HomeMy WebLinkAbout14-15824 � � �i �
CITY O, ZEP�iYRHILLS
533 -8TH STREET
` ' tsIzs)�so-aaza 824
BUILD�ING PERMIT
PERMIT INFORMATIOId LOCATION INFORMATION
Permit Number: 15824 Address: 733� 16TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, Fl..
Ciass of WorEc: A!C CNANGEQUT Township: Q Range: 0 Boak:
Proposed Use: CHURCH Lot(s): Block: Section: 0
Square Feet: Subdiuision: ClTY OF ZEPNYRHlLLS I
Est. Vaiue: Parcel Number: 35-25-21-0010-082�}0-0010
Imprav. Cost: 4,250.00 OWNER INFORMATION
Date Issued: 1120/2015 Name: CHURCH OF I..ATTER DAY SAINTS
Total Fees: 60.00 Address: 7334 16TH� ST
Amount Paid: 60.OQ ZEPHYRHILLS, FL. 33542
Date Paid: 1/20/2015 Phone: 813)382-2427
Work Desc: A/C CHANGE OUT 3 TQN PKG NIT
CONTRACTOR S APPLICATION FEES
BA R'S PF2 PANE GAS C, I . CHAN�EOUT 60.00
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Ins ec ians Re uired
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DUCTSINSULATED
FINAL�I_= �'" -�
REINSPECTION FEES: Reinspection fees will cam ly with Florida Statute 553.80 (2)(c)when e�ctra inspection
trips are necessary due to any one af the followi g reasons: a)wrang address b�canciemned work resulting
from faulty constructian c) repairs or carrectio s not made when inspections called d) work nat ready far
inspection when called�) permit nat posted n job site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit there may be additional restrictians applicable to this properly that
rrtay be faund in the public records of this county, and there may be additianal permits required from ather governmental
entities such as water mana ement, state agencies or federal agencies.
"1Narning ta owner: Your failure to recard a no ice of commencement may result in your paying twice for
impravements ta your property. If you intend�o obtain financing,consult with your lender or an attorney
befare recording ybur natice of commencement."
Comptete Plans,Specifications Must AccompanylApplication. Atl work shall be pertormed in accardance with
Ci Codes and Ordina� ces. NO OCCUPANCY BEFO C.O.
C� O
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, NTRACT R S GNATURE PERMIT OFFI R
� - PERMIT EXPIRES IN 6 MON�HS WITHOUT APPR4VED INSPECTION
CALL FOR INSPECTT �N - 8 HOUR NOTICE REQUIRED
PRCITECT�ARD FRI�M WEATHER
813-780-0020 City of Zeph�rhil�s Permit Application Fax-813-780-0021
Bl�ilding Department
Date Receivec9 ��� ��
Phone Cont ct for Permitting � -- 5Q��
OwneP's Mame L 7J�7TCG'� � �. ��!-//UZ s � "Lll� ' �j-�Owrner Phone�umber UL�'�Ov� o�T�
�nrner's�+ddress �� � l���v�//3-/J `��'e LJU �'�� / pyy�er�hone idumber
�ee Siru�ple Titleholder ldame Ovvner Phone Idurnber
Fee Simple Titleholder A►ddress
JO�ADD7�ESS ���� ��� ��i �r/,`<S LOY# �
SUBDI�lISIOId PA6tCELiD# �� �� �I ��I� DO��Q D�`�
- ' _ __ _. (OBTAIkED FROM PROPERTY TAX NOTICE)
WORE�P6tOPOSED B NEw CONSTR� ADD/ALT �] SIGN � 0 DEMOLISH
INSTALL RE�AIR 1
PfiOPOSEID U�E Q SFR Q CC1N� iM � OTHER
TVP�OE COIdSTEtUC'p'IOM � BLOCK Q FRAME � STEEL Q
DESCRIP�IOR!OF t�NORK I�7 C C��N � �- 64�� " � 7° ��C � C l �a�-,-� �,ve,��
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�UILDIidG SIZE SQ FOOTAGE� FIEIGFlT
OBUILDING $ VALUA ION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS EPVERGY Q W.R.E.0
OPLUMBING $
/ �
QMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION � �
�i/� �'d,�
�GAS Q ROOFING Q SPECIALTY 0 OTHER
FINI5HED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO
�UIILDEPt COflflPAPIY
SIGRf�►TURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
�LECTI21CIAfd COHflPAfdY
SIGY�IA�l1P�E REGISTERED Y/ N FEE CURRE� Y/N
Address License#
P�URflBER CORAPAPdY
�IGR1peTURE REGISTERED Y/ N FEE CURRE� Y/IV
�ddress License#
�+�c�o,a�oc�►� ` vyyc.�. ��Z�Qsr�r��, co�PA�v �/�-�¢� S P���N�� � ���
SICxR�d�TIDRE REGISTERED Y/ N FEE CURRE� Y/M
Address ��-7� /�E/i/�CI , 3� 'J��� License# ���� ���T�
�T��� COBAPAIdY
�A������E REGISTERED Y/ N FEE CURRE� Y/N
c�dc9ress I License#
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9tESIDEi�T1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1I)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal da�e. Required onsite, Construction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Facilities 8 1 dumpster;Site Work Permi�for subdivisions/large projects
COMI41fIERCUAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal da�e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permi for all new projects.All commercial requirements must meet compliance
SIGR9 PE6FfNl9T Attach(2)sets of Engineered Plans.
' •°""PROPERTY SURVEY required for all NEW coi struction.
Directions:
Fill out application completely. �
Owner�Contractor sign back of application,notarized
Ef over 52500,a fdotice of Commencement Is required. (AJCIupgrades over$7500)
"" Agent(for the contractor)or Power of Attomey(for the owner)wbuld be someone with notarized letter from owner authorizing same
ONER TE1E COURlTER PERMII�TIfdG (Front of Application Onl�)
Reroofs if shingles Sewers Service Upgrades A/C F�nces(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs RO�
�1071C� Of� DEED FtE�Y�ICYl01��: The undersigned understands that this permit may be subject to"deed" restrictions"
wrhich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UFdLICIEFISED CON7RACTOR� �AND COR9Y�,C'�O� ���POi�SI�ILIYIES: If the owner has hired a contractor or
contractors to undertake uvork, they may be required to be licensed in accordance vvith state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what 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 or contractors, 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, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
Yi�P➢SPOR�P►TION Ii�iPR,C�/ll�'IL171�� IfW��+C�Af�� �f�S(;U����R�CONE�Y FEES: The undersigned understands
that Transportation Impact Fees and Recourse Ftecovery Fees 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, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation ImpacttFees and Resource Recovery Fees must be paid prior to
receiving a certificate of occupancy or final power release. If the pr�ject does not involve a certificate of occupancy or
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final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
I fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
COPI�Y�UCYIOW L�IEP➢ LA1�9 (Cha�4eP'P9�, f�I�Picl��4��u4�s, a� aenend�rd): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided �nrith a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the �lorida Department of Agriculture 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.
COWTR�iC�OR'Sl0l�11F1��'S �►�'F�fDi�VIT: I certify that all the information in this application is accurate and that all work
will�be done in compliance with all applicable lavus regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterMlastewater Treatment.
- Southwest Florida Water Nlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
� - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone A , it is understood that a drainage plan addressing a
u n
"compensating volume" will be submitted at time 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 fill the area within the stem vvall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
, the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
� If I am the AG�NY FOR TFII� OWlPIER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical vuork,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the vuork and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the �uilding Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced �iithin 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 exfension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If wrork ceases for ninety(90)consecutive days, the job is considered abandoned.
IAIAR�IR�G TO OWIPIER: YOIJR ��►IWRE �O ��CO�D e�, R90TIG� O� COBflflflfENCE�iflEP1Y flflflilY �2ESlJLl' IR� VOl➢�
6'AYI�G Y1filICE �012 INHPI2ON�Rfl�P➢Y� 7'O YOIJV� �ROPfERYY. YF YOII �R1TE�D TO OBY�►IPl FIN�►PICIPIC, COf�S�11LT
�iIIT9i VOIJR LE�IDEf�OR APl�1YYOI�RYfEY���ORE �f�CO�DIIVG YOUff�Rl0'�ICI�Q� COHA6ifiE�lC�f�iEP1Y.
FLORIDA JURAT(F.S. 117.03)
OWME�i OFi AGEPIT ~ Z
2«2P�4�� COPITRACTOR � , ��
I� Subscribed and swom to o affirmed)bef e m this Subscribed and bw to(or affirmed)before me this
by Y
Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as ldentlfication. as identification.
PJotary Public fVotary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
I _ _ _
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� � , � PROPANE GAS y ' ' ' '
' � AND AIC itvc.
�ervice Order/Proposal
Air Conditioning 8 Heating
�Siace �988 �i 3-782-5013 �
WORK ORDER#/SERVICEMAN 56�14 COT
Sales, Service & Installations DATEIT I ME TAKEN �1 I 1 G.I 1 J i�:�6
4441 Allen Rd. • Zephyrhilis, FL 33541 TAt%E� RY �,z M r��
!"ATSc1 ��,Q(� ���/ 5 DATE/TIME RROMISED �1/13/15 1.:,:��
NOTES. _ CUSTUMER#/LOCATIOI�I �,?,5c'3
c�/.�-� ?�Z - Z �Z 7 . F'HONE# , � 813-78�-058� J
F'HQNE`#. • , c48-4'�7-388� G '
/0 y 7�'.SV�,�/9�6 �� qoL , Go�rJ F�'H01tilE.?,# ° ' � 81.:�-,�8c-c4�7 R
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� GD�ITAGT �G�RALD CARDELLA
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�, �' RO�JTE.fSEO' • , COT �
JOHN HENS01� COM�1UNITY- OF CHRTST CHURCH
531� 8TH STREET 7�34 1ETH ST - �
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ZEPHYRHILLB FL• 3354c ZEF�HYRHILLS . FL3,=,54��
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ESTIMATE '
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. DESCRIPTION O�'WORK " QTY., MATERIALS&.SERVIGES �:UNIT PRICE : AMOUN�T
" I i i `
----------------------------------- — ------------------------- ------ ------
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� =_".RECOMMENDATIONS " ' ��� �£ I �� IQd
Mnual Maintenance Recommended by All Equipment Manufacturers. �r ' '�
- Pressures Lo HI T-Stat i i
_ . i i
� , REFRIGERANT R-, � LBS. � . $per Ibs: _ . � � �
FILTERS x x Changed Monthly I I
I FILTERS x z Changed Monthly � �
�
' ❑ REGULAR ❑WARRANTY T.OTAL SUMMARY
, Dehumidistat Settings: When here"ON", When Away 6��,T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANT'Y: All materials,parts and equipment are warranted by the manufacturers MET.HOD OF PAYMENT CALL i �
a suppliers'written warranty only.All labor performed by the above named company is warranled for TOTAL i
30 days or as othenvise indicated in writing.The above named company makes no other warranties. CASH ❑CK# MATERIALS i,
e�ress or implied,and its agents or technicians are not authorized to make any such warranties cn
behalf of above named company. DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
��a•re authority!o order lhe work outlined above which has been satis(actonly completed.I agree Ihal Seller
Pf�OG. W I C �
re�ains title to equipmenUmatenals furnishetl unlil final payment Is made.If payment is not maCe as agreed, ���M# �
s��can remove said equipmenUmalerials at Seller's axpense.Any damage resul6ng from said removal shall
:nt Oe the respansihiliry of Seller.NET 30 DAYS,A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS ATE COMPLETED
�ECH� TAX • i
i
CUS70MERSIGNATURE DATE ✓�/L �c� TOTAL y�D� v`�