HomeMy WebLinkAbout15-16346 CITY OF ZEPHYRHILLS
5335-8TH STREET -
(sis)�so-oozo 16346"�
� ��� " � BUILDING PERMIT .,.�•'�r
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16346 Address: 39327 8TH AVE
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: 12-26-21-0310-00000-0520
Improv. Cost: 6,033.00 OWNER INFORMATION
Date Issued: 6/08/2015 Name: SHAW, WAYNE
Total Fees: 70.00 Address: 39327 8TH AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/08/2015 Phone:
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
SUPERIOR HEATING&C I G MANAG C CHA GEOUT 70.00 i
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Ins ections Re uired
D CTS INSTALLED
DUCTSINSULATED
FINAL `� -( � �C�-
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 on 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 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 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 Accompany Application.All work shall be pertormed 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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
_,Da.c i€�ceived Phone Contact for Permittin � S�( - 3 y���
Owner's Name t2. Owner Phone Number ��� � 7`����/�7
Owner's Address 7� � �fi h �"C�� Owner Phone Number
Fee Simple Titleholder Name Owner Rhone Number
Fee Simple Titleholder Address
JOB ADDRESS ( 2 7 �h �- LOT# �
SUBDIVISIOPI PARCEL ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED , e NEw CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR [� COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTIONOFWORK �,ta-1 2 C9 � J 2`�� �e�C 2e� t,�rl S �� �-� c..{l�-
BUILDING SIZE SQ FOOTAGE� HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�]MECHANICAL $ /��� VALUATION OF MECHANICAL INSTALLATION
(J
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address - Lfcense#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPAMY
SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N
Address License#
MECHANICAL � COMPANY �� (ioc ,I 1� Q �QCOO�►h 1"� �
SIGNATURE REGISTERED Y/ N peE Cu ` Y/N
Address � t� � License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Flot Plans;.(2)sets=of Building Plans;(1)set of Energy�Form`s;R-0=W Permit for new construction,
Minimum.ten�(10)working days after.subrriittal date. Required ons(te,Construction Plans,Stormwater'Plans w/Silt Fence installed,
Sanitary FaclllUes&:1;dumpster Site Work P.ermit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Buildirig Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon.
Minimum ten(10)working days after submittal date. Required onsite,Constn�ction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Permit for all new proJects..All commercial requlrements must meet comptlance _
SIGN PERMIT Attach(2)sets of Engineered Plans. ' � -
""PROPERTY SURVEY required for all NEW constructlon.
Directions:
Ftll out application completely.
Owner&Contractor sign back of applicatlon,notarized
If ovar 52500,a Notice of Commencement is required. (AIC upgrades over E7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIT7ING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTiCE O�QEED RESTRlCTlONS: The und�rsigned under.�tands that.thls.��cmlt.may-be�subjeat ta"deed"restriations"
which may be�more.restrictive.than County-regalationa. �The undersigned assumes responsibiilty far campliance with any
applicable deed restrlctlons.
UNL.ICENSED CONTRACTtSRS ANQ CflNTR.ACTC}R RESPONSIBEI:ITIES: If the owner has ht�ed a contractor or
coMractors to undertake work, they may be.requtr�d,.ta be;:ltcensed In accordance.wlkh state.and•local regulatians. If the
contracto� Is not ilcensed as requlred'by law, botP� the owner and contractor-may be cfted foc a m#sdemeat�or vfalation
under state law. If the owner or Intendedr eontractor are-uncertaln as to wha# licensing.requtrexnents may appiy�ar the
intended work, they are advised to contact the Pasco County Buliding Inspection Divislon--Licenstng Sectlon at 727-847-
8009. Fu�ihermore, 1# the owr�er has hlred a contractar or contractots, he Is advised to have the contrac#or(s) sign
portians of the"cantractor Block° of this application far which they wilt be respo�sible. If you, as.the awner slgn as the
co�ttactor, that tnay be an Indioa#ian tha# he ts not.properly (icensed ar►d ts nvt entlkled to pecmitting privileges fn Pasco __._
County. _ __ _. �___�-�. _w-- -
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---,°��i����rR�-b�`i��i.ill��l�CTIUTILifilES IMPACT ANC1 RESOURCE RECOVERY��FEE3: The undersigned understands
that Transportatlan Impact Fees.and.Recour�e Recove.ry.Eees retay�apply#o the construc�an of new buildings, ehange of
use in existing build(ngs, or.expansion.of�existirig:buildings, as spe�clfled.in Pasco Caunty Ordlnance number 89-0? and
90-07, as amended. The underslgned alsa under�tands, that-such fees,.as�may.•be�due, wlll:be ldentiftsd at the time of
permitting. it is further understood that Trafispartation lmpact Fees and Resowrce Fteco�ery=Fees mus#be paid prior to
recetving a"certificate of occupanay" or final power. release. :If the project does not Involve�a cettificate of occupancy or
final power release, the fees mu�t be pald prbr tm permit issuance. F�rthermore--i#Pasco County VllaterlSewer Impact
fees are due, they must be-paid prior to permit-Issuance-In aacordance with�applicable Pasca'County ordinances.
CONSTRUCTION LlEN LAW{Ghapter 713.Ftorlda Statutes�as�amended): If valuatlon of work 1s$2�500.00.or more, !
certify that i, the. appiicant, have�been provided with a copy� of the °Florida Construction Lien Law—Homeowner's
Pro#ection Guide° prepared by the Florida Departme�f of Agriculture and Consumer Affairs. tf the agpllcant is someone
a#her than#he"avmer", 1 certify tFtat I have obtained a copy;of the above..de5cribed�doaument°and.promise in,goad faith to
delive�it to the"awne�"�prior to•commencement:
CONTRACTOR'SlOWNER'S APFIDAYIT: !ceit(fy thak aii the informatlon�In�this applica#on is accurate and that a14 work
will�be done in compiiance with all.appflcable laws regulating construction, zoning and�land development. Appltcation ts
hereby made to obkain .a permit ta do work and ins#allatlon as indtcafed:= 1 certify that no wortc ar instaitation has
commenced prior ta issuance of a permlt and that atl work witl be perFormed to meet standards of all laws reguiating-
construction, County and City codes, zoning regulatians, and land developm�nt cegulatlans•in the ju�Isd(ction. ( also
ce�#ify tha# 1 ur�derstand thaf the regula#ians of oth�r government agencE�s may appty�ta#he intended work� and that it is
my responsibility to identify�what.actions I must tak�.to be,in<.cortlpUance. S.uch agencles.include bwt are.not Ilmited ta:
- Department of E�vfronmentai Proteotion-Cypress.�Bayhead�; Wetland Areas and Envlronmentally Sensitive
Lands,Wat�arlWa�tewa#er Treatment.
- Southwest Florida Water Management .District Wells, Cypress. Bayheads, Wefland Areas, AlterEng
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigatile Waterways.
- Qepartment af Heaith � Ret�abilita�tiv� ServiceslEnv�ronmenfal Ne$Ith Unit Wells, Wastewater Treatment,
Sep#ic TanKs. ,
- US Environmental Protectlon Agency-A�bestos aba#ement.
- Federal Av3etton Authority-Runways.
i understand tha#the faliowing;restrictions apply ta the use of flll:•
- Use of#ii#!s no#ailowed in Flaad Zone"V"ur�less expressEy petmitted.
- if the fill material is ta be used in �Fivad Zone "A", It is understood that a drainage pla� address(ng a
"cvmpansating volume" will be subr�[tt�d at time of permEfting whlch is prepared by a professional engfneer
ttcensed by#he State of Florida.
- If th� fill material.is to be used in Ftood Zone "A° iny connect(on�wlth.a�permltted building using stem wall
construct�on, l cer#ifiy that fill.w�11-b.e used only.to#il1 the area wlfi�ln#he�stem�uat1.
• If flll materlal Is ta be used in any area, I certify that .use. of such'fll) will not adversely affect adjacent
properties. !f use of fli! is foctnd to adversely.�ffect adjaEent�prapert9es,.the owner may be cifed far vloCating
fhe conditions of the buitding.permit issued under the attached permit appiica#lan, far-�lots less than one (1)
acre which are elevated by ilil,an engtneered dralnage plan Is requlred.
tf 1 am the AGENT�OR THE t}1NNER, t,�promise tn good faith ta Ictfarm the owner of=the permitting canditians set forth in
this a�davft�prior to cammencing construction. 1 ur�derstarid that a�-separate permit may be requtred for electrical wark,
plurrabing� si�ns, welts� poofs, a1r conditianing�.gas� or other EnstaEl�tlons nat spec�fically included�tn.#he appllcatian. .A
permit Issued shait be construed tabe�a'Iicense to�p�oceed w(th the'work and not as.authority to,vlolate� cancel; alter, or
set aslde any provis(ons of-the technical cades; nor shal!issuancs�of a.permlt.pcevent the Bu!ldtng Oiilcla!from thereafter
requiring a corfection.af er�ors in.plans, canstruation or vlolations of any codes. Every permit issued shaiF become invaiid
unless the work autho�tzed.by such perm(t�ts-comm�nced wlthln.sGc months of permit issuance; or if work authorized by
the perrr�it is suspended or.abandoned for.a.perEad of s�C{8�montEis.after the#ime the�work Is commen�ed. An extension
may be requested, in writing; from #he Building,Official for a period;not to exceed ninety�(90}days and will demons#rate
Juskifiabls cause for.the extenslan: !f work ceases:for nlnety(9Q)cons.ecutive_days,_th��ob=is considered abandoned.
WARNING TO OWNER: YQUR.FAILURE�TO,REC.O�tD A�.NOTIGE:OF�COMMENCEMEMT.MAY�RESUlT IN YOUR
RAYtNG TWICE.�'OR IMPROVEMENTS�TO�tC1.UR=:PRt�PERTY I��YOU�INTEND:TQ:OBTAIN�FIfiFAN�iNG;'C�NSULT
WIT U :O AN A7T0 N �B OR���. � CO �- � OU = O �C 'O � �' E T
FLORlDA JURA�(F.S.1.17.03j _ ` � _��'�
OWNEI2 OR ACiENT CON'1`RACTO ��`°�
Subscclbed and swom to(or afllmied)betore me this 3 s e s - (o flirme+d� e� me'ttif�
����.� y Q�m. ar has/he � �
by y� �c�,t�1. .
Vtfio islare personally known to.me or•haslhaya produced Wh�/are„perso�II k�n ve produced •�
as Identl@cadcn. ��}rza (,r�� as iden8flcation.
, ti '" .
Notary Fublic . jLck- �I Notary Publfc'
Commisslon No. Co sion.
Name ot Notary typed,printed or stamped Name of Notary typed,pdnted ar stamped -
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CITY OF / � � / �UILD1Na
ZEPHYF�HILLS DEPARTMENT
..,,-
OF ADDITION OR CORRECTION
� • • - •
ADDRE55 DATE PERMIT�,
�a � � ��� I ���� '�
� THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job �
will be accepted.
f`�A' P/. ' �C✓ //l,cS 2l' e'��t' I�'
/—�lJ��06'h.�/t,� ������
I
It is unlaw�ul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any paR of the work with flooring,lath,earth 78�-��2� FD C-� TION
or other material,until the proper inspector has had ample time to approve �s
the installation.
OFFICE HOURS 7.30AM-4.30 PM MON.-FRI INSPECTOR