HomeMy WebLinkAbout06-5972
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5972
Permit Number: 5972
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5.100.00
7/27/2006
60.00
60.00
7/27/2006
AlC CHANGE-OUT
Address: 6622 FOX 0 DR
ZEPHYRHILLS. FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0120-00000-0580
Name: PEDREIRA. J.R. OR RENFREW. H.
Address: 6622 FOXMOOR DR
ZEPHYRHILLS. FL. 33542
Phone:
,0
',\0- \JI 1 vlfl
( \;\'0":1 \y
REINSPEcnON 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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. "
NO OCCUPANCY BEFORE C.O.
V'~ &-.
CONTRACTOR SIG 'A URE PERMIT OFFI
CAL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhllls t-'ermlt AppllCClLlUII
Building Department
Date Received
Owner's Name
Owner Phone Number
Owner Phone Number
Fee Simple Titleholder Address I
~~~~moor ~ELID.I
D. NEW CONSTR r=:J
\)s:1 INSTALL D
PROPOSED USE D SFR 0
TYPE OF CONSTRUCTION D BLOCK D
DESCRIPTIONOFWORK I ~ Dut Ale sYf..fern
BUILDING SIZE I . ~ SQ FOOTAGE I . I HEIGHT I I
, . , , . , , . , , .. , , . , , .. , , . , . , , . , . , , . , , .. , .. . , , . : , , . .. .. , , .. , .. , . , , .. . .. , .. . , .. , , .. . , .. . , .. , .. , , .. , , .. , .. .. , .. .. , , , , .. , , , .. , , , .. . , , .. . , , , , , . .. .. . , , . .. ,
D BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY -0
D PLUMBING 1$
9\f MECHANICAL 1$ S l 00. CfO
D GAS D
FINISHED FLOOR ELEVATIONS I
JOB ADDRESS
I LOU I :
08-~0 ~~I- olao-ooooo -0581) I
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
SUBDIVISION
WORK PROPOSED
ADD/AL T
REPAIR
COMM
FRAME
D
D
D
OTHER
STEEL
I
D
OTHER I
W.R.E.C.
ROOFING
D
I
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
f5?1P-
VALUATION OF MECHANICAL INSTALLATION
DNO
,1.111111......111.1.1111.1,'...111...,'.....111.....1.111....'........11.........11111...11..11.........,............1..11'...'11111......11.....
COMPANY
REGISTERED
BUILDER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL 1\ IJ A II A 1'\ if
SIGNATURE ~wr ~
Address S
License #
COMPANY
REGISTERED
Y / N FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y / N FEE CURRENT
Y/N
OTHER
SIGNATURE
License # ICACO 5& 5 7 f)
Y / N
FEE CURRENT
Y/N
Address
License #
1111111111111111111111111111111111111111111111111' , 11111111 , , 1111111 , , , 1111111 , I , 11111 . 1111 , 1111 , . 1111I11 " , I11111 , . 1111I1111 , , 1111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) 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
COMMERCIAL Attach (3) 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
All commercial requirements must meet compliance,
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction,
11111111111..111111111111111.111111,,1111111111111111111..llllllllllllllllllllllllllllllllllllllllllllll,111111III11111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (Ale upgrades over $5000)
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 (Front of Application Only)
Reroofs Sewers Service Upgrades AlC 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 "deedn restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance 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 local 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 Blockn 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 nuinber 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 Guiden prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
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 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.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & 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 .Vn unless expressly permitted.
If the fill material is to be used in Flood Zone "N, 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 "An 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 ~all. . .
If fill material is to be used in any area, I certify that use of such fill Will not adversely. affect a?Jac~nt
properties. If use of fill is found to adversely affect adjacent properti~s, the. ow~er 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 ~f the permlttln~ conditions s~t forth In
this affidavit prior to commencing construction. I understand that a separate perm~t may ?e reqUlr~d for elect~lca.1 work,
lumbing, signs, wells, pools, air conditioning, gas, or other installations not speCIfically In~luded. In the apphcatlon. A
Permit issued shall be construed to be a license to proceed with the work a~d not as authon~ !o vlolat~, cancel, alter, or
~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaftl~~
requiring a correction of errors in plans, construction or violations of any codes. Eve~ ~ermlt Issued.;hall ~ec~:;e. In'da ~
unless the work authorized by such permit is commenced within six months ~f permit Issu~nce, or I wo~ a~ or~e . Y
. . nded or abandoned for a period of six (6) months after the time the work IS commence.. n ex enslon
~::~~m:~~su:~::~ in writing, from the Building Official for a period not t~ exceed nln~ty ~90) days an~ ~II ~emo~strate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS consldere a an one .
NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
WARNIN~~EO;'~RE~p~g~::~~~~~ ~~~:~~~~~TY. IF YOU INTEND TO OBTAIN FINANCING, CoNSULT
~~i~;OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.0
OWNER OR AGENT
Subscribed and swom to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
CONTRACTOR
Subscribed and swom to (or affirmed) before m s
by
Who is/are personally known to me or has/have produced
as Identification.
Notary Public
Notary Public
Commission No,
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed, printed or stamped
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STYLE AND SIZE.AHUJ3RE~.KER
1 YEAR PARTS & LABOR WARRANTY
YEAR COMPRESSOR PART WARRANTY
YEAR OUTDOOR COIL WARRANTY
---
.. )HYLE mDSlZECeND: BREAKER
YEAR LABOR WARRANTY ON EQUIPMENT ONLY
YEAR EQUIPMENT ONLY PARTS WARRANTY
PRICE: $
~-:-
Price good for 30 days
PAYMENT:
UPON COMPLETION
50% ROUGH IN 50% UPON FINAL
DRAWS
SELLER RETAINS TITLE TO EQUIPMENTIMATERIALS UNTIL PAYMENT IS MADE, IF A PAYMENT IS NOT MADE AS AGREED, SELLER CAN
REMOVE SAID EQUlPMENTIMATERIAL AT SELLER'S EXPENSE, ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE
RESPONSIBILITY OF SELLER. BUYER WILL BE SUBJECT TO RESTOCKING CHARGE IF JOB IS CANCELED,
AGREED
CHRIS'
BUYER
12232 US HWYi.301
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DADE CITY, FL. 33525
DATE
DATE
l" ,r
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PH. 352-521-4977
813-779-9515
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111111111111 111111111111111 111111111111I11 11I11111I1111I1111
2i1l06150073
FlA1Y~w
NOTICE OF COMMENCEMENT
County of
Pasco
State of
TUB tmoERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following inforrnatiop is provided in this Notice of Commencement:
1.
Oeser iption of Property: Parcel No.
03 -;)~ - ~ 1- 0130 - 00000- OS&,?
(Legal descriptlon of the property and street address if available)
2 .
General Description of Improvement
r~
out
A/6
5~S;.fWl
:rrs. Pedre-lvtt, 0( H..o1lir VII ~
H>tmofJ(Y Dr 1eflJyhiJl.sft.ate 3iJs4-,
f) W Jtttr
3.
Owner Information: Name
(Ph :;. ~
l\ddress
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Rcpl : 1018265 Rec 7 10.00
DS: 0.00 IT: 0.00
07/25/06 Dpty Clerk
Address
City
State
Address
l~~~1
CJW-IS' A-[e- Cowvpi#l'/;
IL~ UwtM~ Qry
4.
Contractor: N~me
State
fL
3:3~!
5 .
Surety: N~me
Address
City
State
JED PITTMAN, PASCO COUNTY CLERK
07/25/06 09: 34am 1 of 1
OR BK 7099 PG 768
Amount of Bond: S
6 .
Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or o~her documents may be served as provided by Section
713.13(1)(a)(7), florida Statutes:
tkmc
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of t~e
Lienor's Notice as prov1ded in Section 713.13(1)(b), Florida Statutes.
<J. f'xp..i.rrl1 .l.'Jn dftte of tlot.lce of Commencement. (t.he explrat.i0n date Is 1 yedr
fr?m the date of ree rding unless a dif~erent date is specified.)
''t day of
J'-ll J
$ o.-.brJ.lt1~ 11
~
Sig;'la ture of Owne~il' ~.
Sworn to and subscribed
20 (f{ '"
,
Notclry Publ ic :
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My C:J:T1,OI.i ssion Expires:
BARBARA A. LEWIS
NOUllY PUbiic, State of Florida
My Commission Expires. January 6, 2009
Com No DO 384471
PC93053048/ A