HomeMy WebLinkAbout20-22391 CITY OF ZEPHYRHILLS
j 5335-8TH STREET
(813)780-0020 22391
BUILDING PERMIT
-PERMIT INFORMATION LOCATION INFORMATION
Permit slumber: 22391 Address: 6727 STEPHENS PATH
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0160-00000-0850
Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 1/29/2020 Name: BENOIT, STEPHEN & CAROLYN TRUST
Total Fees: 65.00 Address: 6727 STEPHENS PATH
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/29/2020 Phone: (815)592-0290
Work Desc: A/C CHANGE OUT 3.5 TON
CONTRACTORS APPLICATION FEES
KINSEY CENTRAL HEATING &A/C A/C CHANGEOUT 65.00
IP
Insivections Re uired
DUCTS INSTALLED
DUCTSINSULATED
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.
CON RAC II SIGNATURE PERMIT OFFIg9R
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 Fa*813-780-0021
Buiidtrtg Department
Dale'Receiied .Phone.Contact.forPermittin .
•Ownees,Name 4`��"r Cfwner Phone Number
Owner's Address 7"�- ✓ a. -OWner .Phone:Number F ::
Owner .Phone.Nuinber
''JOB ADDRESS' : OT
"SUBDIVISION . �. � PARCEL ID#
(OB.TAINED'FROMPRGPERrYTAX10TICE) f
WORK PROPOSED e. NEW
STR 0• ADD/ALT:._' :StGN C1, E31� ;DEMOLISH
INSTALL. -REPAIR
PROPOSED USE.. SFR- . ._ GOMM OTHER "'
TYPE OF CONSTRUCTION'• Q BLOCK 'Q: FRAME:''` C STEEL
DESCRIPTION:OF:WIDRK
BUILOING.SIZE SQ,FOOTAGE HEIGHT,,
-E'._ :
0
BUILDING'' $:• - .. ,.., . ..VALUATION OF,TOTAL CONSTRUCTION
ELECTRICAL- $. AMP'.SERVtCE DUKE ENERGY`: 1N:RE.G:
PLUMBING
=MECHANICAL $: �— � + ' VALUATION OF MECHANICAL INSTALLATION
=GAS -ROOFING -` :. -.SPECIALTY.- ,• •OTHER
FINISHED FLOOR.ELEVATIONS r: �7FLOOD'ZONE'AREA [ YES : NO
t.
BUILDER COMPANY.
SIGNATURE REGISTERED- Y/•N := FMCURREN:.
Address' License-#;F7 i
ELECTRICIAN° COMPANY
SIGNATURE REGISTERED' Y/''•N.. .-` FEE CURRE�: :°: .:Y"/1N..
77
r:
Address
j. 1.
RI.UMSER = 'COMPANY
SIGNATURE REGISTERED
Address. License.#: ,4...
MECHANICAL COMPANY ['
SIGNATURE'' ,REGISTERED`. i Y=/ N '"FEE CURREN Y 11N''
Address,.
OTHER COMPANY. -. .
SIGNATURE'. REGIS'i'ERED :'Y/:•N;,..: ....,_FEE,CURRE�= :`,..: Y/;N;. •.
-"Address License#:.
f''Its<'. 1`.Set of>Ene Farm§'R=t•W Perini €or new consiiuctton
RESIDENTIAi: Attach-i'plot.p] n's;(2}''Seis'of°i�uildhig'P> ... ,.(,) - I9y,.. ",, .<.z.#..
t�lini'eium teri F1`6)iwortiing=rinys`�ftr'stitirriittal8ate,"`.Rquitetl onsite;'Consrtictiori,i?ians,SormwatefPtansw%'SiitFerice'iristaited,'
Sanitary:Facilities 8�; xdumpster;;Site.Work Permitfirr su6dtVistons/latge projects
COMMERCIAL •Attach(Z}-compiete;s'sts•of,•:Building Plans;plus a.,t)fe;SafetWPage;(1}:set'of!Energy.Fohns.'R O:W Permit fdc new:construction:
Minimum ten(1t))�nrQrking;days aftersulimittal datei tiReguJred Qnsite;Construction;PianstiStormwater;Plarrsw/;Sitt'Fence;instaiied "
San itaryFacilities&1'Qunipstr.'SICeOrk Fserrnit for all new.proJects.All commerctal.requtreriients must meet compiianco ..
SIGN PERMIT Attach(2)setsvf.-Engin„ewed-Plan&::.• :•.',
.""PRO PER repuin3d for elf NSW cgristructton.
Directions:
Fill out-application completely.
Own6i;&46otwtractor sign:back.of application,nota0zod.
'if over#250t1;a:Notice of'Coninien..... t Is required. (1 C.upgrades.over$7500)
•• Agent(for thezontractor•)or.Power of-Atiornay>(for•the owner).wouI&be someone.with notarized-letter from:owner:authorizing same
OVER THE COUNTERPERMITYING... (cop
%;of contrast:requsrod}. ,
Reroofs if shingles Sewers §er,ice."Upgrades A/C Fences-(Plot/Survey/Footage)
Driveways-Not ovar.Counter if on-public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit-may be subject to"deed"restrictions"
which maybe,more restrictive�than-.County.regulations. The undersignedrassumes'responsibilityfor'compliance,with any
applicable deed restrictions. ' ",
UNLICENSED: CONTRACTORS-.AND-,CONTRACTOR-�RESPONsiEi!CITIES.`'If the 'owrie� has'Hired'a contractor or
contractors to undertake work,.the y-rnaybe,.r.qquired-to be licensed in.accordance.with:state.,and,local regulations: If the
contractor is_not':licensed'as required by law, both the-ownerandcontractor°may=be'cited.for a-misdemeanor violation
under state law. If the owner or<intended.contractor are uncertain as„to-what:licensing, requirements:may•apply'for the
intended..work,-.theyare•advised to contact the Pasco County Building=lnspection"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) sign
portion&of the "contractor Block" of this application for which.they-will.'.ba.r._esponsible.:_ 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-IM PACT AND:RESOURCE RECOVERY-FEES: The undersigned,understands
that Transportation,Impact.Fees:and..Recourse.-Recovery-Fees..-mayapply to-the..-construction of-•new buildings, change of
use lnrexisting'buildings,-or expansion:of-ezisfing buildings, as specified:in Pasco County Ordinance number 89-07 and
90-07,, as amended. .The.undersigned..also..understands;`thaffsuch fees,.as:maybe-due;.�will�be identified at"thib tii6b:of
permitting. It is further!understood<that`Transpo tation.Impact.Fees and Resource Recovery Fees must be paid;prior to
receiving:,a="certificate of.occupartcy°;or fh8li�power.release..- If_the project.does?rtiofiinvolve;•a certificato-of,occupancyor
final power release, the fees must be paid prior to permit issuance. -Furtherfriore'-if Pasco�County Water/Sewer Impact
fees are-,due,- the y,mustae_paid'prorto permit:issuance in accordance with applicable-Pasco-Countyon inances
CONSTRUCTION--LIEN'LAW(Chapter 773 Florida Statutes;::as:amendad): .If-,valuation'ofwork-,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
and
Protection Guide" prepared by the Florida'Department of Agriculture ConsumerAffairs.. :If the applicantkis someone
. . .. ........
other-than-.the"owner'. L..ce'ofythat"1.hAV bbtainedlA copy,dUthe,'above described docuitient•and-promise in good faith to
deliver it to the"owner".-prior to commencement.
CONTRACTOR'S/OWNER'S;AFFIDAVIT:,::'I certify.thatxall;:fhe vinfor.'.mat onG.in;;this,applicatior:is..accu>•ate,and..that:all:work
will be done in compliance with all applicable liiiaws regulatinglconstruction;zoning and land_development:,,:Application is
hereby made to obtain a permit to,dU&14 rk�� d.installation�'as MIcated. 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-Zounty an l`!Oiity'coi 6 :zoning_regulations, :and.-;Iihd`development regulations in the jurisdiction: I also
certify that I understand that the-regulations of other:government agenciesmayapplytothe 2intended work, and that it is
my responsibility to identify what actions]must.take.to:be,in compliance. Such agencies include but are.,notllmited_to:
- Department of Environmental Protection-Cypress Bayheads, Wetland-Areas,and Environmentally Sensitive
Lands,WaterMastewater,<Tr-,eatment.
6 , .
J.a .+a.a.-
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas; Altering
Watercourses.
Army Corps,of Engineers,Seawalls;:Docks,-Navigable-,Waterways.
Department of4,..Health-.,&,y:R-""bilitative,.;Services/.Environmentai Health Unit=Wells;.=Wastewater-Treatment,
Septic Tanks
US Envitonmental.jProtaction:Agency-Asbestos abatement:
FederdVAVfdtion'Authority=runways:
understand.that_the following,restrictions�apply�to-the-use,of fill:
Use°of;fill`is not allowed'in Floo'd':�Zome"V"unlessexpressly-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 besubmitted at'time,,of�!permitt ng:which.-ts:prepared by-a,professional-engineer
licensed by the State of Florida.
If the till material_,Isao:,be-:used=.;in-Flood Zone:"A°'in connection with a permitted building using stem:;wall.
,...
construction, I,certify'thatfill ifi bemused only'to`fill'the.areavuithin.theatetn,.wall:
If-till material is to .be used in.any area, I certify that use.of:such.fill will not adversely affect•,.adjacent
-properties:---If-use-of.,fiil::is�.found:to.adverselyaffecfi'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�byfill -antengineered.drainage.plan'is required.
If I am.the AGENT FOR.THE`OWNER,'I promise in good faith'to_inform::the;owner-:of1he 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.licerise to proceed,with.the work.and not as authority to-violate, cancel;ralter.;.or;_
set-aside any-provisions-of the•.technical codes,nor'shall%issuance of a permit prevent the Building Official Rom.thereafter'
requiring.a correction of;errors-in plans, construction or violations-of any codes. Every:permit-issue&shal[become invalid
unless the work.authorized by such permit is commenced within.six months.of.permit issuance,_or..if.workWauthorize`d'by
the,permit is-suspended':or'abandoned`for a period of six(6)months after•the:time'the.woek is commenced:,An extension
may be requested;in writing,_from the Building.Official fora period not to exceed ninety(90) days and will.demonstrate.;
justifiable cause forahe-extension.'MIf work ceases for ninety(90)'consecutive-days,_the::job.is:considered abandoned:
WARNI'NG..TO::OWNER:.-YOUR FAILURE TO:RECORD.A=NOTICE:�OF-COMMENCEMENT-.MAY RE$U.LT IN•YOUR
PAYING TWICE FOR`IMPROVEMEN S TO YO IkPROPERTY ..IF;YOU,INT NI):70 O TAIN'FINANCING,CONSULT'.:.
WITH YOURtENDER-OR AN'ATTORNEY BEEOREJREC;OiRDINO"Y6UEL'NO 'ICE:O OMMENCEMENT. -----
FLORIDAUURAT''(F:S 1'17-.03)
OWNER OR•AGENT CONTRACTOR
Subscribed-and--sworn to(or•a&med)before=me this `Subscribed an&sswo t (or. ed)before me this
Who islare personally known to me or has/have produced Who Istare pens nally.known-to me or has/have=produced
as identification. "as:identification:
Notary Public Notary,Public,
Commission No. Commission No.
Name of Notary typed,printed or stamped Name,of,Notarytyped,printed�or stamped,
.k
t0lt
XinseyCentral
Heat & Air-Conditioning, Inc.
P.O. Box 2209
Zephyrhills, Florida 33539-2209
(813) 782-2300 CA-CO58626
PHONE�r//� DATE OF ORDER
NAME VY 77 DATE PROMISED
v� -e e
ADDRESS /' 7 Z APARTMENT
CITY
MAKE MODEL SERIAL NO.
❑ ESTIMATE
NATURE OF ❑ CASH
SERVICE
REQUEST ❑ CHARGE
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
15T°d�C'�:
I
SERVICE PERFORMED TOTAL
-MATERIAL
TECHNICAL
SERVICETIME
u
A charge of 1.5%will be made on all unpaid balances after 30 days,which is an annual percentage rate TAX
of 18%applied to past due balances.Customers liable for any charges incurred in collecting this bill.
ti
. As"
- _, DATE COMPLETED ON COMPLETION y TOTAL
?�i*WWI CASH OF WORK I
TECHNICIAN CUSTOMER'S SIGNATURE
i