HomeMy WebLinkAbout16-17174 �
CITY OF ZEPHYRHILLS
5335-8TH STREET
i " (813)780-0020 17174
� BUILDING PERMIT
PERMIT INFORMATION . -� LOCATION INFORMATION �
Permit Number: 17174 Address: 38013 LAWANDA LOOP
' 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: WAYWARD WIND
Est. Value: Parcel Number: 14-26-21-0160-00000-0350
Improv. Cost: 3,200.00 OWNER INFORMATION
Date Issued: 3/16/2016 Name: CORWIN STARLA K
Total Fees: 55.00 - Address: 38013 LAWANDA LOOP
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-5634
Date Paid: 3/16/2016 Phone: 813-713-5529
Work Desc: A/C CHANGE OUT 3 TON
' CONTRACTOR S � - APPLICATION FEES `
ABSOLUTE AIR SYSTEMS INC - A/C CHANGEOUT 55.00
�
� � Ins ections Re uired
DUCTS NSTALLED
DUCTSINSULATED �
FINAL
REINSPECTtON 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
CONTRACTOR SIG T PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a1s-�aaoo2o City of ZephyrhiNs Permit Application Fax 813-7aaoa2�
Building Dspartment
Date Recelved phone Contact for PermittEn
Owner's Name I l�� � l� dwner Phone Number � 3 ���
Owner's Addrass �Z� J ��� �. � Ownar•Phone Number � �
Fee Slmple 7ltlaholcler Nams � � Owner Phone Number � �
.�--
Fee 8fmpte Titlehalder Atldress '
J08 ADDRES3 ��Z�. LOT# C.__� ,
SUBDIVISION � � PARCEL ID#
(OBTA�NED FRdM PROPER7Y TAX NOTIC�
WORK PROPdSSp � NEW COt�STR ADD/ACT �� S1GN [� Q DEMOLISH �
� e lNSTAIL 81 REPAlR
PROPOSED USE [� SFR � CdMM �� C?TFiEi2 �-
, TYPE OF CONBTRUC'CION Q B�OCK " Q PRAME � STEEI Q
DEBCRIPTION OF WdRK N�'"J �"�`'� �- �� �
BUtLDtNG 812E �� � SQ FOOTAGE C_� HEIGHT �� �
' D������NC' �� VALUATION`.OF TOl'AL CONSI'RIJCTION
J
QE�ECTRICAi. $ �� _� AMP SERItlCE [� PROGRESS ENEF2GY Q W.R.E.C.
I QPLUMBlNG ��_ � �`.��
I _ � ,
'
[�MECHANICAL $ ��p� � VAI.UATION OP MECMANICAL lNSTRLLATlQf�f
[�GAS [� ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS r�� FLQOD ZONE AREA QYES NQ
L
BUtL�ER CUMpANY
SIGNATURE R��iS'r�ttEa Y! N �e Cu�aEn Y 1 N
, Address License# [ �
I' ELECTRICIAN COMPAI�IY
SIGNATURE ��y RE�iSTERED Y J N FEE CURRER Y 1 N
Addres� �License# � ��
PLUMBER � COMI?ANY
SIGNATURE REGlSTERED Y/ N FEE CURRE� Y t N•
Addr$+ss Ucense# �� �
� MECHANICAL .���'� ��y,� COMPANY
I SIGNATURE REGISTEREO Y.J N FEE CURREA Y/�N .
Address .J"��o��� �c+ SS t lc � �l h ��jS License# I ��t L�. t g' t �J7 c�S� �
OTHER GOMPANY
SIGNATl1RE � REGIS7ERED Y/ N FEE CURRE� Y�•N
l�ddress Ucense# � ��
RESIDENTIAL Attach(2a:P.loE`P,lans;.(2�sefs:of�Bullding�Pians;'(1)sat of Eneigy�Form's;R q-W Pertti,ftfor,neinr.,r,onstruCtion,
Minimum:ten-(1,0);working;days:after�submlttal�date:+.Requlred onstte,ConstrucUon=Plans;Starmwa4er``Plans w/Slit Fence installed,
Sanitary Fadllti,es:&-�1,dumpster,Site=,Work'.�Parmitfor.safididistbns�arge projects � „ � �
COMMERCIAL. Attach(3)complete sats of Buililing'Plans plus a�L.[fe Safety Page;(1}set of Energy Forsns.F2-Q W Permlt for new construction.
Mlnimum ten(10)working days after submlttal date. Requtred onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
� Santtary Facilities&1 dumpster.Site WorOc Pertnit for ali`new projects.All commercial requirements must meet campflance
SIGN PERMIT Aktacti'{2)'sets of Engirtesred:Rlansc;� �~. -
""PROPERTY SUR1/EY reguired,for.all NEW constructlan.
Direotions: �
Fill out epplication completely, -
Owner&ContracMr sign back of appltcaUon,notarized ,
If over�22500,s Natice oE Cammencement ta requlred. _{AIC upgrades aver�'_754d) - - -- , ' ` �
�, . . : ._: :
" Agent(for the contractor}or Power of Attainey(tcr the owner)wautd be someone+xith nota�ized tetter from awner authorizing�same, , "
OYER THE COUNTER PERMI'fTiNG , {Front ot Application Only,} � _� ` -
Reroofs if shtngles Sewers - �� Service Upgrades A/C Fence's(Plot/SurveylFootage} � . - . ,
Driveways-Not ouer Counter if on publEc roadways..needs ROW � -�' - � � ' '
� ,>,.-,. -- ...
: _ , _.
t .
NO"T�CE OF DEED RESTRICTIONS: The underslgned�undee�tands��.th�t�dhls.p�rmlt:ma�.be;subJect„to"deed"restricttons"
which may.be�mor�-r.est�ictive�tha�n�Gounty r�gulatfons. �The`�.un"'d"erslgned'assumes°�esporisibitity for�compliance witfi`any
applicable deed restrlctions.
UNLICENSED CONYRACTORS .AND -CONTRACTOR RESPOMSI�ILITIES: °9f�tfie owner has -hir�d a contractor or
contractors to undertake work, th�y may.be_requlred�to be.;llcensed In.accordance.with-state.and•local regulations. If the
contractor ts not.lfcensed as�requlred`by law; both the owner and-�conVacto�-may be�cited�for a�misdemeanor vlolatlon
und�r state law. If the owner or Intended>:contraetor,:are�unce�tatn as to what Iicensing.requirements,mayr apply��for.the
intended work, they are advised to contact the Pasco County Bullding Inspectlon Divl�lon—Llcensfng�Section at 727-847-
8009. Furthermore, tf the owner has hired a contractor o� contractors, he Is advi�ed to have the contractor(s). sign
porQions of the "contractor Block° of this application for which they will be t�sponsible. If.you, as.the owrier sign as the
contractor, that may be-an Indication that he is not�.properly Iicensed and is not entitled to permittfng privileges in Pasco
County. '
TRANSPORTA710N�IMIPACT/UTILITIES-�IMPACt'�AND-RESOURCE RECOVERY FEES: �The undersigned unde�sQands
that Trensportation Impact Fees and.Recourse Recove.ry.Fees may�:apply:to.the constndctfon of new bulldings, change of
use in existfng bulldings; or-:expansion��of�.existi�i,g'�buildings, as specifled in Pasco County Ordlnance e�umber 89-07 and
90-07, as amended., The.undersigned aiso�understands, that:�such fees,.�s�may�tie;du�;,wfll:�be identified at the-time=of
� permitting. It is furtHer understood that Transportation Impact Fees and Resource Recovery-'Fees mu�t be pald prior to
receiving a "c�rtificate..of occupancy'� or flnal-powrer:release. :16 the proj�ct does.not fnvolve-a certiflcaFe of occupancy o�
final power releaseF the fees-must be paid prior to permit Issuance. F�xthermore;�if Pasco County Vllater/�ewer Impact
fees are due,4hey�_must be-paid.prior to permit'•Issuance°in accordance with applicable P�sco County orclinances,
CONSTRUCTION L"IEPI LAW(Ch�pter 713� Florlda Statutea����mendeei): If valuation of work is$2,500.00..or more, I
' certify that i, the applicant, have been provided with_ a copy- of the "Flor(da-Construction Lten Law—Homeowner's
Protectio� Guide" prepared by the Florida D�partment�of Agriculture and Consumer�Affatrs. if the applicant Is someone
other than the"owner", I certify that l�have.obadined�a copy.of.the above..described dbcuri�ent�and p.r.omi,se�in,good faith to
deliver it to the'owner"�prlor:��rcornmencement. . '
CONTRACTOR'S/OWNER'S AF�BDAVIT: I certi�y.that all the-_Information In�thi.s applic�tlon is accurat�and that all work
will�be done in compliance with all applicable laws regulating construction, zoning and land developm�nt. Appltcation (s
hereby mad� to obtain .a p�rmit to .do w►ork..and Installatlon as Indlceted::• I c�rtffy that no work �P Installatton has
commenced prior to Issuance of a permit and that.all work will be pertormed to meet standards of �II laws regulating-
construction, County and City codes, zoning regulatiQns, and land development regulations�in the jurisdtction. I also
certify that I understand that the regulations of other government agencles may�apply�to the lntended work, and that it is
my responsibility to identify'�wfiat:actions I must•take:to be,in:.conlpliance: Such agencies Include but-are.not Ilmited to:
- Depaitment of E�vironmental=Protection'-Cypress. �ayhead�, Wetland Areas and EnvfronPnentaliy Sensitive
Lands,91i1fatedWastewat�r Treatment.
- Southwrest Florida Water N9anagement ..District-Wells, Cypress."Bay.h�ads�, Wetland Areas, Aitering
VVatercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigatile Watervvays.
- Department of Health 8 RehabilitatPve Services/Environmental Healtk� Unit Well.s, .Wastewater�Treatment,
Septic Tanks. � ,
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatlon Authority-Runweys.
I understand that the following,�restrictions apply to the use of flll:•
- Use of flll is not allowed in Flood Zone�V"unless expressly permitted.
- If the flll material is to be used in.�Flood Zone. "A", It. I� understood that a dratnage plan addressing a
"compensating volume" will be submitted at time of permittfng whlch is prepared by a professional engineer
Iicensed by 4he�StaQe-of Florida:
- If the fill materlal is to be used in Flood �one °A" in�connection�wlth:a �p�rmltted building using stem wrall
� coros4ruction, I ce�tify that flll�wlll=b.e us�ed only.to.fill the area within the�stern•wall.
- If flll material is �4o be used In any area, I certify that use. of such flll will not adversely affect adJacent
properties. If use of flll Is faund to adversely.�ffect adJacent�properties,.the owner may be clted for viofating
the condllions of the-b�ilding_.permit issued under the att�ched permit application, for•lots less than one (1)
acre which ere elevatetl�byflll, �et engtneered drainage plan is required. .
If I am the AGENT FOR TH�OWNER, I;promise In good fafth to Inform the owner of the permitting conditlons set forth In
this affidavit prior to commencing construction. I'underst�nd that a;separate permlt may b� requlred for electrical �nrork,
plumbing, signs, we01s, pools; �fr conditloning,.gas, or othec installatlons not•spec�ically included-in the application. .A
permit issued shall be consteued tu be a°Ilcense:to proceed with the work and not a� authortty to,violate, cancel, alter, or
set aside any provisions of the technical.codas; nor shall issuance�of a.perrrolf.prevent the�ulldirig Offic(�I from thereafter
requiring a correction.af errors In.plans, construction or violations of any codes. Every pi�rmit issued-shall become invalid
unless the work authortzed.by such permlt:�is-commenced•withln sUt months o�permlt Issuance, or If work authorized by
ihe permit is suspended�or.abandoned-for a.period of�six(8) months,.after the time the�work is commenced. An extension
may be requested, in wrEting, from the Building;Official for a period:not to exceed ninety�(90) days and will'demonstrate
justi�iable cause for.the extension. Bf work ceases,for ninety(90)cons.ecutive:days�..the)ob�is considered abandoned.
lNMItPDING 70 OIIYNER: YOUR FAILURE TO..R�C.QRD,A.NOTIGE:OF�COMMENCEMEPiT:NFAY�RESUi:T IR! YOUR
PAYIfdG'iWICE FOR�IMPROVEMENTS=TO.YOUit:PROPERiY.-1�°YO.tI}IN�'�END^TD�OB�TAIN�-FIPtAP1�1NG;�CONSULT
�IVITi�9 YOUR LENDER OR AI1��l770ttN��„BEFO'R��R�COR��IwG�YOIJR�N�TICE:O�'C�MMEMC�E�91ENTs _ -
FLOFiiDA-•f�n^F.�i�:S:i-:�8y-- - - - �
o1MP1E1s OR AOENT�� �'�� COPITRACTO -K-e� �.1��
Subscribed and swam to(or aPflrmed)before m is Subsalbed and'swom to(or afllrmed)'before me thi�
', by �by
, Who Islare pensonally known to.me or ha�/have produced Who ls/are p.ersonallyknown to me or has/have produced •
�
as IdenUBcatlon. � as Idendflcatlon.
� � � '
Note Publi . Notary Public
Comm lon 0•`'�N'Y PYe'•., JOEL E,BACON
Com is on No.
_;; •;�: ommissi s�• 9c•; EL BpC
;�. :a�: Expires June 29,2018 ='� ':�= Com E� ON
Name of No [yFp�9�i�l�rin e6 - Name of fVotary type ,",pI;`�lr � une 2g,�018
, Bortded Thn�iroy Fain�esurance
8IX1385-7079
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