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Home My WebLink About17-18495 , CITY OF ZEPHYRHILLS 5335-8TH STREEf tsis��so-oa2a 18495 PL.UMBTNG PERMIT ��r'' PERMIT INFORMATICIN LOCATION INFORMATION �`� Permit#:18485 Issued: 5I1812017 Address: 7221 APPLEGATE DR Permit Type: PLUMBING ZEPHYRHIL.LS, FL. Ciass of Work: PLUMBING RENQVATlONS Township: Range: Proposed Use: S(NGL.E FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Eiook: Page: Cost: 990.00 Total Fees: 60.00 Subdivision: ALPHA VILLAGE Amount Paid: 6q.00 Date Paid: 5/18/2017 Parcel Number: 35-25-21-0050-OOOOQ-0060 CC►NTRACTUR [NFQRMATt4N {}WNER INFORMATIC}N Name: FLORIDA DELTA MECHANICAL INC Name: GLAZEWSKI, ROBERT & JOYCE Addr: 2716 BROADWAY CENTER BLVD Address: 7221 APPLEGATE DR BRANDON, FL. 33510 ZEPHYRHiLLS, FL. 33542 Phone: (866)219-Q88Q Lic: Phone: 813}778-4Q38 Work Desc: REPLACE ELECTR(C WATER HEATER APPLICATION FEES • P�UMBING FEE 6Q.00 1NSPECTIQNS EQUIRED 1ST ROUGH PLUMB 2ND ROUGH PLUMB SEWER WATER FINAL /�� V 1 � � REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the locai government sha11 impose a fee af faur tirrtes the amoun�of the€ee imposecE for the initial inspection or first reinspection,whichever is greater,far each such subsequent reinspection. 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 additianai permits required from other governmental entities such as water management, state agencies or federal agencies. � The payment of inspection fees shall be made before any further permits will be issued to the person owning same "V4►arning to awner: Your faiture ta recard a notice af commencement may resuEt in your paying twice for impravements to your property. If you intend to abtain financing,consult with your lender or an attorney before recording your notice of commencement.° Comp(ete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Complete P s, Specifcations and Fee Must Accampany Application. AI(wark shall be performed in accordance with City � /� Cades and Ordinances. �- ,-' r"� CONTRACTflR PER C3FF1 PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CA�L FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . e�s-�eaoozo City of Zephyrhills Permit Application Fax-813-780-OD21 t� Building Department Date Received Phone ConWct for Pertnittin �W L.�� —��1� Owners Name � I Owner Phone Number Owners Address � Owner Phone Number Fee Slmple Tideholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS C�IIJ�� 1 ` LOT# � SUBDIVISION ll� PARCEL IDt� WORK PROPOSED e NEW coNST� ADD/ALT � SIGN NED FR�OM PROPERTY T�TicE)DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OP CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK �l�l � BUILDING SIZE SQ FOOTAGE� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �LUMBING $ /`�� ` �� lo OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY Q OTHER J ' / Q�(` �j � U7 ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� J — i i i i f � i i i S 0 C 0 i 0 7 i i 7 1 7 3 7 i C 9..0 I..i I..i BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN � COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N i � Address /�.� License# PLUMBER / _-- - - COMPANY �U�GQ ��G �LC�W\ SIGNATURE � _,,...�—^'"�� REGISTERED Y/ N FEE CURRE� Y/N Address } �� License# l�� l MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consUuction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(2)complete 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,Construction Plans,Stortnwater Plans w!Silt Fence installed, Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compiiance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions:• Fill out applicaGon completely Owner&ConVactor sign back of apptication,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of conVact required) Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter'rf on public roadways..needs ROW r � 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 Iicensed 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 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, WeUand 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. Evs permit issued shall become invalid unless the work authorized by such permit is commenced within six months of.permit suance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the�iine the ork is commenced. An extension may be requested, in writing,from the Building Official for a period not to ezceed nine y(90 ys and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the j b i o sidered abandoned. � , WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE Op COMMENC EN MAY RESULT IN YOUR i PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO}�INTEND TO BTAJ FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU�t NOTICE COMhAEN ENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirtned)before me this and s o r re this by b Who is/are personally known to me or has/have produced o is/r person n to m or ha e pro uced as identification. identificaGon. I � � Notary Public Notary Public Commission No. o mission No. Name of Notary typed,printed or stamped Name of Notary q�ped,printed or stamped I :'�,';�`•.�"•�%: �I�e4R11C� ��fdYd�NAo < "' :'; MY COMMISSION#FF972g48 ��^>,o. �,.�` EXPtFtES March 17,2020 (407)398-0169 FlaidalloterySorvice.com ��w�� '�� AI�g�da M�1�� - - -- -- -- - - - - - - ----- - - - - - - - - �3��(� - - - - - - - - - - - - -- - - - - - - - - •�.rz.c�y�s C�S'�'� -�/f G' s ��,�� `�� ?�,n� c.�'�� ,��. � ��,��1c. � ��, �. �l �� c�'�_� �� 5� ` � ��► -��6� �� "a� �-- � �� . � c� � � � �� l , �v ', � I � � I , Q q� . � CITY OF ZEPHYRHILLS �• c 5335-8TH STREET #+ (813)780-0020 18496 BUILDING PERMIT � PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18496 Address: 37674 AARALYN RD BLDG 6 55 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: EILAND PARK TOWNHOMES Est. Value: Parcel Number: 03-26-21-0230-00000-0550 Improv. Cost: 5,400.00 OWNER INFORMATION Date Issued: 5/18/2017 Name: RODRIGUEZ KAREN Total Fees: 65.00 Address: 37674 AARALYN RD Amount Paid: 65.00 ZEPHYRHILLS FL 33542-3211 Date Paid: 5/18/2017 Phone: 813-528-5754 Work Desc: A/C CHANGEOUT 3 TON CONTRACTOR S APPLICATION FEES AIR REPAIR HEATING AND COOLING I A/C CHANGEOUT 65.00 //'I� j _ l / ! Ins ections Re uired DUCTS INSTALLED DUCTSINSULATED 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 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 Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � CONT SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WYTHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � 813-7eo-oo2o City af Zephyrhills Permit Application Fax-813-780-0021 8u!lding Department - �• -� • ' t - Date Recelved . , �/� �Rhone<Contactrfor�Permlttin � � . � Owner's Name u t^�'-�'1 �X�� e� Owner Phane Number �� d`��7 Owner"s Address ��. /7��-�L^�� Owner Phone Number � y� Fee Simple Titteholder'Name � � Owner Phone Number �� . . Fee Simple Titleholder Address JOS ADDRES5 ��'`� �� P7;� �-�� t,�, �, �t�;11� ��, ��f LOT# �_.� � SUBDIVISI4N � � PARCE!ID# (OBTAINED FROM,PROPERTY TAX NOTICE) WORK pROFOSEQ �NEw`CONSTR ADDIAIT [�` S1GN [� Q DEMOl.lSii INSTALL REPAIR • PROP{?SED�USE � Q SFR Q COMM ' � •QTF{ER ' TYPE OF CON$TRUG'170N Q � BLOCK "'Q FRAME ` � STEEL Q DESGRIPT{ON t3F WORK '�`�2+�s.�cL .}�.�C.. �eM°e,,, e�v�� S�:M� L OC.*(�}'-i"':�`�i�. � '�� i BUIlDlNG SIZE '�� SQ F003AGE !�� : ,,HECGH,7' �� QBU{t.DiNG � � VAlUATION�C.1�TO'1'AL CONSTRUC`i`IOi�! ' QEL•ECTRIGAL �� AMP SERVICE Q FRQGRESS ENEF2GY Q W.3�.E.C. „„ , ,,.„ OPLUMBING � � � � MECHANICAL $ � o�., VAtUATtON OF MECHANtCAL It+iS:TAILATtON "U`C" � � ,�� C]GAS Q RQOFING CJ SPEClAI.TY, [[�] QTHER � � FiNISHED FLQOR ELEVATIONS �� FLQOD ZONE AREA QYES ,h10 BUILDER COMPA[�tY� SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address � l`Icense#'� � ELECTRICIAN; , COMPANY - ' 31GNATURE �' REGISTERED Y/ N FEE CURRE�'' �=Y/N � {, - - (�� Address � , EiceriS�e'#.i` . .� � PLUMBER COMPANY , ' . SIGNATIlRE` `" � REG13TERED Y_/ N•. .�. EEECURREK ' Y./N. -� Address •License# � . . � MECMANlCEU: ' ' ' CQMP/WY, „�tiY' C�+ :�'' �� 1 et�y�,,,�t, �<. '�' t�.,�, SIGNATURE� � REGISTERED ,� Y./ N . ,FEE CURRE� . Y/,�N - � Addre�s�'*, .'��?3 �z�.s� (,�lr�t,.c�,�2�,;� �a�o�'�,,,,.icc5 licanse# �� t�3 fb � 1�.G.�- 1 Q, `,� .,f . � .�. $ OTHER . ' _ , " `' ';CQMPANY ' , SIGNATURE '.:�;., .= "� � �_ . ' ` ' `' ' RE�isT��`''� � �Y/ Nv r: : .��ee Curt�n � Y/N Address _ . . I.. - .}�: : - - - ' �cense# �` � .,,,. , .. .. , .. ,. . RESfDBNTiRL';�• Atta'ch(2),PJot Pians;>.(Z}se!'s�.of�Bufidi�g�Piaris,"{1}sef'of'Energy�Fonr►s;R�t?�-W'Perimlt far nsw cdnstnic#1on, . : � .Minimum�,ten�(�1.0)?working�d"ays.after.:submiktat`da#e:vRequlieii orislte;_CbnsiiucHon'Pians;StoRnwater'Plans w/SIIt Fence instaqed,_,___._v �` - ``Sanitery Fecllttles;&r;1;dumpster:Site�Wor}c:Permlt�#ur-subil6Vls!gi:rflarge projccfs:�-, ::;,: - - . �_ ; -__-�--— . -, . �.--:. `-`Ct}Bli�Il��tCl"P1R. ` Attach(3)�coc�iplefe'sefs cf Buildirig'Flans'pliis a l.lfe Safety Page;{1}set of Energy�Farms.R-O-W Permit for nev+r cons#rucftan. Minimum ten(10)working days after submithal date. Required onsite,Construc8an Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Factli8es&9 dumpste�.Slte Work Permik for all new projects.All commercial�equirements.must meeY campliance � SlGN PERlHlT Attacti{2}sets`"ofEoglrieer.edrPlaris:`.<-::;., _: ' . "•"PROPERTY SURVEY,reyuirecf for a16NEW can.s.tructlan. � - � � � ' � plrectlons: , . _ � , Fill out applicadon completely. Owner 8 Contractor slgn back of appl(catlon,notarized If aver y2S00,a Notice of Commencament 1s requlred. {A!C upgrades aver$7500) .. ... <<�.:;.,... Agent(for the con'tractor)�or-Powe�'of Attomey�(for tlie owner)wauld be someone with�notarized letter from owner autha�izing same OVER THE CCtUN'iER.PEt2MlT"E'tAlG _-...{Front of�AppllcatlamOnly)•- � - Reroofs if shingles Sewer,s Service Upgrades A/G Fences(PlodSurvey/Footage) Drtvswaya-Not over Gaunt�r-.if on,publ[c�rc��.duy.ay�..�eeds�ROW,. -_. A .. . ,L_ ,„ .,.. , ..-,, � . �p '.J=. 'i!J5:.,l�l':`,.l..1` .. , ' �.rk�.s .t,oua�.r�.c,,�,,..,� � ' ...,� 'e v : •�N " _�:'��,� � ,,��_ .;', � iFi.t. . �. - , - .' ( liiY:: f�il�� . , ' :1r1,.;f('t'�:'iFs,i`t�.� �a'. : +} v'w'=-"-`c'c�i'PiL±::'..^t;��.�i- � �..��.�/t �} �y3(-�.�`�{�:'J'�. �il y -'F} .�. aJ -' - `� � ... .L'll^,. li:.�r`.ti.�5 �:1..�i�'11:1'�;i n "I`;:•_'. - �. . ..i'�r. 'l'� '�t•t 1 i,. .�i' , - . ' �.�� D, �!{:; � -!`!;}«.'L::u",4�..,il".r',i ., . .... � � •�r �.3t �b.sw� �... ... =. ...t�ti,:a .M.....':.i.ia5.t.... .. � a.n.<<..?-r..»x�_:�nwF'r.." i-rw.. . a .:tYi.. � � .- ` �" NQ'nCE QF DEEt?ItESTR1CTIQNS:. The underslgned.nnder�tands°;t�t�#t��i�,°.p�rmlt�may.be,subJecfi to_,",deed";_r.estrlctions",,,.,..,��.f ��. which may�,be:rinore'-r.e`st�ictive<t#iaii�Courity�fegaiattons.`�TFie`.underslgneds�assumes-�esponsitiilttji�for"compilance withi"any` �� appAcable.deed teshlctlons. ' ..;F," � . : . - ; - „ �... .:- �. _� UN1.ICEN�ED�Cr3NTRACT+DRS �AND Ct�N��i4CTOR RE$PONStBfLIT1ES: -1f--the��awner�has:��hireiir a ;c�intrac#ar or contractors to undertake work,•they may;be>r.�qu;ired.tto.:be,;llcensed ln accnrdance:with_,state;:and�lacaliregula#Ions::-1f the��-�"�"� cantrac#or ts�not ltcensed as teqtttred;6y l�w,-`both�the owner and>co�VactoT%may�be��cited-focia�inis�emesnor vlotatlon under state law. if the owner or Intended,;contractor,+are_;uncertaln as to what Ilcensing;requlrements"may=-applyr��for�tine.� �� -��•��" .�.�. 8009�e Fur#tterrno eaif�ttie lainrne�'tiast liirede.Pasco County,Bulldln�";tnspectlorr.Dlvisloir-Licensing Section at�27-847- � -�� a +corit�actaT'or'coritractors� he ts advised to have �the contractor(s),�.sign;. ,;_ . ., :�: portio�s of the:;"caMractor_Blook" of this.appllcatton..for�whloh.they.wlll.�.,be responsible.� If::=you;_as the,ownerFsign�as`tiie " "` " � cont�act�r� thet�may�be a�n 1nd�cation that'he��ls i�ot.properiy ilcerised�arid''Is not entl�ed ta:petiiiltting�priutleges In Pasca, :. County. ' = . -- . ; �,�.. ,;,.�„ ��. , TRANSPCIRTATION-fMPACTIUT!l:ITlEBrlMPAG'�AN�!RE�QUI2CE RECOVERY�FEES:�The underslgned-unders#ands that Transportation Impact Fees and.Reco.uree.Recove.ry.fees may:�-appiyato:tfie'construcfion,of new.buildings,?change�of'�° `��' "-� _` use in exisN�g buildings,�or�eicpansion�of��ezisti�i�:�bulldings, as specffied.in P�scv�County Ordinance number 89-07 and �� 90-07. as amended.,.:�The undersigned al�o;u�ders#ands; ttiz�t'such fees;.3as�:may�:�e:�d�e;f:w111,.be ident�led a#fhefitime4'af�r- .�i��> ; �I permitting. It Is turtlier understood that Trai�spbrtation Impacf Fees and'�Resoucae.'Recouery��Fees:must be paid pria�to • receFving-a"cerfi#EEcate of accuyaancy"ar final�power�,�elease.Y:I€�the.p�a�e�ct:,does.no#invalve:�a:cert�icete af occupanicy�or��1�'�r�' '��`- _ . final powec release;the;fees mu�t be"paid,pcioir to.,permft Is�uance. �u�thermore;�°if:Pasca;County"Water/Sewer�,lmpact �. :=r:�,-u� fees are due�.they�.must be pald:.prior ta_pecmilrlssuance�:in:.accordance wltti.appllcabhe:Pasca'Gounty ordlnances. � CONSTRUCTtON`ClEN'LAYV(Ctiepter T13, Elortda Statute��a amende�: if_vaturatlon a#work is$2,500.00.,ormore,.1 �; ,=�;�w certity that I, the..applicant,: hav,e,;been ,provlded:�with-•a-copy of:the�"Florida-°Const"ructlon`=Lien.:Law—Homeowner's Protectlon Gutde" prepared by`tlie Flo�da Department'of Agrtcuttt�re and Gonsumer;Affalrs. 1f ths applicant ts so�teone . �,_ -; othe�than the"avmer", I cert �that,l=hav.e:obtalned�a�'copy;of..the;above.rJescrabed tlocument.and:proml�ie:ln,gaod;faith to. . • b. de#iver It to..the:'owner":p�ior.�t�o c�mrriencetn`ent�� - x. ' . ... _ , � - GONTRACTOR'�tJOWNER'S AFfIDAViT: i.certify:�that;alt„th�e;informatidn:in•thi�apptfcatton is accurate,and that ali work ,�w., will'be done in comptiance wlth all.appiicable laws regulating construction, zoning and�•land develapment. Applicatlon is hereby made to ob#atn..a.permit;,�to;,do;wor,'k.=,end�ltistalla#ion as ind[�eted:� .�.1•-cen�'ji ttiat no workdor installation tias commenced prior to Issuance of'a perm(f'"a'nd that.all work will be perta�med�to meet.st�ndards�of:all law� regulaxing� const�uction, Caunty and Clty codes, zoning regulatiQns, and fand deveiopmerit regulatitins�ln the�Jurlsdlctlon.-. I.ai'sa .. certliy that I understand thaC the regulatlons of other government agsncles may�appiy�to.the..lntended.work, and thak it is my responsibllity to ldent(fy:what.acUons 1 must>t�ke:to be,ln:.co�pllance, Such.agencles Include�but-are.not limtted ta:_� � - Depa�trrfen# af E�►vironmental'=Protectian=Cypfess.'Baytiead�,�We�and Areas arid Environmentaliy Sensitive Lands,VUatedNVastewate�Treatmenk. C. - Southwest Florida Vitater Management :Distr�ct Welis,' Cypress. 8ay.#�eads; We#iand Areas, Altering Watercourses. ' � � - Army Corps of Engtneers�Seawalls, Docks,Navigabte Waterways. � • Departmen# of.,.Heaith�`.$ Rehabilitative;SenrlceslEnvironmen#al=Neafth Uinit Weiis; Wastewater�Treafinent, � Septic Tanks:'.:. " ` � � : - US Envlronmental Protectlan Agency Asbestos abateme.n�� Federal Avletlon_Authorlly=Runways. ' t understand 3hat.the faliciwliig:.�estrictlons apply to the use of flIG� - Use af flN is not atlowed in,Flood.:Z,one"V"uMess axpressly permitted. - If the..fill'material�=(s to� b.e used„In.:Flood •Zone. "A", Ik. is understood that a drainage plan addressing a "compensating votume"will be submltted at#ime af:permitttng w�tch is prepared by a professfana! englneer Iicensed by'#he�taCe of'Florida: " � " - tf th� fill matertal�ts�to be�used tn Flood �one "A" In4 connection-vulth�a permitted bulldirtg usEng stem walt � constructfon, i certify;that fiii:wall.b.e used only to.fill the area within�the�stem wali. - � !f flll materia!-is #o be used tn any area; 1=�aertl�r that .�se. of such flll wlll not adversely affect adJacent + propeKies. !f use,of fili is found.to adversialy:�ff'ect adjaeerat�properties,.#he awner may be cited for viola#ing ' ` the conditions-of the building�:perml#,Is"sued�'under the attach�d_permit appllcatlon,�far::lots�.less than.�one (1) acr$wiilcFi are elevated�by flli�$�t.engineer�ed dralnage plart Is requir•ed. if I am the AGENT�OR THE OIMNER, I;.promise in good.fai#h to infarm the owner of��the permitting condittons set forth In this aftidavlt'prior to commeracing constntction. I,understand that azseparate permlt may be required for elecMcal work, . , , �-.„...,. . plumbing,�signs, wetis,:pools,,.alr condifioning;.g��s, oc:otMer instaii�itions not�spec�tcatly inclu�ed�in:the apptication. �A ,. permlt issued shall be canstcued to'be�a�license`-to��proceed wlth-ttie';work and nat as:authoNty:to.violate;�'aancel. aiter, or set aslde any�proy�sfans of the#echnfcat.code�;�nor shall lssuance°of a_permlt:pr.event the Bulldlrig U�Iclalfrom thereafter �equiring a correction af errors In.plans, gonshuction.or violations of any codes. Every�permlt=l.ssued sFiall becibme�invalid unless the wrork authortzeil.by such permft:3s_commencedwfthfn sf�c..months of permlt fssuenae, or if work authorized by the permit is suspended or.abandoned••for a�:periad;_qf�six{�)�montiis:"s`fter the ttme the�wo�'Ic�as corrmmenced. An extension may be requested, In writing;.from tFie�Building,Officlal for a period�not to exce�id'�nlneity�(90)�days a�d-will demonshate 3us#Iflable cause for�the e�enslor� tF work ceas+�s:for nlneiy.{90}cons.ecutive:days.-the�ob�is considered aba�doned. Ii�ARNiNG TO 4WNER; YCIUi�:;�AiLURE TO..R�ECt?EtD.A>MQTIC�:OF=�COMMENGEMENT.-NtAY-�R�SULT IN-YQUR P�lY1NG'tWiCE;.�'OR:iMPRQVEMEI!i�S�TO_YO�Ui�.PtiDPER�Tf:�^I��YO.UwI�t'FEKID:TG"C�BTI�'IN�fIN�A(��ING;'GON3ULT WIT U °O AN� TTO N F R�+.� °�7► �0 G' OG� :: ; ;� "a -�. `�� . E , - FtORlDA Jt1RA�{F.S:t1T:�3 - �.,, _ . , _ � - : - . . " OWNEft OR Ai#ENT_;;��'��'�' CON"t'RAGTQ Subsaib a d svvom ta ora� rm d) r�me�its Sa6 crib `snd`swam�ta,(ot aflfrm tcia:�tii8 �' i by ,�.�,hR,r.�r� c-�oc� s /''.;.by.. �`�� .�.'�; ��Is arApersonally,knot�m t •me or haslhave,qroduced o.ls/are .e onallyknown ln- e octias/have�produced � -�Y ' �Flr�,��as litenit�8qn. �r�j,�,�� t_f - as tdenttflca#ton. 1 � �'��.� Notary Pubila . C�� ' Nofary Publlc � � Cammisston No;`Lf `� a�s��G� Com�laston.No, �' � ��c��.C�-/�tl� x�U�'�� /�`� ��U��— Name of IVotary lYP�,P��ted or stamped Name of Notary iyped,pdnted or stam ed �.e�... '""� pEBRAELAINERUFFEL �S�'Yi�;" DEBRA ELAINE RUFFELL '`�"�'I��'' S343 :=Q. �= `r°' �=Commission#GG 44 =Commission#GG 045343 � ':Exp 2020 ="�'��;`ExpiresNovember 2 20 �� : iresNovember7, =;,�... P= �� %F`...�P' Bonded Thru Troy fain Insurance 8D0�38�7019 OFF�p � �'••';;,°`'� Bonde4 Tt+n:Troy Faln insurat�ce 84D-385�TOt9 "�"•� � ` Air Repair Hea#ing&Cooling,��. � Estimat� License CAC1815390 PQ BC}X 1606 Land O Lakes, Fl. 34639 813-293-99Q6 _. ... �.. ... ., ,A[3�F�E�S � 1{aren RODRIGE3EZ 37674 AARALYN RD , ZEPNYRHI�.LS, FI 37674 ESTlN�ATE#� '..D�l'E _..._. 1276 05117/2017 � . ACTIT�►TY . � . . C1TY� F?t�7'� � - A[�C�11�1T SALES 1 5,400.00 5,400.00 Insta113.4ton 15seer Tempstar Heat purnp system Install includes: TOTAL �CJ�,�Qo.oO condenser air handler 5kw aux heat WPFi thermostat h' safety overflow switch anchors uv coating on exterior armor f(ex i drain line flush kit seal joints with mastic � 10 year parts warranty 2year labor warranty � aA permits and clean up ,� Accepted By Accepted Date � ��/��a� ��- Y �� -�� ' .. . � f�', , ,J! Data Current as Of: Weekly Archive - Saturday, May 13, 2017 ' Parcel ID 03-26-21-0230-00000-0550 (Card: 001 of 001) Classification 01 - Single Family ' Mailing Address Property Value RODRIGUEZ KAREN Ag Land $0 37674 AARALYN RD Land $9,492 ZEPHYRHILLS FL 33542-3211 Building $71,891 Physical Address Extra Features $0 37674 AARALYN RD ZEPHYRHILLS FL 33542-3Z11 7ust Value $81,383 Legal Description (First a�enes) Assessed (Non-School Amendment 1) $81,383 See Plat for this Subdivision Homestead 196.031 - $25,000 EILAND PARK TOWNHOMES Non-School Additional Homestead Exemption - $25,000 PB 60 PG 102 LOT 55 Non-School Taxable Value $31,383 OR 9372 PG 2991 School District Taxable Value $56,383 ]urisdiction City of Zephyrhills Land Deta"s� (Card: 001 of 001) ___........_....._._....._,...,._...,_......_..�. ....�........__. .._._._.. ._...._._ ......_..,_.,,._..._.._....�._......_._.,_._.....,..�.._. ... ... ...___.�.�.,......_._.....,�.... ....�..�..�.___.__.._� ....._..._.___.�._...___...____.._..�.___...._._____�_...__.._.�_ Line ;Use Description -Zoning 'Units :Type �Price 'Condition ;Value � _. .__.. � _. ..� ._._.. �. - -. �. .. .; ..�..._. 1 _. ._.; ._�. 0100 .._.. .._ _. _.. ... SFR ' MPUD ; 1.00 LT... .. ... a- $9,492.21 1.00 $9,492 Additional Land Information . .�.. ... �. ... . .. _.. . _.. ... _ _ . _ ,_. . .,... .�._. �. _. _.. .....�_ _. _, - - - /lcres 0.03 Tax�►rea ; 30ZH FEMA Code -- , Residential Code EIPKCPI Building Information - Use 07 - Single Family Villas (Card: 001 of 001) Year Built 2010 Stories 2.0 Exterior Wall 1 Concrete Block Stucco Exterior 1Nall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Ceramic Clay Tile Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Central Baths 2.0 Line =Description ;Sq. Feet Repl. Cost New .. _... _._.. _.._...._... ._.._.... _...... .... .......r.....__..._..._...._..�.. . _... _.... . ..... ._..�,... _ ... . . �.... . ......µ... ..,:. _,. ...., �,..,. . . ... ,. . ._ 1 BAS 780 . .$39,889 ., 2 FOP _ .... .... . _._._._..._.._............. ... ................,..w;. _..._..... ._... _. ..—....,.....,......._......_. .....,........... ...M.......w._. .......45.._...�. ._.,. ... _.....,.,... .w...__._. ._....___._ $563 .---._ _ _. .... .......� 3 ' FSP 72 $1,279 .. ._...._.... ... _. . .�. ._ . .. . —. � ....... ......�. .. , _ . .. . .. .. .. ....� .._ ... . - - , ._...�__._.,.._�_µ_w.._._.___-4-,___.......�._..,.,�.. .._.�.._._; ,..._ .__..._.��...,. ._�._FST_. ._ ._.�..�.._..._,__._�_,.....�.__.....____._.._.__......_1.$ �.. _._. _. $460.._...._ ' .�. ...,...,._ .. ._� ..�...... ....._.._.,_.._.... _ .... ..,_..,..._,....� 5 ; FUS 781 � $35,951 ' Extra Features (Card: 001 of 001) . ..__..._.� ._._..�..�__�...._ ..._...... . _. ......__.._..�..._.._ _._._.___.__.__..._......�...._..._._.� .._.___.�. Line ;Description.__ ... ....._._......... Year ,m._.._._ _._.� ._. ._....._._.__•.FUnits ....._...........�__.._. Value ' No Extra Features Sales Flistorv - See All 5 sales r � �t�� o� � �� - -- � � .�c��. JEFF ATWATER CHIEF FINANICAL OFFICER �TATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW** CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 4/30/2016 EXPIRATION DATE: 4/30/2018 PERSON: GARCIA HUMBERTO FEIN: 205475354 BUSINESS NAME AND ADDRESS: AIR REPAIR HEATING AND COOLING INC 7803 SAINT LUKES RD. , LAND O LAKES FL 34638 I � SCOPE OF BUSIMESS OR TRADE: Heating,Ventilation,Air- �- Conditioning and Refrigeration ' Systems Installation,Service and Repair,Shop,Yard& Drivers IMPORTANT Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under ��i this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply � only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certficate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 � I