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Home My WebLink About15-16424 CITY O ZEPHYRHILLS 533 -8TH STREEf � � (�'i3p$o-oozo 16424 BUIL ING PERMIT PERMIT INFORMATION LOCATION INFORMATION � Permit Number: 16424 Address: 6127 16TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0180-00000-0070 Improv. Cost: 5,400.00 OWNER INFORMATION Date Issued: 7/01/2015 Name: PRZYBYLSKI, GAIL To#al Fees: 65.00 Address: 31103 JACANA DR Amount Paid: 65.00 WESLEY CHAPEL, FL 33544 Date Paid: 7/01/2015 Phone: (813)377-9070 Work Desc: A/C CHANGE OUT 2.5 TON ,� Q, CONTRACTOR S APPLICATION FEES US AIR CONDITIONING H A ING C CHANGEOUT 65.00 / r � � Ins ec ions Re uired DUCTS INSTALLED DUCTS INS,��4T �- FINAL �J � REINSPECTION FEES: Reinspection fees will com ly with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the followi�g reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or correctio s not made when inspections called d) work not ready for inspection when called e) permit not posted n 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 mana ement, state agencies or federal agencies. "Warning to owner: Your failure to record a na�tice of commencement may result in your paying twice for improvements to your property. If you intend o obtain financing,consult with your lender or an attorney before recording y ur notice of commencement." Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordina ces. NO OCCUPANCY BEFO C.O. � CONTRAC R SIGNATURE PERMIT OFFI R PER IT EXPIRES IN 6 MONTHS WITHOIlT APPROVED INSPECTION CALL FOR INSPECTIQN - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I s�saso-oozo City of Zephyr ills Permit Application Fax-813-780-0021 Buit ing Department r � Date Received phane Contac for Permlttin 'Z , p�CO — � O Owner's Name I' Q` 1"�'� � �..D f�{ Owner Phone Number �(�' � ' `7�� Owners Address � � �r, �• Owner Phone Number (� ° �� 'J�J Fes Simple Titleholder Name Owner Phone Number i Fee Simple TiUehoider Address I JOB ADDRESS � �lo J�• LOT# � SUBDIVISION � � V�` PAR ELID# �a��D1�� OD�DO � �� (OBTAINEO FROM PROPERTY TA%NOTICE) WORK PROPOSED � NEW CONSTR e ADD/ LT � SIGN Q Q DEMOLISH INSTALL REP IR PROPOSED USE Q SFR Q COM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRA E � STEEL Q DESCRIPTION OF WORK G C"/TNG� ' T � BUILDING SIZE SQ FOOTAGE HEIGHT � QBUILDING $ VALUATI N OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SE ICE 0 PROGRESS ENERGY Q W.R.E.C. � OPLUMBING $ ��/L �jJIECHANICAL $ �/p�1� D VALUATI N OF MECHANICAL INSTALLATION � `� SZFJC! QGAS Q ROOFING Q SPE IALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLObD ZONE AREA �YES NO I 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 Llcense# MECHANICAL COMPANY �•S• /7i/ ` / ' SIGNATURE REGISTERED Y N FEE CURREA Y/N Address �7 �.7 � a�°r� �� y�5a License# (,.LJ O 7� OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllltllllllllltllllllllllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1 set of Energy Forms;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal dat . Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;S(te Work Permi for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Fortns.R-O-W Pertnit tor new construction. Mlnimum ten(10)working days after submiltal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sa�itary Facilities 8 1 dumpster.Site Work Permi for all new projecls.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for ail NEW cqn.truction. I Directlons;• Fill out applicalion completely. Owner 8 Contractor sign back of application,notarized If over 52500,a Notice oi Commencement is requfred. (AIC upgrades over$7500) •' Agent(for the contractor)or Power of Attorney(for the owner)w uld be someone with notarized letter irom owner authorizing same OVER THE COUNTER PERMITIING (Front of Application Onl) Reroofs if shingles Sewers Service Upgrades A/C F nces(PIoVSUrvey/Footage) Driveways-Not over Counter if on public roadways..needs RO NOTICE OF DEED RESTRICTIONS: The undersigne 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 CONTRACTO RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required t be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both th owner and contractor may be cited for a misdemeanor violation under state law If the owner or intended contractor re 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 contra�tor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application fo which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not pr perly licensed and is not entitled to permitting privileges in Pasco Caunty TRANSPORTATION IMPACT/UTILITIES IMPACTA D RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recov ry Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buil ings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understa ds, that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportatio 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 i final power release, the fees must be paid prior to pe�mit 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. I CONSTRUCTION LIEN LAW(Chapter 713,Florida�tatutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided Nn h a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Departmen4 of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a�opy 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 th t all the information in this application is accurate and that all work will be done in compliance with all applicable laws re ulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and i stallation as indicated. I certiTy that no work or installation has commenced prior to issuance of a permit and that II work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulat ons, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other overnment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take t be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WateNWastewater Treatment. � - Southwest Florida Water Manageme t District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. ' - Army Corps of Engineers-Seawalls,Dock ,Navigable Waterways. - Department of Health & Rehabilitative ervices/Environmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-As estos abatement. - Federal Aviation Authority-Runways. I I understand that the following restrictions apply to th 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 Flo d Zone "A", it is understood that a drainage plan addressing a ; "compensating volume"will be submitte 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 Floo Zone "A" in connection with a permitted building using stem wall construction,I certiTy that fill will be used nly to fill the area within the stem wall. - If fill material is to be used in any ar a, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to advefsely affect adjacent properties,the owner may be cited for violating the conditions of the building permit iss�ed under the attached permit application, for lots less than one (1) acre which are elevated by fill,an engine red drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in ood faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I un erstand 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 roceed with the work and not as authority to violate,cancel, alter,or set aside any provisions of the technical codes,nor hall 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 comm nced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period o six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building O��ial for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases fo ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RE ORD A NOTICE OF COMMENC��N MAY RESULT I PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF TEN%f0 OB IN INA ,CON T WITH YOUR LENDER OR AN ATTORNEY BEFOR RECORDf G YOUR N OF ME FLORIDA JURAT(F.S.717.03) � OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this $ubs ibed aryl s o(o d) efore � by 7�'�_by Who is/are personally known to me or haslhave produced Who is/are.eEPS'aTPalty kno o me or has/have produce as identification. �� identifica�n. Notary Public Notary Public Commission No. C mission No. �T,�� I�� _�-vr�. Name of Notary typed,printed or stamped Name of otary type printed or stamped - ',,�:�Y'�y�,' CRISTINATURCOTTE :,,; ;.: MY COMMISSION N FF 027671 ;�. o�,; EXPIRES:August 3,2017 ��;qF��t,.` Banded Thru NoWry Public Undenvriters 47101!20'f 5 18:17 �A� P.0011001 ;; • . • � • ` 'I '�i�i ' :I ' . /�.� ��q�� :I• fl��Tl ia�CJS�I�i�� :i' , � 1�� . . ; . , . , . , . . , . ,,� . . :� . . . . . . . , , j� .A.ut�.o ' a�ion �,�tter . �� I, ��$� Ca�c . ,c�dntract�z�Ixcsu e �xu�rn�er �-��5� S�/ , Hereb� anthor�e the �o��qjpv�i�ag to �ct as y a�ents in obx�ining permrts i� j :I' S � �,ti' � ,• ;�• . �.��t'��-� �ra._.�-.�� : 5 � _C� . . :�. �� -��c�,S��r—��:c�r..,.. .. -�— __- _ �._.. . _�-.�.. ... �_ ._. __ . � .._ ...__ ;;., _ . ._�.. .,- __ � . .�� , . .. .. ,, . ._.__ . _. h_._. �._.. ��`� � ��.�-�'�� a i!�lC�c� .. � . . ' �.,,�. � �� . ._ . ,. , - -- - . �. • - .._.. _• .. 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