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Home My WebLink About14-15373 CITY OF ZEPHYRHILLS � '� �` 5335-8TH STREET , (si3)�so-oo20 1 5 BUILDING PERMIT �' � ;PERMIT INFORMATION LOCATION 1NFORMATION Permit Number: 15373 Address: 37430 DERBYSHIRE DR Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 10-26-21-0120-00000-1100 Improv. Cost: 4,125.00 OWNER INFORMATION Date Issued: 6/09/2014 Name: BROOKS, BOBBY Total Fees: 60.00 Address: 37430 DERBYSHIRE DR Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/09/2014 Phone: Work Desc: 3 TON A/C CHANGE OUT CONTRACTOR S APPLICATION FEES KINSEY CENTRAL HEATIN &A/C A/C CHANGEOUT 60.00 ,,� I i � Ins ections Re uired DUCTS INSTALLED DUCTSINSU ED 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 fi) 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. Yf you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifcations Must Accompany Application.All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. �-`,C/"� �� — �� ONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER \ / 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 . n Building Department , . ,r � Date Received Phone Contact for Permitting -- Owners Name � � ! C�(, �' Owner Phone Idumber O,� � 7U�"� �'� Owner's Address 3 � l: .G�f' S'� /i Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titteholder Address � JOB ADDRESS LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH , INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q , DESCRIPTION OF WORK � � 6� rCT• � � j� �h BUILDING SIZE SQ FOOTAGE� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $• AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ �� QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION ( ��-'S, QGAS Q ROOFING Q SPECIALTY � OTHER � l�� FINISHED 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# PLUMBER COMPAPVY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY � l,V C�a-i-- �ei/� SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Address License# � � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � RESIDEMTIAL Attach(2)PIot�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. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, Sanitary Facflities 81 dumpster;Site Work Permit for subdivisionsAarge.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 subm(ttal 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 SIGN PERMIT Attach(2)sets of Engineered Plans. ' ""'PROPERTY SURVEY required for all NEW construcBon. Directlons: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) ' •" Agent(for the conVactor)or Power of Attomay(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(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW i , r NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restricti��s" 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 cont�actor, 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 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 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 fn 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 AFFtDAVIT: 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 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. f 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 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 Waten�vays. � - Department of Health & Rehabilitative Services/Environmental Flealth 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 material is to be used in Flood Zone "A", it is understood that a drainage plan addressirig 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 flll 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 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 construction. I understand that a separate permit may be required for electricat 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 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�LEPi��c 0��►f�-A�mE�.R�Y�EF4R� RECORDI(VG YOUR NOTICE OF OMMENCEMENT! ___ _ FLORIDA JURAT(F.S.11 OWNER OR AGEN7 / CONTRACTOR I Subscrfbed and sworn to 6r afflRned before me this Subscribed and syuor to(or aff e'd)before me is _ bY y Who islare personally k to me or has/have produced Who Is/are personally known to me or has s de tificat on. as IdenUfication. Notary Public Notary Public Commiss(on No. Commisslon No. � Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped , � ' � �IIZS ��Z��`l�� ` . � v � H�at �Air-Conditioning' Inc. P.O. BOX 2209 � Zephyrhills� Florid�33539-2209 (�13� 782-2300 �,�_�056626 5`"� 7 �i �- U � � �� ,� ,,.. i�'-z� _ � , ` ��r ?— � � ',:}-': ❑ ESTIMATE PtATURE OF ❑ CASFI i REQUE T� ❑ CI�ARGE I i QUAId. PARTNO. DESCRIP71�k �WCE AMOIJP�T � �-� r�.l�,�=-�.� � % s � C � - ;� i � SERVICE'PERFORMED m� uATSiY1L , IECIMt'�/1L ' , �iVICE ToE ' Ac6a�ge of 1.SS6 a�ll be audo on a!I�pdd bdocee�0a 30 daya,vhich�ea a�val pso�m Rto YAX ' of 1896�pHe�w past�6te betaccea Qutorac in li+bk far my rha�s ieeut�ed'm aotlmins Wie bFll. TI�IA�i� Ci/�SI"I o�Fy�p��► TOTAL ' TECHlVtCIAN CUSTOMER'S SIGNATURE �I � _