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HomeMy WebLinkAbout09-9096 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9096 BUILDING PERMIT Permit Number: 9096 Address: 6921 N OR T H LAKE DR Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS Est. Value: Parcel Number: 03 26 - 0180 - 00000 - 0680 Improv. Cost: 4,980.00 :k -'% ' � ..,: Date Issued: 5/05/2009 Name: JARRETT, GEORGE & SUZANNE Total Fees: 55.00 Address: 6921 NORTHLAKE DR Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/05/2009 Phone: (813)783 -9405 Work Desc: HEAT PUMP CHANGE OUT ENVIROMENTAL CONT. A/C CHANGEOUT 55.00 Ct i\-41‘ChV 711411 0 g 6 F° DUCTS INSTALLED =E ° - =�� DUCTS INSULATED FINAL 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 improv to your property. If you intend to obtain financing, consult with your lender or an attorney bef • - recd ing your notice oA• mencement." -- , 4 , , i , , _,/ „,... . . . I I 0 17 v r- // A CO RAC O' SIGNATURE PERMIT OFFI FR 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 Building Department Date Received Phone Contact for Permitting -- Owner's Name / A NN ��R- `7— Owner Phone Number ",?3 Owner's Address CPq 1 �(l i,` �� �R Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS (a ) 1v0 RM ,Li/k. )) A._ LOT # SUBDIVISION PARCEL ID# 03 oZ 0W – 2 / W ^ 0 _0 6: 2 tFC0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR I I COMM I 1 OTHER I I TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME n STEEL I I OTHER I I DESCRIPTION OF WORK )'1G ? {'1?? 5( Sf1. 21-09 -0/ir BUILDING SIZE SQ FOOTAGE HEIGHT I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. I I PLUMBING $ I 1 MECHANICAL $ i 7 t 9 eo OD VALUATION OF MECHANICAL INSTALLATION I GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N j FEE CURRENT I Y/ N I Address 1 License # MECHANICA COMPANY l/,t,�Rai)AIg TIll do/'T I� ZXS SIGNATURE REGISTERED Y / N FEE CURRENT Y / N '�� I I I Address /& Al 30/ 2W (l,i7 33325 License # OTHER �� COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT ( Y/ N I Address License # I I 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, 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. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (NC 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. 1 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 a UR PROPERTY. 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O 0.1 z O J zo > ¢w � JF- f- g 000000 3 ooO oowoow000ii00 0 z 0000000000o000 O O > m r < ¢ w = ¢ z ,, Ox a a I-/ Pasco County Property Appraiser Page 1 of 1 ,.`'h -- Mi ke W, gy ;, ,:.� s p > b l r . r) 5 ,' i' °�. P ' ii 1N + " ,._ ,_: f - a , `_,� t: 1 I ;Rik .' ` 4 ' # ➢8Y #y.6l98 awR£ Search Again Show Map Generalized . Building Schematic Frequently Asked Questions Estimate Taxes ,� Wil lt° ,' Other Agency Data Tax School Board Supervisor of Elections it Data Current as Of: Weekly Archive - Saturday, May 02, 2009 pi18 Parcel ID 03 26 - 21- 0180 - 00000 -0680 (Card: 001 of 001) ;- i* ' ,'� Classification 01 - Single Family A Mailing Address Property Value JARRETT GEORGE E & SUZANNE M 40 . I � o t � 6921 NORTH LAKE DR Ag Land $8 ZEPHYRHILLS, FL 335420651 Land $50,318 Contact Physical Address Building $98 ,478 6921 NORTH LAKE DR Extra Features $1,388 ZEPHYRHILLS, FL 33542 Market Value $150,184 R '71**** Assessed (Save Our Homes) $135,447 _ Homestead 196.031 - $25,000 Legal Description (First 4 Lines) Non - School Additional Homestead Exemption $25,000 , STEPHEN'S GLEN AT SILVER OAKS PHASE THREE Non - School Taxable Value $85,447 PB 32 PGS 54 -55 School District Taxable Value $110,447 LOT 68 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. I Land Detail (Card: 001 of 001) I Line II Use IlDescriptionll Zoning if Units II Type II Price IIConditionl) Value I 1 0140 SFR GOLF OPUD 6,000.00 SF II $7.08 II 1.00 JI$42,4801 2 0140 SFR GOLF 1 OPUD F6,171.44 SF I $1.27 II 1.00 II $7,838 Additional Land Information I Ages 0.28 Tax Area I 3OZH II C I X 'Residential Code SIVLGP Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1997 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Ceramic Clay Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl. Cost New 1 BAS 1,488 $94,116 ----- - - - - -- - - - - -- -- 2 FSA 144 I $3,163 3 FSP 236 ( $5,250 4 FOP I 96 ! I $1,518 http : / /appraiser.pascogov.com/. ... 5/4/2009 ACORD, CERTIFICATE OF LIABILITY INSURANCE OP ID KF DATE (MM /DD/YYYY) PRODUCER EHRMA -1 04/08/09 Brown & Brown of Florida, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 Box 54 8 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 273 North Broad Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Brooksville FL 34605 -0548 Phone:352- 796 -8200 Fax:352- 799 -1399 INSURERS AFFORDING COVERAGE NAIC# INSURED Carey A. Ehrman #ER0013583 & INSURER A: FOCI Insurance Co 10178 CAC1814 4 7 2 INSURER B: Ehrman Systems Enterprises Inc dba Environmental Contractors INSURER C: 10221 South Highway 301 INSURER D: Dade City FL 33525 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSK AUU'L _ LTR INSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY UAMA(,E I U REN I EU PREMISES (Ea occurence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO $ (Ea accident) ALL OWNED AUTOS — SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS — — NON -OWNED AUTOS BODILY INJURY $ (Per accident) — PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO — OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE — RETENTION $ WORKERS COMPENSATION AND WC S1AIU- 01H- A EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE 30860 04/01/09 04/01/10 E.L. EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 10 O O O 0 SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYOFZ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Zephyrhi 11 s NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Building Dept 5335 8th St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills FL 33542 REPRESENTATIVES. AU O D REPRESENIUTIVE ACORD 25 (2001108) 'C/il' ACORD CORPORATION 1988