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Home My WebLink About12-13565 CITY OF ZEPHYRHILLS ' ' S335-8TH SIREET (813)780-0020 13565 BUILDING PERMIT Permit Number: 13565 Address: 4755 SILVER CIR 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: CHALFONT VILLAS Est. Value: Parcel Number: 15-26-21-0190-00000-0090 Improv. Cost: 3,895.00 Date Issued: 10/25/2012 Name: JOSLIN, AUDLEY& GLORIA Total Fees: 55.00 Address: 4755 SILVER CIR Amount Paid: 55.00 ZEPHYRHILLS, FL. 33541 Date Paid: 10/25/2012 Phone: (813)783-7889 Work Desc: HEAT PUMP ,� .�''�' l��l�, , , DUCTSINSU TED FINAL - - y 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 aonstruction 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 properly 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 wmmencement 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 Must Acoompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRA R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ""-""'�"""' c;ity ot Lephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received �� Phone Contact for Permittin Owner's Name d5 �f� f� Owner Phone Number c7�,3 �g� -'8S O�nrner's Address � Jl �L�E.� l I�L' �� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address r �� JOB ADDRESS J i U� ��'`�� LOT# SUBDIVISION PARCEL ID� l:7 ��j QI �() CY,�j� C.�� (OBTAINED F�RO�—M pROPERTY T�TiCE)DEMOLISH NVORK PROPOSED B NEW CONSTR� ADD/ALT [—� SIGN INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTIOId Q BLOCK Q FRAME �� STEEL Q ` DESCRIPTION OF WORK � f„yT �� BUILDING SIZE SQ FOOTAGEC] HEIGHT OBUILDING a VALUATION OF TOTAL CONSTRUCTION QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY ��-'y W,R.E.C. QPLUMBING � J ��S(� 5 f, OMECHANICAL a �� VALUATION OF MECHANICAL INSTALLATION / f / OGAS Q ROOFING Q SPECIALTY �� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addreas License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# —� MECHANICAL � � COMPANY �/�ff/e�S �'�l fj/�� C-�c)y �I/Gs,,�'� SIGNATURE ��"�� REGISTERED Y/ N FEE CURRE� Y/N Address License# �� C'� �� 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 Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w1 Silt Fence installed, Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivisionsAarge projects COMMERCIAI Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilitles&1 dumpster.Site Work Permft for ail new projects.All commerc(al requirements must meet complfance SIGN PERMIT Attach(2)sets of Engineered Pians. ""PROPERTY SURVEY requfred for all NEW constructlon. �.��.... . .a.�.aa 99�ii�r�r,��r�e�i��.�,�.. DlfeCt10�1S. � �� Fill out application completely. Owner 8 Contractor sign back of applicatlon,notarized If over i2500,a Notice of Commencement fa roquired. (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 AppNcatlon Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) Drivewaya-Not over Counter if on pubiic roadways..needs ROW NOTICE OF DEED RESTRICTIONS:o nt�ed ulat9ons. The u de�rsigned aIS u es esponsibilbty for compl�iance w�th any which may be more restrictive than C y 9 applicable deed restrictions. UNLICENSED CONTRACTORhepma beN q�ed o be E ensed iBa�ccoEdance with st te and localeegul onsc (frthe contractors to undertake work, y Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorfvifoat�he under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y intended work, they are advisedeo has h'redea contractor orBco'ntractors,hei�s advised ot i ave he contractor(s) s4gn 8009. Furthermore, if the own porlions of the "contractor Block" of this application for which they will be responsible. If you, as the o V 1e►'eS9n Pasco contractor, that may be an indication that he is not properly licensed and is not entiNed to permitting p 9 County. TRANSPORTATION IMPACTIUTiL�ITReSourse Reco ery Feesmay apply�to t�heR onstruction of new b 9de gsnchange of that Transportation Impact Fees an use in existing buildings, or expan ned alsoXiun'de�sta'nds9that such fees,iasPmay be due, willdbe dentified at he tme of 90-07, as amended. The unders�g permitting. It is fu�ther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior o receiving a "certificate of occupancy" or final power release. If the project does no�Pag o CountyCWater/Sewepl mpact final power release, the fees must be paid prior to permit issuance. Furthermore, fees are due, they must be paid prior to permit issuance in accordance with appllcable Pasco County ordinances. CONSTRUCTION LIEN L.p►W(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 Const�uction 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 detiver it to the"owner"prior to commencement. CONTRACTOR'SIOWNER'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 ihe fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I ce�tify 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 fo�violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by flll, an enginee�ed drainage plan is required. If I am the AGENT FOR THE OWNER,truction!S I'u derstan1d that a�s parat permit may be equi�red for'electr cal work, this affidavit prior to commencing con plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. permit issued shall be construed thn cal codesenor shall ssua'ncehof a pe mitprevent thehB i ding Official from therteafter s e t a s i d e a n y p r o v i s i o n s o f t h e t e c requiring a correction of errors in plan er�o'{is�otmmencedlwithin s xamon t hs of per m i P s a ince,uo aif wo lrk a th rzed by u n l e s s t h e w o r k a u t h o r i z e d b y s u c h p the permit is suspended or abandonee Bui ld nef1Official fosa per od notto exaeed tn nety r(90) days and will demonstrate may be requested, in writing, from th 9 justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: �YOUR FAILU TO YOUR PROP RT1f.TIF YOU INTENDETO BTAIN F NANCSNG, CON ULT PAYING TWICE FOR IMPROVEMENTS T, WITH YOUR LENDER R AN ATTO NEY B F E E OR Y U � FLORIDA JURAT(F S. 117•03 CONTRACTOR OWNER OR AGENT - — Subscrfbed and swom to(or aiflm►ed)before me Subscribed and swom to(or a ed) efore me this by bY Who Is/are ersonally known to me or has/have produced Who islare personally known to mas IdenUfi aUonroduced P as identlfication. Notary Public Notary Public Commission No. Commissfon No. ed, rfnled or stamped Name of Notary typed,Printed or stamped Name of Notary typ P -� -�- � ' � �'��i'+� �' / � PROPANE GAS Service Orc�.er/Proposal �n°ga�%j��a° � AND AIC irvc. LASTS AND LASTS 1ND USTS: i�rce 1988 813.7g2.5013 Sales, Service & Installations ��RF� ��RDF�#i�:'rE:l;VTC•��iAN :;g�;�E, t�t;_r 4441 Ilen Rd. • Zephyrhills, FL 33541 �arEi-r I r�� -rFrN�.E.:� i,�^:��; ��' �,��:.°;`�' / ; j TAf-;EI��,I I�sY i�aSf� ��t i. NOTES. [?�TE!-I�:LMF' �.}17t�t�:[�et:�� , C'l.)t3'1�`��1�1E R#r!_.C)L'f�"I"t Cip,� s.0].7Ll ' f-,Hf1h.lE�# 7�3 V°,—7?��'=j , f1C�l_E fE�'i;EG? Qf.;-f � . C�II �i`� S� Jt7iL I ILI, F71�L��.1�_', - 7C1��ii.._:[P�.l y (li.Jr�l__E 1' `+7�5 f.�I I...VE K C 7"F2C!_E �E�`� �'�I f l�E.R t.:I R C L E '.[�F'F" i��7 U tt i' S1"', ZG.f='HYRHli..l_`:i .F�. :?:;54 ! 7CF=�i.�Y�FilLl_.`_; ,� , , f"{_..:'s•�,_,<_i.1 k:S T T t�!F-►l-�: �'�R IV��J U�I I"{- �^�}r�`.,, �'f"`� ' � � ��'��'��p�� E'�TY MATERIAIS &SERVICES '��F UNfT PRIGE AMOUNT � . _._ _..__ .. .._ ._ . ._._... .__._-- ---- � i , _ . D _-..___.._ _..._. _..---- --._._.._. _._. Q � � , � i S r ; 3� � � � � ' � � aa o, o� � , � , , � � � , . � � � , �� , , � � � : � , . � . ��`� �;+'��If�tl'f'lM�lfct�etur2r5: Pressures Lo HI T-Stat ' i i i REFRIGERANT R- LBS � � I � FILIERS t n Changed Monthly i I FILTERS x x Changed Monthly i t ❑ REGULAR ❑WARRAfVTY TOTAt StJMMARY "'��;.u.�,�t91 When here"�,",When Away�,T-Stat�° ❑ MAINTENANCE CONTRACT LIMITED WARRANTY; All materials,parts and equipment are warranted by the manufacturers' SERVICE i or suppliers'wntten warranty only.All labor performed by the above named company is warranted for METMOD OF PAYMEMT CALL i 30 days oras otherwise indicated in writing,The above named company makes no other warranties, ❑CASH ❑CK# TOTAL � express or implied,and its agents or technicians are not authorized to make any such war�nties on MATERIALS � behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER I have au�honry lo orGer the work oulline0 above which has been sahsfactonly completed I agree that Seller MAINTENANCE I retains title to equipmenVmatenals tumished until final payment is matle I(payment is not made as agreed, PROG �/�/ / O 1 seller can remove said eqwpmenVmatenals at Seller's expense Any damage resulhng lrom sai0 removal shall C�IM# not be the responsibility of Seller NET 30 DAYS A 1'7/2%SERVICE CHARGE WILL BE AD�ED MONTHLY 70 ��{r��/�, ALL UNPAID BALANCES OVER 30 DAVS.NO REFUNDS DATE COMPLETED U U ' ��1 �'C.�:�'�� Q,�f.1-✓5 TECH: TAX � i UST MER SIGNATURE / �� ✓��l TOTAL -�8 S� O� DA7E �}