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Home My WebLink About15-16181 CITY OF ZEPHYRHILLS ��- s 5335-8TH STREET �si3)�so-oozo 161 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16181 Address: 5219 4TH ST 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: 11-26-21-0010-13000-0090 Improv. Cost: 3,000.00 OWNER INFORMATION Date Issued: 4/15/2015 Name: LAND TRUST NO 5219 4TH STG G HAR Total Fees: 50.00 Address: 16335 MARTHA RD Amount Paid: 50.00 MASARYKTOWN FL 34604-6864 Date Paid: 4/15/2015 Phone: 352-586-3023 Work Desc: A/C CHANGE OUT 2 TON 14 SEER HEAT PUMP CONTRACTOR S APPLICATION FEES AIR TECH SERVICES OF PAS O INC A/C CHANGEOUT 50.00 �� Ins e ' ns Re uired DUCTS INSTALLED I DUCTS INSULATED, FINAL � ' � REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site fi) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property 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 management, 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 intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete PI Specifications Must Accompany Application.All work shall be performed in accordance with , City Codes and Ordinances. NO OCCUPANCY BEFO C.O. � C CTOR SIGNATURE PERMIT OFFI R P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ,.��'Ap r. 15, 201�" 9: 18A No, 652Q P. 2 -�� 1 �INUT�S (�F TH� QR�ANI�ATIOHAL ME�71NC �� THE MANAG��'tS �F G.�. Hartley LLC �t�g�niaarion�l m�eting af the Managers af G.G. Hardeyr ILC, was i�eld at 297 8b��ada.5uite D,�.ake Tahoe(Stateline�Nevsda at 9:00.A.M va Ck.KVber 17,2006. n6��.1�ER STATE MA�IAG�M�NT SERVTCES LLC, �q��d bX Da�vxd�atric�, �aa�Wanager of this LS.0 forthe titr�e being. V�Il�rt.acted as C�airman of the meetm�and Da�id Batric�.ac��as 5ecruary. �n stated ihat a quarum of thc managers was pres�t. �ad t3�at t�se meeting, could o:m�+�oess. C�Bi�sn then announced that there wece � number af � rn�tters to be ��C � tbe meeting and a number o� resolutions �o bt � aad adopted by the � �ie�a�then noted that it was in ardex to consider etecting��or�e ensuiag year. �u�ar�c�,adopted the following r�solutio:is: �(3ERE,�.S, the manager of this LLC deems it to be in the b�st�ests of t#►is LLC;be k�LV£D, that the f4flowing are el�ted as offecers of t�s i.LC, e�Fe�cti�e aS bf the �"iec xeso(otion to serve f4r the ensuing year and until t� �s � eleoted and � Presidenf RQ��-�8� Tre2�Snrer Ro��--�' Seecetary David�s�rir�c �.�R'THER RE30�,VEI7, t�at the Treasuxer af this LUC � �ted the custadi��t of t�n000rds of this LLC,pursuant to the opetating a�Creernant. k'�.�RTN'�'R RESOLVED,that the Secretary 4f this I.LC is.a�pa�t�rt eustodian of the pr�goe�oc�af this LLC and to act xs secretary�t m�etin�s af't6e�mag�ts�d members. FLTRTHER R.'ESOLVED, that the Secret�ry aF this f..�C ts aut�orit+vd �n execute and �s�aessarv State filings pursuant ta NRS 360,7$U and NI�.S 66-?b3• �,�F Embossed Comp�rry Seai was then exl�ibited at t�e moata�g circutar in farm with the � of thc LLC name, Nevada, and th� official year of a�readi�irw►. Thereup4n, tlte �ad�pted the fotlowing rasolution: �►FiER£AS,the rrxan�gcr of this LLG deems i=to be�+n ttre bc�t int�sts of this L�.C;be � Ao r, 15, 201� 9: 18RM No. 6520 P. 3 -�,� . , I��l��l{6lI�i11��►f�i�1��+��llfi�ilff!�►,l��Ii�;I��l��i R��t;1(�5C�215 RGC, �,t?.FiQi . QU iT CLAllV1,�EEI3 �'� T�U STEE - os: �•7� ��I r; o.s�� it/16,•0& ap�v c�c��; THXS QITI7`CLA.aII�l�EED executed chis�day of Uccober, � 2ofl6 By 84BER�' L. B�tG$� a sin�le r�ar►.• �irst party. To G. G. 3a� ch � a NAR't'�,EY, Li.0 as Trustee under L�nd 71�et . te r� r pctober�, 2006 with full power artd Authority to protect,ctina�rve, sa11, �� "'�°�+�� easa,oncumber or athetwise menage and dispose of�taid praP�Y PursuAat to .�3 j`1�! �'larida 3tatc►te 689.071, second P�+, whuse post t�cc Address is: 297 JED !'ITTl9iiH, i��:s^G G��r�'F't c.[,�`3tK I�ingsbu[y Gredc,Suite D,P.O,Box 44Ta Lalce Tattoe,NV 89449�-0�470 1 I/��05 �3:�'iw�n i af 1 Wi"�NESS thatthesaidfrst �k BK �`�`�� PG �t�"�'� � P�Y,fo�and in ecn8ideradon c�khe sum of Sio.00 in hand paid by tha said secr►nd party,the rcc�i�t wheraa� is here6y eclu�ow}edged does here6q remise,relea�e and qr�itrclaim unto the said se�o,►d pariy forever, efl the right title�nd interest, claim and demand wlucb the said fust party i�as in and C� ehe follovving describcd la;, piecc or parcel of lend lying and being in th�Coanty of�asco,Siste afFiorida to wit: Lots 9 and 10,BI��k 130,City of 7�c�hyr�ills,as per P1at Qf'the TC�WN OF ZEI'HYR�iTLLS T�ereof rcxorded in Ptat Baak 1, page 54,PubUc R.ecord$af Pasco County,Florida Tax Parcel l.D,No. I 12b 2I OOlR 1�000 009D GracYtee's Tax I.D.Na. •--. c TO HAV�A�TD TO HOI.D the ss�ue together with s11 aud suigulsr khe ep�urtensnces th�retu befongipg�ar�d stl the estste,tit�e,interest,Len,ec�uiiy and claim whetsaever of said_�irst party,either in]aw or equaty, co the only prvper use,bene6t and bahoof of thc saed secand party farever. 'TH�TNT�REST di the benaficagrer,s under said wst is pereon�l prope�y. Petsans deating with tt�e T{ustee are not abli�ated to lool�to the appiicatian of pus+chese monics. '�►e inteczst �'the benef cigries is stilely in the�i�ts, procee�s and avaits o�Tcust prpperty, nat in th�tSfl�, legal or equitaliie. of�t.id sea! �tate. 7'he liebility af the Trusiee und�r tbis daed and tncst a�r�eme.nt, is Iimit�cE ta the assets of tha trust and th�trustec hereundor bas no pe,rsans!Gabitity+ . whatsoever, IN WIx'I�E,S3 WHEREtlF,the ssid firs!perty 6�sigit�and sesled thcse pr�sefaks the dAy�ttd year fitst xboVe uvrittetl. � ,. STGIJ� S�ALED ANA nII,IVERFD; �'� ; , i { ,f� . ....ry� y� r'f' 1 r +.�... • � 1 //�ta.c��..r...�,�/i� & s...._..._.... :, .Y. `,�.. Pcint Naa�e ,,_�a�t•A,�, � f �.�;!'.�;,,� iLabert� .Bergli -�- �- _ l � . F�int Name . �'"�r..a�� G.��„�,_, sxA�o��i,o�� cocn�rv o�.-._- �1�5 G �� iERFF.BY C�RTIFY thst on tl�s day� before nae, an officer duiy authorized i� the stat� 8nd county aforesaid to take acknowtedgemenu pers�nally appca�ad Rpbert L. Bergh Wha is persoaall known to or has praduced�„ as idenci�caaon a�d who executad the�Oregai�g�nstrume�t aa s scknawiedged btf8ro rae that he execut�ci same. V1�STNESS my hand and a�cia]seet in thQ wuncy and state aforesaid this ��S�day of Udober,2006. This instrumentwas ��"�� ►"_L� �� Prepa�ed by: �� • �' . Notery Public �tabcrtL.Bergh,Jr. "�°�1o��4Ad�NoN ��a.r� PrintName L.. .' ,�. Mv Commission�xoircc: e �-��.� n cr• s�s-78o-00;.:. � City of Zephyrhil(s Permit Applicatian Fax 813-780-0021 Building Department Date Recetved C�_.,C�--'��C� phone Contactfer Pet�mitting ��3 1. `� '� Gc� Owner's Name �LS`�T�,`("�� 'C'� h Owner Phone Number � _,,,,,_, Owner's Address �J o�� ` �\-• Qwner Phone Number ��- ��o" �� Fee Stmple Titleholder Name �_ � Owner Phone Number �— �� Fee Simple Titlehalder Address JOB ADDRESS �7�I� �`� ��' LQT# �____�� SUSDIVtS10N � � PARCEi.ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROROSED e NEW CONSTR 8 ADdlALT � S1GN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTtON OF WBRK �. (� �T6� l�Se� l-�� /�[,uLy+ 5' �r`T 4 BUIIdING SitE �^ � SQ FOOTAGE�--_r� HEIGHT C_.� Q BUtLD1NG $ � VALUATIQN OF TOTAL CONSTRUCTION QElEGTRICAC �y; � AMP SERVICE Q PR4GRESS ENERGY Q W.R.E.C. L QPLUMBlNG �i _--_-� � �t°�ttECHANiCAL $,2 ��'� VA�UATION QF MECHANlCAL INSTA�I.ATION � �! � � ° QGAS Q RQdFiNG Q 3PECtALTY 0 QTHER 'C.)�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � BUI�DER �p�p�y SIGNATURE REGISTERBD Y/ N FEE CURRE� Y/N Address L.icense# �� `� EI.ECTRICtAN COMPANY SIGNATURE ,, REGISTERED Y/ N FEE CURRE� Y/N Address Ltcense# � � PLUMBER �pMpp�y SIGNATURE ,,, REGISTERED Y/ N FEE CURRE� Y/N Address ` License# �— u� � MECHANICA� / ��..-��- C4MPAAlY �.� `�C�{" S� �J��,,�5 �. SIGNATURE `//C-��"��i � REGISTERED Y/ N FEE CURRE� Y/N Address �•C? •�}4,. ` �-(� License# ��, �`�6`5�� TNER COINPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �� -REStDE�3'�'DA�. Attach{2}Plot Ptans;{2)seEs of Building Pians;{1)set o#Energy Fatms;R-t}-W Permit for new constructian, Minimum ten(10)working days after submittal date. Ftequired ansite,Constnuction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facil(Ues&1 dumpster;Site Work Permit for subdivisionsAarge proJeots COMMERCIAL Attach{3)complete sets of Buitding Ptans plus a Life Safefy Page;{1}set af Energy Forms.R-O-W Permit for new canstructlon. Minimum ten(10)working days'after submfttal date. f2equired onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpstec.Site Work PeRnit for all new proJects,All commercial requirements must meat compiiance 51GN PERMIT Attach{2}sets of Engineered Pians. """PROPERTY SURVEY required for all NEW construction. �irectlans: Fill out application completely. Owner&Contractor sign back of application,notarized tf over 52540,a Nottce of Gommencement is required. (A!C npgrades aver a7S00} " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same �V�R THE COUNTER RERMIITING (Fron#of Apptication Only} . 2eroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) D�iveweys-Not over Counter if an public roadways..rieeds RC3W. ' ,: .. ..,p NOTICE OF DEED RESTRICTIONS: The undersigned understands that fhis permit may be subject to"deed° restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS 14ND CONTIZ4CTOR 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. TRANSPORTATION IMPACTIUTILITIES IAAPACT ARJD RESOURCE REGOVERY 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 final 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 L�►W(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. CONTF�►CTOR'S/OInINEit'S AFFIDAVIT: 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, 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 ficensed 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 ce�tify 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 OIIIIIINER, 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 Buildirig 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. WARNINIG TO OWNER: YOUR FAILURE TO RECORD A fdOTICE OF COMMENCEMENT MAY RESULT IN YOU(t PAYING TWICE �OR IMPROVEflAENTS TO YOUR PROPERTY. IF YOU 1 TO OBTAIN FINANCING, CONSULT 1fV17H YOUR LENDEFt OR AN AT'TORNEY BEFORE RECORDING YOU FVO C OF COMMENCEnIIENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR � Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or irmed)before me this by Who is/are personally known to me or has/have praduced Who Is/are onally kno to me or has/have produced as IdentlficaUon. as identifica6on. Notary Public Notary Public 2;}��ey��; JACQUELIN OGES Commisslon No. Com issl n No .: •:: ;; �o�: Expires December 12,2018 °�i��j"t��, BaMedThruTro'Fein Name of Notary typed,printed or stamped Name of Notary ,