HomeMy WebLinkAbout16-17131 i
CITY OF ZEPHYRHILLS ..r'
, a 5335-8TH STREET
� �8�s,�so_oozo y �3�
� BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17131 Address: 37770 ALISSA DR BLDG 12 UNIT D
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: 15-26-21-0170-01200-OODO
Improv. Cost: 3,265.00 OWNER INFORMATION
Date Issued: 3/07/2016 Name: BURNS FAYE
Total Fees: 55.00 Address: 37770 ALISSA DR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542
Date Paid: 3/07/2016 Phone: 813-355-3200
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION'FEES
CRADDOCK AIR CONDITIONING &AIR A/C CHANGEOUT 55.00
.�
Ins ections Re uired
DUCTS INSTALLED �
DUCTS INSULA��[,�
FINAL �� 1��� �'
. , �7�,
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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
C TRA IGNAT 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
Buliding Department
/ Dale Recelved
Phone Contacl(or pertnfttin
Owner's Name UfI1S Owner Phone Number 813-355-3200
Owner's Address Owner Phone Number
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titleholder Address
JOBADORESS rZhillsFl33542 LOTX ��
sueowisioN PARCEL ID# 15-26-0170-01200-OODO
(OBTAINED FROM PROPERTY TNC NOTICE)
1NORK PROPOSED B NEW CONS7R e ADDlALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK AC CHANGE OUT Z �Z57'1 -
BUILDING SIZE SQ FOOTAGE�� HEIGHT �_�
�BUILDING S VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. .
�PLUMBING $
X�]MECHANICAL E 3265.00 VALUATION OF MECHANICAL INSTALLATION � ( � (� �
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO s�7 7
BUILUER COMPANY
SIGNATURE REGISTERED Y/ N FEE CUftRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURH REGISTERED Y/ N FEE CURRE� Y/N I
Address 107 HWY 3 1 DADE CITY FL 33525 �icensett CAC1l�16730 � I�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense#
RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set ol Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days afler submittal date. Requfred onsile,Construcfion Plans,Stormwater Plans w/Silt Fence installed,
Sanilary Fadlitles 8 1 dumpster.Slte Work Permit tor subdivisionsflarge projects
COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safely Page;(1)set of Energy Farms.R-O-W Pertnit for new conslruction.
Minimum ten(10)working days after submiltal date. Requlred onsite,Construclion Plans,Stormwater Plans w/Silt Fence fnstalled,
Sanitary Facililies 8 1 dumpster Slte Work Pertnit for all new projects.All cammercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPEftTY SURVEY required for all NEW construction.
Direetlons:
Fill out applfca0on completely.
Ovmer 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500)
" Agenl(lor the conVactor)or Power of Attomey(for the owner)would be someone with notarized letler from owner aulhorizing same
OVER THE COUNTER PERMITTING (Front of ApplicaHon Only)
Reroots if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
i ' ` II
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 complfance 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
u�der state law. If the owner or intended contractor are uncertain as to what licensing requlrements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) stgn
portions of the"contractor Block" of this application for which they will be responslble. If you, as the owner sign as the
coniractor,that may be an indication that he is not properly licensed and is not entified to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands '
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as spec�ed in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees,as may be due,will be identified at the time of
permitting. It is further understood Ihat Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a°certificate of occupancy"or final power release. Ii the project does not involve a certificate of occupancy or
final power release, the tees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they musl be pafd prior 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 0
) $ , r more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Proteclion Guide"prepared by the Florida Departme�t of Agriculture and Consumer AHairs. If the applicant is someone
other than the"owner', I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"awner"prior to commencement.
, CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that all the Information in this application is accurate and lhat 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 certify that no work or installation has
commenced prior to issuance of a permit and that all work wilf be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify whal actions I must take to be in complfance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avialion Authority-Runways.
I understand that the following restrictions apply to the use of Till:
- 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 submitled at time 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 with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely afiect adjacent
properties. if use of fill is found to adversely affect adjacent properties, the owner may be cited for viofating
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 engfneered 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 permft may be required for electrical work,
plumbing, signs, wells, pools, air condilioning, gas, or other installalions not specifically included in the application. A
permil issued shali be construed to be a license to proceed with lhe work and not as authority to violate,cancel,alter, or
set aside any provisions ot the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing, irom the Building OKicial for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)conseculive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C ENCEM NT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN END TO OB AIN F AN NSUl.T
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE OF M C
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscrlbed and swom to(or aKrmed)beFore me this Subscribed and worn lo r ffirmed be r e thls
by
Vvho fs/are personally known to me or has/have produced Who islare p all kno / as/have produced
as IdenUficaBon. � as fdentlficafion.
Nolary Public � � otary Public
Commission No.
Com Is' n N ""'�>�
- ::= Commission#FF 1
Name of Nolary ryped,printed or stamped Name of Nota ' � P,,o�y��December 12,2��8
%)°o�F�q� Bonded TMu Troy Fain Insurenw 800385-7019
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CRADDOCK'S AIR CONDITIONING
' 10736 US Highway 301 ���� � I,
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i Ci �i S , DADE GTY FL 33525
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►�h � Phone 813 782-9426 .
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IN OUT � � L � � �
CONDENSATE DRAINS CONDENSING UNIT �
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Cleaned Replaced -� ' �
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HeadPSI Repr Copp Conn -------------------------------^---------------------------------------------------- I
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Electrlcal Conn ELECTRIC HEAT ------------------------------------------------------------------------------------= ' �
-0ontacts T1gfit Replaced Kltxon -------------------------------------------------=--------------------•-------------- '
&Clean ,
Checked Motor Replaced Llnk '--------------------------------------------------------------------•--------------- �' �
Changed Motor. Replaced Wire ' ' �
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Rep�aced Belt DUCfWORK 5 5 FOR THIS OPPORTU ITY TO SERVE YOU. DIAGNOSTIC ,
5 . 5 �asilz CHARGE
Adjusted Belt Replaced 5 ♦ � � 5 PLEASE KNOW THAT WE'LL BE READY FLAT ,
5 loo�/O Satisfaction 5 ��u FORYOURNEXTSERVICE.NEEDED. FEE
THERMOSTAT � Regafred SERVICE WORK IS C:O.D.-PLEASE PAYTECHNICIAN
Replaced AdJ'usted 5 5
5� Guaranteed 5 . • . . .
Callbrate DECALS '
f� � � , �� TAX INCLUDED
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