HomeMy WebLinkAbout14-15231 _ ,
CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 15231
. � BUILDING PERMIT.
- „ --- - -- ---- .
������ `PERMIT�INFORMATION"' '� �� : = �,�..'LOCATION`INFORMATION� ���'�`� �=� `'
4��. �.��.
Permit Number: 15231 Address: 38527 LANSING 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: SLEEPY HOLLOW MHSUB DIV
Est.Value: Parcel Number: 02-26-21-0260-00000-1280
__. _
Improv. Cost: 1,995.00 . _. .y�_. .:OWNER':INFORMATION�.���_ �� �. ,.� r��.'�
Date Issued: 4/29/2014 Name: FOLDS JOE &SKEENS TERESA A
Total Fees: 45.00 Address: 38527 LANSING AVE LOT 128
Amount Paid: 45.00 ZEPHYRHILLS FL 33542
Date Paid: 4/29/2014 Phone: 813-782-4833
Work Desc: CHANGE OUT DUCT WORK MH
' - . :CONTRACTOR S ` � APPLICATION FEES - ": . ; `
EABEE C AND EAT IN C C ANGEOUT 45.00
.. ,
7ns ections'Re uired ` - � <: .<-.;
DUCTSINSTALLED
DUCTSINSU TED -
FINAL �,��� .
"
REINSPECTlON 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 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 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
�City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
NTRACTOR NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
a�saeaoozo City of Zephyrhills Permit Application Fax-813-780.0021
Building Department
Date Received g 7' � aa a - ��
Phone Cantact for Pertnittin
' Ownefs Name � �' QX �, Owner Phone Number C� � Z� p�.>
Owners Address LJ ��� � � O Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Tideholder Address
JOBADDRESS J p L n, � -` �E''-�`. LOT# �
SUBDIVISION �� PARCELID#�� �� �V '/p�0�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR�ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM �— OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPl10N OF WORK I, � C �
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�ECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
r
�GAS � ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
G i
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY r
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL � ' i�.s COMPANY lj Zj �C
SIGNATURE � ��� REGISTERED Y N / FEE CURRE� Y/N
-
Address � License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N -FEE CURREA Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllll�llllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new consWCtion,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Wor1c Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROP�RTY SURVEY required for all NEW consWdion.
�—'--'--�7 LL��•
Directions:
Fill out application completely.
Owner&ConVactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the conVador)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITIING (Front of Appiication Only)
Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIotlSurvey/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 resfrictive than Couniy regulations. The undersigned assumes responsibil'dy for compiiance writh any
applicable deed restrictions.
UN�ICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
` contractors to unciertake 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 applica6on for which they will be responsible. If you, as the owner sign as the
- contractor,that may be an indication that he is not properiy 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,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 certficate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer 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—Homeowners
Protection Guide"prepared by the Florida Departrnent 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"owne�'prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
wiil be done in compiiance wfth ali appiicable 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 pertormed 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 govemment 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, Wetiand Areas and Environmentaily Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Fiorida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Aitering
Watercourses. .
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervrays.
- Department of Heaith & Rehabilitative Services/Environmentai Heaith Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federai Aviation Authority-Runways.
I understand that the following restrictions app(y 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 addtessing a
"compensating volume"will be submitted.at time of permitting which is prepared by a professional engineer
Iicensed by the State of Fiorida.
- 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 permft 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 electricai work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shali 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 Buiiding Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the woric 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 INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JUR,4T(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirtned)before me this Subscribed and svo 0 or rmed)p r is
bY by ���) 1� ��
Who is/are personally known to me or haslhave produced Who i are peaoaauy�tewn to m or haslFiave produce�—
as iden'6fication. as identifiption.
Notary Public / Notary Public
Commission No. Co i 'pn No. — O ��
r
Name of Notary typed,printed or stamped ame af Nota ryped, " ted or stamped
Ot�RY Pu�� LINDSEY BASSETT
@ �'�'•, C'
* * MY COMMISSION#FF 063303
EXPIRES:October 15,2017
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Cnstomer's Signature � pdte �l`� � �'��
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