HomeMy WebLinkAbout14-15763 CITY OF ZE HYRHILLS
:. u 5335-8TH STREET
(si3)�s -0020 63
BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit iVumber: 15763 Address: 6781 ERIN CIRCLE
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. O/alue: Parcel Number: 03-26-21-0170-00000-1160
Improv. Cost: 2,600.00 OWNER INFORMATION` -
Date Issued: 11/04/2014 Name: BAKER GERALD W & SHIRLEY
Total Fees: 50.00 Address: 6781 ERIN CIR
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-1852
Date Paid: 11/04/2014 Phone: 813-783-7728
Work Desc: A/C CHANGE OUT 3 TON PACKAGE NIT
CONTRACTOR S APPLICATION FEES
SONNY'S DISCOUNT APPLI CES A/C CHANGEOUT 50.00
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1 ,/�
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Ins ection . uired
DUCTS INSTALLED
DUCTSINSULAT D
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 fl 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 pertormed in accordance with
City CodQs and Ordinances. N OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE _ PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS THOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 OUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
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tS7J-/tlU-UU'LU c;iry ot Lephyrh Ils Permit Application Fax-813-780-0021
Buildi g Department
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Date Receieed Phone Contact f r Permittin �� � � -- p2,
Owner's Idame TlZ��.,� Owner Phone Mumber I '' ���'�, �
Oxdner's Adclress �� �� L, Owner Phone(dumber
Fee Simple Tttleholder Mame Oumer Phone Number
Fee Simple Titleholder Address
JOB A►DDRESS b'( I /�h /� �� % b� LOT# �
SUBDMISIOb 1 G-� , �� � PARCEL ID# D3�b����76 �(��4L�"'���j�
(OBTAINED FROM PROPERTY TAX NOTICE)
WOR6(PROPOSED B N TALLSTR� REPAIR � SIGN Q Q DEMOLISH
PFtOPOSED U5E Q SFR Q COMM Q OTHER
'TYPE OF COMSTRUCTIOM Q BLOCK Q FRAME Q STEEL Q
DESCRIPTIOIdOFNHORK �� il�sb� v�`'� /f���� Q(.�r
�UILDI(dG SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION F TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�MECHAIVICAL $ B O VALUATION O MECHANICAL INSTALLATION ���" �
� �o- .��
QGAS Q ROOFING Q SPECIAL Q OTHER
FIfVISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
BUILDER COM ANY
SIGRIATURE REGIS ERED Y/ N FEE CURRE� Y/M
Address License#
ELECTRICIAfd COM AfdY
SIGMe4TURE REGIS ERED Y/ N FEE CURRE� Y/N
Address License#
PLUIMBER COM AIdY
�IGfdATURE REGIS RED Y/ N FEE CURRE� Y/N
Address Ltcense�#
M�CHAfdICAL conn nr�nr D�� S�S�ou,v� �T/��JC�
SiGIdATURE � REGIS RED Y/ N FEE CURRE� N
Address �C��� �- ,3(� � �Z r`� �� � License# //<L/4� /�!o�
OTHER COfM NY
SIGMATURE REGIS RED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set af nergy FoRns;R-O-W Permit for new construction, - ` -
Minimum ten(10)working days aRer submittal date. Requ red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FacillUes�1 dumpster,Stte Work Permit for sub visions/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 submittal date. Requ red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster.Site Work Permit for ali n w projects.All commercial requirements must meet compliance
SIGfd PERMIT Attach(2)sets of Engineered Plans.
� ""'PROPERTY SUR1/EY required for all NEW constructio .
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over a2500,a tdotice of Commencement is requlred. (AIC upgrade over E7500)
•• Agent(for the conVactor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner authorizing same
ONER THE COUNTER PERMITTING (Front of Appllcation.Only)
, Reroofs if shingles Sewers Service Upgrades A/C Fences(PI USurvey/Footage)
Drivevvays-Not over Counter if on pubiic roadways..needs ROW
- ,.. , r )
�iOTICE OF D��D RESTRlC'f10N15: The und�rsigned understands that#his permi#may be subject to"deed"restrictions"
which may be mare �estrictive than County regulations. The undersigned assume� respansibility for camp4iance writh any
applicable deed restrictions. "' -
t1N�.iC�N�E� CON'FR�iCI't?R� AN� CfJ(�T�2A�TC1R R�S�ClN�1t�1�.IT11��: If the owner has hired a confractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by taw, both the owner and contractor may be ciked for a misdemeanar vialakion
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
9ntended work, they are advised to contact the Pasco County Building Inspection Divislon—Licensing Section at 72?-847-
80�9. Fur#hermore, if the owner has hired a contractor or cantracfors, he is advised to have the contractor(s} sign
portions of the "contractor Block° of this application for which they will be responsible. If you, as the owner sign as the
contractor, thaf may be an indication that he is not praperiy licensed and is not enti#ted to permit#ing privileges in Pasco
County. � '
TR�►1N5PORTATION t�WPSC'�'/UTIL.ITI�S IM�AC'�AtV� RE�OURCE I�ECOVERY PEES:�The undersigned understands
that Transporta#ian impact Fees and Reoourse Recovery Fees may appiy to the constructian of new buildings, change of
use in exisking buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such#ees, as°may be due, will be ident�ed at the time af
permitting. It is further understood that Transpartation Impact Fees and Resource Recavery Fees must be paid prior ta
receiving a "certiftcate of occupancy" ar firtai power release. 4f the project does nat invoive a certificate of occupancy ar
final power release, the fees must be paid priar to permit issuance. Furfhermore, if Pasca County Wafer/Sewer (mpact
fees are due, they must be paid prior to permit issuance in accordance writh applicable Pasco County ordinances.
COP15TRt1CTiON ll�tV L�1�1(Chapter T13, �ioriela 3tatutes,as amended}: if valuatian of wark is$2,500.00 or more, f
cer#ify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeawner's
Protection Guide" prepared by the Florida Departrnent of Agricufiture ai�d Consumer Affairs. if the appficant is someone
other than #he"awner", I certify that I have obtained a copy of the above described document and promise in good faith to
deEiver it to the°owne�"prior to commencernent.
COIVTFU�I,CTOR'SIO�VtV�R'Si A���ID�iVI�': 1 certify that ail the infarmation in this application is accurate and that all work
will�be dane in campliance with all applicable laws regulating constructi��, zpning and land development. Npplication is
hereby �made to abtain a permit to da work and installattan as indicated. 1 certify fhat na wark or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
canstruction, Caunty and City cades, zan�ng regulations, and land develapment regulations in the jurisdicfion. i aEso
certify that I understand that the regulations of ather government agencies may apply to the intended work, and that it is
my respansbility to identify wrhat ac#ions !mus#take to be In compliance. Such agencies include but ace not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentalty Sensitive
Lands,WaterNV'astewater Treatment. . - -
- Southwest Florida Water C1�anagement District WeEls, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps af Engineers-Seawatls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Fiealth Unit-Weiis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Fedecal Aviation Autharity-Runways.
1 understand that the following restrictions apply to fhe use of fill:
- Use of fill is not allowed in Flood Zane"V"unless expressly permi#ted.
- if the fill rnateriai is to be used in Flood Zone °A", it is understood that a drainage plan addressing a
"compensating valume" wilt be submitted at time of permifEing which is prepared by a prafessianal engineer
licensed by the State of Florida.
- ti fhe fiil material is to be used in Flood Zone "A" in connection with a pecmifted building using stem tinrall
construction, I certify that fill will be used only ta fill the area within the stem wall.
- tf fiil materiai is ta be used in arty area, 1 certify tha# use of such fill wilt not adversely affect adjacent
properties. If use of fill is found ta adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building perrnit issued under the aktached permit application, for Iots less than one {�)
acre wrhich are elevated by fill, an engineered cirainage plan 3s required.
If I am the AGEN7 fFOR YHE OIiV�l�lt,_I promise in good faith to inform the owner af the permitting conditions set forth in
fhis a�davit prior to commencing constrttctian. 1 understand that a sepacate permit may 6e required for etectrical vuork,
plumbing, signs, wells, pools, air conditioning, gas, or other inskallatians nat specifically included in the applicatian. N
permit issued shali be cons#rued to be a license to proceed with the work and not as authority to.vialate, cancel, alter, ar
set aside any provisions of the fechnical codes, nor shali issuance of a permit prevent the Buildirig Officiai from thereafter
reguiring a correction of errors in pfans, canstruction ar violations af any codes. Every permit issued shall become irnalid
un(ess the work authorized by such permit is catnmenced within six monfhs of permit issuance, ar if work authorized by
the permi# is suspended or abandaned far a period of six(6) months after the#ime the work is commenced. An extension
may be requested, in writing, from the �uilding Official for a perlod not to exceed ninefy (90} days and will demanstrate
--_.__.justifiable_cause_.foc.the extension...if work_ceases for ninety_(90)consecutive_day_s,_#he.`ob is_considered abandoned. ________�.___
W�►itNING T`O OIiVN�R: YOUR �A�LI�R� YO RECO�D A NQTICE O� CUMiViENC�iViEPlT �1Y iRESULT iW YOt1(�
PAYlNG'1'WWIICE FOR IiVIPROVEfl�EIYTS TO YC11112�'ROPERYY. I�YOU INTEND TO OBT�11N FINAPICINIC, COPISULI�
VIttTN YQl1R LEtV�ER t}R f�iN A'T'i'�RN�Y BiEFORE��ECQR�ItdG Yt)UR N{?TiC���CtJ[�IIViENCE�t#�WT.
_ ._FLORIDA.JUF2AT_(F4$. 117�03)_� ______�__._ _-- - - ,- --------- — -- - -- -___ _ —_____ --- - ._._�____
ONYPf�R Oft At9EN7 CONTRACTOR
Subsc�ibed and swom to(or affirmed)before me thls Subscr(bed and swom to(or a�rmed)before me#his
by by
Who islare personaily known to me ar haslhave produced Who isJare personally known fo me or hasJhave produced
as Identlflcadon. as identification.
Natary Pubiic Notary Pubfic
Commission No. Commissian No.
Name of Notary typed,prfnted or stamped Name of Notary typed,printed or skamped
�' r , °` 10651 Hwy.301
� ' �'m'�1p" � "�*` � Dade Cit FL 33525
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(352) 567-6224
Fax: (352) 521-5980
Appliances Since 1959 sonappl@tampabay.rr.com
www.son nysappliances.net
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DATE OF ORDER CALL FIRST V C.O.D.,,,�' CREDIT CARD C MMERCIAL CHG. FINANCE CO. NEXT PURCHASE SALESPERSON
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QTY. INT MODEL NUMBERAND DESCRIP ION SERIAL NUMBER 4 �AMOUNT
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TERMS AND COND T ONS HERE YACCEPTE'DST RMS: A F NANCE CHARGE OF Notes: INSTALL
0.0493%PER DAY WILL BE ASSESSED ON ALL UNPAID ACCOUNTS AND ARREARS,
ANNUAL PERCENTAGE RATE OF 18%.ALL MECHANDISE REMAINS PROPERlY OF DELIVERY
SONNY'S DISCOUNTAPPLIANCES,INC.UNTILPAID IN FULLAND STANDAS SECURITY
FOR THE OUTSTANDING BALANCE SHOULD IT BECOME NECESSARYTO PROCESS ,. ,
SAMEFORCOLLECTION.IAGREETOPAYREASONABLEATTORNEY'SFEEANDCOST SUBTOTAL ''%'. ,-;"� '' ���'
OF THIS COLLECTION FOR SONNY'S DISCOUNTAPPLIANCES,INC.
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Receivedby: T� ': f�+� `
All claims and retumed goods MUST be accompanied by lhis bill. CT TOTAL :"°� f � � ' r,"
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TERMS AND CONDITIONS ACCEPTED. MERCHANDISE RECEIVED IN GOOD CON-
DIT10N AND ALL PROPERTY LEFT IN GOOD CONDITION. CT� DEPOSIT "'� y~�✓
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Received by: CT: BALANCE DUE '` t' �'° ;s' '�'-5
WHITE-ORIGINAL YELLOW-CUSTOMER PINK-D LIVERY GOtD-SALES �� ���,,���