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Home My WebLink About11-12188 , . CITY OF ZEPHYRHILLS 5335 - 8TH STREET �si3)�so-oozo 12188 BUILDING PERMIT Permit Number: 12188 Address: 37444 GILL AVE LOT 190 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: 34-25-21-0140-00000-1900 Improv. Cost: 4,979.00 Date Issued: 8/01/2011 Name: TOMASKO, JOHN & ROSEMARY Total Fees: 60.00 Address: 37444 GILL AVE LOT 190 Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/01/2011 Phone: Work Desc: A/C CHANGE OUT 3/12 TON S/C PACKAGE UNIT '1 y ; ,; DUCTS INS ��? 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) oondemned 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 � 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 CONTRACTOR SI TURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � ais-�saoozo City of Zephyrhills Permit Application Fax-813-780.0021 Building Department � Date Received Phone ConWct for Pertnittin - — Owners Name 1 Owner Phone Number � Owner'sAddress Z� 1l� /"'tv OwnerPhoneNumber Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS `�i � � LOT# l�� SUBDIVISION CD PARCEL ID# �{ • r ' p?I ' � �bO� � � O � � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B rvEw CONS7R e ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK G V � �J` ^�� BUILDING SIZE SQ FOOTAGE � HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ �� 2,1 �ECHANICAL $, 1 � VALUATION OF MECHANICAL INSTALLATION r.� QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N Address License # PLUMBER COMPANY 1 SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # MECHANICAL COMPANY V' f'r '�" �� ► b SIGNATUR REGISTERED N FEE CURREN Y N Address �N License # OTHER COMPANY � SIGNATURE REGISTEREO Y/ N FEE CURREN Y/ N Address License # � 111111111111111111111111111 1111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Pians; (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 L'rfe Safety Page; (1) set of Energy Fortns. R-O-W Permit for new constiuction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence instatled, Sanitary Fadlities & 1 dumpster Site Work Pertnit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construdion. Direct�ons. • Fill out application completely Owner & ConVactor sign back of application, notarized If over Ez500, a Notice of Commencement is required. (A/C upgredes over 57500) '" Agent (for the contrac[or) 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 (PIoUSurvey/Footage) Driveways-Not over Counter'rf 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 compiiance 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 WaterlSewer 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 certiTy 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 certiiy 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 certiTy 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. Appiication 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, ptumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inGuded 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 O�cial 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 IN YOUR PAYING TWICE FOR IMPROVEM �O'Y`Ott OPERTY. IF YOU INTEND TO OBT ONSULT WITH Y UR LENDE O ORE CORDING Y R T. FLORIDAJURAT(F.S 03 OWNER OR AG T CONT CT Subscribed anii o affi b re me is Subs bed an wor o ed be � bY � • r� - { � by Who i are perso ha produced Who is/are personally k �as/h produced as id ti cation. identfication. Notary Public Notary Public Commission A�.�� RI � Commission No. ��\ S' �� n _ . / . �\ . ••• s r ��j- �l� ' v Name of ��yped, pn ��q y e of Nota d� printed �8g�p ;� y Ma. �^•� � �a: � ��:� � .:�o•z #�Q �. °v•--{= =�;z r,F t oX.�_ �-<;^ p � wa:m� �-< �Q � w ° �R7 = p G�zm B�j� �: � s� dj �• � '� 6 .`��a� h N Bs � .K � s� � �� ,��Or�� tl�Fi �ii�i s,�s,��/JaQF ��\�\`\ U.�i. � �� AUTHORIZATION LETTER I, Alfred Cox, contractor license number CACO56871, hereby authorize the following to act as my agent in obtaining permits in � �'��i � �( (��VQCeZ. .�111� - 1Q5 . � ' "lA - O Agent's Name Driver's License # This authorization is to remain in effect indefinitely, unless cancelled by me in writing. Contractor's Signature Sworn to and subscribed to before me this �_ day of By Alfred E. Cox, who is personall r has produced as identification and w did (did n t) take an . ��\STINq t T��iii� .�`�� G • 'MMi's's v � �•'�°° �Sr � c�'� o ary Public �*; � Q.o9 32F-�o�tn2 � w 9 � � �� : 2 # ' � � : �Iy commission expires $ - ��• �'?� S�<' ° w 6 8j � 2 B6 ' *� . ; • '� 6 � de �O //,/s � lll IIIN<< U.S. AIR CONDITIONING, HEATING & REFRIGERATION 5827 13`� Ave. New Port Richey, FL 34652 727-846-8818 * 1-800-840-8818 Fax:727-842-8880 Ve�rif By: aC� - , � , P� �T � 2?.2 � Cube Classic. ' T1 �r ,� – — _ - 0 �- � � ` ��C7.�. �:i�� I�.��allatia.n/5P-roduct� o �-� ->.�,-� -. � .-�_ �. �� , , --� � '�; � - :ustorx�er: - � �.p � Sale Price _ � � � 9 �ddre�,s: 7 U ; ' ° � Down � -- .. .:. pa�men :i.ty: �' � Zi �7 � Balance Due ----- >ubdi�ision:�� r �� , ��-- Method: -- 'hone: � ' f . - - 3. Credit �ard # --- �old by� � TIV�# " C�C Exp Date -- - nstal] te: �m ' -r /- %. - -- Appr�pval# --- - - :ell #:� . l. - 3a -5 t'V� ' Season�al: .= D-.i- �, ' `] 3y- 7 8��- o o�� - ?quipment T�p� . �� , - - _ � � - � � � L� r� i � _ _ _ 2- d 10 � ,�-, � ; _� �xisting A/H Ma1ce: 5i.��: Year Exi.sting. Cond Make: S�i�e: Year Packag�e Unit Make: S.i.ze: ..��/Z Year ('jp Model # ��e.r.ia # I� l e l# �-eri a-1 �'# � ---- ExistinQ Checkli , � Ztem� �� eF r r r, A%H horz Vert Attic/G•arag.e/Closet T-stat: S �� '-� � , Closet Size: W_ D H Erner. Drain pa:-� -�-�� Scuttle/Cubby Opening: W �L �Ieat sh�e�d � � -' - Front Draw or Bottorri Draw Light kit -�, -_ � — - -- Breaker size �./H Cond _ ... Pltg _ .: „ ..,. Pa.d�_�re<1.;;.- Breaker Brand J�qC.a.. �� C D B;ox � Wire Type�_(circle) coppe ox� A.luzn. PV� �, �,�, ;� —_ Duct CO or Mastic �upplies R�turn Filzer Rack - Con . �oun oof Thru-�Vall Unit needs Lltted -�_,- _-„ : HKU Zones � Rainshield � �Pasco Only: Mobale Homes Need Electr�c�a: � - Year Make S�ize Lot# -- – --- _ R.e-Insta • LJ� V� RG�' v/A •,Co�rrosion Grena d e }� a,-n � ra -f �� .� ]) D � C�� IL ,� 1 . . -- Installer: �, �� Pe t Need o No # Processed B.�: � Parcel I.D. #: