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HomeMy WebLinkAbout17-19120 CITY OF ZEPHYRHILLS 5335-8TH STREET ,. ' " (si3)78o-0020 19120 BUILDING PERMIT - PERMIT INFORMATION=. � � -- � LOCATION INFORMATION �- - - Permit Number: 19120 Address: 5848 DOGWOOD STREET Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: I Square Feet: Subdivision: COLONY HEIGHTS Est. Value: Parcel Number: 12-26-21-0260-01900-1220 Improv. Cost: 4,730.00 OWNER INFORMATION Date Issued: 12/13/2017 Name: VON HORN EARL E Total Fees: 65.00 Address: 5848 DOGWOOD ST Amount Paid: 65.00 ZEPHYRHILLS FL 33542-3855 Date Paid: 12/13/2017 Phone: 813-715-4368 Work Desc: A/C CHANGEOUT 2.5 TON CONTRACTOR S APPLICATION FEES DOLPHIN AIR & HEAT INC A/C CHANGEOUT 65.00 a + I Ins ectiQn e uired ` DUCTSINSTALLED DUCTSINSULATED � 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. �� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ( 813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 Buiiding Department �� ; _ a � Date Raceived ,� �3 ��' Phone.Contact for:Permittin ' f (}� - � � s Owner's Name On Gy'' Owner Phone Number b/3� l� �� Owner's Address i� � � O :o, �,. S Owner Phone Number -, ' Fee Simple rTiHeHolder Name �Y ` Owner Phone Number � � - Fee Simple Tltleholder`Addre�s � JOB ADDRESS 5 S�I Cl �p 'vwoo� S LOT# � I � _ SUBDIVISIQN PARCEL ID# � ~ ' (OBTAIWED ER�O�M,PROPERTYT�7'�cE)DEMOLISH WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN`� � _ ��B.. INSTALL � , PROPOSED�USE � . �] SFR. Q �COMM' Q �07HER " � TYPE OF CONSTRUCTION • ' 'BLOCK " Q FRAME Q STEEC 'Q�" " � � - � DESCRIPTION OF WORK 2�� `� -�e �`. �� I • i , BUILDING 31ZE S6l FOOTAGE ' - _ ,HEIGHT� i < QBUILDING $ VALUATION`OF'TOl'AL CONSTRUCTION ` " C QELECTRICAL - $ " AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I , 7 QPLUMBING $ - - 4 , (1�� ,. � � �! � v OMECHANICAL $ � ^ � VALOATION OF;MECHANI.CAL INSTALLATION ""'V � , v .. � �� � � Q�S Q ROOFING. .Q SPECIALTI( Q OTHER - , FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QY�S. ,NO f , BUILDER + COMPANY' ,. • , ` �. . - , SIGNATURE REGISTERED Y/ N . 'FEE CURRE�" Y'/N� Address � License# ` k � . . ELECTRICI.AN. . . - -COMPANY -� SIGNATURE � REGISTERED Y/ N FEE CURRE�°° '` `°Y/-N 4 . ?,� , , �lddress ' " _- � , � =- License#, _ .� � , _ -, r�- . . � ,. PLUMBER ; COMPAN1f .�.,. . ;+,� , SIGNATURE ' ' a „REGISTERED� - , Y:/,.N, ,; ;�EE CuwtEn. �. Y/N. -: . _ , .F - . � , , . . . Addre�s � ' � �- �;,1.icense,# _ � " . ,� �. , SIG A�RE ��:%%� � COMP/WY �1�C.tG ��,�..�1�7, � �'�� N�,,,; �'�, ,�� �:.;;.._ : REGIS7ERED„ „Y,/,N .' -.FEE CURREI�., �. . ,/�N' . , , r . _ , .. • ,. Address , ` .- . , <: ' - . , , � . ._ E _ .. , _ , . License#� t . , � � , OTHER ' � � , . . . _ - 5„ - .. . : . � ,__ r ,. ,. - ,. ; .. ;COM.PANY. : SIGNATURE >�...,.,; .. .: , , ,� . � _ . . .. _._ ,. _ _ ., •• °' '`' � � REGISTERED Y/ N,:: �FEE CURREA Y/N �- _ , . .. .. Addre�s � -- - ' . , � - �� � L'icense# � -, ;�,: .::- ;. ,:.,R_; . . . RESIDENTIAL;=>_Atta_cfi"(2).;PIo.EPiens;:(2).setis�_ofiBuildi`ng?'.P.lans;'(1)set.of�Energy`=Fo'rins;�-R=0=1N�PerrniEf6rnewconstruction, , � �i �.,=�<Minimum:ten;,(1,0)�worliing;dayst;after�submiCtal date.?Requlred onsite;:ConstiucBon�Rlans;Stortnwater'Plans�wl Silt Fen'ce insfalled, .:..�;:,, ,.,•�: ,.•.,:„ _ , Sanitary FaGllties:&=�,�dumpster=�Site`:W,ork:Permit#or sufitlivisionsQarge'tprojeots � .;..;.:; " " ' ' � . COfNiVIEItC1AL Attach(3)complete sets"of�Building Plans plus a�Ufe$afety Page;(1)set of Energy Forms.R-O-W Permit for neu�consUuction. • � - Minimum ten(10)working days after submittal date. Required onsite,ConsUuctlon Plans,Stortnwater Plans w/Siit Pence installed, Sanitary Facilides 8 1 dumpster.Site Work Permit for all neier-projects:.All commercial requlrements_must meef compllance � �� SIGN PERMIT Attacfi(2)'sets of-Eng,i`neered;Plans:: :-•����-'- .. ��: ��:.' : � - � . ""PROPERTY SURVEY reguired,for all NEW oonstrucVon.. � � � f � • �- � Dlrectlons: - - • � , . ` ` Ffll out applicadon completely. , Owner 8 Contractor slgn back of applicatlon,noNarized If over a2500,a Motice of Commencement ia requlred. (A!C upgrad�s over a7500) �w 'n-,3Fy<<c:;�- .. AgeM(for tfieicontractor)or Power of Attomey'(for tFie owner)would be someone with notarized letter from owner authorizing same DVER THE COUNTER.PERMITitNG- -- {Front of•Application Only)- ' " � ` � Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) Drivewaya-Not over Counter If an public roaduiaqs:.neads ROW ' . - ' fj r (X NATtCE OF QEED RESTRICTIO�S: The anderslgne�t under�tattds°.�tiw#�#hl�.°��rmtf-.ri�ay,be,sub�ecfi to�"deed"_cestcictioii's°� .� ^ - -" which may�be=more�%est�tctive=tha�Caunty�negulaflons:n�The unde�fgned`assui�es'resp�nsitiility for compilanc`e with ainy �� '``"'`�`� app#Icable deed-restr3ctlons. ' �.., ...�- - " ", . . ': , r-- � �,�= .. ;},.,,�, .. ,� ; UNLiCENSED�CONTRACTORS ANCi CCINTRIA►CTOR RESPONSIBtLIT'IES: }ff-the��owner'has-�hiredY�a"contractvr or � � �- contractors#u undertake work, they mey.b,e�r�quir,e;dj:ta<be,ltcensed-In;accordance.wtth state.and;:lacal.regulation_s.:,"Ifrthe�� �� � � +contractor ts�not l#censed as�Fe'qulced"by lainr, botii #he owrter anif=ccinffactor�rnay;fye--clted�for a=misd,emeenor vloiatlon under st�te law. If the awner or Intended„cont_r,a�,tor are;;uncertain es to what Ilcenatng.require�nents:may�appiy��for��the`� -, � F�' , t...:....,� .1�.. intended work.#hey a�e��itvlsei!to coritact the,Pas+ca County Buililing`Irtspectlori.DfvlsEon-L6censing 3eation at 727-847- 8008. Fii�ttiermore, if the awr+er'fias'hffed�a conl'acfa�'ar contractors, lie is �iivised to have ;the cantractor(s);,slgn . ,y., , portlons of the"contracta� Block�.,of_this�appllcatton�for:�+hichthey. will..be:.�regponsible:µ.If:you;�as-:#he owne��'`sign"as''the� � ` "' � cantractor, that,�rrfiay.be z�n indicatlon#I�at'he°Is not.grope�y Ilcensed�antf�ls'riot ent�ed fa parmitt�itg prtuileges In Pasca ' iF'.;� i .�'iOUllh/. �" , , � _.- TRANSP�RTATlON-1MPAGT/UTILIT�ES��IMP�kC't�ANb ItE$OUltCE RECOVERY��EES.�T�he under�lgite�"understands #hat Transpartation impact Fees and:Reco.urse Recovery�Fees:mey�.appiy�ta�tfie,constnuction,af new.bufldings;,ychange�rof�'%�`'°' '`� t�... use in existing buildings,�oc�ezpansi�n���of�exlati�iy.ibulldings� as speaffied.in Pasco County Ot�dlnance number 89-Q7.and 90-07, as amended:,�,The undetsigned also,understands� th���such fe.es,-.a�t�najr:ae•:due;�,willt�be idetittfied at theht�me�of�=�, .�-'; : per�ikting. It'Is furthier understood that T�i�isp�orkatlon Impact'Fees and'�Resource_:Recavery�Fees must be pald prlor to rece�ving�a_"cecfiflcate��of-occupancy"�or��tnah-powe,r_.;�lease: :1f�the.projec#:do�s.�tio�Invotve=a:cetti�cate of occupancy;at"`.}}��,' `:: tinal paverer:r�lease,_the,;t'ee`s�mu�t''tie"pald;pr�lor to;,permit )ssu�ance. Ft��thermore;�tf:.Pasco,_C�►unty`°Water/Sewec��lmpac4� .�$������ fees are due,,they�tnust.be,.patd::prlo.r,to_permlt;lss,t�ance�ln.accordance.witfi�=�ppltc�ble Pasco�.Countywotdlnances. � f�`OAlSTRUCTION"[:IEW'LAW�C118ptBrP T13�FIO�dB StBttit�8�a�amend�): if valua�an of work is$2,500.00;,oc more� 1�� � . =�:.�: certify that I, the .eppllcent;�hav.,e,be.en�:provlded��with-�a�=copy�of the �".Flarida°�onsti�tictton� Llen .Law .Homeowner's Pratectton Gu1de"prepared by,�tlie Florlda Ctep�a�menf of Ag�lcult�re and Consum�r:Affairs. i##he appEtcant ts somea�ne; ,. . -:: ather than the"owner", I certifj►„khat„I.ti�ve:o�#alned�a�copy;of:tbe:aboya.des.e�ltiied'tlocu�i�ent�and;pro�ilse�,tn;goatl:,falth�to , . deliver It to:.the'owrier"�piriot�`toYc+ammeraceme�it�=,,': °.:°� . .- � . .. .. _ . . . . . • . § _ CONTRACTt�3R'S/t'�WNER'S AFfIDAVIT: i.�rt�y<;<that-atl:the�inf.ormatlon.;ln�this applicatton is accurate.and that a0 wark �Fw'� will'be done in compliance wlth �II.appltcable laws regiilafing constructlon� zonln� and�land`�development. Appltcatlon Is hereby made ta obtafin .a permit:;to::da.=°w�t�it:<,and,installatlon as indtcafed:�.=.=:1.-certtfy ttiat no woric�°or Instaltatian has commenced p�lo�ta Issuance of�a permit��and that�all�work wlll be pertormed�ta meet,standards�of�all laws regulaxing� conshvctbn,, County and Gity codes, zantng regulatlQns, and tand developmen# regt�la�ons�tn the jt�risdtc#Eon.� If;al'so _ � certify that I understand that the r�gulations of other government agencles may�appfy�#a the.,lntended work, and that it is my responslbility ta identifj+•what�act(ons!mast-take:to be,ln�corrtp!lar�c+a..S.uch:agencles!nclude but:are.nat Ilmiter!to. • ?� - Department a� Ed�vlronmental�P`riite�tion=Cyp'r`ess:`Bayheaii�,- Wetland Areas and Environmentaily Sensitive Lands,WateNWastewater Treatment. - ' " - Southwest Flarida W�ter Managemen�-.C�fsUict V41e11s; Cypr�ess.'_8�y.�eads; ;Weflr�nd Areas, Altering Watercaurses. . " � - At�my Corps nf Englneers-Seawalls�Dacks,Navlgable Watetways. - Department.of,,Hea1#h .8 .ReFaabllitafiv,ie;�ervices/Environmentai-Fleaith Unit Well.s,.Wasteviraaters Treatment,� Septic T�ntis...,� _ , ' ' � '- _ ._ ., ... _- , - US Envtronmentai Pt�otect�on Agency-As6estas ab�Eemen#.,_. - � -F�ederal Av.,latton;Authorlty,kRunways:� �< <. W � t understand.that thewf6liowin�;rest�lctians appty to tfie use of fll1.• - Use ofifitl is nat aHowed�in'FloodaZone"V"unless expressly_permltted. � - If the,.fi0�materlal-1s�to��b.e-used:.ln-�Flood-2one. "A"� (t. Is understood that a draln�ge plan addrssstng a'+, "compensating volume"wlll be submitted at#ime of�,permifting wF�ish i� prep�red by a professianal engineer� Ilcensed by#he Stake�of;flarlda:� � -. � � �•�� ; - If'the�f�ll m�terlal���s�to-:be used in Ftood �one `A" tm c�nn�ction�oi�th�i¢ermltted bt�llding using stem walis aonstruation, l certify�th.at flll�:wall.b.e�used only.to.flll the area w(thln the�stem�wall: - If flA materla!�(s to�be used tn anjr area; ( certlfy that .use. of,;such fll! wlll no! adversely afteat adjacent� prope�tles. if use;of filf is#�und�,to adverseFy.�ffect adjaEent��prctpertie.s�.the owner may be ctted for ariolatingE the condllions,�of..the buildtng;permlt�ls'sued�under the�attaofied.,.�ermlt �ppllcatlon;�for=lats�less than.one (1)� acre-wt�la�are etevate�d�by t�11;a�r englneered dralnage plan Is required. • i If I am the,AGENT FOR.THE OYMNER,.Itpromise In good f.atth ta Inform the awner af�the permlt#tng condltlans set forth In1 this affidavtt`pHar to commencing cvnstructlon. '1 under�t�ind thet a,s�parate permlt may be requlred for.electr#ca#'work,�� plumbing,=..signs,wetls�.pools;. air canditioning,.ga,s,� or otMer: instalt`�tions no�.spec�tcatty-induded�in.the application. .A� permlt Issued shall be construed to 6e'�a�Ilcense'�ta�proceed witb tFie:wor'k and�:not-as:authoNty.to.vlolate;.:cancel, alter. ar� sei aside aiiy pravtsions of tlie tectinEcal.cade�;�nor sh�tl tssuance�of a.permit.pcevent the Bultditig O#Ffdal from thereafter� requtrin.g a carrectlon af:errorse In;plans; constFuctlon.or vlalattons bf�any codes. .Every'_p�ermlt�Issued`sliall be6ome invalld( unless the work aulhorized.by such permlt:�ts.coEnmencedwlthln sf�c�m.anths of�permlt lssuanc+�, or If v�ork autharized byi #he permit is-suspended�o�r•.abandoned;for.�a;pertod;of�six:f8}�manti�s:afte�;the tltne the�wo�k�i�commen�ed.. An eactensian� may be requested,.In wrlting;>from.tlie:'B�ullding."Offlclal far a perlod:��ot.to exceed=ninely�(90)�days and wlll demonstrate! �ustlf�able caus�for�#he extens#on. If work.ce�ses..for nlnefy{9�}cons.�cutive day.s,..#he jcb�is cansldered aba�doned. ; . , . • � • , • . . _� � WARNING TU OVkINEf�: YOU��EAIUJRE-.T4..li�.GOltD,A:;.1�QTdGE:QF�CQMME�IGEMENT;M'AY=RESUlT IN YOUR} � PAYtNC�TWICE,I�OR tMPROV�MENTS;?O�,YOUR::PROPERT1f:;�IF�Y0. �IiVTENCt�'TO`�QBTAIN��FINAI�ETNC;�CONSUI.T? � WIT U � D O. � N � O El� FO.Et.��OR�1 ��� .�1 �� --�_ -- — N :' _..,_ __—_ _ ._�; .. _..«�, _ �, ;. .. ': � '�. . , �c,f}iif3r"i,f#AF�A�'(F:S.'P.1T:03 - — , „ � : . � . � OWNER OR AGENT « QONTRAGTO � � � b . tt�ned�erfa �me'�t$. � : ! Y } p rl� lo,.(��""' Who Is/are personall,.kn to.me or has/ha e p duced Who.�are etso allyknou�m�to ' � �� �'.�� �� ? n.a:or haafhave•�broduced -• < < = as Iden$ftce8on. ss Eden1�icaHon. — Not�ry Pubnc . � y Natary Publlc Commisstart No:` Commtsslon.No, , , , Name ot Notaty typed,ptlnted or stamped Name of NoEa�y iyped,p�i»ted or s#smped � ; . � 4 .. 71�'E�}..'� i .'t' _ ' _ , " ' �.Jw,��'t'J`=,��-� v:�Y��� ..�'f,Yl.*,yi '.�'«��b;�):_ � ' 'v:�� :.yz�'t�1 _ R�� _^�j " -. . i. av.:� �,�, �,�';<?r'. ' �ry:���'�,��'t��yy,�• �'�4 il ,- � �f�� "'� -- +: -���� - .., . " .�.VlI�SFiQI��.[L ' ,- � , �-:.�;•_ �; ' .�=��;.�y3�6�l5-�I� �,�'.'=-'� •.. �' ��:�> � : ; :�,�€�+r^,�h�at.,�om '"ji'�'''- ':��riiUK�'!OC 1..3C-�rA�'.18'S�13�T4 - -- ti��.��d � 5 � U� -��: � ���• t 1 - 'Z� — � � «�B�. a�me: .�.�--. 'f C.ty- � ,.f., j.'t���� State: �„_ ZiP: v �ua�,�c� one: I �i - �l �a{ .��--- t�: ' Subm€tt,�b�. Wr�ta�a6y�ubshiltpw:ifrte'�uf»src.lw-a1�mabr�la�:� y "� 7 �' Lf�A��C.lj�l` �-�` w,�j . 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