HomeMy WebLinkAbout15-16170 CITY OF ZEPHYRHILLS
5335-8TH STREET
; �sis��so-oozo 16170
.=- BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16170 Address: 3518 ALABASTER DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE
Est. Value: Parcel Number: 24-26-21-0040-00000-1000
Improv. Cost: 3,100.00 OWNER INFORMATION
Date Issued: 4/13/2015 Name: MARTIN HAROLD & FANNIE
Total Fees: 55.00 Address: 4270 FIELDS ERTEL RD
Amount Paid: 55.00 CINCINNATI OH 45241-1205
Date Paid: 4/13/2015 Phone: 513-563-0827
Work Desc: A/C CHANGE OUT 2.5 TON PKG
CONTRACTOR S APPLICATION FEES
CHRI ' C CO. C CHANGEOUT 55.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSIN ULATED�
FINAL - Z -f7 S
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� 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 pertormed in accordance with
ity Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTO SIGNATURE PERMIT OFFI R
PER T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o��-�o�w��� City of Zephyrhills Permit Application Fax 813-780-0021
Buitding Department
� Date Received �` Phone Contact for Permitting –
Owner's FFame f/I Owner Phone Number f���3 . �
Owner's Address 3�� ��^"�'" Owner Phone Numb�r _ _,
Fee Simpia Titleholder Name � � � Owner Phone Number � ��
Fee Simple Tltleholder Address
JdB ADdRESS � - LOT# �
SUBDIYISIQN ����{Jt. �O�fITK_ 1 PARCEL ID# `T � �! o� {� � � (�� /}�Ll�
(QBTA1NEb FROM PROPERTY TAX NOTlCE}
WORK PROP05ED e NEw CONSTlt 8 ADQ/A�T �� SIGN [� [� DEMOLISH �,S"�f d�
INSTAI.L REPAIR j,,���
PR4POSED USE [� SFR Q COMM � OfiHER F/"'/�/`c`�G
TYPE OF CON37RUCT10N Q BLOCK Q FRAME Q STEEL Q �J t'
�j �u��'��
DESCR1PTfON OF WORK �2/ /y� !2��r � f�/�
BU}LDING SIZE SQ�OOTAGE� HEIC,rHT _
QBUILDING �--�� VALUATlON OF TOTA�CONSTRllCT10N
QELECTRICAI. �6 �� AMP SERI/ICE [�J PROGRESS ENERGY Q W.FE.E.C.
OPLUMBING �s �
(�MECHANICAL $�/� „��j� VALUATION OF MECHANICAL INSTAI.LATION
`jT� P!�
QGAS Q RQOFING Q SPECIALTY � OTHER
FiNISHED FLOOR ELEVATIONS � � FLOOD ZdNE AREA QYES NO
BUILDER �� ..—..—. COMPANY
SIGNATURE [� ' REGISTERED Y/ N FEE CURRE�___ _ Y/N
Address ticense# �� �
ELEGTRICIAN COMPMIY
StGNATURE REGISTERECI Y/ N FEE CURRE� Y/N
Address ��—� �icense# �-----�
PLUMBER � COMPANY
StGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address LfCense# �i ��
MECHANICAL � .�""' COMPANY /�`'`r �l �
SIGNATURE ^�'D G` �� REGISTERED Y N F6E CURRE� Y N
Address ,�/ .� �/ � 1% ' ������L'scense# �` i�
OfiHER CbMPANY
SIGNATURE REGISTERED Y J N FEE CURRE� Y/N.
Address License# �- i �
REStDENTIAi. Aftach(2)P�ot Plans;(2)sets of Bullding Plans;(1)set of Energy Eorms;R-O-W Permit for new conshvcUon, �' '
- ` Y Minfmum ten(10}working days after submittal date. Required ansite,Construction Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facfl(des&.1 dumpster,Site Work Permit for subdtvisiansAarge projects
COMMERCIAL Attaafi(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new canstructlon.
Min3mum ten{�0}working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilltfes&1 dumpster.Site Work Permit far a0 new projects.All commeccial reguErements mvsf ineet comptiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PRCIPERTY SURVEY required for alt NEW construction.
Directions:
Fiil aut application t�mptetety.
Owner 8�Contr�ctor sign back o#appifcatlan,notarized
If aver 52500,a Notice of Commencement Is required. (A/C upgrades over$7540}
" Agent(for the contractor)or Power of A4tomey(for the owner)would be someone wikh notarized letter from owr�er authorizing same
OVER THE COUNTER PERMITTING (Front ofApplicatian Onlyj,...__,,,_ ., .. - -- • - .. �
Reraofs if shingtes Sewers Seniice Upgrades;;A%C;; „ ,Fences(PlobSurvey/Footage) � � ' ' _ " • �
Drlveways-Not over Caunter if on public raadWays..needs•ROW _ n � _� ; ;•` , � - � ''
, �. , .. . .��, , . ,. :' i,. , - �. -. _. : -,., _ . .
�OTICE OF DEED RESTRICTIONS: The undersigned under.gtands�that this.p�rmit.may be subject to"deed"restrictian�s,
vhich may be.more restrictive:than County regulat(ons. The undersigned assumes responsibllity for compllance with any
ippAcable deed resQricQionS. � ,
JNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
:ontractors to undertake work, they may be required..to be:licensed In accordance.with state.and�local regulations. If the
:ontractor is not licensed as required by law, both the owner and contractor may be clted for a misdemeanor violation
inder state law. If the owner or intended contractor are uncertain as to what Itcensing.requirements may apply�for the
ntended work, they are advised to contact the.Pasco County Building Inspectlon Dlvislon—Licensfng Sectton at 727-847-
1009. Furthermore, if the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign
�ortions of the "contractor Block° of this application for which they will be responsible. If you, as.the owner sign as the
;ontractor, that-may be an indication that he is not.properly licensed and is not entftled to permitting privilege� in Pasco
�ounty. _
�RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
hat Transportatfon Impact Fees and.Ft�course Recoee.ry..Fees may�apply to.the construction of new buildings, change of
�se in existing buildings, or expansion,of existing'6uildings, as speclfled in Pasco County Ordinance number 89-07 and
�0-07, as amended. The undersigned also understands, that such fees,.as�may:be due,;will be identified at the time of
�ermitting. It is further understood that Transportation Impact Fees and Resou�ce Recovery Fees must be pafd prfor to
•eceiving a "certificate of occupancy" or final power release. :If the project.does not involve a certfficate of occupancy or
�inal power release, the fees must be paid prior to permit issuance. Furthermo�e, if Pasco County Water/Sewer Impact
�ees are due, they must be�pald prior to permit•issuance:in accordance-with applicable Pascv County ordinances.
CONSTRUCTION LIEN LAW(Ch�pter T13� Flo�lda�Statut�ao as aQroended): If valuadon of w►ork is$2,500.00 or more, I
�ertify 4hat i, the. applicant, have�-been provided with a copy of the "Florida Constructlon Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the applicant is someone
other than the"owner", I certify that I have.obtained a copy,of the above described docurnent and promise in.good faith to
delive�it to the°owner"prior to�commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the Information in this application is accurate and that all work
�rill�be done in compliance with all appl(cabie laws regulating constructlon, zoning and land devetopment. Application is
hereby made to obtain .a permit to .do work.and installation as indicafed. I certifjr that no work or installation has
commenced prior to issuance of a permit and that.all work will be performed to meet standards of all laws regutating
construction, County and City codes, zoning regulations, and land development regulations�in the jurfsdtction. I aiso
certify that I u�derstand that the regulatlons 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.compllance. S.uch agenc(es include but are not limited to:
- Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmenfal Health Unit-Welis, Wastewrater Treatment,
Septtc Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviatlon Authority-Runways.
i understand that the following rest�ictions apply to Qhe use of flll:�
- Use of fill is not allowed in Flood Zone°V"unless expressly permitted.
- If the .fill material is to.be used In Flood Zone "A", it. (s understood that a drainage plan addressing a
°compensating volume" will be submitted at time of permitting wtiich is prepared by a professional engineer
licensed by the State of Florlda.
- If the fill material is=to be used in Flood Zone °A" in�connection with.a permitted building using stem wall
� construction, I certiry that fill wlll:be used only.to.fill the area wlthin the stem wall,
- If fill material is to be used in any area, I certffy that use. of such fiil wiil not adversely affect adjacent
properties. If use of flll is found to adversely:affect adJacent properties,.the owner may be cited for violating
the conditions of the building.permit issued under the attacfied permit application, for lots less than one (1)
acre whtch are elevated by flll,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 permlt may be requtred for electrical work,
plumbfng, signs, wells, pools, air condttioning,.gas, or other installations not specifically included-in the application. A
permit issued shall be constcued to be a Ilcense to proceed with the work and not as authority to.violate, cancel, alte�, or
set aside any provisions of the techn(cal codes; nor shail Issuance of a permit.prevent the Bulldlrig Oiflcial from thereafter
requiring a correctio� af errors In.plans, construction or violatlons of any codes. Every perm(t issued shall become invalid
unless the work authorized by such permit.�ts-commenced with(n six months 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
may be requested, in writing, from the Building.Official for a period 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.
iAi�►RP1IPiG TO �WPI�R: YOUR.FAILUitE TO,RECOR� A.E70TOCE 06� C�EIAME�dCEMENT MlAY RESUL'� 1(d Y011R
PAYING TWICE.FOR IMPROVEMENTS TO YOUR:PROk�ERTY; IF YO.U-INTEND'TO OBTAIN•FIPIANCING��CONSULT
WITH YOUR LENDE O ATTORN � FORE RECO �D G�� OU D � C ' E CE
FLORIDA JURA'�(F.S..�11 03) � �
OWNER OR AGENT--- ���� CONTRACTO
Subscrfbed and swom to(or atflrmed)b�e me this Subscrlbed and'swom to(or afftrmed)�before me�Is
by .by
Who islare personally��novm to me or haslhaye produced Who Is/a� pe onally knovm M me or has/have produced_ •
as Identlflcatlon. as I entlftcatlon.
- �� � I
Notary Public Notary Public
Commissl n Comml on
��,,. ,���,.,,
_,�;�:Yev,�c; JOEL E.BACON ,;��::�r;�, JOEL E.BACON
A:
Name o o r�s; ;�i����eg,�p�g Name of Not ;� �1 i�s P�d2018
�%„R��°:�� Bonded TMu Troy Fein Inauranoa 800385�7018 I'�i,p��°.�`�, Bonded Th�u Troy Fein Insuranoe 800-385-1019