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Home My WebLink About16-17167 CITY OF ZEPHYRHILLS 5335-8TH STREET �, (813p80-0020 17167 � BUILDING PERMIT _ PERMIT INFORMATION - - � LOCATION.INFORMATI, " � Permit Number: 17167 Address: 39328 5TH AVE 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: ZEPHYR HEIGHTS Est. Value: Parcel Number: 12-26-21-0040-00200-0040 Improv. Cost: 4,500.00 - = OWNER`INFORMATION Date Issued: 3/15/2016 Name: HELMAN DEANNA Total Fees: 60.00 Address: 39328 5TH AVE Amount Paid: 60.00 ZEPHYRHILLS FL 33542 Date Paid: 3/15/2016 Phone: Work Desc: A/C CHANGE OUT 3 TON PACKAGE CONTRACT,OR S _ � APPLICATION FEES � PATTIE ELEC. & REFRIGERATION A/C CHANGEOUT 60.00 � �_. ��Ins ections Re uired = DU T INSTALLED DUCTSINSULATED FI NAL_�_�-� 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 pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � CONT CT R SIGNATURE PERMIT OFFI R MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813aao-ao2o City of Zephyrhills Permit Application Fax 813-780•002� SuNding 4epartment :�:� � Date Recelved phone•Cantact#arPersn[ttin — a . Owner's Name � t)wrner Phone Number Owner's A+ddress J� � � Owner Phone Number � � Fee Simple Tltleholder Name � � Qwner Phone Number �— � �— Fae Slmple Titlehalder Address ' JOB ADDRESS � LQT# � SUBDIVISION � � PARCEL 1D# o�'� d '��d�� L 1 `-�' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSEq 'NEw CONSTR ADQtALT � S{GN Q Q QEMOLISM e INSTALL 8 REPAIFt PR{3POSED:USE Q SFR Q COMM Q OTHER TYPE OF GONSTRUCTION - Q BLOCK ' Q FRAME Q STEEL Q DESCRIPTION OF WORK L� � g � � BUILDING SIZE SQ FqpTAGE IiE1GHT �_ � _ �:,u ��`�' �� VALUATION OF�TOTAL CONSTR�l7CTICIN QELECTR1CAl $ �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBiNG �> � MEGHANIGAL $ yJ VALUATIO�!OF MECHAfi11CAl IhISTAt,tAT10N `� �� " `�� t ' QGAS Q ROOFING Q SPECIA�TI Q QTHER � � tl � � tJ FINISHED FL04R ELEVA710NS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREh ,Y/N-: Address License# ( � ELECTRICIAN COMPANY SIGNATURE � REGISTERED Y/ N FEE CUItRE� Y/N Address - License# � � PL.UMBER COMPANY SIGNATURE REGISTERED 'Y 1 N FEE CURRE� Y/N Address license# MECHANICAL � CQMPANY � G'v l� G lC-� � /-c �v� aU SIGNATURE � ��CC' (L � `�r� ��` REGISTERED Y./ N FEECURRE� Y/.N Address �'.. License# �,p � � OTHfR COMPAr1Y 51GNA7URE REGISTERED Y/ N . �FEE CURRE� Y-/N Address , . Cicense# �� RESIDENTIAL Attach(2},RIot=Flans;(2}se#s=of�Butlding"'Plahs.`(1}set of EnergjryFar►ns;R Q-W Peri�ilf for new constructiton, MinlmumEten(:10)_wprking days aften..subrriittal date, Required onsite,Constructlon-Plans,Stormwater Plans w!Siit Fence installad, SanttaryFacilitles&�1.,dumpster�SiteWork�PennitforsubdivisionsflargeQrojects . - - -- COMMEF2CIAL Attach{3}comptete sets of Suitding'Pians plus a k.tfe Safety P�ge;(1)set aF Ene�gy Farms.R-O W Pemrit for new canstsuction. Minimum ten(10)warking days after submittal date. Required onsite,ConstrucUan Plans,Stortnwater Plans w/Silt Fence installed, Sanitary FacilitEes&1 dumpster.Site Work Permit for all neinr•projects.All commercial requlrements must meet campllance SIfN PERMFT Atfacfi'(2)sets of Ei'igiiieered P1ans..,. . - """PROPERTY SURVEY required for all NEW construction. Dlrections: Fill out appiication completely. Owner 8�Cantradar stgn back of appitcattqn,notartzed If aver 52500,a Notice of Commencement is required. (AIC upgrades over 57500) '" Agent(for tttie conttactor)ar Power af Attorrtey(fo'r the owner)would be sameone with notarized letter from owner authorizing same DVER THE COUNTER PERMITfiNG (Front of Aqplication Oniy} Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurveylFootage) Driveways-Not over Counter if on pubtic roadways..need`s ROW NOTICE OF DEED RESTRICTIONS: The underslgned under.�tands#hat this.��rmit.may be,sub)ect to"deed"restrictions" � which may 6e�more�-resttictive-than County.regulatlons. �The undersigned assumes responsibility for comptlance with any applicable deed restricttons. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owrner has hired a contractar or contractors to undertake work, they may be required.:to be Ilcensed In accordance.wtth state.and•local regulatlons. If the contractor is not itcensed as requlred=by law, botFi the oumer and cont�actor may be cited for a misdemeanor violatton under state law. If the owner or tntended�contra�tor are uncertain as to what Iicensing.requlre�nents may apply�or the intended work, they are advised to contact the Pasco County Bullding Inspection Diviston—Licensing Section at�27-847- 8009. Fu�thermore, (f the owmer has htred a contractor or contractors. he is advised to have the contractor(s) sign portions of the "contractor Block° of thls appllcation for which they wlll tie responslble. If you, as.the owner sign as the cont�actor, that may be an indication that he is not.properly licensed and is not entftled to permitting privileges In Pasco County. ' TRANSPORTATION IMPACTIUTILITIES IMPAC7 ANb-RESOI�lRCE RECOVERY FEES: The undersigned understands ___ that Tcans�aort�tiotLlmpaa�Feas and.Reco�trg� Recobery_Eees..rtaa;�-apply-#�.-#hs-c�nsta��ctl�e� of r��:�-��!!�l�g�, :.Na��;;��.f- - - use in existing buildings,.o�.expansion�of�existin��buildings, as speclfied.in Pasco County Ordinance number 89-07 and 90-07. as amended. The undersigned also understands, that.such fees� as�tnay�be:due, wlll.be identified at the time of permitting. It is further understood that T�aasportatlon Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or flnal powec release. :If•the project.does not involve a certiflcate of occupancy or final power release, the,:fees must be paid�prior to permit Issuance. Fu�thermore;If Pasco County WatedSewer Impact fees are due,they..must be-pald�prlor to permit-Issuance-tn accordance with appllcable Pasco:County ordinances. CONSTRUCTION LIEN""LAW(Chapter 773� FloNda Statutes, as amended): If valuallon 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 Departmenf of Agric.ulture and ConsumerAffairs. If the applicant Is someone other tha�the"owner", I certify that I have.obtained a copy.of.the above.descrfbed docurr�ent�and promise in,good faith to deliver it to.the°owner"�prior�to�commencement. , CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify tFiat all ttie inf.ormation�in'thi�application is accurate�nd that all work will'be done in compliance with all.applicable laws regulating construction, zon(ng and land development. Application is hereby made to obtain .a permit fo do work and installation as Indlcafed:- °I certify that no work or Installat{on has commenced prior to fssuance of a permit and that all work will be pertormed to meet standards of all laws �egulating� construction, County and City codes, zoning regulatians, and land development cegulations�in the jurisdtction. I also certify that I understand that the regulations of other government agencles may�apply�to the intended work, and.that it is my responsibility to identify�what.actions I must take.to be�in:.corr�pliance. Such agencles include but are..not limited to: - Department of Ertvironmental Protection-Cypress�Bayheads; Welland Areas and Environmentally Sensitive Lands,WatedWastewater Treatment. - Southwest Florida Water Management ..District-Wells, Cypress. Bay_heads, Wetland Areas, Altering Watercourses. - , Army Corps of Engtneers-Seawalls, Docks, Navigable Waterways. - Department of Health� 8 ReMabilitative ServiceslEnvironmentai Health Unit-Welis� Wastewater�Treatment, Septic Tanks. � . - US Environmental Protectlon Agency-Asbestos abatement. - Federal Aviatton.Authortty-Runways. I understand that the following:restrictlons apply to the use of flil:� - 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 addresstng a °compensating �volume" will be submitted at#ime of permltting which (s prepared by a professional engineer Ifcensed by#he.•State of Florida. " - If the fill material.is-.to be used in Flood Zone °A" In�connection�with.a��ermitted building using stem wall construction, I certify th.at flll�:wlll�be used only.to#ill the area w(thin the stem�wall. - If fill material is to be used in any area, i certify that use. of such'flll wlll not adversely affect adjacent properties. If use of flll is found to adversely:�ffect adJacent�properties,.the owner may be cited for v(ofating the condifions.of tlae 6uiiding-.permit issued�under the.attached pecmit.application, for lots less than.one (1) acre which are elevated�byaflll, an engineered dratnage plan is required. . If I am the AGENT FOR THE OWNER;1=�promise in good faith to Inform the•owner of-the permitting conditions set forth in this affidavit�prfor to commer�cing�construction. I understand that a:separate permlt may be requtred for electrical work, plumbing, signs, wells,,pools; air conditioning,.gas,_or other installatlons not,speciflcally included�in.the application. .A permit Issued"shall be constcued to-be�aR license fo p�oceed with the work and not as:authority to,violate,cancel, alter, or set aside any�provis(ons of the technical codes; nor shall issuance�of a.permit.prevent the Bulldfrig Official from thereafter requiring a correction nf errors In-plans; construction or violatlons of any codes: Every piermit Issued shall become invalid unless the work authorized.by such perrriit:�is-commenced•withln six months of permit issuance, or tf work authorized by the permit is suspended o�.abandoned for a:period:of�six f8)months'after,the time the�work ts commenced. An extension may be requested, In writing,.from the Building,Officiai for a perlod.not to exceed ninety�(90) days a�d will demonstrate justifiable cause for.the extension�. If work ceases:for ninety(90)consecutive day.s,..the job�is considered aba�doned. WARNING`TO:OWNER: YOUR.FAILURE.TO,REC:Ot2D A.MOTIGE OF•COMMEMCEMENT MAY-RESULT IN�YOUR PAYING TWICE;FOR;IMPROVEMEN7'S:TO.YOUR-�PROPER7Y. :IF YO.U�IMTEhID{TO:OBTAIN�FIN�AI�CING��CONSULT WITH Y UR E. DE O AN A7TORNEY 8 FOR�--RECOR� G:;YOU ' D ��G �OF�� `�' � E CE NT� FLORIDA JURAT(F.S..1.17.03) � � OWNER OR A(iENT CONTRACTO ' Subscribad and swom to(or a(Nrmed)before me thls Subscribed and'swom (o afflrm )� efor�e me'tliis by •by Who Is/are personaliy knovm to.me or hasRiave produced Who.is/are p.ersonally4 nown:to me or has/have:produced • as IdenUflcatlon. as Identlflcation. Notery Public . 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