HomeMy WebLinkAbout16-17744 , CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 17744 '
BUILDING PERMIT
PERMIT INFORMATION::. - - - � .- LOCATION INFORMATION
Permit umber: 17744 Address: 6545 BRENTWOOD DR
Per � it Type: MECHANICAL ZEPHYRHILLS, FL.
Class �of Work: A/C CHANGEOUT Township: Range: Book:
Propo ed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Squ re Feet: Subdivision: SILVER OAKS
Es� . Value: Parcel Number: 04-26-21-0020-00000-OOA3
Impr v. Cost: 15,973.00 � OWNER INFORMATION- -
Date Issued: 9/19/2016 Name: GEIGER JOHN & ELIZABETH
Tot I Fees: 120.00 Address: PO BOX 307
Amo nt Paid: 120.00 ZEPHYRHILLS FL 33539-0307
D �te Paid: 9/19/2016 Phone: 813-782-2681
Wo k Desc: A/C CHANGE OUT 3 TON 13 SEER- NO CONTRACT
C.ONTRACTOR S - _ APPLICATION FEES
ONE H UR AIR CONDITIONING & HEAT A/C CHANGEOUT 120.00 �
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- - Ins ections Re ui"red - " �
D C INS ALLED
DUCTSINS LATED
FINAL I
REINSP CTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local 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.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be ound 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.
"Warn ng to owner: Your failure to record a notice of commencement may result in your paying twice for
impro ements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Comple e 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.
l
C N RACTOR SIGNATURE 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 Ciry of Zephyrhills Permit Application Fax-813-780-0021
; Building Department
Date Received �j ZQ� � p�G' _ I„'ZCO
' ! Phone Contact for Pertnitting � � l �[ 7 7
-t-1 f-1-1-1 1-1- - - --------�-�-�-j-�
Owner's Name G �( �� Q�� �� Owner Phone Number l ,J �g V C� �
Owner's Address Y �/ �Y ' Owner Phone Number
Fee Simple Titleholder Name � � Owner Phone Number
Fee Simple Titleholder Address � � Y ti (,(j . •
JOB ADDRESS � f v�' �U� '✓Y ' LOT# �
SUBDIVISION PARCEL ID# O "Z —V � �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CON57R� ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK � , �i�/ 7"
BUILDING SI2E SQ FOOTAGE� HEIGHT
� � � e � � � � e � � � � � o � � � � � � � � � � � � � � r� � �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ �A (O�J
� � �i .,' 1
�MECHANICAL $( � VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER �v�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO �
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
�� '� �.� �l �
51GNATURE REGISTERED Y N FEECURREA /N
Address License# i 1 l C�cJ ��
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
••••PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
� If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500)
" Agent(tor lhe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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• IdOTICE OF DEED RESTRICTIONS: The undersign�d understands.that.this;permit may be subject to"deed"restrictions°`;�
—g..;_,,, ...._._„ .,_.,
which•.may:be.more�cestrictiVe:than'Gounty regulation"s: 'fhe':unde�signed�a`ssume"s Pespohs'ibilify�fo��compllance wit�-"any "`
applicable.deed.restrictions. �_.. .;_,�-
UNLICENSED CONTRACTORS AND�CONTRACTOR RESPONSIBILITIES: If tlie�owner hes�hired a-.contractor or
contractors to undertake work,:they may be required to beilicensed in accordance with state and local.regulations:•If,tFie��� ,
conVactor is not Ilcensed as required by,law, both the owner•and=aonfractor riiay"�be cited�for�a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requiremeats�may.�:apply for-ttie:==`�
intended work;�they are advised to contactthe Pasao County Building'Inspection pivisfon=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.will.be responsible: If;you,as:tFie'owne�'sign as'tFie�
contractor,that may be an indicaUon that he is not properly licensed and is not enf'idetl to permitting priVileges in„Fasco;
County. - - - _ .�.�...-.,
TRANSPORTATION IMPACT/UTILRIES IMPACT AND RESOURCE REGOVERY 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 expansiori:of existing buildings,as specified in Pasco Counry Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such:fees,as may.�b.e.due,wlll tie'identifietl at;ttie'time of-�` `
permitting. it is further understood that Transportation Impact Fees a�d Resource:Recbvery Fees must be paid prior to
receiving a"certificate of occupancy"or final.power release. If the.projecYdoes not ir�volve a certificate of occupancy�or n�=
final power release,.the fees must be paid p�ior to permit"issuance. Furtfiermare,if,Pasco County WaterLSew.er_�Impact.
fees are due,they must be.paid_prior to permit issuance in accordance with'applicable Pasco County ordinances:
COPISTRUCTIOM LIEN LAW(Chapter 773,Florida Statutes,as amended): If valuation of work is$2,500,OO..or,more,.l.;;_-
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 Departrnent of P�qriculture and Consumer Affairs. If the applicant is sorpeone
other than the°owner",I certify that I have obtained a copy of the above desc�ibed'dacument-and promise in good.faith to _
deliver it tathe:"o�rner"prior to commencement ' "
CONTRACTOR'S/OWNER'S AFFIDAVIT;,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 pertriit 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 iri.the jurisdiction: I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited,to: �
- pepartment of Environmental P�otection-Cjiptess Bayheads, Wetland Areas and Environmenfally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District:Wells, Cypress Bayfieads, WeUand Areas, Altering
Watercourses.
- Army Corps of EngineersSeawalls,Docks,Navigable Waterways.
- Department of Health � Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic.Tanks. "
- US Environmental Protection Agency-Asbestos abatement. _
- Federal Aviatlon Authority-Runways.
I understand thai the following resfr(ctions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V°unless expressly permitted.
- If.the fill mate�ial 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 a�ea 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 conditiohs of tbe�building permif issued under•�the attached permit application,for lots less than one(1)
acre which are eleuated by fill,an engineered drainage plan is required.
If I am the AGEtdT FOR THE.OWNER;I promise in good faith to-inform the owner of the permitting conditions.set forth in
this affidavit prior to commencing construction. I.understand that a separate pertnit may be required for electrical work,.
lumbin si ns,wells, ools, air conditionin �`-��
P 9, g p g, gas, or othe�installations not specifically included in the application. A
permit issued shall,be construed'to be a Ifcense to proceed`wifh the work and not as authority to�violate,cancel,alter,or
set aside any provisions of tlie technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in.plans;construction or violations of any codes. 6very_permit issued shall become invalid
unless the work authorized by such permit Is commenced withln;six months of permit issuance,or ff work authorized by '
the permit is suspended or abandoned-for a period of.six(6)montFis after the time the work is`commenced. An extension �
may be requested, in writing,from the Buildirig Official for a.period not io exceed•ninety(90)days and wilFdemonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO�-RECORD A NOTICE_OF COMMENCEMENT MAY RESULT IN YOUR
PAYING 711VICE FOR IMPROVEMENTS,TO.YO.UR pROPERTY:.�IF XOU;IN7'END�-TO.OBTAIN FINANCING;'CONSULT
1NITH YOUR LENDER OR Ald ATTORNEY BEFORE RECORDING YOUR NOTI OF�COMMENCEMENT:
FLORIOA JURAT(F.S.117.03) '
OWNER OR AGENT CONTRACTOR
Subscribed and swam to(or affirtned)betore me Uils Subscribed and swo t o ��n efor et�y ,
bY . —1 by � U� , l �l 1710� I
Who Is/are persanally knoxm to me or haslhave produced , /are�e� nally Yvn o me ar has/have produced i
as IdeoUflcatlon. .1.�1L�s as Identlficatlon. �
�
Notary Public �"+�- Natary Publlc
Commisslon No. Cam No.
�„4pY P�i
Name of Notary typed,pdnted or stamped Name of Nota t�'e n,�oq��ion#FF 150422
. =;`- �'a= Expires December 12,2018
. �%F;�°�GP�,, Bonde9 Thru Troy Feln Incurenae 800�385•7019
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To Whom It May Concern:
Ple se be advised that I,Scott David Vigue of Princeco Inc./Scott's One Hour Air,do authorize the
foll�owing persons to register the license# ICAC058205
I-C�C058205 and to purchase/pick up permits on my behalf. Please update your records with the
na es provided below:
Ke ny Newman
Ma io Martinez
Eri Juarez
ScoI t Wood
Jarr�es Mullis
Adr�anna Wallmueller
att n
John M diola
I sw ar that the above statement is true and correct to the best of my knowledge.
.����� ,.,� /�j, �'
46/
Affi�nt Signature Date
�C�' �b �,�-�
Affi nt Name
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Swo n to and subscribed before me this�day of�, 2016.
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N y Public
:,�""�`�;: 1AE6.ISiSd4 APD[�@ FAIR
'°: •': MY COM({AISSION fl FF920869
Pers� nally Known� ��•.,4,,. EXPH2ES September 22 2ptg
UC7139D-0�53 PlondeNota•y$�vv�ce con•
ID T ken ,
813- 51-3485
5808 N 56t''Street,Tampa, FI 33610 CAC058205
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CITY OF ZEPHYRHILLS - CODE ENFORCEIVIENT
5335 EIGHTH STREET, ZEPHYRHILLS, FL 33542
813-780-0020
�OIOLATION NOTICE
BY ORDER OF CODE ENFORCEMENT OFFICER
IT S�IALL BE UNLAWFUL FOR THE OWNER OR OCCUPANT OF A
RES�DENTIAL/COMMERCIAL BUILDING OR STRUCTURE, �OR
PRO ERTY TO UTILIZE THE PREMISES OF SUCH PROPERTY FOR
THE OPEN STORAGE OF ANY:
❑ UNLICENSED VEHICLE ❑ INOPERABLE MOTOR VEHICLE
❑ ffiGH GRASS & WEEDS ❑ DEAD TREES OR TRIlVIlVIINGS
❑ FURNITURE ❑ TRASH
❑ UNKEMPT ALLEY ❑ UNSECURED REFRIGERATOR
❑ APPLIANCES ❑ UNSECURED SWIlVIlVIING POOL
❑ BUII,DING TERI OTHER:
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ADD ESS: � � �� �J��f� ` �l+�ad�'p �i� DATE: � "' B / �� �'
UPOId NOTICE FROM THE CODE ENFORCEMENT OFFICER IT SHALL BE THE DUTY AND
RESPONSIBILITY OF SUCH OWNER OR OCCUPANT TO KEEP THE PREMISES OF SUCH
PRO ERTY CLEAN AND TO REMOVE FROM THE PREMISES ALL ITEMS LISTED ABOVE.
� FAIL RE TO COMPLY MAY RESULT IN FINES ASSESSED UP TO $500.00.
�
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COD ENFORCEMENT OFFICER DEADLINE
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iN NOTICE FROM THE CODE ENFORCEMENT OFFICER IT SHALL BE THE DUTY AND
PONSIB[LtTY OF SUCH oWNER OR OCCUPANT��M SE�S AL.T MS LISTED ABO E.
PERTY �CLEAIV AI�D TO RE�o TEN �NES ASSESS'ED UP TO $500.00.
U R E T C O M P L Y I U T A Y R E S U L
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