HomeMy WebLinkAbout15-16118 , 1
. �� CITY OF ZEPHYRHILLS
° 5335-8TH STREE�'
(sis)�so-oozo 1611
BUILDING PERMIT
P�RMIT INFORMATION LOCATION INFORMATION
Permit Number: 16118 Address: 5830 11TH 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: 11-26-21-0010-03700-0170
Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 3/26/2015 Name: ANDERSON NOLA
Total Fees: 60.00 Address: 5830 11TH ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-3718
Date Paid: 3/26/2015 Phone: (813)896-9590
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
MARIOS AIR CONDITIONIN AND HEAT C CHANGEOUT 60.00
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Ins ections Re uired
D CTS INSTALLED
DUCTSINSULATED
FINAL � - I, -�
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 fi) 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 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
ity o�les and Ordinances. NO OCCUPANCY BEFO C.O.
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N�' 'TO GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED �
PROTECT CARD FROM WEATHER
���-,a�-���� Gity of Zephyrhills Permit Application Fax-813-780-0021
, • Building Department L���
� J
Date Recelved Phone Contact for Permitttn —
Dwner's Name �%/� Ol� � Owner Phone Number ����� �
Owner's Address � / ' �L° Owner Phone Number
Fee Simple Titlaholdar Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �.3� / � r� LOT# �
SUBDIVISION PARCELID# �O�l9��Ov�� l�G
(OBTAINED FROM PROPERTY TAX NOTICE) .
WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK G (i� �OT�O/I .7 Jl°�°/ .�/'`Y� �� G'(� �1�7i7°/
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ ,J�}�� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ ����� VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
°INISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
3UILDER COMPANY
iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
eLECTRICIAN COMPANY
;IGNATURE REGISTERED Y/ N FEE CURREt� Y/N
Address License#
'LUMBER COMPANY
iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
�ECHANICAL COMPANY /-��'%G S ��L t //�('/
�IGNATURE REGISTERED Y/ N FEE URRE� N
Address License#
ITHER COMPANY
�IGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Lfcense#
:ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed,
Sanitary FacilfUes&1 dumpster;Site Work Permit for subdivisionsllarge projects
OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page__(1)set of Energy Forms.R-O-W Permit for new construcUon_
- Minimum ten(10)working days'after submittal date. Required onsite,ConsVucdon Plans,Stortnwater Plans w!Silt Fence installed,� ���
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
IGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for ail NEW construction.
irections:
Fil)out application completely.
Owner&Contractor sign back of applicatlon,notarized
if over 52500,a Notice of Commencement Is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attomey(fo�°ttie,owner)would,be someone with notarized letter from owner authorizing same
VER THE COUNTER PERMI7TING (Front of�Application Only) _ �
eroofs if shingles Sewers Service:Upgrades A/C Fences(Plot/Survey/Faotage)
Driveways-Not over Counter if on public roadways::rieeds ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned under.�tands:that this:permlt.may.be subJect to"deed" restrictions"
which may be:more-restrictive than County regulatlons. �The undersigned assumes responsfbility 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 In accordance with state.and•local regulatfons. If the
contractor is not Iicensed as requiced-by law, both the owner and contractor may be-clted for a misdemeanor violation
under state law. If the owner or tntended°contractor are uncertain as to what Itcensing requtrements may appiy•for the �
intended work, they are advised to contact the Pasco County Building Inspectton Division—Licensing Section at 727-847-
8009. Furthermore, (f the owner has hired a contractor or contractors, he is advtsed 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 stgn as the
contractor, that may be an indicatfon that he is not properly licensed and is not entftled to permittfng privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The underslgned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may apply to the construction of new buildings, change of
use in existing buildings, or.expansiort�of existiri,g-buildings, as specified in Pasco County O�dinance 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
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receEVing a "certificate of occupancy" or flnal power release. :If the project.does not involve a certificate of occupancy or
final power release, ihe fees must be paid prior to permit issuance. Furthermore, if.Pasco County Water/Sewer Impact
fees are due, they�must be-paid prior to permit issuance-In accordance with appllcable Pasco County ordinances. '
CONSTRUCTION LIEN L�1W(Chapter 713� Florida Statutes, �s 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 Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the applicant is someone
other than th�"owne�", I certify that I have obtained a copy;of the above described document and promise in.good'faith to
deliver it to the"owne�"prior to-commencement.
CONTRACTOR'S/OWPIER'S AFFIDAVIT: I certify that ali the information in this application is accurate and that all work
will'be done in compliance with all applicable laws regulating constructlon, zoning and land development. Application is
hereby made to obtain .a permit to do work.and installation as indicated. I certify that no work or tnstallation has
commenced prior to issuance of a permit and that.all work will be perto�med to meet standards of all laws regulating�
construction, County and City codes, zoning regulations, and land development regulatlons in the jurisdiction. 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.corrlpliance. Such agencies include but are not Iimited to:
- Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterMlastewater Treatment.
- Southwest Florida Water Management :District-Weils, Cypress. Bay.heads; Wetland Areas, Altering
Watercourses. -
- Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways.
- Department of Health & Rehabilitative Services/Environmenfal Heatth 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 flll:�
- Use of fill Is not allowed in Flood Zone°V"unless expressly permitted.
- If the flll material fs to be used in Flood Zone "A", it. is understood that a drainage plan addressing a
°compensating volume" will be submitted at time of petmftting which is prepared by a professional engineer
Ifcensed by the State�of Florida.
- If ihe fill matertal is to be used in Flood Zone "A" in�connect(on��with a permitted building using stem wall
construction, I certify that fill�:wlll::be used only.to.flll the area wlthin the stem wall.
- If fill materlal is to be used In any area, I certlfy that .use. of such fill wiil not adversely affect adjacent
properties. If use of fiii is found to adversely.affect 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 flit, an englneered drainage.plan is requtred.
If I am the AGENT FOR THE OWNER, I�promise in good falth to inform the owner of the permitting conditions set forth in
this affidavit�prior to commenc(ng construction. I understand thata separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, .gas,_or other instailations not.specJficaliy included-in the application. .A
permit issued shall be construed to be a Ilcense to p�oceed wfth 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 Buildirig Officfal from thereafter
requiring a correction.af errors in.plans, constructlon or violat(ons of any codes. Every permit issued shall become invalid
unless the work authorized by such permit�is-commenced wlthln six months of permit issuance, or if work authorized by
the pe�mit is suspended or abandoned for a period of six(8)months after the time the work ts commenced. An extension
may be requested, in writing, f�om the Building,Officfal for a perlod not to exceed ninety(90) days and�will demonstrate
justifiable cause for.the extension. If work ceases;for nine.ty(90)consecutive days,.the job�is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE�TO,RECORD A NOTIGE OF COMMENCEMENT MAY ULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS-TO YOUR�:PROPERTY. IF°YOU��INTEND'TO�OBTAIN•F ING; CONSULT
WITH YOUR L ND O AN TTORNEY�B ORE•RECO DI G YOU ' OTIC ' � T�
FLORIDA JURAj(F.S.1.17.Q3) , _ _ .- - -- ---- -- - -_� — - - -''� — . `_� -�----—
OWNER OR A(iENT CONTRACTOR
Subscrlbed and swom to(or atflrmed)before me this Subscribed and �. �t6� r b " e thls ,_�
by 3� G a� y. i�; c.�u
Who islare personally known to.me or hasRiave produced Who Is/ar persona ly known to me or haslhave produc d •
a's Identlflcatlon. F(.., �i1�f.rs l.l �� as IdentlficaGon.
Notary Public . � Notary Public
,•2 ••Y�;••. UELIN OGES
Commisslon No. Com Issi N ._" �+: Commiss'
� •o�: xpires December 12,2p�8
'��''�A1�1��°`�'��, 8ondedThruT�o Fain ns
Name of Notary typed,printed ar stamped Name of Notary type ,p
--,----
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