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Home My WebLink About06-6070 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6070 Permit Number: 6070 Permit Type: MECHANICAL Class of Work: A1C CHANGEOUT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 4,900.00 8/30/2006 55.00 55.00 8/30/2006 A1C CHANGEOUT Address: 5326 SATSUMA DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0040-00300-0090 WATKNS, KU 5326 SA TSUMA DR ZEPHYRHILLS, FL. 33542 Phone: 813788-5800 REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." NO OCCUPANCY BEFORE C.O. ~~ ~~ CONTRACTO G ATURE PERMIT OFFI -. CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED -- PROTECT CARD FROM WEATHER 81' 3-780-0020 City of Zephyrhllls j-Jermn AppllCcHlurl Building Department , .. Owner Phone Number Owner Phone Number I Date Received . 11111111111 Owner's Name Owner's Address Fee Simple Titleholder NamJ Fee Simple Titleholder Address I 53;;,0 I LOT# I PARCELID#II::<-~0-~I-OO~O -00300-00QO (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D JOB ADDRESS StL-ts Utn CL/ I EJ NEW CONSTR ~ ADD/AL T D INSTALL t=I REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D DESCRIPTION OF WORK I cJ,.tt_P ut Ale ~.eJIYI BUILDING SIZE I ~ SQ FOOTAGE c:::== HEIGHT I .11.11..11.111.11..11.......11....111.11..11.............111.......1111..........1111..............1111..111...............11111.....11........111 SUBDIVISION WORK PROPOSED DEMOLISH OTHER STEEL I D OTHER I 0 BUILDING 1$ 1 0 ELECTRICAL 1$ I 0 PLUMBING 1$ I ~ MECHANICAL 1$4-900,00 1 0 GAS D ROOFING D FINISHED FLOOR ELEVATIONS I I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO '....111.11.'...111.1111'..'.....".11..........11....111"11111"'1111'11111"'1"'11"""1111111111111'"..11.111....111111....11111111.1111111 BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE . License # COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N MECHANICAL SIGNATURE ~ ~ COMPANY REGISTERED License # I I cr~~SNI 1A-/~EC~Nr;vP~i I License # I CACOS&515 Address Address OTHER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # 111111111111111 11111111111111111111111111111111111111111111'11"11'"1111""'11111111111111111111111111111111111111111111111111111111111I1111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required on site, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111I111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AfC upgrades over $5000) 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 (Front of Application Only) Reroofs 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 "deed" restrictions" which may be more restrictive than County regulatio~w. 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 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 nuinber 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 I, 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 "V" unless expressly permitted. . If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan. addressl~g 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 ,^:all. . If fill material is to be used in any area, I certify that use of such fill Will not adversely. affect a?Jac?nt 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 ~f the permlttln~ conditions s~t forth In this affidavit rior to commencing construction. I understand that a s~parate perm~t may ?e reqUlr~d for elect~lca~ work, plumbing si~ns wells pools air conditioning gas, or other installations not speCIfically Included In the application. A .t' ' d h II be 'constr~ed to be a Iicen~e to proceed with the work and not as authority to violate, cancel, alter, or ~:~~~i~~S~~y ~r:visions of the technical codes, nor shall issuance of a permit prevent the B~i1.ding Od ffihcialll bfrom the~eaftl~~ , . 'f' I construction or violations of any codes. Every permit Issue s a ecome Inva I ~~i~:;~: ~~;:~~~~O~iZ:~o~~ ~u~~~~rmit is commenced within six months o.f permit issu~nce, or if wo~ a~thor~ed ,by ~:::~~~~:~~::'~~~~~n:,,;.,,:::nt~~ f~~~dr.:'~~~i~~~~ ~~:: ~~~;oth;= t~~;~~g) ~~::~r ~" f~~~~::~ justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSI ere a an one . NOTICE OF COMMENCEMENT MAY RESULT IN YOUR WARNING TO OWNER: Yg~:,:~~~~~ ~~~:~~~~~TY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT :';~';O-:I~~:g:RI~:RAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117 3 OWNER OR AGENT Subscribed and sworn to (or affirmed) before me by Who ls'are personally known to me or hasfhave produced as identification. CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who is' are personally known to me or has'have produced as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped J 5 d. D ~ t J & - & J - fo 1 t/- D '.~. ~~c ~"AJC' II Y HVAC SERVICE ORDER INVOICE LIC.#"~ 1IU2 us HWY. 801 DADE e:rrl',FL 8mJfNi DADE CrrYS52-621.4S'1"f Z"'1PID mflLLS 813.779-9515 7962 BILL TO THIS WORK IS TO BE o CD.D. o CHARGE o NO CHARGE MAKE MAKE MODEL MODEL --'--~--'--------------- DATE SERIAL NUMBER SERIAL NUMBER PROMISED o A.M. o P.M. WORK PERFORMED QTY. o RECOVERED o RECYCLED o RECLAIMED o RETURNED o DISPOSAL o DISMANTLED TOTAL $ o CHANGED OUT/REPLACED TYPElDISPosmON --...-------.. - ._--_._..._-~.,._._-_.__._-_..._.~.._._-~----- WORK TO BE PREPARED po, # N"'_",_",_,_"_"_"",_~_,,^,____,_,,,,,_,~_,_,_,,_,,.....___m_".~...._.._"..._._...~._.._._..h_._._,.,.. 5:it- 1> rtf~~'?-~-r'\;Llr- .~C4c_~~?k~-~;;~ -~-lic~r-r-fi22}y~-- ~.~~_J.ittr.t-lYKt~7~- .( 'J -tM; I ttbo'(' -111'____ -'v\f I. . J' A J J .-~-=----....----_..._-________..N____~_,__.__._,_..._._,_'__"h'__,___"~,_,__,_,_,,_,_,_,___,,, _...._.- ---...----.,.._~. ...__.._"_.__N.,,_._..........___,........__.._._..____.~__ FILTERS x X PtlKF4>h6l L4fC_\lVLrfl ---1 FILTERS X X J I I I --~~-~ I I I I I I , I 5) ~-~-~--..~^.-.~--_._.,~_..__.- BELTS om 15e... .-------.-.--.-----..---..___....___...........m.__.....__ TOTAL LABOR LIMITED WARRANTY: All materials, parts and equipment are warranted by the manutacturers' or suppliers' written warranty only. All labor performed by the above named company is warranted for 30 days or as otherwise indicated in writing, The above named company makes no other warranties, express or implied, and its agents or technicians are not authorized to make any such warranties on behalf of above named company. TOTAL MATERIALS TOTAL LABOR TERMS I have authority to order the work outlined above whK:h has been satisfactorily completed. I agree that Seller retains title to equipment/materials furnished until final payment is made. If payment is not made as agreed, Seller can remove said equipment/materials at Seller's expense. Any damage resulting from said removal shall not be the responsibility of Seller. o REGULAR 0 WARRANTY o SERVICE CONTRACT TAX CUSTOMER SIGNATUFIE DATE cow cyOilJ TOTAL 4-9 DO f'''' ,jV