HomeMy WebLinkAbout18-19706 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19706
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19706 Address: 4772 SILVER CIRCLE
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: CHALFONT VILLAS
Est. Value: Parcel Number: 15-26-21-0190-00000-0250
Improv. Cost: 7,424.00 OWNER INFORMATION
Date Issued: 5/17/2018 Name: LONG DONALD SR & LONG NANCYLONC.
Total Fees: 80.00 Address: PO BOX 286
Amount Paid: 80.00 CRYSTAL SPRINGS, FL. 33524-0286
Date Paid: 5/17/2018 Phone: (841)441-6606
Work Desc: A/C CHANGE OUT 2TON
CONTRACTORS APPLICATION FEES
COOL TODAY A/C CHANGEOUT 80.00
UI� V
DUCTS INSTALLED Ins ections Required
DUCTS INSj&ATjED_
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.
ON RACTOR SIGNATURE PERMIT OFFItXR
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 Application Fax-813-780-0021
Building Department
•d'
Date Received _
.. -. . . . j Phone Contact`.for Permitting° q .2(.O P704
Owner's Name Q ! D0 aA d Uo bN o Owner Phone Number ,
Owner's Address I P(,) a� arldl Owner Phone Number
Fee Simple;Titleholder Name.' n� t Y e-c-o A Owner Phone Number
Fee Simple;Tltleholder Address' S 1 velr E r' C �4rL U s EL 335
JOB ADDRESS 1 V Cwele, Zvy6, LOT#
SUBDIVISION G 141 t I I S PARCEL ID#: .
(OBTAINED FROM PROPERTY-TAX NOTICE)
WORK PROPOSED NEW CONSTR' ADD/ALT 0 SIGN 0 = DEMOLISH
ElINSTALL REPAIR
PROPOSED.USE '" SFR = COMM = OTHER
TYPE':OF CONSTRUCTION' BLOCK 0 'FRAME = STEEL =
DESCRIPTION OF WORK g av A.C
s 2
BUILDING§IZE SQ FOOTAGE • HEIGHT
BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
ED'ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
94b4
=;GAS 0 ROOFING. = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
.BUILDER COMPANY
SIGNATURE REGISTERED Y-/ N FEE-CURREN LILN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N , FEE CURREN Y/N
Address' License"#
P,LUMBER.i; COMPANY
SIGNATURE " REGISTERED Y.-/ N. ` FEE CURREN
Addr®gs � License#:.
MECHANICAL COMPANY, l:0 1 to
SIGNATURE REGISTERED -Y N . FEE CJJRREI, L 7 RN
Add r®ss, 6 3g License.# .c tCi �
,:OTHER;° ' .. . `COMPANY•
SIGNATURE;,:, REGISTERED Y/.N FEE-CURREN Y/N
License#
;RES1DENTIAL,a.. ,Attacks 2 '�PlotP 2 - F T` R=Q=T .Permit'i newconstuctlon,sssBd
Minimum ten(;10)#.oiking:daystaftee sutimittal;iiate:,'Required<orisite;Gorstruction:Plans,Stormwater Plansw/Silt Fence installed,
Sanitary F.;acilitiesM&1dumpster;;SifeWork:Permzt for;§ubdivisionsQarge projects'
COiNMERCIAL Attacli`(2)complete sets`of`Bu""tlding.Plans plus a'Life Safety Page;(1)set of Energy Forms.R-0-W Permit fornew constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed,
Sanitary Facilities&`1 dumpster,Site Work Permit"fo�all:new"projects.All commercial requirements.must meet compliance
'SIGN;:PERMIT AttabFi'(2)setsolE6gin (Plansi i,>-•_-
""PROPERTY SURVEY required for aILNEW,construction.�
-•,Directions:
Fill-dutapplication completely.
owner8�Contractor sigmback of application;notarized. :`
if over:$2500;a Notice.of:Commencemehf Is required: (AIC upgrades over$7500)
`tFie contracto�)�or,Power�of-Attomey(for the owner)wouid`tie someone with notarized letter from owner authorizing same
Agent'(fo�
;OVERTHE COUNTER;PERMITTING'.. .,:,"--.(copy-of:contract.required)
Reroofs if ngles ^Sewers .Service Upgrades A/C . Fences(Plot/Survey/Footage)
:Driveways-Not over Counter if on public'�roadii y.s.r"7 ROW
NOTICE OF DEED RESTRICTIONS:. The undersignedunde.rstands.that,•this;permit.may..be_subject<to:`,deed";restnaf;'ots'`.•.
whiph:;m,be.riiore restrictive:.thin Court#y:.regtiiations The�un ersigned assumes�respotlsiblRy`for lbofn I rice wi#ii:any
applicable:deed restrictions.
UNLICENSED::?CONTRACTORS AND'•COI4TRi4CTOR RESP;ONSIBlLITIES if the>owner` has t red-a contractor or
contractors to undertake work;th°ey may be;required Ito be�l!censed !n accor..dance With.state;and:iocal regulations!.�•�If"athe�� '
contractor.is not'licertsedtas:required'by.'lavr; both:the owner -and'eo- ractor may.be cited far a misdemeanor violation: .
under state law. 1f the owner or.intended-;rcontractor•are-uncertain as.-to-what:licensing.requirement8f='C!y.:apply;forth°e
intended work,.they::are-advised`ta cahePco Cun ''Bicgl oiDson ;Licensing Section at 72?ot ,yuin ` nsp ( vi
8009. Furthermore, •if the owner has" ired°-a"contractor or contractors, he is advised to_'have
portions of the "contractor Block"of this application-.for which they.will.be•respo_nsible.--:lf„you, as,the owner'sign:as Jttie
contractor.;-that may bean Indication 1hit he-is not properly licensed and!s not entitled"to permitting privileges
County.
TRANSPORTATION-IMPACTIUTILITIES-,IMPACT ARID RESOURCE RECOVERY FEES:The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees°may.apply to:the.construct ion-.of..nevr:6uiirlirigs,°changeof°
use in existing build'iings,.,or-,expansion 6f.;,6k_sting buildings, as specified in Pasco.County Ordinance number-89'07'ar d I'•
90-07, as amended. The-undersigned.also understands,,that such-.fees, as;:may-.;be due,,will'be Identitiedr-'at�Atye
permitting. It is further understood that Transportation impact Fees.and Resource`rRecovery.Fees must be paid prior to
receiving a-ucertificate of occupancy" or final.power release.. if the:project does nottinvoive`a"certificate of.ocoupan`cyDor-`-
final;:pawer release;;the fees.must be,pald prior to permit issuance...*,Furthermore, if:.Pasco County 1"ter/Sewer
fees are-due,-they,-.,must.,be_paid prior to permit issuance in,accordance wlth:applical3le:,Pasco County ordinances.
CONSTRUCTIONfiIEM LLAW(Chapter7l3 Florida-Statutes,asamended): if valuation of work is$2,500.0.0�or.,more,.i�::,,--.
certify that 1, -the.-applicant, have been provided`with a.copy,:_.of;the "Florida Construc#ion-l:len Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer-Affairs. If the applicant;is;someone ,.... .
other than the"owner",;! certify.that Lhave obtalned`a copy of the-above described'diicurrient`and prorriise in:good;fa th ao,.;..:
deliver.itto-the 6o er°•:prior-to:commencement:` '
CONTRACTOR'S/OWNER'S AFFIDAVIT:==:J<certify#heit•'all the information in this application is accurate and-that ail Work
will be done in compliance with all applicable'laws regulating construction, zoning.and land-Aevelopment. Application;is
hereby made to obtain a.permit to-'do:work in8..Installation.as'indicated. I certify that no .work or,instailation`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. -1-tils6
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 llmitedao:.
- Department of Environmental"'Protection=Cypress Baylieads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment. ?;
- Southwest Florida Water Management District-Wells, Cypress .Bay- he' ads, Wetland Areas, Altering
Watercourses, a
- Army Corps of Engineers=Seawalls, Docks--Navigable Waterways. '.
- Department:of,Health &,Rehabilitative _Services/Environmental•;Heaith, Unit-Wells,:Wastewater.Treatment,:
Septic-Tanks: ..
- US Environmental Protection Agency-Asbestos.-abatement.
Federal Aviation:Authorlty-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 Zane "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 "A" in connection with a permitted building using stem wall;
construction, 1.certifyahat fill'will'be used only to fill the area within the stem wall. i
• 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 maybe 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�Vpromise,in.good faith to inform the owner of..the permitting-conditions set forth in
this affidavit prior to.commenciitg construction. .l:understand,that,,a.separate permit may be required for electrical-work,;
plumbing, signs, wells,,pools, air-conditioning,.:gas,..or othe&?installations not specifically included in the application. X. i
k'r
permit issued shall`-be-construed to=lae`a ilcertseF'to proceed rivlth"tile 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=. tans;construction or violations of an :'codes.
q g p ` y -Every permit issued'shail-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.ekceed ninety (90) days and will demonstrate
justifiable cause for-the extension. If,work ceases for ninety(90)consecutive days,the job is.considered abandoned. Y'
,
WARNING TO'.OWNER;. YOUR::.FAiLURE,TO.,RFECORD A.NOTICE OF COMMENCEMENT MAY,RESULT-IN YOUR
PAYING TWICE.'FOR,iMIROVEMENTSTOYOIR-PROPERTY. .IF YOUaNTEND`TO OBTAIN-F N :NCiNG;'CONSULT :
WITH YOUR`LENDER OR AN ATTORNEY BEFORE`RECORDING YOUR NOTICE,OF°C
FLORIDA JURAT• F.S.t 17_033)OWNER OR AGENT CONTRACTOR
Subscribed and-sworn to(or affirmed)before me this Subscribed and Kwoomned)before: a fhIs
by
Who islare personally known to me or.has/have produced eWo is/are pe I own t0ne:%fle produced
asidenUficadon. �ctt6ration.and !�(
,c kNded
spires:illlatlA21l,2022Notary' Public �'� � r �Am N0Wy
Y Notary Public'
ommission No. Commission No. Q G VR t�t�b3 t
ame of Notary typed,printed or stamped Name of Notary typed,printed or stamped