HomeMy WebLinkAbout17-18566, � - . CITY OF ZEPHYRHILLS
5335-8TH STREET
� (813)780-0020 18566
' BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18566 Address: 5545 9TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-08800-0090
Improv. Cost: 2,500.00 OWNER INFORMATION
Date Issued: 6/13/2017 Name: MBBS FLIP FUND LLC
Total Fees: 50.00 Address: 3250 NE 1ST AVE APT 305
Amount Paid: 50.00 MIAMI FL 33137-4295
Date Paid: 6/13/2017 Phone:
Work Desc: A/C CHANGEOUT 2.5 TON
CONTRACTOR S APPLICATION FEES
HEAVENS BREEZE A/C AND HEATING A/C CHANGEOUT 50.00
� �
�' �
�—1
Ins ectio s Re ired
DU TSI STAL 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.
�
� ,
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED �
PROTECT CARD FROM WEATHER
- - . . -� - •- _ -,
�� /'"'!�C /�'�N� ❑PROPOSAL � INVOICE
HE 11E�iTING
���G�������/ C�2P.<eL�hf/L�G'Pi R�i C700�i %�CP PHONE�� ) - i ,> � 7 't DATE , ;' ' ^,
.� �� P.O. Box 272442 ' < <_ -�'-� u � ;,:,� , , �,%. ;
Ga l r'.,� i ,�
LICH CAC7816891 Tarnpa, FL 33688 FAX&ALT.PHONE "
/� ,� ��3-965�7284 �OB NAME � ,
SUBMITTED TO
f'c' ��'�- ..:'�� ,-r;rj`,�'��f -
�,,_1,.__��`,,,_ Gjt j;� y`.''_ JOB LOCATION
STREET '� � r -1
�' / .`/e �i - ,_� CONTACT �� � �� .-"` l _ _ - ,�.
i_.��`������rr'�f,/.J ��� � .,.� �.� ✓'--:9�.-�`i.. .�`.~-'��/�`' '. , `� � G i�
CITY,STATE and ZIP CODE •�
s
! � •
„/ N
. � � .i G s i� ri cf=,�'�=-'.�?r';� S . C� �:%.=�>
y, a �! ...
� �
*�`fi `�� .�,/
9 f, � ii ,r. •,ti J , F• � .^��
� i 6. s".d�! ir;;7�`i r'� ,% tJ:�-'- /:� / f%' �; �`t,.
�t�;:� /�-`r` ,�f-t-':f".,
1 �. i y �
i f' i
v9� ;/ /ii%' �� � '��
i�J ,�'� �%[��f.r,� .
7�
��� �' f:��� ;�', i' �'��iL/ :.
�`-,i��
f ' f�'�,�. � r��J ri . �l 7�;%�J-{= %�
, r
'�7%� ,t� .i'1% /-✓. �.
�,f� �'�'�.t%J C.J--✓ i / , /i_q' C•..
i�? ,L r,"
!; �'� r�'—•--�
,���i:-/ f.- t..� l, � ".�i:�,r'..�d�
i '
Payment io be made as follows: SUB-TOTAL
SALES TAX
All materials guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Any FREIGHT
alteration or deviation from above speaficadons involving extra costs will be executed oniy upon written orders,and will become an extra
charge over and above the estimate.All egreements contingent upon strikes,accidents or defays beyond our conVol.Own�o prty fire,
tomado and other necessary insurance.No retum on special order items.My cancellations or deviaUon from proposal subject to a 25% JOB TOTAL
restocking fee,handling and freight charges.Ultra Custom,Inc.Reserves the right to enter the premises to alter or adjust any discrepancies
of the work performed. DEPOSIT
Acceptance of Proposal-Tne abo�e p�oes,specificaUons and conditions are satlsFactory and are hereby accepted.You are BALANCE �' `
authorized to do the work as specified.Payment will be made as outlined above.This estimate is valid fo 30 Days. �-��r� ���
Signature of Acceptance: Date:
813-780-oozo City of Zephyrhills Permit Application Fax-813-780-0021
� � Building Department .
Date Recalved l_ � . � phone=Contact forPermittln - —
Owner's Name �cl/� � I�,qr✓�/"L/��1J/1J Owner Phone Number �° 2'�6� 6 2 ��
Owner's Address �� �` � �'� � Owner Phone Number
, y
Fee Simple Titleholder-Name Oweer Phone Number
Fee Simple Tltleholder Address
JOB ADDRESS J,� � �T�---� ' LOT# �
SUBDIVISION PARCEL ID#
• , (OBTAINED FROM PROPERTY,TAX NOTICE)
WORK PROPOSED �,�NEW CONSTR ADD/AL-T � Q SIGN Q Q DEMOLISH
� .e._ INSTALL B • REPAIR •
PROPOSED<USE Q SFR Q COMM • " Q •OTHER ' �
TYPE OF CONSTRUCTION �� Q� � BLOCK " Q FRAME Q STEEC Q
DESCRIPTION OF WORK �L',v� G��,g � �v� Z--,� i 6'� l ����
BUILDING SIZE " - � SQ�FOOTAGE� HEIGHT� .
QBUILDING $ VALUATION.OF`TOTAL CONSTRUCTION
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ -
QMECHANIGAL ' $ a�� � VALUATION OF MECHANICP�L INSTALLATION
QGP�S Q ROOFING .Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �NO
BUILDER COMPANY
SIGNp►TURE REGISTERED Y/ N FEE CURRE� Y/N .
Address ' � Lfcense# '
r,
ELECTRICIAN� , - � COMPANY • �
SIGNATURE � REGISTERED Y/ N PEE CURREK`' = 'Y/N
� .
Addre�s � :� Ucense#. -�
PLUMBER ' , ,COAAPANY _• - - �
SIGNATURE' ' , _REGIST.ERED, Y/>N,. : FEE CURRE� . ' Y�/N.
Addre�s � �Ltcense,# � .. �,. �: - _ -
MECHAfVICAI:` �/+�"�"'�f e2r� •�`` . COMPI4NY, �. -�'►� �� A'lC • .
SIGNATURE• � REGISTERED Y,/ N , FEECURRE� Y•,/,N'. : -
Address� , . . , � - ' , • ' License#�
:x,.. , . . . . _ . . , -.,
, , . � ,
OTHER � ' � � � ;COMPANY. � ��
- ., „ � ... ,.. . .
SIGNATURE '�:t :' :'> ""•� °^''``° "` � � � " REGISTERED` Y/ N .. ��FEE CURREA Y/N
Address N . �s. ' . ; . �Gcense#' ' . , �
�,_... .. . �
RESIDENTIAL:,'-:;:.°AttactY(2)�PIot�Plaris;.:(2)sefs"�of:Buil8ingi'Plans;'(1)sefof'EnergyYFoiins;'�R=0=1N�Perrriif for new construcUon, '
-:, ��_�;�.�aMinimum4ten;(•10)wrorlcing;days`after;§ubmittal'date.�.Requlred onsite,tConstnic8on'Rlans;�Stormwater.'Plans�w/Slit'Fence ins�lled,'
� �Sani'ta'ryFacillUes,8��1�,dumpster�Site•Woric�Permif_for:su6divislons/large:proJeots" _-"._�� ' - �
COMMERCIAL Attach(3)`cornplete sets-�oYBuildlrig Plans plus,a Life'Safety Page;(1)set of Energy Forms.R-O-W Pertnit for neW construcUon.
Minimum ten(10)working_days after submittal date. Requfred onsfte,Constructlon Pians,Stormwater Plans w/Sflt Fence tnstalled,
Sanitary Facilides 8�1 dumpster.Site Work Perrnit for all new�projects:.Ali commercial requlrements_must meet compllance
SIGN PERAl11T Attach"(2)sets of�EngineeredLRians:;, - ��'`� _ � ,- `
""'PROPER7'Y SURVEY reyuired;for all_NEW construction.�
_.___._,. -... - ,,
Dlrectlons: - .. • � � � - '
Fill out applicadon completely.
Owner&Contractor sign back of applicatlon,notarized �
If over 52500,a Notice of Commencement i�required. (A!C upgrades over ST500) .
:�•._.,._.;,.:ti.aa,,:.�
'* Agent(for the contractor)''or`Powe�of Attomey(fo�ttie owner)would be�someone with notarized letter from owner authorizing same
DVER THE COUNTER:.P.ERMITTING--- ----(Front of-Applicatlon�Onty)
Reroofs if shingles � Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) _
.. _"_ .�. ....... �. . ., .. . .-..v -..2s .�....� . ..:-_' . �..rriz..`J.ma.� a..�.rt ....iLti �.il�.�_.�.. ' `_"
Drivewaya-Not over Counter if�on publlc.roeduvays.;n.eeds�ROW.• : ___�=-��, ,_,-�;^ �- - ,,; .
. � ;�_._ r..;�:�. ;-j .
�� .%'-<G,''e`:Jr.iC,li'..r,f!'('� �� ° (� �.=�:. ru�, r .�!' ,-„'.f(.` , „ . ',
-���.'�t �, lii':. •r..�4r,� .`I'.:%;�:I' ' - '` ' J!... ��i _�.I'i`�,,;,, . 'i'„ -, �s,,�L
..�UC":�-�'�4,..�I:i;!::..,:fiii:'/7:i:):����fi.�;lltil '',t,� ��� � . :i�...�...,� " �. " • _. � ..�� �1 {/
,i--.'cn.- >._ i�._.n�An��'�.-e4+.+1"'"i.fi�...c�..n..e.�a'.t7a?� .'1 : • .f. • - .- .. r.... �...-�.. � ...Murre+,M.ln!'a J .
J
- . .. � - � �
_ , � .-� � _'����-�;-�
NOTI�E OP DEED RESTRICTIONS: The und�cstgned,.under�Eands=_th�tFthis,°p�cmit;may,b�,subject,ta"deed"1'85tFICtIQ11S° �;: , ;-�:...;
... ,. ,. .
which may be�more-r.�st�ictive�tha��Countjr•�reguletion's�'�TFie`underalgned°��s�umes'responslblitty:forVcoinpllance witii`any
app!lcable.deedrestrictions. . ..�.: :. . � �. � _ ...- -. ., .-., .. .�.=_- j` .: °� '= .•'�''
, � � . . _ , ,
UNLiCENSED CONTRACTORS :AND CON�RAC7'OR RESPONS1BtC1T1�S: �If=tfie��owner-has`�hired��a":ciin#rac#or vr
contractors to undertake work, they_.may.be�reiqtkired:ta.be411censed�in.accordance.with state:and;local�regulatlans:'�If`�the����` - ���-`#�
i..:,�.�....:.-_ :
contractar ts not tEc�nseil-es��tequlred�liy li�w� t�otti'the owner-and=coiif�actordmay�tie°ctfed}for`a`mistlemesnar utolation
under state Iaw. If the owner or Interided,°contractor.:ar'e,,;uncertaln as to wha6'Iicensing.regutrements,wmay�:apply���#ar.�.the'<�-� �f�����'
�,..,�.,� �,; . . .
fntended work,they afe advlsed#o i�rttact the.Pasco:Gounty Bailding:'Inapei:tlaii�D{vlslor�-.-l.(censing Sectlon ak 727-847-
8D0�. Furthermore, tf the owrier`has'lilreii a :cont�actor or coritraetars, he Is advised to have':the c�ntrac#or(s);.sign
.r ..,.r
,..._
portlons af the "contractor.Block"_of,thls:.epplicatlon_for.,whlch.they will,be�responslble.- if..:yau;:as�,#he,awner`slgn `as the"� "� ``�y"
contractor� that�rnay�be an indics#on that''1ie'Is not.proper�y`Ilcensiad-�n+d'Is�not�en#itled fo'permltting prtulleges in Pasco _
County. ' .. ,....� �".:,�,:- •:,.; ,,,..,�
TRANSPClRTATIQN-IMPACTIUTIl:I71ES-�MPAC7 AN'�-RESOU�tCE RECOVERY-�PEES:�The�untlerslgned uriders#ar�ds
thatTransporta#lan Impact Fees�and.Recourse Recovery_Fees may�appty:to:the:construction.af new.bulidings„chan�e�of�=�`�'��`��°';'
use In exi'sting bulldi�gs, oc::exparisi�n�.of�eziskin�;�6uildings,as specifled.in Pascv Caunty Clydinance number 89-07 and:
90-07, as amended.,f.:The unde�lgned also:�nderstands, fhat�sucl�t feea;�:as��majr;l�e-.due;�wiil:rbe Identif�ed at ti�e��ttme�a#�:"- .;��. �."
permitting, It is fu"rthe�unde�stood that Tra�sportatian Impact Fees an.ct�Resou�ce.�.Recov.ery��Fees�..mus#be paid prlar to
rece�ving-a:°cerffftcate of acttupancy"�ar�iinal�ower.releaser :I��Ehe.proje�ct;:does �io�invotve:a-cert�icete of occupaticy.ot.:;x��j�^;:' �
, . . ....
flnai power-release; the;fees mu�t be Pattl;p��or to;pecmR Issuan'ce. Fca,�thermore;�if:Pasca�;Cvunty�WaterlSewer•:impact� � �; �
fees a�s due�.theym must be;pald.;prior to permit�.lssuance=ln.accordance wittY;appltcable Pasco'�County�oEdlnances. •
CON�TRUCTlON"CIEN`lAV�1'{Cti�pter 7'93�Ftortda Sta#ut��a s�amend�d): If valua�on af wark ts$2,500AO�or-mpre,;ir� � -,-w.
certify that I, the.�applicant,:-have.been provided �with� a copy�of��the��"Florida°�Construcllon. Lien .Law—Hameowne�'s
Protect�or� Guide" prepared by ttie F�o�da Depiartment�of Agrlcuiture and Consum�r-�A�fatrs. 1##he�ppllcant Is someone : ..:_ .. ,r;
other than th�"owner", I certifj►.that.l h�ve,obtained�a�c'opy.of.the�abave..descrl�ied'tlbcuii�ent:and.p.r.omis�;in,gaod''faith.to . � ,
deliver It to.the�'ow�e�'=piiorto�c:oirimericement:`'� .: ` � �: -- . • _ --�
CCiNTRACTOR'S/OWNER•S AFFIDAViT: !.certify�.tti:at•:ati.#h�;inf.ormation:.ln-this appilcatlon is accurate and that al)work
wtll'be done in compliance with all.applicable laws regulating constructlon, zoning and��land°development. Appitcatlon is
hereby made to ob#ain .a perm�t;:to•:do:wark�,and�Instetlat#on as ind{�efed.�-.=1 ce�tify that no wark°or tnstaNation ties `
commenced prior to Issuance of�a pernnit�and that�.all work will be perfarmed�to meet standards-of all laws regulating-
consn�ctton� County and City codes, zoning regula�iQns� and land development regt�iations'In�the �urlsdtction:= I�al'so .
certify that i undersfand that the regutations of other government agenci�s may�apply�to the_.intended wark, and that it is
my responsibility to identlfy.what.ac8ons I must t+�ke:to be,ln:.comp!lar�ce.a,Such:agencles lnclude but�are.not limited ta: � -
- De�artmen# of Et�vlronmental�'PFotaction-�yptess�'Bayhead�, VNeNand Areas and Environmentaliy Sensitive
Lands�WatedWastewater Treatment. �
- Southwest �torlda Water 1Vtanagement:�D�strict.lNefls; -Gypress.c'Bay.head�; Wetland Areas, Alte�ng
Watercourses. . � - • .
- Army Corps of Englneers�Seawalls,Docks,lVavigatile Waterways.
- Department of .Heatth:�8: Reh�bitita#ive_,Servlces/Envi�onmental Neatth Unit Welts, Wastewater-Treatment, � �
Sep#IcTanks'..` � . , .
- US Envlrorrmentat Proteot#on Agenc�t-Asbestos aba#emen#.
FederaF Avlatton:Authoclty=Runways:� ' �
f understand.that the.follow�ng:rest�ictlons apply`to tFie use of flli:
- Use of fili is not aiiowed in;Fiaad:Zone"V"unless expressly permitted.
- If the:fllf material is to �b.e used:in .�Fload�Zone. "A", (k is understood that a drainage plan address(ng a
"compensating volume"will be submltted at time.of�permitting wfilch is prepared by � professianai engineer� �
Iicensed by��l�e State of'Flo�ida. � - � � ,
- 1f th� �111-materlat�!s-to:be used tn Flood Zone 'A" fn�cannec�ton�with:a �srmltted bullding using stem watf
� construction, i certifiy,th,at fl11:��11-b.e;used only.to#ill the area within�the�stem�•wali: • _
- If flll mate�lal Is tv be used lrt.any a�ea� I cei�ify that .ase. of such flU wDl not adversely aftect adjacent
properties. if use o#fil) 1s found to �dverseEy:afiecf adjaEent��prope�tles,.#he owner may be cited for viofiating
the condi#lons,.of the bWilding;permit issued�under the.attached,permit applicatlon,�for:lots�:less;than.one (1)
acre wh[cti ar9s ele`vated�Ei}r flll,a�t englneer�d drainage plan 1s requtred. �
If I am the AGENT FOR THE�OWNER, I,�pr`amise In goad falth to infarrra#he owner of-the permitting condftlons set forth In
this affidavlt`privr tv commeraoing construction. �I understan�! that a�separate permlt may be required tor eleaMcal.work,
ptumbing, signs, wetls,,p.00ls�, atr condfitioning,..ga�s,,.cr attier insfall�tions nat.spec�icaliy inciu�ed�in.fhe► application. .A. ,
permi�issued shall be canstnued to 6e a�license°to�-proceed wlth ttie�iork and-not�as:authotity�to,violate,�cancel. alter, or
set aside any provisi�ns af tlte#echnlca#.codes;�nor shalt tssuance�of a.permit.pr.event the Bulldlrig O#1lclaf from thereafter
requirin.g a co�rectlon af ercors in,plans; consfr'uclion,oc vlolatlons of�any codes: Every•�p�ermlt�l.ssued sfiali become invalid
unless the work_sutfiorized.by such permlt:�Is-co�nmenced�wi#hIn stx,,months of pertnit issnanae� or if work au#horized by •
#he permit{s suspendad�ar:abar�doned=for.a;periad of:siat f8}monfiis:sfter the tlrne the�work�is corttimenced. An extenslon
may be requested� tn wrlting;,;.from,the.��uilding,t3fficial for a perlod�•not to ex'ceed'�ninety�(90)��days and�viiill demonstrate
j�sti�able cause for.the extenslo�; If work ceas�s,for nlnefy-(90)cons.ecutive=day.s,..the�)ob�is cansidered abac►daned. ..
1!!lA�tNING TQ ClWNfR: Yt?UR.�AIl.1JRE:TO,,.RECCM�Q;A�t�QTIGE OF.�C4MM6NG�MENT:NrAY-RESULT IN`Yt'�lUR
PAYING TWICE;;f=OR�IMPROVEMEM�'S�TO;YO1�i.��.PRCC3PER'1Y:��I��.YO.U�l1�i��D�'TQ�'�OBTAIN�FIN�1f�E1NG;'C:ON�ULT
WIT U D � A /4'�TO N �• Q. �� O G�y OU ' : ° '`t� .. : ,.
FLORtDA Jl1RA��(F.B:217.03 . _ � . :_ . _ . •
� OWIdER OR AC3ENT '-- --G�;� _ _ _- - -- - - -- ' COMTRACTOJ.�- - - - -- . --- - - —_
u crt ed and sworr►ia�or aflinned}b�fo t� Is S�ibscrlbed and'swam� ar afftrmed}•b' tne ltit� '
�����" by � � � ,.bY . . ..
��Who Is re ally k ��e,�r;has/have.produced W�o.ls/are onalIy kno e r has/h�ve�prodiaced • .
�����t1Yv41d"entlflcallori.' 11:,�1 � ,C// as tdontNtcatton.
������GL--__�!' t�i � Notary Pubitc . � ofary Public
pmmission Na': (aslonNa.. �� ���
� // ..G�' -- '� ' ' � - �
Name or � Name of Nota �
, ,"•y�•,., ,,,.�i�;;k••,.,y, DEBRAE IhERUFFEtL
'�'�����=Camm ssion'#GG 045343 .
;'�� �;_Cammission#GG p45343
', ;;r z,Q�Ex�ices iVovember T.2020 =:�,P�Expires Nauember 7,2424
�, '.Epj,;;°• E,�ndedThr4TroyFalnlnsuranceS00�3857619 �''•:�;oan�g BondedThtu7royEelnitWd'dnce80a38S7019
, , ,