HomeMy WebLinkAbout06-6274
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6274
Permit Number: 6274
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: 38408 C TTONWOOD PL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number: 02-26-21-021B-00100-0060
3,750.00
11/29/2006
50.00
50.00
11/29/2006
CHANGE OUT AlC SYSTEM
DIVIT ALE, BEA ICE
38408 COTTONWOOD PL
ZEPHYRHILLS, FL. 33542
Phone: 813 779-1003
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REINSPECTlON 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.
~RS= ~~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-00:lU
"-'1"'.1 -. --1"'".-.10..--
Building Department
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
I
Owner Phone Number
Owner Phone Nu~ber l
Owner Phone NU",ber r
1 ji.(p'L 1tf
'77tf- J003
Fee Simple Titleholder Address I
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IDn'..ftwDotL CundiJ s I PARCEL 10#1 0 ~ -:J..(P - ~ J ~ 0;),,1 B - Of() 1-00 - OOhO
~ (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED EJ ~ES~A~~NSTR , 5d' ~~~~~T 0 SIGN D MOVE 0 DEMOLISH
PROPOSED USE 0 SFR 0 COMM 0 OTHER I
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL D OTHER I I
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, 1$ I
1$ I
1$ I
1$ J 1 ? 0 . 00 I
D GAS 0 ROOFING 0 SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [:=JNO
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:~~~~RE I ~~~:;= I Y I N FEE CURRENT Y I N I
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Address I License # I I
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms ,
Minimum ten (10) working days after submittal date. Required onsUe. Construction Plans, Sanitary Facilities & 1 dumpster
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.
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) 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
JOB ADDRESS
SUBDIVISION
LOT #
BUILDING
VALUATION OF TOTAL CONSTRUCTION
. PROGRESS ENERGY
D
D.
D
~
ELECTRICAL
AMP SERVICE
PLUMBING
o
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
MECHANICAL
Address
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
COMPANY
REGISTERED
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Address
~
U/.
OTHER
SIGNATURE
COMPANY
REGISTERED
COMMERCIAL
SIGN PERMIT
License #
Y/N
Y/N
FEE CljRRENT
License #
Y I N I,
Y/N
FEE CURRENT
License # I
~i51 /!rIG UJ.,WUJ4A1f
L-1f Y iN I FEE CURRENT . y-IN I .
License # I CAe 0585'75
Y/N
Y/N
FEE CURRENT
Driveways-Not over Counter If on public roadways..needs ROW
Fences (PloUSurvey/Footage)
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 Dlvlsion-Llcenslng 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 "contractorBlock~ 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 th~t 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 paidp~ior 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 but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater 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 .V" unless expressly permitted.
. If the fill 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 "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?Jacent
,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 OWNE~, I promise in good faith to inform the owner ~f the permitting conditions ~et forth In
this affidavit prior to commencing construction. I understand that a separate perm~t may be required for electrica.1 work,
plumbing signs wells pools air conditioning gas or other installations not speCifically Included In the application. A
ermlt is~ued shall be 'cons~ed to be a IIcen~e to proceed with the work and not as authority !o vlolat~, cancel, alter, or
~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bull.dlng OffiCial from the~eafter
re ulrin a correction of errors In plans, construction or violations of any codes. Eve'Y ~ermlt Issued shall become Invalid
un(ess ~e work authorized by such permit Is commenced within six months of permit Issuance, or If work author~zed i by
the ermit'ls sus ended or abandoned for a period of six (6) months after the time the work Is commenced. An ex ens on
ma: be request:d, in writing, from the Building Official for a period not t~ exceed nin~ty (90) days anj ~II ~emodstrate
,justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job Is considere a an one .
~:~~~~~EO~~EI~P:g~::~~~ ~~~:~~~~~~Ti~~gti 1~~:':nE~g~~~~rN 'f.JA:~~~~~d~N~~~~
WITH YOUR LENDER OR N,ATTORNEY BEFORE RECORDING YOUR N TIC COMM NCE ENT.
FLORIDA JURAT (F.S. 11703)
CONTRACTOR
Subscribed and swom to (or amnned) before me this
by
Who is/are personally known to me or has/have produced
. as Identification.
OWNER OR AGENT
Subscribed and swom to (or afflnned) before me s
by
Who lsiare 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
J5~D - 8)0./ Co 1-~'14 - 0