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Home My WebLink About16-17204 CITY OF ZEPHYRHILLS 5335-8TH STREET �� ' (813)780-0020 172 BUILDING PERMIT .PERMIT INFORMATION � LOCATION INFORMATION Permit Number: 17204 Address: 5201 10TH 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: 11-26-21-0010-19400-0030 Improv. Cost: 8,057.00 - OWNER INFORMATION Date Issued: 3/28/2016 Name: EDENFIELD LINDA Total Fees: 115.00 Address: 5201 10TH ST Amount Paid: 115.00 ZEPHYRHILLS FL 33542-5053 Date Paid: 3/28/2016 Phone: 813-379-1106 Work Desc: A/C CHANGE OUT 3.5 TON W/ ELECTRIC CONTRACTOR S - APPLICATION FEES UNIQUE AIR INC A/C CHANGEOUT 75.00 UNIQUE AIR INC ELECTRICAL FEE 40.00 � � - Ins ections Re uir,ed - ` DUCTS IN TALLED DUCTSINSULATE FINAL � I�%��'W' 'Y {�Ii��l T ^� /Y`li '1 REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local.government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CON CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER e�aaao-oo2o City of Zephyrhills Permit Application Fax-ais-�ao-oozi Building Department ✓ Date Received 3 a o3 �I 3�1 - 0�5 3 -r-rTr Phone Contact for Permittin Owner's Name � � ��1 1 Owner Phone Number �CJI t7+ �1 1 I I�tY Owner's Address � 1�� J� �J l�"�� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS �OI V� �� IS L7(,JV`�Z LOT# � SUBDIVISION � � Yl1I PARCEL ID# 1 I��lY-�)-Ub�(�� UU�� (OBTAINED FFiOM PfiOPEFiTYTAX NOTIC� WORK PROPOSED � NEW coNSTR e ADD/ALT 0 SIGN 0 Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK L R X��O Z � � D� 3•� . BUILDING SIZE SQ FOOTAGE� HEIGHT � TTrTTrTi'TT'TI"ITITTrTTrI"ITTTrTI"ITTTrTTrTTrTTrTI"PT' QBUILDING $ VALUATIONOFTOTALCONSTRUCTION ELECTRICAL $ �� Oc7 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ , �e�(1� ,� � (/ 7 � MECHANICAL $ (�� VALUATION OF MECHANICAL INSTALLATION ' r� �GAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� .��6�:-.-�.-.-.-.-..-.-..-�...r�7--FC..7-�:.-. ...�.�-r�.�G.-(�-:...-�-i-�r'.-:..6-i.:�7-��..-.-..-r�.��.-i�..-ri..�� BUILDER COMPANY i SIGNATURE REGISTERED Y/ N FEE CUFRE� Y J N Address License# ELECTRICIAN COMPANY I wc 1.\\v SIGNATURE REGISTERED / N FEECURRE� Y N Addres S -L`� � � � 3y7�3 Licensek �.� � � Z PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL �I'_j�j��J/n COMPANY V�- \ Nx. SIGNATURE iT(1'(J �la� REGISTERED Y N FEE CURRE� Y N Address �5� "l��l Ci{" l'.. V'� ,3 License# �� OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItI RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 for subdivisions/large projects COMMERCIAL Attach(2)comple[e sets of Building 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 date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster Site Work Permit for aII new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. *'"*PROPER7Y SURVEY required for aIi NEW construction. �..-r�1--1-C-:.-r.�FI--�C�.--rF.I-.F-1-.1-.F-1.-�1-.1.-L-1--1-�-1-�.4-��1--FI--F�1.-FI-F�I-FI-��1-�C-:.-��...rr.-.-+-.- Directions: Fill out applicaGon completely Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � _ ` NOTICE OF DEED RESTRICTIONS: The undersigned understands that this 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 AND CONTRACTOR 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 IMPACT/UTILITIES IMPACT 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 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 LAW(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'S/OWNER'S AFFIDAVIT• I certity that all the information in this application is accurate and that ail 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 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 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 fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,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 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. FLORIDAJURAT(F.S.117.03) ljyi �� 5�� ^��n (�'��i� n� OWNER OR AGENT CONTRACTOR (� �'��— f`� Subs r�ib�an b�wor o r affirmed)be re me this Su ribed and b� n to r aifirrred)befo�me th� /� ' ) y� Who is/are�erso y known to me o as/have produced Who is are�ersonallv known t�e or s avepr�ed 'denGficaGon. as identification. Notary Public Notary Public � �� Commission No. � Commission No. P'11/l� •l..Q 1�, Name of o ry typed,printed or s ame o o a ed,printed or stamped STEPHANIE SMITH Y�,,. STEPHANIE SMITH ��° My COMMISSION#FF910782 �Pa g �20.• G� a°�'`'�""'•�°� hRY COMMISSION#FF910782 ' , � � EXPIRES:AUG 18,2019 � EXPiRES:AUG 18,2019 �� "US.� �0�,�°8onded thrcugh 1st State Insurance �� Borded through 1st State Insurance � �� I l�E � � Installation Contract E'..�.+'.�,,, j �JJ 877-247-7365 INSTALLATION ADDRE55 BILLING ADDRE55 Name of Client Candy Lasarge Candy Lasarge Address 5201 10th St 5201 l Oth St City/Stat2/Zlp Zephyrhills,FL 33542-5053 Zephyrhills,FL 33542-5053 Phone Number 8133791106 8133791106 E-mail Address , INVESTMENT � Retail: $10,181 Utility Rebates: �$�� Manufacturer Rebate: �$0) Payment Details Discounts: ($2,374) Deposit $0 Amount Due: $��g�� Balance Due{Financing) $7,807 FINANCING � � Financing @ 5 Yrs 0%Equal Pmts Est.First Month Minimum Payment: $131 __ ._ POST INSTALL,REBATES �� V � TOTAL COST OF OWNERSHIP(TCO) Utility Rebate: $p Est. 1 Yr Savings: __ Other Rebate: $p Est. 10 Yr Savings: __ Tax Credit: $0 TCO __ Net Investment: $7,807 TCO Monthly __ Buyer is the owner of the property at the Installation Address and is legally authorized to enter into this Agreement. Unique retains title to all equipment,parts and materials used to improve the property until Buyer's full payment is received by Unique.A service charge of 1.5%per month(18%annual percentage rete)orthe maximum rate permitted by applicable law,whichever is less,will be made on all overdue amounts. Buyer responsible for attorney fees,where allowed,for amounts not paid. Should any Instant Rebates provided under this Agreement become uncollectible,Buyerwill be responsible for payment to Unique of such uncollectible Instant Rebates. Prices are valid for 10 da s from issuance of this A reement. �-�a �� Customer Signature � �`— CA Signature Customer Name Candy Lasarge CA Name Jon Curtis Date 03/23/16 Date 03/23/16 051013 License numbers: CMC 041072 � CFC 1426265 � EC 13002942 50# g48762 Thank You for Choosing Unique Services as your Home Comfort Specialist. y I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII I � � 2016046083 PermitNo. ParcellDNo 'I ��JLI V�L�� `-1��'WaD NOTICE OF COMMENCEMENT /� Stateof �\�\�Vl�/� Countyof Ma��a�ee. l�Uw11,� THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chap[er 713,Florida Statutes, the following information is provided in this Notice of Comme ce ent: I o/' c��, ( s � 1. Description of Property: Parcel Identification No.�� (�� z��.I��l 1�S ��1 1 l,1 �—1 l�� i)�� Street Address: '� )��I I 0�� v�1v y��y,� �`� �7�� ' 2. General Description of Improvement� C 'l �t Rept:1758054 Rec: 10.00 DS: 0.00 IT: 0.00 I 3. owner Informatlon or�esse informae n if the�essee contracted tor the improvement: 03/2$/2016 C. F. , Dpty C 1 erk � L�n�l.a �c�,n-�i P l�l �Zo � "�'c�-"^ � Z2 o1n��.1 S �L Address CitTT tate Interest in Property: PRULA S 0'NE IL,Ph D.PASCO CLERK & COMPTROLLER I ' Narne ot Fee sirrie�e Tiueno�de�� 03/28/2016 09•14am 1 of 1 '" (IfdifferenLfrsZmOwnerlistedabove) �� BK g342 P� 1990 ;� - A 1`ress ��,y�/� ', n `� City State 4. Contractoc ��Y.X�Y T �� ll�. � ��]I�me'1 `�`—��c-��-�-�� l�l'�U�.VL�U✓ 1 � , Address �/� f� City State ' Contractors Telephone No. !�/'��C�,l � 5. Surety: Name Address City State Amount of Bond: $ Telephone No. 6. Lender Name Address City State Lender's Telephone,No. 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(aj(7),Florida Statutes: Name Address Ciry State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of_ . to receive a copy of the Lienors Notice as provided in SecUon 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner 9. Expiration date of Nollce of Commencement(the expiratlon date may not he before[he completion of construction and final payment to lhe contractor,but will be one year from the date of recording unless a different date Is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best o(my knowledge and belief. STATE OF FLORIDA / a� COUNTY OF PASCO V Signature of Owner Lessee,or er' o essee's Authorized Office dDirector/Pa rtner/Manag er Signatory's Title/Office The�fore ing ihn§(ru�mnent s ac�owled e,d_beAfo,�re mee,thris�day of��/`,20�(/by L�1��Q.I..WL��1�s ��V V V Wv (type of authority,e.g.,officer, rustee,attorney in fact)for (name arty on behalf of whom in rument was executed). Personally Known❑OR Produced IdentiFlcation� Notary Signature Type of Identification Producec�.W I ��o� µS��S�Name(Print) � I.Q /�i ' YN�„� STEPHANIESMITH a°``�`��""°6n MY COMMISSION#FF910782 kor� C-XPIRES:AUG 18,2019 ��. °�,�'� C�unded throuc�h 1st State Insurance wpda[alb cs/noticecommence me n[�c053048 � � ' ��J.. i *°.�_��r"�,,. ..�- STATE OF FLORIDA, COURl�'��','�"��G� THIS IS TO C,RTIFY THAT 7HE FOF�EGI�IN�IS A TRUE AND GOR ECT COPY OF THE DOCUM�NT ON FILE OR OF P Li 'OR[3 l . THIS O�FICE WIT ;HAND FI IA �{�LTHIS DAY OF ,j ' ' S. O'N�I , K&:E^�fali TRdLLE '��'L�p� BY ,�`'._,;_...., - - , UTY CLERK