HomeMy WebLinkAbout08-8126
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8126
Permit Number: 8126
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
4,350.00
7/29/2008
55.00
55.00
7/29/2008
AlC CHANGE OUT 3.5 TON
Address: 5222 18TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19800-0210
Phone:
1M
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S
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."
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CONTRACTOR SIGN URE 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. './ f).. '1 ("
Building Department -:rr. [) l Vf/
Fax-813-780-0021
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
JOB ADDRESS I 59;};) 1~.11J Str~-\ I LOT # I
SUBDIVISION I I PARCEL 10#1\ \ - Jw -:J 1- Do It) - JCl ?oo - (Y) K)
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED fiiJ NEW CONSTR B ADD/AL T D SIGN D MOVE D DEMOLISH
INSTALL REPAIR
PROPOSED USE D SFR D COMM D OTHER I
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
DESCRIPTION OF WORK I Cflcu10~ ()/ ^' ~ Ale LWl'tt
,
BUILDING SIZE I sa FOOTAGE I HEIGHT I
I I I I I . I I II I I . ~ I I . I I I I I , I I I I 1 1 . . I I I I I I I , I I I I II I I I III I , I I I I I II I I I . I I I I , I I . . . I II I I , , , , I 1111 I III I I , , II II I III , , , II I I I I , t I I I I I I IIII , I I I I I I I I I 11 , III I t I , I
D BUILDING
D ELECTRICAL
D PLUMBING
rtp MECHANICAL
1$ I
1$ I
1$ I
1$ L}, g?)(),QQ I
I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111111I1111I1111II111I1111111111111111I11111111I1111I1111I111II1111I1111111111111111111111111111111111111111111111111111111111111111111111111111
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
WR.E.C.
VALUATION OF MECHANICAL INSTALLATION
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License #
ELECTRICIAN I COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT Y/N
Address I License #
PLUMBER I COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT Y/N
Address I License # I
MECHANICAL ~ I ~ /t'l( tS I ~'~RRE(pn~)~
SIGNATURE Y / N I
Address License # I Gfirc685'75
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License #
11I111111111111111I11111111111I1111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111II1111
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 (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
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
DI~~~t;~~~': I I I I I I I I I I . I I I I I I I I I I I I , I I . I I . I , I I , I . I I I I I I I I I , I I . , , I I I I I I I . I I I I I I I I , I I I I I , I I I . I I I I I , , I , I . , I , I . , I I I I I I I . , . . I I I I . I , I , . , , , , , , , I , , , , I . , , . ,
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (Ale 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. '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 ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce?d With the work a~d not as authorl~y !o vlol~t:, cancel, alter, or
set aside any provisions of the technical codes, n?r shall.lss~ance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or vlolat~o~s o! any codes. Eve~ ~ermlt 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) mon.ths 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. 1 .03)
CONTRACTOR
s,..~~~nd ~;om to (or affinned) before me th
Who Is/are personallyJs,nown to me or has/have produced
as identification.
OWNER OR AGENT
Subsc]ibed and sworn to (or affirmed) before me t is
1-7i-iJf!J by
Who Is/are per~own to me or haslhave produced
- as identification.
Notary Public
Notary Public
Commi
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Name of Notary typ~l.'~nntell or stamped
Name of Not
J 5.?O - ~ 10-01 -0'7 Lj--o
. =. CHRIS' Ale
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CAC058575
DADE CITY (352) 521-4977
ZEPHYRHILLS (813) 779.9515
HIGH EFFICIENT HEATING & COOLING
HVAC
SERVICE ORDER
INVOICE
1849
12232 HWY 301
DADE CITY, FL 33525
BILL TO:
NAME:
ADDRESS:
CITY:
PHONE:
CELL:
TECHNICIAN:
PROBLEM REPORTED:
DATE:
SPLIT SYSTEM
MODEL #
SERIAL #
'PKG UNIT
c
ZIP CODE:
813-545-1809 WORK:
RENTER:
MODEL # B5BMX42KB
SERIAL #
DATE:
BRAND:
Tappan
.
i
connected to existin
ermit included
START UP :
CHECK #
CREDIT CARD #:
CARD TYPE:
APPROVAL CODE:
EXPIRATION DATE:
I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE WHICH HAS BEEN
SATISFACTORILY COMPLETED. I AGREE THAT SELLER RETAINS TITLE TO EQUIPMENT
AND MATERIALS UNTIL FINAL PAYMENT IS MADE. IF PAYMENT IS NOT MADE AS
AGREED, SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT SELLERS EXPENSE
ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILITY
OF SELLER.
SUCTION PRESSURE:
LIQUID PRES~URE:
TEMP. DIFFERENCE:
FIL TER:
DRAINING PROPERLY:
LIMITED WARRANTY: EQUIPMENT, PARTS AND MATERIAL
HAS WRITTEN MANUFACTURER'S WARRANTY ONLY.
ALL LABOR PERFORMED BY CHRIS' AlC HAS A ONE YEAR
ARRANTY. CHRIS' AlC MAKES NO OTHER WARRANTIES
------------------------
CUSTOMER SIGNATURE DATE:
TOTAL: $ 4,350.00
Pasc:..':l .county Parcel: 11-26-21-0010-19800-0210001
Page 1 of 1
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Other Agency Data: Tax Collector School Board Supervisor of Elections
I Data Current as Of: I Weekly Archive - Saturday, July 26, 2008
ParcellD 11-26-21-0010-19800-0210 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
LAKES SCOTT Ag Land $0
5222 18TH ST Land $44,184
ZEPHYRHILLS, FL 335422156 Building $72,078
Physical Address Extra Features $404
5222 18TH ST
ZEPHYRHILLS, FL 33542-2155 Market Value $116,666
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
CITY OF ZEPHYRHILLS Taxable Value $116,666
PB 1 PG 54
LOTS 21 & 22 BLOCK 198
OR 7625 PG 1497
Land Detail (Card: 001 of 001)
Line II Use I DesCri.~nln. Units I Type I P~ Condition I Value* I
I 1 II 0100 I SFR 00R2 8,400.00 I SF I $5.26 1.00 I $44,184 I
Additional Land Information
Acres II 0.19 II Tax Area II 30ZH II FEMA Code C~iJlResidential Codell ZHLHLP2 I
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1962 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plywood Panel Interior Wall 2 Drywall
Flooring 1 Ca rpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
Line Description I Sq. Feet I Repl. Cost New
1 FGR I 340 II $8,994 I
2 BAS 1,260 $83,324
I 3 I FOP 56 $926
Extra Features (Card: 001 of 001)
Line Description " Year I Units II Value I
1 I DWSWC I' 1962 I 200 $105
2 DCFENCE I 1999 I 300 $299
Sales History
Previous Owner II KIDWELL MYRA
Year I Month II Book/Page I Type II Amount
2007 08 7625 / 1497 WD $115,000
2003 08 5507 / 1494 WD $89,000
2000 05 4361 / 1149 , WD $67,000
Sg~rch_A.Q.gln. Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
http://appraiser.pascogov.comlsearchlparce1.aspx?sec= 11 &twn=26&rng=21 &sbb=OOI O&b... 7/29/2008