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Home My WebLink About18-19365 CITY OF ZEPHYRHILLS 5335-8TH STREET �/ - � (813)780-0020 19365 �, BUILDING PERMIT � PERMIT INFORMATION - - - _ LOCATION INFORMATION - - �Permit Number: 19365 Address: 6910 FAIRBANKS DR 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: VALLEYDALE RO ASSOCIATION Est. Value: Parcel Number: 03-26-21-0170-00000-0030 Improv. Cost: 3,700.00 OWNER INFORMATION Date Issued: 2/23/2018 Name: GAUMONT, STEVEN & DORIS Total Fees: 60.00 Address: 6910 FAIRBANKS DR Amount Paid: 60.00 ZEPHYRHILLS, FL 33542 Date Paid: 2/23/2018 Phone: (207)206-0834 Work Desc: A/C CHANGE OUT 3 TON CONTRACTOR S APPLICATION FEES BAYONET PLUMBING HEATING &AC IN A/C CHANGEOUT 60.00 . � Ins ections Re uired DUCTS INSTALLED DUCTS INSU- TED � 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 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." Com lete Plans S ecifications Must Accom an A lication. All work shall be ertormed in p . P P Y pp p accordance w�th City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ' NO OCCUPANCY BEFORE C.O. � �� CONTRACTOR NATURE PERMIT OFFI R PER PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION _ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 1 a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building DepaRment Date Recelved Phone Contact for Permittin Owners Name � '�i r'(,S � Owner Phone Number �� /"��Q� y' Owner"s Address l�J'�� W��'[J�h�S r". Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �"( I O r R��b(�i1 G� �r LOT# � SUBDIVISION V WI � �v pARCEL ID# �.7 '�{p��n� O I ZD��D�—(� �v (OBTAINED FROM PROPERTYTAI(NOTICE) WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK NV AG C(�-�1 �✓(�L�T (�i , BUILDING SIZE �� SQ FOOTAGE HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � QPLUMBING $ , �MECHANICAL $�H,^D O� VALUATION OF MECHANICAL INSTALLATION I (V OGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEECURREA Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y! N FEECURRE� Y/N Address License# MECHANICAL � � COMPANY 017� SIGNATURE � REGISTERED N FEE CURRE� Y/N Address 84 50 � YTIJ� License# �r wJ �� OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# , 1111111111111111111111111111111111111111111111111111111111111111111 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, ' Sanilary Facilities$1 dumpster,Site Work Permit for subdivisionsAarge 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 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance ' SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions:• Fill out application completely. Owner&Contractor sign back of application,notarized If over S2500,a Notice of Commencement Is required. (A/C upgrades over S7500) " 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 contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIotlSurvey/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. 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. 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 AfV ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTO ->�J Subscribed an byworn to(or affirmed)before me this �bscribed a d sworn to(o.Laffirmed)before� this . �, Who is/are personally known to me or has/have produced Who i are pers�onallv knowc'rto me or has/have pro� ced as identification. as identification. Notary Public C�'��.✓ Notary Public Commission No. Commission No. ��1��-)S�"lG� �""Y��`c ALIC�d,.BEd.LAS � Name of Notary typed,printed or stamped Name of Notary typed, inted or stamped MY COMMISSION#FF944599 �� +,f �� EXPIRE3:Decemba 16,2019 , orc�. � �e1- Bayonet Plumbing InvoiceNo.186018 �.� �,�j��$�ll, � Plumbing/HVAC CFC042998/CAC058062 PIUMBING.c�oouNe•HEATING H eat i n & Ai r� SeNICe Dete:02/23/2018 � Technician(s):Justin Messier,Joseph Rosell,Eric Weinhauer,Alan Bresette Conditioning, LLC AppointmentType:AOR_Installation 8950 New York Ave Hudson,FL 34667 (727)868-4636 service@bayonet-inc.com Customer• Contact Details: Service Location: Doris Goumont Doris Gaumont 6910 Fairbanks Drive 6910 Fairbanks Drive (H)(207)206-0834 Zephyrhilis,FL 33542 Zephyrhills,FL 33542 dgaumont@metrocast.net Description. SOLD BY ROB C JOB 183040001 CUST 1062497 10 YRS PARTS/2 YRS LABOR COD$3700.00 - -- •-------—-_.------ -----.._._._ . ._. _ ._. _ .---------------------------_..__.-------,- - Qty Approved Items Details � " --" "'- ' '"'---'�— Unit Price ; Price � -------' , , II �.�0 i AOR�I STALL fJE1°J PAChAGE UPIIT -- -� '- �'---- ---- �- -$3,7�0.�� j $3,]QQ.QQ I � �� H-600150 � IComUir�ed YtVP AC&PL I $0.00 ; $Q.�Q I '_.__"___. __ __. __. I � '_.._. _. _._._, ___'_.'__ - ' Recommendalion I � COD$3700.00 Subtotal: $3,700.00 i � Total: $3,700.00 � ; Total Due: $3,700.00 ; , - - ---- -- ---�- �------- __ _- - - � - - - - ------ ---! �' Customer Invoice signature i . ---- - --- - - - - ---- ---� - -- ---�-- -- - - -- ._. , We strive to provide the highest level of professionalism and quaiity service along with the best customer service assurance policy in the industry.Our service repair warranty policy is: all parts replaced by us will be free of defect for a period of 12 months.Many service companies provide 30-day warrenties.We choose to stand behind our labor for a period of 24 months.This is the labor to repair or replace lhe part we installed in the initial repair,not to corcect other pro6lems Ihat may have arisen.Leak soldering of any leak is not covered due to pressurization and vibratlon issues.We always prefer lo replace the leaking part over soldering. Refrigerant lost in such a condition,waste system stappages in sanitary sewer lines,and/or water damage cause by pinhole leaks in copper pipes are also exempt from any wartanry whalsoever. \� G�3� OMB Approval No.2502-0265 ''�� P�kENipR � �*II�II�II*� A. Settlement Statement (HUD-1) L�Bwoeve`°� � ` 7. �� FHA 2.❑ RHS 3.❑ Conv.Unins. 6.Flle Numbar. 7 Loan Number. 8.Mortgage Insurence Case Number. GAUMONT _ q, ❑ VA 5.❑ Conv.Ins. � i C.Note: This fortn Is furnishad to glve you a statement of actual se�lement costs.Amounts paltl lo antl by the settlement agenl are shown.Ilems marked I. ' '(p.o.c.)'were paid outside the dasfng;they are shown here for Intormational purpases and are nol Included In the Wtals, i - � _ - � D.Name 8 Addresa of Borrower. E.Name 8 Address ot Sellar. � R Name&Address of Lender. � ; STEVEN R GAUMONT and DORIS L. KATHI.EEN ASH,a/k/a KAY ASH i ,,, GAUMONT 310 Peterman Road i � ; 134 Ross Corner Road Indiana,PA 15701 � Shapleigh,ME 04076 ' � , � � G.Property Locallon: H.SettlementAgent I.Settiement Date: � � 6910 Fairbanks Drive HODGES&CARLE;'P.A. December 12;2017 ' � � Zephyrhills,FL 33542 , - � � .aiece otsewemenr.38140•North Avenue i .. _ � � � . Zephyrhills,FL.33542 • . ' . ; � � I { i � � " ' ; . .. . . � k , . . , j , 100.Grasa Amount Due from Bortowar 400.Groes Amount Due to Sellar I I ' , 701.ContreM seles prlce 38 500.00 401.Coniract saies price 38,500.00 ` I 402.Personal property � �� 102 Personal pmperty , 4 103.Sattlamenl charges to borrowar Qine 1400) 387.50 aos. , S' I 704. 404. � � ' � � �p5, 405. f � AdJustment for items pald by seller in advance AdJushnant for Items pald by seller In advance I i � 108.C(ryflown taxes to 408.Cityltown terzes to � i 107.Countytexes 12/12/2017 ro 12/31/2017 32.22 ao7.Counrytexes 12/12/2017 �012/31/2017 32.22 ; I' ' tOB.Assessmenls to 408./lssessments lo , _ � 109. 409. , . � , 110. 410. � 1N. 411. ��, ' N2. 412. I 120.Groat Amount Duo from Bortower 38,919 72 420.Grosa Amount ouo to Saller 38,532.22 � � 240.Amount Pald b or In Behalf of Borcower 500.Reductlons In Amount Due to aeller i� � 201.De It or eamesl mone 10 000.00 501.Exceae depostt sea InsWcUona 10,000.00 � i � i 202 Princlpel emount of new ben(s) 502.Seltlement charges to seller(line 1400) 619.50 , , • � � 203.Ex(stlng loan(s)taken su6Ject W 503.Existin loan s faken sub ect to � , � � �i ypq, 504.Peyoff of Brst mortgage loan j, , �� , 205. 505.Pe ofl of second mortgage loan . , _ 206. 606. `� � '507 ' 207. ' 1� i � � . . . . , . , .. . , � �i 208. 508. � i , 209. 509. ! ! � AdJuatmente(or Itema un Id by seller Adjuetments tor items unpaid by seller ! , � 210.CI flown taxea �0 510.Cityltown tazes to � I � 211.Coun taxes 511.Caunty la�ces lo f i � 212 Assessments 612.Auessments i � z�a.Park fees handled outside of closin s�3.Park fees handled outside of closin , z�a. e�a. I, L..__� 216. 515. � _-______----- . - - - . -------- --- __---- _ , _. �__ _ �, v ,' • T00.Totsl R�al Esiata Broker Feea $ pald From PaW From 4Iv(ston oi commisslon{Iine 7tl0)as follows Borrawer's Seiler's Funds at Funds at 701.� to SetUsment Settlement 702.5 to 703.Cammiss(on pald at seitlement �� 704. 9 BUO.ttems Paya6le In ConneeUon wfth Loan (�.O.C, � 801.Our ori inatlon char e g g $ (from GFE#t} 802.Your credit or charge{points)for the spectfic interast raie chosen $ (from GFE#2} 803.Your adustad ortgination charges (from GFE#A) 804.Appralsal fee W (Trom GFE#3} 805.Credit report to � (from GFE#3) ; &06.Taac setvlce io (fram GFE#3J 807 Flood ce�caUon to {from GFE#3) 808. 8�9. 81�. 811. 900.koma Requlmd by Lendsr to bo Paid In Advance 901.Daily interest charges from !o (a�$ Jdey (from GFE#t0y � � 902.Mortgage insurance premium for monfhs to (Gam GFE ti3} � � 903.Homeowner's insurence!or years to (from GFE#11} i � i 100�.Reaarves Depcsfted with Lsnder 1007.IMt1aI deposR!w your esaow account (from GFE#9 1002.Nomeormer's insuranca months�a per month $ 1003.Mortgaga Insurance monfhs(a�$ per month S 1004.PropeRy Taxes months Q$ per montiti $ i005. monlhsQ$ permonih $ � i0o6. monlhs�5 permonih $ 1007.Aggregate AdJustment -$ { 11U0.Title Cherges 1101.Ti�e seMces and lender's qUs Insurence (fram GFE#4j 1to2.sod�ementwc�ostngtae HODGE5&CARLE P.A. S 700.00 3SOA0 350.00 1703.Ownsr's tlds lnsvranee (from GFE t75a 1104,Lender's 6tle ins�rance $ 1105.Lender's litle policy limit$ 1106,Uwner's tiUe pol2y limit$ N07 AganPs partion of Rhe totaf titta insurance premium to $ 1108.Undarwriter s poNon of the totat Utie insurance premlum to $ 7109. � 11�0. 71N.. _ i 1TDD.Govemment Rewrding and Tranafer Charges i201.Govemmenf recardtng charges (from GfE#7j Tzo2 oeea S 37.50 Modgage$ Retease$ 37.50 1203.hanster 4aaces (irom GFE#8) 1204.CitytCounty taxlstamps Deed$ Mortgage 3 �{ 1205.State te�dstamps oeea s 26g.$p Mort9aye S 269.50 � f 7206. 1364.Additionai Settiement Chargee � ` } 7301.Required services that you can shop for (from GFE#6) � 4 13D2. $ 1303. 5 }30d. 1305. � ' 387.50 614.50 �7he Underslgned Acknowledges Recefpt of this Disciosure Statement and Agrees to the Correciness Thereof. � �.--�'.�� t� .,f-��.�.� - � STE/Y'�EI3 R.t3AUMONT RATEILEEN ASH,a!k!a KAY ASH !! �(/�i(�d�/t.�,o.N pt�_�_ t{ DORIS L GAUMONT�� i 6uyer or Agent Selier or Agent � Previous edilion are obsoleie Page 2 0(3 HUD-1 � w .'�� 895o New York Avenue Hudson,Florida 3466� *r Phone: �2�.868.4636 _ -. _ Fax: �2�.863•7237 - �:�=F . www.bayonet-inc.com PL=��MBING • COOLING • HEATING CACo58o62• cFco� s October 25, 2017 CITY OF ZEPHYRHILLS: I, Robert Blankenship, license holder for bayonet Plumbing, Heating& Air Conditioning, LLC, authorize the following people to apply/sign for permits under both my License numbers. Plumbing License: CFC042998 Mechanical License: CAC058062 Ann Geisel Ashlee Callahan Ralph Neumann Paul Sweeney Debra Kelling Elissa Holleran Rob Christy Thank you, Robert Blankenship Who is personally known by me Sworn and subscribed before me this ��"' day of�1DUe,mr�r 2017 J�� ,�•`O.�pR�'p(/��.,, ANGELAFRANCE _� o: NotaryPublft—StateofFiorida -• •= Commission S GG 112909 e' My Comm.Expires Oct 3,1021 I�'FOF�:'�` BondedthroughNatlon�INataryAssn.