HomeMy WebLinkAbout12-12875 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 12875
BUILDING PERMIT
Permit Number: 12875 Address: 38521 WINDFLOWER AVE
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: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-00000-0250
Improv. Cost: 4,220.00
Date Issued: 3/08/2012 Name: REMINGTON EDWARD JERRY&KATHLE N
Total Fees: 60.00 Address: 38521 WINDFLOWER AVE
Amount Paid: 60.00 ZEPHYHRILLS FL 33542
Date Paid: 3/08/2012 Phone: 813-780-1848
Work Desc: A/C CHANGE OUT INSTALLATION 3 TON
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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 consMuction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site t) 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 Acwmpany Application. All work shall be perFormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
✓
CONTRACTOR SIGNATURE PERMIT OFFI ,R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�so-ocao City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin --
Owner's Name (C 'Y�c�t,`i��eN C`(�li� Owner Phone Number 3 ' Q—� `1 g
Owner's Address � � rc;1`� f � Owner Phone Number � �
Fee Simple Titteholder Name Owner Pho�e Number �— �
Fee Simple Titleholder Address
JOB ADDRESS $S Z I W �,� '�(�� �f� �3 �a LOT# �
SUBDIVISION � —� PARCEL ID# UZ- ' 'C�up(Y��(7 �� �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK C W��{.,Y C �1�GV'✓1 � C,.�--� � Lf.� f•
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
�ECHANICAL $ �� VALUATION OF MECHANICAI.INSTALLATION �� �1�
G( 1 � � 1
QGAS Q ROOFING Q SPECIALTY � OTHER ( y
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r—
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY � �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �\� S �� N 33�_` 5 License# �{�,�3(07�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C �
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 pro)ects.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 s7500)
'* Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized Ietter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles 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 Iocal 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 unce�tain 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 prvperly licensed and is not entitied to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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 powe� 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 instaliation 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
ce�tify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to idenfify 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-Seawalis, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
1 understand that the foilowing 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" wili be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Fiorida.
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 specificaliy inciuded 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 ab from the Build nglOffic al fosa per od not to exc'eedtn netyr(90) days and will demo strate
may be requested, in writmg,
just�able cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandone
WARNING TO OWNER: YOUR F NTS TO YOUR PROPERTY.TIF YOU INT�END TO OBTA N F NANC NG C'ONSULT
PAYING TWICE FOR IMPROVEME
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORiDA JURAT(F.S. 117.03)
CONTRACTOR
OWNER OR A(iEN Subscribed and s to(or affirtned)before me this
Subscribed and swom'to(or atflrmed)before me this �—
o islare personaliy known ro mas idenUfiqd�roduced
o is/ar personally known to or has/haden6fication.
. �.-� Pubiic State of Flonda otary Public
a Public �oseph L Masse
�'�°� Notery Public State of Flonda Co iS fon N
�,� . My Commissio�DD942937
mis o ��� oF^
N f My Commission DD942937
Name of Notary typed,printed or stamped
Name of N
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; ° �,. ; • 19121 US Hwy 41 North•Lutz,FL 33549
Local(813)948-6355•Fax(813)949-9266
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Toll Free(866)323-COOL• Lakeland(863)859-0062
#C�C1813676•Qualifying 1lQB26202•Licensed,Aonded&Incured
www.IemaAir.com
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LEAN COIL 3 CHECK FIN COND. 4 � • ^y '
❑ ONDENSATE AREAS ` +�„� ' ; � ( � !, ,�� � ' �
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INSPECT 8 CLEAN ORAIN � � ' �'t
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RIMARY RELAY 3 FLUE MANUFACTURER SPECIFIGTIONS.
FAN 3 LIMIT SVNTCH OPERATOR uBOR OUARANTY �k CANCELLATIONS�
BLOWERASSEMBLY T1IEUBORCNAROEASRECORDEDMEREREUTIVE
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LECTRICAL COMPONENTS pRTVRL000[D AIR�ILTERi,TIU�►ED�REAKEI1t FEES INCURRED BY SAIO COUNTY.APPLICABLE FEES
RELAVS o corrracrat AND CL006E0 DRAIN UNF�AIIE NOT W1IRMNT'/ yy���BECOME THE FINANCIAL RESPONSIBILITY OF
OVERlOAD ❑PRESS.SWITCH 1»uFa.
❑THERMOSTAT wE oo rm,w eou�sE ou�iuwrr oTNni�iuTS PURCNASER AND/OR PROPERTY OWNER.
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-TERMS:DUE UPON C MPLETION- at S �. �
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� ���q ORDER AS OUTLINED ABOVE.IT IS AGREED THAT THE SELLER VMLL ' f�� �.7 j
REFRk'i� CtY, AePLACED> ves r-N^o� RETAIN TIriE TO ANY EQUIPMENT OR MATERULL FURNISHED UNTIL r- -
ois.armED? � I.t ! F��6 COMPLETE PAYMENT IS MADE.AND IF SET7LEMENT IS NOT TAX �
RECWERED� � No orv .es � MnDE AS AGREED,7HE SELLER SHALL NAVE THE RIGHT TO REMOVE
R REFRIOERIINT DISPOSAL SAME AND THE SELLER 1MLL BE HELD MARMLESS FOR ANV DAMAGES TRIP
E � � RESUITING FROM TME REMOVAL THEREOP PA`/MENTt NOT RECEIVED CHARGE a
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OWNER'S,! ITIALS �gOV�ORDERED WORK HAS BEEN COMPLETED AND I AGCNOWLEDGE RECEIPT OF MY COPV
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Pasco County Parcel: 02-26-21-0260-00000-0250 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, March 03, 2012
Parcel ID 02-26-21-0260-00000-0250 (Card: 001 of 001)
Classification 02 - Mobile Homes
Mailing Address Property Value
REMINGTON EDWARD JERRY& Ag Land �p
KATHLEEN Land $11,500
38521 WINDFLOWER AVE
ZEPHYRHILLS FL 33542-6364 Building $8,555
Physical Address Extra Features $853
38521 WINDFLOWER AVE 7ust Value #20,908
ZEPHYRHILLS FL 33542-6364 Assessed (Non-School Amendment 1) $20,908
Leaal Descriution (First a�ines)
SLEEPY HOLLOW MOBILE ESTATES Taxable Value $20,908
RESIDENTIAL COOPERATIVE
OR 4507 PG 292
LOT 25
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�� 0200 MSUBM OOM2 1.00 LT $11,500.00 1.00 $11,500
Additional Land Information
Acres 0.08 Tax Area ZH FEMA Code �R i n i I H PLPl
Buildina Information - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 1973 Stories 1.0
Exterior Wall 1 Pre-Finished Metal Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M)
Interior Wall i Plywood Panel Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C None Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 B� 720 $18,662
Z � 348 $1,814
� 3 FEA 180 $3,966
Extra Features (Card: 001 of 001)
Line � Description Year
Units Value
1 U DU 1984 70 $158
Z �� 1986 80 $180
3 CAC-1 1994 1 $308
4 DWC 1975 240 $207
Sales History
Previous Owner WITHERS MILDRED J &
Year Month Book/Page Type Amount
2010 04 8303/0321 AL $22,500 �
2001 02 4552/0274 PL � $0
2000 10 � 4482/0710 WD $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0260&bl... 3/8/2012