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Home My WebLink About08-7523 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7523 Perml umber: 7523 Permit Type: MECHANICAL Class of Work: A1C CHANGEOUT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 6,350.00 Date Issued: 2/20/2008 Total Fees: 65.00 Amount Paid: 65.00 Date Paid: 2/20/2008 Work Desc: A1C CHANGEOUT 2.5 TON Address: 5040 17TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-21400-0270 ES DA,RUDY 5040 17TH ST ZEPHYRHILLS, FL. 33542 Phone: 813997-2004 N KINSEY CENTRAL HEATING & NC AL 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 "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 tice of commencement. " TRA OR SIGNATURE PERMIT OFF I 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 Date Received Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address I ;1bVlr:c PARCEL 10#/ I LOT # I ( ,..2( -:1.1 ..aD! 0 - ;?{I..( () tJ -(!) ~70 -0 d(1 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE D JOB ADDRESS SUBDIVISION WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK DEMOLISH OTHER I 0 BUILDING 1$ 0 ELECTRICAL 1$ 0 PLUMBING ::F~~::~~ 0 MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION c=J GAS D FINISHED FLOOR ELEVATIONS I ROOFING D 1 SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO 1111111"""1111"""""""'.11111""11111""'"'....111".'...,1'111"'....,.'."'1...,'11"'1.......'11'111""""1'1111'111"'11111"'1' COMPANY REGISTERED BUILDER SIGNATURE Y/ N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE ,:5"('- eocJb5-70 I I I I t~~#/L I /~:z. I I I Y/N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Address License # Address I K>^,s~ ~.n-IrJ . I Y / N T FEE CURRENT License # I MECHANICAL SIGNATURE OTHER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # 11I11111II11111111111111111111111111111111II11111I1111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 (3) 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. 111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC 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 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 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 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 Officia~ for a period not t~ exceed nin~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/~.0~3) ~ OWNER OR AGEN~ ... .. C C-. ... / CONTRACTOR Subscribed and sw n to (or ed) before me his Subscribed and sworn to (or affirmed) before me this '" -.sY ^~""\ by . ~"-;,." "" by -Who i:;lare pelSOnall'iJnown t o~ has!haV~ produced Who is/are personally known to me or has/have produced """. ."~' "--,, ~ as IdentificatIOn. as identification. ~" :..., " .,~ Notary Public Notary Public Commission No. Name of Notary typed. printed or stamped c:+. ~ F .2~Al '1i,t_~ liS I . ~~ ~~-;?~1!-:fj'zO'lJ"'';' NOTICE OF COMMENCEMENT ~~~~~~I~l~IIIIIII 111/11/11111I11 11111 11111 11111111 Rcpt: 1161827 Rec: 10.00 DS: 0.00 IT' 0 00 02/19/08 " ~-- Dpty Clerk Permit No. Property Identification No. (( .- ,1 6 .. -l ( - c) 0 ( 0 - 2./ <( 0 tJ - G) ~ 7 () -l) 0 ( . TIIE UNDERSIGNED hereby give" informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statu1;s.Jhe following information is provided in this NOTICE OF COMMENCEMENT. " S' QA 1'f-../5 nU2 . . " " l.Description of property (legal description:) . . I t-:t. ~ - 2...1 - 0 01 . ~ ... Q I "1_" 0 - f) :1-1 D .- tiC; I a} Street Address: . ~o"l> lfO . I ., ~ g r~~ L. It.., ( ~P7. j :r ("'V () 2.General description of improvements: . C S),.. ... 0.. 0 " A~/ If " Fax No. (Opt.) _ i~~ 1~~~~"Ag~: ':S;O fOUN~~ C';.ERK 4J/.4 .." ... ... OR BK 776~ PG 20 " . .. Phon~ Wo. 7. Identity of person within the State of Florida designated by oWlier upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice' as provided hi Section 713. 13 (I)(b), Florida Statutes: a) Name and addTess: .b) Telephone No.: "Fax No. (Opt.) _ 9.Expiration date of Notice of COIDIIlencement (the expiration date is one year fro~ the date of recording unless a different date is specified): . { WARNING TO OWNER: ANY"PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION.OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SEcnON 713.13, . FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND.POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN AITORNEV BEFORE COMMENCING WORK OR RECORDING YOQRNOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO Print Name . The foregoing instrument was acknowledged before me thiS \~ day of' ~ " .. 2~ bY~~~"C..~.\\' ~~ ~ as " . (type Of authority, e.g. officer, truste~. attorney . in fact) for . (name of party on behaIfOfwhom instrument was executed). . Personally Known _ OR Produced Identification ~ Notary Signature Ty'pe ofIdentification Produced ~ \." ~ ~ t- Name (print) \c..::::-~ Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that , the fucti ""ted m it ore true to the bost of my knowledge and beli~~ C ~ v Signature fN Person Signing Above FORMSINOC,rYad2007 . ..-.......,..--9'.... ~~:':;.'~"-.;j' .. '. ~ "'"'..... Kinsey Central Heat & Air-Conditioning, Inc. P.o. Box 2209 Zephyrhills, Florida 33539-2209 (813) 782-2300 ---- CA-C058626 DATE PROMISED APARTMENT MAKE MODEL SERIAL NO NATURE OF Q SERVICE REQUEST EsT ~ATE o CASH o CHARGE ~-- /../; . ~ I [4./, '.po QUAN. PART NO. DESCRIPTION- PRICE ~ TOTAL MATERIAL DI .r SERVICE PERFORMED ~ ~Oh(7~ -' TECHNiCAl SERVICE TIME A charge of 1.5% will be made on all unpaid balances after 30 days, which is an annual percentage rate of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. DATE COMPLETED 7~ ~~! TAX I cP CASH g~ ~g~~LETION _ (!6 TECHNICIAN CUSTOMER'S SIGNATURE