HomeMy WebLinkAbout15-16478 \ I
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 1647
BUILDING PERMIT
� PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16478 Address: 38065 LAWANDA LP
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: 14-26-21-0160-00000-0660
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 7/30/2015 Name: FEDERAL HOME LOAN MORTGAGE �
Total Fees: 55.00 Address: 8950 CYPRESS WATERS BLVD
Amount Paid: 55.00 COPPELL TX 75019-4620
Date Paid: 7/30/2015 Phone: 972-395-4000
Work Desc: A/C CHANGE OUT 3 TON �
CONTRACTOR S i APPLICATION FEES �
NOBLE AIR NDITIONI TE CHAN E UT 55.00
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- Ins ections Re uired �
D CT NSTALLED
DUCTSINSULATED
FINAL °� -���� . ,
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 following reasons: a)wrong address b) condemned work resuiting
, 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 fi) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permitJ 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 fo record a notice of commencement may result in your paying twice for
improvements to your property. If you intend tio obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must AccompanylApplication.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
_
O T OR 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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' a��-7saoozo City of Zephyrhills Permit Application Fax-813-78a0021
Bu�ding Department
Date Recelved � .- Z � (� phone Conta�for Permittin � � �� - ���7 �
Owners Name �L� iTV LLFKI`1 lY`�T Owner Phone Number -` `2- J 1 S `t��
Owners Address O �� C.��S GJ^`v°�.� I VU I �RerPhdn�Num6er
"� � 56� 9
Fee Slmple TiUeholder Name � A� I Owner Phone Number
I
Fee Simple TlOeholder Address I
JOB ADDRESS (� � I l�lJ l.� 1� ( S LOT�! w�
SUBDMSION �� �lZ`! y�i �'PARCE�ID� -Z.(o- 2l �I(op - DOO Olp��
(OBTAINEO FROM PROPERT'TA7(NOTICEJ
WORK PROPOSED NEW[ONSTR ADD/PLT Q SIGN Q Q DEMOLISH
B INSTALL B REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK I
I
BUILDING SIZE SQ FOOTAGE I� HEIGHT I ST��
�
QBUILDING � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ ���✓
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i� ,
QGAS Q ROOFING Q SP�CIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLiOD ZONE AREA QYES NO
8UI LDER I COMPANY
SIGNATURE REGfSTEREO Y/ N FEECUftRE� Y/N
Address I License#
ELECTRICIAN COMPANY
SIGIdATURE REGISTERED YI N FEECURRE� Y!N
Address I License#
PLUMBER ICOMPANY
SlGNATURE REGISTERED Y! N FEECURRE� Y/N
Address I License#
MECHANICAL I COMPANY NV�J F�I I` WY�9/I��O �S��>T�S
SIGNATURE REGISTERED N FEECURREA Y/N
Address V � 1 V1 ��� � QN Tl����s License# 2 Z
OTHER I COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
� o � � � � � � � � e � i � � � t � t � � � � � � o � � � e �l� e � ee � � � � � t � � � � � � � � � � � e � et � vet � � ' i � �
RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Buildng Plans;(1�)set oi Energy Forms;R-Q-W Permit for new construction,
Minimum ten(10)working days aRer submirial date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Faalities&1 dumpster,Site Work Permi�for subdivisionsllarga projeds
COMMERCIAL Attach(3)complete sets of Building Plans plus a�ife Safety Page;(7)set of Energy Forms.R-O-W Pertnit for new consVuction
Minimum ten(10)working days aRer submittal da{e. Required onsite,Construction Plans,Stormwater Plans wl Sili Fence installed,
Sanitary Facilities&7 dumpster.Site Work Permit for all new projects.All commerciai requirements mus[meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'*'PROPERTY SURVEY required for all NEW construction.
Di rectio ns:• • • • • • • • • • • • • • • • • • • • • • •I •
Fill out applicadon completety.
Owner&Contractor sign badc of application,notarized
If over$2500,a Natice of Cammenceme�t Is requlred. (AIC upgrades over$7500)
'" Agent(for the contractor)or Power of Attomey(for the rnmer)wauld be someone��ith notarized letter from owner authorizing same
OVER THE COUNTER PERNiITTING�(Erea ion Only)
Reroofs if shingles Sewers /Service Upgrades A/C Fi nces(PIoUSurvey/Footage)
�riveways-Not over Counter if on public roadways..needs ROW
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N0710E 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 CON7RACTORS AND CONTRACTOR RESPONSI8ILITIES: 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 a�e uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco C�ouniy Building Inspection Divisior�—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
portions of the"contractor Block"of this applica6on fo�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. I
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands �
that Transportation Impact Fees and Recourse Recovery Fees may appiy 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 i
90-07,as amended. The undersigned also understanils,that such fees, as may be due,will be identified at the time of '�
permitting. It is further understood that Transportatior�Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power re,ease. 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 WateNSewer 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 worlc is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law--Flomeowner's �
Protection Guide"prepared by the Florida Department of l�qriculture and Consumer Affairs. 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"owner'prior to commencement.
COfdTRACTOR'S/OWNER'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 consVuction,zoning and land development. Application is
hereby made to obtain a permit to do woric and in'stallation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regufations, and land development regulaiions 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, WeUand Areas and Environmentally Sensitive
Lands,WaterNVastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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'i 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. I
- 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 fiil the area within the stem wall.
- If fiil 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 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 OWMER,I promise in good faith to inform the owner of the permitting conditions set farth in
this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas,lor other installations not specifically induded in the application. A
permit issued shall be construed to 6e 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,constructionlor 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 foj�nmety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT{VIAY RESULT IN YOUR
PAYING 11MCE FOR IMPROVEMENTS TO YOURIPROPERTY. IF YOU IN D TO OBTAIN ANCING,CONSULT
IMTH YOUR LEPlDER OR AN ATTORPIEY BEFORE RECORDING YOUR N OF COM T.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed an bswrom to(or affirtned)before me[his Su Z' a bworn t (or affi b fore t is
Y Y �
Who is/are personally known to me or hasRiave produced o is/a pe a y me or has/have produced
as identification. as identification.
Notary Public \������°��04V-Y Hqq�ii��
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Commission No. Commission No. � '�GO��y 1�?0���� i
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Name of Notary lyped,printed or stamped Name of Notary typed,printed ar stamped ��: �01 y�*�
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WORK ORDER --,..�..�:.,.: �...,, w.,,_ � �
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PO# 15-4030-134�5 �� .
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Vendor Noble Air Conditioning System !
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', f�ddress Post Ofifice Box 297 � 'Jendor App Qate ,7/23/2015 '
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�' City%State Odessa � FL ; Ven�lor Confirm. ;
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S::h�ivisi�n i Sturt �ate 7/24/2015 '
1ob Address ^38065 Lawanda Loop � ^ End Date 7/27/2015� �;
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Jo�City�/zip Zephyrhills ��33541- - J _ . �,
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Lat Block Due 7/17 j � (nspector James LaCaze ;�(813)347-8562
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Lock �ox Co 2971/7$78 � Canstructio fVjgr Frank Dorado 'i(813)283-8855
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Gate Cade ; Project Coo d. Bill Turner ;;
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Notes Instali HVAC Unit
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Tel (813) 620-1400 9627 Pafm River oad-Tampa, FL ?3619-�433 CGC15Q7270
Fax{813) b2Q-1425 w��vw.ospreyc�nst.com CCC13�9283
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