HomeMy WebLinkAbout16-17917 I
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CITY OF ZEPHYRHILLS -
;. ' S335-8TH STREET � ,
(813)780-0020 - 1,7917
'� BUILDING PERMIT � y
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�I PERMIT INFORMATION 'LOCATION INFORMATION �
Permitl Number: 17917 Address: 37351 NEIGHBORS PATH
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squ�re Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-04300-0040
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 11/15/2016 Name: TFC HOMES LLC
Total Fees: 55.00 Address: 2102 CAMP INDIANHEAD RD
Am�unt Paid: 55.00 LAND O LAKES FL 34639-5274
' Date Paid: 11/15/2016 Phone: (352)222-2073
Work Desc: A/C CHANGE OUT 3 TON
' CONTRACTOR S - APPLICATION FEES
AIR TBCH SERVICES OF PASCO INC A/C CHANGEOUT 55.00
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I � Ins ections Re uired �
DUCTSI 'STALL D
DUCTSI �SULATED
FINAL I
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
�I 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 b�e 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.
"War�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."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ,
; NO OCCUPANCY BEFORE C.O.
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CONT\ACT/OR SIGNATURE PERMIT OFFI R
� P�RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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, y 1 813-780-0020 G'sty of Zephyrhiils Permit Application FeX-8i3-7eo-oozl
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Date Racelved Phone Contact for Permltiln �
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Owner's Name Owner Phone Number
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Owner's Address �� _(���,_�� pwner Phane Number ���_ �
_ Fes Slmpte Sitteholder Name � Owner Phone Number � �
� Fee Simple Titleholder Addresa
� JOB ADLIftESS �1 � . � LOT# �
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SU9DNISiON _ _ PARCELIDN L� ` �c/ - ."-� Q�"'(X.`n.!,_
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�- W4RK pROPOSEp e NEW coN57R8 ADD/ALT � SIGN Q Q DEMOLISH
i {NSTALL REPAIR
� PROAOSED USE Q SFR Q COMtvt � OTNER _ . . ,
I � � C� PRAME C,� STEEi. Q .
TYPE OF CQNSTRUCTION B!C?CI(
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D£SGRiPTiqN OF WORK T-.IJ.�J l l . ./7 L`— � .-5►L/� �
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BUILDINO SIZE �.. . � SQ POOTAGE�� NEIGNT ��___� \ ,
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QBUILDlNG � VAIIiA'fION OF TOTAL CONSl"RUGT�ON
I QELECTRICA4 $ AMP SERVICE Q pROGRESS ENERGY Q W.R.E.C.
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OPl.UMBING ($ `� ��/�
�MECHANICAL $ "� �a ' VALUATION OF MECHANICAI,INSTALI,ATION 7 ' J
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[�GAS Q ROQFING Q SPECIAlTY � OTHER �y��'
FINISHED FL�OR ELEVATIONS ��� FLOOD ZONE AREA QYES Nd
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BUiLDER . " � COMPANY �
SICsNA7URE �— ftEGiSTEREp Y(.N FEE CURRE{� Y I N � _
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Address ,.. l(censs# C...� . I
�� ELECTRIEIAN � . � ,COMPANY . . . �
SICaNATUAE .. KEGISTEREO �.Y I N FEE CURRER�
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Addrass License# �.. �
PLUMBER �. _ � � COMPANY � �
SEGNATURE REGISTEftEO Y J N � FEE CURRFJ. Y I N.
... . . . ��. . . . . .._ .. . -. .. �
Address Ucense# �. �
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MECHANIGAL COMP.ANY /'1'1\( I�(:�Il �t°�,I/�CF'� � PCcS4U I
SIGNATURE C. � - _� REGSSTERED Y/N � FEE Ct1RRE� � Y I N
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Address ��77 3 �f, dCG� � ���s1.7�- License# �_/d��H'7/1 �
OTHER COMPANY
SIGNATURE i2EGiS7ERE0 Y I N PEE bi7RR6F: Y/N
Address � License# � �
1111111iilitlt111l11FiFF11111iiit111'Iiit [ 11iItI11II111Ii1lItiI � Ilti
' RESIDENTIAL AUach(2)Plot Plans;(2)sels of Building Plans;(1)sel of Energy Forms;R-O-W Permft for new constructlon,
i Minlmum ten{10}working days afler submittai date. Requlred onslfe,Consintction Plens,'Stormwater Ptans w/Siit Fence instatted,
� 5anitary Facllllles 8 1 dumpsler;Sfle Work Permil for subdlvislons/large proJecls
I COMMERCtAL Attsch(2)compteta sats af Building Pians ptus a Ltie Ssfety Page;(1}set o(Energy Fortns.R-O-W Permit tor naw consiructlon.
MlNmum ten(10)working deys efter eubmitlel date. Required onsile,Constructbn P.laris,Stonnwater Plena w!SlIK Fence Installad. �
� SanHery Faciliiias 8 1 dumpsier Site Wark Permit for etI new projects.AII commercial requiremenls must meel compllance
S1GN PERMIT AUach(2}sets of Engineered Plsns.
i * ' . ""•'PROPERTY SURVEY requfred far all NEW conslrucllon.
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, plrectlone:
, � Ftll oul apgilcal400 comptetety
Owner 6 Contractor sfgn beck of epplicalion,notarized
it nver 52500,a Notice of Commeacement ts reqWsed. (A!C upgrade's over$7500)
"' Agen!(lor the conkector)or Power of Ailorney(for the owner)would be someone with notarized lelter from awner aulhoriztng same
OVER THE C4UNTER PERMITfING ' (oopy of c,ontrect requlred)
Reroofs if shingles Sewers Sesvice 4tpgrades AtC Fenoes{PIaVSurveytFootage) -
, Priveways-Not ovei Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that ihis parmik may be subject to"deed''reskrictlans"
which may be more restrictive ihan Gounty regulations. The undersigned assumes responsibility for compliance with any
applicabie deed restrictions.
UNLICEN5ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: lf the owner has hired a contractor or
contractors fo undertake wark,they may be required to be licensed ln accordance with state and local regulations. If the
contractor Is not Iicensed as required 6y law,bath the owner and cantrac#or may be cited for a misderrieanar vio(ation
under state law. If the owner or intended contractar are uncertein as to what licensing requiremenks may apply for the '
iniended wark,fhey are advised ta contact the Pasco Caunty Building lnspection Division—Lieensing Section at?27-847-
8009. Futlhermore, if the owner has hi�ed a canfractor ar contractors, he is advised tfl have Ehe conEractor(s} sign ,
portions of the"contractor Block"of this application for whigh they will be responsible. If you,as the owner sign as the
conEractor,tFtiat may be sn indicaftan#hat he is not prope�ly iicensed and is nof enti#led to permitting privileges in Pasca
Counky.
TRANSPORTATIQN IMPACTIUTILITIES IIVMFAC'f AND RESOURCE RECOVERY REES: The undsrsigned understai�ds
Ehat Trar�sporkation Impact Fees and Recourse ReGavery Fees may apply to the construction o#new buildings,change of
use in existing buildings,or expansion of existing buildings,as sgecified in Pasco County Ordinance number 89-47 and
90-07,as amended. The undersigned aisa understands,that such fees,as may be due,will be identified at the time of
�permitting. !t is€urther understnod khat Tianspor#ation fmpact Fees and Resource Recovery Fees must be paid priar to
receiving a"certificate of occupancy"or final power release. If the projsct does not irnolve a certi8cate of occupancy ar
final pawer reiease,the fees must be paid prior to permit issuance, Furthermore, if Pasco County Water/Sewer Impact
fees are dUe,they must be paid prior 10 permit issuance In acca�dance with appilca�le Pasco County ordinances.
CQNSTRUCTION UEN LAW(Chapter 713,Florida Statukes,as amended): If valuation of work is$2,500.00 ar more,(
certify that 1, the applicant, have been provided with a copy of fhe "Florida Canstruc8on Lien Law.—Horrmeowner"s
Prokection Guide"prepared 6y the Elorlda Deparlment of Agricuiture and Cans�mer Affairs, If fhe applicant is somenne
other than ihe"owner',I certify that I have obtained a capy of the above described document and pramise in goad faith ta
deliver�it to the"awner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFlDAVIT: I cerkify fhat aH the��formation in khis applicaEion is accurate and that aii work
wiii be done in compiiance with all appliceble laws reguleting construction,xoning and land development. AppUcaUbn is
hereby made to obtain a permif to da work and insta!latian as indicated. i cQrtify that na wark or installation has
commenced prior to issuance of a permit and that ell.work will ba pesformed to meet standards of aA laws regulaEing
construction, Couniy and City codes, zoning regulatians, and land develapment regulations in the jurisdictian. I also
certi€y that!unde�stand that the regutatsons of ather goYemment agencies may app{}i fo the intended work,�nd thaf it Is
my responsibility to Identify what actions I rr�ust take to be in compliance. Such agencies include but are not limited to:
- Departmenf of Environmentai Protection-Cypress Bayheads,NVetiand Areas and Environmentaliy SensiGve '
Lands,lNate�/Wastewater Treatmen#. �
' = Southwest Ftorida Water Menagement Distnct-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. ,
- Army Corps of Engineers-SeawaOs,Docks;Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Sepfic Tsnks.
- US Environmenkal Protacqon Agancy-Asbestos abatement.
- Federal Aviatian Autharity-Runways.
3�nderstand Ehat the fotiawing restric#ions app�y(n the use af fiil:
Use of fill is n.at allowed in Flood Zone"V'unless expressfy permitted.
- if the fifl materiai is to be used ln Flood Zone "A", it is understood that a drainage plan addressing a
" "campensating votuine"witi he submitted at time af perrnitting which is prepared by a professional engineer
licensed by the State af Florida.
- if ihe fi{i maierial is to be used in Flaod Zone"A° in connectian with a permitted building using stem wall
construction,I certify that fl!1 w1!!be used aniy Eo 8!i the area within the stem walt.
- If fill malerial is to be used in any area, t certify that use af such fill will not adversely affect adjacent �
properties, If use of fili is found ta adversely affect adjacent properties,the owner may be cited for vio�ating
khe conditlons of khe buifding permit issued ucider fhe attached permlt appRcation,far 14ts less than one{1}
acre which are elevated by fill,an engineered drainage plan is required.
If t artt the AGENT FOR THE OWNER,i promise in gaod faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. f understand that a separate permit may be requ3red for electncai work,
plumbing, signs,wells, poots, air conditioning, gas,or other installations not specifically Included in the applicatian. A
perrnit issued shalt be construed to be a license ta proceed with the work and nat as aufhority to vioiate,cancei,alfer,or �
set aside any provisions of the technical cades,nor sha0 issuance of a permi!prevent the Building 4fficlal fram tf�ereafter
requiring a carreciion of errors in plans,construction or violations of any codes. Every permit issued shalt bacome invalid i
uniess the work authorized by such permit is commenced wifhln s{x manUis af permit issuance,or if work authorized by
the permik is suspended or abandaned for a pedod of six(6)months after the kima tha work is coinmenced. An extension �
may be requested,in writirig,from the Building Official for a periad not to exceed nlnety(90}days and wiil demonstrate I
- jusUfiabte cause for the extension. if wark ceases for nlnety(90}consecutive d�ys,ihe Job ts cansidered abandaned. i
WARNit�G T¢OW��R: YQt��{tE t'�Lt�RE Td RECORfl A NOTiCE OF CON�M E T MAY RESULT iN YOUR
RAYlNG 1'WIGE FCqEt lMPf�bVFM��+tTS TO YOI�i�PROPE�'fY. !F YQU lN���.D TC?O� . _N FINANGl�1Ca,G"ONSUl.T
1 YOUR E DER O � �RNEY BEFO E E O GING YOU �IV TIG O GOM E CE E .
�LORlDA'JURAT(F:S:9`1763j.__..f„,:__,. .__..__.... . .. .., ._._.. ....... ........................ ..�_ . .._._...._.. ... . .
OWNEROR_AGENT f � C4N7itAGTOR ' _,
Subscribed end ewom to r aHirr�d)�before me this' �uy scjibed and @worn . -affirtned)before me this
by ; I t"J'c�l��!}}r�.... 1
Who Is/are personally knoWn lo rrie or has/hade produced Who is/ar, ona ly n n t me or hasltiave produced �
as idanUficafian, as identification.
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Notary Pu6lic _��Q..� +`� tJotary Pubtic
� Commission No. Co mis.
;_�. -rt�c, JACQUELfNE BOGEB
Name of Notary lyped,pdnted or siamped NBme of_ _�, C ,dfuil 6 2�
- Qo: Expires December 12,2018
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Nov;�i�a, 2016 4;24PM No. 5b38 P. 1/3
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