HomeMy WebLinkAbout17-19094 CITY OF ZEPHYRHILLS
� 5335-8TH STREEf
($13}780-0020 19094
: BUILDTNG RERMIT
- PERMIT INFORMATION � � - "_ =LOCATION INFORMATION -
Permit Nusnber: 19094 Address: 38341 CQTTONUVQOD PL
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CNANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Sec#ion:
Square Feet: Subdivision: DRIFTWQOD
Est. Value: Parcel Number: 02-26-21-02'I B-OOE00-00'!0
Imprav. Cost: 4,995.00 OWNER INFORMATION
Date Issued: 1210�/2017 Name: DAV1S MURLE E & MARGARET A
Tatal Fees: 60.00 Address: 38341 COTTONWOOD PL
Amount Paid: 64.Q0 ZEPHYRHI�LS FL 33542-6608
Date Paid: 12/04/2017 Phone:
Work Desc: A/C CHANGEOUT 2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
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�°�.,1�1,
Ins ections Re uired
DllCTS IN TALL
DUGTSINSULATED
FINAL
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REI SPECT°ION FEE : (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
loca!gavernment shait impose a fee of four fiimes the amount of the fee imposed far the initial inspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be faund in the public records of this caunty, and there may be additianal permits required fram other gavernmentai
entities such as wafier management, state agencies or federal agencies.
"Warning to awrter: Your failure ta record a notice of cammencement may resuit in yaur paying twice for
impravements to your property. If you intend to abtain financing,consult with yaur lender ar an attorney
6efore recording yaur notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertarmed in accordance wi#h
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEF4RE C.O.
���� - `
CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MONTHS 1NITHflUT APPROVED INSPECTIBN
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
�) PRBTECT CARD FROM WEATHER
�
12/04/2817 16:37 8i3�831374 $AHRS P#2QPAi�E G�S PAGE @i102
o�r.�► City of��ahyrhllls Perrnit Appitcstion F���-'��
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QHUILOING �� VALUATION�ti�'To7dLGON5f'I�I�C110N . � ��(,,� �
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address lJc�se*I �
?LUMBER � � C0l4iPXNY
3tGtOfiEtfRE �iiE4� �—C!N fEECURRf3���l�N '�
Addree�s .lk�cse#I �
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� � ' ��uaense#•�` ��
tEBipQNTil1� Atledf IZ)RbtpJ6net G�Sdt6.Oh'B�tiT'n9'Pl�c�(Q)Beto6Eirer�oim's:R�"W P8fi�7R tor new taorw.h!�n.
.Mi�tlnoum:te�r(•}A)��daYa,edteG�l�►�1 ilatb.•R�iee on9lCe�Coi�tr�iclbn-Ptaits:sbmnvuaiear'Wms w/SgtFenceo�staNed,
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, �►sM�cuu. Attaah{3I eami��e�o!61�2Iiii�iPtsie�a Ptim 9 kd(e 3efety Pay6;'(1}set o#6nerpy Fams.R-0�tV PertnRiorngW�pnstrui�Iam.
A�I�hnum ta�(1p)hrort�daYs a1Ear'�ubmft�l date. FtaQulrad ondte,I3onaln�cpon Plenta�3�emv�r�Br Plans w/3At F6rYae lr�sfelled. ,
SanttBny Fadll�as d�1 dionRa�e skg Wak Perr�tor aq hew projeqlS:/UI oommeeolal teq�tremeMs muet meat aomp�pnr�
3tON PERAAt'1' AttatHt'�2)ee�+oi�#�n.; ' ' .
""PR4PERlY SURVfiY r�ted ttx alI fiEW r�etruCtl0i1. � .
)1real,t0l�e: .. . , .
F�t antapF!lCB�imt oomAt�tetY
Chvner&Cbntrador atgn ba+ic of�pit�on.�mfeAxad
N Qvel'S26q0.a Nat�c9 of CommonNRl4Nt ls mqu�ed..(A1C apprades pver Z'i500) . .
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�{lEit'RiE Cb4NTElt PE[�At�i1MRi• •(FrontolApgfU(�tlon Only)
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' oirrou-uu[u City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Racalvad Q�� ��� – �Ol
Phone Contact for Permlttin O
Owner's Name U� 'fJ //7�/��,,e OwnerPhone Number �13`�d�����3
Owner's Address ��3�f l C)7'j6/�/�d� �L Owner Phone Number
Fee S(mple Tltleholder Name Owner Phone Number
Fee Simple Titleholder Addresa
JOB ADDRESS ��� �6/v�ppb l"�9L.E �
LOT#
SUBDIVISION �/QI��(�� Qa a
� ��S PARCEL ID# � o`ZI D�l B Q���ff� ����
(OBTAINED FR�OM PROPERTYT�7�CE)DEMOLISH
WORK PROPOSED , e NEW CONSTR ADD/ALT � SIGN
INSTALL REPAIR
PROPOSED:USE �] SFR Q COMM [� OTHER
TYPE OF CON3TRUCTION [� BLOCK ' [] FRAME [—� STEEL � ,
DESCRIPTION OF WORK L���-'o �`C e� o� �°NT pG �"�/�f �j �`�
BUILDING SIZE SQ FOOTAGE
HEIGHT .
QBUILDING $ .
. VALUATION OF TOTAL CONS7'RUCTION
QELECTRICAL $ - AMP SERVICE
Q PROGRESS ENERGY [� W.R.E.C.
OPLUMBING g _
MECHANICAL $ ��� VALUATION OF MECHANICAL INSTALLATION
�. �� ..
QGAS Q ROOFING _Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
ELECTRICIAN
SIGNATURE . COMPANY
-�
REGISTERED Y/ N FEE CURRE� � Y/N
Address
Llcense#
PLUMBER
SIGNATURE COMP..ANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
-License#
MECHANICAL � COMPANY /�
SIGNATURE ��� ZQ� l�}'/�/Q S /'Dpf�/�/���r—H�T�/�
REGISTERED Y/ N FEE CURRE� Y/N
Address �� � �7`�E'/J /�. ,�,`�.�lf6S 3,�$SL/ License# G/�� ���' jn�
OTHER
SIGNATURE �COMPANY
REGISTERED Y/ N . FEE CURRE� Y/N
Address �
License#
RESIDENTIAL• Attach(2),plof Plans;(2)sets.of�"Buildi"ng`Plans;(1)set of Energy�Forms;R-O-W Permit for new construction,
Minimum:ten(•1,0)working;days,aRer„submittafdate. Requlreii onslte,Constniction Plans;Stortnwater P ans wlSllt Fence installed,~
-- -- - SanitaryFaciliUes:&-1,—durripster-Site�WorktP,.ertnitforsubdiv,lsionsAa e roects �
COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Ufe Safety Page;(1j setof Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submithal date. Required onsite,ConsUuctlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.All commerctal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered;Plans.
""PROPERTY SURVEY required for all NEW construction. .
Directlons:
Ffll out appllcatlon completely.
Owner 8 Contractor sign back of appltcatlon,notaAzed
If over b2500,a Notice of Commencement is requlred. (A/C upgrades over 57500)
" Agent(for the contractor)or Pbwer of Attomey�(for the owner)would be someone w(th nota�ized letter from owner authorizing same
DVER THE COUNTER PERMITfING (Front of ApplicaUon Only)
Reroofs if shingles Sewers Service,Upgrades•-NC.-.,r..Fences.(PlodSurvey/Footage) ,.,�.,�...:
.. �.. - �7.� � ..C...�L .,.
, , . sTa�.fiE. "' '... . ' � _'"......''
Driveways-Not over Counter'if on public roadwa f, ` ' � `' " ;
ys..needs ROW , .
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`�._ _.th. .,. , ,. ,u .�, . ,. ,.,, j � � ' ' . .. " . , .
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, ;
NOTICE OF DEED RESTRICYIONS: Th�u�decs(gned under.gtands>.th�t�thi�;.p�rmit�:may;be,subJec�to."deed",restrl�(ons°
which may°be=more'.rest�act(ve>thsln County'�r�sgulat�ons: 'The underslgned"assumes��esponsltilllty for�compllance`witfi"any
applicable deed reshlctions. . �
UNLICEIdSED CONTRACTORS AND CON�'RACTOR RESPONSIB1Li'�ES: -If�the owner has �hired a :contractor or
contractors to undertake work, they may be;r,�quiced.<to_:be.;llcensed In accordance.with state.and•local'regulatlons. �If�the� �
contractor is not licensed_as�required�by-law, both the owner and�conti�actor�inay be��cited-for a�ml�demeanor violatfon
under state law. If the owner or Intended.=,co�traaton.are;uncertaln as to what Ilcenstng.requlre�nents,may�:applyr.�for:the
intended work, they are advised to contact the Pasco County Bullding inspection Dlvision-Licensing Section at 727-847-
8008. Furthermore, If the owner has hlred a conUactor or contractors. he Is advised to have the contractor(s) sign
portions of the "contrector Block' of this appllcation for which they will.be r.esponslble.. if you� as.fhe ownerf'sign'�as Ehe
contractor, thattnay be an indication that�he�is not.properly Ilcensed and��is not entitled to perniitting privlleges In Pasco
County. �
TRANSPORTATION:IMPACT/UTILITIES�(MPAC7�ANb RESOUltCE RECOVERY�FEE�:��The undersigned understands
that Transportetlon Impact Fee�:and.Reco.urse Recove.ry.Fees may:�apply:to:tf�e construction of new bulldtngs, change•of`
use in exisNng buildings, or�expar�si�rr�of-aexisti�i��6uildings, as specifled.(n Paeco County Ordinance number 89-07 and
90-07� as amended. 'Fhe undersigned also:understands; that:�such fees�•as�may�be�:due;:wlll:�be ldenttfled at the�time°ofi
permitting. it is furtlier understood that Transpo�tatlon ImpacC Fees aad;Resource.Reco�sry�Fees must be paid prior to
rece�ving a.'certfflcate.of occupaFlcy"or�flnal�power:release. :If�the.project..does:not�involve;a;.certificate of occupancy. o�-
final power release;the#ees mu�t be paid prlor to permit issuance. Ft��thermore;If:.Pasco:County�Water/Sewer�lmpact
fees a�e due,.they.must be-pald.pnior to.permit-lssyance=ln accordance�wltfi�appilcable�Pasco�.County;ordinances. •
CONSTRUCTIOtd"LIEN�LAW(Cliapter 713� �lor�ela St�fut���as�msndedj: If valuaaon of work is 52,500.00:or more, I
certify that I, the -appiicant, have�been provi.ded with_ a copy of�the� "Florida- Constructlon� Lien Lau�—Homeowner's
Protection Guide" prepared by the Flo�ida Depa�tment�of Agricultnre and Consumer�Affairs. if the applicant Is someone
other than the"owner", I certify that I�have.obtained'a�copy.of..the:above.described�docu�ent=and.ptomise in,good.faith to
deliver It to the�'ownec"�.prior�-to-cornmencement:' � ,
CONTRACTOR'SlOWPIER'S AFFIDAVIT: I.ce'r.11ty,�that all..th��:lnf�rmation-in thi�appllcation(s accurate and that all work
will�be done in compliance with all.app8cable laws regulating construction, zoning and:land�development. Applicatlon is
hereby made to obtain .a.permit to :do_work:;.and installation as indi�ated:-� `I cectify that no work=or tnstallatlon has
commenced prlor to issuance of a permit and that.all work will be pertormed to meet standards of all laws regulaking-
constructlon, County and City codes� zoning regulatians, and land development tegulatlons-In the Jurisdtction. I al'so
certify that I u�derstand that the regulatlons of other government agencies may�apply�to the intended work, and that It (s
my responsibiHly to identify.what.acttons I must�take:to be�in:.corrlpliar�ce S.uch agencles include but�are.not limited to:
- Department of E�lvironmentai=Protectton=Cypress.�Bayhead�, Wedand Areas and Env(ronmentally Senslttve
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management .District-Wells, Cypress.��Bay�eads; Wetland Areas� Altering
Watercourses.
- Army Corps of Engineers-Seawells, Docks, Navigable Waterways. :
- Department of Health�'8 Ret�abllitative Servlces/Environmen#al Nealth Unit Well.s� Wastewater Treatment,
Septic Tanks. .
- US Envi�onmental Protection Agency-Asbestos abatement.
- Federal Avlatlon_Autk�orlty-Runways.
I 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 flll materlal is to �b.e used. In.�Flood Zone. "A", it. Is understood that a drainage plan addresstng a
"compensating volume" will be submitted at#ime of:permitting which is prepared by a professfonal engineer
Iicensed by the State of Flotida:
- If ih� flll material ts to be used in Flood Zone 'A" In�connec�ion�with:a�perm(tted building using stem wall
� construction� I certify that flil�:wall:b.e used only.to.fill the area within�the�stem wali.
- if fill material is to be used In any area, I �certify tfiat .usa of such flll will �1ot adversely affect adJacent
properties. If use of flll is found�to advereely:�ffect adJacent��pcoperties,.the owner may be cited for violating
the cond�ions of the building;permlt Issued under iha atEached�ermit appllcatlon, for:lots less than.one(1)
acre which are elevated�by fllt, a�englneer�ed drainage plan Is requlred.
If I am the AGENT FOR THE OWNER, I,.promise in good faith to inform the�owner of•the permitt(ng conditlons set forth tn
this affidavit�prtor to commencing construction. I understand.thet a-separate permlt may be requtred for elecMcal work,
plumbing, signs, wells, pools;. air condittoning,.gas, or otl�er Install�tlons no�.spec�ically inclu�led�tn.the�appiication. .A
permit issued shall be constcued to be a�1lcense�to��prcceed with tFie work and not as:authoNty to,vlolate..cancel, alter, or
set aside eny provlstons of the technical codos;�nor shall Issu�nce�of a.permit.prevent the Bulldirig Ofticlal from thereafter
requiring a conection af enors in plans; consttuctlon or violations of any codes. �very permit Issued shall become inval(d
unless the wrork authorized.by such permtt:�is.commenced�withln sGc m�nths of�permit Issuance, or if work authorized by
the permtt is suspended�cr.abar�doned for a�:period of�six f�)�montf�s.aRer the tirne the�work�s commen�ed. An extension
may be requested, In writing, from the Buiiding,Offlcial for a period.not to exceed ninety�(90)�days a�d w►ili demonstrate
justffiable cause for:the extenslon: If work ceases.for ninety.(90)cons.ecutive days�..the Job�ts considered aba�doned.
WARNING TO OWNER: YOUR.FAILWRE•TQ.,REC.ORD A.MOTICE�.OF�COMMEMCEMEMT.MAY�RESUlT IN��YOUR
PAYING TWICE�FOR IMPROVEMENTS TO;1PO�ift�:PR�PERYY. I��Y0.��0�'�ERiD��T���DB'9'AIN��FIN�4(��1N6;'C.ON�ULT -- -
WI U D AI� � O O. �t.. O � f;; ,V �. , � , . ,. .,:.
FLORIDA JURA�•(F�S:t . 3) , y �� ' -� �� ' - ,
OWNER OR AOENT CONTRACTO - �
Subs bed and awom to r aflirtned)before e thls Subsc bed and's �to(ow aiflrtned)'b te me'tlil�
/.�`�/� ✓1'IIS�Y1�r" 07-�/ . rn� 4• Wl•ts��^
Who Islare p rsonally knovm rme or has/have produced Who.l p.ersonally own•to me-or#iaslhave�produced •
aa Identlflcatlon. as tdentlflcafion.
�_ ` . .
Nofary Public . Notary Publlc
Comm lon No: ' C mission•No.
.••`""v P"�•. SYLVIA A.CAMPBELL
Nertle o(No ry � nt��y��pgdteof Florida Name of Molary typ ,;� �telia�tPublic-Stateof F orida
- ' ' •` Commission N GG 112939 -•: �•= Commission a GG 112939
-•. . -
�;� P; My Comm.Ezpires Jul 19,2021 `:;� P' My Comm.Expires 1ul 19,2021
- '•�OFF�,�,.��''� �'�°FFt�� 13ondedthroughNatlonalNotaryAssn.
,,,,,, BondedlhroughNationalNotaryAssn.
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Sales, S�rvice & Instailafiions t.,�,:��_ � ; �,�r,f rc:�-,�.:�� �,. � ��,ti.;�� f° � ;n �,.�,
4441 Allen Rd. • Zephyrhills, FL 33541 ������►�r����� �', ,' _ '� �rf -� '�''�'
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"D.eEiuti9i�liS�tSB�p`g�:�`,�When here:="t��;When Away.�Q°�y; T-Stat$Q°.; ❑ MAINTENANCE CONTRACT � MAINTENANCE♦, � t .,`
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LtMITED WARRANTY: A!1 materials, arts and e ui ment are warranted b the manu#acturers' �:`�`'::-;-':"` � " - - FRICE � �C.(�ti�
P Q P Y ;.. . _;. -_!V(£1'-HOD"t3F.�?Al'h1lEl�t�_
or suppliers'writlen warranty only.All labar pedormed by the above named company is warranted for "`` '�"��-� '`�'� � - TO'fAL r-^�
30 days pr as otherwise indicated ia writing.•The above named company makes no other warrenties, 0 GqSH n 0 CK# MATERlALS �I,,,.,,,,
express or imptied,and its agents ae technicians are not authorized to make any such warranties on �
behaifofahovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE � �`�"�i—.
1 have authority to oMer Ne work'oWined above wtilch has�een satislactonly completed.1 agree Nat Seller , PROG. W 1 C t
retains title to equlpmenVmateciais fumi>hed vntil finai payment is made.ii paymsnt is not mede as agraed, CIAIM# �
setler ean remove said eQutpmenVmatenais at Seiter's axpense.Any damage resutllrg ftom said ramoval shati
not be ihe responsibility ol Sellec NET 30 DAYS,A 1 112ye SERVICE CHARGE WILI.BE ADqED MONTHLY TO �
ALL UNPAID BAIANCES OVER 30 DAYS.NO REFUNOS DA7E COMPLETED
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