HomeMy WebLinkAbout08-8691 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8691
BUILDING PERMIT
Permit Number: 8691 Address: 37521 LORENA AVE LOT 108
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-1080
Improv. Cost: 4,900.00
Date Issued: 12/30/2008 Name: RECTOR, JAMES & DONNA
Total Fees: 55.00 Address: 37521 LORENA AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/30/2008 Phone: (813)783-1396
Work Desc: INSTALLATION A/C CHANGE OUT 4 TON
RON IERNA'S HTG&COOLING INC A/C CHANGEOUT 55.00
KN,Q
DUCTS INSTALLED
DUCTS INSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one 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."
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application c' 'q,' rw Is.uu
• Building Department V
Date Received Phone Contact for Fernald
owners Name Y � 1 _ owner Phone Number !
Owne `s Address ;3R6a (€nGC ,. 1�'- 1J Owner Phwne Nr nber 1icr
Fee Simple Titleholder Naiie1 1 Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS fJfI j LOT# I I
SUBDIVISION rZOfl5. PARCEL H5 c
(OBTA5NED FROM PkOPER1Y TAX NOi10E)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = MOVE = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR [ ] COMM 0 OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER I —1
DESCRIPTION OF WORK I Ct 1... -
BUILDING SIZE . .....
I IGFn .
BUILDING VALUATION OF TOTAL CONSTRUCTION
= ELECTRICAL Is
AMP SERVICE PROGRESS ENERGY = W.R.E.C.
= PLUMBING
MECHANICAL [$ 00 VALUATION OF MECHANICAL INSTALLATION
GAS Q ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES DNO
BUILDER COMPANY
SIGNATURE REGISTERED I YIN I FEE C*J RENT I Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGIS EKED I Y/ N J FEE CUMENT I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRY I YIN
Address I License#
MECHANIC COMPANY IthitksCcoinl,nC. •
SIGMA 1 11RE / REGISTERED N I r$CURRENT ` I N I
Address License# I 1 I
OTHER COMPANY
SIGNATURE REGISTERED I YIN I FEE c*.mr rr I Y/N
Address I License#
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)vrorkbtg days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sit Fence Installed,
• Sanitary Faciaies&1 durnpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans pits a Life Safety Page;(1)set of Energy Forms.RAW Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Sit Fence installed,
Sanitary Facilities&I dunpster.Site Work Permit for all new projects.Al commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Gommencement Is required. (A/C 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 A/C Fences(Plot/Survey/Footage)
veW910-Nl t'dvdrtbiJnter H on pubic roadvlays..needs ROW Y,
a , tr t �x t
c � a �
:-"„fy,,,°ti'�r' r.. ,rw. p .
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to'deed'restrictions'
a ce The undersigned assumes responsibility for compliance with any
which may be more restrictive than County regul
applicable deed restrictions. KJTIES: If the owner has hired a contractor or
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSE with state and local regulations. If the
contractors to undertake work,they may be required to be licensed in accordance m e be cited for a misdemeanor violation
contractor is not licensed as required by law, both the owner and contractor maymay apply for the
under state law. If the owner or Intended contractor are uncertain as to what licensing requirements
Intended work,they are advised to contact the Pasco County Building Inspection Divlston—Lkcetsm9 Section at 727-847-
if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
8009. Furthermore, B , of this application for which they will be responsible. If you, as the owner sign as the
portions of the "contractor licensed and is not entitled to permitting privileges In Pasco
contractor, that may be an indication that he is not properly
County. The
TRANSPORTATION IMPACTAMITIES IMPACT AND RESOURCE RECOVERYto the cons.ES:
Sction of new undersigned
ndderstands
of
that Transportation impact Fees and Recourse Recovery Fees may apply
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
final power release. If the project does not involve a certificate of occupancy or
receiving a'ate of or to it issuance. Furthermore, If Pasco County Water/Sewer Impact
final power release, the fees must bethp err nuance nil accordance with applicable Pasco County ordinances.
fees are due,they must be Paid Prior Penn If valuation of work is$2,500.00 or more, I
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended)'
certify that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law-_HOmeowner's
the Florida Department of Afire and Consumer Affairs. If the applicant is someone
Protection Guide' Prep that I have obtained a copy of the above described document and promise in good faith to
other than the'owner', I certify
deliver it to the owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information In this application and land deaccurat and
Application llwilk
ork
will be done in compliance with all applicable laws regulating construction, that no work or installation has
hereby made to obtain a permit to do work and installation as Indicated. I certifyto standards of all laws regulating
commenced prior to issuance of a permit and that all work will be performed trjurisdiction. I also
construction, County and City codes, zoning regulations, and land development regulations the intended work, and that it is
certify that I understand that the regulations of other government agencies may apply
uch agencies include but are not limited to:
S
my responsibility to identify what actions I must take to be In compliance. Wend Areas and Ernironmefiagy Sensitive
Department of Environmental Protection-Cypress Bayheads,
Lands,Water/Wastewater Treatment. District-Wells, Cypress Bayheads, Wetland Areas, Altering
- Southwest Florida Water Management
Watercourses.
- Army Corps of Engineers-Seawalls,Docks, Navigable Waterways.
- Department of Health & Rehabilitative Servic es/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.- US Environmental Protection AgencyAsbestos abatement.
Federal Aviation Aty mss. the use of fill:
I understand that the following restrictions apply
Use of fill is not allowed In Flood Zone`V'unless expressly understood�mitt that a drainage plan addressing a
If the fill material is to be used In Flood Zonewhich is prepared by a professional engineer
'compensating volume' will be submitted at time of permitting
licensed by the State of Florida. with a permitted building using stem wall
If the fig material is to be used in Flood Zone'lA' in canesthe stem wall.
construction, I certify that fill will be used only to the areathat use of such fig will not adversely affect adjacent
if fill material is to be used in any area, I certify the owner may be cited for violating
properties. If use of fill is found to adversely affect adjacent properties,it appt , for lots less than one (1)
the conditions of the building permit issued under the attached to
acre which are elevated by fill,an engineered drainage plan is rte' conditions set forth in
If I am the AGENT FOR THE OWNER, i promise in good faith to inform the owner of the permitting
this affidavit prior to commencing consn. I understand that a separate permit may be required for electrical work,
or other not specifically included in the application. A
plumbing, signs, wells, pods, air be a license
n to with the work and not as authority to.violate, cancel, alter, or
permit issued shall be construed to be a ode �shall p Issuance of a permit prevent the Building Official f as d
er
set aside any provisions the hi it codes,uction or violations of any codes. Every permit issued shall become
requiring a correctionauthorized of errors in plans, commenced within six months of permit issuance, or if work authorized by
ed by such permit after the time the work is commenced. An extension
unless the work aunded or for a period of six(6)months will demonstrate
the permit is suspeOfficial for a period not to exceed ninety ( ) days abandoned•
maybe requested,in writing,from the Buildingi o root to e ,the job is considered
justifiable cause for the extension. If work ceases for ninety f ) -- � _ -
j _��__----- CEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CING,CONSULT
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY- IF YOU N7EN ETD FINI+N T.
PAYING EF REC Y
Y R OTT
FLORIDA JURAT S A17.03) 11,E
f CpMTRACTOR ;�, 1 't efbre me eft `~J
°YMNER oR Y or armed)b me this by�
subs sworn ., orally laro+Nn 10�a t>a vet
Q by vrrw
yyho^�,{$(a. y IQrown to mo or trios Produced
as identification.
Notary Public
Notary Public
mission No.
mission ,S4� t•,4. �,.,• ,< JE
�= Notary Pubk-Stale of Fb Name of Notary typed, Notary Putft-Stab of Fbdda
<, � ,an 186 2010 Y Con rksion tom Jan 18,2010
Name of Nota 800 g '� Commb,bn 0 DD 508489
Bonded By Natbnal Notary Assn. Q' Bailed Naftel Nodry Ann.