HomeMy WebLinkAbout17-18436 CITY OF ZEPHYRHILLS '
, _ = 5335-8TN STREET
(813)780-0020 ��
BUiL.DING PERMIT
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� PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: '[8436 Address: 4803 AIRPORT RQ STE 207
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A!C GHANGEQUT Township: Range: Book:
Proposed Use: NOT APPLICABLE - Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcei Number: 13-26-21-0130-00200-2070
Improv. Cost: 6,150.00 OWNER (NFORMATION
Date Issued: 5lQ212017 Name: CRAINFORD JOHN A& CAR{��A TRST
Total Fees: 70.Q0 Address: 1412 SAINT CLAIR RIVER DR
Amount Paid: 7Q.00 ALGONAC, M1. 48001-1342
Date Paid: 5/02/2017 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON
CQNTRACTUR S APPLICATiON �EES
US AIR CONDITIONING & HEATING A/C CHANGEOUT 70.00
Ins ect ons Re u�red
DUCT STALLED
DUGTS INSUtJ�TEJ��
FINAL ``� SF
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REINSPECTION FEES: (c)1Alith respect to Reinspection fees will camply with Florida Statute 553.8Q (2)(c)the
locai gavernment shaii impose a fee of faur times the amount of the fee imposed for the initiai inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the reguirements af this permit,there maybe additiona! restrictiQns applicable to this property that
may be found in the pu6(ic records af this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Ware�ing to owner: Yaur failare to record a nofiice of commencement may resutt in your paying twice for
improvements to yaur praperty. If yau intend to obtain financing,consult with your lender ar an attorney
before recording yoar notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be perFormed in accordance with
City Codes and Ordinances. NQ OCCUPANCY BEPORE C.O.
NO OCCUPANCY BEFORE C.O.
O RAC OR SIGNAT RE PERMIT OFFI R
P RMIT EXPIRES IN fi MONTHS WITHOUT APPRQVED INSPECTION
CALL FOR INSPECTION - $ HOUR NC�TICE REQUIRED
PRt3TECT CARD FROM WEATHER �
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813-780-0020 City of Zephyrh' c���iit Application F�-s�s-�aaooz�
, � B� partment
Date Recelved �
Phone Conx�_t for Permittin
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Owner's Name � p l.�r Owner Phone Number �- � -/ �
OwneYs Address �. Owner Phone Number
Fee Simpla Titleholder Name Olwner Phone Number
Fea Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION 'PAR�LID# I ' (p"' � I d��Ox1�" �
(OBTAINED FROM PROPERTY TAl(NOTICE)
WORK PROPOSED NEW CONS7R �ADD/ALT � SIGN � Q DEMOLISH
B INSTALL � REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK Q Y {'l'
BUILDING SIZE SQ FOOTAGE II�P HEIGHT �
TTlY rTTTTTRrITTTTT r'1'�l4TTTTT!"r'IiR"!"TTTl�rr1"r'TTTTr
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ .!�
ME HANI A VALUATION OF MECHANICAL INSTALLATION
� ` � (�/
�, C C L $
/ �
OGAS � ROOFING Q SPECIALTY 0 OTHER �� �
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License#
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE Cl1RRE� Y/N
Address License#
MECHANICAL COMPANY U,�S. f-//(
SIGNATURE REGISTERED / N FEECURRE� Y
Address a f License# � 7�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1j set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days afler submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements musl meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constructlon.
�i-i-i-i-f-FI-L-Li-�1-�L-1-.I.d-FI-F4-F•1-F•1-1-FI-�F4�i-1-Ff-i-f-F-i-F�N�4-F�Ff-44-F-1-f-H-F8�4-{-.i-f-Fl-i-F�i-4-F+H-I� I
Dlrectlons: I
Fill out application completely.
Owner 8 Contractor sign back of application,notarized �
If over$2500,a Notice of Commencement Is required. (A/C upgrades over E7500)
" Agenl(for the contractor)or Power of Attorney(for the owner)would ba someone with notarized letter trom owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shfngles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned unc��r,srand�that this permit may be subject to"deed"restrictions" �
which may be more restrictive than County regulations. The�^d��i�'jned assumes responsibility for compliance with any
applicable deed restrictions. `
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed ir�accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as.to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. if the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the 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 responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawails,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inciuded in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING 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.
FLORIDA JURAT .S.117.03)
OWNER OR AGENT CONTRACTOR _
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ho is are personally known to m or a/have produced Who' re personally known a mdJdr as/hav pr uced
as ide ification. as' e 'icalion.
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