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Home My WebLink About11-12094 _ CITY OF ZEPHYRHILLS � 5335 - 8TH STREET (si3)�so-oo20 12094 BUILDING PERMIT Permit Number: 12094 Address: 37624 NEUKOM AVE LOT 18 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0090-00000-0180 Improv. Cost: 1,000.00 Date Issued: 7/06/2011 Name: MCMULLEN, JAMES & TERRIE Total Fees: 40.00 Address: 37624 NEUKOM AVE LOT 18 Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/06/2011 Phone: (813)788-9475 Work Desc: A/C CHANGE OUT 1200 BTU SPLIT UNIT GL-'� �� ` � � � DUCTS INSUJ,�4TE�� FINAL � J 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 fl 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 commenceme " ( G' YU` ;,� CONTRACTOR 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 Fax-813-780-0021 , . Building Department Date Received �� y � aQ�� Phone Contact for Permittin — Owner's Name �J fl'��S /-� C (�l ��v Owner Phone Number �� '7�8 � y 7J Owner's Address �� UJ�o�( � �/ Owner Phone Number r Fee Simple Titleholder Name ��G� ��/� �«= �✓ Owner Phone Number Fee Simple Titleholder Address 3��a �i �VK � K'( �(/ ��/� /e17/LLS ��..�y l JOB ADDRESS 7� /V VKo /�j L� y LOT # � SUBDIVISION �iQ�1� �JviQl ].��(/S' � , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTiCE) WORK PROPOSED � NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM � OTHER TYPE OF CON3TRUCTION BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �NS �l— (f}" G ��4�'G� �Z (T� � � v� BUILDING SIZE �D X O� 7 SQ FOOTAGE ' l�p HEIGHT O� �BUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ �MECHANICAL $ IOOD VALUATION OF MECHANICAL INSTALLATION � l � y / QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO }�UILDER t u �� j� COMPANY f'�U � DL(//V C� ( SIGNATURE + ��` ( REGISTERED Y/ FEE CURRE� Y! N Address ' License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y I N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N 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 8 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 requlred for all NEW construcGon. Directions: Fili out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is �equired. (AIC upgrades over;7500) ** 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 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 applicabie 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 speci�ed 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 Resou�ce Recovery Fees must be paid prior to receiving a"certificate of occupancy" or final power release. If the project does not invoive a. certifcate 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 8� 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 viofating � 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 justiflable 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 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. FLORIDA JURAT (F.S. 7.03) , OWNER OR AGENT ��' � c� CONTRACTOR O� O�� Subscribed and swor (or afflrmed) before me thls Subscribed and s to � or affirmed) before me this 7- 6_ � i b o � Es c v� t,✓ 7- 6-! r by Tq-� eS /�L� ,r�1 v/ l� �/ Who isla e personally known to me or has/have produced Who is/are personally known to me or has/have produced ' ��,� ;15,e as fdentlfiq8on. L� C G�Se, a s i d e n G f i c a t i o n. / � Notary Public Notary Publlc _ ;� CQUELINE BOGEg JAC OGES � •-� '� QUELINE Comm ssion �' ' ' Co m si � � _ �� „,�� December 12, 2014 ,� , a,,,d.,n,,,, � ?2, 2014 Name of Notary p, �' A �� N a m e o f N o t a ry l y p e , p 7 � �:. • �25CLOSIIRE S'�'n'�'F*�'N'f' .FOR dW1�Ft CITY OF ZEPHYRI3TT—�T•S Bt7II+D�7G DEPI�Et_'�'►�•�' = have read. and fv11y uaderstand and aqree �to the provisions of �this instr�ent• The undersigned.states asid affirms that he or she is d�sirous of coristructing, resiovating, adciing to or seroofisig his c=' h�s o�ru d°micile� �that he or she actually occupies, or 7vi11 occupy by said da�icile, and same is not for •rent, lease or sa1e. That he or she sha11 comply with tlze following conditions: 1. Tt,at the owner and_he or she aloae shall act as the builder fcr a11 Plaases of const . 2. That the owner wa:11 comply with al1 provisions of 'the City of Zephyrhills ordinances and dodes pestinesit to the buildiag- 3. That in the avent vasicus phases of construction are subcontracted, he will erigage only•properly liceased subcontsactors and will personally supervise such work. 4. Tlzat in the event the Bu:ildiug Inspector sha11 require corrections to be made, the owner will ass�e full respousiUility to iasure•they are made, and upon completion wi11 cal3 f'or a rein=�etioa before proceeding with the building. 5. That the owaer sha11 assume fu11 responsibility for the construction aad wi11 not expect_supervision of his work from the City of Zephyrhills Building Depart��t . 6. That prior to final iaspection aziy additional fees , includirig reinspeatioa fees , must be paid in ful1. A written request from t-his office sha11 constitute an official notice to pay additional fees. _ 7_ That tize owner sha11 comply with a11 City, 5tate asid Federal laws in regard to social security, workmau's compeasation, lien 1aws, etc., where applicable. B. That the owner sha11 comply with a11 the safety codes issued by the Florida Industrial C��ssion. 9. State law requires construction to be done by licensed contractors. You ha.ve applied for a per�t under an exemption to that law. The e�cemption allows you, as the owner of your property, to act as your own contractor with certaia restrictions even though you do not have a license. You must provide direct onsite supervision of the constniction yourself. You may build or improve a one-family or t�vo-family resideuce or a farm outbvilding. You may also build or improne a commercial buildi.ng, provided your costs do aot exceed $25,D00. The building or residence must be for yovr own use or occupaacy. It may not be built or substautially impr�ved for sale or lease. If you sell or lease a building you have bvilt or substaat3.a11y improved yourself within 1 year after the constxucticn is complete, the 1a�v will pres�e•that you built or substantially improved•if for sale or loase, which is a violation of this exemption. You may not hire au ualic�rasad person to act as yovr contractor or to supervise people working on your building. It is your responsibility to make sure that people e�ployed by you have licenses required by state law and by county or municipal licensing ordi.nazices. You may not delegate the responsibility for supervising mork to a licesised coritractor who is not_ licensed to pezform the svork beiag dnne. Any parson working on yovs bui.ldiag who is not liceused must svork uacier yous direct supexvision and must be employed by you, which mesas that you must dsduct F.I.C.A. and withholding tax and provide workers' com�*±Gation for t�iat e�ployae, all as prescribed by law. Your construction must comply �cith a11 applicable laws , ord�s3ances , building codes, and zoning gulations. OWNER' S SIGNATiJRE �jj4(� � C � �� Dp.TE ,6 ADDRE55 ( PHONE � !� WITNESS PERMIT #