HomeMy WebLinkAbout16-17841 , CITY OF ZEPHYRHILLS �
�� � 5335-8TH STREET
' (813)780-0020 178 1
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit FJumber: 17841 Address: 4949 17TH ST
Perrriit Type: MECHANICAL ZEPHYRHILLS, FL.
Class �f Work: A/C CHANGEOUT Township: Range: Book:
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�re Feet: Subdivision: MOORES FIRST ADDITION
Es'�. Value: Parcel Number: 14-26-21-0010-00400-0010
Improv. Cost: 3,000.00 OWNER INFORMATION
Date Issued: 10/19/2016 Name: SUGGS DEBRA
Tot�al Fees: 50.00 Address: 6047 TWIN BRIDGES DR
Amo�nt Paid: 50.00 ZEPHYRHILLS FL 33541-8373
Date Paid: 10/19/2016 Phone:
WoPk Desc: A/C CHANGE OUT 3 TON
� CONTRACTOR S APPLICATION fEES
ABSOLWTE AIR SYSTEMS INC A/C CHANGEOUT 50.00
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I Ins ections Re uired
DUCTS INSTALLED
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DUCTS INS�LAT
FINAL �I � "'
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REINSiPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local overnment 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
may bie 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
impri 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 pertormed in accordance with
I City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
iI . NO OCCUPANCY BE�ORE C.O.
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'' ;CONTRACTOR S ATURE PERMIT OFFI R
I PERMI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
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Date Recalved Phone�Contact for Permittin ' —
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Owner's Name �'� Owner Phone Number
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Owner's Addrelss ���m� � Owner Phone Number� �
Fee Simple TltUeholder Name Owner Phone Number
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Fee Simple Tit�eholder Address '
JOB ADDRES3 I( � T � LOT# ��
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SUBDIVISION�, PARCEL ID# -
; . (OBTAINED FROM PROPERTX TAX NOTICE)
WORK PROPqSED �cNEW.CONSTR - ADDlALT Q` SIGN -Q Q DEMOLISH
I B, INSTALL B , REPAIR ��
PROPOSED�USE Q SFR Q 'COMM Q OTHER
TYPE OF CONSTRUCTION - Q� BLOCK ' Q FRAME Q 'STEEC Q
DESCRIPTIOt�OF WORK ���� � �a- � (�n Il�
BUILDING SIZ� ' ' SQ FOOTAGE " „ - HEIGHT ._
Q BUILDING $ VALUATION'.OF TOTAL CONSI'RUCTION �
QELECTRIGAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLU BING r$ ' - '� ���
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[�/�u1E�HANICAL $ 2�,.yy,� VACUATION OF MECHANICAL INSTALLATION
�Z�C� i r , .. ' /
QGA Q RO.OFING Q SPECIALTY Q OTHER� ' a, l �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMP`I4NY'
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N' . ,
Address License#
ELECTRICI_. ; � 'COMPANY �
SIGNATURE '� REGISTERED Y/ N FEE�CURRE�' Y/N
Address - � ` V � , License# . f
PLUMBER ; � , • COMPANY-- -
SIGNATURE � ; _ REGisTeREo Y./..N.. I .,FeeCu�ten` Y.-/N �
Addressl . � 3 ..License,#
•MECHANICAL �' �,�� COMPMIY. ��� �
S� ��rS
SIGNATURE I - ` ' � " �Gis7ERED Y. N FeE CuwtEn' •Y N .
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1:,, .c�, '7��.�SS /�=���'//C � � .. ' License# C��.lg'����� .
Address '>-- '
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OTHER ''j , � . � ' ' ,`;COM,PANY �
SIGNATURE a •— � ' � � � ` ' 'REGISTERED ' ' Y/ N._ FEE CURRE� Y/N
Addre I , � � . . - � ' Ucense#
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RESIDENTIAI:';-.Attacfi'(2)�Plot%P.laris;.(2)sets�:of�Bulldtng�Pians;(1)set oE.Energy°Fo"rms;�R-0-W Permlt for new construcUon,
;� �;`���Miqimum;,tenx(;10);•�wo,rt4tng;days after�subrrmlttal date:s R'equlred onsife;;Construcd'on Plans;Stortnwater'Plans w/Stlt Fence installed,
� Sanitary FacfllUes;B=-1:;dumpsterSite°Worlc:Permit for subdiv(sionsAerge,�projeCts `- -
COMMERCIE Altach(3)complete sets"of Building�Plan§plus a�Life�S'afety Page;(1)set of Energy Forms.R-0-W Permit for new construction. _
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Minimum ten(10)worktng days after submittal date. Requ(red onsite,ConsUuctlon Plans,Stortnwater Plans wl Silt Fence installed,
, Sanitary Facilides 8 1 dumpster.Site Work Permit for all new,projects:All cammercial requlrements..must meet compliance
SIGN PERMI� Altach"(2)s'ets"of�Engineer.ed�t?lans.:,.,.�:r--=• , � �
"•'PROPERTY SURVEY,reGuired far all_NEW construction.. .
Dlrections• I �� �;�;":�t °-. '
Ffll out a plicatlon completely.
Owner 8y Contractor sign back of applfcaUon,notarized
If over�2500,a Notice of Commencement is requlred. (AIC upgrades over 5T500) ;
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" Agent(for the contractor)or Povue�of�Attomey'(for fhe owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER.PERMITIING�•--��- -(Front of•Applicatlon Only)-
Reroofs if shi�gles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) �
Drivewaya-iVot over Counter if on public roadways..needs ROW
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NATICE OF DEED RESTRICTIONS: The undecsigned.unders�tands�_th�t;this;p�rmif,may;be,subJect�to,"deed",restr.ictions°�_'.�:;,.�;�.;�`.
which may�tie:more-resVictive�tH��t County�regulatl`ons:��The`_underslgned assumes responsiblltty`.for'compllance with�any y" �� " �'
applicable;deed restricttons. -�; - � .. .._. -..,-._��:
UNLICENSED�-CONTfiACTORS .AND CONTRACTOR RESPON$IBILITIES:� -If=the�owrier-has�fiired��a-`contractor or
contractors to undertake work, they m�y,b._e=required,--:to.be,llcensedin:accordance.wtth�state.and;local�regulations.i�*�Ifi�the�• ='� _�"�'�;
cont�actor (g-not Itcensed'as'requGed�'.tiy law,:tioth�the owner and`�cont�a'c'tor�may be-cifed forsa��misdemeanor violatlon
under state law. If the owner or Intendedt;contractor;�are:uncertain as to what Iicensing.requlre�nents:;may>�apply:::for�the�«. •�;�-����'
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intended work�tFiey a�e�advised to coritact:the Pasco County Bullding`Inspection.�Dlvlslon-Licensing Section at 727-847-
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8009. Furttiermore, If the owner has�`hired"a cont�acto�'or contractors� he Is advfsed`to have �the contractot(s)„sign__, _
portlons of the "contrector Block" of..this_.appiication.fo_r_,which.,they,wilt.be.r.esponslble.-. If.=you;=�as#he owner's`i`gn''as`the` �' `'�
contractor, that�may be an indication that'he-1s~not:properiy licensed�and��is not entitled to permitting'privlleges In Pasco
County. - � -- ... .,. ... ._. � '::.--�-.,: � ----
TRANSPORTATIOM:IMPACTIUTILITIE$•rMPAC7�AND�ItESOUitCE RECOVERY�FEES:� The�under�igned understands
that T�ansportation Impact Fees and.Reco.urse.Recovery_Fees may.apply�to�tf�e;constructton.of new_buildings�;change of���= `'���'���'
use in exisNng buildings, or,�.ezpansi�n�rof�+exlstin�g:�buildings; as specffied.in Pasco County Ordinance number 89-07 and
90-07, as amended.,�.;The undersigned aiso;urtdersta[�ds, tliat�'such fees;aas��may�be�rdue;,:will:..be identified at the��t(riie`of���� -��' �''
permitting. It Is furtFier understood that Transportation Impact'Fees and-�Resourcev:Recoi►.ery�`Fees�.must be paid prior to
recelving a"certificate.of�occupancy"•or flnat�powerRelease.� :If the.proJ9ct.does.not InvolveP a,certfflcate of o�cupancy�o��"�'���~ �"�
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final power release;.,the',fees�mu�t be pald;prior to,permft issua"n"ce. Fu�thermore;tf:.Pasco,C;ounty�Water/Sewec;lmpact - ::_•,•_��
fees are due;.they�must.be:pald.pclor to permit-lssuance=ln.accordance wittY�applicabte_Pasco�.County ordinances. �
CONSTRUCTION�LIEN�LAVIf'(Ctiapter 713, Florlda Statutes�as amended): tf valuation of work Is$2,500.00,;or more� l �: :��a.,
certify that 1, -�he �applicant;�-have-been provided. with a copy of�the:"Florida-Constructton� Llen'Law—Homeowner's
Protection Gutde" prepared by,tfie Flo�ida Departmer�t�of Agriculture and Consumer�Rffairs. If the applicant Is someone- ,, `�, ,:: �
other lhan the`owner", I certifja that.,l�have.o.b,tained�a�copy.of..the:above..rlescrlbed docu�ent-and_p.r.omise��ln,good'faith�to ,., �
deliver it to the."ownec"�prior:to:�commencemenE3•' ' � "- ' '� --- � ,
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certlty;;th:at;all,the�lnformation:.in•tht�appllcatlon is accurate and that all work
will'be done in compliance with all.applicable�laws regulating constructlon, zoning and�land��deyelopment. Applicatlon is
hereby made to obtain-.a permit�to �do�:work:;,and�Installation as indl�ated:>>..•`i• cettify that no work�:or (nstallation Fias -
commenced prlor to issuance of'.a permif'an'd thaY.all work will be perFormed to meet standards��of all laws �egulating-
construction, County and City codes, zoning regulations, and land development regtalations�in the:jurlsd(ction.���I�al'so.. .
certlfy that I u�derstand that the regulattons of othe�government agencies may�apply to the.intended.'work, and that it is
my responsibility to Identlfy�what,act(ons I must�take:M be,ln:.conlpliancs.. S,uch.agencles include but-are.not Ilmited to: --
- Departmen! of Envtronmental��Protection=G�rpress�Bayfiead�, We�and Areas and Ernlronmentally Sensttive
Lands,WaterNVastewater Treatment. � �..
- Southwest Florida Water Management:-:DBstrict-Welis; Cypress.^Bayr�ead§;- Wetland Areas� Altering
Vllatercourses. - • �
- Army Corps of Englneers-Seawalls,'Docks, Navtgatile Waterways.
- Department of.Health,'.8. Reltabilitative.ServiceslEnvironmental.-Health-Unit-Well.s, Wastewatert Treatment, �
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Septic Tanks:. _. . - -. _ _:. .
- US Environmental Protection Agency-Asbestos abatement.._
Federel Avlatton_Authority=Runways. � � �
I understand.that the.following:restcictions apply to the use of fll�:•
- Use of�fill Is not allowed in:Flood�Zone"V"unless expressly permitted.
- If the flll materlal �is to b.e used.:'in :flood Zone. "A", It. is understood that a drainage plan addresstng a
°compensating volume"will be submitted at t(me of•permitting which ts prep�red by a profess(ona! engtneer° --- �
Iicensed by�he State of%Flo�da: - � ,
- If ih� filF inaterlal�.is to be used in Flood Zone `A° in>connection�with�a�permitted building using stem wrall ..
� construction, I certify that fill,wall.�6.e-used only.to#ill the a�ea withtn�the�stem�wall: - �
- If flll material Is�to be used in any area� I �certif�r that .usa of such flll will not adversely affect adJacent
propertles. If use of flll is found.to adversely.,�ffect adJaEent�properties,.the owner may be clted for violating �
the condllions_of the b�ildtng-.pernilt issued under the�attached permit appl(cation;�for.:lots�.less:than.one (1)
acre whicfi are elevated�by flll,��t engineered dralnage plan is required. . •�
If I am the AGENT FOR THE OWNER, i;promise In_good falth to i�form the owner of the permitting condttlons set forth in
thts �ffidavit'p�for to commencing constructlon. I understand that a=s�parate permit may be requlred for elecMcal work, .
plumbtng, signs, weUs,:pools;. air condttioning,.gas,=or,othe� install�tions not.spec�ically Included-in the�applicallon. .A .
permit issued shall be conshued to�be°a'license`��to=proceed wlth tFi'e�work and-not-as�authoNty�.to.vlolate;�'cancel; alter, or
set aside any provistons of the.tecFin(cal.codes;�nor shall issuance�of a.permit.prevent the Buildirig Offlcial from thereafter �
requlring a caRection af errors In�plans;-construction or violations of-any codes. Every permlt=lssued sfiall�become inval(d
unless the work authorized.by such permit:�ls.commenced•withln si�c,mnnths of�permit issuance, or if work authorized by
the permlt is suspended�or.abandoned-for a�;period:of�six�(�)�moMF�s.after.the tirne the�work�ts commenced. An extension
may be requested,,in writing,f�om tlie�Bullding.Oiflcial for a perlod-not=to exceed hinety�(90)��days and�will'demonstrate
justlfiable cause for.the extenslon. If work ceases:for ninety(90)cons.ecutive days,..th\job;is considered aba�doned. "
WARNIPfG TO OWPIER: YOUit.FAILURE,TOY,R�E�.ORD,A_MOTICE OF��COMMEMCEMENT:MAY=RESULT IN YOUR
PAYING TWICE>FOR�IMPRO�IEMEN�S�TO.YOUF��:PROPER-TY:��IF�YO.UTIN�E�ID�TO'70BTA1N��FiP1�►1�E1NG;'CONSULT
WIT . D �O: AM�4 O NEY ORB�.f�OR� f�i O ;C :` . �. ;�,. E "
--;-'L�RID:I J!!!d!!T(F.S.-1.1T:03)- — - - � ` - - - " - -- ' ' � _ - - - .
OWNER OR AOENT CbNTRAGYO � �
Subsalbed an bswom to{or aflirmed)before me this Subscrlbed end'bsworp:�o-(��fltrmed)�ti�fp� ' _ L
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Who Is/are pe�sonally knovm M.me or.haslhave produced Who.ls/are personally known•ta.me or haslhave•produced -
ae Identlflcatlon.- as IdendflcaUon.
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Notery Public Notary Public
Commisslon No: Commisslon�No. • ,
Name ot Notary typed,printed ar stamped Name vf Notary lyped,printed or stamped
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