HomeMy WebLinkAbout17-18154 CITY OF ZEPHYRHILLS
5335-8TH STREET
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BUILDING PERMIT �
� PERMIT INFORMATION L4CATION INFORMATION
Permit Number: 18'l54 Address: 4645 V1f ISTER[A DR Lt:}T '[9
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
C1ass of Work: AIC CHANGEOUT Township: Range: Boak:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivisian: WHlSPERING OAKS
Est. Value: Parcel Number: 15-26-21-0160-00000-0190
Improv. Cast: 7,428.00 OWNER INFORMATION .
Date Issued: 211612017 Name: THAI HAI T&TRAN M1NH T
Total Fees: 150.00 Address: 4645 WISTERIA DR
Amatant Paid: 950.00 ZEPHYRHILLS FL 33542
Date Paid: 2/16I2017 Phone: $13-$02-5613
Wark Desc: A!G CHRNGE QUT 3 Tt'�N-AFTER FACT
CONTRACTOR S APPLtCAT10N FEES
ARS RESCUE ROOTER A/C CHANGEOUT 75.00
AFTER THE FACT 75.Q0
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� Ins ectians Re uired
D TSIN TALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government sha11 impose a fee of faur times the amounfi af the fee impased for the initia! inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements af this permit, there maybe additional restrictions applicable to this property that
may be faund in the public records of this couMjr, and there may be additiona( permits required from other governmenta(
entities such as water management, state agencies or federal agencies.
"1Narning to awner: Your failure ta record a notice af commencement rrtay result in yaur paying twice for
improvements to your property. If you intend to abtain financing,consult with your lender or an attorney
befare recarding your notice af commencement."
Cample#e Plans,Specifications Must Accompany Application.All wark shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEPORE C.O.
NO OCCUPANCY BEF4RE C.O.
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CON RACTO SI � U E PERMIT OFFI _R
PERMIT EXPIRES IN fi MpNTHS WITHOUT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR4TECT CARD FROM WEATHER
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a��-�so-oozo City-�f Zephyrhills Permit Application Fax-813-780-0021
Building Department
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� Date Received � \�
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Phone Contact for Permitting
1 1 1 1 1 1 1 1 1 1 1 1 1
Owner's Name , Owner Phone Number � �
Owner's Address � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ,\ �
LOT#
SUBDIVISION PARCEL IDp . . e \ �!-,
• (OBTAINE FROM PROPERTY TAX NOTICE) ��
WORK PROPOSED I�I tvEW COnl57R e ADD/ALT 0 SIGN Q 0 DEMOLISH
�� INSTALL REPAIR
y
, PROPOSED USE Q SFR Q COMM 0 OTHER
� TYPE OF CONSTRUCTION � BLOCK Q FR.4ME � STEEL 0
DESCRIPTION OF WORK I�' �G�
BUILDING SIZE S�FOOTAGE� HEIGHT �
' - -� - -= --- - - __._..._�r__._ ..._..�a _._�.�,.__,_�_...__...:-- --..�_�..a...` .,—- -- :_....�.....-r. .� ._
�BUILDING�Y� y$ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ��
�PLUMBING $ r ` �!_ '
i�I� L��� � �
�MECHANICAL VALUATION OF MECHANICAL INSTALLATION � � '
�� ac�o�
QGAS Q ROOFING Q SPECIALTY � OTHER 1
' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �1�_���/
BUILDER ��„ COMPANY I'
SIGNATURE REGISTERED Y/ N F�cuaaen Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N F�cuw�en Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURREf� Y I N
Address L�e#
MECHANICAL /` COMPANY �
SIGNATURE h/L REGISTERED Y/ FEE CU EA Y 1 N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N F�cuw�r. Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence insfalled,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projecls
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction.
Minimum len(10)working days after submirial date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance
SIGN PERMIT Altach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consWction.
Dvections:•
Fill out application completely
Owner&Contractor sign back of application,notarized
If over SZ500,a Notice of Cammencement is required. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized lelter from owner authorizing same
OVER THE COUNTER PERMIITING (copy of contract required) i
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-Noi over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned und�jynds itiat this permit may be subject to"deed"restrictions"
" " which may be more restrictive than County regulations. ThE�ndersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. if the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
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 of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certrfy that all the information in this application is accurate and that all work
° �- will be done in-compliance=with=all-applicable�laws regulating construction,-zoning and 9and development:�Application'is -' -
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater TreatmeM.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waternrays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic 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 fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materiai is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify 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 building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,consVuction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested,in writing,from the Building O�cial for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 ORNE BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 . 3) �`
OWNER 0 AGENT /�� CONTRACTOR
' d or firme befor e lhis bscri ed and s (or ' ed)b me this
by by
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�a ific ion. [� as'dentification.
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� Notary Public Notary Public
Commission No. Commission No.
Name of N t t d ' ted r s Name of Nola ' mne�
;fi��������,,,, HECTOR RAMOS ,.•���'��:�-,; HECTOR RAMOS
,� � MY COMMISSION�FF 221955 �• ��:K MY COMMISSION fl FF 221955
�': � : = r��.�. � ' EXPIRES:
,�y�a; EXPIRES:April 19,2019 �';�`.y'a;= April 19,2019
M�;,,��;°� Bonded 7hru Nstary Public Underwriters �.,,;;�q;c°�•' Bonded Thru N�tary PubGc Undeiwriters