HomeMy WebLinkAbout15-16785 �a
CITY OF ZEPHYRHILLS
, " 5335-8TH STREET
- (si3)�so-oozo 1 6 5
BUILDING PERMIT
- PERMIT INFORMATION - LOCATION INFORMATION ' -
Permit Number: 16785 Address: 39444 SOUTH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0000-04900-0040
Improv. Cost: 3,695.00 OWNER INFORMATION
Date Issued: 12/01/ 15 Name: CITY OF ZEPHYRHILLS
Total Fees: � Address: 39444 SOUTH AVE
Amount Paid: � ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: A/C CH NGEOUT ( BARRACKS)
CONTRACTOR S P I FEES
BAHR PROPANE AS& , INC. Not Applicable- ity or Grant 0.00 t �
12 � l 1 -l �
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Ins ections Re uired
D CTS IN TA LED
DUCTSINSULATED
FINAL_ I Z �( [ —l�
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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. "
NO OCCUPANCY BEFORE C.O.
� ,
,
NTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City af Zephyrhills Permit Application Fax 813-780-0021
, , t Building Department .
� .
Date Received -Phone Contact for Permitf�n �� r�— �C�!�
4wnsr's Name � � G.LJ`� Owne�Phona Number L� °� /�� ���.
Owner's Address Owner Phone Number � �
Fee Simple Tltleholder Name � � Owner Phane Number � �
Fee Simple Titleholder Address
JOB ADQRESS ✓ /7'�"T �� ��'.C-�i2l3U'��C� LOT# ��.�
SUBDiViSION � � PARCEL Ib# `� L��p �` (J�'�� �✓�/"� v�/�
(OBTAINED FROM PROPERTY TAX NQTICE)
{NORK PROPOSED , e NEW CONSTR� ADD/ALT Q SIGt3 Q Q DEMOl1SH
INSTALL REPAIR
PRQPO&ED-USE Q SFR Q COMM � t?THEF2
TYPE QF CONSTRUCTION Q BL.00K " Q FRAME �] STEEL Q
DESCRIPTION OF 1NORK
�"�' i�I'N �'. `c�l.�I�' L?D�� ls c�itd �/41 ��'
�UiLDtTtG SIZE � �_SQ FOO7AGE[___� HEIGHT �`�
�8����IN�' 'w � VALUATION�OF't`OTAI,CONSTRUCTION
I�� J
QELECTRICAI. � � AMP SERVIC� � PRQGRESS ENEF2GY C] W.R.E.C.
QPLtlMBING $�'� _�
��
OMEGHAIYICAI $����o �� VAlUAT10N OF MECHANIGA�INSTA�lAT10N
��,s o ��aF»� o sP�c�,�..�nr � OThiER "
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA [�YES NQ
BUtLDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres$ Gcense# �� �
E�ECTRtCli4td COMPANY
SIGNATURE �' REGISTERED Y/ N FEE CURFtEA Y/N
Address License# �� �
PLUMBER � � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ltcense# �� �
MECHAl+lICAl. � COMPANY �Ifi�� � � �"� �lY�.'
SIGNATURE I�� REGISTERED Y/ N FEE CURRE� Y/�N
Address ?�`7'l j�� , ��/r.t� j License# ��� G���"T'� �
OTHER CBMPANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N
Addrsss � LEcense# �i �
REStDENT1AC Attach{2}Plbt Plans;_{2}sets of Bu1lding Plans,{1}se#of EnergyFarms;R-0=W Permlt for new constructian,
Minimum,ten{�t0):working days�aftec_submittal date. Requlred onsite,Constnic8on Plans;Stormwater Pians w/Sllt Fence installed,
Sanitary Faci�llUes;&1,,dumpster Site Woric�Permit for subdlVisionsAarge proJects
COMMERCIAL Attach{3}casnptete sets of Buil�ing Plans pius a I.ife Safe#y Page;{1)se#of Energ}t Forms.R-O W Petmtt far new construcfion.
Minimum ten(10)working days�after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Faoillties&1 dumpster.$ite Wot1t Parmit for all new proJects.All commercial requirements.must meat compliance
SIGN PERMiT Attach�2)sets of Erigineered-Plans..., � -
"""PROPERTY SURVEY required for all NEW construcUan.
Dlrectlons: ,
Ftli out applicatlon completely. '
Owner&Cantrackor stgn bacic of applfcatlon,notatized
if over�2500,a Notice of Commencement is requirad. (A!C upgrades over ST50d)
`" Agent(for the contracto�)ar'Power of Attomey(fri�the owner)wauld be someone with notarized letter from owner authorizing same
DVER'tHE GOUNTER.PERMITTIFtG {Front af Application Only}
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) _ _ _,.. ._.., � ,., _ .� . ,
_ .., .:,.�.- . ' , �,)�<, t_ � .
Driveways-Nat over Countec iE on`pubtic.roadways;ineeds:R{31N-�r y � , ,•`��' _ .; . ., :, . ;�'� ;,
r ,.,,,�... _ .,; , ', °`���E �£ �t', .:,, 'i;;�
�. :!`��,1. :��r.�,.:i;4:�t..... �� .4 .. , . „ ,� _ 1°�, i
'�' �,�. }., :r„:,.{._ ;:>�:.` � y R��': . a ._ �-Y':,_Y.i� . .,
$ . at�t � .... ' _.4x95 -�:t`, � . <c �-_ . -r�.:.::�:....�5, . ' -._ '..., . ..
y�...e, ..,w`ry�,�n�,,n.'.... w ...a...,-... .,,.w...�.. .cw�_.
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NOTICE OF DEED RESTROCTIONS: The undersigned undergtands°�.th�t.this„permif_.may_be,,subJect,to"deed",restrictlons"
which may be-�more=r.est�lctive�thaln County��regulatlons:�The�-undersigned'assumes respon"si6111ty for'compliance viritFi any � '
appNcable deed rest�ictions. , � � . �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: •If tFie owner has �hired a contractor or
contractors to undertake work, they may be;r�qulred:..to:be;itcensed In accordance.with state.and�local.regulations. ��If the
contractor ts not Iicensed as�requlred":tiy law, both the owner and contr"actor•may be�cifed�for�a-�misdemeanor violatfon
under state law. If the owner or Intended�contractor�are;uncertaln as to what Iicensing.requiremenfs,'may.apply�for'the =
intended work, they are advised to contact tFie Pasco County Building:Inspection Division=—Licensing Section at 727-847-
8009. Furthermore, �If the owner'has"hired a contracto� or conUactors, 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 41ie '
contractor, that may be an iridlcatfon that he-is not.properly flcensed and is not entitled to perinitting p�ivileges in Pasco
County. � '
TRANSPORTATION..IMPACTIUTILITIES IMPAC�'ANb RESOURCE ItECOVERY�FEE3:The undersigned understands
that Transportation Impact Fees and.Reco.ur��Recoye.ry.Fe�s may�apply�to�the construction of new buildings,�change of �
use in existing buildings, or expansiom of�exfstin�'�6uildings, as specffted in Pasco County Ordinance number 89-07 and
90-07, as amended. .The undersigned also�understands, thait:�such fees� as=may tie�.:due;;-will:be ideritified at the�time-of
permitting. It is furtFier understood that Transportation Impact Fees an.d�Resource Recovery�'Fees.must be paid prior to
receiving a "certi�cate of occupancy" or flnal�power-.release. :if the project,does.not involve a.:certiftcafe of occupancy or
final power release; the�,fees must�be pald prior to permit issuance. Ft�r:thermore;�if Pasco County�VVater/Sewer lmpact
fees are due,.they must.be�paid p�ior to permit-Issuance-In accordance witH applicable.Pascv County o�dinances.
CONS7RUCTION�L:IEId l.�iW(CMapter 713� Florlda Statu��s�as amended): if valuation of work is$2,500.00�or more, I ,
certify that I, !he _appiicant,_ have-been provided with� a copy- of the "Florlda�-Construction� Llen..Law—Fiomeowner's
Protection Guide" prepared by,the Florida Department�of Agric.ulture and Consumer Affairs. 1f the appllcant is someone
other than the"owner", I certify that.l have,obtained�a copy;of..the.above described docuri�ent and.p.r.omise in,good faith_to
deliver it to.the�'owner°p�ior:.to-commencement: ' ,
CONTRACTOR'SlOVUNER'S AFFIDAVIT: I certify:thak all.the Information.in th(s applfcatlon is accurate and that ail work
will�be done in compliance with all applicable laws regulating construction, zoning and�land development. Appitcation is
hereby made to obta(n .a permit.Co �do. .work,.and installation as indicafed:- I certffy�that no work�or (nstallation has
commenced prior to Issuance�of a perm(t and that.all work will be pertormed to meet standards of all laws regulating-
constructlon, County and City codes, zoning regulations, and tand development regulatlons�in the jurisdictlon. I aiso
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify�what,actions I must take:to be�in:.corr�pliance: S.uch agencles-Include but:are.not Iimlted to:
- Department of Envlronmental Protection-Cypress."Bayheads, Wetland Ar�as,and Environmentally Sensitive
Lands,WaterMlastewater Treatment. �
- Southwest Florida Water Management .District-Wells, Cypress. Bay,heads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engtneers-Seawalls, Docks, Navigatile Waterways.
- Department of Health & Rehabllitative Services/Environmental Health Unit-Well.s� Wastev�rater Treatment,
Septic Tanks: " . "
- US Environmental Protection Agency-Asbestos abatement.
- Federal Av.latton.Authority=Runways.
I understand that the following:restricttons apply to the use of flll:•
- Use of fill is not allowed in Flood Zone W"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 professfonal engfneer
Iicensed by-the State�of-�Florida.
- If the fill material._is::to.be used in Flood Zone 'A" in�connec�ion wlth��a permitted buflding using stem wali
constructivn, i ce�tify that flll�:wlll:b.e used only.to.fill the area wtthin�the�stem•wall.
- If flil material is to be used in any area, 1 certify that use. of such flil w111 nut adversely affect adjacent
properties. If use of flll is found to adversely:�ffect adJaeent�propertles,.the owner may be cited for violating
the condifions of the"building:permlt Issued�under the attacfied permit appl(cation, for.lots less than one (1)
acre which are elevated�by flil,an engineered dralnage plan is requlred. .
If I am the AGENT FOR THE OWNER, I;:promise In good falth to inform the owner of-the permitting conditions set forth (n
this aifidavlt prior to commencing constructlon. `I�undersfand that;a eseparate permlt may be required for electrical work,
plumbing, signs, wells, pools; alr condttioning, .gas� or other Install�tlons not specffically included�in.the appiication. .A ,
perm(t issued shall be construed to be a'Iicense to p�oceed with the work and not as:authority to.violate,cancel, alter, or
set aside any provisions of the technical.codes;�nor shall tssuance of a.permlt.prevent the Bulldirig O#ficial from thereafter
requiring a correction af errors in.plan.s, constructlon or vlolat(ons of any'codes. Every permlt issued shall become invalid
unless the work authorized.by such permit�s-commenced�withtn sfx months of permit issuance, or If work authorized by
the pe�mlt is suspended or.abandoned for a�:period:of six�(6)montfis.after the ttme the�work ts commenced. An extension
may be requested, in wr(ting, from the Bullding.Official for a perlod-not to.exceed nlnety�90) days and wili demonstrate
—justifial�le cause ior�tFie extension�:If work ceases:for ninety(90)consecutive day.s...th�)ob is considered aba�doned.
WARNING TO OWNER: YOUR.FAILURE�TO.REC.ORD.A NOTIGE OF�COMMENCEMEP�T MAY RESUlT IN YOUR
PAYING TWICE FOR IMPROVEMENTS_TO.YOUR<.PROPER7Y. .iF�YO.tJ�71N'�END`T�OBTAIN�-FINANCING,�CONSULT
WITH UR D� AN A�TORN •.� FORE��- �ECOR� G� OU ' O �C 'OF • E N �
FLORIDA JURA�(F.S.1�17.031 �.. _ �'' �_j —
OWNER OR AOENT '�G ' Z�NTRACTO
�
Subscrlbed and swom to(9r flirmed)before me Is Subscrlbed and'swom to- t aflfrmedpbefo e ttii�
by •by •
Who islare personally k 6 to.me or haslhave produced Who Is/are personellyknou+m•to me orhaslFiave�produced •
as IdenUflcatl4�. as idendflca0on.
�� Notery Public � Nofary Publlc
C Isslon No: Comm sl No.
Name of Nota e�tjt N Nam of Notary type ;p o
;*.' :: Commission#FF 137073 :�:•"��'�; •BACON
;�; � Expires June 29,2018- _•: �: Commissian#FF 137073
�� =�� �' Expires June 2g,2018
�f�d N,�.`'�` Bonded ThN T�oy Fein Inturenoe 800-385-7019 •.�i�,',��'�.°S
Bandad Thru Troy Fain Insuro�e gpp.3g5.7019