HomeMy WebLinkAbout11-11889 , CITY OF ZEPHYRHILLS
5335 - 8TN STREET —
�sis��so-oo20 11889
BUILDING PERMIT
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Perrr�it Number: 11889 Address: 37638 NEWAL AVE
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: ZEPHYR RIDGE
Est. Value: Parcel Number: 0326210130000000830
Improv. Cost: 4,045.00 = <;�� - .��;�.,; -�:
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Date Issued: 5/19/2011 � Name: BAEZ ELMER TORRES
Total Fees: 60.00 Address: 37638 NEWAL AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/19/2011 Phone: (813 715-4016
Work Desc: A/C CHANGE OUT 3 1/2 TON
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DUCTSINSU TED
FINAL � �,2-�
REINSPECTION FEES: Reinspection f�ees will wmply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of tfie following reasons: a) wrong address b) condemned work resulting
from faulty constructlon c) repairs or corrections not made when inspections called d) work not ready for
inspection when calied e) permit not posfied on job site � plans not at job site g) work not acoessible.
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 govemmental
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 rewlt in your paying twice for
improvements to your property. If you intend to obtain flnancing, consult with your lender or an attorney
be recording your no 'ce of commencement."
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' • a�a-�ao-0o2o City of Zephyfiills Permit Application Fax-813-780-0021
Building DeparimeM
Date Received phone Contad for PermKtl
Owners Name e Z, Owner Phone Number °/ ��
Oxme�'s Address Owner Phorre Number
Fee Shnpte Tkleholder N�ne �— Owner Phone Number
Fee Simpie Titleholder Address
JOB ADORESS / „J �J C� LOT M �
SUBDIVISION �E!e7�//�//����,�� PARCELIDA D a� D�o o a (�..�
r �1 (OBTAINED FROM PROPER7Y TAl( NOTICE)
WORH PROPOSED NEW CONSrn ADDJALT � SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
GESCRIPTION OF WORK n�d�J� �' A�e , A/h NOs �t0�11�
BUILDING SIZE �� SQ FOOTA6tE � HEIGHT ��
�BUILDtNG 3 VALtlATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING ��
OMECHANICAL $ �y S VALUATION OF MECHANICAL INSTALLATION � I/ J�' ��
!J � / [ ��
QGAS Q ROOFING Q SPECIALTY � OTHER ��/,� //
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO V) �� � Y
�,� V
BUILDER CpMppNy �
SIGNATURE REGISTERED Y/ N � ctm�n Y/ N
Address Ucense #
ELECTRICIAN COMPANY
SIGNATURE �cisrer� Y/ N FEE CURRE� Y/ N
Address V�� #
PLUMBER � COMPANY
SIGNATURE REGlSTERED Y/ N FEE CURREn Y/ N
Address �� p
MECHANlCAL 1 COMPANY /7�i[, S �D�Dy/YG S'�'�(�
SIGNATURE � �crSrErten Y/ N � cuRREn Y! N
Addresa � e License # /YLD 7 3
OTHER COMPANY -- 1
SIGNATURE rtEC�S�ttep Y! N FEE CURRE� Y 1 N
Addrass License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building plans; (t) set of Energy Forms; R-O-W Pertnit for new construction.
Minimum ten (10) working days aiter submitFal date. ReqWred aufte, ConsWctlon Plans, Slormwater Plans w/ Silt Fence Installed,
Sanitary FadliHes & t dumpster; Site Work Pertnft ta subdivisi«reAarge projects
COMMERCIAL Attach (3) complete sets of BWlding Plans plus a LHe Safety Page; (1) set of Energy Forms. R-O-W Permft fo� new consVUCOon.
Minimum ten (10) working daya aRer submittal Oate. ReqWred onsite, Constructlan Pians, Stormardter Plans w/ Silt Fence installed,
Sanftary Fadlitles d t dumpster. Site Work Pertn�t for all new projects. AN commerdal requirements musf ineet compliance
SIGN PERMI7 Attach (2) sets of Engirreered Plans.
""PROPERTY SURVEY required for all NEW constructlon.
Directions:
FNI out appllcatlon completely.
Ownar & ContraGa sign back of applicatlon, notarized
H over i2500, a NoNce of CommencemeM is required. (A/C upgradea over =7500)
"' Agent (fw the conhactor) or Power of Attomey (for Ihe o�nmer) would be someone with notaAZed letter from owner authoAzing same
OVER THE COUNTER PERMRTiNG (Front of Appikatlon Only)
Reroofs if shi�gles Sewers Service Upgrades A/C Fences (PbVSurvey/Foofage)
Drivewaya-Not over CouMer ff on public roadways..needs ROW
b)O/Z00 d££E# sv o� ��ozio�rso Wo,�
NOTICE OF DEED RESTRICTIONS: The underslgned understands that ihis permit may be subjed to "deed" restrictions"
which may be more restrfctive than County regulatbns. The undersigned assumes responsibility fw compliance with any
applicable deed resfictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILIl1E3: 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
conUactor is �ot licensed as requfred by law, both the owner and contractor may be cited for a misdemeanw violation
under state law. N the owner or intended conhactor are uncertain as to what Ilcensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Divisbn—Licensing Section at 727-847-
8009 Furthermore, if the ovmer has hired a contractw or conhaetors, he is advised to have the conhactor(s) sig�
portions of the "contractor Block° of this applfcation for which they wNl be responsible. If you, as the owner sign as the
contractor, that may be an indicaifon that he is not properly licensed and is not entitled to permitting privileges in Pasco
Counry
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation impact Fees and Recourse Recovery Fees may apply to the consUuctfon of new buildings, change of
use in existing bulldings, or expansbn 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, wilf be identified at the time of
permitting. it Is further understood that Transportatlon Impact Fees and Resourcs Recovery Fees must be paid prior to
receiving a°certificate of occupancy" or final power release. If the project does not invoive a cert'fiicate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco Courrty WateNSewer Impact
fees are due, they must be paid prlor to permft issuance In accordance wlth appticable Pasco County ordinances.
CONSTRUCilON LIEN LAW (Chapter 713, Florida Statutes, as amended): if valuation vf work Is $2,500.00 or more, I
certify that 1, the appilcant, have bee� provided with a copy of the `Florida Consiruction Lfen Law-4iomeowner'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'SlOWNER'S AFFIDAVIT. I certify that all the information in this application is accurate and that all work
will be done in compiiance with ail applicable laws regulating consWctlon, zoning and land development. Application fs
hereby made to obtain a permit to do work and instaflation as i�dicated. 1 certify that no work or instailation has
commenced prfor io fssuance oF a permit and that all work will be perFormed to meet standards of all laws regulating
consWction, County and City codes, zoning regulatlons, and land development regulations in the jurisdicfron. I also
ce�tify that I understand that Ehe regulations of other govemment agencies may apply to the intended work, and that it is
my responsibility to identffy what actions I must take to be in compliance. Such agencies include but are not limited to•
- Department of Environmentai Protection-Cypress 8ayheads, Wetland Areas and Environmentally Sensitive
Lands, WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineersseawalis, Docks, Navigable Waterways.
- Department of Health 8� Rehabflitative Services/Environmentai Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatfon Autho�ity-Rumaays.
I understand that the following resUictions apply to the use of fill:
- Use of flil is not allowed in Flood Zone °V" unless expressly permitted.
- if the ftll mate�lal is to be used )n Flood Zone "A°, it is understood that a drainage plan addressing a
"compensating volume' wiil be submitted at lime of permitting which is prepared by a professional e�gineer
licensed by the State of Florida.
- If the fili material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certity that fili will be used only to fdl the area within the stem wali.
- If fill materiai is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely afiect adjacent properties, the owner may be cited for violating
the conditions of the building permil issued under the aHached permit application, for lots less than one (1)
acre which are elevated by flll, an engineered drainage plan is required.
If 1 am the AGENT FOR THE OWNER, I promise In good faith to inform ihe owner of the permitting conditions set forth in
this affidavft prior to commencing construdion. I undetstand that a separate permR may be required for electrical work,
plumbing, signs, welis, pools, air conditioning, gas, or other installations not specif+caily induded in the appfication. A
permit issued shail be construed to be a license to proceed wfth 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 8uilding Official from thereafter
requiring a correction of erro►s in plans, construction or vidations of any codes. Every pertnit Issued shail become invalid
unless the work authorized by such permit fs commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned tor a period of six (8) months aRer the time the work is commenced. An extension
may be requested, in writing, from the Suiiding Offfcial 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 job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT (N YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FiNANCING, CONSULT
WITH YO LEN R AN A O FORE EC IMG YOU NO E OF OMMEN NT.
FLORIDA JURAT (F.S. . 3) ' •
OWNER OR AGENT RACTOR
Subsafbed and swom lo aKirmed) befora me Nds Subscribed and swom to (a atfirmed} befwe me thls
by bY
Who isJare P ersonaMy k^ own to me or has/have produced Who is/are persamNy krrown to ma or hasNiave produced
esidentlflcatlon. as(OendRcation.
� i� ,_Notary Public
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C mP " N „ i• ! °, ��� EE 0�� , 14 Commtssion No.
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- Expires De��,�
Name ot No ry � �ed��l��� Name of Notary lyped. printad or stamped
, ��OF, .
b00/E00 d E£E# 6b Ol IIOZ/0 U 90 wo�j
HwtlnB 6 A/r CondWOning
s� PROPANE GAS Service Order/Proposal alla'
� AND AIC irvc IASTS AND IASTS �ND UISTS°
�KCe 19 813-782-5013
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Sales Service & Installations - ,,. , ;- , , , � • ,;, � ,� - h
4441 Allen Rd. • Zephyrhills, FL 33541 _, , :
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�;5�`.�s;` Type ❑ Replaced Type FILTERS , x Changed Monthly � i
. . ` � - �`,'��M��H�}���Q�.�f' FILTERS , x Changed Monthly � �
Afi/f1Jd� M,�t���zR�CCK111fi�Itd�d by All Equip t�Ers. ❑ R E G U LA R l..l WA R RA N TY ' °. n � ��#�i�Y� �;�, j. :.
[)8(�Ull�3��pt�t�as�e�#I�jS1- When here ��, When Away,¢�° , T-Stat �° ❑ MAINTENANCE CONTRACT SERVICE
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LIMITED WARRANTY• All materials, parts and equipment are warranted by the manufacturers' ° ��°i'�(Q�'0� PA���' CALL �
or suppliers' wriflen warranty only All labor performed by the above named company is warranted for TOTAL �
30 days or as othenvise indicated m writing The above named company makes no other warranlies. ❑ CASH ❑ CK # MATER IALS �
express or implied, and its agents or technicians are not authonzed to make any such warranties on
behalfofabovenamedcompany � DEBIT ❑ CREDIT � OTHER MAWTENANCE �
I have aulhoriry ro orGer ihe work oullined above which has been salisfactonly completed I agree inat Seller PROG -10% �
retains btle lo epmpmenUmatenals furmshed untii Mai paymenl is made n payment is not maee as a9reed, DATE COMPLETED
seller can remove saitl eQmDmenUma�enals al Sellefs expense Any tlamage resulting from saitl removai shall _ �
not be Ihe responsibdiry ol Seller NE7 30 DAYS A 1 1�2 % SERVICE CHARGE WILL BE ADDED MONTHL� 70
ALL UNPAID BALANCES OVER 30 DAYS NO REFUNDS
TECH TAX �
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�/f ,l `J�� TOTAL �
CUSTOMER SIGNATURE OATE L�CGYC
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