HomeMy WebLinkAbout15-15986 CI �o OF ZEPHYRHILLS
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> ' BU LDING PERMIT .
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15986 Address: 6041 16TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTI L Lot(s): Block: Section:
Square Feet: Subdivision: PARK HILL
Est. Value: Parcel Number: 02-26-21-0180-00000-0040
Improv. Cost: 3,600.00 OWNER INFORMATION
Date Issued: 2/05/2015 Name: VANDEMHEEN JULIE A & RONALD
Total Fees: 55.00 Address: 6041 16TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/05/2015 Phone: (813)469-1025
Work Desc: A/C CHANGE OUT 3 TON 1 SEER
CONTRACTOR S APPLICATION FEES
INSE CENTRAL HEATI & C CHANGE U 55.00
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REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fol owing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corr ions not made when inspections called d) work not ready for
inspection when called e) permit not po ted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 anagement, 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 int nd to obtain financing,consult with your lender or an attorney �
before record' g your notice of commencement."
Complete Plans, Specifcations Must Accom any Application.All work shall be pertormed in accordance with
Ci Codes and Or inances. NO OCCUPANCY BEFO C.O.
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ONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
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P.O. Box 2209
Zephyrhills, Florida 33539-2209 �6%
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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021
uilding Department
Date Received � Phane Goo ct for Permitfing —
Ctwner's Name t�GU �i+l.' A �it '�^' Owner Phone Number " ���`( Q� �
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Owner's Address � � L /� Owner Phone Number �^
Fee Simple Titleholder Name Owner Phone Number �^ �
Fee Simple Titleholder Address
JOB ADDRESS � � LOT# �
SUBDIVI$ION � � P CEL tD# _ ____
�--_-. -- --- " - °- `— - .--` --~""'-- — -� (OBTAINEDFROMPROPERTYTAXNOTICE)
WORK PROPOSED NEW CONSTR� A D/ALT � SIGN Q Q DEMOLISH
INBTALL ,/0 R PAIR
PROPOSED USE SFR [� l, MM 0 C}TF4ER �
7YPE OF CONSTRUCTION BLQCK Q F ME � 57EEL Q
DESCRIPTION OF WQRK � �°js ` / ' � ��'' �°�
BUILDING SIZE � � SQ FOOTAGE HEIGHT
08UILDING �_� VALU ION OF TOTAL CONSTRUCTION
QELECTRtCA� �—� AMP S RVICE � PROGRESS ENERCaY [� W.R.E.C.
QPLUMBING � �„
[�MECHANtGA� $ 7��, �-� VALtl 14N OF MEGHANICA�INSTA�LATIORI J,� 1/��
_i lk
[�cas Q ROOFING Q S ECIALTY �� C}TNER �r�'�'�°j�
FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO �
BUILDER COMPAMY
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 F'EE CURREn Y/N
Address License# �— �
MECHANICAL � COMPANY �f/V'�� G�r'- f�-"
SIGNATURE � .���y REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# �J �— �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N
Address License# � !�
RESIDENTIAL Attach(2}Ptot Plans;(2)sets of Buitding Ptans; 1}set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal d te. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Factlities&1 dumpster;Site Work Pe it far subdlvisions!large projec#s
COMMERCiAL Attach(3)complete sets of Buitdi�g Pians pius �ife Safety Page;(1)set of Energy Forms.R-Q-W Permit for new construcfion.
Minimum ten(10)working days after submittal d te. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed;
Santtary Facitities&9 dumpster.Site Work Pe 3t far all new p�ojects.Ali commerciai requirements must meet comptiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"*"PROPERTY SURVEY required for all NEW nstruction.
Directions:
Fill out application completely. " ,
Qwner 8�Contractor sign back of applicafion,no#arized
If over$2500,a Notice af Commencement is required, (AI upgrades over$750Q) y
*' Agent{for the contractor)or Pawer of Attomey(for the awner} ,ould be sameone with notarized tetter from owrser authorizing same ,•_-` � t
4VER THE COUNTER PERMITTING � (Front of,Appl'ica'tion�0�ly)` " " °���°-�`° �''"°• �-° "' '��--
Reroofs if shingles Sewers Service Upgrades A(C. �,ences{PlotlSurvey/Footage) � ' ` , ' « �
Driveways-Not over Counter ifon public roadways.needs RO ° . �
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"dee�'°r.estri,ctions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. �
UNLICENSED CONTRACTORS �►ND CONTRAC'TOR RESPONISI�ILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance Hrith 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 raflt entitled to permitting privileges in Pasco
County. � �
TFZ4IVSPOttTATiON IMPAC7IUTILITIES IMP�4CT 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 aiso 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 final power release. If the proje�t do,�s 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 L�►1�11(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"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.
' CONTRACTOR'SIOWNER'S l�►FFID�►VIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws 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, WaterNVastewater Treatment.
- Southwest Florida Water INanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 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 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 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�II, an engineered drainage plan is required.
If.l am the AGENT FOR THE OWfVER, 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 OV1fNER: YOUR F�1ILURE TO RECORD A NOTICE OF COfVIMENCEMENT AAAY RESULT IN YOUF2
PAYING TWICE FOR IIYiPROVEII�ENTS TO YOUR PRO!'ERTY. IF YOU INYEND TO OBTAIN FIN�►NCING, CONSUL.T
WITH YOUR LENDER OR AN ATTORNEY BEFOItE RECORDING YOUR NOTICE OF COIInME1dCEMENT.
FLORIDA JURAT(F.S.117 3)
OWNER OFt AGENT CONTRACTO
Subscribed and swo . o r affl ed)before me ihls Subscrfbed and m t (o irmed)before me this
by � � b
Who Islare personally known to me or has/have produced Who fs/are onally known to me or haslhave produced
as Identlfication. as identification.
Notary Public Notary Public
mmis n o,�, Commiss' No. ���"'P�•. ON
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