HomeMy WebLinkAbout15-15981 � CI OF ZEPHYRHILLS
5335-8TH SfREET
1 tsis)�so-oo20 981
� B ILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number; 15981 Address: 6039 MINERVA ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Ciass of Work: R!C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Fe�t: Subdivision: PINE CREST M.H.P.
Est. Value: Parcel Number: 03-26-21-0210-00000-1230
Improv. Cost: 2,995.00 OWNER INFORMATION
Date Issued: 2103/2015 Name: PINECREST MC}BILE HOME PARK RESID
Total Fees: 50.00 Address: 6043 HARRIET ST
Amount Paid: 50.00 ZEPNYRHI�LS F�33542-3273
Date Paid: 2/Q3/2015 Phane:
Work Desc: A!C CHANGE flUT 2 1/2 TO
CONTRACTOR S APPL1CATfON FEES
BA R'S PROPAN AS C,I . CHAN�EOU 50.00
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Ins ections ir
D TSlN TALL D
DUCTS INS-��`-�_��
FINAL
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REINSPECTICIN FEES: Reinspection fees will c mply with Florida Statute 553.80 (2)(c)when e�ctra inspection
trips are necessary due to any ane of the falia ing reasans: a)wrang address b}candemned wark 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 f) 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 9n the public recards af this county, a d there may be additionai permits required fram other governmentai
entities such as water ma agement, state agencies or federal agencies.
"Warning ta owner: Your failure to record a atice of commencement may result in yaur paying twice for
improvements ta your property. If you inten to obtain financing,consult with your lender or an attorney
. before recardin your natice of commencement."
Complete Plans, Specifications Must Accompa y Application.All work shail be performed in accordance with
Ci Codes and Ordi ances. NO OCCUPANCY BEFO C.O.
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C�''�.mL-�
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MC► THS 1NITHCIUT APPROVED INSPECTION
CALL FOR INSPECT ON - 8 HOUR NOTICE REQUIRED
PR�ITECT ARD FROM WEATHER
_� ��3-�o-oozo City of Ze hyrhills Permit Application Fax-813-780-0021 �
Building Department
Date Received � Phone Co tact for Permitting p b.7 � — �0� I
Owner's Name e1�eG re�-E I I 1,07?�t(,� �jn�, Owner Phone Number
Owner's Address � Q-!` �'L� � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��� 1 �I I /V L—^/Q� �La � LOT# �
SUBDIVISION //�/�' �,5 P CEL ID# D� � �.� Doc�� ���}Q� ��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR A D/ALT 0 SIGN Q Q DEMOLISH
INSTALL R PAIR
PROPOSED USE SFR Q C MM 0 OTHER
TYPE OF CONSTRUCTION BLOCK Q F ME 0 STEEL Q
DESCRIPTION OF WORK �✓C L�R"N C�� B Z� PG� /�� �
i
BUILDING SIZE SQ FOOTAGE HEIGHT
Q BUILDING $ VALUA ION OF TOTAL CONSTRUCTION
� �ELECTRICAL $ AMP S RVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � ��/
� �
OMECHANICAL $ �� �6� VALUA ION OF MECHANICAL INSTALLATION (/ /
� ��
OGAS Q ROOFING Q SP CIALTY 0 OTHER �f�
I
FINISHED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL i'�.,�� � COMPANY �l��iC S /"�A'/1I� 'r ��L' �G
SIGNATURE ��`^"�'"— � EGISTERED Y/ N FEE CURRE� Y/N
Address ���� � � , ��j/ � o��� License# l�l`��������
OTHER OMPANY
SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit f r subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Lif Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit f r all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW cons ction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized ,
If over$2500,a Notice of Commencement is required. (A/C u rades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)woul be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fenc s(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTFtICTION,S: The undersigned understands that this permit may be subject to"deed''restiric�9ons"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND COP1T'RAC'TOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with 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.
TRAfVSPOR'TATION IMPACT/UTILITIES III�P�►C'T AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery 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 Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or flnal power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LA1AI(Chapter 713, Florida Statutes� as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�', 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.
' CONTRACTOR'SIOWNER'S AFFIDAVIY: I certify that all the information in this application is accurate and that all work
will be done in com liance with all a licable laws re ulatin construction zonin and land develo ment. A lication is
P PP 9 9 , 9 P PP
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 pertormed 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, Water/Wastewater Treatment.
- Southwest Florida Water Management 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
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. �
- If ihe 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 wall.
- 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 lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNEFt, 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 work,
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 work 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 Building 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 within 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 extension
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 work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD �► NOTICE OF COMf�IENCEMENIT MAY RESULT IFl YOUR
PAYING TIiVICE FOR IflAPROVEIII�ENTS TO YOUR PROPERTI(. IF YOU INTEND TO OBTAIN FIN�►NCING, CONSULT
lflll7'H-�l0l1l3-LE�dDEIt-OIt-Atd-�TTOFBMEY�EF�DRE RECORDINS,��1(�I1R MOTIGIE-OF- MfUIEfdCEf1�ENT. - - - -
FLORIDA JURAT(F.S.117.03) ` �
_ �
OIRINER OR AGEN7 CONTRACTOR
Subscribed and swom to(or affirmed)before me thls Subscr(bed an om to(or affirmed)before me this
by y
Who lslare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as IdenUfication. as identificaGon.
Notary Public Notary Public
Commisslon No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
. . �Ty ��,..t,�- .- � --5�.�
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� � � � � ' PROPANE AS Service Order%Pro�']osal . � � � �
� } r AND AIC � C. + __ Air Conditioning 8 Heating
�a�e�988 8'13-782-5 'I3 � -_
Sales, Service & Installations ���`�'!�� '='}"-'f-�'�� `=t=:�'.'rr��=;�7F=�r.� �,��,=��� �r-_-�.~���`�--
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4441 Allen Rd. • Zephyrhilis, FL 33541 �7-F;;.;F_i..� �,s,� �;r;=1 4�4��
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� ` " , ` DESCRIPTION OF WORK QTY. MATERIALS.&SERVIGE$- � UNIT�PRICE AMqUNT
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RECOMMENDATIONS i i�
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Annual Maintenance Recorrimended by�All:Equipment Manufacturer : ' . '
= � Pressures Lo HI '�f-Stat i i
. . i i
REFRIGERANT.R- ' LBS.Y ` � ., $per Ibs. , I I
_ FILTERS x x Changed Monthiy I I
FILTERS x x Changed Monthly I I
' ❑ REGULAR ❑WARRANTY TOTALSUMMARI<• ,
Dehumiiiistat Settings: ,When here"ON",_When Aw9y 60°", T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufact rers' , METHOD'•OF PAYMENT ' CALL i
or suppliers'written warranty only.All labor perfortned by the above named company is warrant for . TOTAL i
30 days or as othenvise indicated in writing.The above named company makes no other warra lies, ❑CASH ❑CK# MATERIALS i
express or implied,and ils agents or technicians are not aulhorized to make any such warranti s on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have aut�ority to order lhe work outlinetl above which has been satisfactonly wmpleted.I agree that eller
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retains Gtle to equipmenUmaterials fumishetl until fnal payment is made.If payment is not made as ag eed. CLAIM# �
seller can remove said epuipmenUmalerials at Seller's expense.Any tlamage resulting from said removal hall r
not be the rasponsibiliry of Sellec NET 30 DAYS.A 7 112%SERVI HARGE WILI BE ADDED MONTHL TO S ` IC�
ALL UNPAID BALANC OVER 30 DAYS.NO REFUNDS � /`i DATE COMPLETED ! � J
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CUSTOMERSIGNATURE � DATE ✓1L�G(//Gtii ✓au TOTAL � I