HomeMy WebLinkAbout16-17836 ; CITY OF ZEPHYRHILLS ,
'� ` 5335-8TH STREET
(813)780-0020 17836
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit I�lumber: 17836 ° Address: 38904 5TH AVE
Perrriit Type: MECHANICAL ZEPHYRHILLS, FL.
Class �of Work: A/C CHANGEOUT Township: Range: Book:
Propos,ed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcei Number: 11-26-21-0010-17400-0080 '
Improv. Cost: 6,600.00 OWNER INFORMATION I
Date�Issued: 10/17/2016 Name: FIRST UNITED METHODIST CHURCH �
Total Fees: 70.00 Address: 38635 5TH AVE
Amo�O nt Paid: 70.00 ZEPHYRHILLS, FL 33542
Date Paid: 10/17/2016 Phone:
Wo;'rk Desc: A/C CHANGE OUT 4 TON '
� CONTRACTOR S APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 70.00
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Ins ections Re uired °
DU TSINSTA LED
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DUCTSINSULATED
FINAL �
REINSPECTION 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.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
i 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."
Comp9ete 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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�CONT CTOR SIGNATURE 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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813-�ao-ooxo City af Zephyrhills Permit Application Fax-813-780-0021
r 4, , � Bufiding Department
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Date Receiv�¢ � _ - Phone�Cantact far.°Permittin - -
auvner's Name �� S �iG'° e ��L� Owner Phone Numbsr
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Owner's Addpess -� � C ���' Owner Phane Number
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Fee Simple Tltleholder Name �� ��l 3� � Owner Phone Number
,_ , .
Fee Simple�leholder Address Y
JOB AbDRES$ LOT# C� .
SUBQtViSiOFi �� � PARCEI.iD# /1' "" -C�1���1 �--~1'Tf�r?�-t�U�O
WOFtK P120Pb�}SED � � � NIEw CaNSTR `� ADDlA�T C�' �'��NED F,�PROPERTYT�ncE)�EMOI.ISH
� iW
e, INSTALL REPAIR ^
PROPQSED�USE Q SFR� Q COMM � OTHER �
TYPE OF CO�$TRUCTION - Q r BLOCK " Q FRAME �.C� �STEEL Q
DESCRIPTIQN OF WORK `/' (S� lz`( s • �' �r' �
BUILD1TtG SIiZE � ' � S4 FOOTAGE�l�. - - .,,HEIGNT �C��--_`-�
QBU�I.DINC' L � VALUATION>QF TOTAL CONST'RtJCTION -
, � . _
QEI.ECTRICAL • $ � AMP SERVICE Q PRO�aRESS Et�lERGY Q W.R.E.C.
QPLUMBING $ I • /_
� - . , �.-�� �X�
�MECNANtCRL $ � fy� �-Jt? VALURTtON OF:MECHANICAt.[N9'CRLLATtt?N ���
b t.�� . - .
QGA�S Q RDOFING Q SPEGIAi.TY � = OTHER -
FINISHED FLpOOR ELEVATIONS r�� FLOOD ZQNE AREA G]YES NO ' .
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SUI�DER COIVIPANY' "
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N .
Addres Ctcense# �i �
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ELECTRICIAN � C'ONlPAAtY � -
SIGNATURE '� REGISTERED Y/ N FEE'CURREP� Y/N
Addrag� � � , _ . Licanse# - '
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PLtJMBER ` CQMBANY � . �. °
SIGNATURE` ' ' , REGISTERED Y,/-.N �e cuR�� Y/N
Address , . � , .�icense,# �. , �r I.
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MEC1iANtGA1: ' . � . GOMPANY o/;'�"-.,� C.._�ry- � .
SIGNATURE� t REGIS7ERED Y,/ N . ,' FEE CUFtRE�- Y MN' .
Add�ess' ' � :_ � ` - - �tcense#�����.�- �
OTHER ; ` � _ � < �'GOMPANY ' � � � ,
SIGNATURE � - �� �� ' � - ` REGISTERED � Y/ Nr..-. FfE CURRE� , Y/N
Addre� .. , ,�� °. . , `, .y � 3 � . Liceitise# � � �
' i� ...,�... . .�.. ._� .. . S;,c',: �' f' Y�s' ' ' r-. . .� . .,
RESIDENiiAt:.:; �Atkairfi'(2),Rlot�Ria"n's;,:(2}sefs=of:Builillisg'Plans,(!}sef of Enaigy=Famts;,R=0-iN'Parinit fot new canshuction, -
�� ���Minimum�ten(1A);vuo,rking,iiays;after�,"submi(tal�dafe�:R'equired onsife;.Cion`stivallon:Rians,StomiwateF'Pian"s�w%Siit'Fence instailed,
�M�.�:�._.....;.... .::. ..e..,...�_, , ,
Sanitary FaciltUes;&;1:tidumpsternSlte�Work.,.P,ermit#or subdivisions/large`proJeots. �- � � '
COMMERCIAS. At#ach{3}cot'riplete s`sts°'of"Biilidlc�`g"�'laiis pliis a Ltfe'S�fety Page;�{1}set of Enetgy Fotms.R O-W Petmi#for nsW construcUon.
� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
� Sanitary Facilitles&1 dumpster.Site Wo�lc Permit for all new.projects:All comme�ctal requlrements.must meek campliance �
SIGN PERMI'f AttacF�{2}se#s�of'EngliieerediPlaris:, . �rt,-`� ;:..,'-a_`.
� "`"PROPERTY SURVEY required for,all_NEW canstrucUon._ ,
Dlrectlons: � ��
Fill out applicatlon completely.
Owner&�Contracbor.sign back of appltcatlan,notadzed
tf aver�04,a NaNce.of CommencemeM Is required. {A1C upgrades aver 57500}
rr ��.�G:ti�4z':,;!c;.i
Agent(f�r tlie�contractoc)br Powe"r of Attomey(fi�r tFie oJtimer)would be someone with notarized letter from owner authodzing same
4VER TFiE Ct�UNT.ER PERMIT-7fNG � �-� (Frant af Applicatton Oniy}:-.
Reroofs if shirigles Sewers � Service Upgrades,A/C , Fence's.(PIaUSurvey/Faotage)
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Drtveways-hlot cver Counter if cn public roadways:.needs ROW. � j
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NOTiCE OF DEED RESTRICTIONS: The undersigned,under�tands;th�t:thls.p�rmit-:may,:be,sub)ect.to„"deed"_.restrlcttons":_,:;,;' "
�:,_;: �_
which may tie�more:r.esttictive:�th��-County"r+ag�ulations:=�The`undersigned ag�sumes���esponsibiltty'for'compliance:with`any' '�`- ����
applicable:deed restrictions. - -:. ; ..: : ; _- �, �� � , _ , ... .:, ,,. ,.,. .- :.,;,,,-;
UNLICENSED�CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: °If�the�,owner�has�`fitced��a�':contractcr or
contractors to undertake work, they may,b._e;reiquired=.td;be,:.licensed In�:accordance.with.state�.and�local�regulatlo�s:,�If�the= ���� ���•`°
�_��<,,..;.,:�,..:.-. -
contractor ls not itcensed as�required,°tiy lew, both the owner and=conUactor°-may be�cited.for�a misdemeanor violatlon
under state law. If the owner or Intended_icontrac�tor,ere,�uncertaln as to what Ilcensing.requlrements..�mayNspply��:for-tlie'��.�-��•� • �'`�
intended"work, tfiey are�advised fo aoritact the Pasco:County Bullding`Inspection DN►Islon-Llcensing°Section et 727-847-
8009. Furthermore, if the owner'has��liired'a contracto� or contractors. lie is advi§ed to have �the contractor(s)„sign,_ _ .
portions of the "contractor Block" of this_application.for_whlch,they,wIIL..be=tesponslble:_�If-you�_as:.#he owner`'sign'�as�the`�' ��
contractor that�•may be an indication thaf'Fie-ls�not:properly`Iicensed�and`is not"entitled'to pemiitting�priiiileges In Pasco ;}r . ,,
County. ' ' '
TRANSPORTATION:IMPACTIUTILITIES�(MPAC7 ANb°RESOUitCE RECOVERY FEES: The under�tgned-understands
that Transportation Impact Fees and.Reco.urse.Recove.ry.Fees may:apply:-tc�the;construction;of new buildtngs��change�'of"'��•"�=' � ''
use in existing buildings; or-:expansi���of�ezistin�',buildings, as specified.tn Pasco County Ordinance number 89-07 and
90-07, as amended.,,w.The undersigned also:urtdersta�ds, tha�t`such fees�-:as�may��e�<due;�wlllr be tdenttfied at the��time�of°� �ti�� �
perrt�ilting. It is iurtFier understood that Trensportatlon Impact�Fees and`;Resoucce:Recovery-Fees..mu"st be pald prlor to
receivtng a_"certHicate�of occupancy"�or flnal�powerrelease.• :If°the.project._does.not Involve�a��.certfficate of occupancy�o�=��:���•=` �'�
final power release; the;fees-mu�t'�be pafd`;prior to:permit issuance. F��the�`more;�if:Pasco:;County'Water/Sewer,�lmpact -- .. �
fees are due,.they;must be=pald.pNor�o permit��issuance=ln accordance witff:applicatile Pasco'County'ortlinances. •
CONSTRUCTION�LIEN'LAW(Chapter 713� Flo�da Statutes�as amended): �f valuaHon of work ts$2,500.00.�ormore�.I�� �: =-;�;�;
certify that I, �he applicant,-have-been provided•�wlth--a�copy of the��"Florida� �onstructton�Llen.:L"aw—Homeowner's
Protectfon Gutde" prepared by'tFie Floi�da Depa�tment�of Agric.ulture and ConsumerAffa(rs. If the appllcant Is someone:.:, �., -.
other than the'owner", I certifjr,,that I h�ve,optaJned�'a eopy,of.the;above:.des.c�ltied��focuii�ent:and:.pr.omise�;in_;good°.faith to ,_
deliver it to the<`owner.":prior:.to�commencement:-' : ' . . �. .- :'`: ."�.-� � . -
CONTRACTOR'SIOWNER'8 AFFIDAVIT: I.certify::ttiat ail the�information:in-thi� application is accurate and that all work .
witl'be done in compitance with all applicable�laws regulating constructlon� zoning and�land,`development. Appl(cation is
' hereby made to abtain..a.permit;to:do..,worlceand�Installatlon �s Indlcafed:,�•�.�I• cettify that no work�:or Installatton has
commenced prfo� to Issuance of�a permiE�"and that.all wark wlll be perFormed to meet standards-of all laws regulating-
construction, County and City codes, zoning regulatlans� and land development regulatlons�ln the:jurisd(ctlon.= I�.al'so . ..
certlfy that I unde�stand that the regulatlons of other government agencles may�apply�to the.lntended work, and that It 1s
my responstbility to Identify.what.actions I must take:to be.tn:.corrlpllanca;...S.uch.agencles Include but�are.not Ilmlted to: � •
- Department of Et�vlronmental��Protectton`=Gypress.'�ayhead�; Wedand Areas and Envtronmentally Sensitive
Lands,WateNWastewater Treatment. � �
- Southwest Florida W�ter Management.:Dlstrlct-Wells;''Cypress.r Bayheads,- Wetland� Areas, Altering
� Watercourses. - • •
- Army Corps of Englneers-Seawalls, Docks� iVavlgatile Waterways.
- Department of Health;;� ,ReMabllltative��Servlces/Environmenfal..Health Unit-VVell.s;.�Wastewater=Treatment, '
Se�tic Tanks:_.. � , . -
- US Envlronmental Protectlon Agency-Asbestos abatement. ,
Federal Avlatton.Authorlty-Runways.� �
I understand.that the.following:restrlc8ons apply to the use of flll:
I - Use of flll Is not allowed In',Flood;Zo,ne"V"unless exppessly permltted.
- If the�fill materlal�ls to �be used`�In.�Flood Zone. A, It. Is understood that a dralnage plan addres$ing a
"compensattng volume" will be submlited at�ime of�permltting whlch ts prepared by a profess(onal englneer ' - �
Ilcensed by�he State of'Flotlda: � � -- '
- If ih� flll materlal-.Is�to:be used in Flood Zone "A" in�connec�ion�wlth:a permitted building using stem wall_ .
� construction, I certif�r that fill:wall=be-used only.to flll the area withln the�stem�wall:
' - If flll materlal Is to be used In any area, F�certlfy that .usa of such flll w111 not adversely affect ad)acent
' propertles. If use�of flll Is found,to adversely:�ffect ad)aEent�prdpertles�.the owner may be clted for vlofating, '�
the condlllons_of the bullding-.permlt lssued-under the°,attached..permtt appl(catfon� for:lots�.less.than.one (1)
acre whlch-are elevated�tiy fllt; a�t,englneer�ed dralnage plan Is requtred.
If I am the AGENT FOR THE OWNER,.I�.�romise In good fatth to Inform the owner of�the permltting condftlons set torth In
thls aifidavit`prtor to commer�cing construcNon. f understand thet a�separate permlt may be requtred for electrlcal�work, �
plumbin , signs, w�lls,.pools;. alr condltlonin '��� �� �tt . I
9 . 9� �9as, or.otMe� Install�tlons not•spec�lcally Included-in.the applicat(on. .A
permlt Issued shall be constcued to'be�a�Ilcense�to�proceed wtth tNe:wo�k and-not-as.authoNty.to:vlolate;�.cancel; alter, or
, set aslde any-provlstons of tfie teahnlcal codes;�nor shall Issuance�of a.permlt.pcevent the�ulldlrig Of�iclal irom thereafter
�.__,.
requlrin.g a coRectlon af errors in•plans; constructlon or vlolattons of-any codes. Every permlt'Issued�shall beaome invalid
unless the wrork authortzed.by such permlt:�(s.commenced�wlthtn sfx_months of�permlt lssuance� or tf work authorized by
the permtt is suspended�or.abandoned-for:a;period-of�slx=�)�montNs.aRerthe tlme the�work�ls cortemenced. An extenslon I
may be requested, tn wri8rig,,from the,�Building,Offlclal for a perlod-�not to exceed'nlnety�(90) days a�d vir111`demonstrate i
justlfiable�cause for.the extension: If work ceas�s,for nlnety.(90)cons.ecutive day.sr..th�)ob;is consldered abandoned. � " �,
' IMARNING TO OWNER: YOUR..FAILURE�TO..RECORQ.A-NOTIGE�,OF.�COMMENCEMENT�MAY�RESULT IN�YOUR
PAYING TWICE:FOR:IMPROVEMENTS�T�O:Y�OUE�,;PROPERTIf:�-�IF°.YO.U=IN�END:T�OBTAIN� N�A(�EfNG;�C.ON3ULT
WIT U D O. AN ATTO NEY ORL� �E�OR� ��� OUR' � ; ?O " ��. . � _ T, , _ _–__--
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---FLORI�AJURA�•(F:S:9:97.03j-_=— -- - -- .- - .. .._�.. •-- ----- - -..__ : _ _ -
OWNER OR AOENT � CONTRAGTO ' � �
Subsalbed and sarom to fllrtned)be e thls Sub bed and'swom�to ot rmed)�b- me ffilfi
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by -
Who Islare personell kn me.o s/have produced Who.ls/ar ersonally'kno •ta.me or(aslhave�produced
' dentlflcatlpn: - as tdenBflcaflon.
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Notery Publlc . � "�� Nofary Publlc.
Commisslon No: Co slon�N ��
:q��'Y•p:�B`. E BOGES
_:� '::= Commission#FF 150422 '
Name of Notary typed,p�lnted or stamped Name of Notary lynl��ber 12,2018
'•��od�Q.•��� Bondod Thru Tmy Fain Insu�ance B00.385-7019
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NATUREt3F ,❑ GASH
REQUEST"'�Y � � • ❑ Ci�ARC3E
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