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Home My WebLink About10-10218 • CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10218 BUILDING PERMIT Permit Number: 10218 Address: 38938 5TH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: 4,950.00 �: a � : a F p <w E�.:,..x, Date Issued: 3/23/2010 Name: HILFERDING, ROBERT & TERRY Total Fees: 55.00 Address: 38938 5TH AVE Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/09/2010 Phone: Work Desc: A/C CHANGE OUT 3 TON FE KIN Y N '•LH A IN : C HAN E•UT 55.00 az f) I �.°'•a��rA`s,'»�� _ �,. DU TS INSTA D DUCTS INSULTED FINAL 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 improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." ' 41 1, 1-w rTRACT• SIGNATURE PERMIT OFFI FR / PE • IT 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 Date Received ` 9/...../D Phone Contact for Permitting -- Owner's Name /' ✓ _ „9-/ , r' i • / , .. Owner Phone Number 7 8, r 76) C Owner's Address �� ® ' $ / / Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN I I MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR 1 I COMM I I OTHER I, TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME I I STEEL I I OTHER I DESCRIPTION OF WORK 7� C / a. - 6Z2 ? /J ,s-- BUILDING SIZE SQ FOOTAGE HEIGHT I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R.E.C. I I PLUMBING $ '',� 1 I MECHANICAL $ / 2 �O � L � �J71 VALUATION OF MECHANICAL INSTALLATION I I I GAS I 1 ROOFING I 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I I YES [ ]NO BUILDER COMPANY SIGNATURE REGISTERED l Y/ N I FEE CURRENT 1 Y/ N Address I License # l ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N Address - License # MECHANICAL /XQ e V �C C._ SIGNATURE -- T - ' COMPANY [ N Cam. /i,c� Yi r FEE CURRENT 1 Y / N 1 Address ip License # I / S Z OTHER COMPANY SIGNATURE REGISTERED 1 Y / N . FEE CURRENT I Y / N Address License # F 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 h as 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. l TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees ano 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, 1 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 1 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 t 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 OBTAI INANCING, CONSULT WITH YOUR LENDER OR A N ATTbR Y BEFORE RECORDING YOUR NOTICE OF CO ENCEMENT. FLORIDA JURAT (F.S. 117.' OWNER OR AGENT CONTRACTOR Subscribed and swo % Tir affirmed) ore me this Subscribed and s• (or affirm:.) before me this by / ' Who is /are persona y k • to me or has/have produced Who is /are pers. • = y known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Kinsey Central Heat & Air - Conditioning, Inc. P.O. Box 2209 Zephyrhills, Florida 33539 -2209 (813) 782 -2300 CA- CO58626 DAT7F ORDER NAME t : / ,r( DATE PROMISED C ADDRESS Q' _ APARTMENT CITY MAKE MODEL SERIAL NO. • ❑ ESTIMATE NATURE OF q ❑ CASH SERVICE I ) REQUEST V ❑ CHARGE QUAN. PART NO. DESCRIPTION / PRICE AMOUNT SERVICE PERFORMED TOTAL MATERIAL TECHNICAL SERVICE TIME. A charge of 1.511 will be trade on all unpaid balances after 30 days. which is an annual percentage rate TAX of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. DATE COMPLETED 7«k �� CASH ONCOMPLETIO y TOTAL OF WORK TECHNICIAN CUSTOMER'S SIGNATURE • I CITY OF / 1 OT10E" BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE ADDRESS DATE PERMIT # 3Y93,5 � 11v 3 Zs <u / z / THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. OfVE A/4/3 6 2 E n Ucc r ee 2_ - t 6 • It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve 780 -0020 FOR -1 ECTION the installation. OFFICE HOURS 7:30 AM - 5 PM MON. -FRI. INSPECTOR