HomeMy WebLinkAbout20-997 •i, D
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t , _ _ City of Ze h P Yrhi s PERMIT
Ci NUMBER
5335 Eighth Street
Zephyrhills, Fl-33542 BGR-000997-2020
y� w; Phone: (813)780-0020 Issue Date: 10/30/2020
t Fax: (813)780-0021
Permit Type: BuildhIg General (Residential)
Prope Arty Number Street Address
03 26 210120 00000 0640 16633 Foxmoor Drive
Owner Information Permit Information Contractor Information
Name: THOMAS&CINDY BURLISON Permit Type:Building General(Residential) Contractor: CHRIS'A/C COMPANY
Class of Work:HVAC Changeout
Address: 6633 Foxmoor Dr Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)713-6727 Mechanical Valuation:$6,617.00
Plumbing Valuation:$0.00
Total Valuation:$6,617.00 �—'
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Total Fees:$73.08
Amount Paid:$73.08
Date Paid:10/30/2020 10:48:34AM
Project Description
A/C CHANGE OUT 3 TON
Application Fees
Mechanical Permit Fee $73.08
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 subsequent reinspection.
Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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.
COZIRES
R SIGNATURE PE IT OFFICE
PERMIT 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
i
Date Received� ,.l
o ' 9 Oot V Phone Contact for Permitting S —2
Owner's Name 0� Owner Phone Number ��
Owner's Address Cp Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS Q X I'Y)O D - --'T#
J �'
SUBDIVISION i D PARCEL ID# 61010 O O O (o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR R
ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q ?
DESCRIPTION OF WORK
eIr
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ 9
MECHANICAL $ / VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER ( �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
.BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N /
Address License#
ELECTRICIAN COMPANY
SIGNATURIt REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LYLN
Address License#
MECHANICAL iy COMPANY
SIGNATURE REGISTERED FEE CURREN
Address 6 s License# Q T
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11 N
Address I License#
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/Silt Fence installed,
Sanita,ry Facilities&1 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 Fence 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 Attomey(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 Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
II �
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to",j4ped"restrictions"``
which may be more restrictive than County regulations._ The undersigned assumes responsibility for compiianc-�,;.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 1ocal regulations: If the
contractor is not licensed as required by law, both the owner and-contractor 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, 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) 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
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 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 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that.I, 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.
CONTRACTOR'S/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. r. -
Southwest Florida Water Management District-Wells, .Cypress Bayheads,, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls; Docks, NavigableWaterways.
Department of Health & Rehabilitative .Services/Environmental Health. Unit=Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority=Runways.
understand--that the-following restrictions apply-to the-use of fill: - -- ---- - -
-Use of fill is not allowed in Flood:Zone"V":u Mess:expressly permitted. .
If the till 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, 1'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.attacfied permit application, for lots less than one (1)
acre which are elevated by fill, 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. 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 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 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
PAYINGTWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF,YO.0 INTEND TO OBTAIN FINANCING, CONSULT
WITH'YOUR LENDER OR AN ATTORNEY BEFORE RECORDING.YOUR NOTICE OF_CAMMEN.GEMENT-. -------
---FL-GRIDK-JURA-T-(F.S.-11T.03)-- — —
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally 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 Notary typed,printed or stamped