HomeMy WebLinkAbout06-5772
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5772
Permit Number: 5772
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38421 C TTONWOOD PL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number: 02-26-21-021 B-00GOO-001 0
2,550.00
5/10/2006
45.00
45.00
5/10/2006
AlC CHANGE OUT - EQUAL
NZALEZ, DRO
38421 COTTONWOOD PL
ZEPHYRHILLS, FL. 33542
Phone: 813788-3654
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
813-780-0020
City of Zephyrhills Permit Application
. Building Department
Fax-81;J-ItlU-UULI
Owner's Name
;2-1J0..6
o /l/zI'fLE 2
Owner phone Number r
Owner phone Number
Owner Phone Numb~r [
3t5Y
1
I
..
Date Received
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
o
o
o
;ua-9-
1
09-~~-d\ - b'd\6- 06&06 - 06\DJ
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
OTHER r
STEEL 0
LOT#. I
JOB ADDRESS
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
1
G'
o
o
DEMOLIsH
SUBDIVISION
I
I'
OTHER [
HEIGHT
BUILDING SIZE
BUILDING
VALUATION OF TOTAL CONSTRUCTION
o
o
o
~
1$
1$
1$
1$ dc--S 56 ,aV
o GAS 0
FINISHED FLOOR ELEVATIONS I
ELECTRICAL
AMP SERVICE
t=J
PROGRESS ENERGY
D
W.R.E.C.
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
ROOFING
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
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BUILDER I I COMPANY I I
SIGNATURE I' .,"',"",," Y I N FEE CURRENT Y I N
Add"," _ Uoen,. # I
ELECTRICIAN i COMPANY [ ]
SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N
Add",,, I Uo""o # I
:~.:'A~~E I ~~:::: Y I N FEE CURR'''' Y I N I
Add..., I . Uo.",o # I
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Add",,, . U"""O # I c-/l C- J % / 3 Y;2-(/ I
OTHER I COMPANY I
SIGN:;~,:, i REGlS~" I Y I N uoen: :"""j' Y I N I
1"'" I ' III' , II ' "III' 'II ' , , II ' " I ' " I' '1111'" III'" II'" I'" III'" III ,'" 'I" , I! "" II '" I ' I '" II"'" III ' II "" I ' II " III ' " I1I1111 ' I'" 11111' 1 ,
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
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. Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
.. Agent (for the contractor) orpower of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
. NOTICE OF .DEED RESTRICTIONS: The underslgn~d understands that this 'permlt may be subject to .deed;' c9strlctlorisn
which may be mo~e restrictive than County regulations. The undersigned assumes responsibility for compliance with-any
. applicable deed r~s.trlctlons. . ..... . .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:" If the owner has hired. a contractor or
c,:mtractors to undertake work, they may be required to be licensed In accordance wltli state and local regulations. If the
contractor Is not IIc.ensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanot. violation
un~er state law. If the ~wner or Intended contractor a~e uncertaihas to what 11genslhg reqUirements may apply.for the .
Intended work, th~y are advlsed.t? contact the P~sco County Building Insp~ctlon Dlvlslori-Ucensl~g Section at 727-847-
8009.. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contraotor(s) sign
. portions of the .contractor Blockn of this E\lppllcatlon for which they will be re~ponslble. If you1 as the owher sign as the.
contractor, that may be an Indication that he Is not properly licensed and Is hot enlitled to permlttlhg privileges In Pasco
County.. .. .. . . .
TRANSPO~TATION IIlIIPACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The underslgnedUllderstands
. that Transportation . Impact F:ees ",nd Recourse Recovery Fees may apply to the construction of neW buildings, chahge of
use In. existing buildings~ or expansion of existing buildings, as specified In Pasco County Ordinance hUinber 89-07 and
" '. 90-07, as amended. The' undersigned also understands; that such fees, as may be due; will be Identified al the lime tif
permlttlng..1t is further understood. that Transpo~atlonlmpact Fees and Resource Recovery Fees must ~e paid prior to
. r~celvlng a .certlflcate of occupan~ya or final power release. If the project does hot Involve a certificate of, occUpahcy or
final power. release, the fees must be paid prior to permit Issuance~ Furthermote; If Pasoo 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): 'lfvaluatlon of work. Is $2/500.00 or more, I
certify that I, the applicant, have been. provided wIth a copy of the .Florlda Construction Lien Law-Homeowner's
Protection Guidea prepared by the Florida Department of AgricUlture and Consuiner Affairs. If the applicant Is sotneone
. other than. the .owner", I 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 thelnformatlon In this application Is accurate and:that all Work
will be don~ In compliance with all applicable laws regulating construction, zonltig and land developinent. -Application Is . .
hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or !nslallation has
commenced prior to Issuance. of a permit and that all work will be p~rformed to meet standards of all laws regulating
construction, County. and CItY codes, zonh)g regulations, and land development regulations In the jurlsdlctioh. I also
. certify that I understand that th~ 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 agenples Include but are hot limited 10:
_ Department of Environmental Protection-Cypress Bayheads, We~land Areas and Environmentally Sensitiv~ .
Lands, Water/Wastewater Treatment.
Southwest . Florida Water Management District-Wells, cypress. i3ayheads,. Wetland Areas, Altering.
Watercourses. . .'. .
Army Corps of Engineers-Seawalls, Docks..Navigable Waterways. ." .' . .
Department of He~lth & 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 apply to the. use of fill:
Use of fill Is not allowed In-Flood Zone .VM unless expressly permitted; . '. '. .
'If the flll material Is to be .used In Flood Zone aAM, It Is understood that a dralnag.e plan addr.esslng a
.compensatlng volumeM 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 aN In connection w1th a permitted bUilding using stem wall
. constructlon, 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 hot 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 attached 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 sel forth In
this affidavit prior to commencing. construction. I. understand that a separate permit may be required for electrical wor~,
. . . 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, c.ancel, alterl or
set aside any provisions of the technical codes, nor shalllss~ance of a permit prevent the Building OffIcial yrom t~e~ea~er
requiring a correction of errors In plans, cQns~ructlon or vlolat~ons. of any codet;. Every permit 'ssu~d. shall b~come Invalid
unless the work authorized by such permit Is commenced Within six months of permit Issua~ce, or If work authorized by
the permit is suspended or ab.andoned for a period of.slx (6) months after the time th~ W~rk Is comt:nehced. An extension
may be requested, In writing, from the Building Official for a period not to exc~ed hlnety (90.> dars.. and Will, ~emonstrate
justiflal:1ie cause for the extension. if work ceases for ninety (90) consecu.tlve days, the job Is conslde~ed abandoned. .
WARNING TO OWNER: YOUR FAiLURE TO REC~RD A NOTICE OF COMMENCEME;NT MAy ~ESULt INNYO.UR'
. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YPU INTEND TOO.BTA~N F~NANCING; 00 SULT
WITH YQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR..NOTICE OF COMMENCEMENT. .
. FLORIDA JURAT (F.S. 11!.03)
OWNER OR AGENt .'
Subscribed and sworn to (or afflrm!3d) before me this.
. '. by . '. .
. Who Islare personally known to me or haslhave produced
as Identification.
CONTRACTOR . .
Subscribed and sworn to (or affirmed) before me this
. by..
Who Is/are personally known to me or haslhave produced .
. '. as Identification.
Notary Public
NolarY Public
Commission No. .
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped