HomeMy WebLinkAbout19-21442 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21442
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION r
Permit Number: 21442 Address: 5431 17TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14700-0050
Improv. Cost: 3,995.00 OWNER INFORMATION t
Date Issued: 6/28/2019 Name: HUEY, THOMAS J &TOBIEN
Total Fees: 60.00 Address: 5431 17TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/28/2019 Phone: (813)629-1261
Work Desc: A/C CHANGE OUT 3 TON PKG
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULAT01)
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7804= City of Zephoffls Pdrmit Application Fax-813-78G.0021
Building Department
Data Received Phone Contact for Permitting
Ownei's Name Owner Phone Wrmber tog
OwneftAddress l 5q3l -tit AV6 Z-h if CaIn"Phone Number
Fee Simple Titleholder Name owner Phone Number
Fee Simple Titleholder Address
ra 31
JOB ADDRESS 74h Ave, -Z-h J,f Is
SUBDIVISION PARCEIL ID#r1/Q Ito 00/0- q
(061ADIED FROM PROPERTY TAX NOTICE)
WOMPROPOSED NEw amm ADIXALT SIGN DEMOLISH
R INSTALL a REPAIR
PROPOSED USE SFR ❑ COMM Q OTHER
TYPE OF CONSTRUCTION M BLOCK ❑ FRAME STEEL
DESCRIPTION OF WORK -file-a�jg Ltf, Z0—M40LrK—t*—L
hts,&na Me,f) 7�
BUILDING SIZE SQFOCr1AGE= HEIGHTF
. . . . . . . . . . . .
. . . . . . . . . .
UILDING re VALUATION OF TOTAL CONSTRUCTION
=ELECTFUCAL 1$ AMP SERVICE PROGRESSENERGY I = W.R.E.C.
=FLUNBING S
VALUATION OF MECHANICAL INSTALLATION O-D
=GAS 0 ROOFING ❑ SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . .4
BUILDER' COMPANY
SIGNATURE .......... REGISTERED I YIN FEE CURREN LILN J
Address License#
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED Y/N FEECURRM\ LXLN J
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREI, LILNJ
Address License#
MECHANICAL COMPANY 7t±�Larr-1
SIGNATURE REGISTERED YIN FEECURREI� LjLLN J
Address -1qQ 1:E;,-1 Pol it=3 Ucense#Mi—W q3cz
OTHER COMPANY = -J
SIGNATURE F REGISTERED I YIN FEE CURREK
Address F
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new Construction,
Minimum tan(10)woriting days after submittal date.Required onske,Construction Plans,Stormwater Plans wl SIX Fence Installed.
Sanitary F.-wififies 9 1 dwnpster,Site Work Permit for subdivisions/large pm*ts
COMMERCIAL Attach(2)complete sets of BuRcling Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for now Construction.
Minimum ten(10)working days after submittal date. Required onsft Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&I dumpster.Site Work Permit for all now projects.Aff commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Er4meered Plans:
—PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . ..
Directions-
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a-Noffce of Commencement Is required. (A/C upgrades over$7500)
Agent(for the .trader)or Power rolAftmay(for the owner)would be someone with notarized letter from owner auihbrtdng*-sa-me
OVER THE COUNTER PERMITTING (Copy of contract required).
RemofisifsWngles, Sewers Service LfWades,A/C Fences(Plot/SurveylFootaje)
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.
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 1, 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. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland 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"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 UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER O AN ATTORNEY FORE RECORDING YOUR NOTICE OF COMM CEMENT.
FLORIDA JURAT(F.S.1
OWNER OR AGENT CONTRACTOR LJ 4W
bscrilad an bswo to(o affi so)ba�Ml,hk
Stu ad d swo t (or a rrmed) e r, a this
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Who istare ovally kno to me r hasthave produced Who I are, onall I ono me r as/have produced
as identification. as identification.
Notary Public Notary Public
Co i missia
YF'U .; SYLVIA A.CAMPBELL SYLVIA A.CAMPBELL
III 'Mteofflaida
U'
Name ' Nq ary ,fi infd d Name of No rlF, o -
+ Coommission k GG 112939 + ° = Commission t GG 112939
• Pc
�Po;: My Comm.Expires Jul 19,2021 N• , op;` My Comm.Expires Jul 19,2021
„OF F„„ Bonded through National Notary Assn. Bonded through National Notary Assn.
Franklin
PROPANE GAS Service Order/Pro osal
AND "c INC. n
le,�� 1988 813.782-50 i 3 Invoice
Sales, Service & Installations _
4441 Alle)) Rd. • Zephyrhills, FL 3�541
NOTES: 114 ji,t ^�` A/10,UdVA
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Annuat?ManEenance;Recommen'ded by Al1EgupmentrManufactucers.
= Pressures Lo HI T-Stat I I
REFRIGERAtVi'R=� '"t:BS. �It1s `c
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FILTERS x x Changed Monthly I I
�� FILTERS x x Changed Monthly
*" ���+++iii/// ❑ REGULAR ❑WARRANTY :14QTAL S.UIv1N1ARY,"
D'eliurrildistaf Settings;.When here"ON'.'-,When Away 60%d:`T-Stat 80 ❑ MAINTENANCE CONTRACT
:� _ SERVICE I.
LIMITED WARRANTY: All materials, arts and equipment are warranted b the manufacturers'r CALL I
PY
or suppliers'written warranty only.All labor performed by the,above named company is warranted for '-
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
I
behalf of above named company. ❑DEBIT El CREDIT ❑OTHER MAINTENANCE I
I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller PROG. W/ C
retains title to equipment/materials furnished until final payment is made.If payment is not made as agreed, CLAIM#
seller can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID BALANCE VER 30 DAYS.NO REFUNDS DATE COMPLETED
f TECH: TAX I
CU RISIENATURE DAT ✓� ✓ou TOTAL I VV
0/29/2019 11-26-21-0010-14700-0050 1 Pasco County Property Appraiser
Parcel ID 11-26-21-0010-14700-0050 (Card: 1 of 1)
Classification 00100-Single Family
Mailing Address Property Value
HUEY THOMAS J &TOBIEN T Ag Land $0
5431 17TH ST Land $17,198
ZEPHYRHILLS, FL 33542-4325 Building $62,166
Extra Features $1,925
Physical Address
5431 17TH STREET,
ZEPHYRHILLS, FL 33542 .lust Value $81,289
Assessed (Non-School Amendment 1) $50,020
Legal Description (First 200 characters) Homestead -$25,000
See Plat for this Subdivision Additional Homestead -$20
CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS
5 &6 BLOCK 147 OR 7449 PG 1928 Non-School Taxable Value $25,000
Jurisdiction School District Taxable Value $25,020
CITY OF ZEPHYRHILLS Warning: A significant taxable value increase may occur when
sold.
Click here for details and info. regarding the posting of
exemptions.
Land Detail (Card: 1 of 1)
Line Use Code Description _ _Zoning Units `_ Type_�Price Condition Value
1 010OR 1_132-1 a _ SFR r00R2 -8,400.00 j- SF- $2.00 1.00 1+$16,800 _
2 010OR ( LP2-2 SFR �� 0OR2 1,136.00 SF $0.35 1.00 ; $398
- - -- - -
Additional Land Information
Acres ( Tax Area -FEMA Code Res Code Com Code Condo Code
- - --- _ - - --- -- - - - - -- --- - --
0.22 30ZC j X ZHLH —� ZHLH ZHLH
View Sketch Building Information - Use 0100-Single Family Residential (Card: 1 of 1)
Year Built 1951 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
oof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
/C Central Baths 2.0
Line ode-_ Description _ `Sq. Feet Value _
C
1 BAS01 LIVING AREA 1,008
-- ---- - - - ------ -- $56,301 ------
2 j FEP01 FINISHED ENCL PORCH 144 7 v $5,641
3 [-U0P01 — UNFINISHED OPEN PORCH 28 1 - - $223
Extra Features (Card: 1 of 1)
Line Code Description Year .Units
1 RDCFE_NC_E __------- DECORATIVE FENCE ; 2012 -- - --1,272 _ -- --f__-_.__ - _950
2 RWDFENCEj WOODEN FENCE 3 2012 i 50 _ j $65
3 RUDU-M UNFIN DETACH UTIL MT _ 2013 �; 1 _ �i $910
Sales History
Previous Owner: VENTON GERALD C &VENTON WENDY L
Month/Year Book/Page ,Type DOR Code Condition 'Amount
_ 03/2007 - 7449 / 1928 Warranty Deed I -` _ ^ ? Improved $104,000
_03/2000 ; 4335 / 0479 Warranty Deed Improved $54 900
07/1998 -!-y--3972 / 1083 € Warranty Deed — Improved j $35,000
11/1993 _ 3223 / 0943 Quit Claim Deed _( Improved T$0
01/1971 ; 0577/ 0064 Improved j $0
search.pascopa.com/parcel.aspx?parcel=2126110010147000050 1/1
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4.
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
--�r� UP BY INSPECTOR
Owner: I or-005
Permit#: 0 a
Site Address: -15I` 1 ,51 71-h s--f- -�
Contractor: �r�S
License#:
Final Inspection Date: v 0—
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.
V--/n
Name of License Holder(print or type) Signature of License Holder