HomeMy WebLinkAbout21-1490 City of Zephyrhilis PERMIT NUMBER
'�- 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001490-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/10/2021
•
Permit Type: Building General (Residential)
Property Number Street Address
10 26 210120 00000 1050 37406 Derbyshire Drive
Owner Information Permit Information Contractor Information
Name: RUSSELL&ANGELIA RACKLEY Permit Type:Building General(Residential) Contractor: BAHR'S PROPANE GAS &
Class of Work:HVAC Changeout A/C, INC.
Address: 411 Sanctuary Cv Building Valuation:$0.00
MORGANTOWN,WV 26508 Electrical Valuation:$0.00
Phone: (412)805-1642 Mechanical Valuation:$6,750.00
Plumbing Valuation:$0.00
Total Valuation:$6,750.00
Total Fees:$73.75
Amount Paid:$73.75
Date Paid:2/10/2021 10:25:25AM
Project Description
A/C CHANGE OUT 3 TONS
Application Fees
Mechanical Permit Fee $73.75
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 subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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.
CON TOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-e13-7e0-0021
Building Department -7NV
G.
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Date Received ��jj� 7 b, j
1 Q / Phone Cont/act for Permitting (U I� ) 1 C� —
Owner's Name 1 Ll C 1�L /�uS�E'I i e-I/h� Owner Phone Number —
Ownees Address I-r 1150 hC�Ua Ly el v' Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address `/ c J ►n
JOB ADDRESS t,�I,,1�J Q �f 6h I re, 1 ^� LOT# n�
SUBDIVISION VV L'CJ PARCEL ID# -Of _�I�� BOO QO -
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q T
DESCRIPTION OF WORK S/ / 3 + o sp1 14
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING is
MECHANICAL $ 15 U 0 VALUATION OF MECHANICAL INSTALLATION
=cvks = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURES REGISTERED I Y/ N FEE CURREN LZ/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREn I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N
Address n License#
MECHANICAL ,v rI COMPANY PS 7 ^
SIGNATURE [�11��VV/{ REGISTERED Y/ N FOE CURREA Y/N
Address f I Rd 711116 License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Addre.s License#
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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 subdivisions/large projects
COMMERCIAL. Attach(2)complete sets of Building Plans plus a Life Safety Page;(f)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.
Directions:
Fill om 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 Up�rades,.A/C Fences(P1oUSurvey/Footage)
r .. :.. 't
Driveways-Not over Counter if on publicxpadways:.needs ROW!
it•,
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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 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 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 1 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,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 & 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 YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.Y 3)
OWNER OR AGENT . CON RA TOR
nd savor (or i e efo t is S e swo a e ore
Q9bY by th's
�i ho i are personal y known tome or shave produced Wh is personally know n me o has)iave produced
as i entification. - as identification.
11A
&ry Public ^� Notary Public
Commission No. Commission No. ' O`
N Name of Notary typed,printed or stamped
,,�n rEptires09/115J2023
ry Public Stab of FbrWs
+� mie M Rogers WOO
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ommission GG 913245 Tammle M ROgQf�l
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0 My Commission GO Pj;lP4§
Expires 09/15/2023
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Detiumidis t Settings When here.Y henn-Away fi:°� T-S tat 80°- SE
❑ MAINTENANCE CONTRACT R
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LIMITED WARRANTY: Ali materials,parts and equipmegt are.warranted by the manufacturers' 1'-', '4 METHODaQ:F PQYIVIEN`7�:'`"+ ``-x r CALL I
or suppliers'written warranty only.All labor performed by.the above named company is warranted for TOTAL I
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS I
express or implied,and its agents or technicians are not:authorized to make any•such warranties on
behalf of above named company. O DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authority to order the work outlined above which has been satisfactorily complet4d.I agree that Seller PROD' W C
retains title to equipment/maledais furnished until final payment is made,If payment is not made,ps agreed, CLAIM# - I
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 12%SERVICE CHARGE WILL 9E ADDED MONTHLY TO
ALL UNPAIDBALANCES OVER 30DAYS.NO REFUNDS DATE'C;'OMPLETE
TECH: �I TAX _
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'USTOMER SIGNATURE DATE 17--
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2/10/2MI 10-26-21-0120-00000-1050 1 Pasco County Property Appraiser
Parcel ID 10-26-21-0120-00000-1050 (Card: 1 of 1)
Classification 00100-Single Family
Mailing Address Property Value
RACKLEY RUSSELL J &ANGELIA B Ag Land $0
411 SANCTUARY CV Land $17,181
MORGANTOWN, WV 26508 Building $112,505
Extra Features $527
Physical Address
37406 DERBYSHIRE DRIVE,
ZEPHYRHILLS, FL 33542 Just Value $130,213
Assessed (Non-School Amendment 1) $130,213
Legal Description (First 200 characters)
See Plat for this Subdivision Non-School Taxable Value $130,213
WEDGEWOOD MANOR PHASE I &II PB School District Taxable Value $130,213
27 PG 11-14 LOT 105
Jurisdiction
CITY OF ZEPHYRHILLS
---------Land_Detail (Card: 1 of 1)
_Line_ ,Use ;Co_d_e_-TDescription ;Zoning,Units_ _ Type ;P_rice ',Condition Value
1 T010_OR_! LP_1-1 -j. SFR _A OOR4 4,50 .00 _0 -SF - i $4_ .6.5 0.80_ $16,740
^2 010OR 1 1_131-2 j iSFR 1-00114M€ 1,901.46 I- SF - -$0.29 -0.80 {- $441-
Additional Land Information
-Acres Tax Area FEMA Code Neighborhood Code(s)
_ 0.15 - 30ZH -- ---___.___- ---- - - ----------------- - - ---- ----
0.15 �� X j WDGW
View Sketch Building Information - Use 0100-Single Family Residential (Card: 1 of 1)
ear Built 1991 Stories 1.0
xterior Wall 1 Above Average Exterior Wall 2 None
oof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
nterior Wall 1 Drywall Interior Wall 2 None
looring 1 Cork or Vinyl Tile Flooring 2 Carpet
uel Electric Heat Forced Air - Ducted
/C Central Baths 2.0
Line_ 'Code ,Description Sq. Feet Value
1 _ ; BAS01 LIVING AREA E 1,434 $102,433^_ _
- 2 - F_GR01 _FINISHED GARAGE _ j 340 ! $9,715 —
-3 --FOP01---Y--FINISHED OPEN PORCH -- - --T-^ - ZD- - '_-__------- $357
Extra Features (Card: 1 of 1)
Line Code Description Year Units ;Value
1 -! RCONPTO - _ CONCRETE PATIO - - -� 1991 - ' _-_ 40 _ -- - -- -$59
2 i RDWSWC DRVWAY/SIDEWALK CONC 1991 j 315 $468
Sales History
Previous Owner: MAHON AARON &TRACY C
/ YPe - -- -- --- - ----------- _ _
Month/Year Book Pa9 a --T -------- -'DOR Code Condition Amount
_03/2019 1 _9880 / 2371 Warranty Deed ; 01 I Improved $170 000
08/2009- -; 8156 / 1326- Warranty Deed l 11 Improved $0
08/2009 ' 8156 / 1325 ! Trustee's Deed 1 Improved $0
11/2005 I 6707 / 1351 i Quit Claim Deed _ - - ^-_ , _ _ _ ; Improved $0
12/2004 j_620_2 / 0_324_ _- Warranty Deed - j-- - Improved
08/2000 -� 4419 / 0419 -! Warranty Deed j { Improved I $0
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