HomeMy WebLinkAbout07-7298
I
,
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7298
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7298
MECHANICAL
AlC CHANGEOUT
SINGLE FAMILY RESIDENTIAL
Address: 5116 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-20200-0140
3,700.00
12/11/2007
50.00
50.00
12/11/2007
AlC CHANGEOUT
UR E, HAROLD
5116 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
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."
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CONTRACTOR SIGNATURE ~~ PERMIT OFF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Ref. No: G 090100370
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Owner's Address h' \ \
Fee Simple Titleholder Namel
Fax-813-780-0021
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Date Received
Owner's Name
Owner Phone Number
Owner Phone Number I
Fee Simple Titleholder Address
ADD/ALT
REPAIR
COMM
FRAME
I LOT# I
l \ ' Zt,., ., 2\ - Db \ L"J ~ 2cfZ Cib .- 6\ 4-0 I
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
JOB ADDRESS
'3" i \ '-.0
\ -, -H"'. 5 t-
SUBDIVISION
PARCEL ID#l
I
8 NEW CONSTR D
INSTALL D
PROPOSED USE D SFR 0
TYPE OF CONSTRUCTION 0 BLOCK 0
DESCRIPTION OF WORK l&.( c- ~"""~ ~
BUILDING SIZE I I SQ FOOTAGE I! I HEIGHT I I
II"""""""""""""""""""""""""",.",.", .."".""""",.,."".""...,",..,....,""',.,..",""..1..'.'..,...,."..
o BUILDING 1$ 1 VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY
o PLUMBING 1$ I ~
5Q MECHANICAL 1$ 3700-. csO I VALUATION OF MECHANICAL INSTALLATION
o GAS D ROOFING 0 SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
I I I ' , 1 , ' I ' , , , , , I 1 ' , ' , , , , , , , , , . , , I . I . , . . , , , , , , , I ' , 1 ' I ' , ' , . , , I ' . , ~ I ' , , , , , , . , . , , , , , , ' 1 ' 1 ' 1 ' 1 ' I . I ' , , I ' , , . 1 ' I , , , , 1 ' 1 . . . I ' , , , ' , , I . I . , , , , , , ' . , I ' I ' I ' , . , , II
~~~~RE I 1 ;~~::::; I I Y I N FEE CU",,'NT Y I N
Address I License # I
ELECTRICIAN i COMPANY I
SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N
~~I ~~# I
PLUMBER I COMPANY I
SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N
Address I License # I I
X MECHANICAL i A1 -- '. J. "- LJ -P'- COMPANY I ~~ t!r,e ~ ~AG I
SIGNATURE :~ ~ REG"TERED ~i-;'L I FEEe"",,'" I y'~'T""-
Address License # I I
OTHER I COMPANY I
SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N
WORK PROPOSED
D
D
o
DEMOLISH
I
D
OTHER l
OTHER
STEEL
D
W.R.E.C
""'~~~~~" 1"""""""""""""""" """,", , '1""""'" " """" ! """"""'" "" ;:::;,~ ""1"",,, """""""""""" !
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Storm water Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsflarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
"-'PROPERTY SURVEY required for all NEW construction.
11111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111
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 cqntractor) 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
understate 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 hot 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 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 "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 connectron With a permItted bUilding uSing stem wall
construction, I certify that fill will be used only to fill the area within the st~m ~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.ner may be Cited for Violating
the conditions of the building permit issued und~r the attac~ed p~rmlt appllcatron, 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 permlthn~ condltrons s~t forth In
thisa:;;fidavit rior to commencing construction. I understand that a separate perm~t. may ?e reqUlr~d for elect~lca.1 work;
I b' . P lis pools air conditioning gas or other installations not speCifically Included In the application. A
p urn Itl~g, slJnsh ~~e 'constr~ed to be a licen~e to proceed with the work and not as. authority to. violate, cancel, alter, or
pe;m .~ssue sa,. ns of the technical codes, nor shall issuance of a permit prevent the Building Official from the~eaft~r
se ~s.' e any prov.lslo . construction or violations of any codes. Every permit issued shall become invalid
reiUlnn~ a corr:~tl~~o~:z~~o~~ ~u~~~~rmit is commenced within six months of permit issuance, or if work authorized. by
un ess e wor u d f eriod of six (6) months after the time the work is commenced. An extension
the p~rmit is sU~Pde~de~r~rn~b~;o~~~e ~~i~dfng Official for a period not to exceed ninety (90) days and will demod'strate
~:Kfia~l~e:~sse ~o~ ~~e exten'sion. If work ceases for ninety (90) consecutive days, the~ob is considered abandone .
CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YO~::~~~~~ ~~S: PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
~~;:;oi:I~~:g:RI~:~~ ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F~S. 117.03) ~
NTRACTOR . . .
OWNER OR AGENT Subscribed and s rn (or affirme feme
Subscribed and sworn to (or affirmed) before me this /~ - /) - b '7 b . .
by Who is/are personally known to me or h s/have p~od . d
Who is/are personally known to me or has/have produced r= L '7)..z.. as identlfica Ion.
as Identification. L'_
~~- CjJ':::ff~ No~~Publl'
Notary Public
Commission No.
Commission No.
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Bobbie Sw
N # DD268763 EXPIRES
bruory 22. 2008
t1,ONDEO THRU ,!,Q()'/ j:.!\I~IIt-.J.r;! !D,MKl'i. IN(
Name of Notary typed, printed or stamped
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