HomeMy WebLinkAbout17-18311 CITY OF ZEPHYRHILLS
5335-8TH STREET
;,�-- �� (813)780-0020 18311
BUILDING PERMIT
= PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18311 Address: 5345 5TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-09700-0075
Improv. Cost: 3,250.00 OWNER INFORMATION
Date issued: 3/30/2017 Name: DOZIER TIM & CHRISTINE TRUST DOZ
Total Fees: 55.00 Address: PO BOX 2233
Amount Paid: 55.00 ZEPHYRHILLS FL 33539-2233
Date Paid: 3/30/20,17 Phone: 813-361-9198
Work Desc: CHANGEOUT A/C 3 TON
CONTRACTOR S - APPLICATION FEES
CONDITIONED AIR A/C CHANGEOUT 55.00
�
Ins ections Re uired
D CTS I STAL ED
DUCTS INSU �D
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 properly 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.
CONTRACTOR SI RE PERMIT OFFI R
PERMIT RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
� Building Department
Daie Recex ed y � Phane Contact for Permitting.- -
Owrner's Name �� (R� �°�'�i -/ Owner Phane Idumber � g�� `
Own�r's Address
`j � Owner Phone Number �� �
Fee Simple Tikleholder Name � � Owner Phone Number �- �
Fee Simple Ti#leholder Address
JOB A[1DR�SS `�-� Z�/�✓ LOT# �
SUBDIViS10N � � PARCEL ID#
(OBTAlIdBD FROM PROPERTY TAX NOTICE)
WQRK PROPOSED � e .. NEW CONSTR � Ai}DlALT [� SIGN Q � Q DEMOLiSH
INSTALI. REPAIR
PROP..08ED USE Q SFR � COMM � OTHEF2 :
TYPE"OF CONSTRUCTION Q BLOCK • Q FRi4ME ��. STEEL Q
,_ � �.-- � � a �1
DESGRIPTION OF WORK c�
BUiLL11NG SIZE SQ FOOTAGE��� HEIGHT �
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C�������N� �6 u�} �,�� � VALUATIOIV�OF TOTAL CQNSTRUCTION
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.;[�ELECTRICAL � � AMP SEF2VICE Q PRCiGRESS ENERGY Q W.R.E.C,
QP�t1MBING �� �
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QMECHANIGAL $ VALUATIQN OF MECHANICAL INSTALlAT1QN �(„�
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��s C] RooEi�v� Q SPECIAl.TY � a����
FINISHED F400R ELEVATIONS �`---�-� FLOOD ZONE AF2EA QXES NO
-.BUItDER CQR�PANY
SIGRIATURE REGISTERED Y-/ N FEE CURRE� Y/N
Address -License# i �
: .ELEGTRi,G1AN ,-. CQMPANY
'. SIGNi4TURE REGISTEREp Y/ N �FEE CURRE� Y/N.
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. Address � - License# �- �
P.GUMB�jt,,:, GOMPANY
'SIGNATURE REGISTEREp Y•/>N � .FeE CURRE� " Y/N
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�ddress - License#•�� �
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.'.MECHAMICAt: � CpMPANY ! 1� 11I 3
'"';SIGNATURE'-' " � � REGISTEREp , Y N_ � FEE CURRE�� /N . '
,�aa�ess=' �v` � d/ License# , J �
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`,.OTHEP2'�:N��°'. ' � C.OMP,4tdY
`��=SIGNATUREri;;'`c � �� ` REGISTERED Y/�N FEE CURREK Y/N
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���r°RESIDENTtAt.:,,=,' ,`Attach;(2)�'Plot"zPlans;•'(2)4sets of;BuildingsPians;'(1)°set of-Energy�Foriiis;R-0=1�tt.Permit,for'new.canstiuctlon,. �
m� � Mlnimum�tenF(10,),.working;iiays'after sulimittal�dafe:Reqwred onsite;�Constr`uction Plans;Stormwate,r Plans w/Silt Fence installed, _
�.>..9.., j". ... - ^-�' " Z; ' _ . . -
'<�-- San[tary;iFacilitiesw&1._dumpster;�Sife;Wor,k Pemiit far�subdivisionsllarge projeets -� -� - � �
- ;���GOMMEitCiAL Attach�j2j�complefe'sets�of"Builiiing Ptan's plus a'Life Safety Page;(1}set of Energy Farms.R-C?-W Permit"ior new construction.
� Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Starmwater Plans w/Silt Fence installed,
` 3anitary Facilit(es&s'i dumpster.,Site;WorJc Permit fo��all new projecfs.Ali c�mmerciat requirements must mest campifance
;:SIGN�PERNIIT "AttacFi"(2�se4s_ofEng(neered'Plans:�{ . -- - `
"***PROPERTY SUR1iEY required for.all NEW constructlon:. _ -
'��'�Directions: ,_ _.i':; , �
� � Filloutapplication comqletely.
��:t3wner'&Contrac#ar stgn 6ack of appt9catian,notarized
'If over$2500,a Notiae:af:Commencement.is required. (A/C upgrades over$75Q0) _
'�:;�, �' °z:`''�
r.�, _ = Agent�{for�tt�e�corittactor-)'ar°Power af Atiomey(for'Uie owr�er)wouid tie someone with notarized letter from owner authorizing same
rr�;OVER':THE�COUNTER:PERMITtING,. (copy.of-contracYrequired) '�"Y`' �y " -
�""Reioofs if sfiingles Sewers Servlce Upgtades AfC Fences(PIoUSurvey/Fqatage)
Driveways-Not over Counter if4:an.public��oadways::neeils ROW1 • � -
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NOTiCE t1►F DEED.RESTRtCTtUNS: The undersigned under..stands:that:this;permit may be.subject,to."d,eed";re"sCnctions",�'_;�;,;-
which:maybe�moce:cestrietive,tFhan.,County'regulations; ��Thecundecsignetl�:assumes`respa�nsib�hfy�for`�campliance'with any" '
applicable deed restrictions. . �-y�`; :.°�'���'��,
UNLICENSED. CONTRACTORS AND CQNTRACTOR RESP:ONSIECILI7lES: If:=the-owner_�4has��liiretl�a��contrac#or-or �
� contractors�to undertake work;they mays:be reguired.:to be.licensed in accordance with state:and'local�regulations:��:'If�>the��x���:t�
_,�..__s_,_,..,
� contractor is>not dicensed.as..requi�ed�tiy"law, both the owner;and'confracfor-may�6e-cifed�for<;a�misdemeanorviolation-� j�:_;�`�
�� under state iaw. 1f fhe owner or intendetl,.cont[actar are'uncertain as to what.licensing requir.em.ents:�may�apply�::for:;the,��'�M'
�,:.s.. ._..,�,...,. - �.�. , -
intended work,they-are�advised to contact fhe'Pasco•County Building,tiispection`Division�Cicensang.Sec#ian at'72T847- °;
8Q09. Furtherrnore, if the owner has li�red`a�coritractor or contractors, he is advised to r?have tiie contractor(s,}�sign^,_n;_�,
. .,. � �..,-�....�,�.�;:-::;:=-�: :_...,
,•fi� .�
partions of the "contractor Block"of this,application..far which-they urill be,r.esp.onsible:-:If:yau,.as',tfie`owriec sign as'�tfae-'���::;,
contractor, that may 6e an iridication that�he�is not properl licensed�anc! is not'en"titled to�- ermittin '�"
y p g priuileges.in�Faseo, �.;i,.�
County. _. _ . - -. :_ _. � ..�,..:;_�,;=w��>r,
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TRANSPBRTATION�IMPACT/.UTiL1TtES•iMPACT AND RESOURCE RECOVERY�PEES: The'undersigned understands __ :�;;
#hat Transportation Impact Fees and Recaurse Recovery Fees.may�apply to fhe construction,of._new,buit,iiings,�ciiange;o.f�'w�'.:,-;;�
use in existing buildings,�oe�expansiori�;of:eXisting buiidings, as specified in Pasco County tartl�nance number 89={I7;and. ,�'t� ,
-.��.
90-07, as amended. the•undersigned also;understands,�that such.;.fees,�as°rnay;be_dueT will"be;itlentified 4at�tt�ie�.tirne�yof��=''i��;'
permitting. 'It is further understood that'Transportation Impact Fees�and Resource`�Recovery:.Fees must.be paid:prior'to.
receiving a°certificate of accupancy"�or�finat;power release. If the project does not�involve a certificate of occupaney,:oi��r�.:�ti.:��
final pawer release;wthe.:fees�must-be:paid prior to permit issuance. ;Furtfiermare,�if:.Pasco sGoun#y Watec/Sewer,rimpact:�,,�� _�
fees are due,tfiey must bempaid prior#a-permi#;issuance in�accordance with�applicakile Fasco'County ordinances. y "
�ONSTRUCTlON°LIEN,Li4W(Chapter�713;"Florida Statutes,as amended): !f valuation of wack is$2,500.0O...or tnore,,,f_f,p,�, ;
certify that I, the applicant,...have been -provided•�with a -capy.,of_the� "Florida•-Construction Lien �Lavtii:FJomeownec's
Protection Guide" prepared'�by ttie Florida Deparkment of Agriculture and Consumer.Affairs. !f the applicant�is someqne:
other than the`bwner",`I.eertify.that.l,have o6tained a capy�of the above described�tlocument-and promise�in;goo,d':faith�fa.�';
deliver.it.ta.the::`;owner":prior#o..commencement•.` � ` �
CONTRACTOR'S70WNER'S AFFtDAVIT:-,�,1:certify that ali the informa#ion in this application is accurate and`that alt work
wif! be dane in ccimpliance wi#h a!3 appiiicabie laws regulating constructian, zontng�and land_development. Application_is
hereby made to obtain ,a� permit.,ta�do;,;wock"and installation.as�-indicated. t�certify that no woric or instaNafion=has
commencecJ prior to issuan�ce of a p.ermit and-�that all uvork wiU be performed to meet�standards of a!I laws regulating �
construction, County and City cades, zoning regulations, and land development�regulations 1n.the jurisdictian. TI also
certify that I understand that the regulations of other gavernment agencies may apply to the intended work, and that it is ;
my responsibiiity#o identify wha#actions I mus#take to be in compl,iance. Svch agencies include but are not(imi#ed.,to: '
- ,Department of Environmental.:Rrotectian-Cypress Sayfieads, 1Netland Areas and Enviranmentally Sensitive �
Lands,WaterM(astewater Treatment. �
- Southwest Florida Water Management District-We!!s, Cypress .Bayheads, Wetland Areas, Altering . �
Watercourses. . �
- Army Corps of Engineers-Seawai�s, Docks, Navigable Watenivays. � �
- Department of Heaith � Refiabititative Services/Environmental Nealth. Unit Wells, Was,tewatec.Tceatment, � � ,
Sepfic: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 fitt is not allawed in F(ood Zone"V" unless expressly permitted.
� - If #he fiii materiaF is to be used 'm Flood Zane °A", it is understaod that a drainage plan addressing a
"compensating vaiume" will be submitted at time of permitting which is prepared by a professionai engineer �
licensed by the State of Flarida. �
- If the fll material is to be used in Flood Zone "A° in connection with a permitted buildirtg using stem wa!!
construction, I certify that fill will be used only to fill the area witliin the stem wall.
- If flli material is to .be used in any area, 1 certify that use of such�fill will not adversely a�fect adjacent
properties. If use of fill is found to adverseiy aff,ect:adjacent properties, the owner may be cited for vlalating �
the conditions of-.the building permit issued under the attached permit.application, far lots tess than one (1} '
acre which are elevated by fill,an.engineered drainage plan is required:,, � �
If I am the AGENT F4R 7HE OWNER;:I promise in good fai#h to inform the owner d�#he perrnitting canditians set forth in �
� this affidavit prior Yo commencing consfruction. I understand that a separate'permit may be required for ele�trical work, '
� plumbing, signs, wells, poals, air.conditioning, gas, a� otfie'r�instatlations not;specifically included in the application, A. , <._'
permit issued shall`be construed.toAbe a ticense�to proceed�with #he wark and nat as authority to violate, cancel, a(ter, or
set aside any provisions of the�technical codes, nar sha8 issuance of a permit`prevent the Buiiding t�ffaiai fram ther.eafter
requiring a correction of errors�in plans,-.canstruction.ar violations of-any codes. Every permit issued sha1C become invatid
unless the worlt autharized by such permit is commenced within six months af permit issuance, or if work authorized by �
the permit is suspended.or abandaned for a��period=;of six(6)months after the time the work is commenced. An e�ctension• ' `
may be reques#ed, in'writing, from the Building Official for a periad not to exceed ninety (90) days and will demonstrate
justifiabfe cause far the extension. 3f work ceases for ninety(90)consecutive days,the job is considered abandoned.
� WARNING TO'OWNER:� YOUR:�AILURE.TQ RECO.RD,A NOTlCE•UF C,C>M�1tlENGEMENT MAY RESUGT IN YOUR
PAYING TWICE'FOR IMPROVEMEN'LS,TO YOU,R:PR(JPERTY:. IF YC1U..lNTEND�TO�OBTAIN-PINANCING,CQNSULT
- --1rVIT-Ft=YOUtt"��N��F�:[�12�i4I�:�!\7"T�R(V�.��F�l��:_l31�C�J1t1�ING_. _•. �N�1'FI���O�'�;CC)MNIENCEMEN'T. _ __. --.- - --
FLORtDA JURAT(F.S.117.03) ' �
OWNER Olt AGENT COPITRAC70
Subscribed and swom to{or aff3rtned}before me this Su scribed and sw n or a�/c�}b�` n is- -
by by 1
Wha is/are personally known to me or has/have produced �o is are personally knqwn to me��has have produced
as identiflcatlan. ri�(�'.��� .,��as identificaUon.
Notary Public ' Natary Publfc
Commissiori No. Commission Flo. U� �� h�e�
� Fti�-/�t�'F /�rl/'���-�-- �
Name of iVotary Eyped,printed or stamped Name af Notary typed,��#�ed�or s#am ed
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