HomeMy WebLinkAbout16-17672 CITY OF ZEPHYRHILLS
'� ' 5335-8TH STREET
(813)780-0020 17
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit umber: 17672 Address: 6844 FAIRBANKS DR
Perrr�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class bf Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: VALLEYDALE RO ASSOCIATION
Es .Value: Parcel Number: 03-26-21-0170-00000-1910
Improv. Cost: 2,700.00 OWNER INFORMATION
Datellssued: 8/18/2016 Name: BRUNELLE LINDA
Total Fees: 50.00 Address: 6844 FAIRBANKS DR
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-1850
Da�te Paid: 8/18/2016 Phone: 813-838-4599
Wo k Desc: A/C CHANGE OUT 3 TON ,
CONTRACTOR S APPLICATION FEES
SONNY'S DISCOUNT APPLIANCES A/C CHANGEOUT 50.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL I
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
I 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 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.
"Wa ning 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.
,
�
. CONTRAC O NA RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
es�s-rau-un�u C;It}t Ot LE:�h}ttfilllS P�R111t,A�R11C8fIQ11 Fax-813-780-0421
Building Department
Date Received r �, � �
� Y ` F'hone Contacttor Permittin �3 Z � � - ��"
OwneNs Na e 1»fN�A S �2(,J�N�ll� Owrner Phone Rlumber �������' 'Y'S
�vner's dldd ess ��`f �/�/� �!�S %� CDt�vvner Phone Rturnber �- �
Fee Simpie ittehotder idame � { Chnrner Phone tdutnber � �
Fee Simpte tiehoider Address
.�oa,���R� s �'�g�t/ �'��K �A,cT�'s 1}rZ �X �ffS l�'/ s3�5'G/Z LOT# ���
su�o��s�o �� � �ARC�L ID# tr��`L�"'Z!—Dt7�}p�-t�c�D-- t�t O
(OBTAINED FROi4f PROPERTY TAX NOTICE)
Hl106tEC PRtD OSED NEw CONSTR ADD/A�T � SIGIV Q Q QEMOIISH
e ' INSTA�L 8 REPAIR
�RS?POSED U5E Q SFR Q COMM Q OTHER
T1fP�OF C RISTRUCTIOId [� BLOCK Q FRAME � STEEI Q
D�SCFtfPTI 1d OF 1�1"ORK � � � ��. C�� �t
�UIL�ITdG S�E � � St3 Ft?CITAGE�� IiE1GNT �._��
QB IIDiNG � � VAI.UATION OF TOTAt CONSTF2UCTEON
QE ECTRiCAL � � AMP SERVlCE C] PROGRESS ENERGY C] W.R.E.C.
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QP UMBlNG (�> y---y-�
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�M CHANICAL $ /J�'J�O� VALUATION OF MECHANICAL INSTALLATION /� ����
pt � .��
QG S �]] ROOFING Q SPECIALTY � 07HER
FINISHED F OOR ELEVATIONS � � FLOOD ZONE AREA QYES NO
�U1ILDER GOI�lPATdY
SlGfde4TU6i REGfSTERED Y J N FEE CURRE� Y I h1
a4ddre s l.icense# �- 1
�LIECTl21G1 M GOMFARIY
�IGIdG4TUR REGiSTEREO Y I RI FEE CURRE� Y J IV
Alddre s �Icense# � �
��.UMBER CClMPAIdY
SIGfd�1TUR REGISTERED Y I N FEE CURRE� Y/N ,
rAcldre s �t?�r•�� 3t? ��►��-t t�"E �w� L.icense# �,���J v`��t�V �
��ctta►a� � con��arnr a� � ��it v � !� � �lsS
SIGfd,ATUR REGiSTERED Y FEE CURRE� J N
�lddre s �Ecense# C �
{DT�lER COMPAtdY
SIGR14►tTU REGISTEt2ED Y I N FEE CURREt� Y J N
Addre s License# � �
RESl�EidT Al. Attach(2)Ptot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, '
Minimum ten(1d}working days after submittal date. Required onsite,Canstruction P1ans,Stocmwater Flans wl Sltt Fence instatied,
Sanitary Facilitfes&1 dumpster,Site Work Permit far subdivisionsAarge projects `
GOMt�[E!2�IAl. Attach{3}comptete sets of Building Pians-pius a Life Safety Page;{1)set af Energy Forms.R-O-W Permlt for new constnrction. -
� Minimum ten(10}woricing days after submittat date. F2equtred onsite,Consttuctlon P1ans,Stormwater PEans w!Silt Fence instalied,
Sanitary Facilities&1 dumpster.Site Work Permit far all new projecks.All cammerc(al requirements must meet compliance
S1Gh!PER�IT Attach{2}sets of Engineered Pians.
«"•'pROPER'I Y SURVEY requ(red for all NEW construct(on.
Directlons�
Fill o t applicatfon compietely.
Owne &Contractor sign back of application,notarized
if o�se 32500,a Notice of CQmmencement ls required, {AfC upgrades over�7504}
•• Agen (for the contractor)or Power af Attomey(for the owner)would be someone with notarized letter from owner authorizing same
O!!�R'fF�1 GOUtt1TER PERMI7TIMG {Frant of AppNcation Only}
Reroofs if hingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Orive ays-No#over Counter if on publia roadways..needs ROW
FIOTICE OF DE�D RESTRIC�ION�: The undersigned understands that this permit may be subject to"deed°restrictions"
which may be more rest�ictive than County regulations. The undersigned assumes'responsibility for compliance with any
applicable deed restrictions.
11WLICENISED CON7R�►CYORS AF1D CORIT�►CYOR RE�PONSI�ILYYIES: If the,owner�tias hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with�state and�local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the ow►ner or intended contractor are uncertain as to what Iicensing requlrements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block° of this application for which they wrill be responsible. If you, as the_owner sign as the
contractor, that may be an indication that he is not properly'licensed�and is�not-erititled�to permitting privileges in Pasco
County.
TRAWS�OR'T�►TION I��AC�/U`�IU'�I�� I�iiPACY-AW� f���OIJRCI� R�COVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project�does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable,Pasco County ordinances.
COFIST�lJCT10N LI�N L�11n1(Chapter 713, Florida St��utes�, as �mended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement. -
CO�IY�GYOfR'S/O{WN�R'S AFFI��IVIY: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
cer�ify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
►ny responsibility.to identify what actions I must take to be in compliance. Such agencies.include but are not timited to: "
- Department of Environmental Protection-Cypress Bayheads, Vl/etland Areas and Environmentally Sensitive
Lands, Water/Wastewrater Treatment.
- Southwest Florida VVater fWanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
VVatercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Nealth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement..
- Federal Aviation Authority-Runwrays.
I understand that the following restrictions apply to the use of fill:�
- Use of fill is not allowed in Flood Zone"V"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 professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone °A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under.the.attaehed permit,application; for lots less°than one (1)
acre which are elevated by fill, an engineered drainage plan is required. `
If I am the�AGEfiIY FOR THf� OIIVPI�R, I promise ln�good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction: I understand'that a separate permit may be required for electrical uvork,
plumbing, signs, wells, pools, air conditioning, gas, or otheP installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildirig Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit�issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
1flll�RR11WG TO OIAlWLR: YOUR F�1ILURE YO �ECO�D A FIOTICE OF COMAflEPIC�flflENl' �fiAY RESULT YPI YOU�Y
PAICIY�fG'TVi11C�-FOIZ-IiifiPi20VEWiEYVT�TO YOIIR-P9zOPEIRT1f.—iF-YOU 1�'fERlD�4�-OBYdlH!-FIi��R1ClWC;C06�SU�Y—' -- -
W117H YOUR LEIVD�1t OR qYV I�TYORPIEY Bf�I�OR� F�ECO�tDING YOU�2 WO7'IC�OF COflflRHEIVCEflflEPIY.
FLORIDA JURAT(F.S. 117.Q3)
OWINER OR AGEWT CONTRACTOR
Subscribed and swom to(or affirmed)before me lhls Subscribed and sworn to(or affirmed)before me this
by by
Who isJare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Idendfication. as idenBficaGon.
Notary Public Notary Public
Commisslan No. Commission No.
Name of IVotary typed,printed or stamped Name of Notary typed,printed or stamped
'�� 10651 Hwy.301
• � I = �� �� Dade City,FL 33525
_ � (352) 567-6224
I Fax: (352} 521-5980
Appliances Since 1959 sonappl@tampabay.rr.com
www.sonnysappliances.net
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DATE OF OF�DER CALL FIRST C.O.D. CREDIT CARD COMMERCIAL CHG. FINANCE CO. NEXT PURCHASE SALESPERSON
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TERMSIWDC ND ONSHEREBwYACCEPTEDSTERMB�AFI�NAN ECHARGEOF Notes: INSTALL
0.0493%PER DAY WILL BEASSESSED ON AlL UNPAID ACCOUNTS AND ARREARS,
ONN S��ESCOUNT�LUW ES I C.UNIILIPAIDINFULLANDSTANDASSEECURf1Y DELIVERY
FOR THE OUTSTANDING BALANCE SHOULD IT BECOME NECESSARY TO PROCESS
SAME FOF�COLLEC710N.IAGREETO PAY REASONABLEATfORNEI^S FEEAND COST SU BTOTAL
OF THIS(fOLLECTION FOR SONNY'S DISCOUNTAPPLJANCES,INC.
Recerved�y. T/�
I All daims and retumed goods MUST be accompanied by this bill. Cl'; T�T�
TERMS A�ID CONDITIONS ACCEPTED. MERCHANDISE RECENED IN GOOD CON-
DITION AND ALL PROPERTY LEFT IN GOOD CONDITION. CT� Z� DEPOSIT �
Receiv�d�by: CT: BALANCE DUE �
� WHIT�-ORIGINAL YELLOW-CUSTOMER PINK-DELIVERY GOLD-SALES No: 123626