HomeMy WebLinkAbout17-18665 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8665
BUILDIiVG PERMIT /
- PERMIT INFORMATION � - LOCATION INFORMATION
Permit Number: 18665 Address: 7315 GREENSLOPE DR
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0000-00300-0081
Improv. Cost: 15,100.00 OWNER INFORMATION
Date Issued: 4/10/2018 Name: CENTER FOR RADIATION ONCOLOGY C
Total Fees: 172.50 Address: 4503 COUNTRY GATE CT
Amount Paid: 172.50 VALRICO, FL. 33596-6067
Date Paid: 4/10/2018 Phone: (813)541-0871
Work Desc: REPLACE (2) 5TON APLIT SYSTEM & (1) 4 TON SPLIT SYSTEM-1x reinstate
• CONTRACTOR S APPLICATION FEES
PATTIE ELEC. & REFRIGERATION A/C CHANGEOUT 115.00
BUILDING FEE 57.50
���
�,�.��d�
Ins ections Re uired
D CTS INST LED
DUCTS INSl1L ED .
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 may result in your paying twice for
improvements to your property. 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
City 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
_ , CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8665
r .+
- , BUILDING PERMIT - ,_
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18665 Address: 7315 GREENSLOPE DR
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0000-00300-0081
Improv. Cost: 15,100.00 OWNER INFORMATION
Date Issued: 7/17/2017 Name: CENTER FOR RADIATION ONCOLOGY C
Total Fees: 115.00 Address: 4503 COUNTRY GATE CT
Amount Paid: 115.00 VALRICO FL 33596-6067
Date Paid: 7/17/2017 Phone: 813-541-0871
Work Desc: REPLACE (2) 5TON APLIT SYSTEM & (1) 4 TON SPLIT SYSTEM
CONTRACTOR S APPLICATION FEES
PATTIE ELEC. & REFRIGERATION A/C CHANGEOUT 115.00
��v ^ �� � i ����
� � 6
�`�
s�c�g,i�s ��'�.-g�
Ins ections Re uired
DUCTSINSTALLED
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 may result in your paying twice for
improvements to your property. 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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� ��
G',�
TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� � Building Department .
Date Recelved , ;�ppane,Contact�for•P.ermlttin - '
Owner'a Name .Q �j Owrn�r Phon�Number
Owner's Address � Owoer Phone Number
� , T
F�e Slmpl�Titleholder-Name � � Owner Phone Number •
Fee Simpla Titleholder.Address � �
JOB ADDRESS ✓�e r c U�Q LOT# �
SUBDIVISIOW ' P.ARCEL.ID# ' -
,_ • , � (09TAINED F.ROM PRGPERTY TAX N0T10E)
WORK PROPOS�D, �.:�.NEW�CONSTR�:, ADD/ACT 0= SIGN=• Q 0 DEMOLISH
� �.,8, INSTAtL_ 8, -, REPi�tIR -�-
PROPOSED�USE . , Q SFR. [�� COMM ''Q kOTHER' ' �- '
� TYPE OF CONSTRUCTION' <•. Q` � BLOCK " [] FRAME _�] ;STEEC Q
DESCftIPTION OF WORK .t Q -' � �.IIQt r _ '�, � , �' g S � �SC�i��
BUILDING'SIZE`' � SQ FOOTAGE `` �,HEIGHT�, _
- s:.
QBUILDING $ : VALUATION`OF=1'OTAL`CONS'I'RUCTION „ �
Q�LECTRICAL. $ _ ' AMP SERVICE Q �PROGRESS ENERGY Q W.R.E.C.
OPLUMBING� :$ � �
MECHANIGAL $� - VALUATION OFMECHANICAL INSTACLATION. ' �� � �
1 �l�., � .;.. � �
OGAS Q ROOFING .Q SPECIAL7Y, Q OTHER • ���D 'Z �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPi4Nlf' � '
SIGNiiTURE REGISTERED Y/ PI FEE CURRE� Y/'N� '
Address ' � Ltcense#' '
ELECTRICIAN-;.;: : �- - � _ :=COMPANY � � ' � „
SIGNATURE � REGISTERED Y/ N FEE�CURRE�°-� ��==Y/N` � '
AdcYres�'� . • ' ' � „ ' � � -... Ucense;#, . ' �
PLUMBER ' - ,COMPANY • • �
SIGNATUFtE' ` " 'S" � ' �.REGISTERED. Y/,.N. ;PEECt1RRE� Y./N -
Address , . , , � � , .. ;License,# _ � � ,
, _,.:
��. :< - -x�:._ � �. �e ;�. � �
MECHAWICAI:`�`, ` ;,�,(� "' .. ` COAMPANY , �Q . (L'�'� ... .. Q.
SIGNAYURE> �''`'�' �CY`�'—— �'` `" � REGISTERED,, .X,/ N `; FeE Cuw3En.. Y-/-N. .
Address�t=', �'� � � ( — . . � ' LicenSe#� N�I O,����
,
.... . . . .... . .. ... . _, ,-
f..,�;...:�.< ,. . . .. ._ .._ . . ., , „ . ... .
OTHER ', .a�;.�" . - ,r,_ -. . _ _ . „ , `; •..;z..• _ ._ . - • . "_ .� . ... . ..� _ ,
�,+'• ,,,COMP/�NY
SIGNATURE�: .,._ '� ��. ;,'. . _ , �� ..,�. . ,.s-; „ x<, � .�:.�:�. �. ..
�` 'REGISTERED Y/ N�:' �e CUR�n Y/N.
.�t•,:. ��s -.-., .. .. :. .. , _. .. _ _. _ .. - • . ,• ... . - -
/�df�88 �"�•:,r-,.:y+,�•" 'r'?;; '�;•``Zk^;G_" ::i -i�, a,�, ... ' � �� ' 'L�CAfl�BB'#`� ,
RE$IDENTIAI;e ''=::Al18CF�F(2),flot;Plans;;,(2)"sefs;o'f.+Building+Plaris;(1)setof�Eirergy�.�o`rrns;��R='Q=VU=Peirriltfornewconstrucdon,� , ' : ..
,:c . ... - � -
� -�-�-t;�Mlnlmum�tent(d,0)�woriting,�dajis4afte_r;;subtnittal daC"e.�;:Requlred onslte;�Con'strucBon�Plans,=Stortnwater Plans•w/SiIE'Fence Installed,- �
,_. �,.., . • .
-Sanitery Fac�lltles&�;1;�dumpster�Sl.�e;Work�Permit,for,su6divtslons�iaigeipro]eaCsK��w,;;:'r•�_:,. , �• � _, .
COMMERCIAL Attach(3)`complete''sets`of Bulldfng Plans plus a.Ufe Safety Page;y(i)set of Energy Forrns.R O-W Pertnit for new construcUon.
Minlmum ten(10)woricing days aiter submlttel date. Required onslte,Constructlon Plans,Stortnwater Plans w/Sflt Fence Installed,
- Sanitary Facllitles 8 1 dumpster.Slta Work Pertnit for all new:prcJects::Pdl commerGal�epulremants_must meet compllance � �
:�SIGN PERMIT AttacFi""(2)sets`ofEnglneeredGPlansr�:s:�.;�?;:�r �..;�;.���.. � • � `
"•"PROPERTY SURVEY.reguired for all NEW.conshuctlon.,. __ _ � - .
..Dlrectlons: _�:�vv:;�;,:_.:• . _. . - - " ,
'FIII out eppllcaUon cempletely.
-Owner 8 Contractor slgn back of applfcatlon,notarized �
If ov.er SZ600,a Notice..of.Commencement la r�qulred. (A!C upgrades over 3T500) , .:,
,.,.=r,:;�=���:'.'
'• enC for ttie'contractor.-"or`Powe��of Attome for the owrier woul'd be someone wlth notarized letter from owner authorizing same
a9 ( ) y.�.__ __,�._. �
�-�VER�THECOUN.T.ER:PERIYIITIING--�---:�•(Frontof-Applicatlon•Only)�-- •�- - " �� ��'�
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) .
.�..._.,.�._.. ._..._. _.__.... _ ... .., - •.- - .,.- ' � - - -rr
�...''�f'..-,Jv'7�.- r�:.�_. _
Drlv�waya-Not over Counter tf on public roadweys:.needs ROW"
��'
ld�T1GE a�DEEt?RESTRlCTlQNS: The t�nder.sigr�ed;�nde�stands�;th�t:thls.:p�rntlt bmay_,be,sub���at.to`deed",restrlatlons"-�...��.�. �.,.,
whicfi may'be`�iiior�'r.estFictive.#h��Coun#y�regr�lat(o'n's:�YThe aandet^�igr�ed�as�ume��°resp�n�ltititty►�fiar"compil�naa��vrtith�any"" -
applicable.deed resMctlons. ....,..:- _. .. „ - � _ . _. ,_ ,�, • ~. �
UNI.tCEPi�ED=Ct�MTRACTt�RS;AFtD Gt}N�RACTt�R�RESPONSI�I�:ITIES: E€�t�e•mumea� has��hirei! a�`�vritractor or
contractors to undertake work, they may,be�.:reqi,rlr�d._ta::be,llcensed ln.eccardance.with„state.and=l�cal,regulatlons. �if the• ' �
.._.,. _, >.:..:.<,�:...>.�..,, ,. .. - �.
cont�actar is-nat �ti:ensed as'requlred,`6y lavV, both�tt�e awn�r_and°contractor°�may'be�aQted:f�r-a�mtsd�me�nor vlola#ion
�ander state l�vv. If the ovuner or in#ended;;cont,r,actor=,ere,unaertatn as to whaf ilcensing requiremont� may:epply-•ior:4he,.� �- °
�-..-,_
intended work,'4hey are�dvised to caintact tfie_Pasco.County�uUdd��g'In�p�ction.Df'vieton--l:t�ens(�g Section at 727-6�47-
_.
��9. FurtFiermore, tf the awcier'lias��lil�ed'a�c+�n�ct�r `vr cantr�z�t�rs� ti� �s savis�aa to have;tne contractoc{��.,,sign
portions of the�contracto� �lock".of,thl�.appllcetian..for,which.they.wlll.,be.tasp.on�lble..-.•If yau;.�as�:�he owner'�slgn�as�tfie" ' ��
�ontractor, that�may°be an lndicatlon th��''he�l� not properly'llcen'sed`anc! Is not'ian4ltle��to permltting prtuileges in Pasc�
County. , , - � , `
`�RAIdSP�MtTI�T'ICIIV:IMPACTIUTILITIES>I�lPAC7�AR1��tE�OU�tCE 9tECOV��Y��EES;�'h�ur►dersigned�understands
that Trar�spartatEon Impact Fees�and.Re�aurse.Recov�ry.Fees may��apply,rtto�#�e;const�ucttan,:o€r�ew..buiidings,�change of��F` �•:�.' '�
use In exi`sting buildings, oc:.expan`glo�r•of�euistin,�:'�brii0dings, �s speclfled.in P��cv County Clydinao�ce number 89-07 a�nd
�c�-+��, as amenti+��...,_,icil�tyTi�f"1C5i���ta BfSCfsUR�B�`S��1t�3, ��i�'suc�Yee�,�,�s��treay;:i�e:�du�;,_wii1.:6� �deri�fit�d a��#he�t#me-of== : . .
permitting. it is furtiier und�rsiood that Transpor#a0our lmpact��es� ao�if��Resource;!Recou.ery�Fees�.mus� be paid priar to
eeceEving-a."cerfit�cate ot�occupancy"•or flnal�power.��leasa: :t�-the.pro��ckwdoes�not(nvolve4a:icertlticate af�ccupanQy,�o���-�=�� �
...
f�nal power.release;the.fe�s mti�#�be pald,prlor#o-.p�rm3t is�u�nc�. ,F��them�ore;`:I�.Pasc€i,;Cnunty�.�Wa#eriS�wer.=;impact .,.�.,.,
fees are due,.,they�-must be-pald�•.pNor#o..perrinit�:lss�ance;.in.accardance wlt�:�ppllaabie.Pasco'-County o�tlinances. -
CONSTRUGTI�}}N'C1EN"�Ai�t(Cfi�pt�r 7�3, �IoNd�3t�#a�tes�a�am��d�d}: �f aralua�on of woi�c Is$2,5QO.Ot}�or mcsre,..}:{ , .
certify that �, �h�: applic�nt, have.-been-provided_�wB�h-a copy� of the��"Flor6da°-Constniction: Lierti .Law Homemwne�'s
ProteoQto� Guide" prepared by tF�e Flni{da Departm��C af a4�rtc.ulture and Cor�sum�r:Af�alrs, If 4he appttcant 1� someone,. � � ,
5: r. , �i a �,
mther than#he"otivner", t certifg�.that i,:h�ve.cibt�.ineid�a�copy;of:#he:abave..rJ�scrlbed��doca�i�ent°and:.promiser�ln,good�fai#h�to
deliver it to..the."or�vn��"`pi^ior`ta��coenrr�'encemenl:' . "' ' ' � " � .
�QNTRACT#DR'SlOWidER��AP�IDA►111�'; 1.ce�t;dfy f�ia#:�11.the.�lnform�Qls��r In�thi�appPtc�t{on is��curate�nc�that atl work
will'be done in compliance�nrith all.appilc:�able laws regulaUng aonstructlon� zoning and�land�.development. Applicatlan is
hereby made to. e�btaln..a.permtt ,to:do�,�tr.�rkj:and,lnsbaliatlnn as tnd#�efed�•:-.-�! ce�titjr that no work=or 1ns�alia#�on �ias�
commenc�d prior to Isst�ance of.ae permi��and #hat:�tl work wllt be perF�rmed to meet standacds.�of �li laws regulaking�
conshvctton, County and City codes� zoning regulatlans, and land development cegulatlons`in the�jurtsdtctlon.- (�alsa
c�ttity that 1 uetderst�nd t���#he regulatt�ns of s�ther government�gencles m�Y•aP�fy�#a the..intended�►rork, and that it is
my responsibilily'to identlfy�what�ctlons I must•t�ke_M,b�,in:canlpliance,..:Such.agen„cle�includ�but=are.not Ilnr�ited to:
- Departmen# o� Et�viron�enta9='Pro#ecttori��ypres�i.�BayFiead�;�iNe�and i��eas and E�vlr�nmentaily Sensi#ive
Larads,Wat�ridll�askewater Treatment. �
- �outhw�st �lorlda W�ter �Ifanagement:-�:�(s(rEct-lfifells;' Cypres�.'+�sy�iead�;� W�tland Areas, Altering
Vt�afercourses. . , .
- �rmy Corps of Engineers-Seawells,'Dock�, fd�vlgaple VNaterways.
- E3epar�ment of.,Healfh:�.&;=Rel�ablli#ative_.�er.„vlce�lEnvirotomenfat_.Health t1�t#-We1is� 1�astewater=Treatment,
Se�tic Tanks.. � .
- liS Envlronmental Protectlon Agency A�bc�stos ab�tement..
Federai.Avtattor�:Authority-Rur�ways.
0 under�tand that the:follow�ng,<restdctlons apply�ta the use of flll:•
- Use of f�l@ is not aliawed in°;�taod,Zon+�"V"unl�ss ettpress�ly,perm�fted.
- if the fllf material is to b.e u�etl„'in.�flood Zone. "A°, it. Is understood th�t a drainage plan addressing a
"cornpensatMg volume" wiai b� submitted at ti�e of�,petmltting whlch Is prepared by a professi�nal englne�r� ,
Ilcensed by#he State ofi�io�lda: � � = ,
- (f ih� flll materlal�Is to b�-used In Flaod �one "A" in�cannectlon�wlth�a�permltted buildirtg usi�g stem wal!
� constcuctton, t certify.that fiit.w�ll.b.e.used�rety#m..f1li the area w3thin�the�stem�wati. _ • _
- If flBl materlal Is�to tie used 9n any ares�� B �ce�tlfy tha# .use of;such`flll wlll r�ot adv��sely affec4 adJacen4
properties. If use of fitl ls foun�t to.advet�e�y,�f€ect adjacent�prope�ties�.the owner ra�ay be clted for vio��ting
the condillons�:ofi.the bulldOng�'permit Issu�d�und�r ihe ��fach�d..�rmlt.appl(catlon;°for:lots�.le�s�lhan.one (1)
acre wtilch are elevated�6y f11t,��t engtnae�ed dralnage plan!�requlred.
If i am th�;J�GEEN1�OR THE�OYVNER, l��ramis�tn_g�ad faith ta inform the owner of the pemnitting ca�di#lons set forth in
this a�ffidavtk°prior to commencing coristructlon: I und�rst�nd that a�,eep�rate:permit may be tequlred for el�ctrlcal work,
p{umbing,._.s�gns� well�,.Poots,.aEr conditiuning..9a�s,.vr.otl�er InstaEl�itton� r�at.spec�fiic�l�r inclo�d�d�tn.the applicatian. .A
permit Issued shall be construed to`pe°a`license`-to�pr�c�ed with ttie:�iork,end_�nok:as.authodt�r::@o..,violater�cancel, �Iter, ar ,
se�aslde,eny pcovislons af 4he.techni+c�l.c�odes;_nor st�all iss��nc��o��.permit.pr.�ven#th�Bulldlrig O#�lct�E from thereafter
requlring�carrection nf errors lnhptens; consfructlon.or..viotations of�any codes:� Every��permit�`ts�ued siiall�6ecome invaiid
unless the work authortzed.by such perrt�Ot:is.co�nmenced•anritFolr� sGc,�m.or9th� of�permit I�su�nce, or Of woPk�uthorfzed by
#he petmit-is suspended=or;sbandoned;fo�a;Period;of�s�C;{8)�inon#�is aafter the tlt�te the�wortc-�s commenced. An e�cEension
r�ay be request�d, In writi�g;;:.irom.tli��Building,Officie�l�far a p�rfod::not=to exceetl��ntnetji°(90)'rday§and-wilf�demonstrate
j�ostlfiable'cause tor.�the�xtensf��: t#wor.k-cease�,for rutnety.{9Q}eans.ecuElve:day.�,..th`�ob�is.c�nsEdeted aba�doned.
WARNONG 'TO OWNER: YO.U�.,�AILUR��T��:REC.�!EtD;t4.;q�O�IGE.:OF��COMMENCEfiflEI�T,14A�1Y�RE5UL'�IN'YOUR
PA�YIMG-'T'VVICE;�Qi�tMP#aO.VEMEN'�S,T�tfzY�U1�:P�CIPER�TY:=I��.Y��d;IN'€E�ID��O���tfB'�Atld��fiP�t��f�►9t3;'CCINSUl.�
IT U D �1N� 'fT0 N O'R�+, -G.�- =0U �� E � �
��.o�taa,rt�tu►�:;{�:s:t.�T.os) . ' ._.. ,. . .. - . . .., ,. � , _,; _ _...,.. .
OWMEtt OR AO�NT . C�Pr17'RACTO '
S�b�crib�d and swam M{or af�nned}before me ih1� Subsctlbed�nd'�vv�am�2o �fl9tmad}•beiore me'ttil�;
by ��Y � _.
'Wlio Is/are p�►�onally knovm lo.me.or_haa/have,produced, NYho.ls/�re p.er�onally oam ta.me;or has/have�produced. • •
� 'aa!d"eeUftcaBpn. es iden8flcation.
1dot�ry Pubtic . hlafary Public
Gommisslon Na:'� �ommt�slon�No.
Name of Notary typed,pdnted ar stamped Name o#Nokery typad,p�dnted or a�mped
,
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������ E�����'i� � ���° ����9��QA��6��
39�9 f f7a€�ie Road
��p!?yrAai�ls, �L�3F�C?
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y�!���a�$i��9 ec��i�.�a c�
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�v'��.�F_ F=.�'""�.::�_.:.�::R�$6��.:•:::.••:.��-.:�.�:.�:.�:.'.:S.F9�.�9r:::_�..�:.�:_�_�.�:..'�...:.:�.�.�:::.�.�.�:..'".....�':.:�.�_�:_�.�T.�'hY�=9r�.�.�.�::.":..�.'�.'.'
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...................••----•.....--••-•--••----............-•--•---•--• --•--•---------........--•--•--••••---.....-•---••---
Dr.Kats�ryr�l�epes-Radi�tioNancalogy � Dr.44atfir�r��tepes-F�diati�onlQr�coiagy
7315 Green Stape Gri�e �395 GrPen 81ope Drn.re
Ze�f�yrf7ills,FL 33549 2ep��yrhills,Ft 33s49 �
893-�9-0879 813-�f-0879
�- e a
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