HomeMy WebLinkAbout08-8383 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020
BUILDING PERMIT 8383
Permit Number. 8383 , x.. x s
Permit Type: MECHANICAL Address: 39409 9TH AVE
Class of Work: A/C CHANGEOUT
Proposed Use: SINGLE FAMILY RESIDENTIAL ZEPHYRHILLS, FL.
Township:
Square Feet: Lot(s): Range: Book:
Est. Value: Subdivision: Block: Section:
Improv. Cost: CITY OF ZEPHYRHILLS
3,084.00 Parcel Number:
Date Issued: 10/01/2008 .,
Total Fees: 5O.OO Name: PEDERSON, ELSIE
Amount Paid: Address: 39409 9TH AVE
Date Paid: 50.00
Phone:
Work Paid: EQUAL
ZEPHYRHILLS, FL. 33542
QUAL A/C CHANGE OUT OF 2 .5 TON CONDENSOR
GRAHAM HEATING&AIR CONDITIONIN
A/C CHANGEOUT
50.00
3
DUCTS INSTALLED / lO
DUCTS INSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 5
trips are necessary due to any one of the following reasons: a) wrong
from aelny construction due c) rep e or corrections 5s b)condemned
coned extra ins
frm faulty
inspection c nn called s e) not made when ins address called con de work
work resulting n permit not Posted on job sitePeobo sites workd) work not s ibley for
NOTICE: In addition to the requirements of this f) plans not at job g) not accessible.
may be found in the public records of this county, and there may be additional
permit, there may be additional restrictions applicable to this property that
permi required from other governmental
entities such as water management, state agencies or federal agencies.
ts
The payment of inspection fees shall be made before any further
permi will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement m
ts
improvements to your property, If you intend to obtain financing,
before recording your notice of commencement." ay result in your paying twice for
consult with your lender or an attorney
CONTRACTOR SIGNATURE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED
pp PERMIT OFFI R
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
CTION
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application PP Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting
Owner's Name P
Owner Phone Number — 71
Owner's Address 3 2 ` ?if AV ZlHt)LS �/3
f✓� Owner Phone Number Li.. _-7,
Fee Simple Titleholder Name111 �--�
Owner Phone Number -
Fee Simple Titleholder Address
JOB ADDRESS 3 T �✓
LOT# Elili
SUBDIVISION � '�"t. � PARCEL ID# �'-
-2 I-03 ao—oo oa —o1 3L
WORK PROPOSED e (OBTAINED FROM PROPERTY TAX NOTICE)
NEW
INSTA�ONSTR REPAIR
ADD/ALTLTJ SIGN [� MOVE Q DEMOLISH
PROPOSED USE ElJ SFR COMM D-t OTHER
TYPE OF CONSTRUCTIONLII III]
0 BLOCK FRAME STEEL
E] OTHER L Ill
DESCRIPTION OF WORK El d rC a Cp,.t�,���
BUILDING SIZE SQ FOOTAGE
HEIGHT
BUILDING $
Ehhhhhhhhhhh111
VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL $ AMP SERVICE IlJ PROGRESS ENERGY
Q W.R.E.C,
Q PLUMBING $
LIII MECHANICAL $
VALUATION OF MECHANICAL INSTALLATION
Q GAS Eli ROOFING EJ SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS LI
FLOOD ZONE AREA =YES ONO
BUILDER
SIGNATURE COMPANY
REGISTERED LY/ N FEE CURRENT L Y/N
Address
License#
ELECTRICIAN 1
SIGNATURE COMPANY
REGISTERED LY/ N FEE CURRENT Y L/_N
Address f
License#
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N I FEE CURRENT Lx/_N
Address
License#
MECHANICAL
SIGNATURE ` �— (— 1 COMPANY 'r4 j j l— .—%4s
REGISTERED Y/ N J FEE CURRENT L Y/N El 'Address ec1 4k) I 3 3S 1 Ica",C-0 43$ 3 3
License#
OTHER
SIGNATURE L 1 COMPANY
REGISTERED Y/ N FEE CURRENT LYjjJ
Address
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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities& 1 dumpster;Site Work Permit for subdivisions/large 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.
Directions:
fill III IIIIIIIhJlII 111111111111111 I llllllfflpij II IJlIIIIlIiii IllIhlIllIll 11111111111 I IlIllIlhIlli I 1111111111111111111111 IllIllIllIli 111111111 II-H4
Fill out application completely.
Owner&Contractor sign back 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
DVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C 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.
CONTRACTORS AND CONTRACTOR RESPONdSIBILITIES: If the owner has hired a e with state and local eguls contractor or
UNLICENSED C be required to be license in
law, both the owner and contractor may be cited for a misdemeanor violation
contractors to undertake work, they may may apply for the
contractor is not licensed as required by
County Building Inspection Division—Licensing Section at 727-847-
8009.
state law. If the owner or intended contractoor are uncertain as to what licensing requirements contractor(s) sign
intended work, they are advised to contact the Pasc
application for which they will be responsible. If you, as tithe owner v le sign Pasco
8009. Furthermore, if the owner has hired contractor or contractors, he is advised to have the
n as the
portions of the "contractor Block" of this
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting
ie unders gned understands
County.
and Recourse Recovery Fees may apply to the construction of new buildings, change of
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: Ordinance number 89-07 and
that Transportation Impact Fees of existing buildings, as specified in Pasco Coun y
use in existing buildings, or expansion es, as may be due, will be ed at e 90-07, as amend
of
ed. The undersigned also understands, that such fand Resource Recovery Fees mulslt be paid prior to
permitting. It is further understood that Transportation Impact e
the oject does t involve a ate of occupancy receiving
r
a "certificate of occupancy" or final power release.ssuanceprFurthe Furthermore, if Pasco CountycWater/Sewer Impact
final power release, the fees must be paid prior to permit
fees are due, they must be paid prior to permit issuance Statutes, as with
applicable
valuation of work is $2,1nances.
500 00 or more, I
CONSTRUCTION LIEN LAW(Chapter 713, Florida of the "Florida Construction Lien Law—Homeowner's
certify that I, the appl
icant, have been provided with a copy applicant is someone
Protection Guide" prepared by the Florida Department of obtained a copy of thedescribed document and promise in good faith to
ure other than the"owner", I certify that I have o
deliver it to the"owner" prior to commencement. information Application is
ork
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all econst construction, zoning and l land l developments qpp t all has
will be done in compliance with all applicable laws regulating
hereby made to obtain a permit to r work and
tallation as indicated.work will be certify
of all lawsllation rregulating
commenced prior to issuance of a permit and that construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction.II ait lso
certify that I understand that the regulations of other government agencies may apply to the intended work, and that is
uch ies include but are not to:
my responsibility to identify what actions I must take to be compliance. SWetland Areas and EnvironmentallytSsnsitive
- Department of Environmental Protec lotC ypess Ba ,
Lands, Water/Wastewater Treatment.- Bayheads, Wetland Areas, Altering
Southwest Florida Water Management District-Wells, Cypress
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.- Asbestos abatement.
US Environmental Protection Agency-
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:expressly
Use of fill is not allowed in Flood Zone to dnless Zon "A", il is permitted.
a roflan a al engineer
If the fill material is to be used in Flood Zone of"A", it
which is prepared rby drainage
plan addressing a
"compensating volume" will be submitted at permitting
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "Attie area within the wall.
permitted building using stem wall
construction, I certify that fill will be used only to fill be cited for adjacent
If fill material is to be used in any area, I certify
adjacent use of such
properties,fill
thewill
owner mayyadversely affect ad Latin
properties. If use of fill is found to adversely affect J
the conditions of the building permit issued under th attached
is permit application, for lots less than one (1)
in
acre which are elevated by fill, an engineered drainage plan conditions set forth
promise in good faith to inform the owner of the permitting required
ed for electrical work,
If I am the AGENT FOR THE OWNER, I that a electrical
A
this affidavit prior to commencing construction. last or other installations r not specifically included in the app
plumbing, signs, wells, pools, air conditioning, g
issuance of a permit prevent the Building Official from thereafter
d
issued shall be construed to be a license to proceed withthe work and not as authority to violate, cancel, alter, or
permit issued shall become set aside any provisions of the technical codes, nor shall
requiring a correction of errors in plans, construction or violations of any codes. Every permit issuance, or if work
authorized by such permit is commenced within six months of after the time thetwo k is commenced. An extensions
orized by
unless mit work a months days and will demonstrate
the permit is suspended or abandoned for a period is six(6)
ceases for ninety(90)consecutive days,the job is considered abandoned.
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) Y
justifiable cause for the extension. If work
MMENCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE
TOEND O OBTAIN F NANCING, CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I YOU INTEND
WITH Yi♦UR L ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) CONTRACTOR '
OWNER OR AGENT Subscribed and savorg to( r aff d befor a this
fie me this by foI LK n L
Subscribed and savoys to((or ( Wh�iA ly known to me or haslhave produced
by + T?� T7as identification.
Who is— I p o known to me or hasthave produced
� as identification. G� ZQ'K'�.
Public
` tary Public
Commission N , BOBBIES.SWETLAND
BOBBIES.SWETLAND Name of Nota ry 22,2012
Name of QW�+' @�`^t`^'^7 2012 a, TWTmyFainkamnoe990.385'7019
goadedTMuTmiFainMom"8N0D 7019
V..-
GRAHAM HEATING A AIR CONDITIONING, INC.
1498 BE FAIR ROAD Turn to the Experts
CLEARWATE :FLORIDA 33756 HVA.C SERVICE ORDER
VA". c.c,
Phone (727) 4495g • -800-X23-2507 1 INVOICE
State Ucertsø # CMCO 43833
1•itrs wnwc re To
Essie Peterson J C.O.D.coo 4 0.w'oE a roc►w+c+E BILL TO A/AKE
39409 9th Ave
Zephryhi 1 1 s FL 3 3542 MOCE
03c2T4 mot_
SERIAL
Iiilfr4.NUMBER
,-" --
3 340 9 9th Ave -� CODE b�EeGlufnt]et CF tnlolnc
a ep ,f 7 a 3 100 S� NoN a41 tt v^ ICY
RYICE CALL
(813) 715-?279 0 AM 200 TUNE&CHECK
E
300 PREVENTATIVE MAINTENANCE
wrntK
a C & C 2-4P4
F$D1NGJdp REIMENDATIONS
39.95
Blaine ' r
I AC RT TWE R GOM HNDAT NS AS WORK �'
TO BE DONE AT THE COS OF
$- THE TECHNICIAHAS PN EX
is —_DATE
THE ENVIRONMENTAL AND ENERGY
LAIOR j T RATE `J AM6uNT SAVING BENEFITS OF CARRIER'SiJfj - NEW PURON SYSTEMS.
TOTAL
' ..`' TOTAL LIMITED .. . ... .,.; ..WARRANTY. All materials,
parts &equipment are warranted by TOTAL SUMMARY
V the manufacturer's or suppliers written i hare suMutrky to ordta the work a glove which has Den sausfacfai warranty O TOTAL
completed.1 none that t≥aw marls ml tp raw h h+ only. AH labor perlorrngd by MATERIALS
Bnrt p yn»nt is made- if prnernnneterisb rum shad anti( the above named company is war-
PaYfl t M n t mare sA a9raed. Seller Can remaye geld eWiPnlele at Sallere exranted for 30 days or otherwise TOTAL
rrnrovat etlali not be I ra.ponlIil or l rep.An from said indicated in writing. The above named °
"The siynawn below mnstltutee of foe work Be company makes no other warrardies,
aq�ipnTent has dean tart It yppd aondnwo.to s brouglrory and expressed or implied, and it's agents
test any sum due hen!in or geef°"m n r or technicians are rot authorized to
any atttlmay,or ws hew to nnfvrCe tx has$Ofld been �� up demand or
or lmroice,ors r3�m rea y Provision in On asiree,rtent make any such warranties on behalf any made for r .l0 1wy any sum due and we prrwdi, on above named com an
the rss+tolrler el pay rtasorTebis teas Including any fare tor appellatac P Y CKAttGE -
+eprs ontation.All deterred payment on isums due herein shall bear in$vest at the Tale of 1.59E per month• C7 REGULAR t7 IU1ANt
Thera will be a$25.00 tanvicr Cha TAX
rye fue#nlOltrtTed cMdts. O lbEAVICEconrx+cr
cut; A °ATE_ - TOTAL