HomeMy WebLinkAbout17-18451 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 1 1
,_,;, ,� ,: BUILDING PERMIT
� � �PERIIlIIT INFORMATION = - ' LOCATION INFORMATION
Permit Number: 18451 Address: 4803 TIMBER WAY
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: COURT SQUARE
Est. Value: Parcel Number: 15-26-21-0200-00000-0260
Improv. Cost: 7,009.00 OWNER INFORMATION
Date Issued: 5/04/2017 Name: BRYAN, MARILYN
Total Fees: 75.00 Address: 4803 TIMBERWAY
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/04/2017 Phone: (813)783-9144
Work Desc: A/C CHANGE OUT 3 TON HP
CONTRACTOR S APPLICATION FEES
TEMPRITE AIR SOLUTION LLC A/C CHANGEOUT 75.00
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Ins ections Re i ed
DUCTS INSTALLED
DUCTSINSULATED
FINAL
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
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 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.
"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."
Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
/
�� CONTRA OR 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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813-780-0020 City of Zephyrhills Permit Application FaX-$13-780-002�
Bullding Department
Date Recelved
� � Phone Confacfifar•PermittEn �
Owner's Nama �� Ow»er Phone Number � —3 ��3 �
Owner's Address ��'U � '1 � �-� ,,o e2 � - •Ow�ner Phone Number �� ���
Fee Slmple Tikleholder Nama � � Owner Phane Number �_ —�
Fee Simple Titleholder Addresa
JOB ADDRESS ��3 �r n�. I�.,�/G � 2-2. ,' � ��S � � LOT# [��
SUBDIYiS10N ��3�"� S W-1-(�-� PARCEL ID# --,�.�--� 1- G oo �G�Ob --OaC��
(08TAIMED FROM PROPERTY,TAX NOTtCE)
WORK PROPOSED _NEW CONSTR ADDJAI.T � StGN" 'Q Q DEMOGISH
�•e; INSTALL 8 REPAIR ^
PROPOSEDiU$E Q SFR � GOMNt Q OTHER �
TYPE OF CONSTRUC'170N Q ` 'BLOCK ' '[� FRAME [� STEEL Q
pESCRIPTION OF WORK' C' �r� ;�a d,�1'k` `
BUILDtNG SIZE �`_�� SQ';FOOTAGE� . MEIGHT����.�
QBtl11.D1NC' � � VALUA7iON�1F TOTAL CONSTRUCTION �
QECECTRICA�. - $ " � AMP SERViCE ��] PROGRESS EtVERGY [� W.R.E:C.
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o�������� .�-- � -
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QMECMAN1CAl. $ VA�UATtO1V OF'MECHANICAI INSTAI.lAT10N 5��
0�5. .
QGAS Q ROOFlNG .� SPECIAI.TY [� OTHER
FINISNED FLOOR ELEVATIONS ��� FLOOD ZQNE AREA QYES. NO
BUIIDER
C .,
OMPANY�•
SIGNATUitE REGISTERED Y/ N FEE CURRE� Y/N �
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Addres� - � �•�� . ' Cicense�#"� I
ELECTRtC{AN. : ' i. COMPANY'�� . � , .
SIGNATURE � REGIS7ERED Y/ N FEE-CURREk�'' �• "Y/�N . '
Addre�s � . .� . _..� License#�;��' � �
P�UMBER ` , + � R OMPANY � Y/..N �FEE CUR � - ,
SIGNATURE` ' � ,, . REh_- Y Y N, � �
Addre�ss . :License,#'��,.,..a.. .., - : :, J . �.� -
MECNANiCAR:' _ �.------��, COMPANY :2 r�-7 ��'`l't t ��-� ,�•r'3 �-�'7�',``�''�S -
SIGNATURE� ���--�= REGISTERED . Y/ N . ; ; FEE CURRE�, . Y/;N: I
Address`�' - 9`�� �S"�' �1�.��`� `2 G✓t �`�$ � . 3 3!n t'�-, ,ucense# ���'' .3 ,
OTNER '� ' ,_ � � � . :CBMPANY �
SIGNA7URE �. ` ` � ' ' REGISTERED� Y/ N:.. ;FEE CURRE�' Y/N
Address � � - . - ' Cicense#�� �
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REStDENTlAt:�z� :Attacti(2).,Rtot:Piatis;�.(2}sefs�-of=Building?F'lans;{'1)set ufi Energy�Faims;`GFt=0-1N Pemilt far new'cbnstrurs#ton,
.,. . . . .. . - �:. .
;�.Minfmumgten�(,10),warkingkdays after:_subinittal"d'ate...:Required onsite,.Constructlon�Rians;'Stomrwater Plans w7 SUt Fence installed,
�`"`�•.."Sanftaiy�Facilftles;&_1:dumpste_r„51te°Work,Permitforsubiiivisions(large_projeats;�..._, , � ' `
COMMERCIAI. Attach{3)-+r�mplete'sets of'8iiildirig Plans plus a�.ife'Safety Page;.(1}set of Energy Forms.R-O-W Pemnit for new construction.
Minimum ten(10)working days after submittal date. Requlred onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
-- - San3tary Facili�es&1 dumpster.Stte Work Permlt for a!i newprojects:.Rli commerctal requl�ements.must meet camp{fa�ce -
SIGN PER(VIiT Attacfi"(2)sets of Engineer,ed;Flaris.. - ��- . � � �
••`"PROP�RTY SURVEY regulred for all NEW,canstructlon.. . -
Directions: - - - ' +
Fill out appUcatlon completely. �
Owner&Contractor slgn badc uf appllcatton,no#atized
If aver 52500,a Plotice of Commencement I�raqulred. (AIC upgrades over$7500)
:�t_, .:,:,
'* Agent{fot the�cantractor)or'Power of Attotttey(tar ttie owner)wauld ba someone with notarized letter from owner authoriztn�same
DVER THE COUNTER PERMI'TTING - •(Front ofiApplicatton-Only)-- - - �
Reroofs if shingles Sewers 8ervice Upgrades AIC Fences(PlodSurvey/Footage)
Drlveways-Not over Counter if on public roedways..need's ROW
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NOTICE OF DEED RESTRICTIOMS: The_undersigned,undergtands;,th�t:thls;�,p�rntif�.maysbe�subJect,to,"deed'�;c�!rickions";�._;�.* ,rrti.
,. : , ; .. . .
which may be>more��r.est�ict(ve}thait Countq�regulatCons.�The undecslgned�-assumes°responsftiilltjcfor comptlance with any
appflcable deed'restrictions. _,.:..�:, <,;:., = ... �> � . .� :. . - - -- '_ _.
UNLICENSED CONTRACI'ORS-AND CONTRACTOR .RESPONSIBILITIES: �If=the-=owmer has�`hiredV�a�"contractvr or
contractors to undertake work,-they-may.b.e.;r�quir;e,d:_to,be.;iicensed in,accordance.with„state.and:local,�regulatlo_ns:�-lf�the��= "�"�
contractor Is-not licensed=as�requlred.',tiy law, both the owner and=�contractoremay��be-clted for a�misilemeanor violatlon
under state law. if the owner or Intended�,co,ntractor;;ar.e„uncertaln as to what Ilcensing.requirements;may��applyr�ior:tiie-� � �-�
intended work,they are advised fa coritaot.the Pasco�County.Buiidtng.'Inspection Dtvislon..-L•Icen.stng�3ection at 727-847-
� -:.�
8009. Furthermore, ff the owner'Fias Nlred�a conlractor or contractors, he Ts advlsed to have �the contractor(s),.sign
portions of the ncontr�ctor..Block° of thls applicatlon.for,which.they,. wlll.,.be_:.r.esponsible.- -If.:you,,as:the owne�"sign''as�the
co�tractor; that�may�tie an indlcation thaf he°is'°noY:properly�licensed'and�is`not entitled to pemiftting prhtileges in Pasco ,
County. _ "� ��
TFtAN�PORTATION-IMPACTIU7ILITIE$=rNIPAC7�ANb�RE50U�tCE RECOVERY�FEES:`The undersigned"understands
that Transportatlon Impact Fees,and.Reco.urse.Recove.ry.Fees may�:apply to�tF�e;constructlon:of new,..buildings,=change�of"°� `�� `�
use in existing buildings; or�expansion�of-�ezisfin�g==buildings, as specifled.in Pasco County O�dinance number 89-07 and.
90-07, as amended.,..;The undersigned al�o;:understands; tNat"such fees;;;as��may���e�y.due;,:will-be tdenfified at the;time��of�� •�°�• ����
permitting. It Is hirttier understood that Transp�ortation Impact Fees and�°Resource::Reco�ery�Fees,must be paid prior to
. - .,._,... :
receiv(ng-a�'cerEiflcate�of occupancy°�or flna)•power:Eelease: :if�the.proj8ct..does�.not involve�a�.certificate of occupancy.or-������� •'- �
flnal powec release;_the�.fees�.mu�t"lie paid;prlor to,permft lasuance. Ft��thermore;�if:Pasco,C,ountyhWatedSewer�;lmpact -�.,.
fees a�e due,they_must.be�pald.prior to.permit-lssuance=ln:accordance wlth�applloable.Pasco'.County"ortlinances. �
CONSTRUCTION'LIEN�LAVII�(Chapter 713, Flor�da Statutes�as amended): If valuadon of work is$2,500.00:oc more,.I : �b�
certify that I, the. applicant;�have•been provided with-a copy of the��°Florida=Construction�=Lien.:Law—Homeowner's
Protection Guide" prepared by the�Flo�ida Department�of Agric.ulture and Consumer,Atfairs. if the appl(cant is someone� .. � � �;;�
other than th�"owner", I cer�ffy.that„I:h�v,.e..;optained�a'copy,of:the:above:.des,crlbedtlocurt�ent,and:,pror�is��Jn,good:':faithto .
deliver It to:.the:'owner"'-pi.�or:toycommencement:'` � ` ` � ' � • � . _
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ce'tity�.that�ail.th�;lnformation;in�thi�appllcation is accurate and that all work
will'be done in compifance with all applicable laws regulating construction, zoning and:land development. Application_is
hereby made to obtain.:a .permit;;to :do.`w�rk:;and Installation as indlcafed:..=�l= certify that no work':or Installatton has
commenced p�(or to Issuance of�a permif'"and that°.all wark wlll be pe�formed�to meet standards-�of all laws regulating�
construction; Caunty and City codes, zoning regulatiQns, and land development tegula�lons`�in the ,jurisdiction.= I .al's.o _.
certify that I understand that the regulations of other government agencies may�apply�to the..lntended work, an�that it is
my responsibility to identify�what.act(ons I must take..M be=in:.corrlpllance:,.S.uch.agenoles�include�but�are.not Iimited to:
- Depattment of Et�vironmental=°Protection-Cypress:Bayhead�� V1letland Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management:y:l�istrict=Wells;' Cypress.r�Bay.�eads; Wetland Areas, Altering
Watercourses. - . - - - � � �
- Army Corps of Engineers-Seawalls,'Docks, Navigable�Waterways.
- Department of_,Health::& ReMabllitative Services/Errvironmental .Health Unit Wells, Wastewater Treatment,�
Septla Tanks:� � � � � -- � - :
- US Environmental Protection Agency-Asbestos abatement. . . - �
FederaFAviatton_Authocity-Runways:� -� � _ `
-I understand.that the following.:resirictions apply to.the use of fll�:�
- Use offlll is not allowed In;Flood•-Zone"V"unless expressly permitted.
- If the �iil°materlal" is to be used:��in :Flood Zone. "A", it. Is understood that a drainage plan addressing a
"compensattng volume"will be submitted at#ime of=:petmffting wbich ts prepared by a profess(onal engineer �
Iicensed by�#he State of Flo�ida. - ' � -� .. . . .
- If th� flll material is to be-used in Flood Zone "A" in�connection�viilth��a-�permitted buildir�g using stem wall
construction, I certify th.�t flll:�rall:�b.e used only.to.fill the area withln the=stem�wall: - •
- If flll material�is to be used in any area; I certify that .use. of�such flll will not adversely affect adjacent
propertles. If use of flll is found_to adversely..�ffect ad)aEent�prc�perties,.the owner may be clted for violating
the condilions:of the bullding;permit issued�under the at�acl%ed,_permit-applicatlon,�for.:lots:less:.than.one (1)
acre which are elevated`by flll,an engineered dralnage plan is required.
If I am the AGENT FOR THE OYYNER, I;:promise In good falth to inform the�owner of the permitting condftions set forth in
this affidavtt-prior to commer�cing construction. I understand that a�separate permit may be requtred for elecMcal�work,
plumbing, signs, welis,.:p,00ts;, air conditioning,.gas� or,othe� install�tlons noE�spec�ically included-tn the application. .A
permit Issued shall be constcued to b'e a�Iicense'-.to;proceed with`the,work and not:as:authoNty.:to..violate;�cancel, alter, or
set aside any provisions of tfie teclinical:cades;�nor shall issuance•of a.permtt.pcevent the Bufldirig Offictal from thereafter
requlrin.g a correction af errors.ln;pians; construction;or violatlons of-any codes: Every-p�ermlt Issued'sfialFtieaome�inval(d
unless the work authoNzed.by such permit��is-commenced•withln sfx..m.onths of permlt Issuance, or if work authorized by
the permit is suspended�or:abandoned�for a;period,of�six�)�monttis�.after the time the�work��s commenced. An extension
may be requested, In writing;.from tHe �uilding,Offlcial for a period��not to exceed-ninety��(90)�days a�d�will demonstrate
justifiable cause for.�the extenslon�. If work ceases:for ninety.(90)cons.ecutive days...th\)ob:Ps.considered abandoned.
1NARNING TO 01NNER: YOUR;FAILURE;;TC�..�R�EC.ORQ,A.;�IOTIGE-OF.�COMMENCEMEMT:NFAY•RESUlT IN-YOUR
PAYING TWICE�FOR=IMP.ROVEMEN�'S_TO��YO.UR::PRQPERTY. :I��YO.U�IN��EKID�TO{'OBTAIN�FINAwE1NG;'CONSULT
WIT U O. AN� TTO N FOR��� ECO � G:� OU ' � �C 'Q r '.�• ' E
i FtORIDA JURA�(F.S:1.1.7.03 � -" ,. , .`, ,,•:� = , , . � '
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_'__��iEROR-�'+t3Et�i'�� - - - - - _ ." C�BdTRACTO - -- __ -� -
Subscribed and (or aHi ed)before me fhis Subscrlbed m�to(ot a rmed)�befots me tFit�
.by... ,.
I Vdho Islare personelly knorm to.me or ha�lhaye produced Who.ls/are p_.eraonellyacnown:to me or heslhave�produced • � . I
as IdenUflcatlon, as IdentlBcaUon. •
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Notery Publlc _ Notary Publlc
Commisslon No: Commlaslon No.
Name ot Nofary typed,printed or stamped Name of Notary typed,printed or atamped I