HomeMy WebLinkAbout16-17348 CITY OF ZEPHYRHILLS �/
_ - ' S335-8TH STREET
(813)780-0020 1j134$
BUILDING PERMIT
- PERMIT INFORMATION LOCATION INFOFtMATION '
Permit Number: 1 T348 Address: 6144 9 0TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass ot Work: R/C CHANGEOUT Township: Range: Baok:
Proposed Use: NOT APPL(�ABLE Lot(s): Biock: Section:
Square Feet: Subdivision: TYSQN
Est. Value: Parcel Number: 02-26-21-0080-00200-0250
Imprav. Cost: 3,950.00 OWNER INFORMATION
Date lssued: 5113I2016 Name: TERRILL, M{CHAEL & REBECCA
Total Fees: 55.00 Address: 6144 10TH ST
Amotant Paid: 55.Q0 ZEPHYRHI�LS, FL. 33542
Date Paid: 5/13/2016 Phane: 813 215-5252
Work Desc: A/C CHANGE OUT 3 Tt"�N
CONTRACTOR S APPLICATICIN FEES
I CARE AIR CARE LLC A/C CHANGEOUT 55.00
��! `�
Ins ections Re uired
D TSI TALL
DUCTS lNSll�T I`�1 �
FINAL
REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida S#atute 553.80 (2)(c)the
[ocal government shall impose a fee of four times the amount of the fee imposed for the initia! inspection or
.first reinspection,whichever is greater,for each such subsequent reinspecEion.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may be faund in the p�ablic records of this caunty, and there may be additional permits required frarn other governmenta(
� entities such as water management, state agencies or federal agencies. ,
"Warning ta owner: Your failure to record a natice of commencement may result in your paying twice for
impravements to your properly. If you intend to obtain financing,consult with your lender or an attorney
befare recording your nofiice of cammencement."
Complete Plans,Specifications Mus#Accompany Application.All wark shali be perfarmed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEPORE C.O.
NO OCCUPANCY BEF4RE C.O.
������d-
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MQNTHS WITHC>UT APPRClVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR4TECT CARD FROM INEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021
, .
Building Department
Date Recelved Phone Contact for Permittin -
Owner's Name ` C','��r`d Owner Phone Number ��� -�I.S^-,�Z.��
Owner's Address ��� � S)`1IL. Owner Phone Number
Fee Stmple Tltleholder Name Owner Phone Number
Fee Slmple Titleholder Address
JOB ADDRESS (O r<<<� �� S7Yz . '�"T'�'' �^�Z LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP05ED NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �- (�� � - 0 ✓r 3 �-J
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��3����Z��
�MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION �
3�`s-�- �1�3 ��
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
._
BUILDER COMPANY
SIGNATURE REGISTEREO Y I N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER � COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
MECHANICAL ,/` , COMPANY � `a'Y�� r`�2 e�l= ��' ����
SIGNATURE ` �����✓�- REGISTERED Y/ N FEE CURRE� Y/N ��,���-
Address License# C� !p l -n-�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N Fee cuw�En Y/N '
Address License#
11111111111111111111111-11111111111-11111111111_111.1111111111111111111 I
NOTICE OF DEED RESTRICTIONS: The undersigned understands tbat this permit may be subject to"deed°restrictions" I
which may be mase reslrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND COPITRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance wlth state and local regulatlons. If the
contractor(s not Iicensed�as requlred by law, both the owner and contractor may be cited for a misdemeanor vlolaUon
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Sectlon at 727-847-
8009. Furthermore,,if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block°of thls application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he Is not propedy licensed and is not entitled to permitting privileges in Pasw
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bufldings,change of
use in existing buiidings, or expansion af exisfing buildings,as specffied in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,wfll ba tdentified at the time of
permitting. It is further understood that Transportatlon Impact Fees and Resource Recovery Fees must be paid prior to
recelving a'certificate of occupancy'or ftnal power release. N the project does not involve a certificate of occupancy or
final power release,the fees must be patd prtor to permit issuance. Furthertnore,if Pasco County Water/Sewer Impact
fees are due,they must be pald prior to permit Issuance in a�cordance with applicable Pasco County ordinances.
CONSTftUCTiON LIEN LAW(Chapter 713,Florida Statutes,as amendedj: If valuation of work is$2,500.00 or more,I '
certify that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—Homeowner's
Protection Guide'prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than ihe'owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the'owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information In this applicatlon is accurate and that all wark
will'be done in compliance with all applicable laws regulat(ng construcUon,zoning and land developmenG Applicatton is
hereby made to abtain a permit to do work and Installallon as indiqted. I certify that no work or installation has
_ commenced prior to issuance of a pertnit and that all work will be performed to meet standards of all laws regulating
construction, County and Cily codes, zoning regulations, and land development regulatlons in the jurisdfction. I al"so
certffy that I understand that the regulalions of otNer govemment agencles may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies fnclude but are not Iimited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatmenk �
- Southwest Florida Water Management District-Wells, Gypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Healih 8 Rehabilitat(ve Servfces/Environmental Health Unk-Welis, Wastewater Treatment, �
Septic Tanks.
- US Environmental Proteciion Agency-Asbestos abatemen4
- Federal Aviation Authority-Runways.
I understand that the following restricUons apply to the use of ftll:�
- Use of fiii Is not allowed tn Flood Zone'V°uniess expressly permitted. •
- If the flll material is to be used in Flood Zone 'A", it is understood that a drainage plan address(ng a
'compensating vofume"will be submitted at time of permilting which is prepared by a professional engineer
licensed by the State of Florida. ,
- If ih�fill material is to be used In Flood Zone'A° in connection with a permitted building using stem wall
construction,I cettify that flll wlll be used only to fill the area within the stem wall.
- If flll materlai is to be used in arry area, 1 certtfy that use of such ftll wlll not adversely affect adjacent
� properties. If use of fill is found to adversely affect adJacent propertles,the owner may be cited for violating
the conditions of fhe building pertnit Issued.under the attached permit app8qtion,for lots less than one(1)
acre whlch are elevated by flll,an engfneered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise tn good fafth to infortn the owner of the pertnitting condttions set forth in
this affidavk prior to commencing construction. I understand that,a separate permit may be required for electrical work,
plumbing, signs,wells, pools,alr conditioning, gas, or other Installations not specfficaliy induded in the application. A
permit issued shall be construed to be a license to proceed with the work and not as aufhority to violate,cancel,aiter,or
set aside erry provisions of the technical codes,nor shall tssuance of a permit prevent the Buildirig Official from thereafter
requfring a correc6on of�rrors(n plans,construction or vtolaUons of any codes. Every permit Issued shall become invalid
unless the work authorized by such permit is commenced within six monihs of permlt issuance,or ff work authorized by '
the permit(s suspended or abandoned for a period of s(x(e)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
just�able cause for the extenslon. If work ceases for ninety(90)consecutive days,th�job is consfdered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEMT MAY RESULT IN YOUR
PAYfNG 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.
FLORIDA JURAT(F:S.117.03) �- ,�, ` ,
OYVNER OR AGENT CONiitACTO� �//r► d'�✓��
Suhsalbed end swom tn(or afHrtned)before me this Subsatbed nd swo �,(c �rme)b iore m this
�, �-�3-� �� �... �./�_
VYho islare personaily knawn to me or hasRiave produced lare ers I 1 o;nm to me or has/have produced
as Identlfiw9on. as Idenlifiptlon.
Notary Pubtic � Notary PuhNc
Commission No. Commisslo ��'ti'�°� JAC
=#: ;.= Commission#FF 150422
Name ot Nofary lyped,pdnted or slamped �Name oT Nota i;;,�' �
�p,� Bondad T ru Tmy fain Ineuranca 800J85.7019 , i
i
�$���� ;s;`���.��4�,,;� . . 3447
� �.. � �.=.�,.,.
,( fiai,A,�,'���P`.�i`-� � ' . � �� ������� � . �� I
`'�1, �7' j l�::l Y 4�''�`�ffiiri�':;,; i ,�t-;'���'rJ�:;�i..�(,ii I
r � �:�� � ; ��� �,�j����! r
��; � �,, ;�� �
� r- �.
I"� � � � V'� � � .� " � M�t#iod,Ot�P�yment Condon�Iflg UriBt Evaporwtdr Unit -
'� x � �� 1 u' _
,� � � �s:�"' • Cash � Ch�ek A 18ake NtaKe .
�,:� �,:� � � � .�� ���Pt��%�QQ�l�l� . .
,.�:v
- "�..•�-�.�- -p Cr+edit Cmrd Q MG Q VIsa.O Dise. MONef� Motlol#
2702a"Foamfloe�vcT Blede Wes6e��teapol,Ft..33�54 c,c.� Serief# ��f.�
873-39b-2324 . �
Exp..Datm: s�c.Cods: Checkli's4. Checkfist
Nomo: • , C�flcetor:Raq. Aetual Cuplcator:Req. Aetual
str�eot: ` � � DAto,: � ?,� Contaetor: Fan Ampa: Aetual
Clty: 2 Timo: Compnasor Amps: llctua! wir Filters:Size
�Ph000 �� /�• S�,SZ Ema��; Fan AmPe. Actual Alr Filters:Conqitlon
Teclintehn: � Ty�to of Work:Rogular� Wmronty Q Contraet:.❑ Re�igornM 7�►pa: Evopontor Cop Cond.:
' � D�scMption oi Work Suction Press.!Temp..: TX1/or Orllee:
1 � ��,� �� sucdon Temp.: Cond.Pon s -
�,
. f ,Supe�Heet: (�15� Cond.Dmia v.lne:
Dlschar9s Pross./Temp.: Air Temp�.ln:
DisChArge Temp.: Aic Tenfp.Ou!:
, Subebolln8: I^'10) A�rTemp.ONfeeasneo: (�16)
.Surge Protectlon: The,nnoatat:
TI�Downs: Float Switeh:
Recommond�tlan� . Sesrvlces �fity� oAm�unt
�r.c�,, N�G'riy
oa
�1m
�Mero nuaatlqr�e o�pr a»wratc an�hroa elae.vrluon nas�om eetf5aooeaAly
LlnNfeA wmrm�b��Ii nrote�e4e.l�s e�W Nij1D��et e�a psp�,1 eB�am eNlp r'etalM tMN to�puNmenL'mOtlflIDt9 Aa�fatDld Y�tll
wwrm�uea pp ni.memnmMms a w�pn.n aNtt�n wannn�a rmm�s b maa..�n carm.m b iwt�rcw.m u�+«a eenr,om��anaw saa
en7}.AO tffior Mrfe�nwG CY�Ca��IrGmu,LLC h q=IpnmMnel�Any n1 Ecam'a e�ena�nn�brleM�e 2%tt�Ut�fw on
rro�ra�iUa9 Por t yw untasa c�nev�Aa�FnmestaG m writ6e9-� thr mt6v ameunt oo�nineA m 8�e autleYf�ge�trmneetton.�M�om+N
.Cs��h Ca�y LLC maM�s arows+rmRMe.q9��� �aldn9 hom�e1a�etewel afmil not W Me re�ona�ilid of M�xiMr.
'ImptlN.md Itl eg�nu Or beNfielnne e�Ilot�e lo
meft�1u+I euea wrorMfha ao ptmM M 1 CM�Alr Ca�,LLG - , , • • -
�,a,�,,,,�,,,, � "*'Thank�You�Veiy,Much ? wTotal Labor,b,Mats�iala �
, '" I