HomeMy WebLinkAbout17-18923 � I
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� � CITY OF ZEPHYRHILLS �
� :� Y., 5335-8TH STREET
(813)780-0020 18923
BUILDING PERMIT �
PERMIT INFORMATION � � LOCATION INFORMATION �
Permit Number: 18923 Address: 39551 MEADOWOOD LP
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: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0760
Improv. Cost: 8,242.00 OWNER INFORMATION
Date Issued: 10/13/2017 Name: LANCASTER, MAGDALENE HATTIE
Total Fees: 80.00 Address: 39551 MEADOWOOD LP
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/13/2017 Phone: (813)317-7522
Work Desc: DUCT WORK ONLY***********'"****
CONTRACTOR S APPLICATION FEES
AND SERVICES A/C CHANGEOUT 80.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULAT D
FINAL i
REINSPECTlON 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� �
CO RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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B���B�� City oi Zephyrhills Permit Applica6on Faz�13780-OD21 �
Building Departrnent
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- ' o.s�a�.t�.a d '/o�-I�1 Phone Confeet for P�rtnfltin �'13 �(b? _ �1 e15�l
o�.r.�. � a� le.�� �A.�cs�.,-�-eri Ownw Phom Numbv g 13-3 I� �-1 S a a- '
Owm�'sAddms cJ SS I ��IT D(LJLJ4C� cf Lvc�� Owner Phone Numb�r
FM Slmpfi Tltleholde Name Owner Phone Humber
FN SImpN TIN�hold�Addros�
roe�onr�ss ��ISS� /r1�itLba�✓����d C-�:=ry9 ' J,,;�.�s 3SSY�- �ors �
suaumsioH �1£Aoauovc� �'�� PARCELID� ��"d�o `$��O/y��a0000—e77�rc�
(OBTAtMED FROY PROPFJi�Y TAX MOIIC�
WORK Pi�OPOBED B NEW cANSiR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSFD USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRU ON O BLOCK Q FRAME Q STEEL a
DESCRIPTIONOFW RK � �At�°rie�-� e�-� Duc� veer..� $°S pf y�•�-�s /Qfiiv v£..�:
BUILDINO SI� SQ FOOTAOE� HEIONT �
QBUILDING S VALUATION OF TOTAL CONSTRUCTION
QELECTRIC S AMP SERVICE Q pROORESS ENERGY Q W.RE.C.
QPLUMBING S
QMECHANI s �.a�a VALUATION OF MECHANICAL INSTALLATION
OCaAS Q ROOFING Q SPECUILTY Q OTHER
FINISHED FLOOR EL ATIONS FLOOD 20NE AREA QYES NO
BUILDER COkPANY
$���� REGI3TERED Y/N FEeCURR6� Y/N
Mdrus LlCense�
ELEC4RICIAN COMPANY
$�C+��� REG�srEltm Y/N FEECURRB� Y/N
Addrsss Lioense#
PLUMBER Cp�yp/�y
$�0�7'V� rtEa�sTERED Y I N FEE WRREn Y/N �
�wa�.. u�„se�
NECHANICAL CONPAN1f �� �iZ�ll L'�°S
SICiNATURE r�cis�r�o Y/N �cuRREt� Y/N
�da�.. Olq K GoiL--�� �� u��# C.�G/�/!e$�/
onieR; coMrMnr '
SIGNATIJRE r�6isT�o Y/N FEE cunaa Y/N
Addras Ueenae�
�-i 1 7-1 T l 1 7-1-7"1 1 1 �'I-1"17-1'f'T"f-I--I T7 1 f'1"i'7 T 7 7 1 I l I"1 1 1 1 1 T7'17"7 I'i I 1 T'1 i T7"Tl 1 7'/-1'i
RESIDENML eh(2)Piot Pians;(2)sefa of Bullding Plans:(1)set of Enetgy Fortns:R-O-W PertnR for nsw eonatrueUon,
INmum ten(10)waridng days elter cubmittal da6e. Requlred at�site.ConahucUot�Plans,Stwmxater plans w/SIR Fence Inateiled,
Fadiitles 61 dumpater,Site Work Permft for subdlvbbneAarge proJacte
COMIIIERCIAL (3)eomRlete sata af Buqding Plarm pius e LNe Safety Pege:(1)set oi Energy Forms.R-aW Pertntt fw rsew eanstruetlon.
inimum ten(10)woAdng deya after submtttal date. ReqWred onstte.Conytrucdon Plans,Stormwater Plana w/SIR Fence InsfaOed,
{tary FecOftlea 31 dump�.Ske Work Permk for e)I new proJects.All eommerdal raquiremeMa must meet campilance
SIGN PERNR (2)sets of Engineerod Plans.
PROPERTY SURVEY requ)red for e�NEW consWcdon.
DindlW�s:
Fltj a,t sppu completey.
Owne►6 ctar efgn�dc ot epplicetlon,no�tred
M owr SZ500, Notln oi Commene�merd is nquind. (AIC upgrod�a ov�r i7500)
" Agent(for the ctar)or Power oi Attomey(for the otimer)would be someone with notarized letter from owner authoriyng eame
OVER THE R PERMITTiNG (Front of ApplleaUon Onty)
Reroofd H eh(nglea Sewers Servlce Upgradea!VC Fencea(PIoUSurvey/FoWage)
Drlv�wryrN over Counter if on pubUc roadways..needs ROW
� NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this ermit ma be sub'ect to"deed"restrictions°
9 P Y 1
'" � ' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any �
.. ,
applicable deed restrictions.
UNLICEPISED 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 vialation
under state law. If the owner or intended conVactor are uncertain as to what licensing requirements may appty for the
intended work,they are advised to contact the Pasco County Buiiding Inspection Division—Licensing Section at 727-847-
8009. Furthertnore, ff 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 indicaUon that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
, TRANSPORTATION IMPACTNTILITIES 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 af
use in existing buildings,or expansion of existing bulldings,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 pafd prior to '
receiving a"certificate of occupanc}�'ar final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to pertnit issuance. Furthermore,ff Pasca 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
Protectlon 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 af a pertnit and that all work will be pertormed to meet standards of all laws regulating
canstruction, County and City codes, zoning regulations, end land development regulations in the jurisdiction. I also
ce►tify that I understand that the regulations of other govemment 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 Iimited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection F�qency-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
"campensating volume°will be submitted at time of permitting which is prepared by a profess(onal engfneer
, licensed by the State of Florida.
- If the flll 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 adversety affect adjacent properties,the owner may be cited for violating
' the conditions of the building pertnit issued under the attached pertnit 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 infortn the owner of the pertnitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, welts, pools, air conditioning, gas, or other installations not specifically included in the application. A
permk 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 technicai codes,nor shall issuance of a pertnft prevent the Building Official irom thereafter
requiring a correction of errors in plans,construction or violations af any codes. Every permit issued shall become invalid
unless the wark 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 wark is commenced. An extension
may be requested,1n writing,from the Building Official for a period not ta exceed ninety(90)days and will demonstrate i
Justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR vo,"�• ��°�;
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT � �
WI YO R END R O N ATTORNEY BEFORE RE R ING Y R N TI OF O ENCEMENT �ic4,��' ,
FLORIDA JURAT(F.S.117.03)
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OWNER OR AGENT CONTRACTOR v,n d g
Subsathed en bswom to(or effirtned)before me this Subscribed and by m�q(a�r e�fi�d)��D�this o���I
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Who Is/are personelty known to me or haslheve produced Who INare personelty known to me or has/have produced ��N Q
es fdentificadon. as fdentifica6on. rn o� �I
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�* My Commission GG 002083
�'�o�F�o�Q Expires 07/'16/2d20
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premises at which the work.above'is'baing done.I authorize the,per(ormad of �. � ? "S'�'AN9i�1R�}=;vs'MEM@�Re�OTI�A;IL`,S� -, cherga if not paid In 30 days.In tha avent of non•payment of the spacifled
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the wark as noted on this,invoice,•Gecknowledge that the,estiinated price does not - � ��_:.. I _... _., 9 p rty may.be ursued and I will be res onsible
includs unforesean parts or lebor vwhich may ba nesded'after the work begina � ��``�`4' `"`�"�"�'�` � `,• �� I � e� . , r', tqr practical attomey Seas,.coflection costs,and intarests.
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� '�` - -� ��"' s��;.� �,,wAll-parts as recorcled'are°warranted as per manutacturer specifications.
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t.' - - --a,� $ + '�'a� t3' 4`=,, :�-ax'>� �;+��a'�`-.=�_-.;:�-:6tiscome-iiacessary:-rJuecto:,�ottier.defec6ve patts,,.they will ha charged
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�;��"�'�=� �+;s?se aratelyi'Wa gua�antee;that afl.repeUs are�done right.If a repair fails
� �_�igr�ature.�--�_ --t-- z _ V � � ~6 � _.____��.H_ .....______r_—,: p� _� _ _._._.._ —__.__.
�Ihe�b'ya, a s dory� _plstl a ave .xa`- � `f -}y,,_,..4:,_�, `sM _{' 9. (1 ife
dunn 'tlie:season;we•will;rePair it agai absolutely e.
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2017161286 J ,
Pertnit No.. Parcel ID No %3- �-a��o�yo-�Qaao - o��o
NOTICE OF COMMENCEMENT
Sfate of �10�i,C%�* County of 1-�S C� '
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, i
the following iMortnation is provided in this Notice of Commem�f m �t• / i
1. DescripGon of Property: Parcel Identification No. 1 ��1-V����G��� �C�U� "' d 7lo O I
SVeet Address: ��SS( m ei►fluJ �OVtio '
Rcpt:1901294 Rec: 10.00 ''
2. General Description of Improvement DS: 0.00 I T: 0.00 i
�C c.�A,�cP o`�" 10/13/2017 K. A.,, Dpty Clerk 1
3. Owner Information or Lessee infortnation'rf the Lessee contraded for the improvement:
r�x��!��-t e;.�e � �s.-�� �
3�,S�� m`�.a—p N �� � ��-p.D�c�l, � l(r F�—
Address Rest C�7G� Cily State
Interest in Property:
Name of Fee Simple TiUeholder.
(If different from Owner Iisted above)
Address /� � City State
4. Contractor. N'vt7 ��CQ-S ,
SO I O NP�t e C.O��. 1�(L TF}-r�� ��C_
Address P 8`���� _ �81 g City State
Contractors Tele hone No..
5. Surety: _ � , �
Name
�
Address Ciry State
Amount of Bond: $ Telephone No.
6. Lender. � /� PRtlL^R-S 0'NEIL,Ph D PASCO CLERK & COMPTROLLE �
Name "' 10/13/2017�1�,�1�36�am PG" ���q
Address C'ty OR BK �� ��� State IL
Lenders Telephone No. -
7. Persons within the State of Florida designated by the owner upon wham notices or other documents may be served as provided by
Sedion 713.13(1)(a)(7),Florida StaWtes:
J��
Name
Address Cily State
Telephone NumberoiDesignated Persan:
8: In addition to himself,the ovmerdesignates U, � of_
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statules.
Telephone Number of Person or En6ty Designated by Owner•
9. E�iration date of Notice of Commencement(the e�iration date may not be before the comple/ti�o-�n�ofp c�onIstr�u,cGon and final payme t to lhe
contrador,but will be one year from the date af recording unless a different dale is specified): VC:TU(��----��- ���j
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIR,4TION 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 T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOUiNTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under p.enalty of perjury,1 declare thal I have read the(oregoing notice of co mencement and tha facts staled therein are true to the best
of my knowledge and belief. _
STATE OF FLORIDA , Y _
COUNTY OF PASCO
Signature of 0 er or.Ce se or Owner's or Lessee's Authorized
OfficedDirect /Parined a ger , �
Siqnatory's Title/Office
The foregoing InsVument was acknowledged before me this�02 day of�f'.�'d�e�20I7,by��AS(���2c1�- �--�C'r`4$�E tL
• as ���.�.. ([ype of 8ufhority,e.g.,officer,[rustee,attomey in.fact)for
1'�D�'�U�}-�'.!e t--.�-��CFrj"�e-t2 (name of party ont�behal�f of om instrument was executed).
� Personally Known 0.OR Produced Identification� Notary Signature�' 1(�.... fL/�� '
Type of Identification Produced �`�-�� Name(Print) %h/1-rL'r 1� S� �.i�1�-�Z.� �
, ��iII't�.��`4P4/it�'t,f�
. ;�10'9'Y�VOG� Not2ry Public State of Fiorida �
Mary V Stewart
t� o My Commission GG 002083
9j�'o��.�` Expires 07/16/2020
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�e➢���� ���. STATE�F FL��9D�, CO�f�lTY�F P�.�CQ
��� � � '�p ° ,����r TH IS IS 70'CEF2TIFY 7HA7 THE FOREGOING IS A
�� ��� TRUE HND CORR�CT COPY OF THE DOCUMENT
� " H>��� � ON FILE OR OF PU6l.IC aECORD IN THIS OFFICE:
'�� � � ' WITN�SS MY MAND AN F^F�yCIAL SEAL THIS
� � In4Gocf�lYe 7rust o � L7AY OF C�/� 2 b�`�
��-�'� e4' � PAU L'A S. O'Rl�I�,�6:�RK&COMPTROLLER
� � � �
� 1f387 � � BY �(�� ��PUTY CLERK:
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