HomeMy WebLinkAbout14-15705�—
' CITY OF ZE HYRHILLS
5335-8TH STREEI'
(ai3)�s -0020 15 05
� � � BUILDIN PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 15705 Address: 6803 ORLO DR
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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-0670
Improv. Cost: 3,900.00 OWNER INFORMATION
Date Issued: 10/03/2014 Name: KLEA ROBERT G & DELORES
Total Fees: 55.00 Address: 6803 ORLO DR
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-4857
Date Paid: 10/03/2014 Phone: 813-435-8688
Work Desc: A/C CHANGE OUT 3 TON HT PUMP
CONTRACTOR S APPLICATION FEES
AIR TECH SERVICES OF PAS O INC C CHANGEOUT 55.00
Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULAT
FINAL �l, - 'Q Y
�Irik1L
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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 there may be additional permits required from other governmental
entities such as water managemen , 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 n tice of commencement."
Complete Plans, Specifications Must Accompany Appl cation.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY,BEFO C.O.
c
CONTRACTOR 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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�1 Respectfi�lly submitte�, �atricl�I�i �zzan�n ��pires 30�Days ���
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�`i You must provide all conditional approved Pernxit Documents a d provide one business day of your choice to stay ���
���� home,within 1Q days of completing work at your house far Ciry o Caunty Iuspection.The above prices,specifications, ;��
��� and conditions are satisfactory and are hei�eby accepted.You ara a orized to da tbe wark as specified. ��
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I'i payments are as follows:��'r��r'.FY'��11�1�F?,F EbE»�_.��d"ri;�;_,IiC;�'��BA Fr�.6�e..�;�..,ti.,`s'd5Fk,E..G SLE;,EnrFC�5�..�"an�� �,'
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� a�3�so-oozo City of Zephyrhilis P rmit Appiication Fax-813-780-0021
„- -
i Buiiding Oe artment
Date Received
Phone Contact for Pe ittin
i � � 0 A 1 1 � 6 . H 1 � 6 ,
Owner's Matne ��l�G�("�-� �O f�5 (�,,�ECl Owner Phone Tdumber �� 3 �1-��— ��o b O
Owner's Address ���3 a�'!O �(�_ Owner Phone Number �—_-- �
Fee Simpie Titleholder Naene Owner Phone Number �-'� �
Fee Simple Titleholder Ac6dress
� Jd8,ADDRESS (,SJ�� C:,,�t 1 O V�- LOT# �V�
� �
SUBDtVlSION �T�� � � PARCE�ld
{pBTAINED FROM PROPERTY TAX NOTICE)
WCfRK PRQp05ED e NEW CONSTR 8 ADDlALT � SIGN � � � DEMOC.ISH
iNSTALL REPAiR
PROPOSED USE � SFR � COMIVi � OTHEF2
TYPE OF COi�STRUCTiON � BLOCK � FRAME u STEEL 0
DESCRlPTION OF WORK � � , ��'tGt Q ��-� � ''�p(1 ��' �j�✓v�
BU4LDING SIZE �— � SQ FO(7TAGE HEIGMT ���
�BU�LDiNC" � VALUATION O TOTAL CONSTRUCTION
�—�
` �ELECTRICAL ��� RMP SERVIC 0 PROGRESS ENERGY � W R.E.G.
i
�PLUMBlNG $ � �
���
�MEC1iAN1GAL $ �q,o� ,pp VAL.UATION F MEGHANIGAL INSTALLAT4C7N ;} `�
t 3rt
OGAS � ROflFlNG � SPECIA TY � OTHER
F1N�SHED FLOOR ELEVATiC7NS � � FLO(JD C7NE AREA DYES NO
pe���p ■ e n > > . n n � .��ti.x.i.— m t e a . . e
BUIL�ER G PANY
S1GI3ATURE RE ISTERED Y/ N FEE CURREM1 Y J N
Address License# �---�—_ ---�
�
ELECTRICIAT� G MPANY
SIGNATURE R GiSTERE4 Y i N FEE CURREt� Y!N
Address L{cense�P ^�
PLUMBER � OIVIPANY
SIG(�ATURE Gi5TERED Y! N FEE CURREq Y I N
Address License# �^y—,—��—� �
MEGHANICAL � �� �� QIViPANY �1�� 1-�'C !'`1' r �f"`{ �fCt1(iD(l� '��'�
SIG4VATt1RE �_��J��J�-`-""���f G� � EGIS7ERED N FEE CUftRE� Y!N
Address 3S lp � �~—( License# ��3�—i���� GCo I
OTNEft �� � COMPANY
StGMATURE Re��sTERCO Y/ N FEC cuaREn Y!��
Address License# � �
fle6nin1 : 4 : 8l1 ° � � lSlB ➢ II6A � � i � EtB CA � i116i � ➢ @E81E � 1lB41 ! lllflll � IAHU86t
RESIDENTIAL Atfach(2}Piot Pians;(2)sets af Building Plans;{1 set oF Energy Forms;R-O-W Permit far new cor,sfructio�,
Minimum ten(10)worlcing days affer submiital dat . Required anslte,GonsUuctioc�Plans,Stormwater Plans w/Silt Fence installed,
M Sanitary Faci4iUes&1 dumpster;Site Work Permi for subdivisionsliarge projects
COMMERCIAL Atlach(3}complete sets oi Buifding P{ans p4us a ife Safety Page;{1)s�t af Energy Forms.R-O-W Permit for new construction.
Minimum ten{1 Q}worici�g days affer submittai da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence insialied,
- Sanitary Facilities&1 dumpster.Site Worlc Permi for aII new projecfs.AI(commercia{requirements must mset comp4iance
SlGN PERMIT Attach{2)sets of Enginaered Pians.
'""`"PRQPEF2TY SURVEY required for atl NEW c nstruction.
�n n n ■ r,�m � e�s�a+v ��T"w—&e-or..°�'�.°ce•i�•w"a^,�a"��:rs
Directions:
Fiii out app4ication completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement ts required. (A! upgr�des aver$T500a
*" Agent(for the contracYor)or Power of Atlorney{for the owner) ould be someone wiih noiarized}etter from owner authorizing same
OVER THE COUNTER PERtUifTTIt3G {Ftont of Application O ly)
Reroofs if shingles Sewers Service Upgrades A/C ences(PIoUSurveylFoatage)
; Driveways-Not over Counter if on public roadways..needs RO
�- .
NOTOGE OF DEEa RESTRIC�'917NS. 7he�undersigned under tands that#his permit may kie subject to"deed" restrictians" �
which may be more restrictive than Caunty regu►ations. The ndersigned assumes responsibility for campliance with any
applicable deed restrictions.
UNLICEI�SE� Cta[�'fRl�CTQRS AND G�t�TRAGTC)� ffiE PC���IBfLtT(E�: if the owner has hired a cantractor or
� contractors to undertake worlt, they may be required to be lic nsed in accordance with state and laca! regulatians. !f the
contractor is not licensed as required by law, both the own r and contractar may be cited for a misdemeanor violation
under state iaw. (f the awner or intendeci contractor are un ertain as to what licensing requirements may apply for the
intended wark; they are advised to con#act the Pasco County Building lnspecfion Division—Licansing Sec#ion at 727-847-
8009. Furthermare, if the owrrer has h'sred a contractar o contractors, he is advised to have the cantractor(s) sign
partions af the "cantractar Blocic" of'this applicatian for wl�ic they will be responsible. If yau, as the owner sign as the
contractar, that may be an indication that he is not properly icensed and is not entitled #o permitting privileges in Pasca
County. i
� TRANSFORTAT1C3�1 iM�'ACT/LlT1�1TIE5 li1lIIP.4CT,�kIV� R� OURCE RECC?�fERY FE��: The unders'sgned understands
' ihat Transparta#ion lmpact 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, as specified in Pasco Caunty C7rdinance number 89-07 and „
9Q-07, as amended. The undersigned also understands, fh t such-fees, as may be due, wili be idenfified at the fime of
permitting. lt is furfher understooci fhaf 7ransportation Imp ct Fees and Resource Recavery Fees must be paid prior ta
� rece'sving a "certificate of occupancy" or finai power release. If the projec# does not involve a certificate of accupancy or
final pawer release, the fees must be paid priar to permit i suance. Furthermare, if Pasca Caunty Water/Sewer lmpact
I fees are due,they must be paid prior to permit issuance in a cordance with applicable Pasca Counky ardinances.
GONSTRUCTI(�M LIEN LA.VV(�hapt�r•7'13, F@orida Stat�ut s, as amended): if valuation af work is $2,500.00 or more, 1
ce�tify that 1, the applicant, have been provided with �. opy of the "Florida Constructian L'sen l�aw—Homeowner's
Profiecfion Guicie" prepared by the Fforsda C7epartment of A ricu{ture and Consumer Affairs If the applicant is sameor�e
other than the"owner", I certify that ! have obtained a copy f the above described document and promise in gaod faith to
� deliver it to the"owner" priar ta commencement.
COMTRf�CT�R'SIOWNER'S ,J�,F�rIDAVtl': I certify that a11 he informatiori in this appiication is accurate and fhaf a)1 work
wili be done in campiiance with ail applicable laws regulati g cgnstruction, zoning and land development. Appiication is
hereby tnade to obtain a permit ta do wask and `snstalla ion as indicated 1 cerkify fihat na work ar installation has
commenced prior to issuance of a permit and that all wo k will be performed ta meet standards.af all laws regulating
construction, County and City cades, zoning regulations, nd land deve(opment regulatians in the jurisdicfion. 1 also
certify that I understand fhat the regulations of o#her gover ment agencies may apply ta the intended work, and tiiat it 'ss
my responsibility to idenfiify what actions 1 must take to be i� compliance. Such agencies include but are not limited ta•
- Qepartment of Environme�tai Protection-Cypr ss Bayheads, Wetland Areas and Environmentally Sensitive
l.ands, Water/Wastewater Treatment.
- Southwest Florida Water Management Di trict-Wells, Cypress Bayheads, Wefland l�reas, Altering
Watercourses.
- Army Carps af Engineers-Seawai4s, Docks, Na igab4e Waterways �
- Department af Nealth & Rehabilitative Servi eslEnvironmenta! Health l)nit-Wells, Wastewater Treatment,
Septic Tariks.
- US Environmental Protection Agency-Asbesto abatemenf.
- Federal Aviatian Authority-Runways.
1 uncierstand that the foliowing restrictians apply to the use of fiil.
- Use of fi4(is not ailowed 'sn Flood Zone"V" unl ss expressly permitted.
- !f the #i!! materia! is ta be used in Flood Z ne "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at t me of permitting which is prepared by a professionai engineer
licensed by ihe Stafe of Florida.
- 1f fhe fi}I mater'sai is to be used Rn F(oad Zo e "A" in connection with a permitted building using stem wall
construction, 1 certi#y that fill will be used only o fill the area within the stem wall.
- If fill n�aterial is to be used in any area, I certify that use of such fill will naf adverseiy affect adjacent
properties. If use of fill is found to adversely afFect adjacenf praperfiies, the awner may be cited for vioiating
#he condiEions of the building permit issued nder the attached permit app{ication, for lots fess than one (1)
acre which are elevated by fill, an engineered drai��age plan is required.
!f 1 am the A�EN�' FflR 7HE 011VMEI�, ! promise in gao faith to inform the awner of the permitting conditions set forth in
this affidavit prior to commencing construction. I under and tfiat a separate permit may be required for eiectrical waric,
plumbing, signs, wells, pools, air conditioning, gas, or tiier installations not specifically inciuded in the application. A
permit issued shall be canstrued to be a license ta proc ed with fhe wark and nat as authority ta violate, cancel, alter, or
set aside any provisions of the technica! codes, nor shafl issuance of a psrmit prevent the Building Official from thereafter
requiring a correction of errors in plans,_construction ar iolations of any codes. Every permit issued shall become invaiid
unless the workc autharized by such permit is commenc d within six months of permit issuance, or if work authorized by
the permit is suspended or a�andoned for a period of si (6} months after the time the wark is commenced. An extensian
may be.requested, in writing, frarn the-Building Official or a peribd not to exceed ninety (90} days and will demonstrate
justifiable cause#or the extension. !f work ceases for ni ety(90j consecutive days, the job is considered abandaned
V11�FtNlMG TO ODUMEF�: YOUR F�ILUf�� T(J REGO D A I�OTICE OF COiUIMEi�C�MEN�" MAY F�ESULT 1N Yt7Uf�
PAYING TW10E FOFL 11191PFtOil�ME1�i S TC3 Yt3UR 1'R PERTY. 1F YpU 1�6TEt�D Tt�G�TAIN Ftt�AR�Cti�G,GOl�SUL�"
, 1iV1TN YOIDR L.E1�DEf?C7R A,i�ATTC3RT3EY F3�FOR� EGC?RD4NG YQUR�dOTICE OF COMME@VCEMEP�T.
FLdR1DA JURAT(F.S 117 03}
f Y �� �� �
- QWNERORAG�NT GON1'RRCT4R � d\ L� { ����f.!_:�J—r-
Subscribed and sworn to(or affirmed)befare me this , Subscribed and sworn to(or afflirmed)before me his
by hy
Who is/are personalty lcnown to me or hasthave produced Who islare personally k�own to me or has/have produced
as identification. as identification.
� � �
3�3otary Pubiic Nota.ry PubliC
Commission No, Commis o o,,.•"':"'F,
_•. �a:: Cammfssian�#FF 137073
Name of Notary typed,printed or stamped � Rlam No r$=,, �:A�� o� dThru7royFaininswanee800�85.7019