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HomeMy WebLinkAbout17-18680 CITY OF ZEPHYRHILLS 5335-8TH STREEI" . : (813)780-0020 18680 � . BUILDING PERMIT � PERMIT 1NFORMATIQN � - - LOCATION 4NFORMATION � Permit Number: 18680 Address: 5029 MEM{�RY�.N-stap work remodei Permit Type: MECHANICAL ' ZEPHYRHILLS, FL. Class af Work: AIC CHANCEQUT Tawnship: Range. Book: Propased Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: SUMMERHIL� Est. Vaiue: Parcel Number: 12-26-21-0100-OOOQO-0040 Improv, Cost: 4,700.00 OWNER INFORMATIQN '� Date tssued: 7119/2017 Name: R05ADt� JOSE TARSICICJ VARGAS &VA ' Tatal Fees: 60.00 Address: 5029 MEMORY LN ' Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 i Date Paid: 7/19/2017 Phone: 813-695-9595 � - Work Desc: AfC CHANGEOUT 3.5 TON CONTRA.CTOR S APPLICATION FEES , BAEZ ENTERPRlSES ACR EXPERTS R/C CHANGEOUT 6Q.OQ �� Ins ections Re uired D TS 1 TALL DUCTS INSt�D ,__. - FINAL` `"" ' REINSPEC7'ION FEES: (c)With respect to Reinspection fees will comply with Florida Statufie 553.80 (2)(c)the local gaverrtmenfi sftall impose a fee of four ti�tes the amount af the fee impased for the initial inspectian ar first reinspection,whichever is greater,far each such subsequent reinspection. NOTiCE: In additian to the requirernents af this permit,there maybe additionai restrictions applicable to this property that may be found in the public recards of this caunty, and there may be additional permits required from other governmental entities such as water management, state agencies or federa! agencies. "Warning to awner: Yaur faiture ta record a notice af commencernent may result in your paying twice for improvements ta your property. If you intend to obtain financing,consult with yaur lender ar an attorney before recordiag your nafiice of commencement." " Complete Plans,�pecifications Must Accompany Application.All work shall be pertormed in accordance with City Codes and Ordinances. NtJ OCCURANCY BEFORE C.O. NQ OCCUPANCY BEFORE C.O. � - � '� OR SIGNATURE PERMIT (aFFI R PERMIT EXP�RES IN 6 MONTHS 1NITHOUT APPR4VED INSPECTION CALL FOR INSPECTION - 8 HOUR NQTICE REQUIRED PR4TECT CARD FROM WEATHER � ��e��-�eo-oo20 .`Y„ 1'_.`.V� -. -� Cityof Zephyrhills�Perm•t.: :.�: ,.� ... �'. �'; ' .:�. � aa ;. i_ ApplPcation:, Fex-813-78 �21 . . , � . , Bufiding;Q .,r.. �.,,_..�' _ ; .... , eparhneijY "' - . . r -t�- . � ,:,;;..��<, , _ ` : � :. . ,, . `, -i: Date Recei"vet�" -;.. ,vcr' ;2Q� :� "••':r;.�-��°'` w' �,.,.�.°'.` �"T .����.�..,.� .,..,.._7,��:.f: . �,Phane�Cantact�far�Permttt�n u=�f:.���'�r~,. �'��2... � � ,. . _ n _. �.. , .... ; Owner's Name V o5�, •��RG IT S Ownsr Phone Nurnbsr t 3 6��' p�5"y"5 Owner's Address ^��2/ ����y a Ll�'N� Uwner Phone Number�;� � � >� Fee Simple Tltleholder.Name :.:��✓'�E ���G fI S T� pWner Phane Number ''�� ' � Fee Simple 77tl�holder Address J�""�/ ���a�! j'�"NE ' JOB�DDRESS ��G�/ /���Q,fl � L/�' � LOT# �� SUBDIVISItlF1 � �� ' P.ARCEL Id# � � � __ • , � (OBTAINED.F.ROM PROPERTY,TAX NOTIC@) WORK PROROSED -:.PtEW CONSTlt'.. . , ADDIAI:T • ��" StGN' -Q. :C] DEMO{,ISH . *_ ��.�,� INSTALL. 8 ,, REPi�11R --- � � I PRQPQSEDatl�E . . Q SFR. [� 'f,;0t41M - C� �OTIiER: , , , TYPE OF CQNSTRUGTION �, Q� '�BLOCK , :[� FRAME � ;[��] ;STEEC .Q DESGRtP�tON OF WORK� ' G^ltlJ¢M G�Z�V� 3�lZ ?_7)N � G � . . � BUI�.DiNG;SlZE�`'� �'SQ'`FOCITAGE�_�:; ..HEIGHT .� � Y:: �.y �, [�BUlI.DING $ `'-'� ' .�rr ..- _ .. �� 1. VAlUATtON`t}F�'t'OTAI-CONS'�Rt1CTiON J Q�l,EGTRICAL.. $ AMP SERVlCE - Q �PRt?GRESS ENEFtGY Q W.R.E.C, ��_�� ' � , Qf?�UMB#NG� r$ -� - •�L_...,�_� ' - . , [�MECHANIGAL $ �7��•• VALf7ATION OF MECMANlCAir INSTACEATION � � �'. [�GAS , [�] ROQFI{�G Q ^aPEC1AL'tY � QTHER� FINISHED FLQOR ELEVATIQNS (��� FI.00D 20NE AREA QYEB NO L _ _ BUtE.DER COMPANY� � ' SIGNiATURE RECaISTERED Y/ N - �FEE CURRE� � YY N Alddre�8 , ' - __L:ICeriSe-# 1'� `- ^ � , �._.�..�. ... � .. . . _ .`C81fR�1�IY . '• _ � • E�ECTRiCtRN,; .£ : • t ' . SIGNATUItE '� REGISTERED Y/ N �cuR��°' °� ��Y/N' � , � r.... :�, . �:.,.,:. : ._, . - (''� ' Addre�s` - ,, ` - � r License:#�,�r � FLUMBER''' " . , . � .GOMPANY - >; SIGNATUitE'` �` , � � . ,� REGIST.ERED; , . " .Y./,N,. ;�FEE�CURRE�.. Y/N Add[88S . . , • , _ ,�iC8rtS9,# � � ' �- MECIiANiCAL` ` .�'� " , . � , GOMP�iNY ' �Z �-�-�-R�R�s�s cv�° _ SIGNATU1tE> "'` �' i REGIS;TERED ,, .Y'/ N` � Fee CURREn. Y.Jr N :r e;a , , . . .. . . Address��"`= =t���� �1�11�f���5��"�' ��� Jr'��1��� FL � ' Uc�nse# C��ft�j�pl7�1 ... 1 , �_: , - � . . .. ._ . .. .. . ., ;t. , .: .. :?�F, � OTNER ;' < ;,�> ;,- . ; -�,- � . :. � - = ; � `-,�-COMPI�NY _� : , , .:,rt. ... � j ... - SIGNATURE` .,• ".i;� t= .k"�.:3'x..... . . ... .. ; ;` �"'-'REGISTERELI`. . Y/'Ns..: FEE CURRE� Y/N. � p� vj•+'�� � ..*�.'�°..... �.Y . . .ttV... :"It 4'.1�5�.'2t- FJ.i .. �.+, ' •. ' _��W�sS�7F�':�ti.: � � � ` �� A{i�C�� 'f�i:iN''�'' _ � ,, . . � na 4Y.f.�..yp:;; f�_ .ns.- {,{"r' a. ,;�`... .._.. �� _ . , l-?:r.,� �' . , RESlDEN'1'1Rt:,;n;��,Attacti;(2},Plof_�laris;:.{2}sef's`;of;S�u11if1ng�Flaiis;`{t}setiof:EnercJY=�orms;R=Q=W�Perm1#l�irnsw�cflnstruotlon,,. , , _ �_- s s�;uMinimum ten�10 workin tda .r._p-.,.�.f•.-.. �s.,.,.�.�,. �. .. .: �.;. ...,. , � . . . ",_..�"..: r,�z.: _r(�� )� .,, .:g'`..ys�,a�er sutitinitEal''date.�Requtred onstfe;.C.tinstiu�ddn�Plahs:rStoTinwater Ptans wi S�it`Fence installed, Sanllery F�cllitles:&F:1;rlunnpster,�;Site�Wo,r,lc�Pertnl4;tor:sutldfyisiqns/,laige;P.t!clects;;••-;s,�' ,. ' .� . , . �COMMERCIAl. Attach{3}�compiete sets"o#�Bultiltrig Ptaiis plus�a'l:Ife Safr�fy�Page;{T}set of'Erier+gy Fotms.R t�-W Permtt tar nevsr canstrucHon.. � Minimum ten(10)working days after submlttal date. Required onsite,CanstrucNon Plans,Stormwater Ptans wi Silt Fence installed, Sanitary Facilltles&1 dumpster.Site Wark Permit for all newipraijects:�All comm�rclal fequlrements_must meet aompliance � .�:SIGN�RERMlT Attacti{2}`"sets a'fEnginee�:eil;P�fa,ris:��� ,.�:�`:- �.�;•�:� •�..-::- _.- -_ _ - ••"'PROPERTY SURVEY,requlred for all NEW_ganstcucUon..._. __ -. - - , i _ __ _.., .... _ ..Dliectiana: . ._s.;:.:� .�;��° r� � - - - - , ... � Fill out applicaUon completely. i, Owner&ContracMc sign back of appltcatton,natarized � i If�ovar�SOO,a Nottca of Commencert�ent la requirad. {AtC upgrades aver S750Q} •::::,y?,:�gr�;:;�.'•�? ' � '" �Agent(for tFie contractor)�orPowe�'of Atfoiney(fii�the owner)�wiould=tie someone wi4Fi notarized letter from owner sutho�izing same °DVER.TFlE COUFfT,ER:PE[tMITt1NQ--.__,-.{Front�of•APAItcaBon-Onty}�_..._.... . . �: Reroofs if shingles Sewerr� Service Upgrades A/C Fences(PlodSurvey/Footage) i .:._...,._._�._......__._... _.---._... .. ._�...;' __. ,, , -',:.,` `,. .. _ , _ ., Drlvewayst-Not aver Counter if an pubtic roadways::needs ROW` '� i ,�✓ � . . _...,, RIOTiCE OF DEED RESYRICTIONS: Th�und6�rsigned;under:�tands�;#h�t_this;p�rml@�;may.be;subjectto".deed"restrictions°,r'_.� ;_,.,_. which may tie�more�-resttictive�tha�t>Coui�Ey<<�vegulatCons�:~The°�unde�igne`.d`as�urtnes"respon�itill(ty'�for"coriipllarrce`�withj any' � "��� ' " appHcable.deed restcictions. .. .W.:. ._._ � � ,_ .„ _ ..._...z � • �� IUNLICf�NSED•CONTRACT�ItS AND CON�RAC7'Of3 �IESPON�IBILITIES: -if�Qhe���owner has�`�h6retl a"c�nt�actor or contractors to undertake work, they may:be�r.�qu(c�:to-;be;;ltcensed,in..accordanc�.writh state.and:local;regulatlons:�<�If the• ��- contractor Is-not Ifc�nsed as�requlred::tiy law, both•the ovmer and�conUactormay tie�cfted°for"a�misdemeanor violatlon under state law. If the owner or Intended;contractoraee;;_urac�rt�in as to what Iic�nsing;requir�ments;may.:,apply:�for:the�: =��� � - ,...__..:.._. -.;...... �..,,. ._ . r .. , . - iMend�d iniark,�they are advis�d"to cont�ct the.Pasco County�uildii�g.ln�pectlori_D(v,Islon.-Licenstng'3�ction et T27-847- 8009. FurtFierPnore, If the owner'fias�til��d�a�co�id�actor 6r contractors, he ts advi�ed tc h�ve;the contractoc(s).,.sign . portfons of the "contractor Block° of this_e�pplication,.f.or,which�.they;wlll�,be.tesponsible.-�if.,.you;=as.the ovmer�stgn��'as'the '� � cont�actor, that inay be an Indlcation that"'he Is�not.properly Iicensed"and is-not`�ntiHetl fo permitting privileges in Pasco County. � _.,. ' .. ---- - � �- ,,;', - , � T�4NSP06dTATlON::IMPAC`�IUTIUTIES>rMPAC7 AwD�RE�OU�tCE RECOVERIC=�PEE3:"Th�undersign�d understands thatTransportation Impact�.Fees�and.Reco.urse.Recovery.Fees may�:apply..to:tf�e�ronstruction;of ne�nr:bulidtngs,�change of'� ' �� " u�� in existing bul9�ings; oe:;ei�p��tisi����f-��a:.1�ii�i,g,bai9Sain��;�����c����.i� r����r v���ey �G�a��a�:�;,� r;�,���r �4�^?-�€�� 90-07, as amend�d.:;;The underslgned also>urtderstands, th�t:'such fees;=:as;inay�tie�rydue;;,-wfU,:be ddentifted at the�timeaof-�� � �" • per�itting. It is furtiier undersfood that T��sportation Impact Fees and��Resou�:��RecovsryµFees:must b� pald prior to rece4ving-a."certfflcate-of•occupancy" or•flnal�-power:.release: :i��the.proj�ck_.do�s•:not tnvolve4�:�.certificate of occupancy or�-��=�'� � � final pow�r rel�ase;�.tti�.f�es:mu�t"�be'paid;pr'tor to perrroit is�uance. Ft��thermo��;�If P�scv County:�lNater/S,ewer:;lmpact � � fees are due,,.they;rnust:be::p�Id,p�lor to..p�cmit::Issuanc��In..accordance wiftfi.�appllaatile.Pasco�•County�o�dinances. � CONSTRUCTION'LIEN'l.1AYV(Gheptee 713� Flortda�tatut�����mended): If v�luation of work i§52,500.00;,oc<rnore; I�� � � certify th�t I, the:.applicent,. have -been provlded_�with a copy- of the��"Florlda�-Construction: Lier� .Lav�Homeowner's PPotection Guide" prepared by, the Floi�ida Department of p►grOc.ult�rQ and Consu.mgr_�Affairs. if.the applicant Is someone �• other than the"owner",-I certify.that_I.;,h�ve.obte�Inedra�copy,of:thefabQve::�iescribed�docu�ent°.and;.pro�ise;'in,good;faith•.to � deliver it to..the:".owner'"':pilor'to>commencei�ent" �� . "' � ` � � ' , COWTRACTOR°SIOVIfNER'�A�FIDAdIT: I.certify_.that:ail:.th��inf�rm�tion-in•thi��ppllcaHon is �ccurate and that all work will'b� don� in compiiance with all.applicable laws regul�fing construction, zoning and:land�:development. Applicallon is hereby made to� obtain .a .permit�to:do.::w�rlcK,and install�tlon as indlCafed:-:-.-�I� certifji that no work=.or Instal6ation fias commenced p�lor to issuanc� of a permit and that.all uvork wili be p�rtormed to meet standards of all laws r�gulating� ' constructton, County and Clty codes, zoning regulatinn�, and land development regulaUons�in the jurisd(ctlon.- I.al'so ' certify that I understand that the regulatlons of othe�government agencies m�y�apply.to the._Intend�d work, and that it is my responsibllity to identify•wh�t.actlons I must•take.:to,be:sin,.c�mpllance;.,.S.uch;agen,cies Includebut�-are.not Ilmited to: - Department of EhvUonment�l`�P�otection�Cypress`Bayhead�,�Wetl�nd i4�eas and Environmentally Sensitive ' Lands, WaterNVa�teuvater Treatment. � - �outhwest Florlda W�,ter Management-.District-Wells;' Cypress.Y�B�y�eads;- �Wetland Areas� Altering lMatercourses. - Army Corps of Engtneers-Seawalls, Docks, fN�vlgable 1Mat�rways. - Department of,H�alth;:.&.,ReY�abliitative�ServiceslEnvfronmental Health•Unit-Weli.s� !l�astewater Tre�tment, Septic-Tanks.. � - . - US Environment�l Protection Agency-Asbes4os�b�tement. Federal:Avlatlon rAuthority=Runways. t understand that the..follow�ng�re�trlctions apply'to the use of flll:� � - Use of flll is not aliowed in:Flood;Zone"V"unless expressly permitted. - If the-fill materi�i !s to b.e used:, In.•flood Zoc�e. "A", It Is underslood"that a dr�ine�ge plan addressing a "compensating volume" will be submitted at time of-permifting whlch (s prepared by a prof��sion�l englneer� Ilcensed by�the St�te qf Floiid�: - - if ih� flll-materlal=ls to be used In Flood �on� 'A" in>connect(on�with�a�permitted building using stem wail construct[on� I cer#ify,that fill�:�ulll:b.e used only.to.flll th�are.a within_the�stefn�uv�ll. _ - Of flll mate�lal- Is to be used On �ny area; I ce�lfy that .us�. of such�flll wll0 r�ot �dversely af6ect adjacent properties. If use of flll is found�to adveree�y.�ffect adJ�cent��propertles,.the owner may be cited for viorating the condlllons of the b�ilding;permit issued�under the at�acfied.permit._applicatlon, for:lots�less�than.one (1) acre which ere elev�ted��tiy flll, an englneered dr�lnage plan!s required. •� If I�m the.AGENT.FOR�TH�01fl�NER; I;.pcomise In good#aith to Inform the°o.wner of�the permltting conditlons set forth in this a(fidavit�prior to comm�ncing consteucUon. "I understand that�a-aeparete:permit may be requlred for elecMcal work, plumbing,_.sig�s, wells,:pools;. air- conditioning,�.gas,-..ar othec Install�ttons naE,specpflcally Included-in the�appitcation. .A perr�it Issued shail be consteued to�be�a`Iicense'�to-proceed wlth the viiork.and:not-as:.authority.:to:vio9�te,..cancel; aiter, or set aside.any provisions of th�.t�chnical.c�des;�nor shall i�su�nce�of a.p�rmit.pcevent the�ulldirig O€flcialfrom thereafter requirtn.g a correction af errors-in;plans;:corestructlon.or_violations of•any codes. -Eve•ry�•p�ermtt�issued sh�ll��become invalid unless the wark authorized by such permit:is.commenced�withfn stX..months of�permOt Issuance� or If work authorized by the pe�mit-is suspended�or;abar�don�d:for;.�,period.of�six��.(8)�montiis,:efter the,tirne the�work��s commenc�d. An extension may be requested,�In writing,.:ftom.tlie Building,Offlcial�for a perlod:�not�to exceed�rainety.-(90)=d�ys and-w110�demonstrate Justifiable:cause for.�the extenslon�. If work-c�ases�for ninety.(90)cons.ecutive�day.s...th�Job�ls consld�r�d aba�rdoned. �ARNING TO OVIINER: YAUR.�AILWRE,.T�,�REC.O.QtD:�►51�OTIGE.OF.�COMMENCCMEIetT M'AY�RESULT��IN��YOUR 6�delYIMG TWICE;FOR:IMPRQUEMEN;�S,T:O'�Y°O.URY:P:�QPERTY.��I��:YO.EJ;IId�'�EWD:�TA����TAIN�FINiAwE1NG;'C.ONSUl.T VIfETH�AUR LENDER:OR Aild�ATTORwE1���FOR��t�EGOR�i1����1�0UR�NOTIG�'QrF��CONfAIIENC�E�VI� �'` ' FL'ORIDAJURA'f�(F�S:112: ) - � . , • •''� '1- ,. _ _ _ OlNNER OR AOENT . . , CONi'RACTOR o � e' �i�- Sub� bed and swram�( a �edj f e m��l� Sub� rlb'ed'�nd's�om�to erto b L !h y �/ � � �. ��'� � .�� o slar onell knoam to.me.or:has/f�ave,.reduced —��/� nallyknow�n�•o:m�,e:orhaslhave•produced • b� ►5 Y P._: /l�l� /.,_(Ci aa Identlflaatlpii. `� �Kl� L-/L�C.�t.£CL� as Identlflcatlon. � — / Notery Public iC.Qi Notary Public �mmisslonNo:• �7 d Co I�slon�Plo. �1 � ��3�'� , L�tL/7 �� �"//� ���L-l•– 1J��— �l�/�r� �Cf�'i��IL— � Name of Notary typed,printed or st�mp�d tdame oi Nolary typed,peinted or stamped ;�ot�:�P��;,DEBRAELAINE RUFFELL • ;.�ti�=�"C:�,;DEBRq E RUF ELAIN FEL� @�r ��__Commission#GG 045343 :,; :,:Commission#GG 0453d3 °=' ��Q=Expires iVovember 7,2020 ``� o:Expires Nove =�• ' %r .�,.bP;' mber 7,2020 �''EO;;;°.P�� Bondad Thru Troy Fain Insurance 800-385�7019 ���'�`°`'�� B°°ded Thru Troy Fain Insurance 80a385�7019 ���,��� I —