HomeMy WebLinkAbout16-17741 CITY OF ZEPHYRHILLS
5335-8TH STREET ,
� (813)780-0020 17741
BUILDING PERMIT
=PERMIT INFORMATION �,� -� �� -- - LOCATION INFORMATION . �
Permit Number: 17741 Address: 37741 EILAND BLVD
Perrr�it Type: MECHANICAL ZEPHYRHILLS, FL.
Class �f Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa e Feet: Subdivision: CITY OF ZEPHYRHILLS
Es� . Value: Parcel Number: 03-26-21-0010-06300-0000
Impr 'v. Cost: 4,500.00 � � � .-OWNER INFORMATION -
Date�Issued: 9/19/2016 Name: FLORIDA TRADITION HOLDINGS INC
Tot I Fees: 60.00 Address: 37741 EILAND BLVD
Amo nt Paid: 60.00 ZEPHYRHILLS, FL. 33542
D te Paid: 9/19/2016 Phone: (813)714-6596
Wo'k Desc: A/C CHANGE OUT 7.5 TON
CONTRACTOR S . � � - � - APP.LICATION FEES . � ' - - �
SONNY' DISCOUNT APPLIANCES A/C CHANGEOUT 60.00
1 C � .
� � � ` -- •Ins e.ctions Re uired • � -� ° � ° •
DUCTSIN TA ED
DUCTS IN U TED ��
FINAL ,,
REINS ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
locai g vernment 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 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.
"War�ing to owner: Your failure to record a notice of commencement may result in your paying twice for
impra�rements to your property. If you intend to obtain financing,consult with your lender or an attorney
' before recording your notice of commencement."
Compl te 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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ONTRACTO IGN TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
10651 Hwy.301
�� �• Dade City,FL 33525
S (352)567-6224
Fax: (352)521-5980
Appliances Since 1959 sonappl@tampabay.rr.com
www.sonnysappliances.net
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DA F ER CALL FIRST C.O.D_ CREDIT CARD COMMERCIAL CHG. FINANCE CO. NEXT PURCHASE SALESPERSON
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TY. INT. MODEL NUMBER AND DESCRIPTIOPf SERIAL NUMBER AMOUNT
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TERMS ANq CONDfaTIONS HEREB ACCEPTED�'IERMSE A FINAN E CHARGE OF Notes: ° INSTALL
, 0.0493%PEft DAY WILL BE ASSESSED ON ALL UNPAID ACCOUNTS ANDARREARS,
ANNUAL PERCENTAGE RATE OF 18%.ALL MECHANDISE REMAINS PROPERTY OF DELIVERY
SONNI"SDI UNTAPPLUWCES,INC.UNTILPAIDINFULLANDSTANDASSECURITY
FORTHEO STANDINGBALANCESHOULDITBECOMENECESSARYTOPROCESS
I SAMEFOR OLLECTION:IAGREETOPAYRFASONABLEATfORNE1"SFEEANDCOST SUBTOTAL
OF THIS CO CT10N FOR SONNVS DISCOUNTAPPLUWCES,INC.
Reoeived by.
� TAX
I daims and retumed goods MUST be axompanied by this bill. CT TOTAL �
TERMS AN CONDITIONS ACCEPiED.MERCHANDISE RECEIVED IN GOOD CON- �
Dff10NAN ALL PROPERTY LEf71N GOOD CONDITION. CT DEPOSIT ��
Receive by: CT: BALANCE DUE
WHITE RIGINAL YELLOW-CUSTOMER PINK-DELIVERY GOLD-SALES No:� 123778
a�aa o-oo2or � City af Zephyrhills Permit Application Fax-813-780-0021
. Building Deparkment
Date Received Phone Contact for Permi#ting � -
f �O+xne�'s Name ��N,���` ��� '�' D�""' r � Owner Phone Number f. "'� � ����
Owner's Addre s r/�` -+� �"� �A"'r� � i " � Owner Phane Number �1r7'""���� ����r��`Z-
Fee Simple Titleholder Name �� � Owner Phane Number � �
Fee Simple 7it eholder Address
JOB ACIDRES 1 a��"L � G.�1 C�Cf �� � {1I� LOT# ���
SUBDNISION�. �- � PARCEL ID# ��f�G������l�� �tO���@���
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP SED e . NEW CONSTR 8 ADDtALT [� SIGi3 Q Q DEMflC.ESH
INSTALL REPAIR
PROFOSED U E Q SFR Q COMM �� OTF{ER
TYPE'OF CONSTRUGTION Q BLOCK • Q FRAME � STEEL Q "
DESCRIPTIO � OF WORK � 1% V w x�'+�' '�1 � C9 U�
BUI[DING St � � SQ FOOTAGE� HEiGHT C-T�
Q8U1 DiNG r> � VAWATIOIV�t3F`TOTAL CONBTRUCTION
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QELE, TF2ICAL � � AMP SERVICE Q PROGRESB ENEFiGY Q W.R.E.G.
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QPlUMBENG $ �6 � ��t
�ME, HANICA� $ ff���r �, VALUATtON C7F MECNANICAL tNSTAlLAT10N ��j �
Z ".y
�GA� � FtOOFING Q SPECIALTY � OTHEFt
FINISHED FL� OR ELEVATIONS r�---� FLOOD ZONE AREA [�YES NO
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Bt31LDER r� COMPAt+tY
SIGNATURE REGISTERED Y/ N FEE CUF2RE� Y/N
Address License# �! �
ELECTRICIAN COMPANY
SIGNATURE� ' REGISTERED Y/ N FEE CURRE� Y/N
Address License# � ¢ �
PLUMBER ' COMPANY
SIGNATURE 'REGISTERED Y/ N FEE CURRE� Y/N
Addres` � License# �^ �
MECHANIC CQMPANY �'P�i{� l�tS. G� �� �►!'4;��+$'S
SIGNATURE REGISTERED / FEE CURRE� /N
Addres ' �D �I �157� c" vj �iO�G��'[. �j �3 �3 License# (.��� � r��,g��r�
OTHEit� � � COtVlPANY �
SIGNATURE'r: - REGISTEREp Y/ N FEE CURRE� Y/N
Addres . - License# �� , �
i2ESIDENTI. - Attacfi'{2}:P1of P.lans;`(2}':sets of-Buifiiiing=i'tans;{1}set'ofEnerg}r Forms;R-O-VY Permlt.for new constructian,.
, Minimumften:(.1q)working;days'after submittal date. Required onsite;Construction Plans,Stormwater Plans,w/Silt Fence installed,
� Sanitary,Facilities�8�=,1.dumpster.;Site Work Permitfocsubdivistons!large.projects � '
COMMERCI Attacfi�(2}comptete sets of Building Plans plus a Life Safery Page;{1)se#of Energy FoRns.R-O-W Perm9t for new construction.
Minimum#en(10)workirig days after submittal date. Required ansite,Construction Plans,Stormwater F'lans w/Silt Fence installed,
Sani#ary Fac[lit�es&3 dumpster.Site Wark Permit fot atl new projacts.Rii cammerciai requiremec�ts must meet cosnp{iance
SIGN�PERM T Attach(2)sets of Engineered Plans.�
° •�**PROPERTY SURVEY required for.all.NEW canstruction.
� Directions: -
Fill out pplicatlon completely.
Owner Cantractor sign back af applicatian,no#arized
If over 2500,a Notics of Commencement is required. (AIC upgrades over$750q)
'* Agent( `r th'e cantractor)ar Power of At#omey(for the owner)would be someone with notarized letter from owner autk�orizing same
OVER.THE �OUNTER PERMITTING (copy af-contract required)
Reioofs if sh ngles Sewers Servloe Upgrades A/G Fences(PIoUSurvey/Footage)
Dcivew ys-Not over Counter if an public roadways..needs ROW
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NOTICE OF DEED RESTRIGTtONS: The undersigned understands tha#this permit may be subject to°deed;'.restrictions", ;"
which.may.be more.restrictive than Co,unty regulations. 'The�undersigned assuii�es"�espo�sibility for compliance'wi#h.any '�
applicable deed restrictions. �� ' ' � � ' ' � �- � �
UNl.ICENSED C4NTRACTt�RS AND CONTRAC'TC1R RESP�NSIBiLiTiES: If the avvner has hired°a� contractor or
cantractors•to undertake work, they may be required to be iicensed in accordance with state and local regula#ions. If the��•
con#�actor is not licensed as required by law, botfi the owner and�contractor rnay,�6e cited-for a misdemeanor violation
under state law. !f the awner or intended contractar are uncertain as to what licensing requirerrtents=may�.appiy for tfie��
intended wock, they are advised ta caritact the Pasco County Building inspectian Division�t�icensing Section�at 727-847-
8009. Furthermore, if the owner has hired�a contractor or contractors, he is advised ta 'have the contractor{s) sign �
' portions of the "contractar Block" of this application for which they will be responsible. If you, as`#lie awne��sign-as tfie '
contractor, that may be an indication that he is not properly licensed and is nof entitled to permitting privPleges in Pasco
County. �
TRANSPORTR►TION tMPACT/UTILITiES tMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation tmpact Fee"s,and-Reeourse Recavery Fees may.apply to the construction of new buildings, .ct�ange.of°�
use in existing buildings, or expansion of existing buildings, as specified in Fasca County Ordinance number 89-07 and
90-07, as amended. The undersigned alsa understands, that such fees, as may be due, wiil be identified at�tFie�tirine�of
permitting. !t is further understaad that Transpartation impact Fees and Resource Recovery Fees must be paid prior ta
receiving a °certificate ofi occupancy" or final power release. If the project does not involve a certifcate of occupancy or
flnal pawer release, the fees must be paid prior to permit issuance, Furtherr�ore, if Pasco County Water/Sewer. Impact�
fees are due,they must be paid priar to parmii issuance in accordance with appficable Pasco Caunty ordinances.
Ct?NSTRUCTt�N LtEN LAW(Chapter 713, Florida 8tatufes, as amended): If valuation of work is$2,500.00_or more, I�t. ,
certify that (, the applicant, have been provided with a copy of .the "'Florida Construction Lisn Law-=Homeowner's �
Protection Guide" preparsd b�y the Florida Department af Agriculture and Consumer Affairs. ff the applicant-is someone.:
other than the"owner", I certify that I have abtained a capy of the abave described document and promise in good faith to
deiiver it ta the."awner"prior to commencement.
CCINTRACTOR'S/�WNER'S AFFIDAVIT: ! certify that a!I the information in this application is accurate and that a!1 work
wil! be done in compliance with a!! applicable laws regulating canstructian, zoning and land�development. Applicatian is
hereby mada ta abtain a permit to do work and instaliation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed ta meet standards of all laws regulating
construction, County and City codes,.zoning regulatians, and land development regulations in the jurisdiction. ! alsa
certify that I understand that the regulations of other government agencies may apply to the intended wark, and that it is
my responsibility to identify what actions t must take ta be in compl'rance. Such agencies include but are not.limited to:, �
- Department af Environmentai Pr.otection-Cypress Bayheads, Wettand Areas and Environmentally Sensitive
L`�nds,WaterlWastewater Treatment.
- Southwest Florida Water� Management District Wefls, Cypraess Bayheads, Wettand Areas, Altering
Watercaurses.
- Army Corps of Engineers-Seawalls, Docks, Navigab(e Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment,
Septic Tanks.
- US Environmentaf Protectian Agency-Asbestos abatement.
� - Federal Aviation Authority-Runways.
I understand that the following'restrictions apply to the use of fill;
I'� - Use of fill is not allowed in Flopd Zane"V" unless expressly perrnitted.
� - If the fill material is to be used in_ Flaod Zone "A", it is understood that a drainage ptan addressing a
� ' °compensating volume" will be submitted at time of permitting which is prepared by a professiona! engineer "
� licensed by the State of Flarida.
- lf the fi!! materia! is to be used in Flaod Zone "A" in connectian with a permitted buiiding using stem walf
construction, I certi€y that fili will be used aniy to fiil the area within fhe stem vtrall.
- if fifi material is to be used in any area, 1 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 vialating
the conditions af the building permit issued under the attached permit applicatian, far tats less than one (1}
acre which are elevated by fill, an engineered drainage plan is required.
If 1 am the AGENT Ft1R THE OWNER, ( promise in good faith to inform the owner of the permitting conditions set forth in
this affidavi# prior to commencing canstruction. ! understand that a separate permit may be required for electrical work, �
plumbing, signsT wells, pools, air conditioning, gas, ar other installations nat specifically included in the applicatian. A - �
permit issued shall be construed to be a license to praceed wifh #he work and not as authority ta viola#e, cancel, alter, or
set aside any provisions of the technical codes, nor shal( issuance af a permif prevent the Building Official`from.thereafter
requiring a cor�ection of errors in plans, construction or violations af any codes. Every permit isstaed shal! become invalid
� unless the wark authorized by such permit is commenced within six months af perrnit issuance, ar if work authorized by
the permit is suspended or abandoned far a periad af six(6)man#hs after the time the wark is commenced. An extension
may be requested, in writing, frbm the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for#he extension. !f work ceases for ninety(90)cansecutive clays,the jab is cansidered abandaned.
� 1AfARN1NG Tt� OWNER: YOUR FAlL.URE TO RECORD A NOTICE {3F COMMENCEMENT MAY RESULT tN Y�UR
PAYiNG TWiCE FOR tMPRt3VEMENTS TO YOUR PROPERTY. IF YOU INTEND TO CfBTA1N FINANCING,CONSULT
WITH YOUR LENDER QR AN ATTORNEY BEFORE RECORDlNG YOUR NOTlCE OF CQMMENGEMENT.
I FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRAGTQR
I Subscribed and swom to(or affirtned)before me thls Subscribed and swom to(ar affirmed)before me this � ;
by bY
Who is/are personally knawn to me or haslhave produced ' Who!slare persona!!y knawn to me or haslhave produced
as identificakion. � �,. as Identiflcation. .
Natary Public Notary Public -
Commission No. Gommission No. ; � �
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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