HomeMy WebLinkAbout09-9252 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9252
BUILDING PERMIT
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Permit Number: 9252 Address: 5903 14TH ST
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: 11- 26 -21- 0010 - 03900 -0080
Improv. Cost: 4,375.00 �. , t NI
Date Issued: 6/16/2009 Name: RAMEY, ETHEL
Total Fees: 55.00 Address: 5903 14TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/16/2009 Phone: (813)782 -1911
Work Desc: A/C CHANGE OUT 3 TON
KINSEY CENTRAL HEATING & A/C A/C CHANGEOUT 55.00
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DUCTS INSTALLED
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
improvements to your property. f you intend to obtain financing, consult with your lender or an attorney
before ing your notice commencement."
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A
ONTRACTO SIGNATURE PERMIT OFFI FR
PE IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
06/16/2009 10:53 8139487225 JOHNSON AND HOGE INS PAGE 01/01
CERTIFICATE OF INSURANCE
The company indicated below certifies that the insurance afforded by the policy or policies numbered and
described below is in force as of the effective date of this certificate. This Certificate of Insurance
does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any
policy numbered and described below.
CERTIFICATE HOLDER:
CITY OF ZEPHYRHILLS INSURED:
5335 BOTH ST KINSEY CENTRAL HEATING
ZEPHYRHILLS, FL 33542 -4312 AND A /C, INC
PO BOX 2209
ZEPHYRHILLS, FL 33539 - 2209
POLICY
TYPE OF INSURANCE & ISSUING M CO. EFFO EXP. DATE * LIMITS A I
LIABILITY 77- AC 707914-3001 01 - 29-09 01 -29-10 (*LIMITS AT INCEPTION)
[X] Liability and NATIONWIDE Any One Occurrence $ 1,000,000
Medical Expense MUTUAL
[X] Personal and INSURANCE CO. Any One Person /Org $ 1,000.000
Advertising Injury
[X] Medical Expenses
[X] Fire Legal ANY ONE PERSON S 5,000
Liability Any One Fire or Explosion S 100,000
General Aggregate* $ 2.000.000
[ ] Other Liability Prod /Comp Ops Aggregate* $ 1.000.000
AUTOMOBILE LIABILITY
[ 3 BUSINESS AUTO
Bodily Injury
[ 1 Owned (Each Person) S
[ ] Hired (Each Accident) 3
[ ] Non-Owned Property Damage
(Each Accident) $
Combined Single Limit
EXCESS LIABILITY
Each Occurrence g
[ ] Umbrella Form i Prod /Comp Ops /Disease
Aggregate* ;
f. ] Workers' STATUTORY LIMITS
Compensation BODILY INJURY /ACCIDENT $
and Bodily Injury by Disease
[ ] Employers' EACH EMPLOYEE S
Liability Bodily Injury by Disease
POLICY LIMIT , s
DESCRIPTION OF OPERATIONS /LOCATIONS
VEHICLES /RESTRICTIONS /SPECIAL ITEMS
C \ 3 1:\C-k
OM*
Effective Date of Certificate: 06-16-2009 Authorized Re resentat v
Date Certificate Issued: 06-16-2009 Co p i e • � - JOHNSON
Countersigned at 216 CRYSTAL GROVE BLVD
LUTZ. FL 33548
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9252
BUILDING PERMIT
9:77:::777
Permit Number: 9252 Address: 5903 14TH ST
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: 11- 26 -21- 0010 - 03900 -0080
Improv. Cost: 4,375.00 41
Date Issued: Name: RAMEY, ETHEL
Total Fees: 55.00 Address: 5903 14TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)782 -1911
Work Desc: A/C CHANGE OUT 3 TON
KINSEY CENTRAL HEATING & A/C A/C CHANGEOUT 55.00
,'?s. ,.. gnu. , ., _ e s : 4 = :. � a� `' § - �;, °� %. :.. a? Ard EI S
DUCTS INSTALLED
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
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
CONTRACTOR SIGNATURE PERMIT OFFI rR
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 0 Fax- 813 - 7804021
Building Department * s
ll
Date Received r `P —0
Phone Contact for Permitting --
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Owner's Name j ►�W i Owner Phone Number 8 "- 79 - - " % C / /
d
Owner's Address _.5" V 3 / ( )-- Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I 1 MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 1 SFR 11 COMM n OTHER I
TYPE OF CONSTRUCTION n BLOCK F—I FRAME I I STEEL I I OTHER 1 1
DESCRIPTION OF WORK 3 7 j4/c ( %Gw ' 3106 . C
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C,
I 1 PLUMBING $
I 1 MECHANICAL $ y3 C?y VALUATION OF MECHANICAL INSTALLATION
1 GAS 11 ROOFING 1 1 SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES pi NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
Address 1 License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y / N 1
Address I License # 1
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address I 1 License # I I
MECHANICAL C Q --412 f /mi ? i
SIGNATUR - �~ REGISTERED ` Y / N FEE CURRENT I Y / N I
Address 110 License # / g .2
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address , License # 1
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. (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 ATT - NEY BEFORE RECORDING YO - • TICE OF CO ENCEMENT.
FLORIDA JURAT (F.S. 117 •
OWNER OR A 10_ ` CONT - . TO
Subscribed an. • before me this Subscribe•►- • • sworn to (or affi d) before me this
by �
ve produce
Who is /are pers• nally kjt • - or has/have produced Who is / re pers ally a or hasasadentificafiona
- — as identification. ��qq
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0► j ,(E?�� Nota Pu bli c �' SCE Notary Public
i.�... JACQUEL i
' ►P • ' JA •0UFI INF BOGS Commissi• No. ' •A *^ Con' . . - '• , • v.
�° is r ; : 4 a ; December l2
- ,., : *; Commission DD 621833 8 .,,; ,, u ,,�, „ r., �, , :,bt,a«� �o
,�� i
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Name of Notary typed, printed or stamped
Name of ' • • lyp@ into tOrrilt»®p ss_ '°'°
Kinsey Central
Heat & Air - Conditioning, Inc.
P.O. Box 2209
Zephyrhills, Florida 33539 -2209
(813) 782 -2300 CA- CO58626
PHO �� DATE OF R
•
NAME
DATE PROMISED
ADDRESS �1 1 J
5''5 O l C i � APARTMENT
- CITY V
MAKE MODEL SERIAL NO.
❑ ESTIMATE
NATURE OF ❑ CASH
SERVICE
REQUEST ❑ CHARGE
QUAN. PART NO. DESCRIPTION PRICE AMOUNT
SERVICE PERFORMED TOTAL
MATERIAL
TECHNICAL
SERVICE TIME
A charge of 1.5% will be made on all unpaid balances after 30 days, which is an annual percentage rate TAX
of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill.
DATE COMPLETED
74t ck *id CASH ON WORK COMPLETION y TOTAL
O F
TECHNICIAN CUSTOMER'S SIGNATURE
•
Pasco County Parcel: 11- 26 -21- 0010 - 03900 -0080 001 Page 1 of 2
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Data Current as Of: I Weekly Archive - Saturday, June 13, 2009
Parcel ID II 11- 26 -21- 0010 - 03900 -0080 (Card: 001 of 001) I
Classification 1 01 - Single Family
Mailing Address Property Value /�j
RAMEY ETHEL Ag Land $0 �y //
5903 14TH ST Land $27,300
ZEPHYRHILLS, FL 335423637 Building $68,220
Physical Address Extra Features $2,299
Physical Address N/A
Market Value $97,819
Assessed (Save Our Homes) $97,819
Legal Description (First 4 Lines) Homestead 196.031 - $25,000
See Plat for this Subdivision .1 Non - School Additional Homestead Exemption - $25,000
CITY OF ZEPHYRHILLS
PB 1 PG 54 Non - School Taxable Value $47,319
LOTS 8 9 & 10 BLK 39 School District Taxable Value $72,319
OR 4292 PG 414 Warning: A significant taxable value increase
may occur when sold. Click here for details
and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line 11 Use IaDescription° Zoning II Units I1 Type II Price II Condition II Value
1 II 0100 II SFR 11 00R2 II 8,400.00 I( SF II $3.06 II 1.00 II $25,704
2 II 0100 II SFR II 00R2 0 4,200.00 II SF II $0.38 II 1.00 II $1,596
Additional Land Information
( Acres 11 0.29 II Tax Area II 30ZH 11 FEMA Code 1I X 11Residential Code11 ZHLHLP2
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1994 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 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line 11 Description ( Sq. Feet II Repl. Cost New
1 I1 BAS I1 1,540
2 II FEP II 240 I1 $7,053
3 (I FOP D 120 II $1,259
4 II FGR ( I 480 ( 1 $8,060
Extra Features (Card: 001 of 001)
Line (I Description Year II Units I Value
1 II DWC II 1994 I I 1,072 I 1 $1,273
2 I 1 CLFENCE ( I 1994 I I 1,590 I I $561
3 0 UDU-M 1994 II 1 II $465
Sales History
Previous Owner 11 PECK DAVID C & BETTY A
Year 11 Month II Book /Page (1 Type II Amount
II 11
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Map - Pasco County Property Appraiser Page 1 of 1
Pasco County, Florida Section 11, Township 26, Range 21, 0.7 miles ENE of Zephyrhills
Mike Wells r A. •
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Pasco County Parcel: 11 -26 -21 -0010- 03900 -0080 001 Page 2 of 2
1999 II 12 II 4292 / 0414 II WD II $0
I 1999 II 12 II 4279/1648 II WD II $102,500 I
I 1993 II 12 II 3234 / 0585 II WD II $ I
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Other Agency Data: Tax Collector School Board Supervisor of Elections
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