HomeMy WebLinkAbout17-18148 CITY OF ZEPHYRHILLS
� 5335-83H STREEf
' (813}78d-0020 ����'$
BUIL�ING RERMIT
PERMIT INFORMATION LOCATIOId INFORMATION
Permit Number: 18148 Address: 5006 8TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A1C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABL.E Lot(s): Biock: Sec#ion:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21100-0130
Improv. Cast: 10,000.00 OWNER INFORMATION
Date (ssued: 211 4120 1 7 Name: HERRQN RANDY
Total Fees: 85.00 Address: 5006 8TH ST
Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/14/2017 Phone: 813-401-2063
Work Desc: AC CHANGE OUT 2.5 TON
CONTRA,CTOR S APPLtCATICiN FEES
UNIQUE SERVICES A/C CHANGEOUT 85.00
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tns ectians Re uired
D TS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTIUN FEES: (c)With respect ta Reinspecfiion fees will comply wi#h Florida Statute 553.80 (2)(c)the
tocal government shall impose a fee of four times the amounfi of the fee imposed for the initiai inspection ar
first reinspectian,whichever is greater,for each such subsequent reinspection.
1VOTICE: In addition to the requirements of this permit� there maybe additiana! restrictians applicable to this property that
may be faund in the pu6lic recards af this county, and there may 6e additianal permits required fram other gavernmental
entities such as water management, state agencies or federal agencies.
"1Narnmg to owner: Your failure to record a notice af commencement may resu[t in your paying twice far
impravements ta your property. If you intend to abtain financing,consult with your lender or an attorney
before recording your notice of comrnencer�ent."
Complete Plans,Specifications Must Accompany Applica#ion.All wark shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFO►RE C.O.
CONT CT R SIGNATURE PERMIT OFFI R
P MIT EXPIRES IN fi MCINTHS 1NITH4UT APPROVED INSPECTIQN
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRC�TECT CARD FROM INEATHER
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c. � 813-780•0020 City of Zephyrhills Permit Application F�-ais-�eo•oo2i
Building Department
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TQ�,_R������ Phone Contact for Pormitrt,'iin� -
Owner's Namo Ownar Phona Numbar �
Owners Addrass � {'� Ownur Phono Number
Fee Simplu TiUeholder Nomo Ownor Phona Numbor
Foo Simple Titleholdor Address
J08 ADDRESS l.V � r i (S L��a LOT N �I�
SUBDIVISION PARCEL IDq R'�����0� Q� � �
(OB7AtNED FflOM PROPERNTA%NOTICE)
WORKPROAOSED B NEwcoHsrRB ADDIALT Q SiGN Q Q DEMOIiSH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTiONOFWORK e �'�� .S�Q�" ��f�Ct!/�/') Q e � �p�e���'
BUILDING SIZE S�FOOTAGE� HElGHT �
08UIL�ING S VAIUATION OF TOTAL CONSTRUCTION
QELECTRICAL 5 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ \` `�
\�\
PAECHANICAL $/O oO j� VALUATION OF PAECHAN�CAI INSTALLATION \ V
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QGAS Q FIOOF�NG Q SPECIAL7Y 0 OTHER
FlNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
i i i i i i f t-3-i-i-i-i-i--i-T i�.--.-.-�9-� �i-�i-.-.�-.-.-.. �;� -.-r�F-i-L�-�T_"-
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License q
ELECTRICIAN --�- COMPANY �
SIGNATURE \ REG�STERED l FEE CURqEA Y/N
Qddress � License# a��0�'
PLUMBER COMPANY
SIGNATURE REGIS7ERED Y/N FEECURRE� Y/N
Address
License�
MECHANICAL i � ��, COMPANY �
SIGNATURE q REGI3TERED Y FEE CURREA Y/N
Address � License q C,7{
OTHER COMPANY
SIGNATUAE REGIST[HEU Y/ N FEE CURpET Y/N
Addrass
License H
IIIIIIIIIIIIIIIIIIIIIIIIIII � IIIIIIiillllltlllll � lltltililllllililll
RESIDENTIAL Atlach(2)Plot Plans;(2)sats ol Bullding Plans;(1)sat of Enorpy Forms;R-O•W Permil tor new consvuction,
Minlmum ton(10)working days afier submittai date. Requlred onsite,Construction P�ans,Stortnwater Pians w/Silt Fenco installed,
Sanitary Facilitios&7 dumpstar;Site Wark Permit for cubdivisionsAnrge praJects
COMMERCIAL Attach(2)complate sets of Bui�ding Plans plus a Life Soloty Pu�n;(1)set of Enorgy Forms.R•O•W Permit lor now consWction.
Minlmum ton(t O)�vorking days after submittal dete. ReqWred onsite,ConsWction Plans,Stormvratar Plans w!Slt Fence installed,
Sanitary FaciliUes 8 1 dumpster.Sito Work Permit lor aii now pro�ects.All commercial requ"uements must moet compliance
SIGN PERMR Attach(2J soGz o1 Enc�inoered Plans.
"'•PROPERTY SUAVEY reqWred for ail NEW constmction.
. . . . ��t• t• t' '�3 '�-:-��.i-�'rG i-�i�.l�:-.-.+�i�l-i-L-�-
Diroctions:
F�I out applicaUon complately.
Ovmer 8 ConUactor sl�n back of appficatian,natarized
If over 52500,a Notice ot Commoncomant is required. (!VC upgradoa ovor 57500) �
" Agent(for the co�Uncta)or Power ol Attorney(lor the owner)tvouid be someone wlth notarized letter from owner authorizing samo
OVEH THE COUN7EH PERMITfING {copy of contraci requ(red)
Reroofs if shingles Sowora Sorvica Upgrades q!C Fonces(PIoUSurvoy/Footfl�a)
Drivnways-Nol over Countar il on pubiic road�vays.,needs ROW � I
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'• . . .
. � NOTICE OF DEED RESTRICTIONS. The undersigned understands that ihis permit may be subject to"deed"restnctions"
which may be moro restrictive than County regulations. The undersigned assumes responsibility tor compliance with any
applicabie 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 vrith state and local regulations. I(the
contractor is not licensed as required by law, both tho owner and contractor may be cited tor a misdemeanor violation
under state law. Ii the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised lo contact the Pasco Counly Buiiding Inspeciion 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"o(lhis appiication for which they will be responsibie. if you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not enlitied to permitting privilegas in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpartation Impact Fees and Rocourse Recovory Fees may appiy 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 undersic�neci also understands, that such feos,as may bo due,will bo identified at lhe time of
permitting. It is turther 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
tinal power release,the fees must be paid prior to pormit issuance. Furthormore,if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicabie Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If vaivation of work is 52,500.00 or more,I
certify that I, tho applicant, have boon provided with a copy of the "Florida Consiruction Lien Law—Homeowners
Protection Guide"prepared by the Fiorida Department of Agriculture and Consumer Atfairs. if the applicant is someone
other than the"owner",I certify that i have obtained a copy of the above desctibed document and promise in good faith tn
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAV�T: i certify that ail lhe information in this application is accurate and that ali work
wi�i be done in compliance with ail applicabie laws regulating construciion,zoning and land development. Appiication is
hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or installation has
commenced prior to issuance of a permit and that all work wili be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land devalopment regulations in the jurisdiclion. i also
certify that I understand that the regulations of other government agencies may apply to the intended work,and lhat it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limiied to:
- Department of Environmental Protection-Cypross Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida WatQr Management District-Weils, Cypross Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers•Seawalis,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Weils, Wastewater Troatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the foilowing restrictians apply to the uso of fiil:
- Use of fill is not aAowed in Flood Zone"V"uniess expressly permitted.
- it thQ fiii material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"wiii be submitted at time of permitting which is prepared by a professional engineer
licensed by the State oi Florida.
- If the fill material is to be used in Fiood Zone "A" in connection with a permitted building using stem wall
consiruction,I certify that fill wili be used oniy to fill the area within the stem wali.
- if fill material is to be used in any area, i certify that use oi such fill wili not adversely aftect adjacent
properties. i(use o(fill is found to adversely affect adjacent properties,the owner may be cited tor violating
the conditions of the building permit issued under the attachod permit application,tor lots less than one(1)
acro which are elevated by till,an engineered drainage pian is required.
If i am the AGENT FOR THE OWNER,i promise in good faith to inform the owner oi the permitting conditions set forth in
this affidavit prior to commencing construction. 1 understand that a separato permit may bo required tor electrical work,
plum6ing, signs, weiis, pools, air conditioning, gas,or other instailations not specifically included in the application. A
permit issued shall be construed to be a license to proceed�vith the work and not as authority to violate,cancei,aiter,or
set aside any provisions of the technical codes,nor shail issuance of a permit prevent the Buiiding 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 a(ter the time the work is commenced. An extension
may be requesied, in writing,irom the Building Ofticiai for a period not to excoed 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 IMPROVEMENTS TO YOUR PROPERTY. iF YO INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y NOTICE O COMMENCEMENT.
FI.ORIDA JURAT(F.S.117.03)
OWNEA OR AGENT CONTflACTO � ��
Subscribed and swom to(or affirmecn beloro mo this Subscribed an swoc (oj af�firm�}�f�re�mo this/'
bY b b�,/�-t!'7C.Y...a�PAQ
Who is/are perso�ally knovm to me or hasfiavo produced VJho isJar erson y nown me or haslhnvo ptoduced
as identificatian. as idontifiption.
Notary Puhlic � • � Notary Public
Commission No. Commission No. �� 5
.•t�Y P4,�r� LISA ZAFFINO
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Name of Notary typed,printeti or stamped Nnmo of Notary typed,printed or stamped _ � . �VoTary pubiic-State of florida
=•s ♦•'
;�'f A,; My Camm.Expires Jun 5,2018.
� Eo���,?;.� Commfssfon�fF 13D052
__ _ _ _
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' ��f,�� (J�y���� ���_ lnstallation Con�-ract
� 877-247-7365
tN5'F'ALLATION ADDRESS BILLINC�ADDRESS
Ndme of Client Randy Herron —� Randy Herran —�
Address 5006 8th St � 5006 8th St �
City/State/Zlp Zephyrhills,FL 33542-2134�� Zephyrhills,FL 33542-2134 �
Phane Number 8134012063 �� 8134012063 �
E-maii Address � ��
tNVESTiViENT
Retail: $i 3,2i6
Utility Rebates: ($p)
Manufacturer Rebate: �$p� Payment Detaiis
DisCounts: {$3�216� Depasit(Check) � $0
Amount Due: $10,000
Balance Due(Financing} $10,000
FiNaNciN�
Financing @ 6D Manths No lncerest(iNF�
Est.First Month Minimum Payment: $167
P05T lNSTALL REBATES TOTAL COST OF QWNERSHIP(TCO}
Utility Rebate; $p Est. 1 Yr 5avings: _
�ther Rebate: $p Est. 10 Yr Savings: _
Tax Credit: SO TCC3 _
Net Investment: $10,000 TC4 Monthly _
Buyer Is the owner of the property at the Installation Address and is legally authorixed to enter lnto this Agreement. Unique reteins tftle to all equipment,parts and
materEaSs used to improve the prapercy undi Buyer's futt payment ix received by Unlque.A service charge of 1.5�.6 per month{t$%annual pe►tentage rate)ar the ma�mum
rate permitted by appticable law,whichever is tess,wi11 be made an a�l overdue amounts.8uyer responsible(or attorney fees,where allowed,for amounts not paid.Should
any Instant Rebates provided under chis Agreement become uncollectible,Buyer will be responsible for payment to Unipue of such unco0enible Instant Rebates. Prices are
aCsct fas 14 da from issuance of this reement.
._-----
�ustomer Si nature �����b��� CA 51 nature
9 9
Cusiomer Name �C,{�t" �� ��_�i��� CA Name _ ��tl� t t'1 Ttit�.`/
__�.
Date �-' � — �6 Date L/f�f��
651013 License numbers: CMC 041072 � CFC 1426265 � EC 13002942
SO# g97617 Thank You for Choosing Unique Services as yvur Home Comfvrt Specialist.
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2017020314
PennRNo. Percel ID No 1�a�a 100��a i� r��v��o
T� I��,r•,�^I{� NOTICE OF COMMENCEME;M�j�.^ �
/
state ot /j I l Il%� ��n�y�r �v�`�
THE UNDERSIGNED hereby gives notice thet improvement will be made to cerlain real property,and in accordance with Chapter 713,Florida Statutes, � �
the folbwing infortnation is provided in ihis Notice of Cammencem n• /�_/r`y�/� /
1. DescripUon of Property: Parcel Idenlification No. • _ J // IIiJ
StreetAddress: � I v ` � �� ���
2, Genejajaesc' n of ImprovertSePl �
�.Lr J�IC
3, er Informatio or Les ee'fortnation if lhe Lessee contracted torthe improvement:
, ✓g� 3���cZ
N z , � . L
Address City State
Int¢rest in Property:
Name of Fee Simple TiUeholder:
� (If difterent from Owner listed abov ""�1
Address y Slate
4. Cont actor. �� f1 ,/�h�
ame � `jT L)
Address '— Ciry State
Conlraclor's Telephone No.:
5. Surety:
Name
Address Cily State
Amount of Bond: $ Telephone No.
6. Lender:
Name
Address City State
Lendefs Telephane No.
7. Persons within the State of Florida designated by the owner upon whom nolices or other documents may be served as provided hy
Section 713.13(1)(a)(7j,Florida Stalutes:
Name
Address Cily State
Telephone Number of Designeted Person:
8. In addition to himselT,the owner designates °�—
to receive a copy of the Llenors Nol(ce as provided in Section 713.13(1 J(b),Florida Statutes.
Telephone Number of Person ar Enlity Designated by Owner. '
9. Expiration date ot Nolice of Commencement(lhe explretion date may not be before the compleGon of consWctlon and final payment to the
contractor,but will be one year from lhe dale of recording unless a diflerent 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 PROPERN. 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 AT�ORNEY BEFORE COMMENCING WORK OR RECORDINO YOUR NOTICE OF COMMENCEMENT.
Under penalry of perjury.I dectare that I have iead lhe foregoing nolice of commence e and that the(acts stated therein are we to the best
of my knovAedge and belief.
STATE OF FLORIDA L-
COUNTY OF PASCO
Signature o ner Lessee,or Owners or Lessee's Authorized
ftCpt:1837739 fZeC: 10.00 otticed�irect /Partne�mlanager
DS: 0.00 IT: 0.00
02/14/2017 J. R. , Dpty Clerk si9 nu�rar e
The foregoing instrument was acknovAedged before me this�,day of���.20�y
as ( pe of authoril e. , cer,�us[ee,attomey in fad)tor
(na o � a in e twasexeculed).
I
Personally Known❑OR Produ � ,Nhol�ary Signalur
Type of IdentificaGon Produced �'��V'JV`-'�Print)
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�pntl o,o �IS'AEA���C�O pqULR S.0'NE1LiPh D PRSCO CLERK Bi COMPTROLLER
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Qo �1'AT�OF Fi�QRIDA,COUNTY 0� PASCO
��' � �� ���° `fl�l�(S Tp C�RTIFY THATTHE FOR�G4ING IS A
�' . � �.� 7 • � fiRl1�ANp CORRECT COPY QF TNE DOCUMENT
� ' °' �' �. � . ' • o ORi�ILE(?R OF PUSLIG RECC?RR IN THIS QFFICE
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� o �nc�� ,.A'••. � WITNE$S MY HAND D OFFICIALSEALTH7S
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CITY OF / / / / BUI4DINQ
ZEPHYRHIL�S DEP�RTMENT ,
O� AC�DITION OR �ORRE�TION
r • • - �
ADDRESS ,� D 7E PERMlT,�
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THIS JOB HAS NOT BEEN COMPLETED. The fo�lawing additions ar corrections shall be made before the iob
wil! be accep4ed.
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It is unlawful for any Carpenter,contractor,Builder,or other persons,ro AFTER CORRECTIONS ARE MADE CAI.L
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-1NSPECTtON
or other material,until the proper inspector has had ampte time to approve
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR 1%����''����
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