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CITY OF ZE HYRHILLS
5335-8T STREET
(si3)�s -oozo 1565'1�
BUILDIN PERMIT �'�
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PERMIT�INFORMATION: g =�: �. �� •�.LOCATION3INFORMATI:ON - �'��_. Y.�.�.
Permit Number: 15651 Address: 5518 7TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-08900-0160
Improv. Cost: 5,514.00 ��'� _ : y�.�='��'OWNER�INFORMA�TION'�.n�=�`?c�° ����`'
Date Issued: 9/12/2014 Name: A&B VENTURES LLC
Total Fees: 65.00 Address: 5518 7TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/12/2014 Phone: (813)779-8895
Work Desc: A/C/ CHANGE OUT 4 TON HP W/AIR HANDLER
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ALL TECH AIR &FILTRATION LC A/C CHANGEOUT 65.00
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;�:F�-�� °. ���� ;��., . � . . Ins" ection" =Re�uired . '.'� . . . y�-,.;�:;.����N������:==
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DUCTS INSTALLED
DUCTSINSULATED
FINAL 1 -
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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 t) 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 properly 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 otice of commencement."
Complete Plans,Specifications Must Accompany Appl cation.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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C NTRACTOR 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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� ' s�a=7saaozo City of Zephyrhills ermit Applicatian Fax-813-78d-0021 �
Building De artment
Date Received Phone Contact#or Pe mitting --
� a � ai � � i i � � i �
Owner's Name � 4 � l/G't'l�l.��E.� ��"� Owner Phone Number p��� �� t — 1 1 vQ
dwner's Address �S�� �+� � y Owner Phone Number �—��� �
Fee Simple Titlehaider Name Owner Phone Number �V i �
Fee Simpte Titleholder Address
JOB ADDFtESS �"�I � L +� L.l� LOT# �,_��
SUBDIVISION �—+ � PARCEIId
(OBTA1NEp FROM PROPER7Y TAX NO'i10Ej
WOftK PRQPOSED e NEW CONSTR 8 ADDlAL.T � SIGN 0 � DEMOLISH
lNSTRLL REPA{R
PROPOSED USE � SFR Q COMM �� OT}-fER
TYPE OF CONSTRUCTtON � BLCtCK � FRAME � STEEL �
DESCRIPTION OF WOftK �l � t--�G�/t �- ��� "` [ 7�?t'1 T iC'�� PLttM �/ ��� ���tC���C+''�
BUILDiNG S12E ���i�� SQ F04TAGE HE{GHT �—
._..—.._�
� I � VAI.UATION d TOTAL CONSTRUCTlON
BUILDING $
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DELECTR�CAL �� AMP SERVICE O PROGRESS ENERGY Q W R.E.C.
OPLUMBING �g —� ,
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�MECHANICAL $S �- tr1 v�� VALUATION F MECHANICAL INSTALLATION ��
1 �{�
[�GAS � ROOFING C] SPECIAL � OTHER
F�NISHED FLOOR ELEVATIONS �� FLOdD ONE AREA �YES NO
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BUiLDER �� +� GO PANY
SiGMATURE REC,i TERED Y! N FEE CURREA Y!N
Address License# � �
ELEGTRIClA{� � � CO PANY
SIGNATURE RE STERED Y/ N FEE CURRE� Y/N
Address License# �-� �
PLUMBER + !� C MPANY
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/i�l
Address License# �— —�
IMECNANICAL �)� �) ��� C NIPANY '! �!— !L.'�G� �E l� ��t`rJ'!'Gi'�'(4!'� , uG
StGNATURE v,�eC-���--? ` <" R tSTERE4 J N FEE GURREP Y f TV
; Address 3�'`� `ZC9 �`,}�2� i�-OCip �y License# �,.l�y��G� t 4't to��
—
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4THER C MPANY
SlGNATURE R GISTERED Y/ N FEE CURRE� Y/N
Address -�icense# � �
16iTIlltittOltoI119IIiltilitllli 81111 � 11M116i [ 1tt91lttl [ 1981l � 0 ! ! 1
RESIDENTIAL Attach(2}Plot Plans;(2)sets of Building Plans;(1}s t of Energy Forms;R-O-W Permif for new construction,
Minimum ten(10)working days after submittai date. equired onsite,Construction Pians,Stormwater Pian�wf Siit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit fo subdivisionsJlarge projects
C�MMERCIAL Attach(3}complefe sets of Building P�ans p�us a Life Safety Page;{1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittai date. Required onsite,Construcfion Pians,Stormwater Pians wJ Siit Fence insfaiied,
Sanitary Facilities&1 dumpster.Site Work Permit fo al(new projec#s.Ail commerciai requirements must meet compiiance
SlGN PERMIT Attach(2)sets of Engineered Pians.
**`*PROPERTY SURVEY required for al�NEW cons rucfion.
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Directions:
I Fill aut application campletely
� Owner&Contrector sign back of applicafion,notarized
If over$2500,a Notice of Commencement is required. {A1C u gr�des over$7500}
"' Agent(for the contractor}ar Power of Attorney{for the owner)wou d be someone with�otarized letter from owner authorizing same
OVER TNE CQUNTER PERMITTING (Front of Application Only}
Reroofs if shingles Sewers Service Upgrades AJC Fen es(PioUSurveylFootage}
Driveways-Not over Counter if on pub(ic roadways..needs ROW
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NOTICE OF DEED RESTRlCTIONS: The�undersigned unde stands that this permit may be subject to"deed" restrictions"
which may be more restrictive fhan County regulatians. The unciersigned assumes responsibiiity far compliance w[th any
applicable deed restrictions.
UN�ICEi�SED CC��6TRfl�CT4RS AND CONTRACTOR RE PQNSlStLITtES: If the owner has hired a contractar or
contractors ko undertake work, they may be required to be (i ensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the own r and cantractor may be cited for a misdemeanor violation
under state law. 4f the awner ac in#ended contrac#or are u certain as to what licensing requirements may apply for the
intended wark, they are advised to contact the Pasco Count Building Inspection Division—Licensing Sectian at 727-84?-
8009. Furthermore, if the owner has hired a contractar r contractars, he is advised ta have the contractor(s} s'sgn
portions of the "cantractar Block" of #his appiicatian for whi h #hey 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 Pasca
County
TRANSPORTATIC7N IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEEa. The undersigned understands
that Transportation lmpac# Fees and Recourse Recovery F es may appiy to the construction af new buildings, change of
use in existing buildings, or expansion of existing buiidings as specified in Pasco County Ordinance number 89-Q7 and
90-07, as amended The undersigned also understands, t at such fees; as may be due, will be identified at the time of
� permiffing. !t is further understood that Transportafion Imp ct Fees anc{ Resource Recovery �ees must be paid priar to
receiving a "certificate af occupancy" or final power releas . If the project does not invalve a certificate of occupancy ar
finai pawer release, the fees must be paid prior to permit i suance Furthermore, 'sf Pasca Gounty Water/5ewer Impact
fees are due,they must be paid prior to permit issuance in ccordance with applicabie Pasco County ordinances.
CONSTRUCTIOIV LIEN LAW (Chapter 713, Florida Stat�a es, as amended): If vaivatian of work is $2,500 00 or more, I
certify that !, the applicant, have been provided with a copy of the "Florida Constructiort Lie� Law—Homeowner's
Protection Guide"' prepared by the Fiorida Department of griculture and Consumer Affairs. If the applicant is someone
other than the"owner°, I certify that I have obtained a copy f the above described docurnent and promise in good faith to
deliver it to the"awner" prior to.commencement.
CONTRAGTOR'S/OWNER'S AFFIDAVIT: I cer�ify that all the information in this application is accurate and that all work
will ba done in compiiance with all applicable laws reguSat ng constructian, zoning and lanci development. Application is
hereby made ta obtain a permit ta do wark and install tion as indicated. I certify that no work or installation has
commenced prior to issuance af a permit and that al! w rk wiil be perFormed to meet standards.of al! laws regulating
construction, County and City codes, zoning regulations, anci iand deveiopment reguiations in the jurisdiction i also
ce►tify that I understand that the regulations of other gave nment agencies may apply to the intended work, and that it is
my responsibility to identify wha#actions 1 must take to be i campliance Such agencies include but are not limited ta.
- Department of Environmental Proteckion-Cyp ss Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlVl(astewater Treatmenfi.
- Southwest F�orida Water Management D strict-Wells, Cypress Sayheads, Wetlanci Areas, Altering
Watercourses.
- Army Corps af Engineers-Seawalls, Docks, N vigabEe Vtlatenrvays.
- Department of Health & Rehabilitative Servi es/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Ageney-Asbesto abatement.
- Federal Aviation Authority-Runways.
1 undersfand that the fallowing restrictians apply to fhe us of fill:
- Use of fill is not allowed in Flood Zone"V" unl ss expressly permitted.
- lf the fili materiai is ta be used 'sn Flood one "A", it is understood that a drainage pfan addressing a
"compensating volume° wifl be submitfed at ime of permifting which is prepared by a professional engineer
licensed by fihe State of.Florida.
- lf the f1I material is to be used in Fiaod Zo e "R" in cannectian with a permi#ted building using stem wall
constructian, I certify that fill will be used only o fill the area within the stem wall.
- !f fill n�aterial is #o be used in any area, ! certify that use of such fil{ wif! not adversely affect adjacent
properties. If use of fill is found fo adversel affect adjacent properties, the owner may be cited for violafiing
the conditians of the building permi# issued nder the attached permit applicatian, for lots less than one (1)
acre which are elevateei by fill, an engineere drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in goo faith to infarm the owner of the permitting conditions set forth in
this a�davit priar to comrnencing construetion. ! under and #liat a separate permit may be required for electrical +rvark,
plumbing, signs, wells, poo�s, air conditioning, gas, ar ther installetions not specifically included in the app(ication. A
permit issued shall be construed to be a license to prac ed with the work and not as authority to violate, cancel, alter, or
set aside any pravisions af the te,chnicai cades, nor shall issuance of a permit prevent t�e Building fl�ficia4#rom thsreafter
requiring a correction of errars in plans, construction ar iola#ians of any cades Every permit issued shall become invalid
uniess #he wark autharized by such permit is commenc d within six manths of permit issuance, or if work autharized by
the permik is suspended or a�andaned for a periad of si (6) rtmonths affer the time the work is comrrrenced. An extension
may be requested, in writing, from the Building Official or a period not ta exceed ninety (90) days and will demonstrate
iustifiable cause far the e�ctension. if work ceases far nin ty(90}consecutive days,the jab is cansidered abandoned.
WARh11�G TO OiNNER:. YQUR FAlLURE TO RECtJ D A NOTICE UF COMMENC�MENT MAY RESULT 1N YOUR
PAYING TW10E FOR II111PR(3VEMENTS TO YOUR PR PERTY. 1F YOU 1NTEND TO OBTAIN FINANCING, CONSULT
1nfITH YOUR LENDER OR AN ATTORNEY BEFORE R GORDING YOUR NOTICE OF COMMENCEMEIdT.
F�ORlDA JURAT{F S.117 d3}
OWNER OR AGEAl7 CONTRACTOR�Gt�IC.�i� l�,i`I�z nn n� ��
Subscribed and swarn to(or affirmed}befare me tt�'ss ubsy�r�bed and swbrn to{o�� firmed)before me this �
by 1-� ----by....�__ � a'"���
Who is/are personally known to me or has/have produced o is e personally nov� to me ar has/have produced
as identification. as idesitification.
Notary Puhtic ' Notary Pubiic
Commissian No. C m issi No. ���'�l T
Name af Natary typed,pri�ted or stamped Name of Notary typed,prink o,r.••���d
�jti� o�.:JACOUEi.#idE HORRUITIPtER
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''.'t�or'�d�.•°' EXPlFlES July 24: ",m.'018
(407)396�Oi53 FloeidallotaryService.cacn
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