HomeMy WebLinkAbout11-11977 . CITY OF ZEPHYRHILLS
� 5335 - 8TH STREET �•
(si3)�so-oo20 11977
BUILDING PERMIT
Permit Number: 11977 Address: 6629 FOXMOOR DR
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: SILVER OAKS
Est. Value: Parcel Number: 03 -26-21-0120-00000-0650
Improv. Cost: 3,525.00
Date Issued: 6/09/2011 Name: STRANGHOENER, WILLIAM 8 DEBORAH
Total Fees: 60.00 Address: 6629 FOXMOOR DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/09/2011 Phone: (813)715-7599
Work Desc: A/C CHANGE OUT 3TON - NO CONTRACT GIVEN
r
/
DUCTSINSULATE
FINAL___����
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra ins
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resu n
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 � 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 properly 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
"Warning to owner: Your failure to record a notice of commencement ma result in�ourn owning same
improvements to our ro y Y PaY�n9 �ice for
Y p perly. If you intend to obtain financing, consult with your lender or an attorney
before ording your notice of commencement."
X ��
� CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-Q020 City of Zephyrhills Permit App�icauon •�•• �•- -- --
» Building Department � l (� ��f
l I
Date Received Phone Contact for Permittin �J� �� — �� ��
Owner's Name ��r J"tCGttl � Owner Phone Number $��' J 5 �� S
Owner's Address �� �'� i�r Owner Phone Number �
Fee Simple Titieholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS („t� • �' X t`(1 � � � S 1'' L � F� � � � LOT # � �
SUBDIVISION J� IY�tJ G� -k � I�h ° �RQ. PARCELID# Q 7 "��' + '��'�j�d' 6 ���� r �� ��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e WSTALONSTR � REPAIR � SIGN Q MOVE Q DEMOLISH
u
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK `�-n � Q�-� 1� C S' S'�
BUILDING SIZE SQ FOOTAGE HEIGHT
0 BUILDING � � VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
0 PLUMBING $
� MECHANICAL $ � � � � ` a �j VALUATION OF MECHANICAL INSTALLATION
� GAS Q ROOFING 0 SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO
BUILDER CORRPANY
SIGNATURE REGISTERED Y/ N� F EE CURRENT Y/ N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
MECHANICAL COMPANY Sd VT�� �YV � � ��
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address � l„ �+ � � �S I 1�� �� � .3�� 1 License # � �� 1 6 � � .S 7 /
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; 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 8 1 dumpster, Site Work Permit for subdlvisions/large projects
COMMERCIAL Attach (3) 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 8 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 appiication completely.
Owner & Contractor sign back of application, notarized
If over 52500, a Notice of Commencement is required. (A/C upgrades over 55000)
" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTiNG (Front of Application Onty)
Reroofs Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: T n{ �e ulat ons. The undersigned a esp ns bilty for compl ance t w'th any
which may be more restrictive than Cou y 9
applicable deed restrictions.
UNLICENSED CONTRACTORSQAN,D bON qRAea t o beE ensed iBaacoEdance th s ate and local If
contractors to undertake work, th y y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdem�anor
under state law. If ta e adv sed t n contact the Pas County Bu Iding Div s on r ce s ng Section aP727-847-
intended work, they
he is advised to have the contractor(s) sign
8009. Furthermore, if the owner has hired a contractor or contractors,
portions of the "contractor Block" of this a he ' � s f roperly Iicensed� d is not enttled t y permitting pr v legesgn Pasco
contractor, that may be an indication that P
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE REC O V �E R const uSti of new b 9de gsnchange of
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expansion of exis n i derstand�sgthat such fees, I as P may be duey �Il dentif ed at he_�me
90-07, as amended. The undersigned also u
permitting. It is further understood that final ower eleasea the p ojecRdo s a certificate oPc pancy or �
receiving a"certificate of occupancy or p
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac
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
licant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
certify that I, the app '
Protection Guide" prepared by the ��hade obta ned a copy of the d scr bed docum and prompsean fa'th to
other than the "owne�', I certify that
deliver it to the "owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: �e law re const uct on! zoning an land developme tn Applica is
will be done in compliance with all applicabl 9
hereby made to obtain a permit to do work that will be perfoemed t m et of all laws ng
commenced prior to issuance of a permit and
construction, County and City codes, zoning regulations, and land development r i 9{oa{ne ntended a thatat is
certify that I understand that the regulations of other government agencies may app y
my responsibility to identify what actions ( P ess Bayheads SWetland Areas and Environment ly Sensitive
- Department of Environmental
Lands, WaterlWastewater Treatment. ress Bayheads, Wetland Areas, Altering
_ Southwest Florida Water Management District-Wells, Cyp
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Nealth Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions aF��y to the use of fill:
Use of fill is not allowed in Flood Zone V unless expressly permitted.
M ��
_ If the fill material is to be used in Flooa {�e oApermitti wh ch�s p ep ed agprofessionalreng neer
"compensating volume" will be submitted
licensed by the State of Florida.
_ If the fill material is to be used in Flood Zone f'�A{�e a ea w'th'n thetstem W mitted building using stem wa�l
construction, I ce�tify that fill will be used only to be cited for violating
If flll material is to be used in any area, I certify that use of such fill will not adversely affect ad�ace
properties. If use of fill is found to adversely affect adjacent propgrt�ef{ a lication�, foa lots less than one (1)
the conditions of the building permit issued under the attached p PP �
acre which are elevated by fill, an engineered drainage plan is required.
e AGENT FOR THE OWNER, I promise in good faith t at a arat permit may be r�eq g ed for cal work�,
If I am th I�cation.
this affidavit prior to commencing construction. aS� o i stallati not specffically included in the app �
plumbing, signs, wells, pools, air conditioning, g
Official from thereafter
rmit issued shall be construed to be a license to pro �i e 5ua a pe mitp event the ding ���ate, can o�e invalid
P ermit issued shall be
set aside any provisions of the technical codes, nor s a codes. Every p
requiring a correction of errors in plans, construction or violations of any
rk authorized by such permit is commenced within hs after the time the k is commenced. An extensioe
unless the wo gp da s and will demonstra
the permit is suspended or abandoned for a period of six (6) mon
eases for ninety (90) consecutive days, the is considered abandoned.
may be requested, in writing, from the Bk il�ding Official for a period not to exceed ninety ( Y
justifiable cause for the extension. If wor
ER: YOUR FAILURE TO RECORD A NOTIC NT�END TO BTAINnFANANC NGTCONSULT
WARNING TO OWN CEMENT.
PAYING TW�CE FOR IMPROVEMENTS TO YOUR PROPERTY• �F
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TIC F CU
FLORIDA JURAT (F.S. 1 7• 3) NTRACTOR
✓ Subscrlbed an swom to (or affirmed) before me thfs ��
OWNER OR AGENT efore me b �
Subsc�ibed and swom to (or affirm
j,a (,� 1 f by r Who is/are'per��nally known to me or has/have produced
me or ha e produced as identificaUon.
Who isl� r` erson'a��� as identlficatlon.
�
� Notary Public
� N Public
ommisston No. - A
---Gommission No. Darlene Ford
t�arlene Ford ed �� � ����ion 05245
45 Name of Notary �YP � P .,, ,,. _�_p,; eti ; UG 07, 2013
!mDED HR:: ', ': i 3Qtili'.�C, CO., INC.
Name of Notary ty �,, : xpire�: t1UG. 07, 2013
",C`�EDTF?KCi7'I 1� " U'�DI\GCO.,INC.
SOUTHERN COMFORT ENTERPRISES, INC.
4109 CR 656 P. O. BOX 486
WEBSTER, FL. 33597 DADE CITY, FL. 33_526
352-793-5501 352-567-6111
CAC 1813579
DATE: � �� � /�
COUNTY/CITY OF� Z��h, �) S
TO WHOM IT MAY CONCERN:
I, Thomas Lachance, license holder of Southem Comfort Enterprises, Inc. authorize
������ �f� �� �o�� to sign for release of Mechanical Permit on my behalf for the
.
��tanQ�,n � n � � �
Gr (� �°► �-� x maa r 1�r
�'a���o �� .,00v Location of Job
�l'
Thomas Lachance �
STATE OF FLORIDA
COUNTY OF _ g, i .,� �r
l HEREBY CERTIFY that on this day, before me, an officer duly authorized in the
State aforesaid and in the County aforesaid to take acknowledgements, appeared before
me Thomas Lachance, personally known to me, who executed the foregoing instrument
and they acknowledge before me that the executed same.
� WITNESS my hand and officia� seal in the County and State las aforesaid this
_ day of , 2011.
� t�r��P_ �ic �i�nature and Seal
����� Darlene �
Ford
;,�,; Comr�ission #DD905245
EY��'�E' ,!TJG. 07 2013
so:�En ;r?F� ,, � , .
_ , "dG CO., INC.