HomeMy WebLinkAbout14-15775 CITY OF ZE HYRHILLS
� 5335-8T STREET
- ' (si3)� o-oozo 15 5
. BUILDIN PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15775 Address: 5048 18TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21500-0280
Improv. Cost: 5,400.00 OWNER INFORMATION
Date Issued: 11/12/2014 Name: HOSKINS RANDALL A & MICHELLE D
Total Fees: 65.00 Address: 5048 18TH ST
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-2152
Date Paid: 11/12/2014 Phone: (813)702-4453
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
A L TE A R &FILTRATI LC CHANGEOUT 65.00
� Ins ection Re uired
DUCTSIN TALLED
DUCTSINSULATED
FINAL �1 N�1 L
1 � - f � - i �/
�j i 3
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 r sons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not 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 ther may be additional permits required from other governmental
entities such as water manageme t, 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 Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
- - 3
�=u ;t
, , s��aso-oo2a City of Zephyrhills ermit Appficatian Fax-813-784-4Q21
Buitding De artment
Dat�Received
Ahone Contact for Pe mitting —
� p ➢ n@ 1 � B 1 t t 3 B
Owner's�lame J''i t C�2��� �DJ'�` ��C � Owner Phone Mumber � �"��}�' y��
Owner's Address �,l�,l l U�� ��('�{.' Owner Phone Number `_---� ��
Fee Simpie Titiehoider Name Owner Phone iVumber �.----.— �
Fee Simpie Titfehoider Address -
JOB ADDRESS �� !� t�� �/t ��i� LOT� �__�
SUBDlVlSION � � PAftCEt 1 #
(OBTAINED FROM PROPERTY TAX NOTiCEj
WORK PROPOSED � NEW CONSTR� ADdlALT � S1GN � 0 DEMOI.iSFi
INSTALL REPA4R
PROPOSED USE �{ SFR � COMM � 07HER
TYPE OF CONSTRUCTION 0 B�OCK � FRAME � S7EEL �
QESGRlPTtQN OF WORK �� ���Yl- �U�` ��(1 / 1C�Gi.�i `� f
BUILdING StZE �— � SQ FOQTAGE HEIGNT �
�eU�LDiNG � —� VAL.UATION F TOTAL CONS7RUCT10N
�ELECTRiCA� ��� AMP SERVIC � PROGRESS ENERGY � W.R.E.G.
�
OPLUMBlNG $ `� ����5
�MEGHANICAL $ � VALUATION OF MECHANICAL INSTALLATION �
� `-�d Oa
OGAS 0 120QFING � SPECI LTY �l dTHER
FINISHED FLQQR ELEVATIONS r�� F�dQ ZONE AREA �YES NO
Lc�1���� � t �
� R �s'i!'"°!'�L�f+PT1���0"'R�Q••'1"'C'�C��°[�II�Pf�"C�'C'�U �'f�A�Pi'm.P'O�fmYR'�V'�'9°
BUItDER � �� G iitiPAtVY
SIGNATURE ( R GISTEAED Y/ N FEE CURRER Y 1 N
Address License# �— �
ELECTRICtAN � OMPANY
S{GE�RTURE EGIS7ERED Y! N FEE CURRE� Y!N
Address License# �-- �
FLUMBER � OMPANY
SIGl�ATURE l EGISTERED Y( N FEE CURRE� Y/N
Address License# � �
MECNANICAL GOMPANY !�{'� \(�°r'�--i, ��P���(a Y} L-�,
SiGi3ATtlftE REGiSTERED N FEECURRER Y!N
Address � (iJ �� l.icense�# �"v�'—'I$��1 I `Y �
OTHER � � COMPANY
SIGNATURE ( 4 REGIS7EREb Y I N FEE Cl3RREP Y!IV
Address license# � �
B6ee � tlSqR � 1l8B8111@lIIA ➢ 40I � 8i � � 686ti161 � 66@Bi ! l8Ip8116II � I1 � DtE � H4t
RESIDENTIAL Aitach(2}Piot Plans;(2}sets of 8uilding Plans,O set of Energy Forma,R-O-W Permit far ne�n!canstruction,
Minimum ten(14)worlcing days after submittai d e. Required ansike,Gonstruction Plans,Stormwater Plans w/SiiE Fence instai{ed,
Sanitary Facilities&1 dumpster;Sile Work Perm t for subdivisionsliarge projects
COMMERGIA� Attach(3)complete sets of Buiiding P4ans pius a�i4e Safety Page;{1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten{14)working days affer submittai d te. Required onsite,Construction Plans,Slarmwater P(ans w/Silt Fence instailed,
Sanitary Facilities 8�1 dumpster.Site Worlt Per it for aI(new projects.A(1 commercia4 requirements must meet compliance
SIGN PERMIT Attach(2)sats oF Engineered Pians.
"*`*PRQPERTY SURVEY required for aII NEW onstruction.
P b..L e�
Directions:
Fiii out appiication complekety
Owner&Gontractor sign baok of application,notarized
!f over$2500,a Notice of Commencement is required, ( G upgr�des over$7500)
*' Agent(for the contractor}or Power of Rttorney(for the owner)would be someone wiih noiarized ietter from awner authorizing same
OVER 7HE COUNTER FERNIITTING {Front af Application nly)
Rsroofs if shingles Sewers Service Upg'rades RtC Fences(PloUSurveylFootage}
Driveways-Not aver Gounter if on pub{ic roadways..needs R W
�
� . F10710E OF DEED RESTRICTIOftS: 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 COPITRACTOR 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�a�hat licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor o 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 icensed and is not entitled to permitting privileges in Pasco
County
TRbNSPORTATIOhI IMPACT/UTILITIES IMPACTAHD 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 buiidings, or expansion of existing buiidings, s specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,th such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impa t 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 fiees must be paid prior to permit is uance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to p�rmit issuance in ac ordance with applicable Pasco County ordinances.
CONSTRUCTION LIERf LAW(Chapter 713,Florida Statute ,as amended). tf valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Ag iculture and Consumer Affairs. If the applicant is someone
other than the"owner',I certify-that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
' COf�TkZ4CTOR'�lOVL'�7E�'S P,€�I�kVIT i certify that all th iriformation in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installatio as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work ill be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, a d 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 c mpliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypres Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management Distri t-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navig ble Waterways.
- Department of Health & Rehabilitative Services Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos a atement.
- Federal Aviation Authority-Runways.
..----:1 undersTand that•tt�e_follqwing restrictions apply to the use of II:,�,���=�:�_.��,���r=�-��rt�.,�;.�.,,�,.-,r
, - Use of fill�is not'�allowed in Flood Zone"V"uniess.�xpressly permitted. � "�-
- If the fill material is to be used in Flood Zone '`A°, it is understood that a drainage��plan addressing a
"compensating volume"will be submitted.at time f 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 " " in connection-with-a-permitted building using stem wall
construction,I certify that fill will be used only to fil the area within the stem wall.
- If fill materiai is to be used in any area, I cert that use of such.fill will not adversely affect adjacent
properties. If use of fill is found to adversely affe t adjacent propert'ies,the owner may be cited for violating
the conditions of the building permit issued unde the attached permit application, for lots less than one(1)
acre which are elevated by fill,an engineered drai age plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand hat a separate permit may be required for electrical worh,
plumbing, signs, wells, poois, air conditioning, gas, or other nstallations not specifically included in the application. A �
permit issued shall be construed to be a license to proceed wth the work and not as authority to violate, cancel,alter,or �
set aside any provisions of the technical codes,nor shall issu nce of a permit prevent the Building Official from thereafter '
requiring a correction of errors in plans,construction or violati ns of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced wit in six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) onths after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a eriod not to exceed ninety (90) days and wili demonstrate �
justifiable cause for the extension. If work ceases for ninety(9 )consecutive days,the job is considered abandoned. ,
W�RNIhICv TO OWRIER: YOUR FAILURE TO RECORD A OTICE OF COMf111EPJCEMEfdT MAY RESULT IN YOUR -
PAYING TWICE FOR IMPROVEMEIdTS TO YOUR PROPER Y. IF YOU INTEhD TO OBTAIfd Flh'ANCING,CONSULT
WITH YOUR LEMDER OR Ah A'iTfORNEY.BEFORE RECOR IfiIG YOUR fJOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) n �/
OWNERORAGENT CONT CTOR����K 71( �y���r►an Jr�
Subsctibed 2nd nvom to(or affirmedj be;are ne this Subscri ed and swom to lor a�rmed)before me th1�' '
by py
Who is/are personally known to me or haslhave produced Who is! re personally known to me or has/have produced
as identlfication. as identificalion.
11y1�1
' Notary Public '� � B N tary Public
=►: :4=
� Commission No. Com i rE� �oc Ex ires
���,pd N°.`�� Bonded ThN Troy F�n Insurance 800-385•7018
Name of Notary typed,printed or stamped Na o Notary lyped,printed or stamped
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r`,� Condenser:������4�� /High Efficiency Air Han er:���"�"��Il��� �?��I 5796�2i ;j
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��� 2. 'Tltis Also Includes:Digital"I'hermostat,Flush Copper ines,Flush Drain,Re-Y,uild I�ang�:it fni•Air ;�
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�{] OVER,AND ABOV�THE PROPOSAL A.MOUNT. L,L AGREENFENTS C(JNTINGENT UPON 1
f S'I'RIKF.`S ACCIDEIt1'I'S D�T A�S B�`YOND OUR �N?'�tOL AI�� t' _ ��. ��
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y Respectfully subm�t�ed, Fa�ricl:I�'.gannon -- .�_�—'� �xpires 30 I�ays �
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t:: Xou znust provide all conditional approved Permit l�ocuments a d provide ane business day of your choice to stay hotne,�,�ithin ���,
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��� t 0 days of compieting wark at yaur hause for City ar Gounty In pection.The a6ove prices,specifications,and conditions are �'a�
¢;E satis�actory and ara hereby accepked.You are authorized to do e warlc as specified. f��
#�� F'��tnents are as follaws:�;�S��C�e�a�t�r�:k��'a€�a���ca�r����'.�',;=���>�c�C�y���b������� �;�
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