HomeMy WebLinkAbout15-16869 , � CITY OF ZEPHYRHILLS
`� � i 5335-8TH STREEI' �
w (813)780-0020 �68 9 '
BUILDING PERMIT ,
- - PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16869 Address: 37449 BLACKBERRY CT
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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0340
Improv. Cost: 5,000.00 OWNER-INFORMATIO.N
Date Issued: 12/31/2015 Name: HERCEK MICHAEL ANDREW & MARYAN
Total Fees: 60.00 Address: 37449 BLACKBERRY CT
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542-7942
Date Paid: 12/31/2015 Phone: (813)355-4533
Work Desc: A/C CHANGE OUT 3 TON
` CONTRACTOR S � APPLICATION FEES � � �
AAA APPLIANCE SERVICE A/C CHANGEOUT 60.00
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� � ' Ins ections Re uired �
DUCTSINSTA LED
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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
� NO OCCUPANCY BEFORE C.O.
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RACT SIGNA . E 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 of Zephyrhills Permit Application FaX$��-�so-oo2�
Building Department
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`f Date Received S�1' ��`y'S phone Contact far Pertnitting 3 � -- f t-�.� •
Owner's Name �:�k' . /'. � Owner Phone Number J -��—"��3
Owner's Address �/`7��! '�j�i�G�, � r Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS LOT# �
SUBDIVISION PARCEL IDp
(OBTAUlED FROM PROPERTY TAX NOTICEj
WORK PROPOSED e NEW ContSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUC710N Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK C� lJ7 �I� S '��� ✓ T O N
BUILDIN6 SIZE SQ FOOTAOE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ,
QPLUMBING $ �����a
�MECHANICAL $ ���6� VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y I N
Address License#
ELECTRICIAN COMPANY
SIONATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# ��
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEECURREN Y/N
Address � License#
. MECHANICAL COMPANY A�(..L�' �,v(L�
SI6NATURE REGISTERED Y/ N EE CURREN Y/N
Address � � JL License# Y�4�', ��
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEECURREN Y/N
Address License#
111111111111111111111111111111 � 111111111111111111111111111111111111
RESIDENTIAL Attach(2)Piot Plans;(2)sats of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construdion Pians,Stormwater Plans w!SfR Fence insTalled,
Sanitary FaalRies&1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stortnwater Plans w/Silt Fence insTalled,
Sanitary Faalities&1 dumpster Site Work Pertnit for all new projects.All eommercial requirements must meet compliance
� SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
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Directions:•
Fiil out application completely.
Owner&Contrector sign back of applicadon,notarized
If over 52600,a Notice of Commencement is required. (A/C upgrades over$7600)
" i\qent(for tha contrador)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (copy of contrad require�
Reroofs ff shingles Seu�.ers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubfic roadways..needs ROW
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N0710E OF DEED,RE3TRIC710N8: The undersigaed,under�tands�thgt:Ihls.:p�nnitmayFbe.sub)�ct.to,°deed'resUlctiohs'_. .. _
which may;tie�mote��testtlative�tha�►Gou�ty�cegriletfons:Theunderslgned essumes=r'eaponsltifllty for'complia'nce witFi any'� � '"
eppliceble.deed resMctlona. - ,��,; .: • , - -
UNUCENSED�CONTRACTORS AND CONTRACTOR�RESPON3IBILITI�S:•`•If the�owner has'hireil a"contractor or
contrectors to undertake work,they may,be;iegulred•:to:�e:llcensed In ecxordance:with state.and;local.regulallo�s:=1f<the•- �
contractor.-Is not llcensed'es�requl�ed'tiy few, both�the owner arrtl=oon4actor°may-be-cited•for:a`misdemeanor violatlon
under state law. It the owner or Intended�contra�tor:are:tmcertain as to what Ilcenalrtg;regulremerrts;mey epply:�tor-`the-• •�
Intended w6rk,they are ad`vlseii'to coritacf_tFie.Pasco County_Bull'ding lnepection Dlvlslpn-Licensing SecBon at 72T-847-
8009. Furttiermore, If tFie oiivner Fias'htred e contiracEor o�contractors, Fie is advised to have the contractor(s);,sign.
portlons oi the'contractor.Block'of thle.epplicatlan.for_which they wlll_be-re�ponaible.��If you,,-as:.the own'e'r aign�as'fFie •
contractor;Ihat rney be�an IndlcaUon thaEhe i"s�noYproperly Iicenaed and ls�riot entitled to pemiitti"n'8 privilege9 In Pasco
Counly. ___.__. �''�:`�: -
TRANSP.ORTATION.IMPACTIUTIL(fIES�I�lAPAC�ANb RESOUItCE RECOVERYfEE3:'f#�e�unders(gned understands
that TraAsportaUon Impact Fees:and.Reco.uree Recovery_.Fees mey:apply�to,the conabuctlon.ai new bulidings,.chan�e�of='`� =- �
use 9n exieHng bultdings,or,expanslo�%of�ezisNrip'�bufldings,�as apeoffied.In Pasco County Ordinance number 89-07 and •
90-07,as amended.,:,The undersigned also,understands,thgEsuch fees,.ea,may�6gldue;;wIIF�De identi�ed at the=Hme`of•°' -=" �'
perml8ing. It is furtfier underatood that Tra�sportation Impacf'Fees and'�Reaource.Recove"ry{Fees:must be paid p�lor to
receiving a'certiNcat�-of•occupancy'or ftnal�powe,r,.•�elease. :I#the proJecE:daes�not lrnolve�a:ce�tiflgate of occupa�cy�o��='�� �
ftnal power release;_the feea must`tie p�id p�1or to.permit IsBpance. Futt6etmore;I�.Pasco;C.punty�UVater/Sewer::lmpact .
fees are due;,lhey_must be=pald:pr�or to permit:lasUa'nce-In.alxord"ance_w1Ui eppllcable_Pasco�Gounty�oidlnances. •
CONSTRUCTION LIEN-LAYV(Chepter 713,Fiartda Statutes,as ame�rdec�: K valuatlon af work Is 32,500.00;or:more,I� �. =
cerUfy tFiat I, the applicant, have-been providei!�with a=copy of::the�'Elorlda ConstrucNon Llen.1'aw—Homeowner's
ProtecUon Guide'prepared by tF�e FloHda Depertmenf of Agriculture and Conaumer;Affalrs. if the applicant Is someone �
other than the'owner',I certffy,.th�t,l_h9ve-obte)neii:a`cbpy.of..the;abovades.crllied document�and;promisein:good:talth.to
deliver it to lhe'ov�mer`.pilor:to-comrimencemenfc'' �` " ' - � - _.�
• CONTRACTOR'SIOWNER'S AFFIDAVIT: I.ceitj[y�:ttigtall.the;lnformaflon:J�thl�appllcaHon Is accurate.and that all work
will'be done In compltance with all.appllcable�lawa regtileUng conatrucUon,zoning and land devel.opment. ApplicaUon Is
hereby made to obtain.a.permft.:to do;:we��t,;and'thsteileNon es tndl�eted,�=:1•�certify thet no work�or Installation tias
commenced prlor b issuance of a pertniE"and thet:all work wlll be perfonned�to meet.stand�ds=af all laws re�uladng-
construcGon, Counq►and Cfty codes, zoning regulaUans, and land development[egiilattons�tn�ttie]urisdicUon.= P also
certify that I understand that the repulatlons of other govemment egencies may•apply�to.the intended work,and that ft is
my responsibiliiy to Identlfy.what.ecUons I must•teke.to be.dn_compliance,;Such,a�jencles Include buf°are.not Ilmited to:
- Department of Environmental�Protecdon=�ipr'ess.bayheadg;�WeUend Areas and Ernfronmentally SensitNe
Lands,WatedWestewater Treetment.
- Southwest Florida W�ter Manapement:DlsMct:Wells, Cypres.s.`�Bay�eads; Wetlend Areas, Altering
Watercoursea.
- Army Corps of Engineers�eawalls;'Docka,Navigatile Waterways.
- Department of Health�& Rehabilltetive Serdlces/Envlronmental Health lih(t-Well.s, Wastewater�Treatment,
Septic Taniis. � ' �
- US Environmental Protection Agency-Asbestos abatement
Federal AvieRonAulhorlly-RurnYays:
I underetand that the.followln,g.iesMcllona apply to tFie use of flll:•
- Use of flll Is not allowed in'Flood;Zone'V'unless expresalyi permltted.
- If the fill mateHal•"ta 'to=be�used�ln�:f.lood Zone.'A', It Is understood that a dralnage plan addressing a
'compeFlsaling volume'will be submitted at Ume of-permftling wfiich is prepared by a professional engineer
Ilcensed by tfie State of'Flotlda: � _ � - •
- If ih�flll matertal�Is:to-be u�ed In Flood Zone'A' In�connectlon�with a�peFmitted building using stem wall
conatrucUon,l certKy that.�ll:vidll=be-used onty.to.ml the area wlthin:the�stem wall.
- if flll material is to be useii�in.any erea;�1-c�rtly tfiat.uae of such fill wlll not adversely affect adJacent
propertfes. It use of fill Is.toun�to advere�lyr,affect adJaeedt�properlles,,the owner may be cited far.violaUng
the cwndWons..of.the bullaing'<pgrmlt-Issued=under t6a atEacFied.pertnit eppllca0on,for.°.lots less,than.one(1)
acre wfiicli ere elevat'ed�6y flll;�n�ngineered dralnage plan is requlred.
If I am the AGENT FOR THE�OWNEF�_I�romise_In good.,f,alth to IMorm the owner of-the permiWng condidons set forth In
this atfidavit'prfor to commencing conshiictlon. I underatend that e�aeparate permit may be required tor etectrical work,
plumbing, signs,wells,.pools,_alr_condltloning,-.gas,T-o��ot�e�Inste�'Stfons not.speclflcally Induded�tn.the application. .A
permit Issued shall be cons6ued to be�a'license'to`proceed with'81e yir'orli and not-as:authority to,violeter cancel,elter,or
set aslde any�provisiohs of the.teclinli;al codes;nor ahall lasuance•of a.permlt.prevent the Buildlrig Offidal irom thereatter
requi�ng e,correcUon�errora In.plene;�const'iuction.oc viola0ons ofany�codea. Every'permit lssued"sfialFbecome invatid
unless the work eutfiorFced;by such permlt>is.commenc�d•wlthln sfx,montha oi permft lasuance,or if worlc authorized by
the pertnk la suspended.or,aba�doned:for:a;peHod;o��six:(8)�montlis atter the Um�the�work:te commenced, M extension
may be requeated,In writing,_.irom the.'Building.O�cial for a peHod:not to-exc�ed"n(t�etjr'(90)deys and wlli demonstrate
Justmable cause for.dhe extension. If work ceafles,for ninety.(90)cons.ecutNre:day�,.th\�ob�ta considered abandoned:
WARNING TO OWNEI�: YOUR-EAILIJRE.;TO.RECORQ_A:al0T10E OF•�COMMEMCEMENT.�.NFAY=RESULT IN YOUR
PAYINO 7WICE;FOR.1MPFtOVEMENTB_�x?,XOUR�PRDR.EI��:1E:t IF:YO.tl�lt!F7F.KID:�T(3:�6&7'q�N'FII�fNEING;�O{VSULT
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FLORIDAJURAT�(F.Srtf?. ) .. , _,..; . - - -
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ONMER OR AOENT-. CONTRACCO '
Subsalbed and or etll ed)before me S�6salbed'and' m (ot a rtned)befote nle'fhl
by ,� .
VYho lalate personefry krtawn lo.me r haal�e produeed Who tdare peroonally Imown lo ine or haelhave prodix�d
�d°^ �^• ea tdentlflcatlon.
Sns'-., OEL E. CON
_ _ mmi�aioMFFF���3P� Notery PuWlc
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Commiseton No^� _; �' �Alres June 29,2018 ��b : :.= Commissbn#FF 137073
���'��,p,m��r BaW�E7M�TrryFinNoavc�BOD3BS7019
Name o!Notery typed,printed ar atemped Neme of Notery lyped,pdnted or sfamped