HomeMy WebLinkAbout17-18943 CITY OF ZEPHYRHILLS
• " 5335-8TH STREET
(813)780-0020 1894-�
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18943 Address: 37423 WEDGEWOOD DR LOT 77
Permit Type: MECHANICAL ' ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0770
Improv. Cost: 5,250.00 OWNER INFORMATION
Date Issued: 10/17/2017 Name: VANATER, ANNA &THOMAS
Total Fees: 65.00 Address: 37423 WEDGEWOOD DR
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/17/2017 Phone: (813)782-0400
Work Desc: A/C CHANGE OUT 2.5 TON HP
CONTRACTOR S APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 65.00
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Ins ections Re uired
DUC S INSTALLED
DUCTSINSUL T D
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 property 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.
� ONTRAC R SIGNATURE PERMIT OFFI R
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTIO.N.- 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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a��-7so-oozo Gity of Zephyrhills Permit Applicatian Fax-813-T80-0021
� , Buiidang Department �
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Date Recelved " Phane Contact for Permitting -
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4wner's Name NI�' ��� Owner Phane Number ' �.1
' 7 �� .j � .��d - Qwrner Phone Number �� �
Owner's Address
Fee Simple Titleholder Name Owner Phone Number �T �
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Fee Simple Titleholder Address
JOB ADDF2ESS LOT#
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(; SUBDIVISIOM � - � PARGEL ID#
�] � (OBTAINED FROM PROPERTY TAX NOTICE)
�� WORK PROPOSED NEW CONSTR e ADD/ALT � SIGN Q C] DEMOLISH
f t INSTALL REPAIR
f' PROPOSED USE SFR „ Q GOMM � QTHER
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�� NPE OF CONSTRUCTION BLdCK Q FRAME STEEL [�
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DESCRIPTION OF WORK
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}f BUILDING SIZE � � SQ FOOTAGE�� HEIGHT
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�ti QBUILDING $ VALUATION OF 70TAL CONSTRUCTION
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QELECTRICAL ri � AMP SERVICE � PROGRESS ENEE2GY Q W.R.E.C.•
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� QPLUMBING $ . )� ��A���
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� QMECHANICAL $���--�� <� VALUAl"!QN QF MECNANICAL lNSTAt,tATiQN
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' QGAS Q ROOFING Q SPECIALTY Q OTNEF2
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; FlIVISHED FL4QR ELEV/�TIONS r�� FLOOD ZONE AREA QYES NO
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� BUILDER COMPAPIY
� StGNATilRE REGISTERED Y/ N F��cutt�n Y/N
� Address License# � �
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EI:ECTRICIAN COMPANY
SIGNATURE REGISTEftED Y/ N FEE CURRE� Y/N'
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Address � -� License# � ' � ' �
PLUMBER COMPANY ' � �
SIGNATURE REGISTERED ' • Y�/ N . F��cuR�zEn Y./�N ':
( �.Address - - 6icense# .
• MECHANICAL. ` < COMPANY, ��3= �-~'-''� r
SIGNATURE ftEG►STEftED Y! - ,- F��cut�� �::Y./•N� r..
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` Address ,License# � [ ��—� �
� OTHER , GOMPANY
� SlGNA'TURE - R���sTe�tEo Y! N Fe�cuwzEn Y/N.
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��� Address License# I �
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2`�< RESIDENTIi4L � �f�=Attacti,(2)'Plot Plans;(2)sets of Building Plans;_(1)set of.Energy�Facros;°R=O=W:Permit'for new canstructian, .
;�� ,Miniinum:ten;(10)'.working'ilays af'ter'sutimittal-date. Requi�eii onsite;�ConstcucdomPlans;Stormwater Plans uv/Silt Fenc'e installed,
__ Sanitary Facilities&1 dumpster,Site Wark Permit fbr subdivis'sonsllarge projects
COMMERCIAL AttacM(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. -
Minimum ten.{10)-wartcing,days after submittat date. Required onsite,Construction,P{ans,Stormwater Plans w!Silt Fence tnstalled,
;;�� . ' Sanitary Facilibes&�'1'`dumpster.Site Work Perri�it for all'iiew'p�ojects.Al!commerc'ial requirements must meet compliance �
� - SIGN PERMIT Attach(2),sets:of Engineered Plans. . ,.,, , ,
` •"**PRC)PER7;Y,..St1RVEY�required far a!!NEUV consNuction. ,,
Directions: �
Filt out application corrtpletely.
Owner;8�Contractor sign back of appiication,notarized
If over$2500.a Notice of Cammencement is required. (A!C upgrades aver$7500)
'* Agen#(for the.contractor-}.or-'Power�of-Aftarrisy(fo�fhe awner}•wauld be someane with notarized letter from owner autt�oriz�ng sar►ze
OVER'THE COUN1'ER PERMIITING (copy of con#ract required)
Reroafs if shir�gles ' Sewers Service Upgrades�AtG Fences{PlatlSurvaylFootage} " , -
Driveways-Nat over Gounter if on public roadways..needs ROW
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IdOTiCE�F DEED RESTRICTI4NS: The undersigned understands that this permit may be subject�o°deed°restrictions"
which may be mare restrictive than Caunty regulatians. The undersigned assumes responsibility for compliance with�any
appticable deetl restrictions. - , � _ - -_ , , _ _ _
UNLICENSED �CONTRACTORS AND CONTRACTOR. RESPONSIBILITIES: If the awner has hired a contractor or
contractors to�undertake work; they may be required to be licensed-in accardance with state and locai._reg,uiations. If#he
contractor is not licensed as required by law, both the awner and contractar may be cited far a misdemeanor violation.
under state law: if the awner ar iritendeii�cont'ractor are�uncertain as to what�licensing requirements may`appiy for the
intended work, they are advised to contact the Pasco Counfy Buitding Inspection Division—Licensing Sectian at.727-847-
8009. ,Furthermore, if the owner lias`hir'ed a con#ractor or contractors, he is-advised to have`the contractor(s)�sign
partions af the "contractar Block" of this application far which they will be respansible. 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=priuileges in Pasco=,
County. " -
TRANSPORTATION IMPACT/U7'ILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impacf Fees�and Recourse Recovery Fees may apply to the construction of new buiidings, change of
use in existing buildings, or expansion of existing buildings, as specifled 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
permifting. It is fucther understooc4 fhat Transporta#ian lmpact,Fees and Resou,r,ce Recovery�Fees must be paid prior-,to
receiving a "certificate of occupancy" ar final power release. If the�project daes not involve a certificate of occupancy or
finat pawer release, the fees must be paid.prior to permit issuance. Furthermare, if Pasco County WaterlSewer Impact
fees-are due, they must be paid prior to permit issuance in accordance with appticabte Pasco Caunty ordinances.
CONSTRUCTlON LIEN LAW(Chapter.773, Florida Statutes,as amended): If valuation of wark is$2,500:00 or m'ore, I
certify that 1, the applicant, have�6een provided with a copy of tfie "Fiarida Canstruction Lien �aw—Hameowner's.
Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. .If-the applicant is•sameone
ather than the`bwner'°, 1 certify#hat I have obtained a capy of the above described document and promrse �n good faith to
deliver it to the"owner" priar to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT; 1 ce�#ify that a!I the information in this application is accurate arid that a!l;work
will be done in compiiance with alI applicable (aws regutating construc#ion, zaning and land development: Applieation" is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installatian has
cammenced prior to issuance of a,permit and that all wark will be performed to meet standards of all�laws regulating
const�uction, County and City codes, zoning regulations, and land developmen# regulations in the jurisdiction. I also
certify that 1 understand that the regulations of ather government agencies may apply ta the intended wark,;.and that 'st is
my responsibility to identify what actions I must take to be in compliance. Such ag�ncies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
Lands,WaterM/astewafer Treatment. ?
- Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses. ;
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. �
- Department of Health � Rehabilitative ServiaeslEnvironmental Health Unit Wells, Wastewater Treatment,
Septic Tanks. . ;
- Ua Environmenta!Protection Agency-Asbestos abatement. .
- Federai Aviatian Authorify-Runways. ;
I understand that the following restrictions a.pply to the use of fill: f.
- Use of�11 is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flaod Zane "A", it is understoad 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. a
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
constructian, {certify that fil#will be used anly to fitl the area vuithin the stem wal1. :
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect ,adjacent
properties. 1fi tase of fll is found to adversely affect adjacent properties, the awner may be cited for violating
the conditions af the building permit issued under the attached permit application, for tats less than one (1)
. acre which are elevated by fill, an engineered drainage plan is required. ;
lf(am the AGENT FOR THE OWNER, 1 prornise in goad faith to inform the awner af the permitting conditians set fqrth in
this affidavit priar to commencing eonstruction. I understand that a separate permit may be required for electrical work,
plumbing, signs, we11s, poals, air concfitioning, gas, or ather installations not specifically inclitded in the applica#ia"n. A
permit issued shall be cons#rued ta be a license to proceed with #he work and not as authority to violate, cancel,�alfer, or
se#aside any provisions of the technica(codes, nar shall issuance af a permit prevent the Building Offic9al from #hereaf#er
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shali become invalid
unless the work autha�ized by such permit is commenced within six months of permit issuance;or if work authorized by
the permit is suspended or abandoned for a period of six{6}mortths after the time the work is�;cammenced. An extensian
may be requested, in writing, from the Building Official for a period nat to exceed ninety (90) days and will demonstrate
jus#�able cause for the extension. tf work ceases far ninety{90}consecutive days,the job is considered abandoned�
. ;
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTI�E OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWlGE FQR IMPRt3VEMENTS TO YiJUR PROPERTY. 1F YQU iNTEND TO ClBTAIN FINANCING,CCfidSULT
WITH YdUR LENDER OR AN ATTORNEY BEFORE RECORDING YO,UR NOTICE OF COMMENCEMENT. }
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FLC}RIDA JURA3'(F.S.117.Q _ .__ _-- --— - — - - --_. `._.._ _.�.— — _..--- - -
OWNER OR AGENT CONTRACTOR
Subscribed and swom Eo d)be e this Subscribed and swom or rmed} efare me fhis
by �
Who is/are personally k to me or as/ttave produced Who is/ ersonall nown to me or has/have produced �
as identificatian. as identtfication.
Notary Pubtic � ��1:�-�'�"�.� No#ary Public
Corrrmiss'san No. Commi io No. .��<�:Y=���. JACQUE�IN GES
=*r' :�: Commission#FF 15d422
:�� �'a: Ex ires December 12 2018
Name of Notary typed,printed ar stamped iVasr�e of Notary type pt��i.�*t7t'S�FYf�}�Troy Fat�Insurance 8fl0�385-7059