HomeMy WebLinkAbout18-19381 CITY OF ZEPHYRHILLS
,� � 5335 M 8TH STREE('
($13)780-0020 193$1
BUYLDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permif Number: 19381 Address: 38034 LAWANDA LP
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEQUT Tawnship: Range: Book:
Proposed Use: NOT APPL(CABLE Lot(s): Biock: Section:
Square Feet: Subdivision: WAYWARD WIND
Est. Value: Parcei Number: 14-26-21-0160-00000-015
Imprav. Cost: 4,668.03 OWNER INFORMATION
Date Issued: 2/2812018 Name: SMITH, PHILIP G. {JR}
Total Fees: 65.00 Address: 38034 LAWANDA LP
Amount Paid: 65.00 ZEPNYRHILLS, FL. 33542
Date Paid: 2/28/2018 Phone:
Work �esc: AfC CHANGEOUT 3 TtJN
CONTRACTOR S APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 65.00
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Ins ections Re uired
D TS IN TALL
F�INALS 1NSULA,TE�k t ,�
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REINSPECTION FEES: (c)Wi#h respect ta Reinspection fees will comply with Florida Statu#e 553.80 (2)(c)the
[ocat government shalt impase a fee of four times the amount of the fee impased far the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In aeldition to the requirements of this permit, there maybe aclditiot�a! restrictions applicable to this property that
may be faund 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: Yaur failure to record a notice of commencement may resutt in your paying twice far
improvements to your property. If yau intend ta abtain financing, consult wi#h yaur lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All wark shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEPORE C.O.
NO OCCUPANCY BEFORE C.O.
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ONT TOR SIGNATURE PERMIT QFFI R
PERMIT EXPIRE5 IN 6 MCINTHS 1NITHUUT APPRUVED INSPECTION
CALL FOR INSPECTTON - 8 HOUR NOTICE REQUIRED
PRQTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
• Suilding Department r:�-
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• �4�
Date Received _
• Phone Cantact for Permitting `• �ca"2
Owner's Name I7/`� �/! pwner PhQne Number � '��c��
Owner's Address Q Owner Phane Number
Fee Simplei7itleholder Name p Owner Phone Number � �
t ., �
Fee Simple�Titleholder Address
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JOB ADDRESS �p 7' LOT# E_��
1 �--�
suao�v�sia�v ,��K,��l�� �aRce�.io� /�i'02 a 0 o a o .
a (OBTAINED FROM PROpERTY TAX NOTICE)
WORK PROPQSED e NEW CONSTR 8 ADDIA�T � SIGN Q � Q DEMOl.tSH
� INSTALL �REPAIR
PROROSED USE- Q SFR [� COlt+IM 0 QTHER '. f
TYPE`OF CCINSTRUCTION [� BLOCK • [� FRAME � STEEL Q
DESGRIPTI;ON OF WOROC 4 /� /�'"�✓
BUiF:i)ING'SIZE SQ FOOTAGE HEiGHT •��_�
-a
� } VALUATION`OF TOTAL CONSTRUCTION
BUI�DING � �
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QE�ECTRtGAL $ �� .._ �
AMP SERVtCE Q PFtOGRESS ENERGY [� Vtt.R.E.C.
a
QPI.UMBING L._ �
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MECHANfCAL $ VALUATIQN OF MECHANICA�.tNSTAILATIQN
; ��$. ��
QGAS Q FiQOFING Q BPECIAI.TY [� QTHEf2
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FINI5HED EL.00R EI.EVATIQNS �—� FLOOD ZONE AREA QYES NO
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�.Blitd.DER ; CORIIPANY _ _ . _ - - - - __
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Addre�s � License# � �
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:�'ELEG'fRt,G1AN , COMPANY
.. SIGNi4TURE REGISTERED Y/ N FEE CURRE� Y/N
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� Aidclress Liaense# �� �
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PC�INISER�$. CO{UIPANY
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SIGNATURE REGISTERED Y�/'N " FEE CURRE� Y/N
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. Addre�s • License# � �
`: MECHAIdICAI:. . .COMPANY , / � . � �»
�"SIGNATUREr' ' P'lLQr�J � REGISTEREp , Y N - EEE CURRE�
;c : 4. -
Add�ess4i•- Gt/ O/ License-# ���!",�c�„�u •,
�„:;<<,:T ...
:,.OTNERw '��,:.- � ` ' COMPARIY
�'�'SIGNATURE�:: —= REGISTERED Y/.N FEE CURREK Y/N
J�ddress: - • ' - - ' � License# � W �
'``^RESIDENTIAI._.:� �Attacti.(2}�:Plot"P.lans;`'(2}�sefs-of`Building-Plaris;{1•)`set bfi�Energy,Forrtis;R=O=W.Feiniit,for new.construction, : �' ,
_" �4�°.-�--� -• =-��,Minimum.=ten�_(1Q)y;w,,orking;days:afte�.subrriittal•date.'Requ'ire8`onsite;GonstnictiortPlans;Stormwater Plans w/Silt Fence installed,
�"X ' ,Y...^.P' ..a.. . .-.
�a., - ' Sanitary,Facilities,&�1�ilumpste,r•;a,Site.Wor.ic Permit far:'siabdivisionsiiarge`'piajeats�= - -
:,�<- . . ;. : .- . � _ :.
:�;COAAMERGiAi. Attach(2)`comptete'sefs"of Bualding Plans plus a'L,+fe Safety Page;(1}set of Energy Farms.R O-W Permit for'new constructian.
� ' Minimum ten(10)working days after submittal date. Repuired onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanftaly FaciEitfes&9 dumpster.Site WorEc.Permit fo�-afl�new pro�eats,Alt cammercia!requ�rements must meet comptlance
��SIGN'PERMIT Attaoh(2}sets:of;Engineered Plans::� ' - • �
*"""PROPERTY SURVEY requir,ed for.all NEW construction. .
�=}=- - - - --- -
�`:"Di�ections: � ._.. . • '
'" Rill out.application completely. �
- O.inrner°&�Contractorslgn bac3c af applicatian,natarized
- If over'$2500,a Notice af Commencement is required. (A/C upgrades over$750q)
, "' AgenY{for''the cont�actor)•or Power of Attomey{for'ttie owner}woulif tie someone with notarized letter.from owner autharizing same
�'.;OVER.THE COUNTER,�PERMITfING ,. (copy of contract,required) ' �
`-;Re�aofs�if sliingles Sewers Service Upgrades AJC Fences(PIoUSurvey/Footage) _
Driveways-Not over Counter,if an public roadways..needs�ROW,•.� � -'-- . -. '�=.x- �,. _ , =,
S .,�:.,, t ,,, a•. ,.. � �. . .
• i'i: _ ... • i:t • .. ,ui. . . _ '�`:�..,'..�t�`i, � �
i �� .� i . „� � .-. , � `i:."710' ��
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NOTICE OF DEED RESTRICTIO[dS: The undersigned understands that.this;permit may be subjec;#,to".deed".re'stncti'oris°'3'�� �i
r . _ : ....,,,,,..�. ;,,;. ,�,:�,.,
which:may,be mor.e restrictive��than County r.egulations: Thewndersigned�assumesJr`esponsibility'fo�`�cariipliance with any"" ':;a
applicabie deed restrictions. �" , . • _�a x:�� �.,:��°_�.�:�j ,
UNLICENSED:CONTRACTt3RS AND' CONTRACTtJR RESP.ONSiBiLITtES: =1f-tiie�=owner=has�hired'•��a���cantractor or �;
contractors�to undertaice wortc, they may:be required ta be°iicensed in accordance with state and�local:regu(ations::��lf'ttie�M',:. `�
� . r�:��.._.:�.,>..>.
contractor is nat licensed�as requiretl`�y'lainr, bo#ti the ov�ner:and�canfracfo��r�iay'�be=cited�-fo��,a misdectieanor vio(ation� _- ;�
under state law. !f the owner or intended,contractor are�uncertairt as to what ficensing requlceir;n.eriEs:�may�;apply:fo�;�tt%e;t;;�'=�,-�
intended work,.they=are�advised to coritact�the'Pasco.County_Buittling_ilnspectio�`Diyision_.-=Licensing Section at 727-847- =;�
8009. -Furtherrnore, if the owner has`h1�ed`a contractar ar cont�actors, he is advised to ?have the contractor(s,).::s�gn�,,,�.;,�
portions of the "cantractar Black"of this applicafion.for which.they wilt.be responsib(e.�.tf:.you, as`;tFie'owrier sigri as'�:tlie: ' '�;:t
cantractor., that rnay 6e an indication that he is not properly ticensed and i"s nof erititled�to permitting priviieges,_in�Pasco:,.;. ;�;;
Gounty. � � _ � ., -:��::.<�-a�.,:�
TRANSPORTATION�lMPAC'TIUTILITIES�IMPACT AND RE50URCE REGQVERY FEES:�The untlersigned undecstands
•., .i�t'.'., �.�i:�'::
that Transportation Impact Fees and Recourse.Recovery Fees.may:apply to the constnaction�af;new buildings, c�iange�of����'�:;�
use in existing buiidings„or•expansion�:of'existingfbuildings, as specified in Pasca County Ordinance number 89=�U7 and ' -
90-07, as amended. The undersigned aiso understantls, that such:fees, as'"may.b.e.dwe, wilf�be�identified at>>tiie�,time>of.�����-�w
permitting. =1t is further understood tt�at�Transportation Impact Fees and Resource�Re¢overy.Fees must be paid'.prior to �„
receiving-a "cer#ificate-.of occupancy." or,final,power release. !f the project does nat involve a certificate of occuparicy=oc�.�ar';�
final._power release,._the fees:must b.e.,paid prior.to permi# fssuance. .;Furtliermore, if Pasca Courrty W,,ater/,Sewe,,r:�lFnpact::;r�. ,3
fees are due, tliey must be.paid prior�to perrriit issuance in accordance with�applica�le Pasca�County ordlnarices. �; � � '
CONSTRUCTION LtEN LAW(Chapter 713,"Fiarida Statutes, as amended): If valuatian af wor`k is$2,500.00 or mor.e,�l,.,r- �
.'F.o..,. x
certify that '1, tfie-,applfcant,.have been-provided with a copy:.of the "F(orida Consti�uetion..Lien Law—Homeowner'`s
f'rotection Guide" prepaied�by-ttie fiorida Department of Agriculture and Cansumer AfFairs. tf the app(icant`is sam,eone.,.
other#han the°owne�',.!;eertify�that,L.have obtained a copy of the above describetl'dacument and�prom ise�in,goo,d;faith�to�`;..,
deliver it ta the;"ownec';,.pcior;fo:�commencemerit. � k �
CONTRACTOR'�/OWNER'S AFFlDAVlT; ,I.certify that all the infonmation in this application is accurate and'that all'work
wi(I be done in compliance with all applicable`laws regulating construction, zoning and land�development. Application is
here6y made to-obtain.a;.permit to-do:,work"�and installation as indicated. 1 certify that na work or.installationz has
commenced pr�ar ta issuance of"a permit and #hat all work will be performed to meet standacds of a1( laws regulating �
canstruct9on, County and City codes, zoning regulatians, and fand develapmen# regulations�iri.:the jurisdiction. �=1 a1so�
certify that ! understand that the regulations of o#her government agencies may apply to the intended work, and that iE is j
�
my responsibility to identify what ac#Ions I must take to be in compliance. Such.agenc(es include.but are not limitedkto:
- .Department of EnvironmentaC'Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive �'
Lands,Water/Wastewater Treatmen#. ' °
- Sauthwest Florida Water Management District Weils, Cypress .Bayheads, Wetiand Areas, Altering <
Watercourses. � �
- Army Gorps of Engirieers-Seawalls, Docks, Navigab}e Waterways. �
- Department of Health & Rehabilitative ServiceslEnvironmental Health Unit Wells, Wastewater.Trea#ment,
Septic-�Tanks. '
- US Environmenta) Protection Agency-Asbestos abatement. , ..
- Federal-Aviatian-Authority-Runways.
I understand that�:ihe following restriciions appty to#he use of�It:
- Use of fill is not a!lowed in Flood Zone"V' unless expressly permitted.
- If the fill.material 'is to be used in Flaod Zone "A", it is understood that a drainage plan addressing a �
"compensa#ing volumen wrill be submitted at time of permitting which is prepared by a professiona! en`gineer ��
Iicensed by the State of Fiorida.
- If the fif`material �is to be used�in Fiaad Zone "A" in connection with a permitted building using stem wall
construction, 1 certifythat.fill�will be used only fo filt.the area within the.stem wa1L ±
- If fi!! rnaterial�is �to _be used In -any area, t certify that use af such�fill wil! nat adversety affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited far violatirig
the c6nditions of-:the bnilding;permiY issued under the attached permit application, for lots�less than o"ne (1) � '
acre which are elevated by fitt, an engineered drainage plan is requi"red. '
If I am the AGENT FOR THE t}WNER; i pramise in good faith to inform the awner of-the permifting conditions set forth in �
this affdavit-prior to commencing constreiction: 1 understand that a separate permit may be required for electricalywork,
plumbing, signs, wells, pools, air conditioning, gas, or•other`ins#allations nat specifically included in the applicatian: A , .
permft issued shall'be construed�to`�6e a license:to,proceed with the work and not as.authority.to v�olate, cancel, alter, ar
set aside any provisians of tfie`technical cades, nor shall issuance of a permit prevent the Building Offcial from ther',eafter
requiring a carrec#ion of errors in plans;�•construction or violatians of any codes. Every permif issued shall become invalid
untess the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by�
the permit is suspended.or abandoned-for a perPad..of six{6}months after the time the woric i��commenced. An extension
may be requested, in writing, from the Building Ufficial for a period not to exceed ninety(9Q) days and witt demoristrate
justi�able cause far the extension. .lf wark ceases for ninety(90�consecutive days,the job is considered abandoned�
i
WARNtNG TO OWNER:- YOUR FAiLURE TO REC.QRD,A NOTIGE OF C.OMMENCEMENT MAY�RESULT IN YOUR
PAYfNG TWIGE'F062:tMPRO1tEMENTS TO YOUR<�PRt3PERTY..:iF YOU;..INTEND�TO�OBTAIN FINANCING, CONSULT __ � _
�4flTH Y��R_d.:1��1���t-+1�Rj�"�A�l�'TO�N�Y����R����s��c�i�i��"��?�F2 iVt37'� � `GOlVIMENCEME T. �
FLORIDA JURAT(F.S.11�3) � ' .
OWNER OR AGENT v� C.ONTRACTO
SI�.scriyb�and swom o(or a rmed)before e thls Subs ribe pd wom to{or affirmed).before me thi � .
��l12?�;�r�� bY _sxt��bY
ha is/are personally known to me or haslhave produced � Wha islare personally knawn to me ar haslf►ave produced � �
as IdentlficaBon. � ,� as identification. �
�����+ara����� ' Notary Pubtic ~ � Notary Public
Com ission Np. � � Commission No.������
-2.�,� t�'/ l� ,
Name af Notary typed,printed or stamped Name o
'sbU�.
�;�;..,�•�,,,D�BRAELAWE RUFFELL
��;�!1,6"�� p�gRq EtA1NE RUFFEl� :Comm9ssion#GG 045843
j,s, �;`'� ��'Cammlasion#GG 045343 �-�..�yT�%�Expires November 7,20?0
�= ��'��,�,:ExpiresNovember7,2620 ���,toi"v�t4Pr �ondedThruTroyFainlnsurance800-385-7ot9
.:°;,4, i3sn'�dThNTroyFairil�uulance804-38r70i9
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� 3481
�= CHRIS' A/C � �
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, = C O M P A N Y
CAC05857� � '
DATE: � /�/ � 1 v
TO:
NAME: �� ��L-� �L�0�'I�j Jr�i � �`7 PHONE#: �`-3- �7 g � Z �
ADDREss: .3�0.�S� �-'4"��'"�� � Lvv �
CITY: ���TiY�� `I-I STATE/ZIP: l2l 3 �� Z—
FURNISH AND INSTALL THE FOLLOWING EQUIPMENT AND MATERIAL.
�dl.c7 (900�0• !.s%/}"%' , ��� , .�F/�L ��vL (' G✓o2�- 7J C� ��i /ZE"/Lt ov E �xiJ%/.v�
�4�i v;�.�r� �� �v� ��.�.C �-� �.��.�c�-- �v �r<<s��� C /�vc��r � � I e G �,-� c
%����r�� �--i�l�/�'(/! � % . S /i� �
�Y�'1�' E t�Ll, ���,`��tfLS
�/y1�.-t�-.� S l.Q,v�,e-+=D '
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� ?,oC�o v S��c� ��J��,�r �(� �. a 3 �
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STYLE AND SIZE AHU BREAKER STYLE AND SIZE COND.BREAI�R
�YEAR COMPRESSOR PART WA,FtRANTY j�YEAR LABOR WA,RRANTY ON EQiJIPMENT ONLY
�d YEAR EQUIPMENT ONLY PARTS WARR.ANTY
PRICE: $ . Price good for 30 days
PAYMENT: � � � � UPON COMPLETION 50%a ROUGH IN 50%UPON F1NAL DR.AWS
SELLER RETAINS TTTLE TO EQUIPMENT/MP,TERIALS UNTIL PAYMENT IS MADE.IF A PAYMENT IS NOT MADE AS AGREED,SELLER CAN
REMOVE SAID EQiJIPMENT/MATERIAL AT SELLER'S EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE TI-IE
RESPONSIBILITY OF SELL•ER.BUYER WII,L BE SUBJECT TO RESTOCHING CHARGE IF JOB IS CANCELED.
AGREED
CHRIS' DATE ���
BUY�R � C � � DATE � Z� ��
FAX: 352-521-3393
12232 US HWY 301 DADE CITY, FL. 33525 LAKE COITNTY 352-508-5614
EMAIL: CHRISACCOMPANY@AOL.COM DADE CITY 352-521-4977
ZEPHYRTi�T LS 813-779-9515