HomeMy WebLinkAbout15-16330 j
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CITY OF ZEPHYRHILLS
5335-8TH STREET
�. . (si3)�so-oo20 1,�330
BUILDING PERMIT '�
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PERMIT INFORMATION LOCATION INFORMATION '
, Permit Number: 16330 Address: 5807 8TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of lNork: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 11-26-21-0010-02600-0060
Improv. Cost: 4,000.00 OWNER INFORMATION
' Date Issued: 6/02/2015 Name: WOODRUFF PATRICIA
Total Fees: 55.00 Address: 5807 8TH ST '
� Amount Paid: 55.00 ZEPHYRHILLS FL 33542-3607 �i
Date Paid: 6/02/2015 Phone: 813-782-3319 I
Work Desc: A/C CHANGE OUT 4 TON -NO CONTRACT WORK ORDER �
CONTRACTOR S APPLICATION FEES
PATTIE ELEC.&REFRIGERA ON A/C CHANGEOUT 55.00 I
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`� -- 2 -� 5
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Ihs ections Re uired
DUCTSINSTALLED
DUCTSINSULATED
FINAL � - � -�
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 wrhen called e) permit not 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 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 properly. 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.
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED '
PROTECT CARD FROM WEATHER
813-780-002d City of Zephyrhi(Is Permit Application Fax 813-784-0021
Buitding Department
t3ate Re�atved . • -Ph`one�Contact for Permittina• � .�, .-<..,_ ,<. .;. ._,._, . -
�...7�oC� v r, ���.�.,, � + - ..� �. ,_,,., , . . ,. ,
Owner's Piame Owner Phana Number � '`-'°
. �; :.c�� . , _ .
Owner's Address Ov+iner Ptione Number
Fee Simpie Tltleholdar.Name � � Owner Phone Number � ��
Fee Simple Titleholder Address
J08 ADDRESS � O LOT# ���
suB�fvisioH �• � �pARCEL tD# 1 !'2!� '� !�'d��G� - C��.l�C�� — G U�,r�
' (08TAINED FROM PROPERTY TAX NO'FICE)
WORK PROPOSED ` e NEw CaNSTR 8 " AQDlA�T' �� SIGN Q Q DEMOLISN
INSTAI.L REPAIR
PROPOSED USE Q �SFR 'Q COMM ' � O7HER
TYPE OF CQNSTRUCTION Q BLQCK ,[�] �FRAME [� STEEL Q
DESCRIpTiON-OF iNORK -� ��-�.�2 "t l�?1`\ � 6' (a��f' �'�C�i�t� �
BUtl.D1NG SIZE` � �y SQ FOOTAGE��< HElGHT C�_„�
QBUILQING ��. VAlUA7tON'OF TOTAL COi+lSTF2UCT1{�N
QELECTRICAL ($ — � �AMP SERVICE Q� PROGRESS ENERGY �Q W.R,E.C.
�_
,
QPLUMBING $
-�� �(� 330
C v'MECHANICAL $ ,�`�p� U� . VALUATION OF MECHANICAL INSTALLATION
., .'
QGAS Q ROOFING •Q SP.ECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA Q.YES NO -
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N F�E CURRE� Y/N
Address License# � �
ELECTRICIAN COMPANY "
SIGNATURE REGISTERED Y/ N F�E CURREt� Y/N
Address • Liaense#-�- �
PLUMBER , , GOMPAI+tY �
SIGNATURE .REGISTERED. Y/ N FEE CURRE�`-: Y/,N
Addre�s Cicense.#
MECHANICAL ' ��� � , Yl COMPANY �Gt�f'`��(.2G�/"!C '��2 tn -e�'. l�
SIGNATURE REGISTERED .. Y/ N . . FEE CURRE�, - Y/N
Address � �( C l"� ' ' � License#. C �,Z`�� � j G' �
OTHER � f� � COMPANY
SIGNATURE ` ` - REGISTERED Y/ N FEE CURRE� Y/N.
Address . . , � ' _ � � ° `L'icense#_� �
RESIDENTIAI., Attach(2)'Flot Plans;'(2)sets�.of Builcling'Plans;(1)seY of Energy�Fortr►s;R-O=W-Perrrilt for new constructton, "
Minimum ten:(1U);warking days;after�submittal dafer`Requir'ed onsite,:Constnic8on Plans;Stormwater Plans w/Sflt Fence installed,
'�SanttaiyFacilitiesf&,1 dumpste�•8ite,UVotk�Permit,far,�subdivisionstiarge^projeats-- t'
COMMERCIAL Attach(3��mplete sets of Builtlirig�Plans plus'a Life Safeky Page;(1}set of Energy Forms.R-O-ihf Perenit far new construction.
Mlnimum ten(10)woricing days�after submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence lnstalled,
Sanitary Faciiities&1 dumpster.Slte Work Permit for ali new projects:=Att c+�mmercial requirements must meet compiiance
SIGN PERMlT Attach{2)sets of Englneerecl,P.lans.. _ .•: � � � "
'""•PROPERTY SURVEY required for`all NEW consfruction. �
�Irections: .
Fill out application campletely.
Owner&Cantractor sign back af applicatlon,natarized
If over a2500,a Notice of Cammencemenf 1a required. (AiC npgrades aver$7500)
'" Agent{far the contraGtor)or°Pawer of Atlomey�{for the owner}wouli#be sorrieone with�otarized letter from owner autt�orizi�g same
�VElt THE COUNTER_PERMIT'TING�. ..._..{Frontof.Appt�cat�on..Oniy}. - �
2eroofs lf shingles 8ewers Service Upgrades A!C Fences{PlatlSurveylFootage)
Drtveways-Not over Counte�if on pubiic roadways.:needs ROW'
NOTICE OF DEED RESTRICTIONS: The underslgned under.stands that thts.p�rmit.may be subject to"deed"restrictions"
which may betmore restcict(ve than County regulatlons. �The undersigned assumes responsibllity for compliance with any
appHcable deed restrictions.
UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If �he owner has hired a contractar or
contractors to undertake work, they may be_required.to be:l(censed 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 Iicenstng.requirements may apply�or-the
intended work, they are advised to contact the-Pasco County Butlding Inspectlon Diviston—Licensing Sectlon at 727-847-
8009. Funhermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of thfs application for which they will ba responsible. If you, as.the owner sign as the
cont�actor, that may be an indication that he is not properly licensed and is not entftled to permitting privfleges In Pasco
Caunty.
TRANSPORTATION IMPACTIUTILITIES IMPACT�AND RESOURCE RECOVERY�FEE3: The undersigned understands
_-;--._ -�±hat--?'r�re��o�tas4on-Impact-Fe�s-a�d-Rec�urse-93�covery Fees may-appiy tio-,fhe canstructlon of-new bulid ni�gs;cfiange of�
use in existing buildings, or expansion�of existirig�buildings; as specifled in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees,.as:may_be due„wlll.be (dentified at the time.of
pe�mitting. It fs 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 certiftcate of occupancy or
final power release, the fees must be paid prior to permlt Issuance. Furthermore, if Pasco County Water/Sewer.Impact
fees are due, they must be-paid prior to permif.issuance-in accordance with appllcable,Pasco County.ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the. applicant, have been peovided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agricultu�e and ConsumerAffairs. 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'SIOWNER'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 construction, ioning and land development. Applicatton is
hereby made to obtain .a permit to do work.and installation as indicafed. I certify that no work or Installation has
commenced prior to fssuance of a permit and that.all work will be pertormed�to meet standards of all laws regulating-
- construction, County and City codes, zon(ng regulations, and land development regulattons-in the jurisdictfon. I also
certify that I u�derstand 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:.corrtpllance. Such agencles include but are not limited to:
- Department of Env(ronmental Protection-Cypress. Bayfieads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater TreatPnent.
- Southwest Florida Water Management .District-Wells, Cypress. Bay_heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers�Seawalls, Docks, Navigable Waterways. �
- Department of Health & Rehabilitative Servlces/Enyironmental Health Unit-Wells, Wastewater Treatment,
Septic°Tanks. � _ ,
- US Environmental Protectior�Agency-Asbestos abatement.
- Federal.Aviation Authority-Runways. ,
I understand that the following,restricfions apply to the use of flll:•
- Use of fil is not allowed in Flood Zone°V"unless expressly permitted.
- If the fill material-is, to b.e_ used in-:Flood Zone "A", It. is understood that a drainage plan addressing a
°compensating volume" will be subm(tted at time of permitting which is prepared by a professional engineer
Iicensed 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 certiry that fill_wlll=be used only-to..fill the area within:.the stem wail. - -.
- If�fill materlal is to be used In �any area, I certify that use. of such flll will not adversely affect adjacent
properties. If use of fill is found to adversely.affect adJaeent properties, the owner may be cited for viofating
the conditions of.the building.permit issued�under the attacfied permit application, for�lots less than one (1)
acre wh(ch are elevated by flil, an englneered drainage.plan is required. .
If I am the AGENT FOR THE OWNER, I,�promise�In good fatth to inform the owner of the permitting:conditions set forth 1n
this a�davtt-prior to commencing constructiori: I�uniierstand that a;separate permit may be requtred for elecMcal work,
plumbfng, signs, wells,, pools,.air cond(tioning,..gas,..or,othec.installatfons fiot spec�fically included in the application. �A
permit issued shall be consfr.ued'to be a��license to proceed with the_�work and not_as.authoNty to_violate, cancel, alte�, or
set aside any provisions of the tec�inical codes, nor shall (ssuance of a permit prevent the Buildirig O#ficial from thereafter �
requiring a correction nf errors in.plans,-consf�uetion or_vlolatlons of any-codes: Every-.perinit Issued sfiall tiecome 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)�montf�s after..:the time the work is commenced. An extension
may be requested, tn writing, from the, Build(ng.Official for a perlod�not.to exceed ninety(90)days and�wiil•�demonstrate
justi�able cause for the extension. If work ceases.for ninety(90)consecutive days,..the job�is considered aba�doned.
WARNING TO OWNER: YOURrFAILURE.,TOA,RECORD A NOTICE�OF�:C.OMMENCEMENT-MAY�RESUlT IN YOUR
, PAYING TWICE,,F..O.R._IMPROVEMENTS TO YOUR�:PROPERTY:�=1F YO.U'�INTEND�TO��OBTAIN�:FINANCING,�CONSULT
. WITH YOUR LEND �O AN A7TORNEY� ORE�.RECO DING.YOUR°� O:� C �OF" OM E C MENT�
FLORIDA'JURAT(F.S..1:1:7.03) - � "'" � " - � � � • � ' ' ' _ °' �,
OWNER OR AGENT . � - � �CONTRACTO � ' � "
Subscritied and swom to(or med)be(o me this Subscr(bed and swom r affirmed)�before me'this
by —Z� :b • .. .: _
Who islare personaily kno _to.me,or.has/F�ave;produced;, ho;ls/ p.ersona�y ! wn�to�m.e or haslFiave prod'uced, • �
' 'as IdentlflcaUon. as identlficadon.
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Notary Public . 1"� Notary Public
Commisslon No. Commis la .No. �""���.,
"- '�� �.� Commission#FF 150422
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Name of Notary typed,.printed or stamped Name of Notary � ,,., ,,� d gd roy ein In`swanco800-3857019
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