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HomeMy WebLinkAbout09-9428 CITY OF ZEPHYRHILLS 5335 - 8T1-1 STREET (813)780 -0020 9428 BUILDING PERMIT , Permit Number: 9428 Address: 6020 8TH 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: 02- 26 -21- 0080 -00A00 -0010 Improv. Cost: 21,000.00 Date Issued: 8/14/2009 Name:. FIRST CHRISTIAN CHURCH Total Fees: 135.00 Address: 6040 8TH ST Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/14/2009 Phone: Work Desc: A/C CHANGE OUT 2 1/2 TON S DIS SUN AP =LI• E, IN HAN OU 135.00 v' a' RF �t 3 3 nj v •U T IN ALL D DUCTS INSULATED FINAL t-'" 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." CO RACTOR SIGNATURE PERMIT OFFI ;R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER fax To C 9 �'r'3 -a a ° �� S S \ iinnr,•. situ,. I'1.II/ 7- l8- of PROPOSAL ATTN: R c4 a r-d d?(hi, tA/ f.�,,l-57 . 5 b l 3 �. IV S's/ 2 ¢ ftYNrki A s .73.7Y / WE HE BY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: c., (IR -C4fraii N 4Gc4 O ST "' Ze 'A y 1 - 1 aS / 35 r-a- 0 M `" (,) vi,/ /`' 5 cog T a c 10,t, e.7 yr. •`.v A CI , N G) uogi" -n a-g_ R s- ec 1 ea r r #00- °R -Ago 3 F S - -6 / kS g's � eor tlzfr Cdr - d d 0 o ] AV f .1I0 c.,s4 ; p Wail 1, : Ih k.,-e, /-'c r,v.s1 - e1 -d., re) /11o r, .N, 7 L- WE PROPOSE HEREBY TO FURNISH MATERIAL AND LA8OR COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE SUM OF: 9-O, 64 0 il i-t A '-c-- 10651 Hwy. 301 / ' o- 1/ Dade City, Florida 33525 (352)567 -6224 )/1 _ • Fax(352)521-5980 ,/ m tkw.sonnvsanuti Sonappl @ tampabay.rr.com 0 • 813 -780 -0020 City of Zephyrhills Permit Application aX- 813 - 780 -0021 Building Department Date Rece ~, , .l -o C� U 'i 1 Phone Contact for Permitting -- Owner's Name , S T e /7 ( I S7; ‘,./ ,' 4 � V v Ch P 4 - Owner Phone Number Owner's Address 1 b 6 0 g ' I Owner Phone Number I Fee Simple Titleholder Namel I I Owner Phone Number l Fee Simple Titleholder Address I JOB ADDRESS I 6640 �j� 1 LOT # I SUBDIVISION I 1 PARCEL ID #I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I NEW CONSTR I I ADD /ALT I 1 SIGN INSTALL REPAIR I I MOVE 1 1 DEMOLISH PROPOSED USE 1 1 SFR 1 ,›Si COMM 11 OTHER 1 TYPE OF CONSTRUCTION ( 1 BLOCK I I FRAME I �1 I I / STEEL I I OTHER 1 I DESCRIPTION OF WORK I d- 5 7 d K/ Ch d � © v I I BUILDING SIZE 1 SQ FOOTAGE 1 I HEIGHT I I I BUILDING ($ I VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL ($ I AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C. 1 PLUMBING I$ 1 (..0 r* MECHANICAL I$ i, Q ©D I VALUATION OF MECHANICAL INSTALLATION ( V ' i , 1/- 1 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER 8 FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA 1 'YES 1 NO BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address ( 1 I License # ELECTRICIAN COMPANY 1 SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address I 1 License # PLUMBER I COMPANY I SIGNATURE I REGISTERED Y / N FEE CURRENT _1 T 1 Y/N 1 Address I I I O f License ' # MECHANICAL / COMPANY I J 0/L d, S cd U,{J /, iacz) SIGNATURE AIL....../ ,`` • REGISTERED 1 1 FEE CURRENT 1 Y/ N 1 • Address I I R /1^ 0 0 t 9 / 1 License # Y "1 U 7 0 OTHER I COMPANY 1 SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N 1 Address I ( 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) 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 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 OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW which NOTICE may be more restrict DEED RESTR ICTIONS: than County regulations. d The undersigned as assumes responsibility for comp ance with any which my ive ta Y applicable deed restrictions. UNLICENSED CONTRAC AND � ONT RESPONSIBILITIES: s acodance with state and localeegulations contractor or Ifthe contractors to undertake they ion contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor viflatthe under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply fo intended work, they are advised to contact the Pasco County Building Inspection Division— Licensing Section at 727 -847- Furthermore, if thet to have the signs assign porti Bl ck" of this application for which they will be responsible. If you, as the owner the portions of the "contractor privileges in Pasco contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p g County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY c i FEES : ion The of new buildings, u a of that Transportation Impact Fees and Recourse Recovery Fees may apply to the 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'SIOWNER'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 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 n not may cited affect d for adjacent t the properties. If use of fill is found to adversely affect adjacent properties, 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. I understand that a If i AGENT FOR THE OWNER, in good faith to permit may be required ed for conditions electr electrical forth in this affidavit work, this affidaida vit prior to commencing c onstruction plumbing, d shall wells, on ols, ued be conditioning, license to p other the work and not as authority to dviolate cancapplication. l, alter, or permit issued an ro i io coast set aside any s ecti i o n of errors rors ohs in technical codes, nor plans, s, co stru ton of any codes. Every t perm t issued shall become invalid requiring a correction of r in , unless m it work authorized a b by such ne d p commenced eriod of six (6) within onths after the time the is commenced. authorized by the permit is suspended r bo p may be c u au se f o i r the n e w extension. ing, from the Building k casess Official for a period not to exceed ninety consecutive days, the job is abandoned. demonstrate justifiable cse oh ex WARNING TO OWNER: YOUR FAILURE TO YOUR PROPERTY. IF YOU INTEND OBTAINnFINANCING, CO CONSULT PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDE - • R AN ATTORNEY BEFORE RECORDING YOUR No ICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 11 ! .1 / / CO A ... ■L... OWNER OR AGENT ■ Subscribed and swo to (or affirm before me this Subscribed and sworn to • or affirmed) before me this�� s o by Who is /are personally known to me or has/have produced Who is/are personally known to ma identification. cats on. produced as identification. as ientificati Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped