HomeMy WebLinkAbout19-21434 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21434
i
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21434 Address: 7749 MERCHANTVILLE CIR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):. Block: Section:
Square Feet: Su division: CRESTVIEW HILLS
Est. Value: Pa�cel Number: 35-25-21-0120-00000-0290
Improv. Cost: 5,395.00 OWNER INFORMATION
Date Issued: 6/25/2019Name: MASSEY, SCOTT
Total Fees: 70.00 Address: 4636 LANE RD
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33541
Date Paid: 6/25/2019 Phone: 813-919-9398
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. C CHANGEOUT 70.00
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Ins[pectioi 6 Required
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 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.
(L- - &-- &e-,
CONTRACTOIR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-M20 City of Zephyiflills Pdrmit Application Fax-813-780-0021
Building Department
Dati ReceivedPhone Contact for Permitting -1(9/15 7 C?.R 7Y
ownees Nam Owner Phone Number
Owner's Address 17741 -m—r'gh�, owner Phone Number
Fee Simple Titleholder Name r Own"Phone Number
Fee Simple Titleholder Address
JOB ADDRESS E-77 t-dW;" -ville, dP,- LOT#
Zj fflie
-? -91 IN:;y Avlalo PP94
PARCEI.10#136 . 6
(09TARM FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONST11 ff�j�ALT SIGN DEMOLISH
R INSTALL R
PROPOSED USE SFR = COMM OTHER I
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DMCFUFr,CN OF WORK ,� 2E
BUILDING SIZE SQFOOTAGE= HEIGHT
EBUI LDING. . . . . . VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING Is
[MMECHANICAL IS G^3 VALUATION OF MECHANICAL INSTALLATION
ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY
SIGNATURE REGISTERED I YIN FEE CURREN LILN J
Address I Elena#F—
ELECTRICIAN COMPANY I I
SIGNATURE 111 REGISTERED I YIN I FEE CURREN LffLN J
Address I License#F—
PLUMBER COMPANY = I
SIGNATURE REGISTERED I YIN FEE CURREN
Address License
MECHANICAL COMPANY
REGISTERED SIGNATURE E CIIJV!� Yl I
Address License#1-016"
OTHER COMPANY F
SIGNATURE REGISTERED I YIN FEE CURREPI I Y/N I
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now oonsbuction,
Minimum ton(10)worldng days after submittal date. Required onsite.Construction Plans,Stormwater Plans wl Sift Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sGts,cf Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minbrum ten(10)wadding days after submittal date- Required onsite,Construction Plans,Stommeter Plans wl Silt Fence installed,
Sanitary Facilities&I dunqster.Site Work Pennd for all now 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 S2SDO,a-NGM*Of Con mmcenXNdfs required. (AfC upgrades over$7500)
Agent(for the—!tVad-)Of Power 9!A"y(for the owner)wound be sorriiorw with notarized lefterfroiri awnerautfiorking same
OVER THE COUNTERPERMITTIING (ropy,ofcontract requited)
Retools if shingles', Sayers ServicoUpgrad-AIC - F—OWSurvey]Footage)
Driveways-Not over Counter if on public midways-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 complianceJwith 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.
TRANSPORTATION IMPACTIUTILITIES 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 1 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, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health 8r 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. 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 AN ATTORNEY BEFORE RECORDING YO OTCE OF CO ENCEMENT.
FLORIDA JURAT(F.S. )
OWNER OR AGEN CONTRACTOR "/�'-�
S bs "bed d,swolt affirmed)before this bscn a d to or affinne )b fo m �s
t_ l5 0r �� ��"t rf 1��x_r
Who is/a y rsonally own to Who is/ani rsonaliy kn to me or has/have produced
as identification. as identification.
+Oi
� �Notary Public Notary Public
on No. ion No.
Pnva�•.,, SYLVIA A.CAMPBELL
Name of Notary typed, 0 Notary Public-State of Flori m f Notary typed,print ors e '•.
• ••: o
•, Commission t GG 112939 ;e �, Notary Public—State of Florida
My Comm,Expires Jul 19,2021 ; : Commission t GG 112939
Bonded through National Notary Assn. "� " My Comm.Expires Jul 19,2021
l iii Bonded through National Notary Assn.
- - - S,.
Franklin
CPROPAN G;as Service Order/Proposal
;AD A/C [NC.
Aoe,1988 •81�1-782-5413: Invoice
y .
WORK ' ORDER#/SERVIOEMAN •97320 APR
Sales, Service &'Installatio -/T-f!IE TAKEN 05/09I19 i E a 11
4441.Allen Rd. - Zephyrhills,,W33541• '9"°�AN. �i �Y~ �".I h� � •
„ „/ _ DATI/TIME PROMISED 05/10/19 13a00 ,,-
NOTES:l f 1 CUSTOMER#/LOCATION 04535
1. M Q t I Q Ur(} P�'�a PHONE#
1 PHONED# 813-545-gi45- --
YY1 S e_ S �a c+It I CONTACT
roy u Y��real'esi-c>L�:c�9►�nait �.�UtY1 ROUTE/SEQ ' . APR1824X1;
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MA5SEY I S OTT, MASSEY, SCOTT
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7745 f�11=RC ANTVII_LE CIR . ' 7745 MERCHANI'VILLE ,CIR I
ZEPHYRHI LS FL 33540,- , . ZEPHYRHILLS FL33540
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❑ REGULAR ❑WARRANTY la; TOSlllbltvlARY
hen here '; (When Away'L T` T-Stet ❑ MAINTENANCE CONTRACT T � s
;I- _ •''i,...:+»r, - 3nl- r � r•-. � SERVICE I r
LIMITED WARRANTY: All materials,parts and equipment are warranted by th ufacturers' FAY* { CALL I
or suppliers'written warranty only.AD labor performed by the above named comp is warranted for _-_ - -----
30 days or as otherwise indicated in writing.The above named company makes no otherN6f nties, ❑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 sadsfactorily completed.I agree that Seller - -
PROG. WIC
retains gtle to aqulpmenNmatenals fumished until final payment is made.If.payment is not made-as agreed, CiLAIM# -
seller can to
said equlpment/matedals at Seller's expense.Any damage resulting from said removal shall „;wh'
not be the responsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS , DATE-COMPLETED
CH: TAX
TOTAL - I
A, SETTLENMNT STATEMENT B. TYPE OF LOAN _
Republic Land&Title,Inc. I• [:]FHA z❑�' 3.❑Conv.r NINS.
4175 Woodlands Parkway 4.(E]vA S.[:]CONV.INS.
Palm Harbor,Florida 34685 6„02 7.L=Nu =
727-789.0035 fax 727-787-328I 19-0189 FA
B.MmIgFtm C&XNO.:
C.NOTE: This form is furnished to gtre you a statement ofactual settlement costs.Amounts paid to and by the settlement agent are shown.Items marked
_ not)were paid outside the closing They tyre shown here for informational purposes oral are not included is the totals
DAVID SCOTT MASSEY,a married man
D,Buyer 4636 Lane Rd
Zephyrhills Florida 33541
DAVID ROULEAU,a married man
E.SelIer: 552 Pineland Avenue
Belleair,Florida 33756
F.Lender.
7749 MERCHANTVILLE CIRCLE
G.Property: Zephyrhills,Pasco County,Florida 33540
Lot 29 CRESTVIEW HILLS Book$3 Page 124 Pasco County,Florida
H.Settlement Agent: Republic Land&Title,Inc.
Place of Settlement 3211 Tampa Road,Palm Harbor Florida 34684 Pinellas County
I.Settlement Date: June 14,2019
J. Summary of Buyer's Transaction I{. Summary of Seller's Transaction
100.Gross Amount Due From Buyer: 400.Gross Amount Due To Seller.
101. Contract Sales Price 170 000.00 401. Contract Sales Price 170,000.00
102. Personal Property 402. Personal Pppeq
103. Settlement Charges to Buyer(line 1400 1,093.50 403.
104. 404. Closing Rebate to Seiler 400.00
105. 405.
Adjustments for Items Paid bX Seller in Advance: Adjustments for Items Paid by SelIer in Advance:
106. City/Town Taxes 406. City/Town Taxes
107. County/Parish Taxes 407. County/Parish Taxes
108. Assessments 408. Assessments
HOA Quarterly Dues($150.00)Jun 14,2019 HOA Quarterly Dues($150.00)Jun 14,2019
I09. thru Jun 30 2019 28.02 409. thru Jun 30,2019 28.02
110. 410.
120. Gross Amount Due from Buyer. 171,121.52 420. Gross Amount Due to Seller. 170,428.02
200. Amounts Paid by or in Behalf of Buyer: 500. Reductions in Amount Due to Setter:
201. Deposit/Earnest Money 1,000.00 501. Excess Deposit(see instructions
202. Principal Amount of New Loan 502. Settlement Charges to Seller(Line 1400) 7,750.29
203. Existin Loans 503. Existingan(s)
204. 504. Pa off of First Mort e/No Existing Mt s
205, 505. Payoff of Second Mortgage
206. 506. Purchase'MoneyMortgage
Adjustments for Items Unpaid by Setter: Adjustments for Items Unpaid by Seller:
210. City/Town Taxes 510. city/Towa Taxes
211. County/Parish Taxes(I8'gross S2,753.82) 1,23733 511. County/Parish Taxes(18'gross$2,753.82) 1,237.33
Jan 1,2019 thru Jun 13,2019 Jan 1,2019 thru Jun 13,2019
212. Assessments 512. Assessments
213. Seller Credits for Repairs 5,000.00 513. Seller Credits for Repairs 5,000.00
2I4. 514.
220. Total Paid b /for Buyer: 7 7.33 520. Total Reductions in Amount Due Seller: 13 987.62
300. Cash at Settlement from/to Buyer.- 600. Cash at Settlement to/from Seller:
301. Gross Amount due from Buyer line 120 171,121.52 601. Gross Amount due to Scller(line 420) 170,428.02
302. Less Amount Paid by/for Buyer(line 220) 7,23733 602. Les Reductions Amount due Seller(line 13,987.62
520)
303. Cash From Buyer: $163,884.19 603.. Cash To Seller: $156,440.40
May 2007
File Number.19-0189 FA
Settlement Date:June 14,2019 FATCO I9-0189 FA
L. Settlement Charges,
700.Total Sales/Broker's Commission: Paid from l (Paid from
Based on Price$170,000.00 Q 2.50% =$4,250.00 Buyer's i Seller's
Division of Commission as follows Funds at; Funds at
701. 300.00 to RE/MAX REALTEC GROUP Settlement( Settlement
702. 3,950.00 to KELLER WILLIAMS REALTY
703. Commission Paid at Settlement 4,250.00
704. Transaction Fee to RE/MAX REALTEC GROUP 275.00
800. Items Payable in Connection with Loan:
801. Loan Origination Fee
802. Loan Discount
803. Appraisal Fee
804. Credit Re ort
805. Lender's Inspection Fee
806. Mortgage Insurance Application Fee
807. Assumption Fee
808.
809.
810.
811.
912.
813.
814.
815.
900. Items Required by Lender to be Paid in Advance:
901. Daily interest charge from Jun 14,2019
902. Mortgage Insurance Premium
903. Hazard Insurance Premium/Not Required-Cash Transaction
904. Flood Insurance Premium
905. Windstorm Insurance
1000. Reserves Deposited with Lender:
1001. Hazard Insurance
1002. Mortgage Insurance
1003,City Property Taxes i -
1004. County PropertyTaxes i
1005. Annual Assessments
1006. Flood Insurance
1007. Windstorm Insurance
1101. Tftle Cha es: -
1101. Settlement or Closing Fee(Less Closing Fee Rebate to Seller to Republic Land&Title,Inc. 400.001 400.00
1102. Abstract or Title Search to First American Title Insurance Cam any 75.00
1103. Title Examination
1104. Title Insurance Binder
1105. Document Preparation
1106. Notary Fees
1107. AttomeyFees --
(includes above item numbers:
1108. Title Insurance to Republic Land&Title,Inc.
(includes above item numbers: 925.00
1109. Lendees Coverage 0.00
1110. Owner's Coverage 170,000.00 Risk Rate $925.00
1200. Government RecordingPremium:and Transfer Cha es:
1201. Recardin Fees: Deed 18.50 Mortpge 0.00 Releases 0.00 I8.50
1202. C*/County Tax/Ramps: Deed 0.00 Mortgage 0.00
1203. State Tax/Stam s: Deed 1.110.00 Mart a 0.00 2,190.00
1204. Intan 'ble Tax to PASCO COUNTY Clerk of the Circuit Court
1205.
1300. Additional Settlement Charges:
1301. Survey/Not Required-Waived b Bu er
1302. Termite Inspection/Not Required for Closin -Cash Transaction
1303. 2018 Property Taxes-PAID to Pasco Coun Tax Collector oc$2 643.67 by Seller
1304. Utili Search Fee reimbursement C/o Orange Lien Data,LLC to Republic Land&Title,Inc. 1250
1305. Past Due Utility Balance Account#889656-002469654 to The City ofZephryhills 117.79
1306. HOA Transfer Fee(buyer pays)and Estoppel Fee(seller pays)reimbursement c!o
Homewisedocs.com to Republic Land&Title,Inc. I00.001 205.00
1307. Past Due HOA Violation Fees to Crestview Hills HOA 300.00
1308. Worldn Ca ital Contribution to Crestview Hills HOA
1309. Reimbursement for Home Inspection c% 300.00
ice Ins actions,Inc. to Tr Duprey 300.01 '
1400. Total Settlement Charges(Enter on line 103,Section 3 and line 502,Section K-) $1,093501 $7,750.29
May 2007
t
SeftmentoaWune14,2019 File Numhem 740189 FA
A. OTTLENWTSTATMENT
RepubuciAna&Title,inc.
4175 WoodlsodsParkway
PijmMsbor Florida 34685
727489 MS fas727-757.3781
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DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION CODE (FBC ENERGY,SECTION 403)TO BE LEFT ONSITE AND PICKED
UP BY INSPECTOR
Owner: 906'G eV .
Permit#: �
Site Address:
Contractor: Z4,9w':5
License#:
Final Inspection Date:
I certify that I have installed new or modified the existing duct work associated with the HVAC system
referenced by the permit listed above and found it complies with the requirements FBC Energy Code,
Section 403.3.Where modified,the existing ducts have been sealed using reinforced mastic or code-
approved equivalent. Ducts are located within conditioned space (Section 403.3)System was tested as
per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403.2 and FBC
Mechanical chapter 6.
r
Name of License Holder(print or type) Signature of License Holder
s