HomeMy WebLinkAbout15-16842 CITY OF ZEPHYRHILLS
5335-8TH STREET
�- ' ' (813)780-0020 16842
� BUILDING PERMIT
PERMIT'INFORMATION. _ LOCATION INFORMATION
Permit Number: 16842 Address: 39713 MEADOWOOD LOOP
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):50 Block: Section:
Square Feet: Subdivision: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0500
Improv. Cost: 2,800.00 OWNER INFORMATION
Date Issued: 12/17/2015 Name: HIRES, KRISTINE M
Total Fees: 50.00 Address: 39713 MEADOWOOD LOOP
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/17/2015 Phone: (813)780-7178
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES :
MARIOS AIR CONDITIONING AND HEAT A/C CHANGEOUT 50.00
� �
<\p / ��
y�- �s ,
n� �,�
�� �g� � C�
( �j��Gj�
- � Ins ections.Re uired
I DU T INSTALLED
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 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 perFormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
___, ; �
, ;!
:,
�� - TOR � ATURE PERMIT OFFI R
PERM EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-qp21
Building Departmeni
•; Date Received —� phone Contact for Permiltinp 1 O� �7�� ���l� _
-rT,.�,,.i_��.,_ '�Ti [_ri_'I'�., T.T.C..�__. ,.�5+
Owner's Namo f 1 �1 �C,." Owner Phone Number Q�3-�C:JJ 1�U
Owner's Address �'t t t� t`l��[����t�� Owner Phone Number 'C3-7�0-�i-�
Fee Simple Titleholder Name Owner Phone Number �— �
Fee Simple Titleholder Address
JOB ADDRESS �J"I�{� � �OC1�OUCS ��d �OT# �;��
SUBDIV1StON �— � PARCELlD# ��"��`"C�'O��O "`-'�-�R✓�^�
(08TNNED FROM PROPERTY TAX NOSfCEj
WORK PROPCISED e NEW CONSTR 8 ADD/A�T � SIGN Q � DEMC7I.ISH
ItSSTALL FtEPAtR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q
DESCF2IPTION OF WORK ��I Ze ��1^ S(Z-� � �- �l� �uT `� r �+�
St3[LOtNG S(ZE � � S4 FOOTAGE� HEIGHT �
QBUILDING I$--! � VALUATION OF TOTAL CONSTRUCTION
��
QELECTRICAL �� AMP SERVIGE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ���
�MECHANtCAL $^�Q�_�d VA�UATtON OF MECHANICAL INSTALLATtON �' ��
tJ�t E�
QGAS Q ROOFING Q SPECIAL7Y � OTHER
F1NISNED FLddR ELEVATIONS �� FLOOD ZONE AREA DYES t3�
BUILpER � � COMPANY � �
SIGNATURE REGISTERED Y/ N FEE CURREI. Y 1 N
Address LiCense# �—�
ELECTRiC12W GOMPANY �
SIGNATURE � � REGISTERED Y 1 N FEE CURREh Y 1 M
Address License# [— �
PLUMBER � � COMPANY � �
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �T--�
MECHANI '� ' COMPANY l � \„�r��,�,,.a' r1,1 Y" �d�1�,��:11'1tf\t:.� 4 I
StGNATURE REGiSTERED ----�_n� FEE CURREn N i
Address q���CVC'�L�V�'; u,�� license# y"'��\C'�lJ I �
OTHER � COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N '
Address license# I-- I '
Illlllltllltll-IIIIIIIIi1111111111111t11111t111I1I11illllt1111111111 �,
RESiDENTlAC. Attach(2}Ptot Pians;{2}sets of Sufiding Pians;{1 j set of Ensrgy Fortns;R-O-W Partnit for new consWction.
Minimum ten(10)working days aRer submittal date. Reqaired onsite,Construction Pians,Stormwater Ptens wt Siit Pence instalted,
Sanitary Facilities&'I dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Atfach{2)complete sets pf Building Plans plus a Life 5efety Page;(1)set of Energy Forms.R-O-W Permit for new cOnstruction.
Mi�imum ten{90}working days after submittal date. Required onsite,Construc#ion P3ans,Stormwater Pla�s wt Sitt Fence instaited,
Sanitary Facilities&Z dumpster.Site Work Perrnit foe alI new projects.AII oammerciai requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURYEY required for al!NEW construction.
Directions:�
Fill out application completely.
Owner&Cantractor sigrr hack o(application,notarized
If over§2500,a NoHce of Commancemenf is required. {AIC npgrades aver 37566}
" AgenY(for the contraotor)or power of Attomey(for the owner)would be someone with notarized letter from awner authorizing same
OVER THE COiSNTER PERMl3"t'tNG {copy of can#ract required}
Reroofs if shingtes Sewars Service Upgrades A/C Fences(PtoVSutvey/Foatage)
Driveways-Not over Counter if on public roadways..needs F20W
`' � NOTlCE 4F DEEQ RESTRiCT10NS: The undersigned underskands that this permit may be subject#o"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabie deed restrictions.
UNUCENSED CQNTRQGTORS AND CONTFtACTOR RESPQNSIBI�ITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with s#ate and(ocal regulations. If the
contractor is not licensed as required by law, bofh fhe owner and conEractor may be cited for a misdemeanor vialation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Paseo County 8uilding Inspection Division—�icensing Secfion at 727-847-
8C109. Furthermare, if the owner has hired a cantractor or contractars, he is advised to have the contractar(s) sign
portions of the"contractor Block"of this application for which they will be respansible. If you, as the owner sign as the
contractor,that may be an indication that he is not propefly licensed and is not entitled to permitfing privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE REC4VERY FEHS: The undersigned unders#ands
fhat Transportation lmpact Fees and Recourse Recavery Fees may apply ta the constructian of new buildings,change af
use in existing buildings,or expansion of exisHng buildings,as specified in Pasco County Qrdinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,wiil be identified af the time of
petmitting. It is further understoad that Transporfation Impact Fees and ftesource f2ecovery Fees must be paid ptias to
receiving a"cer#ificate of occupancy"or final pawer release. If the project does not involve a certificate of accupancy or
final power release,the fees must be paid priar to permit issuance. Furthermore, if Pasco County Wa#edSewer Impact
fees are due,they must he paid prior to permit issuance in accordance wiih applicab(e Pasco County ordinances.
CONSTRUCTlON LlEN LAW(Chapter 713,Florida Statutes,as amended�: If valuation of work is$2,500.00 or more,I
certify that t, the appficant, fiave been provided with a copy of the "Florida Construction Lien Law—Nomeowner's
Protection Guide"prepared by the F(orida Department of Agriculture and Consumer Affairs. !f the applicant is someone
other than the"owner",I certify that I have abtained a copy of the above described document and promise in goad faith to
deliver it ta the`owner"priar to commencement.
CONTi2ACTOR'StOWNER'S AFFiDAVfT: i certify that all the information in this application is accurate and that a!!work
will be done in compliance with all applicable laws regulating construction,zoning and land development. App(ication is
hereby made to obtain a permif to da work and insfaNafion as indicated. i certify that na work or instaHation has
commenced prior to issuance of a permit and that all work wil! be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 aiso
certify fhat 1 undersfand that the regulations of other govemment agencies may apply to the intended worEc,and that it is
my responsibility 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, WeUand Areas and Environmentally Senssfive
Lands,WaterlWastewater Treatment.
- Sauthwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Gorps af Engineers-Seawalfs,Docks,Navigable Watenvays.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treafinent,
Sepfic Tanks.
- US Enviranmental Protection Age�cy-Asbestos abatement.
- Federal Aviation Authority-Runways.
(undarstand that the fotiawing testrictions app{y to the use of fi{L
- Use of fi!!is not allowed in Flood Zone"V'unless expressly permitted.
- If tha fill material is to be used in Flood Zone "A", it is undersfood that a drainage p(an addressing a
°compensating valume"wii!be submitted at time of permitting which is prepared by a prafessional engineer
licensed by the State af Florida.
- If the fill materiai is to be used in Flood Zone"A"in connection with a permitted building using stem wall
canstruction,i certify that fiA wi!!be used only Yo fi!{the area within the sYem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properfies. If use af fill is found to adversety affecf adjacent properties,the awner may be cited far violating
the conditians of the building permit issued unde�the attached permik application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
if 1 am the AGENT FOR THE OWNER,1 promise in good faith ta inform the owner af the permitting conditions sei fortn in
this affidavit prior to comrnencing construction. 1 understand that a separate permit may be raquired for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, ar other insfallafians not specifically included in the application. A
permit Essued shal!be construed to be a iicense to proceeB with the work and nat as autharity to viatate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,canstruction or violations of any cades. Every pe�rnit issued shal]hecome invalid
unless the work autha�zed by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandaned for a period of six(6)months after the time the work is commenced. An extension
may be reqnesfed,in wri6ng,frorn the Building O�cial for a period not ta exceed ninety{90)days and wii{demonstrate
justifiable cause for ihe e�ctensian. if work ceases for ninety(90j consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAllUF2E TO RECdRD A NQTlCE OF COMMENGEMENT MAY RESULT IN YOUl2
PAYING TWlCE FOR IMPRdVEMENTB TO YOUR PROPER'1Y. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN A7TORNEY BEFORE RECORDING YOUFt NOTtCE OF COMMENCEMENT.
� F�ORiDA JURAT(F.S.11T.43}
' OWNBF2 OR AGENT COt3Ti2Ac.'i�R"��-�
Subscribed and sworn to(ar affirmed)befpre me this Subscribed and swom to(or affirmed)before me this
by �'t�o'o�Ol�i by�x'i('� y0[rc`cG
Who islare personaliy known to me or haslhave produced Who islare persanailv knawnso_me�r ha ave produced
as identi5cat{on_ as iden6fication.
Notary PubSic i���y.�i t�.,KA+,u�. Notary Pu6lic
Gommission No. �Commission No. �� t���-t TERRI A RITTER
Notary Public•State of Florida
Name of Natary typed,printed or stamped Name of Notary typed,printed or stamped O�T1fT11SStOfI FF 98179
tuiy Cammissian E�ires
May 8,20i 8