HomeMy WebLinkAbout07-6615
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6615
Permit Number: 6615
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 37405 T BERRY LP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: WEDGEWOOD MANOR
Parcel Number:
4,800.00
4/11/2007
55.00
55.00
4/11/2007
AlC CHANGE OUT
LO E
37405 TEA BERRY LP
ZEPHYRHILLS, FL. 33542
Phone:
I
DUCTS INSULATED
FINAL
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.
~R~ ~~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Address I
I S~
I ~WDOtL I
D NEW CONSTR ~
D INSTALL Eef
PROPOSED USE 0 SFR 0
TYPE OF CONSTRUCTION 0 BLOCK 0
DESCRIPTION OF WORK I AI c ~-# ~
BUILDING SIZE I I SQ<;.60TAGE I HEIGHT I
11111111111111111'11111111111'11111'111111111111111111IIIIIIITII"'IIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111'1111111111'1'1111
1$ I
1$ I
1$ I
Qt800.00 I
D GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111111111111111111111111111111111111111 ! 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
ADD/ALT
REPAIR
COMM
FRAME
I
PARCELlD#1 r 0 -:J./p - ~ l- D I ~ 0 - 00000 - 00 #)
(OBTAINED FROM PROPERTY TAX NOTICE)
o SIGN 0 MOVE 0
o
o
LOT# I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
DEMOLISH
OTHER I
STEEL 0
OTHER I
D
D
D
oz{
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
I
I
I
I
I
I
I
I
I
I
BUILDER
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
~
~
COMPANY
REGISTERED
License # I
rP1,Yls I A/~ COWt1J(1j(\;V
I ,'~ I N I FEE CURRE~. - r I Y I t-I I
License # I C,AC() 5 g 5'7 b
COMMERCIAL
Address
MECHANICAL !
SIGNATURE .
Address
OTHER I
SIGNATURE
Address I License #
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new conslruction,
Minimum ten (10) working days after submittal date. Required onsite, Conslruction Plans, Stormwater Plans wI Slit Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new conslruction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW conslruction.
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
SIGN PERMIT
DI~~~ii~~~': I . I . . . I . . . I . . . . . I . . . I . . I I I . . . I I . I I I . . I . . . I I . . I . I I I . . I . I . . I . I . . I . . . . I . . . . . . I I . . I I I I I I . . . . . I I . . . . . I . I I . I I I . . . . . I . . I . . . . . . I . I . I I . . I . . . I . . I
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
i6hsilf.
,... [.,l[~9t
Gaunty,
RAN~ TIClN IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned Understands
/i ;,i"tI1~J,Tr~.!1~ 'ClIl Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
';,if'T.~~~J9~*iS ulldings, or. ,expansion of existing buildings, as specified in Pasco County Ordinancen.umber 89-07 and
'!'(:~9:071as '.."",' </e~; The undersigned al~o understa~ds, that such fees, as may be due, Will be idehti~ed at the time of
p~:tl11itung.iU~J~,(u~her understood that1;ransportation Impact Fees and Resource Recovery Fees must be paid prior to
re$eiVinga~~~~ifit:ate of occupancy" or flnal power release. If the project does not involve a certificate of occupancy or
finFlI power rei~~se" the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,Jh~ymust be paid prior to permit Issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTi(jN 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 "oWher", 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 Gorps 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 "A" 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 wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may beeited 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 set forth in
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCIfically 1n~luded. In the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authorl~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permIt prevent the B~II~ln9 OffICIal from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes, Every ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months o.f permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced., An extenSion
may be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty \90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutIve days, the Job IS conSIdered abandoned.
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 0, F C OMMENCEM~ENT. ,
FLORIDA JURAT (F.S. 117. ) 1\0 /I ,n 11.0 ~
CONTRACTOR dVLVr~
sub:;crlbed and swom.Jp.Lqr:.afflrrne~ b~e llJeJhi&
Lj-fl-o 7 by ~ I &f~ll{. ~..:::>
Who Istare personally known to me or hasthave produced
as Identification.
,
i
I
~,".JI~~QFr(j~ED'RESTRICTIONS: The undersigned understands that this permit may b~ sUl>jedto"8e~i:l,j;f~~triptidn~ri
\A(191),m 'ft;Wre restrictive than County regulations. The undersigned assumes respdiisibiiUy forCdmp.li~tlC~WltM~hy
a' "ncat)~~trictions. -,,' , ,,\ <,
:gNTRACTORS AND CONTRACTOR RESPONSIBILITIES:, If .th~dY(ner. hashife~~..~ohtfacior/6f .','.:
g,ertake work, they may be required to be licensed in accordancewiths,t~te~[)ai~b~Lf~~~I~.tI.~ns,dtth~
'.Ii.c.ensed as required bylaw, both the owner and contractor m~YibeiPit~~ifqr'~f1:ii~a~m~~BtjrVI(jIEl.H(m
,",i{the owner or Intended contractor are uncertain as to whatliq~nsin~te~Uif~rii~.nl&m~Y~~pJYfbf tH~.
'~Mare advised to contaol the Pasco County Building InspedionDiViSiori"LiCe.nslb~.~~qti6~>~tt2t-84i~'
r~, if the owner has hired a contractor or contractors, hels,advisedJbh~ye .tIiE!'CO~{r~qt6f(s)sigH ,'.
fltractor Block" of this application for which they will be responsibl~., if 'you,aslheown~tSig.n a.s the
.' e.Y be an indication that he is not properly licensed and is hot entitled to perhiltting prlVlieges ih, Pasco
Notary Public
mmlssi No. :'::.. JACQUELINE BOGES
';', Commission DO 6,1~
"i Exoires oecember 12, 2010
Name of Notary typed, printed"tw'~'\flt5fi'linsu,.nc'''.J\I,_/ul!
Notary Public
IM'QI 'EllNF BOGES
;. '" Commission DO 621833
, " '. " FVp'ir9'> nl>t;:l>mhl>r 1?, 201Q
Name of Notary'1y~g.,.;-printeiicDfir5ta/Rfledrrance 800-385-7019
"J s ~ 0 -' g l 0 -- Co / -- (p 7 ~ --D