HomeMy WebLinkAbout15-16246 CITY OF ZEPHYRHILLS '
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(sis)�so-oozo 1 246
BUILDING PERMIT ;
� PERMIT INFORMATION LOCATION INFORMATION ��i
Permit Number: 16246 Address: 5234 VINEYARD ST ,
Permit Type: MECHANICAL ZEPHYRHILLS, FL. '
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0010-09300-0000
Improv. Cost: 5,840.00 OWNER INFORMATION I
Date Issued: 5/06/2015 Name: GROH MARIA GABRIELA '�
Total Fees: 60.00 Address: PO BOX 1931
Amount Paid: 60.00 ZEPHYRHILLS FL 33539-1931
Date Paid: 5/06/2015 Phone: 724-510-5140
Work Desc: A/C CHANGE OUT 2.5 TON PKG UNIT
CONTRACTOR S APPLICATION FEES
AND SERVICES A/C CHANGEOUT 60.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL � �- � (,1 �-! �
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 wh�n called e) permit not posted on job site fi) 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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� �
CONT TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� l S � O 2S U ° bOL(
e��-�eaoozo City of Zephyrhills Pertnit Application Fez-e��-�ea�o2�
` �:,^ :; Bullding Department
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Drte R�eeNed (,�,. �S� Phone CoMect for P�rmtltl I� �LJ 7 _ 7 7 Z
Own�r�Mem� �a��� �-D JY\ 1 G� �J Ormer Phom Numb�r /�y' �I Q°�/�0
Ownn's Addms - �.3� I°1't' �72-� �'� Owner Phone Numb�r
FN Simpb 71Neholde Name O�r Phone Number '
FN Simpfe Tttlehold�Addross
J�ADDRE83 S��y I�3l° :. A�� �� LOT s C�
SUBDMSION PARCEL IDa I O"��(i,'.Z j 'E''� J G� /�� "'�
(DETAINFD fROY PROPFR�YTAX NOTCh7
WORK'PROP08ED B NEWCONSTRB ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF.COHSTRU N Q BLOCK Q FRAME Q STEEL Q
DESCWPTION OF W wc �' C �Rt►A.a, e � �-.S >�'� r�S�=F� la C�.,r.�T
BUILDINO SI� SQ FOOTAOE� HEIGFR �
QBUILDING E VALUATION OF TOTAL CONSTRUCTION
QELEC7RIC S AMP SERVICE Q PROCiRESS ENERGY Q W.RE.C.
QPLUMBING S
�MECHANIC � �(� l.t-�, VALUATION OF MECHANIGAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR E AT10NS FLOOD 20NE AREA QYES NO
BUILDER COM?AM11
9�W�'N� REGISTERED Y/N �euwtEn Y/N
t Addrqs Llcense#
ELEC7WCUN COMPANY
gIONATURE r�cisreaee Y/N FFECURae� Y/N
Addrsss Lleense�
PLUNBER �P�
8�p(��(� REGISTERED Y!N FEECUar�T Y/N
�d� Llcense#
IIIECHANICAL % "°"J'.--- COMPMIY '� ��/�.�J
gIGNATURE �� t+�cisrEaEO Y/N F�cuar�. Y/N
Address SC1 10 � � 0�.�"K'`� ��GQ— Llcense# '�-��/8 ��' a y
OTHER. �P�1'
SIGNA7URE rtecisr�o Y/N �cuRRe� Y/N
Addnss Ltcense#
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' RESIDEN7IAL ch(2)Plot Plena;(2)sets of Bullding'Plans;(1)aet o1 Energy Fortns;R-O-W PermR Tw new wnsWdion,
' inlmum ten(10)working days e}tersubmitlel dete. Requlred ormlte,Conetrudlon Plans,Smrtnx�eter Plana w/Sitt Fence Inalelled,
itary Fadiitlas 81 dumpater,Sfte Work Pertnit tor subdhrialonsllerge p�oJecta
COMMERClAL (3)eomplete sets of Buflding Plana plue e Li(e Sefety Page:(1)set of Energy Fomis.R-o-W Pmmft for new correWcdon.
irdmum ten(10)woridng daya aRer submrifal date. Requtred onstte.ConaWctlon Plans.Stnrtnwater Plans w/Sitt Fenee Inatelled,
FeWidea 81 dumpster.Stts Work Permit for ell new proJeets.All eomma�ial requiramerds must meet eanpltanee
81GN PERN�T (2)aeffi of Engineened Plans.
PROPERTY SURVEY required for all NEW consWcdon.
Dlnetla�s:
Fl�l out eppu comptetey.
Owner 3 eign badc of appllcetlon,noterized
H owr f'1500, Notlee ot Commaneemrnt b requlrod. WC upgrada over i7500)
" pgent(Tpr the Gor)or Power of Attomey(for the owner)would be someone with noTarized letter from owner authorRing same
OVERTHECOU RPERMRTINCi (FrontolAppileatlonOnty)
Reroofs H ehingies Sewers SaMce Upgradea AIC Feneea(PIoUSurveylFootege)
over Caunter H on publie madway6..needs ROW
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� � _ � 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
� applicable deed restricdons.
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 woric,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermare, 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 properiy licensed and is not entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bufldings,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 Ume 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 pertnit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of wark is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowne�s
Protection Guide°prepared by the Florida Department of/\qriculture and Consumer Aifairs. If the applicant is someone
other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owme�'prior to commencement.
CONTRACTOR'SIOYYNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all woric
will be done in compl(ance with all appllcable 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 regulaUons in the jurisdiction. I also
certify that I understand that fhe regulations of other govemment agencies may appty 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, WeUand Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Aitering
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 pertnitted.
- 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 matedal 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 ated for violating
the canditions of the building permit issued under the attached permit appiication,for lots less than one (1)
acre which are elevated by fill,an engineered drafnage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to infortn 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,welis, pools, air conditioning, gas,or other installations not specffically included in the application. A
pertnit issued shall be construed to be a Iicense 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 pertnit prevent the Building Offidal irom thereafter
requiring a cort�ection of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such pertnit is commenced within six months of pertnit issuance,or ff 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
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 ,�a+�•�
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT �„�[�
WITH Y R LEND R AN ATTORNEY BEF RE E O DING Y R N TI OF E CE ENT. ?017�c
FLORIDA JURAT(F.S.117.03) 'hp,���
OWNER OR AGENT CONTRACTOR �n��Z
Subscribed end swom to(ar eftirtned)before me thls S s ed end m to(or aftirtned be me fh� 'o.� � °�,
, by Y����_by,-rYl A t��2i� SS�itZ-Ez'�- c3 0�.�
Who Is/are personaiy knawn to me or hes/have produced o f ere personalty known to me or hes/heve produced N 3 <�
, as IdenUficatlon. as identlfiption. �3•�g
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Commissfon No. Cammfssion No. �� 3 d m o
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Name of Notery typed,printed or stamped Name of Notery ,printed or stamped