HomeMy WebLinkAbout15-16595 CITY OF ZEPHYRHILLS
� " � 5335-8TH�STREET
(813)78i-0020 1 95
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION '
Permit Number: 16595 Address: 7718 KAY MARIE AVE LOT 234
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s):234 Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2340
Improv. Cost: 5,075.00 i OWNER INFORMATION
Date Issued: 9/16/2015 Name: MOLINEK, DAVID & JENNIFER
Total Fees: 65.00 Address: 7718 KAY MARIE AVE LOT 234
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/16/2015 Phone: (813)780-2621
Work Desc: A/C CHANGE OUT 3.5 TON �
CONTRACTOR S I APPLICATION FEES
BAHR'S PROPANE GAS& C, INC. C CHANGEOUT 65.00
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Ins ectionslRe uired
DUCTS INSTALLED
DUCTSINSULATE
FINAL �
REINSPECTION FEES: (c)With respect to Reinspectionlfees will comply with Plorida 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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARDi FROM WEATHER �
813aeo-oo2o City of Zephyrhills Permit Application Fax 813-780-ooz�
. _ ` s Bailding Department
Date Recefvad Phane:Cantac#for Parmitt(n ���� d a� - ���„J
t}wner'�Name ��'Il1�i �/`�U/ , Owner Pho�e Number 111�"' ��0-p�rFo+��
Owne�'s Address �!6 /4' (� � Owner Phone Number �- �
Fee Simple Tikleholder Name Owner Rhane Number' �� �
Fee Simple Titleholder Address
JOB ApDRE$S . 1� ///�70�-jL� �� LOT# ��
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sueawisiaN f�/+N� 1.�7e/ZU PARCEL ID# �� �� �l f..�/�Gf l�� a��'��
I (OBTIOINED FROM PROP@RTY TAX NOTICE)
WORK PROPOSED , e NEW CANSTR�ADD/ALT Q StGN Q [� DEMOLISH
INSTALL. REPAIR I
Pi20POSED�USE [� SFR [� 'GONIM � Q� QTHER
TYPE OF C4NSTRUGTION � [�' BLOCK "'�Q FRAME �] STEEI. [�,
pE3CRIPTIdN OF WORK �9L� �Jo2 �bN -���'K/,g" G 'T L�!'!'7 CfJ'7�"7. /Vu�+
�
BUiLDING S1ZE �� � SQ FOOTAGE�.��. HEIGHT �___-�,_�
i
. , VALUATION OF TOTAL CONSTRUCTION
QBUt�DiA1G �� �
QEI.ECTRiCAI � � AMP SERViCE Q PROGRESS ENERGY [� W.R.E.C.
QPI.UMBINCa $ �
, � � S (,, �'
OMECHANtGA� $ .,_. VALUATI4N C}F MECHANICRL IhlSTAI.LATIQN � L�
� � 5. A��
QGAS � ROQFING .-[� SPECIAt:TY Q 03HER•
FINISHED FLOOR ELEVATIQNS ��� FI.00D ZONE AREA QYES NO
BUIE.DER CQMPANY
SIGNATURE REGISTERED Y/ N FeE cu�n Y/.N
i
Address ' License# � �� �
ELECTRICIAN COMPANY
SIGNATURE � REGISTERED Y/ N �e euw�en -�Y/N
Xddress . Licanse# I I
P�UMBEtt � COMP_AMt f
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Addr�ss LiCe�se# � �
..
MEC1fANICAL. ` �� )��� COMP� �17�"NP� S ��jP�-1�I� �j-5�"��..• �
SIGNATURE �� l' � L REGISTERED Y/ N " FEE CURREA Y/N
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Address '���'� �`�f�111� �.�,.�pC .�- ltLS �35 f License# I ��`i`���.��l"��
OTH�R � CaMP�
SIGNATURE' � REGISTERED Y/ N _ Fee cuR�� Y/N.
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Addreas � ` License# � �
RESEDENTIAL Attach(2}PIot.Plans;.(2}sets�of:Biilldliig�F'lans;={1}set of�Ener�yi�Forms;R-0-W Permtt for new construction,
Minimum;ten_(1.0);working;days.afkec_subriilttal date...Requlred onsite;Construcdon Rlans;StormwaterPlans w/Silt Fence installed,
Sanifary Facilitles;&1�,dumpster Site Wor1t�.Permit.for subdivis(onsllarge projects�
COMNfERCiAL Attach(3}caatplete sets of Suililing Ptan's plus a;�,ife Safety Page;{1}se#af Enet�gy Forms.R-Q VY Pemtit for new constsuct�ori,�
Minimum ten(10)working days after sutimittal dafe. �Required onsite,Canstructlon Plans,Stormwater Plans w/Silt Fence installed,
SaNtary Faciltdes&1 dumpster:Site Wark�Permit"for all►ieY�proJects.All commercial requtrements must meet compllance
SIGN PERMIT AttacFi(g)..sets af Engirteeted Plans...;� -�-_ . �} r - .
wr�rMPROPERTY SURVEY required for all NEW consWCtion.
Dlrectians: � ,
�fll out eppiicaHon completely.
Owner&Contraatar sign back af appllca�an,notarized
If over!�'500,a Notice of Comrnencement is required. (NG upgrades var 57500)
'• Agent(for tFie cantractor)or Power of Attoriiey(for the•ow�er)would be someone with notarized letter from owner autho�izing same
DYERTFtECOUNTER�PERMIITING""'""�"(�ron'�ofAP.Plica#iomOi►ly)',., r, �,� -
Reroofs if shingles Sewers Ser.vice Upgiades NC -,Fences(PIoUSurvey/Foatage)
,.�,, ,. , ., ,��.
Drivewaya-Not over Counter if ori pi�blic�ioadways..need's ROV1lf.,' " �
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NOTiCE OF DEED RESTRBCTIONS: The u�dersigned.unders�tands::th�t;this::p�rmit.may_;b,e,subJ,ecfi to."deed"rest[ictioris° " '�
which may be�more'�r.est�ictive-:th�rr.County`��+egulations.��TFie�underslgned�'assumes��responsitilltty-for compilance`with"any ' "
applicable deed restrictions. • ,
UNLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBILITIES: •If the owner has���hired �a contractor or
contractors to undertake work, they may,b..e,,.r.�qulred,:;to:be;licensed In accordance.with-state.and:loca9 regulatlons: If�the �
contractor ts not licensed.as°required�tiy law, tioth the owner arid�conaactor=may be�=ctted-for-��-misdemeanor violation
under state law. If the owner or Intended:;contcaeto�<are;_uncertaln as to�nrhat Iicensing.requirement� may�.apply�;for�the � .- �
f.., �,..,,�.�.. , ,
intended work, they are advised to coritact tFie.Pasco County.Bullding Inspectlon_Dtvisiorr-L•icensing'�ection at 727-847-
8009.. Furthermore, (f the owner has FilFed a coni�actoc�o��corifrabtors, he ls advisecl to have th� contractor(s), sign
portions of the "contractor Block° of,tt�ls_�ppltcatlon for whlch.they..wlll:.be..responsibie.-..If.you�-as-.the owne�"�stgn�as 'the'
contractor, that�may be an indlcation�tfiat'�he�Is;-not prvperly'licensed and�is not entitled to pemiifting p�ivileges in Pasco
County. ' � , � � '
TFtANSPORTATION.�IMPACT/UTILiTIES�IMPAC'1'�ANb ItESOURCE RECOVERY FEE3:�The under�igned understands
that Transport�tlon Impact Fees and.Recourse Recove.ry.Fees may�apply�,to�the construction of new bulldings�,change�of �� �
use in exis8ng buildings, or=expansionfof�aezisH�i�g=�buildings, as specffied.in Pasco County Ordinance number 89-07 and
90-07, as amended. ..The undersigned also.understands, thaft:'such fees�;;as�may��e:�d�e;;wlll•be tden�ffied at the'time�°of
permitting. It is ftirther understcod that Transportation Impact Fees and<Resoucce�Reco�ery^Fees:.must be paid prior to
recetving a 'certl�cate.of occupancy" or flnal powec:release. :I�the proj�ct�..does not.involve�.acertificate of occupancy oc '
flnal power release, the:fees mu�t be paid.prior to permit Issuance. Ft��thermore;�if Pasco,C,ounty�Vldater/Sewec-lmpact
fees are due,they.•:must be-pald prlor to,permtt-Issuance�ln accordance.wlth appllcable.Pasco'County o�dinances.
CONSTRUCTION�GEN"LAW(Chapter 773, Florlda Statutes�sa arnended): if valuation of work is$�,500.00.or more, I
certify that I, the appiicant, have.been provided with �a �copy-of-the °Flo�ida Construction� Llen:Lauu�Homeowner's
Protection Guide" prepared by the Florida Department�of Agriculture and ConsumerRffairs. if the ap�licant is someone
other than the°owner", I certifyr that I;h�ve.obtained a�copy.of.the above.rlescribed document-and.p.r.or�uls�:in,good',faithto
deliver it to the"owne�prior toticommencementc;. �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ceFt(fy�,that all the:,fnf.ormallon�In this applicatlon is accurate and that all work
w(II'be done in campliance with all.applicable�laws regulating construction� zoning and:land development. Appitcation Is
hereby made to obtain:a.permit:.to..do._work:.,and�Ihstallation as Indicefed:-� `I certity that no work�or installatton��Fias
commenced prior to Issuance of�a permif-an'd,that'.all work will be pertormed�to meet.standards of all laws regulating-
construction, County and City codes� zoning regulatrans� and land development regulatlons�in the�)urisdtction. I also
certify that i uaderst�nd that the regulatlons of other government agenc(es may�apply�to the intended w+ork, and that it is
my responsibllity to identify�what,actions I must take:to be�ln:.compllance;. S.uch agencles.include but-are�.not Ilmlted to:
- Department of Er1v(ronmental�Protectibn=Cypress:'�ayliead�; Wetland Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Fiorida Water IVlanagement-..I�istrict-Welis, Cypress.``Beyk�eads�, Wetianal Areas, Altering
Watercourses. , ,
- Army Corps of Engineers-Seawalls, Docks� Navigatile Waterways.
- Depactment of Health�'& ReMabilitafive„Services/Environmental Neaith Unit-Wells, Wast�water-Treatment,
Septic Tanks. � � .
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlation:Authortty,.:Runways;
I understand that the.following.restrlctions apply to�the use of flll:•
- Use of flll Is not allowed in�Fiood,Zone"V"unless�expressly permitted.
- If the flll material is to be used:'In�:Flood Zone. "A", tt. is understood that a drainage �lan addressing a
�compensating volume" will be subri�itted at tlme of penmitting which Is prepared by a proffessional engineer
Iicensed by the State of Florida. � �
- If th� fill material is to be used in Flood Zone 'A" Ins connectlon�with''a �ermltted buildin� using stem wall
� construction, I certlfy th.at flll:wJll=be used only.to fill the area wtthin�the�stem�wall.
- If flll material is to be used in any-area, I°certify that .use. of such flll will not adversely affect adjacent
properties. If use of flll Is found to adversely.�ifect ad)aEent��properties,.the owner tnay b� cited for violating
the condi#ions of the building�.permit iss�ed�:under the'at�ached pecmit applicatlon, for lots less than one (1)
acre whtcfi are elevated�by flll;a�englneer�ed dralnage plan ts�required. •�
If I am the AGENT FOR THE OIMNER, I;:promise In good faith to Inform the=owner�of the perm(tting coruditions set forth in
this affidavit�prtor to coinmer�cing constructlon. �I understarid that a-separate permit may be requtred for electrical work,
plumbing, signs, wells,.pools; alr,conditioning,.gas, or other install�tlons not,speclftcally included�in.tP�e�application. .A
permit issued shall be const'ued to be'a°Ilcense;to�p�oceed with tlie work and-not as.authoNty to,violat�;cancel, alte�, or
set aside any provisions of the.techn(cal cades;�nor shall issuance�of a.permit.prevent the Bulldirig O#iicial from thereafter �
requiring a correction af errors in plans;-consfruction or iriolations of any codes. Every permit Issued�shall become invalid
unless the work authorized.by such permit�s-coEnmenced•within sGc.months of permlt issuance, or tf�work authorized by
the permit ts suspended or.abar�doned for a:period,of�six E6)montfis:aRer the time the�work�ds commen�ed. An extenston
may be requested� tn writing,.from the Building.Offlclal for a period not to exceed ninety�(90) days and will demonstrate
justifiable cause for.�the extensfon�. If work;ceases.for ninety(90)cons.ecutive day.s...th�)ob�is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE�T�.�,REC.ORD.A I�OTICE.OF•COMMENCEMEMT�NFAY�RESUlT IN YOUR
PAYING TWICE.FOR:IMPROVEMENTS T�O.YOUR.P1tOPERT1f. :1�°YO.U�IH�EKID�T��OBTAIN�•FINFANEING;'CONSULT
WIT UR D AN A ORN �8 ORE�� � �O � 6:'YO ' O �C 'O ` �'
- - - ---_ _ - ._ _ .._ _
FI.ORIDA JURAT(F.S.1.17.03}-- ---- - ---- -- ----- � - — -- - - — -- ---
OWNER bR AOENT. � CONTRACTO
Subscrlbed and swom to(or aRirtned)before me this Subscr bed and'swom to( t affirmed)�before me fhl§
by �[ �_ �
Who is/are personally known to.me or has/have produced ' Who.is/are pers o •to me or has/have-produced •
- as Identlflcatlon. as tdentlficaUon.
" � ^ '
Notery Public Nofary Publlc
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Commisslon No. Co r� Ion.No. ,,, .,
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Name ol fVotary typed,printed or stamped � Meme of Notery ", , �TTec�t�9�2 2
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FILTERS x x Changed Monthly I I
FILTERS x x Changed Month]y i �
0 REGULAR ❑WAI�RAN'FY :-,=<.:;; ;::`�,�t)T�Lc�S�1N1{V!}3RY
���DY��urir�Clis�at��5e�n"'`"�.When here� ;������When Awa rr�rl� =�T S#at 8f}°' 0 MAIN7ENANCE CONTRACT �
_ .��,.�,r.- sx,. :,,.�,,,'F; :�„r,, Y'�,�. ._...,s i JSERVICE
�<. °<�. �.>;_ - - - __�,_ _ W_�£r��. ;.�:m,�>_.� - _=- CALL z
UMlTED WARRANTY: A3!maferials,Parts and equipment are wartaated bylhe manufacturers'1 - - - ::�(E3'�1 .tQ��. -• -�.-r�°°�=�_..��
'�;v....'-��:�. Q13'°� A'�'�?i��:•�'�,.:<,":'�i
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� or supptisrs`written warcanry on(y.Ni Iabor perfonned by the above named mmpany is warranted for �J';�:i�''=:'- ,<.-r:;.:;;>:�;-�;:.;�^.:.;;:...�:-;.�.:.. ,:.,_<•. TOTAL i
3p days or as othervvise indicated in wtiting.The above named company makes no other wartanties, ❑CASH ❑CK# MATERIALS I
express or implied,and'Rs agents or technidans are not authorrzed fu make arty such warnar�ties on � '
ss
� bet�atfoiaboveriaraedcompany. ❑DEBtT O CREDIT ��OT R MAINTEtVtWCE �
I have authority b wder tlie work outlined aDOVe whl�hes been satisfacWn7Y mmPleted.I agree that Selier � � PROG. W! C �
retains title to equipmanUmeterials fumished unL7 flnel payment is made.If payment is not made as agfeed, ��l(�� \ �
seittsr can remove said equip�crthriateria3s at Seifer's ezpeiue.luiy Cars�e iesulGrg fram said remarai shaii
sW be ftre respotts�6ffity ot Seit�NET 30 DAYS.A t 1l2%SERVtCE GE WILL 8E ADDED MONTtlLY 70 ( '"""'� �' �
nu ur�aao si+vwces or�x AYS.NO REFUNDS DATE COMPLETED �_
TEGH: �, �' T� t
i 1 ��� �!� +.�,� / �/ �
cusTO NnnmE oA� ..,�f�2�y�G yGUG TOTAL ��
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