HomeMy WebLinkAbout20-981 r �
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r oin'n City of Zephyrhills > k PERMIT NUMBER`
5335 Eighth Street
Zephyrhills, FL 33542 BGR-00098 -2020
Phone: (813)780-0020
y Issue Date: 10/ 9/2020
Fax: (813)780-0021
Permit Type: Building General (Residential)
`Property.Numtier �k 4. St�eetNA"ddre`ss
,�.
1126 210010 21500 0050 5035 19Th Street
_,Owner'Info�mation,;, 'Permit`Infocmation: <_F . ,Contractor Information-
Name: M&CANDACE&MARY WACASER Permit Type:Building General(Residential) Contractor:TITAN ELECTRIC AND AIR
&NICOLS Class of Work:HVAC Changeout INC
Address: 5035 19Th St Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)689-6436 Mechanical Valuation:$2,300.00
Plumbing Valuation:$0.00
Total Valuation:$2,300.00
Total Fees:$51.50
Amount Paid:$51.50
Date Paid:10/29/2020 1:54:06PM
cri ProjeCt�D•e`sptlon -4y �:
A/C CHANGE OUT 5 TON
Mechanical Permit Fee $51.50
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 SIGNATU PE IT OFFICE
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
Building Department
Date Received.. .1 :1 Phone Contact for Permitting —
Owner's Name /f 4L. IC o L Ji Owner Phone Number �f 3 2 0-• 6
Owner's Address -S^O 3 J 1 S_ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address q �—
JOB ADDRESS s o 3 5" i � s- + LOT#
SUBDIVISION F PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = ./,,
DESCRIPTION OF WORK C T' L AM_6 CUT 157'I A16 S Wi4 +L �v it �lL--W S/U� AL,
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
[MECHANICAL $ 67
C7 VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER -t 0
FINISHED FLOOR ELEVATIONS FLOOD ZONE'AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN , Y/N
Address - License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI`
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address. License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# 4,C /y/S g d
OTHER COMPANY -
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/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 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 Permitfor 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. (A/C upgrades over$7500)
i
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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
- 1
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrktioris"
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:(nay be cited. fora misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what,Iicensing',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 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 specked 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$2,5.00.00 or more, I
certify that 1, the applicant, have been provided with a copy of_the "Florida,Construction Lien Law—Homeowner's
Protection Guide° preparedi 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.
CONTRACTORIWOWNER'S:AFFIDAVIT: I'certifythat 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 i
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 & Rehabilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks. . -b.
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 i►i.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 maybe-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-issu.and.e.,or'if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the'time the.Work'is commertced.,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
WITHYOUR.LENDER OR AN ATTORNEY BEFORE,RECORDING:YOUR NOTICE OF COMMENCEMENT.
FLORIDA.JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who islare personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed;printed or stamped
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