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Home My WebLink About11-12571 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3)�8o-0020 12571 BUILDING PERMIT Permit Number: 12571 Address: 39412 LINCOLN AVE 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: LINCOLN HEIGHTS Est. Value: Parcel Number: 12-26-21-0280-00000-0250 Improv. Cost: 3,680.00 Date Issued: 11/29/2011 Name: BEASLEY, GWENDOLYN Total Fees: 55.00 Address: 39412 LINCOLN AVE Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/29/2011 Phone: (813)714-9942 Work Desc: A/C REPLACEMENT 55. �' � �� r 1 l�" _� , DUCTSINSULATED 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 fl 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. "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." Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRAC SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 8?3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin -- , � ; L ,. _ Owner's Name Owner Phone Number Owner's Address J ��(�i L U� Owner Phone Number �- Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address � � S � LOT # �� JOB ADDRESS SUBDIVISION � � 2 PARCEL ID# U' d � TAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR � COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER DESCRIPTION OF WORK � G C� � BUILDING SIZE SQ FOOTAGE HEIGHT � BUILDING $ VALUATION OF TOTAL CONSTRUCTION � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. � PLUMBING $ � MECHANICAL $ } �� j 1 �/� � VALUATION OF MECHANICAL INSTAL TION �� I l� �.3 b b �/ ' � � GAS 0 ROOFING � SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �YES QNO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y! N Address License # ELECTRiC1AN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address License # MECHANICAL COMPANY C E!C II IG�S r��`SC� ��I G SIGNATURE t REGISTERED Y/ N FEE CURRENT Y/ N Address �� I� � LGS L. License # G�7C� � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N 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 construcGon. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work PeRnit 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) wouid be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (PIoUSurvey/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 contrac or 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 under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y 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 IMPACTIUTILITIES IMPACT AND RESOURCE REC�oV�ER onstEStion of new b ude gsnchange of that Transportation Impact Fees and Recourse Recovery Fees may app y use in existing buildings, or expan ned also un such fees, be duey OI abe d ntif ed at the �me 90-07, as amended. The undersig permitting. It is further understanc th or final power ele sea the p ojecRdoes a certificate occ pancy o� receiving a"certificate of occup y final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impac fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. 500.00 or mvre, I CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a ofmhe �F orida Construction L en L aw—Homeowner's certify that I, the applicant, have been provided with a copy 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'SIOWNER'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 regul I must take to b e n complia ce. Such agenc�es include are n t limi ed to: �t is my responsibility to identify what actio - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering _ Southwest Florida Water Management District-Wells, Cyp Y 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 be submitted at time of permitti g wh ch is p epared a neer "compensating volume will 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 wa 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 an adve sel affect adjacent propertiesf I the I �owner may cit d for v�olat ng properties. If use of fill is found to Y the conditions of the building perm�t ineered dr�a nage plan s equ � at application, for lots less than one (1 acre w h i c h a r e e l e v a t e d b y f i l l, a n e n g If I am the AGENT FOR THE OWNER, I promise �u de�stan�d that pa h at permit may be req u d for l electr c al�work�, this affidavi t prior to c o m m e n c i n g c o n s t r u c t i o n. I plumbing, signs, wells, pools, air conditioning, gas, or other installations no t speci fic a l l y i n c l u d e d i n t h e a p p l i c a t i o n permit issue d s ha l l be c o n s t r u e d t o b e a l i c e n se nor shall ssua a pe mit�preven t t h e B u d i n g O ce a l f r o m t h ereafter set aside any provisions of the technical cvdes, re uiring a correction of errors in plans, construction or�v�a�witnin s x onths of perm p sua e, wo authorized bn q unless the work authorized by such permit is commen da s and will demonstrate the permit is suspended or abandoned for a perioOd�c al fo6a per not to ed netyr(gp�co �menced. An ex ensio may be requested, in writing, from the Building consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) ARNING TO OWNER: YOUR FAILURE TO RECORDE TM T�F YOU INTEND TO OBTAIN F NANCING, CONSULT W MENCEMENT. PAYING TW�CE FOR IMPROVEMEN NEY BEFORE RECORDING YOUR NOTIC WITH YOUR LENDER OR AN ` % ;1 ` �'. FLORIDA JURAT (F.S. 117.0 ,� , `- - CONTRACTOR before me this OWNER OR AGENT Subscribed and swom to (or e) Su sf,�'!b �nd swor to (or affirm before me thls -_by / o�y by Who is/are perso y known e or has/have produced known to a►e"or as/have produced as identification. o is/ re pe�ona y as identification. _ _ / I � � ��"\ T � � � Notary Public � _ � � ry Public _ --- Commis ' � �;� eiy� BOBBIE S. SWETLAND ,�.�:riyX;,, 608BIE S SWETLAND ' ' s, ;: Cort�°rn:,;i�n Name of d� � 2012 Na ��P�� , ��,. 9aidadThru7royFanlr�xenceBOD � � n Band40 ThN Troy Fa�n rr�surance 8W�3A5-7019 Pasco County Parcel: 12-26-21-0280-00000-0250 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, November 26, 2011 Parcel ID 12-26-21-0280-00000-0250 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value BEASLEY GWENDOLYN Ag Land $0 39412 LINCOLN AVE Land $10,154 ZEPHYRHILLS FL 33542-4639 Building $32,200 Physical Address Extra Features $180 39412 LINCOLN AVE ZEPHYRHILLS FL 33542-4639 Market Value �42,534 Assessed (Save Our Homes) $39,895 Lec�al Descrintion (First 4 �ines) Homestead 196.031 -$25,000 See Plat for this Subdivision ,�' Non-School Additional Homestead Exemption -$0 LINCOLN HEIGHTS SUBDIVISION PB 13 PGS 113-114 LOT 25 Taxable Value ;14,895 OR 3160 PGS 595 & 596 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 Use Description Zoning Units Type Price Condition Value 1 0100 SFR OOR2 8,000.00 SF $1.21 1.00 $9,680 2 0100 SFR OOR2 2,790.00 SF $0.17 1.00 $474 Additional Land Information Acres 0.25 Tax Area OZH FEMA Code X Residential Code ZHLPLP3 Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1975 Stories 1.0 Exterior Wall i Concrete or Cinder Block E�cterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring i Asphalt Tile Flooring 2 None Fuel Electric Neat Forced Air - Ducted A/C Central Baths 1.0 Line � Description Sq. Feet Repl. Cost New 1 BA� 1,056 $37,646 Z ��,P 72 �— $642 3 � � 220 $1,961 4 _F� 88 �— $1,569 Extra Features (Card: 001 of 001) Line � Description Year Units � Value 1 DW WC 1975 200 $180 —� Sales History Previous Owner PEREZ DANIEL & Year Month Book/Page Type Amount 1993 06 3160 / 0596 WD $ 1993 03 3160 / 0595 WD � $0 � 1990 10 1958 / 0401 �C $p http://www. appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&... 11 /29/2011 __. _....„�� . �„. 1V n,•, rNU�. ,�� v rax �erver ACORD � � � +�El�'.'C'i�'t��l.'l"�. Q� L��:�3:IL1�"'�f :I�V��.� I��:N:�:� o ATE(MM/DD/YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER 7HIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S►, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certiticate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subJect to the terms and conditfons of the policy, certain policies may requlre an endorsement. A statement on this certificate does not confer rfghts to the certtticate holder tn Ileu of such endorsement(s). PRODUCER PAYCHEX INSURANCE AGENCY, INC. COMPANIES AFFORDING COVERAGE 150 SAWGRASS DRIVE ` GUARD INSURANCE GROUP ROCHESTER, NY 14620 COAApqNY INSURED B AIRTECH SERVICES OF PASCO INC cornanNv 38835 COUNTY ROAD 54E � ZEPHYRHILLS, FL 33542 COM1APANY D � �� AEY �� :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ��t�tl�t�A1'�;N�:NI� Lt#;: ............. :��±i�or�: �i�:�t��:�;. ............. HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED qBOVE FOR THE POLICY PERIOD INOICATED, NOTWITHSTANDING qNY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICN THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AL� THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE LTR POLICY NUMBER POLICY E�FECTIVE POLICY EXPIRqTION DATE (MM/DD/VY) DATE (MM/00/YV) LIMITS GENERAL LIABILITY COMMERCIAL GENFRAL 1 IABILITY GENERAL AGGREGATE $ �LAIMS MADE �jCCUR PRODUCTS COMP/OP AGG $ OWNER'S & CONTRACTOR'S PROT PERSONAL 8 ADV INJURY $ EACH OCCURRENCE $ FIRE DAM/1GE (Any one lire) $ AUTOMOBILE LIABILITY MED EXP (Any one person� g ANY AUTQ COMBINED SINGLE LIMR $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJUHY $ HIRED AUTOS (Per person� NON-OWNED AUTOS BOOILY INJURV (Per accidem) $ PROPERTY DAMAG[ g GARAGE LIABILITY ANY AUTO AUTOONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY• EACH ACCIOENT $ EXCESS UABILITY nGCREGATE g UMBRELLA FORM EACti ocCURr�ENCE g OTHER THAN UMBREI_LA FORM AGGREGATE g WOflKER'S COMPENSATION AN� g (� EMPLOYERS'LIABILITY AIWC241921 11��9�1� X wC57A7U- otH- 11l09/12 7HEPR(WqIETOq ELEACHACCIDENT $ 100,000.00 PARTNEFS ,execunve O �NCL OFFICERS ARE O EXCL EL DISEASE - POLICY LIMIT $ 500,000.00 OTHER EL DISEASE - EA EMPLOYEE ¢ 100,000.00 DESCRIPTION OF OPERATIONS / IOCATIONS / VEHICLE3 (Attach ACOflO 101, Additlonal Remarks 3chedule, H more space Is required) c�ar��cAr�;�ao�:a��: . .. .. .. .... � �.� . .. . �AN��E<E:A°f��N . . ... CITY OF ZEPHYRHILLS SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 5335 8TH 5T DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY ZEPHYRHILLS, FL 33542 PROVISIONS, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGA710N OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OH REPRESENTATIVES. AUT �ED REPRESENTA IVE �� • �;�l�� s.r��f�[�-�T� ` W. :.AC.QRD;25��t,^L,QO�lO�) .................................................................�:. ,. .� .. �. . ' .:...................................................�AGCiff�:CQ�t?Qf'tAT3biil;i988.... Page No. of Pages Pnoposal AIR TECH SERVICES, INC P.O. BOX 1120 Zephyrhills, FL 33539 f,� Heating and A/C Contractor 813-779-7508 FL State Lic. # CAC18154 PROPOSAL SUBMITTED TO� / DATE. _ ��= �7 e; �' ' :, t /� `� � C ?' 0 �.: � � ` � �)1 � STREET. —�� ; I PHONE. � ` �- � L ', � ��1 �-�� ,�. �-- `� � � - 1 t � -�'� �I �-��. CITY, STATE and ZIP CODE . _ \� � � i i We hereby su mit sp cifications and e timates for• � ..� ��l . S �,� n ,� f c. c k ln. ►u t �'f � I C� k l�: �l � G-' �•a'� ------ 1 Y1 �� j�� l�,u.c � �� cn � 1,� � c�.: c� _� e,� u n.-� t�e�/ c..� — -- � i 1�__ ��-_S �ci.-� �- �1�!�� _l..CiS.�' ' �---�'" l • t��.,� � c,� ` a � s� r �� fZYY ' v -- `� r- � 7 --�— ��_7`LLNe�__�`� s et� ------- .�� ` � �. � � 4'� � vLa S -� � _ ' � C'�.'L C�.. _�_—_ �� ✓ a i --�'1�� ' — �� (� G�.r'L..�_� � C� � n� C � 1 � � �t1. . � i� �;,�'� � s; s'�L1 4i. � � �' , — C� .;, `�-- �''�� `� ----- -- — - - - r��,�__�5 ��`1 � _ � Z.Ue PKOpOS¢ hereby to furnish material and labor - complete in accordance with above specifications, for the sum dollars ($ 1 . Payment to be made as follows. % at commencement, % at the compietion of the job. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above �"'""� specifications involving extra costs, will be executed only upon written orders, and wiil Authorized become an extra charge over and above the estimate. All agreements contingent upon Signature strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. Our workers are fully covered by Workman's Compensation Note. Thi5 proposal may be Insurance. withdrawn by us if not accepted within days. .�ieceptance of Pnoposal above prices, specifications and conditions are satisfactory and are hereby Date ofAcceptance: accepted. You are authorized to do the work as specified Payment will be made as outlined above Air Tech Services, Inc. shall be entitled to receive payment for any and a�l costs Sign2tUre. incurred in enforcing and coilecting unpaid balances due (including reasonable attorneys fees), whether suit is brought or not and whether incurred with collection, trial, appeal or othervvise Signature• I3rooksville Printing (3521 796-3512