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HomeMy WebLinkAbout15-16548 CITY OF ZEPHYRHILLS , 5335-8TH STREET ; (sis)�so-oozo 1654 BUILDING PERMIT i PERMIT INFORMATION � LOCATION INFORMATION Permit Number: 16548 I Address: 6535 BRENTWOOD DR , Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: i Square Feet: Subdivision: SILVER OAKS I Est. Value: Parcel Number: 04-26-21-0020-00000-OOAB Improv. Cost: 4,942.00 i OWNER INFORMATION Date Issued: 9/02/2015 Name: KIRBACH JO ANN Total Fees: 60.00 Address: 6535 BRENTWOOD DR Amount Paid: 60.00 ZEPHYRHILLS FL 33542-0624 Date Paid: 9/02/2015 Phone: 813-466-4254 Work Desc: A/C CHANGE OUT 4 TON � CONTRACTOR S ' APPLICATION FEES CHRIS' C CO. C CHANGEOUT I 60.00 r�_ ✓ �t� '2� �-� S� J �=�� I Ins ections!Re uired DUCTS INSTALLED DUCTS INS LA D � FINAL P�''�U'�(1 REINSPECTION FEES: (c)With respect to Reinspectionlfees 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 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 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 Ci odes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � � � CONTRACTO NATURE PERMIT OFFI R PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD� FROM WEATHER i i a��-7sa-oa�� �ity of�ephytlt{ils PdrmiE Appiice6an �a�aaeo.aaz� , �ame w�anmeM c � DXl9R4qIWd � 'P110tM1�Ca1EaC��FB� — Ordnare�NBmw /1 �r' ,�g�' Ow1i�t.phano Nut�►�.r " ��'� Wner'eAddn►sa J� � bwnerPhaneNumOor 1 5���• 1 �etmpATWahoidn�,t� � ' �. I QwnQrPhondNumber �� , - Fa�Sltapb TRlqho�deir Add;sa� � . ' .1o8pDpt�S3 . . � � . .. LOti�• �� .-.--„_...� � � �ARG�LIWI �� a��o c2� � � (� StJBWV1910N �L�� ' �./i• I. � I .'(d8tA1MEOPtE0NFR0A�CRSY7111SMC�lCE� , wt��c��o r�€wcosurn� .� aoo��u.s [�� sr�t�� 'p � oE►nausN - � � ' � � INSTALL 8.? REPAIR Pt�ossa use (� sgt p.; coa�M ,[� att�E� . . rn�aF cot�sr�i,c�ari , '[� �a�a�c �p; r•� [� s��. p •� . _ . tt�ect�anorfoFinra�rc ` � �,.� �� '� �f'. BUIl.niHC38►7.� �i...�,,,..;�„�....;J 64FOOr�uG'�E� '� ..H�IOHr '. . � . i . . . .. . (�eUit,OtNG S . . 1iALUATiON OF ToTAI CONSTRliC170N � . Q��:c��.; ' � �r�sr►s� ! �j' p��ss��iGr p w.wt.�.c. � � � � � � � � ' �� � S �]PLUM81JV0 � '. .. . ��� � �a'..,C"i� . . , ���° c�5 t�t�t�wtca�.• v� 0 s �am� � � a�.t� oF c�uw�it.�NSr'rw,n�noni '� . :� � . � . , . . � . � �, C�� �. Q' r�oFrwa,,p sa�cia�.-r,r p o:n�., . . . . . FINISNEO FL.ijOR E'I.&VATWN�R, F�.,p�pp ZOf�1'AftEA - [�Y�S° t�t0 . . .�.....� . . ...��....._:� ..--'�_....,.r...�.��� ��.�~_.� ._.:—_-,� �itEQiSiERBJ ~�� 1 N fEE O11R��Y/,N /lddtl9S � � ' � � � • � UC61��1�..�_ � EI.ECTRiC1AN ,� , � i ,CCIRIP� � 910N�YRIRE ��� R�i,b�E� Y 1.N FEE CtpiAkT Y 1 N Addree& '' .� �llCeitse#L. � PLi�ABER ���{^� CC1MR� 1 � $K�NATttR� ' R�BtE�p Y N FEECIJI�iE� Y!N AfldF869 . ... , I l,tC91199����^� IUIE,C'lIAI�RCl4. . ' � �G'Olb?.� �r�,�' �,r l �.��5"�7C� � SIQNATUR� �• rt�G�TEREA y N . �q1RREn �.� `�� Addre;0 I�iJ �����r�i�'oZcS� • Lfoenae8 03NB4t � ' i ' 'GClRlPAliY ' ' . BtOHA7URE RE4f5iEFi�p • . YI N• FEECURREA Y!'N. . Addwts . , � ' YdOeAtsst���� • 1 R�81DEtJfW: Att�lt(2).RIa6P7e►r�C2j�gets�of,Bupdtit9'�(�)sekofE�ri¢n,��o�ma;R•O-WPerriUtfar.newoonstnlcdon.. . . MM1lmum t�.4,10)�Joikin9',days:aRetaubmltf�dats. Required onsl�.,t�ottep41o6on•pkens�8totmYeaterPt&saa wf Sttt Panaa.husteted, ' 9anttaayrEadliltes•&'I:dk�np�er,Sttg,NJork{"emtltiorzutr�d9�largecpr4�eetit. . COMMERCIAt. Athm�{S)•aomjtiete a�e of Bn�Piaiis plu9 e Lfe 9atetf'i Rd9�.N)eet at Eaergy FaFms.R�W Permft tar naw mnst�uCtlOn. , MrNmum�(10)�voikir�j days e�Rar eutimikf�i dam.•�red ptl6tts,ConaUumon Ptenfa�StonmwaterF'lens vd SH!Fance Uretatled, sat�ttaty PaetlEUea&9 skempatee.$tte YVo:k permit tao eli e�ew ps6}�.RN oomsnerdat re�k�tttertta mtret meat�amp1� ' sIGNPERNlIT Atfaoh(2}.sbtsqf�s�r,+eecad�Waysts„ : . . . . . 2} ""f'ROPER7Y SuRVEY e�qiAred ta e��NF+W conshuction. � . , DtnwNc�: � . � . . � FNI aut sQpltaallon comptetety. ' � , • . . . Qw�+r d COeUeCk4r sly�back of appitcatlon,nOt9tized tl ovar�k0.a MatTea ot Comm�n46ment b n►tiulrsd.t(A!C up$►Ad6�oYeif'57690) . 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"���h• .q��' .�'Y%. �`i�� . � . ,'1+^t'k+,f3^.4'�:F`e.��S�� t` `%+. � . � -.rt���.��p�c�{�uta}-�r�7 F:. 2ssc�a - •RaUngs ipilpwed by an astenatc(')InAlqt�e volunt�ry rerafe oF pr'ovipusly publiahao deta,umesa accamp�nled w1m s wA,S,wh�ch ind'xates en Imrolunt�ry rarate, t3JSGiA#MBtt ANRt daes not endotse ihe produCUs}listed on tirls Certtflcate anti makes no represeiltattons,werrefrtles or�uat�1►ttecs as to,aru!eswmea no'recpcnala111ry far, the prad�cR(s}f�ted ur thla CeN14Cate.AliR��pressly pISd8lms all liability far pa,mF�A6 of�rt�kind ad9ing pNt 4!tft�uSG or perforntenae of ttte prbduct(s),ar tb� Up�URhol�gd altsratton ef data tlgte0 d»this Certittcat�:.CertiSed t�tings ara valld only for m4d�sts arid caz�tlgcir�tians ligted li#tt►e d�►eCtDty xit 4YWW.ahrid�reciary.arg, . TERNi3 qHD CONDIT(ON$ ' � 7kits Certfficate snd 1�ContelttS arG proprletary prqpuct&4f AHR1.7`hIe CertMtcgte akta{►oftly kre ased tar lodtaldDal,pet'Gazt�l and i coztt�dar€d01►'et�i811C�GUP7�tS.The contents Qt Eh3S GCtlifcate tttay naf,tfl�Q}�6t iiE pat#.6e t2�irOdU+�tt�C{}pltdt d[6�sminated; i� errtered lnto a campatar dat�b�se;or ntherntae utitized.in arq�farm or maonsr'nr by any m�ans,except farths users ind�vidu�I, ' p8r�oma(BMId OWtflderit�l tafecence. AIk�COHDt[tON1NG,N�qSINC, �� c�txFt��cmT�vcnnt��astart a���aia�aKnan uasmus� I 'ifle lr�tarm�#IOn foY the madel atad an tHls cerfifioate�can he var{ited at aww-ahridirectoxy.org,tlt�k 4h hletiiy Cartificets"tlnk ��M�p��f�ixur�+• , ahd enter theAHW C�►qi(ed Fttferahc�Number and tftt dpte on which tHe aeri i Cate was i5suad, WhlOh�c listed al�ove,and th�G�CtlflCete Ne.,whf�h 13 IlSl4'{f�t Dottartt ri�Frt• �. �r�us'K:^t.,�z:..�.:r•: �P 13�$5,0�5 w. C�2d�.4 Ai�Consli#ianin��H88E1ft�;v�1ld R2'�'1'I�@t'BtIOh�hS��ttl�8 . ; �������'.. ,;,:�;, � �',: . , � , � � 813-780-U020 City of Zephyrhills Permit Applicatibn Fax 813-780-0021 k Building Department. v - ��� "",`. �. .�'�- _. ,v .. ; . '�.-._ - , ... �,�-,� . .. „.-..-.>-_ -_ i� • - ,._ } . ,. ,. . -- - '. i+,:` - '.__..,, ,. Date Received �<<+: . ,. . �"''? "�" - � , _ Phone Contact�for Permittin - ,?� — : - .. ;,- ��� ��,�� .,:,..,a..�.�.�.:.t.�.�..�. �� . ��• � � Owner's Name� �� _-°� - � •�9•�'/:�'_` � i %' '� Owner Phone Number Owner's Address ,� � T /'' Owner Phone Number - Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �/ LOT# r�� � SUBDIVISION �� U PARCEL ID# U y a � a l a D' . d 000 � I (OBTAINED FROM PROPERTYTAX NOTICE) WORK PROPOSED wEW CONSTR ADD/ALT IQ SIGN Q Q DEMOLISH , e INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM IQ OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DE3CRIPTION OF WORK // � Y�`�- �T /`� � BUILDING SI2E SQ FOOTAGE� HEIGHT QBUILDING S VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ - MECHANICAL $. VALUATION OF MECHANICAL INSTALLATION � � QGAS Q ROOFING Q SPECIALTY IQ OTHER FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA QYES NO - --BUILDER - - -— - --- -------COWiI At�flf--— -- -- —--- - -- ---- --- - - -- - — SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMP.AI�Y SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address / License# MECHANICAL �� COMPAI�If � P� �� C_ SIGNATURE � O� REGISTERED Y N FEE CURRE� N Address � �✓ �� ��o� License# (, OTHER COMP IY SIGNATURE � ReGisTEREO Y/ N FEE CURRE� Y/N. Address I License# RESIDENTIAL Attach(2)Plot-Plans;.(2)sets of Building Plans;(1)set of Energy�Forms;R-O-W.Permit for new construction, Minimum ten(10)working days after_submithai date. Requlred onsite,Construction Plans;Stortnwater Plans w/Silt Fence installed, Sanitary FaciliUes.&1.dumpster Site�Work�Pertnit for subdiv�sions/large projects COMMERCIAL Attach(3)complete sefs of Builcling Plans plus a Ufe Safety�'age;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submlttal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilides 8 1 dumpster.Site Work Perm(t for all new projects.All commercial requlrements must meet compllance SIGN PERMIT Attach(2)sets of Engineered Rlans.,, �: � "•'PROPERTY SURVEY required for all NEW construction. Directions: Fili out applicatlon completely. Owner 8 Contractor sign back of applicaUan,notarized If ovar 52500,a Notfce of Commencement is requlred. (AIC upgrades lover 5T500) " Agent(for the contrac4or)or Power of Attomey(for the owmer)would be someane with notarized letter from owner authorizing same DVER THE COUNTER PERMITTING (Front of Appllcation Only) Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) Drlveways-Not over Counter if on public roadways..needs ROW f— Nid�T`tCE��DEED RE�'TRICTt�1d�: "�'he ur�dersig�roed under�tar�ds that this,p�rmit.may be.subject to"d�ed"re�strictians" whlch may be:more.rest"r.tc#ive than County reguiat�ans. The undersigned assueries responsibii6#y far aamplia�nce with any applicable deecf restticQlons. . UtdLIGENSED C�DNTRACTORS ANID CQNTRACTOR RES�Q�lSl�!!:lTIES: !f the owner ha� hlred a contraator or contractors to undertake work, they may be required..to be.Ifcensed in.accordance.v�r(th state.and•lacal regulations. !f the contractar is not licensed as requlred�by i�nnr, both the owner a�nd con�iactor m�y be cited for a misderneanor vlolation �snder state Oaw. if the owrner�r tntended contractor are uncertain as to what �icensing.requiremenfs may apply�or the intended uvork, they a�e advised to cantaci the Pasco Gourtty Buqding 9nspectior� Qlvtsion--l:EcensEng Sectlor�at 727-�47- 8009, Furthe�more, if the owner has hired a cont�actor or co�atractors� he 1s advtsed t� have the con�eactar4s) sign portions of#he "cantrac@or Block" of this application for which they will be responsible. If you� as.#he owner �ign as the cvntractor, #fiat tr�ay be an indication that he is not.properiy licensed and is no# entltled to permitting privit�ges In Pasco County. 'CRAN�t�ORTI�TIClN fl91t9��+,GYOUTILITl��lMPACT'AN�RE30l��t�E RECOVEff2Y fEEB: �'he underslgn�d understands that Transpqctakion Impact Fees and.Ftecourse Recave.ry.F�e�s may apply to the construction of new bu!ldlr�gs, change of use in �xist6c�g buildir�gs, or expansian.of��existin,g'buildings, as speclfled.in Pas�o Caunty Ordlnance numb�r 69-07 and 90-07, as amended. The undersigned also wnderstands, that such fee�s� as rm�y�be�due, wilB be Identified at the time af perm�tting. #t is further und�r�toad that Transportati�n impact Fees �nd Resou�ce Recovery Fees mus# be paid prior to rec�iving � °certf�icate af occupancy" ar fina9 power�e0eas�. 4f#he project.does not inv�lve�ae�tificate of accupancy ar --- .fir�a!_pouuer x�l���e,_ths_f��s mtast b� p�ld ��lor-t�o p�s��4�assa��n�: F��thee��re,.6f���co-�Cou�fy-1��te�l�evuer=lmpac4_____ fees are duet they�must be paid pr#or to permit Issuar�ce�in accord�nce w1Qh appltcable Pasco Co�anty ordlnances. Gf�N:�TRUC7IG�N LiIEN Ll�W(Ch�pter 713� Florld��t�tutes,a��mended): If valuation of wark Is�2,500.00 ar more, ! cerfify that I, the app0ican#, have-beero provi.ded with a capy� of the� °Florida Construction Lien Law—Hocneawner's Protecti�+n Ga�ide° prepared by the F1orlda Dep�rtrr�er�t e��AgricuOt�Pe and Consumer Affairs. if#he apptican#is sam�one other khan#h�"owner"� !cer�lfy that i h�ve..ob�ained a ccspy�f the above_.deseribed tlocurr�ent°and.promi�e in,good fa�h ta deliver it to khe°owner"prior ta�cornmen�ement. CONTRIa1CTOR'S/OWN�R'3 AFFID�e1/iT: I ce�tify that�II the inf�cmattmr� in this applicat4on is accur�te snd that a!1 work will�be done in coenpiiance with ali appiicable laws regulating construction, zoning �nd land deveiopment. Applicatian is 7�ereby rnade t� obtain .� petmi# Co de� woric and insQailatian as indic�teci. '1 certffy that no w�rk or i�st�ilatian ha� c�m�►enced prlor to issuance of a p�rmit artd tha�.�!! vvork wili b� pertormed to meet standards af ail {aws regutating construction, C+�unty and City cades, zoning regulatl�ns, and land developrne�tt tegulatio�s°in the �urisdiction. i aiso certify that 1 understand that the regulations of other government�gencies may�apply�to the 6ntended wark, and#hat �t is my responsibility to iden#ify.what.actians I must talc�.to be,ln:.compliance: S.uch agenctes Include but are not Olmited to: - Department of Environmental Protection-Cypress Bayheads, Wetl�nd Areas and Envlronment�ily Sensitive 1.ands,WaterlWas#ewa�er Tc�atment. - Southtnrest Fiarida Water Manageme�tE Dis6rict Welis, Cypress. �ay.h�ads, �Neti�e�d Areas, Altering Watercourses. - Army�orps vf EngineersSeawalls. Docks, Navigable Watenrvays. - Department of Heaith & Rehabllitative Servlces/{Envi�onmental Fle�lth Unit-W�II.s, Wastewater Treatment, Septfc Tanks. � . - US Environme�tai Proteation Agency-Asb�stos abaterr9ent. - �edera!Aviatior�AuQhorlty-Runways. I understand Qhat the follow6ng.restrictions appl�to the use of flN: - Use of fill Is not allavered in Flood Zane°V"unless expressly permitted. - ff th� fili materiai is to be used in �Ftood Zone. °A", it. is understood that a drainage plan addressing a "cvmpensating vo(um�"wiil be s�abmitted at time af peerrritting which is �rr+epared by a prafessianal engineer licetesed by�he State of Florida. - !f the fill rnaterial is to be used fe� Flood Zone °A� in�cor�nec�ior� �tl�h.a permitQ+sd buiiding u�ing stem wa�f � consUuction, l certify th.at fiU:�rlll::be used oe�ly to.#i!!the area wlthPn th�stem�wall. - If fiA material fs to be used in any area, I c�ertify tha# .u�e. �f such flll wlil t�ot adversely aftect ad}ace�t praperties. tf use �f fill 1s found to adversely:aff�ct adJac�nt properties, the owner may be c(ted fo�violating the condltians of#he buitding.permit issued under the ��tached�perrtiit �pplicatian, for iots less than one (1) �cre which�re eleua#ed by f�91,an engtneerad drainag���an is required. If!am the AGENT FUR TME CIWNER, l;rpromis�!n goad faitb to 1�for�»the awner af�the permltting condiklons se##vrth tn this affidavit priar to commencing construction. I und�rstand that a=s�parate permlt may be requlred for electrical work, piumbing, signs, weils, poois; air conditioning, .ga�s, or other Ins#�Ilations not �pec�flcally includ�ed in the application. �A permit issued sttali be cans#cued to be°a'license to prmceed with the wark�nd not a�.authoriiy t�violate, cancel, alter, or set aslde any-provisi�ns o€the technicai codes, nar shatf Essuance�of a.permit.pceve�t the Bulidirig O#iicial frmm thereafter reqcoiring a ca�ra�e�tion nf erroes In-plans; constrs�c�ion or vlolations o#any cades. �very p�rmlt issued shali becom�inv�lid �anl�ss the wa�k authorized.by such perm3t�{s-�mmenced�wlth(n�I� rnonth� of pert�lt issuance, or If work a�thorized by Qhe permi#is suspended or.abandoned fo�a.per[od of six{6) monghs:afke�the time th+�work ts commenaed. �n extenslon may be requesked, in writing; from tha Building_Offial�l for a peNad=not to.exceed ninety�(90) days and wlli demonstrate )us#ifiable cause for.the extension. If work�eases for c�inety(90)coros�cufive days�..the job.is considered aba�dor�ed. 9NARNlNG TQ'QWNER; Yt�UR FAILURE�TCJ..REG.ORD A:NO''�IGE OF�C{?MMEMCEt�IiEMT NtAY�=RESUE�T IN•YOUR p'AYlNG TWICE FQR IMPR�VEMENTS,TCp YQUR:PRAPERTY. !��YA.E�!N'F��_�TQ'O�TAIN��F1AlAHCINGs�GONSUl.'T If�I1T OUR fdD O AI�ATfA NEY B CARE R C� �1 C:�1F�UR• �? � =0 �' C€ E T' F�oaroa suw+r t�.s.1.1 � �WidER OFt AO�NT �d��-� CONTltA�7A Subscribed and swom ta or a rmed)beior�me s Subscrlbed and'swqm to(or aflirmed)�defor+e tele'tliis by •by� VVho is/are personally known to.me or has�ay produced Who(s/are p.ersonally�cnown kt�me ar has/have produced. • --. as idenUflcaBan. as�ndflcaUon. � f j,s � � � f � - r� � � i '«/� ; � ✓:-,i �-- ' - NotaryPublfc �..� �-��,��1..^._---� Nof�tyPublEc f.-r '' + t'f Cammissta�t'No� Commtsslon,Ng: �r � .`� •`"'Y:�'�� JbEL E.BACON Name of t� t+�e �"e�enn�aiQs�FF 37d73 Fiame of Natery type �;s . ACON ; �'a: Expires June 29,2Q1$ _*: ;A: �ommission#FF 13T473 . �-�;pF��;Q•' Bonded Thru Troy Fain Inswance 800-385-7019 ;; Qo: Expifes J une 29,201$ * +� ''�F.p�;;��'� $anded Thru Troy F�n tnswanca 800385J019 >