HomeMy WebLinkAbout14-15802 �--
CITY O�F ZEPHYRHILLS '✓�
5335-8TH STREET'
� Ssis)�so-oo20 1580
' �UIf��ING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15802 Address: 6546 FOXMOOR 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: 03-26-21-0120-00000-0540
Improv. Cost: 5,400.00 ' OWNER INFORMATION
Date Issued: 12/01/2014 Name: HEATH JESSE A & HOLLY
Total Fees: 65.00 Address: 6546 FOXMOOR DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-0613
Date Paid: 12/01/2014 Phone: 813-299-1279
Work Desc: A/C CHANGE OUT 4 TON �
CONTRACTOR S APPLICATION FEES
ALL TECH AIR &FILTRATI N LC C CHANGEOUT 65.00
Ins ectio e uired '
DUCTS INSTALLED
DUCTS IN ��E�`
FINAL
REINSPECTION FEES: Reinspection fees will com ly with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the followi g reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or correctio�s not made when inspections called d)work not ready for
inspection when called e) permit not posted n job site fl plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit there may be additional restrictions applicable to this properly 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 mana ement, 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�o obtain financing,consult with your lender or an attorney
before recording y ur notice 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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MON�HS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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�` s�a�so-oo2a City of Zephyr�hiiis Perrnit Appiication �ax-813-784-4021
Buiil ing Department
Date Received phone Contact for Permitting --
nnnet � � a � itea �
Qwner's t�ame \!'�S'� '�'��pL�j/� � Owner Phone i�umber (� ��'(�.q[ �j� j �t I
Owner's Address `�- ! �t� p'Z'1 p{�(`� k.J('.( Owner Phone Number �� _---`
Fee Simpie Titiehoider Naene � I � Owner Phone Number � � +�
(
Fe�Simpie Titiehoider Address ` I
JOBADDRESS S�� t"O Xt�✓1C}t9�I �C• LOT# �—
SUBDIVi510N �---� � PA �EL 1D#
� (OBTAINED FROM PROPERTY TAX NOT1GEj �
WORK FROPOSEp lVEW CC7NSTR AD lALT � SIGN � � DEMdL{SH
1NSTA�L. RE�AlR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � SLOCK � FR,dtVIE � STEEL �
DESCRIPTION OF WORY. / 7 �--^�I��'l, ��(/L�l � �/l 1 jC�l/��� tM � ! 1�� � S M
�
BUILDii�G SIZE �— `� SQ FOQTAGE� I ,� HEtGHT ��� �
u°a
�BUILDING �� VALUA�ION QF TOTAL CONSTRUCT(ON
DELEGTRtCAL $ AMP S�RVICE � PROGRESS ENERGY � W.R.E.C.
OPLUMBING ���� ���
ECHANICAL $ VA�UAT{ON OF MEGHANlCAL INSTALLATI�N �
�� s �dC�
�GAS � RQOFING CJ S ECIALIY � OTHER ��� �S'
FINISHED FLOOR ELEVATiONS F OOQ ZQNE AREA �YES NO � �,� !
. . . .
� BUIL.DER CONYPANY
SIGNATi1RE REGISTERED Y/ N PEE CURREA Y!N �
Address ( License# �--- ----`
ELECTR1CiAN � COMPANY
SIGNA7URE REGISTERED Y! N FEE CURRE� Y/N
Address i LiCense� � ++�
�
PLUNiBER � COMPANY
SiGi�ATURE � ( RCGIS7ERED Y/ N FEE CURRE� Y i N
Address ( Lice�se# ��---'--�—� "�
_._.��,,....c j, p
MEGHANICAL �. /,��., _— COMPANY I ��1�°�'i �(� i ��ila� ��'^�
SlGNATURE I REGISTERED / N FEE CURREh Y/N
Address �� ""t � i 1J � License# �� �U�� L L�(i�
OTNER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREh Y!IJ
r---
Address I ' License# �
- 88fi811 ! ! Al111@0 ➢ I116tg16 ➢ H � i6 � 1i � 44N9111dIfliE4 & dl ! l106lIiIIYA � libde0l
RESIDENTiAL Attach(2)Piot Pians;(2)sets of F3uilding Pla�ns,(1)set of Energy Forms;R-O-W Permit for new constrvctton,
Minimum ten(10}woricing days aiter submit{al date. ftequtred onsite,Construction Plans,Siormwater Pians w!Siit Fence instaAed,
Sanitary Facilities&1 dumpster;Site Work Permi#for subdivisions/iarge projects
COMMERCiAL Attach(3}compiete sets of BuiVding Pla�s p us a Lite Safety Page;(1)set of Energy Forms R-O-W Permit for new construclion.
Minimum ten(10)wor{cing days after submit ai date. ftequired onsite,ConsUuction Plans,Stormwater Plans w/Silf Fence instaliecS,
Sanitary Facilities&1 dumpster.Site Worlc!Permit for ali new prajects.R41 commercia4 requirements must meet compliance
SIGN PERMIT Aitach(2)sets of Engineered P4ans. `
*"""PROPERTY SURVEY requirad for ai{N�W constructian.
. . e
Directions: 1
Fil1 out applioation compietely.
Owner&Contractor sign back of application,notarized
if over$2500,a t�otice of Gommencement is required. (AIG upgr�des over$75QOj
•* Agent(for the contractor)or Pawer of Attomey(for the ovyneP)wouid be someane with notarized letter from owner authorizing same
OVER TNE GOUNTER PEFtMITTING (Front of Appiicati�on Oniy)
Reeoofs if shingies Sewers Service Upgrades AlC� �ences(P1ot/Survey/Footage}
Driveways-Not over Counter if on public roadways..nee�s ROW
i
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NOTiCE OF aEE� RESTR1CT10tVS. The�undersigned understands thaf this permit may be subject to"deeci" restrictians"
which may be more restricfive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
l7NLICE�4SER C�RlTRt�CTORS AND GC'��dTRAGTO iR FaESPOM�lBlLITIES: !f the owner has hired a contractor or
contractors ta undertake work, they may be required to ba ficensed in accordance with state and loca! regulations. {f the
confractar is not licensed as required by iaw, both the owner and contractor may be cited far a misdemeanos v'so4ation
under state law. If the owner or intended contractar are uncerEain as fo what iicensing requirements may apply for the
intended work, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Sectian at 727-847-
8009. E'urthesmore, if the owner nas hired a contractor or cantractors, he is advised to have the contracfior(s) sign
po�tions of the "contractar Bioclt" of this application fo�wl�ich'they wil! be responsible. If you, as the owner sigr� as the
contractor, that may be an indicatian that he 'ss nat properiy 4icensed and is nat entitled to permitting privileges in Pasco
County
TFFANSPORTATIpN IMPACTIUTILITIES IMPACT AN�L1 RESOURCE R�COVERY F�E�: The undersigned understands
that Transporfiation lmpact �ees and Recourse Recovery Fees may apply to fhe construction of new buiidings, change of
use in existing buildings, or expansion af existing builciings, as specified in Aasco County Ordinance number 89-07 and
90-07, as amended. The tindersigned a4sa understar�ds, fihat such fees, as may be due, will be identified at the time of
� permitting. It is further understood that Transportatian }mpact Fees and Resource Recovery Fees must be paid priar to
receiving a 'certificate of occupancy" or final.power r�lease. If the prajecf does not invoive a certificate af accupancy or
final power release, the fees must be pa.id priar fo peErmit issuance. Furthermore, if Pasco County WaterlSewer lmpact
fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasca County ordinances.
CORiSTRUCT'IOi� LIEtV �A�,W(Chapter 713, Florida Sfiat�ates, as am�nded}: If valuation of work is $2,500.00 or more, I
certify that i, the appiicant, have been pravided w�th a copy of the "Florida Construction Lien Law—Nomeowner's
Protecfion Guide" prepared by the Florida Deparfinenfi of Agricuiture and Consumer Affairs. {f the applicant is someone
other than the"owner", I certify that I have obtained a�copy of the above described document and pramise in gaod faith to
def'sver it to the"owner" prior to.cammencement.
�OI�TF�A�CTUR'S/OW�4ER'S AFFlC�AVIT: I certify tl�at all the information in this application is accurate and that all work
wiii be done in compliance with ai! appiicabie laws regulating construction, zoning and land development. Application is
hereby made fo obtain a permit to do waric and i�stallation as indicated ! certify that na work or installation nas
cornmenced prior to issuance of a permif and thaf all work wiii be performeci to meet standards_of aif laws regulating
construction, County and City codes, zoning regula�ions, and (and developmen# regulations in �fhe jurisdiction. { alsa
cert'sfy that 1 understand that the regulations of other`government agencies may apply fo fhe intended work, and thaf it is
my responsibiiity#o identify what actions i must take t�7 be ii1 compliance. Such agencies include but are not limited ta
- Department of �nvironmental Protectio �-Cypress Sayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wasfewafer Treafinenf.
- Southwest Florida Water Manageme t District-Wells, Cypress Bayheads, Wetfand f�reas, Ritering
Watercourses.
- Army Corps of Engineers-Seawalls, Doc s, Navigable Waterways
- Departmenk af Nealth & Rehab's{itative ServiceslEnvironmenta4 Hea(th Unit-Wells, Wastewater Treatmenf,
Septic 7anks.
, - US.Environmental Protection Agency-A�bestos abafement.
Federa!Aviation Author'sty-Runways.
1 understand that the foiiowing restrictions apply to the use af fi!!.
- Use of fill is not allowed in Ffood Zone"V" unless expressly permitted.
- If the fill iraterial is to be used in Ffood Zone "A", it is understood that a drainage plan addressing a
°campensating volume" will be submitt�d af time of permitting which is prepared by a professional engineer
!'scanssd by ihe State of Florida.
- if the fifi materia{ is ta be used "sn Flood Zone "A" in connectian with a permifted buiiding using stem wa11
construction, 1 certify tha#fif4 wi!! be used only ta fill the area within the stem wall.
- If fi11 material is to be used in any area, { certify that use of such #ill wil! not adversely affect adjacent
properties. If use of fi(I is found to ad�ersely affect adjacent propertses, the owner may be cited for violating
the canditions of tk�e building permit issu�d urider the attached permit applicat'san, for lots 4ess thai� one {1)
acre whicl7 are elevated by#ill, an engmeered clrainage plan is required.
if I am the AGEN�' FCDF��t�E (31sV�6ER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior fa commencing cons#ruction. f �nderstand tiiat a separate permit may be required fior elecfrica( wark,
plumbing, signs, wells, pools, air conditioning, ga�, or other insta4lations not specificaf4y included in the application. A
permst issued shall be construed to be a license to proceed with the wor}c and not as authority to violate, caneel, alter, ar
set aside any provis'sans af the technica! cades, no�r shall issuance of a permit prevent the Buiiding Offiicial from thereafter
requiring a carrection of errors in pfans, construction ar violations of any codes. Every permit issued shall become invaiid
� unless the wor{c authorized by such permit is corr�menced within six months of permit issuance, or if work authorized by
the perrnit is suspended or abandoned far a period� af six(6} rr�onths after the time the work is cammencecl. An extension
may be requested, in wr+ting, from the Building Officiai for a period not #o exceed ninety (90} days and w'sA demonstrate
justifiable cause#or the extensian. (f work ceases far ninety {90) consecutive days, the jab is considered al�andaned.
WARNING TO �Vi11�E�:. YCDUR F�6LURE Tt� R�C04�D A I�OTlCE OF COMIVIEI�C�MEN'T MAY 6�ESU�,T IN YGUR
PAYING TWICE FJ°111fiPROVEtI+lENTS TO YOUR FROPERTY. tF YOU I�lTET�D TO U�TAIN FII�AR9CING, GONSUL,T
lf4/!7H Y011R LENDER OR P,N/�,TTOF?i�EY B�FORE REGORDiNG YC}UR�dQTtGE t�F CtiN7MEt�10E�1lIEPdT.
FtC1RiDA JURAT(F.S 117 03)
OWNER OR R,GE[d7 CONTRAGTC}R �'�h�.���G y� �.��n���� ��`
Subscribed and sworn to(or affirmed)before me fhis Subscribed and sworn to(or affirmed)before this
by bY
Who islare personally Icnown to me or has/have produced Wha istare personal{y known to me or has/have produced
as identification. as identification.
Natary!'ubl�c Nota.ry PubVic
Commission No. Cammission No.
�
Name af Notary.typed,pri�ted or stamped Name of Plotary typed,printed or stamped
�
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