HomeMy WebLinkAbout17-18456 �
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i- ' CITY OF ZEPHYRHILLS
. 5335-8TH STREEf
(813)780-oozo � 18456
BUILDING PERMIT
PERMIT INFORMATION � � LOCATION INFORMATION
Permit Number: 18456 Address: 6247 MAISIE LN Bldg 1 #7
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: TOWNHOMES Lot(s): Block: Section:
' Square Feet: Subdivision: EILAND PARK TOWNHOMES
Est. Value: Parcel Number: 03-26-21-0230-00000-0070
Improv. Cost: 8,500.00 OWNER INFORMATION
Date Issued: 5/09/2017 Name: GOSS HARRY E &JOAN E
Total Fees: 80.00 Address: 6247 MAISIE RD
Amount Paid: 80.00 ZEPHYRHILLS FL 33542-3288
Date Paid: 5/09/2017 Phone: 813-782-4278
Work Desc: A/C CHANGEOUT 3 TON
CONTRACTOR S APPLICATION FEES
CORNERSTONE PROS A/C CHANGEOUT 80.00 �
� Ins ections Re uired
DUCTS I ST LED
DUCTSINSULAT
FINAL �-' "
�.
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 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 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 properly. 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.
�� �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. , e�s-�eaoozo City of Zephyrhills Permit Application Fax-873-78�-0021 �
9ullding Department �
pate Reeelved �" ^'� phone Contact far PertniCin `�
�� �..{ , , .
OwnersName � JC�'� OwnerPhoneNumber � ^�� �7
Owners Address �� / + ���� Owner Phone Number
Fee Simple Titleholder Neme � Owner Phone Number
Fee Simple TiUeholder Address
JOB ADDRESS Fi � �"a/1.� �C�i LOT# �
SUBDIVISION �t �G PARCELID# � ����L��Z�� ���W`
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR� ADD/ALT � SIGN `� Q DEMOLISM
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL �
DESCRIPTION OF WORK ��� PCL.► 1�i0. � 1.,/t�'"�.,K���� � � !�� �"` '
BUILDING SIZE SQ FOOTAGE HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. �/`1
1t�' �l�/
QPLUMBING $ `� � ` ��
�MECHANICAL $ � � VALUATION OF MECHANICAL INSTALLATION \, �
, � �� �
�GAS p ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
�
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License*
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ FEE CURREN Y/N �
Address Llcense#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY °1'�'�-�'�'� �
SIGNATURE REGISTERED N FEE CURREN Y/N
Address � J �-!� License# , 1tl��
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURREN Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of Energy Fortns;R-aW Pertnit for new consWctian,
Minimum ten(10)working days after su6mittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Fadlilies&1 dumpster,Site V11ork Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)camplele sets of Building Plans plus a Life Safely Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittel dale. Requfred onsite,ConstrUdion Plans,Stortnwater Plans w/Silt Fence installed,
San'dary Fedlitles 8 1 dumpster.Site Work Pertnit far all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets af Engineered Plans.
""PROPERTY SURVEY required tor all NEW conslrudion.
Directions:• �
Fill out applicatfon completety.
Owner 8 ConVactor s(gn back of applicatlon,nolarized
If over Sz500,a Notice of Commencement Is requlred. (A!C upgredes over 57500)
•• Agent(for the contractor)or Power of Attomey(far lhe owner)would be someane with notarized letter from owner authorizing same
OVER THE COUNTER PERMITfING (copy of conUact 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�ndersigned 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 a,dvised to contact the Pasco County Building Inspection Division—�.icensing 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 wiil be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properiy 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 ezpansion 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 invoive a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer 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—Momeowners
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 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-Welis, 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 fili:
- 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 fiil,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 consVuction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inGuded 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 fssuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or vioiations 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 wili 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 IMPR VEMENTS TO OUR OPERTY. IF YOU INTEND TO-QBTAIN FINANCIIdG;CONSULT
WITH YOUR LENDER O A A NE RECORDING YOUR NOTI COMMENGE NT
FLORIDA JURAT(F.S.117. �
OWNER OR AGENT ��� CONTRACTOR � � ��� ` / �^
Subsaibed and swo o(or affirtned)before me this Subscribed end swo to(or affirtnedp be(ore me t`liis ' /�"�
0
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o iU IV i 's/er'�e—onalty known to me or has/have produced V4ho is/are personally known to me or has/have produced
— as idenGfication. as ide ification.
Notary Public �G Notary Public
Commissfon No. Co�sion No.
o��..PuBG� BRENDA M.MCCL L �ot�.•.�Bo� BRENDA M.MCCLELLAN
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EXPIR S:January ,2 19 �, � t IR S:January 22,2019
Nr�TFOF F���\QP Bonded Thru Budget Notary Servi�es r1J�pK F�pP�� Bonded 7h�u Bud9e1 Nolery Services
..orn��wnC rros http://tivacbizpro.cocca/proposals/hardcopy/HVACproposals.com-577 �
..��-�� Proposed by:Matt Wilson Joan and harty Goss
� A946 la0d O Lakes Blvd 6247 maisie rd
Land 0 Lakes,FL 34639 2ephyrhilis,FI 33542 �
Tel:(813)949 4445 Tel:(813)782 4278
�. � matt.wilson�comerstonepros.Com CantacUady@hotmail.com
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Install Address:6247 maisie rd
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�;; ,-� � B ETTE R
'���:�� Your Investment:
$107/MO*
$8,500
•with approved vedit
MODELS Included Deductlons:
•Daikin Rebate DZ16TC
Daikfn DZ16TC0361�rochure Datkin DV37PTCD14 Dafkin CTK04AB ($700.00)
-16 SEER •Senior and cash rebate
($488.00)
-Two Stage Heat Pump Net Investment: $$�500
o.t
� Financing Details:
Min 1.25%minimum payment
9.99%APR Payment based
on 132 Mos
SPECIAL INCLUSIONS:
No Lemon Guarantee•12
Year/One Year
Craftsmanship Guarantee/24
Hour Service Guarantee/One
Year Satisfadion Guarantee/
, 1 Year Silver Maintenance
Plan
5 KW heater
Heat Pump Materials
12 Year Parts&Labor-
Assureqre
AHRI Matchup:
AHRI#:8996312
Cooling Capaciry:34600
HeaGng Capacity.34400
SEER:16
EER• 12.5
HSPF:9
INCLUDED SERVICES:
-Float switch(Drain line safety device) -Complete system start-up
-Charge to manufacturers specs -Make air dght plenum transition
-Meet all code requ(rements -InsWct Homeowner of operatian of unit
-Homeowner given all Homeowner Manuals -Clean work area to customer's satisfaction
• -Remove e�dsting equipment from premises -Register V1Farranty with Manufacturer
1.To�ew The HVAC Oocost website-CLICK THIS LINK!
2.To read about Come�tone Pros-CLICK THIS LINK!�
Finance Company:
Account#:
Plan#:
TE�IVIS & CONDITIONS QF AGREENI�NT I
� 1 of 3 � 5/2/17,5:25 P1
Cornerstone Pros , http://hvacbizpro.com/proposals/hazdcopy/HVACproposa s.com ..•
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UPGRADE 1(APPROVED and Included in Price)
$0.00
Availa6le for.BEST,BETTER,GOOD
Fresh Aire Single Bulb Bluetooth UV light
' Proposal Approval Section
Payment Options
Check�
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Joan goss
May 2,2017
5/2/17,5:25 PM
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p`R,r{EpTING.PLUIyg�NG
4946 Land 0 Lakes Boulevard
Land 0 Lakes,FL 34639
P.813.949.4445
F.813.929.8088
CFC1428982•CAC1816647
May 4,2017
City of Zephyrhills
Permitting Department
Effective as of Today, I Dana Spears License CAC1816647 hereby authorize
The following person(s)to perform any tasks relating to permitting on my behalf.
1. Jay Gamez
2. Peter Taaffee
3. Rick West
4. Travis Browning
5. Gary Beaurmann
Thank you
ana Spears ao��`::"Boc BRENDAM.MCCLELLAN
* MY COMMISSION#FF 184290
Cornerstone Pros * EXPIRES:January22,2o19
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' ' a • ` � This spare for nse by Clerk of the Circuit Coart oniy. I II III I II I I I II I II I�III I I III I IIII II III IIIII IIIII II�II IIII IIII
' 2017069518
NO'TICE OF COMIVV�NCEMENT Rcpt:1861801 Rec: 10.00 �
PermitNumber_ . DS: 0.00 I T: 0.00
TaxFolioNo..��� :yt L �� �C� C'�C�-'�� ����7 05/09/2017 K. D. K. , Dpty Clerk
The undersigned hereby gives.notice t6at improvements w�71 be made to eertnin real property,and in accordance with Secflon 713.13 of the
Flodda Stntut�,the follotving"information u provided in tLe NOTICE OF COMMENCEaMENT.
1. LegalDescriptionofproperty(streetaddressiequired): foZ�7 '"�a1Sel.� �� ���/��`�
2. Generaldescriprionofimpmvements:. � . �� /C- L � ��� I� l�` �'"`�`"�
3a. OwnerName• �� � �-�"'�y � �`� • ,
' Owner Address' SG�v"`"� ' _
. �
3b. Owncr's interest in sitc: -
3c. Fee Simple Tide holder(of other than owner) '
Address-
4. Conuacror�Iame• 1�c9�'p-�a��'� �f'C7 �
Address: �Q��O �' Phone: ��- '�.��_ �
5. Surety Name: Amount of bond: ,
Address: Phone: � '__
6. Lender Name: ContacL• ` _
Address: Phone: ,
7. Person within tlie State of Florida designated by otvner upon whom notices or other documents may 6e served as provided by '.
Section 713_I3(1)(a)7,Florida Statutes. ' ,
'I , . '
Namr. Address: ' `
' Phone Number:
8. In addition to himself,Owner designatcs the following pcison to receive a copy of thc Licnor's Notice as provided in Section ,
' 713.13(1)(b),Florida Statutes. , �
Name• Address• ' -
Phone Number. , ,
9. Expiration date of Notice of Commencement(expiration date is one(1)year from date ofrecording unless a different date is,
, specified). -
WARPIIIVG TO ONNHR:ANY PAYA'IENTS MADE BY'fHE O�VA'ER AFTER THE EXPIRATION OF THE NOTICE OF COM,�g.TICEMENI'ARE ,,
� COySIDERED L�7PROPER PAYRIE�"fS iPIDEIt CHAPI'ER 713,PART 1,SL+CTION 713.13,FLORIDA STATUTES,AND CAIV ItESULT LV YOUR
PAYING'I�YICE FOR II1iPROVEAiEN'IS TO YOUR PROPE .A NIOTICE OE CO�Il1 NCE14E D CORDED AND POSTED ON THE
JOB STfE BEFORE THE FIR51'INSPECTION. IF YOU D TO OBTAIN FINAIM G,C �T R'ITF YO LEPIDER OR AN ATTORNEY
,� BEFORE CONII1iE1�iCiNG NORK OR RECORDING Y TTCE OF WbiMEN E
w '
J i .
J
O
�r � ' Signatu f Owner or Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
a
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aE W�11
Y O��, SlgfIflYOIy'S TIIIBIOEFICE -
w STATE OF FLORIDA
��a ' COUNTY OF HILLSBOROUGH ��.
0
; ¢ a Thc forcgoing instn�mcnt was acimo�vledge bcfo�c me this � day of 20 �� .
, o�M' bY � fo
Ia A.^, Pecsonally Known OR Produced Identification
Li� 7� p
�P�' �o'��A::���pe�Ht��l;�i.[d�eW,.�
o N Y � * * MY COMMIS510N#FF 184290 _ I' ,
�m , EXPIRES:Janua 22,2019 �/
¢m� � N^A�OFf���\�e BondedThruBud ota Services Signanue-NowryPublic .
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a� Under penalf o egury,I declare that I Lave the a goi and that the facts stated in it are 4ue ro the hest of my la�owledge and belief.
��L�
Si af Natueal Person Signing Above
<A copY of anyLond�rmstbc�uacLd�l Wc t�e of ccmnU6on of Ous Notice oCCammwQmm�) Upd��cd 29NOV201:
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