HomeMy WebLinkAbout15-16352 CITY OF ZEPHYRHILLS
5335-8TH Si'REET
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16352 Address: 4921 8TH ST
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: 14-26-21-0010-00700-0060
Improv. Cost: 7,298.00 OWNER INFORMATION
Date Issued: 6/10/2015 Name: MORRIS LAWRENCE W SR
Total Fees: 75.00 Address: 4921 8TH ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542
Date Paid: 6/10/2015 Phone: 813-312-9613
Work Desc: A/C CHANGE OUT 3 TON SPLIT 13 SEER
CONTRACTOR S APPLICATION FEES
AND SER ICES C CHANGEOUT 75.00
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Ins ections Re uired
DUCTS IN TALLED
DUCTS INSULATED
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 when 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 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, Specifcations Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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COf�TRAC R 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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e�3�eaoo2o I City of Zephyrhills Permit ApplicaUon F�-���-���
Buildln8 Depertment
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Ownors/lddnss �2� �C� S� Owner Phone Numb�r '
FN Slmpl�TiUehotde Name Owner Phone Number �
FN SImpN Tttlahold� Address
JOB ADDRESS �--� � S� LOT� �
SUBDMSION 1 ' l�O��S PARCELIDA I -I�Z�r` I 'D� � [JV��'�� lJ
(OBTNNm FROY PROPER�Y TAX NOTICE)
WORK PROPOSED B NEW CONSfR B ADDlALT � SIGN Q Q DEMOUSH I
INSTALL REPAIR �
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q
I DESCRIP710N OF W RK `�v- � � 1 e s � �
BUILDING SI� SO FOOTAOE� HEIOHT �
OBUILDING S VALUATION OF TOTAL CONSTRUCTION
QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.RE.C.
QPLUM8ING S .
QMECHANIC $ �Q�1 VALUATION OF MECHANICAL INSTALLATION
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QOAS Q ROOFING � SPECIALTY Q OTHER � 1 ��
FINISHED FLOOR EL ATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
91GNATURE �cisr� Y/N �cuar�n Y/N
,qddr�ss Lieense#
ELECTWCIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURRB� Y/N
IAddnss LJcanse#
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PLUMBER COMPANY
gIpNATURE RE613TERED Y I N FEE cuRtto� Y!N
Addnas Llcense#
I MECHANICAL COMPANIf � S�R�I C�S
SIONA7URE REGISTERED Y I N FEe cuwt�a Y!N
,�aa�,. �� C o�.i C'� Ve u�,�� 1 1
on�eR. con�P�wr
SIGNATIIRE REOisT�En Y I N FEE CuRrtB� Y/N
pddr�ss Llcenae#
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RESIDEN7IAL eh(2)Plot Plans;(2)sets of Bullding Piana;(1)aet of Energy Fortns;R-O-W PertnH for new eonstuetlon,
Inimum ten(10)x�idng daye aRer su6mflfsl date. RequUed areite,Conetruetion Plens,Stormwater Pierre w/Sllt Fence Inatelled,
Hery Fadlitlea 81 dumpster,Site Work PertnR for subdhrisiondlarge proJae�a
COMMERCIAL ch(3)complete seffi af Buflding Plena plua a LNe Safety Page;(1)aet of Energy Forms.R-O-W Permft fw new conaWctlon.
lnimum ten(10)wnrldng days after submitlal date. Required ansite,ConsW cUon Plens,Stormwaler Pians wl Slit Fenca Inatalled,
ifary Fadlitlea 31 dumpster.Ske Wak Permk for all new proJects.All eommerdal requirements must meat compliance
SIGN PERMR ch(2)sets of Engineeled Plans.
PROPERTY SURVEY requlred for ell NEW cansWeUan.
Dlnetlons:
FlII out eppllcaU comptetery.
Owner a eign bedc a applieatlon,notarirsd
Ff owr SZ�O, NoHa of Commenament b requhed. (AIC uppredes ov�r i7500)
" Agent(Tor the Mrec2or)a Power oi AComey(fw the oxmer)�wuld be someone with noterized letter from awner authorizing ssme
OVER THE COU R PERMRTIN3 (Front of/lppllcatlon Only)
Reroofs N ahingles Sewers SeMce Upgrsdea A/C Fencea(PIoUSurvey/Footage)
Driveways-Na over Counter H on publle roadways..needs ROW
, , 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 CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed fn accordance with state and local regulations. If the
contractor is not Iicensed 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 Pasco County Building Inspection D(vision—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 properiy licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportatlon Impact Fees and Recourse Recovery Fees may apply to the construcdon of new buildfngs,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
pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be pafd prior to
receiving a"certiflcate of occupanc}r'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 pertnit 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 work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida ConsVuction Lien Law—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. 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'S/OWNER'S AFFIDAVIT I certify that all the information in this applicatlon fs accurate and that all work
� will be done in compliance with all applicable laws regulating construcUon,zoning and land development. ApplicaGon is
hereby made to obtain a pertnit to do work and installation as indicated. I certify that no work or installation has
commenced prior to Issuance of a pertnit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zonfng regulatlons, and Iand development regulatians in the jurisdiction. I also
certify that I understand that the regulations of other govemment 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(nclude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
' - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8 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"unless expressly pertnitted.
- 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
Ilcensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building usfng 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 aifect 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 OWNER,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 elecfical work,
plumbing, signs, welis, pools, air conditianing, gas, or other installations not specificaliy 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 af any codes. Every pertnit issued shall became invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or ff work authorized by
the permit is suspended or aba�doned for a periad of six(6)months after the time the work is cammenced. An extension
may be requested,in writing,fram the Building Officlal for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If wark ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO
MMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT
W TH Y UR LENDER R AN ATTORNEY BEFORE RE RDING Y R N TI OF CO ENCEMENT
FLORIDA JURAT(F.S.117.03) ,��'ap
OWNER OR AGENT CONTRACTOR ��C
Subscribed end swom to(or a�rtned)before me this Sub crib d and m to(araffi �d)ba me Is a,p�A��ro
bY �by—CY1�3-t��IL T�a7'�
Who is/are personally Imovm to me or hasRiave produced a e personelly known to me or haslheve produced
as fdentiflca4on. as Identificatlon.
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Notary Publfc Notary Public �����
Commission No. Commissian No. �G al��L 3� °m�d
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