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Home My WebLink About12-13293 � CITY OF ZEPHYRHILLS 5335-8th Street 13293 (813)780-0020 ELECTRICAL PERMIT Permit#:13293 Issued: 7/30/2012 Address: 4754 5TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,100.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 7/30/2012 Parcel Number: Name: KENNETH A PERRY ELECTRIC INC Name: THAIN, JUDY Addr: 3121 LOWN STREET NORTH Address: 4754 5TH ST ST PETERSBURG, FL 33713 ZEPHYRHILLS, FL. 33542 Phone: 727 321-8550 Lic: Phone: Work Desc: ELECTRICAL WIRING ONLY FOR A/C SERVICE UPGRADE-NEED A/C PERMIT ELECTRICAL FEE 40.00 ROUGH ELECTRIC CONSTRUCTIq N POLE oo�,...��.elce��c -� -c�— _ �v1,�ecG�o-wit �-fl-l=' �l �, REINSPECTION FEES: Reinspection fees will aomply with Florida Statute 553.80(2)(c)when extra inspection trips are neaessary due to any one of the following reasons: a)wrong address b)wndemned work resultlng from faulty oonstruction c) repairs or corrections not made when inspection called d)work not ready for inspection when called e) permit not posted on job site�plans not at job sibe g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional �estrictions 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. "Warning to owner: Your failure to reoord a notice of commencement may result in your paying twiae for improvements to your properly. If you intend to obtain finandng,aonwit with your lender or an attorney before recording your notice of oommencemen�" Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. r , C RA O PER OF I ERMIT E IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �Pasco County Parcel: 14-26-21-0010-03400-0130 001 Page 1 of 1 Dats Current as Of: Weekly Archive - Saturday, ]uly 28, 2012 Parcel ID 14-26-21-0010-03400-0130 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value TRIPP FAMILY TRUST Ag Land $0 C/O JUDITH THAIN Land $20,460 450 MYRA WAY Building $28,244 SAN FRANCISCO CA 94127-1659 Extra Features $0 Physical Address 4754 5TH ST lust Value ;48,�04 ZEPHYRHILLS FL 33542-5734 Assessed (Save Our Homes) $48,704 Homestead 196.031 - $25,000 Legal DeSCriDtion (First 4 Lines) Non-School Additional Homestead Exemption - $0 MOORES AD PB 1 PG 57 LOTS 13 & 14 BLK 34 Taxable Value $23,704 OR 2074 PG 1724 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoniny Units Type Price Condition Value 1 0100 SFR OOR3 13,200.00 � $1.55 1.00 $20,460 Additional Land Information Acres 0.30 Tax Area 30ZH FEMA Code -- H P7 Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1961 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco Roof Structure Gable or Hip Roof Cover Built-Up Tar and Gravel Interior Wall i Drywall Interior Wall 2 None Flooring 1 Terrazzo Monolithic Flooring 2 None Fuel Gas Heat Convection A/C Window Unit Baths 1.0 Line Description Sq. Feet Repl.Cost New 1 ,�,�T 154 $2,319 2 �SP 190 $2,132 3 � 928 $34,707 4 FOP 32 $299 5 F�,P 220 $2,057 6 �,Ip� 425 $4,787 Extra Features (Card: 001 of 001) lfne � Descriptlon Year Units Value No Extra Features Sales History Previous Owner TRIPP EARL G& Month/Year Book/Paye TYPe Code Condition Amount 12/1991 2074/ 1724 Q�p�d�m Improved $0 12/1975 0820/ 1661 Improved $0 http://www.appraiser.pascogov.com/search/parcel.aspx?sec=14&twn=26&rng=21&sbb=0... 7/30/2012 � CITY OF ZEPHYRHILLS 5335-8th Street � (813)780-0020 13293 ELECTRICAL PERMIT P�RI1�'T �Ft��ITIt�N Lt�T�tN�fl!R�ATNOly Permit#:13293 Issued: 7/30/2012 Address: 4754 5TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: � Proposed Use: NOT APPLICABLE Lot(s): Block: Section: I Sq. Feet: Est. Value: Book: Page: Cost: 6,798.00 Total Fees: 105.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 105 00 Date Paid: 8/13/2012 Parcel Number: 7'�NI Name: KENNETH A PERRY ELECTRIC INC Name: THAIN, JUDY Addr: 3121 LOWN STREET NORTH Address: 4754 5TH ST ST PETERSBURG, FL 33713 ZEPHYRHILLS, FL. 33542 Phone: (727)321-8550 Lic: Phone: Work Desc: ELECTRICAL WIRING 1,100 value A/C SERVICE UPGRADE- 5,698 value �"�AT�1 f E ELECTRICAL FEE 40 00 A/C CHANGEOUT 65.00 1 � ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER 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)condemned work resulting from faulty construction c) repairs or corrections not made when inspection 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for � improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney ! before recording your notice of commencement." ' Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. I C-�'iu�o'+� CONTRACTOR PER FI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER 08/08/2012 14:49 3527953369 BAYAREA PAGE 68/10 r.; ,.•- � T.;� �7 -- f '°; • "Turning �he World Green One Hame a'k a Time"""" " � Ah�p � CItRJS 795-266•� rnanc�o 688-266� nirt..�iy::in<�i�ir; � � �f �' I' ��Ea�� K�'1b7.m Marion 489-�66!i N Pa Y- 863,2665 �;; � � .��,� I.evy aa7•zes:i , Pasc:� 375-z665 � '�'�N i�S, f��rnrr�rl4I�.FIHI• /��,� � AII Others Toll Free. ,,,.��;��}�5�'8'•369 2665 www.bayareaCOOl,com nater.org CarnQr,COm 8021 W Gulf to Lake Hwy Crystal Rivor,FL 34429 • 703p Osteen I�d.New P�rt Richey,F�34653 5t8te C[�ntfied CAC01p415 N�=tuFvSA�SUr�ivilTl��TQ Jf�lJ�T�� PHON� � -., �— " DATE I ' � _ . �G—../��./3A�!'c1j�r.�'`-!/r,/�,�.-- .�-. 717��J.�'��l�� ,�iS'/� 5TRFET ' �� — , �_.. �?]� CITY STAT _�� .. J �. � , � /� ��/GL-�a �'4 'e,iP � _. . -- -.- . . ... `�a�.� System '�A�� System `��„ ' System "C° � ��and Name of System ,,�'� /��'.�.�� Inddor Unit Model # _ Ir,X�irl�p "r ',1'�19Jit/i�Q�,��.. '��t'y � ---' ,.._ Outdaar Unit Model# � ,�.��J�"� � �-�� - . . . _,. SEER/ HSF�F Rating /,�,T.,�' `h'�i� /y�/�t� - - - --- - . — SUB70TAL: � -� 'U-- � � 3��(v °� -- �--.. ._, .... Garrier 10 Year Parts & Labor and + �� l�..G,�,,,,� + $ ��' �,�,�'- -� I�ust& Lightening Proteciian _ �� Q�p� �U + $ — !i-� P•�ir.7� Variable Speed Indoar Fan �nd ��--�"" "�-�� — �- - - Infinity Cpntr0l + $ � h��- + $ ,�/� T+ $ Variabl�5peed Indoor Fan and �" '� �°._ ,_ --. ��__,_— _ ' T'hermidistat Control^ + � �E'4 _ +$ . �f� +$ _ + � �� I��f �� t�11 r i"�9-tr �`s� � 3UBT�TAL: ,�„ � ,,,.,c�; �,..: �.�_ �.]�� • � .t::.� i' ''��i'y�.•�'�:, :��I�µ"c_Yl�. - 1� �. w:; '1) oPTIONS ry_. � S . ` �UO Q�' �$ �(�OO� +$ '2) REBAT�3&DISCOUNTS -$ ( ' �torts ��" ) -$ ( , ,�0��1- _.,� -$ ( "--�— .. � ZEBATES'D S O NQ$TibMS, ` �;: ' �,,�sr��$a�� ti.< ;��;;�',,;:�,�',�..;:�- •;�,*.;.;-.:� :;. .;,.*,�-.�., - r,:,�.�;. :�,: .�m..._ {1>�,.�P'I"I,�1Ng �) �� ^ q '{3 C DlS�'�'!�'�S :arrier Infinity Air Purifier $ �. I� •—� 'ragramm�ble Thermostat �� $ --•-- • 2 `�_�.'/��.,- $ -��/��a, ��Q� , �_ _'_ -. �G ��- � "'6'r'–� "�� 1�RV 8 Mechanical Fifter $ ' �� - -�- - ---•--- �� :arri�r U,V,G Light - $ ---- q._ � � -- -, -�---- � -- Z�quired Duct Mpdifications $ l� (2) Rebates � J� $ . . D�scounts Tatal: �r��—�CXa� r G�' s��y � ,C,OrIG�.Jll�it�lrt"3 — ;c� (� =- 5� �,�.. � �D� f 1 ,4'Gcr -�{-�t�� '� �.li ��- ---- �..... L��--. ---- $ - -- ° Z r �.�'f�iG h� ��'-��5 — . � � _�- ��c.�: .__ � .._..—....... _., , ,_ .�?�.�...,.. 1 - /�-�hF� 5�;�'f��? _ $ _ 1-�r�� p ��c�� ►R-> o.� � -- -�� 1) Options Total: $ � y- �1'�'.�."F� �° �7T'F�=i r�'��...f.3 �i�(�� ...�...... �. ��rad �----- !e Propose hereby to furnlsh material s�nd labor-comple�e in accardance with speciflcation5�bove forthe sum pP� g ^ AYM�NT TO BE MAD�q$FOLLOW�� PRICE INC�IJDES TRADE 1 QUI ENT, �!}'�I� � ' 7�n� ��-� pTE;THIS PFiOPOSA� MAY BE WITWDRAWN ?,., ' _ Y�1$IF NOT ACCEPTED WITHIN 15 DAY$__��j� r.�[�! �..• ��NAT�z � �Mp�i /-- - " .. —"' ACCEPTANCE - / f� I�eboVO p�IC25,sperrfir..atipns aRtl conditinnc ara accepted. I u �rs{a�d a permit�s raquired anp a yard sign will be postea displayinn�9rmit. �aym�ni�II�be ma.de��s set`orEh above. p�cknowi�tlge thac accPptance of this propasal constitutes a conl act.I have 2uthority to ordcr the w❑rk as ouflfned above, Prevailin 3s�f the Propogal IS p12Cetl in the hantls of an attornrty f�r�Ilectic�. 9 Party to�ay all r.psts�nd rE;ispn�nlN aitomgy', ate —_. ----- BignAture ., ,_, ._ _ _ —— �..�._._� FR��nmcm Prnnna.� Fr.,,,�h�nr.ur�. � � i, y & r� �t; . . r4 � ..t,S �;��`' �• Duct Seal Affidavit Company �AY �2� ��C License# C�� y�s Address 70 3V DSTEF�✓ QD. Permit# �3 Z /�g 3 �/Ew Po✓zT R i cH E�{ F� 3y6s3 X I affiant,hereby affirm that 1 am the duly licensed contractor of record for the above referenced permit,that all of the forgoing information is true and accurate,and that the duct sealing at the above referenced address has been completed in accordance with all applicable codes and standards. Contractors Name(printed) DA�F NuTCNi�s Date �'�,3'� Z ✓ � l� Signatur posT w ►�1-� ��,�,T 08/08/2012 14:49 3527953369 BAYAREA PAGE 06/10 �- yV1"1g�1�SOft• Load Short Forim Job: THAINlKING Entire House �: s�ir,z �y: asa Bay Area A1C 8021 w.GuM To Lakea Hwy_.Cryat�l Rf�ar,FI.34a28 Phonr:�52-79S26B5 Fax se2-795�3369 Pmau�kent�bay0reecooi.wm � � ' � • For: TRII'P FAMILY TRUST, JUDITH THAINBQNNIE KiNG 4754 STH ST,ZEpHYRHILLS, FL 33542 ■ ' • • Htg Cig Irrfiltratlon Outside db(°F) 30 95 Method Simplified Insida db(°F) 70 75 Construction quality Average Design Tb(°� 40 20 Fireplaces p Daily�nge - � Inside humidity(%) 50 5p Moisture difference(gr/ib) 35 64 H�ATING EQUIPMENT COOL.ING EQUIPMENT M�ke Carrier Make Garrier Tr2de BASE�S PURON HP Trsde BASE 15 PURON FIP Model 2�HBC524A""30 Cond 25HBCS24,4'"30 AHRI ref 3645571 Coil FX4pNFD25 AHFtr ref 3645571 Efficiency S_7 HSPF Efficiency 12.5 EER, 1��.3 SEER Heating input Sensible cooling 20400 Btuh Neating oul�ut 24000 Btuh Q 47°F t,atent cooling 3fiQ0 Btuh Temperature rise 27 °F Total caa�ing 2�4000 Btuh Acfual airflow 800 cfm Actual air flow 800 cfm Air flow factor 0.033 nfmlBtuh Air fTo�w fdCtpr O.Q40 cfmBtuh Static pressura 0 in H20 Static pressure 0 in H20 Space thermostat Load sensible heat ratio p_$7 ROOM NAME Area Htg load Clg foad }-Itg A1�F Clg AVF (�} (Btuh) (Btuh} (�) t�7 BEDl�OOM 1 132 3906 2532 130 1�1 BEDROOM 2 '132 2089 1761 69 70 BEbROOM 3 125 3412 1627 113 65 BATH 725 2447 1090 8'f 43 GR�AT AREA 382 12252 13061 407 521 Entire House 896 24106 2pp7� gpp $d� Qther equip loads 0 0 �quip,� 1.�0 RSM 2p059 L.atent cooling 3088 TOTALS 896 24106 23139 800 800 Calculations a pOST WITrH pproved by ACCA ta meet all requiren �'� �Wr��a�' RIgM-Sulle��Mlvp�pp7212.0.oBRSU10332 PERMIT g .-nbnla�wr79�rtsoft WVACSTemplste�ExI5T1Nr,tOAOSITRIPP FAMIIY,Np Cafc�MJe Noc�c} � • ais-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Bwlding Department Date Received � Phone Contact for Pertnitting - T y_ �T Ownels Name � � Y) Owner Phone Number Ownefs Address �J � �� Owner Phone Number �� Fee Simple Titleholder Name Owner Phone Number �—� Fee Simple Titleholder Address � JOB ADDRESS � � � LOT# [� SUBDIVISION �� PARCEL ID# ' � D (OBTAINED FROM PROPERTV 7AX NOTICE) WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM � OTHER TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �LQ. a�-�- t� � � � �/ � �5,��/IJ BUILDING SIZE �—� SQ FOOTAGE� HEIGHT � -r-r-t-rr'rr'rr �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE /�� 0 PROGRESS ENERGY Q W.R. ��` T �PLUMBING $ �y � �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` � �� GAS Q ROOFING Q SPECIALTY 0 OTHER � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO .. t-.t�...r:..i i.-f fr: BUIIDER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY �Q- L SIGNATURE REGISTERED Y/ N FEE CURRE Y!N Address / License# �f i 3003� PLUMBER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Li se# MECHANICAL � n�� COMP NY � SIGNATURE J� REGISTERED Y/ N FEE CURRE� Y/N Address License# �� OTHER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �—� Illlllllllllllllllllllllllllllllllllllllllllllllltlllllllllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bwlding Plans;(1)set of Energy Fortns;R-O-W Permrt for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sili Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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. Reqwred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commeraal 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 8 Contractor sign back of application,notanzed If over E2500,a Notice of Commencement is required. (A!C upgrades over 57500) " 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(PIoVSurvey/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 rest�ictive than County regulations. The undersigned assumes responsibflity 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. Fu�thermore, 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 "Fiorida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Depa�tment 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 1 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-Seawalis, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. 1 understand that the following restrictions apply to the use of flll: - Use of fill is not aliowed in Flood Zone"V"unless expressly permitted. - If the fill mate�ial 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 lice�sed 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 wili 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, piumbing, 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 pe�mit is suspended or aba�doned 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 just�able 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�O OBTAIN FI N G, CONSULT WITH YO R LENDER OR AN ATTORNEY BEFO E RECORDING YOUR O COM E FLORIDA JURAT{F.S. 117.03) i .F OWNER OR AGENT ONTRACTO Subscribed and swom to(or affirmed)before me this Subscribed'an s ) e th by bY �- Who is/are personally known to me or has/have produced Who(��per�onapy no to m or has/have produced as IdentlficaUon. �'� � � i�•• � as identlficatlon. ._.,� ? f,' Notary Public . �T�-�� ' �� y�Public Commission No. Commission =�'��:= Commission#EE 140709 �f. Name of Notary typed,printed or stamped Name of No �}ii ��ais �.t4� 813-780-0020 City of Zephyrhills Permit Application Fax-813-7P0 0021 Building Department Date Received phone Contact for Permittin - Owner's Name Owner Phone Number Owner's Address Owner Phone Number � Fee Simple Titleholder Name �— Owner Phone Number �— Fee Simple Titleholder Addresa JOB ADDRESS LOT# �� SUBDIVISION PARCEL ID� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q � DEMaLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK BUILDING SIZE �--� SQ FOOTAt3E� HEIGHT QBUILDING �� VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING � �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS � —� FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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 Buflding Plans;(1)set of Energy Forms;R-O-W Pennit for new construction, Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, Sanitary FadliUes 81 dumpster;Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach(3)complete sets of Bufiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consVuctlon. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilitles&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 consVuctlon. Directlons: Fill out applicatlon completely. Owner&Contractor sign back of applicaUon,notar(zed If over 52500,a Notice of Commencement Is required. (A/C upgrades over 57500) " 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 Upgra�es /VC Fences(PIoVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW