HomeMy WebLinkAbout15-16593 r
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GITY OF ZEPHYRHILLS
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5335-8TH STREET
�. � tsl�pso'aa2o 6593
BUILDING�PERMIT �
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 16593 Address: 37313 GIL�AVE LC}T 169 i
Permit Type: MECHANICAL ZEPHYRHILLS, FL. I
Class af Work: A/G CHANGEOUT Township: Range: Book:
Proposed Use: MOBII�E HC3ME SUBDIV(SIt�N Lot(s}:169 Btock: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Vatue: Parce! Number: 34-25-21-0010-02800-1690
Imprav. Cast: 3,905.00 OWNER INFORMATICIN
Date tssued: 9i16/2015 Name: DUDDY Gt�RINNE
Total Fees: 55.00 Address: 37313 GILL AVE LOT 169
Amount Paid: 55.00 ZEPHYRNlLLS, FL. 33542
Date Paid: 9I16/2015 Phone: 813-715-9140
Work Desc: A!C CNANGE OUT 4 TQN ;
CC3NTRACTCIR S APPLICATION FEES
BA 'S PROPANE�S C, I . CHA EO 85.00
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Ins ections e uired
D TS I ALL ---�y�-
DUCTS IN���
FINALi .� '
REINSPECTION FEES: (c)Wi#h respect ta Reinspection�fees will comply with Florida Statute 553.80(2)(c)the
local gavernmenfi shaU impose a fee af four times the amount of the fee imposed for the initial inspection ar
first reinspection,whichever is greater,+for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additiona! restrictians applicable to this property that
may be found in the public records of this caunty, and there may be additiona( permits required from other governmental
entities such as water management�, state agencies or federal agencies.
"VYarning to owner: Your failure ta record a notice af commencement may result in yoar paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording yaur notice of commencement."
Compiete Plans,Specifications Must Accompany Application.All wark shall be pertarmed in accordance with
Ci Codes anc!Ordinances. �YO OCCUPANCY BEFORE C.O.
NQ► OCCUPANCY BEF4RE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN f MUNTHS � ITHCIUT APPR4VED IN5PECTION �
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
FROTECT CARD�FROM WEATHER
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813-780-0020 ` s City af Zephyrhills�Permit Application Fax-813-780-p021
( Bufiding Department
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Qate Received Phone:Contact�for P�rmitfln �t� !tt�- — J �l
Owner's Name • � Owner Phone Humber ���— ,� �J
Owner's Address �/ '��3 C��� �l�� ��ST/ Owner Phone Number �- �
Fee Slmple Tltleholder Name � � Owner Phone Number' � �
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Fee Simple Titleholder Address
JOB ADDRESS ���! C.,�G d/ �✓�. C�H'/�b /ZO LOT# ��
SUBDtY1SiON �Q��' t`�`OIl.�1�r^v+' PARCELID � �� �1 I�1�� �l���l� /���
l,�
' (OBTAINED FROM PROPERTY TAX NOTICE)
WBRK PROF{}SED , e NEW CQNSTR ADDIALT C� SIGN Q Q DEMOI.ISH
INSTALI.. FtEPAIR
PROPOSED:USf Q SFR [� 'GtaMM � OTHE12
TYPE OF CONSTRUCTION � [�` BLOCK "'`[� FRAME C] STEEL [�,
DESGRtPTIONOFWORK + ��� � T / l3j�I �7 � ClJ7"Y)• ON�l4.j�
BUI�DiNG S1ZE �� � 8Q FOOTAGE�� HE{GHT .C�_�
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�g�«����'" f'" � VALUATION�OF TOTAC CONSTRUGT101V
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QE�ECTRICAI $ AMP SERVIC� [� PRQGRESS E1dERGY Q W.R.E.C.
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QPl.UMBING �$ � `
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QMECHANlGAt: $ VALUATION qF ECHANICAI tNSTA�LATIQN
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QGRS Q RQOFING..;Q SPECIAk.TY � OTHER
FINISHED FLQOR ELEVATIQNS �� FLOOD 20NE AREA QYES NO
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BUIL�ER COMP '
SIGNATURE REGISTE�ED Y/ N FEE CURRE� Y/N
Address �ticanse# � �
E�EC7RICIAN COMPAt�tY
SIGNATURE ��� REGISTE�ED Y/ N FEE CURRE� °Y/N
Addresa � -Ucense#. "
F�UMBER _ COMPAIiIY
SIGNA7URE k.REQISTERED Y/ N. FEE CURREA Y/N
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, Adclress ( License# � �
�ECt��v�ca� -_:y�� Y , � coMa� �i�tt�2 5 �,g �f--`/�'-�"
/�GQ�.�['J�.` .EE En Y ;N
SIGNATURE / REGISTER�o Y/ N F CURR /
Address ' � `T�/ lIE'N G"�Q ,�`l7jlLGS '� 1 License# +L��l�U�''T�
OTHER COMP�
'� SIGNATURE ' * REGISTER�D Y/ N� FEE CURRE� Y/N.
Address ' - �icense# � �
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i2ESIDENTIAL Attadi(2}'.Pla#.Plans;:{2}'sets:of='Bulldln�';Plans;,{1}'set af�Ener�y�Fonns;R=0-W Permit for new canstruction,
�Minimum:ten_(:1,0)�working,�days;after�sutirrilttal date:::Requlred.ons(te,Gonstniction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary�Facilitles,�&,1:,dumpster°SIte:Worlc;Perm(t.for subdfyislons/large proJects;;`, `
COMMERClAi. Attach{3)coinpiete seis of 8u11ding Pians plus al.[fe Safetyr i?age;(1}set of Energy Forms.R-0 W Petmlt far new constniction.
Mlnimum ten(10)working days after submittal date. Required onsite,ConsUuction Pians,Stormwater Plans w!Silt Fence installed,
Sanitary FaGtitles 81 dumpster.Site Work Permit forall new proJeot's.All commercial requlrements must meet compllance
' SIGN PERMIT Attacfi{2)sefs of Engtneered:Plans.,.. -�Y , � �. . _ - _ .
•'"'PROPERTY SURVEY required for all NEW canstructian. "
� Dlrection�: , -
', Ffli out app8catlon completely.
� Uwner&Gontra�tor slgn back of applicattan,notar�zed '
' if avsr�2500,a Notice of Commencement is rsquired. (AlC upgrades�ver;7500) .
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Agent(for the contractor)`or°Povuer of Attamey(f6�the owner)would be someane with nofarized letter from owner authorizing same I
DVER THE COUNTER PERMITI'FNG;;, � (F�iit=i►f'Ajipfiir:�tion;OntY)y°;'r�_;.,:--...y,.;, �-_ �
Reroofs If shingles Sewers `�Service`.Upgrades:ALC;;�,;�.F.erices(PIoUSurvey/Footage) •
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Drivewaya-i+tot over Counter tf an,pubtic�roadwaiys`.:needs iROW p
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NOTiCE OF DEED RESTROCTIONS:,T'h�undersigned.und�rstends�;th�t;thl�:�.p;�r:mtt:may,be.subJect to,"deed"rest[icttons" �"
which may�be more-rest�ictive�th�ri�CounEyi'iegulatlons. �The undecslgned'assumes�'resp�nsibiliry3fo�compliance`vvitli�any � "
' aPPUcable deed reshictions. � �� ..,,,-:�.. ,t,;r,�;;;;:_:•,•. •, ' ' ' - , - ": _ _ _
UNLICENSED CONTRACTORS :AND CONTRACTOR�.RESPONSIBILITIES: �If the oininer�has��-hiread a �contractor or
contractors to undertake work, they may,be;r�qi��fFed::to:.be,licensed�in.accordance.with state.and•Iocal,-regulation5; .lf:,the� �
contractor fs not itcensedr.as�eequlred°tiy law, tioth°the owner and:�aontr"actor°mey be�clted-for��misdemeanor vtofation
under state law. If the owner or Intended:•contracto�:are,,;uncertain as to what Itcensing.requirements�may--applyffor<tlie-�-- � �
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intended work, they are advised to contact'the.Pasco County_Bulidtng�lnspectlon_Dlvlsiorr-L•Icensing�S�ction at 727-84T-
' 8009. Furthermore, tf the owner h`as hi�ed a"conl�acto��or�contractors. he�is advlsed to have the contractor(s),.sign
portions of the "contractor Block°.of.this.applicatton for which„they.._will..be,.responsible.. .If.you�-as-.the �vimer`�sign°as'"the� � A
contractor, tFiat�may be an indication that�he Is-not':{�roperly'licen�ed�a�id�is"not entitied to permitting���ivileges In Pasco
County. � _ ' '
TItANSPO1tTAT10N IMPACT/UTI�ITIES=IMPAC'y'�ANb RESOlJ�BCE RECOVERY FEE3:�The undersigned understands
that Tran�por4�tion Impact Fees�nd.Recaurse Recobe.ry.Fees m�y.:apply:to the construction of new b�alldings�._change°of � ��
use in exisNng buildings, or..expansi�n�of�ezlstin���buildings, �s specified in Pasco County Ordinance iaumber 89-07 and
90-07, as amended.,,v,The undetsigned also:understands, that!`such fees;,:as�may�:be:�due;;will:tbe identGfied at the`time"°of� '
permitting. It Is furtlier understood that Transportation Impacf Fees and��Resource.Reco�ery'Fees:.must be pald prior to
receiving a "certificate.of-occupancy" or�flnal.power:release. :If�th�proj�ct�..does�no�involve�a�certiflcatb of occupancy or-� -
final power.release; the:fees mu�t�be paid.prior�to.permit issuance. Ft��thermore,�,if:Pascm Countyr'W�terlSewer:Impact '
fees are due, they:must:be-pald.prior#o.permit�Issuance�In accoed�nce.wlth applicable.Pasco County o"r"dinances.
CONSTRUCTION'LIEN�LAW(Chapter 773�Flmrld�Ststute���a�e�nded): If valuation of avork is��,500.00:;or more, I .
certify that I, �he applicant, have�been provided-with �a copy-of the °Florida�Constructlon�.Lien.:L`�w Homeowner's
' Protection Guide" prepared by the Flo�ida Depa�tment of Agriculture and ConsumerAffa(rs. If the ap�licant Is someone
other ihan the°owne�" I cert that.l:have,obtained`�a�`co .of..the above.rlescriti'ed docur�ent�and: r.o.m9s�in, ood"faith_to ,
� KY PY. . .. 4 P. .,._ . , 9.. ._ . . .
deliver it�to the"owner�`_prior�to�commencemerit:;:"" -� �� . ..
� COMTRACTOR'S10WNER'S AFFIDAVIT: 1 certify.,that:all the.information in�thl�application is accurat�and that all work
will�be done in compliance with all.applicable la�n►s regulating construction� zoning and:land�devetopm�nt. Appltcation is_
hereby made to obtain:a permit.,:to,-:do.�;w�tk;.and�installatlon a� IndiCated:-� `I cenify 'that no work°��r instaliatton~lias
commenced p�lor to Issuance of a permiC and that`:all work wlll �e pertormed to meet.-standards of �II laws regula�ing�
construction, Caunty and City codes, zoning �egulatfQns, and land development cegulatlons-in the�Jurisdiction: �I al'so
, certify that I understand that the regulations of other government �gencies may�apply�to the intended work, and that it is
my responsib(lity to identify�what.actions I must take to berin:_cotr�pllance,. S.u�hagencles include but are�.not Itm(ted ta:
- Department of Envlronmentat�-Protection=G�ipress.'B�yhead�; WeNand�Areas and Envtronmentaily 5ensitfve
� Lands,WatedWastewater Treatment. f,
- Southwest Florida Water Mlanagementw..District-VlYells, Cypress.. Bay.heads,- Wetland e4reas� Altering
Watercourses. �
- Army Corps of Engineers-Seawalis,+Docks, Navigable 1Materways.
- Depar,tment.of Health�:8 RehabilitaHve,.Sen+lces/Environmen#al. Nealth UFlit-Wells� .Wastowater�Treatment,
Sepfic Tanks. � . - � �� . - -
- US Environmental Protection Agency-Asbestos aba�ement. �
- Federal Aviation Authority_-Runways! ..
I understand that the,following,restrictlons apply to�the use of flil:
- Use of flll is not allov+red In:Flood Zone"V"unless expressly�permltted.
- If the fllf matenal is to be us'ed�:=1n.:Flood�Zone. "A", It. is understood that a drainage plan adiiresstng a
°compensating volume"-will be submttted at time of permiftJng wPiich ts prepared by a prot�essional engineer
licensed by the State-of Florida. � -
- If th� flll material is to be used'in Flood Zone 'A" (n�connec�ion�with`'a �permltted buildin� using stem wall
� cons4ruction, I certify that fill�:will:b.e;used only.to#ill the area wtthin�the�stem v�rall. .
- If fill material is to be used in any,�area, I-�certify that .use of such flll will not adversely affect adJacent
p�operties, If use of flll is found to adverseEy.�ffect adJaeent��properties,.the o.wner may be'cited for violating
the condl#ions of.the building��:permit issi�ed•<.under th�>at�acFied�permit.application, for�lots less than.one (1)
acre whicfi�are elevated�by flll;art en�ineered dralnag�plan is requlred. .
If I am the AGENT FOR THE OWIdER, I,:promtse In goo,d fatth to le�form the�owner-of�the.permitting corudlt{ons set forth tn
this affidavit�prior to commencing constructlon. FI und"erstand thet a-separate permlt may be requtred for electricai work,
plumbing, signs, welis� pools; alr cvndttioning, .g�s� vr�other Installatlons no!•speclflcally Included�in.tP�e application. .A
permit issued shail be construed to be a Hcense;to��p�oceed with'the work and-not as.author.ity to,violahe,cancel; alter, or .
set aside any provisions of the technical.c�des; nor shall Issu�nce�of a permlt.pcevent the Bulidirig Oificial from thereafter
requiring�correction nf errors In:plans,:constructlon or vlolatlons of any codes. Every permit Issued=shall-become invalid
unless the Hrork authorized.by such permlt�is-coinmenced•within sGc„months of�permlt lssuance, or if Heork authorized by
the permit is suspended or.abar�doned for.a:pertod of�six(8)montfis.after.the tirne the�work ts commenced. An extenston
may be requested, In writing,.frorr9 the Buflding,Officlal for a period:not to exceed ninety�(90) days a�d wlll demonstrate _
justifiable cause ior.the extension�. If work ceases:for ninety(90)cons.ecutive:day.s�..the)ob�Ps consideredl aba�doned.
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IAIARNING TO OWNER: YOUR.FAILURE�TO..EREC.ORD.A:At0'TIGE.OF•COMMENCEMEMT�NtAY�RESUlT IN YOUR
PAYING TWICE,-FOR:IMPROVEMEN�S:TO.YOUE�:PROPER'tY. �IF�YO.U=IN�'FE�ID�:T��iOBTA1N••FIPtANE11UG;'CONSULT
WITH UR D AI��1TT0 N �B ORE��:,, O D �='YO � D �� 'OF`CA�MNIIENC�1l1fII�t�T: ----- --- —
FLORIDA.Jl7RA�.(F.S._,1 .0.} - -,--�-- - --=,--.--��:_�__-- -- - -- - -- - . `
OWNER OR AOENT ONTRAC'9'O
Subsalbed and swam lo aiflrtned)before e this ; . Subscrlbed� ' or afflrtne -before me U�Is
by � .- ..
Wlio is/are personaliy nown to.me or haslhave produced ; Who 1 e personally �to:rtte or has/have-prnduced •
as Identlflcatlon. � � as Identl�caUon.
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Notery Public '� � ,i�%�- t� Notary Publlc
Commisslon No. ' Co slon
; :�ti�*.:y�`� FF 150422
:: Commission#
Name oI Notary typed,printed or stamped ; Name of Not - �YI �@1r�6 '
'•'�p;F.�.�` 6andad Tnm T�Y Fe�n Insurence 8003A3•7ot9
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4441 Allen Rd. • Zephyrhills, FL 33541
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Annuai�•Ma�intenance'Recommended:byAU;Equipm'e�t'Manufacturers:':<= � � �
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❑ R�GULAR ❑WARRANTY '°,;.`;``�°,;;.-T07'AL:SUMMARY:;',;=: .=:-:;;,°.
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WARRANTY: All materials,parts and equipment are warranted�by the manufacturers'� : -. z;NjET.MOD''OE:PAYMENT�.:�:`=;=%`= .`�''.=: CALL i
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or suppliers'written warranty only.All labor performed by the above named company is warranted for -=tt-""��_��'`-" -`���•="'""�"`"