HomeMy WebLinkAbout14-15622 ' CITY OF ZE HYRHILLS
' S335—8TH STREET
(sis)�s o020 15 22
BUILDING PERMIT
�`°` ���� �� `PERMIT��INFORMATION ' � ` ' � �'�°�� " ." :,LOCATION'INF�O:RMATION,�s :������ �.,���
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Permit Number: 15622 Address: 5034 18TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21500-0260
Improv. Cost: 3,295.00 '� � �``Ei���`"011VNERRINFORMATI'ON R � �� .�������-
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Date Issued: 9/02/2014 � Name: LIL STAR LEARNING CENTER
Total Fees: 55.00 Address: 5034 18TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/02/2014 Phone:
Work Desc: A/C CHANGE OUT 2.5 TON COMME CIAL
: �` :,,C.ONTRAGTOR`S � . APPL'ICATION�FEES; ` �'��� � � ;��`�� �°�"� � ��
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KINSEY CENTRAL HEATIN &A/C C CHANGEOUT 55.00
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��_�� ��x�"�°�'��.Y=` _ �� , - . -Ins ections� e" uired �.. . . �� __ � - ��;��,.����,���,'��.
DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply wit Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following rea ons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not ade when inspections called d)work not ready for
inspection when called e) permit not posted on job ite f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there ay be additional restrictions applicable to this property that
may be found in the public records of this county, and there ay 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. If you intend to obta n financing,consult with your lender or an attorney
before recording your no ice of commencement."
Complete Plans,Specifications Must Accompany Applic tion. All work shall be performed in accordance with
City Codes and Ordinances. N OCCUPANCY BEFO C.O.
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CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
.1'�i�s �'e�t�al �� ..
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° tieat �A6r-Conditioning, lnc. �
P.O. �ox 2209
Zephyrhills, Florida 33539-2209
(�13� 7�2�2300 c�►-co58szs
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O ESTIMATE
PIATURE OF ❑ CASH
SERViCE
REQUEST ❑ CHARGE
��IAN. PART NO. DESCRIP110N PRICE AMOUNT
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SFR1/ICE'PERFORMED iov�
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A dwge o[ISSi rn'II be mtde on aA w�id blmoca�@a 30 day�,afiich ia m smw�l pmoeebge ram TAX
of 18Y.�W p�at�ro lralanoae:�L lisble[or saq chm�w iaea�d ia wi4cting tlria biti.
'I�r��l CASH��1ON�► TOTAL �
813-780-0020 City of Zephyr ilis Permit Application Fax-613-780-0021
ti Build ng Department
Date Received Phone Contact or Permittin ��3 7�2 __ 23��
Owner's fVame �� L-r �`�5 Owner Phone Rlumber
/ c 1.
Ovener's Address �6 � [ � v Ovener Phone Number
Fee Simple Titleholder Mame Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS L.OT# ��
SUBDIVISIOM PARC ID#
(OBTAINEO FROM pROPERTY TAX NOTICE)
HNORK P6tOPOSED NEW CONSTR ADD/A T 0 SIGN 0 Q DEMOLISH
INSTALL 8 REPAI
PROPOSED USE Q SFR Q COMM 0 OTHER
�PE OF CONSTRUCTIOfd Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTIOM OF VYORK � � G � V�
BUILDIfVG SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ 2/�
QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION � �� �
��.�T S�
QGAS Q ROOFING Q SPECI TY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES P10
BUtILDER CO PANY
SIGMATURE REG STERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN CO PANY
SIG(dATURE REG STERED Y/ N FEE CURRE� Y/N
Address License#
PLUAA�ER CO PAMY
SIGRlATURE REG STERED Y/ N FEE CURRE� Y/N
Address Ltcense#
MECHANICAL CO PANY �� �`'S-0G � ��r� Y�
SIGIdATURE - rte� TERED Y/ N FEE CURRE� Y/N
Address License# l
OTHER CO PANY
SlGidA'LURE REG STERED Y/ N FEE CURRE� Y/N
Address License#
"__-. =RESIDEMTIAL-_. ._Attach_(2);Rlot P_lans;-(2)sets_of_Building P_lans;(1)set f-Energy Forms;R=0_W Permit for_new construction,,,_,____J__ _
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary FaGlities 8 1 dumpster;Site Work Permit for s bdivisions/large projects
COAANIERCIAL Attach(3)complete sets of Building Plans plus a Life S 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 8 1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance
SIGM PERMIT Attach(2)sets�of Engineered Pians.
""PROPERTY SURVEY required for all NEW construc ion.
Directions:
Fill out application completely. j , �< < �
Ovmer&Contractor sign back of application,notarized '
If over 52500,a Notice of Commencement Is re�quired. (A/C,upgr des over�7500)
•' Agent(for the;coriUfictoYro�;Eower`:o'F;Attomey(fo�.;fhe;�iZwner)_would b someone wlth notarized letter from owner authorizing same
OVER THE COUNTE6t P,ERMI7TING._.:'���(Front of Applfcation Only)
Reroofs if shingles'� Sewers ; -•"�Servfce Upgrades;>A/C Fences Plot/Survey/Footage)
Driveways-Not ove��Coun4er if on pu6lic roadways..needs ROVV
P107'ICE O� �E�� R��TRIC'TiON�: The undersigned understands that this permit may be subject to"deed" restrictions" �
t+vhich may be mare restrictive than County regulations. The undersigned assumes responsibility far comp4iance with any
applicable deed restrictians.
11NL.ICE�}SED CON7RACYO�tS 6��9l� CCl�1�'��'�t)R f�I����P1�1�ILlYY�S: !f the owner has hired a contrac#or or
contracfors to undertake work, they may be required to be iicensed in accordance�tith sfate and locai regulations. 1f the
contractor is not licensed as required by lavv, both the owner and contractor may be cited for a misdemeanor violation
r�nder state levv. if the owner or int�ndad eontrae#or are uncertain as fo 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. Fur�he�mare, if the ov�ner has i�ired a confractor or contractors, he Es advised to have the cantractor(s) sign
portians of the "contractor Black" of this application far which they vvili be responsible. If you, as the owner sign as the
contractor, khat may be an indication that he is r�of properly licensed and is nat entitled to permit#ing privileges in O�asco
County.
YFt/�YdS�O�.TAYION B�HPAC'YIl1Tlt.i�'If�S B�flPl�C1��►R!� ���OU�.C� RCEGOV�RY�EES: The undersigned understands
that Transparfatian Impact Fees and Ftecourse Recovery �ees may apply to the construction of newr buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in F�asco Gounty Ordinance number 89-07 and
9Q-O7, as amended. The undersign�d also unders9ands, that such fees, as may be dus, wil! be iden#ified at the time o#
permitting. it is further understood that Transpor�ation Impact �ees and Resource Recavery Fees musf be paid priar to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
finai power release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Water/Sev�rer Impact
fees are due, they musk be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
CO�lSTi�UCT1QN L.11E� L�►Vii{C�����e 71�, �i����1��Y�4u���, �s a��¢�rd�e9}: !f vaivation of v+rork is $2,500.00 or more, i
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Hameowner's
Proteetion Guide" prepared by the l�lorida Departmsnk of Agriculture and Consumer Affairs. !f the applicant is someone
other than the"owner", 1 certify that 1 have obtained a capy of the above described dacument and promise in gaod faith to
deliver it to the"owner" prior to commencement,
�OW7R�C'�'�R'S10�itht�R'� ,�►Fl���99�V1�"; 1 certify that aIC fhe inforr►�ation in this applicatian is accurate and that all v�rork
will�be done in compliance with all applicable laws regulating construction, zaning and land development. Application is
hereby made ta obtain a perrnit ta do �nrark and installatian as indicated. ! certify that no uvorlt or instatiatian has
commenced priar to issuance of a permit and tha# ali work uviil be performed to meet standards of all laws rec�ulating
cons#ruction, County and City codes, zvning regulatians, and land development regulations in the jurisdiction. I also
certify tha� I unders#and that the regulations af othe� gavernm�nt ageneies may apply to the intended v�rork, and fhat it is
my responsibility#o identify what aclions I must take to be in compliance. Such agencfes include but are not limited to:
- Department af Environmental Protectian-Gypress Bayheads, �lUetland Areas and Environmentally Sensitive
Lands, WaterNVastewater TreatmenQ.
- Southwest Florida 1/Vater 1'�anagement District-Wel(s, Cypress 8ayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, hJavigable Watervvays.
- Deparfinen# of Health � Rehabilitative ServiceslEnvironmental Flealth Unit-We11s, Wastevirater Treatment,
Septic Tanks.
- US Environmental Pratec�ian Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
1 understand fhat#he follawing restrictions apply to the use of fill:
- Use af fili is not allowed in Fiaad Zone"V"uniess expressiy permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" uvi11 be submitted at time of permitting which is prepared by a professiona! engineer
licensed by the State of Florida.
- if fhe fill material is ta be used in Flaod Zane "A" 9n cannection v+rith a permitted bui4ding usEng stem v4rali
construction, I certify fhat fili wi(I be used only to fill the area vuithin fhe stem wall.
- If fil! mat�rial is to be used in any area, I certify that use of such fiA uvill not adversely affect adjacent
prope�ties. if use of�li is f�und to adversely affect adjacent properties, the awner may be ci#ed for violating
the conditions of the building permi� issued under 4he attached permit applica#ion, far lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is r�quired.
If I am the AGIEN�' �OI��'H� OV'!!lW�R, I promise in good faith to inform the owner of the permitting conditions set forth in
this a€Fidavit prior to commencEng constructian. I understand 4hat a separate permit may be required for etectrica! wark,
plumbing, signs, welis, pools, air conditioning, gas, or other installafions not specifical(y inciuded in the application. A
permit issued shall be construed to be a license #o proceed with 4he work and not as authority to violate, cancel, alfer, ar
sef aside any provisions of the technical cades, nar shall issuanc�of a permit prevent�the Building Officia�from theteafter
requiring a correction of errors in plans, canstruction ar viola#ions of any codes. Every permit issued shall become invalid
uniess fhe vuork authorized by such permit is comrnenced vuithin six monfhs of pertnit issuartce, or if work autharized 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 vuriting, fram 4he Building O�cia! for a periad not fo �xceed ninety (90) days and will demonstrate
justifiable cause for the exfension. If work ceases for ninefy(90}consecutive days, �he job is considered abandoned.
1�l�+►#�N1�� �'O CBild�#��t: Y{)UI� ��i�l�R� TC� R��i�R� A l�f}Zi'1�� O� �C96��tl�Pd�����iT ��� �2���lS..T li�! '�'�tlR
Pe�YII�IG T1iV9C� F`OR YIUI�RtJVEIVI�f�T�TO YC��DR ��20P�F�"Tl�. IfF 1(011 IYVTfE�ID 7'QJ 0�7'�►IN FINIANCING, COR4�l1l.T
�ittTH V�LJ�t I.ENDIER�'}��lPd 14�1fT'�}�t��Y��i�fQ�� ��CCYRiDINC�Yt�Uff 61�ClTIC�+t������ti�NGE�tl�NT.
FLORiDA JURAT(F.S. 117 U3 i
O�f1lN�it OR�CENT �'°''��"'-- ��P1TE3ACT'OR ��-=--^-'""
Subsc►ibed and swo^T�aw� ffi med)before me this Subscribed and swo to r affirm �before me this
by
Who islare personally k��� to me or fiaslhave produced Who IsJare p rso 3f nown to me o aslhave produced
as Identlficakion. as identification.
hlotary Public •�. ary Public
'�: : Commissaon#FF 1370T3
Commisslon No. Commfssion =
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~���P,f.�f'��,,` BorddllwTroyFeinlnwzance600385-7478
Name af Notary typed,printed or stamped PJame of Notary typed,printed or stamped