HomeMy WebLinkAbout14-15495 � _ � GITY OF Z PHYRHILLS
5335-8 H S7REEf
�szs)� 0-0020 15495
BUILDIN PERMIT
�.PERMIT INFORMATION �pGAT10N INFORMATIQN � �
Permit Number: 15495 Address: 4617 WISTERIA DR
Permi#Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Wark: A/C CHANGEUUT Tawnship: Range: Boak:
Proposed Use: NQT APPLICABLE Lot(s): Black: Section:
Square Feet: Subdivision: WHISPERING OAKS �
Est. Value: Parcel Number: 15-26-21-0160-00000-0020
Improv. Cost: 4,700.00 OV1/NER'INFORMATIC}N �
Date Issued: 7/17/2014 Name: WORKFORCE HOUSING VENTURE INC
Totat Fees: 6Q.00 Address: 4617 W ISTERIA DR
Amount Paid: 60.00 ZEPHYRHiLLS, FL. 33542
Date Paid: 7/17/2014 Phane:
Work Desc: CHANGE OUT AC SPLIT 3 T(3N
CONTRACTOR S APPLICATION FEES
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Ins ectian Re uired ' -
D CTS 1 ALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: Reinspectian fees will comply ith �lorida Statute 553.$0{2)(c)when extra inspection
trips are necessary due to any one of the fotlawing r asons: a}wrong acidress b}condemned work resulting
from faulty construction c) repairs or corrections n t made when inspections called d) work not ready for
inspection when cal[ed e) permit not pasted on j b site f) plans nat at jab site g)wark not accessible.
NOTICE: In addition ta the requirements af this permitf ther may be additional restrictians applicable ta this praperty that
may be found in the public recards of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, state agencies or federa{agencies.
"Warning#o owner: Yaur failure to record a notice f cammencement may result in your paying twice for
impravements to your property. If you intend to ab in financing,consult with your lender or an attorney
before recording your otice of cammencement,"
Comple#e Plans, Specifications Must Accompany App ication. All work shall be pertormed in accordance wi#h
City Codes and Ordinances. NC►OCCUPANCY BEPO C.O.
Q TRACTQR SIGNATURE PERMIT 4FF! R
�
PERMIT EXPIRES IN C MONTHS ITHOUT APPR4VED INSPECTION
CALL FQR INSPECTION - HQUR NQTICE REQUIREQ
PROTECT CAR FROM WEATHER
' ����� PROPOSAL
A/C & HEATING Inc.
(863) 815-3317 Job/Location
7374 Dove Meadow Tr! The Next Generation Homes Inc.
Lakeland, FL 33810 26516 Green Willow Run
Wesley Chapel FL 33544
Lic.#CAC1814738 Project:4617 Wisteria Dr
Date
6/13/2014
Job Specifications $
Replace A/C with 3 Ton 15 SEER Heat Pump with 7.5 KW Heat Strip( 'rhandler in Attic) 4,700.00
WE PROPOSE hereby to furnish material and labor acording to above s ecifications for the sum of �
Payment to be made upon completion $4,700.00
unless otherwise specified
ACCEPTANCE of PROPOSAL The above prices,specifications,and co ditions are satisfactory and are hereby accepted.You are authorized to do
the work as specified.Payment will be made as specified above.
Proposal Void a8er 45 days Signature
813-780-0020 City of Zephyrhill Permit Appiication Fax-813-780-0021
. , s Buildin Department
Date Received � � � �y phone Contact fo Permitting ��-� �2- -- -��T �
Owner's Mame ���15 ro �OfJS/�� ,��i�� Owner Phone Number
Owner's Address � � 9�d ����'��/ �� Owner Phone Number
Fee Simple Tltleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 7�0�� G(/�S/���/�' ,/' LOT# �
SUBDIVISION PARCEL D# `��Ga— 2 J— �/6 4— oc�o o-- C�v
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FFtAME 0 STEEL Q
DESCRIPTION OF WORK /����� c>t.�'� /i' ACi/ � %OIr/ /� ��'��
BUILDING SIZE SQ FOOTAGE HEIGHT -
QBUILDING $ VALUATION F TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVIC � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
MECHANICAL $ �--700� �� VALUATION F MECHANICAL INSTALLATION . �a�
/ '�C �,
QGAS Q ROOFING Q SPECIAL 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
BUILDER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER CO PANY %/�iI v�0.� S lf C � ���5 i/;C�
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License# � C%�/ 7 3�
MECHAMICAL CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
�Address ���y���JI���Lk��%�C l-� �( 3���x' License#
OTHER CO PANY
SIGfdATURE - REGI TERED Y I N FEE CURRE� Y/N �
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days.after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities 81 dumpster;Site Work Permit for su divistons/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ety Page;(1)set of Energy Forms.R-O-W Permit for.new construction.
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&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 construc on.
Directions: ,
Fill out appiication completely.
Ovmer&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgra es over 57500)
"• Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences( IoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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' 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 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
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPAC7 AND RESOURC� 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 in accordance with applicable Pasco County ordinances.
CONS7RUCTION 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.
CONTFtACTOR'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 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. 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 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 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 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 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 fiill, an engineered drainage plan is required.
If I am the AGENT FOR THE OUYNER, 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
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
--WARNI[VG TO OWNER:YOUR_FAILURE TO_RECORD A NOTICE OF_COMMENCEMENT MAY RESULT IN YOUf2
PAYING TVVICE FOR InAPROVEMENTS TO YOUR P�20PERTY. IF YOU INTEND TO OBTAIN FINANCING;COf�1Sl1LT -�
IfVITH YOUR LENDER OR AN ATYORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscr(bed and swom to(or affirmed)before me this
by bY
Who is/are personally k�own to me or has/have produced Who fs/are personally known to me or has/have produced
as IdenUfication. as identificaGon.
Notary Public Notary Public
Commfssion No. Commfssion No.
Name of Notary typed,printed or stamped Name of Notary ryped,printed or stamped