HomeMy WebLinkAbout13-14345 - -- i�
CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14345
BUILDING PERMIT
Permit Number: 14345 Address: 38635 5TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15000-0090
Improv. Cost: 4,900.00
Date Issued: 7/10/2013 Name: UNITED METHODIST CHURCH
Total Fees: 60.00 Address: 38635 5TH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/10/2013 Phone:
Work Desc: 5 TON A/C CHANGE OUT
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DUCTSINSULATED
FINAL
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 construcfion 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.
"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.
NT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�3-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received .��a _
Phone Contact for Permittin
Owner's Name ���S� �.(i�7,��Q � �. �r�ner Phone Number
Owner's Address �vD o �� � .Q Owner Phone Number —�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# C�
SUBDIVISION PARCEL ID#
(OBTAINED FR�OM PROPERTY T�T�cE)DEMOLISH
WORK PROP03ED NEW CONSTR ADD/ALT [�� SIGN
INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK � / CJ�. C � 4'i:- 84
BUILDING SIZE 3Q FOOTAGE HEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ERGY [� W.R.E.C.
OPLUMBING $ ,jr
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OMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATI N l
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QGAS Q ROOFING Q SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License# �—
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY �►`�S C� �Pn- r
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# ��Z �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Bufiding 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 Facllities&1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instalied,
Sanitary Faci�ities 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 construcUon.
Directfons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over i2500,a Notice of Commencement is required. (A/C upgradea over;7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter f�om owner authorizing same
OVER THE COUNTER PERMITTING (Front of Appflcation Only)
Reroofs if shingles Sewers Service Upgrade� A/C Feflces(Plot/Survey/Footage)
Driveways-Not over Counter if on pubtic roadways..nesds 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 responsibflity 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�vi��lat{he
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y
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 IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
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�nal 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, Flocida 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 Depa�tment 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 vf 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
ce�tify 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 rest�ictions 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�II 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 OWNE�R�truction!S I lunderstanld thatna�s pah at permit may be requ9 d for Ielectr cal work,
this affidavit prior to commenc ng
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed chn cal codesenor shall ss a'ncehof a pe mitprevent thehB i ding Officeal from the�eafter
set aside any provisions of the te ermit issued shall become invalid
requiring a correction of errors in plans, construction or violations of any codes. Every p
unless the work authorized by suonedefor1a15 e od of s z(6)mhonths after the t mpe thetworkas commenced Anhextension
the permit is suspended or aband P
may be requested, in writing, fr nm If work'ce'ases��rininety(90)rc nsecutive days,the job is�cons de ed bandonedstra e
justifiable cause for the extensio
WARNING TO OWNER: YOUR FAILURO YOUR PROPERT1f.TIF YOU INTE D TO OBTA N'F�INANCSNG, CONSULT
PAYING TWICE FOR IMPROVEMENTS
WITH YOUR LENDER OR AN ATTORNEY BEFORE RE ORDING YOUR OTI E OF C N EME T.
FLORIDA JURAT(F.S. 117.03 -
CONTRACT
OWNER OR AGEN Subscribed an or ed)befpre m s
S scrlbed a d s , or rm bef e this _ by•
- G�'-� Y° ~fs/are pe na e or haslha pro uced
o islare person� k o to me or ha ave o c as identlfication,i �-
as IdentlficaUon j .,
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� otary Public
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Com _,�p,►�t�,. ,,, . .,2�.. ' SWETLAND
Comm�ssion#EE 140�09 �. :� • .
"' �* �7019 Name of N ,2a16
Name ,.��,,, '.P � ao"a�°nn�rrorF'"�eoo-�esm�a
Kir�sey Central
Heat &Air-Conditioning, lnc.
P.O. Box 2209
ZephyfiiNs, Florida 33539-2209
{813) 782-2300 cA-cosas2s
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❑ ESTIMATE
w�n�oF ❑ CASH
SERVICE�
REQUEST O CHARGE
(lUAN. AART NO. DE9CRIP'TION PRICE A�AOUNT
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SERVICE PERFORMED �
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