HomeMy WebLinkAbout18-19459 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 9459
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19459 Address: 4546 BLOSSOM BLVD
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: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-017D-00500-OOCO
Improv. Cost: r-Oo
OWNER INFORMATIONDate Issued: 3/20/20� Name: BRADLEY VERONICA
Total Fees: 65.00 Address: 4546 BLOSSOM BLVD
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/20/2018 Phone: (813)779-2368
Work Desc: A/C CHANGE OUT
CONTRACTORS APPLICATION FEES
SONNY'S DISCOUNT APPLIANCES A/C CHANGEOUT 65.00
c
Ins ections Required
DUCTS INSTALLED
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.
y J
CONTRACTOR SIGNATURE PERMIT OFFICOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021
Building Department
Date Received Phone Contact for Permitting 1(
.................... .
Owner's Name 0 1."Iil Owner Phone Number 31Z
Owner's Address 5$-0 Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 143/01 so— Y301 G LOT#
SUBDIVISION )370-"f PARCELID#1 0��O —5VZ D)
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONsTRR ADDIALT SIGN DEMOLISH
e INSTALL 'REPAIR
PROPOSED USE Q SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK FRANE 0 STEEL
DESCRIPTION OF WORK owf
BUILDING SIZE F_ I SO FOOTAGE HEIGHT
.......... ................
=BUILDING 1$ VALUATION�OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
[-----MECHANICAL J$ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING F__1 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_J-
Address License,#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License J
MECHANICAL' COMPANY
SIGNATURE' REGISTERED FEE CURREN LKLN J
Address License# FOar,lz*,�5Z
OTHER' COMPANY
SIGNATURE., REGISTERED 1 . Y/ N_J FEE CURREN
Address License J
,RESIDENTIAL Attach(2).PlbfPlans,(2).Sets bfiBuilding"Plans;(1)set of Energy.Forms;R-O_W Permit.for new.construction,
.Minimum ten:(110)workin6 days after subm ittal.date. Required onsite,Construction Plans,Storriwater Plans w/Silt Fence installed,
Sanitary Faciliti-es:&.1durn pster;Site Work.Permit for subdivisions/large projects
COMMERCIAL Attach,(2$complete sets of Buildlrig'Plans plus' a 'Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.-
----Minimum ten(10)working days after submittal:date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster.,Site Work Permit for all new projects.All commercial requirements must meet compliance
'SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
.............
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2600,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(16r"the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of,contract required)
Reroofs if shingles, sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands.that this;permit may be-subject to"deed"'restrietJ6 s°,_ `
which:maybe more restrictive.than County regulations..The undersigned'.assumes`'responsibility`ft r,cdmpliance.,with any'
applicable deed restrictions. ,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the•owner has',hire' d'a-contractor.or
contractors to undertake work, they may be required to be licensed in accordance,with state and'loca! regulations:--4If:,the
contractor is not licensed as required by law, both the owner and contractor.rnay`=tie cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements-:may.:apply for.the
intended work, they are advised to contact"the'Pasco County Building Inspection'Divisian--Licensing Section at 727-847-
8009. Furthermore, if the owner has hired-a -contractor or contractors, he is advised to''have the contractor(s) sign
portions of the "contractor Block" of this application-for which they will be responsible. If you, as"tf ee,6Wner sign as>the
contractor., that may be an indication that he-is not properly,licensed and is"not entitled to permitting privileges in.Pasco
County.
TRANSPORTATION IMPACT/UTiLITIES.IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees,and,Recourse Recovery Fees may.,apply to the construction of new,buildings,.changeeo-
use in existing buildings, or expansion of existing buildings, as.specified in Pasco County Ordinance number:89=07 and
90-07, as amended. The undersigned also understands, that such fees, as-may be.due, wilt be identified atrthe time-of-
permitting. it is further understood that Transportation Impact Fees and Resource.Recovery. Fees must be paid prior to.
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy:or-
final power release,-the fees-must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Kfmpaet
fees are due, they must be paid prior to permit issuance in accordance with'applicable,Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,50Q.00--or more,-I,
certify that 1, the applicant, have been provided with a 'copy. of the "Florida Construction Lien Law- Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant,is someone..
other than the"owner", 1 certify that I have obtained a copy of the above described document and promise,in good faith to.
deliver.it to the°,owner".prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: .i certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws'regulatfng construction, zoning and land-development. Application is
hereby made to obtain a permit to do.work-and installation as indicated. I certify that no work or installatidnm has
commenced prior to issuance of a permit'and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. i`also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks', Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone''unless expressly permitted.
If the fill material is to be used. in.Flood Zone "A", it is understood 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.
If the fill material is to be used in-Flood Zane "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
if fill material is to .be used In any area, I certify that use of such fill will not adversely affect adjacent.
properties. If use of fill is found to adversely affect adjacent properties, the owner may be.cited for violating
the conditions of the building permit issued under the attached permit.application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If i am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a,separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning,,gas, or other insfallations not specifically included in the application. A
permit issued shall be construed to'be a license to proceed with the work and not as'authority to violate, cancel, alter, or
set aside any provisions of the.technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of anycodes. Every permit issued shall become invalid
unless 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 period of six(6) months.after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. if work ceases for ninety(90)consecutive ,b�EN
the job 1s considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU.-IN TO OBTAIN.FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURE OF COMMENCEMENT.
-- FLORIDA JURAT(F.S.117.03) - - - - - - -- - -hy
- - - -- - --
OWNER OR AGENT CONTRACTOR _
Subscribed and sworn to(or affirmed)before me this Subscribed and sworA to(or affirms b fare me this
by by
Who is/are personally known to me or has/have produced Who Ware personally known tome or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
10651 Hwy.301
Dade City,FL 33525
C (352)567-6224
1`J Fax: (352)521-5980
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Appliances Since 1959 sonappl@tampabay.rr.com
www.son nysappl iances.net
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TO HOME 'may/27— e CELL 0 HOME CELL
DATVOF OVER CALL FIRST C.O.D. CREDIT CARD COMMERCIAL CHG. FINANCE CO. NEXT PURCHASE SALESPERSON
TY INT. MODEL NUMBER AND DESCRIPTION SERIAL NUMBER AMOUNT
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ALL SALES ARE FINAL DEPOSITS NON REFUNDABLE Notes: INSTALL
TERMS AND CONDITIONS HEREBY ACCEPTED. TERMS: A FINANCE CHARGE OF
0.0493%PER DAY WILL BE ASSESSED ON ALL UNPAID ACCOUNTS AND ARREARS.
ANN UAL PERCENTAGE RATE OF 18%.ALL MERCHANDISE REMAINS PROPERTY OF DELIVERY
SONNY'S DISCOUNTAPPLIANCES INC.UNTILPAIDINFUUANDSTANDASSECURITY
FOR THE OUTSTANDING BALANCE SHOULD IT BECOME NECESSARYTO PROCESS
SAME FOR COLLECTION.IAGREETO PAYREASONABLEATTORNEY S FEEAND COST SUBTOTAL
OF THIS COLLECTION FOR SONNY S DISCOUNTAPPLIANCES,INC.
Received by. TAX
All oialms and returned goods MUST be accompanied by this bill. CT: TOTAL 0
TERMS AND CONDITIONS ACCEPTED.MERCHANDISE RECEIVED IN GOOD CON-
DITIONANDALLPROPERTYLEFTINGOODCONDITION. CT DEPOSIT
Received by: ICT BALANCE DUE o,�7
WHITE-ORIGINAL YELLOW-CUSTOMER PINK-DELIVERY GOLD-SALES No: 126510