HomeMy WebLinkAbout15-16485 i \
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� CITY OF,ZEPHYRHILLS
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' ' S335-8TH STREET _
(si3pso-oozo 16485
BUILDING PERMIT
- PERMIT INFORMATION i � LOCATION INFORMATION
Permit Number: 16485 j Address: 37803 ALISSA DR
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: ORANGE BLOSSOM RANCH
Est. Value: I Parcel Number: 15-26-21-0170-02100-OOCO
Improv. Cost: 4,896.00 � OWNER INFORMATION
Date Issued: 8/03/2015 � Name: LONGA MERCEDES & NAUDET JULES
Total Fees: 60.00 Address: 5 HICKORY RD
Amount Paid: 60.00 STAMFORD CT 06903-2932
Date Paid: 8/03/2015 i Phone: 813-788-9240
Work Desc: A/C CHANGE OUT 3.5 TON �
' CONTRACTOR S ' ` � i APPLICATION FEES " ,
CORNERSTONE A R CO DI I NING&H C C ANGEOUT I 60.00
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� ections Re uired "
D T INSTALLED �
DUCTS I ULAT D� i
FINAL --( ��l '
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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 when called e) permit not posted i n job site fl 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 AccompanylApplication.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR 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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813-780-0020 City of Zephyrhills�Permit Application � FaX-8�3-�so-ooz�
�i .� Building Department
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Date Raceived Phone Contact for Permitting —
I Owner's Name � 1"�-�-��� Owner Phone Number F✓�a°� ,����
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Owner's Address � �� r � Owner Phone Number
Fee Simple Tltleholder Name Owner Phone Number
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Fee Slmple Tltleholder Address
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� JOB ADDRESS � /�E�� G��C3, � "` ' , I.�, ("�f(,� �,�S LOT# �
' C .ZI_(�4`Z� �d�l�,c►� r ���
SUBDIVISION ��-+� PARCEL ID# �J'� �o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q �RAME 0 STEEL Q
DESCRIPTION OF WORK a �1 a n� � ` deq � /��G� C e 0�
BUILDING SIZE SQ FOOTAGE� HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION J
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ _ �-
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�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /
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QGAS Q ROOFING Q SPECIAL I 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGIS IERED Y/ N FEE CURRE� Y/N
Address I License#
ELECTRICIAN COM IANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
PLUMBER COMIANY
51GNATURE REGIS�ERED Y/ N FEE CURRE� Y/N
Address I License#
MECHANICAL COM IANY ���-�1,n,�_ � ��
SIGNATURE REGISTERED Y N FEE CURRE� Y J N
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Address �� � � '" i'
License# ��
DTHER y COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
?ESIDENTIAL Attach(2)Plot 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. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facillties&1 dumpster;Site Work Permit for subdivisionsflarge projects _
�OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consVuction.
Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities 8 1 dumpster.Slte Work Permit for all new projects.All commercial requlrements must meet complfance
31GN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constructi I n.
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)Irections:
Ffll out application completely.
Owner&Contractor sign back of,application,notarized � ,
If over$2500,a Notice of Commencement Is required. (A/C upgrades over 57500)
' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
)VER THE COUNTER PERMITTING (Front of Application Only) ,
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teraofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) - �� - ' ° � �r'�-� . , -
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DNveways-Not over Counter if on publlc roadwa'qs.:needs`ROW � �i• �' � �.� , �} _ ' ' . '
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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 CONTR�4CTORS AND CONTRAC'TOFt 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 6'asco 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
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 IMPACTIUTILITIES IMiPAC'T AND RESOURCE RECOVERY FEES: The undersigned understands
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
certiiy 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 appficant 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.
CONTI2�►CTOR'SIOWNER'S AFFIDAVIY: 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 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
ce�tify 7�at-f-u�de�stan�-that the-regulations of other government ager�eies may app!y-to the intended w�rk, and th�t 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. I
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ��
- Department of Health 8 Rehabilitative Services/Environmental Flealth 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 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 Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGfENT FOR THE OWIVER, 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.
WARIdING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IAAPROVEfYIENTS TO YOUR PROPEIZTY. IF YOU INTEND TO O�TAIN FIN�►NCING, CONSULT _ __
�- WITH�YOl1R LENDE�t-OFt A1V A7TORIVEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscrfbed and swor or rmed)before me thls Subscribed and swor o(or affir e thi
by �. �,� by
Who is re personally known to me or has/have produced Who Is/are personally known e or has/h pr duced �
as Ide atlon. s identification. �
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/ ry Public � Notary Public
Commission No. ►s�'�Pu AM.�F� Commis No.
° ' MY ��Y Pue�, gF1ENDAM.
* � ES:January 22�2019 ,� ,.....° ION 0 Ff 184290
Name of Notary ty , d gy�1� ° Name of No� ,�p �g; .�
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Nf=W EQUIPMENT
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ADD ONS MANUFACTURER WARRANTIES
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YOUR PEACE OF MIND GUARANTEES
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fNVESl'MENT BREAKDOWN
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'�` "�ZEl�H'YRMILLS
- : C�� ADfDIT1ON t�R �ORREC�T'1C�N
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THIS JOB HAS NOfi BEEN CGIMPLETED. The following odditions or carrections shcil be,made before the job
will be accepted.
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it is unlawtui tor any Carpenter,oontractor,su�Ider,or other persons,to AFTER CQRRECTIONS ARE MADE CACL
cover or cause to be covsred,a�y pa�t of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has fiad ampie time to approve
the installation. � r
OFFlCE HOURS 7:30 AM-5 PM MON:FRi. INSPECTOR �`�.�:!_ ,� �
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