HomeMy WebLinkAbout08-7846
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7846
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:
7846
MECHANICAL
AlC CHANGEOUT
NOT APPLICABLE
Address: 6423 IL VER OAK DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0120-00000-1051
7,550.00
5/08/2008
70.00
70.00
5/08/2008
AlC CHANGE-OUT
Name: KIRK, MICHAEL & ROBYN
Address: 6423 SILVER OAKS DR
ZEPHYRHILLS, FL. 33542
Phone:
(1~
::Y \ ~~D
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 SIG
PERMIT E IRES 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
Building Department
Fax-813-780-0021
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
I tJ ~;1v SdV0V' Oa-ks ~
I Silwur ili-ks
B
PROPOSED USE 0
TYPE OF CONSTRUCTION 0
::~L:~:'::OF j"K I ~3) o~~:j '"'' ~ ~~" " ~,~~~~~..I. ., '" ' "., " " , " " ..I. "'" '" " ",. ""~
-1111111111111'11'1111111111'11'111 III II" III 111'11'1 11111111...................... .
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
I LOT# I
PARCEL ID#I 0 8- ~0 -~ 1- 0 1').0 -00000 - 105/
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
1$
1$
1$
1$ 1550.00
D GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111111111111111111111111111111111111111'111111111111111111111111I111111111111I111111111I1111I11111I11I111111111II1111111111111111111111111111
I
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I
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I
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JOB ADDRESS
SUBDIVISION
I
[Xl
D
D
ADD/ALT
REPAIR
COMM
FRAME
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
D BUILDING
D ELECTRICAL
D PLUMBING
LA] MECHANICAL
o
o
o
DEMOLISH
I
D
OTHER
STEEL
OTHER I
VALUATION OF TOTAL CONSTRUCTIOa.iL ?JD}_
AMP SERVICE D pr~Y
/-'
/7fJ qb
t
o
VALUATION OF MECHANICAL INSTALLATION
Address License #
1111111111111111111111111111111111111111111111111111111I11111111111111I11111I1111111111111111111111I11111111I111111111111111111I111111111111111111
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
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.
BUILDER
SIGNATURE
COMPANY
REGISTERED
Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
Address I
COMPANY
REGISTERED
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
COMMERCIAL
SIGN PERMIT
Y / N
FEE CURRENT
Y/N
License #
Y/N
Y/N
FEE CURRENT
License #
Y/ N
Y/N
FEE CURRENT
License # I
mY ,'S ) Ale" 0J rvtJJfL.I1l J
I .......j v~ / N I FEE CURRENT I I Y I Nil
License # I CAe 0 5 E?5 '7 5"
Y/ N
Y/N
FEE CURRENT
DI~~~t;~~~': . . , , , . . , , , . . , , , . , , . , . , , , . . . , . , . . , , , . . . , , . . , , , . . . , , . . , , , . . , , , . . . . . , , . . , , , . . . , . , . . , , , . . , , , . . , . . , , , , , , , . . . . , , , , . , . . , . . , , , , , , , , , , , , , , , , , , . ,
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 NC 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 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 properti~s, the.ow.ner 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 ~f the permittin~ conditions s~t forth in
this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ?e reqUlr~d for elect~lca.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically In?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 of 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 mn~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 YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S.11 3 ~
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to (or affirmed) before me thi Subscribed and ~;orn to (or affirmed) before me t IS
Who is/are per~~naIlY known to me or has(hav? produced Who is/are personally known to me or ha~:~~:ttr~c~~~n~
as identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
JS~D- glltJ--~}-~'7~-O
Proposal Submitted T.9:
MIKE & ROBfN KIRK
6423 SILVER OAKS DRIVE
ZEPHYRHILLS / SILVER OAKS
(352) 521-4977
(813) 779-9515
.. CHRIS' AIC
":::=COMPANY
CAC058575
12232 HWY 301
DADE CITY, FL 33525
HIGH EFFICIENT HEATING & COOLING
Date: 04/14/08 Phone: 813-917-0670 ROBIN
Job Name: 813-780-0050 MIKE
3 J <) $I CJ.... Address:
Seer Rating :
Heater Size :
Tonnage:
Blower:
UV Lamp $
Media Filter $
Equipment $
Total $
Good
13
5KW
3
SINGLE SPEED
o
o
4,400
4,400
Brand: NUTONE
Condo Model # FT4BD036K
AlH Model # B5BMX36KB
Compressor: SINGLE STAGE
X Heat Pump
T -Stat: PRO 3000
Ii!JYear Parts Warranty
~Year Compressor Warranty
DYear Labor Warranty
~Dependability Promise
Straight Cool
Warranty:
Removal of old equipment, tax, labor, permit,
ENLARGE DUCT TO MASTER BEDROOM
ADD RETURN AIR VENT TO MASTER BED ROOM
One Year Parts And Labor Warranty On Entire Job
Seer Rating :
Heater Size :
Tonnage:
Blower:
UV Lamp $
Media Filter $
Equipment $
Total $
Seer Rating:
Heater Size :
Tonnage :
Blower:
UV Light $
Media Filter $
Equipment'$
Total $
Misc.
Warranty:
Better
14
5KW
3
VARIABLE SPEED
o
250
5,700
5,950
Brand: MAYTAG
Condo Model # PSH4BD036K
AlH Model # PAH2VMX36KB
Compressor: SINGLE STAGE
X Heat Pump
T -Stat: PRO 3000
I!IJYear Parts Warranty
~Year Compressor Warranty
Straight Cool
~Year Labor Warranty
~ Dependability Promise
Best
15
5KW
3
VARIABLE SPEED
o
250
7,300
7,550
Brand: MAYTAG
Cond. Model # PSH4BF036K
AlH Model # PAH4VMX36KB
Compressor: TWO STAGE
X Heat Pump
T -Stat: PRO 8000
Warranty: ~Year Parts Warranty
~Year Compressor Warranty
NO ELECTRIC INCLUDED
Straight Cool
~Year Labor Warranty
~Year Depend. Promise
Payment to be made as follows: ~Cash upon completion Doraws
Chris' AlC Authorized Signature: ~ L ~
NOTE: This proposal may be withdrawn by us if not accepted within 30~.
I have authonty to order the work, which shall be performed as outlined a~e. It is agreed the seller will retain IItle to any equipment or matenal that
DFinancing
may be furnished until final payment is made. and if settlement is not made as agreed, the seller shall have the right to remove same and the seller will
be held harmless for and damages resulting from the removal thereof. 1 agree to pay all cost and reasonable attorney's fee if this invoice is placed in
the hands of an attorney for collection.
FINANCE CHARGES: Balance due over 30 days (11/2% INTEREST) PER MONTH (18% ANNUAL RATE)
will be imposed (where applicable)
Customer Acceptance Signature:
State of
NOTICE OF COMMENCEMENT
r: LorI' ~ County of & 5 GO
THF; UNDERSIGN~D hereby gives notice that improvement will be made to certain real property,
and III accordance wIth Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No.
0.3- ;}.ffJ-;).I-O/~O- 00000-105/
,'0 if;) 3 sil ver (1.ks Drl "ZI"JJh~lrhills F).. ,/
- -r J I 335't:b
(Legal description of the property and street address if available)
A-!c-
r'khj€ flu$
3. Owner Information: Name~ ~
04-2~ SilWf ilik68l;
0'lAJnj .f
S:J sf.un
111111111111 1111I11I111111I111111111111111 1111111111/111 1111
2008069369
ROb~Yl Klr k 335~.J..,
Zef~rh j lis State FJ.
2. General Description of Improvement
Address
Interest in Property:
Rcpt: 1179383 Rec: 18.50
os: 0.00 IT: 0.00
05/08/08 Dpty Clerk
R4.
~5.
Name of Fee Simple Titleholder:
(If other than owner)
Address City
Contractor: Name J1JKis I A! c Lv ~an-1f
Address I :;l J. 3 ~ U s Ww~ 30 I City Dade- G ~
State
State FL
33525
Surety: Name
Address
City
State
Amount of Bond: $
JED PITTMANi PASCO COUNTY CLERK
05/08/08 0 :4!rm 1 of 2
OR BK 783~ PG 439
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: ~
Sworn to and subscribed be
,)
$7
,20.i2%.
Notary Public:
My Commission Expires:
PC93053048/ A
;;L7-~
Christina Tellier
,
My Commission Expires June 27, 2011
Com. No. 00689600
PASCO COUNTY BUILDING PERMITS
NAME AND ADDRESS FOR PROPERTY ID: 03 26 21
PARCEL IS LOCATED IN crTY ZH SC TEl RG
NAME 1: KIRK MICHAEL A & ROBYN D NAME 2:
ST LNl: 6423 SILVER OAKS DR ST LN2:
CITY: ZEPHYRHILLS STATE: FL ZIP: 33542-4816 TIFZN: 3
-------------LEGAL DESCRIPTION FOR PROPERTY---------------__________________
SILVER OAKS PHASE ONE PB 26 PGS 46 &: 49 PORTION OF LOTS
105 &: 106 DESC AS FOLL: COM AT INTERSECTION OF SLY LINE OF
LOT 104 ALSO BEING NLY LINE OF LOT 105 WITH WEST LINE OF
LOT 105 TH SWLY ALG &: AROUND ARC OF CURVE NELY RAD 450.00
FT ARC 71.50 FT CHDBRG &: DIST SOODEG 14'19"E 71.43 FT FOR
POB TH N85DEG 12'34"E 120.00 FT TO AN INTERSECTION WITH
WEST RIGHT-OF-WAY LINE OF SILVER OAKS DRIVE (A 60.00 FT
RIGHT-OF-WAY AS SHOWN ON SAID PLAT OF SILVER OAKS PHASE ONE)
TH ALG LAST SAID LINE & AROUND ARC OF CURVE CONCAVE NELY RAD
330_00 FT ARC 32.57 FI' CHDBRG &: DIST S07DEG 37'4"E 32.55 FT
TH S10DEG 26'42"E 30.00 FT TH S79DEG 33'18"W 120.00 FT TO AN
INTERSECTION WITH WEST LINE OF LOT 106 TH NIODG 26' 42"W
30.00 FT TO PT OF CURVE NWLY 140.00 l"T ARC 44.41 FI' CHDBRG
&: DIST N07DEG 37'04"W 44.39 FT TO POB SOOJ TO 15 FT UTILITY
EASE OVER WLY 5 FT THEREOF; OR 4995 PG 1992
DATE: 05/06/08
0120 00000 1051
SOOD BLOCK LOT
NEXT-FUNCTION; LD
OR BK 7832 PG 440
2 of 2
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFV THAT THE FOREGOING IS A
T"Of AND CORRECT COPY OF THE DOCUMENT ON FILE
0" OF I'UIlIC RECORD IN THIS OFFICE. WITNESS MY
HAND ANOOFFICIAL SEAL THIS~ DAY OF
fh-A-'( 2 QQB
JEO :!;T}MANJl:IlK... OF CIRCUIT COURT
IV ., a .Ji irtf:t DEPUTY CLERK
L d g~ae~LaLgL.ON/ag:OL.~S/Lg:Ol aoo~ a ^VW(Bn~>
"OW'"
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