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HomeMy WebLinkAbout21-3190City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-003190-2021 Issue Date: 11/12/2021 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. C441TRACTOR SIGNATURE PE IT OFFICEU PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills Permit Application Building Department Fax-813-780-0021 3j9c? -ZAIV I � Phone Contact forerin Piffin �cl Ow Owner Phone Number ner's Name Owner's Address Owmir Phone Number r--------------------------------- Fee Simple TWItholder Name Owner Ph .. N.Ir Fee Simple Titleholder Address JORADDRESS I LOT V I I (OBTAINED FROM PROPERTY TAX NOnCE), WORK PROPOSED W C kNSTR U- PROPOSED USE SFR COMM r -ri'PE OF CQW3. 1=7- i - HE DESCRIPTION OF WORK 1 41 r f;io U c'( 01,Yxi, SIGN DEMOLISH OTHER WUIL-ftU.N— L T L --rL-j bQt-UU§A0IzL_______j HEIGH 1 J � -DING VALUATION OF TOTAL CONSTRUCTION r__IPLUMBING MECHANICAL 4 1' bb AIMP SFRNWIF F--1 PRW4RF--, FNFR6Y r—t W'R F'(11 VALUATION OF MECHANICAL INSTALLATION L GAS 1� ROORNG L' --j L--j _J Sr` EGiALTY = 0 �INER E-5 tcl�lq CL�=2121!4 AREA- 7-7vgR BWLDF.R I COMPANY t ---7Y 1 i�E CU7uRENy i �! Address License # ELECTRICIAN COMPANY ,SIGNATURE 1 REGISTERED 1 YtN 1 FEE CURREN I YiN I A-dd-'eSS PLUMBER COMPANY SIGNATURE RCGISTERED L7=Y I =w— —a---C R E 8=Yl n Address License # e 1 COMPANY fI)l I 7fl (L-, MECKANICAL SIGNATURE REGISTERED I SIGNATURE REGISTERED I Y �/N I Fi-E-C17R-RR­. ---Lr22f4D- Address License RESIDENTIAL All -?ph (2) Piel Pfons; (2) r ,e 9 of BviWing Plans; (}) set of Eder cons ki gy Forrng,; R-" Permit for new toic },eton, Winirnum ten f tfu working, days after submittal date. Reouired oniate, Constructiun Plans, Stormwater Ptanswl Siff Fence- installed, Sankary Facilities & I curupsus, Site W". Perurm' for subeA onsioutia pr visk COMMERCIAL Attach (2) complete sets of Bulding Plans plus a Ufa Safety Pap; (1) set of Energy Forms. R-O-W Permit for new construction, Minimum ten (10) warming days after submittal date. Required onsite, Construction Plans, Stoun.water Plans w/ Sflk Fence installed, slnitn�R. 4!tm: 11 dumpnicr- StL kN!k parmit fll ncw pmjnctc'Av' cernmam!a", faqulmft nnMPl"----D ARON PIF941T aoz#+ 1?) eat s,4 P"-'i'w—d P4- -PROPERTY SURVEY required for all NEW construction, --VIV-1-1- I afroctJons: Flit out application cornpletely. Owner � Contractor sign back of application. notarized -etkii'Umaw At (far the camera let) or Fi9wor of Attorney (far luo mvnar) wriplif it Int someone vvith nbtpriz latter It n r uthod I m its -Ru'' , pi geme @- z s@ a CNIER TillE CzOLWrTER Pr-RV--.TTM cmy �Yf cc;"Itta--1 F-s' Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways-" over Counter if - pu 'c -needs ROW Atill mzWways 813-780-0020 City of Zeighyrhills Permit Application Fax-813-78"021 Building Department 3*I07MR, OF.. RF%TRTCTt0NR:-M. nf ri�cfiris permit atay hA SO"or". '4Ariff mAMnAinils" whirli nlqv lin ninin mRtriotivr, than County regulations. Thee undersigned assurries, responsibility for comphance, win any appucabie deed resinctrorm UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIUTIES: 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 ficensed as required by law, both the owner and 'OM-r- May he Him k, "iniptinn t_-der state rctv If ff- iM-dmo rorttrarlor - nnrTr"i MS t, mh -ents may apply for the Intrindrite work, they am advised to contact the Pasco County Buildina inspection Division-Licansins Section at 727-847- 8609. Funfitimtot, It the painer hag hi A contractor of gpittrapt h e is gilvis It th 'iQ _0 to have the 9W (e) sign got pre of # Qqk, 9 -r#d contractor a, . f In! for which, th-ev witt be ffyou- as the z,:Nher sign as the contra-dion that may be or-., in0catton that he is net proeey fIOE�nsodd and is notonfillorl to pon-afrOng privileiges 'n Fasi;o Gounly, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovent Fees may apply to the construction of now buildings, change of use in existing buildings. or ResRe��ery Fees must be paid prior to receiving a "certificate of occupancy' or finial power release. If the project do" not Involve a ceffificate of occupancy or final po�tw ths ft�n.- �i "o osid my to psrrrr'* i�+=.m%-".,,:a lse-,C a,. Atom..: ,tea R-S a lwy Most l-s pvd V-,`;` to Forest issuance in accordance wah applicable Pasco County crainances, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended); If valuation of work is $2,500.UO or more, I cortify that 1, the applicant, have been provided with a copy of the `Florida Construction Lien Law-Homeownees Protection Guide' prepared by the Florida Department of 2nd cnnaunmr AfN!rz, "cle 'in a! mr;! c3r!!fy!hnt! havn nMn!n0d a mpy of flint =hcva CON TRACTOR'SICANNER'S AFFIDAVIT: I cartfly that all the Information in this application is accurate and that all work will he done in compliance with indicated. I ceruty met no work or Installation has carnmenced prior to issuance of a permit and that ad work wit be partitioned to meet standaras, at 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 1 Must b*e in ho in qgoildasilldude hurt 'Aro Bent limitod trr Department of E-ArOnmenba! iseta cuof,,Cyp�ress Bayh--2u % WeLlaart Are es and E-vire-nme-f-ally Qeeris+tiive Lands, Water/Weetewater Trealmant. f ov-I- souif3wic'sm Rnlfa VVauif vdan-agemeni Bay�aadl-�, Weg8flid Afea-��, WIN9 Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. beffilic I attics. US l a it ill Porlyreffer, Apency-Asbipsice, abate rmtnC Federal Aviation Authcblty-Runways. I understand that the following restrictions apply to Me use of fill: Use of fill is not allowed in Flood Zone 'V' unless expressly permitted. if "fes 1flif trititieri al is to be useci in ROL-10 Zone "A", it its Imiderstood I that a 6 1 rot I riage plan ad I d I fessing a carnpansating volume" will be submitted at time of permitting which is prepared by a professional engineer by #�-; 134 �� Gf Flzan If the fill material is to be used in Flood one '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 well. If fill fruiterisil is to he usishl in env area. I nerfiliv that lisp of minh fill will not adver-tAiv affect saticent prope't6m; If r ma, of fill l fm ind in adVAMAIV Affaint arfipr^ant nrnruartiAa, thA nuanar rnav ha nitAd fnr virtlatinn the oppoiticuls of the Wilding pffirru! issued PPOT 14 ptloadoyl Lx�rrh# PDOWIlon'' for 1945 !@§* than nine (1) acm vvhich am" ate --ated by W, an Grumeered dMina-u-C, ppfaill P9 rFKjUR`4d- If I art, the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permthing conditions W forth in this as davit prior to commencing construction, 1 understand that a separate pernift may be required for electrical work, Plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included. in the application. A panatt issued shall be construed ',a be a license to proceed nifth the work and not as V a --- ' 1� al, , ar nor - 1�� .: tG� gu=cg Ou -,,om trairearterrequiring a correction marries in ptans, construction orvtotaterns of any comes. Every permit ersueo snan siecome invana unless it* w= ardhoreunt by such permit Is orimarenced within s4x months of pernie Issuance, or It work authorized by thir parmit is suspended or abandoned for to p4m#a ri" n->ofums AngF r I mi trmiv mis wrxiA in,:-neou. An �I i 0 i " r, a V b 4 r 4 � r, 41� 14 c, -it w-, 1 j frml i o , --dl ng 0,0 i r- i i i i io� 4 p 4 F i t_S f,. tj n, excood ninety 1 90) days and utill demonstrate jostifiable cmumi for the exturision. If work wasut; for nirkuy (90) consecutive days, the job 1:1,ronsidcoul abandoned, Notary Public Cnminission No, Q ? Z of as io o" ify typed, print or stampa No,, IoN a or ty' Notary Public Commission No, C 17)17+61 -W Nome of Notary typed, printed or stamped Absol, de ir Stis mis in q�VK 37325 Kossik Rd Zephyrhills, FL 33541 John & Denise Steele 5033 9th St Zephyrhills, FL 33542 (813) 863-8236 ionn(a)steetesinter- rsllc�com 10 INVOICE z;r-KVICE DAI—E iNVOlf-17 DAT F DUE AMOUNTDUE CONTACT US (813) 779-0101 st veng gets oldair,00m #195598 Nov 09, 20-21 upon receipt Service completed by- fames Begin,(3-ireg Weatherspoon, Phil Coleman INVOICE As low as $211.79/mo* fN!jAt!ry Pay over time with is tack Services qty unit price amount New install — *** Fl, pace finance***** 1.0 $6,495.00 $6,495.00 Cl, i'ea4— - - - - - - - 4 In k" y n liostallo a 0j.5 tcn Heat Pump"Bryant syst '#KW ii fiaii9mg i needed. Rodent proof line cover, Custom Services - Permitting 1.0 $175,00 $175.00 County/Cl.ity comes and inspects the install. They note if there are any issues and approve of the work when the work meets all inspection criteria, *A A ;i, + be '-spo'n3i"10 for Only mccl-an"Cal �work that is perf r—med rl;a 14k i-kf; .19 #V# it tki 41 i;af tv f$1 fit it I ui L 14it to � to U. Materials Custom Services - Custom Job A A *armaflex (I - titan7/8, 5-pvc 3/4, 3-copper 7/8) + ; --w *safety switches * i bAlab *anchor kit I S-of 1 llieakei qual-t: L" I all fldilule CHU *6" silver flex 10' *mastic qty unit price amount *Viermostat (Heat Pump) *,Cit,,, Permit Total $6o670.00 Thanks for your husinesg Absolute Air Systems Inc. CAC1813789 http-://www,aetooldaircom