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Home My WebLink About16-17155 CITY OF ZEPHYRHILLS 5335-8TH STREET . ' (813)780-0020 17155 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17155 Address: 6410 WOODRUFF ST 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: 02-26-21-0060-OOD00-0060 Improv. Cost: 2,000.00 OWNER INFORMATION_ Date Issued: 3/11/2016 Name: MSK GROUP INC Total Fees: 45.00 Address: 630 59TH AVE Amount Paid: 45.00 ST PETE BEACH FL 33706-2218 Date Paid: 3/11/2016 Phone: 813-420-7149 Work Desc: A/C CHANGE OUT 2.5 CONTRACTOR S . APPLICATION FEES GABLES AIR CONDITIONING CORP A/C CHANGEOUT 45.00 r` \ / � Ins ections Re uired- - DUCTS IN TALLED 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 fo 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 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. � CONTRA GNATURE PERMIT OFFI R PE T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR.INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER L I s��-�so-oozo City of Zephyrhills Permit Application F�-s��-�eaooz� , Building Department I Date Received 7 � ^+ , Phone Contact for Permitting (JdJ ) �[.�'� �_ Su� -rrrrr-rr-r --- rrrrr - Owner's Name � �L -�I�l]�f�� Owner Phone Number � ^ "N�J" 7�� Owner's Address �S Jl� �`��'' '-�'\ � 2U Owner Phone Number Fee Simpie Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS �1 <1JCi��'R►V\� T 1� 2 1-l�U..�� 3cSvlZ LOTB � SUBDIVISION '�Ny12 ��'�-1L pARCELIDX O�-"�-Z`—�`tJv��0 "`�-�O (OBTAINED FFiOM PHOPERTY TAX NOTIC� WORK PROPOSED e NEW CONS7R� ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK �N 1qY�C7�- OLS` BUILDING SIZE SO FOOTAGE� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �MECHANICAL $ ,��r,�.\ � VALUATION OF MECHANICAL INSTALLATION � �� I�VU QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY . SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address License# MECHANICAL COMPANY G��-c� Ati1Z CQNQ�TI O1�}�� SIGNATURE REGISTERED N FEE CURREA Y/N ' Address �51 �L SS 5� N1`A�U µ r` License# ��C.��77 6 OTHER COMPANY SIGNATUflE REGISTEREO Y! N FEE CURRE� Y/N � Address License# � iiii � � � � � � � i � iiiii � � � i � � � i � � � � � � � � e � � i � i � i � i � i � i � � � � � � � ii � o � � � � i � � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o(Energy Forms;R-O-W Permit for new canstruction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projeds COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new canstruction. Minimum ten(10)working days aRer submittal date. Required onsfle,Canstruction Plans,Stormwater Plans w!Silt Fence installed, i Sanitary Facilities&1 dumpsler Site Wark Permit for all new projects.Aii commercial requiremeNs must meet compliance � SIGN PERMIT Ariach(2)sets of Engineered Plans, �I ""PROPERTY SURVEY required for all NEW construction. Directions: Fill oul application completely Owner&Cantractor sign back of application,notarized If over S2500,a Notice of Commencement is required. (A/C upgrades over S7500} " Agent(for the coniractor)or Power of Attomey(for the ovmer)vmuld be someone with noterized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract requiredy Reroots if shingles Sewers Service Upgrades A!C Fences(PIoUSurveylFootage) 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 appiicable deed restrictlons. UNLICENSED COIdTRr4CTORS AND COtdTRACTOR 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 uncerta(n as to what iicensing 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 , contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. I 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 I use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and I 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 Tinal 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 WaterlSewer Impact fees are due,they must be paid prfor to permft issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Fiorida 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 Affairs. 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"owner"prior to commencement. COPITRACTOR'S/OWNER'S AFFIDAVIT: I certi(y 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 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 certiiy that I understand thai the regulations of other government agencies may apply to the intended work,and that it is my responsibiliry 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, 1Netland Areas and Environmentally Sensitive Lands,WaterlWastewater 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 Nealth Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protect(on 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 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 connecfion 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 properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit appiication,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 work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a Ifcense 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 Buildirig 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,from 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. WAR►dING TO OWNER: YOUR Ft41LURE TO RECORD A NOTICE OF COMMENCEMENT iVIAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O TAIN FIMANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF MMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR� Subscrlbed and swom to(ar afflrmed)before me thfs sy bscribed and swo to(�r ffirme e me thjs� by 3-/f-! by • � C Who Is/are'personally known to me or has/have produced Who Is/are erso, y kn t me or has ave produced as Identlflcadon. E=L � �difM��as identification. Notary Public � n.� ��Notary Public Cammisslon No. Commissi n 6lOhS2C'008 B�ucrosu�uie��a1�u41 P�P��9 ;.yo;i•i'�.3f�, �• Name of NoNary typed,printed or stamped Name of No ry ty@ • _�: Ert: zavo5��#�o�ss�w�,o� ;,,., ,�.; S3J08 3NI13f10�b'(' '�%°'!;•�'�';.• ��,,, 1 , `�� PROPOSAL PROPOSAL O.� (r�,`/'�f .�—_ � a o�6J�.J�� , �� . CAC 1817783 SHEET NO. �irCon itionzng.Corp, _ 6��6$37 , � � DATE Refri�eratioir �Ilrslulldliort �Repair &Service " 42 �7 � PROPOSAL SUBMITfED TO: WORK TO.BE PERFORMED AT: ' NAME , n.:,: ., ; � . - ADDRESS , . . . _, , - � .,. °1�00�1/1�.. V� K��.�, ';��'�� C: -.. � � �I1 - 2ur-� � � ., ADDRESS ` � : " -- -. '_ , .,- - - . _ , . , .. . � . ; �__ ` � ..�� (L�J1^-� �.fir _ 7 Z�N.YL ta� � - �� +�5.�-t2� _ `';�uN � z.:; z� � V� . , , : : . . ._ . .., . . .-- - - ..., �.., ,. . , _ .. . . .....:... . _ . o ... , . .. . , . ,_ . . . , , DATE F PLANS . - YY1fY'-��•�i� �1:� 33t'�: ` - PHONE NO:� � ARCHITECT . 3US�;. � -�� . We hereby,propose:to�fumish�the�rrtateriais and�perform;tlie labor necessary for tfie_co"rripietion,,of _ _ . '..,' 'rY]'� '� ' , ':"l, - "rl� ' :� r�_ ` �� .�^ . t r; �vi-r� l ��_� . :j ,�ti� : �� ^_ . _ = � ' � ".�2vi�► -��, � ��c, ,�tr� - ;�1� , ,-, . � ' ,,. . , , . : - . - - . . , � � .. -- . t C� - i�. � _ -_ ^�., _�w .. , _ _ . All mater+al is.guaranteed to be as specified;-and the�above wo,rk,to be performed in accordance vrith the drawings and specifications � . .:,=� ., - ; , ,: , _ , � ,., ., ,�,. �_�- _ : : , , submitted for above woift,and complefed":in a�substantial uvorknianiike:manner for the_sum of - - � ` ' �� .. � . Dollars .($ Z:�O•� _ )° with;payments to be made as follows:. - Respectfully submitted ri��1�NDf�-�- �fl1`V�C.�zIZ.. My-.alteraUon or doviation Irom above spoclfcations involving oxlrn costs wili be.exectited.oniy upon written orda, and will:becams an oxtra-chaige Pef over and above ttie e"siimate. All agroements condngent upon atrikes, ac- cidents,or delaya beyond our contrd. Note - This proposal may be withdrawn � by us if not accepted within days. . -. . . .. s , . . . . . - � . � �� ., , .; ,-- - :ACCEPTANCE OF��P�ROPOSAC:�- �-.r � , ._ . . , _ ..- �The�atiove.prices, spacifca�ons and conditions�are satisfactory;and�are.tiereby accepted:You;a�e�-auth iied�to da_the�"v�ork;� � as specified. Payrtients wiil.be made as outlined above. _- _ - -. .-- � � ,�; ,- �� ,. - . ,. .t . , ' , . .. , ,`� -� - . : ;, , � � ,' . ,' . - . - - ' Si nature - . , , ._. ; . _ ,_ 9 . . � � � . - ' �ate. " 'Signature !' � l . ._ .. . , .. , ,... . . - _ � . . 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