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Home My WebLink About21-2730City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-002730-2021 Issue Date: 08/25/2021 REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 563.80(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. ff MM• M, �;Sd IS -'kV'7f"tN VT-r-1VMWj-WM accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. mVO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE ffil"I 1:4 1 ,, R-Ui 0 PEf1IT OFFICEU 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 g Building Department Date Received � Phone Contact for Permitting t t t 11 t. t i t € E i fi Owner's Name -0 t -Lnmoll Owner Phone Number Owner's Address Owner Phone Number C Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS C�1 ° ►F Y $�� L LOT SUBDIVISION PARCEL ID# ® �VO I w ° o — cjo, ` (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION 0 BLOCK t:1 FRAME STEEL DESCRIPTION OF WORK l.*jo 1 S-' 1. Sh 45 I 'k 4 1 W75 n. 5i BUILDING SIZE I�� SO FOOTAGE 6 F HEIGHT° =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS E = FLOOD ZONE AREA =YES NO BUILDER COMPANY �mm SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED / N FEE CURREN Y / N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # MECHANICAL COMPANY A r SIGNATURE REGISTERED Y / N �FEE CURREN N Address J r v i License # # OTHER COMPANY SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # I fiIIIIIIltti€IIIiii I tiitIIIIIIt IIIttItIItIIIIIIIIItII I I'IIIIIIIItttlfI 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 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 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. 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 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 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 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'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 & 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 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 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 Commission UIA11111111111j,, P / Na I t a 'nte t d 25 -TUM009 My C 88143472 OF 1//,11111111111600", Commission No. Name of Notary type p a EXPWOS 812=025 4 Cristote, Turcofte My Corrintissit)n 0 S HH 1434n OF I I Public -71 contractor license number Hereby authorize the following to act as my agents in obtaining permits in A AY MINKETM WN Driver License NumberIj ect indefinitely, unless canceled by me in before me this "D day of 20aL who is perso#-#jffj�—WWn to me or ha�sr`oduced as identification and who did (did not) take an of ry P ic U.S. Air Conditioning 582713 th Avenue New Port RicheyFL, 3461 my commission gAywnpP., EXPWOB &23=25 Cristins Tu=fte my col� # HH 143472 EM 9 U, S11,11- ____MA1NTENAN(`E REPORT"t) r Condit U ----------- 8" l CONDENSOR : ' R CA X R 9 Tq l' I r A J & Cori. Liquid Psig AVENUE, NEW PORT RICHEY, FL 34652 - (727", 846-8818 - (800) 841)88-18 Suction nsin 5827 13" y Far, Amps NAME Compressor Am s ADDRESS ------ Heat Recovery Contactors CITY-2oll, STAT E ZIP sy PHONE CELLSIZ - Capacitors LL44 (60 S�- Safety Kit EMAIL P A m 6-- ry Oil Motor-- RECOMMENDATIONS Add Reffigeran L..r .0 er Cond. Breaker Cond. Coil Accumulator Fan Amps CA .19& Drain Tabs K.W Size 4 Relays - Duct System Tighten Electrical CUSTOMER SURVEY EASE INMAL Unit Rusting 1, IiNas the representative helpful in answering all your questions? Yes No Attic Insulation 2. Was the service performed in a professional manner? Yes No EvaporatoCoilr Coil 1 Did the representative fully explain the services Temp. Drop performed or any additional services to be performed A/H Breaker -pressuring manner? Yes No in a professional and non feA T-Stat 0Dig ❑ + �ercR_Z0`1e 4. kNas the work area left neat and clean? Yes No PROTECTION 5. VVould you recommend U.S. Allu & Heating Yes No EOUIPMENT 6� Overall, how would y, u rate the value you received from 'U.S. Air Conditioning and Heating? Ultraviolet Syste Excellent Good ____ rair Poor AirCieaningSyst m----- PARTS WA.' ',PARTY: All parts as recorded are warranted as per manufacturer specifi ations, We 00 not guar- ante e e ve Excellent n n f OW w Y' 'a `e e V 'ue u ran A �A A a id e a s' a'. AI` S Ft� `Ty p ns -a w-" or a me s b s p_" lato'ce hlee other pads than those we install. 1� repairs lat.,: become necessary due to other defective parts, they will - - he - ' ' b o - day y on parts Whole House HE A be charged separately, otherwise 30 day warranty on all pare; and labor. j T_, E Credit will not be acknowledged unless slated on the invoice. Must model Federal r de us a Cret.on as go 0 r M. dais of , t EVJ EVWPMENT: Federal T- Dehumidifier Sys am--- guidelines to qualify, One year from date of install. Customer is responsible to register equipmeal for warranty. r PLEASE NOTE: There will be an addit tional charge for chemically treated cleaniog. NG EMERGENCY SERVICE: All PM.A and warranty service is be w c a, a, dr NO WARRAI�� M2,21111 ON DRAIN LINES L DATE& etb SUBONISION -ON.'NAGE �]Ll HIP EI�G []PACKAGE GAS [�J-F,1_1 4 -10 -A COND.MAKE yq!5�( AJH b IAKE � ) FIJ Fi W WODEL4 --- i WDNL# SERIA_ 4 i SERIA& _j_ DESCRIPTION OF WORK E SAME AND THE SELLE9 WILL BE HELDHARMLESS FOR ANY DAM- AGES RESULTMG FROM THE REMOVAL THEREOF. TOTAL - 1 4111M ALL SALES ARE FINAL. NO EXCHANGE / REFUND ETC, I AGREETO PAY ALL COSH OF COLLECTION, INCLUMNG DOWN PAYMENT C.0 ATTORNEY FEES. STATUTORY RETURN CHECK CHARGES APPLY. [JCK. ff E DUE CUSTOMER AUTHORIZED SIGNATURE r111 n9pletron kll _ffiV