HomeMy WebLinkAbout17-18898 CITY OF ZEPHYRHILLS
- � 5335-8TH STREET
(813)780-0020 18898
BUILDING PERMIT
PERMIT INFORMATION � - -LOCATION INFORMATION
Permit IVumber: 18898 Address: 6107 PLEASANT 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: OAKSIDE MHP
Est. Value: Parcel Number:
Improv. Cost: 3,900.00 OWNER INFORMATI.ON
Date Issued: 10/05/2017 Name: SNOKE JEAN &DIETERICH (XAVIER)
Total Fees: 55.00 �►ddress: 2168 WATERSIDE DR
Amount Paid: 55.00 CLEARWATER FL 33764-6659
Date Paid: 10/05/2017 Pho e:
Work Desc: A/C CHANGEOUT 3TON
CONTRACTOR S APPLICATION FEES
AIRE ASSOCIATES A/C CHANGEOUT 55.00
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� Ins ections Re taired '��'
DU TS INSTALLED
� DUCTSINSULATED
FINAL '
REINSPECTION FEES: (c)With respect to Reinspee;tion fees will comply with Florida Statute 553.80 2 c the
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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 corv�mencement 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.
. �111.2,� (,c2t�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIlZES IN 6 MONTHS WITHOUT APPROVED IIVSPECTION
CALL FOR INSPECTION - � HOUFt NOTICE REQUIRED i�
PROTECT CARD FROM WEATHER �
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Date:$/2z/z017 Mid-F�orida Community Servfces 8��=
1o6#:pW)(17-010 Gient:ReginaXavier Phone:813-3173618
Address:6107 Pleasant St
Cty:Zephyrhills State:FL Lp Code: 33542
Contractor: Contractors / \ Mobile Yr.Bullt: 1969
WORK ORDER BID lSW NOT REQUIpED
s ,...�..----..__� _ . -- - -
a 1 N/A -N/A 5 -
Note:
b 1 N/q -N/A 5 -
Note:
c 1 N/A -N/A � -
Note:
• d 1 N/A -N/A $ _
Note:
4 INSULATE DUC�'S SITE-BU LT SWS SEGTI N 4 -
a 1 N/A -N/A $ _
Note:
b 1 N/A -N/A $ _
Note:
5 R OR INSUlAT10N SWSSECTi N 4
a 1 N/A -N/A 5 _
Note:
b 1 N/A -N/A $ _
Note:
6 SOLARSCREEN IIVDOWFIIM SW55.3Z02
a 1 N/A -N/A S _
Note:
b 1 N/A -N/A 5 _
Note:
ATT1C INSULATION MOBILE NOME SWS SECTION
a 1 N/A -N/A S _
Note:
I b 1 N/A •N/A $ _
Note:
I 8 WALL INSUUiTION SWS SECTION 4 _
J 1 N/A -N/A $
Note:
b 1 N/A -N/A S _ y �
Nole:
9 ALLOWABIE MEASURES'NEAT MHEA RE4UIRED Exce t Refri erator can be metered or NEA7 MHEA.
a 1 Each -AH&Condense:replzce�l4 Seer Heat pump-[01500 sq k.(SWS 5.3u�a) $ 3,90D.00
Note:
b 1 M/A -N/A $ _
Notr:
C 1 NJA -N/A
Note: $
d 1 N/A -NJA
Notr: $
c 1 N/A -N/A
Note: s
a 1 N/A -N/A
Note: $
6 1 N/A -N/A
Nolc: $
11 INCIDENTALREPAIRS Requfres NEAT MHEA w(t cumula[ive SIR<I.0&no more then 10%o Energy Measure "
a 1 N/A -N/A
No[e: S -
b 1 N/A -N/A
Note: $ "
EnergyMeasureSSub-Total $ 2,500.00 $ 1.40D•00 $ 3,300.00
Dis[laimcrs: Version 5.9
SWS H's are tor Reference and may include many other sections. TOTAL $ Z,500.00 $ 1,400.00 $ 3,90p.00
Contractar to warrant work to pass bldg.codes&Wz Program.
Cont�actorvedfylead estasneeded.
Cl�,�,<.e ��C,�.�u�-_ 1 o�al�7
ConiraRorsSignature Date Mid-FloridaCommunity5ervices Date
VefSb�GB659AugurtMl7 Pagetwofor: NeginaXavier �
Ai re �sso�i at��
P.O. Box 1374
New Port Richey, FL 34656-1374
Phone 727-849-2106�Fax 727-842-7227
Email: aire77a@yahoo.com
Lic.# CAC049270
October 5, 2017
City of Zephyrhills
5335 8�' Street
Zephyrhills,Fl 33542
Atten: Building/Permitting Dept
Re: Authorized Users to Sign/Pick-up Permits
Please allow the following people to sign for and pick jzp permits on my behalf
Karlie Durkee
Terrie Patterson
Garrett Rhodes
April Rhodes
Respectfully,
) f� 1,�
Rick Rhodes
��> �� � �c� ` c-, �.�.�: ,Personally know by me, ackno«�ledged under oath that he
executed the above document for the purposes stated therein.
� �� C', i � ,.�.��YFI��.. TAMICONNORS
TAMI CONNORS _;• � � , pAY CpMM�SS10N�GG 094873
NOTARY -;>�F;: �XF'�pES:August 17,2021
�.;oF;;?: go:�.�i'ih;uNotaryPuhlicUrtdervriters
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 "
� , � Building Department =�
Date Received ` �� � d� Phone Contact for Permitting � O l l - �1
Owner's Name rn ��� Owner Phone Number (��� � �C (F.� �
Owner's Address 1 �1(�L`1 � Owner Phone Number
Fee Simple Titleholder IVame Owner Phone Number
Fee Simple Titleholder l4ddress
JOB ADDRESS � I Cl.�l� � ' LOT# �
�,i SUBDIVISION - PARCEL ID#
y � (OBTAINED FROM PROPERTY TAX NOTICE)
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WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
�� � INSTALL REPAIR "
Ij PROPOSED USE Q SFR ,_ Q COMM Q OTHER
t� :
�f TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
f�1 DESCRIPTION OF WORK 1 \ t�ie, 3� rn�`(J� U�-�pm� .Q �-Y1,1 I
�f `�
� BUILDING SIZE SQ FOOTAGE� HEIGHT
�
j; QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
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� QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C:
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� QPLUMBING $ , �/ ��Q�
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:? �MECHANICAL $� (� �'� VALUATION OF MECHANICAL INSTALLATION
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� QGAS Q ROOFING Q SPECIALTY � OTHER � ^ (�` � .
' , � �OW
� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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z BUILDER COMPANY -
� SIGIVATURE REGISTERED Y/ N FEE CURRE� Y./N
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� Address License#
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� ELECTRICIAN COMPANY
� SIGNA'PURE REGISTERED Y/ N FEE CURRE� ' Y/N`
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Address � � License# ' ' '
` PLUMBER � COMPANY � -
� SIGNATURE REGISTERED • � 'Y'/ N FEE CURRE� ' Y`/•N �
� Address - �
License# .
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' MECHANICAL' �� �,[� � COMPANY� ���r`� l.l��'��SoG��
; SIGNATURE �!^�-—`". . REGISTERED� Y/�N.�• ,= FEE CURRE� - �;.Y./N �-
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, Address o� " ^ ��� � 4.� 1 � . , C��l����a-/�
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OTHER , COMPANY
i. SIGNATURE REGISTERED Y/ N FEE CURRE� Y.../N,
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� Address License#
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�; RESIDENTIAL= � =Attach�.(2)Plot Plans;'(2)'sets of Building'Plans;(1).set of Energy Form's;:R;0-1N:.Permit'foc new construcGon,. .
�'�`- Minimum-�ten:.(>1:U)'.working cJaysafter_su6mittal date. Required onsite;�Construction�Plans;Stormwater Plans wl Silt Fence installed, _
-�� -•-- - - - -
s" Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
CORIIMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Fage;(1)set of Energy Forms.R-O-W Permit for new:construction.
- Minimum ten,.(10)working;days after submittal date. Requi�ed onsite,Construction,Plans,Stormwater Plans w/Silt.Fence installed,
Sanitary Facilities&'1'�dumpsfer.Site Work Permit for allTrieuv p�ojects.All commeroial requirements must meet compliance �
'•` - SIGN PERMIT Attach(2),sets of Engineered Flans. , �;
***"PROP,ERIY.SURVEY required for all NEVV construction. .
Directions:
Fill out application completely.
Owner.8�Contractor sign back of application,notarized
If over$2900,a Notice'of Commencement is required. (A/C upgrades over$7500)
** Agent(for the contractor)or-Power�of Attomey(for the owner)�wotild be someone with notarized letter from owner authorizing same
-OVER:THE COUNTER PERMI'1'TING (copy of contract required)
Recoofs if shingles Sewers�=-• ��-.Service,..Upg[ades NC - Fences(Plot/Survey/Footage) � -
� j;C:�:t('S.':4' '.7 : ,�ii"i" • O�fl�. '• , `i,.•'J,� roa,..._ j.. _ ' '. .�: __-, r
Driveways-Not over Counter if on�public road�iays..'needs;R. �� ;, •�- �� - : � � ,_ .
`. ,�.. " ` ' `., . :r;l:_ •'.i. , `G.":FC1ii c.c . ,.,,.�. ,,._
qtiCi%vt�,,.i9'lnc-LB:•i'.�1_.'v�_� ,.�iyX_ '_ `��i,.�'-.:�� n '.•1�? ,1 ..� �� ,�i.': ,(•.: - Y � :
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NOTICE OF DEED RESTRIC7'IONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with:any_
applicable deed.resttictions. , . - . -- , r _ . . � -
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor.or..
contraetors to undertake work; they may b'e required to be licensed-in accordance with state and local-regulatioris. Ifthe
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdem,eanor violation;
under state law. If the owner or intended'cont'ractorare uncertain as�to what�licensing requirements may�apply fo�the�
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing..Section at.727-8'47-
8009. Furthermore, if the owner has'liired a'contractor-or contractors, he is-�advised to have tFie�cont�actor(s)�sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting:peivileges in Rasco�
County. �
TRANSPORTATION IMPACT/UTILITIES IMPACT AMD RESOURCE RECOVERY FEES: The undersigned understands
that Trarisportation Impact Fees�and Recourse Recovery Fees may appl,y to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number�..89-07::and
90-07, as amended. The undersigned.also understands, that such fees, as may be due, will be identified at the time:of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery-Fees must be paid prior.to
receiving a "certificate of occupancy" o�final power release. If tfie.-project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer-,Impact
fees are-due, they must be paid prior to_permit issuance in accordance with.applicable Pasco.County ordinances. �
CONSTRUCTION LIEN LAVI/(Chaptec 713, Florida Statutes, as amended): If valuation of work is$2,500:00 or m`ore, I
certify that I, the applicant, have�been provided with a copy of the "Florida Construction Lien .Law—Homeowner's.
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If:the applicant is�someone
other than the"owner", I certify that I have obtained a copy of�the above described documenf and promise in good faith to
deliver it to the"owner" prior to commencement. '
CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify�that all the information in this application is accurate"and that all�work
will be done in compliance with all applicable laws regulating construction, zoning and land development. 'Application is
.�.-- hereby made to obtain a permit to do work and installation as indicated. I certify that .no work or installation has
commenced prior to issuance.of:a_permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,.�and that it-is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
L"ands, WaterNl/astewafer Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering -
Watercourses. �
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ;
- �= Department of Wealth & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental�Protection Agency-Asbestos abatement. '
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill: - ±
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted. '
- If the fill material is to be, used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to.be used in F,lood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be .used in any area, I certify that use of such fill will not adversely aff.ect .adjacent
properties. If use of fill is found to adversely affect adjacent propeities,-the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required. ;
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set.aside any ptovisions of the technical codes,.nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced vuithin six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is,commenced. An extension
may be requested, in writing, from,the Building Official for a,period not to exceed ninety (90)kdays and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned±
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEfdT lMAY RESULT IN.YOUR
PAYING TWICE FOR'IMPROVEMENTS 7`O YOUR PROPERTY. IF�fOU IfdT.END TO OBTAIN FINANCING, CONSULT
.�lWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF�COMMENCEMENT. �
FLORIDA JURAT(F.S.117. ) -- -
OWNER OR AGENT ���I �.�� CONTRACTOR � 2� �
Subscribed and sworyi o(or�ffirmedJ�be'fo��re, me this Su�b,s;c�r�ib�e�d�a,nd swo to(or affirm�d)before e this '
Id--Sy/� by G�/a c�/t° 61�/`��— _��by �-1 �6,�����12Q� . ;
Who is/are personally known to me or has/have produced Who is/ re�p erson I known'fo me or has/have produced `
_��P/��� L/C/ as identification. ��GG(� � �-(� + as identification.
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.dr����� � Notary Public � Notary Public
Commission No. ��c.T Dy-�� Commission No._ ,�j�G(.L.��C�L�
r�2R- E'/,,,�1�lE ,eU�(,L ���i2� �lA/,�/� �PU�G�—. �
Name of Notary typed,printed or stamped Name of Nota
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