HomeMy WebLinkAbout17-18093 � • CITY OF ZEPHYRHILLS
5335-8TH STREET'
($13)�sa-oo2o 180 3
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BUILDING PERMIT
'' PERMIT INFORMATION � LOCATION INFORMATION �
Permit Number: 18093 Address: 6034 12TN ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ctass �of Work: A!C CHANGEOUT Township. Range: Book:
Propos'ed Use: NOT APPLICABLE Lot(s): Block: Section:
Sguare Feet: Subdivision; OAK PARK
Est.Vaiue: Parcel Number: 02-26-21-0050-00000-0060
Improv. Cast: 4,200.00 OWNER INFORMATtON
Date![ssued: 1123l2Q17 Name: KIEPER JAMES& RHONDA&CROOK IRL
Total Fees: 60.00 Address: 4853 17TH ST
Amount Paid: 6Q.00 ZEPHYRHILLS FL 33542-6023
Date Paid: 1/23/2Q17 Phone:
Woi'rk Desc: A/C CHANGE OUT 3TON AIRHANQLER& CQNDENSOR
�i CONTRACTOR S APPLICATION FEES
AlR TE ��H SERVICES OF PASCO WC A/C CHANGEOUT 60.Q0
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REINS,PEC7�ON FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
locai governmenfi shail impose a fee of four fiimes the amount of the fee imposed for the initia[ inspection ar
�� first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restricCions applicable to this praperty that
may b�e found in the public records of this caunty, and there may be additianal permits required from other governmental
�� entities such as water management, state agencies or federal agencies.
"1Na�ning to awner: Yaur faiture ta record a natice of cammencement may resutt in your paying twice far
impravements#o your property. If you intend to abtain financing,consult with yaur lender ar an attorney
� befare recording your notice af cammencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
(4 C ty Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
�) N4 OCCUPANCY BEFORE C.O.
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'CQ TRACTOR SIGNATURE PERMIT OFFI R
�� �'' PERMIT EXPIRES IN 6 MONTHS WITHUUT APPRUVED INSPECTIBN
'! CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
;I PR4TECT CARD FROM WEATHER
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„ � � 813-780-002ti Cify of Zepliyihllis Permit Application Fax-813-780-0021
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FINIBFIED F400R EI.�VATIONS F�tt(?D Zt3,ftE AttEA QY�S NO
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' iiiriiiiii � iiilii � ii � r"il � � ii,� tii � r�iiii � � l � i � i � � til � ii.iM � � � ii � i"i � iii i
, RESIUEN'f1AL Aitach(2}f'tok Plans;(2)sets ot Buiidltig Plaits;({)set o(Ettergy FoimS;F2-Q-W Peris�tt fot neW con'sttuciloir,
Minfinam ten(10j worktng d&ys'efte.r'sutimiiteffiate. Requtied onsite,Constructlon Piens,'Sfortnwater plens w/.Sflt Fence insiailed;
Sanllery Facllllles.&1 dumpsler,Slle Nlork.Permll tor subdlvfslonsllerge proJecls
' COMMERCIAL Allach(2)complele sets of 0ullding Plans plus e LIt6 Setely Pege;{t)9e!of Energy Forms.R-D-W Peimlt foi new consituctlon.
Mtnimum ten(10}wdrktrig days after subm}tkaE dale. Requtted onslle,Gons�rucklori Plaris,Stom�wster Plens w(Si1t Fence lristal�ed,
Sa�flery.Faclflttes&i d'ump@ler.Stte Wbrk Permtl foretl new praJecls.AII comrtierctel requlreinents niust mesl campffehce
' � SIGN PERMIT Allach(2)sels ot+�nglneered Plaps:
""'PROPERTY 9URVEY requ4red to'r at{NEW conStiucllon:
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:i-4�ir�i�l�iri�tih{=i�W�i-i�S.I�i=i�Mi-i-t-t�i:.a'. ......-� .. .�+„�• s-i�..-+-.-.-.-.-.-.- . . ......-...._...: �;, �
, . Dtrectlohe: '
;I FIII oul eppllc9llon eompletely.
( _ Owner S Contractoc slgn 6ack ot appllcatfan,aotsdied
It aver�2540;a Not#oe ot.Gummencement Ia requtred; {AtC upgtad+�'s aveP 57600}
� " Agenl(for lhe conlreclar)or Powar ot Allorney(for Ihe owner)would be eomeone wllh noterized leller Irpm owner aulhodzing seme '
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OVEfl THE COUNTER P�RMITTINO (copy ot cantiact requlred)
Reroots ti shtngtea Sewers 3ecvtce t)pgradea AIC. fie�ces{PtoUSurveytFaotagej -
i , II prlveweys-Not over Counlar If on publlc roadweys..needs ROW '
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NOTICE OF pEEE!R�STRlCTIONS: 'fhe unders(gned understands that th4s permittnay be sublect#o"deed"re�tricttons"
which may Be more restrlclivp►qan Caunty regulat{ons. 'Fha Undersigned assumes responsibility for compltanca wlth�ny t
appkieabie deed restriciions.
U�t�iCENSED GQNTRAC'tORS.At�b GO�ITRA�TOi2 R�SPQNS1piLiTiES: If the owner flas hired a cantractar or
contrackors to undertak��vork,ttiey rriay he�equired!o be(ice�secl iti accnrclan�e Wifh state and locai regulati4ns, If!he
contrac4or is not Iicensed as required 6y�ay,i,boih the o�vna�.and contractor may 6e c►ted for a misdemeanor violatfon
under sta�a taw. tP iha owner or intendad cqntrackor are unce�tatn as ta What iicansing reguirema�ts may�pply for the
intended work,they ara�dvised to contapt tl�e Pasca Counly Bu{Iding{nspect{o�pivisian—Licensing S�ction at 727-84�-
e0d9. Furthermore, if t#►e owner has hired a conUaclor or cg�t[aclors, he Is adviSed to have the c4n#r�ctor(s) sign
portians of the"canirackor�lock"Qf this applicatfon fa�which thejr will he responslble. If you,as Ehe owner sign.as tha
cont�sctar,that may be an indication thak h�is not properfy Ncenssd and Is no#entitied ta permitting priVil,eges in Pasco
County. `
TR,4NSPORTATtON iMPACTIUTIL�TIE5 lt�PAGT AND R�SOURCE REC4VERY FEES: Tha updersigned ynders#a�ds
that TransportatEon Imp�ct Fees and Recourse ftacovery Fees may�pp�y ta th,'e construction of new buiidings,ehanga of
use in exisUng bultdings,�ar expans�an of existing buiiding�,as specified 1n Pasco Gounty Ordlnanc�numbet BS-07 and ,
90-07,as amended. The undersigned also undersEands,that such fee$,as may�ba due,Witl be IdenUfted at the tfine of
permltling. It Is f�rlher understood that 1'ransportatlon lmpeck Fees at►tl Resource Recavery Fees must be paid prlor to
receiving a"certiflcaie of accupancy"or finaf power release. if the projecE does not Invqlve a cecti8cate af ocGupancy or
finaf power refease,the feas must be pald prior to permil tssuancs. Furthermore,ff Rasco County Water/$ewer tmpact
fees ara due,they must bs paid prlar to permit lssuance in accord�nce wilh applic�ble Pasca Cqunty ordinances:
CONSTRUCTION Li�N I.AW(Chapkslr 713,Florlda Statutes,•�s am@ndad}: If vaivatloit qf work Is$2,5Q4.4Q or more,l
cartlfy Itiat !, the applican#, have b��n provided wlth'a`cqpy of ihe "Fl�rlda.ConstrycUon tfen Law.—Homeowner`s
Protection.Guide"prepared by the Flodda Departm�nt of Agr{cuiture and Consumar Affalrs. !f the app!{cant is sotneona
otha�than the"awnat',i�ertify ih�i 1 have obtained e copy of the above'descaihed document and promise In good falth to �
d�itver li to the"gwner"prior to corrimencement,
�t�NTRACTOR'SiOWNER'8 AFFiQAVlT; !certity that af{tha informat{on in this appi�cation is accurate and►hat a!1 work
wiU be done in coinpf{anos with ail appiica6te iaws regutating conskruplion,zotjing and I�nd development. Appiication Is
hereby made io obtaln a permit to dq work and (nstaUation �s indicated, i cartify ttiat no work or Installaklon has
cotnrrsenced prfar ta{ssuance of.a permit and thak aq.work wi!!ba pecforrited to meet standards pf ail iaws reguladng .
constructlon, County and Gity codes, za�fn� regulailans, and land deyeiopmenk regulations irt tha jurisdiGtlan. 'I atso
certity that i unde�stand thai ihe regulations of other goyernment agen�ias may appiy to ihe interided work,and thak it ls
my rasponsibllity to tdant{fy what actions i rr}ust take to be�n compiianca, Such agencies includa buk are not Iimitad tot
- Department of Environmental Prqtection,Gypres�Bayheads,Watiand Areas and Enylionmenkally SensitiVe
lands,lNate�IWastewater Treatment.
- southwe�t Fl4rida Water Nlan�gement Dlstrict-11�ells, Gypres� Bayheads, Wetland Areas, ,Alte�ing
Watercourses. "
- Arr�y Corps of�n�ir�eers-Se�walis,Doctcs,Na�igaple Water�rrays.
. Deparkmenk of Hea_Ith & Rehabilitativa 8erviceslErtyironmental Nealth Unik-We!!s, Wastewater Treatment, �
Sep{ic T�nks. �
- US EnVi�on�rental Rratectton,�gency:Ashesios abatement. ;
- Eedera!Avlatlon Authori�y-Rut�vrays. �
I�nd�rstand ihat the follawing res(rictIons app�y�o the usa of fill: ��
- Use of fi!I ts�r�ak�itowed in Fiood Zona"V"untess axpressly parrr�itted.
. if the fili maferia! is to.he used in Fload Zane "A",�ii is understood ihat a dralnage plan addrassfng a
"campensat�ng vofuir�e"w[t�ba submltted at lime of parmitt{ng wtifch is prepared by a professionai englneer �
llcensed by!he 8tate of Flodda. i
- if the fili materiai is to be used!n Flood Zans"A" in cannection with a permlttad bullding using �tem wat! �
eqnstrucklon,i cerUfy that flii wIN he used onty to fiU tqe�rea.w{4hin the stem waH. - I
- If fi11 makerla! ls to pe use� in any erea, i cartify ihat use of such fill will not adversely affect adjacent
properties. if use of fiil Is found lo adversely affact ad)aoant proparties,the owner may be cltad for vlolattng '
the candttions of tha huliding peimit issued un�er ihe attached ps�m{t app!►cation,for lats tess than one{1) I
acra which are etevated by fill,an angineerad dra{naga pian is required.
!f!am the AGENT FOR THE QWN�R,1 prqmise tn goa�faUh to lnform Ihe owner of the permkting conditions set forth In
ihls affidevli prlar to commancing construcUon. i understand that a separ�ia permlt may he requlred for-elecfrical vuark,
ptumb{ng,signs,weils; poois,air condiUoning, gas,or other.lnstaHaklons nat spactf�caily inciuded in the appticatton. A ��
permlk lssued shaU be construed ta be a licanse to proceed with ihe work�aqd nok as authoriry ta vio4ate,car�cel,alter,or
set asid.e anjr provisions of ihe.tachnical codas,nar shall lSsuan�e qf a:permi�{�raveni'the Buiiding•Offtclat'frorri theraafter
rsqulcing a c�rrecBon of errors in ptans,�on�iructian or vto�attons of ariy eddes. EVery permlt Issued shaN become fnvalid
uniess the work authodzsc�6y such perm{t Is comm�nced wfihin siz rponths of permit issuance;or If work autharized by
ih�peffll'tt is suspendad or atiando��ed for a pedod of six(6)r�ionths afler the tltr4�the work is commenced, An axtenslon
may he requesked,in w�ltirig,frorrt khe Bu�iding Qfficfai.for a period noi ta exceed ninefy(90)days and wl!!demonstrate
� lustiflable c�use for the exien�ion. tf w�rk c�ases for ninety(90}consacutiye days,the job is oonsldered.abandoned.
iNA}2NING TQ OWt��R:�6t# . �AI�,Uf�E TQ RE�,ORD A NDTiCE OF CQtsli � NT MAY RE$UL.T!N YQUFt
R+�YIt�G TWICE FORJM�'R01t� iS Tt#YOUI�PRQPER`fl(.,!F YQU(, � 0 �1iN FINAN�if�G,�t3NSULT
OU L I? O O BE.O ECO G 011 O G'E O ' O E C E . �
FLORIDA'JUR1tTiF:s: ._3j --_ „�._.._. ...._.,.
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OWN�R OR AQENT GONT4i(�CTCJR r
Subscribed and swom ta or ifirmedj bgiore ine ifiis � Subscribed and��ynrn o{ar aff3rmed}iie(ore me this ' '�' '
by . by _i
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iMio istare pQrsoneliy known lo me qi hasPoade prpduced Wh�isia�peisonett"Kn�wn io me or haslhave prod'uced �
ss IdeNifiqation. �-�.� as tdeniification. .
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Noiary Pu611c �.'�-.{ �� �� �� , . '���.,_.Noiary Publlc ,
Commission No. Corr�m[ss on No, l �.�
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Nams of Noia'ry IypeB,�prtnled or elampad ' g ary iy������s� "
,��,wtY.?i;o'��, sion#FF i50422
;*; ;: Gommis �018
=_,�y,�Pa: Expires Decem6er 12,
sas.zors
'';,,� F f;,��``` $ondsd ThN Troy Fe�n�neurence 800�
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