HomeMy WebLinkAbout15-16624 CITY OF ZEPHYRHILLS
5335-8TH STREET
• ' (sis)�so-oozo 16624
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION �
Permit Number: 16624 Address: 6153 PEARL ST
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: OAKSIDE MHP
Est. Value: Parcel Number: 02-26-21-0020-00300-0010
Improv. Cost: 3,035.00 OWNER INFORMATION �
Date Issued: 9/25/2015 Name: SNOKE JEAN S &DIETERICH PATRICIA
Total Fees: 55.00 Address: 2168 WATERSIDE DR
Amount Paid: 55.00 CLEARWATER FL 33764-6659
Date Paid: 9/25/2015 Phone: 614-906-3924
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S � APPLICATION FEES �
B D ET A R UPP Y L C CHANGEOUT 55.00
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Ins ections�Re uired
DUCT INSTALLED
DUCTSINSULATED
FINAL � --
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 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 pertormed in accordance with
City Codes and Ordinances.jN0 OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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T TOR 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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a��-�ao-aozo City of Zephyrhills Permit Applica#ion Fax-813-780-0021
Build'mg[Iepartment
pate Received I phone Contad for Pertnitting � 1
[ ! 1 t � [ � 1 'f"*T�"�CO='JJ.� � � � � � � 1 1 TI-i'
Owners Name 4�hC f1 t'""� Qvmer Phone Number �
Qwnefs Address �QT S� ; Owner Phane Number �� �
Fee Simple TiUeholder Name �! � Owner Phone Number � ��
Fee Simple Titleholder Address
d08 ADDRESS ai� � tS L.+ LOT� �
SUBDlVISION C���S��Y I PARCEL ID# {Oarattaeo�mut PRaP�tn'Ttix cuOZtCE}
WORK PROPOSED e NEW CANSiR� AQD/ALT O SIGN Q Q DEMOUSH
INSTALL REPAIR �
PRBPOSED USE Q SFR Q COMtN � dTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL. Q
DESCRIPT(ON OF WORK '�! Y� �^�t�i/i"� �L� ~ I����
BU1LQlNG 3iZE SQ FQOTAGE�—� HEIGHT I� S�L�
�BUILDING �� VALUATION OF 70TAL GdNSTRUC710N
QELECTRICAL ($� AMP SERVICE � Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING � �
MECHANlCAI �� VALUATION OF MECHANICAL INS7ALLATION � �����
� � � �
�GAS � RQOFING Q 3PECIfLL,TY Q OTHER
FlNISNED�IOOR ELEVATIONS �� PL040 ZClNE AREA QYE$ NO
BUtLDER � � COMPANYi �— �
SIGNA'I`URE aecls7�rteo, Y/ N Fee cuRREn' Y/N
Address License# � �
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ELECiRlCIAN � � COMPANY
$ICa[�SATIlRE REGI5TERE i Y 1 N F£E CURREP Y t N
Address License#
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PLUMBER � � COMPANY ��
SIGNATURE J REGISTEREO Y/ N FEE CURRE� Y/�^
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Address ttcense�#�— �
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MEGHRNSCA3: COMpANY �_l!���T I I� �`!""�
StGNATUR REC�sr�o �[ Y 1 N �cuRrt�r. Y!N "�—
q�d Liwnse# �— I
OTHER COl�'1PAb1Y �
SIGNATURE �^ � REGISTEREO Y/._N FEE CUF2RE� Y/N
Address License#�� �
IIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllillllllllltllllllllllllllll
RESIDEM3lAl. Attach{2}Piof Pfans:{2)sefs of Buitding Plans:{t)set of Eneigy Farms:R-O-W Permit tor new canstruction.
Minimum ten{i Q)wark'sng days after submittat date. Required ansite,Canstrue6on Pians.Stormwater P1ans w!SiSt Fence instatted,
Sanftary Faeilities 8 1 dumpster;SRe Work Petrnit for subdivisionsllarge projects
� COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Paga;(1)set of Etiergy Forms.R-O-W Permit for new conswction.
i Minimum ten{1 p}worKing days after submittat date. Required onsita.Cons{ruetion Piafls,Stotmw8ter Ptans w!Silt Fence installed,
Sanibry Faalities 8 7 dumpster Site Wock Perm3t for aH new projects.Ali commeraat requirements must meet compflance
SIGN PERMIT Attech(2)sets oT Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.;
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Directions:
�II out application cpmpletery.
t7wner&CoaVactor sign back of appliqtion,noiarixed �
(f aver 525Q0,a Notice of Commencemeryi is reqaired. {WC upgrades aver 57500}
" Agent(for the contraGtor)or Power oi Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
.OYER THE COUNTER PERMSTf7NG4 {copy af canbact roqu3red)• �
Reroofs fishingies Sewers Service Upgrades AtC Fences(PtotJSucveylFootage)
Driveways-Not over Counter it on pubfic roadways,.needs ROW
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_NO'ilCE QF DEEL?RESTRICTtQNS: The undersigned understands that this permit may be subject to°deed"sesfric�ions"
' which may be more reshictive than County regulaGons. The undersigned assumes responsibitity far comptiance with any
applicable deed res#rictions.
UNI.ICENSED CONiRACTORS AND COtd3RACTOR RESPONS{BILETIES� 1f the owner has hired a contractor ar
contractors to undertake work,they may be required to be licensed in acxordance wi#h state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cfted for a misdemeanor vialation
under state 2aw_ tf the awner or intended contrac#or are tsncertain as to what iicensing reqairements may appty for#he
intended wqrk,they are advised to contac#the Pasco County Building tnspection Division--Licensing Section af 72?-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
pottians af fhe°contractor S1ock"of this applicatiort for which they will he respans'sbie. if you,as the owner sign as the
cantractor,that may be an indication that he is not properly iicensed and is not entitied to permitting privileges in Pasco
County. '
TRARtSFORTATiON fMPACTiUTt�tTlES IMPACT AtdD RES013RCE RE�01tERY EEES: The u�derssgned understands
that Transportation tmpaat Fees and Recaurse Recovery Fees may appty to the canstruction of new buiidings,change of
use in existing buildings,or expansion of ewsting buiidings,as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. Ttre undersigned afso understands,that such fees,as may be due,wiA be identified at Ehe time of
permitfing. It is fu�ther understood that TransportaGon impact Fees and Resouree Recovety Fees must be paid prior to
receiving a"certificate of accupancy°or final power release. If the project does not involve a certificate of occupancy or
finat power release,ihe fees must be paid priar to pe�rnit issuance. Furthermore, if Pasco Caunty Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accardance with appiicabte Pasca Gaunty ordinances.
CONSTRUCTION LIEN f.l�W(Chapter 713,Flonda Statutes,as amended): If valuation of work is$2,500.00 or more,I
� cettify that !, the app(icant, have besn provided with a copy af the "�londa Construction Lien Law--Homeowners
' Protection Guide"prepared by#he Florida Departmen#of Agricuiture and Consumer Affaiss, tf the applicant is sameone
� other than the"owner",I certify that I have obtained a copy af the above described document and pramise in good faith to
� defiver it to the"owner"priar to cammencement
i CONIRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that atE the infomration in ihis applicaEian is accurate and that ali work
' will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made ta obtain a pesmit to do work and installation as indicated. ! certify that no work or installation has
cammenced prior ta issuance of a permit and#hat all wotk will be pe�ormed to mset standards of all laws reguia#ing
canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
( certify that 1 understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibitity to identify what actians 4 must take to be in coir�pliance. Such agettcies inetade but are nat fimited to:
- Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentalfy Sensfive
Lands,WatedWastewater Treatment.
- Soufhwest Ftorida Water Nlanagement L3istrict-Wel1s, Gypress Bayheads, Wetland Areas, Altertng
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways_
- Depat#ment of Fiealth 8. F2ehabiiita6ve ServiceslEnvironmenta! Health Unit-Wells, Wastewater Treahnent,
Septic 7anks.
- US Environmental ProtecUon Agency-Asbestns abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of i11:
- Use af fill is not allowed in Flood Zone"V°unless expressly permitted.
- if the fi[3 materia3 is to be used "sn Fload Zone "A", it is understaod ihat a drainage plan addressing a
°compensating volume"wiA be submitted at time of permitting which is prepared by a professionai engineer
i licensed by the State af Florida.
- !f fhe f!! material is ta be used in Flood Zane°A° 'sn conneation with a permitied building using stem wal!
, constntc6on,I certity that fitl will be used onty#o filk the area within the stem wail.
- If fill material is to be used in any area, I certify that use of such fill will not aduersely affect adjacent
properties. Ef use af fil!is faund to adversely affect edjacent properties,the owner may be cited for violaling
fhe canditians of fhe building permit issued under the attached permit application,for tots tess than one{1}
acre which are elevated by fill,an engineered drainage plan is required.
!f I am the AGENT FOR THE OWNER,t promise in gaod faith to inform the owner of the permitting conditions set forth in -
this affidavit prior fo cammet�cing construction_ t understand that a separate permit may be required for electricat work,
I plumbing, signs, wells, paols, air conditioning, gas, or ather,installations not specifically included in the application. A
permit issued shall be construed to tre a license ta proceed with ttte work and not as autharity to violate,cancel,alter,or
set aside any pravisions of the technical codes,nar shalf issuance of a permit prevent the Building Officiai frorn fhereaitar
requiring a correction of errors in plans,consVuctian or violations of any codes. Every permit issued shall become invalid
unless the work authonzed by such permit is commenced within six mon#hs of permit issuance,or if work authorized by
the permit is suspended ar abandaned for a pedad of si�c{8}months af#er the time fhe woi'k is commenced. An extension
may be requested,in writing,fram the Building Official for a periad not to exceed ninety(90)days and will demonstrate
jusUfiabls cause for the e�ension. If work ceases for ninety(90)consecutive days,the job is considered ebandoned.
WARNING TO QWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT tN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IPITEND TO QBTAIN FINANCING,CQNSULT
W4TH YOUR LEt�1DEft 4R AN ATTORiVEY SEFORE RECORDilVG Y Ft OTtC NfENCEMENT_
FI.ORIDA JURAT(F.S.117.03) �-•�"'
� OWNERORAGEN7 NTRA TOR
� Subscribed and swom to(oc affirmed}before me ttiis m W o be m
' by bY
Who islaro personally known ta me or haslhave praduced isla rsonally kno o me or has/have produced
� as idenlifiwtion. as iden4fication.
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Notary Public Notary Public
Commission No. mmissinn � �
� � ,,.;;��►�-.,, LOqIJOHNSQN
Name of Natary typed,printed or stamped Nams of hlotary typed,printed or stamped � * * � Y �blle-State at F#orfda
='+ .•= Commisston A�FF 905353
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; � `•,,���•"• Bonded ihmugh National N�ary Assn.
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Budget Air Supply and the name James �Tadford. Under license number CAC
18 41. '
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J es �aadfo�d Date
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N tary Si e Date
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Budget Air Supply
���"""�� LONI JOMNSON
I;.o►pr°�e�•y
38190 H�2'7 � r. �-: Notary Pubtic-State ol F�ortda
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86�-35�-684� Phone I •,,o`��"' Bondr.d thiough Natinnal Notary Assn.
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863-547-6943 Fax i
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