HomeMy WebLinkAbout17-18537 CITY OF ZEPHYRHILLS
` � 5335-8TH STREET
(813)780-0020 18537
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18537 Address: 38635 5TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS �
Est. Value: Parcel Number: 11-26-21-0010-15000-0090
Improv. Cost: 4,200.00 OWNER INFORMATION
Date Issued: 6/01/2017 Name: UNITED METHODIST CHURCH
Total Fees: 60.00 Address: 38635 5TH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/01/2017 Phone: (813)788-4405
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 60.00
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Ins ections Re uired -
D TS INSTALLED
DUCTSINSULATED ^
FINAL J ( 1
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 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 property. If you in�end 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.
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NTRAC OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 'I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ,
PROTECT CARD FROM WEATHER
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� Zephyrhills, Florida 33539-2209 ,
; _ (813) 782-2300 CA Cosss26
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813-780-0020 City af Zephyrhills Permit Application Fax 813-780-0021
- , � Bultding Qepartment
Date Received . p�oR�,Canfact for.�Rarintttin � �
Owner's Name `!� '_ �` Owner Phone Number
Owner's Address , � �� ��- �� '�� Owner Phone Number � �
Fee Simple Titleholder Name , � Owner Phane Number �- �
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Fee Simple Tltleholder Address -
J08 ADDitESS � ���� �-- � � �" ��' LOT# C�
StJBDiVIS10N PARCEL.tD# �
(08TAINEO FROM PROPERTY.TAX NOTICE)
WORiC FI20POSED : NEw CONSTtt ADDIAIT � SIGN� [� Q DEMOi:lSH
,e. INSTALL � REPAIR '
PROPQSED�USE Q 5FR Q GOMM � -OTHER '
TYPE OF COtdSTRUCTION Q BI.00K ' [� FRAME [^] STEEL Q
DESGRIPII�N OF WORK - � f d h"� C� � �'^' �
Btl1LDING StZE �_ ��S{1�FOOi"AGE H�IGHT��-______� _
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�BUtt.DING ���� 'VAlUAT7�N`.OF�TOl"fil CONSI'RUC'i'ION �
QELECTRICAL � � AMP SERtIICE � Q PROGFtESS EPIERGY �'W.R.E.C.
QPLUMBING ,:.($ �� _ ^,�
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QMEGNANICAL $ d`t� Vi0.LUATtON OF,MECNANtCAt INSTALL-ATION
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QGAS C] RGlOPING .Q SPECIA�TI � QTHER �
FiNISHED FLQOR ELEVATIQNS ��� FLOOD ZONE AREA [�YEB. ,fVO
BUi�DER COMPANY`
SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addrass Ltcense# � � �
E�ECTRICIAN; - COMPANY ' - - �
SIGNATURE � REGI5TERED Y/ N FEE CURRE� ' �Y/N
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Addre�s . . , E.icense# ( �
PLUMBER . COMI�ANY �
SIGNATURE` � 1 REC318TERED Y./,.N.: FEE CUFtRE� Y/N - '
Address _;Lit�nse# � -��
MECHAMlCAL`" � GOMPANIf. /-' � d`'S ��-�s.r �i
SiGNATURE� - " "'�`���"�'�- � REGISTERED ,1 Y/ N . � FEE CURRE� . Y,/tN
Addres"s•' - ' . ` , .'�_ License# ��j�c�y �
OTNHR : � = ;CQMP11Nlt,
S�GNATURE - ` � �� � ' ' r � ' REGISTERED ' Y/ N..., � FEE CURFtE� Y/N
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RESIDENTiAL:,�;, �Attac#i'{2}nPtot P,laris,�:{2}set"s:.of Biittdirig'�i?laas;{'1)�sef oE Energy'�Fonns;��R-0=W�P'emitt far new canstructibn, . "
•�;, r,;:�,:Minimum;tem.(:1.Oj wortcing}days,aRer subrinittal�date:�_Rei�uir"ed ons(te,.ConsfrucBon=Rlans;�Stormwafer'Plans w7 Siit Fence instalied,
'� � Sanifary Facllt8es,&:1..dumpster�Site Worlr,Permit for subdiVislo,ns/large:pro]ects. - : � -
- GOMMERC1A�t. Attach{3)�corstiplete sets"tif 8uitillrig Rlans'p16s a'I.ife Safety Page;{'1}set af Energy Fatms.R C!-W Permit for new canstrructEon. - -- _ . _ -1
Mintmum ten(10)working days after submittai date. Required onsite,Canstruckian Plans,Stomnwater Plans w/Siit Fence Instailed, �
Sanitary Facllitles 8 1 dumpster.Site Work Permit for all new.�proJects.All commercfal requlrements.must meet compllance
S1GN PERNfIT Attac�r{2)sefs af Englneefed:,Plans:,.,:.,,.; ` v , , - "
•""•PROPERTY SURVEY required for all NEW_construction.. _ . - _
D}rscttoas: � „ _ , . .
Fill out applicatlon completely.
Owner 8 Contractor sign back of appllcattan,natadzed '�
If over�2504,a Natice of Comm�ncament Is rsquired. {�JC upgrades cver$T500) ,
" Agent(for tfie co'nUactMr)or"PoVver of�ttdiney�(for ttie owner)would be someone with notarized letter from owner authorizing same
aVER 7H8 CdUNTER PERMt1TtFIG - {Front af�Applicatlon Only} -� �
Reroofs If shingles Sewers Service Upgradas A/C Fances(PlodSurvey/Footage) . .
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Drivsways-Not over Caunter if an pubytc roadways._needs ROW_ _... ,._� .... .. .._ ,v ...:..,:,,,z.-;;,�:.>.� ... ...:-�
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NO'�1�O�DEE[�RESTFtIGT10N�:. The undersigned:under,�tands=.th�t:lhls�.,p�rmit:may be.subJect,to;°deed":restri.ctions" _ i'��`�;;rk j
which may�tie-mo�res�:ictive-rth���County negul�iiNons:k�The�uridecslgned}�assumes�resp�nsfbtltty�fair"compitance with`�any` � '
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applicabte.deed'rest�ictlons. . .� �..,:.,; ,� � � ,�.... . ..._�. , _., _..:. .,. ., .:. °. .., ,. .- �
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UNLICENSED•CaMTRACTORS .kND Ctttd�'ttACTOR i3E�PCMNSI��CITfES:��-ff tiie��owner has�fiir�df�a contractor or a
cantractars to undertake work,�they_may;be,r.e�qul�e.d;�y#a.;be�!lcensed iri:accord�nce;uulth:staEe.and�tocal tegulattons:�{f°�the�� �` � .� ;
cantractor is�not #icensedas�requl�ed'!iy lavir� bott►�,#he owin�r ani� c.��i#�actor°rriap�tie�clfed for°azmis+demeano� vlol�tlon '
under state faw. !##he owner ar lntendedr,ucont�actar.--;ar.e:�m•mcertain as to what Ilcenaing.,requirements;�rriaY=aPpiy��for.:�tiie°:.� �".•_ "=":
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intended w6rk,�tHey are advlsed to contact.the Pasco Gounty E�ui�dtng�Inspeiitlon,Dtv,isloir�-t:icensing Seation at 727-84T-
eQ09, FurtNermore, tf #he owner�'tias'�fii�ed�ra �:tsn#racfor`or" corifractors, tie is advised ta have�#he cantractor(s),=sign. _ :. ,
partians af the:°conh�actor,eStock°of.this_appllcation.far:whEch..they:.wilt.b��:cesponslble..if-you;,as_the ovirner stgn�'as"tifie°` ' ;
car�tr�c#or, Ehat�rnray'�be an fndi�tion that'fie'fs riot�properly`Ilc�rised�aiitl`is�not"eritiNed tii permlktthg prti�lleges In Pasc�
County. .. . ' ... , , ... .e �,.f.:.. �.. _.%.
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! 7RANSP�ORTATl�N:11�lPACTILITILITIES�rMPAGT�ANb i�F�f�URG��2E�0'��RY FEES;The unde�signed undersfands
� that Trarispartation Impact Fees and.Reco.urse Recavery.Fees may.,;apptyu�#o�the�constrvction;of nern►_buildings,�ahange�cif�=�-'==£-- {`='
! use in existing buildings; or_eicp�n�ia����ezis#in�:�6uildings, as spec�ied.in Pasco County Ctrdinance number 89-07 and
90-07. as amended,�r;The unde�signed aiso,:untlerstands; ttiait:.�such fe.es.V�as��may_tie•.dt�e,:wllf.•�e idetiti�ed a#the�>14I����O�i'•'�5••,' v:,C
permittt�g. !t is further understood that Tra�isp'ottatton lmpacf�Fee� an�'-Resource Recovsry`Fees,.mu�f be pald prio� to
� rece{ving a."aerEfficate of accupanay"or�flna��powet-�r.elease:,�:If�Etie.praj�ct:.daes:not involve:a�.certffic�iEe of oocupancy o��{-�%�= °'`-'
flnal power.-releaee;ihe;fees�mu�t'be paid aprior.#o pecmit tssuance, Fu�thermare;�if:-Pascv��CountysllVater/5ewer��impact �- .. .
fees are due,.they�,must.be�,pald.:prtor#o permi#��tssuance�in,accordance witfi.,�ppiioable_Pasco'�.County ci�din�nces. •
I' CON�TRUCTIt3N"CIEN`LAIIV�(Cli�pter 713, Fiorlda Statut��.a��m�nd��}, {f vaivatian of work Is�2�500AO�or�mare,.:}- � -v..
cer#ify ttiat .i, #he. applica�t��have-been proYided Vrrith�,a caipy�o€'the "Elorida� �onstn�tc#lon:'i:len:.L;aw Hameowner's _
ProtecEEon Gulde" pregared by:tfie"Fto�l�a DeRartment'af Agriculture and Gonsumer�Affairs. If the sppllcant is someone- ,_ � �a,��
_. ., . .
othe�than the`owner, l certiiy�th�t,l,h�ve�optaln�d>a�copy jof..�he=aboue.:rfescrltiad:�ocurt�ent:and;pcomise�:in;good�,faith-to, , ��
deliver it to:.the"owne�"�pHar'M�cam�'nencemerit:"{ .' � . T _ �' v -.
CONTRACTOR'S)OWNIER'�AFFiC1AViT: i.ce�t�ty,ithat��tl;the�:inf.orm�ti�ny:in°#hi� appliaatlon is accurate and that aii work
will'be done in comptiance with aIl �pplteabie'la�vs reg�ilating eons#ructi�r�, zpning and��land°development. Applicatian,is
hereby made:to obtain�.a per.mit�a;do;rworl�,�and�'Instafiatlon �s indt�eted:r:::1. certifiy that no work�:or instailatton fi�a�s
commenced p"r`lo'r to I'ssuance of a permif"ar�d that:all�work wlll be�perFo�med�to me+st standards-of all lauvs fegulating-
construction, County and City cades, �oning regulatians, and land developm�nt r.egulattons�In the Jurisdlction.� '( al'so
certlfy that I u�derstand that the regulatlons af other govecnm�nt agencies may�apply�to#he.lntended work, and that it is
' my responsibiiity to identify.what,acttons 1 must take.to be,ln.:compltance;:.,Such agencies include but-are.not Itmited to:.: � -
- Depar'tment of Et�vironmen#a17°P'ratection=Gypress:`Bayhea��; 1�le�and Are�s and Envimnmentatly Sensitive
l.�nds,WatertWastevvater Treatmer�t. '
- Sauthwest Flortda Water Management`;I�isUfct:?Nells; -Cypress.'�8ay�eads�, �Wetland Areas, A4tertng �
Watercaurses. . � � , � �
- Arm�r Cnrps of Engineers-Seawalls,'Doaks, Navigable Waterways.
- Department of.r Health�,;� .Rehabilitative,..SenitcesJEnvir.onmentaiF.�Heatth Unit Welts, V�astev�ater�Treatment,
Sep#tc Tanks.:. ,_.. ._ � ' � . .. ` ..�.� � -
- U5�nvircnmet�tal Pcotectlon Ager�cy-Asbestos abatemen#.
- Federal:Avtativn_Autk�orlty,Runways: � �� � `
1 understand that.the.�folloviiing;restrictlons apply�to tFie us�e of fl10:•
- Use of flli Is no#allowed"in:Ftood>2one"V"unless�xpressty permitted.
- If the :filf` mata�ia4``is ta ybe�cised:in.:Fl�od-Zone. "A", it. ls understoad that- a drainage plan addressing a
�compensating voiume"wil{ be submltted �t time af�permt�ting whlch fs prepased by a profe�slonal englneer • -
Ilcensed by the;�tate af:Flotlda. _. _ . . '
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- !i th� f111 maiterlal��is,to�.6e-used In Flood �one "A" In��conn��tion�wlth�a�permlt�ed buiiding using stem wall
conatructton, i certify,th.atfill=:wlll.�b.e used only.to.flll the-area-wlthin the�stem�wall:
- if fitl material Is to be used In any area; `I`�ertlfy ffiet use. of�such fitl will r�ot �dversety afiect adja�ent
' properties. if use of fill ts,found_to,adversely:�ffect'adJac�iit'prope�ties,.the awner may be cited for vioi'ating,
� � the cond�ions.,.af#i�e bii3l�iirtg;permlt Issued�uncfeF tli�'a#�ac��de{�ermitRappliQatlon�.foi,lots�;less�ttian`one (1)
� �cre wtilch ar.e elevated�6y flll;a�t engineer�ed dr�lnage plan f�required. .
1#!am the AGENT.FOR TH�OVlEPIER; l�promiise ln,.good,faith.to inforrr�the°awner of-the perniitting condttlons-�et forth In
this affidavit�prior fo�comrreei�cing cvnstruction. I understaii�d thafi a�s�parate permlt may be requlred for etectricai�work, _
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plumbing,._signs, welis,.poots,. ait conciitioning„gas,�or4.qthec ins#alt�tions nat.spec�icatty inclu�ded�in.the apptication. �A _
permit issued shali be canstNed to kie���`ticense�to`�proceed�rith�tttie�vira�i�k�ntl no#:as.�authority ta:.violate�.°cancel. alter. ar
seE aslde ar�y provistans of the#ecliatca!cades;�nor shall lssuance�of a.pe�mi#.pr.event the Bulldirig O#ilalal from tfiereafter
requiring a correction af errars_in�plans; consttictlon oe vlolaUons of-any�codes: Every�p�artnit-Issued shall become�invalld
� unless the work autho�tzed.by such permik�ts.commence��wlfhin st�c,months of�permit issuance, or If wark authorized by
the permit is suspendsd�or>;abar�doneid-for�a�period af s�C f 8)�mon#fi�s::afte�the time the�work�is commenced. An extension
may be requested� in writitig;��:from tFieryBuilding,Cltflcial for a period�:not<.to�ex�eed=ninety=(80)�'days and�will demanstrat�
)usti��bie cause fw#he extension. if wock c�ases:for ninety.{9Q}cons.ecutive:day.s,..th��ob�is.consfdered abas�dor�ed.
�VVee►RNlNG TO �VNNER: YOU�.:FAILWRE�TO.,R�EC;O�D,AuMCITIGE:O�;�COMMEMC�MENT;MAY�RESULT IN�YOUR
PAYINCa TWICE,FOR IMPROVEMEM�'S_?O:;YOUR>:PItOPERfiY::�_I��:YO.U:�11�1°FE�'ID:TQ'�OBTAIN�FINAt�ICtNG;�C.ONSULT
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OMt(dER QEt AGENT COPII�'RAICTO ~ ��"`- �
Sub crt e an bswam ot lflrmed) ore me thls Stib ed a .b to{at mtsdpbe�fot+ai me;Rfit�
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o Islare peirson y . M.me. has/have producad, o.ts/are p.�rson,aily knowrt:M me or hasfisve-produced
as Id"entlflcedori: as lden8flca8on.
.- ����� otary Publle - �Nbfary Public
Commis�lon-No: Comr�Isslan.No,_ �rc�' C����
1��,��'�- �� ,�j.�,��,r �l��f.�,���.r�._�tf�, r � ��._.
Name ar IVatary typed,pMnted or stamped Name ot Notary typed,printed or stamped
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,puee: �,�«q:
;a;: ''. DEBF2A EI.AiIdE RUFFELL � .ws P �s; DEBRA ECA(NE RkIFFELL
=:r�' 'YQ:C+•� �a�q:••:4y�+s
*; :,,_Commission#GG 045343 ;. sz:Gommisstan#�t3 045343
;;�;s,:Exp(res Navember 7,2020 =�,,�,,�P+��xpires November 7,2020
.' , ''&Op F�°'r 6onstedThru 7roy�ain Insurance 800•3857019 ,.°p;;,.• �Onded 71w troy Fai�tnsurance 800�385�7019
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