HomeMy WebLinkAbout18-19750 CITY OF ZEPHYRHILLS
5335-8TH STREET
- � (813)780-0020 197�
BUILDING PERMIT
PERMIT INFORMATION LOCATION-INFORMATION
Permit Number: 19750 Address: 6753 LUM 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: 03-26-21-0170-00000-0370
Improv. Cost: 4,128.00 OWNER INFORMATION
Date Issued: 5/29/2018 Name: NICHOL MADALYN
Total Fees: 65.00 Address: 6753 LUM DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-1841
Date Paid: 5/29/2018 Phone: 813-782-2332
Work Desc: A/C CHANGE OUT 2 TON PKG UNIT
CONTRACTORS APPLICATION FEES
CHRIS'A/C COMPANY A/C CHANGEOUT 65.00
DUCTS INSTALLED Ins ections Required
DUCTS INSULATE
FINAL
L
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.
�/ &-, �07
CONTRACTOR SI ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION.- 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
01 J-f tsu-uuzu ,% Carl Or Gepnyrnins Permit Application rax-aia-fov-""`'
i Building Department
Date Received 1.Phone Cobtact'for Permitting • —'
Owner's Name Owner Phone Number
Owner's Address C, Owner Phone Number
Fee Simple;Titleholder Name - Owner Phone Number
Fee Simple{Titleholder Address
JOB ADDRESS 7 LOT#
SUBDIVISION PARCEL ID#.O d I D 0600 0 .0 O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR' ADD/ALT 0 SIGN 0 = DEMOLISH
INSTALL R 'REPAIR
PROPOSED.-USE _ SFR COMM OTHER
TYPE`OF CONSTRUCTION = BLOCK - 0, FRAME = STEEL Q.
DES CRIPTIIONOF WORK
BUILDIPIGSIZE SQ FOOTAGE ' HEIGHT' .
=B.UILDING $ VALUATION'OF TOTAL CONSTRUCTION .
MErLECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
,
QF,LUMBING $
MECHANICAL $ ® VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i
i
-- ..BtJILDEFi i COMPANY-- — - — - -
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# ;
;ELECTRLCIAN. COMPANY
SIGNATURE REGISTERED I Y/ N ,., FEE�CURREN LILN
i
Address - License#
' :PLUMBER.>.. 'COMPANY ..,
>''SIGNATURE ' REGISTERED Y/-"N,, ' FEECURREN ' " Y/N.
Address Licerise
Af
MECHANICAL' / cOMP.ANY.. "
.'SIGNATURE'' / G REGISTER:ED / N FEE: EN: -. N
:., _
Address=r'-, az S O License*
"OTHER: =z::;...,,. COMPANY
SIGNAT�U.REa, .. REGISTERED Y/.:N FEE-CURREN Y/N
t ,
Address ,:• r;, ;*:.. License#
-`RESIDENTIAL' Attach 2.tRlot:Plans° 2•-sets'ofBtiildir 'Plans 1 set of Ene" 'Forms R-O=W Perrrilf ornew.construction
-y�:j.Minimurri,;ten,(r1Q)sworkmgl.day$aftersubrFiittal2date:'Required'onsite;'Constriiction4Plak Stoianwater"Plans w/"Silt Fence installed,
�...r ..a
} Sanita Facllitles&1 dum ste,Sits Work°Permit for-sutidivis'ions/la e;• ro ects
COMMERCIAL Attaoh',(2)-complete`sets'of"661066 Plans plus a LNe Safety'Page;(1)set of Energy Forms.R-O-W Permit foenew construction.
Minimum_ten(10)working days after submittal date. Required onsite,Construction Plans;Stonnwater Plans w/Silt Fence installed,
Sanitary Facilities&.1 dumpster.Site Work Permit for•all-,new projects.All commercial requirements must meet compliance
SIGN•PERAHIT Attaoh='(2)sets of Engiii-4 Plans: :=
'." """PROPERTY SURVEY.required for.all,NEW construction,.•'
>aDirectlan's:
E(Iliout;application completely.
' Owwner:&"Contractor,sign:back of application,notarized
If over.$2500;-a Notice.&f Commencement is required. (A/C upgrades over$7500)
. . t(fo�the'}costractor)or Power.'of Attorney(f6r'tfie owner)would-tie someone with notarized letter from owner authorizing same
Agen
OVER;THE;COUNTER„PERMIT7ING:• ,,(copy..of contract-.required)'
;'.,Reroofs if sliUigles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
:Driveways-Not over Counter if on pdblic'e&dik ys rieeds'ROw-
NOTICE OF DEED.RESTRiCTIQNS: The•Und6rsi "ne.d,understands:that:;this,permit may„be.suojectrto'"deeij'�,rd§tricti,t7l�,,`-
whlch riiay be rtiore.restrictnre thanf;Gount}r regulafio`ns The undersign rassumes-responsibitifjr$for`comptiance`wiffi`any
applicabod::deed restrict"ions: {
UNL(CENSEI1.'CONTRACTORS ND"A CONTRACTOR RESP,ONSiBILI'TIES: - If=tk e>ov�rrier'�t as-�F iced°a contractor or
to undertake work;they rnayrequired_to be=licensed--In accordance with.stateandi,local;r�egulatioras
contractor.1s,not"licensed as:_required"by.iaoi%'`both the own.er':and``contractor-l"y bye�clted$forla misdemeanor violation-.,.:...°{
under statelaw, if the owner.or`:in#ended;contractoc.are uncertain as.to what>iicensing regutertentsinay=xappiyforrti'e::
intended work,-they are advised to eon`tact`tlie'Pasco,Courity 9 iiidi ig.lnspectlori'Derision=l.ieensing.Secfiori at 727=847=
8009. •Furthermore, 'if the owner as- ire! a contracior or contractors, he`is advised to ihave the,..contrac tor(s).r;4sign-
portions of the "contractor Block of this application;for which--they.,will be,responsible if you, as.,"tl a°owner`'sign a" ttie°`
contractor, that•rhay be an indication thatfie is not properly`licensed and:is not entifled:fo permitting polyileges„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
use in existing buildings;}or expansion of:existing'buildings, as specified in Pasco County Ordinance number•89�07 rand 7 ,
90-07. as amended:: The;undersigned:also.understands,-:that such,..fees,,askmay-be.due, will 1*.Identified`,at the= ime of-:-
permitting. It !s'further understood that Transportation'Impact Fees`'and Resourc6 Recovery_Fees,must be paid pllor to
lr..
receiving a "certlficateYof occupancy" ar final power release: °If the':pToject.does not lnvolve'.a'certificate of occupanpy'orf
final'power release,,,,ti e:-fees.must be;paid prior to permit issuance..,Furthermore,.if Pasco County Water/S:ewer;impact a '
fees are AU6,-th6y.must_be:.paid prior to permit'issuance.in;accordance with'appiicable,Pasco County ordinances.
CONSTRUCTiON'I IEN=L.AW(Chaptet713;;Florida Statutes,as amended): If valuation of work is$2,50.0:00:_or,mor;,e;t1 -,
certify that 1, the applicant, have been-, provided with'--a-copy,:.of:the "Florida Construction, Lien-:Lave=Homeowner's
Protection Guide" prepared'-by-the Florida Department of Agriculture and Consumer:Affairs. if the applicant'is;som.done..,.
other than the"owner",.I Certify that l.,have obtained a copy of the above descriR;ed:`document:and pr�omiseA in.good'Jai#h;to..-
deliver.it,to'the:".owner"priorto ctammencement:
CONTRACTOR'SIOWNER'S AFFIDAVIT:,],Wrtifythat all the information in this application is accurate and-that all`work
will be done in compliance with all applic6bI616ws regulating construction, zoning,and land.development. Applicatidn,is
hereby,made to.obtain;.a;.permit,-to;do.-,work-and. installation.as`'indicated. 1 certify that no-work or-.instatlationz,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. A-,,also
Certify that I understand that the regulations of other government agencies may apply to the.!n#ended work, and that'!t 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�`Rrotection-Cypress Bayheads, Wetland Areas'and Environmentally Sensitive
Lands,WaterMastewater Treatment. f
Southwest Florida Water Management District-Wells, Cypress .Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Englneer&=Seawalls,Docks;'Navlgable Waterways.,
Department._of;Health,„&,Rehabilitative. Services/Envir,onmental .Health•.Unit Wells,:Wastewater.Treatment,
Sept'WT= antis.:. .. . -
-a = US-Environmental-Protection Agency_Asbestos.abateirient.
Federal Aviation;Autharty-Runways.•
I understand theit.th.d following:restiictions apply to the use of fill:
Use of fill is not;allowed in Flood Zone"V"unless expressly permitted.
if the'fill°mateaa. as'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:tiy-the.Stat.e of Florida. .
if the fill'material is:to.be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, !.certify that-fill will be used only to fill the area within theVem wali.
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-th6 buiiding;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. r
if I am the AGENT FOR.T.H.E-OWNIER::I-ipromise.in.good faith to inform-the owner ofAhe.•per"nutting conditions set forth in
this affidavit prior to commencing cdh.§ttUctI6n: f understand.that a,separate permit maybe required for electrical.work,..
plumbing, signs,.wells, pools,.air,,conditioning,,:gas;:or,other;ihstallations not:•specifically'included in the.application, A.;.
permit issued'shall`be construed to be'a license-to.proceed'nrith,AM.work,and:not-as authority-to violate,.cancel, alter, or
set aside-any provisiions'of`th615chnical codes, nor shall issuance of a permit prevent the Building Official from#hereafter '
requiring a cotter#ion of::errors-in plans;canstruc#lon.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(6j-'months_after the time the work!s commenced: An extension` s
may be requested, in`writing,,from.the Buiiding;Officlal for a period.not to exceed ninety(90)�days and will'derrionstiate
justifiable cause for-the extension..af work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER..: YOUR,, AlLURET,O.RECORD:,"_NOTICE.OP COMMENCEMENT MAY RESULT-IN YOUR
PAYING,TWiCE:'FOR,`lIiAPROVEMENTS TO;YOUR:°PROPERTY:,-IF7YOU:tINT ENDtTO�OIXTAIN "CONSULT
WITH YOUR"LENDER OR AN ATTORNEY BEFORE."RECORDING,YOUWNOTIC ,FtOMIiMENCE
FLORMAJURAL(i-S..IVJ 03)- --
OWNER OR AGENT CONTRACTOR
Subscribed and-swo o(or affrmed).before fe this Subscribed and swom to(or affirmed)before• a this
by b
Who islare personally known to me or has/have produced Who is/are pe ally_k wn to me or has/have produced.
as Identification. as identification.
Notary Public Notary Public
Commission No. Co mion N .
Name of Notary typed,printed or stamped Na I Pon
, '�'si, JAGQ EL1NE BOGS'
Commission#FF t50422
Expires December 12,2018
Y w b�. eondodThruTroy Fain lnaumnce800385.7018
t
.. 1
_ y.�G � ,� spa^�' ",-•—""... _
- ro• -c�.ur�!� ,t>7r,� ,arc. �*z�€&��a.
•ark 1 /�li'@ `»'-'✓�'"c4^'.r+.u.,,_ .,t
{ ,,,,.". ." � 3, '�''��u4kY.r.F� yw� ti /'/��i'// �i//'""�-,-,•c l4„ �,nY \ �t.f". .':_ - _
• � g
rf ? r F y/pYy f
• w
Ali73
t � fi
r
;r
.i f