HomeMy WebLinkAbout17-18484 CITY OF ZEPHYRHILLS r,j-
�,• : 5335-8TE!STREEf'
(813)780-0020 1$�
BUILDING PERMIT �
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� � - PERMIT INFORMATION � -�- LOCATION INFORMATION -
Permit Number: 18484 Address� 6623 ASPEN GT
Permit Type: MECHANICAL � ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLf�ABLE Lot(s): Block: Sec#ion:
Square Feet: Subdivision: DRIFTUVOOD
Est.Value: Parcel Number. 02-26-21-021B-OOA00-0020
Improv. Cost: 5,400.00 OWNER INFORMATION
Date Issued: 5/3512017 Name: HAZEN SHIRLEY
Total Fees: 65.00 Address: 6623 ASPEN CT
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542-6609
Date Paid: 5/15/2017 Phane: 813-787-0478
Work Desc: A!C CHANGE OUT 2 TC?N
- CONTRACTOR S APPLiCATtON FEES
TEMPRITE AIR SOLUTION LLC A/C CHANGEOUT 65.00
\
Ins ections Re uired
D SI ALLED
DUCTSINSU�T,�E
FINAL----���- ..-
REINSPECTION FEES: (c)With respect ta Reinspecfiion fees will comply with Florida Statute 553.80 (2)(c)the
loca!government shaEi impase a fee af four times the amount of the fee irnposed far the initiai inspectian or
first reinspection,whichever is greater,far each such subsequen#reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additianal restrictions applicable to this property that
may be found in the pub(ic recards of this caunty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to awner: Your faiture to record a natice af commencement may result in your paying twice far
improvements ta your property. If you intend to abtain financing,consult with your lender or an attorney
befare recording yoar natice of cammencement."'
Complete Plans,Specifications Must Accampany Application.All wark shall be pertormed in accordance with
City Codes and Ordinances. N4 OCCUPANCY BEEORE C.O. �
NO OCCUPANCY BEF4RE C.O.
NTRACTOR SIGNATURE PERMIT OFFI R �
PERMIT EXPIRES IN fi MONTHS WITH4UT APPROVED INSPECTIQN
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR4TECT CARD FROM WEATHER
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s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
- Building Department
r
i. ' � •
Date Received �' Phone Contact for Permitting � ��,3 �S� — �
Owner's Name � ''r�� �Z�,� Owner Phone Number �( r/0 7 �v /
Owner's Address C!a .S � (l �/ � OwnerPhone Number
Fee Simple Titleholder ldame Owner Phone Number
Fee Simple Titleholder Address �
JOB ADDRESS C ' LOT# �
SUBDIVISION ���w��� d�- ti. f ��ARCEL ID# �0?-02 G - � - 0 - � D.v-Ud �-o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE_OF CONSTRUCTION Q BLOCK - Q FRAME Q STEEL Q
DESCRIPTION OF WORK � F G�,4�✓� � „�/rt � '
BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
('y�]MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION v
�
�' � � � � � `P
OGAS Q ROOFING Q SPECIALTY 0 OTHER C ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY -
SIGNATURE REGISTERED Y/ N. FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
, ,
�. Address Cicense#
PLUM�ER. COMPANY
SIGNATURE REGISTERED Y=/ N FEE CURRE� � Y/N
Address " Cicense#�
' MECHANICAL COflflPANY .GM �-1 '� �d� Sv (.t, r�'J✓i.,f
� SIGNATURE RE�isTEtte� �Y ,N FEE CURRE� Y/N
Add'ress �ld� C�Sfi �,�'� (� lZ License.#�. C. I�
OTHER� ` COMFANY
SIGNATURE��r � REGISTERED ,Y/.N.. .. FEeCu�ten� .. Y./N
Address � ' � ' License#
RESIDENTIAL �, AtCach(2)Plot"Plans;'(2)`setsof�Building Plans;(1)set of Ene�gy;Forms,R,0-W Permit.for new.construction,.
� � . . . Minimum;ten.(,10)working�,8ays aftersubrriittal�date. 'Required onsite;Constniction Plans,_Stor`mwater Plans w/Silt Fence installed,
Sanita,ry Facillties.&.1,dumpster;Site.Work Permit for subdivisions/large projects. -
COMMERCIAL Attach'(2)'complete sets of Buildirig Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon: -
`` Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
� Sanitary Facilities&1 dumpster.Site Work Permit forall new projects.All commercial requirements�must meet compliance I
SIGiV PERMIT Attach(2)sets of.Engineered Plans.
�'"'PROPERTY SURVEY required for aII.NEW construcdon.. _
: Directions: � . � �
Fill out application completely.
' Owner&ConVactor sign.back of application,notarized
' lf over$2500,a Notice of Commencement ls required. (A/C upgrades over$7500)
•' Agent(for'tli'e contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMII'TING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROVN I
, I
� .....�.. ti�:��:,�-..�..�-:�..=�a-:
: - -;,:
NOTICE t3F DEED RESTRICTICINS:-The undersigned understands that this permit may be_subject to"deed" restrictions" _
which may be moce restrictive than County'regulatiQns. �The:undersigned=assumes�esponsibility�fp�campliance�with ariy' �
applicable deed restrictions: � � _ . - • � ` " '
UNLICENSED-C4NTRACTORS AND C�NTRACTOR RESPONSIBiLiTtES: if the awner fias hired':a contractor or
canfractors�to undertake work, they may be required to be�licensed in accordance with state and�local r.egulations. lf.the�� �
contractor-is not licensed as required by law, both the owner and contractflr-rriay`��6e�cited-for�a misdemeanar vialation.
under state law. If the owner or intended contractar are unce�tain as to what iicensing requirements..rnay appfy=forthe� �
intended woric, they are advised to contact`the Pasco County Building Inspection-Division-=Cicensing Sectian at 727=847-
8009. Furthermore, if the owner has hired`a contractar or contractors, he�is advised to �have the contractor(s) sign,., „
porkions of the "cantractor Block" of this applicatian far which they wi!! be responsible. .!f you, as.fhe owrier sign as tlie �
contractor, that rr�ay be an indication that he is nat properly licensed and is not entitied�to permitting privileges in Pasco
County. ' � � ' -�� -
TRANSPORTATI�N IMPACT/UTtLITtES IMAACT AND RESOURCE RECOVERY FEES: The undersigned understands �
that Transportation (mpact Fees and Recourse Recovecy Fees may apply to ttie constructior►of new buildings, cfiangejof ��' :
use in existing buildings, or exPansion of existing buildings, as speci�ed in Pasca Caunty Ordinance number 89-07 and ,
90-07, as amended. The undersigned aiso understands, that such fees, as may.,.be.due, wi(I be idenfified af.the�time�ofi
permitting. It is further understood that Transportatian tmpact Fees and Resaurce Recovery Fees must be paid priar to
receiving a "certifica#e of accupancy" ar final power release. If the project does not involve a certificate of occupancy�.or:�-
fina! power release, the fees must be paid prior to permit issuance. Fur#hermore, if Pasca Caunty WateriSewer�impact
fees are due, they must_be paid priar to permit issuance in accordance with applicabie Pasco Caunty ardinances. �
CdNSTRUGTi�N L1EN LAW(Chapter 713, Ftorida Statutes,as amended): If valuation of work is$2,5QO.O.Q.or more,-I; ,.
certify that 1, the applicant, have been provided with a capy of the "Florida CanstrucEion Lien Law—Hameowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the app(icant�is samean,e
other than the'bwner", 1 certify that t have abtained a capy af the above described `tlacument and promise-in goad faith to
deliver it to the`bwner" prior to cammencement. '
CONTRACTOR'S/OWNER'S AEFIDAVIT: ! certify that a!I the infarmation in this appl�cation is accurate and ihat all wark
wi!! be done in compliance with aH applicable laws regulating construction, zaning and land-development. Application is
hereby made to abtain a permit #o do work and installation as indicated. 1 certify that no work or instaAation has
commenced prior to issuance of a permit and that ali work will be performed to meet standards of al! laws ragulating
construction, County and City codes, zaning regulations, and land development regulations in the jurisdiction. I aiso
certify that ! understand that the regulations of other government agencies may appiy to the intended work, and that it is
my responsibility to identify what actions i must take fo be in compliance. Such agencies inciude but are not limited to: ,
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
� Lands,WaterMfastewater Treatment. '
- Southwest Florida Water Management District Wells, Cypress Bayheads, Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Nealth & RehabilitatEve Services/Environmenta! Health UnEt-Welis, Wastewater Treatment,
Septic Tanks.
- US Enviranmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
.� I understand that the following restrictions apply ta the use of fi!!:
- Use af fil!9s not allawed in Flaod Zone"V" unless expressly permitted.
- If the fill mate�iat is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"campensating vaiume" will be submitted at time of p�rmitting which is prepared by a professiona! engineer �
licensed by the State•of F4erida.
- !f the fi!! material is ta be used in Fiood Zone "A" in cannection with a permitted bui(ding using stem wail
construction, t certify that fill wili be used only to fll(the area within the stem wall.
- If fill maferia( is to be used in any area, I ce�tify that use of such�fill will not adversely afFect.adjacent
praperties. !f use of fill is fpund to adversely affect ad}acent praperties, the awner may be cited for viotati,ng
the conditions of the building permi# issued under the attached permit application, for lots less than one (1)
acce which are elevated by fiti, a�engineered drainage p(an is required. �
(f 1 am the AGENT FOR THE OWNER, 1•promise in good faith to inform.the awner of the permitting canditians set forth in �
this affidavit prior to commencing construction. ! unde�stand that a separate permit may be requi�ed far electrical work,
plumbing, signs,�wells,'poots,.air conditioning, gas, or�other ins#aliations not specificaliy included in:the application. A
permit issued shall be construed to be a license ta proceed with fhe wark and not as authority to"violate, cancel; alter, or
set aside any,provisions of the technical codes, nar shall issuance of a permit prevent the Building C?fficial from thereafter
requiring a carrectian of errors in plans, const�uct�on or violations�of any codes.` Every permiE issued stiall became invalid
unEess the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the perrrii#is suspended ar abandaned for a period-of six(6)monfhs after the time the work is commenced. An extensian
may be requested, in writing, from the Building Official for a period.not to exceed•ninety{9Q) days and wil! demonstrate �
justifiable cause for the extension. !f work ceases for ninety(9Q)consecutive days,the job is considered abandoned.
WARNING TO dWNER: YOUR FAILURE TO RECQRD A NOTiCE OF COMMENCEMENT MAY RESULT !N YOUR
PAYING TWICE Fi�R tMPROVEMENTS TO YOUR PROPERTY.�IF YOU INTEND-Tt?OBTAIN�FlNANCING,C�?NSULT
WITH YOUR LENDER OR AN ATTORIdEY BEFORE RECORDINGY4UFt. E - QINlNl����E:".�"!3:- -- _ _
_ __ FLORIDA JURAL{F_S 11Z43,--- —------ ----- ___ ,
OWNER OR AGENT CONTRACTO r �
I Subscribed and swom ta(or affiRned)before ma lhis Subsoribed a om to or affiirm e#ore me tt�is
by by
Who is/are personally known to me or haslhava produced � Who is/are personally knawn to me ar hasthave produced
as identification. as identificatlon.
Natary Public Notary Pubtic
Commission No. Commission No.
Name of Notary typed,prinked or stamped Name of Notary typed,p�nted or siamped