HomeMy WebLinkAbout19-21697 CITY OF ZEPHYRHILLS
5335-8TH STREET
r (813)780-0020 21697
BUILDING PERMIT
PERMIT INFORMATION `••.,41LOCATION;INFORMATION
Permit Number: 21697 Address: 38452 12TH AVE
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: 11-26-21-0010-05300-0170
Improv. Cost: 18,732.00 OWNER,INFORMATION .
Date Issued: 9/04/2019 Name: MORTUME WANTA&MYRBEL HYLUSTPJkL
Total Fees: 180.00 Address: 38452 12TH AVE
Amount Paid: 180.00 ZEPHYRHILLS, FL. 33542-3744
Date Paid: 9/04/2019 Phone:
Work Desc: A/C CHANGE OUT 4 TON W/ DUCTWORK AND ELECTRICAL.
CONTRACTORS APPLICATION FEES
AMERICAN RESIDENTIAL SERVICES OF A/C CHANGEOUT 135.00
ARS RESCUE ROOTER ELECTRICAL FEE 45.00
Ins ections Re wired. -
DUCTS IN TALLED
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.
C6Nykj4CtOR SI NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
513-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 2— Iq Phone Contact for Permitting ck —
qjj-1- f7 c
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 13n5a I okkhvc LOT#
SUBDIVISION PARCEL ID# I -2I-00 -05 -01'+
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER �T
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK o of yT 1�' Y1C� eC���I�p
BUILDING SIZE SO FOOTAGE F------—I HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ n 6 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ ('
MECHANICAL $ 1�1VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEECURREN Y/N
Address License#
ELECTRICIAN COMPANY Iftloit
SIGNATURE REGISTERED �y N_J FEE CURREN I Y/N
Address S tr'Dt• • ,-.S"6 License# nop
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N
Address 7
=,License#
MECHANICAL 1 COMPANY
SIGNATURE REGISTERED Y N FEE CURREN I Y/N
Address A.Slah, '1JM(0 License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Bill 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
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/Sill Fence installed,
Sanitary 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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit 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.
DI.ectic,ns:•
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
INSTR#2019148701 OR BK 9966 PG 457 Page 1 of 1
S/H 09/03/2019 01:52 PM Rcpt:2086616 Rec:10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq., Pasco County Clerk&Comptroller
Permit Number
Parcel ID Number
NOTICE OF COMMENCEMENT
State of Florida `=��.1
County of Qnre;TB a Jat_J
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property S _l"A(/e al riescri tion):C1 _ _O.f x e._P.-��.(� _ ._�--. ._I' � �� 8 _ F+..
�nn _
a)Street(job)Address V" � 7�//
2.General description of improvements:
3.Owner Information or Lessee information if the Lessee contracted for the improvem t:
a).Mame and address: 'Waln�a N y JUS�-ret.l_ -�f r b-A/5 8(452- 12,
b)Name and address of fee simple titleholder(if different than Owner listed above)
c)Interest in property: OWNER -
4.Contractor Information
a)Name and address: AIRS RESCUE ROOTER/3340 N SCHERER DR SUITE A&B ST. PETERSBURG, FL 33716 -
b)Telephone No.: 727-497-4973- _ _ --- Fax No.:(optional) 727-581-3058 ------ - -
5.Surety(if applicable,a copy of the payment bond is attached)
a)Name and address: N/A
b)Telephone No.:
c)Amount of Bond: $ -
6.Lender
a)Name and address: N/A
b)Telephone No.: --
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Name and address: N/A ----_---_- - ---_ ---- -------- --4---
b)Telephone No.: _ _-- -� - Fax No.:(optional) ---- — -
8.a.In addition to himself or herself,Owner designates --_---_ —-- ofto receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner:
9.Expiratiorr date of notice of commencement(the expiration date may-not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date is specified): ,20
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN'RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON
THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
i ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE.OF COMMENCEMENT. -�
Under penalty of pe7jury,.I declar that I hav r a the foregoing no' of commencement and that.the facts stated therein are true to the best of my
knowledge and belief. I",i
Si nature of Owner or L ssee,or Owner's ore Authorized Officer ueptor/Partner/Mana er am and Provide Signatory's i e/O ce
I �9 ( 9 ) � ry� ) '
The foregoing instrument was acknowledged before me this ' �_ day of -�,�; 4i . ,20
by Iti myyn & MAIDe I as QL'3)N¢ e-- %pe of authority,e.g.officer,trustee,attorney in fact)
for k,,C, _ ,as _
(Name of Person) ,(type of authority,...e.g.officer,trustee,attorney in fact)
ie Quevedo
EXPIRES: Nov. 5, 2022. - -
''��,,, ftm Tlw MM Notary
'
'
STATE OF FLORIDA, COUNTY OFRAGCO Vic
THIS|STJ CERTIFY THAT THE FOREGO|NG|SA
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR0F PUBLIC RECORD|N THIS OFFICE
jFFICIA�SEALT
a� ESS
---�� &QCCOMPFTT -� 0 4)
LBR
-OL
14
By UTYCLERK
FF
�� �
,
August 30,2019
To:Zephyrhillsp
IS 2-6CAI L , license holder for /'� V`- -
05,1 authorize the following people to apply/sign for permits under my
license number ( 1 ,12y 15
Please allow ONLY the person(s) listed below to sign. This letter supersedes all others.
Kellie Quevedo Leffy Vargas-Jimenez
Peggy Gann Brandy Conley
Loa) S ZrA cu�--
Contractor's Signature Contractor's Printed Name
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 3b day of , by
annis ( u-k Who is Personally Known XOR Produced Identification_Type of
Identification Produce
'k elfie_QUevedo
�,��; , ;�=tAMIrIISSION�QG274434
EXPIRES: Nov. 5, 2022
- c:
(Print,Type, or Stamp Commissioned Name of Notary Publicl (Siona ure of Notary Public
Any questions please email LvargasiimenezPars.com or direct phone number 727-497-4973.
dRC/Roer„o Rnntar
h a i�
August 30,2019
To:`Zephyrhills
V b ✓ L , license holder for
authorize the following people to apply/sign for permits under my
license number EC, 00$Sc,�
Please allow ONLY the person(s) listed below to sign. This letter supersedes all others.
Kellie Quevedo Leffy Vargas-Jimenez
Peggy Gann Brandy Conley
Contractor's Signature Contractor's Printed Name
STATE OF FLORIDA
COUNTY 0F ?Paa VYlll`S
The foregoing instrument was acknowledged before me this day of , by
1 Who is Personally KnownX.OR Produced Identification_Type of
Identificatio , odu _
� . mll�e Quevedo
U `COMMISSION#01327443.4
=y, •. -EXPIRES: Nov. 5, 2022
eonded-Thru Aaron Notary
(Print,Type, or Stamp Commissioned Name of Notary Public (Siang ure of Notary Public)
Any questions please email Lvar�s'imenezPars.com or direct phone number 727-497-4973.
ARC/Roer��o Rnn*nr