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Home My WebLink About10-11024 CITY OF ZEPHYRHILLS 5335 — 8TH STREET (813)780 -0020 11024 BUILDING PERMIT Permit Number: 11024 Address: 38617 6TH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26-21-0010-13700-0090 Improv. Cost: 2,269.00 Date Issued: 10/07/2010 Name: PENTAUDE, RONALD Total Fees: 55.00 Address: 38617 6TH AVE Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/07/2010 Phone: (352)467 -1039 Work Desc AC CHANGE OUT 3 TON PACKAGE UNIT W_ /DUCT NO CONTRACT $5.00 r A A : - A � 9r i �' �` • 55.00 `� 1 'j . e A L �s DUCTS INSULt4T FINAL L 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." * . , 1 fir 4 4 4 . CONTRACTOR 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 -0o20 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department - 4 HO /i Z (` ��( Date Received 0 L' Phone Contact for Permitting r (; _ . lQ • Owner's Name - t AM-0- e Itut_ a C. , Owner Phone Number — y4- / /z7,3 Owner's Address V tel 7 1.e )c-- Owner Phone Number Fee Simple Titleholder Name . Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ' Y/7 6 M` /yam' Z p 4, / ,c/ LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 4 ADD /ALT I I SIGN I] I I DEMOLISH INSTALL REPAIR PROPOSED USE -I SFR pi COMM 1 1 OTHER 1 TYPE OF CONSTRUCTION 1 1 I �1 BLOCK I FRAME 1 I STEEL I1 1 I DESCRIPTION OF WORK '/I'1G- ' 3 ion M &1/2,/ /o 1-5 C 'ice' U/'x1-', BUILDING SIZE I I SQ FOOTAGE HEIGHT I 'BUILDING Is I VALUATION OF TOTAL CONSTRUCTION I (ELECTRICAL I$ I AMP SERVICE I 1 PROGRESS ENERGY I 1 W.R.E.C. IPLUMBING I$ I I (MECHANICAL I$L7 �� I VALUATION OF MECHANICAL INSTALLATION I 'GAS I 1 ROOFING I SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA 1 'YES NO BUILDER I I COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREIN Y / N I I I I Address 1 License # ELECTRICIAN I COMPANY SIGNATURE I REGISTERED Y / N FEE CURRE I I � I Y / N I Address I 1 License # PLUMBER I COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREb 1 Y/ N I Address I I License # M nad4,11/0 I � COMPANY A ) A4 �L4 1 7 4/; /Da � � f REGISTERED 1 Y/ N Ef I Y / N I �� / J �' FEE CURR �. Address 1 License # OTHER I COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I 1 License # I 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 $7500) ** 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 if shingles 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 IMPACTIUTILITIES 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 reeq uiring a corraside any p ect i io n of errors rors the in plans, construction or violations of any codes. Every i perm t issued shall become invalid r qecton of r in unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by may permit is suspended or writing, from the Building i Off Official for per not to e exceed ed t ninety r (90) days and will demonstrate may be requested, in g, 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 COMMEN MET FI CONSUL R PAYI TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) l � /��j OWNER OR AGENT CONTRACTOR /gild A �� v C Subscribed and sworn to (or affirmed) before me this Subscribed and swo (or a" me.) be•e me this (0- 7 -(0 by G . / A/ by Who is /are personally known to me or has /have produced Who is /are personally known to me i has/have produced C `�,�� i . as identification. as identification. CCUELINE BOOB Notary Public Notary Public ` ° vial : Commission DD 621833 Commission No. N A •-� � •= , • - . Commission No. ..q 'fs` Fnn4,4 Th," Troy Fain Inmimnee 80G 386-701G Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Whatch A/C alit Complete & Htg., Inc. P.O. Box 1403 Pinellas Park, Fl 33780 727- 424 - 2698 -PH. 813 - 943 - 7123 -PH. 727 -544 -2627 FX. City of Zephyrhills 1/19/2011 5335 Eighth Street Zephyrhills, FL 33542 Attn: Jackie Boges I Rachel Bower owner of Whatchacalit Complete A/C & Htg., Inc give David Gilbert permission to pull permits in my behalf. My license number is CAC 1815585. Should you have any questions regarding this please feel free to call me or email me at rmb7987 @aol.com. My phone number is 727- 480 -9293 or 727 - 424 -2698. At the moment I'm sick, bedridden and have no voice so you would be better off by emailing me. Thank yo , R achel o ie ` Whatchacalit Complete A/C & Htg., Inc Owner /President State of FL- of County of 6iecL+54' TI3 _ The foregoin instrument was acknowledged this _da of J /5 /\J d / ( by 1cNe(, Y +tewho appeared before me and acknowledged that he /she signed the instrument voluntarily for the purpose expressed in it. , ignature of Notary Public, State of Florida 0 7 & &u/ Print, Type or Stamp Commissioned Name of Notary Public Personally Known r JOHN T BAU Produced Identification MY COMMISSION # DD 963729 Type of Identification = EXPIRES February 22, 2014 %urr(�, rY L- -..T. —