HomeMy WebLinkAbout11-12166 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3)�so-oo20 12166
BUILDING PERMIT
Permit Number: 12166 Address: 38621 NORTH AVE
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: 6,550.00
Date Issued: 7/28/2011 Name: McPHERON, LINDA/ROBERT
Total Fees: 70.00 Address: 38621 NORTH AVE
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/28/2011 Phone: (813)780-6115
Work Desc: HVAC CHANGEOUT RHEEM
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DUCTS INSULAzED__�___�_
FINAL l� �t,U ^��
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 � 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 commenceme "
/ �
V
NT R NAT RE PERMIT OFFI R
PERMIT E ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� 913-780-0020 City of Zephyrhills Permit Application
Fax-813-780-0021
Building Deparlment
Date Received �" � � - � / Phone Contact for Permitting a� yy � -- � � �
�
� - - p o-lv/Is
� ��/�� Owner Phone Number �/ 3 r 7 U
Owner's Name � � C �""" �
Owner's Address
?.�' 6�i �pZ�{,. OwnerPhone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS ���� N�� �l,I, � 33'Sy Z LOT# ��
SUBDIVISfON L�� 14(� PARCEL ID# a� Z �' �' �� -� [ D'�� '���
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NSW� ONSTR � A�DDI�ALT � SIGN � MUVE � DEMOLISH
PROPOSED USE �
SFR � COMM �� OTIiER
TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � OTI-IER
DESCRIPTION OF WORK
�vl�� �,.. � �.�w� AI-� - �Z �� �C[- -/-f rh 3� l��/� C �t - r 3A�' � 3� ,4v I
BUILDING SIZE SQ FOOTAGE HEIGHT
€€��€t�€€�€ -
� BUILDING $ VALUATION OF TOl CONSTRUCTION
� E�ECTRICAL � AMP SERVICE � PROGRESS ENERGY � W R.E.0
� PLUMBING $ /Q � ��' ( � v " �
V "
� MECHANICAL $ ��� p� VALUATION OF MECHANICAL INSTALLATION �/.
� � !r7
� GAS � ROOFING � SPECIALTY � OTHER j�
FINISHEU FLOOR ELEVATIONS � FL-OOD ZONE AREA �YES � O
€€
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y J N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURRENT Y/ N
Address license # �
�n��.�.-t �-�. s 5.
� �, COMPANY
SIGNATURE � L ��� REGISTERED 1 N FEE CURRENT / N
� Address 3 �/� N f tJ' �` � J�- eK r� 3��6 License # ��� tZ y�y� �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTEREU Y/ N FEE CURREN� Y/ N
Address License # �
�€€�"�� E�€�•�ma•�=� � - - - - - •- � - - - - -
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) workiny days after submittal date Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projecls
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 da[e Required onsite, Co�struction 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 AIC Fences (PIoUSurvey/Foolage)
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
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing 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 IMPACT/UTILITIES IMPAGT AND RESOURCE REGOVERY FEES The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
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'S/OWNER'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 not adversely affect adjacent
properties If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
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
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension If work ceases for ninety (90) consecutive days, the job is considered abandoned
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU TEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEND R OR AN ATTO NEY BEFORE RECORDING YOU OTI C MMENCEMENT.
FLORIDA JURAT (F S 1 03�.�`� �
OWNER OR AGENT < < � CONTRACTOR
scribe and sw�[n to (or irmed) h fore is cri ed and sworn to (o r befo�re� ?e this
b 3� � d tu�rKt �3 by �AtJ � � yl�"'�—
N s/a e personall known to m r as/have produced Wh is(ar ersona y nown o r h�slhave produced
denliFcation. ___ __ __ __as identificalion.
___ _ __Notary Public ___ Notary Public
Commission No Commission No -
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
.yr.n
.`:��`' ° �e � � P �i
; ? a ��: RYAN HOERLE ; ro� ����; RYAN HOERLE
. a Notary Public - State of Florida _. * ;,: Notary Public • State ot Ftorlda
;,, �� My Comm. Expires Sep 23, 2013 N
'•.,'�„����.���` Commission # DD 927156 �; �OFfI�P �� MY C mmissi n 927156
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