
OPEN SPACLS.VIBRANT PLAcrs. New Port Richey,FL 34654
727-847-8126
** NOT A PERMIT
Paid By Check# CC Auth# Cashier ID Workstation
Check 1270783 RRICHTER BCCCP53L
Fee Description Amount Paid
Impact Fee Residential Solid Waste Single Family 8022
Total Payments: $50.22
Pavor Address Phone
DR Horton
Comments:
City of Zephyrhills Solid Waste q
7852 Broad Pointe Dr /y
35 25 210140 00800 0230
While you will be paying your bIY with Pasco County Building Construction Services,the full amount of the credit card or—heck fees.NOT shown above,is collected by nnct
Billing payment services.
Check Number 1270783
PASCO COUNTY BOARD OF COUNTY COMMISSION Date 03/25/21
7530 Little Road
DRH Inc.Controlled Disb Stub I of 1 691487
PO Numb Invoice Number Bubdv Lot# Lot Address Cost Cde Legal Desc Gross DeGuctiosse Amount Paid
________ _______________ _____ ____ ____________________________ ________ __________ _____________ _____________ _____________
393320024I14P 39332 0024 7852 BROAD POINTE DRIVE 80/37 50.22 5D.22
___________ ___________ ___________
50.22 50.22
myreports/reports//producBon/PASCO/CustomerReceipt vlfrpt Print Date: 03/26/2021 Page 1 of 1