HomeMy WebLinkAbout12-13050 • • CITY OF ZEPHYRHILLS
• ' S335-8TH S11tEET
�si3��so-oozo 13050
BUILDING PERMIT
Permit Number: 13050 Address: 7943 MERCHANTVILLE CIR
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: CRESNIEW HILLS
Est. Value: Parcel Number: 35-25-21-0120-00000-0510
Improv. Cost: 2,100.00
Date Issued: 5/07/2012 Name: WORKFORCE HOUSING VENTURES INC
Total Fees: 55.00 Address: P.O. BOX 948
Amount Paid: 55.00 DADE CITY, FL 33526
Date Paid: 5/07/2012 Phone:
Work Desc: A/C CHANGE OUT 2 1/2 TON
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F�NALS INSU�Q�
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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 calied e) permit not posted on job site� 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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
, �_
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N CTOR 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
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Date Received Phone Contact for Permittin —
Owner's Name ;<.4?2l��t��LGL' r/Oa!��jN(� L�L�i v //'�L Owner Phone Number
Owner's Address �� ��'y` �`f� l�A'�G—` � � �Y /'C 3 3 S�� Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titieholder Address
JOB ADDRESS �9�3 J�I��L�''�'`�'zt��✓���� r ' 2 LOT# �
SUBDIVISION PARCEL ID# `3'r� �"5� �% �� ��/ °��p�'��i �' s� �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONS7R e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK L-�'"����� ��/i l� �' � ���- T�J
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��
� � �
�^ECHANICAL $ ����y� �„� VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N
Address License#
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 ����-s��� /�C � �'�L`�T/�'`��' /WG
SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
Address License# �k C �� /`�73�-1
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bufiding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)wo►king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-�-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commerciai 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 applicaHon,notarized
If over 52500,a Notice of Commencement is required. (A!C upgrades over E7500)
" Agent(for the contractor)or Power of�4ttomey(for the owner)wouid be someone with notarized letter from owner authorizi�g same
OVER THE COUNTER PERMITTING (Front of Applicatiqn bnly) .
Reroofs if shingles Sewers ServiCe tJpgrades A/C Fences(PIoUSurveylFootage)
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 requi�ements 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 "ce�tificate 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
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 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 8� 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 restrictfons apply to the use of�II:
- 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 technica) 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 bele cause or the ext n�s onm Ifhwork'cea es�orini ety(90)r onsecutive days, the job isocons de ed balndonedstrate
�ust�iab
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 NOT��UF COMMENCEMENT• ,
FLORIDA JURAT(F.S. 117.03)
.. /'/ �%'
OWNER OR AGENT CONTRACTOR '
Subscrlbed and sworn to(or aiflrmed)before me thls Subscribed and swo to rmed) fore m�lQis��
b 5 '1-1 L- by S/.�-
y Wh �/ar persona y qwn to me or has/have produced
Who is/are personally known to me or has/have produced �-�2;� ����,�� as Identification.
as ldentlficatlon.
� r Notary Public
Notary Public
�• ,�,,,•,,N JACQUEUNE �
Commission No. Commfss _
:r�� Cvro �,,,,��
� �^M'f8S FL�!���8pp.3ES1019
Name of Notary typed,printed or stamped Name of N
Pasco County Parcel: 35-25-21-0120-00000-0510 001 Page 1 of 1
Data Current as Of: � Weekly Archive - Saturday, April 28, 2012
Parcel ID � 35-25-21-0120-00000-0510 (Card: 001 of 001)
�-Classification 01 - Single Family
Mailing Address Property Value
WORKFORCE HOUSING VENTURES INC Ag Land $0
PO BOX 948 Land $16,082
DADE CITY FL 33526-0948 Building $49,127
Physical Address extra Features �1,070
7943 MERCHANNILLE CIR
ZEPHYRHILLS FL 33540-2074 7ust Value �66,279
Le4al DeSCriDtion (First 4 Lines) Assessed (Non-School Amendment 1) $66,279
See Plat for this Subdivision.�"' Taxable Value $66,279
CRESNIEW HILLS PB 53 PG 124
LOT 51
OR 8584 PG 1362
Land Detail (Card: 001 of 001)
Line Use Description 2oning Units Type Price Condition Value
�1 0100 SFR OPUD 6,500.00 SF $2.47 1.00 $16,055
�2 0100 SFR OPUD 100.00 � $0.27 1.00 $27
Additional Land Information
Acres 0.15 Tax Area 30ZH FEMA Code �Residential Code CVHLLPI
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 2005 Stories 1.0
Exterior Wall i Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Ceramic Clay Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 2.0
� Line Description Sq. Feet Repl. Cost New
1 BAS� 1,350 $47,520
2� FGR 360 $5,069
3 FOP 90 �— $810—�
Extra Features (Card: 001 of 001)
Line Description Year Units Value
� 1 DWSWC 2005 616 $1,070
Sales History
Previous Owner PASCO COUNTY
� Year Month � Book/Page Type � Amount
2011 08 8584/ 1362 WD � $88,000
� 2010 11 —� 8531 / 2720 WD � $88,000
2010 10 8455/ 1786 � $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=21&sbb=0120&bl... 5/7/2012
y'�� .
, �' � PROPOSAL
A/C& HEAT/NG lnc.
(863)815-3317 Job/Location
T374 Dove Meadow Trl Worl�'orce Housing Ventures Inc
Lakeland, FL 33810 P•O.Box 948
Dade City FL 33526
Lic.#CAC1814738 813 477-0337
Project:7943 Merchantville
LENNI�X � � Date
OAVfNfT
m
5�1�2�12
Job Specifications g
Replace A/C System with 2 1/2 Ton, 13 SEER Bryant Puton Heat Pump System 3,000.00
Permit 100.00
WE PROPOSE hereby to furnish material and labor acording to above specifications for the sum of �
Payment to be made upon completion �3>>�•�
unless otherwise specified
ACCEPTANCE of PROPOSAL The above prices,specifications,and conditions aze satisfactory and are hereby accepted.You are authorized to do
the work as specified.Payment will be made as specified above.
Proposal Void after 45 days Signature