HomeMy WebLinkAbout13-14519 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 14519
BUILDING PERMIT �
Permit Number: 14519 Address: 4241 SKYDIVE LN
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: 18-26-22-0010-08600-0000
Improv. Cost: 4,295.00
Date Issued: 9/09/2013 Name: CITY OF ZEPHYHRILLS
Total Fees: 60.00 Address: 4241 SKYDIVE LANE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/09/2013 Phone:
Work Desc: A/C CHANGE OUT 3 TON MANIFEST BLDG
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DUCTSINS TE
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 construction c) repairs or corrections not made when inspections calied 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 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.
"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 rec,ording 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.
C�
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin ��J 7�2 -- �j���
Owner's Name � O � �7� G'' Owner Phone Number
Owner's Address Owner Phone Number —�
Fee Simple Titleholder Name Owner Phone Number � —�
Fee Simple Titleholder Addresa
J06 ADDRESS � . LOT A� �
SUBDIVISION PARCEL ID# �O o�� �� L�/�� U� Q
(OBTAINED FROM PROPERTY TA7C NOTICE) �
WORK PROP03ED e NEW CONSTR�ADD/ALT � SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK E��D U 2 ' �i�e� �/� � �m LO � � C,� �
BUILDING SIZE �— � SQ FOOTAGEC] HEIGHT
�BUILDING S VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
.� �� 51 �
[�MECHANICAL $ �y��D VALUATION OF MECHANICAL INSTALLATION \
<�f U
QGAS Q ROOFING Q SPECIALTY � OTHER � "`b �
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO �G( �p ��
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —�
ELECTRICIAN COMPANY
SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �_
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL � ��, ` �� COMPANY �/t�S �C��j f�°.�N'�
SIGNATURE / REGISTERED Y/ N FEE CURRE� Y!N
Address �� /'%��/✓jCQ� �� License# L /����,�7��
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 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. Requfred onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FacfHtles 8�1 dumpster;Site Work Permit for subdiv(sionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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 FaciNties 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PRpPERTY SURVEY requlred for all NEW consVuction.
DlrecNons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notiae of Commencement is requlred. (A/C upgrades over 57500)
" Agent(for the contracUor)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 Se�wers Service Upgrades A/C Fences(Pfot/Survey/Footage)
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 �egulations. 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. Fu�thermore, 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
cont�actor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTiLITiES 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, wiil 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 "ce�tificate of occupancy" or finai power release. If the project does not involve a certificate of occupancy or
final pawer 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 applicabie 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 Flo�ida Department of Agriculture and Cor�sumer 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 wo�k and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that atl 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 idenCify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland A�eas and Environmentally Sensitive
Lands,WateNWastewater 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 mate�ial 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 Iots 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
the ob is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR�MP AN ATTORNEY BEFO E RECORDING YO R'NOTICE OF COM' ENCEMENT.� CONSULT
WITH YOUR LEN�ER�R
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or afflrmed)before me this
Subscrlbed and swom to(or afflrmed)before me thls by
bY yVha�sjare personally known to me or haslhave produced
Who is/are personally knovm to mas IdentlficaUonroduced as identlfication.
Notary Public
Notary Public
Commission No. —
Commission No
ed, rinted or stamped Name of Notary typed.Printed or stamped
Name of Notary typ P
` � , � HeaHnp B A(r Condifio.
PROPANE GAS Service Order�Proposal a/11
� AND AlC itvc. USTSANDLASTSANOLASi
I �i�ce 1988 813-7$2-5013
' WORN, ORDER#/SERVICEMAN 45E75 JU1�I
Sales, Service & Installations DATEIT i ME TAKEN �8f�6i 13 i 4:��
4441 Allen Rd. • Zephyrhilis, FL 33541 TAKEN RY sc �,;�
NOTES �i1�1A.� DATE/TIM�:���iMIS�D (",�,�;� 08/�7113 1.?,:��d
► CUSTOMER#fLt7CATI01�1 i91�^ 11
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-`� � F�HCiNE`# hIR PQWMAf�
F'HOIVE�# TK: 598-6981 C
CONTACT MA I NT. ERIG I NEER
ROUTE/SEG! ,�u►�-�(��
" SKY DIVE CTTY MAhIIFF_ST HUILDIN�
4�'41 SN.YD T VE LAI�1F_. 4�:41 SF;YD I VE LAhIE
ZEF�HYRH T LLS FL ��54u 7_E.F�HYRH T I�LS FL�,.?,�4;�'
BARll WALL HUhlG UIV I T
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I I�STAL.LED �!1 11�4
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1�`-F�t�"a�� ` L�S. F I
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FILTERS x x Changed Monthly i �
FILTERS z x Changed Monthly � I
0 REGULAR ❑WARRANTY TL��'AL-$UMM�'
[T�t�YttitfistBE�e . When here"'�+1) "_, When Away 1�° , T-Stat�Q° ❑ MAINTENANCE CONTRACT
SERVICE i
LIMITED WARRANTY: A1 materials,parts and equipment are warranted by the manufadurers' . M�'�{Qp O�PAYMENT CALL �
or suppliers'written wananty oNy.All labor performed by the above named company is warranted for
30 days or as otherwise indicated in writing The above named company makes no other warranties, ❑CASH ❑CK# TOTAL �
express or implied,and its agerrts or techniaans are not authorized to make any such wananties on MATERIALS i
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have aulhority to order the work out6ned aDOVe wh¢h has been sahsfaclonly completed I agree that Seller PROG. W / C I
retains title to equipmenUmatenals furnishetl un61(nal payment is made If payment is not made as agreed. CLA�M#
seller can remove saitl eqwpmenUmatenals at Seller's expense Any damage resulhng from said removal shall �
not be t�e responsibA�ty of Se�ler.NET 30 DAYS A 1 1!2%SERVICE CFIARGE WIL�BE ADDED MONTHLY TO �
ALL UNPAID BALANCES OVER 30 DAVS NO REFUNDS DATE COMPLETED
I
TECH: TAX �
,.,,�_,,..���,,..,._,,.,� �,__ :-J��i,rr,��c `J�lil.s.� TOTAL 7"' I S I �cJ