HomeMy WebLinkAbout17-18787 . CITY OF ZEPHYRHILLS �
5335-8TH STREET
n � � (si3)�so-oozo 18787
BUILDING PERMIT �
� - PERMIT INFORMATION ' - � LOCATION INFORMATION
Permit Number: 18787 Address: 38529 11TH AVE
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: 11-26-21-0010-05300-0090 i �
Improv. Cost: 1,500.00 OWNER INFORMATION
� Date Issued: 8/21/2017 Name: CONTRERAS JOSE & CONTRERAS JUA
Total Fees: 45.00 Address: 33330 TAMMY LN �
Amount Paid: 45.00 ZEPHYRHILLS FL 33543-4934 ' �
Date Paid: 8/21/2017 Phone: (813)714-1069
Work Desc: A/C CHANGE OUT 2.5 TON '
CONTRACTOR S APPLICATION FEES
• HOMEOWNER A/C CHANGEOUT 45.00 '
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Ins � ions Re uired
I DUCTS INSTALLED
DUCTS INSULA,TE-
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 governmentali
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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ONTRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e��-�eaoo�o City af Zephyrhills Permit Application Fax$13-780-0021 i
Buiiding Depatfrnent
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�ate Recsived . = Phane:Coritact for AarntittEn
Owner's Name c7 �n '�� S Owner Phone Number t b ��t_..
Owner's Address � Z � l . ��� Owaer Phbne Number �� �
Fee Simpl�Tltleholder.Name r � ' Owner Phcne Number � � !
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Fee Slmple Tltleholder Addrass - �
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JOB ADDRE$S � �Z.. �� y�-. LOT# �
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SUBDiVIS10N PARCEi.ID# � � I
- . (OBTAINED FR4M PROPERTY TAX NOTICE) +
WOi2K PitOPOSED. : NEW'CONSTFt ` ADD/AI:T � S1GN [� �[� DEMOL.ISH {
�e. INSTALL � �REPAIR " �
PROPOSED�USE . � SFR Q COMM � -OTHER ' . .
TYPE OF CQNSTRUCTION Q' ' BLOCK " Q �RAME C] STEEC 'Q �
DESGRIPTION OF W4RK-' ~ `��'+, O lSl" �.� �`n
Bt!li.DING SlZE � `SQ``F007'AGE ' . , ,HEIGHT �� '
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QBUII.DING , $ � _s-� _ ; ,
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1�f, �_�. VALkiATION`OF TOTAL CONSTRUGTION �
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QE�ECTRICAL `-� � AN1P$ERVECE Q RR{)GRESS ENERGY Q W.R.E.C. � �
QP�UMSING � �� '
[,,,�MECHANtCAL $ V,4lUATIQN OF,MECNANICAL INBTALLATIOiV "v° C �� � �
' Jd
QGAS Q RC?QFINC� Q SPECIRL.Ttf [.�� OTHER
FINISHED FLOOR ELEVATIQNS r�� FI.00D ZQNE AREA [�YES NO
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BUI�D�R COMPANY' ,
SIGNATURE REGISTERED Y/ N 'FEE CURREP Y/N j
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�argg� - Ltcense#` ``
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ELEC'T'ttlCIAN,� . • � .,COMPAAP!!Y" . • I
SIGNATURE � � REGI8TERED Y/ N FEE CURREM ' "Y/N- '' � � I
Address . � ' �
, ' . Llaense.# ( , � �
PLUM�ER ' , � COMPAAlY - �
SIGNA?URE` �' ' , ,REGI$TERED YI..N,. ,;:".,FEECURRE� Y:/N. � ,
Address ' License# r.•�'. � - ��. - �
�MECFiA[d1C14t:' O C.OMPANY 1..� . • �
SIGNIiTURE ` � REGI87ERED YJ.N � �=eE cuwt�n. Y./�N , , •
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Addreas' . , - _. . ,�, .. , ° ' � " � Ucense#�� ���
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QTHER ,°. . , . . ` ,'°COMPANY� � ,
SIGNATURE- - ' ° , . j" '
''� `-°`�� �` " '` ' REGISTERED"° Y/ N.. "FEE CURRE� Y/N
Address, .. „_ ,. -- � " , license#"r� . . '�= '
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��s�o�Nna:,,.�-;�cn��2}>�tot���ans,�i2}sefs:of;eu�ai�i�;`�ia�s��('E)•'sef of�Energy;Fortns;_-R-O-W-Pertr%It,fbr new constrvctian,,, - _ ,� .... " ` - i. t
���-Minimumrten°,(:10);worliing;d'ays-a�ter,;submlEtal�date:;'Requtietl onslte;:ConsUiicUon�Plans;�Stortnwater Plans w/Silt`Fence`installed, �
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• Sanitary�Facilltles'&�.1,sdur�pster,Slte�Work:Pemnit_for;sutidiyislonsllarge',projects:�_;:;.;;�,'-, ,. � � � - .: �
COMMERCtA!» Attach(3)'coinplete sefs°of Bii[Iding Plarts„plus a�t�€e Saieip Page;{1}set of Enengy Forms.R-C1-W Parmi#�far nerv'oons#ruct�on:: ���� .
Minimum ten(10)working days ai#er submittal date. Requtred onsite,CansUuctlon Plans,Stortnwater plans w/Silf Fence installed,
Sanitary Eaailitles&:1 dumpster.S(te Wark Pertnit for ali new�proJecfs:,All commerctal requlrements_must meet campllance�"��• �° � ' ' • -
>$tGN PERMIT Attac��{2}'set's�of'Eiiglii'eered=Plaiis:,,,:-�E• :- . ,� _� : - . - , � � .. . .� � ".
••'"PROPERTY SURVEY r ,uired forall,NEW c:onstrucdan.._ "�-----
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.Dlrecfions: ���x.-�' .� � = ' -.. .. -
Fitl out applicaUon completely.
Owner&Goniractor slgn back of appl(cation,notarrzed ,
tf over 5,2504.a Natice af.Commens�ment ls reguirad, {A/C upgrsdes over 37s0o) „ :;.
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Agent'(for the=contractor)oPPower of Attomey'(for ttieyowner)would be�1someone with notarized letter from owner auttiorizing�same I
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; ' OYER3HE:CQUN7ER;RERM1?F7'tNG-_,.�ti,;.,..(Front;of�APPtk:a�on�Oniy}�.�_ .� � , , ., - . . , . , _ . � - �
Reroofs if shingles Sewers Service�Upgrades A/C� • Fences(PIot/Survey/Footage) . ,. " - - _
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Driveways-hlot over Gounter if an�publlc roaduraiys:.�ieed's ROW' ' � " � , . � , � � - -� '
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NOTiCE OF DEED,RESTRICTIONS: The undersigned:.understands�,;th�t��this;p�r:,mit�,may;be.subJect;to°deed",,res.trictions"._„�, .��:_
which may be�more�-r.est�ictive=th��'County+fegulatCons. �The undecslgned�-assumes�'respansititltty�#or'coinpllance=with"any�
appitcable'deed�restrictlons. .., .� -,-,,.� ...< �:- � _ .: � =�-' -�
UNLICENSED-CONTRACTORS AND CONTRACTOR RESPQNSIBICITIES: �if-tfie �owner has���hired'�a�`contractor or
contractors to undertake work, tftey may;b.e;re�qUired�_to.be,,llcensed in accordance,with-state.and�local,;regulati.ons:���if=the�� -� � • �
contractor�('s not Iicensed as�-re�qulred'tiy law, botFr the owner and��convacto�=�may be�cited for�a��misdemeanor vtolation
under state law. If the owner or intended;4con,tr;actor�are;;uncertain as to v►►hat Iicenstng.requlre�nents.H;mayA�apply,.4�for:�tlie�- • � �
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intended work,they are advised to coritact fhe,Pasco County;Bullding�lnspection Dlvislon,--Ltcensing Sectton at 727-847-
8008. Furtherrnore, tf the owner'has Filred a conuacto�'o�contractors, he Ts advised to have the contractor(s) sign. ..
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portions of the:°contractor.Block" of#hlawapplication.�for..which.they,wlll.,be..r,esp.onslble.-. If.you,�as:#he owne�sign'as'the '
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contractor, that�may'be an indication that'Fie'-1s not:prope�l'y`Iicen"s"ed'�antl`is not entitled'�to perrriitEtng priulleges In Pasco ,
County. • , �_ :.- : . _ ..
TRANSPORTATION.IMPACTIUTIL1�lES�rMRAC7�ANb�RESOURCE RECOVERY�FEES:'�The undersigned understands
that Transportation Impact Feas:and.Reco.urse.Recove.ry.Fees,mey:apply�:to�tF�e_consbuction of new_bulldtngs.:�change�of'�'� `'"��`��
use in exi"sting bulldi�gs, or�expansi�n��of�`'exietin�g��bulldings; as specifled.in Pasco County Ordinance number 89-07 and>
90-07, as amended.�.:The undersigned also.�understands, ttiat�"such fees;;as�fnaj�_tie�.due;:wlil-�be tdenttfled at the=time�of�° ���-�� '
permitting. It is fu'rtFier understood that Transportation Impact�Fees and^Resource�Recoiiery�Fees.must be pald prior to
rece�ving�a-"certificate of occupancy" or flnal��power,.•;release:' �:If>the,proJBct:_:does tinot involvesa�.certfficafe of occupancy.���or�°-����`� ��'
final power release;�:the�,fees_mu�t;=6e-paid;pclor to;permit issuance. Ft��tk�ermore;•If:Pascv,C,ounty`WaterlSewer-;lmpact � ::S ,,�
fees are due,.they_must,be=pald:pcior�o_permit_-lssuance=ln..a_ccordance:witlf��appllcable:Pasco'•.Gounty oriltnances. �
CONSTRUCTiON"LIEN"LAIIV'(CFiepter 713� FlorJda 3tatutes�aa amended): Ifi valuatlon of work�is$2,500.00>or more..,i°� • -_._
ce�tify that _I,,ihe,:appiicant,. have:been ;provided��with-�a=copy-:of°.the:."_Florida�°Construction� Lien :Lavir—Homeowner's
Protection Guide" prepared by.the Flo�ida Department;of Agriculture and Consumer,�Affairs. if the appllcant is someone ., � _.
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other than the owner"� I certify;that I�ha�e,o.pta�ined}a�copy,of:#he;abpve:rfes.crlbe�d docui�entand.pror�is��in,good��faith,-to . _ ..
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deliver it to:the.'owner":.p�ior-to�commencement:�' ` � ' - r � �� , . -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify=tti,at,all-th�.,lnformation:.in':thi�applicatlon is accurate and that all work
will'be done in com lience with all a Iicable�laws re latin constniction� zonin and4land�deyelo ,ment. Appticatlon is
P pp 9� 9 9 , p ,
hereby made to obtain_a.permit;;,to=do:�w..ork�;and Installatlon as indt�afed:-��:1 certify that no work-'or tnstailatton fias'
cammenced 'p�(or to Issuance of'a perinit'"and thatAall�work will be pertormed�to meet-standards-of:all laws regulating-
construction, County and Ciry codes, zoning regulatians, and land development regulations�in the.jurisdtctfon.- I al'so�
certlfy that I understand that�the regulatlons of other gov�rnment agencies may�apply,�to the.intended work, and that it is
my responsibility to ident(fy.what.actlons I must take:to be�in�corrlpliar�ce: .$uch_agencles Include-but�are.not Ilmfted to: •
- Department of E�lvironmental�Protection=Cypress:'Bayh�ead�, 1Netland Areas and Environmentally Sensttive
Lands,WatedWastewater Treatment. �
- Southwest Florida Water Managemenk .District Wells, Cypress.�+Bay�eads;- Wetland` Areas� Altering
Watercourses. .
- Army Corps of Englneers-Seawalls,�Docks� Navigatile Waterways.
- Department of,_Health�'� .Rel�abllltative,Services/Envitonmental Health Unit Wells� Wastev�rater�Treatment, •
Septic Tanks:.. � � � �
- US Enviranmental Protectlon Agency-Asbestos abatement. -
Federal Av.latlon_AulhoMty=Runways. �
1 understand that the,following;restrictions apply'to the use of flIL••
- Use of fill is not allowed in:Flood;Zone"V"unless expressly permitted.
- If the fill mate�(al is to be used�In.:Flood Zone. "A", it. is under`stood that a dralnage p�an addressing a
°compensating volume"will be submitted at#ime of>permitting wfi(ch is prepared by a profess(onal engineer
Iicensed by the State of'FloMda: � � , . - '
- If ih� flll material .is�to:be�used In Fiood �one 'A" in�connection�with�a�pecmltted building using stem wall
� construction, I certify that.flll:tirall=b.e used only.to#ill the are.a wtthin�the�stem�wail: ,
- If flll mate�ial is�to tie used in any area, I �ce�t(ty tfiat .uae of such flll will not adversely affect adJacent
properties. if use of flll is found�to adversely,taffect adJaeent�properties,.the owner may be'cited for violating
� the condlilons_of the build(ngtpermit issued "under the attached permit �pplication;°for.lots less;than one (1)
acre whtcfi are elevated�by fllt;a�r engineet�ed dralnage plan is required. • _ . •�
If I am the AGENT FOR.THE OIMNER;.I;.promise In good faith to inform the�owner of-the�permitting condftlons set forth tn
this affidavlt�prtor to`commencing conatruction: I under�fand that a�separate permlt may be requtred for elecMcal work,
plumbing,,.signs, welis,,pools;. alr condittoning,.gas,�or othec Install�tlons no�,speciflcally included-in.the application. .A
permit Issued shall be conshued to�be a'Iicense'�to`-proceed witb tFie work and not.as:authority.�to,violate;'cancel� alter, or
set aslde any provisions of ihe technical-codes;�nor shall issuance�of a.permlt.prevent the Bulidirig Officlal from thereafter
requiring a.correctlon,af eRors.in.plans; constructlon.or violations of-any codes:.Every p�ermit=lssued"shall�become invalid
unless the work authorized.by such permit:�ls.commenced�withtn si�c.,months of permlt Issuance� or if work authorized by
the permit is suspended or.abandoned;:for.a�:period of�six��(8)�montFis�:aRer.the.tirne the�work�ts commenced. An extension
may be requested, In wcitirig�-f�om.tlie:Building,Official for a period not-to exceed�ninety�(90)days a�d�will�demonstrate
justifiable cause for.�the extension: If work ceas�s.for ninety{90)cons.ecutive day.s..;th�)ob�is consldered aba�doned. �
WARNING TO OWNER: YOUR..FAILIJRE�TU.REC.ORD,A.;(�OTIGE:OF.�COMMENCEMENT.MAY�RESUlT IN-YOUR
PAYING TINICE:,FOR IMPROVEMEPITS�TO::YOUR;PROPER7Y.V_IF°YO.U�IIV��EK�D:T�'`�OBTAIN=F1 �wE1NG;�ONSULT
WIT - O: Atd- TTO NEY .O. E�, -OR�F771 f�� AUt�' :� _ ' � - =------ ---- -- --- -_
--FLORIDA JURA�� . .-. . 3� — --—- -` . : .,
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OWNER OR A(i T CONTRACTO
Su�scribed and svwm�to� (or a rtned)b iQre mp thla Subscribed and'�wp� (ot aflirme � met�ifi
�S- Z1--/T by `_��S��T��,,,��..'T�!'C�r('a�, �-2/-/? �by(v��yTT.:.� -�'1'-�S'e1'<�_
Who Is/are personaliy known to.me or.f as/have produced Is/ erson Ityacnown�to.me or slhave.•produced •
�/.,Q,t,1v s 4`c�S.� as Id'entlflcatlon. ' ����S U�S� as IdentlRcatlon. ,
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4 � Notery Publlc � Notary Public
Comm slo o: C Iss n
���� UELINE BOGES ,,�ti;�Y'fye4.,, JACQUELINE BOGES
Nert18 of o r,��,d��t16 , 0 I F 150422 ry� � � ' '
'� ;,, Commissio �� xpi December 12,201�a oi Mote ed � ,o; xpires December 12,2018
`''' Expires De �, ���e hm Troy Fein Insurance 80a385d�19 -,�PF��a.' Bonded Th�u Troy Fein Ineurenoe BOCJ65-7079
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���„ fF,°;'`� BondedTlwTmy
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DISCLOSt7RE STAT�T FOR OiVNER .
Cl2`Y OF ZBPHYRHILLS BIIILDIATG DBPAR'!'�NT
,I, have aread aad fully wxderstand ans�
a�re� �o tbe grovisians of th3s instzasm�nt.
The uadersigned states aad affirms that he ar she is deairous of caastructiag, �
reaova�iag, addiag �o or rexoafiug his or her o�va domicile, that he or she �
actually occupies, or will occupy by said domicile, �ad eam� is aot �or I �
reat, lease as �ale, That he or she sha11 aomply with the fol2awiag aouditions: ; �
1. That the owaer aud he or she aloae shall aat aa the builder far a21 phases of j
construction. I
2. That the owa�r will comgly with alI prov,isioas of the City of Z+ep2ay�hilie �
osdiaaaces arad eades pertiaent te the buildiag.
3. That ia the ev�nt var3.aus ghases of eag.structiaa are subcaatracted, he wi31 ;
eagage o,nly propexly liceased subcoantractors aad +�viZl persoaally s�apervi�� '
such woxk.
g. That ia the eveat the Buildiag Iaspector slsall requ3re carrectiaas to be made,
. the owaer tvill asevrne full respaasibility to snsure they are made, a�nd upon �
comp3etion wi21 call far a reiaspect�.ou befoze praceedisag �rith th� buildiag.
5. Tha� tihe ovmer sha11 aasume full xespoas3bility for the constzuctiaa �sud will
aot expect �upervisioa o£ his wark fxom the City aiE aephyrb311s Su3lding �
Departmeut.
6. That prior to �iaal inspeetioa any addit3oaal fees, 3.acludiag reiasp�ction I
fees, mu�t b� p�id 3n full. �i written request �rom thie of�ice sh�l�. '
coasti.tu�e au o�fatcial aotice ta p�gr additional fees.
7. That the owaer shall comply with a11 Ca.ty, State aad Federal laws in regard to i
sacial security, workmaa�s compens�tion, lien laws, ete. , where applicable. ,
, 8. fihat the owaer shall comply with a11 the safety codes is�ued by the Floxida
� Ind�striai Cama►is�iaa. j
, 9. State law requires construetian to b� doa� by lieeased caatractors. 'SCou have !
i applied �or a permit uad�r aa eacea►ptioa to �hat law. The e�cempt3on allows
you, ae tla� ovPner of yaur pxoperty, �o act aa your owa coa.tr�ctor with certaia
r�strictione ev�a,though you do ao� have a licea�ae. You must provide d3.rect �
oasi�e supervisioa of the coastructiaa yourself. You may build ar improve a
ane-faxu�.ly or t�a-family resic�eaee os a farm outbuilding. You :aay al�o bu3ld
or improve a comm�xcial buildiar�, prov3ded yoiar coats do aot e�cceed $75,Q00. �
The buildiag ar re�idence must be for yaux awa uee or occupasicy. It may aot '
be built or substaantially i�proved for eale or lease. xf you eell or lease a �
buildiag yan hav,� built or s�abstaatially improved yourself withia 1 year a�ter
th� eonstsuetion is camp2ete, �he I�.w ivill psesvme that you built or
' substaatially iatproveci if for sale ar le�se, which is � viaiatiaa ot thie ;
ieacemptioa. Yau may aot hire aa ual�.cen�ed p�rsaa to �et as your cautractox or �
i
' to superv3se people workiug oa your buildiag. It is y�our respoasib3la.ty ta
inak� sure that people emplayed by you have liceas�s required by sta�e law aad
by couaty or muaieipal liaensiag ordiaaaces. Yau may aot c�elegate the ,
xeapansibil3ty frir supervi�i�sg wark to a lic�ased eaatractor who zs aat ' ,
liceased �o pexfcrm the work bea.ng c�os►e. Any perso�s workisug on yaur bnildiag ;
who is uot liceased mus� �ork under yolax� direct superviaion a.nd musG be: i
' ------- _.�lo_yed_byyouu� whi���n��ns �at-_3r�u--must-dedac-�-R�-�:C-�--ead-witlrho-tdin+T tax_ �----- ---- -- --
and provide workers' compensation fcsr that employee, aII as prescribed by law.
Your cons�ruatioa must c ly vaith aI appli�able laws, O�tI�.IIa3ii4'�S� bu33diag �
codes, aad zonia� regulati s. �
OitiiNERr S SIC;2Z��., �L... DATE' �v D�'Z„_� 2.r�l ) �
ADDR8S3 � �-+t� ;
PHONS, 1 2'�
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