HomeMy WebLinkAbout16-17408 CITY OF ZEPHYRHILLS
5335-8TH STREET
` ' (813)780-0020 1740
BUILDING PERMIT _
� - PERMIT INFORMATION. � . � LOCATION INFORMATION � -
Permit Number: 17408 Address: 4829 6TH 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: MOORES FIRST ADDITION
E�t. Value: Parcel Number: 14-26-21-0010-01500-0060
Improv. Cost: 2,700.00 � - - OWNER INFORMATIO � � '
Date Issued: 6/02/2016 Name: S^�,�R, """� '�^�^,r- ��j u As
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Total Fees: 100.00 Address: 4829 6TH ST J ��
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
� Date Paid: 6/02/2016 Phone: (813)763-2285
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S � � - APPLICATION FEES � -
LD AIR CONDITIONING SOLUTIONS A/C CHANGEOUT 50.00
AFTER THE FACT . 50.00
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� - Ins ections Re uired � - - -
DUCTSINSTALLED
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 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 properly. 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.
CON OR SIGNATURE � PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
J
e���saoozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting —
1
Owner's Name 'O�rxr,{er Phone Number �3�r' y�GC7
Owners Address (/ � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TiUeholder Address
JOB ADDRESS GI 't'� G � S T �' „ ��//s � LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
; WORK PROPOSED � NEW CONSiR e ADDIALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER '
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK G'� �/ S S � G��u�'1 O UT 2.s �r3/� f� ln C/pj�
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILOING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
, QPLUM8ING $ � _ j�(�
�'IA€CHANICAL $ n��� VALUATION OF MECHANICAL INSTALLA710N
1 `�`
�L
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn Y/N
Address License#
MECHANICAL COMPANY G f/` C6vlv/�/b��✓� �Una S
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/
Address lnr; License# �6� �
� OTHER COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
, Address License#
' Illllllllllllltllllllllllllllllllllllllllllllllllllllllllttllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
' Minimum ten(10)working days after su6mittal date. Required ansite,Construction Plans,Stortnwater Plans w/Siit Fence installed,
� ', Sanitary Facilities&1 dumpster,Site Work Permit for suhdivisionsAarge projects
il i COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0.W Permit far new consVuctian.
Minimum ten('10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/S1t Fence installed,
� Sanitary Facilitles&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
; SIGN PERMIT Attach(2)sets of Engineered Plans.
� ""PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out application completely.
Owner&Contractor sign back oT application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over 57500)
•' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subJect to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibflity for compliance with any
applicable degd restricttons._
UNL'ICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a conhactor or
contractors to undertake work,they may be required to be Ilcensed in accordance with state and local regulations. If the
contractor is not licensed-as required by law, both the owner and contractor may be cited for a misdemeanor violaUon
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended wark,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, ff the owner has h(red a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. if you,as the owner sign as the
contractor,that may be an indication that he fs not properly licensed and is not entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�tation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of exisfing buiidings,as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,wfll be idenfrfied at the time of
, permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
� receiving a'certficate of occupancy"or flnal power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be patd prior to pertnit issuance. Furthertnore,ff Pasco County Water/Sewer Impact
fees are due,lhey must be paid prlor to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes.as amended): If valuation of work is$2,500.00 or more,I
certify that I, the appllcant, have been provided wilh a copy of the 'Florida Construction Lien Law—Homeowner's
Protection Guide'prepared by the Florida Department of Agriculture and Consumer Affairs. ff the applicant is someone
other than ihe°owner",I certify that I have obfained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
I CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the tnformation in this application is accurate and that all work
will be done in compliance with all appiicabie laws regulating construction,zoning and land development. Application is
hereby made to obtafn a permit to do work and installation as tndicated. I certify that no wark ar installatfon has
commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
construction, County and Cily codes, zonfng regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of ottier govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must iake to be in compliance. 5uch agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, INetland Areas and Environmentally Sensitive
' Lands,Water/Wastewater Treatmenk '
' - Southwest Florida Water Management District-Wells, Cyrpress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervways.
- Department of Health 8 Rehabllitative ServlceslEnvironmental Health Unit-Welis, Wastewater Treatrnent,
Septic Tanks.
- US Environmental Protection Agency Asbestos abatement.
- Federai Aviatfon Authority-Runways.
I understand that the following restricttons apply to the use of flll:�
- Use of fill Is not allowed in Flood Zone M unless expressly permitted.
- If the flll material (s to be used in Flood Zone °A", ft fs understood that a drainage plan addressing a
'compensating volume"will be submttted at fime of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone °A° in connection w(th a permitted building using stem wall
' construction,I certify that flll wlll be used only to fill the area within the stem wall.
- If flll material is to be used (n any area, I certtfy that use of such fill will not adversely affect adjacent
properties. If use of fill is found to edversely affect adjacent properties,the owner may be cited for violating
the conditions M the building permit issued under the attached permft application,for lots less than one(1)
acre which are elevated by flll,an engineered drainage plan Is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
thls affldavft prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas, or other installations not specffically induded in the application. A
, permit issued shail be construed to be a Itcense to proceed with the work and not as authority to,violate,cancel,aiter,or _
� set aside any provisions of the technical codes,nor shall(ssuance of a permft prevent the Butidirig Qfficial from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permft Issued shall become invalid
unless the work authorized by such pennit is commenced within six months of permit issuance,or iF work authorized by
the permit fs suspended or abandoned for a period of six(6)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
justifiable cause for the extension. If work ceases far ninety(90)consecutive days,th,job is considered abandoned.
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
VifITH YOUR LENDER OR AN TT062NEY BEFORE RECORDING YOUR MOTICE O COMMENCEMENT.
FLORIDA JURAT(F:S.117.03)
OWNER OR AGENT CONTRACTO
' Suhscr(b�and swom to(or aflirtned)before me this Subsalbed end swo to�(or aflirtned 9e me fFils
bY (v-2-!6 by �I:"v�e �l,o.�i2lj
Who islare personalry known to me or has/have produced Who Isl pers all known tqme or haslhave produced
as IdentlficaHon. �ru.v� as Identlflcatlon.
Notary Public �«- Notary Pu61ic
Commissfon No. Commission o. """"�
*� �;:: Commission#FF 150422
� Neme of Nofary lyped,Ddnted or sfemped � Name of Notary ' �F s ecem er ,
�'.;;oF�e��1 Bonded Thm Troy Fein Insurance BOO-3&5-7079
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LD Air Conditioning Solutions
(813)541-1687 (813)541-1685
3018 W Dewey ST,Tampa FL, 33607
To whom it may concern,
I, Alejandro Palomino, am the license holder for license number CAC1818120. Attached to this
letter you will find a copy of my personal identification along with license information.This
letter serves as an authorization for LUIS PALOMINO (license number P455-527-61-050-0)to
acquire permits, and any information regarding any pending or future jobs under my license. �,
�
Thank you,
Alejandro P lom' �
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'��i��pFF�����` Commission#EE 856655
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CITY OF / / / / , BUILDINO
tEPH�YR�HE�LLS � DEPARTMENT
OF ADDITION OR CORRECTION
� • • - •
ADDRE55 L DATE PERMIT�,
�� ��, 7� '� 7 �`ci �_
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shcll be made before the job
will be accepted.
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It is unlawFul for any Carpenter,Contractor,Buiider,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR `����
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THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job i��
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It is unlawful tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL ,� �
cover ar cause to be covered,a�y part oi the woric witfi flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample fime to approve i�
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1 OFFICE HOURS 7:30,AM-5 PM MON.-FRI. INSPECTOR ��'��� i� I
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Jacque�ine Boges
Subject: re inspection-4829 6th st
Start: Fri 5/27/2016 9:00 AM
End: Fri'S/27/2016 9:10 AM
Recurrence: (none)
Organizer: Bill Burgess
See notice of correction
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