HomeMy WebLinkAbout15-16534 . CITY OF ZEPHYRHILLS �
- 5335-8TH�STREET
r (813)780-0020 165
BUILDING PERMIT
PERMIT INFORMATION ' ' LOCATION INFORMATION
Permit Number: 16534 � Address: 39110 SOUTH AVE
Permit Type: MECHANICAL ' ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT , � Township: 26 Range: 21 Book:
Proposed Use: NOT APPLICABLE � Lot(s): Block: Section: 13
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: , Parcel Number: 13-26-21-0000-00500-0000
Improv. Cost: 11,850.00 � \_p n, �- OWNER INFORMATION
Date Issued: 8/24/2015 , ,Y,(.�Y�-v i Name: ZEPHYRHILLS DEPOT MUSEUM
Total Fees: 95 0 �. U"�" Address: 39110 SOUTH AVE
Amount Paid: 9 0 � ZEPHYRHILLS, FL. 33542
Date Paid: 8/24/2015 i Phone:
Work Desc: A/C CHANGE OU 12.5 TON- FEE WAIVE PO#27315
CONTRACTOR S - � � APPLICATION FEES -
PATTIE ELEC.&REFRIGERA ON C HANGEOUT 95.00
-.,
,6
V
I /�
� � �o ^ � {J ' ��
� Y _�
�
,�� ,J ��l
�
� - Ins ectionsiRe uired
DUCTSI STALLED i
�
DUCTSINSULATED � '
FINAL �Q •-�SS�-
i
REINSPECTION FEES: (c)With respect to Reinspection�fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the!amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater;for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 obt�ain 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
City Codes and Ordinances.iN0 OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
CO�JTRACTOR SIGNATURE ; PERMIT OFFI R
v PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
�
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
�,��t R�?,,.
'10��Sd-wt.,'�j�'r�,'^
�' ,. PURCBlASF g?R�FR
t�.'
.�,,.
' ,�s;�' �eg�ts �, '�����
; ���`�, �r,���' I�tv. �}Etl}l}Q27315
��� �f �ep���h�lls " ` � �
.
� q,1T'
.�1 �"
�. .
!'E�f}nR: SIIIC'1'(}: 131LLTOc
E�utlie.f)unuld U. Cit}•oi''l.cplrvrl�ifls
3')I I I ['.�tlic 6td 53;i Seh St.
lrph�•rhiiis.Fl.33��i(J-(3(!Ot} %eph}•rhilis_I�1.33�d2
.
t'F:lCfE}tt\C?. 1'F:�UI(66t I'll(}�G�C'tiBBsR, 'Cff:It�1S I [bCl'F: ItFE�UAltE:61[fli[.It'liKt'Ll:CF'F.
I'attirtVh U I Uli/tK,/'`(!IS
tilE1Q'PING[1tS'@'Kt�CI'IC}`S I
(nonc� I
[�'E�Q Q'1'1�' lU\I D1�:SCfC11''1'[U\�rSK I'ELp('OUF. :lC'('Ol3�i'1' (�\fC PRD('F. :1�tU[�\T
1 0_U(1 rcpluce lI�AC�}•�1rm at th�[)�qx�l OUI-721M1-j72-6?50 I t.S�o(N� I I.R50(NI
hit�xunl-4tnt to exccrd
I E,YjO.(K!•---yuotes.ratti I
¢Icr-1 f.Si(1.(HN(nitfs-l2�185(10lktn�c �
y-lR.$9f1.(H}
Sl iBT()T'r\I. I I.Y+OlNI
TA\ 0 llQ
Sfll{'!'11�; u.W
"1;1\ABLE: �o TOT�L• 11.3�1].lHl
fX)NF[R�ifNG.
�i��� � ��,
�
.�U����KizeE�st<;ti:��ruiit:
It�ll'(fR'F'AN'I'_ OLlli f}R(?IiR NUAtlit:tt M11lTS'f�Al'PEiAR C?N[:VE?IL1'INV(SICFi ANI)PACKA(�Is
� Th�.�IUlGIt11,1[IHIIC(1\�IIGI 4FNU1 AlC fC(I1C�L•Ilf:flllH4 y11tI flLY�atll\I UI II{C�l%IU/IJl:11tltY M fCIICt IIGi11tU I]fC:KH i)I IDf�'tiI:11C Ilf I'CtI�1iI
I.nN��c Ete�;ulatiun li:u�w�tured in ccnu�e��i�ni H ill�Ifir mxnufactueittg.prute��i��g,lnandin}.labtling ur uan.3xmannn of
�he nuvchandix hcrrui mrniianeJ. 1Csa:U Meuh�neuz�nris ctnrL;eJ 6a�an.�Icgall�um.siuucJ ti►a�e ur Fnlcecl a�nhc�nn�,
tb.Mnati s1u01 lw-annleJ to r.vcind�ht Gwdce m�!rihwn���.unuitJ utrrchamlcu and+�f�al�alw lw Ifeld}unnle�s b�thr manuta.nrte�
�n�elkr agsin.t an��anallc irnvrtcd md:ie�hc cusl��fi�lefrasc ol'am'pn+u:ntmg dc.�Encd w{nnalizr thr hu�a
I I
'i � � f � � � Ill�lllllllllilllllllllllllllllllllllllllllfl(IIIIIIIilll911 `
2015135887
�
� � �tcpt:1707622 Rec: 10.00
i DS: 0.00 IT: 0.00
08/24/2015 D. B. , Dpty Glerk
NO�'ICE OI'CONTMENL�MENd'
PRULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEk
PeimitNo. I 080R BK 1�°��,�m PG '����
Property Identification No. ��j ��[n�1�"biA"JD" �-'t�I d�(;10�fl
THE IJNDERSIGNED hereby give informs you that the improvement will be mede to certaia real property,and'm accordence with
Section 713.13 of the Florida Statutes,the following informatlon is provided'm this NOTICE OF COM]VILNCEMENT.
1.Description of propeRy(legal derer tion:) 3��(p"��i �Qd �
a)Sheet Addcess:
2.Oeneral description of improvements: �1
I
3.Owner Informa6on /� I �h ('J_
a)Neme and address: O T .� [� is �3..3 JT
b)Name and address of fee simp e HHe6older(if o ei than owner) � �
c)Interest in property J
4.ContractbrInformation 11 t � �+ ' • /� �/ /� �� I, t r
a)Nameandaddmss:�Q.y�NC ��CTIC+�{�f�iG'.P L�IlX1 � // /'Qt"CI'e I� ��"r�'L[��5 l�J�✓z�YO
Y b)Telcphone No.: �����S(7, ���!q i Fax No.(Opt.) '3�l3-7 — q Q
5.3urety Infortnation
a)Name and address:
b)Amount of Bond; ;
c)Telephone No.: � Fax No.(Opt)
6.Lender
a)Name and address: !
I Phone No.
7.Ydentiry of peison within the State of Florida designated by owner upon whom notices or other documents may be served: '-
a)Name and address: �
b)Telephone No.: � Fax No.(Qpt.)
8.In addition to himsel�owne�desigaates ffie fallowing person to receive a copy of the�ienor's Notice as provided in Secrion
713.13(1)(b),Florida Stahrtes: i
a)Name end address: � '
b)Telephone No.: L I Fax No.(Opk)
9.Expiretion date ofNotice of Commencement(the expuation date is one year frbm the date of recording unless a different date is
specified):
WARIVING TO OWIVER: ANY PAYM�NTS MADE BY'T�iE OWNETi AFI'ER THE EXkIRATI0IV OF THE IKOTICE OF
COMN[ENCEMENT ARE CONSIDERED IMPROPER PAY1ViENT'S YJNDER CHAPT$R 713,PART I,SECI'ION 713.13,
FI:ORTDA STATTJTES;AND CAN RES[7LT YN YOUR PAYI1�iG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMEPIT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FiRST
INSEEC'I'IO [T IINTEND TO OBTAIIH FINANCING,CONSYJLT YOUR LENDER OR AN ATTORNEY BEFORE
CUN.IM� � �R RECORDINfi YOUR PiOTICE OF C0IVIMENC MENT.
�'_^Z�'-,�F�M%sy����°� ' � �G�f-�'� v'�
��,�p ust��p; �
�0� � �;�'Z �ofOwnero Own�A O� /Director/PadnedManager
a c�. ����
:n: e °�• � � �./.�-A�" .L)�
s •
��� ��i'� � CO�; � PrintName � �
�o�2 `�-�?s9 �� �
Th ' h�ment w c�owledge before me thi ' �ay of 20�by
� ° �es �J (type of authonty,ag.officer,frustee,attorney
�n fa '•" �m�e.af��ehal of whom insttvment was executed).
Pe�sonalI�I{now�i� ( OR oduced denti8cetion No 1��� •//5 /'°;�_.�!��-�c �
y � _ tazy Signature /i / �
I J/ �_� �� /
Type of Identification Produced Name(prmt) �1�/ ;�_ �`�`/��i'%lA/1/
i
�
Verificarion pursuant to Section 92.525,Florida Stamtes.Under penalties of perjury,I declaze that I have read the foregoing end that
the facts stated in it are true to the best of my lrnowledge end belie£ I ,
I r
Sign ofNetucal Pusoa 3i g Abovo
FORMSR�OC,rved]OQ/ I
�
I
I
i a�saeo-oozo City of Zephyrhilis Permit Appfication Fax 813-780-0021
� Building Departrr�ent
�
a
�
Date Received phone Contact far Permttti»
� ' I I
Owner's Neme � h t �` � , qwner Phone Number
f Owner's Addres� Owner Phona Number � �
�
I Fee Simple Tltlehoider Name � � Qwner Rhone Number �- �
r
Fee Simple Titleholder Address �
J081lDDRESS � I I(J U 1 I -� � LOT# C_____�
..-
suea�visioN �� ` � PARCE�iD# i.� � J� —L���$'��� ��'D�C? �
� (OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED , e IvEW CONSTR 8 ADDIA�T ,��I � S1GN [� Q DEMO�ISH
INSTALL REPAIR �
PROPOSED USE Q SFR Q COMM � OThtER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEE� Q
DESCRIP'T(dN QF WORK �� a. �o�t1 � y G: p
BtJtLDING SIZE �� SQ FOOTAGE�� HEIGHT �
Q BU{LDk1�tG �� VALUATION OF TOTAt.CONSTRUCTION
i
� QELECTRICAL (;�--___r`-� AMP SERVICE Q FROGRESS EN5i2GY Q W.R.E.C.
�.
QPLUM8ING $ ���tr v-���.{PI'!}�����lS
f?C;.;,. GO C%c o � 7 3 I,J
[ 1�MECHANICAI. $ VALUATtON OF MECHANICAt iN57Al.tATiON ��{��'�, ��
QGAS Q ROOFING Q SPECIALTY � 07MER 3
����
FINISH£D FLOOR ELEVATtOiVS FLOOD ZOtVE AREA QYES NO
BUILDEEt COMPAMY
$IGMATUi2E _ ,. REGISTERED Y I N FEE CURREh Y/N
I
Address l.lcense# �
EI.EGTRIGIAN • COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address �icenss# � �
PI.UMSER � � CQMPANY
:, St�GHAT'lJi2E REGiSTEREO Y/ N FEE CURRE� Y/N
Address License#
�'� MECHANICAL G����_� COMPANY �G,� 'Q t'i�'QG tC'�'� � (j II�
� S1t3P1ATURE REGIST£RED Y J N FEE CURRE� Y J N
'" �� 5 N�!�
Address � t � �tcense# C M p �
47HER � COMPANY
81GNATUE2E RE�isTEREO Y 1 it1 �E CuRt2E� Y!i+t
Address Ltcense# �� �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy�Farms;R-Q=W Permit for new construcUon,
� Mlnlmum ten{10)wo�lcing.days,after.su6m1tta1 date. Reqolted onstte,Constructlon Pla�s;Stormwater Plans w!S11t Fence instaAed,
Sanitary Facill8es&1 dumpster Site Work Permit far subdivisionsparge projects
COMME1tC1AL Attach(3)camplete sets of Building Plans plus a Llfe Safety Page;�(1)set of Energy Forms.R-O-W Permit for new coostruGUon.
Minimam ten(10)warking days after submtttat date. Requtred onsite,Construo�on Pians,Stormwater Pians w!Sit#Fence finstalled,
Sanikary Facilitles 8 1 dumpster.Site Work Permit far all new proJects.All cammercial requlrements must meet campllance
SIGN PERMIT Attach(2)sets ot Engineered Pians._
""PROPERTY SURVEY required for alt NEW construction.
dlrectlon�:
Fltt aut applica�on campletely.
Owner 8 ContracMr sign back of applicatlon,notarized
If over�250Q,a Natiae of Commenaement la required. (AtG upgradss over$TSQQ} •
" Agent(far the contractor}or Power of Attomey(for the owner)wouid be someone with nota�ized letter from owner authorizing same
OVER THE COUNTER PERMITTlNG (Front of AppllcaUon Qnly)
Reroafs i#shingles Sewars Service Upgrades A/C Fenoes(P1otlSu I eylFootage}
Drivewaya-Nat over Counter if on publEc roadways..nsads ROW �
i
�
_ _
I
NOTiCE OF DEED RESTRICTIOPIS: The undersigned under.s�tands�-that this.p�emit.may be,subject to"d�ed" restrictions"
which may be;more r.es4Nctive th�n County regulat(ons. �The undersigned �sswries responsibfltty for compliance with any
applicable deed re§trictlons.
tJPILICENSED CONTitACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
contrac4ors to undertake vdork, they may be required:.to be.:licensed In accordanc�.arith state.and•local regulatlons. if the
contractor ts not Ilcensed as requlred by law, both�the owner and contractor may be clted for a rnisdemeanor violatlon
under state law. If the owner or Intended�contractor ere uncertaln•as to v�rhat•Ilcensing.requlreenents may apply:�for�the
intended work, they are advised to contact 4he Pa�co County Building Inspection Dfvlslon—Licensing Section at 727-847-
8009. Furthermore, If the owcier has hired a contractor or cont�acto�, he is advised to have the .contractor(s) sign
portions of the "contractor �Iock" of thls application for whtch they will be respo�sible. If you� as.fhe owner sign as the
contractor, 4hat tnay be an indication that he is not.properly flcens�d and is no6 entitled to perQnitting privileges in Pasco
County.
'�RANSPORTATIOId,IMPACTIUTILITIES°IMPACT AND RESOURCE R@COVEItY�FEES: The undersigned understands
that Transportatfon Impact Fees:and Recourse Recove.ry.Fees m��a��apply to°the constructlon of new buildings, change of,
use in exisQing buildings, or expans(on�.of;ezistiri�g�buildfngs, as sp�clfled.in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also.understands, thaE such fees� as:tnay�be�.due,.wlll�tie-identified at the time of
permltting. It is further understood that.Tra�sportation Impact Fees an.d Resource Recovery�Fees must be pald prior to
recetvtng a "certl�cate of occupancy" or flnal power. release._ :If th� pro��c#.does_not_involve a cert6fic�te_of_o�cupancy._or
-" final power release,-4he,fees must be paid prior to permR lssuance. Fu�thermore, if Pasca County Wa@er/Sewer Impact
fe�s are due, th�y�must be-paid p�lor to permit-Issuance-In accordance with appllcable Pasco County ordinances.
GOfdSTRUC'TIOR! LIEN l.AV4!(Chapter 713� Florlda Statut�e,a��onended); If vaEuatlon of work is$2,500.00 or more, I
certifjr that !, �he applicant, hav�-been provided wtth a copy of the�"Florida Constructlon Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agr(c.ulture and ConsumerAffairs. If the applicant fs'someone
other than the"owner", I ce�tffy that I have.obtained a copy.of the above..described�docurnent°and.p.r.omi�e in.ggod falth to
deliver it to the"owner'prior to•comm�ncement.
COPlTRACTOR'SIOWNER'S AFFIDAVIT: I certify that-all the Information in this applicatlon Is accur�ate�nd that all work
will�be done in compOlance with all appi(cable laws regul�ting cons@ruction, zonin8 and land�devetopment. Applicatton is
hereby made to obtain .a permit.to do work. and Installation as indlceted.• I certffy that no work or installat(on has
commenced prior to Issuance of a permlt and that.all work wili be perto�med to me�t standa�cds of all laws �egulating-
construction, County and City codes, zoning regulations, and land development regulations in the jurisdfct(on. ( aiso
certify that I understand that the regulations of other government agenc(es may�apply�to the intended work, and that it is
my responsibility to identify•what.actions I must take to be dn:.cotrlpliancs: S.uch agencies.include but are..not Ilmited to:
- Department of Environmental Protection-t:ypress. Bayheads; Wetland Areas and Environmentally Sensfttve
Lands,Watedlfllastewater Treatment.
- Southwest Florida VNater Management .�isMct=Wells, �Cypress. Bay.h�ads; W�tland Areas, Altering
Watercourses.
� - Army Corps of Englneers-Seawails, Docks, (V�vtgable VNaterways.
- Department of Health� & Ret�abllitative Sen+ices/Environmenfal Health Unit-Well.s, Wastevwater Treatment,
Septic Tanks. �
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Aviatlon Authority-Runways.
I understand that the following restrlctlons apply to the use of fl10:•
� - Use of fi�l is nvt allowed in Flood Zone tlV"unless expressly permittgd.
' - If the flll materfal is to be used in Flood Zone "A°, �t. Is understood that a drainage plan addressing a
°compensatfng volume" will be sub�itted at time of per•mitting which is prepared by a prof�ssiona6 engineer
Iicensed by the Stat�qf Florida.
- If the fill material Is to be used in Flood Zone °A" ins connect(on�with.a permitted buflding using stem wall
construction, I certiy th.at flll�:vu111=b.e used only.to.flil the area wlthln the�stem wall.
- If fill materlal Is to be used in any area, ! certify that .use. of such flil will not adversely affect ad)acent
properties. If use of flll is found to adversely:�ffect adJaeent��properties,.the owrner rnay be cited for violating
the condilions of the building:permit Issued�under tha�ttached permit a�pplica4lon, for Iots less than one (1)
acre which are elevated�by flll, an englneered dralnage plan ls required. •
If I am the AGENT FOR TH�OWNER, I;promise In good faith to Inform the owner of the permitttng conditions set forth in
this affidavit prtor to commer�cing construcdon. I understand that a-separate perrr�lt may be requlred for electrical work,
plumbing, signs, w�lls, pools; air conditioning, .gas, or othec install�tions no�.spec�flcally included�in.the applicafion. .A
permlt lssued shall be conshued to be�a°li�ense to proceed with the'work�nd not as.authority to,v0olate, c�ncel, aiter, or
se4 asfde any provisions of the technical codes;:nor shall Issuance�of a permit.prevent th�Bulldirig Official from thereafter
requfring�cvrrection af errors In.plans, construction or violatlons of�ny codes. Every perrnit issued•shmll become invalid
unless the work authorized.by such permit:�is-commenced�within�sfx re�ontha of�permit lssuance, or if work authorized by
the permit is suspended or.abandoned for a:period of�six(8)montf�s.after the tirne the�work�is coPnmenced. An extension
may be requesfed, tn writirag, from the Building,Official for� perfod�not to exceed ninety(90) days and�wlll demonstrate
justifiable cause for.the extensior�. If work ceases:for nfnety(90)ccns.�cutive:days...the Job�Ps.constdered aba�doned.
VlIARNING TO OilYNER: YOUR.FAILURE T�3.RECORD..A�NOTIGE:OF-GOMIIAENCEMEM7' fYfAY-RESUL'P ild YOUR
PAYING TWICE FOR�IMPROdEMENTS TO-YOUR�PR�PERTY. IE°YA.U�IM�END�'T��OB-TI�IN��FIPtANCtNG;�CONSULT
IAIIT R D O. AN� T'�ORN �� OR�� , O � G; ..:U ` ;� ''O : �.' CE
FLORIDA JURA�(F.S. 917.0,3j , ° ' � � �
�-, f ��.� � (` } , 1 , /J�,�,-
OWNER OFt AOENT �--�L���.-�I CONTRACTAR �'=.�zr�l�"l i ,�� �"v�� "
5ubscribed and svwom to��tflrmed)before me fhis Subscribed and'swom=to(or�tflrmedpbefore me'ttil�
by .by i/
Who Is/are personally knowm to.me or hasRiaye produced Who Is/are p.�rsoneilyknown�to-me or heslhave�produced. •
as Identlflcatlon. as tdentlfl�a0on.
Notery Publlc Notary Public
Commisslon Rlo. Commisslon�No.
Idame o/Nolery typed,printed ar atamped Name oP Notary dyped,pdnted or stamped