HomeMy WebLinkAbout06-6111
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6111
Permit Number: 6111
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:
Address: 5135 21TH ST
ZEPHYRHILLS. FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-210010-00100-0140
4,700.00
9/20/2006
55.00
55.00
9/20/2006
AlC CHANGE OUT
Name: GAHR, LAURENCE & MARIE
Address: 5135 21ST STREET
ZEPHYRHILLS. FL. 33542
Phone:
'H i\J. 1~:Jfi~
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.
/~R=E ~M.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
'. ~ CHRIS' AlC
~ ~ _:II..:.::t::t::t[III::tn.:Il:r1'.I~rft;"".I.I.I~[._
-=- COMPANY
LlC. #CAC058575
12232 US HWY. 301
DADE CITY, FL 33525
DADE CITY 352-521-4977
ZEPHYRffiLLS 813-779-9515
BILL TO
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FILTERS X
X
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FILTERS
X
x
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I BELTS
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TOTAL MATERIALS
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HVAC
SEf~VICE ORDER
.___~~_______e.__~__.."~__~___
INVOICE
08198
o C.OD,
o NO CHARGE
o CHi\RGE
ENVlRONMENlAl CHECK UST
WORK PERFORMED I QTY !" TYPElDlSPOSIT,ON
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TOTAL $
DESCRIPTfONOFWORK.PERFORMED
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iv/ I/CiriOt-hle 5f.e~ 4;~ ;../d'~~rl ~Rh/
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?wI 'k~~ Cl,,{X r I ~Fr r I~~ 14113' ;1 'Aj K, f;; I
Call /I/-'~~/ 10 eJ(/~h1J vie ~ .[ f'~?/;1/7
k( ltbor + (lfJlmJ'-I It'1L v~c/
10 yr fbr /:s ~ ~bo(
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Pf'O ,-v\ i S t.
LIMITED WARRANTY: All matenals, parts
eqwpment are \\larranteci bv the manufactuH-~rs or
suppliers' \,vrittnn warranty only_ All labor portormnd
by the abovo named comp;,ny is wdrranted tor 30
days Of as otherwise indicatt')d in wntinfj. The above
n,]rrlcd company ni8kE:S nc, othei wail"antics
exprpss or Irnplr(;d. and its agents tnchniCl,-l!"];:'; arc
not aurhonled to rnake any such 'Narrantles
bl-:?n~,l!f 01 dl)uvG r](-uned company
U HEC;ULc~R Ci WARRAN j Y
[J SUN!CL CONTRACT
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"13-780-0020
City of Zephyrhllls permit AppllCClLlUII
Building Department
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address I 5 I ~ 5
Fee Simple Titleholder NamJ
,,.-
Fee Simple Titleholder Address
PROPOSED USE
TYPE OF CONSTRUCTION
B
o
D
NEW CONSTR
INSTALL
SFR
BLOCK
I LOT# I
PARCEL ID# II ~ - ;1. to - ~ 1- 00 I 0 - 00 I 00 - 0 I Lj.o
(OBTAINED FROM PROPERTY TAX NOTICE)
SiGN D MOVE D
DEMOLISH
JOB ADDRESS
I
c=J..,- ADD/ALT D
C0 REPAIR
o COMM D
o FRAME D
DESCRIPTION OF WORK lCh~ DAit k/G Sj-SfefIA
BUILDING SIZE I \../ I SQ FOOTAGE I I HEIGHT I I
.....11.11.11....111....11....11........11.:.1111......11......11.11..........11.....111......11.111..111.....11........11..1111.......11.1111.111.
o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY
o PLUMBING 1$ I
~ MECHANICAL 1$ 4-1 DO. 00 I
o GAS 0 ROOFING 0
FINISHED FLOOR ELEVATIONS I I
SUBDIVISION
WORK PROPOSED
OTHER
STEEL
I
D
OTHER I
o
W,R.E.C.
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
VALUATION OF MECHANICAL INSTALLATION
DNO
'...1111111.'.."'..1111'11.11....'...11..111.1111....11,1"'.1"""""'11111"1""'1'1""'111111111""....111.....111,11...11111111111111...
BUILDER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRENT
Address License #
ELECTRICIAN I COMPANY
SIGNATURE REGISTERED Y/N FEE CURRENT
Address I License #
PLUMBER I COMPANY
SIGNATURE REGISTERED Y/N FEE CURRENT
Address I License #
Y/N
Y/N
Y/N
Address
MECHANICAL
SIGNATURE
OTHER
SIGNATURE
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
Address
License #
I I I , I I I I , I I I I I I II III I I I I , I I I I I I I I III I I I I I I I , I I I I I I , II II II I I I , I , I I I II . , . I I I I I II . IIII II1I I II II III II III IIII1 II I III , , I I I II I I I II I I I IIIII ~ II III II I I I I I I I
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 onsite, 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.
11111111111111111..111111111111111111111111111111111111IIIIIIIIIIIjlllllllllllllllllllllllllllllllllllllllll11111111111111111111111111111111111111
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) 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 "deed" 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 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", 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 bu! 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, Altenng
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 "V" unless expressly permitted. . .
If the fill material is to be used in Flood Zone "An, 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 conne~tl?n 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 properties, the owner may be Cited for Violating
the conditions of the building permit issued und~r the attac~ed p~rmit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan IS reqUired. . . . . .
If I the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permlttln~ conditions s~t forth In
. am .' encin construction. I understand that a separate permit may be reqUlr~d for elect~lca.1 work,
t~IS abf!ldav:igP~~or ~~I~So~~OIS a~ conditioning, gas, or other installations not specifically in~luded.ln the apPllclatloltn. A
p um lng, , , , b r t ceed with the work and not as authonty to Violate, cance, a er, or
permit. issued shall. ~e conr:~e~~~ni~a~ c~~~:e n~r ~~all issuance of a permit prevent the Building Official from the~eaft~r
set aSide any prOVISions 0 '., I r f odes Every permit issued shall become Invalid
requiring a correction o! errors in p~ns, c~~~tructlo~~~c~~ ~:~~~ ~ixa~o~ths of permit issuance, or if work authorized .by
unless the work authOrized by suc perm I IS c~m. after the time the work is commenced. An extenSIon
the permit is suspe~ded ?~ abandon~d f~r .~len~ffi~:II~~~~ ~~~i~; not to exceed ninety (90) days and will demonstrate
may be requested, In wntlng, !rom t e ~I Ing f . ety (90) consecutive days, the job is considered abandoned.
justifiable cause for the extension. If wor ceases or mn
RD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR F~~~~~ ~~~:~~OPERTY IF YOU INTEND TO OBTAIN FINANCING, CoNSULT
PAYING TWICE FOR IMPROVAErrMEORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
WITH YOUR LENDER OR AN
FLORIDA JURAT (F.S. 11 .03)
OWNER OR AGENT
Subscribed and swom to (or afflnned) before me
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
JS:J..D~ /SIb -1tJ/-1tJ14-[)