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HomeMy WebLinkAbout17-18058 �i CITY OF ZEPHYRHILLS 5335-8TH STREEi' � � (813)780-0020 �8d'�'� BUI�DTNG PERMIT .�'� � PERMIT INFORMATION LOCATION INFORMATION Permit Number: 9 8058 Address: 6135 18TH ST Perm�it Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEQUT Township: Range: Book: Proposied Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Squa�re Feet: Subdivision: PARK HIL.L Es�.Value: Parcet Number: 02-26-21-0180-00000-0360 Improv. Cast: 2,400.00 QWNER INFORMATION Date��lsstted: 1105I2017 Name. GOSSAGE GARY&TERESA Total Fees: 55.00 Address: 6135 18TH ST Arnount Paid: 55.QQ ZEPNYRHILLS, FL. 33542 Date Paid: 1/05/2017 Phone: 813)995-1631 . Wo'rk Desc: .AlC CHANGE OUT 3 TQN NQ CUNTRACT i CONTRACTOR S APPLiCATION FEES CQSTN�R CQOLING & HEAT NG INC A/C CHANGEOUT 50.00 AIC CNANGE{�UT 5.00 i l i � I � � I � ; Ins ecti ns Re uired DU TSI TALLED DUCTS It�SUtATED FINAL �I j ^r� I �-�— REIN�PECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shail impose a fee of four tirnes the amaunt of the fee impased for the initiai inspection or first reinspection,whichever is grea#er,far each such subsequent reinspection. NQTICE: In addition to the requirements of this permit, there maybe additianal restrictians applicable to this property that may be faund in the public records of this county, and there may be additianaE permits required from other governmental �� entities such as water management, state agencies or federal agencies. "Wa�rning to owner: Your failure to record a natice of commencement may resuEt in your paying twice for impr�rvements ta your property. If you intend to abtain financing,consult with your lender or an attorney � before recording your notice of commencement." CompBete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with u Ci Codes and Ordinances. NO OCCUPANCY B�FORE C.O. I NO OCCUPANCY BEFORE C.O. � � � �G RA T R SIGNATURE PERMIT C1FF1 R PERMIT EXPIRES TN 5 M{)NTHS WITH{.iUT APPR{�VED INSPECTI{}N CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRClTECT CARD FROM 1NEATHER i � 813;780-0020 Fax-813-78p-OU21 r City of Zephyrhills Permit Application 8ultding Department . i - • . � Date Rece�vetl • � � � - ��=:Rhons�Co�act:for�Ferni[ttin . Owner's Na le l � "e. Owner Phone Nurnl�er t��,,.� / �- � �/ � Owner's Add� ss ,,� / ?� �./� ' Ow�er Ph'one:Number'� �_� � _ _ � Fea&Imple tl�liolderName �� .. , � � Owner Phane Numb�r '�— � '! ��x , _ , Fee Simple T tleholder„Addre�a - JOB ADdRE S C7 „�,� / T� s � . LOT# �� SUBDtVlSEO � . � � P,�RCE�t8# .' _ I (OBTAINED F.RQM:PROPERTY,TAX NOTICE) WOt2K PROP03EQ < NEW COtvSTtt . � T ADQIAI:T �� SIGi�E' 'Q �- Q DEMOLISH �i , :,�:, INSTALL �� REPAIR� � � PROPQSED:.U$� Q - SFR � COMM .. � Q �QTF{ER . 7YPE OF CO� STRUCTION"�� 'Q" �`�'BLOCK ' � FRAME � .[� 'STEEL `Q . : • °A.. .�. DESCRIP17d OF WORK' � C �I� '� C� �WI,DING:S1 E'' � � ��`$Q`.FOt3'i'AGE � :.HEl.GtIT�C.. � ,� i � _ � .�._ .;,. �$����N�'' � VAt,UATtO�l;`!3F'TGt1'Al.Ct3NS;Fi2UG'i'ION - ' QEI.�CTRIGAC g AM1P SERt110E. �Q "PFtO�RESS ENERGY Q W:R.E.C. � � .�,,,� , . . QFLUM8ING � �. � . . . .,. ,� , , ��U'-�� + �. � OM CH�NlGAL' � $ - j} VACUATlONOF�MECFfANiCAIiNSTA[LATItON. � �/ (.l�' = �• _� . �r . ,• ' �.. :�}� ` Qc,As C] , RooF�N� ;p.,-., spEcia.nr;C�.:� or�E�,_ . �(� FINISMED F(�OR ELEVATIONS FLOOD ZONE AREA ,QY�3. ,NO � ..._. .r'iF. , , ..✓ ... .. .. .. . . . ' . - r��.7 — t,5�.` _ .�,•,$_ei. ri`C r .Yz:^i;. - , BUll.DER coM��r�� . . :.��..:�� , - . SIGNATURE REGISTERED Y/ N .'`:'�`�`FEE cu�n:� � ;° Y/N'� '- , • •-ra. .1 _ :�:":t.F ;-�: , , , , , Addres� .�- . , „ ,f � . y�Ltce'rise,#'' `__"� ,. .{' � , . . , .�. .�, �5 . 4: .._. ., . , r.. _ .. .. ., . . . El.ECTRtC , . ,?GOMP,ANY�:. �E.� r'� ;°.���'-=�.- �. � .. _ � SIGWATUREi � � REGISTERED Y/ N , FEE C4,RRE�"'' �'�iY/.N'_ , ' •�. _ w - ,.. ; ��:E., � .. • . _ , . , �,'. '<k,�t�x= ,.� :_._ �„ . �. Addr " :x - i,�. Llcensec.#;; � -_ _ , , �.. •. ' :l.tt 'J�.- �. � •- • ' ' ' . ' f� �.i ,. . . ' � . � . PLUMBER ' , Y GOMPE!iNY � .«.-.;,�.� ;a ;. „�,:,: -:- �,� :_�... SIGNATURE' � ��, - • � `RECi1ST.ERED -Y_/,.N:: ;.��:CUwtE�:•; �Y�/.N:... � . ' ., . �, :�: , Address .,_ . .. , . -• � t-UcertseY#iC�.:-...,:_:..f;. �:...�.��� - .. .,.. - ,,�;r::.�� ;" "� ,.. . � . ,��. ��. � � � MECNANICAI:{ � � coM�P�,r� �S'��� ��'�o� :1�:�1: �:���° �1. 1 SiGNATURE - � , - '� ttEGIS7EFiED ., Y„/.N " FEE CU E�._, "Y./Cld. ;, �,, � . :., . ;:-:,.,;:., ,._ .. .. , ,.... ., „�; .,,: - , � {�•_ , r° . � Ad�resY - .�, .. . . , v-� . _ , _ ;Ucense#� �1.����„�� � _ " ,. , � � .. . . ''rt�4F;V.�.•�t _ ��� ... . 1��.�*. i _ 'y.� � � .. OTHEE2 'f` r � � ._ . _ � .. _. ` '7 � .COMF%1Nlf �.z,�__... .._ _�. _ SIGNA'itlR . � . . _ , � , � ,.�,,,, ,,., , .-. , . , E. �� `�;: `:,>� � `°� '4 'REGI3TEREDp� Y/ N:..` ;FEE�CURREA'�'� y Y'/N "t:TVYc �" ., .�s� . .. . . . .. � . .. '._.•� ' * : ' �,'. '� 's ['�1 - , .. x� . j,� Aii� 'S:a}`,�u't��* ' ��`S.�"$': .+} � . �'''} .� �_ � � �I��S�7/'s� v . - . � ,_.. � -• � � 5 � ,.�, . .� .Mt. �..�4,�.:t,.�"".:� t7., R'w".,r+y��; � i.�_,�..„5....,•� .s�ta.�� :. , -- ..... , , `RESiDEN'EiJ0.�:s. �'�Attact�(2);Pt4t�_P#a»'s;,�{2):sets;d�"8u1ldingi:Rlans,'(1�}set�of�Eriergy�Farms��+R-0-1N�Per'rrilEfdrnew;constnii�toti, ,. ' ;y���;.s,Minimum��en,(;1A)�,wa,rt�in�;d�ys�after„subi�"iitfa��`date:.�Required onsite�GonstivaHon:Plans;Stormwate�'Plans wJ Siit Fence lns�iiled, y;i"�" SanttaryFadllUes,�&z1},dwrnpster�SiteWorkPemrit,[or,�sutitl�visions/Ierge;qro�ecta:'vw-;�t;;�:,k : '�';n�=�'`� . . a=, � . COt41MEitC1 Attadi 3��eom``lete�sets'of'8u"lidin 'Ptans`. lus a i:[fe Safe�`�Pa e, 1 set of Eae� Farms.R-O-VY Petmit far naw+:constructton.- __ { } p g p ty g '(} rgy � Minimum ten(10)working days after submittal date: Required onslte,Conswcdon Plans,Stonmwater Pians w/Silt Fence installed, -µ, - Sanitary Fadlitles&i.dumpster.Slte Work Permlt for all new:proJ�cfs::All commerctal requirements_must meet compllance ' . stGNPHRMl� attacti(2)"sefsof'Eoglneer.edsPla�is.i;�;�;;_.:_�.�:.,.�-,'.,:�=;f��. ;.,..- .._. ..' �_ . , , � ""PROPERTY SURVEY requlred f4r all_IVEW,aanstrucBbn._ .. - ' � _ ,. Dlfectlons. I :.�k;��:,,+..,,,. , ` ' � i `Fill out applicaUon completely. ^ Ownar&'�GonhacMr sign back.of appl[caUon,rtatadzed If�aver�,250Q.a Natica o�.Commencamere#la required. {NC upgrades over ST540) _ » I ..=1:��,„�;;�r�,?;�;., ' - Agent(far the conVactor)or'Pow'e`r of Attomey(far the ovvner)would.be-someone wlth notarized letter from owner autho�izing same r aVER TtiE C�UNTER�.PEtt11MMITTINGu.:._..�.,_(Frant-of llppllcation-On{y}:=..__.:,-�; �`.°_ - : � Reropfs If shirjgles Sewers ;Sarvice Upgrades;A/C _ Fences(Plot/Survey/Footage) _ ;,� :; ,a;s: Ortveways-f+lat ovar Coanter if an pabiialroadwaiys::rieed`s�ttOVY�, ,� y.. . I ..,, . .-.� . ._,�., .,� .. . ,. ( .- I � ; .. - .�� . , ,. . _ r .;�. , _ _ � ' . .�. . . ... , ; r �� � ° ��:�..�a�t:��..�.�.:� Nt�TIGE AF DEED RESTRiCTIQNS:. The=under�tgr�ed,und. .ta�ds�ttt�txil�l�>���m��:il��:be.sub�.e,c,,fi�#o�"deed"�restr`Ict�Ons"�:;..,.��, ..m., y a ` -� i e � ,. z �C-`S. r:9re�.� 'a .r'- v�,� rr-'$'d",.n` `�z.ri.as.. � � e.6a;>1.ro.r.a+�"''�J»+'.a,a which may�'.tie�iiibre.�r�"str�ctive�t�a�GuunEy�r+agal�itPons The?underslgne.d%��s�umes�re�piin��'bfllty=�for.compliancia w,ith`=any ., s , - applicable'deed=resMcttons. �:,fr��4:t��.�.:;,;�.�_�v .� • _ __. _ ,, �.�..A.- ., .�_-� , -. .. .s..,r. .,�r'•�-^o-w,,.r,�� 't.,s-.....-.-..,...,_ ...., UM1�tCENSEi?�.CGNT#�A��ORS,�ANb�COM�F�ICTOR��R@SPON" t�1�Ci1�S:�:-`>if��lte°,ciuvner` has`�hired"°a"cdrtit�ctar or °�Itc�nsed=:lrt,:accor itce.with�stater.and,�a..� g. a. �< � :�.�-: contractors to undertake work;;they nnay,b�:�requl�e.d:°_to.��b�v �,�` da I cal;r� ul tfa�_s.:�ff the' ����''v" contr�c#or�ls'-t�ot`�ttce�sed�s�:,teq%ii�f`6y I�w,•.tiotl���the�ouNm�r atit�"cotafr�ictorsmay''6e�n��;for��t�iiistteme�inor v1olatian under state Iaw. If the awner.ar Intended,co:nh4at�for�;are,:;�uncertaln �s:tai wfiat Ilcensing�requirements;�m�ayi:re�pty���r�tiiefi-���r�� .�-'? Intended�inrork�.ttiey are`a�vi§�ii"to�contact•:#he Pasco Cdunty.BuQding'i�s�iectio�i Dlvislor�-l:lcenstng Sectton at.727-847- 8009. Furtherrrtote;,'tf��Ehe�owtter'fi�as�'Filr+�^s�co�acto� or �orit�actors, he�is �duised ta have#he 7contra}.ctor�s)slgn,..=5�>,�-:-�rr porkions of.the.r°ca�trectaraBio.ck".of;,thisa.appllcatlon',�for.which=:they.>�ul1l-.;be.�.r.esponsible.•.<<,If��you�_as�,�the owne�_s��gn�'a�"s"t1ie" �"""`� contfi�ctOt;th8#�t1�f'b8 an ind�Catlon�tli8t'118 iS CIOt.�tOpe�iy 11C�[189d��1d"�Is nat ein�e�to pe�rtit�ing pr�1u�1'ege� tn P�sca . COU11h/. °^' ' . �� _ ..,__ .�. , �. '_ . . . _. , -�.. �.._._.,.t s�...;;f::�w, i"�°. ,,..:� .� TRANSPORTA�UN IMPACT/UTIL{TIES£rl4f!l��t�'��I�E�[��RE�AUItCE RECt?YEELY FE�3;`"Yne�un�eis��eai,naerst�nas . � . . u� thatTr+�nsport�tlon Impact Fee�s:and.Recourse R�cavery_Fees.maYvapp�lY�#oti�e�consbvction�of..nsw.butldings��changi���af`�<�;����=�~•'��� t:.�: ., ,...., .. use In existing bulidinge;-o�=�expansUs�r�of�e�is�f�i�?�builtNngs� as speclfled.in Pasco Caunty Clydinance number 89-07 �nd__ . 90-07, as amend�d..:;Th� undec�igned also:�un�le�s#a�ds; tti�#�suct�fees;xi�ss��may���Yd�e„��ui1F�6e ldetili�ed a##he�i'�ie�of=��.=;.�=�=;�` permitting. It Is further'understood that Tra�spo�ta8on Impa°��F�es an°�'-`ResouiQe.sRec'oVs`ry�`Feest,m.ua#'be pald prlor to recelvfng.a•cetflfiicateMof'occuEt�it�y"�,ar'�tlna�-�awer{Eelease.;`:i#'ttte,project=..d�oesr,no�itavotve.<a=:cettifica�e of occupat�iiy�o���=:�j�`��.•' finai pavirer�release;��tii�e�,fees:mu�t tiie pai8;.pclior#o permft iss.uance. �F�xthermace��if:Pasco�_County"1Nater/Sewer�:lmpact�-�°K,����•:� fees are due,:they;must,.be�.pa.Id;p�for,��o,.pertYtilals,s..u�ance��n.accordanc�wit'�:applicatile�Pasco:County�onitna�ces. � CON�TRUCTION'C1EN"LAYV(Cliepter 713�Flar�cl�St��t��as am�nd�cij: if v�lua�on ot'uwork is�2,500AO�ar.l more�.;i:-::; .-;��4�:= certify tHat� ,I; �he::applicant;�have-.ti�een .proxidecl �wlkh �a�copy-:ofr�thel�".Flofida��Construc.tion��Lten-.:Lavv Homeowner's Proteatbn t3u�de"prep�red by��tl�e F't��da D�pa�me�t;of Ag�icul#�re and Consr�,m�r�A,ffatlrs.; 1�#he�pplEcant Is.someone:;,..:,�...;,� other than#he`owner",,i cert��.,#h�at,I.�,kiave,apt�)ned-a t�py:of..#he,above�described tlocu�ent�and,ptor�is�,in:g�od,;faith�to d. :t.., deliver it to'.t�et'�iwne�:�pilQ�`toicoi�ri�iericemen't.`��,, `�, . :; .. � .�' . .,� " �_ �. • = . ' , . � �ONTRACT�R'S/01011NER'S AFFIDAViT: I.ceiki�y;�;tti�a#,�:ali`the�,irif.orm�tit�tir�i��thi�appiicetion ts accuret�.�nd that�ali wrork • will'be done in compliance.wtth all.appitcabie�laws_regulating constructlon, zpning and;�land�:develop[n��t. Appttcatlon,is hereby made ;#o�obfaln::a;pe:^entt:�;�to�.;;.da,�:a�o,�:;x�nd=�t�ista#1$tion as 1n�t�af�id;x=,-1� ceKiFyi that no work�or tnstaliation fia� � ,, , commenced p�to`r b i"ssuance of� perrriit and that;�all�work-wlll be pertormed�to meet=standards-ofi��all laws regula�ing• cor�sbuctlart, County �n� G1ty cades,.z�ning regulattans� and land devetopment re�utatlons�"1n-t�e��:u�sdtctiort:��z'°1=�a1§o.:• ce�tify th�t 1 understand thaf the�regu0ations of atF�erigavernment a�enci�s may•apply��tp.the,.intended:work� and that It ts � my responsibiltty#o Identlfy•what.actions,I.mu.st�take��toj be;<i��cottlpllat�c�ce�qaSuch 4agenfcles°Uclude°but=,are.not llmited ta:.� - r , - Depar#men# of Et�vironmental.`Pirotectio'ri=�yp�ss�Bay�iead�; Wettand Areas and Environmentafty Sensitive Lands,WaterNVasteuvaterTreatmenk. ' �.,. ' �� '" -� ��'" " - Sou#hwest Ftorlda W�ter Managei�ient=:;.1�fs#ri�tr1Ne11s;��'�t%Yptes.s.`��B$y.#�e��;� 'Wetlar�d� Areas. Aitering lNatercouraes. .y ..:.�* r;.� i ; :., : � .,,,� , _ ... . , - Army Corps Qf Englneer��Seawalls.'Do'cks�Navigatil�Waten�vays. , . - .Depar#menty,,o,f:•;Me,alth�,B.,,Ret�ai�llitative,;�Seniicesi/Errvironm,ental�-F�ealth=Uitit:Wettsi s�VVt�stev�itert•Tna�tment; . . . S�pti'c'�Taiiks:..�: - - � . • I _ .� .� � - US Enuiconmeirt�l�Protectian Agea�y-As�estas abatement:.. # �Federai Avlatton_Authori�/,=RunwriaiV s: � �� t r r...., .;il�M.r ., . �7 F... i 1 understand.that�thevfo!lowing=;resUfctlons apply tc�tlie use of flN: - Use of�tl:is no#a8awed in;FtoodsZone"V�unless expressly pernnitted. - If tNe-�1�11 rtiete�ial��ts��to�°b.e usetl:7n:;Flood��one. �A", tt� is understood thaf=a drainage pl�n addresstng a "compe�sating.yotume*,w111 be submltted a##1me of�petmtfting w�iich is prepsred by a professianat enginee"r,- ` Iloense�al.tiy'tlie;.�tat�qf�Flo�ide: - _ . � .,° - !#th� fl!l���m�tertalw:is''to�tiei.used In Ftood;Zone 'A° In��conne�ion��vlth�a�petml#ted bt�lldtng asln� stem watt., conshuction,,.l-certify that�.fill:a�illl:b�e used oNy�#o flli the area�withln��the�stem-�wall: _ � .� �u-. - if fll! 'iriateNal�ls�to tie�used In��any aree� 1 �aectify that .us� af�such flll wNl nat adversely aife�t adJacent proper#les...if:use:,of fi11 ls��;fo�nt��ta.-�dve_tsety;.,�ff�ct;adjacent;-prciperti+�:��.tt�e awner may be clted for vt�tattng. ' _ the condWonsYof�tfie b�illding�`permCt I�sued��u�de�tlie��at�ached,��rmlt:appllcatlan�for�lots�:less�:ihan�one (1) acre wfileti are elevated`�liy flll;_a�t.engineer�ed dralnage plan�s requl�d. • , If i am the AGENT.FOR;TM��:O'YVNER;;I;.promise,ln„good;.f.alth to infarm°�tFie o.wner of��thia permitting conditlans.set forth tn this affidavik prlor to��commeiaoing.consttvcNan. !under�it3aiind thet�a�s�p�rate'permit may be tequl�e►d for eteatricaf:work. - . �:..a � �>�..�.s ,�.� plumbing..stgns� w�tls..,Poais,..ait`cand��ontng;:ga�s��.or:oti��r Instali�tr ns no! spec�fiaaliy included-in.the�applic�tton. .A- permtt Issued�hall be const�:ued to ti'ei'�a�license�,to���`�roceed wlkh�`tNe�wo�k and`.:nat�as:authoHty:b:_violate;=cancel� alter, ar se#asOde�n funs ofyttie.tec�h�lc�l;codes;;nor stiaillssu�nce°of a.pecmEt.pcevent the Butldlrig C?f�tcia)fram thereaf�er � -. ... .._ .' V � requirin,g a;one tlon�af;errore in-, lans,;::consfructlan>o�iriolattons of-any�codes:�,:�very�p'ermit��l.ssued�shalf tiecom�r�invaltd unless the wark authorized.by such pe�mlt:�i�.corx�men�ad�wlthln s�i�Cc��t�o�#hs of�pecmft lssuance, or if woric autharized by the permlt is suspended��or�:abar�doned;:fnr-a.,periotl�of,�ix�f83'monfiis�efi�er,the�irr�e the�wor�k��s com�nenced.. An eutenston- may be requested� In.wri�ing;�irom,the.;Building,Offloi'al f6r a period•-ndt.to exceed'rMnet�r�(90j��days a�id�w111"demonstrate �ust�fabte°cause for:•the extenston. i�war�t ceas�es�for rilnety.�90)cans.�cutive day.�,..the;�ab_Is consEdeted aba�doned. . , .x._ . . , . , _,. . ._..., . , 1AIARNING Tt? OINN��t: YOU!'�ti.�AiLfJRE,�TQ.:l��,CORQ:A>I�d,,Q��lG�:Q��Ct?MM��t��IR!lEt�7'�;�!'AY=:RESULT IN°YOUR � PAYtNt3 TWICE�FC►R�iMPRO�tEMENfi��.Tfl,Y�3U1�;:.PR4�?ERTY.���I�-;YOU?i�TEM�1L1ti�T���B�'AIN;FIN�iE1N�;�CINSUI.T WIT G �O AN� O �' � �R� �}, ,... ..�. - �. ... , . FLQRtDA JtlRA�{F.S::t:lT:03} " _ , .'�, ,.._ „ ; . � . _ .�. � . ... _ • . ,,. , ..�- .. , ,,,.......,�.,�, ._ - - - .�_� _ �—.�_ .�-- -__ .�_ ,- . . _:�... - � `��- - -- -.__ _____._,_�__ _ ______ OWNER OR Ad�MT ,. . Cl'�N'd'RAGTO r� _ . Suhscxfbad arn!swom to(or�flttmsd)befar�me thts { Sn 6ed stid' to{ot rttt�f}� .nttt�ri�. br ' !��f'7 b'� ... . . , .. • W�io Is/are persqnally known.to,m�or has�have,prcduced . � -Who _ ,, p.e nYa �CrtoWr��� nte;o�.#laslhav,e��roduced ••• . . ' as'I�entl8i:a80e. � � ' � ��r'�i�� es Ede»tlNca�art. , ` Nat�ary Publta II L���� Plotary Publfc Gommisslon No` . II Commisaton• o, ,.�•,,,,,.,, . ��: 's:; Commission#FF 150422 Name o0 Natary typed,pdnted or stamped II Neme of Notary r e� 8 - t�sarance8pp.385-7018 I i . I . . I