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Home My WebLink About10-10087 CITY OF ZEPHYRHILLS 5335 - 8TH STREET • (813)780 -0020 10087 BUILDING PERMIT Permit Num 10087 Address: 4935 17TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MOORES FIRST ADDITION Est. Value: Parcel Number: 14- 26 -21- 0010 - 00400 -0040 Improv. Cost: 3,283.00 #e Date Issued: 2/05/2010 Name: MIHULEC, DANA Total Fees: 50.00 Address: 4935 17TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/05/2010 Phone: (813)783 -2965 Work Desc: A/C CHANGE OUT 2TON- W /COMP EXEPT NEEDED B4 INSPECTION ''� - e•LIN NC ��' .E HA E • 5 0.0 0 /1 . tab II Dll IN ALL :,� =, : �. DUCTS INSULAT FINAL - Uv\ REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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 improvents to your property. If you intend to obtain financing, consult with your lender or an attorney before rdi your n. ice of commencement." `— . d IP --- 6e)g■ 21 ' lr ', 1 OONTRACTOR SIGNATURE PERMIT OFFI rR 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 Fax- 813 - 780 -0021 Building Department 'r (0V V 1 Date Received /. S^ 20/ Phone Contact for Permitting 3= i G Q -- 3 og 3 Owner's Name )ANA /14 I it V C Owner Phone Number gf 3 "7F3 ^ 29‘.§ Owner's Address 4q 35- i TrfrisT 70 irflNks 3 51¢21 Owner Phone Number £/3 77'f zs74 Fee Simple Titleholder Name Aft Owner Phone Number Fee Simple Titleholder Address /V 4 JOB ADDRESS / 4 / -/fri d - LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR I 1 COMM I I OTHER I //A (_://,..c /v`G -s= o' Pi) c/r , 4 +' -- TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME I I STEEL I 1 OT.. --' ,, _ _ iii DESCRIPTION OF WORK /VC C, 1J6 Cl // %:r24 r v "/7— /4 z7°14 /f -/7 p 'Al F- BUILDING SIZE /'f)( 70 _ SQ FOOTAGE ( 00 0 HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. 1 I PLUMBING $ 1 I MECHANICAL $ 3 Z?'-' VALUATION OF MECHANICAL INSTALLATION I I GAS I I ROOFING I 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I Address License # MECHANICAL 2 COMPANY v� /� �f�� %�� /' SIGNATURE _ . i "I! (, / REGISTERE I Y/ N j FEE CURRENT I Y/N I Address , ' License # C4C 1 S/3 • OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 Address License # 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. 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 $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 OWN struction!. I in good that inform the owner of the permit may be re required for electrical o work this affidavit prior to commencing plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. set aside a an y p v i s io construed ns of the technical codes, nor shall the work and not as a permit prevent authority to violate, cancel, Official from thereafter set asde ny proiio unless t a correcti he work au thorized by of error s s u such permit s s c violations of within six a months of permit permit suance, ordif shall become invalid work authorized by unless tty s may permit is suspended or writing, from Build Building Official e ial forr a period not to exceed the ninety days and will demonstrate may be requested, in g, from h 9 ob is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the j WARNING TO OWNER: YPUR FAILURE TO OUR PROPERTY. IF YOU INT�N COMMENCEMENT TO OBTAIN FANANCING CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR WITH YOUR L - 9 R aN A .'• R:1 Y BEFORE RECORDING YOUR ' OTL E 0 • CO ENC MENT. FLORIDA JURATIF,,S �-- � //' CONTRACTOR r,r�/" ((�� - OWNER OR AGENT - _ / Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to or affirmeme d) beforl me this by rf f,�,✓�2 ✓STi A.' by ?�� /4)1 t r J S --- � onall known to me or has /have produced Who is/are er pe sr ovally nown to m as Identification. i roduced Who Is/are perk Y as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, Printed or stamped Weatherization Program Work Write- Up/Bid Form CU- S►3 778 25/4 Client Dana Mihulec Year Built: 1930 Phone: 813- 783 -2965 Job Address: 4935 17th St Zephyrhills FI. 33542 Programs wx Priority Material Labor Measure items Description of Work Location Cost Cost 7 1 Repair flex duct (under home) Undemeath ; 10 q, o o s 0 o0 7 2 Seal retum/supply vents Return & Supply 6,00 6 opt 9 1 Replace heat pump HVAC 1 Ci+m J 0f ` X) Permit Charge -70 i'410%) 5E EBe) SC9— bvc1 1Z14 0100 5 /ILV E.g. Du C I - (,00124. 4 130.404 au T5 2 ro 1\1 PA CIrAG£ WC-Total: 7 l7.3°'' 1 I tOr V T crr uN ) rzycoy. -. - ( I 'MATERIAL AND LABOR TOTAL FOR ALL PROGRAMS 3 Z 3.'� 1 1 Acceptance Of Work Plan Completion Of Work Contractor Rjab /NA(.. / Date: I Z /Z6'- O?Contractor Date: MFCS: Date: MFCS: Date: