HomeMy WebLinkAbout16-16892i �
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I • CITY OF ZEPHYRHILLS
� r 5335-8TH STREET
(813)780-0020 168 2
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16892 Address: 37811 8TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0010-09300-0000
Improv. Cost: 3,700.00 OWNER INFORMATION
Date Issued: 1/13/2016 Name: GROH MARIA GABRIELA(SPROUSE)
Total Fees: 55.00 Address: 37811 8TH AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/13/2016 Phone:
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION�FEES
CHRIS'A/C CO. A/C CHANGEOUT 55.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSI SU�yTED
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O. I
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,� `�CONTRACTOR SIGNATURE PERMIT OFFI R
'� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ai3aso-ooso City of Zephyrhills Permit Application fiax 813-TSd-0021
� Buitding Departrnent
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Date Reaeived Phone Contact for Perm(ttln � � — 7 �
Owner's Name � 1^l� � Owner Phone Number X,7 �c�,�c��
Owner's Addrass T c.. Owner Phone Number � �
Fee Simple 7iNehotder Name �� ! � Owner Phone Number � �
Fee Slmple Titleholder Address
JOB ADDRESS �L' L07# �
SUBDIVlS{ON �_����� PARCE�!D# 1f�✓ i�V t1 �
(OBTAlNED FROM PROPERTY TAX NQTICE)
WORK PRdPOSED � e NEW CONSTR 8' ADD/ALT � SIGN Q DEMOLISH
iNSTALL REPAIR �.;�'
PROPOSEp USE Q ' SFR �] COMM' [(� OTHER �_��r � ���i'1�1.
TYPE OF CQN$TRUCTION � BLOCK " Q FRAME � STEEL Q �i__,��_,,,_� ��v �
DESCRIPTIOH OF WORK G�`1't.,. ! Q /C
BUILDING SIZE � � SQ PQOTAGE C� HEIGHT
QBUILDING �` Vi�t.UATiON OF TOTAL CONSTRUCTiON
,�_��
[�El,ECTRICAL �� AMP SERVICE �J PROGRESS ENERGY Q W.R.E.G.
OPLUMBING ��
MECHANICAI $ /�') VALUATION OF MECHANICAL INSTAI.LATION
��`��';
�GAS Q RQOFING Q SPEC�ALTY � OTHER
FIM1I�SHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO
BUILD�R CCIRAP�NY
$IGNATURE REGISTERED Y/ N FEe CUtt�� Y/N
Address ticense# � � �
ELECTRICIAN GOMPANY ,
SIGNA7URE � REGISTERED Y/ N FEE CURRE� Y/N
Address Cicense# � �i`�
PLUMBER I � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
MECHANICAL COMPANY - i^ '� � CL i°'f
StGNATUR� REGISTERED N FEE CURRE� N
Address �+.� � /�a..c�f �� ,!%/ L3 J�t��+.� License# 1 I��, t� ,�J��.����
QTHER COMPANY
SiGNATURE REG�STERED Y/ N �E CUw�En Y/N
Addreas License# � ���
RESIDENTIAL' -Attach(2)Rlot P.lans;(2)sets of Building'Plans;(1)sef af Energy°Fartns;R-O-W Pertnit for new construction,
Minimum ten(10}working days after..submittal date. ftequired onsite,Construotion Plans,Stormwater P1ans wJ Sitt Fence instalied,
$anikary Faci!(ties.&1.dumpster,Site Work�Permit for subd{vi'stonsllarcJe pro�ects
COMMERCIAL Attach(3)oamplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R O-W Permit for new construction.
Minimum ten(10j working days after submittai date. Required onsite,ConsUucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Stte Work Permit for aif new profects.Alt cammetclat requirements must mest compltance
SIGN PERMIT Attach(2)sets of Engineered Plans.,,
*"'PROPERTY SURVEY required for al�NEW construcUon.
Direatlons:
Fill aut applicatlon completely.
Owner 8 Contractor slgn baak of applica8on,notarized
If over�,250Q,a Notice of Commencement is required. {AtC upgrades over�,7540)
" Agent(for the contra�tor)or Power of Attomey(for the awner)would be someone with notarized tetter from owner autharizing same
OVER TNE COUNTER.PERMI'f'i1NG (Front of AppBcation Only) - - � •t . ,
Reroafs if shingles Sewers Service Upgrades A/C�� �Fences,(Plot/Survey/Footage) --� •�-' � . ,
Rrlveways-IVot over Gounter if an publio ioadwa}rs.:needs'ROW=°: ,,� ,.• � . 1 ,
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NQTICE QF DEED RESTRSCTlt?NS: The undersfgned�under�tands;thi�t.thls;p�cmft may be.subject ta"deed"resUlc#ions"
which may be�more restcictive th�n County regulations. �The undersigned assumes respansibllity for�compitance with any
applicable deed rest�ictlons. �
UN�ICENSED C4NTRACTORS AND CQAITRACTOR RESPt�NS181!lTIES: tf the owner has-�hired a co�tractor ar
aontractors ta undertake work, they may be;cequired�:to be�Ilcensed In accordance.with state.and•lo�al regulatlons. If the
cant�actor Is not Hcensed as requfred�by taw, bflttt the awner and cont�acto� may be-clted-for a-misdemeanor v4alation
under state law. If the owner ar Intended�contrac#ar are:uncertain as to wh�t Iicensing.requirements may apply�or-the
intended work, they are advised#a contact the Pasca County Building Inspection Divlslon—Ucensing Section at 727-847-
8009, Furthermore, fE the owner has�htTed a contracfo� or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of thls applicatlon for which they wil) be responsible. If you�.as.the owner sign as the
contractor, #ha#may be an lndication that�he is not.proper#y licensed and is nat entttied to parmittfng privlteges !n Pasco
County. '
TRANSPORTATION-IMPACTlUTIUTIES�IMPAC�`�AND RESOIIRCE RECOVERY FEES3: The underslgned understands
that Transportation Impacf Fees and.Reco.urse Recove.ry.Fees may��appiy ta the construation of new bulldings,�change of
use in existing buildings, o�.expansion�.of-existiri,g;`�buildings, as speclfled.in Pasco County Ordinance number 89-07 and
90-07, as amended. The undets#gned also understands, fhat such fees,.�s�may��e:due;_w11E;be iden#ified at the tirrte cif
pe�mitting. It is further understaad.that Transportation Impact Fees and Resource Recovery`Fees must be paid prlor ta
receiving a"CBfE{�lCSt@ O�OGGU�?2lCiClt" or finaP power�retease. :4f the proJect does not invofve a certificate af occupancy or
final pawer reiease; fhe fees mu�t be paid prior.ta permtt issuance. F�rthermore;ff Pa�sco Gounty WaterJSewe� impaat ,
fees are due, they must be�paid prior ta permit_Issuance=ln accardance wlth applloable.Pasco�County ardinances, '�,
GONSTRUCTION I.IEN`1.AW(Cha�ter 713, Flar�da St�#utes�as amended): if valuation af waric is$2,500.00 or morer, 1
ce�tify that I, the applicant, have.been provided with- a copy� of the "Flarida Construction L(en Law--Homeawner's
Protectlon Gulde" prepared by the Fiorlda Deparfinent of Agrfc.ulture and Gonsumer�Affalrs. (f the appllcant is someone .
ather than the"owner", 1 certify that t have.obtained�a copy.of the.above..des.cribed document�and.p.r.amise ln,good faith to
deliver it to the°owne�'prior.to�cammencement: ' , i
GONTRACTOR'S/CfWNER'S A�flDAVIT: 1 ceitify.that all th�Informat(on in thls applicatlan is accurate and that ail work i
will�be done in compl(ance with all appllcable laws regulating constructlon, zoning and�land development. Appltcation is I
hereby made to abta(n .a permit to do wo�k and ins#ailatEan as Indt�afed.� `1 certify that no work'or (nstatlation has
cammenced prior to issuance af a permit and that.all work will be pertormed to meet standards of aif laws regulating-
co�struction, Counky and City codes, xoning regulationsi and land clevelopment regulattons�tn the jurlsdlction. ! al'sa
certify that 1 unders#and thaf the reguiations of other government agencies may�apply�ta the intended work, and that i# is ,
my respanstbility to identify�whak,actions I must take:to besln:.corrlpliance: Such agencles.lnclude but are.not limited to: �
- t7epartmen# af E�vtronmental-Prcitectlpn=Lypress.Beyheacfs, Vtletlant3 Areas and Envimnmen#aiiy Sensitive
Lands,Water/Wastewater Treatment. �
- Sout#�west Fiorida Water Martagement .l�istrict-WeNs, Cypress. Bayheads; Wetland Areas, Altering �
Watercourses.
- Army Carps of Engineers=Seawalls� Docks�Navigable Waterways. .
- Ctepa�#ment of Health'8 Ref�abElitative SerriiceslEnvironmental Heal#h Urtit Wells� Wastewater Treatment, �
Septic Tan�s. � _
- R3S Enviconmer�ta{Pro#ec#1�n Aget�cy-A�bestt��abatemen#.
Federal Avlation.Au#hoNty-Runways.
!understand that the following restrictlons apply to#he use of flll:•
- Use of fill is no#alicwecf in Flood Zone"V"unless eupressiy permlfted.
- If the fill materfal is to be used:.in �Flaod Zone °A", It. is un�erstood that a drainage plan addressing a
°compensating votume"will be submltted at#me of permitting wlilch is prepared by a professton�i englneer
Ocensed by the State-of Florida:
- If the fill materlaf_ls:to be t�sed in Ftood �one °A" {n�connection�wikh.a��permitted building using ster� waN
' aonstn.�ction, f ce�tify that flil wilf.b.e vsed on{y.to fill the area wlfhin the�stem�wati.
- If fill materlal is to be used in any areat ( certify that .use. of such f111 will not adversely afiect adJacent
properties. If use af ftlt is found ta advetsely:�ffect ad�a�ent praperties�.the ownet may be cited for uiolating
the conditions of the building,permit issued�under the.attached�permik application, for:lots less than one (1) �
acf+a which are elevated by fllt�an engineersc#drainage piar�is requtred. ;
if 1 am the AGENT�OR THE OWNER, I;:promfse In good faith#a Mform the owner of-the.permitting.candltions set.forth In , I
this affidavft'pNor to eommencing consttuctlon. I unders#�nd #hat a-sgparate permlt may be requtred for elecMca! work,
plumbing, signs, wells, poats; air condittoning,.gas, or other instaEl�#ibns not.spec€�cally included in.#he appl3cation. .A , _
permit issued shail be constcued to be a Iicense to p�oceed with the wark and not as.authoriiy to.vialate,cancel, alter, or ' ��
set as€de any provislons_of tFte technlcal codes; nor shall issuance�of a.permit.pcevent the Bultdlrig Of�ic�al from thereafter '
requiring a correctian nf errors In pians, cons#ruction or violatlons of any cod�s. Every permit issued shall become invalid
unless the work authorizecl.by suah permit-ls.commence��wtthtn s�c m.onths of permft lssuance+ or If work authorized by
the permit Is suspended ar.abandoned for a period of six(8)�mont�is.after the tima#he�wot`k ts commenced.. An extensian =
may be requested, in wri#Ing, fram the Building.Officiai far a perlod nnt to exceed ninety_(90) days and will,demanst�a#e_ _--
- {�stifable-c�nsefor:the extension. If wo�k cease�for nlnetji�90)conseoutive days,.th�jab��s canstdered aba�do�ed._.
WARNING TC? OWNER; YOUtt.FAil.URE.TQ,RE.C.OttD A Nt?T1G�.QF C�l?MMENCEMEI�T MAY�RESULT IN YOUR
PaY1NG TWiCE.FOR IMPROVEMENTS TO YOUR;PRFIPERTY. iF�YO.U�iN'fE�D�'T��t�BTAiN�FiNANC1NG;�CONSUL»T
WITH i"�UR ND O ORNEY� F R� ECOR�Q 6:� OUR' O �� -°O ' � E CE EN '
��.a��oA 1ut��tF.s.� � � __ �
DWNER OR AOENT,�� CONTRACTO �""`�
Subscrfbed and swom to(or a�fRned}before me tht 8ubscribed and' (at a rmed)�betore'me'ttit
by •by -
Nho Is/are personally known to.me or haslhave produced Who Is/are p.ersonailyknown�to me or has/have produced
as tdentl�catlon. as EdenBficatlon.
Notary Public � Notary Publlc
bmmiss No. Commission o.
,.•�;�r'e'���., JQEL E.BACON
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Vame of Notary _ .. n.'_ Name af ta . t � F 937073
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