HomeMy WebLinkAbout18-20434 CITY OF ZEPHYRHILLS
5335-8TH STREET
j (813)780-0020 20434
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20434 Address: 6907 DAIRY RD
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-01000-0000
Improv. Cost: 14,350.00 OWNER INFORMATION
Date Issued: 11/06 201 C Name: CITY OF ZEPHYRHILLS
Total Fees: .00 Address: 6907 DAIRY RD
Amount Paid: 1 0 ZEPHYRHILLS, FL. 33542
Date Paid: 11/06/2018 Phone:
Work Desc: A/C CHANGE OUT 2- 5 TON / 1- 4TON- FEE WAIVED- FDEPT
CONTRACTORS APPLICATION FEES
CUSTOM AIR CONDITIONING &AIR QU A/C CHANGEOUT 115.00
Ins ections Required
DUCTS INSTALLED
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.
ATURE PERMIT OFFI R
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
Date Received
Phone Contact for Permitting
Owner's Name Owner Phone Number 7,50 r 6
Owner's Address (0 04-,,�Z Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR R ADD/ALT SIGN 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEI��
DESCRIPTION OF WORK CAAfv 6ft -5 �S MAJ 7V
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING 1$
xMECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING Q SPECIALTY = OTHER
-FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L)L/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N_ FEE CURREN, LILN J
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LLN J
Address u License#
MECHANICAL� COMPANY Tter,7i
SIGNATURE REGISTERED Y/ N _J FEE CURREN L2LN_j
Address :rAAA I License# F45�/
OTHER COMPANY
SIGNATURE REGISTERED Y/ N _J FEE CURREN L_y
_L N_j
Address License# I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large 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. Required onsite,Construction Plans,Stormwater Plans w/Silt ence installed,
Sanitary Facilities&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.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone With notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgiades A/C Fences(Plot/Survey/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 c9mpUanne"'vvithaHy
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired e contractor or
contractors boundertake 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 oih*dfora misdemeanor 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 hocontact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Fudhermore, 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
contnoctor, that may be on indication that he is not properly licensed and in not entitled to permitting privileges in Pasco
County.
TRANSPORTATION V80PACT/LITULUTUESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Faom may apply to the construction of new bui|dinga, change of
use in existing bui|dingo, or expansion of existing bui/dingo, as specified in Pasco County Ordinance number89-O7 and
90-07. as amended. The undersigned also underatanda, that such fees, an may be duo, will be identified at the time of
permitting. It is further understood that Transportation Impact Raoa and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve o cad0cabz of occupancy or
final power re|eaoa, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVater/Savver Impact
fees are due,they must bo paid prior to permit issuance in accordance with applicable PanooCountyondinmncos.
CONSTRUCTION LIEN LAW(Chapter 713. Florida Statutes, assnnended): |f valuation of work io$2.5OU.0Oormore, |
certify that |, the app/icant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" pnjponod by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", | certify that | have obtained a copy ofthe above described document and promise in good faith to
deliver itbm the^owner' prior bncommencement.
CONTRACTOR'SyOWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |avvo regulating construction, zoning and |omd development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |owm regulating
conmtnuction. County and City codeo, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended vvork, 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:
- DopodmentofEnvironmenta| Protection-Cypress Bayhaode. VVeUand Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
' Southwest Florida Water Management Oiothct-WeUn, Cypress Bayheadm, Wetland Areoa, Altering
VVmb»nuouromn.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit40eUm, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
' Federal Aviation Authodty-Runvvaye.
| understand that the following restrictions apply to the use cf fill:
� Use of fill ia not allowed in Flood Zone^V" unless expressly permitted.
- |f the fill material is to be used in F|ood Zone ^N'' it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed by the State ofFlorida.
- If the fill material is to be used in Flood Zone ^A^ in connection with m permitted building using stem vvaU
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, | certify that use of such fill will not adversely affect acUmoant
properties. If use of fill in found to adversely affect adjacent pnopartieo, 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 iorequired.
/f/ omthe 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. | understand that a separate permit may be required for e|eotdoe| vvorh'
p\umbinQ, oigns, vveUe, poo|s, air conditioning, goo. 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 the technical codes, nor shall issuance of 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 nmqueoted, in writing, from the Building Official for a period not to exceed ninety /QO> days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TOOWNER: 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 AT ORNEY-BEFORE RECORDING YOUR NOTICE-094QMMENCEMENT.
FLORIDA Jun*r(Fo li!1 OWNER OR AG ENTO� CONTR TOR
Subscribed and s, me Subscribed a or e bvforT�me this
Who is/are personafly known to me or has/[&ve produced Who is/are personal y known to me or has%ve produced
as identification. as identification.
v*,n'PuWic NotaryPub||n
Commission No. Commission No.