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Home My WebLink About07-7074 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7074 Permit Number: 7074 Permit Type: MECHANICAL Class of Work: A1C CHANGEOUT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est, Value: Improv, Cost: 1,650.00 Date Issued: 10/04/2007 Total Fees: 65.00 Amount Paid: . 65.00 Date Paid: 10/04/2007 Work Desc: A1C CHANGE OUT - 3 TON Address: 5209 19TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-19800-0060 Name: McELVEEN, EUNICE Address: 5209 19TH ST ZEPHYRHILLS, FL. 33542 Phone: 813783-8212 --- / !' J....-II' ~' ALL DUCTS INSULATED FINAL REINSPECTION 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 nWarning 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," ei ";4 ~/~~;;?-- - 60NTRA"CT R SIGNATURE PERMIT OFFI 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 Building Department Fax-813-780-0021 Fee Simple Titleholder Name Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received . / Owner's Name ./ Owner's Address ,,/ JOB A.DDRESS Fee Simple Titleholder Address I I~~ I LOT # SUBDIVISION PARCEL ID#I \ \ - 'ZL.. 2.1- 00\0.- \ '1~60.- 6CXoO (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D /0 I D NEW CONSTR El ADD/AL T D D INSTALL REPAIR PROPOSED USE D SFR D COMM D TYPE OF CONSTRUCTION D BLOCK D FRAME D "'-DESCRIPTIDNO.WORK Ihk t!t~ cttf. >8~ BUILDING SIZE .' I SQ FOOTAGE I I HEIGHT Tlllllllllllllillllllllllllil"'I'IIIIIIIIIIIIII'I".''1111111111111"'111111'111'11111111111111'111111111111111111111"'111111111111'11'111111111 1$ 1 1$ 1 1$ I 1$ 1~5tJ,.~ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111'1111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 WORK PROPOSED DEMOLISH OTHER STEEL I D OTHER I o o o BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C. PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N COMPANY'" REGISTERED License # I 7~ ttJ/AY}1 //i 1 Y / N FEE CURRENT - I Address , :,~~~~~~:L ~;/ J1e/~I'N./ Address _ _ OTHER I SIGNATURE Address I License # 1I111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111111I1111111111I11I111 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 subdivisionsllarge projects Attach (3) 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 all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. Y/N License # COMPANY REGISTERED Y/ N FEE CURRENT Y/N COMMERCIAL SIGN PERMIT Dl~~~ti~~~.: . I I I I . . . I I . I I . . . I I . . I . I . . . . I . . . I I I I . . . . . . I I . I . I I I . . I I I . . I I I I I I . . . . . . I . I I . I I I I I I . . I . . . I I I . . I I I . I I , . I . . . . . . I I I . I I I I I I I I I I I I I . I . I I I I I I I I I I Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C 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 A1C 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 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 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 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 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 offill 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 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 ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not specifically m?luded, In the application. A permit issued shall be construed to be a license to proceed WIth the work a~d not as authorl~y ~o vlol~t~, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffICial from the~eaft~r requiring a correction of errors in plans, c~n~truction or violat~o~s o! any codes. Every ~ermlt 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 th~ work is commenced: An extensIon may be requested, in writing, from the Building Official for a period not t~ exceed mn~ty (.90) da~s 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117 . ) ~. - ~~ OWNER OR AGEN ~ CONTRACTOR /44.t'tt'/ ~A</~____ sub,s~bed and swom affi~ed) efo e me this Subsprilled and sWom 0 (or'affirmed) b'e 0 me this IO!!:!!P? by ~U(1Iu.. K'1Q.(-s ynt!. 'i'1t>e.e.n !o!!!/p7 by [;;vn/l~.p. 12'fa(.e:, 11J'7(1 F/\JPP Y) Who is/are personalll-,known to me or has/have produced Who is/are personally known to me or haslhave produced ~ 0..'L \.-Ic. ,... \--1.-- as identification. 1'Je.0iZ. u (!. - t=L as Identification. .--p.>.o-"""" ~_~Jl.Il.\}"~ Notary Public ~~ c::J.~.1l. Notary Public Commission No. ~*~'Lf.~:. Karen .L. Miller Name of Notary typed, ':. ...t 9 . E . s October 29 2010 ~h\.. xplre , ",., ", IofMMCI Tf01".I"' I",uranc., Inc 8OO4aI-101. DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING ~DEPARTMENT :r: , have read and -fuJ.1y understand and agree to the provisions of this instrument, The undersigned states and affirms that he or she is desirous of constructing, .renovating, adcling to or reroofing his or her own dom..ici1e ,that he or she actual.1y occupies, or wi11 occupy l:>y said dom..ici1e, and same is not for rent, .1.ease or sal.e. That he or she shal.l. comp1y with the .f0110wing conclitions: ".1. That the ol!7Iler and he or she a1.one shal.'l. act as the bui1derfor al.1 phases of construction. 2 . That 'the owner wiJ.J. compJ,y with aJ.J. provisions of the, City of ZephyrhiJ.J.s orclinances and codes pertinent to the bui1cling. 3. That in the event various phases of construction are subcontracted, he wi11 engage onJ.y proper1y 1icensed subcontractors and willpersonal.1y supervise such work. 4. That in the event the Bui:1cling Inspector shaJ.1 require corrections 'to be made, the ownerwi11 assume fuJ.1 responsibi1i ty to insure they are made, and upon comp1etion wi11 cal.1 for a reinspection before proceeding with the bui1cling. 5. That the owner shaJ.1 assume fuJ.1 responsibi1ity for the construction and wi11 not expect supervision of his work from the City of Zephyrhi11s Bui1cling Department. 6. That prior to final. inspection any additional. fees, inc1ucling reinspection fees, must be paid in fuJ.1. A written request from this office shal.1 consti tute an official. notice to pay additional. fees. 7. That the owner shaJ.1 comp1y withal.1 City, State and Federa1 1aws in regard to social. security, workman's compensation, l.ien 1aws, etc., where app1icable. 8. That the owner shaJ.1, comp1y with al.1 the safety codes issued by the Fl.orida Industrial. Commission. 9. State 1aw requires construction to be done by 1icensed contractors. You have appl.ied for a permit under an exemption to that 1aw. The exemption al.10ws you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a 1icense. You must provide clirect onsite supervision of the construction yourse1f. You may bui1d or improve a one-fami1y or two-fami1y residence or a Za.:J:m outbui1ding. You may al.so bui1d or improve a commercial. bui1ding, provided your costs do not exceed $25,000. The bui1ding or residence must be for your own use or occupancy. It may not be bui1t or substantial.1y improved for sal.e or 1ease. If you se11 or 1ease a bui1cling you have bui1 t or substantial.1y improved yourse1f wi thin 1 year after the construction is comp1ete, the 1aw wi11 presume that you bui1t or substantial.1y improved if for sal.e or 1ease, which is a vi01ation of this exemption. You may not hire an unJ.icensed person to act as your contractor or to supervise peop1e working on your bui1ding, It is your responsibi1i ty to make sure that peop1e emp10yed by you have 1icenses required by state 1aw and by county or municipal. 1icensing orclinances. You may not de1egate the responsibi1ity for supervising work to a 1icensed contractor who is not 1icensed to perform the work being done. Any person working on your bui1ding who is not 1icensed must work under your direct su.pervisionand must be emp10yed by you, which means that you must deduct F.I.C.A. and withho1cling tax and provide workers' compensation for that emp10yee, al.1 as prescribed by 1aw. Your construction must comp1y with aJ.1 app1icab1e J.aws, ordi.nances, bui.1di.ng codes, and zoning re~ons. OWNER'S SIGNATURE ~~d;!If/~-/~ DATE /tJ/If/o7 ADDRESS PHONE WITNESS PEBMIT#