HomeMy WebLinkAbout15-16580 , 1�
. �� CITY OF ZEPHYRHILLS '�
. 5335-8TH STREET
(sis)�so-oozo 165 0
BUILDING PERMIT
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PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16580 Address: 39502 9TH AVE
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: 12-26-21-0300-00000-0280
Improv. Cost: 10,540.00 � OWNER INFORMATION
Date Issued: 9/11/2015 Name: KYLE LARRY F & TRACY LEE I
Total Fees: 90.00 Address: 39502 9TH AVE �
Amount Paid: 90.00 ZEPHYRHILLS FL 33542-4721
Date Paid: 9/11/2015 Phone: 941-377-0153
Work Desc: A/C CHANGE OUT 2 TON �
CONTRACTOR S ! APPLICATION FEES
UNI E AIR INC C HANGEOUT 90.00
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Ins ections'Re uired
DUCTS INSTALLED
DUCTSINSULATED r
FINAL � —Z3 �— L�
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 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CO CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
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' , NOTICE OF DEED RESTRICTIONS: The undersigned unde�stands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. I
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 regulations. If the
contractor is not licensed as required 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 the
intended work,they are advised to contact the Pasco County�Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised 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 sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. I
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new 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 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
receiving a"certificate of occupancy"or final power release.I If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as 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 Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all ttie information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,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 installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
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 Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health 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 fill:
- 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 is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fll the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill 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 fill,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 permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed�with 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 Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)i 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 ninety i 90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IM�20VEM NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDE pR AN A RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 <03) I
OWNER OR AGENT CONTRACTOR
Subscribed an bsworn to(or affir e bef e me this Subi cribed and sbwom to(or affirmed)before me this
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�� Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. � as identification.
� otary Public Notary Public
Co is ion No. Cammission No.
�`�IIS:Y..P I���. I
N B o �d�jq��ci�����137073 Name of Notary typed,printed or stamped
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I�'�i oF f�Q:��� Bondad Thru Troy Fain Insurance 800-385-7019 I
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' 813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021
• Building Department
Date Received Phone Contact for Perrnittin q 3� JH
Owners Name � � V�. I Owner Phone Number �k7��VC7'4553
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Owners Address a � 1 �S Owner Phone Number
Fee Simple Titlehoider Name Owner Phone Number
Fee Simple TiUeholder Address I
JOBADDRESS JQ�V�. -6��-�V'� z h I 3�J LOT# �
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SUBDIVISION PARCEL ID#I
I (OBTAINED FROM PROPERTY TA7(NOTIC�
WORK PROPOSED B NEw CoNSTR e ADD/ALT IQ SIGN Q Q DEMOLISH
INSTALL REPAIR I
PROPOSED USE Q SFR Q COMM I� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �C.. � I ' �P Z :PS '1 TvY 1 F-W� I�Se�i�
BUILDING SIZE SQ FOOTAGE `� HEIGHT �
IfR i 1 1 7 1 1 1 1 1 1 1 1 1 1 1 f I 1 1 1 i 1 1 1 1 1 1 1
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
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, QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ���� I
MECHANICAL $ � � � VALUATION OF MECHANICAL INSTALLATION �l' I�
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QGAS Q ROOFING Q SPECIALTY � OTHER I
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I
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BUILDER COMPANY I
SIGNATURE �REGISTERED Y/ N FEE CURREN Y/N il
Address License# �
ELECTRICIAN COMP IY I'
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# �
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PLUMBER COMP�Y
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I
Address I License#
I 'A, �
MECHANIC J COMPANY V�
SIGNATURE � '� RECaISTERED Y/ N FEE CURRE� Y/N
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Address .J J� C7 e Zvj �icense# �VY)CO���I�L
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OTHER COMPANY
, SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Add ress I License# �
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(1)set of Energy Fortns;R-O-W Permit for new conswction, I
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I
Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion.
� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit far all new projects.All commercial requirements must meet compliance
�� SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for att NEW construdion.
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Directions:,
Fill out applicalion completely
Owner&ConVactor sign back of applicatlon,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades i ver$7500)
" Agent(for the contractor)or Power of Attamey(for the owner)would be so i eone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlollSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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• 2015144882
Pertnit No. Parcel ID No �� ��✓ 'Z� ��.��Y�""�� ��� �(��'� I
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NOTICE OF COMMENCEME
State of ����/(./(.� Co Inry of �`f��(,�
' . . . �
, THE UNDERSIGNED hereby gwes notice lhat improvement will be made to ceAain real propeRy,and in accordance wilh Chapter 713,Florida StaWles,
the following information is provided in this Nolice of CommenCcement: n,� `[ /��
1 Description of Property� Parcel Identification No. c)�.�n;�� �;i`�-GTi('S � Y(J I7 �1.7 ��� �(;1� �v
Slreet Address: _��!�� ��^ ��'C� 2Y'�}�1\(1�1�I�(` l�J�S�'{" �
2. General Description of Improvemenl ��_ ����Ol(Y���I�
� I Rcpt:1711525 Rec: 10.00
D5: 0.00 IT: 0.00
3. Owner Infortnation or Lessee infortnation if the Lessee contrected for the improvement: 09��8�2015 K. K. , �pty C 1 erk
��'�'U I�V �-e. I
<����Z Na�e�� �l/-Z� I ���IJ Ir f 1 I ��� ��
Address City ' ` State
Inlerest in Property�
' Name of Fee Simple Titleholder I
(If differenl from Owner listed above)
Address y�� � City State
I 4. ContraGor �(_��rl".1�" ������Q I
TSl�ame���� C�-- �,-�— � I �C.l��.�1��/1 ��-
Address Q I City Slate
Conlraclors Telephone No. `�I ��� I ��f�� PRULR S 0'NE I L,Ph D PRSCO CLERK & COMPTROLLEPo
I 09/08/2015 04:20pm 1 of 1
5. Surery• Name I �R BK �2�3 p� �2�3 '
Address City State
Amount of Bond: $ Telephone No.
6. Lender I
Name I
Address Ciry State
I Lenders Telephone No.
7 Persons wilhin the State of Florida designated by the owner up In whom notices or olher documents may be served as provided by
Section 713.13(1)(a)(7),Florida StaWtes: i
Name
Address City Slate
Telephone Number of Designated Person:
8. In addition to himself,the owner designates I af
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lo receive a copy o I the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designaled by Owner
� 9. Expiration date of Notice of Commencement(lhe expiration date m ly not be before the completion of construction and final payment to the
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contractor,but will be one year from lhe date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13 FLORIDA $TATUTES, AND CAN
RESULT IN YOUR PAYING TVJICE FOR IMPROVEMENTS TOIYOUR PROPERTY A NOTIC� OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penatty of perjury,I declare that I have read the foregoing notice of commencem nd that e facts stated lherein are true to the best
of my knowledge and belief. I
STATE OF FLORIDA I
COUNTY OF PASCO
S' re of Owne r Lessee,ar Owners or Lessee's Authorized
O�cer!i irec artner/Manager
Signato'ry's Title/Office
� u.tl iC�l.lG F'k'i\r
The foregoing instrumenl was acknowledged before me lhis 11"' day of ��n�,20L,by
�_�`� � � ��I� as ��.i11 e-l' �
rn i_ (type o(authority,e.g.,officer,lrustee,attomey in fact)for
L��ru �i���
, �� � � (name parry on behal(oi whom instn,i(m`,e�nt w�as executed).
` � ��'.�'G�.Ei.w%y
Personaily Known❑OR Produced Idenlification u Notary Signature ��7���
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Type of Identification Produced 7L. �(�-;5�(��(� Name(Print)_ c���Y.�-�/7�Y` , )/Y1/�/�
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=°��n N1�COMMISSION#FF910782
IIXPIRES:AUG 18,2019
"� Bonded through 1st State Insurance
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�� S��;['�b�F F�.aE�IDA, COU�4TY 0���iSCO
; THIS IS TO CERTIFY THAT TNE FOREGOING IS q .----°�������
TP,UE AND CORRECT COPY OF THE DOCUMENT �'������:c- ,.�a�'��
i ON FILE JR OF PI�BLIC RECORD IN THIS OFFICE � . � ``� �°a,,��
' WITNESS MY i-IF�Np qf�ID OFFICfAL SEAL i NIS � �
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i PAULA S O'N`iL, CLERK�C P i RO�LER � g� J��j�«�i,;� � �
BY � � . �7sr� �4r �r
� �L- OEPUTY CLERK � �'� '��� ���� �1
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CITY OF / / / / BUILDINQ
�� ZEPNYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION �
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DRESS TE PERMIT�,
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THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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�' AFTER CORRECTIONS ARE MADE CALL
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to �
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
, or other material,until the proper inspector has had ample time to approve �
the installation. �
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OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR
/�