HomeMy WebLinkAbout17-18324 CITY OF ZEPHYRHILLS I
.l�, , 5335-8TH STREET
(813)780-0020 183
BUILDING PERMIT
� PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18324 Address: 37628 COREY LEWIS AVE LOT 223
Permit Type: MECHANICAL - �_ ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): ' Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2230
Improv. Cost: 4,050.00 OWNER INFORMATION
Date Issued: 4/04/2017 Name: COOKE HAROLD C & GLORIA
Total Fees: 60.00 Address: 37628 COREY LEWIS AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/04/2017 Phone: 727-876-7575
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
CHRIS'A/C COMPANY A/C CHANGEOUT 60.00
a
��
Ins ections Re uired
DUCT INSTALLED
DUCTSINSULATED
FINAL
r-
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 reins ection whichever is reater f r
p , g , o 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 properly. 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONT TOR SIGNATURE PERMIT OFFI R
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' ' ' • � , . t �
� , , ,
.r , , . , � , ,
. � , i �
. � � �
,. , 't , , , .' . , , , �
,. .� ,•i i i� i • I '
� . � ' l .
, , . , • ' !�
' � �
�� ���
� . '�j
. /
813-780•0020 City of Zephyrhills Permit Application Fax-813-780-0021
,;R:� ; •• Building Department
Date Received �- �. / phone Contact for Permittin � ,r - � � �
9 -:
Owner's Name Owner Phone Number ��� ' O �
Owner's Address � ��Qr� Owner Phone Number
Fee Simple Titleholder Name Owiner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION /' ' �r'i PARCEL ID# o% Q QQQ�� a�o�c�
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED B � NSTALLSTR 8 REPAIR � SIGN Q � Q DEMOLISH
PROP..OSED USE Q SFR Q COMM Q OTHER .
TYPE':OF CONSTRUCTION Q BLOCK •• Q FRAME Q STEEL Q
DESCRIPTION OF WORK C 1�J� (i /�7-/� � �
BUILDING SIZE SQ FOOTAGE�� HEIGHT
.i
QBUILDING $ VALUATIOIV'OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
MECHANICAL $�J � VALUATION OF MECHANICAL INSTALLATION /�3�
7 li �
QGAS Q ROOFING Q SPECIALTY 0 OTHER �(Y �� �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
- BUILDER - . _ - -- - --COMPAIdY - - -- - ----_----- -- - - - - -- ---
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N ,
Address License#
,. _ .
ELECTRICIAN .: COMPANY�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
Address - - License# �
�� r,c.�;.. : _ _ " - _ .. , ' .
PLUMBER.;,_.- COMPANY�; ' , . ' .
SIGNA�TURE � - •REGISTERED Y-/�N:` ` > "," FEE CURRE� � Y/N
Address License# ,
'.MECHAfdICAL.' ' ` , COMPANY . �" � �
I''SIGNATURE'" � �� � REGISTERED N �! _FEECURRE� . . .,Y -N .' r � •
Ad'd�ess.° �- � � 0�' /✓• L:icense# �(.._ Q ��� � -
,;_;�'...f� ` � _ , _ . � r " .
:-�OTHER" . _ '. ' ' ` , '- - 'COMPANY - ,
:�: SIGNAT,URE�:+ c' -- ,� '� '� � REGIBTERED Y/ N, � FEE�CURREK Y/N • ,
, , S.' ' .. . . , , .
�it.�i•'+:•��,:. .^' r ' . . � . . . .. _
;Addr`e'ss;�;': ;y = ' Gicense# - - `- rv . ,
� - - -
':,_'r x:-%' -- - • . . .�. - �
�,RESIDEPITIAL;:,� AttacFi;'(2)':Ploti'P>lans;';(2):sefsof�Bu'ifding`Plans;(1)`setofEnergyForrtis;R=0-V11=;Pemiit,fornew.construction;� -
- - -.. ��:�;;,.;,��-�-�;Minlmum',ten,�(;1_0);wo,rking�days after'.su6mittal:dafe:-:Required_onsite;`Construction`Plans;Stormwater Plans w/Silt Eence�.installed, .
"' .�+ .. . .� ' .< •,f . .
���"` � 4.� � '�� Sanita.ry,Facilities&N1,dumpste,r-,_Site;Wo[klRermitfor.''§ubdiyisions/large;p�ojects :. �� �- • " ; •' ���- � � -� -
,;:�:.:' - ���.��: _
. _ . ..,�......_�_ � ,
_ .. . -
;:_�COMMERCIAL,... Attach`;(2)�complete.sefs.;of=Builiiing:Plans,plus a•L:ife Safety Page;.(1)set-of Energy FormsrR-0=W P.ermif for•new constiucUon.,,�
=` `"' � '��.Mlnimum:.ten: 1.0':workln rda:s;after;submittal�date: Re uiredonsite,ConstrucNon:Plans;:StormwaterRlansw/,SiltEence:installed,_ � �,-.
: � .)... ... 9 Y 9 ;: .
'" � �•�' '`'��`�- ��'� � '� �Sanitary,EaciliNes"&''1�'durimpste�:_8ite:Work F,ermit:fo��all=new;projects.All;commeraial:requi�ements;must`me'etcompliance. '
�?�.. �. .:: _ .,.,;.,.,,>- � - . _ , , , . � .
,!:;SIGN:PERMIT" -- "Atfacfi'"(2)'sets of;Engineered P.lans:���•_.���,� � - - ' • , � ,
- � """PROPERTY SURVEY;re ui�ed for aII�.NEW,construction.: , . '_ - � . .
_ ,4. . ._ . . ,
<;-Directionsr � - _ . .. . .. . - - - - ,
,_ _ '1,_
�`� `:� �Fill�out applicaflon;dompletely.��_ - �."',;, .:' ,_:. .;,
, •O.wne�.�Cantracto�sign;6ack.of.applicatiori,;notaFized- - � - .
, �'If,o'ver�$2500,a Notice'of:Commencement;ls=required.,,_(A/C•upgrades:over$7500)�, -_, - ,
��''"� A ent,fo�th`e�cont�actoc°orPower�ofAttome;(for'fFie;oiivner would'tie��'someone witFi':notarized letter from owner authoriiin :same
9 � ) Y )- - 9
;;�OVER:�..T.HE'COUNTER;PERMITTING'._" .;:.'���(copy.of�contracf:required)� :,''�` " , � � ` '
"'s�Reroofsif�shingles� � � Sewers � ;Seniice Upgrades.AIC'; Fences(Plot/Survey/Footage) , -
= ,.. ' ''; �,.. -_ , :__. �,�.-:�'�;._;..�. :,�.�.. _,,..,.;.:- :.,,,'... :- , -_ ` _ , �
_ ., �.Drlvewrays=Not over Countee;if.on:pulilic'.roadways..'nee8s'ROW�" � ' � '
_ "',;,• , , ,. ' , , , , .,
. � ����
. -- '�. �'.
�
NOTIGE.OF DEED RESTRICTIONS: The undersigned.understands.that this-permit may,b;e-su,bject.to"deed°.resfcictions"°`��� �
_ '" _ �;.��.75>�:.�.R":,,;w,i;e,,,'si . ..�:I�. .�::'�,.. 'Y
'�Y'='�}"�`.'x.'M:....,'.:. .v.. ' a#;,iY"�
which;.may;•:be:more=r,estrictiue,than;Cduntyregulations.���a�The�uridersigiaed�°assumes�°r�sponsib�lify�for.compiiance-vrnth'.any; °",:i
applicable deed�restrictions. ` .. '; ��5=>=��:�'�"r�:��A<�''�'�
UNLICEN,SED:C�NTRACTCtRS AEID CONTRACTOR RESPQNSIBILITIES: Ef=the;ow�ier-�has:�laired°�a��cantracfar:or �
contractors#o undertake work, they,m.ay be�requiced_to be�licensed in accordance with.state�,and:`local.r.egulatians:<'Ifr�the.:��,�J
contractoc is not.licensed-asrequired'by'law; botli=the oinmer-and�contraefor-rriay�6e�cited�fo��:a:�inisdemeanor�violation� , ;
under state law. If the owner or intended..cantractor. are uneerfain as fo what iicensing cequice"menfs:�mayaapRly;for=;t{ie>;r�'�f:�
intended-work,.they=are•advised to contactFthe`Pasco County Building.inspection`Division=l:icensing�Section at`Z27=847- � �V
_. . - - .., �x.
8009: Fur#hermore, i� the awner�ias°Iiiredya contractar or cant�actors, he is advised to`shave tFie;contractor(s.);;;sign,,:�a::y;;
portians of#he contractor Block _of this application_.for which.they.will be resp.onsible.-.�If yau,_as'Y#He�owine�'s�gn:as�tlie:� ��'�.?�
cantractor., that maybe an indication that he�is not properiy licensed and is not eritiEled to permittirig priv3leges,�in;Fas:cor,;;;;.;;�_
Caunt . � �;: ;�-�::;.�>.-�� �.;�
Y• :�.
TRANSPORTATION IMPACTIUTILl1'IES�IMPACT AND RESOURCE RECOVERY FEES: Tfie'undersi�ned under.stands -``�
,.�t,:. . ,.�,;.;>`��,
that Transpo�#a#ion Impact Fees and Recourse Recovery Fees;may;apply to:the construction;,of rtew,buil.dings,�:c�ange;of=��';�:�s;;f;
use in existing bwilciirigs, or�,expansian�of:existing buildings, as specified in Pasca County Ordinance nurrtber 89-U7--and '=�':;
�:;-�
90-07, as amended. The�undersigned afso undersfands, that such.,fees, as�`rnay:be.due, wilirt'be;identified-at�tlie�=#irxie��of-==�'°�:ti_`
permitting. �1t is further understood that Transportation Impack Fees and Resource��Recovery'..Fees must be paid prior'to `�`
receiving a "certificate.of occupancy" or final.power release. !f the project does not_involve a certlficate af occupari'cy�ci�-;r�w�-;�
final_pawer retease,_the�fees=mr�s# be-.pa�d priar to permit 'rssuance. ,Furthiermore,-�:Pasco-Gounfy W;ater,/,Sgwer,-(mpact�,-« �
fees a�e due, they must.,be;,paid prior ta permit issuance in accar8ance,with'applicable..Pasco County ordinances. � "'
CQNSTt�#��TION�lIEN�t:AV4f{Chapter 713, Ftorida Sta#ufes,as arnended}: if valuation of woik is�$2;500rOQ_or mor�S+,�IA;:r i'
certify that `I, the applicant, have been provided with a capy:of ythe "Florida Constcuetion:��Lien. Law--=Homeowner's "
Frotection Guide° prepared�by#he fforida Department of Agriculttire and Consumer Affairs. !f the applicanttis.:s.omeor:te ; ; `
ather#han the uowner�,:I;certify that I_have obtained a capy of the above descri6ed document and,,promise�in,goo.d`,faitli:to�:��,, �
deliver.it,to:tbe-'�owne�'.:prior;fo;commeneement. � � � �
CONTRACTOR'SItJINNER'S AFEIDAVIT: ,i.certify that all#he information in this apptication is accurate and'that alt"work
will be done in compliance with all applicable�laws regulating construction, zoning�and land�development. Application..is
hereby rrtade to abtain Ya _permit #o do...wock-and installat�on as �ndicated. I�certify that na��urork or-installation-has
commenced prior to issuance of a permit and=that all work will be performed to.meet standards af all laws regulating -
construction, County and City codes, zoning regulations, and land development�regulatioits i�ik:the jurisdictianr 1.`alsa
certi#y that i undetstand #hat the regu(atians of other government agencies may apply ta the intended work, and that ik is '
my responsibility to,identify what actions I must take to be in compliance. Such agensies include,but are not limited..to: g
- ,�Depattment of Env�ronmental;:Rrotection-Cy{�ress Baytieads, Vt/etland Areas and Enviranmen#aliy Sensitive �
Lands,VVaterNVastewater Treatment. �
- Sauthwest Ftorida Water Management Distric#-Wells, Cypress� .Bayheads, Wetland Areas, Aitering i
Watercourses, �
- Army Corps af Engineers-Seawalls, Docks, Navigable Waterways. �,
- Department af Mealth 8 Rehabilitafiue Services/Environmentai Health Unit Wells, W.asfewater Treafinent, `
Septic Tanks. `
- _ US Environmerital Protection Agency-Asbestos abatement. � P
- Federal Aviation,Authority-Runways.
! understand thaf the:fo!lawing:restr'ictions apply to the use of fill:
- Use af fill is nat allowed in Ftood Zone"V"unless expressly perrrritted.
- If the fill matecial: is to _be. used in Flood Zone "A", i# is understood that a drainage plan addressing a �
"campensating valume" will be submitted at#ime of permitting which is prepared by a professional engineer °
licensed by the State of Florida. � '
- If the fil materia[ is to be used in Flood Zone "A" in cannection with a perrnitted building using stem wall
construction, I certify fhat flll wi(I be used only to fitl the area within the.stem wall.
- If �II material is to be used in any area, I certify that use af such�frll will not acfversely a�fect adjacent
praperties. If use o€fill is faund to adversely affec#adjacent praperties, the owner may be cited for vioiating
the sonditions"of the building permit issued under the attached permit.application, for lots less than one (1) �
acre which are elevated by fll,an engineered drainage plan is requi�ed.
If I am the AGENT FOR THE OWNER; I promise in good faith#a inform the owner of-the permitting canditions set forth in
this affidavit prior to commencing constructfon. I understand that a separate permit may be requ�red €or elec#ricat work,. t
plum5ing, signs, wells, paots, air conditioning, gas, or ather instaltations nat specifically included in the application: A : ��
permit issued shall'be-canstrued to be a license to proceed with the work and not as.authority to violate, cancel, alter, or �
set aside any prov�sions of#Fie�fechnical codes, nor shaN issuance of a permit pravent the Buitding Ufficiat from thereafter
requiring a correctian 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 pet�mit issuance, or if work autharized by .
the permit is suspended ar abandoned for a period..of.six(6)months after the time the work i��commenced. An ex#ension
may be requested, in�wri#ing. from the Building Official for a period.not to"exceed ni�ety (90) days and wi!! demonstrate '
, jusfifiabie cause for the e3ctensian. If work ceases far ninety{g0)consecut�ve days,ttte job is considered abandoned.
WARNING T�? QWNER: YQUR.FAlkURE TO REC,O.RD A.Nf3TIC� OF CQMMENCEMENT MAY RESUtT IN YOUR �
_____ PAYtNG TWICE'FOR_IMpROVEMENTS,_:T�YO_UR_:PROPERTY._;;1F_YOU�INTEND�TO�OBTAIN=FINANCING, CONSULI'._ -i
1NITH YOUR'L'ENDER OR AN A ORNEY BEFORE REC.ORDlNG YOUR NOTICE��F�C� MENCEMENT ;
Ft�ORIdA JURAT(F.S.11 3} � � �
� OWNER OR AGENT �� CONTRACTOR
Subscribed and`sw�m to{or affitmed)be re thts Subscribed and swom to(or affirmed}before me this
by by
Who is/are persanally known to me or has/have produced � Wha fslare personally tcnown to rYte ar haslhave produced
as Iden�fibation. as Identlfication.
Notary' Public Notary Public
Gommission No. Commission No.
Name of Natary typed,prfnted or stamped Name of Notary typed,printed or sfamped