HomeMy WebLinkAbout13-14838 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 14�
- BUILDING PERMIT f
Permit Numiner: 14838 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: 5,185.00
Date Issued: 12/19/2013 Name: CITY OF ZEPHYHRILLS
Total Fees: 65.00 Address: 4241 SKYDIVE LANE
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/19/2013 Phone:
Work Desc: A/C CHANGE OUT 5 TON
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DUCTSINSUL TED
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 called d)work not ready for
inspection when called e) permit not posted on job site fl 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.
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ONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, ' , � �`��- � /��/�� , .-�-
PROPANE GAS �s��
► ANO AJC ,N�. Service Order/Proposal
IASTS AMB USTS AN�IaSTS:'
�;rce 1988 813-7�2-5013
4�C�RN. (JRL?f":R#:SFRVTCE�M�"-tl'�I 4-771k't T��►�
Sales, SPrvice & Installations bGTE1T I ME TAfC�I� 1 c'i 1 1. !1? 1 r:4�
4441 Allen Rd. • Zep yrhills, FL 33541 rpF'�� �' �c �`
DR�I�E,'T I M� F'RQM I.�^.-,F L'� 1 c':` 1 1 i' :t� ��e�c'�k'�
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-- C.CiNTACT MA71VT. ENGINEER .,�
RQUTE:Sf�G? „ ,JU!V-riJR
KY D:[VE rITY . �(��l' L1h�lIT `
�4I SI;YDI VE LANE 4�4�1 SKYDI VE LANE
EF'HYRi-iILI_S F=i_ � :�.��4;� ZEF�HYHHILLS FL.���4`
, � ., - EAST Lihl I T id C'I TY HAL_L
T COC71�.T.h�JG. WF_D ��M n R F I RS-(' TH [I'�IG THU I�,
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FILTERS _ x x Changed Monthly � �
FILTEP.S x . Changed Monthly I I
❑ REGULAR ❑WARRANTY � � �
� ".r` r `,� a,� , .;
�����1Nhen here When Awa ��� �� � �
� y�, T-Stat� ❑ MAINTENANCE CONTRACT SER'VICE
ffEDWARRANTY:�Nlmatenals. artsand� p �y � � ° � �
p equi ment are warranted b the manufadurers�� ��;(�.��������- CALL i
ppliers'written wartanly only.NI labor peAormed by the above named company is wartanted for -
3ys or as otherwise indicated in wnting.The above named company makes no cther warranties, ❑CASH ❑CK# TOTAL i
;ss or implied,and its agents or technicians are not authonzed to make any such warzanties on MATERIALS i
Ifo(abovenamedcompany. J DEBIT ❑CREDIT ❑OTHER �
MAINTEN,�NCE i
e auMOriry to ortler the work outlined above which has been satisfactorily comple[ed.I agree that Seller PROG. VV /.0
s[ifle to equipmenUmaterials lumis�ed un1i1 final payment is made.If paymenl is nol matle as agreed, (���M�
can remove said eQuipmenVmatenals at Seller's expense.Any damage resulting Pom said removal s�all �
a ihe responsibiliry ot Seller.NET 30 DAVS.A 1 1/2%SERVICE CHAP,GE WILL BE ADDED MONTHLY 70
iNPAID BALANCES OVER 30 DAVS.NO REFUNDS DATE COMPIETED �
TECH: � T{�( �
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OMER SIGNATURE DATE ` �(C/�( i_ (J�(� 1 O A AL � �V(,f
a��-��u-uu�u Cit�ot[ephyrhills Permit Application
Building Department Fax-813-780.0021
Date Received �
Phone Contact for Permittin � �8 Q /
. �
Ov�ners Name ' I' � h �-�f_,L_L�
Owner Phone Number
Owner's Address ��,3� ��`
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Tttieholder Address
JOB ADDRESS G ' � /�}/�J� Z._�� 5� r�� LOT�
SUBDIVISION ��
PARCEL ID# g'" �� ° �� 'DD�O,rD��^^ ��T
G.�'J c,.c,C,C/
1MORK PROPOSED e (08TAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR ADD/ALT � SIGN �
INSTALL REPAIR C� DEMOLISH
F�ROPOSED USE Q SFR Q COMM
TYPE OF CON3TRUCTION Q BLOCK � OTHER
�] FRAME C� STEEL �
DESCRIPTION OF WORK M1S�f� � � �QC S �"O^{' /�l r��� d e
BUILDING SIZE SQ FOOTAGE C]
HEIGHT
QBUILDING a
VALUATiON OF TOTAL CONSTRUCTION
QELECTRICAL � AMP SERVICE
�] PROGRESS ENERGY [� W.R.E.C.
QPLUMBING $
QMECHANICAL s VALUATION OF MECHANICAL INSTALLATION � � J�
QGAS Q ROOFING [] SPECIALTY �` I �
Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
�YES NO L � LtJ.C�
��E� � I
BUILDER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address �
License J� �
ELECTRICIAN
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Address
License# �
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURREA Y/N
Address
License# �
MECHANICAL� � �- �
SIGNATURE , (jt.�jj'}LQ �J COMPANY Af�/Q$ �J
REGISTERED y/ N P ��� � "���
/ E CURRE� Y/N
Address t'-�'�-�-� [ �/J ,�— !/l ,3��j7' License# �.(� �`�J 9'[-d—�
OTHER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRE� Y/N
Addross
License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster,Slte Work permit for subdivisions/large projects
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 date. Required onsite,Conshuction Plans,StoRnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permft for all new proJects.All commerciai requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY requtred for all NEW constructlon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of applicatlon,notarized
-. If over t2500,a Notice of Commencement fa requi►ed. (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 Appllcatlon Only)
Reroois if shingies Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
ESTRICTIONS: The undersigned understands that this u?�eSt egy nsibilbry for compl a�nce w!th anY_
NOTICE OF DEED R
which may be more �estrictive than County regulations. The underssigBn'LITIES: If the owner has hired a contractor or
applicable deed restrictfons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPON
contractors to undertake work, they may be required to b�eVlneena d cont actoamay be cited fo�r ai misdeme'anior violat on
contractor is not licensed as required by law, both the I for the
under state law. If the owner or inten aed h�Pasc�o County Bu�ilding Inspectioni Division--L cie s ng Section at727-847-
intended work, they are advised to cont
8009. Furthermore, if the owner has hired a �:°�tfor which they wi I�be espons blie.e Iftyouaas the ownea sign as he
portions of the "contractor Block of this applicatio Ncensed and is not entiHed to permitting privileges in Pasco
contractor, that may be an indication that he is not properly
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND R ee0may applyCo t�heR onstrEustion of neweb gde gsnchange o�f
that Transportation Impact Fees and Recourse Recovery Ordinance number 89-07 an
use in existing buildings, or expansion of existing buildings, as specified in Pasco Countywill be identified at the time of
90-07, as amended. The undersigned also understands, that such fees, as may be due,
permitting. It is further understood that Transportatioe1easeaclf the p ojecRdoes o R olve a certificateto occ pancy o{
receiving a "ce�tificate of occupancy or final power
if Pasco County Water/Sewer mpac
final power release, the fees must be paid prior to permit issuance. Furthermore,
fees are due, they must be paid prior to 713�Florida Statutes,ras amenided)Pllf valu ton of work is$2,500 00 or more, I
CONSTRUCTION LIEN LAW(Chapte � of the "Florida Construction Lien Law—Homeowner's
certify that I, ihe applicant, have been provided with a copy
Protection Guide" prepared by the Florida obtained ancopy of the above deseribed document and prompse intgood fa th to
other than the"owner", I certify that I have
deliver it to the"owner"prior to commencement. lication is accurate and that all work
CONTRACTOR'SIOWNER'S AFFIDAVicable Iawl s regulatingeconsuuction!zoning and land development. Application is
will be done in compliance with all app
hereby made to obtain a permit to d�!t and that'all work will be pe�Foemed to meettstandards of all laws'Iaegulating
commenced prior to issuance of a pe
construction, County and City codes, ?��s ofrotheat�overnment ag nc es may pply to the ntended�worki and thatat is
certify that I understand that the regulation 9
my responsibility to idenGfy what actions I m r tect on�Cyp ess Bayheads SW tlandnAreasnand Envi o mentlallylt Sensitive
- Department of Environmental P
Lands,Water/Wastewater Treatment. �ess Ba heads, Wetland Areas, Altering
_ Sout hwes t F l o r i d a W a t e r M ana gement District-Wells, Cyp Y
Watercou�ses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. Asbestos abatement.
- US Environmental Protection Agency-
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill: ermitted.
Use of fill is not al�owed in Flood Zone"V"unless expressly p
- If the fill material is to be used in '�d atZOne oAPermitting wh ch�s P ePared�by a9professionalreng neer
"compensating volume" will be subm
licensed by the State of Florida.
_ If the fill material is to be used in F�ed onl�to filAthe area w thin thetstem w m�tted building using stem wa
cons tru c t i o n, I c e r t i f y t h a t f i l l w i l l b e u s y
If fill material is to be used in any area, I certify that use o f suc h f i l l w i l l n o t a d v e rbe�cit d fo�v�olai ng
prope�ties. If use of fill is found to adversely affect adjacent properties, the owner may
the conditions of the building permit issueea�dainahe plan se equir a application, for lots less than one (1)
acre which are elevated by fill, an engineer 9
If I am the AGENT FOR THE OWNER, I promise in goostan1d thatna�s parat peemit may be requ�ired for'electr cal work�,
this a�davit prior to commencing construction. I unde
lumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inctuded in 1he application
permii issued shall be construed to be a license to pro II ssuaincehof a pe mitprevent thehBu ding Officeal from therteafte�r
P
set aside any provisions of the technical codes, nor s a
requiring a correction of errors in plans, constrc t�menced within s xamonths of permi P suaince, or�'rf wo'rk a thorized by
unless the wor k a u t h o r i z e d b y s u c h p e r m i t i s da s and will demonstrate
the permit is suspended or abandoned for a period of six(6) months a fter t he t i m e t h e w o r k i s c o m m e n c e d. An extension
may be requested, in writing, f�om the Building O ff i c i a l for a90e�on ecutive days,the job isOcons'dered abandon e d.
justifiable cause for the extension. If work ceases for ninety( ) �.
WARNING TO OWNER: YOUR FAILURE TO RECORD RTM T�F YOU INTEND TO OBTA Nf F/INANC NGTCONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE OTI ' ,
WITH YOU ER AN ATTO B F E CORD Y `
FLORIDA JURAT(F.S. 3) ' .�
�CON7RACTOR or affirmed)b me is
OWNER OR AGE� 1 med befor ,l e tl s Subscrfbed and �
Subscrlbed and swom to( ) by
by yyho�"s/are personally known to me or haslh dentlficati o
yyho isl ra e personally kn n to mas Idendficatl�roduced
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary tyPed,printed or stamped
Name of Notary lyped,Printed or stamped
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