HomeMy WebLinkAbout14-15615 _ , ' CITY OF ZE HYRHILLS
� 5335-8TH STREET
(sis)�s -0020 15 15
BUILDIN PERMIT
���� '' � �PERMIT�INFORMATION -� F � "° ' ` . �;LOCATION'�INFORMATION" �=�:�:P��;`r� �'�
Permit Number: 15615 Address: 3749 COPELAND DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 24-26-21-0010-03900-0000
Improv. Cost: 5,100.00 '-��;°-�;:��,T'��`��:OWNER=�INF�O:RM�ATIONz���= :�"�;- .���'���'
� r..:�_:
Date Issued: 8/29/2014 Name: OLD CASTLE MATT STONE
Total Fees: 65.00 Address: 3749 COPELAND DR
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/29/2014 Phone: (813)367-9780
Work Desc: HVAC REPLACEMENT/ FOR BREAK OOM
- - _ �_.. � _ ,•a��:.t;Fr. . v.
�:��'�,tt°;CONTRACTOR S A �`... � .`, " APPLICATION FEES = �. ;° ' "
CHRIS'A/C CO. C CHANGEOUT 65.00
� �; ��Q���L,,�
,r � ��ae
;
�
rR a . �_�,, . , Ins" ections�Re uired � , . - .E,=�:�.. , � #n� �. �3�`��
'_�z� .��, .�.�`;�::
DUCTS INSTALLED
DUCTS�NSULATED
FINAL ' ��I - �
/=�/✓�4 L
�°�Q
REINSPECTION FEES: Reinspection fees will comply w th Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following re sons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther 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 managemen , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your n tice of commencement."
Complete Plans,Specifications Must Accompany Appl cation.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� ��
CONTRACTOR SIGNATU�E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrhill Permit Application Fax-813-780-0021
.
Building epartment
Date Received Phone Contact for ermitting --
Owner's Name I � c� �e Owner Phone Mumber � � /���
Owner's Address ��7 � �/ b� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS Gvv�w LOT# �
SUBDIVISION PARCEL 1 # o�y°GI��p °07 I ' O��6 '- � `O�f�
(OBTAINED FROM PROPERTY TAX NOTICE)
lNORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGfV Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0
DESCRIPTION OF WORK �l��l� �X/� �/i? �
BUILDING SIZE SQ FOOTAGE - HEIGH
QBUILDING $ VALUATION O TOTAL CONSTRUCTION
QELECTRICAL $� AMP SERVIC 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ /
5
�MECHANICAL $ �/� �,.,1 VALUATION O MECHANICAL INSTALLATION -Y'`�j��
(!v e��r
QGAS Q ROOFING Q SPECIAL Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
- BUILDER -- - - - - COM ANY - - - - -- - --- -- -- -
SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAId ' COM ANY
SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COM ANY .
SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N
Address License# �
�
MECHANICAL , COM ANY l/L/7_� /� � C'
SIGNATURE REGI ERED Y/ N FEE CURRE� Y/
Address License#
OTHER - COM ANY
SIGNATURE REGI TERED 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 fornew construction,
Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fac(Ifties 8 1 dumpster,Site Work Permit for su divisionsAarge projects -
COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Saf ty 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-P-lans,-Stormwater P-lans-w/Silt Fence installed, -
Sanitary Facilities 8�1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"•"PROPERTY SURVEY required for all NEW construction.
Directtons: ,�.,,,,„�,�,_;�s, ro
Fill out application complete `.;"`."":','""�;",.'",:;;;':`°�� i
Owner&Contractor sign ba�k of application,�notanzed: °;�� ='.,�, �
If over 52500,a Notice of�ommencement�is required:',.�(A/C upgra es over 57500)
•' Agent(for the contractor)orj�p�pwer of�Attomey(for the�owne�J�.would be someone with notarized letter from owner authorizing same
,,,: ;; ...- , , __ . -.._. -�. .�
OVER THE COUNTER PERMITTING (Front of ApplicaGon Only) � �''�-'c - - , � . ,
Reroofs if shingles Sewers Service Upgrades A/C Fences( Iot/Survey/Footage)` -� � `"•-' � ; •
Driveways-Not over Counter if on public roadways..needs ROW �.,�1� w o�,_.„;,�'r ' �,,,.,....._- _.�:,,
•L
a y
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
I 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 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.
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'S/OWNER'S AFFIDAVIT: f 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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ( 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 P�otection-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 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 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 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
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
- P/AYLMG-TVNlCE-FOR 1lNPROVEMENTS TO YOUR PROPERTY. 1F YOU WTEND T_O T_. N FINANCING_CONSULT _ __
WITH YOUR LENDER OR AN -RNEY BE ORE RECORDING YOUR eLOTIC� MENCEME T.
FLORIDA JURAT(E.S. 117 3) _
OWNER OR AGEN '+� CONTRACTO
Subscrlbed and swom o or a rmed)before me th Subscribed and bwom o(or affirmed)before me this
by y
Who Is/are personally known to me or has/have produced Who Is/are pe onally no me or as/have produced
as IdentificaUon. ' cation.
=r��sse6'� JO . G
�/�" `/ __*• • m lo FF 137073
� :� plres J �o Notary Public
ublic
„�
„���,,.,,,, �
,�j��:��,. JOEL E.BACON Commissio o.
Commisst n o. -
�; �€: Expires June 29,2018
,�...,�,• �
Name of Notary , Name of Notary typed,printed or stamped
� ' f �
I
�� 9���� �� �,.�? f Y 1! �°"5r,i � 1 I
Gf�C058 75
Pr�pvsa! Submit�ed To: D�te: �/20/9� Phar��: 81�-783-�97�
k�evin il�itch�l(
Job Nar�e: Gaas��11�id C�stle _
r'1 dr�s�: �7��Gapeland Dr. -�35�
Am�ri�an �t�ndard �r t�n S.#�r�ight caaf split sys�em. 1 kw h�at, pad, digital therm�stat,
2 flo�t switches, a�xill�ry pan, c�nnect�d tt� existinc� d ctvvork and electri�,
new air handier s�and, new r�turn air grill �eid�ilter.
L°�Itage: 3 phase �Q8/2�c]voft
€��yment du�r�ithin 3D �ays
Przc� � 5,10C1.On
t�+l��c��a�;
Chris'one ye�r fimited urarranfiy�sn m�fi�rials an� labor. � �� Yrs limited rr���f�cYr�r�s�varraniy
. or��ornpr�ssar. 9 Y�s Limited ,warranty vr��quipm�n� nMy parts.
� Yc. k�imitat�w��r�nty c����uipm��€ l�bor.
�a�f t'�k�l���C3 �I�:i77aC{f:�S.�Q�IC}WS: a�:c�S�1 U��7�i Caf'El I�tI�PI �DI'r�WS i� �C� DA�'��'° �
GI�R9�'r�u�hori�ed Sign�zue�: , - ----- .____._.�..
§�{3T�;-�g�fl�, p�opttsai t�t��bt�vtti�hdrat���€���� if�tot acc g���c�wift�in�fl cl�y�.
1 have aulEiorlty to osUer ihe work,which shail be per[ormed a�.ouitined abo�e, Et is�grsed the seller wifil rekais7 title to any equlpmenf or materiai that
may be furnistsed until finaf�ayment is made,and ifi satttemeni is nut ntade es�g od,the seflar shall h�ve the right to femov2 same and th�setter�rrill
be held harmiess f�f and damages resu{�ng from th�remoual thercof.i agt�e to ay al!cost and rea�onakle attornay's f�if tnls invoice is placed in
the hands of an attom�y for ca�lectiota.Seifer is subjecf ta r�stocking charge ii jo cance(eci
PklU,495C� �FlARGES:Balanaa due ovor 3U days(i�tz ia lNT��E57i'AEE3 PR�N7h3(t8/e ANNUAL RATE)wilf be imp�sed(tehore a�pticabie),
Gi�s�omer ACCepfianGO S9gn�ture: �
� a� 3 �
�I��7�tGlC�:�.�..«....� � �ee,� > �^ �c�t�: `
Si�natur$,✓A `�,_ "� r -;�"�`�' ''��____�, Date: �
122�2 US HIGFIWAY'3t1� DAGE CITY, FL. �3525 f'M�NE 3�2-52�-�k977 FX 352-5�1-3393
� estimateforrn
i
i