HomeMy WebLinkAbout17-18561 CITY OF ZEPHYRHILLS
5335-8TH STREET
� - .� (813)780-0020 18 1
BUILDING PERMIT
PERMIT INFORMATION . LOCATION INFORMATION
Permit Number: 18561 Address: 6505 HUNTINGTON DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0830
Improv. Cost: 6,010.00 OWNER INFORMATION
Date Issued: 6/12/2017 Name: STOKOE J H & C M TRUSTEES
Total Fees: 70.00 Address: 6505 HUNTINGTON DR
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-0611
Date Paid: 6/12/2017 Phone: (757)635-7037
Work Desc: A/C CHANGE OUT 4 TON SPLIT
CONTRACTOR S APPLICATION FEES
CHRIS'A/C COMPANY A/C CHANGEOUT 70.00
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Ins ections Re uired
DUCT INSTAL ED
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 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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNAT E PERMIT OFFI R
� PERMIT EXPI ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Departrnent
Date Recetved w � • ��� � Phone-Contact�for�Permittin � -
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Owner's Name 9� / L ��Zt�� Owner Phone Number O /, �i,�a l/S� .
Owner's Addrass ���, �i' � Owner Phone Number
Fee Simple Tltleholder Naene � Owner Phone Number �
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Fee Simple Titleholder Addresa
JOB ADDRESS � LOT# �
SUBDIVISION 1' U' P,ARCEL ID# C� O �2 0 O D o s� p
, (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED _NEW CONSTR ADD/ALT Q SIGN -Q Q DEMOLISH
�.8: INSTALL B REPAIR
PROPOSED.USE � Q SFR Q 'COMM [�] OTHER
TYPE OF CONSTRUCTION Q ' BLOCK " Q FRAME Q STEEL Q�
DESCRIPTION OF WORK � C �t� ,�j`- • /j� � � ��
BUILDING SIZE SQ�FOOTAGE C� , HEIGHT � � � ����
QBUILDING $ VALUATION�OF�1'OTALCONST`RUCTION
QEL'ECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q "W:R.E.C.
QPLUMBING $ � �
� l 8� /
LlQJMECHANICAL $ '���, VALUATION OF;MECHANICAL INSTALLATION
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QC�,AS Q ROOFING Q SPECIAL7Y Q OTHER
FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. �NO
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— BllILD�R - - -- COiY7PAW11(:, . - - -- --- - - - = - -_ - - - —
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N '
Addre�� -- f ^� License#'� �
ELECTRICIAN.. � COMPANY�� , .�:' :': � ' -. � . � .
SIGNATURE w' REGISTERED Y/ N FEE CURRE� `'Y/N .
Address � _, ;;. License,#_' -
PLUMBER '� � COMP.ANY �.�,, � �,
SIGNATURE ' ` , REGISTERED Y/..N� =,.�. FEE CURRE� Y/N:.• : 4
Address � _Licanse,#`., • . . �. -
MECHANICAL� ' ' / COMPANY ' f ' '�� _ .
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SIGNATURE- � REGIS7ERED. N . �� FEECURRE�- . .Y/sN:
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Addreas"_=�� �/ � ,License#�
OTHER " �- 'COMPANY �
SIGN�►TURE -,. - - - - ' � " ' REGISTERED Y/ N.. J FEE CURRE� Y/N
Addre� -�� • � � � ` License#'
RESIDENTIAL'_,� �Attacfi"(2).;Plot+.Plans;(2)sets.of=Building"Plans;'(1)sef of.Energy�Foims;R=0-1N�Perinit fqi new construction, _
- -,.Minimum;ten;(1.0);working;days�-after"submittal-date.�sRequlred onstte;_Construcdon'Blans;'Stortnwater�Plans w%SIIt�Fence installed,
>_._„ - ,, ,, _r_,.... , .
� Sanitary Facilitles�&�;1,�dumpster;Site•Wo�Ic:P,,,ertnif#ar sutidivisionsAarge projects:.,.:� :;: ' `'
COMMERCIAL Attach(3)complste�sefs of Bullding Plans plus a�Life Safeiji Page;(1)set of Energy Forms.R-O-W Perm(t for new construcUon.
� � Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FadliUes 81 dumpster.Site Work Permit for all new,�proJects:.All commerGal requlrements.must meet compllance
SIGN PERMIT AttacFi"(2)sets of Englneered:Plans, - r� ' � �... . •
"'•PROPERI'1'SURVEY required for all NEW construction.. _ ,
Dlrectlons: - � � . • '
Fill out applicaUon completely.
Owner 8 Contractor slgn back of appltcadon,notarized
If over�2500,a Notice of Commencement Is requlrad. (A!C upgrade�over 57500)
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" Agent(for Ute�oontractor)'or Power of'Attoiney(for Uie owner)would be someone with notarized letter from owner authorizin�same
�VER THE COUNTER PERMITTING -- •(Front of ApplicatiomOnly)� ' � �
Reroofs If shingles Sewers Servlce Upgrades A/C Fences(PIoUSurvey/Footage)
Drivewaya-Not over Counter if on public roadways..iieed's ROW �
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NOYICE OF DEED i�E3TRICTIONS: The,undersigr�ed.undergtands�;th�t;this.°p�emlt;�.mayybe,,subJect.,to°deed"�restrictlons":_.;,_.`;,..`.,
which may�:be.<.more�rrest�ictive�th��Countyi;.�egulatCons.'=The��undecsigned�'assumes�-responsitiiiity"for"compilance with any" y' '�
appNcable deed resMctlons. .. -.: : , �. : � � . .._, ., . _ .- . _
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UNLICENSED CONTRAC�'ORS�AND CONTRACTOR R@SPOR13181LITIES:� �°if-the°�owner has �htced��a�`conttactor or
contractors to undertake work, tfiey.may-.bs.c�q,ul�e.d_to�be..licensed !r�-accordance.with state.and;local.regulation.s.:»If-the=y � -=
contractor ts=not licensed�as'�requlred`:tiy law,'both-the owner and conVactor�may�be�°cited°for��a=misdemeanor violat(on
under state law. If the owner or Intended�,contra�tor,_are:,uncertaln �s to what Ilcensing.requireRnents�may.,applyfsforttlie - � -
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intended�work, they a�e edvised to contac��ttie;Pasco�ounty.Bulliling:'Inspection Dh►lsion,-Licenstng Section at 72T-847-
8009. Furthermore, if the owner�fias Nl�ed a cvnt�acfo��'o� contractors� he ts advised to have �the contractor(s);y sign ,
portions of the "contractor Block° of this.appilcation.for_which.they wiU�be-responsibie::if.you;as:fhe owner`�sign�°as�the��" '�
contractor� that tnay tie an indication thaf�iie-ts not:properly licensed-and�is'not entiNed to pemiitting privlleges in Pasco,
County. �':..�::;: . : �:.
TFtANSPORTAT10N=1MP14CTlUTILITIES-IMPAC7 ANb RE30U�tCE ItECOVERY�FEE3;�The unde�signed understands
lhat Transportation Impact Fees and.Reco.urse Recovery.Fees mey�,apply°�to�the��constructton,.of new_bulldtngs,�change'of=r'''�-i1�,'�
use in existing buildings; o�:texpansian�:of��ezistin,g:�bulldings, a§ specifled.in Pasco County Ordinance number 89-07 and
90-07, as amended....;�he undersigned also;�understands; th�fE:�such fees;,as,may��e�.due;-wllf,-be identffied at the�time�of�fi"�����"�:�_}.
permitting. It is ftirther understood that Tra�sportation Impact.Fees and Resource�Reco�ery'Fees.-must be paid prior to
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receiving-a 'cer�fficate�of-occupancy"�or flnal powe.r..release: :If the.proj�ct;,does�.not tnvolve,a�:certfflcafe of occupancy.�o�=�������� �"'
flnal power release;,the=.fees�mu�t tie paid;pcio�to;permit issuance. Fu�thermo�e,if Pasco�;County'Waterl$ewer�simpact �� .. ,
fees a�e due�.they�,must.be:pald�prior..to.permit�,Iss4ance=ln:accordance wttFi��appitcable Pasco�.Gounty�ortlinances. •
CONSTRUCTION'LIEN��LAVMI(Ch�pter 713� Florlda$tatutes�as amended): If valuatlon of work is$2,500.00,;or,more,=) -.-.
certify that .I, the applicant;--have,�been provided with=-a copy- of the �"Florida� Construction`_Lien;Lav�—Homeowner's
Protection Gutde" prepared by�tFie Flo"rida Departme�t�of Agriculture and Consumer;Rtfair"s. If the appllcant Is someone -. :
other than the"owner", I certify.th�t,l_have..ob.tained7a`eopy.of:the:abave.rlescribed docurt�ent.and,p.romise�in,good':faith,to ,.
deliver tt to._the'ownec"::pdor:,to�cornmencement:" ` ' ' � " : ' - " - � , , -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify:;tli,at,:all=the�.Inf.ormation Jn•thl� applicatlon is accurate and that all work
will'be done in compliance with all applicable laws regulating construction� zontng and_land�development. Appltcation is
hereby made to obta(n..a permit;�to:do.=:wor`k:,and':Installatlon as indi�ated:��-.'I. certify that no work��or Installatton fias
commenced p�lor to Issuance of'a permit`'and that=.all work will be pertormed�to meet:standards-of ali laws regulating-
construction, County and City codes, zoning regulations, and land development cegulatlons=tn the jurisdiction.� ( .also
certlfy that I understand that the regulations of other government agencies may�apply�to the_.intended work� and that it is
my responsibil(ty.to Identify�what,acBons I must•take;to be�in:.corrlpllance:,,.Such.agencles�include but=are.not Iimited to: �
- Department of Ehv(ronmental>`Protection-Cyp're§s:�Bayhead�; Vlletland Areas and Environmentally Sensitive
Lands,WateNVNastewater Treatment.
- Southwest Florida Water Management=:�isUict-VVells, 'Cypress.r�Bayk�eads, Wetland� Areas, Altering
Watercourses. - , .
- Army Corps of Engtnee'rsSeawalls� Docks, Navtgable Waterways.
- Department of,.Health;;&;.-ReMabllitative�.ServiceslEnvironmental..Health Unit Well.s� Wastewater�?reatment, �
Septic Tanks:=- � `: '�` - � � .--- .
- US Environmental�Prot�ctlon Agency-Asbas4�s abatemen4... .
Federal Avlatlon��Authority=Rut�ways,� - _ � �
-I understand.that the.:folloviiing.restrictions apply to the use of fll�:• - -
- Use of fill is not allowed in;Flood;Zone"V"unless expressly permitted.
- if the ffll°'materiaF is to be used:.Irt.:Flood-Zone. "A; It. is understood that a drainage plan addresstng a
"compensating volume" will be submltted at time of�permitting which ts prepared by a professional engineer � =
Ilcensed by`the$tate of�Flo�ida: � .- - , ..
- If ih� flll materlal�.ts"to:be:used In Fiood �one "A" in�connec�ion�Vfrith:a �ermitted building using stem wali
construction, i certify that flll:wall:b.e-used only.to,.fill the.area.wlthin the stetn�wall: _ '
- if flll material ts to be used in any area; 1�"�certify that .use. of;sucti flll�will not adversely affect adJacent
properties. If use of flil is found to adversely::�ffect adJaeent'�pra�perties,.the owner may be c(ted for violating �-
the conditions.of.the building:permit Issued�'under tlie�at�acfied permit appltcation,.foc�lots�.less:�than.one (1)
acre which�are elevated�by flll,art engineered drainage plan Is required. . •
If I am the AGENT FOR THE:OWNER, I�promtse in good faith to inform the owner of the permttting condit(ons set forth in
this affidavtt�prior to commencing construction. f understand thet a�separate permit may be requlred for e�ecMcai�worlc,
plumbtng,,signs, wells�..pools;. alr conditioning,.gas, or.othec install2�ttons no�,spec�fiaally included�in.the application. .A -
permit Issued shall be conshued to be��a�Iicense�to�-proceed with�tfie:work and not�as:authoNty�:to.violate;:cancel, alter, or
set aside any provistons of the technical.codes;�nor shall Issuance�of a.permlt.pcevent the Bulld(rig O#fictal from thereafter
requUtng a correction nf errors In.,plans; construction or vlolatlons of�any codes: Every p�ermtt�issued-sfiaii�become-invalid
unless the work autho�ized.by such permit:�s.commenced�Hiithtn sf�c.months of permit Issuance. or tf work authorized by
the permit is suspended=or..abandoned-for a:period;of six E8)�monf(is.aRer the time the�work��s commenced. An extension
may be requested, In uvritirig,Y:,from.tNe�Bullding,Offlcfal for a pertod.�not to exceed•ninety=(90)�days a�d�will demonstrate
justifiable'cause for.�the extension�. If work ceas�s:for ninety(90)cons.ecutive�days...the Job�is.considered aba�doned. �
WARNING TO OYVNER: YOUtt..FAILURE.TQ..REC.ORD.A::I�OTIGE�:OF3�COMMENCEMENT:.MAY�RESULT IN�YOUR
PAYING TWICE FOR�IMPROVEMENTS::TO�YOUR::PROPER=1Y:���IF�YO.U�IN�EI�ID:T�'�OBTAIN•�FINANEING;�CONSULT
WIT U O: M TTO N �B FO. E���ECO �F1 G%;- OU ' "O ;= ��. E : T.
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FLORIDA JURA�:(F:S:l 3} . __
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OWNER OR AOENT 'y2� . CON7'RACTO .�
Subsarlbed and awom to(or afflrmed)betore m � Subscribed'and' m to(ow aflirmed)�before me tlilg
by � .by...
Who Isfare personally known to�me or haslhave produced Who.is/are p.eraonally�ciiown•to me or has/have�produced •
as IdenUflcatlon. ' as IdentldcaUon. •
Notery Public Notary Publlc
Commisslon No: Commlaslon.No.
Name ot Notary typed,printed or stamped Name of Notery typed,printed or atamped
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Dl�DE CITY, FL,33525 Z��'f�lYRMILL�(813)779-95'i5
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NAME; Cathy&Jim SEoke i � Date: 06/01/17 SPLIT SYSTEM ### PKG UNIT #N/A
SUSDlV181QN: j ; HFATPUMP ##1# BTR.COOL #N!A
ADDRESS: 6505 Huntington Dr I ; ' ,�'�'� .�
ctn: Ze h rhilis FI - ; ' zt�coc��: 33542 cor�o�r�s��: ##
PHOIdE: l�f9RfC.��k-'1 S�I —�D S"'�0.3�[7 IR HANDLER: #N,�A
.� �,� 813-715-2'E 15 R�r�t; "i—� "�t73 ���r�R: #N1A
iESTitwaTOR: Kameron i ; g�Na: #N/A
i �;��. �I�I��`;�U�}���ip�t�i��..��i����'����'� Y� EER RATIfi2G: � #�I�
vEt�'t'icai. I � INSTANT REBATE : #NIA
-_ rii��;:ti�iic��zz�;;vci�-�'wa���>rrB�7`F�R`"' T TAL ' #t�Ll;�►
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:� 5;•,;MEDIA'FILTER;f:BETTER=&'BEST I ' OfVNAGE: #J�IA PARTS: #N/A
. . �,<:<;,<<. .,.; .. ..
}�{• PR0:8000�Tt�EFtl�1(OST�T=fi=BEST4 � � ' Co�i�ftEsso�: #NIA t.A$oR: #NIA
PAa � '� �.����;,
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IN-L1NE FLOAT � CONDENSER: �`
i�EW TOP Fi.7F2 STA{VD � tR HANDLER: #N/A
SEAL DUCTWORK TO CODE i HEATER: �N/A
� CONNECTED TO.EXISTING pUCTS A[+!D�I.ECTRIC BRa�D: #N/A �
� ANCMOR CQNDENSER j ; EER RATtNG: � �bVI/�j
( Ttvc,1.ABOR ANQ PERMIT i , tNSTANT REBATE: #N!A
i2EMOVE EXISTING EQUIPMENT I ' TOTAL : �NIA
�oo_o�scouMr r s�c��o� ; " arv���. #�!I!A �a�rs: #t�u�
/��,,,,..�orr/! r"o �� r.v� '��a.•,. r^e,c�aue,,� COMPRESSOR: #N/A LABOR: #�N/A
� �a-� �^� ��
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.,�.=r �� coNo�►vseR: 4A6N�#048D1OOOA
'"�. -..,� *� n`� E�r�a�v��R: TEM4AOC48 �
:� : � � ��" . H�r�R: BAYHTR.1�5Q8PDCA
, _ ,- .� e �. � st�++s�c�: AMERiCAP1 STANI3ARQ
� '�. � '✓�' #�� ,��< SEER RATING; �4 7 O�Oe79
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�.��.�`;�.�`:;t ��..���;�"�`;" - �`;` ."� � � IitISTANT REBATE '$ 050:0{�
x�S;,�`.�*�...�: ,..�.��ix .c.x4.��.. � e"' •���;e.'�/L,.'�"-^— "� • �
I HAVE THE AU1NpRITY'f0 ORDER THE �� � r�;:� �' � T�TA s;o�oo�s
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I RETAINS TITLE TO EQUiPMENT AtJD MATERIALS UNjIL'FINAL PAYMENT 15 MADE.tF PAYtutENT ONNAGE: . � PARTS: 10 YR
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j IS NOT MADE AS AGREED,SELLER CRN REMOVE SAID EQUlPMEIVT AND MATERIALS AT COMPRESSpR: 1 O YR LABOR: �N/A
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' SELLEF2S EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHAI.L NOT BE
E ftESPdi�lStBtLITY 4F SEItER. LIM{TED VitARRANTY:EQtttPME[3T.PAR7S AND -�
MATERIJiL HAS WRITTEN RAFWUFAC7tiRER'S WARR i N'TY ONLY "'�� �R�ITJ P U�OO!Y
� O°lo FOR 6�? ONTHS '.. (WAC)
£ ,. �R ,
CUSTt}NtEft SIGNATURE j DATE: ` I =T T R�B TE
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