HomeMy WebLinkAbout09-9384 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9384
BUILDING PERMIT
- _ y ,. s s ` a + .:} % r 4 3 f O " '• g s . ' ; j ., fie :'4.e z s
Permit Number: 9384 Address: 6545 NORTH LAKE DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: NC CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03- 26 -21- 0150 - 00000 -0010
Improv. Cost: 9,200.00 41,1710REI h a
Date Issued: 7/30/2009 Name: PLEWES, JOHN E.
Total Fees: 80.00 Address: 6545 NORTHLAKE DR.
Amount Paid: 80.00 ZEPHYRHILLS
Date Paid: 7/30/2009 Phone:
Work Desc: A/C CHANGE OUT & AIR HANDLER & CONDENSOR
,.4� 9 r' . . t .. z h.., ' : ""a °"„ fi: -, a , r;^• ,;. $ t� t. n.E � " ..
CHRIS' A/C CO. NC CHANGEOUT 80 .00
DUCTS INSTALLED ' 4
DUCTS INSULATED
FINAL 4o I Z ' 'Mkt
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 p . - rty. If you intend to obtain financing, consult with your lender or an attorney
before recording your • ti • - of commencement."
CONTRACT R 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
Building Department s /', `7
Date Received 7 0 ~ D Phone Contact for Permitting 559- 591 -- - 1 `I l7 r /
Owner's Name ( ' 1 � VV \ Owner Phone Number
IS 1 E-i
Owner's Address 6 1 "6 N, ., a ,4-Q 0 ( . Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address p
JOB ADDRESS 6L A5 M t, c -& D(. LOT #
SUBDIVISION E J i'\( 0,I O(X - PARCEL ID# OS - d(.0 - <9 1 - OISO - (woo - 06'0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE n DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 1 1 COMM 1 I OTHER I 1
TYPE OF CONSTRUCTION I-I BLOCK I I FRAME I 1 STEEL 1 1 OTHER I I
DESCRIPTION OF WORK (' l u , ( C* A j� LM n a ( Y AiLiT9? r
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY ` I 1 W.R.E.C..
I 1 PLUMBING $ 1
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i 1 9 111
I 1 GAS 1 1 ROOFING I 1 SPECIALTY n OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES Ell NO
BUILDER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I
Address License #
i ws�
ivy MECHANICAL ey-i (‘ t S P /,,, Ci COMPANY lay / „i7 r„ SIGNATURE l 109419 REGISTERED I Y/ N 1 FEE CURRENT 1 I Y/ N I
Address lCJ jO 1AS KlAY �� I License # CA en GgSrJS”
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, 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 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.
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 b re le c au ste se fo, r in wr he extension. the Building
ceases orininety period not to exceed ninety
days, the job is abandoned. strate
justifiabauo t
WARNING TWICE FOR IMPROV OWNER: YOU MENTS TO YOUR PROPERTY. T IF YOU INTEND E TO OBTAIN FINANCING, CONSU T
PAYING TWICE
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) 1tJ'PLL 46tei
OWNER OR AGENT CONTRACTOR
and sworn to (or affirmed) before me
Subscribed and sworn to (or affirmed) before me this by
by Who is /are personally known to me or has /have produced
Who is /are personally known to me
as identificatioproduced as identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
PROPOSAL
2381
CHRIS' A/C
C O M P A N Y
CACO58575
DATE: I / / 7 0 Y
TO: .; 1
NAME: _ i _� L— — ` , _, ' 7
;7 — PHONE # / '' / ' - i • ADDRESS / 6 • 5----
�f .5 'c � �'`l tia // 2 / . c c f �
CITY: _ ;
FURNISH AND INSTALL THE FOLLOWING EQUIPMENT AND MATERIAL.
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STYLE �AND SIZE AHU BREAKER _. -- STYLE AND SIZE COND. BREAKER
I YEAR PARTS & LABOR WARRANTY _?YEAR LABOR WARRANTY ON EQUIPMENT ONLY
_ YEAR COMPRESSOR PART WARRANTY YEAR EQUIPMENT ONLY PARTS WARRANTY
/ YEAR OUTDOOR COIL WARRANTY /� A
— __,. YEAR DEPENDABILITY PROMISE
PRICE: $ : c:?' " Price good for 30 days
PAYMENT: X UPON COMPLETION_ 50% ROUGH IN 50% UPON FINAL DRAWS
SELLER RETAINS TITLE TO EQUIPMENT/MATERIALS UNTIL PAYMENT IS MADE. IF A PAYMENT IS NOT MADE AS AGREED. SELLER CAN
REMOVE SAID EQUIPMENT /MATERIAL AT SELLER'S EXPENSE. ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE
RESPONSIBILITY OF SELLER. BUYER WILL BE SUBJECT TO RESTOCKING CHARGE IF JOB IS CANCELED.
AGREED
HRIS �r /'�
BUYER , : -:%-= _, ( , ` JL -<,.. --
DATE 4/ t )7°)
12232 US HWY 301 DADE CITY, FL. 33525 PH. 352 -521 -4977
813 - 779 -9.51
NOTICE OF COMMENCEMENT
State of rttlii01-6U Count Y of Pa s G0
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the ollowing information s provided in
this Notice of Commencement: 69645 Alf 1,Q. Dr' Zq h rI / l / FL 335
1. Description of Property: Parcel No. - 0 3 - a & -e / - 0 l 50 -- 0 000 0 - 00 l 0
Sfevrn's & ai at Sl l ver dar,I'S, Phase One PP 31 P6-S ! - Z
(Legal description of the property and street address if available) L., 1
2. General Description of Improvement ' 0/kiM.e., i Out A /C S4arl
11111111111i 1111111111 1111111111 1111111111 11111 1111111111111
3. Owner Information: Name Th/iti �i Pti t ` S P l e w e S Tru,g
1 J r Dr u j,,
Address (i 9t S NorTh 1-ake City I t }"h l l S State FL 33 6"
Interest in Property: D wf&" 5
Rept:1255847 Ree:10.00
Name of Fee Simple Titleholder: DS : 0.00 IT: 0.00
(If other than owner) 07/29/09 Dpty Clerk -
Address City State
C ' "/e &rnp M 4. Contractor: Name Address 1 oZ 3& U S 1',�/I! 301 City 6 State FL 3 5�Jl'
5. Surety: Name
Address City State
Amount of Bond: $ PAULA S. O'NEIL, PASCO CLERK 8 COMPTROLLER
6. Lender: Name
07OR9BK9 ,S3.: 37 1 PG e 1156
Address City State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address City State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
; 40 ,x1t. , '.4 , , 1I'' K C... C: 1 I )6,,A-A_AW
Sworn to and subscrl before me this 02 /s t day of 7 20
Notary Public:
My Commission Expires:
104e 0 2 7" 0.10// Christina Tellier
PC93053048/A Notary Public, State of Florida
My Commission Expires June 27, 2011
Com. No. DD689600
/
STATE OF FLORIDA ' OUN : " S o
THIS IS TO CERTIFY, 0i * i� ° E G IS A
TRUE AND CORREC`f (P' "^ ' E"` t CUMENT
ON FILE OR OF PUBL RECORD IN TH>'S OFFICE
WIT E Y HAND AIQO • FICIAL SEAL'THIS -
DAY OF s/. 2 ,:d L-
PAULA S. (NEIL, C 1'' 4., I 3 u MPTRCL_LER
BY _� _ DEPUTY CLERK
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