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HomeMy WebLinkAbout21-2571City of Zephyrhills 5335 Eighth Street �"I"i ` t\\ Zephyrhills, FL 33542 BGR-002571-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Rate: 07/29/2021 Permit Type: Building General (Residential) 1. � i �k»�4». 35 25 21 0050 00000 0320 7236 Ashland Drive �,..1�\lk`�\l \........ O \t.4.',.. Z `\ ss?Cs?`k r �� ,:} �,4,s ,',' tr�`l \; `,..}\Z`i�` �t'Zlk1g'nl� ,7 : 1� `•'r "'i E "i ..::ti \ �.�3',` �1.�3�1°. �.z.???s',2 31 .t;ti.s,�� L>,, ,.�i,� *, si;;.4k\1. s£� \.ti;> 3k hxCv,z\�}s ' , Name: EILEEN KING Permit Type: Building General (Residential) Contractor: JACOBS HEATING AND Class of Work: HVAC Changeout 1COOLING LLC Address: 7236 Ashland Dr ZEPHYRHILLS, FL 33542 Phone: (813) 713-4374 Building i ii Valuation:Electrical i it Plumbing • ii Total♦ i i! Total.• Paid:,25 Amount Paid: $69.25 Date * ! i.' entitiesREINSPECTION 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 w.. agencies, OCCUPANCYaccordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO BEFORE C.O. d C CTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES r. • MONTHS WITHOUT APPROVED •r` w INSPECTION- y, FOR INSPECTION M r NOTICE REQUIRED PROTECT .: CARD rOM WEATHER 013-780-0020 City Of Zephyrhill5 Permit Application Fax-513-780-0021 Building Department Eff to I Owner's Address Owner Phone Number Fee Simple Titleholder Name _ Owner Phone Number JOB ADDRESS cz \ LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER PE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK BUILDING SiZE [:::::::= Sty FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING $ MECHANICAL Eii VALUATION OF MECHANICAL INSTALLATION c-) 3�72 GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED ;;;;�FEECURREII Y 1 N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED YIN �FEECURREt,Y / N Address License # PLUMBER COMPANY SIGNATURE REGISTERED :�; N �FEERRU Y I N Address License # a MECHANICAL � COMPANY �c t r I t' REGISTERED Yd N FEEGURR N YIN Address 10, t T License # ' OTHER:r E..� L .? ,iti `, ift ,. t.. `COPER SIGNATURE, REGiST���FEE Address License # E= IN III III oil 111111111111111111.111111111i11111111111111111111Iloilo IN RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Flans; (1) set of Energy; Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, ConstructionPlans, Stormwater Plans wl 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 wT 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. 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 contractor)f Attorney (for the owner) would be someone with notarized_ from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles♦«Fences _ 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 T T CONTRACTOR I ILITI S : 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 IMPACT/UTILITIES IMPACT/UTILITIES IMPACT AND U C 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 #, 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'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,WaterfWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. m 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 "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 usedin 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 , 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 FAILURE TO RECORDA NOTICE TiC F COMMENCEMENT Y RESULT IN PAYING IC FOR IMPROVEMENTS TO YOUR P . IF YOU INTEND TO T I FINANCING, CONSULT WITH LENDER TT Y BEFORE RECORDINGYO TIC OF COMMENCEMENT FLORiP A JU T(F.S.117.43) OWNER OR AGENT ______- CONTRACTO Subscribed grid sworn to(or affirmed)before me this Subscnbed and o o(or of niipd)before me;tNs by by Who is/are personally known to me or has/have produced Who is/are personal y known to me or ha eve produced as identification, as idenbfication, Notary Public Notary Public commission No, Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Jacobs Heating and Cooling LLC State License# CAC1 819750 Zephyrhills, FI 33542 Phone: (813) 784-0654 Email: JacobsHeatingandCooling@gmaii.com E: =r. New A/C Installation (813) 713-4374 EM install new air handler and condenser with 1 Okw auxiliary heat.This will include 1 year labor warranty and 10 year parts warranty, Customer will pay when job is complete. 3 ton GrandAire equipment. Includes hurricane pad, sealing ductwork Plenum's at the air handler, hanging kit, secoqg�_�pan , float swi�ches_a �dermit, Subtotal $5,850M Signed on: 07/27/2021 Mllllll� INSTRfl 202.1151357 12:38pt- Page t 0 f Rr�pt: 2a2838:7 ris 1 11 . C" � Rec: V) 0111 N&ki t�lvarez-,'Sowles, '� !Fq, Pasco Cowiitv Clcrk ?x NO Off' OF C0MWNCEMXNT Permit 0. Propertty . �=NoC, 3,Owner Information b) Name and address of feetsimple titleholder (if other thim owner) c) Interest inproperty 41,Contractof Information 11 4f- &)'N and address, ') t'c"' 11 it C 3o 6 'S A b) Telephone No,' 5.Surety Wbttmition a) Naineand address: b) Amount ofDond: c)TelepboneNo.' Fax No. (Opt) a) Name and address: Phone NO. 7. Identity ofperson within the State offlorida d-iinataby- -ow-n-e-r u—pon whom notices or other documents way be served: a) Name and address: b) Telephone No.: No. (Opt) 8,1n addition to himselt owner designates the,01 receive a copy ofthe Lienor's Notice as provided in Section 713A3(l)(b ,), Florida S4wipt", a) Name and td"s- r b) Telephone No�'- I fox No. (Opt,) -9-,Exliimtion date of e ofcommin cement (the expiratio-n-da—te is —one year from the date of recording unless a different date is specified): wARNINGTo ownR: ANYIPAYMENTS MADE BY TM OWNER AMP, TFIE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED U%4PROPER PAYMENTS UNDER CRAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTE$, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BF RECORDED AND POSTED ON THE JOB SITE BEFORE TM F!IRST INSPEMON. IF YOU INTEND OR I TAI , N FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, STATEOF"RMA COUNTY OF PASCO sirwtu a or Ownti's AuthoriW The foregoing instrument was acknowledged before me this day Of 0 20 Z,t( by �/ �IIAO) as t 2 {type of authority, e.g. officcr, trustee, anomey in fact) for (name of party on behalf of whom_Wstrument was executed). Personally Known kolk Produced Identification Notary Signature �7 Type of Identification Produced Name (print) Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it an true to the best of my knowledge and belief. F0RWMQC.n6d= SCOTT C BLACKMAN Notary Public State of Florida sion # GG 230776 Commission 'CAI f�'t My Comm. Expires Jun 20, 2022 Bonded through National Notary Assn.