HomeMy WebLinkAbout17-18972 CITY OF ZEPHYRHILLS
� � 5335-8TH STREET
(813)780-0020 �8972
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18972 Address: 5306 SATSUMA DR
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: ZEPHYR HEIGHTS I
Est. Value: Parcel Number: 12-26-21-0040-00300-0130
Improv. Cost: 5,704.00 OWNER INFORMATION
Date Issued: 10/23/2017 Name: FOSSEN RICHARD
Total Fees: 65.00 Address: 1232 WOODLAWN TER
Amount Paid: 65.00 CLEARWATER, FL. 33755-1168
Date Paid: 10/23/2017 Phone:
Work Desc: A/C CHANGEOUT 2.5 TON
COfdTRACTOR S APPLICATION FEES
VELOCITY AIR CONDITIONING A/C CHANGEOUT 65.00
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Ins ections Re uired
DU TSINSTALLED
DUCTS INSULATE�
FINAL_����j�
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 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.
CONTRACT S G UR PERMIT OFFI R
PE MI E PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
Oct 23 2017 04,38AM HP Fax 7276234966 page 1
e�saea-oozo City of Zephyrhills Perm�Applic�tion Fsz-813-780-0021 i
suild+ng oeperfinent
Dat�R�oNvea Phona Corlxt far Psnnldl I
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Ownor�N�» SJ�c 1�r fl�H' Ormcr Phone Num6cr � `� 7�
Ortncr's Addresa [.3� � � Q. Ormer Phona Number
Fe�Simpla Titloholdar Nnmo Owner phone Num6er
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(OBTAINED FRON PROPEFRY TAX NDMMf77
riORK PRODOSED a NEW CONSTR e ADD(ALT Q 31GN Q Q DEMOLISH
INSTALL RH�AIR
PROPOSED USE Q SFR Q COMM � OTHER
TraE oF�srnucnoN p e�ocx Q FRAME Q STEEL p
oescra��oF wot�c � ' ` GWl� {�i� �' ��'
BUILDlND SIiE S4 F�OTAOE� HElOHT �
QBUILDINO S VALUATION OF TOTAL CON9TRUCTION
QELECTRICAL ; MAP SERVICE O PROGRE55 ENERGY � W.R.EC.
QPLUMBING S
L�[`'MECHAMCAL �fO VALUATIONOFMECHANICALINSTALLATION
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QGAS Q ROOFING [] SPECUU.TY Q O7FER
FINiSHEO FLOOR ELEYAT10N5 FLDOD ZONE AI�A QYEB NO
6UILDER COMPANY
SIGNATURE eEG�� I N FeEc�.t�n Y!N
Addross ucertse i�
ELECTRICIAk Col�ANY
8�G1YAT11RE RE615TER� Y I FEe CURt�n Y f H
Add�sn� Ltcena9�
PLUYBER COMPANY
81GNATURE REr,�gTER� J N FEE Cuaf�n Y/N
Addross L1CBnSe�
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MECNANICAL COIAPANY
SIONATUF� t�cts�Reo Y!N tg CURrgn Y I N
Addr«o Lip�so# I
OTNER CQNPANY
�NATIiRE r+�as� Y!N �GURRER Y!N
Addresa Licanae�1
III � IIII11111111111 � 1 �1111111111 �� 111 � 111t1 �1lIIIIIII11111111111111
REBI�EMIAL Attech(2)Plot Plans;(2)3ets af BWldng Pier�(1)set of Eneryy Farme;R-0-W Pemutfor now oontWdtan,
MiUnxurt ten(70)wmWrg daya efter eulmnftta!date-R�irod cn�,Construelion Pl�ne,Starmwater P�na vd 58t Ferka kisteded,
Sanihry FadWes 81 dumpeler,Site Wak PamA for subdNhlotqllage projecis
CONNERCIAL Attadi(2)wmplete sete d Bw'qtng Pfarw plus a Ufa 8afety Page;(1}set of Eneryy Fomt�.R-0-W Pemdt ipr new eoneWalon.
M'nimwn ten(10)working d0�rs eRer w6mitfdl date.Requirad onei�.Co�trudion Plena,Stormwatar Plansw/S�lt Fm�ce Installed,
Sanibry Faa'Iitles 81 dumpa�er.Site WaAc Pe�m4 foratl nwv proJeds,A!commerdal raquaemerae m�mt meet canpl'�ance
SitiN PERMR Attadi(2)eetv af�ginee+ad Pleru.
""PROPERTY SURVEY requlrcd tor aU NEYY consWctbn.
II� Iillitlilll ' ' 1 '
D'i�esUme:
FII out applimtlon comqe0aly.
Owner&Contractot siyn back of applimtion,noteri�d
It owr i1600,a NaUu oT Camm�nc�m�nt Ic r�qidnd (AfC upywtl�r over 17500)
" Apent(tor�a wn4adw)or Po.wr of Albmay(for tlr oxme�j wot�d he aortm«ie with ndarixed latlYr from ownar auNerainy sarne
OVFR7HECOLJt�iL'RPHIAiQT'f1NG (eapyOleqnVactrequlrt�
flerootsifshin�� Sewe�s 9ervlceUpgredes A/C Fetees(PIo118iavay/Fposege)
Drivwvays-Nd ova Caaib�r if on pu�c roadwaya..neede ROW
- NOTlCE QF DEED RESTRlCTlONS: The undersigned understands that this perrnit may be subject to"deed°restric6ons"
+ which may be more restrictnre than County regulations. The undersigned assumes respons€bility for comptiance with.any
appiicable deed restrictions. �
UNLICENSED COPtTRAGTORS AND CONTFtACTOR RESPONSlBlLlTIES: If the awner has hired a contractor or.
contractors to undertake wark,they may h'e requtred to be licenssd in accorcfance with sEafe.and ioca!regulat�cins. !f the
contrackar is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended confractor are uncertain as to what licensing requirernents may"apply for the
intended wark,they are advise8#o contact fhe Pasco Caanty Building tnspect�an Division—Licensing 8ection at 727-847-
8009. Furthermore, if the owner has liired a contractor or contractors, he is advised to have the dont�acka�(s) sign
portions of the"cantractor Block"of this application for which they will be responsible: If you,as the owner sign as the
contractor,thaf may be an indication that he is naE propecly licensed and is not entitled ta perrnifting°priviEeges in Pascci
County.
TRANSPORTATION IMPACT/UTILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The undersigned understands
#haf Transpartation impact Fees and Recourse}2ecovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specifisd in Pasco County Ordinance number 89-07 and.
90-07,as amended. The undersigned also understands,that sueh fees,as may be due,will"be identrtied at the time of
parmitting. It is further understoad Ehat Transporta#ion Impact Fees and Resource Recovery Fees must be paid pr[or ta
receiving a"certificate of occupancy"or final power release. If the.project does not invalve a certificate of occupancy or
flnal power release,the fees must be paid.prior to permlt issuance. Furthermore, if Pasco Gounty Water/Sewer Impact
feesare due,they mus#be paEd prlar to'permit issuanae in accordance with applficable Pasca County ordl�ances.
GONSTRUCTION LIEN LAW(Ghapter 713,Florida Statutes,as amended): IP valuation of work is$2,500.00 or more,I
certify that I, the applicant, have�been provided with a copy of the "Florida Construction Lien Law—Homeownet's
Protection�uide".prepared by the Florida Department af Agriculture and Cansumer Affairs. If the applicant is sameorte
other than the°owner";I certify that I heve obtained a capy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement.
CQ(dTRAG7'OR'SiOWi+IER'S AFFtDAVIT: t certify that all the Pnformation in this applicatlon is accurate and that a1l.work
will be done in compliance with all appiicable laws regulating construction, zoning and land development. Applicatiorr is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced ptior to 9ssuance of a permit end#hat sII wark wi1E be performed to meet standards of all laws regulating
construotion, Counry and City codes, zoning regulations, and land development regulations in the jurisdiction. ( also
certify that I understand that the regulations of ather government agenoies may appiy ta the intended work,and that it is
my responsibiliEy to identify what actians i must take ta be ln compliance. Such agencies include but are naf limited to:
- Department of Environmen#al Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewate"rTreatment.
- Soufhwest FlorEda Water Management Dis#rict-We1Is, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Flealth & Rehab9litative 8ervicesiEnvironmenta[ Health Unit Wells, Wastewater Treatmer�t,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federai Aviation Authority-Runways.
i unders#and that the following restrictions apply ta tfie use of fiil: ,
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted,
- if the fii materia( �s to be used �n Flood Zane "A", it is understood thaf a drainage plan addressing a
"compensating volume."will be submitted at fime of permitting which is prepared by a professional engineer
licensed by the State of Florida. �
- if the fil! materiaE is to be used in Fload Zone "A" in connection with a permitted bailding using sterri walt
consfruction,t certify that fi11 wii(be used only to fill fhe area within the stem wa11.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. tf use of ff!!is found ta edversely aifeci adjacent propertles,the awner may be cited for viotating
fhe canditions of the buiiding permit issued under the atfached permif application,for tofs iess than one(1}
. acre which are elevated by flil,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,k promise in good faith to in4orm the owrter of the permitting conditions set forth in
this affdavif prior fo commencjng constnaction. !understand that a separate permit may be required for electricai inrork,
plumbing, signs, wells, pools, air condikianing, gas, or other inskallations not specifically included in the application. A
permit issued shall be construed to be a llcense ta proceed with the work and not as authority to violate,cancel,after,or
set aside any ptovisions of the#echnicai codes,nor shati issuance of a permit prevent the Building Officiai from thereafter
requiring a correction of errors in plans,canstruction or vlolations of any codes. Every permit issued shall become invalid
unless the work authorized by such petmit is commenced withict six months of permit issuance,or if wotk autharized by
the permit is suspended or abandaned for a period af six(B}months after fhe fime the wark is.commenced. An e�ctension
may be requested, in writing,from the Building Official for a,period not ta exceed ninety(90)days 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 RECORp A N0710E OF COMMENCEMENT MAY RESULT 1(d YOUR
PAYING TWICE FOR'IMPROYEMENTS T,O YOUR PROPERTY. IF YOU lNTEND TO OBTAlN FINANCING,CONSULT
{MITH YQUR I.E�tDER 4Et Atd ATTORFIEY BEFORE RECORDING YOUR NOTtCE OF CO MENCEMENT.
FLORIDA JURAT(F.S.117.03) �
QWNER OR AGEN7 CONTRACT4R ,caJ� "' _
Subscribed and swom to{ar affirmed}befure me this 5ubs bed an swo (or afiitm j fa e th
bY I'O y V l�''��
Who Is/are persanally known to me or hasRiave produced Who is/are perso all known to me or ha lhave produ d
as fdentlBcaBon. �,��� j(��'n s Identiflcatian.
Notary Pubifo ��������,sG; Notary Pubi#c
Cammission No. Cammission Na.
�'-�--�Lri�e. k'ut'�el/
Name of Notary typed,printed or stamped Name of Nota d te r
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