HomeMy WebLinkAbout18-20326 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 XO6
BUILDING PERMIT
PERMIT INFORMATION LOCATIONIN FORMATION. -
Permit Number: 20326 Address: 37532 NEW HORIZONS BLVD LOT 69
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0690
Improv. Cost: 4,932.72 OWNER INFORMATION
Date Issued: 10/09/2018 Name: CROOK, PAUL &VIOLET
Total Fees: 65.00 Address: 37532 NEW HORIZONS BLVD
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/09/2018 Phone: (813)838-0459
Work Desc: A/C CHANGE OUT 3.5 TON
CONTRACTORS APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 65.00
DUCTS INSTALLED Ins ections Required
DUCTSINSULATE
FINAL r
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.
CONTRACTO IGNATURE PERMIT OFFICOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
09.3-f t$U-UWI&U City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received /0 Phone Contact for Permitting
...... ..... I I Q I 13J= ....................
Owner's Name Owner Phone Number 0 U
Owner's Address S73,;,? Owner Phone Number
Fee Simple1itleholder Name T_ Owner Phone Number
Fee Simple7itleholder Address
JOB ADDRESS ?7T.30- �71e,� C/ LOT III
SUBDIVISION � �' FARCE.L 113#13ye Cq5-e:Ql 06 5�0_ 00000
v (OBTAINED FROM PROPERTY TAX NOTICE)
6/
WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE = SFR = COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q.
DESCRIPTION OF WORK
V
BUILDINGSIZE
SQ FOOTAGE HEIGHT
=&.Ul LDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C.,
=PLUMBING 1� -�
2Z7>2,
MMECHANICAL VALUATION OF MECHANICAL INSTALLATION
7�,
=GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i i i i i i 2 l l i l l 1 1 1 1 1 N l i 1
-BUILDEF COMPANY-
SIGNATURE REGISTERED I YIN . FEE CURREh
Address License# F
ELECTRICIAN COMPANY
`SIGNATURE REGISTERED Y/ N FEECYRREIV
Address License# F
PLUMBER: COMPANY
SIGNATURE REGISTERED 14YI N FEE CURREN DIN J
A rp!ss License#
Address
COMPANY L_4,FL rwl.5
MECHANICAL Y / 4/ C_
ON 7 FEE,CURREh
11CAL REGISTERED
SIGNATURE L C:i/
Address a 2 L License#
OTHER
SIGNATURE, REGISTERED Y/ N FEE CURREK LXLN_j
Address License#
off,fill HH"VI-4 Nis H iti is i 11..H�!
HH.HH H
�ets.qf Build!ng Attach 'O'W
RESIDE .(2),Plot,pipris;-(2 Plans;,(I)setOf Energy Forms;R- r -Permit for newconstruction,
Minimum ten"(10)�worl(in6'daysaft4§r,sdbmittal-datd. Req6ir6donsit'e.Constructon-Plans;Stonnw4te'rPlins--,W/Sllt,F6neeinst6lled, I
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsfiarge 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 after submittal date.. Requited onsite,Construction Plans,ftrmwater Plans-wl Slit Fence installed,
Sanitary.Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT 'Attach(2)sFets-of Engineered,Plans.
****PROPERTY--SURVEY required for all NEW construction.
................. .......
---------Directions:
----
ons:6ti&
Fill out application completely.
Owner&Contractor sign-back of application,notarized
Af-over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(fdr-the contractor).or Power of AttorneYffor the owner)would be someone with notarized letter from owner authorizing same
OVEkTHE..COUNTER PERMITTING (copy of contract required)
-Retobl's'lf-shingles Sewers Service Upgrades,A/C 'Fences(PlottSurvey/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 .fawner has hired a contractor or
contractors"to.undertake work; they maybe required to be licensed-in accordance with state-and'.local'. '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 contractor are uncertain as-to what licensing requirementsxnay.apply fob the'
intended work,they are advised-to contact the Pasco County Building Inspection 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)4sign
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 maybe 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 LIEKLAW(Chapter 713, Florlda Statutes, as,amended):Jf 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", I certifythat 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: 13 certify that ail-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,WaterlWastewater Treatment:
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering
Watercourses. I
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 applyto 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 "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 und6uthe attached permit application, for lots less than one (1)
acre Which:are eleivated,byfill,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. f 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-constr el d:to,be a license"to proceed with the work and not as authority to violate, cancel, alter,:or
set aside any provisiaris,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 fora period of six(6)months after the time the work ls�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 FA+ILURE.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 ORAN A .. ORNEY BEFORE RECORDING'YOUR.NOTIC41 OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 .08
Y OWNER OR AGEN T CONTRACTOR
Subscribed and sworn to(or affirmed)before r this Subscribed an om to(or affirmed)befor a this
Who is/are personally known to me or has/have produced Who[star ersonall own to me or has/have produced
as identification. as identification.
______NotaryPublic C�-
/,T��___NotaryPublic
Commission No. Commis io o.
Name of Notary typed,printed or stamped Name of NotaryT
Q. l�isJ4 odtNE BOGES
Commission#FF 150422Expires December 12,2018;� ;4.° Banda dThNTrar Fain Insurance 8DO48sao�e
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