HomeMy WebLinkAbout19-21802 <% CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21802
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21802 Address: 3504 MALACHITE 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: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0040-00000-1340
Improv. Cost: 3,685.00 OWNER INFORMATION
Date Issued: 9/25/2019 Name: MEYERS LLOYD R & KAREN K
Total Fees: 60.00 Address: 14 MANSION AVE
Amount Paid: 60.00 HATFIELD, PA 19440-1721
Date Paid: 9/25/2019 Phone: 843-368-2465
Work Desc: A/C CHANGE OUT 1 COMPONENT 2.5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
I �
oCf ( �
DUCTS INSTALLED
Ins ections Required
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.
CONTRACTfiR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
imp
tA
C
L'
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
dd UP BY INSPECTOR
Owner: Lloyd 4 lid Keri ktgc-r'`—
Permit#:
Site Address: lach 1 n Dr
Contractor-
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.
L
el�-06C
Name of License Holder(print or type) Signature of License Holder
813-7801-0020 City of Zephyrhills Permit Application FaX-813-780-0021
Building Department
Date Received Phone Contact for Permitting
, � :Z e>3-s In.
Owner's -)v cLt- K-�-L<?,�
Name Moitr6•,LIL J Owner Phone Number L
Owner's'Addressi/4 11*f�wner Ph.Number
Fee Simple Titleholder Name Omer Phone Number
Fee Simple rdlebolder Address
JOB ADDRESS I 55C4 Ha1aC'h-'+t- � �qc LOT#
SU13OMS14ON Wrner,31d ]';�71 PARCELIDN if 10040 00000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED DEMOLISH
R NEW CONSTR ADDIALT SIGN INSTALL re REPAIR
PROPOSED USE = SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION = BLOCK (0 FRAME STEEL
DESCRIPTION OF WORK (*a
BUILDING SIZE SQ FOOTAGE HEIGHT
EBUI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING 1$
02�.'ECHANICAL IS LA_' VALUATION OF MECHANICAL INSTALLATION
=C.',AS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER I COMPANY I I
SIGNATUR4 REGISTERED I Y/ N FEE CURREN LY/N
Address License#
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED I YIN FEE CURREN I Y/N
Address I License#
PLUMBER I COMPANY =
SIGNATURE REGISTERED I Y/ N I FEE cuRREA I Y/N I
Address I License# I I
MECHANICAL COMPANY I&_hr6 f�om nc,Gas_4-!20_37nC4
SIGNATUR-9 REGISTERED I Y/ N FEE CURREN I YIN
Address Ucense#,l Moloql3�0
OTHER I COMPANY =
SIGNATURE REGISTERED I Y/ N FEECURREN I Y19—
Address License#
111111111111111111111111111111111111.1111111111111111111111111111111
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,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge 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 onsirte.Construction Plans,Stormwater Plans w]Silt Fence Installed,
Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance
SIGN PERIVIrr Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
44"Dir . . . . . . . . . ... . . . . . . . . I . . . . . . . . . . . . . . . . . .
e.t,1 g:
Fill ou,application completely.
Owner&Contractor sign back of application,notarized
If Over$2500,a Notice of Commencement is required. (AfC upgrades over Sylilio)
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 sningles Sewers Service Upgrades,1pg AIC Fences(PlottSurvey/Footage)
Driveways-Not over Counter it 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 IMPACTFUTILITIES 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
9G-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 if 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 Bayheiads, 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 W, 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 riot 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 YOUR NCrTICE OF MME CEMENT.
FLORIDA JURAT(F.S.117
OWNER OR AGENT 4w 011111-- 'CONTRACTOR
erl VgLbNndswon (or b$fp=M I h scribed d me this me this ibed and to r affl7
sworn
to
ly
Who is/are'oers)�n�allyknoto me )rhasthave produced
y
Voislae ers.n ykn.0' '66 ditorhas/have produced
------ s identification. as Identification.
Notary Public Notary Public
Com 'Ssi n C mmission No.
SYLVIA k CAMPBELL ""', y SYLVIA A,CAMPB!ELL
"Ay AA, ublir
Name f. grin Name of Notary typ a a _zpe 1 39
Commission#GG1129 Commission#GG 1129
. I ,p* I 1 9]
021 QIT�� My Comm.Expires Jul 19,2021
d, Myco mExpiresJul'19, 0 ". I ,
I Notar Bonded through National Notary Assn..
Bonded ti�qough National NotIr
AND A/C INC.
Invoice
WORK ORDER#/GERVICEMAN 101594 SEP
$a DATE/TIME TAKEN 09/24/19 09:49
4441*y TAKEN BY ' KIM 03
NOTES: ^TE/TIME PROMISED /
� � DATE/TIME
19662
^ PHONE# 843-368-2465 C
ROUTE/8EQ SEP—EST—
` .
MYER8, RON, MYERG, RQR
3504 MALACHITE DR ' 3504 MALACHITE DR
' EMERALD POINTE
ZEPHYRHIL�S FL 33542 -ZEPHYRHILLB FL33542
10
Come
EFRIO
FILTERS X X Changed Monthly
FILTERS x x Changed Monthly
EI REGULAR Q WARRANTY
hen here jWhen Away T-Stal t MAINTENANCE CONTRACT
LIMITED WARRANTY: Ail materials,parts and equipment are warranted by the manu
ENT
or suppliers'Wriften warrauty only.All labor performed by the above named company is warranted for
TOTAL
30 days or.as otherwise.in&ated in writing.The above named company makes no other warranties, LICASH LI CK MATERIALS
e�press or implied,and.its agents or technicians are not authorized to make any such warranties on
behalf of above named,company. L)DEBIT Q CREDIT 0 OTHER MAINTENANCE
I have authorit'"o orc�pr.the work.oullined above which has been satisfactorily completed,I agree that Sailer PROG. W I C
retains title to eopm66thnaterials'furnished until final payment is made.If payment Is not made asagreed, CLAIM#
seller can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall
not ps the responsibility of Seller.tjET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL LIN to IER3 AYS.NOREFUNDS DATE COMPLETED
TECH: v, TAX
L CUST8MER SIGNATURE DATE TOTAL
^
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-VW*IW i,
9/24/2019 24-26-21-0040-00000-1340 1 Pasco County Property Appraiser
Parcel ID 24-26-21-0040-00000-1340 (Card: 1 of 1)
Classification 00200-Mobile Home
Mailing Address Property Value
MEYERS LLOYD R & KAREN K Ag Land $0
14 MANSION AVE Land $33,538
HATFIELD, PA 19440-1721 Building $31,958
Extra Features $3,599
Physical Address
3504 MALACHITE DRIVE, Just Value $69,095
ZEPHYRHILLS, FL 33540
Assessed (Non-School Amendment 1) $69,095
Legal Description (First 200 characters)
See Plat for this Subdivision Non-School Taxable Value $69,095
THE EMERALD POINTE RV RESORT School District Taxable Value $69,095
PHASE TWO PB 35 PGS 127-129 LOT
134 OR 9654 PG 225
Jurisdiction
CITY OF ZEPHYRHILLS
Land Detail (Card: 1 of 1)
Line Use Code Description Zoning Units Type jPrice Condition Value
1 1 0200M ( LP1-2 Mobile Home Sub 0OC2 1 2,448.00 SF $13.70 ( 1.00 ( $33,538
Additional Land Information
Acres Tax Area FEMA Code Res Code Com Code Condo Code
0.06 30ZH -- I EMPT �— EMPT ( EMPT
View Sketch Building Information - Use 0200-Mobile Home (Card: 1 of 1)
Year Built 2003 Stories 1.0
Exterior Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Sheet Vinyl Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
/C None Baths 1.0
Line Code 'Description Sq. Feet Value
1 BAS01 LIVING AREA 490 $20,206
2 FEAO1 FINISHED ENCL ALUM PORCH 276 _ $9,691
3 FSTO1 FINISHED STORAGE 72 �^ $1,320
4 FOA01 FINISHED OPEN ALUM PORCH 72 $742
Extra Features (Card: 1 of 1) _
Line Code Description Year Units Value _
3 RCONPTO CONCRETE PATIO 2002 100 $213 _
_ 4 RCAC-1 CENTRAL A/C 2002 1 $405
5 RBRKSAN BRICK SAND BASE 2018 1,088 $2,981
Sales History
Previous Owner: KENNEDY DAVID E & KENNEDY MARGARET E
Month/Year Book/Page Type DOR Code Condition -A oun mt_
12/2017 9654 / 0225 Warranty Deed 01 Improved _$83,000
03/2012 8668 / 0907 Warranty Deed _ 01 Improved $78,000
04/2002 4926 / 1274 Warranty Deed Vacant $18,500
12/1999 4294 / 1675 Warranty Deed Vacant $15,900
04/1998 3923 / 1535 Warranty Deed I Vacant $0
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