HomeMy WebLinkAbout15-16707 CITY OF ZEPHYRHILLS
5335-8TH STREET
_- � ` (si3)�so-oo20 16707
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION � +
Permit Number: 16707 Address: 5730 8TH 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: 11-26-21-0010-03400-0180
Improv. Cost: 1,200.00 OWNER INFORMATION
Date Issued: 11/02/2015 Name: DALE, GEOFFREY& CATRINA
Total Fees: 45.00 Address: 5730 8TH ST
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
� Date Paid: 11/02/2015 Phone: (813)479-8284
Work Desc: A/C CHANGE OUT 3/4 TON
' CONTRACTOR S ' ' � ' APPLICATION FEES -
AIR TECH SERVICES OF PAS O I C CHA GEOUT 45.00
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- � � � Ihs ections Re uired � � r�'
D CTS INSTA
DUCTS INSUL�TE�
FINAL ��i
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 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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
4
CONTR�ACTOR GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
'I
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�� From: . ', � 09/22/2011 09:10 #520 P.001l002
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� � a�aaaaoozo• � Clty oi Zephyrhilis Permit Application• Fax-s�3aeo-oozi
� :■ , Building Depa.rbnent
■ .
Dale Recelved a �
�I Phone Contact%or PertnlHing �� � � = �
� Owner's Name ��L� �E O�C� �E. ' Owner Phone Num6er �� � ( �
Owner'sAddress � 30 � �JT�o OwnerPhonaNumber� '� ,
Fee Slmple Tllleholder Name Owner Phone Number
Fea 3lmple Tl(leholder Addrese
JOBA�DRESS ���0 �'' LOTl{ ��
SUBDIVISION PARCEL IQq ,I�d��"� �OO(O."d� O O^'O I�O
� (OBtA1HE0 FROM PROPERTY 7AJ(No71Ct�
WORK PROP09Eo B NeW CONsfR e ADD/ALT Q SI(3N �] [� DEMOLISH
INSTALL REPAIR' •
PROPOSEO U9E Q SFR Q COMM 0' 'OTHER ' '
TYPE OF CONSTRUCTION � Q BLOCK Q FRAME � 9'fEEL '� �
UE9CRIPTIONOFWORK �� ��'eM��QN —I GOG pjT �1Ji � i'�'
BUILOIN(i SfZE 3q FOOTAOE HEIOFff ��
QBUILDINO $ VALUATIONOFTOTALCONSTRUCTION �
QELECTRICAL $ AMP SERVICE , Q PROGRESS ENEFtOY Q W.R.E.C.
C]PLUMBING $ '��O�
�CHANICAL $ 1-�^��c.('j VALUATION OF MECHANICAL`INS7ALLATION� � 't�
el�lJ �
�cns Q ROOFINO �]� SPECIAL7Y,0. OTHER . - -�
FlNISHED FLOOR ELEVATIONS FLOOD ZONE AREq QYES NO
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BUILDER - COMPANY
SIGNATURE ' aeclstst�b, Y/ N. PEe CUrtRer, Y/N
Addreas � Llcense# •
i ' ,..�� .� , ,.
ELECTRICIAN •COMPANY ' ' '
, SI�NA7URE � � r�oisteaen ' �Y l N Fee ctmr�n' Y N
Addresa License f�.
PLUMBBR COMPANY —�
SIGNATURE rtEc�srerteo "Y/ N FEE CURqE� Y'/N
. - r...p.. � �-� - -
Address ,, Llcensa i!
� M6CHANICAL „,.:,COMpANY,. �'� i� S 1`r.V.`G�S'O O
81ONATURE �cis�neo YY N.. ��E.cUpaer.,. .Y/,N.
Address Ll6ense N C,� S �
�TH6R GOMPANY �
SIONATURE ' r�cisrEaeO � Y/ N FeECUriaen Y!N
� Address �_ ' Ucense tf
RESIpENT1AL Altech(2)Plof Plans;(2)sels of BuIlding Plans;(1)set of Energy Forms;R-O-W Rermit for new wnstrudlon, ,
Mlnhnuln ten(70)workirg days aker s�mlttal dale. Requlred onslle;Construclio�:Plari�,Stortrnre[er Plens w/Sill Fance Installed,
Sanitary Fadl�lles 8'1 dumpsler,.Sile Work Pertnit lor subdlv]slonsAetge proJects. �
COMMERCIAL Altach(3)wmplele sets o(Building Plene plus a Llfe Sefely Page;(1)sel,ot Energy Fortns.R-0-W Pertnll.far new construction.
Mlnlmum len(10)xrorking days afler submiltal date. Requlfed onslle,Conshvc0on Plans,.Stormvuater Plans w/Sllt Fence fnstallad,
Sanitary Fedlllles 8 7 dumpster.Sile Work Pertnl(lor al(new pro�ects.All commetclal requlremenls musl meel compllance
SIGN PERMIT AHach(2)sets af Englneered Pisns. '
""PROPERIY SURVEY requlred for e11 NEW consWcllnn. •
�Dlrectlons:
Fill ouL appllcallon completely. , ;
Ovmer 8 Conlrector elpn back of epplicatlon,rrotarizad � ' �� � �
If over 52500,a Natice oi Commencement Is requlred. (A!C upgrades over E7500) . '�
" Apent(for the co�tractar)or Power of Attomay(!or ihe owner)Would be someona with nolatlzed lalter ham owner euthorizing same
' OYERTHECOUNTERPERMIT"fING (FrontafAppllcaUonOnly) .; .
Rerools If shingles Sewers Servlce UpH�des A/C Fences(PIoUSurvey/Foofage) . .
Driveways-Nol over Countar if on publlo roadweys.,needs ROW
e
' From: , 09/22/2011 09:10 #520 P.002/002
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NOTICH oF DEED RESTF2ICTIONS: The underelgned understands that thls.pefmlt may,be.subJeot to"daed"testrlctlons"
whlch mey be more restrictive lhan Counly regufatlons.. The underalgned assumes resPonslbllilyfdr eomplfance wRh eny
appllcable deed restrlc(Ions. � "�... � . ; , • ,-, _ `
UNLICENSED CONTFtACTORS AND CONTRACTOR.RESPON$IBILITIES: If the owner has hired a contractor or
contractors lo undariaka work,they may be required to 6e licensed in eccordance virith s(ale and local regulallons. If lhe
contractor is not Ilcensed as requlred by law, tioth lhe owner and contrecloi may he ciled for a misdemeanor vlolatlon
I under state lew. If the owner or intended_can(ractor aie unpsrtaln as ko what Ilce�si�g_requirements mey apply for the
� Intended work,they ere advised to conlaot the Pesco Courity Building Inspectlon bivlslon-=-Licensirig 5ectlon at 727-847-
8009. Furthermore, if the owner.has hired a:contrac.lar.or.:contrecto�s, he Is.advlsed,to.hav.e the contraclor(s) sign
portlons of the "contrector Block"of this applicatlon:foi whlch`.they will be.responsible. �If,ypu;�as ihe owner slgn as the
contractor, that may be an Indicatlon lhat he I's not properly Ilcensed.�n,d Is nbt entllled to permlit(ng prfvlleges In Pasoo
� � County. ; ,. :: �- .
, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE90URCE RECOVERY FEE$"7he undersigned underslands
thet Transpo�taUon Impecl Fees and Recourse F2ecovary Fees mey apply lo,the conetruclion of_new buildings,change of
use In existing bulldinga, or expanslon of existing bufldinga,as speaifled In:Rasco Counly Ordlnance numberB9-07 and
90-07,as amended. The undersfgned elso underatends,Ihat auch fees,;'as ri�ay be due,Vvlll be Identlfled at the time of
permltting. It Is further understood lhal Trensportallon Impect Fees end Fteaource Recovery Fees must be pald prior to
recelving a'certiflcate of.occupanc�J'or flnel power release. If the proJect does not involye a certl0cata of occupancy o�
flnal power release,the fees must be pald prlor io permlt issuance, Furlharmore, ff Pasco County 1Nater/Sewer impact
fees ere due,they muat be paid prlor to permlt issuance In a�cordanoe wlth eppllcable.Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florlda 9Eatutes,as amended): If veluatlon of work Is$2,500.00 or more, I
certify ihat I, the epplicant, have been provided with a copy o( the 'Flortda Construcllon Llen Lew—Homeowner's
Prote�lion Gulde"prepared by the Florlda Depedment of Agrtcullure.and Consumer Affai�s. If the.aPPlfoent Is someone
other than the'owner", I certlfy Ihat I have obtalnad a copy of the ebove described document and promise In good felth to
deitver it to the"owner'prior to commencement.
CONTRACTOR'SlOWNER'3 AFFIDAVIT: I cerUfy lhat all itie Informallon In this.applicalfon is accurate and lhet ell work
wlll'be done In complfance wilh all applicable laws ragulalfng conslnicllon,zoning and land.development. Appllcation Is_
, hereby made to oblein a .permit lo do work and,•Installatlomas indloat�d., I certfiy.that`no;work or fnslallallon hes
commenced prlor lo issuance of a permlt and'that'al6.vuork'wllf be{iet(or"tiied to meet stpnderd`s�of ell lews regulaUng
�onstrucdon, County and Clty oodes,,zoning regulationsl,end:fand development.regulaHons In the)urlsdlction. I alSo '
certffy that I Understend lhet the regulatlons°;of'otfier,goVerrirrient ag�ncle9.inay epply;to.lh,@ In(end'ed work,and that fl is
my responsibility lo Identffy what ecUons l must'feke tq'be:In;oompliance. ;5ucfi'a�encies:include but�are not limlled to:
- Department of Enviroiime�lal'PYo(eollon�Cypress�_Bayheads, SNetland Arees ahd�,Environmentally Sensitive
Lends,WaterNVestewafe�Treatme�L � �; � ' , 'j�''�' �
- Southwes! Florlda �Weter'Mariagement.;Dislrict-Wells, 'Cypress'':Bayheads;.`, WeUand Areas, Altering
Walercourses. „� Y 4� < : :.�:.; .. ; . , ,,, �`
- Army Corps of Engineers-Seawalls,Docks,.Nav(gable Waterways: ;� ' ,'� �'�` '�
- ' Department of Health & Rehabllltati`ve Servlces/Environmental HeallF��,UriIE'Welis, Wastewater Treatrnent,
Sepl(aTanks. - ;, ._
� - US Environmenlal Protecllon Agency-Asbestos abatement;`'';"', ' ' '
Federel Avietion Aulhority-Ruriways. • � . � ' ' ��
I understand that lhe following restrlcUons apply to lhe use of flll:• � �'�"`�"� � ' " ' ' ,
- Use af flll fs not allowed in Flood Zona"V'unieas expressly"p�ertrillted: � •" '
- If the illi malerial Is to be used In Flood Zone'°A", tt'7s�undetstodd�tFiat`a drairiage plan addressing a
' 'compensating volume"wlil be submllted at Ume of permltiing Wh(oh(s`prepered by e profeesional engineer
Ilcensed by the Stete of Florida. ' � ' .
- If Ih�flll materlal Is to be used in Fldod.:Zone'"A" in connectlon wfth,a'permlHed byllding using elem wall
� construction,I ce�tify that fill wili be useiJ,o�tly l'o flll the a��a 4uilfiln the'slem'wall,� � � '
- If tlll meterial Is to be used in eny,,erea, L certify lhaf use bf sucFi iill;wfll triot,edverse�y aftecL edJacent
propertfes, If use of ftll is found{o.edversely effept ed)acen(,propertles,ltie ow�er may be olted for violaling
lhe conditions of the building perm(t Iss'ued`unde�the aNached permit spplicalion,''fo�lots less lhan one(1) -
acre which ere eleveted by flll,an engineered dralnage plan Is required.
If I am lhe AGENT FOR 7HE OWNER,.I promise,ln'good:fefth to infortn,tfie owner of the"permlHing condftlons sat forlh in
this efTidavlt privr lo commen�ing consUuctlqn.,:l unde�staritl ihat e sQparale perinll inay be recjulred ibf electrlcal work,
plumbing, signs, welis, pools, alr condltloning,�gas, o�other Installalf4ns.:nol speciticallylncluded in lhe applicatlon. A
permll Issued shall be construed to be e Ilcerise to,pioceed with.the work�a�d riot as.authority lo violate,oencel, elter,or
set aside any provlslons of the te�hnicai co,des;rior shall issu$nce o(a;pe�mlt,preyent tFie;Building'Offtclal from lhereafter
requiring a correcUon of errors_fn;plens,�onslr,iiotion o�'vl,olalions,of.'any.00des.;Eve.ry.perriilfissued shell become invalld
unless the work authorized by such_permit,ls co�inmenced=wltFiln.slx rimonlhs of permlt Isauepoe,�or ff work euthorized by
the permtt Is suspe�ded or abendoned,fo�a Reiiod�of six-(e);inonlhs ailer the,,iime ttie:wqrk`Is;commanced. An extension
may be requested, in wriling,from ihe 8ullding,Ofijcfal.�fqr:a perlod:not;to,:exceed ninely(SO).daye end wlll demonstrate
Justifiabie cause for the exlension. If work ceases fo�nine[y(90)consecuHJe.deys,th�Job._,consi ered abandoned.
WARNING 70 OWNER: Y FAILURE 70�RECOR�?.-A;NQTIC�;OF`�COMM .•CEIVI T M RESULT IN YOUR
PAYING 7VVICE FOR! OV ENT9 70 YOUR PROPEFtTY. IFYOU INTEN TO'� AIN F ANCING,CONSULT
T Y UR LEND pR E FO C D G OT E OF GE EN
FLDRIDA JURAT(F:S.11 . 3) :
OYVNER OR AGENT , CONTRACTOK' `", ` . , �- -
3ubsalbed and swom la(o d)befare me Ih(s Subscrlhed andibswom to;( r aft'um )before.me Ihis'
bY . . �- . � . . .
Who Is/ere personelly knovm to or hasll�ava produced W�w Islere personalty known to me o ha eve produced
, as Identlficellon. ' :' ' as Menqilcalion:
• Nola'ry Publio, , . . . . ,. Notery Publlc
. Cammisslon No. � -Commisslon No. - ,
Nama of Notary lypad,pAntad or stamped Name of Nolary ryped;prinled ar stamped