HomeMy WebLinkAbout16-17086 CITY OF ZEPHYRHILLS
� � 5335-8TH STREET
(813)780-0020 � 6
BUILDING PERMIT
PERMIT INFORMATION , LOCATION INFORMATION
Permit Number: 17086 Address: 39615 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: 13-26-21-0140-00000-0870
Improv. Cost: 6,288.00 OWNER INFORMATION
Date Issued: 2/25/2016 Name: BELL, JONI
Total Fees: 70.00 Address: 39615 MEADOWOOD LP
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/25/2016 Phone: (813)380-1650
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
AND SERVICES A/C CHANGEOUT 70.00
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' Ins ections Re uired
DUCTS IN TALLED
DUCTSINSULATE
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.
_ � ��
CONTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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e�a�ea�on2o I City of Zephyrhills Permit Application F�-���-���
� ~ � � Q , Building Departrnent
Da1e R�elwd �� / l0 Phone WnfadtorPtrmlftln 6/3 b� _ ��� �
o�.r:r�.,�m o �s �C�� Owner Phoru Numbu �l 3—3�0'�(t��v
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FN Slmple iftlehotde Nane Ownar Phone Number
FN Simpb TlNehold� Addroas .
JOB ADDRESS U��I S /' '�A O�Gt/f�:'� �vY� LOT d ��
SUBDMSION ����e1"3W C L� PARCEL IDA I���•��'O l Y O �O�JDU 'G�.�7 0
(OBTAINm FROY PROPER�Y TAX N071Ct7
WORK'P110POSED B NEw CONSrR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF'CONSTRU ON Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OP W RK � C�1`1 � �� /� �E'�'
BUILDING 81� SO FOOTAOE� HEIOFfr �
QBUILDING E VALUATION OF TOTAL CONSTRUCTION
QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.RE.C.
QPLUMBING S ����
OMECHANIC S ,(f VALUATION OF MECHANICAL INSTALLATION 1. �� �{
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�Qqg Q ROOFlNG Q SPECIALTY Q OTHER l�
FINISHED FLOOR EL ATIONS FLOOD 20NE AREA QYES NO � � � ��
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81GNATURE rtEcisr�rten Y/N �cuw� Y/N
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ELEC7RICUW �P�
81GNATURE t��is�r�n Y/N �Cuata Y/N
,�d� LJoenae#
PLUMBER �P�
SIONATURE RE6ISTERED Y/N �cuRRB� Y/N
Addnas License#
MECFIANICAL CONPANY '��'--^—`t�S
g�a��� �cisreREn Y/N F�cura�n Y/N
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T-IT 1-1 Tl f 77-1'T'i 7 1'f-1 1 1-1 �7'7-Tf iT i'1'1-T7 f 1 7 1 1-1 1-17 1 1 7 TT-fT7 I T I 77T TTTT7 I i17�7
RESID�N'IIAL ch(2)Plot Plans;(2)sets of BWlding Plana;(1)aet ot Energy Fortns;R-O-W PamR for new construction,
Inimum ten(10)working deye elter submHml date. Required ondte,ConstrucUon Plens,Stormwater Plerm w/Sift Fence Inetetled,
itery FaeO'�tlea 31 dumpeter,Slte Wak PermB for eubdhrFelonaNerge proJeete
COMMERCIAL eh(3)complete seffi 01 Buflding Plens plua a Life Sefety Pege;(1)aet af Energy Fams.R-4W PertnR for new eanstruetlon.
Inimum ten(10)worMng deys atter submfttal date. ReQulred a�site,Cona6vetlon Plena,Stortnwater Plans w/Slit Fence InsteAed,
ifery Fae0ltlea 81 dumpater.Ske Worfc Permk for all new projeetc.AII eommertdal requiremeMs must meet aompUance
310N PERNR ch(2)cets o1 Fr�gineerod Plena.
PROPERTY SURVEY requhed for a�NEW conaWcllon.
Dir�etl6ns:
' FlII out eppliea eompletey.
Owner d�Con aar eign beck of applicedon.nofertred
M ewr i2500, Notip oT Comm�neemNrt b nqui»d. (AIC upa►edq ov�r S760D)
" Agent(for ihe ctor)a Pmver oT Attomey((w the ownar)vrould be someone with notarized letter from owner aufhorizing seme
OVER THE CO R PERMRTING (Frmt of Applkatlon Only)
Reroois if ehingles Sewe�s SeMce Upgradea A/C Feneea(PlotlSurvey/Footage)
over Courrtw H on publlc road�rays..needs RaW
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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 responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advlsed to contact the Pasco Courriy Building Inspection Division—Licensing Section at 727-847-
8009. Furthertnore, 'rf the owner has hired a contractor or contractors, he is advised to have the contractar(s) sign
portions of the°contractor Block"of this application for which they wili be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construc6on of new buildings,change af
use in existing buildings,or expansion of existing buildings,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,wiil be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
, receiving a"certificate of occupanc�'or final power release. If the project does not involve a certificate of occupancy or
i final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County WatedSewer Impact
fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's
Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affafrs. If the applicant is someone
other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the'owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all.the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I cerdfy that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of HeaRh & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V°unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
°compensating volume"will be submitted at time of pertnitting 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 with a permitted building using stem wall
canstruction,I certify that fill will be used only to fill the area within the stem wall.
- If fili material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely aHect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,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
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical worlc,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
pertnft issued shall be construed to be a Iicense to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Bullding Official from thereafter
requiring a correctian of errors in plans,construction or violations of any cades. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of pertnit issuance,or if work authorized by
the permit is suspended or abandoned for a period of sbc(6)months after the time the work is commenced. An extension
ma be re uested,in writin ,irom the Building Official for a period not to exceed ninety(90)days and will demonstrate
Y 4 9
ive da the'ob is considered abandoned.
justifiable cause for the extension. If work ceases for rnnety(90)consecut ys, )
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR *`'°'��Mo�
0
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT
WI H YOUR LENDE OR AN ATTORNEY BEFORE RE RDIN Y R NOTI F O ENCEMENT. �°�r,������`�
FLORIDA JURAT(F.S.117.03)
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OWNER OR AGENT CONTRACTOR v" 0� m
Subsaibed end swom to(or aifirtned)before me this Su cn d and m to(or effirtned)be me this �o`z,�
by al 1 by Yn�}/-�!C C"3'�� N 3 <�,
Who Is/are personalry known to me or hes/heve produced o isl re personelly known to me or has/heve produced ��.(A Q
as identification. as identffication. N=��
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Notary Public NMery Public � °
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Cammisslon No. Commission No. � °
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Name oi Notery typed,'priMed or stamped Neme ot Notery ed,printed or stemped