HomeMy WebLinkAbout15-16374 , ' CITY OF ZEPHYRHILLS
• 5335-8TH STREET
(s1s)�so-aozo 163
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16374 Address: 38818 9TH 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: 11-26-21-0010-10800-0190
Improv. Cost: 3,995.00 OWNER INFORMATION
Date Issued: 6/18/2015 Name: VINCENT ZECHARIAH & STACI
Total Fees: 55.00 Address: 38818 9TH AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/18/2015 Phone: 813-312-5443
Work Desc: A/C CHANGE OUT 3 TON PKG UNIT
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C,INC. A/C CHANGEOUT 55.00
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Ins ections Re uired -
DU TS INSTALLED
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection I
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� 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 owrter: 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
. �
Q��G��- �-
ONTRACTOR 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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IOEMIAL AttaCh(Tl Pi04 Plens;(?�eet�of B�tlp Pian�(7)set of Ene�r Fofm�a.p.W P6nnit for Rew aoneWctlon, .
Nlbtlmum ten('f�wo�idn8 days af�'eubmlCel date. Requtred orwlte.Cqah+�don Plana�StprtrnVatmr Ptana w/SIH Fenoe tnsfsUed, .
S�dmry Fe�&1 dumpaSer;8tte Worle Parnk fersu�onsAe�9e ArDJed,s
IR1ERCfAL Atkac�h{3I eomA►e�e sets of euedfng Plans D1us a Llte Safeyi Page;it)sat of Energy Forms.R-O-W pamit for new mrretrue�an,
Mlnunum ten(10)woAdng¢syir aTt�r eubmltbd date.lteqWted onaite,CortstrucN0t1 Pians,StormwateY Pl�s wl Sltt FMCa k�staGOd.
9anttary FadHti95&7 dunpeter.Slte Wotk Parmit tor e►I new�.A!i oommet'clet repuirem�ffi must maet compttanoe
�PER611T Attaeh(2)eets of Englneetea Plens. ,
""PROPERTY3URVEY reqWred fm aN NEW oon6guWon, '
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FlII otit eppltaatbn comptetely,
Owner 8 ContrdCmr stgn paGc af apPfkation,rtota�ZeA
H ovor 52640�a NaNa�Of Cemmeflaeeret b nqulred. (A►C upprad�s ovar 37SDO)
Agerd(for ma oastractor)ar Frower of Mbomey(tor n+e amer)wnura�someons wMi,nota�traa�ener finm ovmnr aunwtmn9 same
R THE COUI�RER PEf�A11TTING (Fmnt of App9o08on Oniy)
ofs H ehing� 8swe+a 8ervica UPBredea A/C Fenees(p1oUSurvs71/Footag4)
D.Iwv�aya-Not ovar Counte*If an pubib roadways.,rtsada ROW
o,�-r��v c:�ty ot�ephyrhiiis Permit Appfication Fax$13-?80-4421 �
, BuNding Department
te Recetved Phone Canfact for Permitting ��� ��'� - � �j
rner's Name �t��� %� �G�L!`7/� i/�` Owner Phons Number O ,3 r�fc�
rn�ar's Address ���r � ����� Owner Phone Numbar � �
e Simple 7itleholder Name � � Owner Phon�Number �� �
�Stmple Titte6older Address
e�aoaR�ss f��/�' g '�` �'�'� �,?�rus- /c�.. �.�.� �o=# ��
gaiv�sioN � �� p�c���Q# /l � �� L>G�ll� /Dc.�'D� L)� �c�
(OBTAINED FROM PROPERTY TAX NOTICE)
)RK PROPOSED e NEW CONSTR� ADD/ALT � SIGN [� Q DEMOLISH
INSTAi.I REPAIR
.OPOSED USE Q SFR Q COMM Q OTHER
PE OF CON3TRUC7#ON Q BLOCK [_] FRAME � STEEt �
SGRIPTIl,}N OF WORK
�ILDIMG 81ZE ���� 5Q FOdTAGE� HEIGHT [��
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QELECTRICA[. �� AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C.
QPt�UMBING (y>_-�
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C]MECHANICAE. $ 3 g��/ Oa VA�.UATiON OF MECHANtCAL INSTAILATIOtV
QGAS Q ROOPING Q SPEGIAITY � OTHER
IiSHED FLOOR EtEVATIOi�S ��� FLOOD ZONE AREA QYES NO
1LDER CdMPANY
iNATURE REGISTEREp Y! N FEE CURRET Y/N
Address Lloense# �� � �
cCTRiCIAN COMPANY
iNATURE REGISTERED Y/ N FEE CURRER Y/N
Address License# �— �
)MBER � COMPANY
�NATURE RECiISTERED Y J N FEE CURRER Y I N �
Address License# �—� �
GMANICAL � ���/ � COMPANY �/��R (S �D !3/llte-C��'Y� �N�
NATURE ��'"���+� ' ""�'rn""�'' REGISTERED Y/ N FEE GURREh Y/N
Address ���1 � ��` /�C 2 �L /C ��S�f/ License# {.,�/��'0 °!����cf'1
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Addrass - License# �— � - �
ilDENTIAL Aktaoh{2�Plat Plans;(2)sets of Bulfaing Plans;(1)set of Energy Farms;R-O-W Permit far new conshvction,
Minimum ten(10)working days after submittal date. Requtred onsite,Construction Plans,Stormwater Plans w!Sllt Fencs fnstalled,
Sanitary Faciltties&i dumpster Site Work Permit fcr subdiv�sions/large projects
AMERCIAL Attach{3)complste sets of Sufldfng Pians ptus a�ffe Safety Page;(4}set of Energy Forms.R-O-W Permit for new consWction.
Minimum ten(10)working days'afte�submittal date, Requ3red onsite,Construction Pians,Stormwater Plans wi Sllt Fence 3nstalted,
Santtary Facltities&1 dumpster,Sike Work Permit for all new proJects.All commercial,requlrements must meet compliance
N PERMIT Aftach(2}sets of Engineered Pians. �
"""PROPERTY SURVEY requlred for all NEW construcdon.
ctions: ,_
Fill out application completely. � f �
Owner&Contractor sign back of appticatlon,notarized �
If over�2500,a NoNc:e of Cammencement is raquired. �A/C upgrades over�75d0} � � �, C°��
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Agent(far the�ntractor)or Pawer of Attomey{for the owmer}wautd be someone with notarized tetter from owner authorizing same '
:R THE COUNTER PERMITTlI�tG {Front of Applica6on Onty} � . � ,--- - ,_ ._.,-�._ ._.,. ._..;..,� _.....;
�ofs if shingles Sewers 8ervice Upgrades R!C Fencss{PIoUSunreyfFootage} ` �'a,�4��,:�;` ,.,, f =
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Drivew�ys-Not aver Gaunter if on public roadways..needs RQW _.= , _ , „,,,,,; ., � -
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NOTICE OF DEED RESTFYICTIONS: The undersigned under.stands�that thl�:p�rmit may.be,subJect to"deed"restrictlons°
which may beFmore restrictive.�than County regulatlons.;The undersigned assumes responsibility fo�compliance with any
applicable deed rest�ictions. �
UNLICENSED CONTRACTORS-AND CONTRACTOR RESPONS�BILITIES: If the owner has hired a contractor or
contractors to undertake work, fhey may be requlred.to be:licensed In accordance.with state.and•Iocal regulatfons. If the
contractor is not Iicensed.as required�by law, both the owner and conUactor may be citad for a misdemeanor violation
under state law. If the owner or intended contractor are uncertaln as to what Iicensing.requlrements may apply for the
intended work, they are advised to contact the Pasco County Butidin� Inspectlon Divfsion—L•tcensing Sectton 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 tha "contrector Block° of thia appllcation for whlch they�nrill ba r�sponsible. If you, as.the owner sign as the
contractor, that may be an indication that he is not.properly Ilcensed and is not entftled to petmitting privlleges in Pasco
� County.
��� TRANSPORTATION IMPACTIUTILITIES IMPACT AND�RESOUitC� RECOVERYfEE3: The undersigned understands
that Transportation Impact Fees and.Recourse F2ecove.ry.Fees may�apply to.the construction of new buildings, change of
use in existing buildings, or.expansion.of existin,g�buildings, as specifled in �asco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such �ees� as:may�be�due,.will be identified at the time of
ermittin . It Is further understood that T o 0
p g ransp rtatl n Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certiflcate of occupancy" or flnal power. release. :If the �roject�.does not involve a certiflcate of occupancy or
final power release, the fees must be paid prior to permit issuance. Fu�the�more, ff Pasco County WatedSewer-Impact
fees a�e due, they must be�pald prlor to permit issuance-In accordance wlth applicable Pasco County ordinances.
, CONSTRUCTION LIEN LI�W(Chapter 713� FloNda Statute�,as armended): If valuatlon of work is$2,500.00 or more, I
certify that I, the applicant, have.been provi.ded with a copy of the "Florida Construction� Llen Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agric.ulture and C�nsumer�Affairs. If the appltcant Is someone
other than the"owne�", I certify that I have�obta(ned a copy,of.the abQVe..described docurnent-and promise in:good faith to
deliver it to the"owner"prior to�commencement. •
CONTFtACTOR'S/OWNER'S AFFIDAVIT: I certify that all.the Information In thl�appltcatlon is accurate and that all work
will'be done in complfance with all applicable laws �egulating constnaction, zoning and land development. Applicatlon Is
hereby made to obtain .a.permit to .do work..and installatlon as indieated. 'I _certify that no work or installation has
commenced prlor to issuance of a permit and that.all work will be pertormed�to meet standards of all laws �egulating-
construction, County and City codes, zoning regulations, and land development regulations�ln the jurisd(ction. I also
certify that I understand that the �egulations of other government agencles may�apply�to the intended work, and that it is
my responsibility to identify what.act(ons I must take to be,in.corr�pliance. S.u�h agencies include but are not Iimited to:
- Departmeni of Environmental Protection-Cypress. BayhOads, W�tland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management :District Wells, Cypress. Bay.heads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterway�.
- Department of Health 8 Rehabilitative ServlceslEnvironmenfal Health Unit-Well.s, Wastewater Treatment,
Septic Tanks. _
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal.Avlatlon Authority-Runways.
I understand that the following�restrictions apply to the use of flll:�
- Use of fill is not allowred in Flood Zone"V"unless expressly permitted.
- If the flll materia)�is to b.e used in Flood Zone "A", ft is und�rstood that a drainage plan addresstng a
°compensattng volume" will be submitted at time of perrnitttng 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 {�ermitted building using stem wall
construction, i certiry that flll�.will=be used only to.fill the ar�a withln.the�stem wall.
- If flll materlal is to be used in any area, I certlfy tfiat .use. of such flll will r�ot adversely affect adjacent
properties. If use of flll is found to adversely:affect adja�ent•properties,.the owner may be cited for violating �,
the conditions of the building.permit Issued under the at�ached permit application, for lots less than one (1)
acre which are elevated by flil,an engineered dralnag�plan Is required. ,
If I am the�►GENT FOR THE OWNER, I,�promtse in good faith to Inform the owner of�the permitting condittons set forth in 'I
this affidavtt prior to commencing constructlon. I understand that a-�eparate permlt may be requtred for etectrical work, I
plumbing, signs, wells, pools, air conditloning, .gas, or other installations no�.speclflcally Included in the appNcation. �A
permit Issued shall be constn�ed to be a I(cense to proceed with the wrork and r�ot as authority to,violate,cancel, alter, or
set aside any provis(ons of the.techn(cal codes; nor shall issuance�of�permit prevent the Bulidirig Official from thereafter
requiring a correction.nf_errors in.pla�s, constructlon or violatlons of ae�y codes. Every permit Issued shall become invalid
unless the work authorized.by such permit°ts.commenced•within sGc months of permlt Issuance, or if work authorized by
the pe�mit is suspended or.abandoned for a period of§ix(8)months�fter the time the work�s commenced. An extension
may be requested, in writing, from the Building,Official for a pedod.not to exceed�ninety�(90) days a�d�will demonstrate
—j�stl6�abl�causa for-�the�xtensdon:—lf work e�ase�.for n�naty(90)-cons�c�tive�days,-..Qh�job�i�-corisidered-aba�doned�"�-- --�—"
WARNING TO OWNER: Y�UR.FAILURE�TQ.RECORD A MO71GE,OF COMMENCEME�tT MAY RESUlT IN YOUR
PAYING TWICE,FOR IMAPROVEMENTS TO YOUR�:PROPERTY. IF�VOU�INYEI�ID`TQ OBTA�N�FINtANCiNG;�CONSULT
WIT U L . O 7TORN OR -_ CO. � ��� OU � � E � T
FLORIDA JURA�(F.S.. .0 ) � .
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OWNER OR AOENT �-e/�ONTRACTOR
Subscribed and swom M b aflinned)befoi me this Subscribed and cwom to(or afftrmed)�before me fti18
bY :by �.
Who Is/are personally known to me or haslhave produced Who Islare personally known to me or�has/have produced� ,
as Identlflcatlon, as Idendflcadon.
Notary Public . Notary Publlc
Comm o Comml�slon�No.
� ,,o..�:e��, E .
;;�� •�: Commission#FF 137073
Name o(No i�;�,F,,Q��fIB���Tm/Fein InswdnoeB�OJ85d�19 Name oi Notary typad,printed or stampad '
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