HomeMy WebLinkAbout15-15950 CI OF ZEPHYRHILLS
.., 5�3�-STH STREET
,. - ' ' �ais��so-oozo 159
B ILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15950 Address: 38720 8TH AVE
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: 11-26-21-0010-11500-0000
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 1/27/2015 Name: HARTLEY LAWRENCE C & GAYLA
Total Fees: 60.00 Address: PO BOX 1723
Amount Paid: 60.00 ZEPHYRHILLS FL 33539-1723
Date Paid: 1/27/2015 Phone: (813)779-0899
Work Desc: A/C CHANGE OUT 3 TON H
CONTRACTOR S APPLICATION FEES
AIR TECH SERVICES OF PAS O INC C HANGEOU 60.00 �
�
� � � � l y � ��
'�J �-�
- Ins ections Re uired
DU TS INSTALLED
DUCTSINSULATED
FINAL,_,�� -%��
REINSPECTION FEES: Reinspection fees will c mply with Florida Statute 553.80 (2)(c) when extra inspection ,
trips are necessary due to any one of the follo ing reasons: a)wrong address b) condemned�ivork resulting
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for
inspection when called e) permit not post d on job site fl plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this per it, there may be additional restrictions applicable to this property that
may be found in the public records of this county, a d there may be additional permits required from other governmental
entities such as water ma agement, state agencies or federal agencies.
"Warning to owner: Your failure to record a otice of commencement may result in your paying twice for
improvements to your property. If you inten to obtain financing,consult with your lender or an attorney
before recordin your notice of commencement."
Complete Plans,Spec' 'ons Must Accompa y Application. All work shall be performed in accordance with
i Codes and Ordi ances. NO OCCUPANCY BEFO C.O.
� �
' CONTRACT SIGNATURE PERMIT OFFI R
I PERMIT EXPIRES IN 6 MO THS WITHOUT APPROVED INSPECTION
CALL FOR INSPECT ON - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�3aeo-ooza City af Z phyrhills Permit Application Fax-813-78Q-Q021
Buitdi�g Department
m. �
pate Received phane C ntact for Perm[tttng °
Owner's Name L--aW'k"' !n C-�' �� T�Gr'�','Q`� Owner Phane Number
Owner's Address ��1 � 11�.-� Owner Phone Number
�('-�—�"1�t—���
Fee Simple Titleholder Name Owner Phone Number �— �
Fee Simple Titleholder Address
JOB ADDRESS ��� ���/���' ~ \N LOT# C�
_ SUBDIVISION _ � � ARCEL Id# —��—��'���— C�CS � __
' � (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR e C1fllAl.7 C� SIGN Q [� DEMOLtSH
INSTALL REPAIR
PROPC}SED tlSE Q SFR Q ; .Qtl���l� [� OTHER
TYPE OF CONSTRUCTION Q BI.00K [� FRAME � STEEI. Q
DESCRIPTION OF WQRK �l C� C.V��•I`} �U � � �G 1�-' � I S
BU(LDING SIZE � � SQ F007AGE HE(GHT
QBUILDING �6 � VAL ATiON OF TOTAL CONSTRUCTION
QELECTRICA�. � � AM S�RVICE � PROGRESS' ERGY W.R.E.C.
,,..., ._.. ,,.....
[�P�UMBING $
�7���,[t�tECHANICAI. $ .� ._ � VA� AT10N QF MECNANtCAL INST LATION �ivt..�t�' 1 �
���� �"' �
QGAS Q ROQFIIVG Q SPECIA�7Y �� OTEf�R -�'�'"
!
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO " /) r �
L.� �
BUtLpER � COMPANY
SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N
Address License# � �
ELEC1RiC1AN ^ � COMPANY
SIGNATURE REGISTEREp Y/ N FEE CURRE� Y/N
Address License# �� �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
MECNANlCAI. CUMPANY ��'CZ TEC� � �; �� S
SIGNATURE REGISTEREQ Y/ N FEE CURRE� Y/N
Address �'�•�o�C ��o� License# ��G� � `t��"�J��p �
OTHEit COMPAFtY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �� �
RESIDENTIA� Attach{2}Plot Plans;{2}sets af Buitding Plans (1}set of Energy Forms;F2-0-W Permlt far new cons#rttcfion, _
Minimum ten(10)working days after submittal ate. Required ansite,Const�uction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities 8�1 dumpster;Site Wotk Pe it for subdivisionsAarge projects
COMMERCIAi. Attach{3}complete sets af Building Pians ptus �ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal ake. Required ansite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dUmpster.Site Work Per it for atl new pro�ects.Atl commerciaE requirements must meet compiiance
StGN PERMIT Attach{2)sets of Engineered Plans.
"`"PROPERTY SURVEY required for all NEW onstruction.
Diiections:
Fill out application completely.
Owner&Contraator sign back of appiication,notarized
If over�2500,a Notice af Commencement is required. ( C upgrades ovar 57500)
"" Agent(for the contractor)or Power of Aktomey(for the owner) ould be someone with notarized letter from owner authorizing same
f3VER THE CQUN7ER PERMtTTiN� (Front of Applica#ion O ly)
Reroofs if shi�gles Sewers Service Upgrades AIC ences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs R
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" p
which may be mare restrictive than County regulatians. The undersRgned assumes respansibility for compiiance with any �
applicable deed rest�ictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITlES: !f the owner has hired a contractor or
contractors ta undertake work, they may be tequired to be licensed in accardance with sfate and local regulations. If the
contractor is not licensed a5 required by law, both the owner and contractar may be cited far a misdemeanor violation
under sfate law. If the owner ar intended contrac#or are uncerfain as to what licensing requireme�ts may apply for the
intended work, they are advised #o conkact the Pasca Coun#y Building Inspection Division—Licensing Section at 727-847-
8409. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor{s} sign
partions of the "contractor Block° of this appiication for which they wilt be responsibte. ff you, as the owner sign as the
contractor, thak may be an indication that he is not properly licensed a�d is not entitled to permitting privileges in Pasco
County. �,' '
TRANSPORTATION MMPACTlUTILITIE$ IMPACT AND RESOURCE.RECOVERY FEES: The undersigned understands '
that Transportation Impact Fees and Recourse Recovery Fees may app(y ta the canstrcrction of new buildings, change of
use in existing buildings, ar expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-1?7, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
perrniftirrg. 1t is further understaod fhat Transportafion Impact Fees artd Resource Recovery Fees must be paid priar to
receiving a "cerkificate of occupancy" or final power release. If the praject does nat invalve a certificate of occupancy or
final powe� re#ease, fhe fees rnttst be pafid priar to permit issuanc�. Furthermore, if Pasca Gounty WaferlSewer Impact
fees are due, they must be paid prior to permit issuance fn accordance with applicable Pasco Caunty ardinances.
CONSTRUCTtClN LIEN LAW(Chapter 713, Elarida Statutes, as amendedj: !f valuation of wark is $2,540.Q0 or more, 1
certify that I, the appticant, have been pravided with a copy of fhe °Florida Construction Lien Law—Homeowner's
Pro#ection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sameone
other fhan fhe"owner", I cerfify that 1 have abtained a copy af the above described dacument and promise in gvod faith ta
deliver it to the"owner"prior to cammencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that al1 the information in this application is accurate and that alE work
will�be done in compliance with all applicable laws regula#ing construc#ion, zqning and land,development. Application is
hereby made to obtain a permit to do work and insta!lation as indicated. 1 certify that no work or installation has
cammenced prior fo issuance of a permit and that ali wark wilt be performed to meet sfandards of ail taws regulating
construction, Caunty and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce�tify that 1 understand that the regulatians of other gouernrr�ent agencies may apply to the intended work, and that it is
my respansibiliky 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, We#tand Areas anc4 Environmentally Sensitive
' Lands, Water/Wastewater TreatmenE.
- Southwes! Florida Water Management Distric#-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Departmenf af Healfh � Rehabilitative Seruices/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmenta4 Protectian Agency-Asbestas abatement.
- Federal Aviation Authority-Runways.
!understand that the fol(owing restrictions apply to the use of fill:�
- U�e of�ii is not a1lawed 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
°campensafing volume" will be submitted at time of permitting whictt is prepared by a professianal engineer
licensed by the State of Flarida.
- If the fitl material is to be used in Fload Zone "A" in connection with a permitted building using stem wall ;
construc#ion, I certify that fill wifl be used only to fiil the area within the stem wait.
- If fill ma#eria! is to be used in any area, I certify that use af such fill will not adversely affect adjacent
properties. If use of fi11 is found ta adverse}y affect adjacent properties, the ownet may be cited for violating
the conditions of the building permit issued under the attached permit application, for Ioks less than one (1)
acre which are elevated by�II, an engineered drainage ptan is required.
If I am the AGENT FOR THE OWNER, ( promise in good faith to inform tF�e owner of fhe permitting conditions set forth in
Ehis a�davit priar to commencing cons#ructian. I understand that a separate permit may be required for electrical work,
ptumbing, signs, wells, poals, air conditivning, gas, or other installations nof specifical{y inciuded in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to.vialate, cancel, alter, ar
set aside any provisions of the technica€ cades, nor shall issuance of a permit prevent the Building OffEcial from thereafter
requiring a correction of errars in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the wark aufhorized by such petmit is commenced withirt six months of perm4t issuance, or if work authorized by
the permit is suspended or abandoned for.a period af six(6) manths after fhe#ime the work is qommenced. An extension
may be requested, in writ4ng, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
jusfifiable cause for the extensian. tf work ceases for ninety{90)cansecutive days,the job is considered abandoned.
WARNING TC1 OWNER:_ YOUR FAILURE TfJ RECORD A=Nl?TtGE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING'FINICE FOFt IMP'ttOVEMENTS TO Y�UIZ�R�DPti��'Y'. YF Y�D9.➢-19v1f'eP�it�i"�'�-CiE3TAiT1"�F16L�laT'9�tN€�;G+C3I�f�L�t_T –
WtTH YUUR�ENDER OR AN ATTORNEY BE�ORE RECORDING YC?UR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
QWtdER Oit AGENT COHTRACTOR a
Subscrlbed and swom to(ar aHirmedj before me th(s Subscribed and swa or affirmed}before me this
by by
Who lslare persanaity k�own ta me or hasJhave produced Wl�o Rs/are persanally known to me or has/have produced
as tdenttfication. as idenfs�icafion.
Notary Public Notary Public
Commisston No. Commission No.
Name of Nokary typed,printed or s#amped Neme af Notary typed,printed or s#amped