HomeMy WebLinkAbout16-17067 � � CITY OF ZEPHYRHILLS
5335-8TH STREET ,� ,
(813)780-0020 �067
BUILDING PERMIT �f
:
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17067 Address: 4525 BLOSSOM BLVD
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: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-0170-02000-OOAO
Improv. Cost: 3,550.00 OWNER INFORMATION �
Date Issued: 2/18/2016 Name: CAMPBELL ELIZABETH J TRUST
Total Fees: 55.00 Address: 4525 BLOSSOM BLVD
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-5666
, Date Paid: 2/18/2016 Phone: 813-713-0655
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
CRADDOCK AIR CONDITIONING &AIR A/C CHANGEOUT 55.00
�r'�
- .Ins ections Re uired �
DUCTS INSTALLED
DUCTS INSUL(�EC}�.,_
FINAL �j ���
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 property 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.
�
CO RACT� GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
_ � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Dale Reeelved
Phona Contacl for Permlttln
Owner's Name Elizabeth J Cam bell� owner Pno�e Numbar 813-713-0655
Owner'sAddress 4525 BLOSSOM BLVD OwnerPhoneNumber '
Fee Slmple Tltlaholder Name Owner Phone Numbar
Fee Simple Titleholder Address
JOBADORESS 25 BLOSSOM BLVD ZEPHYRHILLS FL 33542 L0T8 �� II,
sueo�wsioN Orange Blossom Ranch pARCELIDft 15-26-21-0170-02000-OOAO
(OBTAINED FROM PROPERTY TAX NOTICE)
WORKPROPOSED NEWCONSTR ADD/ALT Q SIGN Q 0 DEMOLISH
INSTALL B REPAIR �
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � B�OCK Q FRAME � STEEL Q
DESCRIPTION OF WORK AC CHANGE OUT
BUILDING SIZE SQ FOOTAGE� HEIGNT �_� i
�BUILDING S VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ _ ^ J�/��
' � c�«
�MECHANICAL a 3550.00 VAIUATION OF MECHANICAL INSTAILATION �
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGMATURE REGISiEREO Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address Lfcense#
MECHANICAL COMPANY CRADDOCKS AC& HEATING
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address HWY 1 D DE CITY FL 33525 �icense�t CAC1816730
OTHER COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N '
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minfmum ten(10)workfng days after submittal date. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 1 dumpster;Sile Work Permit for subdivisionsAarge proJects
COMMERCIAL Altach(3)complete sets of Building Plans plus a Life Safety Page;(1)sel of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days atter submillal tlate. Requlred ons(te,ConstrucUon Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facililies 8 1 dumpster Site Wark Permit for all new projects.All wmmercial requiremenls must meet compliance
SIGN PERMtT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW canstruclion.
Dlreetlons:
Fill out applip0on completely.
Owner 8 Contraclor sign back of application,notarized
If over 52500,a Notice ot Commencement Is requlred. (A/C upgrades over 57500)
" Agent(Ior Ihe cantractor)or Power of Attorney(for the owner)would be someone with notarized letler from owner authorizing same
OVER THE COUNTER PERMITTING (Front of ApplicaHon Only)
Reroofs it shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
NOi10E OF DEED RESTRICTIONS: The undersigned understands�;th�t tFils.p�tmif,may.be.subJect to"a88d"restrictlans"
which may be;more[estilctWe`�thare County.regt�lattons. The underel"gned�assumes rnsponslblUty tor compliance'vuith any
appfilcable deed.restrlctEo�s. �
UNLICENSED CONTRACTORS AND CONTRACTCIR RESRONSIBI4ITIES: if the owner has hfred a cantractar or
contractors to underteke work,they may be rgquired.to.be:lleensed In aecordance with state.and�local regulations. �If the
cunUactorts not:licensed as requtred:tiy taw, tioth the awner ar;d-contfactor�irisy be-cited�for a�misdemeaaor vtolatton
under state law. If the owner or Intended gontractor�ere:�ncertaln as to what Ilcensing.requirements may apply,ior:the
intended work,they are advlsed to contact tFie Pasco County Bullding"Inspection Dlvislon--l.icensing 8ec8on ak 727-847-
spp9. Furthermore, �E tbe awner nas'hifed a contracfor or contractors, he ls advlsed to have tfie con#ract+ar{s}.sign
portions oi the"contrector B�oalc of thi�appilcatton for whicfi ihey wili be respons(b1e. It.you,_as.the ouvner'stgn as'the ,
conUactor,that may be an indlcation(het�he is not properly Iicensed and Is not entiNed to patmitting privfleges In Pasco
Gounty.
TRANSPORTATiON-1MPACT/UTiLiT1E5=1MPAC'i'ANtf RESOU�tCE REC0I►ERY FEES: The undersigned understands
that Trensportatlon Impact Fees and.Recourse.Recove.ry.Fees may;apply:to:the cons�truction of new bulld(ngs,change of
use in exisking buftdEngs,ar.expanstort.of-eii!§Uri�'tsuiidi�gs,as specNiad.in Pasco County O�tiinance number 89-UT and
90-07,as amended. The undetsfigned aisaunderstands,fhai4 such fees,�,as,may_be due,:aiu1116e ldentftied at theitime of..
permltting. It Is furtFier underatood that Transportallan Impact Fees and Resource Recovsry'Fees.must be pald prior to
recelving a"ce�tiflcate of-occupanc�'or flna!power-�elease. .4f�the projBct doss.not-fnvotve:a.certittcate of occnpancy.oi
ftnai powe�release;_the:fees mu�t 6e paid prtqr to permit tssuance. Futthermore��IE:Pasco._Couniy�lNatsrlSewer Impact ,
fees are due,they_must.be�paid prlo�ta permitdssyance-In accordance witFi:appUcable.Rasco Caunty oidinances.
CONSTRUC'1`tON LiEN'CAYV(Chapt�r 713,Elortda Statutes,as amendad): if valua�on ot work ts$2,500.00 ar,mare,i-
cert�fy that 1, tfie sppltcan#, have-been provtded with a rxapy-nF the `Florlda�ConstrucUon�Lien taw—Homeowner's
Protectivn Guide'prepaied by the Florida Departmenk of Agriculture and ConsumerAffairs. If the applicant Is someona
other than the"owne�',f certify that I l�ave.obte�insd:a copy of,the abovedeacrlkieddoairnent=and.pro.n►lsein,g�od fa{th to
deliver it ta the'ownet�'priar•.M•cammencement: -
CONYRACTOR'SIOWNER'S AFFIDAVIT: I ae�llfy,tHak all,thec,informatiorr.in thla applfcaUon(s accurat0:and that all work
will be done in compliance with aU.appltcable lawa regulaUng construcUon,zoning and land devetopment. AppNcation Is
hereby mada fo obtatn.a.parmlt.to do vsraik,and thsta�latlon as tndtCeted,;; ;t certlfjr that no wotk�ar,tnstaltation has
commenced prlor to Issuance of a permtf and that.ali work wlll be petformed to meet standards of all laws regulgting-
canstrucUon, County and City codes, zaNng regulapo�s, and land development tegulatlona•In the JurisdfcRlon: 4 also
certlfy Ihat 1 uadersEand that the feguta�ons af ather govemment agertctes may_apply;to#he lntended vvartc,and that if Is
my responsibllity to IdenUfy.what,actlona I muet�teke.to bedn:.campllance.,$uch agencles include bufare..not Ilmited ta: �
- Depa�tment of E�vironmental Pmtecklon=Gypress.Bayhead's`;Vlfedand Areas and Envfmnmentally Senstt4ve
�ands,WaterlYYastewa#er Treatment,
- 5ouihwest Florida Water Ma�agement btstrlct-Wells, Cypress. Bay.heads; WeUand Areas, Altering
Watercourses.
- Army Gorps of Englneeis-Seawai(s,Dacks,Navlgable Waterways.
- Department of Haalth�� ReMablllteHve Senilces/EnyironmenCal Health Unit-Wells, Wastep�rater Treatment,
Septic Tanks. ,
- U5 Envtronmental Protec#!on Agency-Asbestas abatertten�
- Federal Avlstion.Authority-RunwayB.
I understand khat the fallowing restrictlons aPply to the use af flll:•
- llse of filt Is not ailowecf iri Fioad Zone M unfess e�cpressly permltted.
- If the fiii materlat is to be used�In�Ptood Zone."A", it is understood that a dratnage pian addressing a
°compeFlsating volume'will be submltted at Ume af perr�riHing wfilah is prepared by a professtonal engineer
ftaanssd by the-State-of Flortda ,
- If fhd fiil matetiat 3s#o he�us.ed in Ftood Tone'A° in connecfion�wlth.a permitted buitding usfng stem wail
conatruc8on,I certlfy that fill.wlll:b.e used only.to.iiil the area withtn�the stem wall.
- if fl!i matetiai is to tie used in.any aree, i-cettffy fftat.uae ot suctf fllE will not siiverse[y afFec# adjacent
praperties. !i use of fiA is fovnd to advereiety.affect adjacent�pr�perties,the owner may be cited for.vlotating
the condi#ions of the"tiu1181ng.permft Issued�under tha attaohed pertrdt application,for lots less than one(1)
ac►e which are etevated byflfl,an engtrisersd drainage ptan!s recjulred.
(f 1 am the AGEFR FOR THE OWNER,I�rornlse tn gaad#aith ta IMotm ttye owner af the.permi�tng cond�tons set forkh tn
lhis affidavft prlor to aammenaing cbn�tructlort: 'I understani!thet a�separate permlt may be nsqulresd for elecMcal wark, '
plumbing,signs,welis, pools,air condidoning,.gas, or�other Installallons not.spec�lcally fncluded in.the applfcation. i4
perm3t issued sha11 be constnted#a be a`I[cense:ta pr+oceed w3kh ftie work and not as authacity;to.viola#e,cancet,atter,or }
set aside any provtsians af the.technical.code�;nor shall issuance•of�a.permit,prevent the Bulldlrig Officlal from thereafter
requlring e correction af errore In plang,consttuctlon or vlolations of any codes. Every permtt lssued�shall became invaNd '
untess the work authortzed•by such permtt-[s.coriimenced�wlti�tn s(}c monfhs of permlt tssuance,or If wark authorized by
Ihe permit Is suspended or.abandoned for a:perlod of sbe(8)montfis aRer the time the�work(s commenced..An extensfon -
nay be requested,In writing,ftom the Building.Officlal tor a pedod nnt�to exceed ninety(90)•days a�►d wlll�d'emonstrake '
us#�iabte cause for�the extens3on IF wortc ceases;for ntneiy.(90}cronsecutive days,..the Jab.1s consEdered abandoned.� j
NARNING TO OWNER: YdUR.FAILURE TCI.RECO�tD,A;NOTIC�.OF?COMMENC�MENT MAY:RESULT iN YOUR
'AYING TWtCE.FOR IMRRO1tEMEl�iTS T�YOtf1�Pltt}PEfiTY:�1F�Y0 Q:'i't�.ti}B�RIN��fINA Nt3��OFISU�T
NiT U TTO� O O G� - '
°LORIDAdURAT(�.5.t1'7.09) ,
)WNER OR A4ENT GQNTRACTQ
7ubsalbed end suwm to(or aflirmed)betore me lhis Subscrlbed'and' Y before'me'Ihf6
br - J .�. � o�
Vho Istare persottaily igtwm ta me or hasThave pradu.ced. Who(ctare pe�sa»aity known ta me or tias�have•�trodiioed
asldenBftcaBan. as2den8flca8bn.
Nafaty Pubt{c ��'�` Notary Pubtia
:ommisslon No, � Comm�lon o. '
Y try��i
��'TS:.
lame of Notery typed,printed or stamped Name ot Notery :, a ,;���ssian#FF 150422
.;; Qo: Expires December 12,2Q18
��,$f��ar� 6andad 7hru Troy Fdn te�urenco 606385•7019
~ , .` pREVitillS WORK PERFORM£D , ' -,-, ,, CRADD�CKTS AIR COI�DITIONIN� �
( 23461 �
10736 US Highway 3Q1 �
DADE C(TY, FL 33525
Phone{813}782-9426 DATE
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NAME —j�� DATE PROMISED I
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. ' DESCRIPTION QF 1NORK PERFORMED� ,. ' ' STREET INSTALLATION DATE
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