HomeMy WebLinkAbout16-17375 CITY OF ZEPHYRHILLS
, _ , 5335-8TH STREET
(813)780-0020 17375
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17375 Address: 6740 ERIN CIRCLE
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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-1300
Improv. Cost: 3,650.00 OWNER INFORMATION
Date Issued: 5/23/2016 Name: GALARNEAU-GAUMONT ALTHEA
Total Fees: 55.00 Address: 61 NEW COUNTY RD
Amount Paid: 55.00 SACO ME 04072-9749
Date Paid: 5/23/2016 Phone: 207-468-1065
Work Desc: A/C CHANGE OUT 2.5 TON
' CONTRACTOR S APPLICATION FEES
CHRIS' A/C CO. A/C CHANGEOUT 55.00
n�
! \
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSU ED
FI NAL �o �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 i
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 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. I
' /�
CONTRA O SIGNATURE PERMIT OFFI R
P IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-7eo-ooza City af Zephyrhills Permit Application Fax813-780-0021
r . , Building Department
Date Received Phone-Ccntact for Permitttn — � /
4wner'�Name Owner Phone Number r,� � ' � � �6��
Owner's Address Q .rL��Yc� � . Owne�Phona Number � � �
Fee Simple Tikleholder Mame � � Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS ��/ ' LOT# L�
SUBDtVIS10N �_---��,�� PARCEL tD# � G��O o`L C�I D C�C� 0 U
(OBTAINED FROM PROPER7Y TAX NQTICE)
WORK PROP{3S5D NEW tONSTR ADDtALT �� SlGN Q Q DEMflLISH
� INSTALL e REPAIR
PRQPQSEd USE Q SFR Q COMM � OTHER JSrJn)
1YPE QF CONSTRUCTION Q BLOCK � � FRAME Q STEEL � �"T
� „ ,,, �
DE3CRIPTION OF WORK �IC /CS f /x � • � TO Yj�f
BU1lDlNG SiZE SQ FOOTAGE[_.�� HEIGHT �_�
QBUl�DING � � VALUATION OF TOTAI.CONSTRUCTION
QE�ECTRICAI. �� � AN1P SERVlCE Q PRQGRESS ENERGY Q W.R.E.C.
' �]PLUMBING $� � �� �
NIECHANICAL $ VALUAT[QN O�MECHANICAS.lNSTALLATION
{�,��:
QGAS � RC?OFlNC'a Q SPECIALTY � OTHEFt
FINISHED FLDOR ELEVATIONS ��� FLOOD ZQNE AREA �YES NO
BtI1LDER Cp1�Ip�iPly � _
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addre�s Gcense# r— �
EIEC'1`RtC1AM COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I
Addeess License# �� �
P�UMBER COMPAiZY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License# � _ �
MECHANIGAR. "' i COMPANY I � djZ
SIGNATURE �� t���• � REGISTERED Y/ N ' FEE CURRE� Y/N
Address 3 �. � � � � License# � �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
i
Address License# �i �
RESlDENTIAl: Attach(2}Plot Plans;(2}sets of Bultdfng Plaas,{1}sef af Energy�Form`s;12-0=1N Permlt for new consUvct�on,
Minimum ten(10)working;days after submittal date. Requlred onsite,Constructian Plans,Stom�water Pians w/�ilt Fence installed,
Sanitary FaciliUes.&1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERGlAL Attach(3}comptete se#s of BulldErig Plans plus a i.ife Safety Page;(1)set of Enetgy Fomts.R-O-W Pemtit far new canstruction.
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/SAt Fence installed,
' SaNtary Facilities&1 dumpster.Slta Work Permit for aA new proJeats.All commereial requirements must meat compllance
SIGN P�RMiT Attach{2)sefs of Erigineered Ptans.
"`"PROPERTY SURVEY required for all NEW construcUon.
Dlrectlons:
', Fi0 out applicaUon completely.
Owner&Contractnr sign back of appllcallon,notatized
j If oves 52504,a Notice of Commencement[s required. (AlC upgrades aver$7500j
� " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized:letter fram�owner authorizing same__
� t}VER THE CG1UFlTER PERMiTT1NG �:._-{Front'of Application Onty}, Y ' �,,, „ ` -
�� Reroofs if shingles Sewers,. Seivice Upgrades,-A/C.�', ;`.Fences(PIoUSurvey/Footage) v , � , � ` ' ', , ' ,
, a , , .. .. - '� - �
Drivewrays-Not over Counter if ompublic roadwsys.,�eeds ROW A_ �'', � � - - , �.- .,,_,. . , � '
k L
NOTICE OE DEED RESTRICTICJNS: The understgned under�tands��Eh�t thls:p�rmit�.may.bersub}ect to",deed"restrictions"
which may be�more r.estrlctive-th2�n County.�reigulations. �The�undersigned�assumes'responsitiiiity for compilance with any
appNcable deed rest�lctions. , _ � �
UNl.iGENSED CONTRACTORS AND'CflNTRACTOR RESPANSIBt#:ITiES: di the owner has hired a contracto� or
contractors ta undertake work, they may be;req.uired-to b�:licensed In accordance.w(th state.and•Iocal regulatlons. If the
contractor is rtot Ilcensec! as�requlred:liy law. both the owner and-cvntfac#or may be-cited for a-misdemeanor viot�tion
under state law. If the awner or intended contra�tor�are..uncertaln as to what Itcensing.requirements may appiy.:�foc.the
intended work, they are advised to contact the Pasco County Building�lnspection D!vlston—ltcet�sing Sectlon at 727-847-
aaas. Furthermore, i# the awner has hiTeil a contractbr or confractors, he 3s advised to have the contractor{s) sign
portions of the "contractar Block" of#hls application for which they will be,responsible.- If you� as.#he owner sign as the
contractor, tha# may be an indicatfon that he #s not.properly 1laensed and Is nat entitted to perniittlitg privileges In Pasca
County. � ' '
TRANSPORTATIDN,IMPACTIUTILITlES IMPACT'ANb�RESOURCE REC4YERYfEES: The underslgned understands
that Transpo�#ation ImpacE Fees and.Reco.urse Recave.ry.Fees may�appiy.�#a°the aanstruction af new buildings, change df '
use in existing buildings, or.expansion=of�:eiiistirig;�6uildings, as specified.in Pasco County Ordinance number 89-07 and ,
90-07, as amended. The unders{gned alsa understa�ds, thaE�such fees,:as�tnay be�dae,,w1E1 be identif�ed at#he time of
permitting. it is ftirther understood that Transportation Impact Fees and Resource Recovery'Fees.must be paid prior to
�ece�vfng a"certtficate.of occupancy" or final-power�.release. :I�ths pro�ect does not Mvoive a certificate af accupancy or
final pawer reiease; the fees must be pald prior to permit issuance. Futthermore;if Pasco Caunty-WaterlSewer�lmpact
fees are due, they�must be•paid prior to permit`-Issuance�in accardance with applicable.Pasco-County o�dinances.
CONSTRUCTION CIEW E.AW(Chapter 793�FlarZda Statutes�as amended): if valuatipn af wark Is$2,500A0 ar mare, 1
certify that I, the. applicant, have.been provided with a copy� of the "Florida Construction_Lien Law=Homeowner's
Protection GuEde" prepared by the Fla�ltfa Departmenf af Agric.ulture and Consumer.Affairs. If the applicant is someone
ather than the"owne�`, I certify that I h�ve.obtalned�a copy of the above..des.crlbed document and.pramise�in,good faith to .
deliver it to the°owner"prior to�commencement: '
CONTRACTOR'S/OWNER'S AFfIDAVlT: i ceitify that all the{nfarmation.ln this appficaHon is accurate and that aii wark
will�be done in compliance with all.appl(cable laws regulating construction, xoning and land development, Appitcation is
hereby rnade to obtain .a permit to do, wat`!�.and installatlan as Irtd[cafed. °I certi�jr that no work or installatton has
cammenced prtor to issuance of a permit and that.all work will be pertormed to meet standards of all laws �egulating-
construction, County and City codes� zontng regulal4ons, and fand devetopment tegulations�in the �urlsdlctlon. t-al'so
certify that I undersfand that the reguiations of other government agencies may apply�ta the intended work, and that it is �
my responsibility to identify�what.actions I must take:to be�ln:.compliance. Such agencles Include bu#are.not Ilmited to:
- Oepa�tment at E�rvironmental.Pro#ectton-Cypress.�Bayheads, We�and Areas and Environmentally Sensttive
Lands,WaterlWastewater Treatment.
- Sauthwest Fiorida Water Management .�?Istrlct iNeils, Cypress. 8ayheads; Wetiand Areas� Altering
Watercaurses.
- Army Corps of Engineers-Seawalls, Docks, Navlgatile Waterways.
- Department of Health'8 Ret�abilitative Servlces/Errvitonmenfal HeaR#h U'rtit Wel[s� Wastewater Treatment,
S'eptic TanKs. � � .
- US Ec�vironm�niai Protsct�on Agency-Asbestcss ab�temeaat. �
- Federa)Aviatton_Authority=Runways. ' �
0 understand that the followitig restrlctions apply to the use of flll.�
- Use of fili is not altowed in F1ood�Zane°V"untess expressiy permitted.
- If the fill material,is to be used�in Flood Zone "A", It Is understaod that a drainage plan addressing a �
"compensating valume"wlll be submltted at tlme of perm�tting which is prepared by a ptofesslanat engineer
Ilcensed by the�tate of Flarida.
- tf the f311 materfal_fs ta be used In Flood �bne °A" In�connection�w1Eh.a��germitted buiSdtrtg using stem wali
� construction., l certify that fiil�:witl-b.e.used only.to flll the area within the�stem�walt.
� - If fill material is to be used in any area, (- certifiy tha# .use. of such f1A w!!I not adversely affect adJacent
properties. If use of fill is#oc�nd fo adversely:�ffect adfa�enfi�prc�petties�.the owne�may be c{ted for vloCating
the conditions of the building:perrriit Issued under the_attached�ermit application, for lots less than.one (1)
acre whlch�re etevated�by fllt�an engineer�d dralnage plan Is required. .
If(am the ACENT FOR THE OWNER, I,�promise in good faith#o infarm the owner of the.permitting condittans set forth In .
this affidavlt'prior ta commencing const�uctlon. I understand that a°saparate permtt may be required for etectrfcal warkl �
plumbing, signs, wefls, poots; alr condittaning,.gas� or other Install�tions not spec�ically inciuded in.fhe applfication. .A '
permit issued shall be construed to be a Iicense ta proceed with the work and not as.-authority to.vialate,cancel, alter, or �
seE aslde any provlsions of the#echnlcal codes; nor sha111ssuance=of a permlt pcevent th�Bultdirig�ictal from therea#ter
requiring a correctiar� af errors in.plans, construction or vlalations of any codes. Every permlt Issued shall become invalid
uNess the work authorized.by such permit.�ls.co�nrnenced•within si�c m.ontlts of petmlt lssuance. or If work authorized by
#he permit is.suspended or abandoned for a period af six(8)montF�s:after the time the work ds aammenced. An extensian
may be requested, tn wrlting, fram the Building.Officfal far a period not to exceed ninety�(90) days a�d will�demonstrate
jus#�iable cause fo�the ex#ension: If work ceas�s fpr ninety{90}cans.ecutive•days�_th��ob��s considered abandoned.�
WARNtNG 1"t? OWNER; YDUF�.FAIl.URE TO,REC.ORD A-NC3TIGE.OF CQMMENG�MEl�ET MAY=RESULT iN Y4UR
PAYtNG TWiGE FOR iMPROVEMEAITS;TO YOUR�.PR4PERTY. 1�°YOU�IN'fEND'T��OBTAIN�FIPtANE1NG;�CONSUI.T
WITH UR END �O. AN O NEY FO'RE� EGOR�D G� OU ' O �� ' - ` E E NT��-------- -- -- �–
FL.ORtDA,itlRA'�'{F,S 1- . 8} - . _ ._.
�
_�'-�, _ �._��,,,
OWNER QR AC9EN _„='-�;,,_,�' � � CONTRACTO � �7�/.��
Subscrtbed and swa (or afllrmed}before me#h Subscrlbed'and'swcm�M{ar a rmed}�be{or+s me'ttit�
•by -
JYiio Is/are ersonaliy kna to.me or has/have produced "Who.ls/are psrsorielly�a� to me or haslhave produced •
as tdend�ca�an. � � as tden��catlon.
. - . .
��� ` c7 ,�,��-r� � tery Publlc . � � Gc¢Jrl� Notary PubUc
: �
�omr�rl,si n Na. ,�� �py�.E� �CL:�S Comm No. „�.,,
,•����;.�sion�FF 15q422 8 s*zq�' ':M_ � UELINE BOGES'
- ommiss'
Vame of Notary typed,P .,,��RF��, n,�srosrF�m�ancaeeaae��r�49 Name of Notari►h+Ped �S December 22,20
�'aa.����`t�� 8ortded Ttw i �$
roY Fain Insurence gpp,385•7019
�rr
, , •
�` ,, ' �R����:����
"�,.: '�.` �� :�,�'� �;,���� ' �N1t0#��E
I�11MR�, 'e' `. .iv.,• r,. ,./ .�.�Y. '+�' . .. , �y
�� �,
r`!��' ���wYI ,
�� . . .
---��� ��;w�'; ''�' ��� � � �� � 25'14'i
,�,,�- • .
�GA�<?5$57� . - '_ _
�x��2 �tvtrY 30� , �aA��c��r (���5���-��r� , .
RA��L�C�TFY� �L�3525 . ��P'HYRWIL.LS (81�}779-9��15 �
�iLL.T{): . ' '
. d��.
. ' � .�aP1.iT SYSTEM X . �?KC�11t�IfT' ,
� hfA1VIE: � ��' �{�a�;�ai�i,nt�t�t ' 05/•1 �B MOt��L#
DA'f�:
ADI�I��: ��7?4E1�E�i�Gi#'Cte. � � ��RIAR# '
CiN: , � ��phy�;lls ZtP�CflDE: 3354� , .
Afi�C?N�:� 20`7'�48�8-9't365 . WORK: � MODEL#
C�LL � • ' R�N`�ER: SERIAL#
�'�CHNaCIf�N:' ..G��s. DATE:45�t9t98 • �
��o�s�:�vr�t��Pa��:� ����� . ��vvo: , .
, � �.� � �
� FtitlntY ��l�nas�nt�•�'i+av� t� ...ed�ur��with 1 i12�!hs R2� • ARi°5 R��lFt •,;.
/��" �''�'fj'CT D� /�'�' ,,r� • � ARTS aiVLY '
f�� 7� �" �'c��.�4 C3 •� �7aRf UP:
� • .
, • .• • , , . . „ , .
_.. .,,,.,... ... � . .. ,. ,•,. •� , . . . ,.
,
. ,� � • � , .
....2�.��r��.`� `�.:�o�rn��r�ak�-..�3',a�t?,a. . .� � iS9�
c� �"".�'be , .
GH�C`r1C# .•� � DU�: �� CASIa:
GREDIT CAf20#: ' _�� SUC�'!ON'fRESS.UR�; �
�GAI�TYPE:� � � UQUID PRESSURE: �
t�F�R01/AL CODE: ' MR,DI�'F�REN��:
EXP�I�ATtOl1F pA�'�;' . �ILTER:
qf�A{Cd[NG PR�7P�RLY: .
1 HA'YE TFiE,AUT'hi�c?R�T1"YO QfibER'(HB WOR1C bUl`I.INED AQ�VE WHtGH HAS BEEN
;SaTIsFp'C�`ORI�Y'Et3NlPi:Ei�a:i AGRE�1HftT SEU.�c RE7�atf�S TITLE'11Q EqUiPM�NT
. AND�$Mi'EF�IAl.3 UI3TlE.FiIVAL PAYMF.NT tS N�1DE IF PAXMENT iSNQ7 fuI�DE AS L1Nt?TED WARRAtQT1':'EQWlP T�PARTS�{qp'MG4'T�Rll41.'
JtGRE�'D',•SEt,�R QRt�(Et�MWE 3AID'�QUtF'T�AENT AN�MRi�RiAIS AT SELLER3 EXPEIVSS li�s wR�7TEN 3tilAN►3FAC7uRER'S WARRRSI'CY ON�Y_ '
A'NY D�SNIAiiE R�817L'Ffh1G FROM SAID REMoVAL SiiALL NOT B�T++�RESPORt318iLtT1' •L LABaR PERFOf2M�D BY.CH42t3'AIC HA£A ONE Y�Aft�.
�bF SELL.ER., AFZFu1N't'Y.CFiRi5'P'JC NiltK;ESlVb 4THER WARRANTi6s
� � ���, To'TAL:. $ 2�+�_00 , � .
�
.,�«:� �, , `,.��.. .�.�........ ...
STC�f�tlE:�t.���:N�'�}�E- � � ..�• ���: ' - -r� .,