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HomeMy WebLinkAbout15-16650 CITY OF ZEPHYRHILLS �� 5335-8TH STREET (sis)�so-oozo 1 65 BUILDING PERMIT - PERMIT INFORMATION"' � . LOCATION INFORMATION Permit N��ber: 16650 Address: 5629 MUSE CT Per.mit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SUNSET ESTATES Est. Value: Parcel Number: 12-26-21-0310-00000-0890 Improv. Cost: 4,170.00 ` OWNER INFORMATION Date Issued: 10/05/2015 Name: BLACKWELL GERTRUDE M TRUST Total Fees: 60.00 Address: 5629 MUSE CT Amount Paid: 60.00 ZEPHYRHILLS FL 33542-5816 Date Paid: 10/05/2015 Phone: 813-788-4309 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S � APPLICATION FEES - � BAHR'S PROPANE GAS& C, INC. C CHANGE UT 60.00 / � � � � .- � 0 -rS � ^ � � Ins ections Re uired DU TSIN TA ED I DUCTS INSULA�� I FINAL L O � 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. 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 CARD FROM WEATHER � 813-780-0Q20 City of Zephyrfiills Permit Application Fax 813-78U-0021 Bullding Department Dats R�c�:ved Phon�.Coatast for Permttttn - 1� �� _ �L`��3 Orvner•s Name 1�L �GL� ��i2,7�@ LC.`71� Owner Phooe Namber ���� �o r ���t Owner's Address �c�r,�� „/��� �IZ� dwrner P'hone Number � �• � Fee Simple Tltleholder Name �^ � Qwner Phone Number � � Fee Simple Tltlehalder Addresa JOB ADDRESS ��40� / ��/�� '-'�`'� LOT# C`� SUBDIVISION �— � PARCEL ID# fa o� e�j �31� �`G��L� L���� (OBTAINED FRQM PROPERTY TAX NOTICE) WORK PRt}POSED , e NEW CdNSTR� ADD/AI,T � SiGN Q Q DEMOLISH INSTALL. REPAIR PROFOSED USE Q � SFF2 Q 'GOMM � OTHER TYPE OF CONSTRUCTION • Q BLOCK �'�[� FRAME C� STEEL [�] DESCRIPTION OF WORK �������/� � � '� � .,� �/lI a �l37n 4 ��.5 BUiLD1NG SiZf � '`.�� $Q FOQTAGE C� HEIGH7 E�� ���«��N�"' �� VJ4I.UATION OF TQTAL CQNSTRUCTION QEi.ECTRICA! $ ��� � � AMP SERVtCE Q RROGRESS ENERGY Q W.R.E.C. QPLUMBING $ , �,� QMECHANtCAL $ JJ j rT�. D�; VAi.UAT10N QF MECHANICAL IFVSTALIATl01+1 �" QGAS Q ROOFIt�lG : Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO BUEI.DER COMPANY SIGNATUR� RHGISTERED Y/ N ' FEE CURRE� Y/N Addre�s ' L(cense# ( � � EIECTRIC1Al�t CQMP/WY ' SIGNATURE � REGIS7ERED Y/ N �e cuw�en •Y/N Addreaa -�� � _Llcense# �� � PLItMBER COMP.AHY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address � � License# � � MEGNANtCAL j � COMPANIf ��'S l"fD�i91J�. (�`"� ?°—�+C�"�l� SIGNATURE ���'�L����/�'�� RHGISTEREd Y/ N �E CuR�ten Y/N Address ' Lfcense# �l-�%v`T ���`p OTHER C{>MPANY SIGNATURE ^ � REGISTERED Y/ N.. �e CuR�n Y/N. Addres$ ' • Llcense# � �� ,- RESIDENi1AL.. �Attach{2}.PIot.Plaris;.{2}se#s�af:Biilldliig'Plairs;�{1)set of Energy��artns:�R-O-W Permlt for new construotian, •Minimum,ten_(:1.4),working:days.aftec.submitteil date..Requlred ansite,ConstFUCtion Rlens;Stormwater'Plans w/Sflt Fence installed, Sanitary�Faciltfles�&�1,dumpste.r,:SIte:Work�Rermlt for subdtyislonsllarge proJes:ts_ __ GOMMERCIAL Attach{3)complete sets of Suitdirig Ptans pius a�tfe Safety Page;{1}set of Energy Forms.R-O W Permit for new canstruction. Minfmum ten(1Q)working days'after submittal date. Required ansite,ConsUucdon Pians,Stormwater Plans w/Slit Fence installed, Sanitary FaciliUes&1 dumpster.Site Wark Permlt for al!neuv projeots:=AIt commeraa!r+equlrements must meat compllance SIGN FERMIT Attacti'{2)sefs af Englneered�P_lans.,_. �V � . - """PROPERTY SURVEY reGutred fo�all NEW constructlon. Directlons: ' - , , ' , Fill out appiicatlan completely. � , � �� r"r . � Llwner 8�Contractor sign badc of appltcation,;notarfzed � � � If over 52500,a Notice of Commericeinant ls required�(A!G'y�rades over S75Qq) . --"° �� � _ � ,.,j'Z , '" Agent(far tlie cantractor)`or�Power of Attamey(f6r tFie owner)would be someone with notarized letter from awner authorizing same � �� " DVER THE COUNTER PERMITIING �- (Front of ApPlication:O�ly)...::,w y..f ��.; . _ : . _ _. , . _ _ _ , , Reroofs if shingles Sewers Service Upg'rades AJC�, , Fences,(Plot/Survey/Footage) , _, : ��' - ' , , � � -� �s`' _ � � ,�� i} ,.. - r , . Clriveways-Not over Counter ifi on pubtic roadweys.�.-needs ROW-'s-`, =� ' , ,' . ° ' � , � , _.,_ . __ ��-_. ..-.....� ,--: ,'>.`;.....,. -.. __ ., . , .. ,.-__. , NOTICE OE DEED RE:3TRICYIONS: �he und�cstgned:undergtands°:tFt�t;tFtt�;.p�xntit:may be.subject t�"deed*res#rlgtlons� ,' which may be<more�re`sttictive�r�tti�n�.Countjr>�'+egulations:��The�`�'u�dersigned°assumes�responslbiltty�.far�compliance'witli"any ' ` applicable deed restricttans. .,- .t:_ .�,�;.;; :,,FM; -.._. . • � , � tdNLICENSED CONTRACTORS .aND GK�NTRACTaR�-RESPONSIBiLiTIES: �ff�the awner=has���hiced �a contractar or contractors to undertake work, they may;be,requlred,bta.be.licensed ln.accordance.with state.and•local_r�gulatlons:��:If the < � contrac�ar is not 1lcensed as�tequlred;6y law;6oth the owner arid=contsactor=iiiay be�ctted�f�ir:-��.misdemeanar vialation under state law. If the awner or intended,�:con�ra,ctor_ar,e„uncertaln as ta what Iicensing.requirements.�:may-apply:>far�the- �°: � �,....., . ; _�.,. intended work�they are advfsei!to cotitact tkie,-Pasco;County BuitillCi�rlrispectEon Dlvision-=Licensing SectEon at T27-847- 8009. Furthermore, `if the owner'has tiited `a cbrit�aictoT o`r contractors, he is advtsed ta have�the contractor(s),ksign portia�s of the "contractor Blook" of.tNis.applicatlon far;which..they.wlll...be,r.esponsible. .if..you. as-.the owner"sigri`asi�the contrac#or, that�may be an Inc3icatian�ttiat`he�is not.prope�y Itc�r�sed arid'Es not entitled to pe�Fnitting prtvlleges In P�sco County. ' � ' � � TRAN�PQRTATI�N.�fMPACTIU�1l.ITIES tNIRAC'��A��!RESOURCE RECQVERY FEES;��T�he underslgned understands that Transportation impact Fees and.RecQUrse R�cove.ry.Fees may:�appiy,to�the�construction of new_buildings,,change5 of= ° use in existing buildings; or•expansi�n-.of.�existing�buildings, as specffied ln Pasc� Caunty Ordinanae number 89-07 and 90-07, as amended.,_,�The undersigned alsa:understa�ds� th�iE�suah fees;�;as=tnay�`be:�due;,.wllt:be identified at#he'fime�;of;-� permikting, It Is further understood that T�ansportation Impact Fees an.d�Resource.:Recovery'Fees.mu�t be pald prior to recetving a 'certificate.of occupancy"ar f�nal:powe.r.release. .1�the project:.does riot Involve�,e>cert�ii�fe of occupancy�o� � � finai power release; the:fees must be paid;prior to permit issuance. Fti�thermore;�if:Pasca Counly�°1Nate�JSewer�:lmpact � fees are due�they.must:be-pald prio�to.permit=l�suance-In accordance wlth:appticabfe.Pasco':.Countji o�cllnances. CONSTRUCTtON`L1EN"lAW(Chaq#er T13,Flarxda St�tutes,��r�tendl�dp: if valuation af work is$2,500.00,�or mate� 1 certify that 1, the applican4, have.been provtded with �a copy-of`the�"Florid� Constructlon��Lieh..Lav�Homeowner's ProtecfEon Gulde" prepared by:ths Florida �ep°aE#r�e�f of Agrlculttire and Consumer�Affalr`s. i#the appt{cant is so�teone other than the°owner", I certffy.that.l:have.obtained`�a�'copy,of.the above..descritied�docur�ent�and:p,romise:in,good'.faixh�to deliver it to the"owner."prio��toycommencement:. .' . -' . . . CONTRACTOR'S/OWNER'S AFFIDAViT: I ce'rti�Y.that::all"th�..information tn thi�appllcatlon is accurate,and that aii work will'be done in campliance with all.applicable laws �egnlating aonstruction, zontng and:�land�development. Applica#lan Is hereby made to obtaln .a.permit�.;to,,do.:,warlc:.,and t ins#a1#ation as indtceted:�� 't certify that no work�`or tnstaqation'fias commenc�d prlar to issuance of a permit'and that':all work will be performed to meet..standards of-ali laws �egulaking- con�t�uction� County and City codes, zoMng regulat(ans, and land development r.egalstEor�s-tn the jurisdtctian:. .1 also certify that I understand that the regulattons of other government agencles may�apply�to the intended work, and that it is my responstbAity to Identify�what.actlons 1 must t�ke:to be,in:.corr�pllance;.,Such agencies include but are.not Ilmited,lo: - Department of Et`�viranmental�rProte�tion=Cypress�'Bsyhead�, 1lVetland i4re�s'a�rd Environmentatly Sensitive Lands,Water/Wastewe#er Treatment. - Southwesi Flor�da Watef Ma�agemer�#� Dis#ric#-Wells, C}lPress.�`Bay.head�,- Wetland Areas� Altering Watercourses. , - Army G�rps of Engineers�Seawails,=Docics,Navlgable Waterways, - D�partment of Health��� Rei�abllitative,.Ser.vices/Environmental ;Nealth Unit Well.s� Wastev�taterTreatment, Septic Tanks. .' �, . .` - - - US Ern�ronmental Protectlon Agency-Asbestos abatement: Federal AvNat(on�Authority.;Runways: 1 understand that the�folfowing.rest�fctions appty to the use of fllk� - Use af fill is not allawed tn Fioad.Zone"V"uniess�expressty permitted. . - If the flli materlal is to be used��in..Flood. Zone. "A"� ft. is understood that a drainage plan addressing a , "compensating volume"w�ll be submltted at#ime af permittlrag wliich is prepared by a professional engtneer Ilcensed by the State of Florida. • !#the �1! materlat'Is to be us.ed 1n Flood �one "A" In;connec�lon�wlth''a�.permitted bu3lrling asing stem wall � construction, i certifiy that tiil�:wlll:be used only.to.fill#he area wlthfn.the�stem vvall. - !f fiA materia! Is ta be used !n any area, 1�certify tfiat .uss of-such AN w3A not adversely affect ad�acent properties, !t use of�it is found to adversety:�ffect adjaeerrt.properties,.the awner may be aited for viola#tng 4he condi#ions of.the bullding�;permit-Issued.<undea�tfie�at�acli�d permit applicatlan, for lots less than.one (1) acr�whtcti ere eievated�by flll;a�t engineer�acf drai�age plan Is tequlred. . If I am the AGENT FOR THE OWNER, I;:promise In good faith to Inform th��ownerof�the permitt(ng condi#lons set forth in thts affidavit`prtor to commencing canat�uction. I undersfand that a�separate permit may be requlred#mr etectrical work, plumbtng, signs, weils,.poats; air,conditioning,.g�s, vr�other install�itions not.spec�ically inciu�ted�in.the application. .A permit issued shall be aonshued#o b�-a'Ii�ense to�-p�oceed wlth tF�e work and•not as:autho�tiy to.vinlate,�cancei* alter, or set aslde any provlsians af the technlcal c�de�;�nor sha11 issuencs•af a.permft.pcevent the Bullding t3i�lcial from thereaftec � requiring a correction nf enors In•plans�,:consfr"uction or vlolations of any codes. �very permlk i.ssued shail�became�invatid unless the work authorized_by such permft��ls_cot�tmenEed within si�c.�nortths of permit lssuance, �r 1f�nrork au#hor�zed by the permif is suspended or.aba�doned foc.a;perlod af�gix(8}monffis:afiter ths tinne#he�work��is commenced. An extenston ___may_be requested,.(n writ(ng,�from #he_Building.Q_fficfalUfor_a_period not•ta_exceed.nlr�ty(9p��days a�d-avviil!�derrionstcate-- - —--- - justifiable caus�for.�the extenslo�: If wark ceas�s�foc ntne#y(90}cans.ecutive:day.s...t�te jab�s cansldefed aba�tdoned. WARNING TO �WNfR: YOUR.FAILURE-TQ.,.RE.,C.O�tDYA NOTIGE:Q��C4MM6M�EMEI�T��VtAY�°RESU�T IN�YCtUR PAYIMG TWiCE:�'t�R:IMPROV�NfEN'�S�TO.YAUR:PROPER�7Y.:�I��YOU�IN'FE�IID:"T�1;�9TAIN��FIN�►�1E�1VG;'C.ONSULT WIT U D � AN 0 ��:, O � �:- •. _. , ; E, ; _ FI.ORlDA.1{1RA�-(F . . Z.Q3), - Z " . ' . . . E , OYYNER OR A CONTRACTO Subscribed and�wo {or afllrtned) efa e me this Snbsqibed'�pd' =tc{ot aflirm � etore nte'tht� by - � INho Is/are persa ty known M.me or haslhave produced Who.ls/are personally known�.tq�rtte or hasJhave•produced • as Identlf�8on. s tdentNicatian. Riotary Publlc Notary Publlc Commiss No. Commisston_ . ,��"Y'oy�.,, JOEL E.BACON ,�����. ,.��':.r''��, JOEL E.BACON Name Nofary �i .- une 29,2418 Name of h�ofa ' _t � ^ o�: ExP�f� ;�� ;,; Expirss June 2 ,2018 Bonded Tlvu Troy Fein Instdance 800�308•�O19 t�,a� ����4;� ��iP,a 1kT,, Bnnd�dThmTroyFanlnsurance60o-385a019 vrwwr�a�'�'°"��� n� y�,�.s� A __ `U�l� � 15 ` !�� �CG �'IC��`� ��es --�.,-� -�-� C� � � � � PROPANE CzAS � � � � � AND AIC ttvc. Service� Order/Proposal Air Conditioning 8�Heatinc II �S'i�ce �988 813-782�5013 � L°.�i��l"��i �t'<4)��a;� f��'�[i}_�.'t��l'i�-I�'.i r�C'.^�i C:�3i�� S�.les, Service & Installations �'��`- '�r��'!r= ��'�'`��� �L'�;'�«�:�'i�� 1�i•: �.�; 4441'Allen Rd. • Ze h rhills FL 33541 '���'�'�'' '��`� �`'��'�� ,`�c � p y ' i)�"�-�:,�;�f;;,� �F�f�;�ISf_T; NOTES: � �.U��>T�ii�l�::�;T�/i. 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W / C retains title to equipmeMlmaterials fumished untli finai payment is made.It payment is not made as agreed, CLAIM# I , selier can remove seid equipmenUmaterials at Seller's expense.My damage resulting irom said removal shall � not be Ne responsibliiry ot Seller.NET 30 DAYS.A 1 712%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED �' � ^ �� �� ALL UNPAID BAIANCES OVER 30 DAYS.NO REFUNDS ' I /' �•-�/; TECH: T� i y -- ��� , i CUS OME IG RE � DATE ✓� �ozc TOTAL � �v