HomeMy WebLinkAbout16-17209 CITY OF ZEPHYRHILLS
- 5335-8TH STREET
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BUILDING PERMIT �--��
_ PERMIT INFORMATION � ' LOCATION INFORMATION -
Permit Number: 17209 Address: 37642 fVEUKOM AVE LOT 15
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0150
Improv. Cost: 3,838.00 OWNER INFORMATION -
Date Issued: 3/30/2016 Name: LABUHN COURTNEY
Total Fees: 55.00 Address: 6277 URBAN DR
Amount Paid: 55.00 EAST CHINA MI 48054-4753
Date Paid: 3/30/2016 Phone: 813-713-7150
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S - � � � APPLICATION FEES. �
CHRIS'A/C CO. A/C CHANGEOUT 55.00
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Ins �ections-Re uired
DUCTS INSTALLED
DUCTS INS LATE
FINAL I� �
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.
1 NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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.
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CONTRAG R SIGNATURE PERMIT OFFI R �
P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Buflding Department
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pate Roceivec! � ��-- . — �of�
Ahane-Contact for Permi#Ein
Owner's Name C�.�O Ur- �I Owner Phane Number t7f ' • ���
Owner's Address ��p � i�(.Q.0 Ownar Phone Number � ',��a f'�' `l�t��� �
Fee Simple Tltleholder Name � � Owner Phone Number �
Fee Simple Titleholder Address I�',
JOB�idDRESS t�tn,P..- LOT# C__�
SIiBDIVISiON ��--�t! f91o1`r2a�n.A PARCEL ID# �,� �,��a�,� 1 C.�o �� d �C3 O['�O ' (,.�/��
, (08TAINED FROM PROPERTY TAX NOTICE)
WBRK Pi20POSED NEw CONSTR ADD1AlT Q SIGN Q [� DEMOI.tSH
e INSTALL 8 REPAIR
PROP08ED USE Q SFR Q COMM � OTHER ' t " �
TYPE OF CONSTRUCTION Q BI.00K " Q FFZ4ME [� STEEL CJ � ��
DESCRIPTIOPI OF WORK i � ` � -� 9�,�, ,Q
BUIlDING SIZE SQ FOOTAGE HEIGHT ���
� QBUI�DING � � VALUATIOiV QF TOTAL CONSTRUCTION
QE�ECTRiCAE. $�'� � AMP SERVICE . Q PRQGRESS ENERGY Q W.R.E.C.
�
�RLUMBIN{� ri� -
L
MECHANtCAL $ VAIUATlON OF MECHANICAC INS7ALlAT10N
� ��'��
QGAS Q RQOFING. Q SPECIRI.TY C� OTIiER
FINISHED FLOOR ELEVATIONS ��_� F1.00D ZONE AREA [�YE5 NO
BUI�DEI2 --- - COMPANY_.__ -- - - -- ' --,
µSIGNATURE REGISTERED Y/ N PEE CURRE� Y/N
Address License# � �
EIECTRICIA4J COMPA�FlY
SIGNATURE � REGIBTERED Y/ N FEE CURRE� Y/N
Addrsss License# �— �
PLUMBEFt COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � ` �
MECHAl+IIC,4E. ` . � GONIPANY �
SiGNATURE REGISTERED / N FEE CURRE� N
Address license# �
OTHER COMPAFIY
� SIGNATURE REGISTERED Y/ N - FEE CURRE� Y/N
Address license# �� �
4 RESlDENT4Al. Attach{2)Plat Plans,.{2)sefs af�Building'Plans;{1}se#of Energy Forms;Ft-0-W Perinit for new canstructiori,
� Minimum.ten(1.0)working"days after submittal date. Requ�red onsite,Construction Plans;Stortnwater Plans w/Silt Fence installed,
I Sanitary FaciliUes&1 dumpster,S(te Work:Pertnit for subdivisions/large projects . -
� GOMMERGIAi. A##ach{3)cor►iplete sets of Buliiling Plans plus a'�Ife Safe#y Page;{1}set of Energy Fonns.R O-W Penn9t fof new canstnsction.
Minimum ten(10)woric(ng days afker submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.$ite Work Permlt for all new proJects.All commercial requirements must meet compliance
SIGN PE02MIT A##acFi{2}sets af Englneered Plans. ' '
""PROPERTY SURVEY required for all NEW canstructian. - -
Directians:
Fill out applicaHon completely.
Owner S Contractor sign back of applicatlon,notarized
; tt over 52500,a Notice of Comnnencement ts t�equired, (AlC upgrades over�7500}
� " Agent(for the contractor)or Power of Attomey.�(fqr thenow�er)wauld be someone with notarized letter from owner authorizing same
OYER THE CCiUNTER.PERMiTCING y{Front of Appl�catiorti'Only)' ;'<''�..;=r ._�. � `
Reroofs If shingles Sewers Seniice Upg`raides:�NG"=:�"�'Fences�(P,IoUSurvey/Faotage)
� � .. , �.- � :.... ,
Driveways-Not over Counter if on putilic roadwa�s..needs'ROW _, , �x 4�f�
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NOTICE OE DEED RES�'RACYIOMS: The undersign�d under.stands°�that this,permlt.may be,subJect to"d�ed"restrictEons"
which may be,more.rest�icttve�than County:regulalloros. �"Phe undersigned assumes responsibility for compilance with any
applicable deed restrictBons. �
UNLICEM§ED CONTRACYOR� IAND -CONTRI�CTOR RESPONSI�ILITIES': �If the owner has hired a contrac4or or
contractors to und�rtake work, they may be Pequired to be:licensed in accor�ance.with s�a��.and•Oocal regula4lons. If the
contractor is not licen�ed as required`by law, both the owner and contractor•�nay be-clted for a��isdemeanor violatton
under st�te law. If the owner or Intended contractor are_uncertaln as to wh�t Iicensing.requirerrients may �ppiy.�for the ',
intended uvork, they ar�advised to contact Qhe Pasco County Bullding lnspectlon Dlvlslon—Licensing Section at 727-847- I,
8009. Furthermore, If the owner has hired a contractor or contractors, he Es advised to h�ve the contractor(s) sign I,
portions of the "contr�ctor Block" of thfs a+ppllcation for vvhich they will be .r�sponslble. If you, as.the owner sign as�Qhe
contractor, that may be an indication that he is not.properly 18censed and ls not entitied to permitting pridileges fn Pasco
County.
TRANSPORTATION IMPACTiUTILOTEES IMPAC7 AND-RESOURGE RECOVERY�FEE3:�The undersigned unders#ands
tha�Transporfiatfon Impact Fees and.Reco.urse Recove.ry Fe�s tr�ay�apply to the construction of new buildings, change of '
use in existing buildings, or.expansion of ezistiri,g�6uildings, as speclfled in Pa�co County Ordinance number 89-0'P and
9�-07, as amended. The undersigned also understands, that such fees, ��;rnay_be�.due, wi19�be identlfied at the time of
permitting. It is fur�he� understood th�t Tra�sportation Impact Fees �nd Resource Recovery'Fees must be paid prior to
receiving a °cer�ificat� of occupancy" or flna0 powec release. :If the project does not(nvolve a.eertfficate of occupanc�+ or
final power release, th�fees mus# be paid prior to permit Issuarece. Ft�tthermore; !f:Pasco County VVater/Seuver Impact
fees are due, they.must be�pald prior to permit-issuance-in accordance with appllcable.Pasco County ordinances.
COfVSTRUCTION LI�PI L�11fV(Ch�pt�P 7�93� Florla�a�Statute���s amen�led): Of valuatlon of work is$2,500.00 or more, I
certify that I, the applicant, have-been provfded with. a copy of the "�lor6da Constructlon Lien 4:av�liomeovvner's
Protection Guide" prepared by the Florida Depa�teo�ent of Agric.ulture and Consumer Affairs. If the applicant is someone
other than 4he"ouvner", I certify 4hat I have.obtained a copy of th�above..de�cribed docur�ent�and.promise in.good falth to
deliver it Qo the"owner�prio��to comrr�encement.
CORITR�ICTOR'Sl011VNER'� AFFIDQ�VIT: I ce�tify that all the Inf.ormation in this applicatlon is accurate and that all uvork
will'be done in compl(ance with alE applicable laws r�gulating const►vction, zoning and land development. Applicatton is
hereby made to obtain .a perrnif to do. work_and instaliat(on as indicafed.� I certify that no work or installatton has
commenced prior to issuance of a permit a,nd that.all work will be perforrr9ed to m�et sQandards of a�ll laws regulaking�
construction, County and City codes, zoning regu9ations, and land development regulatlons�in the jurisdtction. I a0'so
certify that I ur�derstand that the regulations of other governrnent agencies m�y�pply�to the intended work, and that it is
my responsibility to identify.what.actions I must t�ke to b�,In.cort�p0lanc�.,Such agencles lnclude but are.not Iimited to:
- Department of Et�vironmental-Protection-Cypress.'Bayheads, VVetland Areas and Environmentally Sensitive
Land�,WatedVVastewater Treatment.
- �outhwest Florida Water Managem�nt District-Wells, CypP�ss. Bayheads; V1letland Areas, Alt�ring
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, fVavigable Waten�vays.
- D�partment of Health & Rehabllitative Serv[ces/Environmental Health Unit 1lVelis, Wa�te�ter�Treatmenf,
Septic Tanks. �
- f1� Environrnentat�rotec4i�n Rgency-Asbes4�s ab�t��dnt.
- Federal AviaQlmn AuthoriQyr-Runways.
I understand that the foElowing:restrictions apply to the use of flll:� -
- l)se of fill is not allowed in Flood Zone"V"unless expressly perm(tted.
- Of the fiil material is to be used in Fiood Zone "A", It. is undersQood that a drainage plan addressing a
°compensating volume" will be submitted at time of p�rmitting which Is prepared by a professional engineer
Ifcensed by the State qf Flortda.
- If the fill material is to be used in Flood Zone �A" in�connec�ior��with.a��permitted building using stem wall
construction, I certi�j+that fill�:will::b.e used only.to�ill th�area wlthin the stem wall.
- If flll mater0al is to be used in any are�, I c�rtifi�r that use. of such fill�will not adversely affect adjacent
properties. If use of flll is found to adversely:affect adJaeent properties,.th� owner may be cited for viola4Eng
the condi#ions of th� bullding_p�rmit Essued under the attached permit application, for lots less than one (1)
acre vdhich ar�elevated by flll,an engtneered drainage plan is requtred. ,
If i am the AGEWT FOR TFIE OWMER, I;:prornise in good faith to infoem the owner of the pe�mitting condit(ons set forQh tn
this a�davit prior to commencing construction. I understand th�fi a separate permtt may be requtred fo� electrical wrork,
plumbing, signs, wells, pools; air coreditioning, .gas, or other install�tfons not.specifically included in.th� application. .A
permit issued shall be construed to be a license to proceed wfth the�work arad not as.authoriQy to,violate, cancei, alter, or
set aside any provisions of the Qechnlcal codes, nor shall issuance�of a.permit.prevent the Buliding O#iicial from thereafter
requiring a correc4lon a�errors in plaros, con§t�ction or viola4ions of any codes. Every permit issued shall becorv�e invalid
unEess the work authorized by such permit�Is_coroimenced�wtthin six m.onth� of permit lssuance, or i6 work authorized by
the permit Is suspended oP abandoned for a period of six f 6)months.after the time_the work is comrnenced.. An extenslon
may be requested, !n writing, ftom the Building.Official for a perlod not to exceed ninetyr(90) days and will demonstrate
justifiable cause for:the extension. If work ceases for ninety(90)consecutiva days,.th�job is.considered a,bandoned.
WARNIfVG TO OWNER: YOUR FAALURE TO,REC.ORD A NOTIGE OF COIlAMENCEMIEMT' IMAY°RESULT IN YOU13
PAYING TWICE,FOR ENIPROVEMENTS TO XOUEt:PROPERTY. IF°YO.E��IIdT�ID�''TO�OBTaA1N�FIPFdsiNCGWG; C.ONSI➢LT
_VVITFI vAUR LENDER OR AI1F A�'TORNEY BfFORE�ltE��R�DING YAU '�IVO�'I�E`Q��OIMI�� ��NII��IT' �
FLORIDA JURA�(F.S.117.03
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DWN@R OR dGENT � CONTRAC'iOR
Subscribed and swam to(or affirmed)be4ore this Subscribed and'swom to(or afflrmed)�before me ttiis
by
JVlio Is/are personally knovm lo.me ar hasR�ave produced Who.is/�re p.e onally kno to me or has/have produced
as Idend�catlon, as Identl�cation.
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Notery Public . ��' Notary Publlc
�ommisslon No. Com I� �����.. •
:;' ��:'__ Commission#FF 150422
Vame of Matary typed,printed ar stamped Mame of N � Be
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R�f31��§S: 37642 Neukom Ave.
Ze h rhills z�t�HE: 33541 P J4480
k�R���: 813-713-7150 ��K: �t:
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