HomeMy WebLinkAbout19-21030 CITY OF ZEPHYRHILLS
5335-8TH STREET j
(813)780-0020 2103
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21030 Address: 6815 SUNNIDALE 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: 03-26-21-0170-00000-1110
Improv. Cost: 4,345.00 OWNER INFORMATION
Date Issued: 3/27/2019 Name: GEARHART, GARY& PATRICIA
Total Fees: 65.00 Address: 6815 SUNNIDALE DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542
Date Paid: 3/27/2019 Phone: 231-350-1514
Work Desc: A/C CHANGE OUT 3 TON PKG
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 65.00
I
Ins ections.Required
DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute SS3.80 (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."
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.
NTRACT I ATURE PERMIT OFFIC9R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7804X)20 City of Zephyrhills Pdrmit Application Fax-813-780-0021
BuNng Department
Data Recehoed I Phone Contact for Pelmdulm F(
I I I'm 6 7a tV ;-
owner�a owwpmwmmdw I Nam 14
Owner Phone Md.
Ow.W.Address 1-6
Fee SWWe 71111letwider Name Ovater PWxw Number
Fee S"*71111"dor Address
JOB ADDRESS [ g I S
SUBDIVISION PARCEL=103 R 6 o7i Ot7b "00
(0fffMM FROM PR PEWTAX NOT M
WORKPROPOSED R MwawM[L_r ADDIALT r__j SIGN M DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER I
TYPE OF comsmt=om M BLOCK M FRAME STEEL
DESCRIFLON OF WOW I ROG, "91C -oat-, —q.7cN 14om
BUILDING SIZEI SQ HEIGHT FOOTAGE F
. . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL IS AMP SERVICE r_7 PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING is
VALUATION OF MECHANICAL INSTALLATION
=0AS = ROOFING Ip SPECIALTY= OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO
. . . . . . . . . . .
BUILDER COMPANY
SIGNATURE REGISTERED I YIN FEE CUMM Y I
Address I License
ELECTrJCIAN COMPANY =
SIGNATURE REGISTERED I YIN FEE CURRM LILN J
Address F License#
PLUMBER COMPANY =
SIONATURE L REGISTERED I YIN FEE CURRM L Y t lNj
Address =#
MECHANICAL COMPANY
SIGNAIWRE IMSIMM I YIN FEE CUNW� LZL_N_j
Add. P#1 MIWJ)&, License#Fd7le,b A13 474
OTHER COMPANY =
SIGNATURE F REGISTERED I Y/N FEE CUPRM LY t N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of BLdWing Plans;(1)set of Energy Forms;R-O.-W Permit for now conshiction.
Wnjmt m ton(10)wWM days"wWWW data. Required onsft Construction Otans,Stomwvater Plans vd Silt Fence Installecl,
Sanitary Fadhbm&1 dwnpster.Siff®Work Permit for sL6&vmiorwJIwgo pplacts
COMMERCIAL =(2)t:jxTqA8tB= M am plus Safety Paw.(1)set of Energy Forms-R-O-W Permit for new consbuctim.
(IO)W C:;:T Site Plans
=Required onsift.Construction Plans,Storawwater Plans w/Silt Pence installed,
Sanitary Facilities&I dumpstiar.Site Work Permit for all now projects.All commercial requirements must mad compliance
SIGN PERMff Attach(2)sets of B4neered Plans.
PROPERTY SURVEY required for all NEW&xstrtrcion.
Fill out appucallon completely.
owner&Contractor sign back of application,notartted,
.Now$2500,a Notice of Commanconertt is tv*dred. (XC upgrades over$7W0)
Agent(for the conTc"or)or Power 6tAttorney(forttte ownet)wadd be someone with noamd letter from owner authorizing Sam.
OVER THE COUNTER PERMrrnNG (COPY Of contract requited)
Reroofs if r.-tWoes Sewers SwAce Upgrades A/C Fences(PlcVSmey/Footage)
DdvewaywW over Counter N on pubric madways..nseds 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 property 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 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
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 car*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, Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland 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"Xr unless expressly permitted.
- If the fill material is to be used in Flood Zone "A7, 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 W In connection with a permitted building using stem wall
construction,)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. Every permitissued.strall 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F J�1 EN� 7.03)
OWNER ORAG r;2:714*,1111-r— CONTRACTO
sybs 'bed an swo� or affirmed)[5efick IpAth S bscribed and "mtD,.,or affirmed)I>erore me this
Whol��r#nally kffo- M- to me or has/have produced
.rsonattym to me or hasthave produced
as Identification.
as idenfirication.
V, Notary Public
I 1. - -2
omml 'N SYLVIA A.CAMPBELL missn4
Notary Public-State ot Flor
Notary Public-State of Florida
Name of y drited ciC01af*10
n #b1i I I IVIV
Aires Jul 19,2021 Rame of
? ;,,�: lie ded through National Notary
Assn. i% s P!," My Comm.Expires Jul 19,2021
"U.tTlw�0 Bonded through National Notary Assn.
PROPANE INC. Service Order/Pro osa1-
� AND A/C N�. n
r�ite,e 19�8 813-7.82=t013 Invoice
Sales, Service & Installations WORK ,ORDER#/SERVICEMAN `��SE5 MAR
DATE: T I ME TAKEN 0:.:.'/25 119 11 e 26
4441 Allen Rd. • Z(ephyrhills, FL 33541 TAKEN BY TAMMIE. 07
NOTES: �Sv U ` co'l ��C DATE/TIME PROMISED, 03AtP/19 09:00
CUS-1PTOME,R#/COC A.T10t-'I -03997
P'r?JiJl'`�1:.# -' 3 1.'".'50--1 51 4- C
1 UD.,1 p�k- <6N ptx_ �0( (y 5ELq_ ROUTE/SECS? MAR
GE:ARHART, GARY GEARHART, GARY
6815 SUUNIDALE DR 6815 SUNNIBALE DR
LOT # III VALLEY DALE
GEPHYRHILLS FL 3354k2 ZEPHYRHILLS FI.-33542
DEED I NI-Ft #/S
P�3� � - _
NEEDS ESTIMATE FOR NEW UNIT ��o(To II C�bf�
DESCRIPTION OF WORK QTY ,r MATERtALSF&;SERVICES 4 ' UNIT PRICE AMOUNT..
<r ec I< Nq I 3yS p�
i
To tr-, Te,- S4,- A/,Sa E2
Pw 4/C
f >4Jy34 I I
}. REGgN1NfENDAT101V$ I I
AnnuaGMainEerian Pressures
ce Reeommeaded^b"'AlhEttll ehtMa fact refs = I I
Lo HI T-Stat P� f I I��r' REFRIGERANT,R- LSS''rt- eclbs i
�..� ofaC e a„C(
tA Si[�` ' + ( r Q �X � 0 FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthly I I
❑ REGULAR ❑WARRANTY - ':;;TOTAL$(iMMARY:
Dehutnidistat.Sp0njs:;.When here"ON", When Away 60°/a;,'T-Stat 80e ❑ MAINTENANCE CONTRACT
SERVICE I
LIMITED WARRANTY: All materials, arts and equipment are warranted b the manufacturers' '_'"> ;y� "'' '-'"' CALL
PY METHOD'GF':PAYf01ENT',°"`;:i: '-
or suppliers'written warranty only.All labor performed by the above named company is warranted for ' - "T _ ^`
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL I
express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS I
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work outlined above which has been satisfactorily completed.I agree That Seller PROG. W/ C
retains title to equipmentimaterials furnished until final payment is made.If payment is not made as agreed, CLAIM#
seller can remove said equipmenUmaterials at Seller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: / TAX I
CUSTOMERSIGNATURE DATE ✓,� �t'yL(i TOTAL f IW
RECEIVED 03/27/2019 02:06PM
Mar 2719 03:05p Valloydale RO Ass'n,Inc 8133554874 p.2
1PUi2CEUSE AGREEIF.ENT
VALLEYYDALR RO ASS'N,INC
37501 Martindale Ave 2ephyrhills,F133542
83.3-782-6268 Fax.813-3554874
RE: Cy r Rts` (cl�Y%c c,.
i,t)T T: N i
ADDRESS: 418 i- S 4-'%�ItAct�t Rue-
We, 1� �
a Cv U� �LN LU-61 4 /A C>F�
.agree to
purchase dre home f -Ta b n 0%&, in"as con as is- dition
at the price of S coo fo the mobile home rind$32,5U0 for the Share ulth the total
price of S �ntb . A deposit of S 1.060 is given
an this date of I 1 -6L4^ lR The bal nee of5 1, LCJd for the
mobile home is to be paid to the seller on or before a closing date of 9 The
S32,500 wi ill be paid through the lattyer ror the proprietary ka:e.
The owner is to have all utilities(electric,water and telephone)disconnected and the Buyer(new
owner)will be responsible for hating all utiTifes turned on in th^.ir-mines. The Buyer(new owner)
will assume alt expense,starting the date or Q r,5:oR ,including taxes and
maintennuce fee.The Buyer(new owner)has permissit to clean and prepare home for occupancy
after this date.
'utrnersignature Buyer s%,Qatar CA,-` C'CAtt-.to';i�
GARY D• CYR
Print owner name Print bu er name
Second owner signature Samuel buyer signature
Print secrind owner r-mme rrin`,second buyer name
:fitness signature&Title Second witness signature&Title
6�� 51n'r,:a Z.
Print etitness name&Title Print secaud watums name&Tide
Date Date
RECEIVED 03/27/2019 02:06PM
Mar 271903:06p Valldydale RO Ass'n,Inc 8133554874 P.3
MTRFS020
Mail,ro:
GARY DAVID GEARHART,PATRICIA ANN GEARHART
3207 MOUNTAIN RD
EAST JORDAN,MI 49727-9634
CO/AGY 28 1 T# 1071409125
FLORIDA REAL PROPERTY REGISTRATION B# 922652
DECAL 12764039 Expires NO EXPIRATION
YR/MK 19811GLEN BODY HS COLOR UNK Reg,Tax 1.60 Class Code 37
VIN FLFL2ABI5793451 TITLE 19862312 Init.Reg. Tax Months 0
LENGTH 44' LOCATION 28 70 County Fee 2.50 Back Tax Mos
Mail Fee Credit Class
Sales Tax Credit Months 0
Date Issued 21612019 TRANSFER: X Voluntary Fees
Grand Total 4.10
IMPORTANTINFORMArION
GARY DAVID GEARHART,PATRICIA ANN GEARHART 1. Your registration must be updated to your new address within 30 days of moving.
3207 MOUNTAIN RD 2. Registration renewals are the responsibility of the registrant and shall occur during
EAST JORDAN,MI 49727-9534 the 30-day period prior to the expiration date shown on this registration. Renewal
notices are provided as a courtesy and are not required for renewal purposes.
RECEIVED 03/27/2019 02:06PM
Mar 2719 03:05p Valleydale RO Ass'n, Inc 8133554874 p.1
Mae Uan Suluadion for Dapt of Highway safely and Motm veNklas,Nafi HlRmmn Building,Tauahaaaeu,FLrioeaaao T$ 107140EI991
B'# 922652
;•••-• Idelitr atlon Nu rber Yeer Make - Body . WT-L-9HP Vessel Regis.No. Tlt52312 is Number
8 2211111aFLFL2At315793451 :1981 GLEN Its :44' RIB '
`
g Registered Owner Date of Iaeue 02/06/2019 LenRelease
GARY DAVID M=HART OR PATRICIA AM GEARHART OR KELLY ANN PAULSEN Merest in the described vehlde Is heresy released
3207 MOUNTAIN RD TNe
EAST JORDAN, HI 49727-9534 Dale
IMPORTANT INFORMATION
1. Aft-en ownership of the vehicle described herein Is
a♦ transferred,the seller MUST complete in fug the
Transfer of We by Seiler sadlon at the bottom of
the certificate of title,
Mai)To: 2. Upon We of this vefdde,the safer must complete
GARY DAVID GEARHART The notice of sale on the reverse side of this term.
3207 MOUNTAIN RD 3. Remove your license plate from the vehicle.
a. See the web address beldwfor more information and
EAST JORDAN, MI 49727-9534 the appropriate forms required for the purchaser to
title and register the vehicle,mobile horl vessel:
http:tlw m.hsmvshlte.fl.uslhfmP6lllht.html
r D ' a!
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i E
WML'6Catiahifdmber. Yeer -Mekjl .Bodj^••' :W[1.-BHP` ;Ve9WI eplt.N;b` �,Td197�UfmOpr.-' . ...
"FLFI�2AE15793451 `'V11:S'61 }3S 41 a H523..2 Liengelesce
i i CLEti 4 19 1
r: Iriarwsttn Ind er s W D6C vet lde le herYDy rG18Bsed;'
P Door •• . dm ., ido of.
Stale - �'Brand '-Seavrdery and 'i_ 'Use ,orev Idsid Data $r
. t• Brands .
FIr umPRIVATE.'. ;02/05/lDig
._ .. . . . .. • ,. .. .. .. ._.. . ,' .Tice _
Odamstor Status arVassel Vanuracturercr OH use Hull.Materle, Prop Data of Issue'
e02/06/2029 'Date
Registered Owner
GARY DAVID GEARHART OR PATRICIA:ANN'.GEARHART'OR`kELLY ANN
PAULSEN
32C7 MOUN4AIN RD
EAST JORDAN, MI 49727-9534 -
1st l ienholder
NONE
® DIVISIOI�OFMOTORISTSERVICES..-. 'TALLP.HASSEE'' ' `FLORIDA .. '.. • . ,1 .'. ..s. `
_ s , ',DEPARYNENi'OF HIt3H/WAJY/SAFETYAND MOTOR VEHICLES
RocenR Kyrwdt - .. .. :Tarty L'RfroCas '
a Crhrtlrut Ntuljlxr 3 7:315-5 6 7 Ditedar' gy
28',/:l: ;' 137315567>
=- •- - •"•--- TRANSFER OF TITLE BYSELL6it(This sedt'an must be completed di the time of sale.) - ,r
__ Federal s:Lorher lnvrequita dleflTe eSOa wire aye lr8esae.Purcbueir name,eeRuig prce snddue sFddai cenasion vrithdstnuoreroftnvrnrdip.
' - ' Fiume to canpleteor,prmiding a fotsesunemenhmey rani iFifnes oodles impei:alme� ` _ -
Itis'thk is uer+anted b lx five From a%lies a:upf o n.Tedw me fm.:of de'ecCfirafe and des molar vdode a,Jexl deanLed is bertbj tjixi a.cod to .
Sella NuslFrParchrer's Nana..._._ -- ,--- + .Addresr __-- - —' --
Seger Hutt timer seam price_ --. _ .. - Seller Mtat Eucr Ode Sold_ •.. - .
ULSe sole the this sm [J fishlt tdamder rowrtds._J.rt,lL.'J_.:t LX_I(ao mnhs)miles,date led andlFeicby uAly Uralto*belt or my ImoGr edam the odm,nu reeling:
;]•1.Mites ACTUAL MBEAGF, '+ •,[�,2.is JNFXCF$S OF rrS.MECHANICAL LIMITS. U.]:it N(yl'THIiACIUALMIIiAOL+ .' ,
UNDER PENALTIES OF PER I,JUR r DECLARE THAT 1 HAVE 14EAD THE FOREGOING DOCUMNT AND THAT THE rACTa 6TATea vN IT AR,E TRuZ
SELLER A7rnr ' � 'COSBLLFA Musn•';, .
Sip Hoc_. .�—•-- --- .Sija Hae: i
1'me Nel.t_ Tu Cosened: -
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i
PURCHASER Mrst a.
wit:
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=t:N0710E:PENALI4Y IS'REpUfRFD YUl41t IF NOF llB6U :..' 'V <:'. •-•', .<.� '.; _:.
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