HomeMy WebLinkAbout18-20246 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20246
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20246 Address: 39049 SOUTH AVE
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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0090
Improv. Cost: 4,550.00 . OWNER INFORMATION
Date Issued: 9/19/2018 Name: BOURASSA STEPHAN & RAE ANN
Total Fees: 65.00 Address: PO BOX 136
Amount Paid: 65.00 ZEPHYRHILLS FL 33539-0136
Date Paid: 9/19/2018 Phone: 863-604-9487
Work Desc: A/C CHANGE OUT 3.5 TON
CONTRACTORS APPLICATION FEES
COOLTECH HEATING AND COOLING INC A/C CHANGEOUT 65.00
"1 J
/6
DUCTS INSTALLED Ins ections Required
DUCTS INSULATED
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.
00-NTkACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
0-1-i-fou-IJUzu City of Zephyrhills Permit Application Fax-81 3-7801.rooe--
Building Department
DaltdRecelved Phone Contact for Permitting
..................
Owner's Name S Ck Owner Phone Number E3-CnO q—9 49
Owners Addressl 3(q64C( S(ldty\, Owner Phone Number FFQ- 4(.9 -0e-1 I
Fee Simple.Titleholder Name Owner Phone Number
Fee Simpli1itleholder Address
JOB ADDRESS So O-W—\ ks,—ie LOT III
SUBDIVISION PARCEL.10. #
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL, REPAIR
PROPOSED USE Q SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK &A cO&Jenne r rAA
-BUILDINGiSIZE SQ FOOTAGE HEIGHT
BUILDING 1$
VALUATION OF TOTAL CONSTRUCTION'
=ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
=P,-LUMBING 1$
ECHANICAL 1 VALUATION OF MECHANICAL INSTALLATION$ 1
=9AS Q ROOFING- SPECIALTY OTHER i.
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER . COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License#
ELECTRICIAN IAN LE COMPANY
SIGNATURE REGISTERED YIN FEE C.URR.E11-
Address License J
PLUMBER.. COMPANY
SIGNATURE REGISTERED I -Y/ N FEE C5REP
Address License#
MECHANICAL REGISTERED �Fll 7C ,
COMPANY
SIGNATURE 1 YJ N: FEE cuRREN Y I N
Address 'F -LA.1 YPF.( .7Wtr1 License# w La c,
,.OTHER,-, COMPANY
REGISTERED Y/ N I FEE
SIGNATURE CURREI,
Address License# F_
............
RESIDENTIAL
+
Attach:(2)PlotPjans (2)s6ts,of Building Plans;.,(1),set.of Enargy.F _.OrW 9.rms;R- Perm t fc?.n6w:construction,
Mifilmum ten(10)'working:days after s6bmittai'date. ReqUiredonsite,Conitruction-Plansi Stormwater:Plans,W/SlIffence instilled,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivislohsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days aftersubmittal,date. Required onsite,Construction Plans,,.ftrmwater Plans w/1 Slit Fence Installed,
Sanitary-Facillifies&1 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.
Fitt out application completely.
Owner&Contractor sign.back of application,notarized
-If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
Agent(for the contractor).-or Power of Aftomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER.THE=UNTER PERMITTING (copy of contract.required)
-Retdiofs if shingles Sewers Service Upgrades A/C . Fences(PlotfSurVey/Footage)
-Driveways-Not over Counter If on public roadways..needs ROW
LIT
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 has 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 misdemeanor violation
understate law. if the owner-or intended cofitractor,are.uncertain as-to what licensing requirements may apply fdrthe"
intended work, they are advised to contact the Pasco County 136iiding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has'hired°a contractor or contractors,_ he is advised to have the aoritractor(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. 7
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=0.77,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..7-13, Florida Statutes, as�arnencted):Af 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—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 I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTORS/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 regulating 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 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: 7
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"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-7to-be used in Flood Zone "A" in connection with a permitted building using stern 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.pian 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 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 tiie 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 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 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`TQ YOUR PROPERTi(. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH.YOUR LENDER OR AN ATTORNEY BEFORE RECORDING`YOUR.NOTI 'OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR / _ --
Subscribed and)
j wom to(or affirmed)before me this Sucnyld 6� ad)b�fprme this
Who Is/are personally known to me or has/have produced Whams/as ersonaHy knQ to me or has/have produced
as identification. �� �� rcS.� C lh ca� as identification.
Notary Public � Ltq-CL Notary Public
Commission No. Com i tan No.
Name of Notary typed,printed or stamped Name of Notary typed, rat'
*: :. ommission#FF 150422
Expires December 12,2018
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