HomeMy WebLinkAbout07-7087
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7087
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7087
MECHANICAL
A1C NEW
NOT APPLICABLE
Address: 6111 PLEASANT ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: OAKSIDE MHP
Parcel Number: 02-26-21-0020-00300-0010
3,260.00
100.00
100.00
10/11/2007
INSTALL 2.5 TON A1C
Name: ZACK WILLIAM E TRUST
Address: 6111 PLEASANT ST
ZEPHYRHILLS, FL. 33542
Phone: 603 545-4172
~~
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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."
OR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Parcel Information for: 02-26-21-0020-00300-0010 Card: 001
Page 1 of2
S~;;lIGtLAg;;lin
Show Map Generalized Building Schematic Estimate Taxes Frequently Asked
Questions
Other Parcel Cards: 1 I 2 I ~ I .4 I ~ I Q I 1 I 8. I 9
Other Agency Data: Tax Collector School Board Supervisor of Elections
Ot1-lt9r1-
Sy..Per....J:l.Qme$.t.e~dmE$tim~t:Qr
ParcellD 02-26-21-0020-00300-0010 (Card: 001 of 009)
Classification 28 - Rental MH/RV Park
Mailing Address Assessment (totals)
ZACK WILLIAM E TRUST & Ag Land $0
ZACK MILDRED S TRUST Land $3,340,146
10423 137TH LN Building $145,076
LARGO, FL 337745323 Extra Features $13,584
Physical Address See All 213 addresses
6043 AGATE ST Total Assessment $3,498,806
ZEPHYRHILLS33542 Save Our Homes $0
legal Description (First 4 Lines)
SUB W1/2 OF SE1/4 B 2 P 6 LOTS Taxable Value $3,498,806
1 4 5 8 BLK 3 & LOTS 1 2 3 4 5
6 BLK 4 & LOT 1 BLK 5 EXC PCL
20 FT BY 20 FT WHERE LIFT
Land Detail (Card: 001 of 009)
Li~~ Description II Zoning Units ;fJi pri~~ V::1lhIA
1 10 TRLR PARK 00M2 239.00 15,127. . $3,326,125
2 I 0100 I SFR OM2 .11 AC 22,350]2 1 I $2,4591
3 0220 RV PARK 00M2 2.00 UT 5,781.00 1 I $11,5621
Additional land Information
. .,... Area 30Z~ Res Code R"" .-- m Code R''''--'
J3uilding Information - Year Built 1957 USE 12 - Stores / Office SFR (Card: 001 of 009)
Ext Wall 1 Concrete Block Stucco Ext Wall 2 None
Roof Str Flat Roof Cov Built-Up Tar and Gravel
Int Wall 1 Plastered Int Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
AC Central Baths 1.00
I Line II Description " Sq. Feet I Repl. Cost New
I 1 I' BAS II 832 I $53,248
2 UST 55 $1 ,408
3 FCP 209 $3,328
4 FEP 132 $5,888
Extra Features (Card: 001 of 009)
Line Description Year I Units II Value I
1 DWSWC 1975 I 44 I $17 I
2 UDG 1985 I 480 $965
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http://appraiser.pascogov.comlsearch!offline.asp?Sec=02&Twn=26&Rng=21 &Sbb=0020... 10/11/2007
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
.ft' 1orb1 ~@
Owner's Name
/I
Owner's Address ~a se ()
Fee Simple Titleholder Namel'foJxr-(- P;-//5 bJ'1
F.. Slmpl. Tld.hold., Add.... I b 1 P :;:[;(7 n t Sf.
JOB ADDRESS \- 6// ( _1,_-"/)+ Sf.
I I
E3 NEWCONSTR ~ ADD/ALT
INSTALL D REPAIR
PROPOSED USE 0 SFR 0 COMM
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME
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DESCRIPTION OF WORK I IY/ C _:J;:;.5 ~ ( ( ~ . 5 ~
BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I
I I , I , I , I I I . II , I I , I I I , II I I I , I I I" I I . II I . I , ft 11 I . . I , , I I II I I , . I , . I II . I , , 1 I I I , I . I , I I I , I I , I I , ~ II , I I , I , , I I . . I , , I II I I I , I , , I , II I r I I , III I I , I I I I I I . I , . II . I I , I I
1$ I
1$ I
1$ I
~. MECHANICAL 1$ ?;:)fo() pt-. I
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D GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
LOT #
SUBDIVISION
PARCELlD#1
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
WORK PROPOSED
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STEEL
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
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PROGRESS ENERGY
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PLUMBING
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
PLUMBER
SIGNATURE
License #
(o{;~URR{f i<; Y I N I
License # 1(1Y!81~ ~ P
COMPANY
REGISTERED
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SIGNATURE
YI N
FEE CURRENT
Y/N
Address 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 wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 wi 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,
COMMERCIAL
SIGN PERMIT
DI~~~ii~~~':' , . . . . , , , . . , , . . , , , . . , , , , . , , . . . . , , , , . , . , . . , , , . . , , , . . , , , . . , . , , . . . . , , , . . , , , . . . , , . . . , . '. . . . . , , , . . . . . . . . , , , . , , . . . , . , , , , , , . , , . . . . . , . . . . . , . . , . .
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, 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 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 offill 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 ~hat a s.eparate perm~t. may ~e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n~luded. In the application. A
permit issued shall be construed to be a license to proceed With the work a~d not as authorl~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. Invalid
unless the work authorized by such permit is commenced Within SIX months ~f permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty (.90) da~s 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 YOU~ NOTICE OF COMMENCEMENT.
FLORIDAJURAT(F 3) ..- .---- ~
OWNER OR .r me thi~ /_
Subscribed and swo a _If dh v '-"
I ()-If-07
Who Is/are personally Who is/are personally known to me or has/hav uced
as identification.
~~ ~ N~~Pooll'
C isslo 0;", ~'. "" JAliUUeLII~e: 1306[3
lf~ '~;a Comll)ission DO 621833
Name of Notaft . ri ~"".....
'.flf. ' ...-
Notary Public
Cornerstone Air Conditioning & Heating, Inc.
2117 Camp Indianhead Rd
Land O'Lakes FL 34639
To Whom It May Concern:
By virtue of my signature below, I hereby authorize Dana
Goldsborough to sign for and pick-up air conditioning permits on
my behalf
This letter supersedes any others you may have on file.
Sincerely, .
i(/t(j~c, dt~
William C. Huffman
CAC1813599
State of Florida, County of Hlllsborough
On this, the /tJ'/h day of (J(;/zrhj/J, 2007, before me a notary
public, the undersigned, personally appeared William C. Huffman
known to me (or satisfactorily proven) to be the person whose name is
subscribed to the within instrument, and acknowledged that he
executed the same for the purposes therein contained.
f'
In witness hereof, I hereunto set my hand and official seal.
N
.. ........ ..M..... .... II ...... ................
i NATHAN JENSEN i
i eJ Comm#DD0715928 i
i . ExplrM 911812011 i
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: FIor1da Nol8ry ~.. Inc i
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ACORD;.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
10/11/2007
PRODUCER (813) 949-8636 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Paragon Risk Management, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 119 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lutz FL 33548- INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Na tional Insurance Co
Cornerstone Air Conditioning & INSURER B: Summi t
& Heating Inc %13-1f~t'!l{,~ INSURER C:
2922 Land 0 Lakes Blvd INSURER D:
Land 0 Lakes FL 34639- xi j-;"'"f'-M-~ INSURER E:
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,EXCl-USIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ~~~~ P~l-+~1:~~~E POLIC!(rPI~N
LTR TYPE OF INSURANCE POLICY NUMBER DATE MMID LIMITS
A ~NERAL LIABILITY 25CCl71242D1 08/25/2007 08/25/2008 EACH OCCURRENCE $ 1,000,000
...!. 3MMERCIAL GENERAL LIABILITY /~ ~~~~~%J?E~~,pence\ $ 200,000
>-- CLAIMS MADE [1U OCCUR / / / MEOEXP(Anvo~DMSon) $ 10,000
-... PERSONAL & ADV INJURY $ 1,000,000
/ / / / GENERAL AGGREGATE $ 2,000,000
@'L AGGREnE ~~MI~ AFlES PER: PRODUCTS-COM~OPAGG $ 2,000,000
X POLICY JEl5'T LOC / / / /
~TOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT
$
ANY AUTO (Ea accident)
>--
>-- ALL O'MIIED AUTOS / / / / BODILY INJURY
(Per person) $
f-- SCHEDULED AUTOS
f-- HIRED AUTOS / / / / BODILY INJURY
(Per accident) $
NON-O'MIIED AUTOS
f-- / / / /
PROPERTY DAMAGE
(Per accident) $
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO / / / / OTHER THAN EA ACC $
AUTO ONLY: AGG $
OESSlUMBRELLA LIABILITY / / / / EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE / / / / $
RETENTION $ $
B WORKERS COMPENSATION AND 19605980 04/13/2007 04/13/2008 X I T~4'IfJNs I 10TH-
ER
EMPLOYERS' LIABILITY 100,000
ANY PROPRIETOR/PARTNER/EXECUTIVE (" E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? / / / / E.L. DISEASE - EA EMPLOYEE $ 100,000
II yes, describe under 500,000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER / / / /
/ / / /
/ / / /
DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
( ) - ( ) - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
-
City of Zephyr hills - Building Dept FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
5335 8th St INSURER. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE -.fL ". ~ -<3
Zephvrhills FL 33542- ~
ACORD 25 (2001/08)
~n: INS025 (0108).05
ELECTRONIC LASER FORMS, INC. - (800)327-0545
@ACORD CORPORATION 1988
Page 1 012
~;'~;;~TOP WORK
--
By order of the Building Official: Wi{{iamJ'-. (]3urgess
All Building, plumbing, electrical and mechanical work
shall cease at the below mentioned property.
" /' . I - ;?A,h-->
Address: r:;;, / / / ..v /e /1 S fi...J .s- T,
.
Date: /0- /0- 1!J7
Code Enforcement Officer~ b - ~
/
Contact the
Zephyrhills Building Department
5335 - 8th Street
813-780-0020
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IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s),
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an
endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s),
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded by the policies listed thereon,
ACORD 25 (2001/08)
~Th1-INS025(0108).05
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