HomeMy WebLinkAbout16-17999 �
CITY OF ZEPHYRHILLS
` � 5335-8TH STREET
(813)780-0020 �7 99
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 17999 Address: 37634 NEW HORIZONS BLVDr LOT 60
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-521-0090-00000-060
Improv. Cost: 3,060.00 OWNER INFORMATION
Date Issued: 12/14/2016 Name: BIDWELL, NICKIE
To#al Fees: 55.00 Address: 37634 NEW HORIZONS BLVD LOT 60
Amount Paid: 55.00 ZEPHYRHILLS, FL 33541
Date Paid: 12/14/2016 Phone: (813)788-1057
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
SONNY'S DISCOUNT APPLIANCES A/C CHANGEOUT 55.00
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Ins ections Re uired
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 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 onay result in your paying twice for
improvements to your property. If you intend to obtain fnancing,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.
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CONTRACTO IGNAT E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHEIt
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
• Building Department
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Date Received Phone Contact for Permitting --
Owner's Name � �(i � L��Z� Owner Phone Number ���� � � �
Owner's Address �� i� E� � 1�-- l Z(�'YI.S' - f l Owner Phone Number (,��7 7 '��d� , ���
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ���0 �`y �F�� 2 . Y.✓/� �/1"i!� ����� LOT# �
SUBDIVISION �/�{`�A�� �f��tA. S PARCEL ID# e� �� �`S "����6���— � ��� ,
(OBTAINED FROM PROPERTY TAX NOTICE) /
WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN � � DEMOLISH
INSTALL REPAIR
PROROSED USE 0 SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK - Q FRAME � STEEL Q
.
DESCRIPTION OF WORK c.% (r f � '.� l b7` " �[.,1;� �, U 2�'
BUILDIMG SIZE SQ FOOTAGE� HEIGHT
OBUILDING $ VALUATION�OFTOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
� � ����
�MECHANICAL $ ��� �y� VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY 0 OTHER ��/3��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
' BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
Address License#
ELECTRICIAN COAA PANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License# � � I
PLUAABER COBAPANY '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL �l COMPANY s A4!"- "( �S ./`ISCpC�'N'� I�I�P , f�-iv�c�
SIGNATURE ��/ � ��✓�w REGISTERED Y N FEECURRE� N
Address ���5�� ���t9� �O7 ��1�� � F/ �� ��Z� License# �/�� �� � �a �
OTHER- COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License#
RESIDENTIAL Attach(2)Plot Flans;(2).sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new.construction,
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 for sutidivisions/large projects
COMMERCIAL Attach'(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
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 foF all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. �
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Motice of Commencement is required. (�41C upgrades over$7500)
"" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUPVR'ER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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N{3TtCE OF DEED RESTRICTICINS: The undersigned understands that#his permit may be subject to"deed" restrictions" "
which may.be rrtare-resU-ictive than Ga.unty regu(atians. The=undersigned assurryes�espansibilify°for compiiance witFi'any ' "
applicable desd restrictions. ,- -�
UNLICENSED CONTRACTORS AND C4NTRACTOR RESPONSlBlLlTIES: !f the �owner fias hired a-contractor or
contractars to undertake work, they may be required to be�licensed 'cn accordanc�with state and local.regulatians::!f the �
cantractor is not iicensed as required by law, both #he owner and�contractor rtiay�be cited�for a misde,meanor violation
� under state lawr. If the owner or intended contractor are uncertain as to what (icensing requirements may.�apply for:the
' antended wark, they are advised to contact'tiie�Pasco Caunty 8uiiding inspection Division--Licensing Section_at 727=847-
80Q9. Furthermare, if the awner hias hired�a contractor or cantractors, he�is advised to 'have the confractor{s) sign ,
portians of the "cantractor Block" of this application_for which they wili be responsible. If yau, as ttie owner�stgn as ttie '
contractar, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasca
Caunty. , '
TRANSPORTATIDN tMPACTiUTILITIES tMPAGT AND RESDURCE RECOVERY FEES: The undersigned understands
that Transportation lmpact Fees and Recourse RecaveryFees may app(y to the construc#ion of new buildings, ciia►ig+e?of� - �
use in existing buildings, or expansion of,existing tiuildings, as specified in Pasco County Ordinance number 89-07 antl �
90-07, as amended. The undersigned also understands, that such fees, as may be.due, wil! be identified at.tlie time of �
permitfing. tt is further understood that Transportatian Impact Fees and Resource��Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project daes no#involve a certificate of occupancy or�
final pawer relsase, the fees must be paid priar#a perrnit issuance. Furthermore, if Pasco County Water/Sewer,-Impact
fees are due,they must.be paid prior to permit issuance in accordance with appiicable Pasco County ordinances. �
CONSTRUCTlC?N LlEN LAW(Chapter 793, Flori�a Statutes, as amended}: tf valuation of�nrork is$2,500.00 or mor.e,.(, ,
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 af Agriculture and Consumer Affairs. !€the applicant�is someone
other than the"owner", t certify that t have abtained a capy of the above described document and promise�in good faith to
deliver it to the."owner"priar to commencemen#. �
CClNTRACTOR'S/OWNER'S AFFIDAVtT: I certify that all the informatian in this application is accurate and that ail work
will be done in compliance with all applicable laws regulating construction, zoning and land-develapment. Application is
hereby made to qbtain a permit to do work and installation as indicated. t certify that no wark or instaltation has
commenced prior to issuance of a permif and that all work wil! be pertormed #o meet standards of a!I iaws regulating
canstruction, County and City codes, zaning regulations, and land development regulations in the jurisdiction. I alsa
certify that I understand #hat the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to iden#ify what actions ! must tatce to be in campliance. Such agencies include but are not limited to:.
- Qepartment of Ernironmenta! Protection-Cypress Bayheads, Wetland Areas and Enviranmentaliy Sensitive
L"ands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypr+ess Bayheads, Wetland Areas, Altering
� Wa#ercourses.
- Army Corps of Engineers-Seawalls, Dacks, Navigable Waterways,
- Department of Health & Rehabilitative Services/Environmenfat Health Unit Wells, Wastewater Trea#ment,
Septic Tanks.
- US Enviranmental Protection Agency-Asbes#os abatemertt.
- Federal Aviation Autharity-Runways.
t understand that the following restricfions apply to the use of fill:
- Use of fil!is not ailawed in Flood Zane"V" unless expressiy permitted.
- If the �I! materia! is to be tased in Flood Zone "A", it is understoad that a drainage ptan addressing a
°compensating volurne" will be submitted at time of permitting which is prepared by a prafessional engineer
licensed by the State of Florida.
_ - If the fill ma#erial is ta be used in Flood Zone "A" in cannection with a permitted building using stem wa!!
`, construction, I certify that fill will be used only to fill the area within the stem wall.
`�., - � if fili material is to be used in�any area, I ce�tify 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 buildin �
, g permit issued under the attached permit application, for.lots less than one (1}
acre which are elevated by fi!!,an engineered drainage plan is required.
tf t am the AGENT FOR THE OWNER, I promise in gaod faith to infarm the owner of the permitEing conditions set fo�th in '
this affidavit prior to cammencing construction. I understand that a sepa�ate permit may be required far electrical work, �
plumbing, signs, wetis, paols, air conditioning, gas, or ather�instaltations not specifically included in the application. A �
perrttit issued sha!! be construeci ta be a license ta proceed with the wark and not as autharity to violate, cancel, alter, or
'� set aside any provisions af the#echn�ca!codes, nor shall issuance of a permit prevent the Building dfficiai from thereafter
' requiring a correction of errors in plans, construction or violations of any codes. Every permit issued sha11 become invalid
unless the wark authorized by such permit is commenced within six months of pe�mit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) manths after the time the work is commenced. An extension
may be requested, in writing, from the Building Official far a period not to exceed r�inety (90) days and will demonstrate
justifiable cause far the ex#ensian. tf wark ceases for ninefy(90)consecutive days,the jab is considered abandoned.
WARNING TO OWNER: YOUR FAIL.URE TO RECORD A NUTICE OF COMMENGEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU-�INTEND TO OBTAIN F{NANCENG,CC?NSU�T
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE QF��COMMENCEMENT__ — "
— FLQRlQA.lURAT-{F.3.11-7.03} - - - --- - - -- - -
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OWNER OR AGENT CONTRACTOR �.'t�v � �� :
Subscribed and swom to(or a€fitmed}before me this Subscribed and swom ta(or affirm d efor�his — a
by by .
Who is/are personally known to me or has/have produced ° Who is/are personally known to me ar has/have produced
as Identification. �t,� as ident�fca8on.
Notary Public Notary Public
Commissian IVo. Commissian No.
Name of Notary typed,printed or stamped Name of Notary typad,printed or stamped