HomeMy WebLinkAbout17-18837 ; _. � CITY OF ZEPHYRHILLS
5335-8TH STREEf'
(8i3}780-0020 18837
BUILDING PERMIT
- -' PERMIT INFORMATION � L-.00ATION INFORMATION
Permit Number: 18837 Address: 4741 RQLL.INS ST
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: WINTERS
Est.Value: Parcel Number: 14-26-21-0000-0�200-0000
Improv. Cost: 7,353.00 OWNER INFORMATION
Date [ssued: 911912097 Name: WINTERS MOBILE HOME {HENDERSON
Total Fees: 115.00 Address: 38022 WINTER DR
Amount Paid: 115.04 ZEPHYRNlLLS, FL. 33542-5544
Date Paid: 9/19/2017 Phone: (813)838-5513
Work Desc: ,AlC CHANGE OUT 3 TON W/ ELECTRIC
� CONTRACTOR S APPLiCATtON FEES
AMERICAN RESIDENTIAL SERVICES OF A/C CHANGEOUT 75.00
ROBERT HUGUE� ENTERPRISES INC E�ECTRICA� FEE 40.00
. �
� Ins e ti ns Re uired
CTS I TALL. D
DUCTSINSULATED _
FINAL /��... �--
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REINSPEGTION FEES: (c}Wifih respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shal! impose a fee of four times the amount of the fee imposec!for the initiat inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additiana! restrickions applicable to this property that
may be found in the pu6lic records of this county, and there may be additiona[ permits required fram other governmenfiai
entities such as water management, state agencies or federal agencies.
"Warning fio ownerc Your failure to record a notice of commencement may result in yaur paying twice for
improvements ta your property. If yau intend to obtain financing,consult wi#h yaur lender or an attorney
before recarding your notice of commencement,"
Complete Plans, Specifications Must Accompany Application. Atl work shail be performed in accordance with
City Cocles and Ordinances. NO OCCUPANCY BEFORE CA.
NO �CCUPANCY BEFORE C.O.
J �
CONTRACTOR � G TU PERMIT OFFI R
PERMIT E RE I 6 MCINTHS WITHOUT APPR4VED iNSPECTIQN
CALI. FOR SPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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e�a-�eo�aozo City of Zephyrhills Permii Application Fax�813-780-0�21
Building Depar,m �
Date Recalved � 1 � � "I ' '
� ono Contacl for Pertnitttn � �
`
Qwnere Nama � Qwner Phona Numher I
♦
IOwnera Address Ownsr Phono Number
' Fae Slmpte Tldsholder Namv v ✓— �n r�or Phone Number
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Fae Simplo TltleMolder dddreas
JOBADDRESS , ^ LOTN �
SUBDIVISION PAFiCELIDN ` — ��O-� �—U C�O�-- (���D�v vO�
(OBTAINEO FROM PHGPERP/TAIf MOi10E�
WORK PROPOSED � NEW CONS7A� ADD1AlT Q SIGN Q � OEh10L15H
IhfSTALL Ft�PA1R
PROPOSED 11SE � SFR [� COMM Q OTHER
7YPE OF CONSTRUC710N Q BLOC!( Q FRAME � STEEL Q
DESCRIPZipN OF WQRK �
BUILDING SIZE SO F007AGE� HEtGHT (�{ ��(1�
d�J�W�/
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QBUILDING 5 VALUATIONOFTO7ALCDNSTRUCTION�
ELECTAICAI. S, ` AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 •
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QPLUMBING S � �����
� MECHANICAL VALUATtON OF MECHANICAL INSTALLA?ION
OGAS Q ROOFIFlG Q S?ELtAlTY Q OTHER
FINISHEQ FLOOR ELEVAT10N5 � FLOOD 20NE AREA QYES NO
BUILOER COMPANY
SIGNANRE REa�siEaED YJ N FEEUmliEn Y�N
Addraaa ticerue u
EIECTRiCIAN COMPAWY +�'''y��II; ��'/�;G� 290��
SIGPdATURE REc.�stEaEO Y FEEcusm� Y f N I�v �,�g
V
Addresa License p
W �D�l o�f g�01�
PLU6ABER COMPANY
SIGNATURE pEG�STEqEo Y! N FFEa�Rap, Y+'N ��,J���
���� 'CM50 tt
MECHANICAL COMPANY
SIGNATURE qEtasiE�D Y: !N
, �d�� Licensa#
OTHER COMPAPIY
SlciNaTURE aeas�o Y+ N F�cuw�En Ytre
Addrna �censa tt
11111A1111101111I1A11 [1111IIIIIII11111111BIIIBlYl01111111l111111111
RESiDEHT1aL qttach(2}plat Planr,�2)seu at Building Ptaru,(1�sal of Energy Forms.R-0•W Permd for new CauWction,
M'inimum ten(10f working days ahcr submitlal dale. Requied onsita,Cansfruction Ptans,Slarmwater Plars�wr5i�t Fenca Instal�etl,
Sarutary Faq7lfies E t dumpster,Site Work Permi!lor suhdrvisronsllarge projects
I CORIMERCWL Attach(2)camplete se�s of BWldkng Pisrta plus a Ufe Safety Page;(S)set oi Energy Fomo.R�O•W Permit for rrew w�nWction,
hfiinimum ten�10�wwking days after su6mitlal dale. Required onsite.Conslrutlion Pten9.Stormwater PIanS w`Silt Fence Installed,
Sanitery Fe�7iGes d t dumpster,Slle Work Permil lor ap naw projects.All eommerclal requiremenLt mwt meat compliance
SIGN PERMiT Attadi(2}sets of Engineered p4�ns.
""PROPERIY SURVEY required for all NEW eonsWcUon.
o{roeUona:•
FiQ out application completeiy.
Qwner 3 Conlracfor�ign batk oi eRpLcatlon,noturized
If over 52500,s�Nodce ni Commancement is roquired. (AfC upprodes mer f7500�
" Agenl(for tha caMraaor)or Pwrer oi Attamey(for the omier)would be oomeone wilh nolarized lekerfrom owner aulhoriang seme
OVER iHE COUIdTER PERMITitNG (copy o!�ntra�t requimd)
Reroofs if shingles Sewds Service Upgrades A!C FencPs{PIpt/Survey(Footage)
CrlvewaysdJ91 wer Counler I!on pu6fic roadways.rteeds ROW
I
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NOTICE OF DEEO RESTi�ICT10NS; The undersigned underslands Ihat this pertn�l may be sub;ecl ta'deed`restrictians
whfch may be more resiriciive than Gounty regulatEans. 'fhe undersigneci assumes�esponsibltity tor compl:a�sce wiib any
appticabte deed restriclions.
:- I Ihe ownerhas hlred a cantractar or `
conSraGtors to undertake work,fhey may be tequired to be licensed in act�rdance with sSaie and lacat regu`ations. if ihe
contractor is nat ticensed as required by iaw, both the awner and Contractor may he ated tor a misdemeanar viotatton
under stale taw. If Ihe owner ar intended contractor are unceriain as ta what licensing requiremenls may apply for if�e
iniended work,they are advised to contact lhe Pasco Caualy Buitding Inspeclxin biv3siorf—llcens'�g Section at 727-847-
80fI9. Furthermore, if the awrter has hired a cantrecior nr cantractors, he ts aHvised tq have ihe cont�cto�{s}sign
portions of the"contractar Block"of this appl:c2tion for whPcb they wll be responSibie. If you,as lhe owner sign as ihe
confractor,that may be an fndlcation thal f�e is nal properly licensed and is not entiped to pemtilting privfleges in Pasco
County.
TRANSPORTATIOPJ IMPACTIUTtUTtES tN9PACT AND RESOURCE REGOVERY FEES: The undersigned understands
Ihat Transportalfon Impacl Fees end Recou�se Recovery Fees may apply lo the const►uctian of new bu7dings,cbange of
use in exisiing bu�dings,ar expansion of e�cisting buildings,as specifiect in Pasco Counly Ord:nance rn�m6et 89-07 8nd �
94-07,as amended. The undersigned alsa understands,that suCh(ees,es may be due.wili be tdentitied at the Gme of
permilting. H is turther understood that Transporiallon Impact Fees and Resource Recovery Fees must be paid prior to
receiuing a'certificale of occupancy'or ffnak power release. It the project daes nat lnvolve a certiflcate af occupancy or
�nal pawer�Iease,ths fees mus#tye pald priflr fo perrnit issuance. Furttsemsore,ff Pasco Gounty Water/Sewer impaci
fees�re due,ihey muSt be paid priar lo permil issuance in accordance witl�applicable Pasco County ardinances.
CO[VSTRUCTIOtJ I.lEN LAW(Chapter 713.Ftorlda Stakutes,as amendedJ; If v�luation of woric is S2,SOO.qQ or more,!
certify that I, fhe sppllcant, have beett pravided with a eogy of the "Flarida Canstractlon Llen law--hlomeawne�'s
Prote,ction GuMe prepared by the Fiodda Department of Agricuilure and Consumer Attairs. If the appl:cant is someone
other lhan ihe"owner',I certify Ihat I have obtaitred a copy of Ihe above described document and promise in gpod(ailh ta
delivef i!t4 ih@'own�"prior to cammencement. �
CONTRACTpR'510WNER'S AFFlOAV17: i cetGfy that aii the intortnation in thts appiicaiion is accurate and ihat ali work
� - wi0�be done in compliapce�with all applicable laws-regulating consirucdoa,wzoning-and�land devetopment:'Appllcatian'is——� � - -
hereby made 10 obtain a petmit to do work and installalSon as in�icaked, ! ceKify ihat no wotk or ins2altatias has
commenced prfar ta�ssuance of a permit and#hai all work wltt be performeci to meet st�ndards of aU taws regatating
construction,County and Ctty codes, zoning regulations, and land deve{vpment regWations in the junsdiGlton. I also
certify that I understand that the regulatians ot olher government agencies may apply to the intended woEis,and lhai it i�
my resgonslttitity to Iderttifiy what ac6onS!must take to be in u�mpliance. Such agenoies include 6nt are r�ot Eimited to;
- Department of EnWronmental Profection-Cypress Bayheads,WeUand Areas and Environmentally Sensikive
Lands,Water/Wastewaler Treatmenl.
- Soufhwe5t Fiorida Water Manageme�t ptsir(ct-WeEis, Cypress Bayheads, Wetians! Areas, Aiiertng
Water�nurses,
- Army Carps of Engineers-Seawalls,Docks,Mavigable Watenvays_
- t?epartment of Heatih 8 Ftehabititative 5ervlceslEnviron�nentai Heafth Unii-Welts, Wastewater 'freatment,
Septic Tanks.
- U5 Environmental Protectiqn Agercy�Asbestas abatement.
- Federal Avial3on Authority-Runways.
1 understand that the folJ4wing tesfrictions agpiy ta the use of#t!.
- Use of flil fs not allowed fn Flood 2one'V'unless expressly permilted.
• If lhe fill materiai is to be used in Flood Zone 'A', il fs understood lhat a drainage pfan address(ng a
'compensafsng volume'wiit be sabmiited at tEme of permiti`utg wki:ch is prepared by a proiessional engineer
Iicensed by the State otFiarida.
- If ihe fill material is to be used in Fload Zone'A'in connectian with a pertriitled buildiog using slem wali
construction,J ceriity that bli wiii tse used oniy to f](the area withis th$siem wal3.
• �t 81i materiat is to be used in any area, t cerilFy thal use ot such fi1S witl not adversely aifeci a�acent
pr+�perties, If use of fii:is faund to edversely aHect adjacent propeNies,the owner may be cited for violaling
the condltians of the building permit issuetf under ths atlached pertnit appficaUon,(or lots fess than ane(ij
acre whlch are etevaied by Gi3,an engineered draircage pian is required.
If I arn the AG�NT FOR THE QbYNEii,I pramise In good Caith to(n(orm the ownet ot Ihe permitting cv�ditions set forth In
this affidavi!pridr to cammencirtg construclton, 1 understand that a separate permit may be requirc:d tor eleetricat work.
plumb9ng,signs,we11s,pools,air candltian:ng,gas,or oiher instaiiaiians not speciCcally fncluded tn the appllca#iort. A
permit issued shall be construed to be a ticense to proceed with Ihe work and not as authoriSy to violale,cancel,alter.or
set aside any provisions at the techNcal codes,nar shail.@ssuance of a permit prevent the 8uilding�Iffidal from ihereafler
requicirn,�a care�tlon of errors tn pfans,construct9an ar viQlaGans at any codes. Every perm#issued sha116ec4me Inval&f
unless the wak suthorized by such permit is cammenced wlihire s�x months at permit issuance,or ii work aulhor¢ed by
the permit Is suspended or abandoned far a period o(six{6)monlhs aRer ihe time Ihe work fs commenced. An extenslon
may be requested,in writing,trom the Bulid.ng OKciai ior a pesiod not ta e�cceed t�neiy(9U)days end w�i demanstrate
justifiabte casrse far the Qaciense�n. If work ceases for ntn�ty(9�}consecuiive days,the Jab is considered abandoned.
tiYARNING TO OWNER: YOUft�AILURE TQ RECORp A Nd710E OF COMMENCE�ENT MAY RESU�T IN YOUR
PAYING TWiC�F�R IMPf2QVEME�lTS TQ YOUR PROPBR'EY. 1F YOU INTEFID TO flBTAEN FiNANCING,COfitSULT
WITN Y R LENDE AN A'f'T NEY BEF R E ORD N Y TI E F M EN EM
RORIDA JURaT� 7.031 �
OY�NN�Ft QR AGE � CONiRACTOR
s ' e d aw o �rtnea oro m t�s Suhsrnbed and swam to(ar aKrmed)hafore me iha
tiy by
no � m has(havg roCus d Wtao istaze petsonatiy kstv+n to me a Ra3Rt8vB pzoduCed
' mHticaUon. as identifi�40n.
Notary Puhfic NoWry PubGc
Commissron No. C4mmiuion No.
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Nam 1 N��ed,printed t� Name ot NoWry typed,prirtted ar stamped z'
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