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HomeMy WebLinkAbout09-8789 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8789 BUILDING PERMIT Permit Number: 8789 Address: 5804 17TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: 4,450.00 p_. Date Issued: 2/10/2009 Name: STAVOLA, MICHELLE Total Fees: 55.00 Address: 5804 17TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/03/2009 Phone: Work Desc: EQUAL A/C CHANGEOUT SPLIT SYSTEM RON IERNA'S HTG&COOLING INC A/C CHANGEOUT 55.00 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." Vpa44uL&0 CONTRACTOR SIGNA PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 0 City of Zephyrhills Permit Application r -u Building Department y � Q +HUU_,u Gate Received Phone Corntact for PwmM �� owners Name kC Q c VO A 1 Owner Phone Number — fB 2O 1 owners address ; '?C k �-C-2 owner Phone Number 82P0 I Fee Simple Titleholder Namel Owner Phone Number t c Fee Simple Titleholder Address JOB ADDRESS �� I - 1 1 1` 2 I LOT# 1 31 SUBDMSION. PARCEL iDlf ( 2-�c- (OBTMNW FROM PITY TAX NOTICE) WORK PROPOSED e NEW CONSTR a ADD/ALT = SIGN = MOVE = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR =- COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER DESCRIPTION OF WORK ( Jcrc?tm 4t I BUILDING SIZE SQ FOOTAGE HEK*ff = BUILDING $ VALUATION OF TOTAL CONSTRUCTION = ELECTRICAL = AMP SERVICE = PROGRESS ENERGY = W.R.E.C. = PLUMBING (S // C1 MECHANICAL VALUATION OF MECHANICAL INSTALLATION ` g = GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ JYESi]NO l/7K BUILDER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/N Address License# ELECTRICIAN COMPANY SIGNATURE - Y/ N I FEE CLNR EN Y/N Address License# PLUMBER COMPANY 816HATURE > *smnsi I Y/ N I FEE CURREIT I Y/N Address l icernse# I MECHANICAL COMPANY I ZeIIn t ' SIGNATURE ( OTJ/T'LUAJJ VLWí1i ) smnei I C REGISTEREDN FEE CURRENT U 10/N Address 1 (. 1 ft3ry3fcd License# .A OTHER 0 COMPANY SIGNATURE ncoismna I Y/ N I FEE CURRENT 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)worickrg days after submittal date. Required onsite,Construction Plans,Stomnwater Plans w/Silt Fence Installed, • Sanitary Facilities&1 dlmpster,Site Work Permit for subdivislornsnarge 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 submitlal date. Required onsite,Construction Plans,Skwmwater Plans wel Silt Fence Installed, Sanitary Facilities&I dumpster.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 bad*of application,notarized If over$2500,a Notice of commencement 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) Drive y j ovr C u`11 f In pubip road Vray needs ROW 1 = g 1t0k?'mu) a �' ... tt :bnoosii'fl bebno�3 ` . Understands that this permit may be subject to"deed"restrictions' NOTICE OF DEED RESTRICTIONS: The undersigned assumes responsibility for compliance with any which may be more restrictive than County regulations. The undersigned applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIB1L ES: if the owner has hired a contractor or m with state and local regulations. If the contractors to undertake work,they may be required to be licensed In cluad violation contractor is not licensed as required by law, both the owner and contractor may a misdemeanor�� may apply forviola the under state law. If the owner or Intended contractor are uncertain as to what licensing repo ireintended work,they are advised to contact the Pasco County Building Inspection Division--UCensing 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 not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITTES IMPACT AND RESOURCE RECOVERYto the construction ion of new buildings,and understands of that Transportation Impact Fees.and Recourse Recovery Fees may apply In Pasta County Ordinance number 89-07 and use in existing buildings, or expansion of existing buildings, as specified 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"ate 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien applicant is someone Protection Guide" prepared by the Florida of and Consumer Affairs. If the appl a in good faith to other than the"owner", I certify that I have obtained a copy of the above described document and prom deliver it to the"owner"prior to commencement. CONTRACTOR'S/O1NNER'S AFFiDAVIT: I certify that all the� 'ation in this g a� land development Application is ation Is accurate and that all work will be done in compliance with all applicable laws regulating certify that no work or installation has hereby made to obtain a permit to do work and installation as indicated. I t standards of all laws regulating commenced prior to issuance of a permit and that all work will be performed jurisdiction. I also construction, County and City codes, zoning regulations, and land development regulations in the 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-CYPres Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. s, Wetland Areas, Altering Southwest Florida Water Management District Wells, Cypress Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Wats nth Unit-Wells, Wastewater Treatment, Department of Health & Rehabilitative Servioes/Environm Septic Tanks. US Environmental Protection Agency Asbestos abatement. Federal Aviation Aut ority-RunwaYs- I understand that the following restrictions apply to the use of fill: Use of fill is not billowed in Flood Zone V"unless expressly permitted. an addressing a If the fill material is to be used in Flood Zone "A', it is understood that a drainage plan `compensating volume'will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. permitted building using stem wall co If the fill material is to be used in Flood Zone fill in connection area within rnwall.nstruction, I certify that fill will be used only that use of such fin win not adversely affect adjacent if fill material is to be used in any area, I c the owner may be cited for violating properties. If use of fill is found to adversely affect adjacent properties,application, lots less than one (1) the conditions of the building permit issued under the attached permit ppl' acre which are elevated by fin,an engineered drainage plan is required- conditions set forth in If I am the AGENT FOR THE OWNER, I Promise in good faith to inform the owner of the permitting electrical required for work, n I understand that a separate permit may this affidavit prior to commencing cons ° . or other installations not specifically included In the application. A plumbing, signs, wells, pools, air conditioning,a i gas, with the work and not as authority to.violate, cancel, alter, or permit issued shall be construed to be a license to proceedit vent the Building Official from thereafter set aside any provisions of the technical codes, nor shall issuance of a perm prevent permk issued shall become invalid requiring a correction or errors In Plans,construction or violations oce of any codes. it is commenced within six months of permit issuance, or if work authorized by unless the work authorized by such perm of six(6)months after the time the work Is commenced- An extension the permit is suspended or abandoned for a period of for a period not to exceed ninety (90) days and will demonstrate may be requests in writing,from the Building consecutive days,the job is considered abandoned. stifiibie cause fo the extension. If work ceases for ninety(90) COMMENCEMENT MAY RESULT IN YOUR TO To OBTAIN FINANCING,QFQ CONSULT P WARNING TWICE OWNER: YOVRFAILURE RECORD R NOTICE YOU NANCI PAYING FOR WIPR G Y.. " NOM AN w iNEY BRORDi1N FLORIDA JURAT( 17.03) OWNBt OR M �"� ule xibed eruct aiRrrrred) me A� ��Q by tie --- krwm loo me a hasfiavedend Aare try bin to me or ha eve produced wrw tlon- as identillcation. f Notary Public Notary Public mission No. + ,.., JESSICA L.TRUJI mission NO. `.•,�y pv,, °. A Notary Public-State of Fonda -Stab of Florkla ' 10 Name of Notary bP� Cwwnb w E*w Jan t8,2010 Name of Notary •; #DO 508469 � #i Commission#OD 508469 'U' Bonded ny Netioml Notary Aaan. '•••4;.,, Sandal Natlonal Aar. .w O � (Y) e-1 w p T U L' W W Q W<❑ \ .J W ... v o a ■ QQ < O w Z � 'C o. �Z L ' .. F i-. 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