HomeMy WebLinkAbout16-16265 CITY OF ZEPHYRHILLS
5335-8TH STREET
. (sis)�so-oozo 265
� BUILDING PERMIT
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� PERMIT INFO.RMATION LOCATION INFORMATION
Permit Number: 16265 Address: 6346 HUNTINGTON DR
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: SILVER OAKS
Est. Value: Parcei Number: 03-26-21-0120-00000-0960
Improv. Cost: 5,600.00 OWNER INFORMATION
Date Issued: 5/12/2015 Name: HUDSON VERNA CAROLYN
; Total Fees: 65.00 Address: 6346 HUNTINGTON DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-0606
Date Paid: 5/12/2015 Phone: 813-715-1975
Work Desc: A/C CHANGE OUT 3.5 TON HP
CONTRACTOR S APPLICATION FEES � '
KIN EY CENTRAL HEATIN & C CHANGEOUT 65.00
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Ins ections Re uired �
DUCTSINSTA LED
DUCTSINSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fi) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be 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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o,,.,o„-,,,,�„ t;ity ot[ephymiiis Permit Appiicatian
Fax-813-78Q-0421
Buttding Department
te Recelved = Phone Contact fcr Permittin "
» N� (�„ c�,GT7,c/ bwner Phone Number �(�� �( } ` �` S
rner's Name
�ner's Address � � � ' �-� f°`' Ovvner Phone Number ,
a Simpfe Titlehaider Flame Qwner Phone Number �
�Stmpte Titleholder Address �
LQT#
8 QC?DRESS �
'BDIVISION �` � PARCEL Id#
(08TAINED PRdM PROPERTY TAX NQ'TiGE)
yRiC PROPOSED e NEW CONSTR 8 ADD/Al7 � 5lG�f Q Q DEMOtCSH
tNSTALL REPAIR
.OPOSED USE Q SFR [� COMM � O7HER
PE 8P CONSTRi3CTiON [� BIOCK Q FRAME [�� S7EEL Q
SCRIPTION OP WORK �� l`� ` - C ��
�iLdiNG StZE [�____� SCt FOOTAGE�___� HEIGHT ��_�
QBUILOING � � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL ($— � AMP SERVICE Q PROGRESS ENERGY CJ W.R.E.�
� ��QPLUMBING $ �f �
C]MECHRNICAI $��� VALUATiON OF MECHANiCAL ItVSTALLATIt�M1!
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[�GAS Q RQQFfNG C) SPEClAI'fY [� OfiHER
lISHED FLOQR EIEVATiONS ��� FLOOD ZONE AREA �]YES NO
I1.DER COMPANY
iNATURE REGiSTERED Y/ N FEE CURRE� Y 1 N
Address License# � ��
?CTRiC1AN COMPANY
;NATIlRE REGiSTERED Y! N FEE CURRE� Y/N
Address Lice�se#'�— �`� !
JMBER � � COMPANY
�NATURE REGI$S�RED Y f N FEE CURRE� Y i h!
IAddress �icense# �� �
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CHANICAL COMPANY r�� �"N ''�
� NAi'URE REOlSTERE4 Y/ N FEE GtJRREt� Y/N
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Address license# C / C>�.. � �
iER � � COMPANY
NATURE REGISTERED Y/ N FEE CURREI� Y/{�!
Address Liaense# �� �
iIDENTiAL Attach(2)Piot Plans;(2}sets of Butiding Ptans;(1)set of Energy Forms;R O-W Permft for�ew constructlan,
MlNmum ten(10)working days after submlttal date. Requfred onsfte,Constivction Rlans,Stormwater Plans wi Silt Fence Installed,
Sanitary Facilities&1 dumpster;Site Work Permit ior subdlvistonsilarge pro]ects '
AMBRCiAL At#ach(3}comptete sets of Building Plans plus a Llfe Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Mtnimum ten{10)work{ng days after submtttai date. Required nnstte,Construction Ptans,Stormwater Plans wl Silt Fence lnstalled,
Sanitary Factitties&1 dumpster.5ite Work Permit for alI new proJects.All commercia!re+quirements must meet compifance
N PERMIT Attach(2)sets af Enginee�ed Plans. " �
""PROPERTY SURVEY required for aii NEW Construo�on.
cttons:
Fill out application completely.
Owner 8 Contractor stgn back of app(icatton,notarized
If over�2500,a Notics of Commencament fs requtred, (AIC upgradss over$�508}
Agent(for the contractor)or Power of Attomey{for the owner)wauld be sameane with notarized letter from owner authorizing same
°R THE COUNTER PERMlTTING {Front bf AppNca@ori`Only}'," �`;.�'-`;���"i,
�ofs!f shingles Sewers Servtce Upgrailes-AIC�"�`'-�Fences(F!IotlSurveylFootage)
�;;,,y•>+:�, , : � �
Drlveways-Not over Counter if on pub!!c roadways..needs ROW' � �' ' - �
NOTICE OF DEED RESTRICTIONS: The undersigned under.stands�that thls.��[�mit:may.be.subJect to"deed"restrictions° , �
which may be.more_resuictive�than Countyr.regulations. �The;undersigned assumes responsiblllty fo�compllance with any
applicable deed rest�ictions.
UNLICENSED CONTRACTORS AND CONTIZACTOR R@�PONSI�ILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be:required,.to:be:licensed In accordance.with state.and•local regulations. If the
contractor is not Itcensed.as requlred-by law, both the owner and contractor may be cited for a misdemeanor violatfon
under state law. If the owner or Intended>contractor are uncertaln as to what Ilcensing.requirements may apply for the
intended work, they are advfsed to contact the.Pasco County,Bullding Inspection Divislon—Licensing Sectton at 727-847- ,
8009. Furthermore, if the owner has hired a cont�actor or contractors, he Is advised to have the contractor(s) stgn
portions of the "contrector Btock" of thia epplication for which they wlll ba responstble. If you, as.the owner sign as.the
contractor, that•may be an indication that he is not.properly Iicensed and Is not entiNed to permitting privileges in Pasco
County. ' '
TRANSPORTATION IMPACTIUTILITIES�MPAC7'AND RESOURCE RECOVERX�FEE3: The undersigned understands
that Transportatfon Impact Fees.and.Recourse Recove.ry�Fees may�apply�to the constructlon of new buildings, change of
use in existing buildings, or.expansion�.of.existing'buildings, as specifled in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees� as�may°be�due,.wlll be identified at the time of ,
permitting. It Is further understood that Transportatlon impact Fees and Resource Recovery Fees must be paid prlor to
receiving a "certiflcate of occupancy" or flnal power release. ;:If the project�does not involve a certificate of occupancy. or
final power release, the fees must be paid prior to permit Is�uance. F�cthermore, if Pasco County Water/Sewer Impact
fees are due,they�must be�pald prior to permit Issuance-in accordance with applicable Pasco�County ordinances.
CONSTRUGTION LIEN IJ�W(Chapter 713� Florlda Statut�s�a�amended): If yaluatlon of work is$2,500.00 or more, I
certify that I, the applicant, have.been provlded with a copy of the "Florida Construction� Lien Lav�Homeowner's
Protection Gu(de° prepared by the Florida Department of Agr,ic.ulture and ConsumerAffairs. If the applicant Is someone
other than the"owne�", 1 certify thak I have.obtafned a copy;of'the abave.described docurnent and promise in,good faith to
deliver it to the`owne�"prior to�commencement. , '
CONTRAC'POR'SIOWNER'S AFFIDAVIT: I certiiy that ali.the inf.ormation in this application is accurate and that all work
will�be done in compliance with all.appi(cable laws �egulating,constniction, zoning and land development. Application is
hereby made to obtatn .a permit to _do work..and installatlon as Indtcated.- 'I certify that no work or installation has
commenced prlor to issuance of a permit and that.all work,wili be perfo�med to meet standards of all lawrs regulating-
construction, County and City codes, zoning regulations, and land development cegulations-in the jurfsdiction. I also
certify that I u�derstand that the �egulations of other government agenc(es may apply�to the intended work, and that it is
my responsibility to identify�what act(ons I must take:to be,in.compllance: Such agencles.include but are.not Ilmited to:
- Department of Environmental P�otection-Cypress. Bayheads, WeBand Areas and Envtronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management .District Wells, Cypress. Bey.heads; Wetland Areas, Altering
Watercourses. �
- Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways.
- Department of Health 8 ReMabilitative Services/Environmenfal Health Unit-Well.s, Wastevirater-Treatment,
Septic Tanks. � -
- US Environmental Protectlon Agency-Asbestos atiatement.
- Federal.Aviation Authority-Runways. �
I understand that the following restrictions appiy to the use of flll:�
- Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material-fs to be used in-Flvod Zone' "A"� (t Is understood_ that a drafnage plan addressing a
"compensaNng volume" will be submitted at time'of permitting which Is prepared by a professional engineer
licensed by the State of Florida. �
- If the fill materlal is to be used in Flood Zone "A" in�connection�with a {�ermitted bullding using stem wall
� construction, I certify th.at flll�.will.:be used only to.flll,the a�ea wlthin the�stem wall.
- If flll materlal is to be•used in any area, I certl,fy �hat .use of such ffll will not adversely affect adjacent
properties. If use of flll is found to adversely_�affect adJacent�p�operties,.the owner may be cited for violating
the conditions of the building�permit Issued'unde� the attached�permit application, for lots less than one (1)
acre�which are elevated by flll, �n englneered dralnage.plan is requlred.
If I am the AGENT FOR THE OWNER, I�promise In good fafth'to fnform the owner of�the permttting condittons set forth In
this affidavtt prior to commer�cing constructlon. I understand that a�separate permlt may be requtred for electrical work,
plurrabing, signs, wells, pools; afr conditloning,.gas, or other Onstallations not.spec�ically included�in the appllcatlon. �A
permit issued shall be construed to be a Iicense to proceed with the work and not as-authorily to.violate,cancel, alter, or
set aside any provistons of the technical codes; nor shall Issu�nce�of a.permtt.prevent the Bulidirig Official from thereafter
requiring a conection af errors in.plans, constructlon or violatlons of any codes. Every permit Issued shail become invalid
unless the work aulhorized.by such permit:ls commenced•within sCx months of permit Issuance, or if work authorized by
the pe�mit is suspended or.abandoned for a period of six(8)montF�s after the time the�work�is commenaed. An extension
may be requested, in writing; f�om the Building.Official for a perlod.°not to exceed-ninety�(90) days and�will demonstrate
justifiable cause for:the extension�. If work ceases.for nineky(90)cons.ecutive�days�..th�Job�is considered aba�doned.
WARNING TO OWNER: YOUR.FAILURE.TQ.RECORD A.NOTIGE.:OF.COMMENCEMEN?:MAY RESULT IN YOUR
PAYING TWICE FOR IIIAPROVEMEN�'S TO YOUR�:PROPERTY. IF�YOU�INTEND"TO�OBTAIN•FIMANCING;�CONSULT
WIT Y UR L . O N TTO OR �itfC-. �� OU `� • �C ` � E '�
FLORIDA JURAT(F.S.1.17 �
-�6i+{�eR-�R��C3�NT- -- - — ——---- -CONTRA -
Subscribed and swom ed) tore me this Subscxlbed and' to(or d)�before me fh16
by �_
Who lslare persor►all k�o o me or haslhave produced o Is/a onally o to me or has/have produced, •
as Identl�catlpn. as IdentlflcaUon.
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Notary Public . `/ Notary Publlc
Commisslon No. Com��sion�
;;..�.v��I GES-
� _.. ':.- Commission#FF 150422
Name ot Notary typed,printed or stampad Name of No �ri �IAs r 12,2018
'•„oF��� Bonded Thm Tmy Fain Insurance 800�385•7019
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, c � Kinsey Cent�al
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� Heat�Air-Conditio�ing,�Inc. .
� �P�O;°Box 2209 �
� � Zephyrhills, Florida 33539-2209
� ' (�13) 782-2300
� CA-0058626
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