HomeMy WebLinkAbout14-15624 CITY OF ZEP YRHILLS
� 5335-8TH STREET
; � ' (sis)�so oozo 156 4
BUILDING PERMIT
' PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15624 Address: 5739 CYPRESS 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: COLONY HEIGHTS
Est. Value: Parcel Number: 12-26-21-0260-01100-0770
Improv. Cost: 3,885.00 OWNER INFORMATION � - _
Date Issued: 9/03/2014 Name: BARTNICK PAUL H & COLLEEN M �
Total Fees: 55.00 Address: 5739 CYPRESS ST
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-4473
Date Paid: 9/03/2014 Phone:
Work Desc: A/C CHANGE OUT PKG 5 TON H/P
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C,INC. A/C CHANGEOUT 55.00
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Ins ections Re uired �
DUCTS INSTALLED
DUCTSINSULATED
FINAL
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 ther may be additional permits required from other governmental
entities such as water manageme , 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 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.
CO � CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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AND A/C iNC. AirCondrtionmg$Heatinc,�
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813-782-5013
} Sales, Service � Instailations Wr�R�; �r�r.a�R�J�:������.:�r���a ��,_�°r�r� x ��riF
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UMffED WARRANTY: 1JI matE;�als.parfs anrJ equipmeM ara wa�anted by ne man�faciurkrs' METHO�OF P�Y�1ENT �'��-�- �
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ais-�eo-oozo City of Zephyrhi Is Permit Application Fax-813-780-0021
Buildi g Department
Date Received ��,3 7�s q�3 �j/
Phone Contact i r Permittln --
Ou►ner's Mame P�o�L �6�2�ti r� �c' ' Owner Phone Mumber
O�nmer's Address S 73 � �2£SS s � Oevner Phone Number
Fee Sirnple Titleholder Name Oevner Phone Number
Fe�.Simple Titleholder Address
. �JOB ADDRESS S A N�l f. LOT!t
SUBDI!/ISION PARCE IDl�
-- — _ _ ._ _ __ _ __ _ (OBTAINED FROM PROPERTY TAX NOTICE)
MlORK PROPOSED NEW CONSTR ADD/AL 0 SIGN Q � Q DEMOLISH
B INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE O�LONSTRUCTIOM Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK � � !�. ✓�%�°'� ��G �S � �7 �
BUILDIMG SIZE SQ FOOTAGE 11EIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
ECHANICAL $ pa' VALUATION OF MECHANICAL INSTALLATION `� ��
� � Sgs �S
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QGAS Q ROOFING Q SPECI TY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD OIVE AREA QYES NO
BUILDER CO PANY
SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
EL.ECTRICIAN CO PANY
SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER CO PAMY
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL � �� C PANY ��VHd�S 2d �v �iP.S � � �'
SIGfdATURE � RE ISTERED Y/ N FEE CURRE� Y/N
Address License# �Q G D y.�9�/�
OTHER C MPANY
SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2).Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities&1 dumpster;Site Work Permit for bdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Pians plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. R qulred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster._Site Work Permit for II new projects.AII commercial requirements must meet compliance
SIGId PERMIT Attach(2)sets.of Engineered Plans. `
"""PROPERTY SURVEY required for all NEW constru tion.
Direc4lons:
Fill out applicaUon completely. r
Ovmer&Contractor sign back of application,notarized �`
If over 52500,a Notice of Commencemerit isrre,qr�ired. (AIC upg ades over 57500)
•• Agent(for the contrac4or)or Power of Attomey,�'(for the tiwner)would e someone wlth notaNzed letter from owner authorizing same
OVER THE COUNTER PERMITTING,.�",` ' (Fronf�of,A`pplic�tion Only)
Reroofs if shingles `� -Sewers �•�•��Serv1a�,Upa.rades'A!C Fence (PIoUSurvey/Footage)
Driveways-Not over Counter if on publfc roadways..needs ROW
NO'TICE OF DEED RE�'fRIC�'ION�: The undersigned understands that this permit may be subject to"deed" restrictions"'
vtirhich may be more restrictive than Caunty reguEations. The undersignecf assumes responsibility far campliance w9th any
applicable deed restric#ions.
t1FdLICEPfS�D �CDNTR��7C1l25 R�lD CClFVT��TOR f���PON�I�!!,@'T1fE�: !f the owner has hired a contractor or
contractors #o undertake work, they may be required to be licensed in accordance with state and loca) regula#ions. Ifi the
contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
under state law. if the owner ar intend�d contractor are uncertairt as #o wrhat licensing requirements may app#y for fhe
intended wrork, they are advised to cantact the Pasco County �uilding Inspectian Division—Licensing Section at 727-847-
8409. Furthermore, if the ov�rner has hit'ed a confractor ar contractors, he is advised to have the contractor(s) sign
portians of the "contractor Black" of this application far which they will be responsible. If you, as the awner sign as the�
conkractflr, that may be an indication that he is not properly licensed and is not entitled to permit#ing privileges in P�isco
County.
1"�NSPC�f�T'�►71�N If1�F�A�7111�11.0�'IES MMP�C7'�P1D ���OU�2CE R�COV�RY FEES: The undersigned understands
that Te�anspartation tmpact Fees and Recourse Recavery Fees may apply ta the constructian of neuv bta9ldings, change of
use in existing buildings, or �xpansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
� 90-07, as amended. The undersigned also understands, that such �ees, as may be due, will be identified at the time of
permitting. It is further undersfood fhat Transpartafion impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certi�cate of occupancy" or final po�nrer release. If the project does not involve a certificate of occupancy or
frnal po�nrer release, #he fees musf be paEd prior to permit issuance. Furfhermore, if Pasca County WaterlSevirer {mpact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. �
GONST�tt1CT10N �.I��i Ll�i1�1F{Ch��t�e�793, �I�ri�a�ta�t�t��, �s aet�r�e�d���: !f valuation of vtirork is$2,500.Q0 or more, 1"
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeawner's
Proteckion Guide" prepared by the l�lorida Department of Agriculture and Consumer Affairs. !f the applicant is someone
other than fhe "owner", I certify that I have abtained a capy of the above described document and promise in goad faith to
deliver it to khe "owner" prior to commencement.
C�WTR�GT'��t'�IO�N�R'� ����i��►�tIT: 1 certify fhat all fhe informatiar► in this application is accurate and that all work
will be done in campliance with all applicable laws regulating construction, zoning and land developm�nt. Application is
hereby made to ob#ain a permit ta do uvark and instaRation as indicated. I certify that no work oc installation has
commenced priar to issuance of a permit and that al( work will be performed #o meet standards of afl taws reguiating
conskruckion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify thaf 1 understand that the regulations of other governrnent agencies may apply to the intended vvork, and that it is
my responsibility ta identify what ackians I must take ta be in compliance. Such agencies include but are not limited to:
- Depaetment af Enviranmental Protec#ion-Cypress �ayheads, Wetland Areas and Environmentally Sensifive
Lands, Wat�r/Wastewat�r Treatment.
- Southwest Florida Wates �anagement Districk-Wells, Gypress Bayheads, 1tVetland Areas, RlEering
Watercourses.
- Army Corps of Engineers-Seawralls, Docks, PJavigable llilaterways.
- Department of Health & Rehabilita#ive ServiceslEnvironmental HeaEth Unit-Wells, Wastewater Treafinent,
Septic Tanks.
- US Environtnenta{ Protection Agency-Asbestos abatement.
- Federal Aviation Authori#y-Runways.
! understand that the following reskricfions apply to the use of fiU:�
- Use of fill is not ailowed in F{ood Zone"V"unless expressiy permitted.
- If the fill material is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
"corrlpensating volume" vtritl be submitted at time of permitting v�rhich is prepared by a prafessional enginear
licensed by the State of Florida.
- If the fi11 material is to be used in Flaod Zone "A" in cannection vtrith a permitted building using stem waff
construction, I cerfify tha#fill will be used only to�II the area within the stem wall.
- If fill ma#erial is to be used in any area, I ce�tify that use of such fil) v�ril! not adversely affect adjacent
properties. If use of fiill is found to adverse#y affec# adjacent properties, the awner may be cited for violating
the conditians of the building permit issued under the attached permit application, for lots less #han one (1)
acre which are elevated by fiil, an engirteered drainage plan is required.
If I am the A►G�NT �06�TFYI� 01i��I�IR, I promise in good faith to inform #he owner of khe permitting conditions set farth in
this a#fidavit prior to comrr�encing construction. I understand that a separate permit may be required for electrica! wrork,
plumbing, signs, wefls, pools, air conditianing, gas, or other installafions not specifically inciuded in the application. A
permit issued shall be construed ta be a license 4o proceed with the work and not as authority to violate, cancel, alter, or
set aside any pravisions of the technical codes, nor shal! issuar�ce of a permit prevent tha Building Official fram thereaffer
requiring a correction of errors in plans, canstruction or violations af any codes. Every permit issued shall become invalid
uniess the work authorized by such permit is commenced v�r'sthin six r�anths of perm�t issuance, ar if work aufhorized by
' the permit is suspended or abandoned for a period of six(6) months after the time the work is cornmenced. An extension
may bs requested, in writing, from the 8uilding Officia! for a period not to exceed ninety (9Q) days and wil! demonstrate
justifiabie cause for the exfension. (f v�rork ceases for ninefy(90}cansecu#ive days, the job is considered abandoned,
1�lARPIQtUG 'TQ �?N{!N(�i�: Yf.�ll� (��IE.UR� TO ����R� �, �9Q�i'�C� U�F �C11��E�+1t�����lT �f1�Y iR��I��.T �� Y�l3R
�d�YING �1fillC� F�OR Iii�PP��77VfENV�PIYS YO Y0191Z F'i�iO�Ei2'f�(. YfF YOIJ IFII`IEPI�TC3 OBYAIN FINAYV�IFVG, CO�I�IDL.Y
!iiltTH VO�!{!�L.END��t�l�- �� 1��l�tN�`����t�ff�� �t�CO3i2�tNt�Y{9g.11t�➢f.?71G�t�l�CO��IiIEidCiEiifi��lT.
FLORIDA JURAT(F.S. 117
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O!{it�l�R��t AGEft1T' � �O�OTf�ACTOR '�--�.� �
Subscribed and sworn to(or f(ned)before me tfiis Subscribed and sworn t irmed)before me t u,
by by '�"--
Who islare perso�aliy knawn to me or haslhave produced Who Islsre personaliy knawn ta me ar hasJhaue produced
as ident(fication. as identifrcation.
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,�''"�r,y ,1 E ACON
Notary Public =�� x mission#FF 137073 tary Public
�,; g<; E�cp'sres Sune �
Commisslon No, Commis i n No. �: •4'••' BadedTlwTmYFd"�"QU�^��55�7019
Name of Notary typed,printed or stamped PJame of Notary typed,printed or stamped