HomeMy WebLinkAbout16-17749 ; CITI(OF ZEPHYRHILLS
`' � 5335-8TH STREET
(813)780-0020 177
� BUILDING PERMIT �
PERMIT INFORMATION - LOCATION INFORMATION �
Permit Number: 17749 �►ddress: 5152 17TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est� Value: Parcel Number: 11-26-21-0010-19700-0120
Improd. Cost: 4,650.00 � OWNER INFORMATION - �
Date �ssued: 9/20/2016 Name: TURGEON SAM
Tot�l Fees: 60.00 Address: 5527 16TH ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542
Date Paid: 9/20/2016 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON SPLIT
I CONTRACTOR S APPLICATION FEES
PATTIE ELEC. & REFRIGERATION A/C CHANGEOUT 60.00
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}- Ins ections Re uired
DUCTSINSTALLED
DUCTSINSULATED
FINAL I
REINSPECTION 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.
'I 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
impro;vements 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:
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. �
NO OCCUPANCY BEFORE C.O. �
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��ONTRACTOR SIGNATURE PERMIT OFFI R
I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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C�LLED T P�1 LaY o SAM ��3—�t►►Z�-818� '
�►ii�64•�81 B� REMARF<
"1`U RC��ClI�I, t�l T I�FRED r�IST�LL hfEW SF�L�T SYSTEh�I fiF-fEEhri
l�Tfd�REI? TI�f�GEUIV � 1 f;=' TOf�I F='Ef� G!UO"fE �465�
�15L j 17TH ST
ZEF�t-I�'RHiLLS FL 3�;�-�: '
wor��; o��c�
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Tax �o ��
Total �. ��
I �9et Ta f'ay �+a ��� �
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TECH T I f�E DATE �
iJT I L I��TIY AhlD I hlS�ECTOF� REQU I RE US TO BE Dtt! S I TE �
E;EFORE F�QWER IS TURNE D O F F A i V D C 1 N. INSF�ECTOR �
REDUI' ES US TQ PE ON STTE I�URING A��F'ROVALo EACH ARE
SELDO ON TTMEo C05T FOR COMF�LIANCE IS �7Q�/HR ',
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,- s�saeIo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
� f ' � � Building Department
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Date Received j . > Phone Contact for Permitting" = �
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Owner's Name� � a, Owner Phone Number .
Owner's Address � �h Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number � �
Fee Stmple Titleholder Address
JO�ADDRESS � ✓� LOT# �
SUBDIVISION PARCEL ID#
� � (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e _ NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR '
PROPOSED USIE Q SFR Q COMM 0 OTHER
� TYPE.OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q �
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DESCRIPTIOtd OF WORK V�, � "�� '
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', BUILDING'SIZE ,SQ FOOTAGE� ,HEIGHT
QBUIL'IDING $ VALUATION°OF"TOTAL CONSTRUCTION'
QELECTRICAL , $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C.
QPLUi BING $ . � _/n
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MECHANICAL $ • VALUATION OF MECHANICAL INSTALLATION �l �
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QGA i Q ROOFING Q SPEGIALTY � OTHER �D�
FINISHED.FLQOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER COMPANY
SIGPIATURE REGISTERED Y/=N FEE CURRE� Y/N
Address License# �
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ECECTRICIAN COMPAtdY �
SIGNATURE ` REGISTERED Y/ N FEE CURRE� Y/N
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Address Cicense.# � �
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PLUMBER,;,, I COMPANY� ' �
SIGNATURE� , �REGISTERED- Y.�/ N FEE GURRE� Y 7 N '
, Address' License•# � ;
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,_ MECHANIC COMPANY �CQ�iV
SIGNATURE' " REGIS7ERED Y/,N FEE CURRE� Y -N
Addre'ss� License#
,"•,i5i:'��, .. . . . . . . � .
OTHER�a � � ' " � COMPANY
.'SIGNATURE,t.i �� •- REGISTERED Y7 N FEE CURRE� Y/N
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Address;-. ' • � � • � ' ` License# �
` RESIDENTIAL�':', Attac(i.(2)iPlot�Plans;�(2)ssets_of�Builtling�Plans;(1)setof°Ene�gy,Forms;R-.O-W.Permit.for.new.construction, I
� � •• y�Minimum;.ten��(.1'0)working!days afte�;§utimittal date. Required'onsite;�Construction Plans,yStormwater Plans w)Silt Fence installed, I
.,,'�•3?,.,t."yl : . . ., ., , � .
Sanitary„Facilities;&,1:dumpster;Site;W,ork Permitfor•subdi'visions/large:projects
:�,COMMERCI i. Attach`(2)'corripleCe sets of Buiiding�Plens plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence:installed,
� Sanitary FaciliUes 8�1 dumpster,Site,Work Permit fo�all new projects.All commercial requirements must meet compliance
'�3SIGN'PERAAIT� AttacFi�(2)setsof-EngineerQdPlans:�� '
I ""PROFERTY SURVEY required for_aII.NEW construcUon. - ,
''-Directions:. i , <-. - • .. � _ _ _ ,
Fill:out application completely.
Ovirner&ConVactor sign.back of application,notarized
- if over$2500,a Plotice of Commencement is required. (A/C upgrades over$T500)
" Agent.(fo�tFie cont�actor.)-or Powerof Attomey(for ttie ouvner)would be someone with notarized letter from owner authorizing same
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�.'•OVER.7HE COUNTER_PERMIT-TING,.� � °:'(copy`.of;contraetrequlred) ' ' ,
Reroofs if shingles Sewers ,�Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter'if on public roaduVays..needs ROVV
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NOTICE OF.DEED RESTRICTIONS: The undersigned understands.that this,permit may be subject.ta°deed",restrictions".'r�
which may-be more:�r.est�ictiue;than County:cegulationss :i'Fie:ianelerstgneci assuine'si:�esponsibiftty-for��compliance'wifh any'"`
appl'icable deed restrictions. ; . ��-� -�-�._��=�� �-
UNLICENSED-:CQNTRACTORS AND CONTRACTQR RESPQNSI�ILITiES: if ttie-owrier-�°tias�fiired-=a�contractor or• ,`
contractors to undertake vvork,;they may be_.required#o be�licensed in accordance with state and,local!cegulations:`:If�.the�-�='�
cantractor is-not l►censed�as_:required �y lavv, botti'the avimer�and°-contfaetor�<riiay;�5e�-c�tsdAfor�°a-misdemeanor violakion r
under sfate iaw. If#he awner or intended,cantractor are uncertain as to what ticensing requirements=may�.apply�for°°tli'e->��` ,
intended war.k, they are advised to cantact'the Pasco.Caunty B�uilding In§pection"Division.=Licensing Sectian at 727-847= '
8U09. Furtherrrtore, if the owner has ttited'a cciritractor or cont�actars, he is advised to�have the contractor(s). sign :.:,
portions of the "contractor Block" of this applicatian,for w►hich they.will..be�responsible: ff-you, as:thie;.owner sign as:tlie �,
!� contractor, that may be an indication that he is nat praperly licensed and is nat entitle� to permit#ing privileges,�n Pasco:_z,.;
County. . . _.ti ._ _...4 .. ., „ a
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY"FEES: The undersigned understands ,
tha#7ransportatian lmpact Fees and Recaurse Recavery Fees,mayrapply'to the construction of,newbuildings, change�of�?�` :;
use in existing buildings, or expansiori.of:existing buildings, as specified in Pasco County Ordinance number 89-07 and
9Q-07, as ame�ded. The undersigned also understands, that such;fees, as`may<be.due, wilf'Ete�identified at�#Fte-tirr7e.:of' �- �
permitting. it is further understood tha#Transportation (mpact Fees and Resource:'Recovery,.Fees must be.paid prior to �
receiving a "certificate of occupancy"�or final.power release. !f the praject does not invalve a cei#ificate of accupaney°.or`_-:��_ �
I final power release, fhe fees-must be paid prior ta permit issuance. Furtiiermore, if,Pasco County Water/Sewec�lmpact=�_�
fees are due, they must be paid prior ta�permit issuance in accordance with°applicable.Pasco Caunty ardinances.� J '
CONSTRUGTIOMrk1EN l.AW"{Chapter 718, Flarida S#atutes,as arr�ended}; 1#valuation of�rork is$2,500.00:;or more,�1�}�,�
certify that I, the applicant, have been. provided.with a copy_ of the "Flarida Cons#rwction kien. ,L.aw�Homeowner's
� Protection Guide" prepared by th+e"Florida Department af Rgriculture a�d Consumer Affairs. !f the applicanf is same,one., �
ather than the"awner", i certify that( have ob#ained a copy of the above described'document and promise in good�,faitfi to`� ,
delivec it to�the=°qwne�'priac to commeneement. ' '" '
CONTRACTC�R'SICIINNER'S AFFI�A�IIT:.�I.certify.that all #he information in this applicatian is accurate and that aifi vuork
will be done in compliance with all applicable laws regulating canstruction, zoning and land-development. Application is
hereby made to obtain a permit to,:do work and instatlafian as.indlcated. 1 cer�ifjr thaf no work or iiisfallatiori- has
commenced prior ta issuance of a permit and that all work will be pertormed ta meet standards af all laws regulating
construction, County and City codes, zoning regulations, and land devslopment regulations iri�the jurisdiction: ! alsa
certify fhat I understand#hat the regu(ations af 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:
- C?epartment of Ernironmen#al•F'rotection=Cypress Bayheads, Wetland Areas and Enuironmentally Sensitive
Lands,Water/Wastewater Treatment. �
- Southwest Flarida Water Managetnent Dis#rict Wells, Cypress Sayheads, Wetland Areas, AI#erir�g
Watercaurses.
- Army Carps of Engineers-Seawalls, Dacks, Naviga6le Wa#erways.
- Department of Health � Rehabllitatiue Services/Environmental .Health Unif-Wells, Wastewater Treatment;�
Septic Tanks: -
- US Enviranmenta[Protection Agency-Asbestas abatement. .
- Federal Aviation Authority-Runways. �
I understand thaf the�following�re"strictions apply to the use of fill:
- Use of fill is not allowed in Ftood Zane"V"unless expressiy permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
" "compensating volurrte" will be submitted at time of permitting v�rhich is prepared by a prafessional engineer -
licensed by the State of Flarida. -
- !f the fiH ma#erial is to be used 'in Ftaod Zone "A" in connec#�an vu�th a permitted building using s#em wall
construction, I certify that.fi(I witl be used only to fll 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 affeat 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 attached permit application, for lots less than one (1)
i acre wliich are elevated by fill,an erigineered drainage plan is required.
If I am the AG�NT FOR THE OWNER;�I�promise in good faith ta inform the awner af the permitting canditions set forth in
this a�davit prior to comrnencing�constr�ction. I_understand that,a separate permit may be required for electricaf.work,
plumbing, signs, we1�s, paots,,air canditioning, gas, or�o#her�instattatians nat specifica�lly included in the application. A �
permit issued shall be construed to be a license to:proceed'with the wark and not as aathority to'violate, cancel, alter, or �
set aside any provisions of tiie technical codes, nar shall issuance of a permi#prevent the Building Official from thereafte�
requiring a correction of errors in.plans, construction or violations of any codes. Every permit issued shall become invalid �
unless the work autharized 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>af six(6)months after the time the work is'cammenced. An extension
may be requested, in wri#ing, from the Building=0fficial far a..period nat to exceed-ninety (90) days and wiA demonstrate �
justifiable cause for the extension. 1f work ceases for ninety{90}consecutive days,the job is cansldered abandoned. :
V1lARNING TC3 QWNER: YOUR FAI�URE TO,RECORD A-Nt?T10E OF COMMENGEMENT MAY RESUCT IN YOUR '
PAYING TWIGE.FOR iMPROVEMENTS TO�YO.UR:uPROPERTY.,;IF YOU�INTEND-TO OBTAIN FINANCING;��CONSULT
WITH YQUR CENDER OR AN ATTORNEY BEFORE RECORDING,Y4UR NOTICE OF'CQ MENCEMENT:
FLORIDA Jl1RAT{F.S.117.03) __. _. _ -- - —`__ -- - --- — - --_ _.. _ - - -__ _
� OWNER OR AGEPIT � —~�v CONTRACTOR �`" � � i~~�>
Subscribed and swom to{or af�rmed}before me thls Subscribed and swom ta ar tmed)be�re me this `-
by
Who Is/are personaUy known to me or haslhave produced '� Who islare rs ally k, to me or haslhave produced
as 3cfen�ficatlon. as Identificatlon.
Notary Public Natary Public
Cotrtmission No. Co mis an No.
o�PR,°y,�;• CQUELINE BOGES
•°?•� o:
s*: ::_ Commission
IUsme af EVotarY tYP�,P�n#ed as stamped Name of Natary typ ;,,, �F.a ar ecembet 12,20i8
�A,,,,, Bandaa Thni iray Fain Insurance 800.385•7019
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