HomeMy WebLinkAbout12-12677 CITY OF ZEPHYRHILLS
, 5335 - 8TH STREET
' (sis)�so-oo20 12677
BUILDING PERMIT
Permit Number: 12677 Address: 37510 NEW HORIZONS BLVD LT 72
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0720
Improv. Cost: 4,008.00
Date Issued: 1/05/2012 Name: COOPER, JOHN & BETTY
Total Fees: 60.00 Address: 1365 SALT SPRINGS RD
Amount Paid: 60.00 CHITTENANGO NY 13037-8759
Date Paid: 1/05/2012 Phone: 813-395-8201
Work Desc: A/C CHANGE OUT 3-1/2 TON 13 SEER
_ `� � � i -s'��
����-
��
DUCTS INSU�,QTE�
FINAL dS
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when eutra 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.
"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 aceordance with
Ci Codes an ' nces. NO OCCUPANCY BEFO C.O.
ONTRACTOR SIGNA PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
941-688-2238
Air Conditioning FAX 941-686-9798
f3 Electric WATS 1-800-282-7841
Sales & Service 923 W Memorial Blvd
Lakeland, Florida 33815
� ''� � / �--
Dear S�r:
Please be advised by this letter that I, Susan K. Williams, do hereby authorize
�� �r2� �
to sign and pick up mechanical permits on my behalf. lf you have any questions please feel
free to call me.
T'hank you,
�
�,�.�,,,_ I�.�.�.�.,..�..�
SUSc111 K. W1�Il�iIl1S
CACO39755 ,
i �/ � � C � ����
Notary � 1..� ('j�. -� �
�N "" MICMELLE JJ►CK90N
�' s� Np�y p�blic - 8tate of Florid�
• �,�y �p�n�iMion Expir� Mr 20. 2012
�.,�� �, C�n�i�tion � DO 787675
•,4!'��
State Certified Electrical - ES0000061 Air Conditioning CACO39755
--
uet /:�a17NN. i 1 1.31l,:Nk1 . ' : � . � e .
4:'� tY.r� � u141r �;�,�`� rF6tt)� y �� r �'g
�>, 7,; w!+� eyi�Y3• , vd! • ! y �y
, '�r• !l� M .ti� y', �.`� :�,;
. Page No. of Pages
, �ro�v��tl
�i�� 1�E�'RfGERATlOt+Q, INC•
d�b; � AC� A��i Cf�ND�T�Ol�1NG � EL�G�'t�iC '
923 �liest Memc�i �� �
LAKftAND �1.ORiGA �25
ts53j 688-2238 '
1-80t1-282-7541 ;
PHONE DATE ''�/�� � � ;
R POSAISIlBMITTEDTO ^ j � �` � " ,�-/--
C � ,
JOB NAME
,� i
� � � � JOB L 710N � ,
arr. sr�►�e���a cc� �,� � �� ,
1 / C JOBPHONE
�,.rr�.�.
EaG�' DATE �F �l.Ata6 ;
c� j �- =���" � '
1�Ve h�treby s�Mmit sf��c��oT� �d estimates for. �� A^ � ��""'"��'� �
�....�J' • M �' 1-�� ►b"' t..,-17!"\N �G% � N � �.�t...,� � v � ,
t u '
�: A"r �tt �M� � � lrt.1 ��� I� � T � �'' � � l� �G{� � �'- �
�--� � - � �� � r
�.�..� � �z. -#-` /�G= �'''�-t`�+ ► 'i" • �4�;�t`�,��.-s ...� T'A F�� G�-L� t.�� �a,�'`''�� ' 3
� �� � , � i y � � ,
�•i !V � � � �.1 C_� � f � '�
-"�° 1 fj� 2�� 7' Wt�R�zt�� , b� `c��' � �
� �q i �. T' -,-�'�' C ' `
� lr�� � �
"""�.. -�� � ��' �.`
�p ��p�QSe hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
� �� �:'� dollars ($ �� �•
T
Pay eni to be made as folbws:
All melerial is guaranteed to be as specitied. All work to be completed in a workmanlike AuthofizBd
manner according to standard practices. Any alteration or deviation from above specifications Sjgnature
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. AII agreemenis contingent upon strikes, accidents Note: ThiS proposal may be dayS.
or delays beyond our control. Owner to carry tire, tornado and other necessary insurance. withdrawn by us if not acCepted within
Our workers are fully covered by Workman's Compensation Insurance.
�ttP���n(Q Q� �Y��1D'�i�Il —The above prices specrfications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Payment will be made as outlined above. ' °°7 ` `
� , �4 ,, .4 _k,..
Date of Acceptance: � �� �-�"'�� � � Signatu�e� . _ �-. ^
Pasco County Parcel: 34-25-21-0090-00000-0720 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, December 31, 2011
Parcel ID 34-25-21-0090-00000-0720 (Card: 001 of 001)
Classification 02 - Mobile Homes
Mailing Address Property Value
COOPER JOHN T& BETTY A Ag Land $0
1365 SALT SPRINGS RD Land $26,881
CHITTENANGO NY 13037-8759
Physical Address Building $70,768
Extra Features $1,229
37510 NEW HORIZONS BLVD
ZEPHYRHILLS FL 33541-7692 lust Value �98,878
Leaal Descri�tion (First 4 Lines) Assessed (Non-School Amendment 1) $98,878
See Plat for this Subdivision ,�" Taxable Value $98,878
GRAND HORIZONS-PHASE ONE
PB 34 PGS 99-102
LOT 72
OR 7762 PG 312
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
� 0200 MSUBM OOM1 6,000.00 SF $4.40 1.00 $26,400
� 0200 MSUBM OOM1 875.00 SF $0.55 1.00 $481
Additional Land Information
Acres 0.16 Tax Area 30ZH FEMA Code � Residential Code GDHZLPI
Buildina Information - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 2001 Stories 1.0
Exterior Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Sheet Vinyl Flooring 2 Carpet
Fuel Electric Fleat Forced Air - Ducted
A/C None Baths 2.0
Line Description � Sq. Feet Repl. Cost New
1 �� BA� 1,488 $78,596
2 FEA 140 $6,286
3 � � 396 $4,173
� 4 � � 120 $2,852
Extra Features (Ca�d: 001 of 001)
Line Description Year Units Value
� � DWC 2001 �- 440 $809
2 � C�-4 � 2001 � 1 $420
Sales History
Previous Owner SHOCK PAUL E& DOROTHY M
Year �- Mo Book/Page Type A
2008 � � 7762 / 0312 WD � $140,000 �
2006 04 6923 / 0896 WD $124,000
� 2001 05 4609 / 0112 WD � $17,900
http://appraiser.pascogov.com/search/parcel.aspx?sec=34&twn=25&rng=21 &sbb=0090&bl... 1/5/2012
Jan. 5, 2012 9:40AM ACE REFRIGRATION INC. No,5368 P, 1
POLK COUNTY LOCAL BUSiNESS TAX RECEIpT
ACCOUNT NO. ���yy CLASS: e EXPIRES: 9/3p/2012
N E L CATI
KRUS, AUGUST & WILLIAMS, SU3AN 973 W MEMORIAL BWD
IAKELAND -1!V
BUSINE$S NAME qND MAIUNG ADdRESS CppE qC71VIT1 TyQE
IfVG 3 ELECT'RIG 230015 CONTRACTppA►p COND�'IiONING :���:`�"':,'�;���.��;,\
ACE AtA CONDITION _ � c,,y.;; .., r. '
AUGUST KAUS d StISAN WILLIqMS �' .• .. r��.+���: �
9z3 W MEMORiAt. BWD , 7=,��Xr` , ''.•!�, , .�.. • �'�,'::':•;
LAKE4WD, FL33815-1326 ' s;�,-,5 �`��, �' �'� � !
� .� �1I•�4! �+,�
•�'�.� �j�'..Jd.� ..�����
•�% , � .W; j�
4 ;`S: '�.y•��-s:�':::rr.,, ' / r'f5
RA• ' � '1}, r�.w�" �, � :�'
PROFESSIONAL I.ICENSE (!F APPLICABL� ~ �`'��'a -��'�"�
CACO39755
OFFICE OF JOE G. TEDDEI�� CFC * TAX COLLECTQR �+�g�cou�rn�oca�eusx�ESSrnuc�cs��rMUsreE
C�NSP�CU08LY DISPLAYEOATTHE BUSINES3 LCGAT1pN
PAiD 09i3ai201� 09i30/2011 NG� L2A 3S5.S0
. "� ..
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received • Phone Contact for Permitting lp� -- � 3�
Owner's Name 1� FY` �--� � � Owner Phone Number �� 3"' J' � S'^ '`6 �.G 1
Owner's Address 3/ s � Q ,�� j� r� 0 ('� I Z D Vu 'i31-1� � Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS i.�r � LOT # '�I �
SUBDIVISION �� � �� ►T" �) Zp �" PARCEL ID# 3�"�s �) 'DC90 � 0 ��'� ` � 7��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q MOVE Q DEMOLISH
B INSTALL B REPAIR
PROPOSED USE � SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL � OTHER
DESCRIPTION OF WORK fl G CG�A — 3' �E��{Z aC k0. 2�
BUILDING S�ZE SQ FOOTAGE HEIGHT
� BUILDING $ VALUATION OF TOTAL CONSTRUCTION
� ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING $
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�--� � �' `r� �
Q GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
ELECTRICIAN 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 R� 2 IJ � �Y- CL.EC._
SIGNATURE �� � �`� REGISTERED Y/ N FEE CURRENT Y/ N
Address � a �- �h�0 ► t--. L� L1� License # G q� c� � 9�sS �
OTHER CaMPANY
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 constructlon,
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 constructlon.
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 52500, 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" r�sxrictirns"
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'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 alt 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-Seawalts, 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 �II 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 Offieial 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 OTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to (or affirmed) before me this Subscribed and swo ��p �r ffirmed) b fore me this
by by l71�-1r- .� �1'h I'h D rtJ �
Who is/are personally known to me or has/have produced Who islare perso nn�to me or has/have produced
as identlfication. as identification.
( � /�Q Notary Public
Notary Public „
Commission No. Commis io �No.
���N�N �
Name of Notary typed, printed or stamped Name of N . p4(�52Q
�; : Expi►�e5 December 12, 2014
�'�:p eona�ann,rmyFatnxru�,ceeaoaes�a�s