HomeMy WebLinkAbout12-13091 CITY OF ZEPHYRHILLS r.-
5335-8TH STREET
(si3)�so-oo20 13091
BUILDING.PERMIT
Permit Number: 13091 Address: 38505 6TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass 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: 11-26-21-0010-13500-0100
Improv. Cost: 5,700.00
Date Issued: 5/22/2012 Name: PANZER, JOHN
Total Fees: 65.00 Address: 38716 2ND AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/22/2012 Phone: (727)364-6441
Work Desc: A/C CHANGE OUT 3 TON
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pt1CT&aNSULATED l �
�INAL �L���
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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 con�ections 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 aocessible.
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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT TOR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DFL3tXE FOR BUSIN'c55 i-800-888-6327 ��„J'I 1 I
PROPOSAL 3 ; � ?
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ADDRESS: � c� � �-' � �–L {� ��,r ''
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CITY: ��v��1 ►� 4�.t l��l 1� �--- STATE/ZIP: ' � ��.�.
FURNISH AND INSTALL THE F LLOWING EQUIPMENT AND MATERIAL. " , ;
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STYLE AND SIZE AHU BREAKER STYLE AND SIZE COND. BREAKER
�� YEAR COMPRESSOR PART WARRANTY � YEAR LABOR WARRANTY ON EQUIPMENT ONl
% YEAR EQUIPMENT ONLY PARTS WARRANTY
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PRICE: $ S- - " �'`� Price good for 30 da�
PAYMENT: UPON COMPLETION 50%ROUGH IN 50%UPON FINAL DRAV�
SELLER RETAINS TITLE TO EQIJIPMENT/MATERIALS UNTIL PAYMENT IS MADE.IF A PAYMENT IS NOT MADE AS AGREED,SELLER C
REMOVE SAID EQUIPMENT/MATERIAL AT SELLER'S EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE T
RESPONSIBILITY OF SELLER.BUYER WII,L�E SUBJECT TO RESTOCKING CHARGE IF JOB IS CANCELED.
AGREED ��f �' . ' �
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CHRIS' �✓�t%�f�� � - DATE ��� �����
BUYER �� DATE
FAX: 352-521-33
12232 US HWY 301 DADE CITY, FL. 33525 LAKE COUNTY 352-508-56
F�a e rT • f NRTC Af'f'l1MPANY(c�A(�T. (~(�M DADE CITY '�s'' `"
, s���-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
)ate Received Phone Contact for Permfttin �s a �� — y� 7
Anrners Name (' .�� C� 5 'Ch�%ZNf' Owner Phone Number " �' '�1 ��yy
hvner's Address ��� � � E,� Owner Phone Number
°ee Simple Titieholder Name Owner Phone Number '
'ee Simple Titleholder Address
lOB ADDRESS j o� S (9 � /�I lI � LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX N01'ICE)
JVORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
B INSTALL � REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
fYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK A�C C' 1/1(.x L+ � t
BUILDING SIZE SQ FOOTAGE� HEIGHT
0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ {,� + 3�'l �
�r, ,
�ECHANICAL � S �O v�y VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINI�,HED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —1
PLUMBER � COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � �.- License# �
OTHER COMPANY
SIGNATURE REGISTERED Y J N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pem►it 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 PeRnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon.
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
51GN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW consVuction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over s2500,a Notice of Commencement is required. (A/C upgrades over 57500)
" 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 Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The unde�signed 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 IMPACT AND RESOURCE RECOVERY 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, wili be identified at the time of
permitting. It is fu�ther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�tificate 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/Sewe� 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 ce�tify 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 aiso
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 inciude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive
Lands, Water/Wastewater Treatment.
- SouthwesE Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the foliowing 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 materiai 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 ad)acent 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 constn.iction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, poots, 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, cancei, aiter, 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 plan e,r�o'{sS�CC�t�omenced within s zamonths of perm t pss aince uor�if work auth n ed by
un l e s s t h e w o r k a u t h o r i z e d b y s u c h p
the permit is suspended or ab ftom the Buiid ng,Officiali fosa perio hd not to hexc'ed tn n ty f(90) days and will demonstrate
m a y b e r e q u e s t e d, i n w r i t i n g,
justifiable cause for the extension. If work ceases for nine t y(9 0)cons e c u t i v e d a y s,t h e j o b i s c o n s i d e r e d a b a n done .
WARNING TO OWNER: YOUR FAILU TO YOUR PROPERT1f.TIF YOU IN TEND TO OBTAIN F NANC SNG, CONSULT
PAYING TWICE FOR IMPROVEMENTS
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
CONTRACTOR
OWNER OR A(3ENT Subscribed and swom to(or afflrmed)before me this
Subscribed and swom to(or afflrmed)before me this by
by Who isjare personally known to me or has/have produced
Who f personally known to me or haslhave produced as IdenUfication.
as identlficatlon.
Notary Public
Notary Public
Commission No.
Commissfon No.
• Name of Notary tYPed,P�nted or stamped
Name ot Notary typed,P�nted ar stamped