HomeMy WebLinkAbout14-15618 �� _ CITY OF ZE HYRHILLS
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� BUILDIN PERMIT
x PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15618 Address: 4818 17TH ST
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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-02200-0090
Improv. Cost: 4,437.00 OWNER INFORMATION
Date Issued: 8/29/2014 Name: WORRELL, JOSEPH �gp����
Total Fees: 100.00 Address: 5335 BERNADETTE DR
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33541
Date Paid: 8/29/2014 Phone: (813)779-7425
Work Desc: A/C CHANGE OUT 2 TON 13 SEER / ELECTRIC
CONTRACTOR S APPLICATION FEES
FLORIDA DELTA MECHANI AL, INC C CHANGEOUT 60.00 ELECTRICA�FEE 40.00
FLORIDA DELTA MECHANICAL INC
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Ins ection Re uired
DUCTS INSTALLED
DUCTSI ULAT D
FINAL
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REINSPECTION FEES: Reinspection fees will comply ith 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� 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 ther may be additional permits required from other governmental
entities such as water managemen , state agencies or federal agencies.
"War-ning 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 SIGNATURE 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 Zephyrhills ermit Application Fax-813760-0021 ,
„_ r Building D partment
: Date Received phone ContactforPertnittin
` Owners Name � Owner Phone Number � � � /O
r� p � I
Owners Address f 1 V � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TiUeholder Address
JOBADDRESS LOT# �
SUBDIVISION r � PARCEL I ' O^ `DD�v
(OBTAINED FROM PROPERN TA%NOTICE)
WORK PROPOSED e NEW CoNSfR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIP110N OF WORK U / LPi` �
BUILDING SIZE SQ FOOTAGE HEIGHT �
QBUILDING $ VALUATION OF OTAL CONSTRUCTION
�ELECTRICAL $ 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
/
QPLUMBING $ :i ���� �
�MECHANICAL $ � � VALUATION OF ECHANICALINSTALLATION �
QGAS Q ROOFING Q SPECIALTY 0 OTHER ��
FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA DYES NO � �
BUILDER COMP NY
SIGNATURE \ REGISTE ED Y/ N FEE CURREIi Y/N
Address I ,�'� License#
ELECTRICIAN ` COMP NY (/I�j' � '�
SIGNATURE I REGIST ED �/ N FEE CURREN Y/N
Address � (/r U License# � �
PLUMBER COMP NY
SIGNATURE REGIST RED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL �� COMP NY ���r��ti �I� �GCG..,,f-�
SIGNATURE REGIST RED Y/ N FEE CURREN Y/N
Address License# (� (/
OTHER COMP NY
SIGNATURE REGIST RED Y/ N FEE CURREN Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of E ergy Fortns;R-O-W Pertnit for new consWCtion,
Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subd'visions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safet Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submirial date. Requi ed onsite,ConsWCtion Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities&1 dumpster.Site Work Pertnit for ail n w projects.All commerciai requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for ali NEW constructio .
1��1�
Directions:•
Fitl out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrade over$7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner au[horizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PI USurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
� � �' NOTICE OF DEED RESTRICTIONS: The undersigned unde stands that this permit may be subject to"deed"restrictions"
° • which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any
' ; " applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be li nsed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are un ertain 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 o contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for whic they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly icensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fe s may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,th t such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impa t 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 is uance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in ac ordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a py of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of A riculture and Consumer Affairs. If the applicant is someone
other than the"owner',I certify that I have obtained a copy o the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all t e information in this application is accurate and that all work
will be done in compliance with all applicable laws regulatin construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installati n as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all wor will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, nd land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern ent agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in ompliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management Dist ict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navi able Waterways.
- Department of Health & Rehabilitative Servi s/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos batement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use o fill:
- Use of fill is not allowed in Flood Zone"V"unles expressly permitted.
- If the fill material is to be used in Flood Zo e "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at tim 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 ill the area within the stem wall.
- If fill material is to be used in any area, I c rtify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely a ect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued un er the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered dr inage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good fa th to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understa d that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or oth r 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 is uance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or viol tions of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced ithin 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 period not to xce d ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecuti da the j ' considered abandoned.
I'
WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF C MENCEMEN Y RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU NT D TO OBTAIN IN NG,CONSULT
WITH YOUR LENDER OR AiV ATTORNEY BEFORE REC RDING YOUR NO E OF COMME MENT. � r �
FLORIDA JURAT(F.S.117.03) � � W o N E
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OWNERORAGENT CO TRACTOR
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Subscribed and swom to(or affirmed)before me this u scri d nd swo. to n ed o me � uLL- �. c°i,
by i y W � >, �z
Who is/are personaily known to me or has/have produced i are perso y kno n to e or has ve r duced N Z ro �'
as idenGficaGon. as entifiqtion. J O � �
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ROC141960 811114 240955 CAC1, 16454 7116216 0075345 87072
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Installati n Items
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[]Weather Tight Whip [J Insultube
[]Sheet Metal TransitionlElbow (]Vibration Pads
[]Mercury Free Thermostat []Compressor Blankets
[]Copper Wire from Disconect to Outdoor Uni []15%Siiver Brazing Rod
[]Ahti-Microliiai Insulation []R-11 Flush.Kit
(]Angle Iron StaridlRedwood []Crane Service
[]Sheet Metal Piatform []Secondary Drain Pan
[]Scuttle Repair []Condensate Trap w/cleanout
[]Removal/Disposal Old Equipment []KiII.Switch
[] Propertiy Sized-Fuses []HEF?S Test(CA Manditory)$250
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