HomeMy WebLinkAbout14-15619 t
CITY OF ZE HYRHILLS
;, - " 5335-8TH STREtT
�s�s)�s -oa2o 156
BUILDIN PERMIT
� �cT ry':�°"��. �=-;�PERMIT:INFQRMATIQN '.` ' �QCATION INF4RMATIQN " ' ''°° '� �`:
Permit Number: 15619 Address: 4824 �7TH ST �,��� �
Permit Type: MECHANlCAL ZEPHYRHIL�S, FL.
Class of Work: A/C CHANGEOUT Township: Range: Boak:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MC}ORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-02200-0090
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tmprov. Gost; , . C}iIV,NER"INFORMATlC?N " -
Date Issued: 8/29/2014 Name: WORRELL JOSEPH D
Totat Fees; 100.00 Address: 5335 BERNADETTE DR
Amount Paid: 100.00 ZEPHYRHiLLS FL 33541-9'f00
Date Paid: 8/29/2014 Phane: 813-312-7T70
Work Qesc: A/C CHANGE OUT 2 TCJN 13 SEER 1 ELECTRIC
CONTRACTOR S APPLICATION FEES
FL R{DA 0 TA EGHANI AL,iNC C CHA GEOUT 60.40 EL.ECT AL F E 44.�0
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Ins ection Re uired �
D TS IN TALLEI3
DUCTSINSULATED
FINAL �.� '�Z -�I�
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REINSPECTION FEES: Reinspection fees will camply ith Florida Statute 553.80(2)(c)when eukra inspectian
trips are necessary due to any ane af the fotlowing re sons: a}wrang address b)condemned work resu{ting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspectian when called e} permit not pasted on jo site f} plans not at jab site g)wark nat accessible.
NOTICE. In additian ta the requirernents af this permit, ther may be additianai restrictions applicable to this praperty that
may be found in the public records of this county, and ther may be additianal permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
"Warning ta owner: Your failure to record a notice f commencement may resutt in your paying twice far
impravements ta your property. If you intend to ab in financing,consult with your lender or an attorney
before recording yaur otice of commencement."
Camplete Plans, Specifications Must Accompany App ication. All wark shall be performed in accordance with
Ci Codes and Ordinances NO OCCUPANCY BEEO CA.
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CONTRACTt�R SIGNATURE PERMlT C?FFI R
PERMIT EXPIRES TN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL PQR INSPECTION — 8 HQUR NOTICE REQ►UIRED
PROTECT CAR FROM WEATHER
e��-�eaoo2o City of Zephyrhill Permit Application Fax 813-780-0021
y BviSding epartment
• Date Received phone Contact for ermittln � - V {�(_„J
OW118r�Neme � J� � Ownor Phone Number ' �)c�—�7 /�
Owners Address�����(��;(�t.._.,�1C,_ Owner Phane{Vumber ��
Fee Simple TiUeholder Name Owner Phone Number ��
F09 SII�pl6 71tloNOltler Addreas
JQBADDRESS � '� LOT# �
SUBDIVISlON 1 � Il S!11 P�� � 1'C.S� PARCEL t ' Ut�� �' U�t1't3 C.7
(OBTAINEO FROM PROPERTY TAX NOTICE)
WORK PROPOSED e New cON57R 8 ADD/ALT [� SIGN C] Q DEMOLISH
INSTAIl. REPAIR
PROPOSEO USE Q SFft Q COMM [,� OTHER
TYPE OF CQNSTRUC710N Q BLOCK Q FRAME � S7EEL Q
DESCRIPTION OF WORK l.J [i�` f , �'"`
SUttDlNG SIZ� � � SQ FOOTAC,E HES�iHT
QBUILDING �� VALUATIpN OF OTAL CONSTRUCTIpN
�ELECTRICAL $ (^�]1 � AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C.
`,,,JIJ
QPl.UMBING ��
�MECHANlCAL $ i"`� VAiUATlON OF ECNANiGA�INSTALLATIOIV I� 1 '" � ��
r t
QGAS Q ROOFING Q SPECIAL [� OTHER
F1NtSHED F�OQR E�EVAT70NS C�� FCOOD Zd E AREA DYES N4
BUIL.DER COMP NY ��
SIGNATURE REGIST EO Y/ N FEE CURREA Y/N
Address License# ( �
SIGNATUREN 1,� MP Y 1Ll�J�(�t�/1���CtA l��( �
RB6ISTE ED Y N FE6 CURREh Y J N
Address �LJ Y License# �,� ��
PLUMBER COMP NY � �
SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N
Address ticense# � �
.......
MECHANICAL ��_���,�/��� COMP NY �!0'rr� /JQ��.I-c-���,c I �
SlGNATURE f� �/r REGISTE E6 Y 1 N FEE CURREfi Y I N
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Address License# �/'i� �0 � 7J�/ �
OTHER � � CQMP NY �
SIGNATURE REGISTE ED Y/ N FEE CURREI. Y/N
Address �icense# �� �
I1111111111111111111111111111111111 IIII111111111111111111111111111
RESIDENTIAL Attech(2)Plot Plans;(2)sets of Building PlanS;{tj set of E ergy Fonns;R-O-W Permitfor new consWCtion,
Minimum ten{10}woriting days after submlttai date. Requi d onsite,ConstruGion Pians,Stormwater Plans wl Silt Fence inslatied,
Sanitary Facilikies&1 dumpster.Site Work Permit for subdi 'sionsllarge projects '
COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safery Page;(1)set of Energy Fartns.R-O-W Permit for new conswction.
Minimum ten(10)working days aRer s�hmi8ai date. Requi d ansite,ConsGVCtion Pians,Stormkvater Pla�s wt Siit Fence instalied,
Sanitary Facilities&t dumpstar.Sife Work Pertnit for alt ne projeats.AfI commercial requirements must meet cornptiance
SIGN PERMI7 Attach(2)sets of Engineered Plans,
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out applica0on compietely.
Ovmer&ConVactor sign back of application,notarized
I(over§2500,a Natica o(Commenasment is required. {AtC npgrades ver 57640}
" Agent(for the contractor)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing sama
OVER THE COUNTER P�RMI171NG (Front of Application Only)
Reroofs sf shiagtes Sewers Serv3ce llpgrades AJG �ences{Pto uroeytFootage}
Driveways-Not over Counter if on public roadways.,needs RQW
• � NOTiCE OF DEED RESTRIC710NS: The undersigned und rstands that this permit may be subject to°deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for campiiance with any
applicable desd restrictians.
UNLICENSED GONTRACTORS AND CONTRACTQR RE PONSIBILITIES: If the owner has hired a contractor ar
contraCtors to undertake work,they may be requfred ta be li ensed in accordance with state and local regulations. !f the
' can#ractor is not licensed as required by law, both the oum r and contractor rrray be cited fot a misdemeanor viol�tion
under state law, If the owner or intended contractor ere u certain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco Cqun Building Inspection Division—Licensing Section at 727-847-
8449. Furfhermore, if the awner has n�retl a contractor r contractors, he is advised to have the cantractar(s} sign
portions of the"contraator Biock"of thig �p�(ication for whi they wiil be respansible. if you, as the 4wner sign as the
contractor,that may b�an indicativn that he is not properly licensed and is not entitled to permitting privileges in Pasca
Gounty.
TRANSPORTATION IMPAC7/UTILITtES IMPACT AF1D RE QURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fe s may apply to the cons#ruotion of new buildings,change of
use fn sxisting buildings,or expansion of existing buiidings,as epeclfled in Pasco County Ordlnance number 89-47 and
90-07,as 8mended. The undersigned also understands,th t such fees,as may be due,wiI(be identified at the time of
permitting. It is further understood that Transportation Imp ct Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate af occupancy"or final power release. If the proJect does not invo(ve a certifcate of occupancy or
finai pawer release,the fees must be paid prior ta permit is uance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in a cordance with applicable Pasco Cpunty ordinances.
CONSTRUCTION LlEN LAW(Ghapter 713,Florida Statut s,as amencled): If valuation of work is$2,500.00 or more,!
certify that 1, the applicant, have been provided with a opy of the "Fiarida Construction �ien Law—Flomeowner's
Protection Guide"prepared by the Florida Department af A riculture and Consumer Affairs. If the applicant is someone
other than the"owner',I certity that I have obtained a copy o the above described document and promise in good faith to
deliver if to the"owne�'priar ta commencement.
CON7RACTOR'SiOWNER'S AFFIDAVIT I certify that ali 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 ta obtain a permit to do work and installati n as indicated. I cerfiiy fhat no wark ar instaliation has
commenced prior to issuance of a permit and that ali 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 E understand ihat the regulations of other govern ent agencies may apply to the intsnded work,and#hat it is
my responsibility to iden#ify what actions i must take to be in ompliance. Such agencies include but are not(imited to:
- Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensftive
Lands,WaterlWastewater Treatment.
- Sauthwest F(arida Water Management Dist ict-We(Is, Cypress 8ayheads, Wetland Areas, A(tering
Watercourses.
- Army Corps af Engineers-Seawa!!s,Docks,Navi able Waterways.
- Depactment of Heaith & F2ehabilitative Servi lEnvironmental Hea(th Unit-Weiis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Rsbestos 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 fiIl materiai is•ta be used in Fiood Zo "A", i# is understood fhat a drainage plan addressing a
"compensating volume"wi11 be submitted at tim af permitting which is prepared by a professional engineer
licensed by the State of Florida.
- lf the fIi materia! is to be used in Flood Zone "A" in connectian with a permitted building using stem waEl
canstruction,i certify that fiil wili be used oniy to iil the area within th�stem wall.
- If fill material is ta be used in any area, I ce ify that use of such fill will not adversely affect adjacent
properties. !f use of tili is found to adversely a ect adjacent properties,the owner may be cited far violating
the conditians of the building permit issued un er the aftached permit application,for iots less than one(1)
acre which are elevated by flll,an engineered dr inage plan is required.
if!am the AGENT FQCt TNE QWNER,i promise in good fai ta inform the awner af the permitting conditions sei farth in
this affidavit prior to cammencing construction. 1 understan #hat a separate permit may be required for electrical work,
, plumbing, signs, wells, pools, air conditioning, gas, or othe installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed 'th the work and nat as autharity to violate,cancet,aiter,ar
set aside ar�y provisions of the technical codes,nor shall iss ance of a permit prevent the Suiiding Official from thereafter
requiring a correction of errors in plans,construction or viola ions of any codes. Every perrnit issued shall become invalid
unless 2he work auihorixed by such permit is commenced 'thin six months of permit issuance,ar if work authorized by
the permit is suspended or abandaned for a period af six{6}months after the time fhe work is commenced. An e�ctension
may be requested, in writing,from the Building Official for period not o xceed ninety(90)days and will demonstrate
justifiable cause for the e�ctension. If work ceases for ninety 90)consecutiv days,ihe job is onsidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF C fVIMENC�ME�T MAY RESULT IN YOUR
PAYINCa TWICE FOR IMPROVEMENTS TO YOUR PROPE TY. IF YOU IN ND TO O�TAIN FINANCING,CONSUL7 � � �
WITH YOUR LENDER OR AH TT4RNEY BEFORE REG RDING YbllR N IC OF C��}MMENCENIENT. �
FLORIDA JURAT(F.S.117.03) t '� _ - � N Q E
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OWNER QR AGENT CONTRACTOR 1 � � � u
Subscri6ed an bswom ta{a�aft'irmed}before me thls c"b a bswor {or fa�yr�me th � J � � •�
�— � N Z '�'
Who is/are personally known to me or hasJhave produced i re personall wn a me or as/have p duced p ro �
as iden�cation. as idenNficaSon. � � � o
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Notary Public Notary Public � O � to
Commission No. C s'on No. � � �
C C� �v7 �� � �
Name of Notary typed,printed ot sfamped Na e of Not ry typed,pdnted or stamped �-�i'�e-",,� �
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Loca1:72?-545-7957
To11 Free:868-395-26i2
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' Instailati n Items
'{j 30160 AMF Disconnect Fused []Filter Qryer
[`]Weafher Tight Whip ' [)lnsultube
[]Sheet Metal Transition/Elbow []Vibration Pads
[]�+lercury Free Therii�ostat [�Compressor Biankets
[]Copper Wire from Disconect to Outdoor Unit []i5°!o 8i(ver Brazing Rod
(]Anti-Microbial Insulation [J R-11 Flush Kit
[]Angle Iron S#aridtf2edwood []Grane Service
[]Sheet Metal Platform [J Secondary Drain Pan
[j Scuttle Repair []Condensate Trap wlcleanout
[)RemovallDisposal Oid�quipment [�Kiil Switch
[]Propertly Sized Fuses []HERS Test(CA Mani�itory)$250
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