HomeMy WebLinkAbout07-6880
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6880
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Permit Number: 6880
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6,150.00
Address: 39041 BLUEJAY AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: EASY ACRES
Parcel Number: 13-26-21-0100-00000-0240
Book:
Section:
Name: PA SON , JAY
Address: 39041 BLUEJA Y AVE
ZEPHYRHILLS, FL. 33542
Phone: 813388-3097
C/O AlC W/DUCT WORK, 9 SET UP AND 2 RETURNS
65.00
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DUCTS INSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
CONTRACTOR SIGNATURE PERMIT OFFI
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-813-780-0021
B""d'09 Dep,rtm"'. @ 13 / b u- 791:5 -f ~'&fu
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Date Received
Owner's Name
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Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
13C\o4 \
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PROPOSED USE
TYPE OF CONSTRUCTION
ADD/ALT
REPAIR
COMM
FRAME
fpp~yQh, \\",.3:3'S"4a LOT# I
13-dLo -J.\- O\cn-C::EXXiJ-OCJJrD
(OBTAINED FROM PROPERTY TAX NOTICE)
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I HEIGHT I
WORK PROPOSED
NEW CONSTR
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SUBDIVISION
DESCRIPTION OF WORK
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BUILDING SIZE
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FINISHED FLOOR ELEVATIONS I
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ROOFING
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PROGRESS ENERGY
W.R.E.C.
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
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PLUMBING
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY 0 OTHER
FLOOD ZONE AREA DYES
ELECTRICIAN
SIGNATURE
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Address License # I
MECHANICAL I Y L ^ ~ I. I COMPANY A cC U- A'(' CoN ct l~-!r 'Wi rJ D I
SIGNATURE ~ _1::i..t . _______ REGISTERED I Y / N I FEE CURRENT I Y / N I
Address I. 3 m\ (l "R po eu,':::P r -V L :-rilinjhJ;3 '3LP Iq u"o". I c.A (' o~
~:;'':'TURE . j ;~::~ Ul<;' f $ ~ ~~~RR~ nf*N 0 (I' mbJ
Address I I License # I I
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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 subdivisionsllarge projects
Attach (3) 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 all new projects, All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
COMPANY
REGISTERED
BUILDER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/ N
FEE CURRENT
Y/N
COMMERCIAL
SIGN PERMIT
DI~~~ti~~~': ' , , . , , , , . . , , , . , , , , , , , , . , , , , , , . , . , . , . . , , , , , , , , . . , , , , , . . , . , . , , . . . . . , , , . , . , . . . . . , , , . , , , . , , , . , , , , , , , , . . , , , , . . , , , , . , . . , , , , , , , , , . , , , , , , , , , , , ,
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
.. 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 (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
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 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, 1
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 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, 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 Officia~ for a period not t~ exceed nin~ty (.90) da~s and will demonstrate
justifiable cause for the extension. If work ceases for mnety (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.
=:A~::::Si;:/~ i12W~wlb,,( comRAc~l_r-----'
Subscrib~ pnd sworn 0 (or affirmed) before me thiS C su~scnbed and sworn to (or affirmed) before me this
j1t!!lfg7by bn(\sA- -=::1JIll1lo1 by Tn.......
Who Is/ar onally known me or has/have produc d Who Is/ar persona Y no 0 me or has/h~ve p~odu~ed
as Identification, as Identification,
.----,/tAU cI 'hhr-'7 Nota", P"~I'
Commission No,
41&.< ~zA+M
Commission No.
Notary Public
Name of Notary typed, .
: *:
FlOridllNotarySe<violl.com
FloridaNotaryServioll.com
City of Zephyrhills:
Phone: (813)-780-0020
FAX: (813)-780-0021
Building Dept.
-------------------------~---------------------------------------,
: TO: SHERR! FROM: JACKIE :
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: FAX#: 813-621-7915 FAX#: 813-780-0021 :
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: DATE:7-23-07 # OF PAGES: 2 :
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: MESSAGE: :
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: PLEASE HAVE ELECTRICIAN SIGN ON OUR PERMIT AND BRING IN WITH JOE :
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: THE ORIGNAL ALSO WE NEED SEALED NOC FROM DADE CITY FINALLY I
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: NEED A COPY OF THE CONTRACT BETWEEN HOMEOWNER AND YOUR
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: COMPANY FOR THE WORK.
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: THANKS JACKIE
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PASCO COUNTY BUILDING PERMITS
NAME AND ADDRESS FOR PROPERTY ID: 13 26 21
PARCEL IS LOCATED IN CITY ZH SC TP RG
NAME 1: PARSONS KEVIN SCOTT NAME 2:
ST LN1: 39041 BLUE JAY AVE ST LN2:
CITY: ZEPHYRHILLS STATE: FL ZIP: 33542-2202 TIFZN: 3
-------------LEGAL DESCRIPTION FOR PROPERTY-----------------________________
EASY ACRES PB 10 PG 100 LOT 24
OR 6873 PG 808
DATE: 04/19/07
0100 00000 0240
SUBD BLOCK LOT
RETURN WITH PF10
NEXT-FUNCTION: LD
Date:. 7/10/2007
Time: 4:22 PM
Page:
To:
2
@ 8136217915
ACORD CERTIFICA TE OF LIABILITY INSURANCE I DATI; (MMJDDNVVY)
1M 07/10/2007
PRODUCER (863)688-5495 FAX (863)688-4344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Herndon & Associates Insurance, llC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
91 lake Morton Dr, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
POBox 3608
lake 1 and, Fl 33802 INSURERS AFFORDING COVERAGE NAIC#
INSURI;D ACREE AIR CONDITIONING INC I N~:.;UI ~t:H A Br;dgef;eld Employers Ins Co
3801 Corporex Park Drive IOJf;IIRrR n
Suite 130 IN~:.;UI,~t:I~ C
TAMPA, FL 33619-1136 IN::.;!.!! ,~t:I,~ L):
IOJ'.;IIRrR r
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
I~M 'Ws'k~ TYPI; O~ INSURANCI; POLICY NUMBI;R P8k~Y,~~g~ Pg~W" Jr.~~mN
GI;NI;RAL LIABILITY
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
'.ll.TION
City of Zephyrhills
5335 8th St
Zephyrhills, Fl 34248
SHOULD ANY O~ THI; ABO\fl; DI;SCRIBI;D POLlCII;S BI; CANCI;LLI;D BI;~ORI; THI;
I;XPIRATION DATE; THI;RI;O~, THI; ISSUING INSURI;R WILL I;NDI;AVOR TO MAIL
-.l!L.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT ~AILURI; TO MAIL SUCH NOTlCI; SHALL IMPOSI; NO OBLIGATION OR LIABILITY
O~ ANY KIND UPON THI; INSURI;R, ITS AGI;NTS OR RI;PRI;SI;NTA'TJVI;S,
AUTHORIZED REPRESENTATIVE
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Marc W;lder/BElIND
ACORD 25 (2001/08)
@ACORDCORPORATION 1988
51 A 1E OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
(850) 487-1395
TRINO, VICTOR ANTHONY
ACREE AIR CONDITIONING INC
3801 CORPOREX PARK DRIVE #130
TAMPA FL 33619
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ACREE AIR CONDITIONING INC
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TAMPA ' , 'FL '33610
JEB BUSH
GOVERNOR
SIMONE MARSTILL~R
SECRETARY
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Acct: 000972 Po!:! Code: 4216
10/27/20060TAT05 2007 $103.41
0352 Surcharge
0351 Occupational License
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LETTER OF AUTHORIZATION
I, Victor Trino, hereby authorize the following to sign for and acquire permits and
licenses using my State of Florida License No. CACO 50424.
Joe Nappi
Sherri Wagner
Sabrina Westenbarger
If you should h7 any questions, please feel free to contact me at 813-620-1666.
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Victor Trino
Acree Air Conditioning, Inc.
License # CACO 50424
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me this
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known to me.
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who is personally
..ir~~':~~. CRYSTAL RYMER
~~:A.:;~ MY COMMISSION # 00640032
"~1-'ojr""~" EXPIRES February 13 2011
(407) 'j98~~ 153 FloridaNOl8ryService,co~
Nota ry
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
. 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
(850) 487-1395
TRINO, SUZANNE
ACREE AIR CONDITIONING, INC.
3801 CORPOREX PARK DRIVE #130
TAMPA FL 33619
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ACREE AIR CONDITIONING, INC.
63,75 HARNEY ROAD #102
1'1\l.fPA FL 33610
JEB BUSH
GOVERNOR
D1SPI A Y AS REQUIRFO BY LAW
SIM0NE MARSTILLER
SECRETARY
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