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HomeMy WebLinkAbout10-11118 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11118 BUILDING PERMIT Permit Number: 11118 Address: 39109 7TH 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: 12 -26 -21 -0068- 00000 -0010 Improv. Cost: 4,305.00 Date Issued: 11/03/2010 Name: TODES, PATRICIA Total Fees: 60.00 Address: 39109 7TH AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/03/2010 Phone: Work Desc: CHANGE OUT A/C SYSTEM TO 3 TON • - • •- . H 1 *U DUCTS INSULATED FINAL _ Z --1 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 improveme is to your property. If you intend to obtain financing, consult with your lender or an attorney before re • • ing your notice of commencement." 2Ir '4/t CONTRAC OR S GNATURE PERMIT OFFI 'R 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 r� Co ate Received /7 /0 Phone Contact for Permittin e J 5 2 S1/ - u £L 11 / Owner's Name (lGk 6L - To a i° 3 Owner Phone Number S 13 `8 '� 0 t' 1/ Owner's Address 39 1 1 D (� -1 Q T� i) - Owner Phone Number I Fee Simple Titleholder Namel I Owner Phone Number I Fee Simple Titleholder Address I JOB ADDRESS I 3 C i 1 0 q 7 t o L `'e nlArh 1 I l s I LOT # 1 J hh I SUBDIVISION PARCEL ID#1 )p t -- c;2 D -cal-Doti 3 -06060-6610 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I I WSTA ONSTR I I ADD /ALT REPAIR 1 1 SIGN Q MOVE Q DEMOLISH PROPOSED USE n n SFR I I COMM OTHER I I TYPE OF CONSTRUCTION I BLOCK I I FRAME n STEEL n OTHER 1 I DESCRIPTION OF WORK 1 h CA-1 J e._ O (;1t- A 1 C € &i e. NN..) I I BUILDING SIZE SQ FOOTAGE HEIGHT I I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY [ W.R.E.C. PLUMBING $ L J//, i VALUATION OF MECHANICAL INST LATION < � - / / MECHANICAL $ t f r� D 6 ©b Oj I I GAS I ROOFING I I SPECIALTY r-- OTHER 6G FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA I IVES 1 'NO COMPANY I I BUILDER FEE CURRENT Y / N 1 SIGNATURE REGISTERED i YIN Address I 1 License # 1 l I ELECTRICIAN COMPANY I SIGNATURE I REGISTERED l Y/ N I FEE CURRENT I Y/ N I Address 1 License # 1 1 • PLUMBER COMPANY I SIGNATURE I 1 REGISTERED 1 Y/ N I FEE CURRENT I Y/ N Address I 1 License # 1 MECHANICAL COMPANY I--CO -l. f�MV CO w, SIGNATURE I&Lyosetul - l REGISTERED l Y/ N 1 FEE CURRENT l Y/ N l Address 1 T/ 4t3 f 0 K65 B511 r1, 335111 License # I CAC- l &' 1 3 S 7 , OTHER COMPANY 1 SIGNATURE I I REGISTERED 1 Y/ N I FEE CURRENT 1 Y / N Address 1 1 License # 1 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) 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 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 Attomey (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 NC 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 h any a cor rect of errors rors the in plans, construction or violations of any codes. the Building Official from thereafter t issued shall become invalid requirg recton of r in plans, unless m it work it is suspended o or authorid a b ch ne permit for is a period of six (6) within six months of after the time the is commenced. An extension the permpended r bo p may be requested, in writing, from the Building O Or ' ninety ( 0)period consecutive days, the job is tiered aba justifiable cause for the extension. If work ceases WARNING TWICE FOR OWNER: YOUR FAITS TO YOUR PROPERTY. T IF YOU INTEND E TO OBTAIN FINANCING, CONSULT PAYING TWIC HIAPROVEMENT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM E■CEMENT. FLORIDA JURAT (F.S. 117.03) i „� CONTRACTOR �-� Sucrib OWNER OR AGENT b and s • m to (or affirmed) before me this Subscribed and sw �m o (or affirmed) before this , § 57 /0 by -- f. 1-,€) M� s �j R ( o i? /0-45 by l�L4 l P to has/have Who is /are personally kaolom to me or has/have produced Who Is /are pers to me or has/have produced as identification. as Identification. + /IflL_'fJ))!L N otary Public i.. , Notary Public 60 " 9 6.5 - mission No. bp ` 0 5 C= mission No. 1 . - T - i i Il; 1. ■ Name of Notar», • printEidal* O d*t'd Name of N a r ene Ford DA Commission # DD905245 ; Commission #DD905245 Expires. AUG. 07, 2013 „' Expires: AUG. 07, 2013 Yw• BOND THR: ATLA:N I IC BONDING CO, INC. 'SGNDED THRC ARA : ri,. iiu�"DING Co INC. SOUTHERN COMFORT ENTERPRISES, INC. 4109 CR 656 P. O. BOX 486 WEBSTER, FL. 33597 DADE CITY, FL. 33526 352 - 793 -5501 352- 567 -6111 CAC 1813579 DATE: 11) :)c, °dv COUNTY /CITY OF: LA. 0C Z - e?V,y r TO WHOM IT MAY CONCERN: 1, Thomas Lachance, license holder of Southern Comfort Enterprises, Inc. authorize t rn g VI /WA IA, to sign for release of Mechanical Permit on my behalf for the �c�- s ∎c ,r�, c� 3t3 69 7' Name of Job Location of Job 0 Thomas Lachance STATE OF FLORIDA COUNTY OF I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgements, appeared before me Thomas Lachance, personally known to me, who executed the foregoing instrument and they acknowledge before me that the executed same. VITNESS my hand and official seal in the County and State las aforesaid this day of O0;-1T.)P. , 2010. (J Chin P � otary Public ignature and Seal N OTARY PUBLIC- ATE OF FLORIDA Darlene Ford ,-,• Commission #DD905245 Expires: A U G. 07 2013 BODED THRP ATL:1.\71C BODING' CO, INC.