HomeMy WebLinkAbout14-15815 J�
CITY O ZEPHYRHILLS �°
%: 533 -8TH STREET
7 _ � ( is)�so-oo20 15$ 5
BUIL ING PERMIT �
PERMIT INFORMATION� LOCATION INFORMATION
Permit Number: 15815 Address: 6913 STEPHENS PATH
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: 03-26-21-0160-00000-0530
Improv. Cost: 4,175.00 OWNER INFORMATION
Date Issued: 12/03/2014 Name: TESINI ALLAN J & SUSAN S
Total Fees: 60.00 Address: 6806 STEPHENS PATH
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-0654
Date Paid: 12/03/2014 Phone: 786-218-2672
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S � ' APPLICATION FEES
SACKETT C INC AN EOUT 60.00
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Ins e ions Re uired
DUCTS INSTALLED
DUCTSINSULATED
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� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permi there may be additional restrictions applicable to this property that
may be found in the public records of this county, an 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 n tice of commencement may result in your paying twice for
improvements to your properly. If you intend o obtain financing,consult with your lender or an attorney
before recording our notice of commencement."
Complete Plans,Specifications Must Accompan Application. All work shall be performed in accordance with
City Codes and Ordina ces. NO OCCUPANCY BEFO C.O.
.
CONT OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MON HS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTI N - 8 HOUR NOTICE REQUIRED
PROTECT ARD FROM WEATHER
813-780-0020 City of Zephyrhi fs Permi#Application Fax-$1a•78o-oaa�
Buildin Department
Date Received c~ � Phone Contact f r Perm(tk4ng —
Owner's Name ��✓%/��/� Owner Phone Mumber ��� "���''����'
Qwner's Address i� ��� ��2.5" ' �i''�y/ Owner Phone Number �! I
Fee Simple Titleholder Name - Owner Phone Numbsr �� �
Fee Simple Titleholder Address
JOB ADDRfSS . � ��� � `�%��'�'`��j`1--5 ��!/ �l LOT# ��
SUBDIVIStON � � PAFtCE IC3#
- -- - - -- ---- — --�__---,�-- --°- --� _ _ __._ _.�-- -. ., . —(067AINED'FROM'RFt.ZPERTI(TAX'NOTICE)__-_ __ – -- ----
WOft!(PROPOSED � NEW CoNSTft ADDIAL � SIGN Q Q DEMOLISH
� INBTALL � REPAIR , .
PROPOSED lJSE Q. SFR.� Q COMNt � OTHER
TYPE UF CONSTRUCTION Q ; B4.00K Q FRAME � STEEL � �
DESCRIP710N OF WORK � � 4� � d� � !!/'�����,f'/s T!!�c �G�I�,,�-t—°-��f�i�-
BUitDING 5lZE �--�i�� � SQ FOOTAGE G� `� HE1fiFiT ����� '
0$������� �� I VALUATION OF TOTAL CONSTRUGTION
�._J
QEl.ECTRICAI. �$> � AMP SERVI E Q PRqGRESS E1�4ERGY Q W.R.E.C.
L
OP�ISMBING �— S
�
[���,�'Ei+IECFtAN(CA� $ VALUATlQN OF MECHANlCAL IiVSTALLATfORI ���t
�� �
QGAS [� ROOFING Q SPECI TY � OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA [,��YES NO
su��o�� � c MPANY ._:5�����'� ��.�' f�'?L��
51GNATURE `;�'Z__ �r'°� Re ISTERED Y/ N FEE CURRE� Y!N
Address �Ct���f ,,����✓�°�.� .✓ License# C�1"�d v�c�'"l�j`Z�
ElEGTRIC4AN � C MPANY
SIGNAI"URE RE IS7ERED Y/ N FEE CURRE� Y/N �
Address License# �_ �.
Pl.UMBER � � C MPAtdY -
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y J N '
Address l.lcense# �� ��
MECHANtCAE. � . C MQ�ANY "
81GNA7URE. � RE IS7ERED Y/ N FEE CURRE�. Y J N
Address License# �� � �
OTHER C MPA�lY
SIGNATURE R GrsTeRED Y J tV . FEE CURRE� - Y J N
Address �lcense# �� �
RESIDENTIA� Attach{2)Ptot Ptans;(2)sets of Building Pians;{1}se of Energy Forms;Fi-O-W Permit for�ew construction,
Minimum ten(10)working days after submittat date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence instatied,
Sanitary Facilities 8'1 dumpster,Site Work Permit for ubdivisionsAarge projects
COMMERGIAL Attach(3}compie#e sets of Building Plans plus a Life afety Page;(1)set of Energy Fattns.R-O-W Permit for new constructton.
Minimum ten(10)working days after submittal date. equired onsite,Constructian Pians,Stonnwater Pians w1 Siit Fence instatied,
Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compiiance
St�N PE�2MtT Attach{2}sets of Englneered Plans. , . . - '� ; , . -
"""PROPERTY SURVEY required for all NEW cons ctton. '
Directions: �
Fill out application completely..
Owner 8 ConUactor sign back of application,notarized
tf over�25Qd.a Notice of Commencemen#Fs required. {AiG up rades over�750q}
*A r:.....:,,.y� � � . . - _ r,..i.:'..-...,
Agent(for the contractor)or Power of Atti3rimey'(for"the oVuner)�wa�Id b'�someone with notarized letterfroin owner autlioriiing same'°'?, ,,,;.� ''"':'.
43 ., ;;•. � � .. ,. � ' �: i:
OVER THE COUNTER PERMI`CTI�IG s,�;r:{Frorit of Applicatian.t3'rily},`':,r � _ � , ,,� - ,;
Reroofs if shingles Sewers Service Upgrades A/C Fenc` `��PlatlSurvey/Footage) �_ ' . •�: , - � !`''• '
yu���„ � - �y 'j . , _,. � . .�,,.���.,�, .a,�. ° `a.
Driveways-Not over Gounter ifii�i'pu6lic r`oadways::ri��s`RDW" � ' .. Y a__ �. , ..� . ,.z. .�,.._ � -�_... „, .,._:.
� �,
NOTICE OF DEED RESTRICTIC?NS: The undersigned understands that thls permit may be subject to"desd"restrictions"
which may be more tesfrictive_than Gounfy regulations. The undersigned assumes responsibiiity far compliance with any
applicable�deed restrictions. ` . , - � ., �-
llN!lGENSED CONTRACTORS �4ND CONTRACTOR RESPONSIBI�ITf�S: If the owr�er has hired.a contractor ar
cantractors to undertake work, they may be required to be licensed,in accordanae with state and iocaf�regulatians. If the
cont�acfor is not licensed as required by law, both the owner and contra`ctor may be cited for a misdemeanor viota#ian
under stafe law. If the owner ar intended cantractor are uncertain as to what licensing requirements may apply for the
in#ended work, they are advised to contact the Pasco County Building Inspection Division—Liaensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractars, he is advised to have the contractor(s} sign -
portions of the "contractar Block° of this application for which they will be responsible. If ybu, as the owner sign as the
contrac#or, that may be an indication that he is nat praperly i�censed and �s no# entitl�d'to_permit�ing privileges 3n Pasco
County. ' - �
TRANSPORTATION IMPACT/UTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands �
#hat Transportation impact Fees and Recourse Recovery Fees may apply to the canstruction of nsw buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasca County Ordinance number-89-07 and "
90-07, as amencled. The undersigned als.a undersfanc4s, that such fees, as may be due, wilE be_identified at the tirne of
permitting. It is further understood tha#Transportation Impac# Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or fina# power release. !f the project does not i�tvolve a ce�tsftcate af occttpancy or
finai power release, #he fees must be paid prior to permit issuance. �'urthermore, if Pasco Gounty Water/Sewer Impact
fees are due, they must be paid prior ta permit issuance in accardance with applicable Pasco County ordinances.
CON�TRUGTION I.IEN l.A1N(Ghapter 713, Ftorida Statutes�as annended): �If valuation of wark is$2,500.00 or more, 1
certify that I, the appiicant,� have been pravided with a copy of the "Florida Construction Lien Law----Homeowner's
Protectian Guide" prepared by#he Florida Department of P�griculture and Consumer Affairs. If the appl'scant is someane
other than the Nowner", t certify#haf I have ob#ained a copy of the above described document and promise in goad faith#o
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that aN the informatian in this application is accurate and that ali wark
will be done in compliance with ail applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit #a do worlt and installa#ian as indicated. 1 certify that na work or installation has
commenced prior to issuance af a permit and that all vvork will be performed to meet standards of all laws regula#ing
construcEion, County and Gity codes, zoning regulations, and land development cegulations in the jur�sdiction. E also
certify thaf i unders#and fhat the regulations of other government agencies may apply #o the in#ended work, and #hat i# is
my respansibllity to identify what actions I must take to be in compliance. Such agencies-include but are not limited to:
- Departmenf af Env9ronmental Profectian-Cypress Bayfieads, Vltetland Areas and Environmentally Sensifive
Lands, WaterNVastewater Treatment.
- Sauthwest Florida V1lates Management DEstrict VIle11s, Gypress Bayheads, Wet{and Areas, Altering
Watercourses.
- Army Corps of Enginesrs-Seawalls, Docks, Navigable Waterways,
- Departmenf of Health & Rehabilitative ServicesJEnvironmental Heal#h Unit-Wells, Wastewater Treatment,
Septic,Tanks., , _. ,
- US Environmenfal Protect�on Agency-Asbestos abatement. ' .=- � 4 _
- Federal Aviatian Authority-Runways. � � _ � �
t unders#and that the-#ollowing restrictions apply to the use of fill:� , ; , r ,
- � Use of fill is not allowed in Flood Zone"V"unless expressly pe�mifted.� �
- If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
"compensating votume" witt be submitted at time af permiffing wFtich is prepared by a professiona) engineer
licensed by the State of Florida.
- If fhe fill material is ta be used in Flaod Zone "A" in connection uvith a permitted building using stem watl
construc#ion, I certify that fill will be used only#o fill the area within the stem wall.
- if fi11 material is to be used in any area, I certify that use of such fill wil! not adversely affect adjacent
properties. if use af fill is found to adversely affecE adjacent praperties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lats less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to infarm the owner of the permitting conditions set forth in
this affidavit prior to commencing construcfion. I understand that a separate permit may be required for etect�icat wock,
plumbing, signs, wells, pools, air conditioning, gas, or other installations nat specifically included in the app�ication. A
permit issued shall be construed to be a license to proceed with the work and not as authority to vialate, cancel, alter, or
se#aside any provisions af the technieai cades, nor shail issuance of a permit prevent the Building{3fficia!fram thereafter
requiring a correctian of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid
unless the work autharized by such perrr�it is commenced with�n six months of perrrx[t �ssuance, or �f wark authorized by .
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced., An extensian
may be requested, in wri#ing, fram the Building C�fftcial fo� a periad not to exceed ninety t90) days and wil! demonstrate
justifiable cause for the exkension. If wark ceases for ninefy(90)consecufive days, the jab is considered abandoned.
WARNING TQ OWNER: YOUR FAI�URE TO RECORD A Nt3TICE OF CONiMENCEMENT MAY RESULT IN YOUR
PAYING.'TVVICE_FOR_IMRROVEMENTS T_O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, GCINSULT __
WlTH Yt,}UR�ENDER OR AN ATTORNEY BEFORE RECORDING YQUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.0 ,�•�J� –�(:��� `��%%�
OWNE12 OR AGENi' ��,�'� CONTRACTQR y
Subscribed and sworn to(or affirmed)he ore me thls Subscrfbed and swom to(or affirmed)before me this
by bY
Who istare persanaity known to me or has/have produced Wttio Islare petsonally knawn Eo me ot ttasll�ave produced �
as IdenUficabon. as tdenbfication. '
. ..,,.—.. _. �
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tary Public .d�•. •• J � Notary Public
�� :a E�t ires June 29,2018 *: � i ,`�"?�?�
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Na e of Notary typed,printed or stamped Name of Notary kyped,printed or stamped
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CultamH't Ord��Na. Phan� It�� DH�
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