HomeMy WebLinkAbout13-14463 CITY OF ZEPHYRHILLS
" 5335-8TH STREET
(si3)�so-oo20 1 4�
BUILDING PERMIT
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Permit Number: 14463 Address: 38651 EVELYN LN
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: OAK CREST ESTATES
Est. Value: Parcel Number: 02-26-21-0230-00000-0280
Improv. Cost: 4,053.00
Date Issued: 8/20/2013 Name: FAMILO, JOSEPH&AGNES TRST
Total Fees: 60.00 Address: 38651 EVELYN LN
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-1689
Date Paid: 8/20/2013 Phone: 813-788-5665
Work Desc: A/C CHANGE OUT 3.5 TON 2 COMPONENTS
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DUCTSINS TED
FINAL ��'� Z'T�-
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when e�ctra 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� 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 property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR 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 Appiication Fax-813-780-0021
Buflding Department
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Date Received Phone Contact for Permfttin �� � Cv,2, -- �j�`j�3
Owner's Name l"" /n . � � Owner Phone Number �"' �d d• J'��p�
Owner's Address �d �5l ��E! L,/V Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number � �
Fee Simple Titleholder Address —�
JOB ADDRESS �S G II�L �, LOT� �
SUBDIVISION (1 � PARCEL ID� �� �� � Da3o oo� d 8�
(OBT/UNED FR�OM pROPERTY��ricel DEMOLISH
WORK PROPOSED B NEW CONSTR�ADD/ALT [� SIGN
INSTALI REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK GtiL-°/1� l�,Ce � L�- TO/�f /�C �' �j�"e/n � �..1
�
BUILDING SIZE SQ FOOTAGE� HEIGHT
OBUILDING S VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING �
o , f���r�
MECHANICAL $ �jD��' Q� VALUATION OF MECHANICAL INSTALLATION �
7
OGAS Q ROOFING Q SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add�ess License# C
PLUMBER COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL G��� COMPANY �I`�/�i�/�S �oP•9-Ne �` ��C _TN�i
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 7��/ �" E'/V � � —� 3� License# �� 7�/�rl �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
RESIDENTIAL Attach(2)Piot 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 Facllitles&1 dumpster;Site WoNc Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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 required for all NEW consUuctlon.
Directions:
Fill out applicatfon completely.
Owner&Contractor sign back of application,notarized
if over 52500,a Noti¢e of Commencement is requlred. (A/C upgrades over 57500)
" Agent(for the conbactor)or Power ot 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(PfoUSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more �estrictive than County regulations. The undersigned assumes responsibility 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 reg�lations. If the
contractor is not licensed as required by law, both the owner and contractor may be clted for a misdem�an�oP�folation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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
po�tions of the "contractor Block" of this application for which they wilt 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 p�ivileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�tation 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 identifled at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�tificate of occupancy" or final power release. If the project does not involve a cert�cate 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 Fto�ida 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'SIOWNER'S AFFIDAVIT: I ce�tify 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. 1 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 agencles include but are not timited 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 ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Envi�onmental 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�tl 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,
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 da s and will demo strate
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) Y
the ob is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, �j
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 R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF OM ENCE ENT.
FLORIDA JURAT(�. . 17.03) � � " „
� ` � CONTRACTOR ��
OYVNER OR AGE Subscribed and swo (or aflfrmed)befor me thls
Subsc�ibed and swom (or affirtne e re me thfs by
bY Who Islare personally known to me or hasRiave produced
VYho islare personall nown to me or has/have produced as identlfication.
as Identlficatlon.
Notary Public
Notary Public
Commfssfon No.
Commisslon Na.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� ' • �D g Air Conditloning
� A o AICG cs � Service Order/Proposal �a/la
USTS AND IASTS AMB IASTS:
�.1C7�'�t�! ORT)�R'#rSERGIL.E�1�=1f�! �•��1�F hll�S
�7ce 1988 -' 813-782-5�13
Lzt�''�:T'l:lYlE �"AF:'�I�l �.�J1:'1=r i 1 i. i 1 w s�
T R i-;C.I`� B'�' ,�'i+� ��
Sales, Service & installations r�:.�T�,��-��2�� �;�������
4441 Ailen Rd. • Zephyrhills, FL 33541 ;_:�9�-��r���:�r�::�.��p-�-���� f;�.�,���
NOTES �'�i+�l°di�� _ '� _ ��-�60..�'.,
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FILTERS . x Changed Monthly � i
FILTERS � x Changed Monthly i ��1` I
❑ REGULAR ❑WARRANTY . ,�5 ��
°;Ytl;, When here�, When Away f§�° , T-Stat�° ] MAINTENANCE CONTRACT - (Y N �
.�� £.� SERVICE
LIMITED WARRANTY• All matenals,parts and equipment are warranted by the manufacturers' �
or suppliers'writlen warranty only.All labor performed by the above named company is warranted for �� CALL i
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL
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express or imphed,and its agents ortechnicians are not authonzed to make any such warranhes on MATERIALS i
behalf ofabove named company " �DEBIT �CREDIT 'e.�OTHER i
I have au[hpnry to order the work outlinetl a6ove which has been satisfactonty compietetl I agree that Selier ��IAINTENANCE
PROG W / C '
retains title(o equipmenUmaterials fumiShetl until fnal payment is matle If paymen�is not made as agreed, CLAIM$�
seller can remove said eqmpmenVmatenais at Seller's expense Any damage resul6ng from said removai shall L.�
not be the responsibilM1y o(Seller NET 30 DAYS.A 1 V2%SERVICE CHARGE WILL BE ADDED MONTHLV TO ,C� j J � p /� '� ��''�1 t 1 :_`�
ALl U L4NCES OVER 30 DAVS NO REFUNDS DATE COMPLETED I�}" 7�'�d � '�`�\ ��1 LJ`✓ ��✓ "✓
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WSTOMERSIGNATUREt' DATE a/�j'/� ..Jo,� TOTAL I '�