HomeMy WebLinkAbout18-19640 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19640
BUILDING PERMIT
PERMIT INFORMATION LOCATION-INFORMATION
Permit Number: 19640 Address: 6741 ORLO 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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-0700
Improv. Cost: 4,633.00 OWNER INFORMATION
Date Issued: 5/02/2018 Name: MILLER BEVERLY J
Total Fees: 65.00 Address: 6741 ORLO DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-1889
Date Paid: 5/02/2018 Phone: 813-780-9345
Work Desc: A/C CHANGEOUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
DUCTS INSTALLED Ins ections Required
DUCTS INSULAT D
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 OFFIgOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
St3-780-0O20 City of Zephyrhills Permit Application Fax-813-780-0021
Bolding department.
Date Received Phon e contact for /3Al—i
I
OwneYs Name` ! � ev.. Owner Ph-Number
Owner's Address �/Q. . Owner Phone limber,
Fee Siniele Tttlaleelder laarrie' - Omw Phone Namber, 1
Fee Simple Titleholder Address
JOB ADDRESS LOT# !
SUBDrots ..� PARCEL,i i PS-.26-`2.A -44VO=02'
... ... (OHrANM FROM PROPERTY TAX NOTICE - ..
WORK PROPOSED NEW CONSTlt ". ADD/ALT SIGN 0. r DEMOLtSH
e" INSTALL. REPAIR .
PROPOSED USE SFR Q COMM 0' OTHER
TYPE OF CONSTRUCTION- BLOCK': FRAME,. STEEL Ir
DEscRIPrtIOFYVDRK : G onleN 3 r f
BUILDING SIZE .SQ FOOTAGE HEIGHT > I
QBUILDItJG., S VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE Q PROGRESS ENERGY Q W.R. . . I
ELECTRICAL EC
-' S
=PLUMBING $ R QJ
I
GAS VALUATION OF MECHANICAL INSTALLATION
NAhIICAL $ LJj r1 . J,
0 ROOFING SPECIALTY OTHER•... t
I
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES^ NO
I
BUILDER COMPANY
SIGNATURE REGISTERED, YIN FEE cuRREr, Y/N
-�Address - License•#� !
ELECTRIC}AN' COMPANY
SIGNATURE REGISTERED I Y/ N FEE cuRREA L.XLN J
l
Address tjcerhse# I
{
PLUMBER
SIGNATURE F7 cieoisT6zEo." Y/N - -
. _ .. FEE CURREA Y/N
Address License#
MECHIi411CAt h��_ �I ` CO En MPANY 7 ��-971
�,
SIGNATURE I InC �i(GtJ� RE61EA "'. Yd N•- FEECURREn I YIN
Address rill '_ .h i fS:3 / :license#.��. 3�2r 8
OTHER COMPANY -
SIGNATURE REGISTERED Y I N ]!FEE cURREn Y/N
Addrhtss - License#(�---
I
1 fl l l 11.1'-fl I:1:1 11 111 I I I G,1 1'1^I 11.111 1 1.111 11,1.11 I-UI 11:•11 11,1 11,1 11 1.1 I A 11.I I l i
RESIDENTIAL 'Attach(2)Plat Plans;;(2),sefs of&tiklghg Pians;(1}set Emetgy Forms;R O W Permit for new construCtica.
Minimum ton(10)vkxWng days•after submittal date.`Required onsite,`Constructioii Plans;Stormv+aier Plans w/SIR Fence.insialled;
Sanitary Facilities&1 dumpster;Site Work Permit for subdiviswnsifarge projects
COMMERCIAL Attach(2)Complete sets of Building Plans,ptus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
tam WmIm ten(10)w+oimtg days attar subrniltal date..Required onsite.Conshustion Plans..Stomewater Plans w/Silt Fence instalw, -
Sanitary Facilities&1 dumpstat'.Site.Work Permit for all now projaats.All commercial requirements must meet compliance
SIGN PERMIT Attadi(2)sets of Eegineered=Plans.
PROPERTY SURVEY-required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign.back of application,notarized.
If over$2500,a Notice of Commeneetnent is required. (AIC upgrades over$7500)
Agent(for the dorrtracta)or Power of Attomey(for the OWTW)would be someone with notarized tatter from owner auf wftng same
OVER THE COUNTER PERMITTING (copy ofcontract required)-
Reroofs if shingles Sewers SeMce Upomdes'A(C Fences(Picusurvey/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"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:- If the owner hag hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a'misdeirneahor '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 1 rispection Division—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 the owner 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,change of
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,will be identified at the 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 Impact
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$2,500.00 or more,I
certify that 1, the applicant, have been provided with a.copy of-the "Florida Construction Lien Law—korneowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I 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'SIOWNER's AFFIDAVIT:A certify that all the Information in this application is accurate.and,that'all work
will be done in compliance with all applicable laws regulating construction,zoning and id land development Application is
hereby made to obtain a permit to do Work and installation as indicated. I certify that no Work or installation 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 ServiceatEnvironmentat Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Astiestos 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-V"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 Zone"K 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 installations not specifically included in the application. A
permit is'sued 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 any codes: 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 exuan51011
may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and wily 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 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.
FLORIDA JURAT(F.S.117 03)
OWNER OR AGENT CONTRACTOR
110 and sworn to r rmed b Vitsc&e0al mto( rmed 13
Who5s/are rsonally kno to me or has/have produced Who isla 9personally kno to me or has/have produced
as identification, as identification.
Notary Public 4L����.N.taryPubli.
U
Qmmission No
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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~ WORK JRDER#/
Sales, Service & Installations
4441All Zephyrhills, FL 33541 M 00
/' ,� ` � //
� �,c 7,� DATE/TIME PROMISED
NOTEG� '
CU�TOMER#/LOCATION 13560
u9 �HONE� 813-780-9345 H
PH0NE2�� 6N7-398-8421 � e��'
ROUTE/SM. MAR
NILLER, BE�ERLY NILLER, BEVERLY
�,74I ORLr] 0R 67�1 �9LO DR
VALLEY AL�
Z[PHYRHILL5 F|- 335�2 �EPHYFU�ILLS FL33542
PCC36CN2E, 02041Q459l
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