HomeMy WebLinkAbout15-16056 C�TY-OF'ZEPHYRHILLS
5335-8TH STREET
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= tsi3pso-oo20 16 56
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION -
Permit NumEaer: 16Q56 Address: 37950 12TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A!C CHANGEQUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Sec#ion:
Square Feet: Subdivision: ZEPHYRHILL� COLUNY
Est.Vatue: Parcel Number: 10-26-21-0010-06400-0020
Improv. Cost: 3,100.00 _ OWNER INFORMATION
Date Issued: 310312015 Name: FRIENDLY OUR MHP
Total Fees: 55.00 Address: 5545 OUR LN
Amount Paid: 55.04 ZEPHYRHI�LS, FL. 33542
Date Paid: 3/03/2015 Phone: (813)846-0953
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLtCATION FEES
AL TEC IR LT N CHA EOU 55.00
3 - 6 �- l S`
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fns ections Re uired
TS I ALL
DUCTSINSULATEd
FINAL '� � � —���
REINSPECTtON FEES: Reinspection fees will camply with Florida Statute 553.80 (2)(c) when e�ctra inspection
firips are necessary due to any one of the foliowing reasons: a)wrang address b)condemned wark resulting
from faulty construction c) repairs or corrections not made when inspections called d)work.not ready far
inspectian when called e) permit not posted on job site f) plans not at jab site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictians applicable to this property that:
may be found in the public records af this county, and there may be additional permits required frorn ather governmental - ;
entities such as water management, state agencies or federal agencies. �•
"'Warning to owner; Your faiiure to record a notice of commencement may result in your paying twice for,.
impravements ta your property. If you intend to obtain financing,consult with yaur'lender or an attorney
befare recording your notice of cammencement."
Comptete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NQ OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MONTHS WITHUUT APPRQVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRClTECT CARD FROM WEATHER
fi13-780-0020 City of ZephyPhills Permit Application Fax-813-760-0021
Building Department .
�a��6dec�eiv�d Phone Contact for Perml4ting --
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�ELECTRICAL $ AMP SERVICE [� PROGRESS EfVERGY Q W.R.E.C.
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FINISHED FLOOR ELEVATIOMS FLOOD ZONE AREA QYES NO
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68��UD[EWTI�,L Attach(2)Plot I'lans;(2)sets of Building Plans;(1)set of Energy Forms;fi-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities&1 dumpster;Site Work Permit for subdivisions/large projects
�OflfllfllE�.Ci�,@. Attach(3)ccmplete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)worl<ing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance
�9GP�.��fft6UiBY Attach(2)sets of Engineered Plans.
"°°PROPERTY SUFtVEY required for all NEW construction.
�ir�cklo�es:
i Fill out applicaGon compl�etely_ �� ` �- �
Owner�Contractor sign back`of'application,notarized
iff ov�er$2500,a fdotice off Comiv�encemenQ(s requ0r�d. (AIC upgr�des ov�r$750m) ,
*" Agerut'(for the contrac4or)or Pmwer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
p!lEf�YOi�COUtdYE�!PEB�AAITYIP�G (Front of Application Only) .
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
�Piva=.wa,ys-Not over Counter if on public roadways..needs ROW
; �COTBC@ OF DEED FtESTRICTIOPIS:- The undersigned understands that this permit may be subject to"deed° restrictions" y
which may be more rest�ictive than County regulalions. The undersigned assumes responsibility f�or compli�nce with any .
_ applicable deed,restrictions. . . . � . •
U�I�.ICENS�D COPITIft�CTOR�.API� COY�T�`►�Y'O� R�SPONSI��LIYIES: If the owner has hired a cohtractor or � -
contractors to undertake work, fihey rriay be.required to be licensed in accordance writh sta#e and local regulations. If�he -
contractor.i§ not licensed as'require� 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 �he
intended work, they are.advised to.contact the Pasco County Building Gnspection Division—Licensing Section at 727-847-
- 8009. .Furthermore, if the owner h�s hired a confractor or-contractors, he is advised to have the contractor.(s) sign _ ..
, portions of the�"contractor Block" of this application for which they wil9 be responsible. If you, as the owner sign as Qhe '
contractor, that may be an indication that he is not properly licensed and is not enti4led to permitting privileges in Pasco �
� County. � , , ' . �
T�PI�PORT�4YION IRflP�CTPl1TILITIE� I�fi��►C'C�FID RE§OURCE f�ECOVE�Y FEES: The undersigned understands -
tliat Transportation.lrnpact Fees and Recourse Recovery Fees may apply to the construction of nQw•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 und�rsigned also understands, that such fe�s, as may be due; will be 6dentified at the time of
_ . perrriitting. It is further understood that Transportation impact.Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final pow�r release. If the project does not involve a ce�:ificate of occupancy or "
final power release,.the.fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact �
; iees are due, they must be pai� p�ior Qo permit issuance in accordance with applicable Pasco County ordinances.
C�i�ST�UCT'ION L�EN L�►Ifil(Chapt�r 7'�3, �lorida�Sta�gut�s, as arr�eroded): If valuation of work is $2,500.00 or mor�, I
�- certify that I, the applicant, have been provided with a copy of the "Florida Construction Lie�n Law—Fiomeowner's
Protection Guide",prepared by the Florida Department of-Agriculture and Consumer Affairs. If th� applicant�is someone -
" other than the"oinrner"; I certify that I.have.obtained a copy of the above described document and promise in good faith to -
deliver it to the"ovvner"prior to,commencement. - � ,
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�09dTfRl��TOR Sl�ii�P��R S�t1fFFIDA�9T. I certify that all the informa�tlon in this application is accurate and that all wo�k� '
-
will�be done in compliance with all applicable laws regulating construction, zoning and land development. �Application is
- hereby made Qo obtain a pePmit to do work and installation as indicated.� I certify that no work or installafio� has =
' commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating ,
- constructio►i; County and City"codes, zoning regulations, and land development regulations in the jurisdiction. ( �Iso
` certify that I understand 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 compliance. Such agencies include.but are not limited to: -- �
- , Department of Environmental Protection-Cypress Bajrheads, Wetland Areas and Environmentally Sensitive ,
Lands, WaterMlastewater 1'reatment: � � • �
- � Southwest Florida-_ Watec Management District-Wells, 'Cypress Bayheads, Wefland Areas, Altering. _
�• Vl/atercourses. _ - ' �
- , Army Corps of Engineers-Seawalls, Docks, Navig�ble Watervvays. , ,
' - Department of Health � f2ehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
� Septic Tanks. - - , .
. ,, US Environmental I�rotection Ag�ncy-Asbestos abatement., � � �
_ - . Federal.Aviation Authorit�-Runways. - �
�'I.undersfand that the following r�strictions apply to fhe use of fill:� ' � � ' `_ '
� - - ," Use of fill is not allo�cved in Flood Zone"V"unless expressly permitted. , ,
-. � - ' If the,fill material is to 6e used in Flood Zone "A", it is understood'that a drainage plan acidressing a
�"compensating volume" will be submitted at time.of permotting which is prepared by � professional engineer �
.
- licensed by the Stat�'of Florida: ' ' - �
- - . If_the fill material is 4o b� used in Flood Zone ''A" in connection with a,permitted building usirig stem wall
� - construction, I cer�if�that fill will be used only to fill the area virithin the stem'wall. . :
- - If fll material is to be used in any area, I certify that use of such fll will u�ot adversely affect adjacent ,' .
properties:. If use of fill is found to adversely affect adjacent properties, the owner may be cited for viola�ing
, ' �the condiQions of,Qh� building permit issued under the attached permit application, for lofs less than one (1)
' - acre which are elevated by fill, an englneered drainage plan is required.. ' ,
� If I am the AC�NT FOR 1'HE O`i1VPJE�, I promise in good faith to inforrri the owner of the perrnitting conditions set.fortE� 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 �
� perrriit issued shall 6e constrtaed to be a license to proceed writh the vdork and not as authority to=violate,.cancel, alte�,-o� ,
,' seQ aside any provisions of the technical codes, nvr shall issuance of a permit prevent the �uilding�Official from thereafte� •
. requiring a correction of errors in plans, consfruction or violations of any codes. Every permit issued shall become invalid � -
unless,the work authorized by such permit is coinmenced within six rmonths 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
, ma�i be requested, in writing, fr�m the Building Qfficial for a period not to exceed ninety (90) da�s.and will demonstrate
justifiable cause for 4he extension. If work ceases for ninety(90)consecutive days, the job is cons'sdered ati�ndoned._ _ _ ___, _
@4i9e�RPlIN(9 TO OLfiSPI�R: 1'�U9t ��GLID�� TO IZ�CORD �+ P�lOY10E OF COflI(WiEWCEf�lEi1'IT 6�flr4Y RESLD�'i" Yil� Y�U@�._ `- '
��YI�JG T1i�ICIE F.OPt 9flfl�ROi/fEfiAEf�YS 7'O 1fO1Jl� PROP�R7'lf. BF�OU IP1TEfi111D TO OBT�41iV �I�Vlla►1WCING, C�P�SIJ�.F
4JilBY�V YOIB� L��D�R OR�Pd/Q►TT��fi�EY���FORE RECOR�IPIG YOIDR YVOTICE OF COflf��f1E�I��i�iEd��'. -
FLORIDA JURAT(F.S. 117.03)- ,. - --- - ' - -- - . -- -__ _ , - --
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OWiUER�R AGEPIT COiVTE2ACTOFT • l l /l ✓�
� Subscrlbed and swom to(or affirmed)before me this Subscribed and sworn to(ar affirmed)before this �r� � m��� •
bY . bY - ,
Who islare personally knovun to me or has/have produced , Who Is/a personally -o me has/have produced � -
as d ' �
- I entlfication.
� ' i•'a`�"Y•°"'�••: JAC�UELINE HORRUITINER �
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