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HomeMy WebLinkAbout09-9348 CITY OF ZEPHYRHILLS 5335 - 8T1-1 STREET (813)780 -0020 9348 BUILDING PERMIT Permit Number: 9348 Address: 4814 20TH 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: EASY ACRES Est. Value: Parcel Number: 13- 26 -21- 0120 - 00000 -0400 Improv. Cost: 9,741.00 Date Issued: 7/15/2009 Name: MITCHELL, RONALD & SHEILA Total Fees: 80.00 Address: 36025 HILLBROOK AVE Amount Paid: 80.00 ZEPHYRHILLS, FL. 33541 Date Paid: 7/15/2009 Phone: (813)355 -4103 Work Desc: 2 TON A/C CHANGE OUT _- _ ;:,u , AIR NATIONAL AIR CONDITIONING & A/C CHANGEOUT 80.00 �Y\ 416 . DUCTS INSTALLED DUCTS INSU ED FINAL 1 -U-Qy 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." 6 eig, ONT • OR 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 KI5fic City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin • -- Ownees Name 2a g 3---cose/7 Owner Phone Number Owners Address I gke4 4240 ST Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS geW - )t 11 ,Sr Ze,lreAl Fe 3. f‘ gat LOT a SUBDIVISION 1 6S4 Ate'S I PARCEL ID# I 13-26 -21- Oi?e- 000aa -04/0 I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 1 1 NEW CONSTR INSTALL ADD/ALT fl] SIGN 1:=1 MOVE ri DEMOLISH REPAIR PROPOSED USE r SFR FT COMM fl] OTHER TYPE OF CONSTRUCTION f BLOCK E FRAME n7 STEEL n OTHER DESCRIPTION OF WORK I 2 hi 1 eetv ( cifa4ge oz.4 aft, ha,a(0- tu,f) ceiviertsci- BUILDING SIZE I I SQ FOOTAGE HEIGHT 1 1 n BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION r ELECTRICAL 1$ 1 AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.0 1-1 PLUMBING 1$ 1 Fe MECHANICAL 1$ 7 767/ 1 VALUATION OF MECHANICAL INSTALLATION n GAS r ROOFING 1 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA []YES FIN() .4111=1111 BUILDER I 1 COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address 1 License # ELECTRICIAN I COMPANY I I SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 y / N 1 Address 1 License # PLUMBER I COMPANY 1 SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/N I Address 1 License # 1 1 MECHANICAL COMPANY I 'Y ,42'Q, rr e.--4,52,„ 7 „.„/ - SIGNATURE ...sin Arjedir,„, ,,,..„,60/ REGISTERED Y/ N FEE cuRRENT I Y / N Ai. Address Wei k) gpsc4 g ivel fp ,G ..T.sliv'Z License # 1 1 OTHER COMPANY SIGNATURE I SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/N 1 Address 1 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. 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 he 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 CoLnter 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 B/` /� -CC/7d S CONTRACTOR Subscribed • n to (or affirm ) before me this Subscr and sworn ;s• /,� Jr / $t- -&-4••• r rtned) .or this Who is/ar • o . me or has/have produced Who is /. • - rr -,__ Ai as identification. " y " or has/have produced as identification. 4 ntarvPublic < `\ \ Notary Public Com fission No. Commission No. N ,t;� trwu: v yr sranipeu Name of Nota PAT SKINNER ry typed, pnnted or stamped MY COMMISSION # DD805450 "• "` PAT SKINNER a, a► EXPIRES July 13, 201 " MY COMMISSION # DD805450 (407)398 - 0153 FioridallotaryService.com EXPIRES July 13, 2012 ) 39 8-0153 FloddallotarySarvka.com Pasco County Parcel: 13- 26 -21- 0120 - 00000 -0400 001 Page 1 of 2 • Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Parcel Cards: 1 1 2 Other Agency Data: Tax Collector School Board Supervisor of Elections I Data Current as Of: II Weekly Archive - Saturday, July 11, 2009 Parcel ID II 13- 26 -21- 0120 - 00000 -0400 (Card: 001 of 002) I Classification 08 - Multi- Family - Less than 5 units Mailing Address Property Value MITCHELL RONALD J & SHEILA A Ag Land $0 36025 HILLBROOK AVE Land $19,440 ZEPHYRHILLS, FL 335412708 Building $36,781 Physical Address - See All 2 addresses (First Shown) Extra Features $6,874 4808 20TH ST ZEPHYRHILLS, FL 33542 -5224 Market Value $63,095 Legal Description (First 4 Lines) Assessed (Save Our Homes) $0 See Plat for this Subdivision Taxable Value $63,095 EASY ACRES FIRST ADD PB 11 PG 103 LOT 40 OR 3419 PG 724 Land Detail (Card: 001 of 002) Line II Use (IDescriptionll Zoning II Units II Type II Price II Condition II Value I 1 II 0800 IIMULTI FAMTII 00R3 II 8,000.00 II SF II $2.43 II 1.00 II $19,440 Additional Land Information I Acres II 0.18 II Tax Area II 30ZH II FEMA Code II X IlResidential Code!' ZHLALP6 Building Information - Use 08 - Multi Family (4 or Tess Units per Building) (Card: 001 of 002) Year Built 1974 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 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line I Description II Sq. Feet II Repl. Cost New 1 I FCP ( 840 II $6,979 2 11 FOP II 416 I $3,448 3 II BAS II 1,404 II $58,322 Extra Features (Card: 001 of 002) Line II Description Year II Units II Value 1 II DWSWC 1974 II 180 II $68 2 UDU -M 2002 II 1,500 II $6,806 Sales History Previous Owner CRISSELL EARL & CHERYL Year II Month Book /Page II Type II Amount 1995 (I 04 3419 / 0724 II WD II $60,000 1989 II 04 1840 / 0420 II WD 1989 II 04 1802 / 0681 II WD II $57,000 http: // appraiser. pascogov. com / search /parcel.aspx ?sec =13 &twn= 26 &rng=21 &sbb= 0120 &b... 7/15/2009 Air National 8135146458 p.2 a) ' i El - $ m ` m y j a y R z • n • = m O N . 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I _ . 114 0 � ■ ∎ y m m 0 a) L i cv in Ta �0 \ O � � V ��� �� of E ili I la c o. c v iii Z Is Q Z F_ W W F- rn v e 1 J Q W to O O ZZ7 LI 1) a) a) 1 \ U 41 E (' a r O Q W (. Q = ca as 1 � U 1 0 a w Cl- y = 'o • 0 a E E o 1 1 4 U in. -0 0 Tv - cu I 2 O Q TU I `a3 J UQ =V¢ ¢ 0 ¢ F" cnww coQ Air National 8135146458 p.l ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID SW DATE (IAMIDDlYYYY) AIRNA -1 07/15/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 17757 US Highway 19 14, Ste 660 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2456 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33757 -2456 Phone: 727 -461 -6044 Fax: 727- 442 -7695 INSURERS AFFORDING COVERAGE NAIC INSURED INSURER A' FvA Mutual lnoutoneo Company 10385 INSURERS: Auto - Owners Insurance Co* 189B8 Air National LLC Barry & Brandi Andrews INSURER C: Owners Insurance Company 32700 1002 West336 2h Blvd INSURER 0: 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 DY PAID CLAIMS. H IND ppU POLY IC EFFECTIVE POLICY EXPIRATION LIMITS LTR IN • TYPE OF INSURANCE POLIC NUMBER DATE (MRVODIYYI I DATE ( MFVDDIYYI GENERAL LIABILITY EACH OCCURRENCE 51000000 AtNA Iu C COMMERCIAL GENERAL LIABILITY 09461220718351 03/16/09 03/16/10 pREMI S E urenco) $300000 CLAIMS MADE f I OCCUR MED EXP (Any ono Person) . 5 10000 PERSONAL SADV INJURY s 1000000 GENERAL AGGREGATE 5 2000000 G EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS• COMP /OP AGO 52000000 X POLICY n PRO • n LOC JEC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5500000 C © ANY AUTO 4796277600 03/16/09 03/16/10 (Eoeecidonl) I ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY SPor person) 5 HIRED AUTOS BODILY INJURY 5 NON•OWNEO AUTOS IPor accident) PROPERTY DAMAGE ! 5 (Por oceidonl) GARAGE LIABILITY AUTO ONLY • EA ACCIDENT I S ANY AUTO OT}IER THAN EA ACC 5 AUTO ONLY: AGG 5 EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S 1000000 B X OCCUR n CLAIMS MADE 4796277601 03/16/09 03/16/10 AGGREGATE S s DEDUCTIBLE 5 X RETENTION 5 0 5 WORKERS COMPENSATION AND XI TOR LIMIT I IDEa A EMPLOYERS' LIABILITY WC84000214292009A 01/01/09 01/01/10 E.I. EACH ACCIDENT 5500000 ANY PROPRIETOR/ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE 5500000 Ityoc, doscliboLaMar E.L. DISEASE - POLICY LIMIT S 500000 SPECIAL PROVISIONS below , OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS !VEHICLES l EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS 813 780 -0000 CERTIFICATE HOLDER CANCELLATION CTYZEPH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL City of Zephyrhills IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR 5335 8th Street Zephyrhills FL 33540 REPRESENTATIVES. AUT RILED REPRESTIV — • ACORD 25 (2001/08) © ACORD CORPORATION 1988