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Home My WebLink About04-3701 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3701 Permit Number: 3701 Permit Type: MECHANICAL Class of Work: AlC NEW Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 6,776.00 Date Issued: 12/21/2004 Total Fees: 100.00 Amount Paid: 100.00 Date Paid: 12/21/2004 Work Desc: NEW AlC UNIT AND ELEC. Address: 39208 6TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: E & WENDY CROSIER 39208 6TH AVE ZEPHYRHILLS, FL. 33542 Phone: F EL A-BEAR REFRIGERATION SERVICES, I REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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 and Fee Must Accompany Application. II be performed in accordance with City Codes and Ordinances CCUPANCY BEFORE C.O. ~~ TRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER De~ 21 04 10:46a abear air cond 813 874 6713 p. 1 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8". St, Zephyrhills, FL 33542 !o 813-780-0020 FAX: 813-780-0021 DATE RECEIVED /;/ ~ Or! PHONE CONTACT FOR PERMITTING 5.?'\3-- ~LI-2l/43 OWNER' S NAM~Wa.f c\ JOB ADDRESS -~Cj 6{08' r -A2. () S i et2- &~ Ave. PHONE S(3-7~d-035'O LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL 10 # -,.;2.-d.V-Ol.\-OO3)-QOIOO- oaoo SUBDIVISION (ORTAIN FROM PROP~RTY TAX NOTICE I WORK PROPSED: []NEW CONSTRUCTION []SIGN [] ADDITION o ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING []COMMERCIAL []MULTI-FAMILY [] INDUSTRIAL [] # OF UNITS [] SWIMMING POOL [] MOBILE HOME o OTHER CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL /,u,F( 5ffNfi,rS~ DESCRIPTION OF WORK A ~ C () ;;).1/z -ton IZs.etf t:5 ~u vi 1~J1 f) _ / BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. AMP SERVICE [] FLORIDA POWER PERMITS REQUESTED D BUILDING ~' ~LECTRICAL $ VALUATION OF TOTAL CONSTRUCTION ~o D o PLUMBING ,Bt'MECHANICAL $ ~?7(P VALUATION OF MECHANCIAL INSTALLATION [] OTHER \ }fJ10 D GAS D ROOFING [] SPECIALTY TYPE OF CONSTRUCTION: [J BLOCK [J FRAME o S'l'EEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES [] NO qQ~~q~~~.Ee~tQ~ ~_"~:"., .,...... .'\.:.".~.....~~~;.r."...,..~_.!..l'. .~.....:... _'___......... .,...'...:'. BUIIDER COMPANY SIGNATURE STATE CERT OR REGIST It ****************************************************************** SIGNATURE: t~~f\~Q. '---~ . COMPANY rY\elCf<\ ,--p'o E~l..~Cf"R I c... STATE CERT OR REGIST It /;;:;;1Zo. OOO'1? 1(P ELECTRICIAN ****************************************************************** PLtlNBER COMPANY SIGNATURE STATE CERT OR REGIST It SIGNATURE ****************************************************************** COMPANY A- f::eA-{ A Ie cu STATE CERT OR REGIST!# CP(~051 ~.~ ~~_.:;':_b~_7 (_..~-_ ge'+'11l11 c. MECHANICAL ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # De~ 21 04 10:52a abear air cond B13 B74 6713 p. 1 A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. 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 ano 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 Lo contact the City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign pOftions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion that he is not properly licensed and ;~ not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~UTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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. E. 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 Regulation-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 *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. 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 code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". /~.,--~~'"?~"" ., .: ~......,- '~~~ C ...""--::: .--- Eol" ~ C' ......;:_...- SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of , 20_ by (name of person acknowledged) Owho is personally known to me, or Owho has produced (type and whoO did 0 did not STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged t 20 of identification) take an oath. (name of person acknowledged) [1ho is personally known to me, or Owho has produced (type of identification) and who Odid [)did not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped IIIIII/IIIIN III This Instrument Prepared by: Name: SEARS HOME IMPROVI;:MENT PRODUCTS,INC. P.O. BOX 522290, lONGWOOD. Fl: 32792-22$/0 1-407-651-5376 1111111 \1111 II111 III11 I1III11III III1I 1I11I I1II1III111II11II1 2004239677 State: NOTICE OF COMMENCEMENT F~. /l~ Rcpl: 841549 OS: 0.00 12/27/04 Rec: 10.00 IT: 0.00 ____u__ Dpty Clerk County: THE UNDERSIGNED hereby gives notice that improvement will be made to certain real' property, and hi accordance with Chapter 713, Fl~ridll Statutes, the following information is provid~d in this notice of Commencement, JEO PITTMAN PASCO COUNTY CLERK 12/27/04 1 i : 30am 1 1of591 6 OR BK 6165 PG 1. Description Qf property: (legal description of property, street addl'ess if available) & 2- '2100.3000100 2- 00 . . . ~ . 2. General <;lescription of improvements: I-f t/ (1-(( / (A/~) ,. . . , 3. Owner infonnation a. Name and address: ~~~. ~. , '3Cf ~ 0 8' ~-n1,.4t/~ 2~.d4;~ , . . '3:;.)-1 l" b. Interest in property: c. Name and address offee simple titleholder (if other than owner): , . fl":,,,' , , 4. Contractor: (name and address) SEARS HOME IMPROVEMENT PRODUCTS, INC. P.O. BOX 522290, LONGWOOD, FL 32752-2290 1-800-222-5030 5. Slmlty a. Name and address: NA b. Amount of bond $ 6. Lender: (name & address) NA 7. Persons within the S~te ofFlorieJa designated by OWller "pon whom notices or other documl(nts may be served as provided by Section 713.13(1)(a)7, Florida Statutes: (name and ad4ress) ~ 8. In a<,ldition to himself, Owner designates the following person(s) to receive a copy oftlw Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: (name and address) ABOVE NAMED CONTRACTOR 9. Expiration da~ of Notice of Commencement (the expiration datil is 1 year froJl1 the date of recording unless . fertint date' ecified) , ~ i~ature of Owner) OriversLicense#: e /?-Z-t:, -2 3IP -c, 7' - 0 G ~ -() OWller'sName: ~~ (! ~-L~...) Owner's Address: '3 q ],-fJ<t c,-!1, _ ~t2. 7~. i"'" ~~' RoMit l. wmz . ~ . My CommIIIion DOOM244 ,~", ~ Explres October 12, :zoos (Signature of person taking acknowledgement) (Name of officer taking acknowledgement ~ typed, printed or stamped) {Title or rank) (Serial number, if any) M9 . Rev. 08/03