HomeMy WebLinkAbout16-17879 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
�; ,.�,,, (813)780-0020 17 79
? BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit �dumber: 17879 Address: 5530 23RD ST
Perrrait Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�re Feet: Subdivision: HAZEL HEIGHTS
Est. Value: Parcel Number: 12-26-2100070-00000-0080
Impro�. Cost: 4,400.00 OWNER INFORMATION
Date Issued: 11/01/2016 Name: ANGELLO, JOSEPH &ANNA
Total Fees: 60.00 Address: 5530 23RD ST
' Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/01/2016 Phone: (813)788-3920
Wor,k Desc: A/C CHANGE OUT 3 TON HEATPUMP
! CONTRACTOR S APPLICATION FEES
O'DONO�VAN'S A/C & HEATING A/C CHANGEOUT 60.00
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� Ins ections Re uired
D TSINSTALLED
DUCTSINSULATED
FINAL I
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REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local gmvernment 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 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. �
"Warra;ing 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." i
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
j City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
; NO OCCUPANCY BEFORE C.O.
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C, RACTO SI PERMIT OFFI R � ',
' RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION I, I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED '
PROTECT CARD FROM WEATHER
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a�s-�eaaozo City af Zephyrhills Permit Application Fax-813-780-il021 �
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Date Received 4 . � phone-Contactfor�Perrrilttin - � !
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Owner's Name;I e �- vv l/�. �° � t3wner Phone Number
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Owner's Address �� �U O�3�� J '� � � Qwner PFione Number �� M1� '
Fee Simple Titl�h'older Name � ,���3J���' �� Owri�r Phone Number �� —1
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Fee Stmpte TI�holder Address � �
JQB AbDRESS !:' � �'`� LOT# �_„�,� �
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SUBDIViS10N � , � PARCEi.ld# ��� 4 "-���.�t-��� �� '
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WOEtK PR�4P��O t s��w�coNsfa . ADDtA�T � S1GId'� [�- � DEMOLfSH ,
•e_ INSTALL 8� ;;>.REPi41R "
PROPOSED;U58 . � Q SFR• � "COMM �OTWER �
TYPE QF CONS7'RUCTION - Q� ` BLOCK ' Q FRAME ` S7EEC Q
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DESCRIP110 OF WORK C�� t/ �/�%J l (�j' � ��
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QBUIl�DlNG $ ' VALUATION�t�F�'f01'ALCONS'fi2t1CTIQiN ' a
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�ELE�TRIGAl: $ " � : AMP SERVICE. Q �PROGRESS ENERGY C] W.R.E.C, i
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[�PLUMBING $ ' �
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ECHi4NICAL $ VALUATIqfd OF'MECHANICAL INSTAUATION: " �� � '
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[�cAs , Q ROOFWG [� 3PECIAI.TY..� OTHER� � • ' V� � �
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FINISHED FLOOR EI.EVATIQNS FLOOD ZONE AREA [�YES ;NO _
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BUILDER COMPANY'
SIGNATURE REGISTERED Y/ N FEE CURREh Y/N i
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i4ddress ; Cicense# � ��
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E�.ECTltiCiAtV.- • 'COMPANY� � .
SIGNATURE � REGISTERED Y/ N FEE'CURRE�a "Y/•N
Add�es � , , � . lEC8DS8# � + �
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P�UNIBER ' , � C.OMP,APIY-; ~ . � '
SIGNATURE" ' ` _ ,REGISTERED. � Y�I�-N.; ��. .;FEECURREN ' Y/N. �
Adtires� _ Licerzse.# 1:-. - . --�
MECl�IAANlC'N!.` � COMPANY /�'"7. (/G.ir.r / '
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SIGNATURE � ' RE(iISTERED �� , Y_! N F�E CuwtE�. Y/N
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AddPe���' � ` , . . ,. .
`' Ltcense# �-. `�/�s�� � 2' ,
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OTHER „, ;` _ . . . . � . ;COMPAt!IY � � � � i
SIGNATUR�� .::- "?_' " •r'' � ` ' " � �'REGISTERED ` Y/ N.., 'FEE CURREI�• Y Y/N
Address �,� . . � _ � ��� , - '- • ,� Udense#`� ��
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RESIDENTIAL;_'-�Atfacfi'(2)Plot�Plari5;..(2)'sets.of;Building'Plans;(1)�'sef af<EnergytFoims;^R=O-VV�Pemilt for new construcUon,
,. Mintmumaten�(10):uva,rking;days.�afte�„submitEai dater.�Required onsite,:Consfiucdon'Plans`rStartnwate�`Pians�ni!Silt_Fence�instalted,_ __
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� Sanitary Faciifties;&�'I,;dumpster,Slte°Work�Permit;ipr"subtl�vlslonstlarge prc5jects;;;:.;,:�`` � -. ,� ,
CONlMERCIAL Attach{3)'e6mplete'sets`of 8uildirig Plan"s plus a Life$'afefy Page;�(1)set of Energy'Forms.R-O-W Permit for new construction.
� Minimum ten(10)waticing days after submtttal date. Required onsite,Constructlon Plans,Stortnwater Pians w/Sil#Fance instailed,
Sanitary Factii#es&1 dumpster.Site Work Permit for ali nevu pmjects:,,0.11 cammerciaf requtrements.must meet compltance �
SlGN PERM�T AttsrrFii'(2)'sats of`Engi►ieereii:l?lans:.;-,.a>�=.,, ,.:.�.. x ..�,, . ` ;
"•`•PROPERTY SURVEY r�qulred far.aU NEW consWction._
M����Qn�.4 r: -I...>-.1,4i...�. ; ,
Fill aut�application completely.
Owner�&Contractor sign back af applicatlo�,natarized
If ovsr�2500.a Notice af Cammencement is required. (AfC apgrades over i750Qa
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'• Agent{for the�i�ntractor)or Powe�6f Attariiey(for tti�r owner}wouCd be somaone with notarized lelter from owner suthortzing same j
pVER THE;COUNTER PERMfTfiNG- �- (Front of�RppiicaBan Onfy)- - ' � i
Rera6fs!f shingles 8ewers Servlce Upgrades A/C Fences(PIot/SurveylFaotage) ;
Drivew�ys•Nat over Counter if an pubiic roadudays:.�eed's RC11N � i
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NOTiCE OF DEED RESTRICTIONS: The undersigned,understands�.th�t:this:�pQrmit-.may;sbe,subJect.to"deed".restrlctlons°: :�";.':���`,
which may�tie;more'-resUictive�-th�Fl County�:r+'agulatfons:'The�underslgnedFassumes�responsibiltty'for"compiiance:with"any `- �
applicable.deed restrictions. .-�.�„ -, .. � • . _ , . -. _��, .. - . '""`
��C OR RESPONSIBILITIE�: `=1f°the�owner-has�'�hired`�"a=contractar or
IJNLICENSED=CONTRACTORS AND CONTRA T,
contractors to undertake work, they may�b.e;requlce.d�to.tie,licensed.ln�accordance.with�state°.and_zlocal,regulations;��lf�the=-�y� � �;=�
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contractor Is not l(censed as�required:;by law; botN�the own�r,and conf�actor-=-may�be�cifed-for���misdemeanor violatlon
under state law. If the owner or Intendedt�contractor,,-are,�uncertaln as to whaf Ilcensing.requirementsQmay��apply���for=ttie`��: •
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intended work.they are advised to coritact the Pasco County,Bullding'.Inspectlon„Dlirlslon--Licensing Section at 727-947-
SOU9. Furthermore, If the owner'has�`filred-a con&actoF'or contractors, he Is advised to have the contractor(s),stgn.-. _
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portions of the "contractor Block" of..this_application.for,which.they will.b.e-,r.esp.onsible.-: If.you�=as.the owner;sign�'as'the '
contractor, that�•may be an indication that`he-ls�not"�properly licensed"and°�is not entitled to perniitting�privileges In Pasco .
County. � : ,�,-_.��.:;;. , . .._
� TRANSPORTA710NsIMPACTIUTIUTIES�(MPAC'��ANb�RE30URCE RECOVERY,FEES:� The�undereigned understands
that Transportation Impact Feas and.Recourse.Recovery„Fees_may:�tapply�to�the;construction_of new_buildings��change�of`�`�`=�=-�'�
use in existing buildings,�or.:expansian�of��ezisfing:�b�uildings, as specified.in Pasco County O�`dinance number 89-07 and
90-07, as amended.,,The understgned also:understands, that`such fees�;as��may:tie�:due;,.will:�tie.identff(ed at the��time�of��� ��=�'�' �"
permitting. It is iurtlier understood that Tra�sportation Impact�Fees and;Resource.:Reco�ery�Fees,must be paid prior to
receivtng-a"certiflcate-of ocxupancy" or flnal�power>release. :I�the.project;:does�.not involve:a,certfficate of occupancy�o���=���•-�=�'�'"
final power-release;,,the.fees mu�t.tie paid;prtorto;permft�issuance. F��thermoce;ff:.Pasco_�County�WaterlSewer;lmpact • .: ..
fees�re due,.lhey.mustbe-pald.pnlor to permit_�Iss.ujance:in.accordance.witli.�applicable_Pasco��County ortlinances. •
CONSTRUCTION�L'IEN LAW'(Cliapter 713�Florlda Statute��as amended): If valuation of work Is$2,500.00:oc;more,_I- .:. =���_:
cerlify that I, �he applicant,. have.been provided��with-a�copy=of:the:"_Florida��Consttuctton� Lien_Law=Homeowner's
Protection Gu(de" prepared by,'ftie�Flo�ida Department�of Agriculture and Consumer;Affairs. If the applicant Is sonneone ,. �,: .
other than the"owner", I certifj►.that..l,;h�ve:obtained%'a�copy;of:the�abova.desc�ibeddocurtient-and_p,r.o�ise:,in,good:.faith.to . , ,
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delider It to the."ownec"rp�ior:to=commencement:�' � � � � � � � -- ' - . �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ceitifyt:that,;ail thg�lnformetlon:.in�thi�applicatlon is accurate.and that all work
wiil'be done in comptiance with all.appllcable laws regulating constructlon� zoning and�land°development. Appl(catlon is
her�by made to obtain .a.pecmit�.Co do_wotk,�,and��ihstellatlon as indi�ated:�:..�'I certffy"that no work:or Installatton Fias
commenced prior to issuance of'a permiC"`and�that.all work will be pertormed�to meet,standards-of ali laws regulating-
construction, County and City codes, zoning regulatians, and land development regulatlons�tn tfie.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 responsibllitysto identify�what.act(ons I must�t�ke.to besin:,corrlpllance:�Su�h.agencles-include but=are.not Iimited to: ; •
- Department of Environmental-`Protection=Cy'p"ress.'Bayfiead�; Wetland Areas and Environmentally Sensittve
Lands,WatedWastewater Treatment. �
- Southwest Florida Water Management:Dlstrict�Wells;� Cypress.��Beyheads;� Wetiand Areas� Altering
Watercourses. ` � - �
- Army Corps vf Englneers=Seawalls,'Docks, fVavigatile Waterways.
- Department of.Health;;.&..ReY�ablBtative,Services/.Environmenfal-Health Unit-Well.s� Wastewater=�Treatment,
Septic Tanks�. _ �_ " - - _. . _ .
- US Environmental Protection Agency-Asbestos abatement.
Federal�Avlattvn_Autk�orlty,Runways:- ' �
I understand.that the.following..restrlctlons apply�fo tfie use of flil:•
- Use of fill is not allowed in.Flood._:Z..o,ne"V"unless expressly permitted. -
- If the.fill-material--is to be used.�In �Flood Zone. "A°, tt. Is understood that a drainage plan addresstng a
°compensattng volume" will be submiited at#ime of:permifting which is prepared by a professional englneer �
Iicensed�by-�tie State of Florida: .
- If 1h� flll materia) is to:be used in Flood Zbne 'A" In�connection�with�a�permitted building using stem wall
� construct(on, I certiry that�il�:wall=be-used only-to.fill the area within�the�stem wall: -
- � If flll mate�lal�is to be used-In� any area; I �certify tfiat .use of such flll will not adversely affect adjacent
properties. If use of flll is found,to adversely::�ffect adJaEent`prc�perties,.the owner may be cited for violating
the condf�lons_of the b�ilding�;permit issued�under the'at�ached_permit gpplication;�for.lots-.less�.than.one (1)
acre which are elevated�6y flil;��englneer�ed dralnage plan is required.
If 1 am the AGENT FOR THE OWNER,.I�promise In.good,faith to inform the owner of�the permitttng condftlons set forth tn
thts affidavtt`prtor to commer�cing conatructlon. I understand thet a:separate pertnit may be requlred for elecMcel work, .
plumbing, signs, welis,.pools;. alr cond(tioning,-.g�s, or otMer'. install�'tlons not•spec�tcally included-in.the�application. .A .
permit Issued shall be conshued to be�a�Iicense'to�proceed with'the work and not as:authoMty to.violate; cancel; alter, or
set as(de any provisions of the technical codes;�nor shali Issuance�of a.permit.pcevent the Buildirig O�icial frorr�thereafter
requfrin.g a correction af errors.in�plans, constiuctlon.or violations of�any codes:� Every permlt=lssued sfiall��become invalid
unless the work authorized.by such permit:ls.commenced�wlthin sf�cvmnnths of�permit lssuance, or If work authorized by
the permit is suspended or:aba�doned-for:a�;period:of�six(�)mon�s,:aRer the.time the�work�ts commenced. An extension
may be requested� In writing,_from tHe.Building,Officfel for a period.not.to exceed ntnety(90)�days and will�demonstrate
justifiable cause for.�the extension. If work ceas�es:for ninety.(90)cons.ecutive days,..th�Job�is considered aba�doned. "
WARNING TO OWNER: YOUR..FAILWRE�TO:.R�EC.ORD.A,NOTICE:OF:�COMMEMCEI111EMT�:MFAY�RESULT IN YOUR
PAYING TWICE;.FOR�IMPROVEMENTS:TO:YOUF�;PROPERTY:��IF°.YO.U,I�I�'fEND�T�`bBTA1N�E1NA1�EfNG;_CONSULT __ _
---VYITH YOUR_CENDER;OR AN i4�TORNEI��3EF.ORE+RECOR�I�iG_�=YOUR'NOTICE'OF'COIIA ENC�ENT: '
FLORIDA JURAT_(F:S:-t17.03) ." . _ - . . . `-� _ '
OWNER OR AOENT CONTRAGTOR _ �
Subsaribed and svvom to(or aflirmed)before me fhls Subscrlbed'and'svuom-to(of a(flrmed)�befote me ttii��
by 'bY .
Wfio Islare personally known b.me or has/have.produced Who.ls/are p.eraonallyknown•to me o[haslhave:prodi�ced
' as Id"entlflcatl4n. as Idendflcadon.
Notery Public . � Notary Publlc
Commisslon No: Commisslon No. •
Name oI Notary typed,printed or stamped Name ot Notery typed,pdnted or atamped
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WE OFFERTO FURNlSH MATERIAL AND LABOR A� COMPLETE THE ABOYE IN ACCORDANGE WITH ABOVE SPECIFICATIONS FOR THE ,
5UM OF:,
OOLLARS($ }.
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PAYMEtifF TQ BE MADEAS FOL�OWS: , n(?�I, f � S G /� �ra ( G �f �l�J/�/1 ,�'��1 /J�^
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iAil meteriel ia guareoleed to be ea specifled.All work to be completed I�s ' �
warkmenllkemannazaccartiingtostansfardpraeiices.ArsyettareUanotdevlailon f � � �r�
� from ebove speclecatlone Involving extra costs wfli be executed onty upon q�7}{pRIZEp SIGNATUflE ✓c � .r
wriKen orclow and wiU become an e�et�a chargo over end above the eaUmate.
Ali egruemants contingont upon strikes,eccldente or datays beyond our OFFEFt MAY �E WITFlORAWN
� cnntrol.Own�r to carry tiro,tornado end other necegsary Insuronce,our � IF NOT ACCEPTED WITHIN
workers are tutSy cavered by Worker's Compensation inaurence. OAYS.
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� The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to da the work as specified.Payment will be made as outlined above.
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