HomeMy WebLinkAbout17-18076 � � CITY OF ZEPHYRHILLS
" � 5335-8TH STREET
I� , (813)780-0020 1807
'i BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
PermitlNumber: 18076 Address: 6651 PISTACHIO ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Classlof Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
S uare Feet: Subdivision: DRIFTWOOD
pE�t.Value: Parcel Number: 02-26-21-0240-00000-0060
Im r�ov. Cost: 4,100.00 OWNER INFORMATION
Date Issued: 1/17/2017 Name: MCFETTERS PATRICIA M & JOHN
To�al Fees: 60.00 Address: 7840 W PORTLAND AVE
Amo�unt Paid: 60.00 LITTLETON CO 80128-4431
Date Paid: 1/17/2017 Phone: 3a3--3 3S— �2Z�
Wo,'.rk Desc: A/C CHANGE OUT 2.5 TONN SPLIT
! CONTRACTOR S APPLICATION FEES
O'DON ��VAN'S A/C & HEATING A/C CHANGEOUT 60.00
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Ins ections Re red
DUCTSINSTALLED
DUCTSINSULA ED
FINAL II � �
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REINSP�ECTION 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 property that
may be ound 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.
"Warn�ng to owner: Your failure to record a notice of commencement may result in your paying twice for
impro �ements to your property. If you intend to obtain financing,consult with your lender or an attorney
II 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. �
II NO OCCUPANCY BEFORE C.O.
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C �� RACT 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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WE RESPECTFULLY SUBMITTHE FOLLOWING SPECIFICATIdNS AND ESTIMATE FOR: � --_ �
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WE OFFERTO FURNISH MAT,�RIAL AND LABQR..AND�COMPL'E �E'TH�E'"pBOVE��IN dCCORDANCE WITH ABOVE SPECIFICATIONS FORTHE
SUM OF: � . __� �
'"` DOLLARS($ }. .
PAYMENT TO BE MAQE'AS FOLLOWS` _ ,� l 1 I .���.•7 ��'�'� ��, � �7 �'�'�� l�.
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� All materlal Is guaranteed to be as specified.All work to be completed In a �"�, �y��/-- � •� i , �
'� workmanlike manner according to standard practices.Any alteratlon o�devlqtlon � r�/'��+i�/%"`��"` r ��//J
""� fram above speciflcattans invoiving extra casts wlll be executed only upo� AUTHORIZED SIGNA7URE f %' .��-�� ` �:�y ����' -^`7��C�
+vritten orders and 1vili become an eztra charge over and abave tlie estimate. _-�
AII agreements contingent upon strikes,accidents or delays beyond our y f`'�� � ER M�k .BE;WITHDR%AW�/N "7, '�
control.Owner'to carry fire,tornado and ather necessary'insurance.Our " �" �,«fF NQ'f ACCEPTED WITH�N__..�
workers are fully covered by Worker's Compensatlon Insurance. ' ,. DAYS.
CThe aboveprices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the y�aFk as specified.Payrr�@nt will be made as outlined above.
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��3 � ���- C77 �
; I813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
• • Building Department
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Date Rec ived
� � Phone Contact for Permitting - _
Owner's fYame /✓ i � � ��"1 � /°[ P�/ �'� Owner Phone Number , �
� Owner's Address � l J Owner Phone Number
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" Fee Simp e Titleholder Name Owner Phone Number
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Fee Simp e Titleholder Address
� �� JOB ADD�ESS /t't G V LOT#
SUBDIVISION �/7' �v/�� < C' ' PARCEL ID# D "' -�r-✓��O-�'�� ��b �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED . NEW CONSTR ADD/ALT 0' SIGN Q � Q DEMOLISH
e INSTALL e �REPAIR
PROP,OSED USE Q SFR Q COMM 0 OTHER :
TYPE'.OF ICONS7RUCTION Q BLOCK • Q ,FRAME Q STEEL Q
DESCRIPTION OF WORK. C. G� D(/ l ��yl /�yJ �/1�� � �
BUIL"DIN�SIZE SQ FOOTAGE�� HEIGHT •
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��BUILDING $
� VALUATION'OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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� Q,I LUMBING $
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+ �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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� Q'GAS Q ROOFING Q SPECIALTY 0 OTHER
� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. .
Addr ss License#
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'ELECTRI�IAN , COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
- Aaa�ess License# ' '
PI.UMBER�., COMPANY-
1•3: ..IF' ,
SIGNATURE `REGISTERED Y/ N " FEE CURRE� � Y/N
� , Address Cicense#
� MECHi4Nl��AL� � , COMPANY n� ��i�r � I �n �
' SIGNATUf�E'' � REGISTERED ,' Y N , FEE CURRE� , N
� aaa�fss=� �n � License.# L
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� _ OTHER�- � " - ' COMPANY
I ''SIGNATURE•:�;-: ' • � REGISTERED Y/.N. FEE CURREK Y/N
� Addre'ss� �� . . . :F` • . �- ,� . License#
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� �>,RESIDENTIAL'.��;'"AttacFi;.(2):PIof�Plan's;='(2):sefs�of�Building•Plans;(1•)'set ofEne�gy.Forin§;R=0-W,Permit,for new.construction,
: �.�-:-,��::,,.�-•;.Minimum;:ten;;10.working;.clays:after'submittal�ilate:�"Required`onsite;"Constniction Plans,'Storminrater Plaqs w/Silt Fence installed,
z.. .l.;s . , �,.,.�.... �( ) , .
-.. � � � �Sanitary,;Fac111ties,8��,1;dumpster;�Site�Wor,ic FertniFfor subdivisions/large projects' � • ___
c.�COMMERCIAL Attach`(2)'complete`sets`of'Building�Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcGon.
•° ; Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, "
Sanitary Facilitles 8 1 dumpster.Site Work PermitTor�all-new p�ojects.All commercial requirements must meet compliance
'.'`�SIGN;.PERMIT ""Attacti(2)sets of;Engineered;Plans.=+�.�: - �
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�"-�-�- """PROPERTY SURUEY reguired for all NEW construction.
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' �;DiFectioris�l :�-..�.::. � , " _
'� ,� '".� �FilC:out application.completely. � V
� � Ovirne�;&Contractor sign back of application,notarized
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' ,: If ove�$2500;a Notice:of Commencement is required. (AIC upgrades over$7500) ., : ..„
, "'"" .Agent(for'4ti'e'cont�actoi')`or�Power'of Attomey(fo�'tti'e owne�)virould'tie someone with notarizedietter from owner authorizing same
:'„OVER_THEiCOUNTER;PERMITTING. ° � _(copy.of contract�required)� � -`
' =Re�oofs if s�iingles Sewers � Service Upgrades A/C Fences(Plot/Survey/Footage)
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Drive Irays-Not ove�Counter if on public'roadways..neecJs ROW '
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, NOTtCE OF DEED RESTRICTtt3NS: The undecsigned understands.that:this�permit may be�subject;to�deedy';restniction',sflt,rv���
� which;may�be more-r,estcictive.�than:County�reguiations: �rl;"he�undersigned�`assum�'es="r"esponsib�lity`for co`mpli'ance�inrlth any ;
� aPplicable deed restrictions. . . ' _,. ' =•'ry'if`='",;;:'�`��°'�:
UNLlCENSED CONTRACTORS ANC? CONTRAGTbR RESP..QNSIBlL:ITlES: if�ttie��diivii`er--�has�Fii�ec!'�;a��cantractor ar ..`
contractors to undertake work, they,mayf be reguired to be=licensed in accordance with.state.:and;�(ocai regu(ations:�„tf,�:tiie��:��!
confractor is>not licensed as�required`6y law, bofh the owner�=and'contractor;may�be�cited�for>Fa-:misdemeanoc violation�;,;��;
under state law. If the owner or intended,:co,n#[actor are�uncertain as to what.IicensingN cequireriaents:}may��apply,faritt�,e;�,;:�;!
intended work,.they are�advised ta"coiitacf`"tlie't'asco Courity Builciing inspectioriv D'ivisiiin--=Eiceiising'S.ectian af.727=847=;�::;
8Q09. Furthermore, if the owner Fias'hired��a cant�actor or confractors, he �is advised to�,have the, contracfar(s)e;sign,.���,'4
partions of the °contractar Block"of this app(ication for which they.wili be responsible.-=:lf.you,.as�tFie�ouvne�'sign:as-�#!ie��=^`,
contractor., that may 6e an indication thaf he�is not properiy licensed and is not entitled to permit#ing privileges`in Pasco,::;;
Coun � _ ,. ; _ , .,;,� : .;r.,� _:.:..,,���3
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TRANSP4RTATItJN-fMPAC7/.UTI�tTlES:tMPACT AND RES�URCE RECOVERY FEES:�Tiie'unclersigned under.s#anc)s.,��`..'i
n::.�:-,.._,,.
that Transpartation impact Fees and Recourse Recove►y Fe.es.:may�app(y to the c,onstruction of.new;buildings,.�change°of;.`t��.�,3
use in�existing buildings,;or•.exPansion of;existing�buildings, as specifled in Pasco Caunty Ordinance nurnber 89-07;arid'' ,.;
90-07, as amended. The undersigned also untlersfands, tha#such.fees,=as;may,b.e:due, wifi�tie:identified`at��tlie�.•tiine:oft::,'�.�
permitting. �!t is further understaod that Transpartatian fmpact Fees°�and Resource`FRecovery Fees must be-paid prior to . ; ;
receiving a "certificate of occupancy� ar final,power release. If the,project does nat involve a certificate of Qccupancy�o��;�;�;�'
final power release, the:fees�must�be,paid prior to permit issuance.,.-Furtiier.rr�o�e,.if Pasco�Gounty Water/Sewer,�lmpaet:�;i;.k y:
fees are due,they.must be paid prior to pertni#issuanae in accordance with:appiicabie.:Fasco:County ordinances. ,� �.;
CONSTRUGTION LIEN t�V1►(iChapter 713;Fiorida Statutes, as amended): (f va(uation af woek is$2,500.O,U,or;mor,e,.�lv.;,,a���
certify that �I, the applicant,. have been- provided with a copy: of_the "Florida Construetion. �ien .Law:Homeowner's ��
Pro#ection Guide° prepared by tfie Florida Depas#ment of Agriculture and Gonsumer Affairs. !f the applicant-is..some.one:,;X:,. ;
other than the°owne�', l.certify that l�have o6tairied a.copy of the abave�descri6etl dacument_and promise;in goo.d�faitfi�fo'_,�..,
deliver.it.ta�the.'�owner".piior�#o:commencement: � � - :
CONTRACTOR'S/OWNER'S AFFIDAVtT:. �I:certify-that all the infor=.mation in this application is accurate and that aN work '
will be done in compliance with a!! applicable laws regulating construction, zaning�and fand�development. Appficatian..is ,
hereby made ta obtain a .permit to-da,..wark-and instaliation.-as�=.indicated. i�certify fhat no work or insta(lation�has :
camrrienced priar #o issuartce df a permit and that all work will be performed to.meet standards of al! laws regulating �
constructian, Coanty and City codes, zoning regulations, and land development�regulations-in�the jurisdic#ion. °l-�also ;
certrfy that ! understand that the regulations of other government agencies may apply to the interided wark, and that it is ''
my responsibifity to identify what act�ons I must take to be in campliance. Such.agencies include but are not limited.to: :;
- A,Department of Environmental-Prafection-Cypress�Baylieads, Wetland Areas and Environmentally Sensitive
Lands,WaferlWastewater Treatment. � ;
- Southwest Elarida Wa#er Management District Wells, Cypress 8ayheads, Wetland Areas, Altering �
Watercourses. � �
- Army Corps af Engineers-Seawal(s, Dacks, Navigable NVaterways. `
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- Department of Health �& Rehabilita#ive SenriceslEnvironmental Health .Unit-We!!s, Wastewater. Treatment; �- -�
Septic-Tanks. � �
- US Environmen#al Protectian Agency-Asbestas abatement. . _
- Federai Aviatian Au#hority-Runways. -' �
1 understand that�the following restricfions apply to the use of fi!!: '
- Use of fill is no#allowed in Flopd Zone"V" unless expressly permitted. �
- If the fiN materiaF is ta be used in, Flood Zane "A", it is understoad that a drainage p(an addressing a
"compensating vafume° wilf be submifted at time of permitting which is prepared by a p�ofessional engirieer '
licensed by the State af Florida. '
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wal( _
construction, f certify that fill will be used only ta fifl#he area wifhin the.stem walL �
- If filF inaferiai is to �.be used in any area, 1 certify that use. of such�fill will not adversely a�Fect adjacent ,
properties. If use of fitl is found to adversely affect adjacent properties, the owner may be cited for vio{ating �
the conditions of.�:the building perm�f issued under the attached permit application, for lots iess than one (1} `
acre which.are elevated by fill, an engineered drainage plan is required.
If I am the AGENT F�R THE OWNER,.i,promise in good faith to inform the owner of-the permitting conditians set forth in ;
this affidavit prior ta commencing construction. 1 understand that a separate permit may be required far elec#rical work,. �'
plumbing, signs, we!!s, pools, air conditioning, gas, or other installations not specificaily included in #he appticatian. A, •:;
permit�ssued shaNbe construed ta�be a license-to proceed with the work and not as.au#hori#y toviola#e, cancel, alter, or `
set aside any provisions of the technicat codes, nor shall issuance of a permit prevent the Building Official from thereafter ,
requiring a correction of errors in plans, construction or vialations of-any cades. Every permit issued sha0 become invalid �
un(ess the work authorized by such permit is commenced within s�c manths of permiE issuance, or if work authorized by
#he permit is suspended.or abandoned for a period=.of.six(6)months aftar the time the work i�'commenced. An extension '
may be requested, in writing, from the Buifding C)fficial for a period not to"exceed ninety{90) tlays and will demanstrate ;
justifiabte cause for#fie extension. if work ceases far ninety(90)consecutive dayst the job is considered abandoned.
WARNING Tb OWNER: YOUR FAILURE TQ REGORD A NOTlCE C?F C.QMMENGEMENT MAY RESULT IN YOUR
PAYlNG TWICE�OR tMPROVEMENTS'Ct�YQUR;PROPERTY.. iF YOU`.iNTEND-, - •�OBTAIN�FINANCING,CONSULT_- —=-
WiTH YOUR L'ENDER CiR AN A'iTC1RNEY BEFORE RE�ORDIMG xOUR�N • E'OF� � MM ! MENT.
� _ _ FLORtDA�Jl1RAT-(F:S:Y17.03) ,
�� OWNER OR AGENT COWTRACTO
Subscribed and swom to(or affirtned}before me thls Subscribed and-s am to{or e befote�rr} this �
by b
Who is/are personaliy knawn to me or has/have produced ' Who is/a _ ersonaUy, own ta me or haslhave produced
as iden6ficatlon. as identlficaflon.
Notary Pubtic � . Notary Publ3c
MCommission No. Com iss n No. '
��srs�:, •. JACQUELlNE BOvES +f
�',n; r' F 24
Name of Notary typed,printed or stamped ' Name of Notary ty�ed, ' "t,ec€oE}��wmre:12 ?Q18
�5. .`�. L�°�`� Bonded Thm Tro a•�85-7019
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