HomeMy WebLinkAbout06-6311
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6311
Permit Number: 6311
Permit Type: MECHANICAL
Class of Work: A1C NEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2,400.00
12/15/2006
80.00
80.00
12/15/2006 Phone:
NEW A1C WITH ELECTRICAL SERVICE UPGRADE
Address: 5553 11TH ST HISTORIC
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel 'Number: 11-26-21-0010-10300-0060
Name: PENALVER,CLARA
Address: 5553 11 TH ST
ZEPHYRHILLS, FL. 33542
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y' (l CJ-' () f6'
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DUCTS INSTALLED
DUCTS INSULATED
FINAL
RElNSPJ:\,;'lilON\fiEES:Reinspectionfees will comply with Florida Statute 553.80 (2)(c) when extra inspection
'tiips are necessary. due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or colTections 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.
/(1Jiu &~~
CONTRACTOR SIGNATURE . PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
~14/2006/THU 01:26 PM
, 813--780.0020
ZEPHYRHILLS BUILDING
FAX No. 813-780-0021
p, 001
" .' City of Zephyrhllls Permit Applie;atlon '
., ' " Building Department
FaX-813-780-0021 '
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.1
I
OWner Phone Number
~nerPhone Num~r,1
OWner Phone ~u.mber 1
. ~:t.J,.,~
2cph (hIlL:). fe
. I '. 'P~RCEL ID#I
(Q8TAlt,IED FROM PROPERTY TAX NOTICE)
. n . NEWCONSTR D,' AODfALT 0 SIGN D 'MOVE 0
D INSTALL' . CJ REPAIR
PROPOSED USE 0 SPR D COMM . D.
lYPE OF CONSTRUCTION' '0.' BLOCK D FRAME D
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d BUILDING 1$ , ' " :,l . . VALUATION OF TOTAL CONSTRUCTION
1jQ, ELECTRICAL 'I$ 'IJ tJ J)'~ 1 ,AMP SERVICE, ~'PROGRESS EN:~~Y ,0
J D. PLUMBIN~ '1$' -,.I.:" ' /'. ,{ I
1$, ,A, oi? () I, . VALUATION OF MECHANICAL INSTAllATIO( ,.. J & 1;-
D ,ROOFING 0 SPECIAUY D, OTHER ~_
FIN~S~ED FLOOR ELEVA~IONS : I . 0 ,l FLOOD ZONE AREA DYES DN<? ' .
~ II111111 ( I J I J I I III I 11I1I I III I I 111111111111 I I i II i 111I I I I 11III I I I II I 1111 I 1111 I III I I I 1111111 I I I I 111111 J I I 11III I I I I I i 11111 I I 11I11I I I I Ii 111111111 I I IIf
:ro~~RE I . . ..,. .'1... ~= I YI"! _OJAR'NT YI. I
Address I "ucense # I. . ,.
. v/ELEC.TRlCIAN I'Qt, j\'Qt' ], COMPANY1 (:\0((.1 7c~~...e! 0 h1J~1
SIGNAroRE . _ ReGI51'EREO. I Y I N FEE CURRe~ LY f N
. Addre&~ I I, , L1cense# .I J
PLl.!MB-ER '. 'I,' ,,]. CQMPANY' L . I
SIGNATURE . _ ". REGISTERED . I Y I N FeE CURRENT I. Y f N
. Addre&s I I : . License. # I, I
~ECHANIC~ I ,CL' 't ~ .J, COMPANY vi . ~~c) (() 7 e'f-cJ '-JC? I ~~ J
. ,SI~NATURE '. , RCGIs:n;RED _ I N I FEe CUAAENT , .1 Y IlL-, '
, , . .Addr!!$s I oj license # L. I
':TU.RE .1 == I' YI. !, ....CURRENT Y/N J
. Address l I License #. r I
~ 11111111'11 I 11I1I J II 11111 I I Jill' ll.l 'I! I I II I i 1\11 I I It 1I1I11 n I 1'11111111 J I I IIII 1111.1 J I I I III I 1111\11111111 I III r 11\11.11111111111 I i 1II1I111II1111 r I I 1\
RESIDENTIAL Atta~ (2) f:7lot Plans; (2) 6'ts l?f Building Plans; (1) sel''or Energy Forms . '. . . . .
, Minimum ten (10) worklng ~ays after submittal date. Required onsite, Construction Plans, siIfl!tary F.aciliUes & 1 dumpster
COMMERCIAL Atla.en (3)'5els of BUilding Plans; (1) liet of Energy Fonns. '.' .' .
MInimum ten (10) WOrk'ng days after submittal date. Required onslle, Coll&tructlon.Plarn;, 'San!tary Facilities & 1 dumpster
'. All commercial r'!CIulrements mu&\ meet Compliance. '
SIGN PERMIT Attach (2) liets 9f Engineered Plans. . ". ... " ,
. , .......PROPERTY SURVEY r~ulred for aU NEW construction', ' .
Hi' , r . . . . , T IIII J II j J I J II . . , T I rill r 11111 T , . . f J r II J J i Jill. . IT' III1II i 111 . , , I , I r lilli' , , '1111 I rill T T 1 I II J 11111 I . . , T II [ II 1111 , J 11111111 . t t . I J , , I11III ,
rectlons: , ' .
FlII.~ut appllcallon completely, ' , "
, OWner & Contractor sign back or 8PpllcaUon; notarf~ed
If ~ver $250~, ~ Notice of Commencement Is required. (AlC upgnsde5 over '5000) , .
"* , Agent (for the. c~ntraator) or ~ower of Attorney (for the pwner) wOul!l be so'."eori~ with notarl;zeclletter from owner aUlhO~ng liam,Cl :
OV~R THE ~OUNTER PE:RMITTIN~ (Front of Application Only)
Reroof6 Sewers S~lce Upgrades' NC
Date RctcelvEld t2.116/2tX~'
IOwner's Name '(0 ,tErcd\Jel'.
~Owne"9 Address . L . ~f{{, .' " ~ /~ 51- . ?~i>h~ ~ h 16
. Fee Sil'n~loe ~ltIeholder ~~eL
. '~ee SI~P;~ ~t1eh~lder Add~s. L
/JOBADDRE'SS ,...~.?,' \rth, <},
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-z,?) 542
LOT #I r-
. SUBDIVISION'
.1 .
WORK PRC?POSED .
DEMOLISH
OTHER I
STEEL 0
OTHER r-
.1
~
W.R,E.C
Driveways
Fiances (PloIlSl,lIvey/Foolagli!)
DEC/14/2006/THU 01 :26 PM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
p, 002
NOTICE OF DEED Re~TRICTlONS: The und~rslgned understands that,this 'per~lt may be aubJect to "d~ed" restrictions"
which ~ay be more restrictive than County regulations, The underslgn~ alSlSumes respo[lslbllity for compliance with any
appllcabledee(t restrIctions: ' " .' .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor' or
contractors to undert~ke work, they may. be required .to be 1I0ense~ In accordanoe with state~nd local regulations, If the
contractor is not licensed ~s required ~y law, both the owner and contractor may be cited for a misdemeanor -vIolation
under:statelaw. . If the o~ner'or intended contractor 'are uncertain ~s. to what licensing re.quirements may apply for the
Intend~~ work, they ~readvlsed to contact the Pasco County Building Inspection Dlvlslon-li.censlng Sect/on at 727-847-
8009. Furthermore, if ~e .owner has ,hired a contractor or contractors, he Is advised, to .have the contr,actor(s) sign
portions of the "contractbr Block" of this applica'lon for whicJ:l they will be responsible. .If you, as the owner sign as the
. contractor, that may be an indicaU~n that he is not properly licensed and is not entiUed to permitting privileges In Pasco
,.County. '.. .., , '. .' . .' , , ',' .
TRANSPORTATi9N IMPACTJUTII:-fTIES IMPACT AND RE~OURCE RECOVER.., FEES: The undersIgned understands. .
. that Transportation Impact F~s and Recou~se Recovery Fees may apply to the construction of new bUildings. change of
us~ in existing buildings, or expansiori of existing.. buildings, as'sPecified in Pasco County Qrdinance number 89-07 and
. 9O-07"as i;lmended. The undersignec;j also understands, tha.t such fees, as may be due, wil! be identmed at the time of
. permittIng. ,It Is further understood that Transportation Impac,t Fees and Resource Reco,very Fees must Qe paid prior to
receiVing ~ .certificate of occupancy. or final power release; . If the project does not Involve r;Jcertlficate of occupancy or
'final power rel~ase, ~e fee,S m~st be paid prior to permit Issl:I~nce. Fu~ermore, If Pasco CountY Water/Sewer Impact
fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinanc.8s:
, CONSTRUCTION LIEN LAW (Chaptor 113, Florida Statut~, as amended): Ifvaiuatlon ofw,ork is $2,500,00 or more. I
., ,c.ertify that I. the applicant, have been provided' with' a copy of ~he "Florida Construction Lien Law-Homeowner's
.,.' Protection Gulde~. prepared' by the Florida Oepartment of Agriculture and Consumer Affairs. If the applicant Is someone
. other than the. "owl)er", I certify that.! have obtained ~ copy of the above described document and promise In good faith to
d~lIver It to the' "owner" prlo~' to comniencement. .' . . . . .
. CONTRACTOR'S/OWNER'S .AFFJDA VIT: I certify'that all the information in this application "s accurate and that all work
. 'wlll, be dorie In compliance with all applicable laws regulating Construction, :Zoning and land development. Application is
hereby made to obtain a permit to' d.o work and In,stallation as indloated, I ~rtify .that no work or installation has
commenced prior to Issual:l~ of a' permit and that all work will be performep to '~eet standards of all I~ws regulating
construc~ori, County and City codes, zoning regulat!ons, and land development regula~ons In the Jurisdiction, I' .also
certify that I ,unqerstand that the, regulations of other government a'gencles may apply to the Intended work, and that it Is
my responsibility to Identify what actions. I must take .to be In 'compliance. Such 'agentles Include but are not limited to:
_ . . Department of Env.ironmental Protection-Cypress Bayheads; W,etla'nd Areas alid Environmentally Sensitive
Lands, WaterlWastewater Treat,ment. ,,'
. Southwest. Florida Water Management District-Wells, Cypress Bayheads;, Wetland Areas, Altering'
, Watercourses. .'.., . ' .
,Army Corps of Englneers~Seawalls; DOcks, Navigable Waterways. . , ..' .
Department ,of Health & Rehabilitative. Services/Environmental .Health Unit-Wells; Wastewater Treatment,
Septic Tan~s. ' .' , . , , .' .
US Environmental Prot~ti<?n Agency-Asbestos abatement.
Federal Aviation Authority-Runways. . . . . i
, i understand that the followlhg 'restrl~tlons a'pply to the use of fill: .'
, Use o.f fill is 'not a!lowe.d In F.lood Zone V,unless e)(pr~ssly permitted.'. :
If the fill material is t9 be u~ed In Flood Zone "A", It is understood that. a ,drainage plan addressing a
" .,compensating: volurneN will. be submitted at tlme of permitting which Is prepar~ by a profeSSional engineer
licensed ,by the St~te of Florida. . , ' . , ", ' .
. If the fill milterial. is to be used. in Flood Zone aN in connection with a permitted building using stem wall
construction, I certlfy that flll,w111 be 'used only to fill the. area yvith.ln the stem wall.' . . . .
,If fill material 'Is -to b.e used In any area, I certify that Lise ,of such fill will not. adversely affect adjacent
, properties. If use of fill, is found to .adversely affect adjacent prope!iles, the owner may be cited for violating.
" ,the conditions of the building permit ,ssued under the attached permit application. for lo\s less than one (1) .
: , ' .scre which are el,evated by fill, an ~~gineered 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 set forth in
,this affidavit prior to commencing construction. I understand 'that a, separate permit may be required f<?r electrical work, .
. plumbing, signs, wells. pools; air Conditioning,' gas, or oth~r Installations not' specifically Included in the application. A'
permit iss'ued shall be' construed to \)e Q license to proceed with the work and not .as authority to violate, cancel, alter, or
set aside any pr<<;>vlslofls of ~e technical ~es, nor shall 'Issuance of a permit prevent ~he BulI,ding Official frO'11 the~eafter
requiring a correction of-errors In' plant, construction or violations of any codes. Every permit ISSUed shall become Inv.alld
unless the work authorlzed by such pe.rmlt'is commen~ed within ~Ix months of permit ISSUance, or If work' authorized by
the Permit is .suspended or ab~ndoned for a period '~f six (6) mon,ths after the, time, the, work Is coml'!'enced: An extension
may be requested, In writing, frQm the Building Official for a period not to excee~ ninety (90) days and WIll demonstrate
justiflabl,e cause .for the 8xt.enslon. If work ceases for ninety (90) oon~ecutlve days, the job Is. considered abandoned;
WARNiNG TO'OWNER; .YOUR FAILURE TO RECORD A NOTICE OF COM~ENCEMENT MAY RESULT I~ YPUR
PAYING TWiCE FOR .IMPROVEMENTS' TO YQUR PROP.ERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
" WITH VOVR LENDER OR A~ ATTORNEY BEFORE RECORDING YOU~ NOTICE OF COMMENCEMENT,
. 'FLO~JDA JURAT'(F.S, ~1.t1Y3) 'r' . ' . . ,.. '
~WNER OR AOENT CJl./ J' ~~b '.' . CONTRACTOR
Sub b and $~n to (o~rjJWI) pefqre me lhls . Subscribed ~nd $WQm to (or affirmed) before me this
. /.fC)~ . byC[I'1L./l ,.L" ~I1II'1IVE"~ . . by'
I. are r50nally knoWn 10 me or ha~ve. pr~UC9IfJ. . Who Is/are personally known to me or haslhave produced
" .' ,'as ide~UfiC8~on;//i/ as Identification.
/'1./ ' . ~//
/ ,i/' "'V'L'/
/ . /./ ,. __ ~""/ '/~tary pubRo Notary Public .
. ... /' .
CQmmlSslon No,----l>t5 5q~ 7~~ Commission No.
Name .of Nota
. Name of Notary typed,.pnnled or sl'8mped
,DEC/l.4/2006/THU 01: 26 PM
ZEPHYRHILLS BUILDING
FAX No. 813-780-0021
P. 003
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DJ:S~OStr.RE Sl'A~ :FO~ o~,:'
c:r.'l"Y OJ:' .z~LIiS BUILDiNG DBPn~ . . . .
.i( , . ct-,(~\ '\)C\'~l~\I(:-'{' ,.' , ~ave'.'7:ead..~.:fUJ.J.y:W:ui~stand and' .
'agree 'l:.e.tbe -provi'sie:l:ls ef thi-s :,instruJlumt.'.
, . . .
~e 1mdars;Lg%}.ea 'Illtat:'Eua', and aff;iDlS that he o::r;- ,she' i's desirous c,f c~tructi:i1g ,".
reD~a.'I:.:i~g, a~ .tc' or . reroofing- 'h:I.s f?r her 01liln' domi~J.e;,,~t' :h~ or 's~e'
'aetua:J.ly f?ccupies-l cr wi:L~ octfapy, by . . ,.:sa'id:CI.omiciJ.e,' and s~' :i.s._~'I:. for'.
rent, isase' or. sa'J.e~ . ~at: .he ~ sbe ilhaJ.lc::.oIllJii,"y :w:I.t:l:t. the .:fol1ow'i:D:~ CCJ1diucn:$':: .: .'
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~t 'the. ~er and.. lie, ~r' she a.'lo~ 1Ib,a),1. aet as 'thta builder --:for, a.'l'J. p~ilSl!lS 'cf,:-
ccnatruet.i.cm. . ~. . .....
~t. the cmier. ,dll comply with, alli p'rorl~.:i..ons ef'the ~ty cf' zep1;yJ:'h.:!J,~ls..,
crdi.:c.a.nces aJld 't)od~e pex''l:.2.nsnt: to "the bUild;i.:I:lg, .' ,:,' "', :,' :'. ...
3.~ 'rha.t: ;J,Xl. t:he' ~ent va:'ious 'pl1.aJies o~ const~et:i~ ,u-e suhcontr-aci:ed, ~e wil~ . .
.msaeJe cm:J,y properly J:ictmJ!lsd .uhcontX'~c:t:crs ~d, will p~l!l~ly sUP,eririse' "
8U~ work.., ' :'. ' . j. . ' .' . .
"thS.t 'a."the 'evejlt: the BUilding l:upac:t:or sb.alJ.' .1:',eqaur'ii eC?i:;-~6tioi1.S':~o, be made,'
the o~ w1ii assUme :fu:J.J:. '.reapcm.sibil.it:y 'te iDsu:re. ~q are.m:ade.;,' mid. up~n . . .
comp1stiozi: ~l'i.,. caJ.J. for a.' rei:wlpec8:ol1. before p~ce8di.;E!9' w:!- t:h the '):)u.ilcUng ~ ' .
,.~t the oW;c,G%' s:b.a.1J., a.s,IIUIlU!i,:full rellpcmsibi.'J.ity for'~: qcnat;.ructi9n and llrl,::;I.J, , '
~t' ~eClt s-uperv:t.s:Lcn o~ h:is wcrk .f:r:~ 'the City' of ,Z,..ph~brl:lls ,lh:a.ilding,: ..... '. .
Dep&:rtmlUl.t~ , ' . " . .', .' . .i.: " . ..
'!'bat:. pri9:i. to :f'i.nal inapect:i.ori, ~ acltU.t:Lcmal fees( ':lncl.uting r~DSpecUo[J.
i:ees~ ~t. b_ paid in i:ul1.. A 1irr:Lttmt reques'l:., 'f:r:cm 1:h:i.1I off~clil'S~:L: .' ,',' .':-.
. c~s1::.i tute iUI. cfficia.~ II.Qtioe_ 1::.c pay adl:!:i.eio;gaJ.' fees., ' . ' . , ,
':ha1::. the cwnlilX' shall CQmply.:with a1.J. Ci'l:.y, Stat:e. imd Fadm].' 'J.aws' :LXI: r~ga=d .~c .
,sor;iiaJ., &leouri1;y( wor:k:man' a compensat:~'OII.., 1:i.eD laws,,' et:~.., wher_ ..'app,lieabl~.' ..
Tha.t t,he "qwnGr ~1 comply' Witha.ll the. &lUsty COdd iSSUlild,}iY'.t:he' Flo::dda .'
J:ndust:riiiJ. Cammi...icn. . . '" ". " " . '.."..,. '.'
S'l:._ ~e J.aw -:reQUires ocustrUcticm tc be clQ;Q.~ b~ J.iC~:g.!Ui~d' ccn:trac'l:.prll. . You hlil:ie' .
appl:i.ed far' a. pe:cmi t U%La.er 1m 8XemPt.:Lon 'I:.a t:hat law'. 'fl1e .xemptic~: allows . .
Yo~, as the OWD.er pf 'you:' propertY, to act as your own. cemt:ra.c:1::.or wi th c:~a.i=. .
. ria.1::.rlc1::i.Q]1II ~ thcugh .you. do :uot: have a 'l:i.ccU;liIil~ . .;coil mU..it' P:C:CV'ia.~ :c!irect. ,.'
O%1l!1:i:te BUPerv:i.S:l.o~ cf' t:hlil cOZl.Struct:i~ yo~se=!-:f. ,You m;iy build or' improve':..
cme-:fiUdJ,.y cir twc-1:;.miy: .residue. or a fa:en 0ut.b1:l,;!:1~:ng-.' Ycu',may,iiJ..o .~ld
'or iD;J:'c~e a.. C:~lilrc::I.~al l::!uiicU:~g',. p:rov:td~' ycnu;: ccsts' do ~t, ,~8!'ld $25. OQ~.
The' build:i:l:lg" .o~ ~esia.lmee. must: be for your owu u.8.e oroc.c:upanc:y. 'J:t may not " . ',' .
:bs bui1.,: o~: subl!lt:imti~ly' ilDP~vec:l' ~cr s.4-: '~r'.1ease~ '~fyou lilea.l':o:r',i~e' ..c'
b1ri.1c1:Lng, YoU., ha.ve . bui.l: b 'or .;~...t~tiallY ixlip:E::P!V'~d y~peif: ~ thu:i: 1. year 'a~t:er'
the t)onst:r\1Ct:i~ is ccmpJ,.ete. 1::.he law ~J.l presUDllil .t:ha.-c. you bui1-c 0:1:.' . ,
subse'an'l:.iiiJ.1y: 'improve4 'i~ :fer. sai. ~J;. lease, 'wh.ic:h is a.. Vicla1=ion cf this' .
exemption: ~ou may no'l:. hire an '\mJ.ic~ed ~erBe~: to .act., ali' Y9~' co:e.tJ::ac,:or 'or.
to supeX'V:Lse people'.work.:ing em y'.our'bui1c1:l.ng. rt. i&l your re.~cmsil:liiity. to : .
mu& .sure ttlat ;peOple emp.1oyed by"ycu, :b.a.ve l:LcenB&S' rBc;[tiired' by 8~ate. law ,an!! '.'
l::ly ceunty or JIIWli,cipaJ.' lieiUlSing 'o:r:di:a.a.nces,.' YC)U" ma.y. m>t. delilga~e' :t:iI-e'. ",
':daspo:na:i.bil'ity, for s'up~sing wO:J:'k, tc a .licensed. contractor 'who i:s, not:, . ' .
~ic~ed to' ~er:fo:cm the wo:ck 'J?e!ng- doile. . A:l3.y person 'wcr]d.ng:,~' YCU;C' buiiding-
who .:I.s. .not: ).:LctmSed DlU.IIt WCIrk, W14er' yoUX" cU.ract: supex1ri.s:iosi and' mUSt b. ,..... .
amployacl by you, ,which DlE7.m...that: 'yov, .'JI1USt: 'dech?-ct F~J:.,C..~.,':and. w:tthhol.~S' tu', .'.'
and prcvide '1!fO::kBrli" ,?omp,fU1S,at:i..c:a. 'for that emp~cy~a, <Ll.:L U. prescril:leci . by. ia.w. '.
1!:cu:r; ccZlS~~ti.o:n. mu.at: c::.cmpl.y w:L th., a1.1 appl:i-ca.b;Lelaw8, ordhl.anc:es, ):iuil.d.:Lx1g' .
ccdes; . aJ3.d zCJ:L::i.ng regU1at'ioDS., . : . '. . . .' . - .', .../
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