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Home My WebLink About09-9872 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780- 0020 9872 BUILDING PERMIT V; :71_7E1 s t , 7`v LI a s Permit Number: 972 Address: 39600 LINCOLN AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12- 26 -21- 0280 - 00000 -0140 Improv. Cost: 7,700.00 Date Issued: 12/08/2009 Name: KELLEY, WALTER JR & BETTY ANN Total Fees: 70.00 Address: 39600 LINCOLN AVE Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/08/2009 Phone: Work Desc: A/C CHANGE OUT 2 TON A - I A • IAL S - 1 E • A/ HA • UT 70.00 r n ' DU IN ALL D DUCTS INSULATED FINALau REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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." �--� /� ,� � ONTRACTOR SIGNATURE PERMIT OFFI �R 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 If /7 () %!i!1 x/1.7 7 Building Department L/ Date Received Phone Contact for Permitting 1; r - Owner's Name A "4- / Q { - 4 / •b ` ex Owner Phone Number g 7 Owner's Address J X 409 L— /A.,7607/./ /tyke_ Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address / /'� 1 JOB ADDRESS 3 / "N 0 v L 1 C b l fTv // Z Z 4& LOO ` ( to` J SUBDIVISION L . i L c D I I.d F�5 PARCEL ID# 1 Z Z W " 2 1 —' 000 c 0 '/O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN Ti MOVE n DEMOLISH INSTALL I I REPAIR PROPOSED USE i SFR n COMM i OTHER I TYPE OF CONSTRUCTION I BLOCK (l FRAME ( n STEEL [ 1 OTHER I DESCRIPTION OF WORK c ( / G /I! /y 2 • ` r Q 14. 5 !! kw BUILDING SIZE SQ FOOTAGE HEIGHT in BUILDING $ VALUATION OF TOTAL CONSTRUCTION n ELECTRICAL $ AMP SERVICE fi PROGRESS ENERGY n W.R.E.C. I I PLUMBING $ MECHANICAL $ .") ° 1 VALUATION OF MECHANICAL INSTALLATION n GAS n ROOFING I I SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES rINO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License it ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT f Y/ N I Address — License # MECHANICAL COMPANY K .J fs `1 l iVCi SIGNATURE Lib 1 ,G 5 (fi n REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N 1 �1 i dir Address IV& ,3 f b 1 L( &Z. _/ � T , ' License* C # x " w , ("1� w 6 OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address License # 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) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater 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. �.... w. �........... �...... ��..,.. w.... ��W.- .............. w......... �.. w.,.. w..,,.. ��w. w., w... w.,,......,. ......- ...w..w.,w..��..,,�....� w. �..... �....-. �.,.,. �...,. �. �.. w..,, ....,........�...�..- ...�..ww�. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A /C 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 A/C 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 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 Official for a period not to exceed ninety (90) days 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. 117.03) OWNER OR AGENT :I V ‘C C JO FT CONTRACTOR J O L �r. i4 Subscri d and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this by by Who i are personally known to me or has/have produced Who is/are personally known to me or has /have produced as identification. , /�J as identification. 1,.� 1 . _ '� Notary Public /r --- �� Public Co • sioC No. ,L iv ' S �► Co fission No. '� • : I /` � . h 0 c u . '��"'r1FT; .. Name . d . ri nted or st '. BRIAN ANTHONY THOMPSON z . v ? B RIAN A THOM I MY COMMISSION # D0788151 • M Y C OM M ISSION k DDD>li161 � � EXPIRES May 10, 2013 46, 4%,' EXPIRES May 10, 2013 �1rp:f 9. -. . i p ieta .0 om 0407) 398 -0153 *- Fkui tallotaryStorvics.com 111111111111111111111111111111111111111111111111111111111111 : TICE OF COMMENCEMENT 2009175089 Rept:1277004 Rec: 10.00 Permit moo. DS: 0.00 IT: 0.00 Ta ; Foli cvo. 12/08/09 Dpty Clerk THT L, � - JERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 7 13 -_3 o=tt:e Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1 _Description of properrr• (legal description): 1 2,— Z ( '-, k - 62, ‘; OO - O (4- 0 a) Street (job) Address: 3 6 0 /,_J' 0 i A/ $U .C. PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER 2. G eneral description of improvements: P_ ,S ys t 12/08/09 1 PGo '1 g8 Owner Information (�, 2-- — al Name and address: r_r Z ��t Z ( t .'_ , (� L i�Cc� Lr .4 - ye • H- 'lu-E (c 4 ;) • _7 ; ', b) Name and address of fee simple titleholder (if utA i than owner) g f j D O (.4-1 (0/ t1 0 c) Intere 111 prop erty I..//vE,,:i 42 .Contractor Information • a) Name and address: _Z"),-- a,7fs dr 334/ 0 /t/ .Se,_17erer Or .57 Pefe ,=/ //, b) Telephone No.: 7, 7 Sff 4 0' Co Fax No. (Opt.) 5 .Surer information a) Name and address: Ai / b) Amount of Bond: c) Telephone No.: Fax No. (Opt) o.Lender 2) Name and address: /. Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: /v /A /A b) Telephone No.: Fax No. (Opt) 2.1r, addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1 )(b), Florida Statutes: a) Name and address: /y/ b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWIN'ER: ANY PAYMENTS MADE BY THE OWNER AF°1ER THE E)IRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COIVLNIENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FjNANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUiv'r1' .- -, .!a_ G BRIAN AN THOMPSON I ; �. � � Sim re of Owner or Owner's Autno o fficer /Direuor/Partnernianz?er =* : % 1 MY COMMISSION # DD888151 EXPIRES May 1 0, 2013 AZT 1LE:1...Le-Li ' , r Print Name ( 407) 39&01537- FloridallotaryService.com The � instrument was aciaowledged before me this day of �— ...— , 20 i7 . by A 1 "' '/ as U 1 /N/ A/ F/ (type of authority, e.g. officer trustee atto, -ne. v in fact) for (name of part' on he • of whom instrument was executed). Personally Known OR Produced Identification Notary Signature ,--.--/ ,--.--/ Type of identification Produce C d fi _ � L Name L� (print �� l I f ✓-� / Bi ��/f .S 4- '---‘ - \ pursuant to Section 92.52:c, Florida Statutes. Under penalties of perjury, declare that 1 have read the foregoing and that the racts stated in 1t are mac to the best of m1' knowledge and belief. S,erianve of Natural Person Sianino (in tin: =' 1 ' Abovc STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT Ti E FOREGOING IS A TRUE AND CORRECT COPY or THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE' WITS MY HAN.b; NO OFFICIAL SEAL - cti DAY 0 TAIV • fv-kt 2 U D PAULA. S. O'NEIL, ireR 7 & COMPTROLLER BY DE P- 1 4172 ROOTER P ROPOSAL / AGREEMENT AR, i CMC1249406 CFC142717 (727) 588 -4200 1\ (813)888-8 / Rev. 11/08 ' 'i/�, A LTA (- LL 1 i / d 9 Customer Name Date u �r Call Slip ## 3%c C.--/p-)c.„34.,..... 4 _ Z-�'+ iL (hZLs I p 33S(4 City State Zip Code Ad s ( Ci ` 2 I d7 i S 1 i 3 , 7L2 - �sZ (.,.� 11 / z3 zoo 9 Phone Phone Scheduled Installation Date We hereby agree to furnish and you agree to pay for all necessary equipment, materials and labor to instull the following items listed in accordance with the conditions and specifications set forth on the reverse side. EQUIPMENT Qty. Item ', Size rand Horz Vert Warranty 1 Condenser 1 Z (.4 , ` SEER:I Arro. AFUE: 1 °Yrs Labor Evaporator Coil ! Air Cleaner: ) 0 Yrs Parts Furnace 1 Air Sanitizer (UV Light): [ Yrs Compressor Air Handler G i (Z CA-P-2-1 /JA Yrs Ht.- Exchanger Refrigerant recovered and disposed of as required by law. Complete clean up including use of floor savers to protect your home. Removal of existing equipment. All work completed is done in accordance with existing codes and permits, as required. SPECIFICS OF YOUR INSTALLATION ❑ Weatherproof disconnect J21 Hardcast new connection ❑ Start kit Lifetime equipment slab ❑ New transition ❑ Venting through roof ►� Sound isolation pads ❑ Inspection plate Gas flex connector ❑ Comp sound hood ❑ Main drain line Support attic equipment 43 Refrig. L L drier ❑ Emergency drain line ❑ Supply Plenum Refrig. suction drier ❑ Expansion valve ❑ Sealtite conduit / Remove existing equipment ❑ Flowrator S Home Service Plan( ) 4 1J�' ^ ' — }' ' Digital thermostat ❑ Refrig. pipe (size ) ❑ Add'I yrs sys I $ ❑ Programmable thermostat ❑ Refrig. cover ❑ ❑ IR Ceiling saver kit (Pan & Float Switch) ❑ Additional: (Included) / SS i I L Z--->4-.4 /.) l 44 E3 )4-'4 kie...3-7 ❑ OPTIONS (Below) (A) p z.4 S �B) N Installed Price $ 7700 P / it` \i epoza-5 ( _.._--- i p t ,,.. i . s yclE 4h i 1 4..d. 09(e.... $ (,7 5 #-_-_—--- ( Stft Total Investment $ TermsX.Cash O Check # O CC # Exp. Financed through: /4 ,4 15 . ^ y P ( 4 1700- . or-i 6,. ) - L' BALANCE DUE TO INSTALLER 0 UP By: al � � // ' l W 4 Date: kl By: 100 •• Date: t'L.. Q�{ P Customer ARS Representative `