HomeMy WebLinkAbout16-17141 1
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)78o-oozo 17141
- ' BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17141 Address: 5603 11TH ST HISTORIC
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-10300-0030
Improv. Cost: 6,133.00 OWNER INFORMATION
Date Issued: 3/09/2016 Name: ARMSTRONG SAMMY JR
Total Fees: 70.00 Address: 5603 11TH ST -HISTORIC
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/09/2016 Phone: (813)469-9353
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATION FEES
AND SERVICES A/C CHANGEOUT 70.00
.
\
Ins ections Re uired
DU TSINSTALLED
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,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.
�( (�'\. G�C���J �
NTRACTOR SIGNATURE C�N(� PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS I,
5335-8TH STREET
(813)780-0020 17141
• ' BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFO ATION
I Permit Number: 17141 Address: 5630 11TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Townshi . R ge: Book:
� Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): ock: Section:
Square Feet: Subdivision: OF ZEPHYRHILLS
Est. Value: Parcel Number: 1-26- -0010-08500-0130
, Improv. Cost: 6,133.00 OW ER INFOR ION
Date Issued: 3/09/2016 Name: R , G
Total Fees: 70.00 Address: 630 11TH ST y �t�S
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 �
Date Paid: 3/09/2016 Phon .
Work Desc: A/C CHANGE OUT 2.5 TON -
- CONTRACTOR S APPLICATION FEES �
AND SERVICES A/C CHANGEOUT 70.00
� � Ins ections Re uired
DUCTS INSTAL ED
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' Must Accompany Application. All work shall be pertormed in accordance with
� .,�---- City Co nd Ordinances. NO OCCUPANCY BEFORE C.O.
� N OCCUPANCY BEFORE C.O.
,
�
� ��
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT E S IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
l
� I :� - � I�l� - �oZj
81378Q0020I City of Zephyrhills Permit Application Fex-813780-0021
��
Bullding Depar6nent
.Date Raeelved 3 � Y Phone ConfeG for Permfltln O�3 �/O 7 _ �'1 t( 7 Z
o�.r,�,o A-t�n�n �'} �r� s Ta�,.� Owner Phorro Number S I 3'4 t�5-535 3
Owmrs Addrw ��3 ��� S� (�P�� Owner Phorro Numb�r
F�e Slmpie Titleholde N�me Owner Phone Number
FN Simple T1Ueholde Address
JOBADDRE93 S�e�3 � � 'F�' ST�e�T �ors �
susnmsioN � 'Wti`^��`S PARCEL IDR �I�Z. •�f- oa i t�- !03�v- do 3 0
�oer�o FnoY PaoaExnr T�x Nonc�7
� WORKPROPOSED B NEWCANSTR Xe ADDIALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CON3TRU ON Q BLOCK Q FRAME Q STEEL Q
i DESCRIPTION OF W RK C � �C ._��✓l �•s �v"', ��-S2 e�� (-��
BUILDINO Slg SQ FOOTAOE� HEIOHT �
QBUILDING E VALUATION OF TOTAL CONSTRUCTION
QELECTRIC S AMPSERVICE Q PROGRESSENERGY Q W.R.E.C.
QPLUMBING S �. � � � �' (
�MECHANI s � � 33 VALUATION OF MECHANICAL INSTALLATION
�(',qg Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR EL AT10NS FLOOD 20NE AREA QYES NO
BUILDER COMPANY
g�G�'N(� REGISTERFD Y/ N FEE CuaAe� Y/N
Addross Licanse�!
ELEC1RICIAN COMPANY
g�Gp�/��� REGISTERED Y/N �curtt� Y/N
Address Ucense#
PLUMBER COMPANY
g�p�NpE r�cisr� Y 1 N �cuar�n Y/N
�dar.., • uc�#
MECH/WICAL � � COMPANY �� SC'—��i C 2 S
g�6��� �' r�cisTeA� Y/N �cuw�n Y/N
Addrosa � D�O h� C 1�:'R�-['� P�"�!Q- Llcense# C �� �
OTHER COMPANIf
g��Np7�� �cisT�o Y I N �curu� Y/N
qddr�s LJeenae#
1-1 1 17 1 1 1 f- 1-1-IT1 T1 1-f 17'l f-i 1�1Ti71 1 fil 117 f Il I-1-1 f11T7`I i'i IT 11-11 iTfTl 17'1-TI
RESIDENTIAL ch(2)Plot Plans;(2)sets of BWlding Plans;(1)set of Energy Fams;R-O-W Permtt for new eonsWetlon,
inimum fen(10)woridng daya efter aubmkmt date. Required onstte,Constructlon Plans,Stormwater Plana w/SIR Fenee inatelled,
ftary Fedlities 81 dumpater,Site Work Permk for subdivislonallerge proJectn
COMMERCIAL ch(3)complete seffi ot Buflding Plens plus e Life Sefely Page;(1)set a1 Energy Fortns.R-O-W Permtt for new construdlon.
Inimum ten(10)woridng days after submittal date. Required onsite,Constructlon Piens,Stormwater Pians wl Sift Fence instslled,
Hary Fadildes&1 dumpster.Ske Work PermR for all new proJects.All commerdal requirements muat meet eanpliance
SIGN PERMR 4tech(2)sets of F_ngineued Plans.
PROPERTY SURVEY required tor all NEW consWcdon.
Dinctlons:
' FlII out appticatl completery.
Owmer 3 Con etor aign baek of applfeatlon,notarized
H over iZg00, Notlee of Commeneement Is rsquirod. (AIC upgredes over i7500)
" Agent(for the Vector)or Power ot Attomey(tor the owner)would he someone with notarized tetter irom owner authorizing same
OVER THE COU R PERMITTIN(i (Front ai Applk;etlon Onty)
Reroofs ff shingies Sewers SeMce Upgrades A/C Fancea(PIoVSurvey/Footege)
Drlvew�ys-N over Courrter if on publlc roedways..needs ROW
I
� �,� 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 restr(ctions.
r 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 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) sign
portions of the"contractor Block°of this application for which they will be responsible. If you,as the owner sign as the
contractar,that may be an indication that he is not properly licensed and is not entitled 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 construcUon of new buildings,change of
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,will 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 occupancy'or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County Water/Sewer Impact
fees are due,they must be paid 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 or more,I
certify that i, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certiTy that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"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. Applica6on 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 will be performed 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 woric,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,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Heaith 8 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
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 affect adjacent
' f a versel affect ad'acent ro erties the owner ma be cited for violatin
properties. If use of fill is ound to d y ) p p y 9
the conditions of the building pertnit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage pian 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 work,
plumbing, signs, wells, pools, air wnditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to vialate,cancel,alter,or
set aside any provisions of the technical codes,nar 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 pertnit 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 cammenced. An extension
may be requested, in writing,fram the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR ,y'^��ko
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT�N FINANCING,CONSULT ° �
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y UR N077 OF CO ENCEMENT. ao 0c'
FLORIDA JURAT(F.s.717.03) 9�oq��n
OWNER OR AGENT CONTRACTOR �,��o
Subsaihed and swom to(or affirmed)before me this Subsuibed and m to(or affirtned)be me ihis �n,� m
by by Y�'1 A 2 2 IL ST i2 a � y � �
Who is/are personally known to me or has/Fieve produced Who islare persanally known to me or has/have praduced o 3 <�
as identiflcation, as identificatlon. �N'�g
o� � �
�J�, � �m�m
Notary Public �/ � C Xa—/ � Notary Public n� o
Commission No. Commission No. �� � ���P 3� � o
�V1 A�-`( � S 1�C t,/�} fL-f � m
Name of Notery typed,printed or stamped Nama af Notsry typed,printed or stamped
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