HomeMy WebLinkAbout15-16285 .
CITY OF ZEPHYRHILLS
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number; 16285 Address: 7951 MERCHANTVILLE CIR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: R/C CHANGEQUT Township: Range: Book:
Proposed Use: S(NGLE FAMILY RES(DENTIAL Lot{s): Biock: Section:
Square Feet: Subdivision: CRESTVIEW HILLS
Est.Value: Parcel Number: 35-25-21-0�20-00000-0530
Imprav. Cost: 6,985.00 OWNER INFORMATION
Date Issued: 5119J2015 Name: HIERONS, JC1HN & SALLY JO
Total Fees: 75.00 A dress: 7951 MERCHANTVILLE CIR
Amount Paid: TQ.00 ZEPHYRNILLS, FL. 33542
Date Paid: 5/19/2015 Phane: (813)715-0868
Work Desc: A/C CHANGE OUT 4 TON ( NO G(JN . CT) ADDITlONAL 5.Q0
CONTRACTOR S APPLiCATION FEES
T PA B AIR ONDI 10 NC CHA EO .00 CHA GE 5.00
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Ins ections Re uired
D TS I ALI.E
DUCTSINSU�AT D
FINAL_,�,�- -(�
REINSPECTION FEES: Reinspection fees will camply with Florida Statute 553.80 (2)(c) when e�ttra inspection
trips are necessary due ta any one of the faliowing reasons: a)wrong address b�condemned wortc resuiting
from fau{ty construction c) repairs or corrections not made when inspections calied d)work not ready far
inspectian when called e) permit nofi 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 restrictians applicable to this properly that
may be found [n the public records of this county, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to awner: Your failure ta recard a natice of commencement may result in your paying twice far
improvements ta your property. If you intend to abtain financing,consult with your lender or an attorney
befare recording your natice of commencement."
Complete Ptans,Specifications Must Accompany Apptication.Alt wark shall be pe�fiormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONl"RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MClNTHS 1NITHCIUT APPRt)VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRUTECT CARD FROM WEATHER
:
a�a-�ao-0ozo City of Zephyrhills Permit Application Fax-s��-�eo-ooz�
• , Building Department
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Date Reeeived 5��q- ( Phone Conqct for PertnitUn O� "1 - G- l
Ovmers Name J Oh H r er Owner Phone Number �1 3� �J" ��
Ownels Address ��� V� � Owner Phone Number
Fae Simple Titleholder Name Owner Phone Number
Foa Simple Titloholder Address
JOB ADDRE33 �� � (� I� LOT ti �J
SUBDIVISION l�Y l ,4LV ���5 PARCEL ID7� �J-2'S'21' " V O��J"V ��
' (OBTAINED FROY PROPERTYTAX NOTIC�
WORK PROPOSED NEW CoNSTR ADD/ALT � SIGN Q Q DEMOUSH
: INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCiION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK Vyl I � C�(Y1 �i��.
BUILDING SIZE SQ FOOTAGE� FIEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QPLUMBING $ ,r�
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�MECHANICAL $ - VALUATION OF MECHANICAL INSTALLATION \
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QGAS Q ° ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY '-�
�G�T�� REGISTERED Y I F�CoRRen Y/N
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Address License#
ELECTRICIAN COMPANY
SIGNATURE � Recisr�m Y/ N F�curu�r. Y/N
�d� License#
PLUMBER � COMPANY
�G�n� REGISTERED Y/ N F�curtf�n Y/N
-
�d� License#
MECWWICAL COIAPANY �Qm r� �a.G �
SIGNATURE REGISr�rt� Y/N �CUaaE Y!N
Addreas LU es License# '
OTHER COMPANY
SIGNATURE RECISr�� Y/N �cuaaen Y/N
�d� License#
IIIIIIIIIIIIIIIIIIIIIIIIIt111111111111111111111111111111t1111111111
RESIDENTIAL Attach(2)Piot Pians;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W PertnR for new consVuction,
Minimum ten(10)working days after submittal tlate. Required onsite,ConsWction Plans,Stormwater Plans w/SiR Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsllarge projects
� COMMERCIAI. Attach(3)compiete sats of Building Pians plus a Life Safaty Page;(1)set of Energy Fortns.R-aW Pertnd for new wnsWction.
M(nimum ten(10)vwrking days after submittal date. Required onsite,ConsUuction Pians,SWrmwater Plans w/Sik Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnft for all new projects.All commercial requirements must meet compliance
SIGN PER1VlIT Attach(2)sets of Engineered Pians.
•"'PROPERTY SURVEY required far all NEW consWcfion.
Dlrectlons:
Fill out apptication campletely. �
Owner&CoMractor sign back of apptfcation,notarized
If over S2b00,a Notiee of Commeneement Is required. (A/C upgrades over 57500)
" F�qent(for the cord2ctor)or Power ofAttomey(for the owner)would be someone with notarized letter from owner authorizing same \�
OVER THE COUN7'ER PERMITfING (Front of Applfcation Only) `��� I
Reroofs if shingles Sewers Seririce Upgrades A/C Fences(PIoUSunrey/Footage)
' Driveways-NOt over Counter H on putilic roadways..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 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. FuRhermore, 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 unde�stands
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 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 Florida 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'S/OWNER'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. 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 certity 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 eievated 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 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
PAYING TWICE FOR ROVEMENTS TO YOUR PROPERTY. IF YOI�{dTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDE O AN ATTORNEY BEFOR ECORDING YOU NOTICE OF COMMENCEMENT.
FLORIDAJURAT(F.S.11 l� � �
OWNER ORAGENT " - '` �L�' CONTRACTOR` �
Subscribed and swom to(or affirmed)before me t is Subscribed and swom to(or affirtned)before me this
by bY
Who is/are personally known to me or has/have produced Who is/ar rsonally known to me or has/have produced
' enlification. as identification.
� Notary Public
Com i '��p''�
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'y':y6�,, JOEL E,BACON -�°'� �'•°'_
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