HomeMy WebLinkAbout14-15750 CITY OF ZE HYRHILLS
., 5335-8T STREET
' - � (sis)� o-oozo 1, 0
BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15750 Address: 6436 HUNTINGTON 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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-1000
Improv. Cost: 7,388.00 OWNER INFORMATION �r ' - '
Date Issued: 10/30/2014 Name: GIBSON TAMMY RENA
Total Fees: 75.00 Address: 6436 HUNTINGTON DR
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-0608
Date Paid: 10/30/2014 Phone: 813-977-6672
Work Desc: A/C CHANGE OUT 4 TON 13 SEER
CONTRACTOR S � APPLICATION FEES
ACCOUNTABLE CL MATE S L TIONS A/C CHANGEOUT 75.00
_ � � - i
� �,t_�� ��---
� �. - =�
.�-
�--Y�� - � �
�i= �
,
` Ins ection Re uired '
DUCTS INSTALLED
DUCTGINSULATED
FINAL�_ _ _� y �
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 fi) 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 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 n 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.
�
�-
CONT O SIGN E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
�, ..�� .. - ... � - . .
. . - . � , : .� - -=-.- � - -
r�i - ' � . -:� . '- - - ' . . .- .
' ' ' ' • Y
w . : -: . :- -. �:-. :�-:� .: - �ssaA:�.Fro���.�=.su��os - ��$����"�$�7P�;���`'f� -
� -. . ... �� � ._ - - :.: � -
� - : - �. .. r��;Frs�ys .. '��:'�r�:�0 -
. .. . .
�£�►�C�� -
� -� � :: ��: : : .F�x:�(�5)?�'3=�: . . . . -.. . . . .. . •:. -�3 - � - �
.�u�- �
� " . :•Evap.Ccic 1 t�t� an S1a�e f �t
. -.rr,;uuai'..� :K�± •�aa'-`: : sHi�c � Dm � . y�. :. Diam;�an • = �:t�E • an A1[oYt�r !!iV
m 1�1��1r�bTe�C�i�D.atse'5Q�ft�ions =- � � - - �� - �� e ���� �s�t.iCta�n-LWin�Farr- _: �.N � nde�erca�r � �r 7�
m .i�i�.��� . �o`e - � °�Yfl� �satety�tc�t�+iteh� - � .�_t�-ca Y r-rs
m
� • -- • After - -� - Tiansb�r. - t.`#+1- . r+essor � Y!N
� : . •'• �.' � AHU - . - C�.�t�d ' `7:di� i]ef�t�8oatd. Y►-N
� �f ����" 1��� s1N�'�� � f £�f�" . ���tower��r�i- � r�� � :tin��t� � rs
r"`' ���:.��.'��-. '�ime�� � Y�Ot�t:- . . - - . - � Fte�i�3e��e►�car �-- :�-.W = �s � 1 i�
. ��'�.mr�. �=�� �r�: - � ��� ������f-� �.�.�"�$��6�1�1.'��. - - -.:-- r�,�s�r ��
� ��—+. �� NtoLei. r ,Ba�- ./.{y.'
SS` �,Pr.�tt�,' - - . _ e� nientvtr� - 1 N• fe�sing�ta�ve . 1�A1
a^ .�� ' '�. PC3C- ••p�14t11�1• . . c,� •- • - .� : - .
� - :#� -;��.. ���� - ". - �� F . ,k�� - � f-Al
, adt-Ch Y! hF •
7L'k Y !�''"���: - _ . - R _ .. ���-., -.R�f . - •or�statg �t•iV� :�Ra�i[� Y 1
:,i�.�.''�: � Il�i�iCaE-:�:;. �.B � N
[�Yrer
-
-
-- .
. . . � �'��'4 )
ax: - � �. ' - -- - . �ibte�s:f� �� ��am
. , • - - - . . _ • • :�`' -:�= . . ':TQ�- �. �� { •Y I i�
.j
� - • - _ __ • - • ��.�
... .
. ' . : _
1h'#gTT4d�+'���2�; T.r.:..��:..� - . . • • �G� • Y.. :Po.uter.�ft�b
.
. .. _
d'
-Y!
. �
.
�..
. .
BwE: �iscocl,. ���...
. . .
- .. ��� ��.� �� -
.
�
. . . .
. .
. .
.
. . .
. ; . : ;
. - - - : :': _
. . ... - .. - - _
-� -- -- -� � ..• . :--.. _
'-.. .. -:' -� .::.,
. . . . . . . - ���t �� - . �-Se�� . Y►�l
� . ' . �lf�iF. •
.. �• .•= . . - •�•••"� •�::::... - - -
_ . -� � :.. -
o . :. �. � .. - - • . ' ..- '"� :__- `Ga�.T.F'stt d r . 'F:eaks Y f Af
.. . . :- - ::..
... _. '.>
� ., ... . -_ , •.� .;. .: �lb&'�•E6@t�1':CB1�: . . • - .. 8--�j. - •�:�'�:
. - -'i�S;f�Ctti3isl:`�fl��tm#e�t�e . � -�p�jy � Y•I 3+1
..... ::_ . . . •. , ,
iehric�'�r:i ... . -'::[3t�cxC�e�liii . - ° :�rttat�i�3i�ity.0.ve�p�glr�►t�S ,�,- lB�Y�us �'l�I��:�C�Ot�
. -.... . . . . . . ........ - . ,.. -........ ••-
" ' �RfOTi��if�CUF�$5�8A(�•.�J.J@l�.�i8����dh�'1�81.{C&
. ... .. .� ..._ .::. . . • . ,q� 7�%��+�lh'N'is�rep�T AY?-�t9reemettt
P.-. -,.:: .- - _ �> : .::•. • - -�= -:� .._:::' :.'_•- � � - • • -• ._ . - t7ss : efc x� ' A Rspa�rs�Palfs�Labo11.
. . . ....-. : ;
:�� . � _ � :�. ' = ,� ��e:�� � . . Su��ota� .
-�. .:�.� .:� ..�: : � ��.�,��: �
� �
N -:� .�-�.-�� .� :��� `r��: . �
m 1 �� � � � .-c-� � � � .:�,- �� -� �sc��fl�teF
' :. :. . � . ..-. �.
- - ... ;:.� .�
� . : - --- . � - - �-� �
. .. �
c-�M-1 r . ' '- . ..,..{. . ..._.. . . .. � � �
°° ..� ;i���� =���..�.� -� .;��c� -r� ��/ . .� . - . . - : - . . _. . . -
'o� � -�' . -- .Jr' ��°'� . .��,�3?�i :.�.�': :�'� .' � _- - ... ,. _ _ .- -
� ' - - -
M ' • -
� • .
ci '
� 11�1Bt�y!aJe'SQGf�}'�R9tH�CY?'HtpIkJO,�'L�EYf@A3EQ.0@�dlMd��Qtn4�ABd ' ' .. . ' .
°; `� addole::ltds r7:ax.8re•a'sqBr.,sArrardc•n7�_m,ehy�m�nenror. •�-�,d� �1�F�11� •yo� �,.�IO . -
-� �A�� �� ��r ,an�:�+rarews�x�rrr���aa���.v�a.�c��unr;rs,�i. t�'
� � -�ec � 6�rav��faraipdspe�u�r,t�azartra�+dar. . ------ : -
�,,� •a.�ftAs� ' wfid`:�Es1�pf� Rrer�Nan�es�r��9amt4e
I -�'� ' -
m "
ci ' -
� 9�atvae � A.tlthort�it �. '�xenaY: aie�s.pr�r�n�,a�pe�v�edsm�d� " ' -
813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021
-- • Building D partment
J Date Received ���� 'L phone Contact for P rmitting '�� ��� 7
Owner's Name � M L . Owner Phone Number ()/��7%��J1�7
Owner's Address + l (y ����� r Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS � 1/ T/ � LOT# �
SUBDIVISION PARCEL ID �
(OBTAINED FROM PRO RTY T OTICE)
WORK PROPOSED NEW CONST(t ADD/ALT 0 SIGN � Q DEMOLISH
� � INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK AC Ch.Q Y �� Seaii� l (DU� �'lS�fC.�ra°y
BUILDING SIZE SQ FOOTAGE HEIGHT �
OBUILDING $ VALUATION OF OTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
�MECHANICAL $ �Z� VALUATION OF ECHANICAL INSTALLATION i r/� �
�J ` ��� �
�GAS Q ROOFING Q SPECIAL � OTHER ��f�
v
FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA �YES NO
BUILDER COMP Y
SIGNATURE REGIST ED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMP Y
SIGNATURE REGIST ED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMP Y
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL , � COMP Y Q7(� ��J�i � V i e e
SIGNATURE REGiST ED �- � Y N FEE CURREA Y/N
Address � O 7 �- /at/4— T- License# �i�' 1 /7 O'
OTHER COMP Y
SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N
Address License#
I 1 1 1 I I 1 1 1 1 1 I 1 I 1 I I 1 1 1 1 1 1 1 1 I 1 I 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 I 1 I 1 1 I 1 t I 1 1 I 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fecilities$1 dumpster;Site Work Permit for subd isions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittai date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
, Sanitary Facilities 8 1 dumpster Site Work Permit for ell n projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•"'PROPERTV SURVEY required for all NEW constructio .
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrade over$7500)
" Agent(for ihe contrector)or Power of Attorney(for the owner)would be s meone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PI tlSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
�
n � � " NOTICE OF DEED RESTRICTIONS� The undersigned unde stands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES• If the owner has hired a contractor or
contractors to undertake work,they may be required to be li ensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are un ertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco Coun Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for whic they 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 Pasco
' County.
TRANSPORTATION IMPACT/UTILITIES IMPACTAND RE OURCE RECOVERY FEES. The undersigned understands
that Transportation Impact 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 County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,th t such fees, as may be due,will 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 of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to 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 County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statut s,as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a opy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of A riculture and Consumer Affairs. If the applicant is someone
other than the"owner',I certify that I have obtained a copy f the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all 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 to obtain a permit to do work and installat n as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all 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 I understand that the regulations of other govern ent agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in ompliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Dis rict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Nav able Waterways.
- Department of Health & Rehabilitative Servic s/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos 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 fill material is to be used in Flood Zo e "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at tim of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A° in connection with a permitted building using stem wall
construction,I certify that fill will be used only to ill the area within the stem wall.
- If fill material is to be used in any area, I c rtify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely a ect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued un er the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered d inage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good fa th to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understa d that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or oth r installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes, nor shall is uance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or viol tions of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced ithin six months of permit issuance, or if work authorized 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 writing, from the Building Official for period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENC�ENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND O OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR ATTO NEY BEFORE REC RDING YOUR NOTI CO E EMENT.
FLORIDA JURAT(F.S.11 3) ; p
/ _..__..... . , .
OWNERORAGENT CO TRACTOR �
Subscribed and sworn o(or a irme efo e th Su scribed and sworn to(or a me efo�e m this �
by by
Who islare persona ly known o me or has/have produced Wh islare personally now to me or has have produced
as identification. as identification.
Notary Public � Notary Public
Commission No.� 3 Co mission No. �+_/ !�
I i�'wQ�� r+ev�`
``Name of Notary typed,pr�ted or stamped Na e of Notary ped,printe or am ed
�,�`�Y���., ISRAEL CABRERA , �,SPaY P�a, ISRAEL CABRERA
?a°.�;`�s Notary Public-State of Florida ;a°,�.`�: Notary Public-State of Florida
= : »•e My Comm.Expires Jun 1,2016 ; + :•� My Comm.Expires Jun 1,2016
�;',; a.�;� Commission#EE 20 3 2-1 1 ;9. �;� Commission#EE 203211
�i F OFF���� �'e O����'� Bonded Through National Notary Assn.
'��������" Bonded Throuph Natfonal Notarv Assn.