HomeMy WebLinkAbout16-17083 :'
CITY OF ZEPHYRHILLS /�
' S335-8TH STREET
(813)780-0020 17 83
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17083 Address: 39564 MEADOWOOD LP
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: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-1140
Improv. Cost: 3,500.00 OWNER INFORMATION
Date Issued: 2/26/2016 Name: MAYBI HOMES LLC
Total Fees: 55.00 Address: 39564 MEADOWOOD LOOP
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-6713
Date Paid: 2/26/2016 Phone: 813-312-1483
Work Desc: A/C CHANGE OUT 2.5
CONTRACTOR S APPLICATION FEES
A-1 B COOL HEAT&AIR LLC A/C CHANGEOUT 55.00
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2
Ins ections Re uired
DUCTS INSTALLED
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 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,Spec" cati s Must Accompany Application. All work shall be pertormed in accordance with
Ci odes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CO ( RACT SI NATURE PERMIT OFFI R
PER I EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813aeo-ooaa City af Zephyrhills Permit Application Fax 813-780-0021
' , • 8u31ding Depar#ment .
Da#e Receivad � �j�jz,,, ��" _ f�'�
Phoee-Cor�tact for Parnsi#t[n
Ou+rner's Name /f! !�� S Owner Phane Number
Owner's Address � � ��• Owner Phone Nurnber � r � � �Z `�6� ` ' i
Fee Slmple 7ltleholder Name �� � Owner Phone Number � ,t �
I .
� Fee Slmple Titleholder Address � �
JOB ADDRESS ��S�e � D � �l l � LOT# �
SUBDIVISION �' � PARCEL ID#
(OB7AINEQ FRQM PROPERTY TAX NQTtCEj
WORK PROPOSED , e +NEW CONSTR ADD/ALT C� ,S1GN Q Q DEMOLISH
INSTALI. REPAIR
RROPOSED.USE _ SFR � Ct3MM Q OTHEF2
TYPE OF COhISTRUCTION �. BL.00K � Q FRAME �� STEE Q
- :
DESCitIPTION OF WORK � `
BU�LDING SIZE �� � SQ FOOTAGE � �� HEIGHT
� QBUI�DfNG r$ -`""`".`" . :�''�_
L`� �� VALUATION OF TOTAL CONSTRUC710N
.��J
QELECTRICAL �� AMP SERViCE Q PROGRESS ENERGY [� W.R,E.C.
[�PLUMBIRlG � �
�MECHANIGA� $ 2 .�.�� ---'��. VA�UATION OF MECNANICAI.IhISTALLAi'!{�71V
J
QGAS Q F200F]I�iG Q SPECIA�.TY C] OTNER
FINISHED FLQOR ELEVATIONS ��� F�OOD ZONE AREA QYE$ NO
I BUILDER COMPANY
� SIGNATURE REGISTERED Y/ N FEE CURREP �.Y/N ,
Address Cicense# �� �
EIECTRiCtAN ,, COMPANY �''
SIGNATURE REGISTERED Y/'N FEE CURRE� Y/N �
Address tfcense# � �
P�UMBER • COMRANY �
SIGNATURE ",,,,y„�_„__,,,,_, , � REGISTERED Y/ N FEE CURRE� Y/N
Address .Ucense# " � - '
MECHRFItC/U. COMPANY l �C 4�'1 � -
SIGNATURE REGIS7ERED - Y•,/ N FEE CURREt� ' Y N� '
Address� '- l s�7� �G.�{ License# � y�c�I �l„� �
t}THER COMPANY
SIGNATURE REGIS7ERED Y/ N, . FeE CURRe� . . Y/N
Address License# � �
RESIDENTIAI. °Attach{2),P2a€Pla�s;.(2}sets•of Building:Plans;(1)set oE Energy�Forms;Ft-O-W Perinit,for,`'new.constnictian,
Minimum�ten(10),working•"days after.submittal date. Requlred onslte,Canstrucdon Plans;°Stormwater�Plans w/SUt Fence instailed, �
SaNtaryFacilifles.&1,,,dumpster�Site.Worlc'RermitforsubiltyislonsAargeprofects � ' �
COMMERCIAL Attach{3)complete seCs of 8uildirig Plans plus a�ife Safety Page;(1)set of.Energy Forms.i2-O-W Permit for new canshvction.
� Minimum ten(10)woricing days�after submittal date. Required onsite,CansUuctian Plans,Stormwater Plans w/Sflt Fence installed,
Sanitary Facili@es&1 dumpster.Site Work Permtt for ai!new proJeefs.Aii cbmrr�erciai.requirements mus#meet camp!}ance
StGN PERMlT Attacti"{2)sets af Engineer,ed-Plans.;:: ;� -
"""PROPERTY SURVEY required for all NEW constructian.
Directians:
Ffll out applicatlon completely.
Owner&Contraotar slgn back af appticatton,notartzeti
1f over 52500,a Notice af Commencement Is required. (AIC upgrades over 5750Q)
" Agent(fqr ttie ccintractor)or Pbwer of i4ttomey(for the owner)would be someone with notarized letter from ov+mer autttocizing same
DVER THE COUNTER.PERMITiiNG (�ront of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage)
Drivewaya-Not over Counter if on publia roadways..needs ROW
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NOTiCE QF DEED RE3TRiCTfONS: The undersigned under�tan¢s°:th�t,thl�:�p,�rmlt�.may:beasubject.to°deed"restrtctlons"._
which m�y,be�<more.:rest�ictive�tha�County�regutattons:�=Thie°underslgned�as'surties°resp�nsibility#or�compiiance�witti�any
appllcable.deed restrlctlons. : . .
UNL#C�NSED=�CONTRACTORS AND CONTRAGTOR RESPONSIBik1T1ES: -!f the awner has �h#red a contractar or
cantractors to undertake wark, they may.be cequired::to.;b�;licensed In accordance.with state.and�local•,regulations; If�the
cantractor.ts:not�llcensed as requlced°by taw, botl'�'the owner an�-contractor=may be-citiad for�a�misdemeanor violatbn
under state law. If the owner or Intended,�_contractor, are.,uncertain as to what itcensing.requirements'may�apply�=�or.,the
intended work,#hey are advised to contact the�Pasco County Buildtng lnspectlon Diuislon--Licensing Secttan at 727-847- �
8009. Furthefmore, t# the owner has�hlTed a contractor oc ccintractnrs. he is advlsec! ta have the cantractar(s}, slgn
portions of the "contractor Block" of thls appllcation for which they will be r,esponslble. If.you,.as..fhe oinine�`sign�as'tlie �
contractor, t#iat��ay 6e�an 3ndEcation fhat-he is not.properly Ilcensed and°ts nof entl�ed #o permitting priufleges tn Pasca 3
Caunty. _ ` i
TRANSPQRTATION:IMPACTlUTIl1TIES IMPACT ANb-RESOURCE RECOYERY FEES:�The�underslgned unders#ands �
that Transportation impact Fees and.Recaurse Recave.ry.Fees m`ay.;appiy,.ta�the constructian of new buitdings,��change~of ��
use in existing buildings;�or::.expansion��,of�existing'�buildings, as specifled.in P.asco County Ordinance number 89-07 and �
90-07, as amended...�he undersigned aiso unders#ands, thait:�such fees,:asYmay�e�_d�e;,witl���e Idetitified at the�tirrie�of � �
}�.,
pe�mitting. It is furtiier'understoad that Transportatlon Impact Fees and=Resource Recavery��ees.must be p�id prior ta ;
rece�ving a°ce�flficate-of occupancy° or fina) power.--retease. -1��the project does�not invaiveza::certl�(cate of occupancy a� - '
final power retease;„the:fees must�be paid prlor to permit issuance. Furthermore,-�if Pasao County�lNater/Sewer�lmpact !
fees are tlue,_they.must.be=pald,-prlor ta permit�lssuance�in accocdance with applicable Pasca�County ordinances. i
CONSTRUCTlC}N t1EN�t:AV{f"(Cl�apter 713,�IoNda Statutes�a�amended): If vatuafion af work 1s$2,500.00 or more, i '
certify that I, #he .applicant, have,been provided with a copy of the "Florida Construction Llen I:av�-�Homeawner's �
Protectlon Guide" prepared by the �toclda DepartmenE of Agrtc.ulture and Consumer�Affairs, If the appl[cant is someone �
other than the"owner", i certify that I h�ve�.obtatned�a copy.of:the above..�les.crtbed docu�ent�and.promise in,good faith ko
deliver it to.the.'.owner."�prio�to>commencement: " .
CONTRACTAR'SIOWNER'S ARFIDAVIT: i.ce�tifyr:tiiat atl..th�inf.o�rnation imthis applicatton is accurate and that all wark �
will'be done in compliance with all.applicable laws regulating construation, zoning and-land development. Application Is
hereby made ta obtafn ,a perm€t.to do. woik,and lnsta11at1on as IndtCe#ed:=;� `I ce�tifjr"that no vyrork:or tnstalCa#ion has �
cammenced prlor to Issuance of a�permit and that.all work will be pertormed to meet standards of all laws regulating�
canstruction, Caunty and City codes, zoning regulattons, and f�nd devetopment tegutatlons•in the�jurlsdiction. t al'so
certify #hat 1 u�rderstand that the reguta#ions of other government agencies may appiy�ta the intended work, and that it is .
my respo�sibility to identify•what.actions I must take to be,in:.corr�pllance. Such agenctes.include but-are..not Ilmited to:
- t3epartmen# af E�vironmental Protectlan-Cypress.Bsyheads; V1/etiand Areas and Erivironmentally Sens3tive ;
Lands,WaterlWastewater Treatment.
- Southwest Fiorida Water Management .DIs#rfc#-Wells� �Cyptess. Bayheads; Wetland Areas, Alte�ing
Watercaurses. ;'
- Army Carps af Englneers-Seawalls, Docks, Navigable Waterways. ��
- Depa�tment of Health 8 Refiabilitative Servlces/Environmen#a) He�tttt Unit Well,s� Wastewtater Trea#ment, ;:
Septtc Ta�ks. _ �
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlat�on_Authority-t2unways.
!understand that the following:restrictlons apply to the use of flll:• ,
- Use of f'sl1 is not atlawed in Flood Zone°V"unless expressly permi#ted.
- If the fill material. is to be used. In. Flood Zone. "A", It. is understoad tha#•a drainage plan addresstng a
°corr�pensating volume°wiil be submltted a##ime af pemtltting whtch is prepared by a professional englneer
liaensed.by�the•State-of Florida: -
� - !# the fill makerial,_Is-:ta be used En Flood �ane "A" tn�cannection�wlth.a�ermitted buiiding using stem wa11
� construc#ion, I certify that fiil:w�ll.b,e.�used only.to fitl the area within the stem�wail.
- if fiU material is to-qe�used In any area, I �certify that use of;sucti��flll will not adversely aft'ect adjacent
prope�kies, 1#use o#fill is for�nd to adversety.,�ffecf adja�ent�propertles,.the awner may be cited for viofating
the condi#ions of tfie building:permit issued�under the-at�acfied permlt application, for-1ats less than one (1)
acre whlch are etevated by f#1!�a�t englneer�ed drainage plan is requtred. . .. `
if 1 am the AGENT�'UR THE OWNER;l;:promise 1n good f.aith to inform the°awneraf-the:permit#Ing.conditlons set forth tn �;
this affidavit�prior to commencing construction. I"'underst�nd thata_separate permit may bs requtred for elecMcel work, ��
plumbing, signs� welts, poots; air conditiantng, .gas� or`othec tnefalla#ions nat.spec�ically included in.the application. .A .
permit Issued shall be consirued=to be�a'Iicense�.to proceed with the work.and not as authority to.vialate;cancel, alter, ar "'�`
set asicle�ny provlsEons of�the technlcal cades;�nor shalt tssuance af a.permit.prevent#t�e BuEtdtng O#fi1c1a1 from thereafter
requtr(ng a correction af errors in.plans, cons#ruction or violatlons of any codes. Every permit Issued shall become invalid �;
unless the work authorized.by suah permtt.�ls.corrimenaed•wlth(n sf�c months of�permlt issuance, or If work authorized by �
the permtt is suspended ar,abattdoned far a:period o#-six{6)mont�is after the ttme the�wot'k is aammenced.,.An extension �;
may be requested, in writing, from the Build(ng,Official for a period�not to.exceed ninety�(90) days and w(II�demonstrate
ustl�ab€e cause for#he extenslon. If work ceases:for nlne sa ccros.ecuttve da s.the ab�is cansidered abaadot�ed.4 � ��
1 �t ) v . �1
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WARNING TO QWNfR: YOUI�.FAlLURE�TC?=R�G.QttClv,A.Nt?TtGE,OF•COMMENGEMENT�MAY�RESUl:T IN�YQUR
PAYtNG TWtCE FCiR IMPROVEMENTS TO YOUi�.PROPERTY:�:IF Y�.U�IMTEND°T�°pBTAtN��FINANEING;�CONSULT -
WITH C!U D O. AN°AfiTO NEY FO . � ECOR� G:�Y'OU � O �C �°OF� •' CE N
. .
Fl.QRd�fi;ttlFL��{F,S:1��.43)_ _____ ___�_�__,- --- -=— --- - ------__. .,__.� ----- — __... — _.� �_� _t_
DWNER QR AOENT CONTRACTOR
3ubsc�ibed and swom to tor affirmed)befare me thls Subatxlbed and`swom to{ot afffrmed)-befora me ffi1�
by .by
Nha Isfare personally knovm to me or haslhave produced Who.ls/ere personaliy knawn M me or haslhave produced • i
A
as tden�flca8on. as identi8catian.
Notery Pub(fc Notary Publlc
:ommisstart Na �� ' Cammisslon.No,
Vame of tVotary typed,printed or stamped Name of Notary typed,printed or stemped