HomeMy WebLinkAbout16-17621 CITY OF ZEPHYRHILLS
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5335-8TH STREET �
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• � (813)780-0020 17621
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit f�umber: 17621 Address: 38007 LEONDIAS DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�re Feet: Subdivision: WAYWARD WIND
' Es�. Value: Parcel Number: 14-26-21-0160-00000-0490
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 8/01/2016 Name: BOURGOIN GABRIEL JOHN
Total Fees: 55.00 Address: 37442 TUCKER RD
Amo�nt Paid: 55.00 ZEPHYRHILLS FL 33541-3628
Date Paid: 8/01/2016 Phone: 801-908-8176
Wo k Desc: A/C CHANGE OUT 3.5 TON 14 SEER
CONTRACTOR S APPLICATION FEES
- AIR RESCUE AIR CONDITIONING INC A/C CHANGEOUT 55.00
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Ins ect ons e aired
DUCTS INSTALLED
DUCTSINSULATED
FINAL I
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REIN�PECTION 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.
� NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may b 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.
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� CONTRACTOR SIGNA U E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT_CARD FROM WEATHER
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To alstain rna irnum rated efficiency from any HVi�C system,the equipmene nnd the air dis ' iarr system must rorrrpty Vrift�tha manufacturer`s
specrflcation nnd requlrernenfs.Air Rescue Alr Condifioning can oniy be responsibie far components instalted byAir Rescue Air Condifioning.
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j� tV ��.���� ��t ta orc�er t;�e v�r�rk as us�llin�41 abF,�v�7ern�s�Bal<��s�a clue��pon�iarit+p,
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�uyers Riyhe ta Cancef;5'0'.C>d T,ii is a?�c>m�svl+citation sv;e,a;xl if vo4:da .rrot n�ant ti;�yovds orservic�s,yUu r>;ny rcr±cel ri7is ogreem�n.t Lry vrvv%a;n<,^Yr1i:'ren narc�r,�the
se!!er rn�,�rsc�c, y teier�rnrr,,ar y�:,a;1.Tt�is naC?ce rr!�rsfi ir�dltore r;�atyou do no�iu�nt tfie c�pi�s arser:�ice>nnri axt:st be detxvered nr��csin,arked t��i�re mirir.�igiir ai rhe rl�i>;�
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TI-�e insta!# eciz��ician l�as rev's��ri�c�th'rs�ion�e In��rc�verr���t Agreer��e��t fc�r ins#alfation af HLJkC systerns�ti��ir R�.s�:t�e�ir Cor,ditic=r�inq,
!, agr�e tiiat the a �,e�ent�rc��;ect•my u dcrsiandinc�af tF3r�sco?�of f��c.;ob ai7d the er�ziip��ent
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awner's Nama o v�►� Ow�er Phone Numb r 'g�l-�b$'��j?b
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WORK PROP�3Ep e NE CONSTR� ADD/ALT C�� SIGN [� ,'�] DEMOLISN
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PROPOSER SE Q SFR {� COMM �� OTHER ' �
TYPE�F CO Si'RUCTtON Q Bi.O K Q FRAME � STEEL [� ;
DESCRIPTIfi? QF WORK Equ1� L ��+k�+g�Qur a� A/c 3,57"a,J f y 5e R PAclt'A�t c�,nli T
BUIL.DIN(i SIZ � SQ FOQTAt3E�_� H�IGNT
[�]BUi DING $ VALtlATlON OF TQTAL CONSTRUCTiON -
[�E1.E TRICAL $ AIV1P SERVICE [,� PROO E5S ENERGY �,] W,R.E.G.
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BUlLDER CqNIPANY �
51GNATURE R�cisre�Eo Y! N �� CURRE� Y!N
Address �� Llcens # � �
:LECTRf ClAN COMAANY
31GNATURE REGl3T�RE0 Y/ N x FE GUftRER � Y/N
Address �� I.Icens # ��_ I
'I.UMBER COMPANY
�I(3NATURE ' REC3ISTEREQ Y/ N Fe GURREt� Y!N
Addreas }�� 4lcens # I, i�
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lECHANlGAi. � � `"CO PAN� tz 7� �G' S�.t�t S� �.- U-!t, S cs
IGNATURE ��" � REOIS1EREp ' Y/ N FE CUFtRER Y!N
Address f �Z t�}S+.S(�.!�. j31 u f-�,c1.,Mp��a. FG '�3�+�� Llcens # ���. )�j.��'�c+S� I
rTHER COMPANY
IC3NATURE REOISI'EREp ' Y/ N FE CURREA Y/N
Address ( Ucense# �� �
E3lDEN1'IA4. Attact�{2)Ptot Plans;,{2}sets o Bv}lding Plans;(1 j set of�nergy Forms;R-O•W Permlt for ew CortsUuctfon,
Mlnimum ten(10)wo�king days fter submlttal date. Requlred onslte,;Constructlon Plans,S ormwater Plans w/Slit Fence Instailed,
Sanitary:FaGl(tles 8�1,dump�ter Site Wark Permlt for subdlvlsionsllarge projects
. QMME�ClAI. . Atkach{3}comple.te sets_of_E3.uil Iqg_P�an�pius-s_L(te:Saf�ty,P_age;(1)-s�f of�nergy-�e�rtss.-!?-U-i�t-Per►:nit�or newc�rsttucttor: -
�� Minlmum ten�(10)working d�ys fter submltta!date. Requlred anslte,:Con�truotlon Plans,S om�water Plans w/Sllt Fence instaNed,
Sanitary Facllitles&1,dumpster Site Work Permit for all naw proJects.All commerclal requl m�nts must meet'compllance
'GN PERMIT Attach(2)sets of Engineared PI ns.
""PRQP�t2TY 3UFtVEY requt d�Ol 8II N�W COtiStILIGIfOtt.
rections:
Fill aut appl catlon campletely.
Oumet&C ntractor slgn back of appllcatlon,n tarized
If aver 5�5�0,a Notice ai Commencement i required. (A/C upgrades ovar$7500)
Agent(for thIe contractor)or Power o,f Attomey for the owner).would be someone with notarized letter from o�nmer autharizfng same
/ER THE COUNTER PERMITT'ING -"' (Front o Appllcatlon:Only)
:raofs If shingi�s Sewers Servica Upgr des AJC ,`„ Fences(PiotlSurveyiFootage}
Drlveways Not over Counter If on public ro�d._.ys.,needs F20.W
NOTICE C1F DEED RESTRICTION�: he underslgned understands that this per It ma b�subJect to°deed"re�tri.o#�qs"
whlch rnay be more resfricfive than Co nty regulations. The underslgned assum s res onslb!lity#or compllance with_any
appllcable deed restrictions.
UNLiCENSED CC?NTRACTflRS AN CONTRACTOR RESPON51BILiTIES: (f fhe owner has hired a contractor or
cantractors to undertake work, they m y be requirad ta be Ilcensed in accordance wlkh skate and local�:regu(ations. If the
contrackor Is not llcensed as requlrod y law, bofh fha owner and con#ractar' may be ited far'�a misdemeanor vlolatlon
under state law. !f the awner or inten ed contracto� are uncertain as to what licensin roqulrements may appty far the
infended work, they are advlsed to con act ti�e Pasco County 8ulldfng lnspecflon Divisi n--L(censing Secfion at 727-847-
8Q09. Furthermore, if the owner iia hired a contractqr ar�cantractars, he Is advls d to have the cantractor{s) s(gn
partlons of the "cantractor Block" ai'th s app,l(cation for whlch they wiii be respansEbie. if you, as #he awner sign as #he
contractar, that may be an lndication t at he is not properly Ilcensed and is not entitle to perm3tting priviiages in Pasca
County. ' -
7RANSPORTATION tMPACTIUTiLITi S IMPAGT AND!RE80URCE REC.OVERY�E S: The underslgned unders#ands
that Transportatlon Impact Fees and ecourse�Recovery Fees may apply to the constr ction of'new buiidfngs, change af
use in existing buiidings, ar expanslo of exlsting buildings, as speclfled in Pasco Co nfy Ordinance number 89-07 and
90-q7, as amended. The undersigne alsa understands, that such fees, as may �e d e, wil! be ldentl�ed at the time of
permitking. It Is turther undersfood th f Transportafion lmpaot Fees and Resource Re overy Fees must be pafd prlor to
receiving a "certlflcate of accupancy" r flnal power release, If the project does not in olve a certiffcafe of accupancy ar
finai power release, the fees must be paEd prlor to perml# issuance. Furthermore, If asco County Water/Sewer Impact
fees are due, #hey must be paid prior t permit i"ssuance 1,n aecardance wlth app4fcabfe asco County ardinances.
GONSTRUGTION LlEN LAW�(Cha{pt r 713, Florlda Statutes, as amend�dj: if valua on of work is $2,500.00 ar mare, I
certify that i, the appHcant, have be n prpvlded wikh�a copy of the "Florida Con #�uetion Lisn l.awr—Fiomeowner`s
Protection Gulde" prepared by the Fia ida Department of Agrlculture and �onsumer A alrs. !f the appllcant is someane
other than the°owner°, I certlfy that I h ve obtatned a copy of fhe above described doc mont and promise!n good faith to
deliver It to the°owner" prior to�camm ncement.
CONTRACTOR'S10WNER'S AFFI(D 1T; i certlfy that all the lnformatlon In this appli ation is accurate and that all work
will be done In compliance wifh ai1 ap licabie laws regulating constructian, zoning an land developmant. AppflcatEon is
hereby made to ob#aln a permit ta o work and (nsfallaf(on as indlcated. t certi that na work or insfaliatfon has
commenced prior to issuance of a p rmit and that ali work will be perfo�med to me t >tandards of alt laws regulating
construct(on, County and City codes, zoning regulatians, and land development reg !a#lons In th� Jurlsdlct4on. I also
cert(fy thak ! understand that the regul tions of otlier government agencies may appfy o �he in#ended work, and that It is
my responsibiHty to Identify what actio s I must take to be(n compUance. Such agencl s include but are not limited to:
- Department of Enviromm �fai Protection-Cypress Bayheads, 1111etland Ar as and Envlranmentally Sens(tive
Lands, WaterlWastewafer Treafinenf,
- Southwes! Flarlda Wat r Managemenf Qlsfr(ct-Wells, Cypress Bay e�ds, Wefiand Areas, Aitering
Watercaurses.
- Army Carps of Engineers- eawalis, Docks, Navfgabie Vilaterways.
- Department of Healfh & Rehabii(tative Secvlces/Environmentai Heaith nl#-Weils, Wastewater Treatmen#,
8eptic Tanks.
- US Environmentai Prat�ct on Agency-Asbestas abatement.
- Federa(Aviation Authority Runways.
i undarstand that the following�restrlcti ns apply to the use of flll:�
- Use of fili is not aliawed in Flood Zone uV"unless expressly permlkted.
- lf the fiii material is ta e used in �iaod Zane °A", It is understaad t at a drainage plan addressing a
"compensating volume° iil be submifted at tima of permifting which is p pr�red by a professlona) engineer
Ncensed by the State of F! rida.
- if tM� flii materiai fs to b used in Flood Zone "A" In cannect4on with a ermitted building using sfem wail
canstruction, I certify that li will be used only ta fiil the area withfn the ste wail,
- if f{II materlal is #o be u ed in any area, I cerEify that use of such fill wiil not adversely affact adjaoent
properties, If use�of fill !s faund to adversely affec# adjacent propsrtles, t e uwner may ba c(ted for vloiating
the conditions of the buil ing perm3t issued under the attachsd permlt a plfr,atlon, far lots less than one �1)
acre whlch are elevated b fNl, an engineered drainage plan is required.
if# am the AGENT FOR THE OWNE , ! promise in good faith to Inform fhe owner of f e permltting conditions set forth (n
this affidavit priar #o commenoing co struction. I under's#and that a separate permlt ay be required for elecfrical work,
plumbing, signs, we(is, pools,. air co ditioning, gas, or other instailations nat specifl Ily inciuded In the applicatlan, A
permlt issued shall be construed to b a Iloense to procaed with the work�and no# as uti�orlty to vialate, aancel, alter, or
set asfde any pravlsions of the tectinl a! codes, nor shall issuancs of a permlf prevent tho Bultdirig t3fficial from#hereafter
requiring a correction af errars in ptan , construction ar vlolatlons of any c�des. Every permit Issued shall become lnvalid
unless the work authorized by such ermlt is commenced witMin six months of perm# fsauance, or if work authorized by
the permit is suspendsd ar abandane far a perlad of six(6) monfhs affer the time the work is commanced, An exfensian
may be raquesfed, ln writing, from th BuEld{ng Offlcial for a perlod not to excesd nIn ty (90) days and w(11 demonsfrate
austifiable cause for the extension, If ork ceases for ninety(90)consecutive days, th )ob Es consldered abandoned.
WARN{NG Tt? qWN�R: YO.UR FA LURE TQ REGORD A NOTlCE O� COMMEN EIMENT MAY RESULT IN YOUR
. PAYING TWICE FOR IMPRt3VEME TS TO Y.OUR PROPERTY. !F YflU !NT ND T OB?AIN FlNANGING, CONSUL'�
WITH YOUR LENt3�� G�:�r'�iv-ii.i v a.�"���;�Pc.;�'�rr,3, �ittN�',X�1!!I� fGE � F t' Nl,ME,►1'.��M�N7. _
FLORlC?A JURAT(�.S.117.03) ' --- _--�cr�_._ n�y. -
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4WNEl2 QR A(iENT CONTRA R �i?�.
Subscrlbed and sworn te{or afflrmed)before e this S scrib and orm#a{ar afflrmed before ma s ,
by �- ���� ` L
Wtao Islare personally known ko me or haslhav praduced o(s/are onally nownr to me a has/heve�produeed
as Identlflcatl n. as idantificatlan.
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Notary Publlc ���-�-� Notary Publlc
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,•�t;:R�:�i%�•�.,, JACQ LI BOGES
Cammisslon No. Co m slan .
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_;•, �'a: Expire Dscember 12,2�.
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Name of Notary typed,printed or stamped Name of Notary "�`�"`" ', . �